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Word A Word B Word C Word D Occurrence Frequency Band MI MI Band Prominent
cause_n external_a frequent_a great_a 43 3 2.1126 3 false
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ID Title Author Corrected Date of Publication (TCP Date of Publication) STC Words Pages
A47964 A treatise of chirurgical operations after the newest, and most exact method founded on the structure of the parts ... : to which is annex'd A general idea of wounds / written originally by Joseph De la Charier ; and translated into English by R. B. La Charrière, Joseph de, d. 1690.; R. B., fl. ca. 1695. 1696 (1696) Wing L134A; ESTC R43339 135,106 375

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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 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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
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 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the_o different_a
the_o intestine_a it_o require_v no_o suture_a if_o it_o be_v big_a use_v the_o interrupt_v for_o the_o skinner_n stitch_n be_v not_o approve_v of_o in_o my_o opinion_n there_o be_v nothing_o that_o soon_o cure_v the_o wound_n of_o the_o gut_n and_o procure_v quick_a unition_n than_o a_o true_a and_o exact_a diet_n and_o i_o find_v nothing_o contribute_v more_o to_o it_o than_o in_o order_v the_o patient_n to_o lie_v on_o his_o belly_n take_v care_n to_o have_v a_o kind_n of_o bolster_n under_o the_o wound_n to_o facilitate_v the_o run_v out_o of_o the_o matter_n every_o one_o know_v use_v in_o wound_n of_o the_o belly_n a_o spare_a diet_n to_o be_v use_v there_o be_v nothing_o more_o contrary_a to_o union_n than_o motion_n by_o the_o diet_n we_o lessen_v the_o action_n of_o the_o intestine_n and_o by_o the_o situation_n that_o of_o the_o muscle_n of_o the_o abdomen_fw-la the_o reason_n be_v that_o in_o this_o situation_n all_o the_o part_n within_o lie_v heavy_a on_o the_o 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therefore_o you_o must_v dispose_v it_o so_o as_o to_o be_v able_a to_o straiten_v it_o after_o the_o inflammation_n over_o emollient_a clyster_n be_v of_o great_a use_n not_o only_o because_o they_o relax_v the_o fibre_n and_o evacuate_v the_o matter_n but_o also_o because_o they_o refresh_v and_o serve_v as_o a_o balneum_fw-la marie_n to_o calm_v the_o motion_n of_o the_o blood_n and_o spirit_n and_o hinder_v the_o progress_n of_o accident_n it_o be_v sufficient_o know_v that_o bleed_v and_o general_a remedy_n be_v not_o to_o be_v neglect_v if_o the_o edge_n become_v callous_a digestive_n be_v wonderful_a because_o they_o relax_v the_o fibre_n take_v away_o obstruction_n and_o facilitate_v the_o generation_n of_o the_o fleshy_a vesicles_n and_o consequent_o the_o cure_n of_o the_o wound_n concern_v this_o operation_n it_o will_v not_o be_v amiss_o to_o tell_v you_o further_o that_o a_o wound_a person_n that_o have_v a_o portion_n of_o the_o intestine_a carry_v away_o will_v die_v 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after_o we_o have_v explain_v the_o universal_a receive_v different_a name_n according_a to_o the_o part_n which_o they_o attack_z as_o the_o hydrocephalus_n of_o the_o head_n hydrocele_n of_o the_o strotum_n etc._n etc._n twofold_a general_n twofold_a the_o universal_a be_v common_o divide_v into_o ascite_n timpanites_n and_o anasarca_fw-la vel_fw-la leucophlegmatia_fw-la we_o will_v not_o speak_v here_o of_o the_o tympanite_n since_o scarce_o ever_o such_o be_v see_v and_o it_o differ_v from_o ascite_n but_o secundum_fw-la majus_fw-la &_o minus_fw-la be_v always_o accompany_v with_o many_o serosity_n i_o shall_v stick_v only_o to_o the_o arscite_v and_o anasarca_n though_o if_o well_o examine_v this_o last_o may_v be_v reduce_v to_o a_o kind_n of_o universal_a ascite_n dropsy_n in_o strictn●●…_n but_o one_o so●…_n of_o dropsy_n or_o may_v very_o rational_o be_v comprehend_v under_o the_o general_a notion_n of_o it_o false_a ascite_v true_a or_o false_a ascite_n be_v true_a or_o false_a the_o true_a be_v cause_v by_o a_o great_a quantity_n of_o water_n that_o fill_v the_o whole_a cavity_n of_o the_o belly_n which_o swell_v and_o tumefy_v it_o to_o the_o last_o degree_n of_o tension_n true_a true_a these_o water_n fall_v often_o into_o the_o scrotum_fw-la and_o make_v a_o hydrocele_n and_o when_o they_o grow_v sharp_a and_o pungent_a cause_n several_a troublesome_a accident_n as_o we_o shall_v show_v in_o the_o follow_a discourse_n anasarca_n false_a difference_n between_o false_a ascite_n and_o anasarca_n the_o false_a differ_v from_o the_o anasarca_fw-la in_o this_o that_o the_o last_o affect_v ordinary_o the_o whole_a habit_n of_o the_o body_n and_o the_o other_o be_v only_o confine_v to_o the_o cavity_n of_o the_o belly_n the_o anasarca_n consist_v in_o the_o swell_n of_o the_o whole_a body_n and_o the_o other_o only_o in_o one_o part_n you_o must_v observe_v that_o in_o anasarca_n and_o false_a ascite_n the_o tegument_n only_o be_v alter_v whereas_o the_o true_a ascite_n possess_v the_o whole_a capacity_n of_o the_o belly_n when_o i_o say_v the_o tegument_n be_v only_o alter_v it_o be_v that_o you_o may_v observe_v that_o the_o body_n of_o the_o muscle_n be_v not_o penetrate_v though_o it_o be_v true_a the_o water_n swim_v on_o the_o surface_n and_o it_o be_v observe_v in_o the_o open_n those_o who_o die_v of_o a_o dropsy_n that_o their_o fibre_n be_v whitish_a as_o well_o as_o the_o neighbour_a part_n because_o they_o have_v be_v too_o long_o humect_v with_o the_o water_n but_o the_o rest_n be_v as_o firm_a and_o solid_a as_o those_o which_o have_v not_o be_v touch_v at_o all_o it_o must_v also_o be_v observe_v that_o in_o anasarca_n and_o false_a ascite_n the_o water_n be_v sweet_a unsavoury_a and_o without_o acrimony_n for_o which_o reason_n it_o be_v not_o so_o penetrate_v and_o the_o patient_n be_v without_o thirst_n and_o fever_n his_o urinal_n be_v sweet_a crude_a and_o thin_a but_o contrariwise_o in_o true_a
sac_n which_o be_v as_o the_o concourse_n of_o all_o fistula_n sign_n of_o the_o first_o kind_n of_o fistula_n the_o sign_n of_o the_o first_o kind_n be_v a_o little_a outward_a swell_a accompany_v with_o a_o slight_a inflammation_n the_o matter_n run_v with_o the_o excrement_n or_o after_o they_o with_o pain_n and_o excoriation_n of_o the_o intestine_a and_o sphircter_n itch_a tenesmus_n and_o inequality_n of_o the_o aperture_n sign_n cause_n of_o these_o sign_n the_o swell_a be_v cause_v by_o the_o obstruction_n compression_n expression_n of_o the_o pus_fw-la and_o the_o effort_n which_o the_o excrement_n make_v at_o the_o passage_n and_o if_o by_o its_o stay_n there_o be_v be_v grow_v acid_n and_o have_v contract_v any_o malignity_n it_o cause_v divulsion_n pass_v over_o the_o surface_n of_o the_o intestine_a which_o excite_v pain_n and_o inflammation_n but_o on_o the_o contrary_a if_o it_o stay_v there_o have_v not_o as_o yet_o corrupt_v it_o and_o that_o it_o have_v in_o a_o manner_n speak_v only_o enter_v into_o its_o first_o state_n of_o alteration_n it_o excite_v but_o slight_a divulsion_n in_o which_o consist_v the_o itch_a this_o same_o matter_n act_v upon_o the_o fibre_n of_o the_o intestine_a rout_n the_o spirit_n which_o be_v irregular_o carry_v into_o its_o carnous_a tunicle_n sphincter_n and_o musculi_fw-la levatnes_n the_o gut_n be_v oblige_v to_o empty_v itself_o of_o the_o little_a excrement_n