overcome_v they_o as_o for_o old_a rottenness_n and_o fistula_n you_n must_v observe_v the_o same_o circumstance_n and_o have_v regard_n unto_o three_o thing_n to_o the_o nature_n and_o cause_n of_o the_o disease_n to_o the_o part_n affect_v and_o to_o the_o superven_a symptom_n to_o judge_v whether_o the_o fistula_n &c._n &c._n be_v curable_a and_o may_v be_v overcome_v by_o medicine_n it_o be_v necessary_a to_o examine_v whether_o they_o have_v be_v of_o long_a continuance_n the_o cause_n that_o produce_v they_o and_o that_o which_o foment_n they_o if_o the_o cause_n of_o the_o rottenness_n and_o fistula_n proceed_v from_o some_o wound_n or_o contusion_n and_o the_o patient_n have_v not_o be_v long_o trouble_v with_o it_o if_o the_o joint_n be_v no_o way_n alter_v and_o the_o humour_n which_o foment_n they_o be_v not_o malign_v medicine_n may_v terminate_v the_o cure_n but_o if_o the_o cause_n proceed_v from_o scrofulous_a humour_n critical_a imposthumation_n or_o from_o the_o 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torniket_n but_o be_v it_o must_v be_v tie_v very_o hard_o sufficient_a to_o compress_v the_o great_a vessel_n you_o may_v place_v a_o pasteboard_n under_o the_o ligature_n that_o the_o patient_n may_v feel_v less_o pain_n and_o for_o hinder_v the_o skin_n from_o wrinkle_a then_o you_o make_v two_o other_o ligature_n one_o over_o and_o the_o other_o below_o the_o first_o keep_v the_o skin_n which_o you_o raise_v upward_o and_o the_o other_o fasten_v the_o flesh_n then_o the_o surgeon_n place_n himself_o between_o the_o patient_n leg_n and_o with_o a_o crooked_a knife_n which_o he_o hold_v in_o his_o right_a hand_n flesh_n how_o to_o cut_v the_o flesh_n he_o make_v a_o incision_n about_o the_o member_n even_o to_o the_o bone_n and_o with_o the_o back_n of_o the_o knife_n separate_v the_o periostium_fw-la and_o cut_v at_o the_o same_o time_n the_o flesh_n and_o membrane_n between_o the_o bone_n lest_o you_o rend_v they_o with_o the_o saw_n and_o so_o cause_v new_a accident_n but_o 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wine_n to_o correct_v its_o alteration_n then_o several_a other_o bolster_n arm_v with_o astringent_a powder_n over_o that_o a_o little_a two_o spread_v with_o the_o same_o powder_n a_o defensative_a and_o compress_v like_o a_o maltha_n cross_n two_o longitudinal_n compress_n and_o a_o circular_a one_o sustain_v by_o the_o circular_a bandage_n and_o capling_n some_o day_n after_o you_o use_v only_o the_o circular_a one_o you_o need_v not_o load_v the_o part_n with_o too_o many_o compress_n use_n a_o hog_n bladder_n of_o no_o great_a use_n nor_o apply_v the_o hog_n bladder_n neither_o tie_v the_o bandage_n too_o hard_o for_o beside_o that_o all_o these_o thing_n excite_v only_a obstruction_n and_o inflammation_n &_o if_o by_o chance_n the_o ligature_n shall_v fail_v the_o patient_n will_v infallible_o perish_v unaware_o because_o the_o bladder_n can_v retain_v
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it_o contain_v approbation_n the_o faculty_n of_o physic_n in_o the_o university_n of_o paris_n have_v hear_v the_o extraordinary_a character_n that_o mr._n le_fw-fr mien_n and_o mr._n engvehard_n doctor_n regent_n in_o the_o same_o faculty_n give_v of_o a_o book_n of_o chyrurgical_a operation_n compose_v by_o mr._n charrier_n approve_v this_o work_n and_o think_v it_o most_o worthy_a to_o be_v print_v at_o the_o physician_n college_n at_o paris_n thursday_n 19_o october_n 1690._o sign_v legier_n professor_n to_o the_o king_n and_o dean_n of_o the_o faculty_n of_o physic_n approbation_n by_o the_o order_n of_o my_o lord_n chancellor_n i_o have_v examine_v this_o manuscript_n which_o treat_v of_o chyrugical_a operation_n which_o deserve_v to_o be_v print_v be_v enrich_v with_o a_o great_a number_n of_o observation_n which_o will_v be_v exceed_o useful_a to_o surgeon_n this_o i_o certify_v to_o be_v true_a nevertheless_o i_o submit_v to_o the_o gentleman_n physician_n of_o paris_n may_v 3._o 1690._o sign_v beissier_n the_o preface_n to_o teh_n reader_n we_o have_v a_o english_a proverb_n though_o somewhat_o obsolete_a yet_o true_a which_o be_v that_o good_a wine_n need_v no_o bush_n the_o same_o i_o think_v may_v well_o be_v say_v of_o this_o little_a treatise_n who_o every_o line_n draw_v a_o sufficient_a characteristic_a note_n after_o it_o without_o be_v usher_v in_o with_o any_o prefatory_a discourse_n to_o raise_v its_o value_n yet_o since_o preface_n in_o this_o age_n be_v as_o much_o in_o fashion_n as_o a_o pair_n of_o gate_n before_o a_o stately_a pile_n of_o building_n i_o hope_v a_o few_o line_n will_v not_o be_v amiss_o to_o do_v the_o author_n some_o justice_n in_o so_o admirable_a a_o tract_n as_o this_o be_v i_o shall_v not_o pretend_v to_o write_v here_o a_o encomium_n in_o the_o praise_n of_o chirurgery_n nor_o indeed_o can_v i_o give_v it_o those_o due_a grace_n it_o worthy_o deserve_v it_o have_v be_v already_o by_o such_o a_o cloud_n of_o learned_a man_n perform_v to_o my_o hand_n who_o most_o ingenious_a footstep_n i_o can_v follow_v and_o those_o only_o at_o a_o distance_n not_o pretend_v in_o the_o least_o to_o imitate_v as_o for_o the_o content_n of_o this_o book_n they_o be_v certain_o praise_v worthy_a the_o author_n be_v so_o famous_a a_o practitioner_n especial_a in_o the_o perform_v chyrurgical_a operation_n his_o work_n show_v he_o to_o be_v a_o man_n of_o sound_a judgement_n and_o learning_n for_o he_o handle_v the_o matter_n with_o such_o strenuous_a argument_n sound_a reason_n and_o so_o home_o that_o i_o great_o admire_v none_o attempt_v before_o now_o to_o give_v it_o a_o english_a garb_n when_o i_o first_o peruse_v it_o and_o find_v it_o applicable_a to_o what_o i_o have_v see_v especial_o of_o late_a by_o a_o ingenious_a gentleman_n of_o that_o nation_n i_o be_v resolve_v to_o make_v it_o speak_v our_o mother_n tongue_n never_o design_v it_o for_o a_o press_n only_o as_o a_o help_n in_o my_o own_o business_n it_o 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the_o knowledge_n of_o the_o subject_a on_o which_o we_o practice_n and_o i_o dare_v bold_o say_v that_o without_o the_o assistance_n of_o these_o operation_n the_o art_n of_o surgery_n will_v never_o have_v arrive_v to_o so_o high_a a_o point_n of_o perfection_n which_o at_o this_o time_n it_o have_v atain_v and_o without_o it_o the_o knowledge_n which_o relate_v to_o the_o explication_n of_o the_o principal_a distemper_n operation_n the_o excellency_n of_o chyrurgical_a operation_n will_v have_v be_v only_o dubious_a and_o uncertain_a if_o light_n be_v not_o borrow_v from_o hence_o by_o evident_a demonstration_n and_o by_o reason_n which_o experience_n authorise_v it_o be_v a_o study_n which_o contain_v nothing_o but_o what_o be_v worthy_a to_o entertain_v our_o wit_n and_o engage_v those_o who_o love_v the_o profession_n to_o show_v the_o
the_o cure_n of_o this_o disease_n which_o be_v perform_v by_o the_o help_n of_o medicine_n cure_n cure_n or_o operation_n the_o most_o specific_a remedy_n be_v diuretic_n and_o those_o which_o cause_n insensible_a transpiration_n other_o be_v of_o no_o great_a use_n the_o strong_a diuretic_n be_v rad._n diuretica_fw-la tinctura_fw-la diuretica_fw-la ebul_n irid._n erysimi_fw-la cucum_fw-la agr_n fol._n solda_n nel_fw-it cerefol_n infuse_v in_o spirit_n vin._n mercurisati_n it_o be_v a_o extraordinary_a remedy_n anthydropiens_fw-la infusus_fw-la anthydropiens_fw-la rad._n brusc_n polypond_n gladiol_n medul_a sambuc_fw-la croc._n &_o chryst_n miner_n infuse_v cold_a in_o white_a wine_n make_v a_o wonderful_a remedy_n sal._n rut._n crem_fw-la mercurii_n spirit_n salis_n take_v in_o broth_n without_o common_a slat_n be_v admirable_a there_o be_v several_a other_o medicine_n of_o which_o author_n be_v full_a i_o mention_v here_o only_o those_o which_o i_o have_v experiment_v if_o all_o these_o will_v do_v you_o must_v proceed_v to_o the_o operation_n which_o confist_n in_o punction_n make_v on_o some_o part_n its_o name_n differ_v according_a to_o the_o place_n where_o it_o practise_v be_v call_v when_o make_v in_o the_o belly_n paracentesis_n in_o the_o scrotum_fw-la punction_n and_o in_o the_o leg_n scarification_n chap._n viii_o of_o the_o paracentesis_n omit_v the_o description_n of_o the_o method_n of_o the_o ancient_n i_o proceed_v we_o make_v where_o the_o puncture_n be_v make_v wherein_o we_o use_v the_o trocher_n or_o lancet_n the_o puncture_n be_v ordinary_o make_v on_o the_o side_n four_o finger_n from_o the_o navel_n if_o with_o the_o trocher_n we_o make_v no_o apparatus_n but_o pierce_v the_o belly_n as_o often_o as_o we_o will_v draw_v water_n from_o it_o description_n description_n this_o instrument_n be_v of_o a_o triangular_a figure_n and_o scatter_v only_o the_o fibre_n they_o upon_o its_o be_v withdraw_v exact_o reunite_a again_o it_o must_v always_o be_v accompany_v with_o its_o canula_n when_o the_o punction_n be_v make_v which_o we_o leave_v in_o the_o belly_n as_o long_o as_o the_o water_n be_v to_o be_v draw_v if_o you_o use_v the_o lancet_n you_o must_v arm_v it_o with_o a_o little_a band_n of_o cloth_n before_o hand_n lancet_n method_n of_o use_v the_o lancet_n and_o thrust_v it_o in_o till_o the_o water_n come_v forth_o and_o before_o you_o withdraw_v it_o introduce_v a_o probe_n on_o the_o flat_a of_o it_o to_o facilitate_v the_o passage_n of_o the_o canula_n into_o the_o belly_n then_o have_v draw_v a_o sufficient_a quantity_n according_a to_o the_o strength_n of_o the_o patient_n stop_v the_o canula_n with_o a_o small_a tent_n and_o apply_v good_a compress_v sustain_v with_o napkin_n and_o scapule_a but_o see_v that_o by_o this_o method_n we_o can_v always_o hinder_v the_o rapid_a stream_n of_o the_o water_n we_o must_v prefer_v the_o trocher_n useless_a in_o what_o part_n your_o