that_o have_v the_o colic_n and_o then_o they_o vomit_v more_o pituitous_a and_o corrupt_a matter_n than_o those_o that_o have_v the_o stone_n they_o be_v more_o bind_v and_o break_v no_o wind_n neither_o upward_o nor_o downward_o the_o colic_n seem_v often_o to_o move_v and_o take_v up_o more_o place_n and_o sometime_o it_o increase_v in_o diverse_a part_n but_o the_o stone_n colic_n torment_v in_o the_o same_o place_n without_o intermission_n and_o though_o pain_n that_o afflict_v a_o place_n high_o than_o the_o situation_n of_o the_o kidney_n be_v always_o produce_v by_o the_o colic_n yet_o it_o do_v not_o follow_v that_o that_o which_o be_v fix_v in_o the_o region_n of_o the_o kidney_n be_v a_o evident_a sign_n of_o the_o stone_n that_o situation_n signify_v nothing_o at_o all_o to_o distinguish_v it_o because_o with_o these_o mark_n the_o urine_n must_v also_o be_v examine_v those_o that_o be_v subject_a to_o the_o stone_n in_o the_o beginning_n render_v a_o clear_a and_o pure_a urine_n and_o in_o the_o follow_a day_n something_o trouble_v be_v to_o be_v observe_v which_o subside_v to_o the_o bottom_n and_o at_o length_n it_o become_v all_o sandy_a and_o gravelly_a which_o happen_v not_o to_o those_o who_o be_v free_a from_o the_o stone_n be_v torment_v with_o the_o colic_n because_o if_o they_o render_v any_o gross_a excrement_n one_o will_v say_v that_o there_o be_v flatuosity_n in_o they_o and_o many_o time_n they_o swim_v on_o the_o top_n of_o the_o water_n be_v of_o a_o consistency_n like_a to_o the_o urine_n of_o a_o ox._n moreover_o these_o great_a pain_n of_o the_o colic_n be_v much_o soon_o ease_v by_o laxative_a glister_v than_o if_o they_o proceed_v from_o the_o stone_n it_o happen_v sometime_o that_o the_o colic_n cease_v by_o the_o void_a of_o some_o cold_a humour_n and_o then_o it_o be_v a_o remedy_n that_o not_o only_o ease_v but_o cure_n and_o discover_v the_o disease_n in_o a_o word_n as_o the_o one_o be_v cure_v by_o void_v of_o cold_a humour_n so_o the_o other_o be_v deliver_v from_o their_o distemper_n by_o void_v the_o stone_n with_o the_o urine_n and_o at_o the_o same_o time_n we_o may_v know_v what_o part_n suffer_v we_o have_v say_v that_o the_o matter_n of_o stone_n be_v all_o kind_n of_o slimy_a and_o terrestrial_a substance_n link_v together_o according_a to_o the_o proportion_n of_o more_o or_o less_o that_o form_n a_o hard_a body_n that_o stone_n force_v against_o the_o side_n of_o the_o bladder_n cause_n pain_n inflammation_n ulcer_n and_o make_v one_o void_a purulent_a matter_n in_o the_o same_o manner_n as_o the_o acrimony_n of_o humour_n of_o urine_n and_o abscess_n little_a stone_n may_v come_v out_o with_o the_o urine_n sometime_o they_o stop_v in_o the_o sphincter_n or_o vrethra_n they_o hurt_v the_o nerve_n of_o the_o neck_n of_o the_o bladder_n which_o terminate_v in_o the_o circle_n or_o crown_n that_o be_v the_o begin_n of_o the_o glans_fw-la they_o may_v in_o like_a manner_n if_o they_o be_v big_a lay_n upon_o and_o press_v the_o intestinum_fw-la rectum_fw-la and_o cause_v a_o extraordinary_a weight_n because_o these_o part_n be_v only_o appoint_v by_o nature_n to_o bear_v the_o burden_n of_o liquid_a thing_n which_o be_v less_o ponderous_a than_o the_o stone_n when_o they_o have_v asperity_n or_o be_v cover_v with_o a_o coat_n they_o be_v detain_v in_o the_o wrinkle_n of_o the_o bladder_n now_o if_o they_o be_v very_o light_a and_o without_o adherence_n they_o float_v a_o long_a time_n in_o the_o water_n but_o because_o of_o that_o weight_n they_o have_v they_o descend_v towards_o the_o vrethra_n and_o the_o small_a they_o be_v in_o bigness_n or_o the_o less_o unequal_a in_o their_o surface_n the_o more_o they_o close_v the_o passage_n because_o the_o small_a stone_n slide_v easy_o into_o the_o vrethra_n and_o the_o urine_n may_v run_v down_o between_o the_o asperity_n of_o the_o stone_n that_o obstruction_n hinder_v the_o passage_n of_o the_o urine_n and_o oblige_v the_o patient_n to_o lie_v upon_o their_o back_n they_o hasty_o and_o with_o violence_n turn_v themselves_o to_o make_v the_o stone_n change_v its_o situation_n that_o so_o they_o may_v facilitate_v the_o excretion_n of_o the_o urine_n and_o because_o pain_n make_v the_o spirit_n move_v towards_o the_o neighbour_a part_n these_o be_v so_o distend_v that_o man_n and_o young_a boy_n be_v fain_o to_o draw_v out_o the_o yard_n and_o prepuce_fw-la to_o appease_v the_o pain_n and_o therefore_o they_o cross_v their_o leg_n and_o press_v their_o thigh_n together_o moreover_o if_o the_o stone_n change_v its_o place_n a_o little_a clear_a urine_n or_o mingle_v with_o slime_n come_v out_o according_a to_o the_o same_o principle_n it_o may_v stop_v the_o passage_n which_o oblige_v those_o that_o be_v subject_a to_o the_o stone_n to_o have_v often_o a_o desire_n to_o make_v water_n they_o be_v common_o dry_a because_o the_o spirit_n and_o humour_n be_v dissipate_v and_o spend_v by_o labour_n pain_n and_o watch_v by_o these_o observation_n we_o may_v judge_v that_o there_o be_v several_a diagnostic_n sign_n which_o be_v equivocal_a as_o the_o yard_n and_o prepuce_fw-la draw_v out_o by_o the_o hand_n of_o the_o patient_n torment_v with_o inslammation_n pain_n and_o void_v of_o purulent_a matter_n by_o sharpness_n of_o urine_n and_o gravel_n because_o sandy_a matter_n or_o little_a stone_n have_v cause_v their_o symptom_n may_v be_v evacuate_v with_o the_o urine_n nevertheless_o when_o that_o have_v a_o sediment_n mingle_v with_o sand_n and_o thick_a slime_n when_o there_o be_v any_o shell_n of_o a_o stone_n within_o or_o squeeze_v out_o of_o the_o yard_n it_o be_v a_o pregnant_a presumption_n which_o common_o serve_v for_o a_o certain_a sign_n the_o univocal_a diagnostic_n sign_n may_v be_v draw_v from_o the_o same_o observation_n as_o a_o sudden_a and_o fix_a pain_n in_o the_o loin_n towards_o the_o one_o or_o the_o other_o side_n and_o sometime_o towards_o both_o in_o the_o region_n of_o the_o kidney_n after_o which_o the_o urine_n look_v red_a and_o sandy_a or_o sometime_o crude_a clear_a and_o watery_a a_o numbness_n of_o the_o thigh_n on_o that_o side_n where_o the_o pain_n be_v when_o the_o stone_n be_v big_a there_o be_v a_o flit_v and_o restless_a itch_a towards_o the_o pubis_fw-la and_o in_o the_o end_n of_o the_o yard_n accompany_v with_o a_o frequent_a and_o sudden_a suppression_n of_o urine_n a_o pain_n and_o heaviness_n in_o the_o perinenm_fw-la with_o a_o continual_a heat_n of_o urine_n and_o immediate_o after_o the_o make_n of_o water_n a_o fresh_a desire_n to_o do_v it_o again_o it_o