it_o contain_v but_o in_o the_o time_n that_o the_o carnous_a tunicle_n by_o its_o action_n precipitate_v and_o expel_v the_o excrement_n the_o sphincter_n and_o levatores_fw-la shut_v and_o stop_v so_o exact_o the_o passage_n by_o mean_n of_o the_o irritated_a spirit_n that_o they_o oppose_v their_o come_n forth_o and_o force_v they_o often_o to_o remount_v in_o spite_n of_o the_o action_n of_o the_o muscle_n of_o the_o abdomen_fw-la and_o carnous_a tunicle_n of_o the_o intestine_n which_o cause_v the_o tenesmus_n second_o sign_n of_o the_o second_o the_o sign_n of_o the_o second_o sort_n of_o fistula_n be_v know_v by_o the_o probe_n and_o matter_n which_o come_v out_o of_o the_o fistula_n three_o sign_n of_o the_o three_o those_o of_o the_o complete_a be_v the_o same_o which_o we_o have_v relate_v in_o both_o the_o forego_n fistula_n four_o sign_n of_o the_o four_o the_o sign_n of_o that_o which_o be_v with_o sinuss_n be_v pain_n abundance_n and_o different_a change_n of_o the_o matter_n which_o flow_v but_o the_o sure_a sign_n be_v the_o probe_n chap._n xxi_o of_o the_o operation_n of_o the_o fistula_n in_o ano._n in_o the_o operation_n of_o the_o fistula_n in_o ano_fw-la of_o what_o kind_n or_o nature_n soever_o it_o be_v you_o always_o observe_v the_o same_o rule_n and_o maxim_n operation_n how_o to_o perform_v the_o operation_n first_o you_o place_v the_o patient_n on_o the_o brink_n of_o a_o bed_n lay_v he_o on_o his_o belly_n his_o leg_n stradle_v you_o dispose_v a_o bandage_n about_o his_o body_n in_o shape_n of_o a_o t._n if_o it_o be_v a_o fistula_n that_o open_v inward_o you_o introduce_v if_o possible_a the_o stylet_n or_o probe_n through_o the_o passage_n of_o the_o intestine_a and_o slip_v all_o along_o the_o fistula_n to_o the_o bottom_n when_o you_o find_v with_o your_o finger_n the_o end_n of_o the_o probe_n outward_o make_v a_o little_a carve_a incision_n over_o it_o that_o the_o end_n of_o the_o probe_n may_v come_v out_o bend_v it_o a_o little_a and_o cut_v not_o only_o all_o that_o the_o probe_n embrace_n but_o also_o a_o little_a under_o the_o bottom_n of_o the_o fistula_n that_o the_o reunion_n be_v more_o easy_a perform_v if_o so_o you_o can_v pass_v your_o probe_n through_o the_o intestine_a into_o the_o fistula_n you_o make_v the_o incision_n outward_o on_o the_o tumour_n as_o we_o have_v prescribe_v that_o the_o probe_n may_v be_v easy_o introduce_v and_o pass_v into_o the_o intestine_a use_v when_o a_o caustic_n be_v to_o be_v use_v if_o the_o tumour_n be_v somewhat_o distant_a from_o the_o brink_n of_o the_o anus_fw-la you_o must_v prefer_v a_o potential_a cautery_n before_o the_o bistory_n for_o to_o lessen_v the_o pain_n omtt_v when_o the_o operation_n be_v to_o be_v omtt_v if_o the_o fistula_n anticipate_v the_o breadth_n of_o four_o finger_n upon_o the_o body_n of_o the_o gut_n and_o that_o it_o open_v above_o the_o levadore_v any_o you_o must_v not_o hazard_v the_o operation_n for_o reason_n which_o we_o will_v allege_v hereafter_o in_o the_o fistula_n which_o open_v outward_o you_o pass_v a_o stilet_n through_o your_o aperture_n and_o pierce_v the_o intestine_a and_o make_v it_o come_v out_o of_o the_o anus_fw-la to_o bend_v it_o or_o make_v a_o handle_n as_o have_v be_v say_v some_o in_o a_o fistula_n make_v use_n of_o scissors_n and_o other_o of_o a_o narrow_a instrument_n like_o a_o crooked_a bistory_n who_o edge_n be_v arm_v with_o a_o sheath_n of_o tin_n you_o introduce_v it_o through_o the_o orifice_n of_o the_o fistula_n and_o pass_v it_o through_o the_o orifice_n of_o the_o gut_n you_o cut_v at_o one_o flash_n the_o whole_a bottom_n of_o the_o fistula_n if_o the_o calosity_n be_v considerable_a you_o scarify_v the_o side_n and_o bottom_n the_o most_o to_o be_v fear_v be_v the_o artery_n but_o if_o by_o misfortune_n you_o shall_v have_v cut_v any_o of_o they_o reject_v vitreobe_n to_o be_v reject_v you_o must_v use_v some_o stiptic_a water_n or_o the_o ligature_n if_o you_o can_v and_o reject_v the_o vitriolate_a button_n because_o of_o the_o intestine_a the_o operation_n be_v make_v you_o introduce_v your_o finger_n into_o the_o fistula_n to_o find_v if_o there_o be_v any_o adherence_n or_o sinuss_n which_o must_v be_v loosen_v and_o open_v with_o the_o scissors_n as_o well_o to_o facilitate_v the_o entrance_n of_o medicine_n as_o to_o give_v passage_n to_o the_o matter_n which_o lurk_v there_o and_o which_o will_v in_o time_n serve_v for_o a_o new_a ferment_n to_o produce_v new_a fistula_n avoid_v always_o the_o artery_n which_o be_v feel_v by_o their_o continual_a pulsation_n now_o the_o question_n be_v objection_n how_o the_o excrement_n must_v be_v keep_v back_o if_o the_o sphincter_n be_v whole_o cut_v away_o for_o to_o be_v convince_v of_o it_o answer_n you_o must_v only_o represent_v to_o yourself_o the_o disposition_n of_o the_o musculi_fw-la levatores_fw-la which_o by_o their_o union_n form_v a_o kind_n of_o ring_n that_o embrace_v fast_o the_o body_n of_o the_o intestine_a perform_v the_o same_o office_n as_o the_o sphincter_n moreover_o i_o say_v that_o the_o fibre_n of_o the_o sphincter_n be_v cut_v every_o fiber_n come_v from_o each_o point_n of_o the_o cicatrice_n as_o those_o of_o the_o sphincter_n from_o the_o bladder_n and_o from_o all_o the_o other_o may_v in_o contract_v themselves_o perform_v still_o the_o same_o office_n as_o before_o provide_v much_o of_o its_o substance_n be_v not_o destroy_v by_o too_o great_a suppuration_n for_o see_v these_o part_n be_v extreme_o spungy_a there_o may_v be_v such_o a_o considerable_a passage_n make_v which_o will_v cause_v the_o excrement_n to_o come_v out_o against_o our_o will_n this_o be_v explain_v you_o fill_v the_o wound_n with_o a_o thick_a dossel_n tie_v with_o a_o thread_n dress_v the_o rest_n with_o pleaget_n sustain_v with_o a_o plaster_n compress_v and_o bandage_n of_o which_o we_o have_v speak_v chap._n xxii_o of_o the_o empiema_n be_v what_o a_o empiema_n be_v we_o understand_v by_o the_o word_n empiema_n a_o collection_n of_o matter_n and_o blood_n in_o the_o capacity_n of_o the_o breast_n it_o be_v take_v sometime_o for_o the_o operation_n and_o sometime_o for_o the_o disease_n and_o though_o hippocrates_n have_v give_v it_o a_o large_a extent_n when_o he_o say_v that_o it_o may_v be_v take_v for_o every_o heap_n of_o pus_fw-la in_o what_o part_n soever_o notwithstanding_o it_o be_v certain_a that_o it_o be_v only_o proper_a to_o this_o part_n alone_o empiema's_n difference_n of_o empiema's_n the_o difference_n of_o empiema's_n be_v draw_v from_o the_o place_n where_o the_o matter_n lie_v and_o from_o the_o different_a accident_n which_o accompany_v they_o concern_v the_o place_n of_o the_o matter_n it_o lie_v between_o the_o plera_n and_o the_o lung_n or_o in_o the_o substance_n of_o the_o lung_n itself_o both_o these_o proceed_v from_o a_o internal_a or_o external_a cause_n from_o a_o internal_a cause_n as_o a_o impostumation_n form_v in_o the_o duplicature_n of_o the_o pleura_fw-la or_o in_o the_o substance_n of_o the_o lung_n which_o break_v and_o run_v upon_o the_o diaphragme_n from_o a_o external_a cause_n as_o a_o wound_n or_o from_o a_o vessel_n break_v by_o some_o fall_n blow_n etc._n etc._n diaphragma_n the_o matter_n do_v not_o always_o fall_v on_o the_o diaphragma_n you_o must_v observe_v that_o the_o pus_fw-la and_o blood_n do_v not_o always_o fall_v upon_o the_o diaphragma_n by_o reason_n of_o the_o
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