operation_n be_v useless_a you_o must_v observe_v that_o the_o dropsy_n of_o the_o head_n breast_n and_o stomach_n be_v never_o cure_v by_o operation_n but_o by_o general_a medicine_n chap._n ix_o of_o hernias_fw-la the_o belly_n be_v subject_a to_o certain_a tumour_n call_v in_o greek_a definition_n definition_n cele_n in_o latin_a hernia_n v._o ramex_fw-la it_o be_v define_v a_o preternatural_a tumour_n cause_v by_o the_o fall_n of_o some_o part_n or_o gather_v together_o of_o some_o superfluous_a humour_n signify_v what_o hernia_n signify_v the_o word_n hernia_n signify_v something_o that_o be_v troublesome_a to_o bear_v i_o will_v use_v the_o etymology_n in_o opposition_n to_o their_o opinion_n who_o pretend_v it_o suit_v not_o with_o the_o humeral_a hernia_n and_o i_o believe_v every_o one_o will_v agree_v with_o i_o that_o they_o be_v insupportable_a as_o well_o from_o humour_n as_o part_n hence_o i_o conclude_v the_o word_n hernia_n may_v fit_v all_o kind_n of_o tumour_n which_o happen_v to_o the_o belly_n or_o scrotum_fw-la i_o confess_v the_o word_n rupture_n be_v only_o applicable_a to_o those_o in_o the_o groin_n and_o scrotum_fw-la from_o the_o omentum_fw-la interstines_n or_o some_o other_o part_n but_o omit_v a_o useless_a multiplication_n of_o imaginary_a name_n i_o pass_v to_o its_o species_n and_o difference_n and_o these_o be_v draw_v from_o the_o part_n which_o they_o attack_z and_o the_o different_a cause_n which_o they_o produce_v name_n name_n by_o reason_n of_o the_o part_n they_o be_v call_v exomphales_n viz._n of_o the_o navel_n bubonocele_n of_o the_o groin_n oscheocele_n of_o the_o scrotum_fw-la and_o ventralis_fw-la hernta_fw-la of_o which_o hereafter_o by_o reason_n of_o the_o cause_n which_o produce_v they_o the_o one_o be_v make_v by_o part_n diference_n diference_n the_o other_o by_o the_o humour_n the_o first_o be_v call_v enterocele_n when_o the_o intestine_n come_v forth_o epiplocele_n when_o the_o omentum_fw-la and_o enteropiplocele_v when_o both_o the_o latter_a be_v call_v hydrocele_n pneumatocele_n sarcocele_n varicocele_n and_o circocele_n from_o water_n wind_n flesh_n and_o other_o liquor_n which_o be_v capable_a to_o dilate_v the_o vessel_n those_o make_v by_o the_o part_n be_v call_v true_a the_o humoral_a false_a complete_a true_a or_o lip_n of_o the_o womb_n not_o complete_a when_o they_o do_v pass_v the_o groin_n external_n cause_n external_n cause_n be_v external_a or_o internal_a the_o external_a be_v violent_a blow_n great_a shake_n long_a course_n or_o run_v dance_a leap_v continual_a cry_v vehement_a cough_n excess_n of_o venery_n too_o frequent_a and_o force_v breathe_n and_o general_o all_o the_o exercise_n and_o strong_a effort_n to_o which_o we_o be_v subject_a the_o internal_a come_v first_o from_o the_o influx_n and_o deposition_n of_o a_o great_a many_o serosity_n 1._o internal_a 1._o which_o sometime_o come_v from_o the_o gland_n of_o the_o intestine_n or_o the_o groin_n but_o principal_o from_o those_o gland_n which_o garnish_n the_o interior_a surface_n of_o the_o peritonaeam_n all_o these_o source_n make_v that_o abundance_n of_o lympha_fw-la which_o actual_o humect_v relax_n and_o lubrify_v these_o part_n and_o consequent_o put_v they_o into_o a_o condition_n to_o yield_v the_o more_o to_o the_o frequent_a and_o reiterated_a impulsion_n of_o the_o intestine_n the_o second_o i_o suppose_v depend_v on_o the_o great_a dissipation_n of_o the_o oily_a particle_n for_o if_o we_o consider_v that_o the_o peritoneum_fw-la be_v near_o the_o omentum_fw-la and_o mesentery_n the_o two_o chief_a repository_n of_o the_o fat_a by_o which_o it_o be_v actual_o separate_v from_o the_o part_n by_o the_o heat_n it_o be_v easy_a to_o understand_v that_o these_o part_n continual_o grease_v the_o fibre_n of_o the_o peritonaeum_fw-la so_o soften_v and_o extend_v they_o that_o at_o the_o least_o action_n or_o motion_n they_o give_v way_n very_o easy_o to_o the_o blow_n and_o to_o all_o motion_n which_o may_v contribute_v to_o their_o formation_n hermat_n the_o people_n of_o provence_n mighty_a subject_a to_o hermat_n hence_o the_o people_n of_o provence_n the_o religious_a especial_o who_o eat_v nothing_o but_o oil_n in_o their_o food_n be_v more_o subject_a to_o hernias_fw-la than_o other_o to_o the_o three_o abundance_n of_o wind_n may_v contribute_v whether_o we_o swallow_v it_o with_o our_o food_n or_o it_o be_v contain_v in_o it_o or_o produce_v by_o the_o settle_n and_o heap_n of_o a_o considerable_a quantity_n of_o dissolvent_n which_o by_o a_o excessive_a heat_n rarify_v and_o may_v be_v true_o suppose_v capable_a of_o extend_v the_o intestine_n like_o a_o bladder_n and_o of_o blow_v they_o up_o to_o a_o certain_a degree_n of_o tension_n so_o that_o take_v up_o more_o room_n than_o usual_a they_o impel_v the_o surface_n of_o the_o peritonaeum_fw-la and_o ne_n themselves_o in_o these_o production_n form_v the_o tumour_n for_o the_o four_o the_o dropsy_n and_o fatness_n in_o woman_n may_v be_v admit_v this_o last_o push_v all_o the_o part_n against_o the_o diaphragm_n and_o determinate_v they_o rather_o to_o form_v the_o exomphalos_n than_o bubonocele_n the_o other_o humect_v and_o relax_n the_o peritonaeum_fw-la so_o considerable_o that_o after_o the_o dissipation_n of_o the_o water_n it_o can_v no_o more_o resist_v and_o support_v the_o motion_n of_o the_o intestine_n i_o pass_v to_o the_o consequence_n which_o we_o must_v draw_v from_o the_o cause_n of_o hernias_fw-la relate_v to_o the_o structure_n of_o the_o part_n where_o they_o be_v form_v which_o depend_v as_o well_o on_o the_o disposition_n of_o the_o peritonaeum_fw-la as_o the._n mechanic_n motion_n of_o the_o diaphragm_n muscle_n of_o the_o abdomen_fw-la and_o intestine_n hook_n on_o the_o peritonaeum_fw-la as_o a_o membrane_n of_o a_o considerable_a thinckness_n dispose_v in_o the_o shape_n of_o a_o sack_n contain_v all_o the_o part_n of_o the_o low_a belly_n it_o be_v so_o long_a as_o to_o reach_v to_o the_o navel_n and_o groin_n peritonaeum_fw-la what_o be_v to_o be_v consider_v in_o the_o peritonaeum_fw-la to_o
since_o the_o ligament_n of_o the_o liver_n pancreas_n and_o kidney_n be_v relax_v viscera_n also_o the_o other_o viscera_n they_o may_v as_o well_o as_o the_o spleen_n contribute_v to_o its_o formation_n according_a to_o the_o order_n i_o design_v in_o speak_v of_o so_o nice_a a_o operation_n i_o think_v it_o more_o proper_a successive_o to_o describe_v the_o sign_n of_o all_o kind_n of_o hernias_fw-la that_o i_o may_v not_o confound_v they_o hydrocele_n sign_n of_o hydrocele_n i_o begin_v with_o those_o of_o the_o first_o kind_n of_o hydrocele_n in_o which_o the_o water_n be_v spill_v between_o the_o membrane_n of_o the_o scrotum_fw-la which_o be_v light_a tension_n considerable_a largeness_n heaviness_n we_o feel_v a_o undulation_n when_o we_o handle_v the_o tumour_n and_o perceive_v the_o transparency_n of_o the_o water_n when_o we_o hold_v a_o light_n behind_o and_o the_o skin_n become_v tender_a soft_a without_o pain_n and_o look_v extreme_o shine_v in_o those_o of_o the_o second_o kind_n where_o the_o water_n possess_v the_o membrane_n of_o the_o testicle_n be_v great_a tension_n pain_n great_a heaviness_n than_o in_o the_o other_o the_o skin_n of_o the_o scrotum_fw-la be_v not_o so_o much_o extend_v and_o keep_v its_o rugosity_n though_o it_o be_v very_o much_o swell_v through_o it_o be_v very_o much_o swell_v it_o possess_v ordinary_o but_o one_o side_n the_o fluctuation_n deep_a the_o transparency_n more_o obscure_a it_o be_v to_o be_v observe_v that_o these_o two_o sort_n may_v conjunct_o meet_v together_o sarcocele_n sign_n of_o sarcocele_n the_o sign_n of_o sarcocele_n be_v great_a hardness_n insupportable_a weight_n and_o insensible_a augmentation_n of_o the_o tumour_n if_o there_o appear_v no_o elevation_n in_o the_o groin_n it_o be_v a_o sign_n that_o the_o preduction_n of_o the_o peritonaeum_fw-la be_v not_o accompany_v with_o any_o carcinomatous_a substance_n it_o be_v distinguish_v from_o the_o hernia_n intestinalis_fw-la that_o the_o one_o be_v soft_a the_o other_o be_v hard_a this_o tumour_n may_v be_v divide_v into_o scirrhous_n and_o malign_v in_o the_o scirrhous_n we_o feel_v neither_o heat_n nor_o pain_n but_o in_o the_o malign_v a_o excessive_a heat_n and_o sharp_a burn_a pain_n varicoâ—â—…_n varicoâ—â—…_n sign_n of_o varicocele_n be_v great_a inequality_n heaviness_n pain_n and_o inflammation_n particular_o when_o it_o be_v irritate_v with_o some_o medicine_n it_o be_v also_o know_v because_o it_o make_v a_o man_n somewhat_o impotent_a especial_o when_o it_o possess_v both_o testicle_n circoce_fw-la circoce_fw-la sign_n of_o circocele_n which_o be_v cause_v by_o the_o dilatation_n of_o the_o external_a vessel_n different_a from_o the_o varicocele_n which_o come_v from_o the_o internal_a be_v the_o same_o as_o the_o former_a except_o there_o be_v less_o pain_n weight_n and_o inflammation_n add_v that_o the_o membrane_n of_o the_o scrotum_fw-la be_v more_o extend_v and_o the_o tumour_n more_o apparent_a pneumatocele_n of_o pneumatocele_n sign_n of_o pneumatocele_n be_v when_o the_o tumour_n disappear_v from_o time_n to_o time_n it_o sound_v like_o a_o drum_n when_o it_o be_v strike_v without_o pain_n weight_n and_o inflammation_n very_o transparent_a the_o colour_n of_o the_o cutis_fw-la change_v not_o and_o the_o wind_n be_v feel_v sometime_o above_o sometime_o below_o part_n sings_z of_o hernias_fw-la make_v from_o the_o part_n let_v we_o now_o examine_v the_o sign_n of_o those_o hernias_fw-la which_o be_v cause_v by_o the_o part_n and_o inquire_v exact_o into_o they_o because_o it_o be_v of_o the_o great_a importance_n in_o the_o begin_n of_o these_o hernias_fw-la they_o be_v ordinary_o soft_a without_o inflammation_n change_n of_o colour_n disappear_v