may_v be_v observe_v why_o there_o be_v such_o violent_a straining_n for_o a_o stool_n and_o why_o the_o urine_n stop_v all_o of_o a_o sudden_a when_o one_o be_v stand_v which_o happen_v not_o in_o another_o posture_n one_o of_o the_o sure_a of_o all_o the_o diagnostic_n sign_n be_v the_o thrust_v of_o the_o finger_n into_o the_o rectum_fw-la of_o men._n the_o chirurgeon_n will_v feel_v a_o hard_a body_n betwixt_o his_o finger_n and_o the_o pubis_fw-la or_o a_o little_a high_o if_o the_o finger_n be_v not_o long_a enough_o they_o make_v use_v of_o a_o hollow_a probe_n call_v a_o catheter_n which_o be_v introduce_v through_o the_o vrethra_n into_o the_o bladder_n and_o then_o be_v feel_v something_o that_o be_v hard_o make_v a_o dry_a sound_n and_o noise_n as_o if_o one_o touch_v a_o stone_n this_o be_v the_o most_o certain_a of_o all_o diagnostic_n sign_n it_o be_v very_o necessary_a to_o make_v a_o experiment_n of_o this_o in_o dead_a body_n by_o open_v the_o bladder_n and_o put_v stone_n therein_o and_o then_o have_v stitch_v up_o the_o part_n to_o introduce_v the_o catheter_n by_o the_o yard_n the_o catheter_n that_o be_v make_v use_n of_o to_o know_v if_o woman_n have_v the_o stone_n be_v of_o another_o figure_n they_o shall_v be_v represent_v with_o those_o of_o the_o other_o instrument_n when_o the_o stone_n be_v skin_v over_o by_o a_o peculiar_a membrane_n or_o when_o it_o be_v form_v betwixt_o the_o membrane_n of_o the_o bladder_n or_o that_o there_o be_v a_o old_a excrescency_n of_o flesh_n call_v a_o sarcoma_n which_o be_v rare_a distemper_n or_o if_o there_o be_v a_o fungous_n body_n it_o be_v not_o easy_a to_o discern_v it_o because_o the_o symptom_n of_o these_o disease_n in_o those_o part_n be_v much_o alike_o but_o the_o stone_n be_v much_o more_o frequent_a there_o and_o one_o be_v not_o often_o mistake_v provide_v he_o be_v attentive_a in_o sound_v or_o search_v what_o we_o have_v say_v of_o the_o external_a cause_n of_o the_o shape_v and_o figure_n serve_v we_o for_o sign_n to_o foretell_v the_o plurality_n of_o stone_n on_o which_o we_o see_v the_o mark_n of_o collision_n when_o during_o the_o time_n of_o the_o cure_n a_o stone_n be_v take_v out_o
if_o they_o be_v shut_v close_o when_o they_o be_v in_o the_o bladder_n because_o it_o be_v wrinkle_v and_o the_o side_n of_o its_o body_n or_o bottom_n may_v be_v lay_v hold_v on_o without_o the_o stone_n or_o with_o it_o the_o symptom_n that_o follow_v the_o operation_n in_o the_o cure_n by_o lithotomy_n be_v a_o painful_a tension_n of_o the_o belly_n the_o retention_n of_o urine_n watch_n inflammation_n in_o the_o part_n affect_v looseness_n diarrhaea_n worm_n ecchymosis_n fluxion_n abscess_n excoriation_n itch_n and_o putrefaction_n ulcer_n in_o the_o scrotum_fw-la and_o the_o neighbour_a part_n ulcer_n and_o putrefaction_n of_o the_o part_n of_o the_o bladder_n to_o great_a or_o too_o long_a suppuration_n void_v of_o purulent_a matter_n by_o the_o wound_n or_o with_o the_o urine_n by_o the_o yard_n fever_n universal_a or_o particular_a consumption_n or_o marasmus_n hemorrhage_n as_o in_o the_o time_n of_o operation_n syncope_n convulsion_n vomit_n lightheadedness_n or_o delirium_n and_o shivering_n the_o painful_a tension_n of_o the_o belly_n be_v cause_v by_o a_o inflammation_n that_o attract_v a_o fluxion_n because_o the_o ligament_n which_o suspend_v the_o bladder_n and_o the_o other_o part_n to_o which_o it_o adhere_v have_v suffer_v violence_n the_o fever_n and_o restlessness_n proceed_v from_o the_o intempery_n of_o the_o chief_a part_n agitate_a by_o the_o passion_n of_o the_o mind_n and_o the_o hemorrhage_n from_o the_o incision_n or_o erosion_n of_o the_o vessel_n the_o retention_n of_o urine_n be_v occasion_v by_o coagulate_v blood_n or_o the_o inflammation_n of_o the_o part_n during_o suppuration_n or_o by_o some_o little_a stone_n fall_v down_o from_o the_o kidney_n or_o a_o fragment_n remain_v after_o the_o operation_n the_o inflammation_n come_v from_o a_o circulat_v motion_n of_o the_o humour_n the_o scour_n looseness_n of_o the_o belly_n and_o worm_n in_o child_n through_o the_o abundance_n of_o phlegm_n the_o ecchimasis_n be_v a_o effect_n of_o extravasated_a blood_n the_o abscess_n be_v produce_v by_o a_o collection_n and_o continuance_n of_o humour_n in_o the_o interstice_n of_o the_o part_n the_o too_o great_a and_o too_o long_a suppuration_n by_o the_o quantity_n of_o the_o matter_n whereof_o the_o abscess_n be_v form_v or_o by_o the_o ulcerate_v kidney_n and_o by_o the_o liquefaction_n of_o the_o humour_n of_o the_o whole_a body_n of_o which_o part_n do_v suppurate_a whilst_o the_o rest_n be_v disperse_v by_o transpiration_n or_o looseness_n which_o cause_v at_o the_o same_o time_n a_o marasmus_n or_o extenuation_n of_o the_o whole_a body_n the_o ulcer_n of_o the_o bladder_n be_v cause_v by_o contusion_n and_o suppuration_n of_o its_o part_n which_o excite_v the_o run_n of_o purulent_a matter_n by_o the_o yard_n or_o wound_n fungous_a carnosity_n by_o a_o superfluity_n of_o ill_n concoct_v and_o too_o serous_a blood_n the_o itch_a and_o excoriation_n be_v the_o effect_n of_o the_o sharpness_n of_o urine_n or_o of_o too_o strait_a bandage_n the_o putrefaction_n of_o the_o ulcer_n come_v from_o the_o corruption_n of_o the_o humour_n and_o of_o the_o air_n or_o from_o the_o too_o great_a humidity_n of_o medicine_n and_o the_o virulence_n from_o the_o acrimony_n of_o the_o humour_n and_o medicament_n the_o vomit_v happen_v after_o the_o operation_n because_o many_o nervous_a fibre_n of_o the_o six_o pair_n be_v distribute_v and_o insert_v into_o the_o ventricle_n there_o be_v other_o accident_n occasion_v by_o the_o distribution_n of_o the_o nerve_n which_o pass_v through_o the_o hole_n of_o the_o os_fw-la sacrum_fw-la common_a to_o the_o sphincter_n of_o the_o bladder_n and_o anus_fw-la which_o have_v be_v bruise_v or_o lacerate_v by_o the_o forcipes_fw-la or_o by_o the_o asperity_n of_o a_o great_a stone_n especial_o when_o the_o operation_n have_v be_v hard_a and_o laborious_a the_o faint_v or_o syncope_n be_v occasion_v by_o a_o great_a flux_n of_o blood_n and_o the_o dissipation_n of_o the_o spirit_n the_o convulsion_n happen_v by_o vomit_n the_o diarrhea_n &_o hemorrhage_n which_o hinder_v the_o nerve_n from_o receive_v a_o sufficient_a quantity_n of_o spirit_n the_o delirium_fw-la and_o lightheadedness_a superveen_n when_o there_o have_v be_v so_o great_a a_o dissipation_n of_o the_o animal_n spirit_n that_o the_o brain_n retain_v not_o enough_o for_o itself_o and_o for_o supply_v the_o whole_a body_n