specific_a remedy_n to_o hinder_v the_o progress_n of_o this_o disease_n be_v bleed_v which_o keep_v the_o first_o rank_n and_o i_o say_v that_o if_o it_o be_v of_o any_o use_n at_o all_o in_o surgery_n it_o be_v without_o doubt_n in_o this_o occasion_n here_o bleed_v no_o where_n of_o so_o great_a use_n as_o here_o because_o in_o empty_v the_o vessel_n it_o hinder_v the_o blood_n from_o be_v carry_v so_o abundant_o to_o that_o part_n and_o must_v consequent_o lessen_v the_o bigness_n of_o the_o tumour_n in_o diminish_v the_o quantity_n of_o the_o blood_n pleurisy_n approve_a remedy_n in_o a_o pleurisy_n the_o other_o remedy_n be_v those_o which_o rarify_v subtilise_v and_o attenuate_v the_o blood_n as_o horse_n or_o mule_n dung_n infuse_v in_o white-wine_n old_a he-goat_n blood_n in_o powder_n all_o volatile_a salt_n and_o several_a other_o remedy_n of_o that_o nature_n the_o decoction_n of_o nettle_n in_o strong_a wine_n which_o you_o sweeten_v with_o sugar_n be_v also_o excellent_a you_o may_v at_o the_o same_o time_n you_o take_v the_o decoction_n lay_v on_o the_o side_n the_o bruise_a nettle_n in_o form_n of_o a_o cataplasm_n peripneumonia_n of_o a_o peripneumonia_n have_v thus_o in_o general_n explain_v the_o cause_n of_o a_o pleurisy_n i_o be_o oblige_v to_o say_v something_o of_o a_o peripneumonia_n that_o sometime_o proceed_v from_o a_o impostume_n of_o the_o brain_n or_o from_o the_o inflammation_n of_o some_o membrane_n which_o change_v into_o a_o abscess_n as_o experience_n demonstrate_v in_o those_o that_o die_v of_o great_a wound_n of_o the_o head_n but_o for_o the_o most_o part_n it_o be_v cause_v by_o the_o corruption_n of_o the_o blood_n that_o be_v to_o say_v by_o the_o exaltation_n of_o its_o sharp_a particle_n all_o the_o difficulty_n be_v to_o know_v why_o the_o pus_fw-la or_o blood_n stop_v rather_o in_o the_o lung_n than_o in_o any_o part_n else_o for_o to_o make_v a_o impostumation_n i_o say_v that_o three_o cause_n contribute_v to_o its_o formation_n the_o alteration_n of_o the_o blood_n peripneumonia_n cause_n of_o peripneumonia_n long_a and_o slow_a respiration_n and_o the_o structure_n of_o the_o part_n blood_n first_o cause_n alteration_n of_o the_o blood_n concern_v the_o first_o you_o must_v only_o make_v reflection_n on_o the_o nature_n and_o mixture_n of_o the_o chile_n and_o thick_a blood_n which_o the_o right_a ventricle_n of_o the_o heart_n send_v in_o every_o sistole_n to_o the_o lung_n through_o the_o pulmonic_a artery_n we_o know_v that_o these_o two_o liquor_n pass_v through_o the_o heart_n and_o lung_n for_o to_o receive_v some_o necessary_a preparation_n for_o the_o function_n of_o the_o part_n therefore_o we_o may_v say_v that_o they_o be_v the_o two_o receptacle_n of_o all_o that_o be_v most_o thick_a and_o indigested_a in_o the_o mass_n of_o blood_n but_o if_o the_o heart_n have_v the_o strength_n and_o power_n by_o its_o constriction_n to_o subtilise_v and_o cast_v off_o all_o that_o be_v most_o heavy_a and_o material_a in_o the_o mass_n the_o lung_n have_v not_o the_o same_o advantage_n as_o we_o will_v prove_v so_o that_o the_o grosser_n substance_n be_v accompany_v with_o some_o impurity_n and_o have_v only_o feel_v the_o first_o effect_n of_o the_o heart_n for_o its_o perfection_n it_o must_v needs_o stop_v there_o and_o putrefy_v espiration_n second_o cause_n long_o and_o slow_a i_o espiration_n the_o second_o cause_n which_o i_o establish_v be_v a_o long_a and_o slow_a respiration_n it_o be_v certain_a the_o more_o free_a the_o air_n enter_v into_o the_o breast_n and_o the_o more_o the_o vessel_n be_v extend_v they_o be_v in_o a_o more_o fit_a condition_n by_o their_o elastic_a virtue_n or_o spring_n to_o express_v the_o air_n through_o the_o pipe_n of_o the_o trachea_n arteria_fw-la and_o the_o more_o the_o blood_n be_v agitate_a by_o the_o inspiration_n of_o the_o air_n it_o be_v drive_v with_o great_a quickness_n into_o the_o vein_n but_o on_o the_o contrary_a if_o the_o blood_n be_v move_v slow_o by_o a_o long_a respiration_n it_o follow_v that_o the_o vessicle_n be_v not_o so_o extend_v as_o they_o shall_v be_v and_o not_o expel_v the_o blood_n out_o of_o they_o with_o such_o a_o violence_n it_o stop_v and_o corrupt_v there_o gradual_o by_o the_o arrival_n and_o mixture_n of_o some_o ill_a leaven_n or_o by_o the_o exaltation_n of_o its_o salt_n particle_n from_o whence_o it_o come_v that_o those_o who_o have_v a_o long_a neck_n be_v more_o subject_a to_o it_o than_o other_o because_o the_o air_n be_v oblige_v to_o make_v a_o long_a traverse_n before_o it_o come_v to_o the_o lung_n which_o make_v they_o dry_v up_o and_o alter_v insensible_o be_v three_o cause_n on_o the_o structure_n of_o the_o part._n what_o the_o lung_n real_o be_v the_o three_o cause_n be_v ground_v upon_o the_o structure_n of_o the_o part_n the_o lung_n be_v a_o complication_n of_o little_a vessicles_n in_o which_o the_o artery_n pour_v the_o blood_n and_o where_o it_o be_v mingle_v with_o the_o air_n to_o receive_v some_o alteration_n there_o now_o it_o be_v show_v in_o the_o hydravlic's_n that_o a_o liquor_n which_o pass_v from_o a_o little_a pipe_n into_o a_o great_a lose_v much_o of_o its_o motion_n and_o be_v the_o artery_n be_v very_o little_a in_o proportion_n to_o the_o cell_n it_o be_v no_o wonder_n if_o the_o blood_n grow_v slow_a there_o and_o change_v its_o nature_n by_o the_o exaltation_n of_o some_o sharp_a and_o tartarous_a salt_n and_o by_o the_o fermentation_n which_o they_o cause_v there_o wherefore_o the_o alteration_n of_o the_o blood_n the_o irregularity_n of_o respiration_n and_o the_o largeness_n of_o the_o vessicle_n of_o the_o lung_n in_o proportion_n to_o those_o of_o the_o artery_n be_v the_o three_o cause_n that_o concur_v to_o the_o formation_n of_o the_o peripneumonia_n since_o the_o sign_n of_o all_o these_o kind_n of_o disease_n be_v of_o the_o great_a importance_n to_o succeed_v well_o in_o the_o operation_n and_o to_o make_v a_o favourable_a or_o dangerous_a prognostic_n i_o will_v endeavour_v to_o describe_v they_o with_o all_o the_o order_n that_o be_v possible_a pleura_fw-la sign_n of_o pus_fw-la or_o blood_n in_o the_o pleura_fw-la the_o sign_n which_o show_v we_o that_o there_o be_v some_o pus_fw-la or_o blood_n stop_v in_o the_o pleura_fw-la be_v inflammation_n penetrate_v pain_n heaviness_n a_o languish_a and_o continual_a fever_n a_o hard_a thick_a and_o deep_a pulse_n accompany_v with_o shiver_v difficulty_n of_o breathe_v a_o dry_a cough_n and_o thirst_n one_o can_v lie_v on_o the_o sound_a side_n by_o reason_n the_o matter_n lie_v heavy_a on_o the_o pleura_fw-la and_o one_o grow_v lean_a and_o thin_a in_o a_o few_o day_n diaphragma_n sign_n of_o the_o matter_n on_o the_o diaphragma_n but_o if_o the_o impostume_n break_v and_o the_o matter_n fall_v on_o the_o diaphragma_n all_o these_o symptom_n cease_v and_o the_o patient_n find_v some_o ease_n for_o a_o time_n but_o immediate_o there_o come_v other_o not_o less_o dangerous_a and_o insupportable_a beside_o the_o difficulty_n of_o breathe_v which_o be_v common_a to_o every_o empiema_n one_o feel_v a_o heaviness_n upon_o the_o diaphragma_n fluctuation_n a_o great_a uneasiness_n the_o fever_n increase_v and_o become_v burn_v the_o pulse_n rise_v the_o pain_n indeed_o be_v not_o so_o sharp_a it_o be_v feel_v towards_o the_o false_a rib_n one_o can_v lie_v but_o on_o the_o side_n where_o the_o matter_n be_v for_o if_o you_o lie_v on_o the_o opposite_a side_n one_o