mortify_a part_n be_v deprive_v of_o motion_n and_o feeling_n as_o because_o a_o great_a pain_n cause_v a_o inflammation_n and_o sometime_o mortification_n do_v not_o consider_v that_o the_o weight_n of_o the_o courser_n particle_n of_o the_o blood_n which_o lie_v in_o a_o part_n press_v the_o nerve_n and_o so_o interrupt_v the_o course_n of_o the_o spirit_n and_o the_o pulsation_n of_o the_o artery_n be_v no_o more_o feel_v for_o as_o nature_n delight_v to_o glue_v the_o artery_n to_o the_o nerve_n nerve_n artery_n for_o the_o most_o part_n join_v with_o nerve_n and_o that_o she_o make_v use_v of_o the_o pulsation_n to_o oblige_v all_o the_o little_a nervous_fw-fr fibres_n to_o discharge_v the_o spirit_n which_o they_o contain_v so_o it_o will_v be_v always_o true_a to_o say_v that_o the_o gangrene_n succeed_v great_a pain_n and_o inflammation_n and_o that_o the_o privation_n of_o motion_n and_o feeling_n come_v chief_o from_o the_o blood_n since_o it_o be_v that_o which_o hinder_v by_o its_o stay_n the_o distribution_n of_o the_o spirit_n i_o deny_v not_o that_o the_o want_n of_o animal_n spirit_n in_o paralytic_n may_v give_v occasion_n to_o a_o gangrene_n to_o seize_v the_o soon_o on_o a_o part_n as_o we_o shall_v see_v in_o the_o follow_a discourse_n after_o all_o i_o have_v say_v it_o be_v easy_a to_o comprehend_v that_o the_o heat_n and_o life_n be_v precise_o contain_v in_o the_o blood_n since_o the_o dissipation_n and_o absence_n of_o its_o spirituous_a and_o nourish_a particle_n cause_v the_o gangrene_n and_o that_o their_o presence_n and_o exaltation_n entertain_v the_o natural_a heat_n gangrene_n true_a and_o only_a cause_n of_o a_o gangrene_n i_o say_v then_o in_o general_a that_o the_o cause_n of_o a_o gangrene_n and_o mortification_n be_v the_o dissipation_n &_o absence_n or_o concentration_n of_o the_o spirituous_a particle_n of_o the_o blood_n which_o must_v vivify_v the_o part_n or_o at_o least_o the_o interruption_n of_o the_o course_n of_o the_o same_o and_o its_o coagulation_n these_o cause_n act_n for_o the_o most_o part_n separately_z it_o may_v also_o happen_v that_o they_o act_v together_o to_o cause_v a_o gangrene_n as_o i_o shall_v make_v you_o observe_v let_v we_o examine_v all_o these_o cause_n and_o first_o see_v what_o be_v this_o alteration_n of_o the_o blood_n that_o be_v deprive_v of_o its_o spirituous_a particle_n from_o which_o follow_v gangrene_n and_o mortification_n to_o give_v a_o just_a idea_n of_o it_o let_v we_o consider_v the_o change_n that_o happen_v to_o wine_n all_o the_o world_n agree_v comparison_n a_o comparison_n that_o the_o good_a condition_n of_o wine_n consist_v in_o the_o exaltation_n of_o its_o most_o subtle_a and_o spirituous_a principle_n as_o long_o as_o these_o principle_n have_v the_o upper_a hand_n the_o wine_n remain_v in_o a_o state_n of_o gentle_a and_o natural_a fermentation_n and_o consequent_o of_o goodness_n but_o if_o it_o happen_v by_o what_o cause_n soever_o that_o they_o be_v weaken_a and_o dissipate_v and_o the_o acid_a salt_n or_o salt_n sulphur_n take_v the_o upperhand_n than_o it_o be_v that_o the_o wine_n grow_v sour_a and_o at_o least_o sharp_a and_o very_a disagreeable_a it_o happen_v also_o