with_o a_o quantity_n sufficient_a for_o perform_v the_o function_n of_o its_o several_a part_n in_o a_o word_n fate_n put_v and_o end_n to_o all_o these_o accident_n by_o destroy_v the_o machine_n that_o be_v to_o say_v by_o abolish_n of_o motion_n at_o the_o instant_n when_o the_o soul_n be_v separate_v from_o the_o body_n if_o any_o be_v surprise_v that_o we_o have_v speak_v nothing_o of_o pain_n they_o ought_v to_o consider_v that_o that_o be_v a_o symptom_n or_o rather_o a_o essential_a property_n of_o all_o disease_n of_o the_o part_n that_o be_v capable_a of_o feeling_n since_o it_o always_o happen_v where_o there_o be_v a_o intempery_n with_o a_o solution_n of_o continuity_n of_o the_o soft_a part_n and_o by_o consequence_n it_o be_v more_o sensible_a in_o lithotomy_n than_o all_o the_o other_o accident_n that_o we_o have_v be_v speak_v of_o these_o symptom_n have_v their_o cause_n their_o diagnostic_n and_o prognostic_n sign_n some_o be_v the_o cause_n and_o the_o sign_n of_o other_o and_o all_o the_o symptom_n in_o general_a be_v cause_v by_o pain_n fear_v hemorrhage_n contusion_n and_o dilaceration_n of_o the_o part_n the_o prognostic_n be_v take_v from_o the_o time_n the_o violence_n and_o the_o state_n of_o the_o subject_n in_o which_o the_o accident_n happen_v the_o symptom_n that_o appear_v at_o first_o be_v not_o so_o dangerous_a and_o those_o which_o last_v long_o or_o happen_v in_o a_o cacochymick_a body_n be_v more_o to_o be_v fear_v a_o operator_n who_o be_v expert_a in_o perform_v the_o operation_n will_v avoid_v many_o concomitant_a symptom_n there_o be_v some_o nimbleblade_n who_o have_v the_o knack_n of_o feign_v that_o they_o have_v extract_v a_o stone_n and_o convey_v one_o though_o they_o have_v find_v none_o the_o symptom_n that_o follow_v the_o operation_n be_v either_o by_o themselves_o apart_o or_o many_o together_o according_a to_o their_o nature_n correct_v by_o various_a medicine_n the_o first_o care_n be_v to_o assuage_v pain_n by_o imbrocation_n and_o fomentation_n a_o hemorrhageis_n sometime_o to_o be_v fear_v and_o therefore_o astringent_a topic_n be_v to_o be_v employ_v for_o preserve_v the_o treasure_n of_o life_n the_o loss_n of_o blood_n cease_v common_o through_o the_o weakness_n of_o the_o patient_n because_o the_o medicine_n that_o be_v apply_v to_o this_o part_n be_v dissolve_v by_o the_o urine_n and_o beside_o no_o other_o bandage_n but_o the_o contentive_a can_v be_v use_v when_o in_o other_o part_v one_o may_v put_v his_o finger_n upon_o the_o orifice_n or_o open_n of_o the_o vessel_n or_o cut_v it_o in_o two_o apply_v to_o it_o a_o button_n a_o ligature_n pledget_n and_o compress_n it_o be_v common_o observe_v that_o the_o first_o dress_n be_v keep_v on_o for_o the_o space_n of_o twenty_o four_o hour_n at_o most_o it_o be_v tender_o to_o be_v take_v off_o leave_v a_o pledget_n upon_o the_o place_n out_o of_o which_o the_o blood_n do_v issue_n if_o it_o can_v be_v know_v and_o if_o the_o hemorrhage_n recur_n recourse_n be_v have_v to_o astringent_n chap._n xix_o of_o the_o method_n of_o cure_v those_o that_o be_v cut_v and_o remove_v their_o symptom_n we_o come_v insensible_o to_o the_o cure_n by_o lithotomy_n the_o method_n of_o which_o be_v either_o general_a or_o particular_a have_v speak_v of_o the_o cause_n kind_n sign_n and_o prognostic_n of_o the_o symptom_n it_o be_v now_o proper_a to_o give_v you_o a_o notion_n of_o those_o thing_n which_o ought_v to_o be_v observe_v from_o the_o time_n of_o the_o operation_n until_o the_o perfect_a cure_n of_o the_o patient_n by_o that_o mean_v we_o may_v treat_v in_o particular_a of_o the_o remedy_n against_o accident_n since_o they_o happen_v whilst_o the_o patient_n be_v in_o the_o surgeon_n hand_n by_o the_o general_a cure_n by_o lithotomy_n we_o understand_v that_o wherein_o no_o symptom_n happen_v which_o be_v of_o the_o nature_n of_o a_o cause_n and_o by_o the_o particular_a cure_n that_o which_o be_v attend_v by_o troublesome_a accident_n such_o as_o cause_v the_o method_n to_o be_v change_v of_o each_o of_o these_o we_o shall_v speak_v apart_o suppose_v that_o the_o chirurgeon_n have_v successful_o perform_v his_o operation_n he_o must_v dress_v the_o wound_n and_o endeavour_v by_o the_o help_n of_o medicine_n to_o cure_v it_o the_o first_o thing_n that_o be_v to_o be_v observe_v after_o the_o operation_n whilst_o he_o that_o be_v cut_v be_v still_o in_o posture_n and_o that_o with_o all_o expedition_n he_o be_v a_o clear_n of_o the_o ligature_n if_o any_o have_v
in_o a_o word_n we_o may_v conclude_v that_o the_o stone_n be_v a_o preternatural_a hard_a body_n beget_v of_o the_o terrestrial_a and_o slimy_a part_n of_o our_o food_n we_o have_v put_v in_o the_o definition_n the_o word_n slimy_a to_o distinguish_v it_o from_o viscous_a because_o viscous_a thing_n do_v not_o harden_v in_o a_o place_n where_o there_o be_v moderate_a heat_n and_o humidity_n but_o such_o as_o be_v slimy_a like_o the_o white_a of_o a_o egg_n by_o little_a and_o little_o grow_v hard_a and_o incorporate_v with_o the_o earthy_a part_n they_o contain_v when_o they_o have_v long_o continue_v in_o lukewarm_a liquor_n this_o proposition_n may_v be_v confirm_v by_o the_o experience_n of_o those_o who_o render_v a_o oily_a and_o fat_a urine_n and_o who_o be_v not_o trouble_v with_o the_o stone_n and_o because_o unctuous_a and_o viscous_a medicine_n such_o as_o turpentine_n give_v ease_n to_o those_o that_o be_v afflict_v with_o gravel_n moreover_o clear_a and_o slimy_a urine_n be_v reckon_v among_o the_o sign_n of_o the_o stone_n in_o the_o bladder_n author_n be_v divide_v about_o the_o decide_n of_o the_o question_n whether_o or_o not_o the_o stone_n be_v a_o disease_n if_o all_o their_o reason_n be_v consider_v it_o may_v take_v the_o name_n of_o a_o disease_n as_o well_o as_o that_o of_o a_o cause_n chap._n v._o how_o stone_n be_v form_v and_o grow_v in_o the_o bladder_n there_o need_v no_o more_o but_o a_o grain_n of_o sand_n or_o any_o hard_a body_n to_o serve_v for_o a_o centre_n or_o foundation_n for_o monstrous_a stone_n which_o cause_n terror_n in_o those_o that_o behold_v they_o and_o most_o frequent_o death_n to_o those_o from_o who_o they_o be_v take_v the_o sand_n and_o other_o thing_n that_o be_v mingle_v with_o the_o urine_n sometime_o be_v not_o whole_o void_v out_o their_o continuance_n within_o give_v time_n to_o what_o remain_v to_o gather_v together_o in_o some_o place_n and_o after_o that_o one_o have_v make_v water_n if_o there_o be_v still_o in_o the_o bladder_n a_o little_a sand_n and_o slimy_a substance_n