at_o the_o least_o pressure_n except_o they_o be_v cause_v by_o some_o blow_n fall_v or_o suchlike_a inconvenience_n and_o be_v not_o accompany_v with_o some_o strangulation_n cause_v by_o matter_n stop_v and_o harden_v in_o the_o intestine_n either_o by_o the_o course_n of_o the_o blood_n and_o spirit_n in_o these_o part_n which_o present_o excite_v inflammation_n and_o often_o mortification_n therefore_o you_o must_v do_v no_o violence_n to_o the_o tumour_n by_o rude_a handle_n lest_o it_o occasion_n a_o gangreen_n but_o that_o we_o may_v have_v a_o clear_a notion_n of_o all_o these_o sign_n let_v we_o examine_v they_o in_o particular_a and_o see_v what_o be_v those_o which_o make_v we_o distinguish_v all_o these_o kind_n of_o tumour_n be_v 〈◊〉_d that_o â—…ut_o be_v if_o the_o gut_n be_v engage_v without_o inflammation_n strangulation_n or_o adhere_v to_o any_o part_n the_o tumor_n soft_a plain_a and_o the_o colour_n of_o the_o skin_n not_o change_v it_o disappear_v from_o time_n to_o time_n particular_o when_o the_o party_n lie_v on_o his_o back_n when_o the_o intestine_a be_v reduce_v a_o kind_n of_o whistle_a noise_n be_v hear_v omentum_fw-la sign_n of_o the_o omentum_fw-la but_o if_o it_o be_v in_o omentum_fw-la the_o tumour_n soft_a and_o do_v not_o return_v so_o easy_o it_o be_v unequal_a by_o reason_n of_o the_o band_n and_o fat_a with_o which_o it_o be_v charge_v when_o press_v with_o the_o finger_n there_o remain_v a_o mark_n and_o we_o feel_v the_o same_o resistance_n as_o in_o press_v a_o steatomatous_a tumour_n this_o be_v more_o subject_a to_o mortification_n because_o the_o texture_n of_o the_o part_n of_o which_o it_o be_v form_v be_v loose_a spungy_a and_o more_o subject_a to_o corruption_n so_o that_o at_o the_o least_o impression_n the_o blood_n stop_v more_o easy_o there_o than_o any_o where_o else_o wherefore_o you_o must_v not_o delay_v the_o operation_n in_o certain_a occasion_n as_o we_o shall_v hereafter_o mention_v note_v that_o if_o inflammation_n happen_v it_o be_v always_o at_o the_o intestine_n side_n if_o it_o be_v the_o omentum_fw-la it_o grow_v livid_v at_o the_o least_o alteration_n symptom_n inflammation_n a_o veâ—â—_n severe_a symptom_n as_o for_o the_o accident_n i_o find_v none_o more_o dangerous_a than_o inflammation_n which_o be_v always_o accompany_v with_o pain_n fever_n strangulation_n and_o sometime_o with_o the_o illiac_n passion_n where_o the_o excrement_n be_v often_o force_v against_o their_o own_o weight_n to_o mount_v and_o come_v out_o of_o the_o mouth_n the_o cause_n of_o which_o cruel_a symptom_n proceed_v from_o the_o gut_n be_v inflame_v by_o the_o excrement_n which_o be_v lodge_v there_o it_o communicate_v this_o inflammation_n to_o the_o ring_n of_o the_o muscle_n particular_o to_o those_o of_o the_o external_a oblique_a which_o by_o reason_n of_o its_o tendinous_a nature_n fail_v not_o to_o shut_v up_o the_o gut_n and_o augment_v the_o inflammation_n by_o a_o reciprocal_a action_n which_o cause_v interruption_n of_o the_o course_n of_o the_o blood_n and_o spirit_n in_o that_o part_n from_o thence_o come_v the_o reflux_n of_o the_o excrement_n lividity_n and_o mortification_n it_o be_v easy_a to_o conceive_v that_o have_v lose_v their_o motion_n there_o can_v follow_v nothing_o but_o divulsion_n pain_n and_o loss_n of_o life_n there_o be_v yet_o another_o kind_n of_o lividity_n which_o come_v from_o have_v handle_v and_o press_v the_o tumour_n too_o much_o these_o unprofitable_a touching_n be_v as_o so_o many_o bruise_n which_o be_v imprint_v on_o the_o part_n the_o gut_n and_o omentum_fw-la be_v press_v the_o blood_n stop_v in_o the_o vessel_n which_o cause_v immediate_a mortification_n and_o change_v of_o colour_n operation_n when_o the_o surgeon_n ought_v to_o avoid_v the_o operation_n it_o be_v also_o know_v by_o the_o pain_n which_o be_v great_a as_o we_o have_v say_v the_o surgeon_n see_v all_o these_o bad_a symptom_n ought_v to_o retire_v the_o rest_n of_o the_o accident_n i_o reserve_v till_o i_o describe_v the_o manner_n of_o perform_v the_o operation_n vmbilicus_fw-la a_o idea_n of_o the_o vmbilicus_fw-la i_o begin_v with_o the_o exomphalos_n but_o before_o i_o enter_v on_o the_o operation_n i_o design_v to_o give_v a_o idea_n of_o the_o disposition_n of_o the_o navel_n it_o be_v form_v by_o the_o reunion_n of_o the_o umbilical_a vessel_n which_o slip_v oblique_o into_o the_o thickness_n of_o the_o peritonaeum_fw-la which_o accompany_v they_o and_o pierce_v conjuct_o the_o n1_fw-la alba_fw-la fasten_v themselves_o to_o the_o surface_n of_o the_o cutis_fw-la where_o they_o leave_v a_o little_a tumour_n which_o be_v call_v the_o navel_n after_o the_o birth_n in_o the_o foetus_fw-la the_o way_n through_o which_o these_o vessel_n pass_v be_v as_o manifest_a as_o the_o ring_n of_o the_o muscle_n of_o the_o low_a belly_n be_v in_o adult_n but_o after_o the_o birth_n they_o shrivel_v up_o and_o turn_v into_o ligament_n and_o as_o the_o part_n where_o these_o vessel_n meet_v grow_v big_a they_o oblige_v the_o navel_n by_o their_o own_o weight_n insensible_o from_o which_o i_o conclude_v that_o all_o the_o difference_n between_o the_o passage_n of_o the_o umbilical_a and_o spermatic_a vessel_n be_v that_o the_o latter_a be_v easy_o distinguish_v and_o separate_v one_o
those_o which_o cover_v the_o bottom_n four_o or_o five_o day_n before_o you_o take_v they_o out_o to_o the_o end_n that_o by_o their_o stay_n the_o matter_n which_o be_v stop_v become_v more_o sharp_a and_o that_o they_o may_v dissolve_v more_o easy_o the_o tunicle_n which_o contain_v the_o water_n you_o suppurate_a it_o and_o dress_v it_o as_o a_o ordinary_a wound_n before_o you_o go_v further_o you_o must_v also_o observe_v that_o if_o the_o water_n grow_v sharp_a and_o corrosive_a or_o rather_o lixivious_a they_o change_v often_o into_o pus_fw-la which_o make_v the_o testicle_n alter_v and_o corrupt_v so_o that_o you_o be_v force_v to_o take_v it_o out_o pneumatocele_n cure_v of_o pneumatocele_n as_o for_o pneumatocele_v you_o must_v use_v the_o bandage_n and_o all_o the_o carminative_a remedy_n as_o well_o internal_a as_o external_a and_o as_o it_o be_v a_o part_n of_o the_o surgeon_n prudence_n to_o order_v they_o according_a to_o his_o knowledge_n i_o shall_v be_v ridiculous_a if_o i_o shall_v boast_v here_o of_o remedy_n which_o author_n be_v full_a of_o chap._n xvi_o of_o the_o phymosis_n be_v what_o phymosis_n be_v the_o phymosis_n be_v nothing_o else_o but_o a_o shrivel_a and_o contraction_n of_o the_o extremity_n of_o the_o prepuce_fw-la which_o compress_n so_o hard_a the_o glans_fw-la that_o if_o you_o do_v give_v it_o air_n by_o way_n of_o incision_n it_o become_v inflame_v and_o often_o mortify_v this_o incommodity_n be_v either_o natural_a or_o accidental_a the_o natural_a come_v from_o the_o part_n be_v yet_o concentre_v and_o as_o it_o be_v retire_v into_o its_o tunicle_n and_o that_o one_o have_v not_o yet_o betake_v himself_o to_o any_o exercise_n or_o touch_v the_o prepuce_fw-la form_n in_o this_o affect_v wrinkle_n which_o be_v like_o so_o many_o little_a bolster_n venery_n as_o venery_n between_o which_o gather_v and_o stagnate_v a_o tenacious_a matter_n separate_v by_o the_o glans_fw-la with_o which_o the_o inner_a surface_n of_o the_o prepuce_fw-la be_v sprinkle_v which_o thicken_v by_o the_o heat_n and_o grow_v impure_a by_o its_o stay_n there_o be_v as_o it_o be_v a_o kind_n of_o glue_n which_o fasten_v the_o prepuce_fw-la to_o the_o gland_n and_o so_o strait_o press_v it_o that_o it_o will_v not_o let_v the_o urinal_n flow_v the_o surgeon_n therefore_o first_o endeavour_n to_o free_a the_o part_n pull_v to_o he_o the_o extremity_n of_o the_o prepuce_fw-la then_o introduce_v at_o the_o side_n of_o the_o virga_n a_o incision_n knife_n between_o the_o gland_n and_o cutis_fw-la pierce_v the_o prepuce_fw-la without_o danger_n and_o cut_a all_o between_o the_o instrument_n and_o extremity_n of_o the_o glans_fw-la if_o one_o incision_n be_v not_o enough_o to_o discover_v it_o you_o may_v bold_o make_v another_o on_o the_o opposite_a side_n the_o sole_a motion_n of_o the_o part_n be_v capable_a to_o extend_v the_o fibre_n of_o the_o prepuce_fw-la and_o render_v they_o obedient_a and_o make_v they_o that_o they_o restrain_v and_o dilate_v themselves_o according_a to_o thenecessity_n of_o nature_n you_o must_v not_o use_v this_o operation_n till_o you_o have_v try_v fomentation_n caution_n caution_n emollent_a injection_n and_o all_o other_o remedy_n in_o vain_a which_o method_n be_v to_o be_v observe_v in_o all_o operation_n the_o second_o kind_n of_o phymosis_n be_v cause_v by_o some_o inflammation_n shanker_n ulcer_n induration_n callosity_n and_o often_o by_o irritative_a remedy_n misapply_v in_o all_o these_o case_n whether_o the_o sharp_a humour_n which_o come_v from_o the_o ulcer_n irritate_fw-la the_o part_n or_o corrosive_a medicine_n it_o happen_v that_o the_o passage_n of_o the_o blood_n and_o spirit_n be_v hinder_v and_o the_o inflammation_n become_v so_o considerable_a that_o the_o fibre_n be_v no_o more_o in_o a_o condition_n to_o obey_v this_o be_v also_o the_o reason_n why_o this_o virulent_a sanies_fw-la which_o come_v from_o the_o shanker_n excoriate_v these_o part_n excite_v sharp_a pain_n feel_v only_o at_o the_o extremity_n of_o the_o yard_n and_o inflammation_n which_o be_v soon_o follow_v by_o a_o gangreen_n if_o you_o hinder_v not_o its_o progress_n part_n cause_o of_o pulsation_n in_o the_o part_n the_o pulsisick_n pain_n which_o be_v feel_v in_o this_o part_n can_v proceed_v but_o from_o the_o glans_fw-la which_o be_v cover_v with_o a_o thin_a and_o delicate_a membrane_n humect_v by_o a_o great_a number_n of_o vessel_n particular_o of_o nerve_n and_o that_o its_o substance_n be_v of_o a_o very_a fine_a and_o sensible_a texture_n