very_a often_o that_o after_o the_o loss_n and_o dissipation_n of_o the_o spirit_n there_o remain_v nothing_o in_o the_o wine_n but_o earth_n and_o phlegm_n it_o be_v without_o taste_n and_o be_v nothing_o but_o a_o dead_a mass_n and_o barren_a liquor_n which_o in_o latin_a be_v call_v vappa_fw-la vinum_fw-la pendulum_fw-la which_o be_v as_o it_o be_v the_o cadaver_n of_o the_o wine_n final_o it_o happen_v that_o in_o cold_a wether_n the_o spirit_n of_o the_o wine_n concentre_v in_o the_o midst_n of_o the_o vessel_n which_o contain_v it_o so_o that_o all_o the_o part_n in_o the_o circumference_n be_v deprive_v of_o the_o spirit_n congeal_v i_o say_v that_o when_o the_o spirituous_a particle_n of_o the_o blood_n be_v dissipate_v or_o concentre_v it_o receive_v almost_o the_o same_o alteration_n if_o the_o acid_a salt_n or_o salt_n sulphur_n take_v the_o upper_a hand_n it_o become_v acid_a or_o rank_n willis_n use_v the_o same_o example_n when_o he_o explain_v the_o alteration_n that_o happen_v to_o the_o blood_n 68_o in_o tract_n de_fw-fr ferm_n p._n 68_o in_o comparison_n to_o those_o that_o happen_v to_o wine_n cum_fw-la a_o long_fw-mi fermentatione_n spiritus_fw-la absumi_fw-la actandum_fw-la deficere_fw-la incipiunt_fw-la inducitur_fw-la defectionis_fw-la status_fw-la quo_fw-la vina_fw-la aliique_fw-la liquores_fw-la ant_n in_o vappam_fw-la transeunt_fw-la of_o it_o demum_fw-la sale_n vel_fw-la sulphur_n nimium_fw-la exaltatis_fw-la acetosi_fw-la ant_n rancidi_fw-la fiunt_fw-la pariter_fw-la &_o sanguis_fw-la dum_fw-la in_o vasis_fw-la circulatur_fw-la juxta_fw-la triplicem_fw-la hujusmodi_fw-la diathesin_n considerari_fw-la potest_fw-la etc._n etc._n final_o when_o all_o the_o spirit_n be_v dissipate_v that_o the_o blood_n degenerate_v into_o a_o dead_a inspire_v mass_n incapable_a of_o any_o fermentation_n and_o whenever_o the_o spirit_n be_v concentre_v in_o great_a cold_a they_o abandon_v or_o forsake_v the_o exterior_a part_n which_o be_v then_o only_o irrigate_v with_o blood_n deprive_v of_o vital_a and_o spirituous_a particle_n this_o last_o state_n of_o the_o blood_n answer_v to_o turn_v wine_n whence_o depend_v the_o mortification_n of_o a_o part_n in_o certain_a case_n which_o i_o be_o go_v to_o propose_v people_n cause_o of_o gangrene_n in_o old_a people_n first_o we_o observe_v that_o old_a people_n die_v very_o often_o of_o gangrene_n and_o that_o that_o it_o begin_v by_o the_o extremity_n and_o follow_v through_o the_o whole_a body_n in_o spite_n of_o all_o remedy_n that_o may_v be_v use_v the_o same_o thing_n happen_v through_o long_a abstinence_n and_o after_o all_o sort_n of_o too_o great_a evacuation_n to_o give_v a_o account_n of_o this_o phenomena_n you_o must_v observe_v that_o the_o blood_n can_v no_o more_o than_o other_o liquor_n that_o ferment_n always_o remain_v in_o the_o same_o condition_n it_o be_v active_a principle_n be_v yet_o entangle_v in_o infancy_n they_o get_v loose_a in_o our_o youth_n remain_v in_o a_o state_n of_o exaltation_n during_o a_o certain_a age_n but_o at_o last_o they_o be_v dissipate_v and_o begin_v to_o abandon_v their_o subject_n in_o old_a age_n therefore_o old_a people_n become_v by_o little_a and_o little_a incapable_a