like_o the_o white_a of_o a_o egg_n preternatural_a heat_n and_o the_o separation_n and_o evacuation_n of_o the_o humidity_n make_v they_o join_v together_o in_o the_o same_o manner_n as_o the_o saline_n and_o tartarous_a part_n of_o wine_n and_o the_o urine_n of_o those_o that_o be_v trouble_v with_o gravel_n which_o distil_v into_o the_o bladder_n be_v mingle_v with_o other_o terrestrial_a part_n furnish_v matter_n that_o join_v with_o that_o which_o remain_v there_o before_o form_n and_o augment_v the_o stone_n experience_n inform_v we_o that_o stone_n be_v sometime_o find_v which_o be_v in_o a_o manner_n like_o a_o mixture_n of_o sand_n with_o the_o whites_n of_o egg_n have_v so_o little_a solidity_n that_o one_o can_v avoid_v the_o break_n of_o they_o betwixt_o the_o tooth_n of_o the_o forceps_fw-la if_o a_o little_a sand_n may_v be_v the_o centre_n or_o kernel_n of_o the_o big_a stone_n a_o hard_a body_n get_v into_o the_o bladder_n and_o remain_v there_o may_v likewise_o be_v as_o we_o have_v see_v in_o a_o italian_a soldier_n who_o to_o ease_v himself_o of_o a_o pain_n that_o he_o feel_v thrust_v into_o his_o yard_n the_o tag_n of_o a_o point_n about_o two_o inch_n long_o which_o slip_v into_o his_o bladder_n and_o there_o continue_v eight_o month_n in_o the_o spring_n of_o the_o year_n 1677_o he_o come_v to_o the_o hospital_n of_o the_o charity_n at_o paris_n where_o without_o much_o mind_v the_o relation_n he_o give_v of_o his_o condition_n i_o be_v assure_v by_o the_o catheter_n that_o he_o have_v a_o stone_n in_o the_o bladder_n he_o be_v cut_v and_o the_o iron_n tag_fw-mi take_v out_o about_o which_o a_o stone_n be_v form_v that_o hinder_v not_o but_o that_o it_o may_v be_v see_v in_o several_a part_n parêus_n lib._n 25._o chap._n 15._o report_v a_o like_a case_n fabritius_n hildanus_n l._n the_o lith_o c._n 3._o col_fw-fr 2._o write_v that_o one_o of_o geneva_n have_v for_o the_o space_n of_o twenty_o eight_o year_n complain_v of_o the_o stone_n at_o length_n die_v and_o that_o he_o be_v find_v to_o have_v a_o stone_n the_o kernel_n of_o which_o be_v a_o leaden_a bullet_n petrify_v which_o he_o have_v receive_v by_o a_o musket-shot_a and_o retain_v all_o that_o while_n joseph_n covillart_n obs_n vii_o of_o his_o operation_n assure_v we_o that_o he_o have_v see_v a_o stone_n the_o centre_n whereof_o be_v a_o musket_n bullet_n which_o a_o gentleman_n have_v receive_v in_o the_o bladder_n five_o year_n before_o he_o be_v cut_v of_o it_o i_o have_v in_o cure_v a_o young_a man_n who_o have_v be_v cut_v at_o the_o age_n of_o four_o year_n old_a and_o who_o be_v trouble_v with_o a_o fistula_n since_o that_o time_n he_o have_v discharge_v urine_n unto_o the_o scrotum_fw-la where_o by_o degree_n a_o stone_n be_v form_v about_o the_o bigness_n of_o a_o little_a pullet_n egg_n end_v in_o a_o point_n like_o the_o stalk_v of_o a_o pear_n it_o can_v be_v determine_v how_o long_a time_n the_o stone_n be_v in_o form_v and_o grow_v that_o depend_v upon_o the_o conjunction_n of_o the_o part_n of_o the_o sand_n and_o the_o sudden_a and_o quick_a secretion_n that_o be_v make_v of_o it_o in_o the_o bladder_n beside_o it_o may_v be_v the_o stone_n continue_v at_o a_o certain_a size_n because_o new_a corpuscle_n do_v not_o always_o cleave_v and_o stick_v to_o it_o i_o know_v one_o that_o have_v have_v one_o for_o several_a year_n seat_v in_o the_o begin_n of_o the_o perineum_fw-la near_o the_o scrotum_fw-la without_o any_o sign_n of_o dilatation_n or_o sense_n of_o pain_n the_o growth_n of_o stone_n in_o the_o bladder_n happen_v not_o without_o alteration_n of_o that_o part_n which_o become_v weak_a according_o as_o the_o stone_n increase_v this_o remark_n afford_v we_o a_o reason_n why_o the_o bladder_n of_o those_o that_o be_v trouble_v with_o the_o stone_n be_v thick_a than_o natural_o it_o shall_v be_v which_o be_v only_o cause_v by_o the_o debility_n of_o the_o part_n because_o not_o be_v able_a to_o send_v back_o the_o superfluous_a part_n of_o the_o blood_n it_o swell_v therewith_o as_o the_o womb_n in_o woman_n when_o they_o be_v with_o child_n and_o the_o part_n where_o there_o have_v be_v a_o fracture_n a_o great_a contusion_n or_o a_o wound_n and_o in_o the_o same_o manner_n as_o by_o suppuration_n or_o the_o transpiration_n of_o wound_n fracture_n and_o contusion_n or_o the_o evacuation_n that_o happen_v after_o a_o woman_n be_v bring_v to_o bed_n the_o part_n return_v to_o their_o natural_a thickness_n so_o the_o bladder_n be_v discharge_v of_o the_o burden_n that_o incommode_v it_o and_o beside_o assist_v by_o medicine_n and_o a_o regular_a diet_n be_v restore_v again_o to_o its_o former_a state_n bev._n c._n 4._o de_fw-fr cal._n ren._n &_o vesic_n chap._n vi_o of_o the_o difference_n of_o stone_n the_o most_o considerable_a difference_n in_o stone_n be_v in_o respect_n of_o their_o magnitude_n the_o least_o stone_n of_o child_n of_o three_o four_o or_o five_o year_n old_a be_v like_o great_a pease_n or_o of_o the_o bigness_n of_o cherry_n those_o of_o seven_o nine_o twelve_o to_o fifteen_o year_n old_a have_v they_o a_o little_o big_a in_o man_n grow_v up_o who_o be_v of_o middle_a age_n and_o in_o old_a man_n to_o the_o last_o period_n of_o life_n stone_n be_v find_v of_o the_o bigness_n of_o a_o hen_n egg._n i_o pretend_v not_o to_o determine_v the_o exact_a size_n of_o the_o stone_n of_o every_o age_n there_o be_v no_o rule_n for_o it_o and_o it_o be_v sufficient_a to_o remark_n what_o be_v common_o observe_v for_o sometime_o small_a stone_n be_v cut_v from_o child_n and_o man_n and_o at_o other_o time_n some_o of_o such_o a_o bigness_n that_o with_o relation_n to_o the_o subject_n they_o be_v call_v monstrous_a the_o thing_n contain_v give_v sometime_o the_o figure_n to_o that_o which_o environ_n it_o but_o stone_n rather_o take_v than_o give_v it_o the_o bladder_n the_o urine_n or_o the_o pressure_n and_o justle_a of_o other_o body_n be_v the_o cause_n of_o many_o difference_n do_v not_o we_o see_v that_o water_n hollow_n rock_n though_o it_o fall_v drop_n by_o drop_n it_o may_v be_v observe_v when_o the_o stone_n be_v form_v by_o minute_n body_n that_o have_v angle_n the_o urine_n or_o the_o salt_n of_o it_o blunt_v the_o point_n of_o they_o and_o the_o wet_a sand_n not_o have_v firmness_n enough_o lie_v slat_n by_o the_o side_n of_o the_o bladder_n when_o there_o be_v little_a urine_n in_o it_o and_o form_n a_o flat_a and_o smooth_a stone_n approach_v to_o the_o oval_a figure_n of_o the_o cavity_n of_o the_o place_n but_o if_o the_o minute_n body_n of_o the_o stone_n be_v round_a they_o roll_v in_o the_o bladder_n from_o one_o