so_o the_o motion_n which_o these_o virulent_a matter_n imprint_v on_o the_o spirit_n not_o be_v able_a to_o communicate_v themselves_o to_o the_o rest_n of_o the_o yard_n because_o of_o the_o force_n and_o thickness_n of_o the_o cover_n of_o the_o cavernous_a body_n the_o pain_n must_v needs_o augment_v and_o become_v much_o more_o sensible_a and_o acute_a in_o this_o part_n but_o before_o you_o resolve_v on_o the_o operation_n use_v bleed_v fomentation_n suppuration_n mix_v with_o some_o prepation_n of_o mercury_n which_o you_o must_v introduce_v with_o the_o end_n of_o your_o probe_n the_o cerot_n of_o galen_n emollient_a injection_n a_o ball_n of_o lint_n put_v between_o the_o glans_fw-la and_o skin_n compress_n wet_a in_o oxycrate_n in_o a_o word_n all_o these_o remedy_n must_v be_v apply_v but_o especial_o the_o situation_n of_o the_o virga_n which_o must_v be_v lay_v on_o the_o belly_n and_o sustain_v with_o a_o little_a bandage_n chap._n xvii_o of_o paraphymosis_n be_v what_o paraphymosis_n be_v paraphymosis_n be_v a_o disease_n quite_o contrary_a to_o a_o phymosis_n in_o one_o the_o glans_fw-la be_v hide_v in_o the_o other_o strangle_v and_o so_o stripe_v of_o its_o prepuce_fw-la that_o you_o can_v cover_v it_o again_o the_o cause_n of_o this_o strangulation_n come_v sometime_o from_o the_o overthrow_n of_o the_o cutis_fw-la cause_n cause_n which_o form_v a_o sort_n of_o bolster_n and_o sometime_o from_o inflammation_n which_o a_o shanker_n or_o some_o other_o tumour_n precede_v if_o the_o strangulation_n be_v considerable_a there_o must_v needs_o follow_v interruption_n of_o the_o course_n of_o blood_n and_o spirit_n in_o these_o part_n and_o consequent_o a_o mortification_n in_o this_o affect_v the_o yard-swells_a so_o hard_a that_o it_o form_n three_o or_o four_o bag_n as_o it_o be_v alternate_o dispose_v half_a a_o finger_n breadth_n one_o from_o another_o these_o pursing_n come_v partly_o from_o the_o obstruction_n and_o partly_o from_o the_o reflux_n of_o blood_n and_o spirit_n in_o the_o body_n of_o the_o virga_n they_o be_v common_o follow_v by_o a_o tumour_n which_o occupy_v the_o neck_n of_o the_o prepuce_fw-la and_o which_o be_v full_a of_o a_o red_a water_n which_o by_o the_o great_a heat_n of_o the_o part_n so_o rarefy_v ordinary_o that_o from_o a_o aqueous_a it_o become_v windy_a this_o tumour_n augment_v so_o considerable_o the_o inflammation_n that_o if_o you_o do_v scarify_v deep_a the_o tumified_a place_n to_o give_v a_o discharge_n the_o penis_n will_v not_o fail_v to_o mortify_v prepuce_fw-la how_o to_o bring_v over_o the_o prepuce_fw-la you_o must_v endeavour_v to_o reduce_v the_o prepuce_fw-la without_o compress_v the_o glans_fw-la or_o put_v your_o thumb_n on_o its_o extremity_n as_o most_o do_v that_o treat_v of_o this_o disease_n the_o reason_n be_v that_o when_o the_o extremity_n of_o the_o glans_fw-la be_v press_v it_o enlarge_v itself_o and_o swell_v more_o which_o instead_o of_o make_v the_o prepuce_fw-la slip_n rather_o fold_v up_o and_o hinder_v its_o reduction_n you_o use_v almost_o the_o same_o remedy_n as_o in_o phymosis_n there_o be_v some_o that_o pour_v cold_a water_n on_o the_o belly_n but_o i_o think_v it_o of_o no_o great_a use_n or_o at_o least_o see_v no_o great_a effect_n of_o it_o for_o want_v of_o these_o remedy_n you_o may_v use_v in_o inflammation_n some_o styptic_a water_n in_o which_o dip_v your_o compress_n and_o apply_v they_o about_o the_o part_n you_o must_v also_o keep_v the_o same_o situation_n and_o bandage_n as_o in_o phymosis_n chap._n xviii_o of_o the_o stone_n and_o lithotomy_n the_o stone_n with_o which_o mankind_n of_o all_o other_o animal_n be_v most_o trouble_a be_v call_v in_o latin_a calculus_fw-la name_n name_n and_o those_o affect_v with_o it_o calculosi_n its_o origin_n will_v have_v be_v always_o unknown_a to_o we_o if_o the_o chemist_n art_n have_v not_o discover_v to_o we_o the_o secret_a of_o its_o formation_n in_o show_v the_o principle_n which_o compose_v it_o by_o the_o just_a analysis_n that_o science_n make_v of_o it_o formation_n the_o opinion_n of_o the_o ancient_n concern_v its_o formation_n all_o the_o ancient_n and_o their_o abettor_n have_v always_o maintain_v with_o great_a heat_n that_o the_o stone_n be_v form_v by_o the_o most_o crass_n course_n and_o viscous_a particle_n of_o blood_n which_o be_v carry_v into_o the_o bladder_n with_o the_o urine_n come_v to_o be_v
adherence_n which_o the_o lung_n contract_n with_o the_o pleura_fw-la so_o that_o they_o can_v communicate_v their_o inflammation_n and_o alteration_n to_o one_o another_o and_o that_o the_o matter_n may_v pass_v from_o the_o lung_n through_o the_o aperture_n of_o the_o wound_n without_o one_o drop_n of_o it_o be_v spill_v in_o the_o cavity_n of_o the_o breast_n which_o be_v to_o be_v well_o examine_v before_o you_o separate_v the_o lung_n from_o the_o pleura_fw-la with_o your_o finger_n or_o probe_n as_o most_o practitioner_n be_v wont_a to_o do_v that_o be_v to_o say_v if_o the_o matter_n run_v with_o ease_n through_o the_o aperture_n and_o without_o the_o diaphragma_n be_v oppress_v with_o it_o you_o must_v no_o way_n break_v the_o adherence_n of_o they_o empiema_n a_o quinsy_n can_v never_o cause_v a_o empiema_n i_o do_v not_o speak_v here_o of_o disease_n of_o the_o throat_n we_o know_v well_o enough_o that_o never_o a_o empiema_n succeed_v a_o quinsy_n the_o reason_n be_v that_o the_o pus_fw-la can_v fall_v upon_o the_o substance_n of_o the_o lung_n without_o cause_v a_o sudden_a suffocation_n because_o the_o pus_fw-la by_o its_o weight_n will_v hinder_v the_o play_n of_o the_o vessel_n that_o compose_v they_o wherefore_o there_o be_v only_a pleurisy_n and_o impostume_n of_o the_o lung_n which_o precede_v the_o empiema_n that_o come_v from_o a_o internal_a cause_n pleurisy_n cause_n of_o a_o pleurisy_n as_o for_o the_o eause_n of_o a_o pleurisy_n some_o say_v it_o be_v form_v by_o a_o boil_a and_o impetuous_a blood_n which_o be_v extravasated_a in_o the_o plura_fw-la other_o pretend_v it_o be_v cause_v by_o a_o bilous_a blood_n which_o gather_v and_o putrefy_v between_o the_o rib_n and_o plura_fw-la some_o other_o maintain_v that_o it_o proceed_v from_o a_o extravasation_n of_o blood_n that_o come_v from_o the_o intercostal_a vein_n and_o the_o aziges_fw-ge which_o be_v discharge_v between_o the_o duplicature_n of_o this_o membrane_n where_o it_o change_v into_o pus_fw-la by_o its_o stay_n there_o though_o this_o last_o opinion_n be_v not_o over-well_a ground_v yet_o it_o be_v the_o most_o common_a and_o most_o receive_v it_o be_v to_o be_v wish_v that_o all_o these_o opinion_n be_v as_o true_a as_o they_o be_v authorize_v by_o their_o partisan_n for_o beside_o that_o the_o blood_n be_v ordinary_o spill_v out_o of_o the_o vessel_n only_o after_o some_o blow_n or_o wound_n it_o be_v evident_a that_o the_o bilous_a particle_n be_v rather_o capable_a to_o dissolve_v a_o matter_n than_o coagulate_v it_o and_o that_o it_o be_v only_o the_o salt_n volatile_a alkaly_n of_o the_o bile_n which_o tend_v to_o the_o exaltation_n but_o there_o must_v needs_o be_v here_o a_o coagulate_a agent_n which_o dispose_v it_o to_o be_v obstruct_v in_o this_o membrane_n there_o be_v nothing_o more_o common_a pleurisy_n a_o common_a cause_n of_o pleurisy_n than_o to_o see_v in_o the_o summer-season_n pleurisy_n affect_v those_o who_o have_v overheat_v themselves_o by_o run_v or_o some_o other_o as_o violent_a exercise_n go_v imprudent_o to_o drink_v ice_v liquor_n or_o in_o a_o cellar_n to_o cool_v themselves_o have_v most_o common_o their_o breast_n open_a you_o must_v consider_v that_o in_o the_o same_o moment_n the_o pore_n be_v much_o dilate_a the_o blood_n be_v in_o a_o extraordinary_a agitation_n and_o furnish_v abundance_n of_o swetts_n this_o be_v so_o it_o happen_v that_o at_o the_o same_o time_n as_o this_o cold_a drink_n chill_v as_o it_o be_v the_o blood_n in_o the_o vessel_n the_o impression_n of_o the_o external_a cold_a air_n suppress_v the_o swetts_n in_o shut_v up_o the_o pore_n and_o they_o be_v quite_o disengage_v from_o the_o rest_n of_o the_o mass_n stop_v in_o the_o duplicature_n of_o this_o membrane_n where_o they_o coagulate_v the_o blood_n by_o the_o mean_n of_o their_o urinous_a volatile_a salt_n analogous_fw-la urine_n and_o swett_n analogous_fw-la experience_n teach_v we_o that_o there_o be_v no_o liquor_n in_o the_o body_n have_v more_o analogy_n with_o the_o urine_n than_o swett_n we_o observe_v also_o that_o it_o have_v the_o same_o taste_n smell_v and_o consistence_n we_o know_v that_o the_o urine_n abound_v in_o a_o urinous_a volatile_a salt_n and_o in_o a_o very_a aetherious_a sulphur_n now_o i_o say_v that_o these_o two_o spirit_n which_o be_v find_v in_o the_o swett_n as_o well_o as_o urine_n who_o nature_n and_o property_n we_o have_v explain_v elsewhere_o happen_v to_o be_v unite_v together_o in_o the_o plura_fw-la in_o the_o time_n of_o the_o suppression_n of_o abundance_n of_o swett_n be_v very_o capable_a to_o condense_a the_o blood_n and_o cause_v the_o pleurisy_n which_o hippocrates_n have_v well_o observe_v 24._o sect._n 5._o aph._n 24._o when_o he_o say_v that_o cold_a thing_n as_o snow_n and_o ice_n be_v enemy_n to_o the_o breast_n and_o that_o they_o excite_v cough_n dysentery_n and_o fluxion_n frigida_fw-la ucluti_fw-la nix_n &_o glacies_fw-la pectori_fw-la inimica_fw-la tusses_fw-la moverit_fw-la &_o sanguines_fw-la fluxiones_fw-la &_o distillationes_fw-la movent_fw-la he_o say_v likewise_o that_o the_o scythian_n do_v not_o live_v long_o because_o they_o drink_v ice_n water_n and_o that_o the_o frequent_a use_n of_o these_o water_n offend_v the_o breast_n for_o the_o same_o reason_n say_v hippocrates_n 23._o sect._n 3_o aph._n 23._o pleurisy_n happen_v most_o common_o in_o the_o wintertime_n as_o also_o