feel_v a_o twitch_a upon_o the_o mediastinum_fw-la more_o cruel_a pain_n and_o a_o much_o great_a heaviness_n their_o spittle_n be_v sometime_o stink_a and_o there_o follow_v very_o often_o impostume_n of_o the_o liver_n after_o these_o kind_n of_o indisposition_n even_o as_o it_o be_v observe_v after_o great_a wound_n of_o the_o head_n if_o the_o pus_fw-la be_v diffuse_v on_o both_o side_n one_o can_v lie_v on_o either_o by_o reason_n of_o the_o sharp_a pain_n one_o suffer_v to_o be_v ease_v you_o must_v lie_v upon_o the_o back_n or_o belly_n lung_n sign_n of_o pus_fw-la in_o the_o substance_n of_o the_o lung_n the_o sign_n when_o there_o be_v pus_fw-la in_o the_o substance_n of_o the_o lung_n may_v be_v divide_v into_o equivocal_a and_o convince_a the_o equivocal_a belong_v to_o other_o disease_n of_o the_o lung_n it_o be_v very_o dangerous_a to_o be_v mistake_v therefore_o let_v we_o endeavour_v to_o examine_v they_o well_o that_o we_o may_v draw_v some_o advantage_n and_o that_o we_o may_v not_o undertake_v a_o operation_n who_o effect_n will_v prove_v not_o only_o useless_a but_o fatal_a if_o there_o be_v any_o pus_fw-la in_o the_o substance_n of_o the_o lung_n the_o disease_v can_v breathe_v without_o pain_n he_o find_v a_o insupportable_a and_o troublesome_a heaviness_n upon_o the_o diaphragma_n because_o the_o weight_n of_o the_o matter_n deprive_v it_o of_o
the_o aperture_n be_v make_v you_o put_v your_o finger_n into_o the_o cavity_n of_o the_o breast_n as_o well_o to_o make_v the_o incision_n big_a as_o to_o push_v back_o the_o lung_n and_o diaphragma_n and_o to_o loose_v they_o if_o they_o be_v fasten_v to_o the_o pleura_fw-la particular_o where_o the_o operation_n be_v make_v in_o a_o place_n of_o election_n different_a to_o that_o which_o be_v practise_v in_o a_o place_n of_o necessity_n without_o break_v the_o adherence_n as_o we_o have_v observe_v in_o the_o forego_n chapter_n if_o the_o lung_n strive_v to_o come_v out_o at_o the_o orifice_n of_o the_o wound_n you_o must_v push_v they_o back_o with_o a_o blunt_a hollow_a probe_n for_o to_o help_v the_o run_v out_o of_o the_o matter_n or_o with_o a_o pipe_n of_o a_o thickness_n and_o length_n proportionable_a to_o the_o deepness_n of_o the_o wound_n these_o long_a pipe_n be_v very_o useful_a in_o the_o emphisema_n because_o the_o aperture_n of_o the_o wound_n be_v little_a and_o deep_a it_o be_v very_o difficult_a without_o their_o help_n to_o give_v issue_n to_o the_o matter_n you_o must_v not_o make_v use_n of_o a_o probe_n caution_n caution_n to_o try_v whether_o the_o pleura_fw-la be_v pierce_v for_o in_o pass_v it_o often_o separate_v from_o the_o rib_n and_o there_o be_v a_o vacuum_n make_v where_o some_o blood_n be_v apt_a to_o gather_v which_o produce_v a_o new_a impostume_n matter_n more_o blood_n to_o be_v draw_v at_o a_o time_n than_o matter_n if_o it_o be_v blood_n that_o come_v out_o of_o the_o aperture_n you_o may_v draw_v a_o sufficient_a quantity_n of_o it_o but_o if_o it_o be_v pus_fw-la less_o by_o reason_n it_o contain_v more_o spirit_n and_o the_o patient_n be_v apt_a to_o fall_v into_o a_o syncope_n after_o this_o you_o stop_v the_o wound_n with_o a_o blunt_a tent_n of_o lint_n have_v a_o large_a head_n and_o be_v a_o little_a crooked_a at_o the_o end_n lest_o it_o offend_v the_o lung_n most_o common_o we_o tie_v a_o thread_n to_o it_o fill_v the_o rest_n of_o the_o wound_n with_o little_a dossel_n of_o dry_a lint_n to_o keep_v the_o tent_n in_o and_o absorb_v the_o blood_n and_o lay_v a_o plaster_n on_o it_o with_o compress_v and_o napkin_n about_o the_o body_n with_o the_o scapular_a which_o be_v cut_v in_o two_o at_o one_o end_n and_o put_v cross_a to_o fasten_v the_o napkin_n the_o easy_a when_o the_o patient_n be_v dress_v you_o make_v he_o keep_v his_o bed_n with_o his_o head_n high_a as_o if_o it_o be_v half_o sit_v and_o you_o let_v he_o rest_v till_o he_o find_v himself_o oppress_v with_o the_o weight_n of_o a_o new_a matter_n then_o take_v the_o dress_n off_o and_o have_v make_v the_o matter_n run_v out_o you_o push_v the_o lung_n back_o with_o a_o long_a pipe_n by_o who_o mean_n you_o facilitate_v the_o flow_a of_o the_o matter_n that_o remain_v in_o the_o breast_n you_o continue_v to_o dress_v it_o so_o every_o day_n we_o observe_v often_o that_o the_o first_o three_o or_o four_o day_n blood_n come_v out_o the_o next_o day_n water_n and_o afterward_o pus_fw-la that_o grow_v thick_a by_o little_a and_o little_a we_o have_v observe_v already_o that_o in_o case_n the_o empiema_n shall_v afford_v much_o matter_n or_o water_n mix_v with_o pus_fw-la you_o must_v not_o evacuate_v it_o all_o at_o once_o lest_o the_o patient_n shall_v fall_v in_o some_o weakness_n patient_n the_o air_n to_o be_v correct_v when_o you_o dress_v the_o patient_n you_o must_v always_o correct_v the_o intempery_n of_o the_o air_n with_o fire_n when_o you_o dress_v the_o patient_n and_o hinder_v it_o from_o enter_v too_o abundant_o into_o the_o breast_n because_o it_o thicken_v and_o coagulate_v the_o matter_n which_o be_v extravasated_a there_o hinder_v it_o from_o flow_a and_o cause_v it_o to_o come_v forth_o in_o clod_n if_o it_o be_v blood_n the_o serocity_n separate_v from_o it_o as_o after_o let_v blood_n nevertheless_o whether_o the_o pus_fw-la or_o blood_n be_v thick_a or_o mix_v with_o some_o water_n you_o always_o use_v with_o prudence_n injection_n of_o barley_n water_n and_o mel_n rosar_n with_o which_o you_o cleanse_v the_o lung_n and_o breast_n you_o must_v always_o cause_v the_o injected_a liquor_n to_o come_v out_o by_o the_o help_n of_o the_o finger_n or_o hollow_a probe_n and_o if_o the_o lung_n shall_v stick_v you_o must_v loose_v they_o if_o in_o time_n the_o blood_n shall_v grow_v too_o watery_a and_o the_o patient_n be_v oppress_v by_o the_o quantity_n of_o the_o pus_fw-la you_o will_v do_v well_o to_o dress_v he_o three_o or_o four_o time_n a_o day_n the_o matter_n run_v sometime_o for_o the_o space_n of_o three_o or_o four_o month_n and_o as_o soon_o as_o there_o come_v nothing_o out_o but_o what_o come_v from_o the_o wound_n you_o procure_v the_o generation_n of_o flesh_n and_o cicatrise_v you_o must_v observe_v that_o when_o the_o air_n work_v upon_o the_o blood_n that_o be_v in_o the_o breast_n it_o coagulate_v it_o sometime_o without_o change_v it_o into_o pus_fw-la and_o so_o it_o come_v out_o in_o lump_n injection_n bitter_a thing_n not_o to_o be_v use_v in_o injection_n you_o must_v not_o use_v injection_n in_o the_o beginning_n neither_o make_v they_o with_o aloe_n or_o other_o bitter_a thing_n because_o when_o the_o lung_n be_v open_a the_o patient_n cast_v they_o out_o through_o the_o mouth_n but_o after_o the_o vessel_n be_v consolidate_v you_o may_v use_v the_o tincture_n of_o aloe_n or_o wine_n mix_v with_o a_o traumatic_a decoction_n and_o mel_n rosarum_fw-la this_o be_v use_v when_o the_o pus_fw-la come_v out_o in_o a_o small_a quantity_n often_o after_o a_o wound_n of_o a_o sword_n there_o come_v out_o of_o it_o a_o abundance_n of_o blood_n and_o after_o three_o or_o four_o day_n no_o more_o appear_v in_o this_o occasion_n you_o must_v quick_o close_v the_o wound_n and_o you_o have_v all_o the_o reason_n to_o believe_v that_o there_o be_v only_o some_o little_a vessel_n break_v which_o give_v some_o blood_n and_o which_o afterward_o be_v stop_v by_o the_o most_o glutinous_a particle_n of_o the_o blood_n of_o the_o rest_n however_o the_o thing_n happen_v there_o remain_v no_o