Selected quad for the lemma: cause_n

Word A Word B Word C Word D Occurrence Frequency Band MI MI Band Prominent
cause_n child_n woman_n womb_n 1,403 5 9.8281 5 false
View all documents for the selected quad

Text snippets containing the quad

ID Title Author Corrected Date of Publication (TCP Date of Publication) STC Words Pages
A51662 A rational practice of chyrurgery, or, Chyrurgical observations resolved according to the solid fundamentals of true philosophy by John Muys : in five decades. Muys, John, b. 1654. 1686 (1686) Wing M3165; ESTC R32112 102,986 270

There are 2 snippets containing the selected quad. | View lemmatised text

the dilated Artery For by this means I have certainly known some to have augmented the number of the Dead Moreover Ligatures must not be tyed too close for by this means I remember a mortal Sphacelus hath unexpectedly been introduced But if the Patient from the wound of an Artery lose so much Bloud as he suffers great Swoonings and Death seems to stand at the door what is then to be done Cannot the Transfusion of Bloud so much praised in this case profit especially seeing it is declared by credible men that a Dog from whom in one day so much Bloud was taken that he could scarcely move by Calves-Bloud received the next day in a moment of time shewed recovery of strength and incredible vigour I answer I cannot remember this Operation to have been at any time instituted by our Country-men therefore warily suspended my judgement about this matter OBSERVAT. V. Of a Fracture of the Tibia with a Wound A Virgin Twenty years of age by the sudden and unexpected discharge of a Gun I know not by what misfortune happening charged with Small-shot received a wound on the inside of her Leg a little below the Knee Which wound presented it self in length and breadth very large yea so large that it exceeded an hands breadth There was also present a very great Contrition and Commination of the Bone of the Tibia broken into very small pieces which extended it self the whole length of the Wound and thickness of the Bone of the Tibia Whence the sick Maid was afflicted with most cruel dolour which caused her to pass many Nights without sleep or if she at any time slept for a very little while she would suddenly awake not without very great terrour attended with a Convulsion as it were of her wounded Leg by which means the broken Bones were often distorted The broken Bones were reposited without great Extension and the Fragments which were wholly separated loose and at liberty were presently taken out without much trouble the remaining Fragments yet somewhat adhering were left till in process of time they should be separated Then was applied a digestive prepared of Turpentine the Yolk of an Egg Powder of the Roots of Flower de Luce and Birthwort with Myrrh and other things together with a Plaister and Lavament temperating Acidity After these was used a common Ligature and at length the affected Leg included in a case of Wood was aptly placed in the Bed over which hung a Rope by which the Patient might raise her body when necessity was and at her Feet was erected a Semi-circle of Wood lest the weight of the Bed-clothes should create any trouble to the wounded Leg. The cutting of a Vein which very many are wont to commend in such a case was wholly omitted because no benefit can thence arise nor were Purgers here according to the vulgar method revoked into use because in this Evil nothing is more desirable than Rest and nothing more pernitions than Motion Therefore whensoever the Patient was necessitated to discharge her Belly a four-doubled Cloath was laid under her to receive the Excrements In the mean while the Patient eat Foods easie of digestion drank new Beer and the first Evenings after she was wounded assumed a certain gentle Anodine for mitigating the dolour and removing that terror of which I spake The Bones were reposited as often as they were found distorted by that Nocturnal terror The Wound by reason of great abundance of Pus was dressed twice a day and so in process of time very many Fragments were separated And then we could daily see the Generation and Accretion of a Callus arising not from the Marrow but from the very small Pores or passages of the Bone through which are conveyed the nourishing Humors coming from the small Arteries This Wound so very perilous was closed up in a Months space and the Patient could again as well stand and walk as she had done before this wound was inflicted I remember another Woman afflicted with the same Evil to have been cured by my Father But these two Examples should not render any Artist so secure as slightly to regard a Fracture with a Wound For I have known that to have caused death in many So when in the Hospital as Rotterdam I was present with others daily for almost whole days dressing very many wounded Men which came from the Siege of the City of Graaf I remember all they that laboured with a Fracture and Wound of the Tibia died and among others one was afflicted with a Fracture and wound of the Tibia in whose wound I beheld not without Admiration very many broad thick and white shining Worms But whence had these Worms their Original I answer From Eggs fallen from the Air into the wound out of which the Worms were excluded when a certain Fermentation was excited in the stagnizing Humors So not a few Eggs fall from the Air into Milk of which Cheese is afterward made As long as that Cheese is new these Eggs are not excluded but when the Cheese putrifies that is when in process of time a certain Fermentation is produced in the Cheese then do the Worms crawl out of the Eggs. So in a very great contrition of a Bone the Fracture with the wound attending I remember to have been cured no otherwise than by cutting off the Leg a little below the Knee In a Fracture of the Tibia with a wound some are wont to use the Ligature of eighteen Heads which is in Dutch called een boexwiise Ligatuur but we have happily used the common which we changed twice a day by reason of the great quantity of out flowing Pus I knew a Chyrurgeon who instead of the wooden Case of which I spake used a certain Iron-Instrument into which the Leg affected was put and so kept extended and unmovable but I cannot here in words give a description of that Instrument In a simple Fracture of the Tibia Ferula's made of Pastboard are generally applied but in our Patient these were wholly omitted because in a wound so vast they seemed not convenient With our Digestive which was put upon the Wound by reason of the bared Bone no Fatness was admixed For that Fatness hurts the Bones Experience doth abundantly testifie the reason of which we have before given Parey in the Chyrurgick Practice was very deserving and had much Experience yet in a Fracture with a Wound he improperly commends Astringents which why and how much they hurt we have often shewed I suppose no man will take it in evil part that I should dare to reprehend so great a Man seeing the more famous any man is the more dangerous are his Errours because very many moved by the onely Authority of so great a Man with a certain blind force follow him treading a Path that hath been trod but not that which should be trod It is to be observed that a Callus is most difficultly produced in Fractures of women with Child