peripneumonia_n cough_n pain_n of_o the_o breast_n and_o side_n hyeme_n plureide_n peripneumoniae_fw-la tusses_fw-la &_o pectoris_fw-la laterum_fw-la dolores_fw-la it_o be_v common_o observe_v that_o those_o who_o expose_v their_o breast_n to_o the_o air_n in_o the_o begin_n of_o hot_a weather_n be_v almost_o always_o trouble_v with_o a_o pleurisy_n the_o reason_n of_o it_o be_v evident_a if_o we_o make_v reflection_n that_o no_o part_n of_o the_o body_n be_v so_o deprive_v of_o flesh_n as_o the_o breast_n which_o be_v the_o enclosure_n of_o the_o treasure_n of_o life_n and_o which_o consequent_o be_v soon_o penetrate_v by_o the_o air_n wherefore_o those_o who_o take_v care_n to_o cover_v at_o all_o time_n their_o breast_n well_o be_v much_o less_o subject_a to_o pleurisy_n and_o many_o other_o disease_n air._n a_o pleurisy_n often_o from_o a_o nitrous_a air._n the_o cause_n of_o a_o pleurisy_n do_v not_o always_o come_v from_o have_v put_v yourself_o into_o a_o heat_n or_o expose_v yourself_o to_o too_o great_a a_o cold_a but_o it_o come_v often_o from_o a_o air_n too_o much_o load_v with_o nitrous_a and_o sulphureous_a particle_n which_o we_o attract_v in_o inspiration_n and_o which_o produce_v the_o same_o effect_n as_o the_o principle_n which_o we_o have_v say_v be_v find_v in_o the_o swett_n those_o kind_n of_o pleurisy_n which_o we_o call_v popular_a or_o epidemical_a happen_v often_o in_o country_n where_o the_o earth_n abound_v with_o nitre_n and_o sulphur_n and_o where_o the_o heat_n be_v excessive_a as_o in_o meridional_a region_n pleurisy_n who_o most_o subject_a to_o on_o pleurisy_n the_o constitution_n of_o person_n contribute_v much_o to_o its_o formation_n those_o who_o be_v of_o a_o quick_a wit_n who_o blood_n be_v subtle_a and_o be_v of_o a_o tender_a complexion_n be_v more_o subject_a to_o it_o than_o other_o person_n a_o observation_n on_o the_o blood_n of_o a_o pluretic_n person_n it_o be_v observable_a that_o after_o have_v bleed_v a_o pleuretic_n person_n there_o be_v a_o little_a skin_n form_v on_o his_o blood_n like_o glue_n and_o almost_o of_o the_o same_o consistence_n which_o have_v a_o kind_n of_o spring_n or_o elastic_a virtue_n for_o when_o ever_o you_o handle_v it_o with_o your_o finger_n it_o resist_v a_o little_a and_o return_n into_o its_o first_o posture_n it_o swim_v upon_o the_o blood_n even_o as_o certain_a little_a flank_n swim_v upon_o the_o urine_n of_o those_o trouble_v with_o the_o inflammation_n of_o the_o reins_o as_o for_o the_o prognostic_n of_o this_o disease_n prognostic_n prognostic_n it_o be_v always_o very_o dangerous_a when_o bleed_v and_o general_a remedy_n do_v not_o dissipate_v the_o tumour_n hippocrates_n say_v that_o if_o one_o spit_v from_o the_o beginning_n the_o disease_n will_v be_v short_a but_o if_o one_o spit_v not_o till_o some_o time_n after_o it_o will_v be_v long_o velut_fw-la in_o pluretide_n laborantibus_fw-la si_fw-la sputum_fw-la statim_fw-la appareat_fw-la inter_fw-la initia_fw-la ipsam_fw-la abbreviat_fw-la si_fw-la vero_fw-la postea_fw-la appareat_fw-la producit_fw-la yet_o this_o rule_n be_v not_o always_o true_a because_o there_o be_v some_o that_o do_v not_o spit_v and_o yet_o recover_v in_o a_o very_a short_a time_n whether_o that_o the_o humour_n which_o cause_v the_o obstruction_n be_v dissipate_v by_o insensible_a perspriration_n or_o by_o the_o way_n of_o circulation_n according_a to_o the_o virtue_n and_o operation_n of_o the_o medicine_n which_o be_v use_v in_o this_o disease_n pleurisy_n the_o best_a way_n of_o cure_v a_o pleurisy_n the_o most_o
the_o head_n may_v be_v cure_v by_o the_o suture_a or_o by_o the_o unite_n bandage_n unless_o the_o loss_n of_o substance_n be_v considerable_a but_o if_o the_o wound_n be_v compound_v that_o be_v if_o beside_o the_o exterior_a part_n the_o skull_n dura_n mater_n or_o the_o substance_n of_o the_o brain_n itself_o be_v offend_v the_o physician_n and_o chirurgeon_n ought_v to_o suspend_v their_o judgement_n and_o recollect_v at_o the_o same_o time_n their_o idea_n and_o knowledge_n to_o prevent_v the_o ill_a consequence_n of_o any_o accident_n who_o cause_n and_o symptom_n be_v so_o dangerous_a and_o very_o often_o mortal_a the_o skull_n may_v be_v fracture_v the_o dura_n mater_n prick_v cut_v break_a tear_v depress_v and_o the_o brain_n cut_v take_v away_o shake_v or_o file_v with_o some_o extravasated_a matter_n hypocrates_n the_o skull_n may_v be_v hurt_v 2_o way_n 5_o kind_n of_o hypocrates_n the_o skull_n may_v be_v hurt_v two_o way_n by_o incision_n or_o contusion_n hypocrates_n have_v establish_v five_o kind_n of_o fracture_n which_o he_o have_v call_v fissure_v contusion_n incision_n depression_n and_o counterfissure_a whether_o the_o fissure_v be_v oblique_a or_o perpendicular_a fissure_v 1._o fissure_v it_o contain_v one_o only_a difference_n which_o be_v to_o distinguish_v well_o whether_o there_o be_v but_o one_o or_o both_o table_n fracture_v the_o contusion_n be_v of_o two_o sort_n contusion_n 2._o contusion_n the_o one_o do_v not_o destroy_v the_o continuity_n hypocrates_n call_v it_o thlasis_n vel_fw-la phlasis_n it_o be_v nothing_o else_o but_o the_o force_n down_o of_o the_o bone_n without_o be_v break_v child_n most_o incident_a to_o child_n according_a to_o hypocrates_n it_o happen_v on_o the_o skull_n of_o child_n that_o have_v as_o yet_o the_o bone_n very_o soft_a and_o tender_a this_o depression_n be_v after_o the_o same_o manner_n as_o a_o bruise_n in_o a_o pewter_n pot._n the_o other_o kind_n of_o contusion_n destroy_v the_o continuity_n in_o this_o the_o bone_n be_v equal_a and_o contiguous_a it_o be_v a_o single_a fissure_n which_o always_o reach_v beyond_o the_o place_n where_o the_o blow_n be_v give_v if_o it_o be_v apparent_a it_o be_v call_v khegma_n if_o it_o be_v insensible_a it_o be_v call_v trikismos_n or_o capillary_n fissure_v the_o incision_n be_v of_o three_o sort_n incision_n 3._o incision_n eccope_n diacope_n and_o apokeparnismos_n eccope_n be_v a_o perpendicular_a incision_n of_o the_o bone_n without_o carry_v off_o the_o piece_n leave_v nothing_o but_o a_o mark_n hippocrates_n call_v it_o hedra_n the_o latin_n vestigium_fw-la or_o sedes_fw-la diacope_n be_v when_o the_o blow_n light_v oblique_o and_o go_v deep_a into_o the_o substance_n of_o the_o bone_n without_o carry_v it_o off_o and_o apokeparnismos_n be_v when_o the_o piece_n be_v entire_o carry_v off_o the_o depression_n destroy_v both_o the_o equality_n and_o contiguity_n of_o the_o bone_n depression_n 4._o depression_n hippocrates_n call_v it_o esphlasis_n or_o enthlasis_n depression_n or_o fracture_n with_o a_o splint_n he_o have_v establish_v three_o kind_n of_o it_o ecpiesma_n angisoma_n and_o camarosis_n ecpiesma_n in_o greek_a be_v a_o depression_n of_o the_o skull_n where_o the_o splint_n press_v the_o dura_n mater_n angisoma_fw-mi be_v a_o depression_n where_o the_o splint_n separate_v itself_o and_o pass_v under_o the_o sound_a bone_n camarosis_n or_o the_o vault_n be_v the_o three_o kind_n this_o be_v divide_v in_o five_o sort_n in_o the_o first_o a_o part_n of_o the_o bone_n bend_v down_o in_o break_v and_o the_o other_o turn_v up_o in_o the_o second_o the_o bone_n bow_v downward_o without_o any_o slit_n this_o happen_v only_o to_o child_n as_o i_o have_v explain_v heretofore_o the_o three_o be_v a_o depression_n where_o the_o side_n be_v force_v down_o the_o middle_n remain_v bend_v upward_o as_o a_o kind_n of_o vault_n leave_v some_o hollowness_n under_o it_o the_o four_o rise_v of_o itself_o this_o be_v also_o when_o the_o bone_n be_v only_o membranous_a because_o they_o have_v a_o kind_n of_o spring_n or_o elastic_a virtue_n till_o they_o begin_v to_o ossify_v last_o the_o five_o kind_n of_o camarosis_n be_v when_o the_o second_o table_n be_v depress_v and_o the_o outward_a return_v to_o its_o first_o state_n this_o last_o only_o happen_v to_o infant_n for_o reason_n which_o we_o have_v allege_v the_o contra_fw-la fissura_fw-la which_o hippocrates_n have_v establish_v without_o ground_n counterfissure_a 5._o counterfissure_a happen_v in_o the_o same_o bone_n in_o divers_a bone_n and_o in_o different_a table_n in_o the_o same_o bone_n when_o the_o uppermost_a part_n be_v strike_v and_o the_o low_o break_v in_o divers_a bone_n as_o when_o the_o blow_n be_v give_v on_o the_o occipital_n and_o the_o coronal_z be_v break_v in_o different_a table_n when_o the_o first_o be_v strike_v and_o the_o second_o break_v these_o be_v three_o chymeric_n example_n quite_o contrary_a to_o the_o structure_n of_o the_o part_n if_o we_o see_v wound_n of_o the_o head_n of_o this_o nature_n happen_v after_o concussion_n of_o the_o brain_n it_o proceed_v not_o from_o a_o counterfissure_n as_o hippocrates_n pretend_v but_o by_o true_a relapse_n counterfissure_a no_o such_o thing_n as_o a_o counterfissure_a it_o may_v easy_o be_v see_v that_o when_o a_o man_n have_v lose_v his_o sense_n and_o have_v recover_v they_o partly_o again_o he_o be_v yet_o all_o giddy_a and_o may_v after_o this_o manner_n relapse_n twice_o or_o thrice_o and_o get_v new_a wound_n for_o it_o be_v impossible_a that_o a_o machine_n compose_v of_o several_a piece_n as_o the_o skull_n be_v can_v break_v in_o a_o place_n opposite_a to_o that_o where_o it_o receive_v the_o impression_n it_o be_v certain_a that_o the_o blow_n die_v in_o all_o the_o circumference_n of_o the_o assemblage_n and_o that_o the_o diploe_n hinder_v the_o shake_n from_o be_v communicate_v to_o the_o interior_a table_n but_o without_o confound_v and_o mistake_v ourselves_o we_o may_v say_v that_o the_o skull_n may_v be_v slit_v depress_v fracture_v cut_v or_o carry_v off_o if_o it_o be_v slit_v the_o fissure_n be_v visible_a or_o almost_o insensible_a but_o whether_o it_o be_v apparent_a or_o not_o nothing_o be_v capable_a of_o give_v we_o convince_a