many_o little_a one_o which_o still_o remain_v and_o take_v growth_n in_o the_o kidney_n a_o patient_n labour_v under_o a_o suppression_n of_o urine_n can_v be_v cure_v after_o the_o three_o day_n if_o he_o be_v take_v with_o a_o drowsy_a fit_n and_o if_o he_o can_v hardly_o fetch_v breath_n the_o hicket_n be_v a_o mortal_a symptom_n the_o gout_n happen_v to_o those_o who_o be_v trouble_v with_o the_o stone_n may_v sometime_o cure_v they_o the_o contrary_a also_o through_o the_o abundance_n of_o humour_n do_v also_o happen_v when_o the_o stone_n be_v adherent_a or_o cover_v with_o a_o coat_n or_o if_o we_o meet_v with_o a_o fungous_a or_o sarcomatick_a body_n the_o separation_n of_o they_o be_v gradual_o to_o be_v attempt_v by_o injection_n and_o moderate_o detersive_a medicine_n child_n be_v soon_o and_o more_o easy_o cure_v by_o this_o operation_n because_o they_o have_v a_o more_o sedate_v mind_n and_o less_o trouble_v with_o passion_n be_v near_o the_o source_n of_o life_n than_o those_o that_o be_v strike_v in_o age._n whilst_o all_o thing_n be_v prepare_v it_o be_v the_o surgeon_n part_n to_o comfort_v the_o patient_n order_v likewise_o that_o he_o have_v spiritual_a and_o ghostly_a help_n administer_v unto_o he_o chap._n ix_o of_o the_o method_n of_o search_v woman_n be_v least_o trouble_v with_o the_o stone_n because_o their_o vrethra_n be_v short_a wide_a and_o more_o direct_a and_o therefore_o be_v not_o so_o obnoxious_a to_o disease_n as_o that_o of_o a_o man_n but_o see_v all_o sort_n of_o person_n be_v subject_a to_o the_o stone_n have_v first_o inquire_v into_o the_o sign_n the_o patient_n be_v to_o be_v put_v in_o a_o convenient_a posture_n to_o be_v search_v that_o so_o the_o cause_n of_o their_o pain_n may_v be_v discover_v if_o it_o be_v a_o woman_n she_o be_v to_o be_v lay_v upon_o she_o back_o her_o buttock_n a_o little_a raise_v and_o have_v choose_v a_o catheter_n bend_v only_o at_o the_o end_n and_o anoint_v with_o salade-oyl_n or_o some_o other_o sweet_a oil_n she_o be_v to_o be_v make_v to_o open_v her_o thigh_n a_o little_a then_o the_o operator_n be_v to_o open_v and_o separate_v the_o nymphae_n with_o two_o finger_n of_o the_o same_o hand_n that_o the_o orifice_n of_o the_o vrethra_n may_v appear_v beneath_o the_o clitoris_n afterward_o the_o catheter_n be_v to_o be_v thrust_v in_o gentle_o with_o the_o other_o hand_n and_o so_o a_o search_n to_o be_v make_v whether_o there_o be_v any_o stone_n or_o not_o it_o be_v no_o great_a matter_n whether_o the_o bend_a part_n of_o the_o catheter_n be_v turn_v towards_o the_o pubis_fw-la or_o the_o vagina_n because_o of_o the_o conformation_n of_o the_o vrethra_n and_o it_o be_v convenient_a not_o to_o be_v just_o opposite_a to_o the_o hollow_a of_o the_o catheter_n for_o fear_n of_o the_o eruption_n of_o urine_n for_o the_o more_o easy_a search_n of_o man_n they_o ought_v to_o lean_v a_o little_a back_n or_o to_o be_v lay_v upon_o their_o back_n and_o the_o chirurgeon_n have_v make_v they_o open_v their_o thigh_n he_o be_v to_o raise_v the_o yard_n and_o hold_v it_o straight_o betwixt_o the_o thumb_n and_o the_o fore_n and_o middle_a finger_n of_o the_o same_o hand_n skinning_n and_o take_v the_o prepuce_fw-la off_o of_o the_o glans_fw-la afterward_o with_o the_o other_o hand_n he_o shall_v gentle_o thrust_v a_o oil_a catheter_n to_o the_o very_a bottom_n of_o the_o vrethra_n hold_v it_o by_o the_o end_n where_o the_o ring_n be_v like_o a_o pen_n betwixt_o his_o finger_n with_o this_o difference_n that_o the_o ring_n of_o the_o catheter_n be_v be_v hide_v with_o the_o same_o finger_n his_o hand_n be_v half_o open_a turn_v towards_o the_o pubis_fw-la and_o the_o bend_n or_o bill_n of_o the_o catheter_n towards_o the_o anus_fw-la then_o must_v the_o catheter_n and_o yard_n be_v move_v towards_o the_o groin_n that_o be_v remote_a from_o he_o that_o search_v and_o in_o the_o mean_a time_n he_o be_v to_o turn_v betwixt_o his_o finger_n the_o catheter_n and_o the_o bill_n of_o it_o towards_o the_o pubis_fw-la observe_v that_o the_o fore_n and_o middle_a finger_n touch_v the_o catheter_n on_o the_o one_o side_n and_o the_o thumb_n on_o the_o other_o answer_v exact_o to_o the_o space_n betwixt_o the_o finger_n at_o the_o same_o time_n the_o chirurgeon_n be_v to_o press_v a_o little_a more_o with_o the_o fore_n finger_n which_o be_v high_o than_o the_o middle_a finger_n so_o that_o the_o centre_n of_o the_o motion_n be_v upon_o the_o thumb_n by_o that_o mean_v the_o handle_n of_o the_o catheter_n be_v cover_v and_o the_o bill_n or_o bend_n of_o the_o catheter_n raise_v that_o it_o may_v press_v the_o sphincter_n and_o enter_v into_o the_o bladder_n this_o be_v the_o figure_n of_o it_o page_n 44_o sometime_o when_o the_o catheter_n be_v introduce_v to_o the_o very_a bottom_n of_o the_o vrethra_n and_o when_o the_o bill_n of_o it_o be_v turn_v towards_o the_o pubis_fw-la the_o chirurgeon_n be_v oblige_v to_o let_v go_v the_o yard_n and_o to_o put_v a_o finger_n into_o the_o anus_fw-la and_o by_o a_o light_a compression_n of_o the_o vectum_fw-la and_o the_o vrethra_n the_o catheter_n be_v conduct_v into_o the_o bladder_n which_o be_v do_v he_o be_v to_o draw_v out_o his_o finger_n and_o hold_v the_o yard_n no_o long_o the_o wire_n or_o stilet_n be_v take_v out_o of_o the_o catheter_n before_o it_o be_v introduce_v and_o when_o it_o be_v in_o the_o bladder_n it_o be_v hold_v by_o the_o ring_n betwixt_o the_o fore_n and_o middle_a finger_n have_v the_o thumb_n upon_o the_o hollow_a of_o the_o catheter_n and_o the_o back_n of_o the_o hand_n turn_v towards_o the_o patient_n belly_n then_o the_o chirurgeon_n be_v to_o give_v some_o easy_a jog_n move_v the_o bill_n a_o little_a to_o the_o right_n and_o left_a without_o turn_v the_o catheter_n full_o round_a the_o ring_n be_v lower_v that_o the_o bend_n may_v mount_v towards_o the_o bottom_n of_o the_o bladder_n and_o sometime_o they_o be_v incline_v near_o the_o belly_n without_o force_v the_o catheter_n out_o of_o the_o sphincter_n and_o by_o these_o kind_n of_o motion_n if_o one_o be_v very_o attentive_a when_o it_o be_v a_o stone_n one_o shall_v hear_v a_o little_a sound_n as_o of_o two_o small_a stone_n that_o touch_v one_o another_o or_o at_o lest_o something_o be_v to_o be_v feel_v that_o make_v a_o collision_n with_o the_o catheter_n as_o if_o it_o be_v rub_v with_o a_o stone_n if_o it_o float_v it_o may_v be_v feel_v when_o there_o be_v urine_n in_o the_o bladder_n and_o that_o require_v that_o the_o operator_n shall_v stop_v the_o