danger_n chap._n xxiv_o of_o the_o cancer_n i_o look_v upon_o a_o cancer_n as_o the_o most_o inflame_a and_o rebellious_a of_o all_o the_o schirrou_n tumor_n the_o red_a part_n of_o the_o blood_n as_o well_o as_o the_o white_a contribute_v to_o its_o formation_n cause_n principal_a cause_n when_o cancer_n happen_v in_o glandulous_a part_n there_o be_v great_a appearance_n that_o the_o lympha_fw-la be_v the_o principal_a cause_n there_o if_o they_o attack_v any_o other_o part_n it_o be_v to_o be_v presume_v that_o the_o tartarous_a particle_n of_o the_o blood_n have_v the_o great_a share_n therein_o however_o it_o be_v i_o say_v that_o the_o concourse_n of_o these_o two_o humour_n be_v always_o necessary_a for_o the_o production_n of_o a_o cancer_n all_o the_o difficulty_n be_v well_o to_o distinguish_v which_o of_o those_o two_o predominate_a be_v what_o a_o cancer_n be_v i_o say_v a_o cancer_n be_v a_o round_a hard_a unequal_a livid_n and_o painful_a tumour_n cause_v by_o the_o meeting_n of_o abundance_n of_o acid_n and_o of_o the_o tartarous_a particle_n of_o the_o blood_n from_o which_o proceed_v the_o pain_n and_o tention_n of_o the_o vessel_n which_o very_o well_o represent_v the_o claw_n of_o a_o crab._n painful_a cancer_n of_o the_o glandulous_a part_n most_o painful_a those_o cancer_n which_o possess_v the_o glandulous_a part_n be_v much_o more_o painful_a than_o the_o other_o through_o the_o abundance_n of_o nerve_n which_o enter_v into_o their_o composition_n and_o if_o the_o alteration_n of_o the_o lympha_fw-la contribute_v any_o thing_n to_o their_o generation_n it_o be_v because_o the_o gland_n be_v its_o principal_a reservatory_n roundness_n cause_o of_o the_o roundness_n the_o roundness_n of_o the_o tumour_n come_v from_o the_o round_a figure_n of_o the_o gland_n because_o the_o humour_n which_o cause_n the_o obstruction_n and_o extend_v the_o vessel_n can_v easy_o tumify_v these_o glandulous_a body_n without_o change_v their_o conformation_n etc._n cause_o of_o the_o tention_n etc._n etc._n as_o for_o the_o tention_n and_o fullness_n of_o the_o vessel_n it_o be_v know_v that_o the_o matter_n which_o they_o contain_v be_v nothing_o else_o than_o the_o matter_n which_o form_v the_o tumour_n this_o humour_n be_v tartarous_a fix_v and_o gross_a and_o consequent_o not_o very_o capable_a of_o fermentation_n the_o slow_a progress_n the_o tumour_n make_v in_o the_o beginning_n be_v a_o convince_a proof_n of_o it_o the_o lympha_fw-la be_v acid_n it_o may_v well_o excite_v some_o little_a fermentation_n with_o a_o porous_a and_o terrestrial_a salt_n which_o the_o red_a part_n of_o the_o blood_n furnish_v but_o it_o serve_v rather_o to_o fix_v and_o concentre_v
of_o the_o cancer_n cancer_n three_o way_n of_o extirpate_v a_o cancer_n the_o cure_n of_o a_o cancer_n may_v be_v attempt_v by_o incision_n by_o ligature_n or_o by_o actual_a cautery_n if_o you_o undertake_v it_o by_o incision_n incision_n 1_o by_o incision_n you_o must_v cut_v its_o most_o deep_a root_n that_o be_v to_o say_v you_o must_v anticipate_v upon_o the_o nighbour_a part_n and_o have_v take_v it_o off_o you_o must_v squeeze_v the_o adjacent_a vessel_n to_o make_v the_o blood_n and_o humour_n come_v out_o which_o may_v have_v contract_v malignancy_n in_o respect_n of_o the_o ligature_n ligature_n 2_o by_o ligature_n it_o be_v not_o much_o in_o use_n but_o if_o you_o will_v put_v it_o in_o practice_n it_o must_v be_v when_o the_o base_n of_o the_o tumour_n be_v but_o small_a when_o the_o root_n extend_v themselves_o not_o far_o in_o compass_n and_o when_o it_o terminate_v in_o a_o kind_n of_o strangulation_n but_o be_v it_o be_v rare_a not_o to_o say_v impossible_a to_o meet_v with_o such_o a_o disposition_n the_o ligature_n have_v no_o other_o use_n than_o that_o of_o suspend_v the_o tumour_n that_o you_o may_v make_v the_o incision_n more_o commodious_a you_o must_v observe_v that_o if_o you_o apply_v slight_o the_o actual_a cautery_n after_o the_o operation_n it_o be_v to_o stop_v the_o blood_n cautery_n 3_o actual_a cautery_n and_o absorb_n and_o destroy_v some_o portion_n of_o the_o unclean_a matter_n which_o can_v serve_v as_o a_o ferment_n for_o the_o generation_n of_o a_o new_a cancer_n and_o may_v even_o infect_v the_o whole_a mass_n of_o blood_n operation_n how_o to_o perform_v the_o operation_n the_o method_n use_v in_o perform_v the_o operation_n be_v this_o you_o introduce_v into_o the_o top_n of_o the_o tumour_n a_o needle_n arm_v with_o double_a thread_n to_o make_v a_o sort_n of_o loop_n with_o which_o you_o uphold_v the_o tumour_n and_o the_o surgeon_n cut_v it_o round_o about_o the_o base_a till_o to_o the_o rib_n with_o a_o very_a sharp_a knife_n have_v take_v off_o the_o tumour_n you_o squeeze_v the_o blood_n out_o and_o pass_v slight_o over_o it_o a_o actual_a cautery_n you_o dress_v the_o wound_n with_o pledget_n arm_v with_o astringent_a powder_n and_o lay_v a_o plaster_n on_o it_o with_o compress_v napkin_n and_o scapule_a cancer_n the_o best_a way_n of_o oxtirpate_v a_o cancer_n but_o the_o best_a method_n be_v to_o make_v a_o incision_n cross_v over_o the_o tumour_n even_o to_o the_o rib_n and_o separate_v dextrous_o the_o flesh_n from_o the_o skin_n by_o this_o mean_v you_o avoid_v the_o great_a deformity_n and_o pain_n and_o secure_v better_o the_o wound_n from_o the_o air._n if_o the_o disease_a be_v not_o in_o a_o disposition_n proper_a to_o endure_v to_o operation_n either_o through_o fear_n of_o pain_n or_o be_v weak_a and_o the_o surgeon_n not_o make_v a_o favourable_a prognostic_n it_o will_v be_v a_o rashness_n to_o undertake_v it_o beside_o that_o the_o great_a loss_n of_o substance_n and_o dangerous_a accident_n which_o happen_v be_v worthy_a of_o reflection_n which_o break_v often_o the_o measure_n that_o the_o most_o dare_a practitioner_n can_v take_v for_o as_o soon_o as_o the_o tumour_n be_v take_v off_o the_o ulcer_n grow_v often_o malign_a painful_a and_o of_o a_o round_a figure_n which_o be_v a_o mark_n of_o slow_a cicatrisation_n the_o side_n become_v calous_a livid_fw-la high_a black_a and_o invert_v according_a to_o the_o disposition_n of_o the_o juice_n with_o which_o they_o be_v water_v cancer_n a_o extraordinary_a way_n to_o cure_v a_o cancer_n there_o be_v some_o that_o without_o perform_v the_o operation_n do_v assure_v we_o that_o they_o have_v cure_v ulcerate_v cancer_n with_o great_a red_a snail_n free_v from_o their_o shell_n which_o be_v lay_v upon_o the_o ulcer_n they_o say_v that_o they_o creep_v sometime_o about_o the_o ulcer_n fasten_v to_o it_o and_o leave_v their_o foam_n there_o that_o we_o find_v the_o bottom_n of_o their_o belly_n gnaw_v as_o it_o be_v and_o they_o grow_v so_o monstrous_a that_o in_o a_o short_a time_n they_o burst_v the_o reason_n be_v that_o these_o animal_n contain_v a_o abundance_n of_o volatile_a alkalys_n which_o charge_v themselves_o with_o the_o acid_n that_o entertain_v the_o cancer_n and_o which_o grow_v and_o ulcerate_v the_o belly_n of_o these_o animal_n so_o that_o be_v convey_v through_o the_o little_a branch_n of_o their_o vein_n into_o their_o mass_n of_o blood_n according_a to_o the_o order_n of_o circulation_n they_o excite_v such_o a_o extraordinary_a fermentation_n that_o these_o animal_n must_v needs_o perish_v chap._n xxvi_o of_o bronchotomia_fw-la operation_n bronchotomia_fw-la a_o nice_a operation_n there_o be_v no_o operation_n in_o chirurgery_n of_o a_o more_o nice_a undertake_n than_o the_o bronchotomia_fw-la