mark_n that_o it_o penetrate_v and_o that_o there_o be_v blood_n spill_v on_o the_o dura_fw-la mater_fw-la than_o these_o which_o succeed_v the_o use_n of_o ink_n the_o rugine_n and_o the_o handkerchief_n in_o the_o mouth_n keep_v one_o breath_n be_v absolute_o useless_a because_o the_o diploe_n confound_v and_o hinder_v one_o from_o see_v whether_o it_o reach_v to_o the_o dura_fw-la mater_fw-la or_o not_o beside_o the_o practice_n of_o the_o rugine_n will_v never_o be_v approve_v on_o by_o good_a practitioner_n not_o only_o because_o they_o do_v not_o give_v we_o any_o knowledge_n but_o also_o because_o there_o remain_v a_o loss_n of_o substance_n and_o deformity_n of_o the_o part_n if_o it_o be_v depression_n it_o press_v with_o it_o the_o dura_fw-la mater_fw-la and_o cause_v several_a accident_n which_o we_o will_v examine_v if_o it_o be_v fracture_v either_o the_o splinter_n be_v separate_v from_o the_o cranium_fw-la or_o not_o so_o by_o either_o way_n the_o dura_fw-la mater_fw-la may_v be_v compress_v prick_v or_o tear_v and_o the_o brain_n hurt_n or_o at_o least_o some_o blood_n may_v be_v spill_v upon_o these_o part_n in_o all_o these_o occasion_n i_o say_v if_o the_o fracture_n do_v not_o permit_v a_o unition_n of_o the_o shatter_v bone_n and_o vent_v give_v to_o the_o strange_a body_n which_o may_v alter_v the_o dura_fw-la mater_fw-la you_o must_v without_o more_o ado_n perform_v the_o operation_n provide_v some_o ill_a symptom_n precede_v otherwise_o the_o patient_n will_v die_v if_o it_o be_v cut_v or_o carry_v off_o either_o with_o or_o without_o shatter_v the_o bone_n as_o for_o example_n if_o the_o incision_n penetrate_v not_o and_o there_o be_v only_o a_o part_n of_o the_o bone_n separate_v the_o consequence_n be_v not_o dangerous_a but_o if_o it_o go_v deep_a and_o there_o be_v some_o splint_n separate_v that_o offend_v the_o dura_fw-la mater_fw-la if_o we_o do_v not_o soon_o remedy_v it_o the_o patient_n be_v in_o danger_n of_o life_n mater_fw-la sign_n of_o inflame_a dura_fw-la mater_fw-la if_o the_o dura_fw-la mater_fw-la be_v inflame_v either_o by_o diffuse_a blood_n or_o by_o some_o prick_n compression_n tention_n cut_v or_o rapture_n one_o present_o feel_v pain_n and_o heaviness_n in_o that_o part_n the_o eye_n grow_v puff_v up_o and_o inflame_v the_o face_n red_a and_o swell_v the_o disease_a be_v drowsy_a with_o fever_n the_o pulse_n hard_o with_o shivering_n and_o blood_n come_v often_o from_o the_o nose_n ear_n and_o mouth_n just_a as_o in_o great_a concussion_n of_o the_o brain_n we_o know_v that_o the_o dura_fw-la mater_fw-la be_v prick_v or_o tear_v when_o there_o be_v some_o sharp_a point_a splint_n or_o rugged_a piece_n
spirit_n by_o any_o mishap_n the_o machine_n must_v needs_o fall_v sense_n cause_o of_o loss_n of_o the_o sense_n the_o sense_n be_v lose_v by_o reason_n the_o course_n of_o the_o spirit_n be_v interrupt_v in_o the_o brain_n and_o can_v repair_v to_o the_o organ_n of_o the_o sense_n now_o since_o the_o function_n of_o the_o sense_n depend_v on_o the_o course_n of_o the_o spirit_n in_o the_o nerve_n it_o be_v no_o wonder_n if_o the_o exterior_a object_n make_v no_o more_o impression_n upon_o our_o sense_n and_o we_o be_v no_o more_o in_o a_o condition_n to_o distinguish_v they_o the_o phaenomena_n be_v a_o consequent_a of_o the_o precedent_n ear_n cause_o of_o bleed_v of_o the_o nose_n mouth_n and_o ear_n the_o blood_n flow_v out_o of_o the_o nose_n mouth_n and_o ear_n to_o explain_v which_o symptom_n you_o must_v consider_v that_o these_o part_n be_v rude_o shake_v in_o the_o time_n of_o the_o assault_n that_o the_o blood_n and_o spirit_n be_v stop_v in_o the_o brain_n and_o that_o the_o great_a cord_n of_o the_o nerve_n which_o at_o their_o passage_n out_o of_o the_o skull_n pass_v between_o the_o branch_n of_o the_o carotidal_a and_o vertebral_a artery_n imprint_v there_o such_o a_o violent_a motion_n at_o the_o time_n of_o the_o concussion_n that_o they_o oblige_v the_o arterial_a blood_n to_o turn_v short_a and_o flow_v into_o the_o external_a carotides_n so_o that_o these_o receive_n almost_o all_o the_o blood_n which_o mount_v to_o the_o head_n as_o well_o from_o the_o inflammation_n as_o from_o the_o shake_n of_o the_o nerve_n must_v needs_o break_v some_o capillary_a vessel_n excrement_n the_o cause_n of_o involuntary_a shed_n of_o urine_n and_o excrement_n the_o excrement_n and_o urine_n come_v forth_o against_o one_o will_n because_o the_o spirit_n repair_v no_o more_o in_o such_o case_n to_o the_o sphincter_n of_o the_o anus_fw-la and_o bladder_n than_o to_o other_o part_n which_o cause_v they_o to_o lose_v their_o spring_n and_o permit_v the_o issue_n of_o those_o excrement_n the_o motion_n of_o the_o heart_n be_v weak_a and_o languish_a only_o for_o want_v of_o these_o same_o spirit_n vomit_v cause_o of_o vomit_v one_o vomit_v at_o the_o very_a instant_n or_o some_o time_n after_o if_o one_o vomit_v present_o it_o be_v a_o sign_n that_o the_o commotion_n have_v not_o be_v one_o of_o the_o great_a and_o the_o course_n of_o the_o spirit_n not_o long_o interrupt_v since_o the_o impulse_n of_o the_o blood_n have_v break_v the_o sluice_n of_o they_o and_o force_v they_o to_o retake_v their_o course_n and_o launch_v with_o so_o much_o quickness_n into_o the_o ventricle_n that_o they_o excite_v this_o first_o vomit_v in_o which_o one_o render_v nothing_o but_o aliment_n but_o if_o the_o spirit_n be_v long_o retard_v it_o be_v a_o sign_n that_o the_o shake_n have_v be_v very_o rude_a and_o that_o the_o figure_n of_o the_o brain_n be_v vitiate_a since_o we_o see_v that_o when_o they_o be_v at_o full_a liberty_n they_o run_v with_o precipitation_n into_o the_o tunicle_n of_o the_o ventricle_n and_o intestine_n which_o by_o their_o irregular_a and_o vermicular_a motion_n oblige_v the_o bile_n which_o run_v into_o their_o cavity_n to_o force_v the_o pylorus_n and_o pass_v into_o the_o stomach_n from_o whence_o it_o be_v drive_v by_o the_o powerful_a contraction_n of_o its_o carnous_a fibre_n you_o must_v observe_v that_o in_o this_o last_o vomit_v where_o one_o render_v bile_n it_o be_v much_o more_o violent_a than_o the_o first_o and_o that_o the_o disease_a lose_v their_o strength_n vigour_n and_o ordinary_a motion_n these_o be_v the_o accident_n which_o immediate_o follow_v concussion_n of_o the_o brian_n now_o it_o be_v very_o important_a to_o examine_v well_o those_o that_o happen_v when_o the_o brain_n be_v hurt_v and_o when_o any_o blood_n or_o pus_fw-la be_v extravasated_a in_o its_o substance_n sometime_o it_o be_v a_o effect_n of_o the_o concussion_n that_o have_v break_v some_o vessel_n and_o sometime_o a_o effect_n of_o the_o blow_n which_o have_v prick_v or_o cut_v the_o dura_fw-la mater_fw-la or_o which_o have_v penetrate_v or_o carry_v off_o some_o portion_n of_o the_o brain_n or_o final_o it_o be_v some_o pus_fw-la between_o the_o dura_fw-la and_o pia_fw-la mater_fw-la which_o be_v shed_v upon_o the_o brian_n in_o all_o these_o cause_n the_o fever_n come_v with_o double_a fit_n and_o shivering_n accompany_v with_o vomit_v convulsion_n delirium_fw-la lethargy_n and_o apoplexy_n and_o beside_o this_o crowd_n of_o symptom_n the_o liver_n and_o lung_n often_o impostumate_v which_o be_v know_v by_o a_o fix_a pain_n on_o the_o breast_n or_o in_o the_o region_n of_o the_o liver_n and_o by_o reiterated_a shivering_n fever_n cause_o of_o the_o redouble_a of_o the_o fever_n as_o for_o the_o fever_n with_o its_o intermitting_n which_o come_v upon_o it_o it_o be_v not_o hard_a to_o give_v reason_n for_o this_o extraordinary_a fermentation_n as_o soon_o as_o we_o be_v a_o little_a attentive_a upon_o the_o change_n of_o corruption_n which_o happen_v to_o the_o matter_n that_o be_v diffuse_v upon_o the_o substance_n of_o the_o brain_n it_o be_v not_o to_o be_v doubt_v but_o that_o it_o grow_v impure_a and_o more_o or_o less_o sour_a according_a to_o the_o time_n it_o lie_v there_o that_o the_o vein_n be_v from_o time_n to_o time_n charge_v with_o it_o and_o that_o a_o part_n pass_v into_o the_o heart_n lung_n and_o all_o the_o other_o organ_n which_o by_o their_o continual_a motion_n form_n and_o grind_v they_o as_o it_o be_v into_o a_o thousand_o little_a part_n which_o lively_o hasten_v the_o impetuous_a course_n of_o the_o blood_n and_o which_o cause_n the_o trouble_n and_o perturbation_n of_o the_o spirit_n which_o march_v in_o disorder_n which_o precipitate_v the_o motion_n of_o the_o heart_n and_o increase_v the_o fever_n and_o when_o ever_o that_o strange_a matter_n which_o be_v offensive_a to_o the_o brian_n have_v get_v some_o degree_n of_o corruption_n and_o make_v itself_o fit_a to_o circulate_v with_o the_o venal_a blood_n this_o matter_n i_o say_v receive_v the_o same_o alteration_n and_o trituration_n which_o we_o have_v suppose_v set_v the_o blood_n more_o sensible_o in_o motion_n and_o put_v it_o in_o a_o much_o great_a effervescency_n on_o which_o depend_v the_o strength_n of_o the_o return_n of_o the_o fever_n after_o this_o manner_n as_o often_o as_o the_o blood_n be_v charge_v with_o it_o the_o returns_z which_o be_v a_o sit_v be_v periodical_a be_v renew_v from_o all_o the_o reason_n which_o i_o have_v allege_v it_o be_v easy_a to_o understand_v that_o there_o be_v few_o part_n or_o corner_n of_o the_o body_n where_o this_o purulent_a matter_n be_v not_o throw_v it_o prick_v the_o nerve_n irritate_v the_o membrane_n transmits_n its_o action_n on_o the_o ventricle_n nest_n its_o self_n sometime_o in_o one_o muscle_n sometime_o in_o another_o and_o cause_n shivering_n vomiting_n and_o the_o vicissitude_n of_o irregular_a and_o convulsive_a motion_n which_o show_v that_o the_o mass_n of_o blood_n be_v mighty_o suppress_v the_o course_n of_o the_o spirit_n much_o agitate_a so_o that_o delirium_fw-la and_o lethargy_n must_v