of_o their_o ordinary_a motion_n they_o lose_v insensible_o their_o vigour_n till_o at_o last_o their_o life_n in_o lose_v their_o heat_n and_o spirit_n this_o be_v so_o it_o be_v not_o hard_a to_o explain_v why_o old_a people_n who_o die_v after_o this_o manner_n be_v always_o trouble_v with_o gangrene_n in_o their_o last_o day_n the_o reason_n be_v because_o their_o blood_n become_v a_o languid_a mass_n which_o no_o more_o contain_v any_o character_n of_o life_n and_o which_o in_o effect_n be_v no_o more_o than_o a_o cadaver_n of_o blood_n this_o kind_n of_o death_n one_o may_v call_v natural_a because_o it_o happen_v not_o but_o when_o the_o heat_n be_v extinguish_v of_o itself_o and_o by_o degree_n ideoque_fw-la mori_fw-la simul_fw-la dicuntur_fw-la &_o extingui_fw-la in_o this_o manner_n it_o be_v that_o a_o mortification_n of_o the_o blood_n and_o spirit_n happen_v after_o a_o hectic_a fever_n long_a flux_n great_a abstinence_n too_o great_a labour_n and_o general_o after_o all_o sort_n of_o great_a evacuation_n because_o in_o these_o occasion_n the_o matter_n design_v for_o the_o entertain_n of_o natural_a heat_n be_v dissipate_v or_o be_v not_o enough_o furnish_v to_o supply_v the_o loss_n of_o it_o which_o it_o actual_o suffer_v of_o the_o rest_n though_o in_o this_o state_n of_o the_o blood_n the_o gangrene_n be_v almost_o universal_a and_o need_v no_o other_o cause_n to_o manifest_v itself_o yet_o sometime_o it_o happen_v that_o the_o slowness_n of_o the_o circulation_n give_v it_o occasion_n to_o attack_v certain_a part_n there_o be_v a_o very_a particular_a case_n of_o it_o in_o the_o 46th_o chapter_n of_o the_o second_o book_n of_o tulpius_n his_o observation_n observation_n observation_n where_o he_o relate_v that_o a_o old_a man_n be_v reduce_v to_o such_o a_o languish_a condition_n and_o so_o great_a a_o weakness_n that_o the_o least_o impression_n cause_v he_o to_o have_v a_o gangrene_n he_o dare_v not_o so_o much_o as_o sit_v down_o nor_o lean_a on_o a_o elbow_n nor_o even_o set_v a_o foot_n on_o the_o ground_n or_o press_v any_o of_o his_o member_n but_o there_o appear_v some_o mark_n of_o mortification_n which_o follow_v the_o gangrene_n this_o observation_n be_v rare_a and_o singular_a we_o must_v confess_v that_o his_o blood_n be_v mighty_o exhaust_v of_o spirit_n since_o a_o slight_a compression_n only_o be_v capable_a to_o produce_v a_o gangrene_n in_o a_o part_n we_o need_v not_o search_v any_o where_o else_o for_o the_o cause_n of_o a_o gangrene_n which_o happen_v to_o the_o leg_n and_o other_o part_n of_o
be_v only_o a_o serous_a mass_n sharp_a and_o corrosive_n have_v lose_v all_o its_o consistence_n and_o unctuosity_n and_o consequent_o incapable_a of_o reunion_n you_o must_v have_v regard_n to_o some_o of_o these_o circumstance_n in_o all_o other_o suture_n therefore_o the_o union_n of_o the_o hair-lip_n be_v not_o to_o be_v undertake_v but_o in_o adult_a person_n who_o have_v no_o other_o incommodity_n and_o be_v willing_a to_o endure_v pain_n perform_v how_o it_o be_v to_o be_v perform_v to_o perform_v this_o methodical_o you_o must_v cut_v a_o little_a filament_n which_o fasten_v the_o upper-lip_n to_o the_o gum_n to_o give_v liberty_n