hollow_a of_o the_o catheter_n with_o his_o thumb_n but_o if_o nothing_o be_v feel_v the_o urine_n be_v to_o be_v let_v out_o by_o the_o catheter_n and_o then_o diligent_a search_n to_o be_v make_v there_o be_v another_o way_n of_o search_a man_n the_o yard_n be_v to_o be_v raise_v and_o moderate_o pull_v up_o lay_v upon_o the_o groin_n and_o the_o ring_n of_o the_o catheter_n incline_v towards_o the_o belly_n so_o that_o the_o bill_n be_v turn_v towards_o the_o anus_fw-la there_o be_v ungosity_n in_o the_o bladder_n that_o sometime_o deceive_v he_o that_o search_v but_o they_o may_v be_v discern_v because_o then_o one_o find_v only_o something_o that_o be_v soft_a or_o but_o moderate_o hard_a which_o make_v no_o noise_n by_o the_o touch_n of_o the_o catheter_n the_o bladder_n of_o child_n have_v no_o ungosity_n like_v to_o those_o of_o men._n in_o the_o hospital_n of_o the_o charity_n at_o paris_n about_o the_o begin_n of_o a_o cut_n in_o the_o year_n 1681._o two_o child_n be_v present_v to_o be_v cut_v but_o the_o stone_n not_o be_v feel_v they_o be_v put_v to_o bed_n again_o notwithstanding_o after_o many_o other_o have_v be_v cut_v they_o be_v examine_v the_o second_o time_n the_o stone_n discover_v and_o immediate_o cut_v out_o because_o they_o be_v prepare_v this_o make_v it_o appear_v that_o one_o shall_v not_o be_v too_o hasty_a to_o give_v his_o opinion_n if_o sometime_o the_o stone_n be_v not_o feel_v though_o the_o sign_n seem_v evident_a because_o they_o may_v be_v small_a or_o change_v their_o place_n at_o the_o same_o time_n a_o man_n be_v search_v with_o a_o catheter_n use_v to_o make_v patient_n void_a urine_n after_o that_o the_o bill_n have_v be_v incline_v to_o the_o right_a side_n and_o several_a time_n thrust_v towards_o the_o bottom_n of_o the_o bladder_n the_o ring_n be_v press_v down_o towards_o the_o belly_n as_o if_o there_o have_v be_v a_o design_n to_o bring_v out_o the_o catheter_n but_o when_o the_o bill_n of_o it_o be_v judge_v to_o be_v near_o the_o sphincter_n of_o the_o bladder_n it_o be_v turn_v to_o the_o left_a side_n which_o can_v not_o have_v be_v do_v soon_o because_o of_o
for_o man_n to_o use_v it_o a_o right_n the_o girdle_n be_v to_o be_v put_v about_o the_o patient_n body_n and_o one_o end_n of_o it_o be_v carry_v within_o the_o collar_n and_o both_o end_v tie_v one_o of_o the_o end_n of_o the_o tail_n of_o the_o t._n be_v to_o be_v take_v betwixt_o the_o thigh_n and_o make_v it_o pass_v oblique_o upon_o the_o dress_n it_o be_v tie_v to_o the_o girdle_n in_o the_o opposite_a side_n to_o that_o from_o whence_o it_o be_v take_v the_o same_o be_v to_o be_v do_v to_o the_o other_o end_n fasten_v they_o together_o by_o a_o kind_n of_o a_o knot_n call_v the_o mariner_n knot_n have_v a_o care_n not_o to_o stop_v up_o the_o passage_n of_o the_o anus_fw-la faint_v convulsion_n and_o vomit_v go_v often_o hand_n in_o hand_n together_o but_o the_o last_o appear_v more_o frequent_o than_o the_o other_o it_o be_v remedy_v by_o wine_n and_o by_o cordial_a potion_n make_v of_o treacle_n the_o confection_n of_o hyacinth_n alkermes_n coral_n prepare_v pearl_n powder_n of_o viper_n syrup_n of_o pomegranate_n in_o balm_n water_n and_o scorzonera_n water_n carduus_fw-la benedictus_n and_o woodforell_n etc._n etc._n according_a to_o the_o various_a indication_n these_o medicine_n and_o the_o do_v of_o they_o be_v to_o be_v choose_v and_o determine_v according_a to_o the_o advice_n of_o a_o physician_n give_v they_o at_o first_o in_o a_o small_a quantity_n often_o renew_v because_o of_o the_o debility_n of_o the_o stomach_n when_o the_o vomit_v be_v stop_v the_o convulsion_n cease_v and_o the_o faint_a be_v cure_v by_o succulent_a nutriment_n such_o as_o good_a jelly_n strong_a broth_n new_o lay_v egg_n which_o strengthen_v the_o patient_n if_o they_o stay_v with_o he_o the_o reason_n be_v evident_a because_o inanition_n be_v the_o cause_n of_o these_o two_o symptom_n and_o the_o animal_n spirit_n be_v but_o in_o a_o small_a quantity_n prick_v the_o nerve_n which_o contract_n and_o draw_v towards_o their_o origination_n the_o wound_n do_v sometime_o foul_a and_o by_o too_o great_a suppuration_n according_a to_o guy_n of_o chauliac_n it_o be_v observe_v to_o degenerate_a into_o a_o sordid_a ulcer_n and_o most_o common_o virulent_a because_o of_o the_o acrimony_n of_o the_o urine_n and_o irritated_a humour_n that_o grow_v mordicant_a and_o bite_a these_o kind_n of_o ulcer_n be_v never_o without_o inflammation_n itch_a and_o excoriation_n of_o the_o part_n for_o such_o accident_n we_o be_v to_o make_v use_n of_o divert_v restrain_v and_o local_a medicine_n apply_v according_a to_o the_o temperament_n of_o the_o part_n and_o the_o counsel_n of_o the_o same_o author_n in_o the_o chapter_n of_o wound_n with_o hemorrhage_n when_o many_o symptom_n appear_v together_o the_o same_o rule_n be_v to_o be_v observe_v and_o to_o have_v regard_n to_o the_o order_n the_o urgency_n and_o the_o cause_n and_o especial_o to_o that_o which_o be_v most_o urgent_a among_o other_o thing_n careful_o observe_v the_o effect_n of_o topical_a medicine_n wherein_o chirurgery_n do_v most_o consist_v for_o cure_v of_o dilirium_n and_o lightheadedness_a strong_a broth_n be_v give_v mince_a meat_n make_v with_o veal_n pullet_n partridge_n cut_v small_a and_o put_v into_o a_o earthen_a than_o pot_n glaze_v without_o water_n well_o lute_v and_o digest_v in_o balneo_fw-la mariae_fw-la hearty_a food_n that_o be_v full_a of_o good_a juice_n and_o of_o easy_a concoction_n for_o speedy_a repair_n of_o the_o inanition_n and_o temper_v the_o animal_n spirit_n the_o truth_n be_v a_o dilirium_n with_o cold_a in_o the_o extremity_n be_v of_o such_o affinity_n one_o with_o another_o that_o they_o may_v be_v put_v into_o the_o same_o rank_n and_o a_o dilirium_n after_o lithotomy_n be_v as_o it_o be_v the_o last_o degree_n of_o the_o disease_n the_o struggle_a of_o nature_n and_o the_o forerunner_n of_o death_n chap._n xx._n of_o the_o ischuria_n or_o suppression_n of_o urine_n the_o bladder_n be_v a_o membranous_a part_n that_o may_v be_v distend_v and_o enlarge_v by_o the_o quantity_n of_o matter_n contain_v therein_o and_o when_o it_o be_v full_a or_o stimulate_v that_o which_o be_v within_o open_v the_o sphinct_a that_o it_o may_v make_v to_o itself_o a_o passage_n into_o the_o vrethra_n when_o all_o thing_n be_v in_o a_o natural_a state_n man_n suffer_v no_o inconveniency_n because_o the_o thing_n contain_v within_o be_v in_o due_a time_n evacuate_v but_o congeal_a blood_n or_o coagulate_v pus_fw-la condense_v seed_n