neither_o be_v there_o any_o more_o press_v or_o useful_a when_o ever_o one_o have_v the_o happiness_n to_o succeed_v in_o it_o the_o cause_n of_o this_o troublesome_a affect_n cause_n cause_n proceed_v ordinary_o from_o some_o wound_n great_a cry_v long_a discourse_n violent_a passion_n or_o the_o alteration_n of_o the_o humour_n if_o a_o simple_a inflammation_n be_v capable_a of_o hinder_v respiration_n what_o will_v not_o happen_v if_o any_o of_o these_o cause_n concur_v to_o increase_v it_o now_o whether_o the_o inflammation_n attack_v the_o muscle_n of_o the_o larynx_n or_o some_o other_o part_n it_o communicate_v itself_o not_o only_o to_o the_o aspera_fw-la arteria_fw-la but_o also_o to_o the_o muscle_n of_o the_o pharinx_n and_o neighbour_a gland_n which_o oblige_v the_o blood_n and_o spirit_n to_o stop_v in_o all_o these_o part_n and_o to_o cause_v great_a obstruction_n then_o do_v the_o blood_n which_o without_o intermission_n press_v on_o not_o find_v its_o passage_n free_a stay_v there_o and_o augment_v both_o inflammation_n and_o tention_n the_o vessel_n be_v after_o this_o manner_n distend_v and_o swell_v up_o take_v up_o more_o space_n than_o before_o and_o must_v needs_o press_v the_o aspera_fw-la arteria_fw-la and_o hinder_v the_o passage_n of_o the_o air_n in_o that_o part_n whence_o follow_v suffocation_n bleed_v clyster_n resolutive_a cataplasm_n gargariem_n make_v with_o strong_a wine_n in_o which_o you_o boil_v in_o b._n mariae_fw-la sanicle_n golden_a rod_n perivincle_n and_o angelico_n with_o many_o other_o remedy_n be_v to_o precede_v the_o operation_n unless_o danger_n of_o suffocation_n oblige_v we_o to_o make_v it_o if_o the_o obstruction_n and_o inflammation_n attack_v only_o the_o amigdal_n or_o glandulae_fw-la tyroide_v you_o must_v endeavour_v to_o open_v they_o by_o the_o mouth_n with_o the_o point_n of_o a_o lancet_n arm_v with_o a_o band_n of_o lint_n if_o all_o part_n of_o the_o throat_n be_v inflame_v and_o all_o remedy_n prove_v without_o success_n you_o must_v betake_v yourself_o to_o the_o operation_n operation_n how_o to_o perform_v the_o operation_n to_o do_v it_o methodical_o the_o patient_n must_v sit_v upon_o a_o bed_n or_o chair_n with_o his_o head_n back_o lean_v on_o a_o servant_n breast_n who_o uphold_v it_o with_o his_o hand_n be_v in_o this_o posture_n the_o surgeon_n choose_v the_o most_o convenient_a and_o less_o dangerous_a place_n where_o he_o may_v make_v the_o operation_n which_o be_v a_o thumb_n breadth_n from_o the_o larynx_n between_o the_o three_o and_o four_o ring_n of_o the_o aspera_fw-la arteria_fw-la he_o pinch_v the_o cutis_fw-la etc._n etc._n cross_n make_v a_o incision_n at_o length_n and_o separate_v very_o gentle_o and_o artificial_o the_o brochale_n and_o musculii_fw-la sternobyoidei_fw-la have_v discover_v the_o aspera_fw-la arteria_fw-la caution_n caution_n you_o incise_v cross-way_n with_o a_o lancet_n arm_v the_o carnous_a membrane_n which_o tie_v the_o cartilaginous_a ring_n together_o avoid_v the_o recurrent_a nerve_n which_o carry_v the_o spirit_n necessary_a for_o the_o function_n of_o the_o organ_n of_o the_o voice_n which_o if_o they_o shall_v chance_v to_o be_v cut_v will_v be_v lose_v the_o incision_n be_v make_v before_o you_o withdraw_v the_o lancet_n introduce_v a_o probe_n which_o facilitate_v the_o entry_n of_o a_o short_a pipe_n which_o must_v be_v crooked_a and_o proportionable_a to_o the_o wound_n there_o must_v be_v a_o hole_n on_o each_o side_n to_o pass_v a_o little_a ribon_n through_o which_o be_v to_o be_v tie_v behind_o the_o neck_n to_o keep_v it_o fast_o we_o put_v a_o little_a cotton_n or_o piece_n of_o sponge_n at_o its_o entry_n for_o to_o modify_v the_o air_n a_o little_a then_o apply_v a_o plaster_n on_o it_o with_o hole_n in_o it_o compress_v and_o a_o pierce_a bandage_n chap._n xxvii_o of_o fistula_n lachrimalis_n the_o fistula_n lachrimalis_n be_v always_o cause_v by_o a_o sharp_a and_o salt_a humour_n if_o the_o matter_n of_o the_o tear_n which_o run_v through_o the_o lachrimal_a passage_n have_v receive_v any_o alteration_n it_o may_v cause_v some_o obstruction_n in_o those_o passage_n which_o terminate_v at_o
utter_o impede_v in_o the_o part_n the_o tumour_n increase_v the_o part_n retain_v all_o those_o particle_n which_o will_v have_v escape_v through_o the_o pore_n the_o extravasated_a humour_n be_v in_o a_o great_a quantity_n proportionable_a to_o the_o part_n which_o contain_v it_o compress_n the_o flesh_n and_o vessel_n and_o of_o necessity_n cause_v a_o mortification_n behold_v the_o true_a cause_n of_o gangrene_n which_o come_v upon_o inflammation_n contusion_n aneurism_n and_o erisipelas_n all_o these_o cause_n have_v be_v very_o well_o observe_v by_o ettmuller_n when_o he_o say_v hinc_fw-la est_fw-la quod_fw-la vix_fw-la saepius_fw-la oriuntur_fw-la gangrene_n &_o sphaceli_fw-la quam_fw-la ex_fw-la inflammationibus_fw-la male_a curatis_fw-la imprimis_fw-la si_fw-la partis_fw-la inflamatae_n per_fw-la emplastica_fw-la imprudenter_fw-la admota_fw-la impediatur_fw-la insensilis_fw-la transpiratio_fw-la tunc_fw-la sanguis_fw-la extravasatus_fw-la stagnat_fw-la corrumpitur_fw-la ex_fw-la toto_fw-la putrescit_fw-la &_o partis_fw-la inflammate_v gangrenam_fw-la post_fw-la se_fw-la trahit_fw-la in_o primis_fw-la erisipelata_fw-la per_fw-la ungt_fw-fr oleosa_fw-mi ac_fw-la muilaginosa_fw-la insulsae_fw-la tractata_fw-la subito_fw-la serpentem_fw-la inducunt_fw-la gangrenam_fw-la but_o these_o cause_n have_v produce_v their_o effect_n there_o be_v that_o augment_v it_o and_o which_o give_v even_o occasion_n that_o it_o be_v communicate_v to_o the_o nigh_o part_n it_o be_v the_o corruption_n of_o the_o blood_n and_o extravasated_a humour_n in_o a_o simple_a inflammation_n when_o the_o blood_n be_v extravasated_a and_o can_v be_v discuss_v it_o change_v into_o pus_fw-la this_o change_n be_v not_o only_o cause_v by_o the_o action_n of_o the_o principle_n of_o the_o extravasated_a blood_n but_o also_o by_o the_o soft_a influence_n of_o the_o blood_n and_o spirit_n which_o be_v contain_v in_o the_o neighbour_a part_n this_o make_v that_o the_o pus_fw-la be_v not_o altogether_o a_o strange_a substance_n and_o enemy_n to_o nature_n but_o as_o i_o have_v show_v that_o the_o access_n of_o the_o blood_n be_v entire_o press_v towards_o the_o gangrened_a part_n and_o the_o circulation_n very_o often_o intercept_v it_o so_o happen_v that_o the_o extravasated_a blood_n be_v so_o far_o from_o be_v convert_v into_o pus_fw-la that_o it_o degenerate_v into_o a_o virulent_a sanies_fw-la which_o first_o cause_v blister_n upon_o the_o part_n and_o then_o by_o its_o acrimony_n gnaw_v the_o gangren_a part_n and_o insensible_o corrupt_v those_o that_o be_v sound_a which_o make_v the_o gangrene_n become_v so_o angry_a that_o it_o attack_n even_o the_o part_n that_o suffer_v no_o inflammation_n of_o the_o rest_n the_o gangrene_n which_o follow_v upon_o inflammation_n attack_v rather_o the_o soft_a and_o fungous_a part_n than_o other_o other_o why_o the_o soft_a part_n gangrenate_n soon_o than_o other_o as_o the_o gum_n lip_n vulva_fw-la and_o membrum_fw-la virile_a intestine_a and_o brain_n the_o reason_n be_v these_o part_n be_v very_o soft_a and_o spungy_a imbibe_n a_o a_o great_a quantity_n of_o humour_n beside_o the_o most_o of_o they_o have_v no_o muscle_n that_o may_v squeeze_v the_o blood_n which_o make_v it_o easy_o lie_v cake_v there_o gangrene_n ulcer_n wound_n scorbutic_a spot_n and_o