follow_v delirium_fw-la cause_o of_o delirium_fw-la the_o delirium_fw-la be_v a_o effect_n of_o the_o great_a inequality_n of_o the_o course_n of_o the_o blood_n in_o the_o redoubling_n of_o the_o fever_n and_o of_o the_o diffuse_a matter_n which_o begin_v to_o penetrate_v and_o corrupt_v the_o substance_n of_o the_o brain_n the_o inequality_n of_o the_o course_n of_o the_o blood_n in_o the_o time_n of_o the_o redoubling_n rule_v the_o irregularity_n of_o the_o course_n of_o the_o spirit_n in_o the_o part_n and_o the_o extravasated_a matter_n gnaw_v by_o its_o acrimony_n the_o vessel_n and_o nervous_a fibre_n of_o the_o white_a part_n so_o put_v to_o the_o rout_n the_o spirit_n into_o the_o muscle_n organ_n of_o the_o sense_n and_o in_o the_o passage_n of_o the_o brain_n where_o the_o idea_n be_v weaken_v with_o irregularity_n and_o confusion_n lethargy_n cause_o of_o the_o lethargy_n the_o lethargy_n follow_v when_o ever_o there_o be_v much_o blood_n spill_v upon_o the_o brain_n be_v in_o its_o last_o degree_n of_o motion_n and_o exaltation_n the_o weight_n of_o the_o extravasated_a blood_n press_v the_o brain_n and_o the_o quick_a motion_n of_o the_o blood_n cause_v the_o courser_n particle_n to_o separate_v from_o the_o fine_a one_o that_o they_o stick_v to_o the_o pore_n of_o the_o gland_n and_o stop_v the_o passage_n of_o the_o spirit_n so_o that_o the_o brain_n find_v itself_o oppress_v with_o the_o weight_n of_o the_o matter_n the_o patient_n fall_v into_o a_o profound_a drowsiness_n but_o in_o the_o time_n that_o this_o extravasated_a matter_n dissipate_v its_o self_n the_o courser_n particle_n which_o be_v so_o many_o sluice_n be_v put_v out_o of_o order_n by_o the_o impulsion_n of_o new_a blood_n the_o
all_o the_o blood_n that_o shall_v run_v out_o you_o must_v take_v care_n in_o pull_v off_o the_o dress_n not_o to_o handle_v they_o with_o too_o much_o violence_n lest_o you_o pull_v also_o off_o the_o ligature_n you_o must_v take_v care_n after_o suppuration_n to_o press_v the_o stump_n a_o little_a by_o mean_n of_o the_o compress_v to_o hinder_v the_o generation_n of_o fungeous_a and_o superfluous_a flesh_n which_o ordinary_o happen_v after_o long_a suppuration_n button_n caution_n to_o be_v use_v in_o apply_v the_o vitreol_n button_n those_o that_o use_v the_o vitriol_n button_n must_v precise_o apply_v it_o to_o the_o mouth_n of_o the_o vessel_n and_o take_v care_v it_o do_v not_o fall_v in_o apply_v the_o bolster_n nevertheless_o though_o we_o have_v disapprove_v its_o use_n for_o several_a reason_n yet_o those_o that_o will_v make_v use_n of_o it_o ought_v to_o lift_v the_o stump_n up_o a_o little_a and_o hold_v the_o hand_n upon_o it_o for_o 3_o or_o 4_o hour_n until_o the_o vitriol_n have_v begin_v to_o produce_v its_o effect_n in_o happen_v sometime_o that_o after_o the_o operation_n the_o part_n suffer_v some_o convulsive_a motion_n convulsion_n cause_o of_o after_o convulsion_n occasion_v by_o the_o spirit_n be_v irritate_v by_o sharp_a corrosive_a or_o vitriolic_a matter_n or_o by_o the_o trouble_n of_o the_o spirit_n themselves_o in_o the_o part_n for_o if_o we_o consider_v that_o the_o brain_n actual_o prepare_v a_o certain_a quantity_n of_o spirit_n which_o run_v through_o the_o nerve_n to_o serve_v the_o function_n of_o the_o whole_a body_n we_o shall_v agree_v that_o those_o which_o be_v design_v for_o the_o motion_n and_o sensation_n of_o that_o part_n which_o be_v no_o more_o existent_a but_o separate_v from_o the_o other_o must_v needs_o run_v back_o it_o be_v perhaps_o this_o unlucky_a reflux_n which_o excite_v these_o irregular_a convulsion_n and_o the_o involuntary_a contraction_n pull_v along_o with_o they_o the_o artery_n and_o so_o give_v occasion_n to_o the_o ligature_n to_o break_v and_o the_o part_n to_o bleed_v which_o often_o cause_v death_n therefore_o in_o these_o occasion_n a_o chirurgeon_n must_v not_o stand_v search_v for_o the_o artery_n he_o must_v only_o lay_v upon_o it_o the_o vitriolic_a button_n with_o bolstâ—…â—oaked_a in_o some_o styptic_a liquor_n these_o be_v the_o measure_n which_o you_o must_v take_v in_o such_o occasion_n chap._n xxxvii_o of_o paronychia_fw-la paronychia_fw-la be_v a_o very_a painful_a tumour_n which_o possess_v the_o finger_n end_n cause_v by_o the_o alteration_n and_o effervescency_n of_o the_o bilious_a and_o sulphureous_a particle_n of_o the_o blood_n paronychia_fw-la two_o kind_n of_o paronychia_fw-la they_o ordinary_o make_v two_o kind_n of_o it_o in_o the_o one_o the_o matter_n lie_v between_o the_o periostium_fw-la and_o the_o bone_n accompany_v with_o a_o burn_a heat_n acute_a pain_n and_o deep_a pulsation_n great_a tention_n and_o burn_a fever_n the_o other_o be_v only_o in_o the_o flesh_n with_o less_o heat_n and_o pain_n light_a pulsation_n less_o tention_n and_o hardly_o any_o fever_n at_o all_o pain_n cause_o of_o the_o heat_n and_o pain_n the_o heat_n and_o pain_n come_v from_o the_o strong_a ebullition_n of_o the_o blood_n and_o many_o irritation_n whiâ—â—â—he_v sulphureous_a particle_n that_o â—…elt_v and_o be_v â—â—rned_v into_o sanies_fw-la excite_v at_o the_o fibre_n of_o the_o periostium_fw-la tention_n cause_o of_o the_o tention_n the_o tention_n proceed_v only_o from_o the_o fermentation_n of_o the_o humour_n it_o be_v easy_a to_o comprehend_v that_o when_o a_o liquor_n boil_v it_o extend_v itself_o more_o in_o length_n and_o breadth_n than_o when_o it_o be_v at_o rest_n and_o must_v consequent_o dilate_v the_o vessel_n in_o a_o great_a manner_n that_o contain_v it_o pulsation_n cause_o of_o the_o pulsation_n the_o pulsation_n be_v nothing_o else_o but_o a_o more_o exquisite_a and_o lively_a feeling_n that_o we_o have_v of_o the_o artery_n beat_v in_o the_o inflame_a part_n cause_v by_o a_o great_a tention_n and_o effervescency_n of_o the_o blood_n fever_n cause_o of_o the_o fever_n the_o fever_n come_v from_o the_o mutual_a agitation_n of_o the_o different_a particle_n of_o the_o blood_n that_o fight_n against_o one_o another_o with_o great_a strength_n and_o tear_v one_o another_o in_o a_o thousand_o little_a particle_n of_o a_o different_a bigness_n and_o figure_n which_o be_v move_v in_o the_o mass_n of_o blood_n excite_v the_o fever_n but_o after_o a_o long_o struggle_v the_o pus_fw-la be_v make_v the_o vessel_n burst_v the_o matter_n extravasates_n the_o tumour_n grow_v soft_a the_o fever_n and_o all_o other_o symptom_n diminish_v than_o we_o give_v the_o pus_fw-la issue_n by_o incision_n incision_n where_o to_o make_v the_o incision_n which_o we_o make_v at_o the_o side_n of_o the_o finger_n to_o avoid_v the_o tendon_n we_o then_o use_v those_o medicine_n ordinary_o use_v for_o other_o ulcer_n i_o will_v no_o long_o insist_v upon_o the_o paronychia_fw-la though_o it_o will_v furnish_v we_o with_o matter_n for_o a_o long_a discourse_n and_o see_v most_o author_n have_v give_v their_o opinion_n of_o it_o any_o one_o may_v be_v instruct_v by_o they_o chap._n xxxviii_o of_o the_o use_n of_o cupping-glass_n most_o practitioner_n of_o physic_n be_v wont_v rather_o to_o approve_v the_o use_n of_o cupping-glass_n and_o leech_n than_o condemn_v it_o be_v it_o that_o they_o either_o find_v themselves_o upon_o that_o pretend_a attraction_n of_o the_o ancient_n use_n cupping-glass_n of_o very_a little_a use_n or_o that_o they_o think_v to_o discharge_v soon_o a_o part_n load_v with_o the_o weight_n of_o some_o strange_a matter_n it_o be_v true_a they_o use_v they_o but_o with_o little_a success_n beside_o this_o attraction_n be_v just_a a_o chimaera_n and_o be_v the_o most_o cruel_a and_o temerarious_a practice_n that_o can_v be_v imagine_v what_o appearance_n be_v there_o to_o scarrifie_v the_o back_n to_o dissipate_v inflammation_n of_o the_o eye_n to_o slash_v the_o loin_n to_o hinder_v the_o progress_n of_o malign_a fever_n attraction_n no_o such_o thing_n as_o attraction_n to_o cut_v the_o skin_n and_o flesh_n in_o 20_o different_a place_n to_o draw_v one_o or_o two_o ounce_n of_o blood_n i_o do_v not_o believe_v that_o those_o who_o have_v a_o idea_n of_o the_o circulation_n of_o the_o blood_n can_v show_v i_o by_o experience_n or_o any_o other_o way_n that_o the_o division_n of_o some_o cupillary_a vessel_n be_v capable_a of_o cure_v the_o least_o cutaneous_a affect_v nevertheless_o there_o be_v some_o that_o do_v authorise_v this_o practice_n maintain_v that_o the_o scarification_n do_v determine_v the_o blood_n and_o spirit_n to_o repair_v in_o abundance_n to_o the_o scarify_v part_n and_o that_o in_o move_v the_o humour_n after_o this_o manner_n the_o afflict_a part_n be_v disengage_v and_o the_o inflammation_n lessen_v it_o be_v to_o be_v wish_v for_o the_o partisan_n of_o this_o practice_n that_o the_o inflammation_n will_v favour_v their_o opinion_n for_o we_o can_v believe_v that_o the_o blood_n and_o spirit_n run_v into_o a_o part_n in_o a_o great_a quantity_n than_o the_o use_v to_o do_v without_o cause_v some_o inflammation_n which_o be_v not_o observe_v here_o beside_o blood_n inflammation_n cause_v only_o by_o the_o interruption_n of_o the_o blood_n that_o the_o inflammation_n come_v not_o but_o because_o the_o motion_n of_o the_o blood_n be_v intercept_v by_o the_o divulsion_n of_o the_o vessel_n as_o it_o happen_v in_o all_o new_a wound_n and_o not_o at_o all_o by_o a_o determination_n occasion_v by_o the_o pain_n last_o all_o the_o virtue_n which_o be_v attribute_v to_o cupping-glass_n shall_v not_o hinder_v i_o from_o disapprove_v their_o use_n for_o i_o say_v that_o they_o be_v not_o only_o useless_a in_o many_o disease_n where_o they_o be_v employ_v but_o also_o in_o venereal_a sore_n and_o bite_v of_o venomous_a animal_n since_o it_o be_v certain_a that_o the_o poison_n of_o these_o animal_n which_o consist_v in_o a_o strange_a acid_n manifest_v itself_o in_o a_o moment_n to_o the_o brain_n in_o spite_n of_o the_o influence_n of_o the_o spirit_n and_o that_o the_o mass_n of_o blood_n be_v present_o oppress_v with_o it_o by_o the_o law_n of_o circulation_n from_o whence_o i_o conclude_v that_o once_o bleed_v or_o the_o least_o sudorific_a in_o what_o disease_n soever_o will_v always_o do_v more_o good_a than_o all_o the_o cupping-glass_n you_o can_v apply_v fistula_n leech_n very_o often_o the_o cause_n of_o fistula_n you_o must_v observe_v that_o in_o the_o hemmorhoide_n emollient_a and_o discuss_a remedy_n be_v to_o be_v prefer_v before_o leech_n which_o be_v very_o often_o the_o cause_n of_o imposthume_n and_o fistula_n in_o the_o anus_fw-la as_o i_o have_v show_v you_o in_o the_o treatise_n of_o fistula_n caustic_n where_o and_o how_o to_o make_v a_o issue_n by_o caustic_n i_o also_o say_v by_o the_o bye_n that_o caustic_n