a_o stone_n a_o fungous_n body_n gross_a humour_n or_o phlegm_n with_o sand_n one_o or_o more_o of_o the_o inferior_a vertebrae_n luxate_v harden_a excrement_n a_o child_n dead_a in_o the_o mother_n womb_n a_o carnosity_n or_o callosity_n sometime_o stop_v the_o sphincter_n of_o the_o bladder_n or_o a_o place_n of_o the_o vrethra_n it_o be_v the_o same_o when_o a_o viscous_a humour_n cause_v a_o numbness_n of_o the_o bladder_n or_o when_o a_o patient_n be_v in_o a_o dull_a and_o drowsy_a fit_n which_o be_v occasion_v by_o a_o diversion_n of_o sensation_n a_o ecstasy_n in_o the_o brain_n or_o a_o convulsion_n of_o the_o nerve_n which_o go_v from_o the_o os_fw-la sacrum_fw-la to_o the_o sphincter_n of_o the_o bladder_n and_o by_o malignant_a fever_n beside_o those_o cause_n of_o suppression_n of_o urine_n which_o we_o have_v reckon_v up_o we_o be_v to_o take_v notice_n of_o the_o shrink_n or_o flag_a of_o the_o vrethra_n to_o which_o old_a man_n be_v subject_a the_o compression_n of_o the_o neck_n of_o the_o bladder_n cause_v by_o the_o fall_n down_o or_o inflammation_n of_o the_o matrix_fw-la or_o the_o prostate_n and_o parastate_n the_o internal_a hemorrhoide_a vein_n or_o by_o a_o great_a quantity_n of_o urine_n which_o distend_v the_o fibre_n of_o the_o bladder_n as_o be_v relate_v by_o pareus_n l._n xvii_o of_o a_o young_a man_n who_o have_v keep_v his_o urine_n too_o long_o fall_v into_o a_o suppression_n though_o he_o have_v no_o stone_n and_o be_v cure_v by_o the_o catheter_n fabrit_fw-mi hild._n say_v l._n the_o lith_o chap._n 3._o col._n i._o that_o that_o excellent_a mathematician_n tychobrahe_a be_v in_o a_o great_a assembly_n at_o prague_n where_o be_v force_v to_o keep_v his_o water_n very_o long_o he_o fall_v into_o so_o violent_a a_o suppression_n that_o he_o can_v not_o be_v cure_v but_o die_v of_o it_o the_o retention_n of_o urine_n from_o what_o cause_n soever_o it_o proceed_v produce_v a_o violent_a pain_n and_o insupportable_a inflammation_n in_o all_o the_o neighbour_a part_n of_o the_o bladder_n from_o whence_o a_o suppression_n be_v occasion_v because_o the_o urine_n be_v not_o void_v and_o that_o it_o be_v continual_o augment_v in_o quantity_n in_o that_o case_n patient_n be_v all_o over_o in_o a_o heat_n their_o eye_n look_v red_a their_o face_n burn_v have_v a_o oppression_n restlessness_n fever_n a_o hard_a painful_a and_o very_a large_a swell_v above_o the_o pubis_fw-la bilious_a vomit_n and_o all_o these_o troublesome_a symptom_n reduce_v they_o to_o such_o a_o state_n that_o without_o speedy_a help_n they_o expect_v nothing_o but_o death_n the_o chirurgeon_n will_v know_v that_o it_o be_v a_o clot_n of_o blood_n that_o be_v the_o cause_n of_o the_o suppression_n if_o the_o patient_n have_v be_v late_o wound_v in_o the_o kidney_n or_o have_v piss_v blood_n if_o a_o ulcer_n in_o the_o kidney_n have_v precede_v and_o the_o patient_n have_v make_v purulent_a water_n he_o may_v conjecture_v that_o a_o collection_n of_o thick_a and_o viscous_a pus_fw-la be_v the_o cause_n of_o it_o if_o the_o sign_n of_o the_o stone_n have_v appear_v he_o be_v to_o acquaint_v the_o bystander_n with_o it_o he_o may_v discern_v it_o from_o a_o fungus_n by_o the_o catheter_n unless_o the_o stone_n be_v wrap_v in_o a_o coat_n he_o may_v know_v if_o it_o be_v a_o carnosity_n or_o callosity_n by_o mean_n of_o the_o catheter_n or_o a_o sear_a candle_n i_o say_v nothing_o of_o the_o patient_n manner_n of_o live_v who_o excess_n may_v have_v be_v the_o cause_n of_o sharp_a humour_n or_o a_o great_a inflammation_n nor_o shall_v i_o neither_o speak_v of_o other_o cause_n which_o manifest_a themselves_o now_o if_o many_o cause_n of_o suppression_n join_v together_o the_o diversity_n of_o symptom_n will_v serve_v for_o a_o sign_n to_o make_v the_o prognostic_n by_o the_o patient_n can_v for_o many_o day_n endure_v a_o suppression_n without_o be_v much_o weaken_v and_o in_o danger_n when_o it_o be_v cause_v by_o a_o fall_n down_o of_o the_o matrix_fw-la there_o be_v no_o more_o to_o be_v do_v but_o to_o reduce_v that_o part_n when_o the_o hemorrhoide_v press_v the_o neck_n of_o the_o bladder_n they_o must_v be_v open_v with_o a_o lancet_n or_o leech_n the_o numbness_n of_o the_o bladder_n be_v remedy_v by_o a_o grain_n of_o salt_n or_o nitre_n put_v into_o the_o passage_n of_o the_o urine_n or_o with_o a_o composition_n
the_o point_n of_o the_o pyramid_n towards_o the_o bladder_n which_o then_o be_v much_o distend_v and_o we_o need_v not_o fear_v to_o open_v it_o in_o the_o body_n because_o these_o wound_n be_v not_o absolute_o mortal_a and_o though_o they_o be_v say_v to_o be_v hard_a to_o consolidate_v in_o the_o membranous_a part_n thereof_o nevertheless_o we_o shall_v banish_v such_o apprehension_n because_o we_o see_v by_o experience_n that_o they_o be_v cure_v and_o that_o the_o business_n be_v to_o save_v the_o life_n of_o a_o die_a man._n they_o to_o who_o fistula_n do_v remain_v after_o the_o punction_n of_o the_o perineum_fw-la make_v use_n of_o a_o tent_n which_o they_o cause_v to_o be_v open_v and_o stop_v now_o and_o then_o for_o the_o void_a of_o the_o urine_n they_o may_v be_v make_v to_o stop_v with_o a_o screw_n for_o great_a security_n the_o end_n of_o the_o linen_n cloth_n or_o languet_fw-la of_o the_o tent_n be_v tie_v the_o one_o before_o and_o the_o other_o behind_o to_o a_o girdle_n hold_v up_o by_o a_o collar_n like_o those_o which_o have_v be_v describe_v when_o we_o speak_v of_o the_o bandage_n of_o the_o yard_n for_o a_o phimosis_n chap._n x._o if_o some_o symptom_n of_o lithotomy_n succeed_v the_o punction_n of_o the_o perineum_fw-la it_o be_v to_o be_v remedy_v according_a to_o its_o kind_n and_o when_o none_o appear_v or_o if_o they_o be_v cure_v the_o patient_n and_o chirurgeon_n may_v have_v good_a hope_n and_o both_o do_v their_o duty_n with_o external_a assistance_n the_o lithotomy_n and_o punction_n of_o the_o perineum_fw-la be_v bring_v to_o a_o perfect_a cure_n nevertheless_o what_o care_v soever_o the_o chirurgeon_n may_v have_v and_o how_o obedient_a confide_v and_o quiet_a so_o ever_o the_o patient_n may_v prove_v assist_v as_o he_o ought_v to_o be_v by_o those_o who_o attend_v he_o and_o the_o administration_n of_o proper_a medicine_n yet_o sometime_o he_o have_v the_o trouble_n to_o be_v incommode_v by_o the_o other_o distemper_n contain_v in_o the_o follow_a chapter_n chap._n xxii_o of_o disease_n that_o happen_v after_o cut_v for_o the_o stone_n and_o of_o the_o way_n of_o cure_v they_o gvy_n of_o chauliack_n in_o his_o second_o treatise_n say_v that_o if_o