or giving Suck because the matter fit is withdrawn by the young in the Womb or by the Infant sucking So Fabritius Hildanus relates in the 87th Observation of his Fifth Century that for this cause in a Fracture of the Tibia with a wound the Bones were yet loose the 23d week after the hurt received In a Fracture as well Simple as Compound when a Callus hath again conjoyned the broken Bone the Patients are commonly sensible of some trouble in motion which happens because the newly-generated Callus occupies the place of some Muscles moving this or that part Before I put an end to this Observation two very intricate Problems seem very fit to be here unfolded by me The one is why Bones in clear Frosty-weather are more easily and sooner broken than at any other time The other whence proceeds the Terrour that generally invades the Sick afflicted with a Simple or Compounded Fracture presently after a short sleep To the First Some perhaps will answer the slipperiness of the Ice is the cause that men often fall to the Earth and so the Bones may happen to be easily broken But this doth not untye the Knot this removes not the Difficulty For not onely Bones but also Iron Wood and other hard Bodies are more easily broken in the Winter-season than at any other time Whence then doth this happen Attend a while and I will tell you The more pertinaciously and firmly the parts of hard Bodies are conjoyned each with other the more difficultly they are broken This is certain But what is that which effects coherency in the parts of hard Bodies Not Rest as some think because that is not any thing positive in the Body but onely a privation of motion Therefore Rest proproduceth not this Effect but the Air compressing the parts of hard Bodies conjoyns and causeth them to cohere as is evident by the Experiment cited in the Seventh Observation of the Third Decade The Air whilst Summer's Heat is most vehement presseth more than in Mid-winter partly because at that time it is more forcibly agitated by the heat of the Sun partly because then it is more heavy by reason it is mixt with very many gross Vapours forced upwards by the Solar heat Hence it is now manifest why Bones and other hard Bodies are more easily broken in Winter than in Summer Hence also it may readily be understood why Wood is much sooner consumed by burning in the extream cold Winter-season than whilst we enjoy the pleasant Summer The Winter-Air by its more weak pressure cannot very pertinaciously conjoyn the Particles of the Wood whence these Particles are easily separated from the Wood when they suffer violence by certain terrestrial Particles floating upon the onely most subtile matter of the World therefore most swiftly agitated Hence it is that the Winter-Air as being less pressing and containing fewer Vapours permits the Flame freely to enlarge it self We now come to the other Problem by which it is asked Whence ariseth Terrour invading the sick suffering a Fracture of the Bone in sleep and not while waking and often again distorting the broken Bones Parey a man endowed with great Experience in the Chyrurgic Art who himself once suffered a Fracture of the Tibia and Fibula with a Wound and in his own Body plainly enough experienced this Terrour as he saith a reason of which he endeavours to render in the 26th Chapter of his Book of Fractures but he there miserably philosophizeth producing nothing but Impertinencies and Chimoera's Therefore let us see whether we can give a more probable Reason that may come nearer to the truth We will at least attempt it When the Sick are not sleeping they see they hear they eat they drink and stir their Arms and by this means consume much of the Nervous Juice so that that cannot flow in so great abundance into the parts irritated c. but when the Sick indulge their Members with sleep the matter is far otherwise The Ears at that time hear not the Eyes are closed the Nosethrils perform not their wonted Office the Tongue is silent and the Arms rest Therefore when at such a time the Humors stagnizing and waxing acid about the Fracture with their distention molest the Fibrils and by their cutting property irritate them then I say the Nervous Juice which in the time of the Patients waking is not imployed in great abundance falls down upon the irritated Muscles which by this means swollen vehemently move the Leg and miserably distort the Extremities of the broken Bone one to this part the other to another whence ariseth pain cruel enough by which the Patient after a short sleep is awakened with terrour But that you may more readily give credit to the reason of this Phoenomenon I judge it fit to advise you to attend to these few Words following When you are awake and not sleepy and when your Semenary Vessels contain much fruitful Seed imagine to your self as strongly as you can some beautiful Maid yet as I judge you shall not by this means eject your Seed unless you use some other excitation But if whilst in a sound and pleasant sleep a very beautiful young Woman be by imagination presented to your Phantasie and if in the mean while your Semenary Vessels be sufficiently distended with the Seed the Seed not seldom by such means flows out with very great pleasure viz. because the Seminary Vessels are very much contracted by the Nervous Juice which in great abundance whilst you sleep is carried from the Brain into the Seminary Vessels distended and very much irritated by the Seed because it is not now imployed about other works to be done whilst waking So I knew two Epileptick Persons who never had Fit whilst awake but always when they soundly slept which doth not a little confirm my Opinion OBSERVAT. VI. Of Dislocation of the Talus or Ankle-bone with a Wound A Man aged Forty years fell from on high to the Ground and suffered a Dislocation in the interior Ankle-bone of his Left-leg conjoyned with a vast Wound out of which the Bone was prominent the breadth of three fingers and the dolour was almost intolerable This case is very perilous For not without great danger of life a Gangrene sometimes invades the great Toe infected by the Dislocation and Wound concomitant as I remember not long since to have happened But such horrid Symptomes are not to be feared if in the great Article of the Talus a Dislocation also be with a very large Wound This Affect is not onely perilous but also rare so that Parey Pigreus Aquapendens Barbette and other scarcely so much as mention the same in their Books although Scultetus in his Chyrurgic Armory speaks of it but whether credit is to be given to his Words or his Counsel followed we shall see after we have pondered the following Words written by himself If an Article be luxuriant so as it is either uncovered or be a little