that_o the_o different_a dgree_n of_o the_o fever_n rule_v those_o of_o the_o inflammation_n as_o these_o do_v they_o of_o the_o gangrene_n bleed_v clyster_n sweet_a and_o liquid_a food_n emollient_a and_o discutient_fw-la cataplasm_n make_v of_o the_o four_o meal_n honey_n and_o the_o emollient_a herb_n boil_v in_o wine_n as_o fol._n malve_n altheae_fw-la senessionis_fw-la violar_n rarietariae_fw-la candilariae_n chamomillae_fw-la meliot_n etc._n etc._n all_o these_o medicine_n be_v very_o efficacious_a here_o you_o must_v observe_v to_o let_v the_o cataplasm_n be_v very_o moist_a lest_o they_o dry_v up_o and_o so_o instead_o of_o humect_v and_o mollify_a the_o fibre_n they_o obstruct_v the_o pore_n as_o astringent_n and_o hinder_v transpiration_n if_o in_o spite_n of_o all_o this_o care_n the_o inflammation_n go_v not_o off_o you_o relieve_v the_o part_n by_o some_o slight_a scarification_n if_o they_o be_v not_o enough_o you_o make_v other_o deep_a that_o the_o medicine_n may_v have_v room_n to_o work_v if_o the_o wound_n be_v superficial_a you_o must_v dilate_v it_o but_o if_o it_o penetrate_v even_o to_o the_o most_o intimate_a part_n i_o mean_v near_o the_o great_a vessel_n or_o bone_n you_o must_v keep_v to_o scarification_n and_o injection_n make_v of_o traumatic_a plant_n mel._n rosar_n and_o spirit_n of_o wine_n because_o you_o will_v be_v apt_a to_o ruin_v the_o whole_a part_n by_o the_o incision_n which_o must_v afterward_o be_v cut_v off_o it_o often_o happen_v that_o the_o gangrene_n come_v on_o the_o side_n of_o these_o kind_n of_o wound_n where_o the_o obstruction_n be_v always_o most_o considerable_a in_o which_o case_n your_o pleaget_n must_v be_v well_o charge_v with_o digestive_n if_o the_o inflammation_n go_v not_o off_o either_o by_o suppuration_n or_o transpiration_n and_o the_o red_a colour_n of_o the_o skin_n change_v not_o you_o must_v use_v strong_a maturative_a cataplasm_n of_o white_a lily_n root_n sorrel_n leaven_n and_o the_o common_a digestive_a provide_v the_o inflammation_n communicate_v itself_o not_o to_o the_o adjacent_a part_n scarification_n be_v not_o to_o be_v use_v but_o when_o the_o part_n be_v extreme_o stretch_v and_o the_o red_a colour_n change_v into_o a_o livid_n and_o when_o little_a blister_n arise_v which_o signify_v a_o beginning_n mortification_n and_o show_v that_o the_o ferment_n of_o the_o gangrene_n be_v very_o acid_a and_o malignant_a you_o must_v not_o stay_v till_o these_o little_a blister_n increase_v but_o as_o soon_o as_o you_o see_v that_o the_o wound_n do_v not_o suppurate_a and_o the_o skin_n change_v colour_n you_o ought_v to_o scarify_v and_o lay_v compress_n upon_o the_o neighbour_a part_n soak_v in_o warm_a wine_n and_o brandy_n the_o fever_n be_v sometime_o extinguish_v by_o scarification_n because_o the_o agitate_a matter_n of_o the_o acid_n ferment_n have_v room_n to_o escape_v so_o the_o inflammation_n be_v diminish_v suppuration_n procure_v and_o the_o progress_n of_o putrefaction_n stop_v if_o the_o lip_n of_o the_o wound_n be_v of_o a_o vermilion_a colour_n it_o be_v a_o token_n that_o the_o salt_n particle_n prick_v the_o membrane_n and_o increase_v the_o fluxion_n it_o excite_v the_o fever_n anew_o for_o some_o time_n and_o the_o edge_n of_o the_o wound_n grow_v white_a and_o dry_a this_o change_n proceed_v from_o the_o salt_n juice_n which_o by_o their_o too_o great_a motion_n separate_v themselves_o from_o the_o sulphurous_a one_o so_o that_o they_o irrigate_n the_o fibre_n and_o cause_v a_o new_a obstruction_n which_o afterward_o make_v the_o flesh_n foggy_a and_o white_a we_o often_o observe_v that_o though_o the_o wound_n be_v often_o ready_a to_o cicatrise_v yet_o if_o the_o fever_n arise_v anew_o it_o grow_v big_a and_o more_o dangerous_a than_o it_o be_v before_o because_o the_o inflammation_n make_v a_o great_a progress_n in_o this_o case_n you_o touch_v the_o new_a form_a skin_n with_o aq._n calcis_fw-la in_o which_o some_o mercurius_n sublimat_n have_v be_v dissolve_v but_o without_o use_v any_o remedy_n you_o may_v cut_v it_o off_o for_o the_o ferment_n of_o that_o membrane_n infect_v the_o neighbour_a part_n balsam_n of_o sulphur_n be_v very_o good_a in_o this_o occasion_n especial_o in_o small_a putrefaction_n symptom_n flux_n a_o dangerous_a symptom_n if_o a_o flux_n come_v upon_o a_o flesh_n wound_n it_o be_v a_o very_a dangerous_a symptom_n because_o it_o only_o happen_v when_o the_o salt_n particle_n have_v leave_v the_o part_n and_o enter_v into_o the_o mass_n of_o liquor_n now_o as_o the_o volatile_a salt_n maintain_v the_o motion_n of_o the_o blood_n and_o other_o humour_n and_o have_v a_o virtue_n of_o dissolve_v and_o make_v they_o fluid_a we_o be_v to_o search_v no_o where_o else_o the_o cause_n of_o this_o symptom_n this_o flux_n hinder_v suppuration_n and_o weaken_v the_o sick_a more_o than_o all_o other_o accident_n together_o because_o of_o the_o great_a dissipation_n of_o spirit_n that_o be_v make_v by_o the_o stool_n we_o also_o observe_v that_o the_o wound_n dry_v shrivel_v and_o become_v as_o it_o be_v mortify_v according_a as_o the_o spirit_n abandon_v it_o and_o the_o strong_a the_o flux_n be_v the_o more_o the_o inflammation_n lessen_v the_o flesh_n dry_v up_o and_o the_o part_n become_v more_o faint_a adust_a and_o putrid_a you_o must_v foment_n it_o with_o aromatic_a wine_n and_o hinder_v the_o disunion_n of_o the_o salt_n by_o the_o help_n of_o balsam_n of_o sulphur_n but_o from_o the_o moment_n that_o the_o spirit_n exalt_v themselves_o towards_o the_o surface_n the_o motion_n of_o the_o blood_n slacken_v the_o flux_n cease_v and_o the_o wound_n which_o before_o be_v inanimate_a as_o it_o be_v revive_v again_o this_o flux_n must_v be_v stop_v with_o great_a circumspection_n for_o it_o be_v a_o sign_n that_o the_o salt_n be_v become_v very_o acid_a since_o they_o offend_v every_o part_n where_o they_o lie_v you_o must_v always_o stop_v it_o by_o degree_n for_o fear_v a_o sudden_a suppression_n may_v again_o revive_v the_o fever_n and_o render_v it_o more_o malignant_a and_o pernicious_a which_o will_v present_o unite_v putrefaction_n with_o inflammation_n the_o flux_n be_v stop_v the_o patient_n must_v be_v feed_v with_o sweet_a and_o thick_a food_n the_o proper_a medicine_n for_o stop_v a_o flux_n be_v clyster_n make_v of_o white_a broth_n mallow_n bran_n lettuce_n knotgrass_n and_o the_o yolk_n of_o eggs._n tisan_n make_v of_o bugle_n sanicle_n lemon_n and_o liquorish_a be_v also_o of_o great_a help_n we_o observe_v that_o this_o flux_n happen_v often_o in_o great_a hospital_n than_o any_o where_o else_o especial_o in_o great_a wound_n because_o the_o wound_a receive_v there_o a_o air_n load_v with_o malign_v and_o pestilential_a vapour_n which_o not_o only_o cause_v the_o looseness_n but_o all_o the_o other_o troublesome_a accident_n which_o follow_v upon_o it_o we_o observe_v that_o the_o wound_n which_o happen_v to_o the_o leg_n be_v most_o dangerous_a or_o of_o difficult_a cure_n but_o since_o the_o circulation_n be_v more_o flow_n in_o they_o their_o tendon_n and_o membrane_n stretch_v and_o their_o vesicles_n more_o narrow_a this_o disposition_n of_o part_n cause_v the_o humour_n to_o settle_v and_o employ_v themselves_o more_o easy_o and_o that_o only_o the_o serosity_n be_v able_a to_o disengage_v itself_o in_o time_n of_o their_o settling_n by_o its_o abode_n change_v into_o a_o virulent_a sanies_fw-la which_o entertain_v the_o wound_n of_o these_o hard_a and_o callous_a part_n they_o also_o require_v some_o medicine_n capable_a of_o carry_v off_o and_o melt_v the_o callosity_n and_o destroy_v the_o sanies_fw-la which_o be_v the_o chief_a cause_n of_o it_o when_o wound_n be_v of_o difficult_a cure_n and_o as_o it_o be_v unconquerable_a with_o medicine_n it_o be_v the_o evil_a disposition_n of_o the_o subject_a for_o the_o most_o part_n which_o contribute_v to_o it_o some_o be_v natural_o of_o a_o ill_a habit_n other_o affect_v with_o some_o venerial_a disease_n or_o some_o other_o as_o bad_a final_o other_o do_v not_o govern_v themselves_o and_o have_v a_o great_a inclination_n for_o that_o which_o be_v hurtful_a to_o they_o and_o which_o be_v capable_a of_o heat_n and_o alter_v their_o blood_n if_o in_o these_o kind_n of_o inconvenience_n the_o medicine_n which_o we_o have_v use_v produce_v not_o any_o effect_n cardiac_n and_n medicine_n of_o a_o purify_n quality_n favour_n their_o cure_n wound_n what_o to_o be_v use_v in_o venomous_a wound_n as_o all_o aromatic_n cordial_a potion_n all_o preparation_n of_o mercury_n and_o antimony_n theriac_n confection_n powder_n of_o viper_n with_o their_o volatile_a salt_n volatile_a salt_n of_o hearts-horn_n and_o several_a medicine_n of_o the_o same_o nature_n which_o different_o according_a to_o the_o different_a degree_n of_o corruption_n this_o be_v the_o practice_n which_o must_v be_v follow_v in_o venomous_a wound_n have_v apply_v upon_o the_o part_n all_o thing_n that_o resist_v