sharp_a medicine_n may_v cause_v a_o gangrene_n five_o gangrene_n come_v upon_o ulcer_n wound_n scorbutic_a spot_n and_o upon_o the_o application_n of_o sharp_a and_o corrosive_a medicine_n which_o happen_v two_o way_n 1._o when_o pain_n which_o accompany_v all_o these_o symptom_n cause_n often_o great_a inflammation_n on_o which_o follow_v gangrene_n 2._o from_o the_o actual_a cautery_n from_o pus_fw-la and_o sanies_fw-la come_v from_o gnaw_a ulcer_n from_o scorbutic_a spot_n and_o from_o sharp_a and_o corrosive_a medicine_n which_o cauterise_v the_o cutis_fw-la and_o vessel_n so_o the_o blood_n be_v no_o more_o send_v into_o the_o part_n they_o lose_v their_o motion_n and_o life_n gangrene_n malignity_n may_v cause_v gangrene_n final_o all_o author_n do_v admit_v a_o malign_a and_o occult_a cause_n of_o a_o gangrene_n from_o thence_o they_o say_v come_v the_o gangrene_n in_o the_o plague_n as_o carbuncle_n which_o sometime_o in_o 24_o hour_n time_n cause_v a_o entire_a mortification_n of_o a_o part_n to_o the_o same_o cause_n they_o attribute_v the_o gangrene_n which_o happen_v on_o malignant_a fever_n and_o sometime_o after_o the_o small_a pox_n by_o a_o depositum_fw-la or_o crisis_n of_o the_o matter_n which_o the_o disease_n make_v in_o some_o part_n last_o it_o be_v this_o way_n which_o they_o pretend_v to_o explicate_v the_o action_n of_o poison_n and_o bite_v of_o venomous_a animal_n which_o they_o say_v will_v cause_v a_o gangrene_n but_o without_o have_v recourse_n to_o the_o malign_v and_o occult_a quality_n of_o the_o plague_n be_v we_o to_o wonder_v at_o carbuncle_n cause_v a_o mortification_n in_o any_o part_n mortify_v why_o a_o carbuncle_n mortify_v since_o the_o humour_n which_o produce_v they_o be_v in_o the_o high_a degree_n of_o sharpness_n and_o corrosion_n it_o gnaw_v the_o flesh_n and_o cauterise_n the_o vessel_n so_o it_o be_v evident_a the_o part_n must_v mortify_v the_o same_o thing_n may_v be_v say_v of_o the_o matter_n of_o malign_v fever_n and_o of_o the_o small_a pox_n where_o the_o blood_n be_v load_v with_o sharp_a and_o malign_a particle_n if_o so_o be_v that_o this_o acrimony_n can_v be_v overcome_v by_o nature_n or_o by_o medicine_n there_o be_v a_o depositum_fw-la make_v of_o it_o in_o some_o part_n where_o the_o sharp_a and_o corrosive_a humour_n do_v not_o fail_v to_o gnaw_v the_o flesh_n cauterise_v the_o vessel_n and_o even_o to_o rot_v the_o very_a bone_n as_o we_o have_v see_v in_o many_o example_n i_o say_v the_o same_o thing_n of_o poison_n that_o do_v not_o work_v but_o by_o their_o acrimony_n of_o which_o some_o be_v acid_a and_o other_o abound_v with_o lixivial_a salt_n but_o always_o they_o produce_v the_o same_o effect_n as_o we_o daily_o see_v it_o happen_v by_o the_o application_n of_o acid_n and_o potential_a cautery_n after_o the_o explication_n of_o the_o cause_n we_o must_v pass_v to_o the_o sign_n and_o difference_n of_o a_o gangrene_n as_o for_o the_o difference_n its_o easy_a to_o draw_v they_o from_o their_o cause_n i_o pass_v to_o the_o sign_n which_o be_v of_o more_o importance_n etc._n sign_n of_o a_o gangrene_n from_o want_n of_o spirit_n etc._n etc._n the_o sign_n of_o a_o gangrene_n which_o attack_z old_a people_n and_o which_o come_v from_o the_o want_n of_o spirit_n be_v know_v by_o that_o they_o feel_v neither_o pain_n nor_o have_v inflammation_n the_o part_n fade_v away_o and_o be_v as_o it_o be_v deprive_v of_o sense_n and_o motion_n which_o make_v they_o die_v insensible_o dropsy_n sign_n for_o the_o dropsy_n in_o a_o gangrene_n which_o succeed_v the_o dropsy_n there_o be_v but_o a_o slight_a pain_n in_o the_o beginning_n but_o afterward_o the_o leg_n inflame_v and_o the_o pain_n augment_v cold._n sign_n from_o cold._n if_o it_o be_v cause_v from_o external_n cold_a the_o pain_n be_v present_o sharp_a the_o part_n grow_v red_a livid_n and_o then_o black_a at_o last_o the_o spirit_n forsake_v it_o and_o mortification_n seize_v accompany_v with_o a_o shiver_a like_o that_o in_o a_o ague_n etc._n sign_n from_o compression_n tumor_n luxation_n etc._n etc._n if_o the_o gangrene_n be_v the_o consequence_n of_o some_o compression_n as_o of_o too_o narrow_a ligature_n tumor_n luxation_n fracture_n or_o of_o too_o long_o lie_v on_o the_o back_n it_o be_v know_v by_o the_o benumb_a or_o by_o a_o total_a privation_n of_o feeling_n and_o motion_n according_a as_o the_o compression_n be_v more_o or_o less_o strong_a etc._n sign_n from_o inflammation_n etc._n etc._n if_o it_o be_v cause_v by_o inflammation_n the_o pain_n and_o pulsation_n cease_v the_o part_n which_o be_v red_a grow_v pale_a and_o livid_n there_o be_v some_o little_a blister_n form_v upon_o the_o surface_n of_o the_o skin_n fill_v with_o salt_n water_n like_o muddy_a wine_n the_o heat_n be_v extinguish_v the_o part_n grow_v soft_a and_o wither_v so_o that_o be_v press_v with_o the_o finger_n the_o dent_n remain_v final_o if_o the_o mortification_n be_v perfect_a the_o patient_n fall_v into_o great_a weakness_n accompany_v with_o a_o burn_a malignant_a fever_n with_o vomit_v and_o several_a other_o symptom_n which_o show_n that_o the_o mass_n of_o blood_n be_v very_o much_o oppress_v and_o death_n must_v needs_o follow_v upon_o it_o etc._n sign_n from_o repercussive_n etc._n etc._n the_o gangrene_n which_o be_v produce_v by_o the_o use_n of_o repercussive_n and_o emplastic_a remedy_n be_v accompany_v with_o the_o same_o accident_n medicine_n sign_n from_o caustic_n medicine_n the_o sign_n of_o that_o which_o come_v from_o the_o use_n of_o actual_a cautery_n and_o caustick_a remedy_n be_v almost_o always_o the_o same_o as_o in_o that_o which_o proceed_v from_o too_o strong_a compression_n malignity_n sign_n from_o malignity_n as_o for_o the_o gangrene_n which_o come_v from_o
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
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 bolst●…●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 whi●●●he_v sulphureous_a particle_n that_o ●…elt_v and_o be_v ●●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
be_v not_o apply_v upon_o nervous_a part_n nor_o upon_o the_o great_a vessel_n but_o always_o between_o the_o muscle_n you_o first_o rub_v the_o part_n with_o a_o warm_a cloth_n to_o open_v the_o pore_n and_o to_o make_v the_o part_n in_o a_o manner_n insensible_a you_o put_v a_o plaster_n on_o it_o with_o a_o hole_n in_o the_o middle_n to_o put_v the_o caustic_n in_o which_o you_o cover_v with_o a_o compress_v and_o with_o a_o little_a fillet_n a_o general_z idea_n of_o wound_n chap._n i._o of_o incise_v or_o contuse_v wound_n of_o the_o flesh_n to_o finish_v this_o treatise_n i_o think_v fit_a to_o relate_v the_o most_o important_a observation_n which_o regard_v the_o cure_n of_o wound_n and_o to_o clear_v the_o stiff_a difficulty_n which_o puzzle_v most_o surgeon_n in_o the_o method_n of_o discuss_v they_o well_o without_o which_o we_o can_v obtain_v our_o wish_a for_o end_n those_o that_o hitherto_o have_v treat_v of_o they_o have_v be_v satisfy_v to_o hold_v long_a discourse_n about_o their_o several_a kind_n difference_n and_o prognostic_n but_o see_v these_o sort_n of_o useless_a discourse_n serve_v only_o to_o tire_v the_o memory_n of_o those_o which_o seek_v to_o be_v instruct_v i_o will_v not_o repeat_v they_o i_o begin_v first_o with_o the_o most_o simple_a and_o know_v symptom_n wound_n to_o stop_v the_o hemorrhage_n in_o wound_n be_v the_o hemorrhage_n be_v the_o first_o and_o most_o dangerous_a