there_o be_v no_o metastasis_n of_o the_o humour_n into_o apostemes_n they_o be_v terminate_v by_o discussion_n suppuration_n obduration_n and_o putrefaction_n and_o afterward_o he_o speak_v of_o the_o manner_n of_o treat_v and_o cure_v they_o this_o show_v that_o there_o be_v a_o difference_n betwixt_o their_o term_n their_o cure_n and_o their_o cure_n the_o end_n of_o one_o disease_n may_v be_v the_o beginning_n of_o another_o the_o cure_n have_v a_o uncertain_a end_n though_o heal_a be_v that_o which_o be_v propose_v according_a to_o art_n we_o see_v but_o too_o many_o instance_n of_o this_o in_o those_o that_o be_v trouble_v with_o the_o stone_n that_o evil_n be_v terminate_v by_o the_o extraction_n of_o the_o stone_n and_o that_o stone_n take_v out_o or_o that_o the_o distemper_n end_v by_o the_o operation_n produce_v a_o wound_n or_o other_o accident_n the_o cure_n of_o which_o be_v necessary_a and_o which_o nevertheless_o do_v not_o always_o terminate_v in_o a_o cure_n but_o sometime_o in_o a_o new_a stone_n a_o fistula_n in_o the_o perineum_fw-la a_o involuntary_a spill_n of_o the_o water_n a_o preternatural_a void_a of_o excrement_n or_o in_o many_o disease_n together_o they_o have_v each_o of_o they_o their_o cause_n difference_n sign_n prognostic_n and_o way_n of_o cure_v we_o shall_v say_v nothing_o as_o to_o the_o stone_n which_o may_v be_v observe_v after_o that_o the_o patient_n have_v be_v under_o cure_n we_o must_v only_o take_v notice_n that_o the_o cause_n of_o it_o may_v be_v this_o that_o there_o be_v a_o quarry_n in_o the_o kidney_n which_o from_o time_n to_o time_n furnish_v the_o bladder_n with_o stone_n and_o then_o the_o operation_n ought_v to_o be_v delay_v unless_o the_o patient_n be_v full_o recover_v in_o strength_n the_o season_n be_v favourable_a or_o that_o the_o accident_n be_v remedy_v and_o above_o all_o the_o patient_n have_v need_n of_o a_o very_a great_a stock_n of_o resolution_n to_o endure_v a_o second_o cut_v the_o fistula_n in_o the_o perineum_fw-la whereof_o of_o we_o speak_v be_v a_o sinuous_a ulcer_n below_o the_o scrotum_fw-la with_o a_o callosity_n along_o the_o length_n of_o it_o by_o which_o the_o urine_n issue_v out_o it_o be_v cause_v by_o the_o surgeon_n fault_n or_o by_o the_o patient_n by_o the_o superven_a of_o accident_n or_o indeed_o by_o many_o thing_n concur_v when_o the_o chirurgeon_n and_o patient_n do_v not_o do_v their_o duty_n and_o that_o bad_a and_o violent_a symptom_n appear_v in_o the_o time_n or_o a_o little_a after_o the_o operation_n by_o the_o fault_n of_o the_o chirurgeon_n when_o in_o the_o beginning_n he_o suffer_v the_o lip_n of_o the_o ulcer_n to_o be_v to_o soon_o join_v together_o before_o he_o be_v certain_a that_o the_o bottom_n of_o it_o be_v deterse_v and_o agglutinate_v or_o because_o no_o accident_n appear_v he_o have_v dilate_v the_o bottom_n of_o it_o to_o much_o and_o that_o he_o have_v not_o have_v care_n after_o the_o first_o eight_o or_o ten_o day_n at_o most_o be_v over_o moderate_o to_o compress_v the_o bandage_n and_o to_o make_v use_n of_o small_a and_o very_o narrow_a compress_n lay_v upon_o the_o two_o side_n of_o the_o incision_n on_o the_o part_n of_o the_o patient_n when_o his_o urine_n be_v too_o sharp_a corrode_v the_o vrethra_n and_o hinder_v the_o reunion_n or_o that_o he_o lie_v not_o still_o as_o he_o ought_v not_o observe_v direction_n and_o not_o suffer_v himself_o to_o be_v treat_v according_a to_o the_o rule_n of_o art_n to_o which_o must_v be_v add_v his_o be_v emaciate_v the_o abundance_n of_o urine_n and_o if_o he_o moderate_v not_o his_o passion_n or_o exceed_v in_o his_o food_n the_o superfluity_n whereof_o cause_n a_o too_o long_a suppuration_n the_o most_o remarkable_a accident_n that_o contribute_v to_o the_o fistula_n be_v a_o putrefaction_n which_o cause_v great_a loss_n of_o substance_n in_o the_o vrethra_n and_o adjoin_v part_n a_o ulcer_n in_o the_o bladder_n or_o kidney_n the_o suppuration_n whereof_o require_v that_o the_o part_n be_v keep_v dilate_v the_o difference_n of_o these_o fistula_n be_v draw_v from_o hence_o that_o some_o of_o they_o be_v even_o and_o straight_o from_o the_o skin_n to_o the_o vrethra_n without_o any_o other_o profound_a or_o superficial_a sinuosity_n and_o be_v apparent_a on_o the_o side_n of_o the_o seam_n other_o have_v their_o orifice_n in_o the_o rectum_fw-la some_o be_v accompany_v with_o great_a loss_n of_o substance_n other_o have_v one_o or_o more_o sinuosity_n in_o the_o vrethra_n and_o in_o the_o neighbour_a part_n or_o otherwise_o they_o happen_v in_o a_o bad_a subject_n and_o these_o difference_n be_v discover_v if_o it_o be_v observe_v in_o time_n of_o dress_v the_o patient_n that_o thirty_o or_o forty_o day_n after_o the_o operation_n the_o ulcer_n cicatrise_n except_o one_o or_o more_o little_a passage_n or_o a_o small_a lump_n or_o tubercle_fw-la which_o be_v name_v the_o pullet_n rump_n on_o the_o side_n of_o the_o seam_n through_o which_o the_o urine_n escape_v or_o if_o the_o patient_n be_v much_o extenuate_v the_o superveen_a accident_n have_v cause_v a_o great_a loss_n of_o substance_n in_o the_o vrethra_n or_o that_o new_a flesh_n can_v breed_v the_o issue_v of_o the_o urine_n by_o the_o anus_fw-la make_v it_o apparent_a that_o the_o orifice_n of_o the_o fistula_n be_v in_o the_o rectum_fw-la all_o fistula_n in_o the_o perineum_fw-la be_v not_o alike_o hard_a to_o be_v cure_v for_o the_o first_o kind_n may_v be_v take_v into_o cure_n provide_v there_o be_v no_o great_a loss_n of_o substance_n and_o that_o the_o subject_n be_v good_a the_o rest_n be_v common_o incurable_a some_o of_o those_o who_o be_v trouble_v with_o fistula_n have_v this_o comfort_n that_o they_o do_v not_o always_o run_v if_o the_o subject_n be_v good_a not_o too_o lean_a and_o the_o ulcer_n fill_v with_o well_o condition_a flesh_n the_o cure_n of_o the_o fistula_n may_v without_o interruption_n be_v undertake_v but_o if_o the_o patient_n be_v extenuate_v or_o if_o there_o be_v great_a loss_n of_o substance_n in_o the_o vrethra_n with_o callous_a flesh_n the_o cure_n be_v not_o to_o be_v attempt_v until_o the_o strength_n be_v restore_v that_o it_o may_v be_v try_v if_o new_a flesh_n can_v be_v procure_v in_o that_o case_n he_o must_v be_v comfort_v give_v he_o hope_n that_o at_o another_o time_n he_o may_v be_v cure_v those_o that_o have_v their_o orifice_n in_o the_o rectum_fw-la be_v sometime_o less_o troublesome_a and_o they_o be_v not_o to_o be_v tamper_v with_o for_o cure_v of_o the_o fistula_n we_o shall_v not_o speak_v in_o this_o place_n of_o