symptom_n of_o wound_n it_o be_v that_o which_o the_o surgeon_n must_v quick_o correct_v in_o close_v the_o vessel_n from_o whence_o the_o blood_n flow_v for_o if_o you_o stop_v they_o the_o blood_n run_v no_o more_o that_o be_v to_o say_v you_o must_v put_v into_o their_o aperture_n some_o medicine_n which_o hinder_v the_o effusion_n of_o the_o liquor_n they_o contain_v or_o in_o tie_v or_o compress_v they_o these_o two_o last_o method_n be_v the_o sure_a because_o one_o may_v order_v they_o as_o one_o please_v so_o that_o the_o intention_n for_o which_o we_o make_v the_o ligature_n or_o introduce_v lint_n into_o a_o new_a wound_n be_v to_o hinder_v the_o flux_n of_o blood_n in_o press_v the_o lint_n a_o little_a to_o oblige_v the_o side_n of_o the_o vessel_n to_o approach_v and_o resist_v the_o impulsion_n of_o the_o blood_n yet_o so_o that_o the_o compression_n excite_v not_o inflammation_n a_o wound_n have_v be_v so_o dress_v it_o be_v of_o importance_n to_o prevent_v the_o inflammation_n and_o pain_n which_o be_v the_o two_o accident_n which_o always_o accompany_v it_o inflammation_n cause_o of_o inflammation_n the_o inflammation_n or_o tumour_n proceed_v from_o the_o circulation_n in_o the_o part_n be_v impede_v by_o the_o division_n of_o the_o vessel_n the_o grumou_n clode_v blood_n and_o the_o dress_n these_o strange_a body_n be_v as_o so_o many_o sluice_n which_o oppose_v the_o course_n of_o the_o blood_n oblige_v it_o to_o stop_v and_o excite_v inflammation_n pain_n cause_o of_o pulsative_a pain_n i_o conceive_v two_o sort_n of_o pain_n the_o first_o be_v a_o pulsative_a pain_n which_o depend_v on_o the_o artery_n that_o creep_v about_o the_o nerve_n which_o at_o that_o time_n be_v so_o extend_v that_o they_o strike_v the_o nerve_n more_o rude_o than_o they_o use_v to_o do_v and_o make_v they_o suffer_v so_o great_a distention_n that_o they_o break_v and_o it_o be_v this_o plurality_n of_o division_n which_o cause_n the_o pain_n pain_n cause_o of_o the_o quick_a and_o burn_a pain_n the_o second_o be_v a_o quick_a and_o burn_a pain_n cause_v by_o the_o suppression_n of_o the_o course_n of_o the_o blood_n which_o by_o the_o motion_n and_o frequent_a shock_n of_o its_o most_o active_a principle_n burst_v the_o vessel_n and_o extravasate_v between_o the_o porosites_n of_o the_o flesh_n where_o it_o be_v rarify_v by_o the_o great_a quantity_n of_o concentred_a spirit_n which_o penetrate_v the_o most_o insensible_a porosity_n then_o do_v the_o blood_n by_o its_o irregular_a action_n shake_v and_o violent_o prick_v the_o little_a nervous_a fillament_n from_o whence_o proceed_v this_o second_o kind_n of_o burn_a pain_n pain_n 2._o to_o prevent_v pain_n we_o common_o prevent_v these_o two_o accident_n by_o repress_v the_o motion_n of_o the_o blood_n which_o come_v to_o the_o part_n with_o too_o great_a precipitation_n by_o repercussive_n and_o gentle_a astringent_n bandage_n be_v of_o the_o first_o rank_n which_o we_o use_v very_o successful_o in_o bind_v the_o wound_n up_o gentle_o as_o also_o the_o neighbour_a part_n whereas_o too_o tight_a a_o compression_n will_v augment_v the_o inflammation_n it_o be_v for_o this_o end_n we_o ready_o employ_v defensative_n as_o we_o call_v they_o because_o they_o be_v compound_v of_o a_o desiccative_a matter_n which_o insensible_o shut_v up_o the_o porosity_n of_o the_o vessel_n as_o terra_fw-la sigillata_fw-la &_o bole_n mix_v with_o the_o white_a of_o a_o egg_n or_o common_a water_n you_o must_v observe_v never_o to_o leave_v they_o long_o on_o then_o 24_o hour_n caution_n caution_n for_o reason_n which_o we_o shall_v allege_v hereafter_o you_o must_v at_o the_o same_o time_n sweeten_v the_o acrimony_n of_o the_o blood_n and_o empty_a the_o vessel_n by_o phlebotomy_n clyster_n and_o a_o good_a diet._n wound_n a_o thin_a diet_n exceed_v good_a in_o wound_n if_o the_o patient_n will_v be_v prudent_a in_o his_o way_n of_o live_v and_o use_v only_o a_o thin_a spare_a diet_n he_o will_v suffer_v much_o less_o pain_n and_o his_o cure_n will_v be_v quick_a because_o salt_n meat_n be_v capable_a of_o thicken_a the_o blood_n and_o make_v it_o fit_a for_o fermentation_n whereas_o sweet_a liquid_n by_o their_o insipidness_n dissolve_v and_o charge_v themselves_o with_o the_o salt_n and_o precipitate_v it_o by_o urine_n after_o this_o manner_n the_o intempery_n of_o the_o blood_n be_v correct_v and_o the_o affect_a part_n relieve_v clyster_n benefit_n of_o clyster_n clyster_n be_v also_o of_o great_a use_n because_o they_o hinder_v the_o excrement_n from_o heat_n and_o boil_a back_n again_o in_o the_o intestine_n they_o dilate_v the_o matter_n moderate_a the_o heat_n of_o all_o the_o viscera_n and_o contribute_v much_o to_o the_o cure_n of_o wound_n dress_n repercussive_n use_v only_o in_o the_o first_o dress_n you_o must_v observe_v that_o at_o the_o same_o time_n repercussive_n retain_v the_o most_o subtle_a and_o agitate_a salt_n particle_n of_o the_o blood_n they_o grow_v sour_a gnaw_v the_o vessel_n and_o excite_v a_o fermentation_n upon_o which_o a_o fever_n soon_o follow_v they_o be_v therefore_o only_o use_v in_o the_o first_o dress_n and_o prefer_v discutients_n which_o open_v the_o pore_n and_o cause_v the_o volatile_a salt_n to_o perspire_v and_o so_o empty_a the_o part_n it_o be_v easy_a to_o see_v if_o one_o continue_v the_o use_n of_o repercussive_n the_o salt_n endeavour_v to_o escape_v fail_v not_o to_o excite_v inflammation_n and_o to_o corrupt_v the_o nourish_a juice_n of_o the_o part_n in_o disunit_a the_o principle_n of_o the_o blood_n which_o depend_v one_o on_o another_o &_o which_o by_o the_o frequent_a encounter_n and_o shock_n of_o their_o particle_n change_v figure_n from_o which_o depend_v the_o generation_n of_o a_o new_a matter_n and_o all_o the_o change_n which_o happen_v together_o discutient_n and_o suppuration_n must_v work_v together_o if_o in_o such_o a_o occasion_n discutient_n which_o cause_n perspiration_n and_o digestive_n which_o excite_v a_o quick_a suppuration_n shall_v not_o work_v together_o to_o disengage_v the_o part_n it_o will_v tumifie_v so_o much_o as_o to_o fall_v into_o gangrene_n cataplasm_n which_o have_v oil_n and_o fat_n be_v in_o their_o composition_n have_v almost_o the_o same_o effect_n as_o repercussative_n for_o which_o reason_n good_a practitioner_n disapprove_v their_o use_n we_o observe_v that_o in_o great_a wound_n discutient_n excite_v often_o a_o fermentation_n which_o increase_v the_o inflammation_n in_o that_o case_n a_o cataplasm_n make_v with_o crumb_n of_o bread_n milk_n the_o yolk_n of_o a_o egg_n mallow_n root_n etc._n etc._n be_v very_o proper_a we_o ordinary_o blame_v those_o who_o let_v the_o pus_fw-la lie_v too_o long_o in_o the_o wound_n because_o it_o always_o get_v some_o malignity_n &_o corrode_v the_o neighbour_a vessel_n which_o present_o produce_v inflammation_n &_o putrefaction_n or_o else_o the_o vein_n absorb_v it_o &_o carry_v it_o to_o the_o heart_n from_o whence_o it_o diffuse_v itself_o into_o the_o whole_a mass_n of_o blood_n and_o cause_v the_o fever_n and_o according_a to_o the_o different_a alteration_n which_o it_o receive_v in_o pass_v through_o the_o part_n it_o obstruct_v the_o liver_n lung_n or_o some_o other_o part_n so_o cause_v a_o imposthume_n there_o as_o we_o have_v observe_v in_o wound_n of_o the_o head_n this_o demonstrate_v to_o we_o that_o we_o ought_v to_o dry_v up_o all_o the_o matter_n that_o be_v in_o the_o wound_n and_o press_v the_o dossel_n