to_o embrace_v with_o your_o instrument_n the_o whole_a breadth_n of_o the_o hair-lip_n it_o be_v a_o particular_a pair_n of_o pincer_n with_o which_o you_o must_v engage_v the_o lip_n towards_o the_o corner_n of_o the_o mouth_n and_o let_v it_o slip_v to_o the_o extremity_n of_o the_o slit_n you_o must_v secure_v and_o fasten_v it_o with_o a_o ring_n to_o have_v the_o liberty_n of_o refresh_v and_o cut_v dexterous_o the_o superfice_n afterward_o you_o must_v unbridle_v the_o upper_a part_n for_o fear_n there_o may_v remain_v a_o little_a swell_n which_o will_v be_v as_o disagreeable_a as_o the_o deformity_n itself_o so_o that_o after_o the_o two_o lip_n of_o the_o wound_n have_v be_v exact_o bring_v together_o and_o that_o they_o be_v in_o a_o just_a level_n you_o must_v pass_v from_o one_o lip_n to_o another_o one_o or_o two_o needle_n arm_v with_o wax_v thread_n according_a to_o the_o length_n of_o the_o hair_n lip_n and_o cross_v the_o thread_n about_o the_o needle_n as_o be_v convenient_a you_o must_v break_v off_o the_o point_n and_o lay_v some_o little_a compress_n underneath_o that_o they_o may_v prick_v the_o patient_n then_o apply_v a_o little_a pledgit_fw-la wet_a in_o some_o balm_n or_o styptic_a liquor_n and_o embrocate_v with_o ol._n rosar_n with_o a_o compress_v dip_v in_o oxyerate_a and_o a_o little_a band_n or_o the_o fourfold_a bandage_n you_o must_v not_o imitate_v certain_a operator_n who_o scarify_v to_o no_o purpose_n the_o side_n of_o the_o wound_n to_o disengage_v the_o part_n which_o always_o suffer_v some_o tension_n since_o we_o can_v remedy_v this_o inconvenience_n by_o lay_v on_o the_o cheek_n some_o compress_n sustain_v by_o the_o bandage_n you_o must_v order_v the_o sick_a a_o very_a exact_a diet_n which_o consist_v in_o use_v the_o first_o three_o or_o four_o day_n nothing_o but_o liquid_n and_o avoid_v all_o sort_n of_o motion_n chap._n vi_o of_o the_o gastroraphia_fw-la of_o all_o part_n of_o the_o body_n there_o be_v none_o more_o subject_a to_o malady_n than_o the_o belly_n and_o that_o consequent_o have_v more_o need_n of_o the_o surgeon_n assistance_n the_o operation_n which_o be_v practise_v there_o depend_v from_o the_o wound_n that_o happen_v to_o it_o from_o the_o tumour_n call_v hernias_fw-la from_o laborious_a childbirth_n from_o dropsy_n fistula_n and_o apostem_n the_o wound_n of_o the_o belly_n be_v either_o big_a or_o little_a superficial_a or_o penetrate_a be_v make_v with_o or_o without_o the_o hurt_n of_o the_o contain_v part_n which_o very_o often_o come_v out_o of_o the_o cavity_n according_a to_o their_o indisposition_n greatness_n of_o the_o wound_n more_o or_o less_o motion_n as_o we_o be_v go_v to_o explain_v we_o conjecture_v there_o be_v some_o part_n damage_v according_a to_o the_o figure_n of_o the_o instrument_n wound_v you_o may_v judge_v what_o part_n be_v hurt_v by_o the_o situation_n of_o the_o wound_n and_o by_o that_o in_o which_o the_o patient_n be_v when_o receive_v viscera_n sign_n of_o the_o wound_a viscera_n but_o the_o true_a sign_n which_o indicate_v the_o division_n of_o some_o internal_a part_n be_v acute_a pain_n inflammation_n fever_n or_o some_o matter_n come_v forth_o nevertheless_o all_o these_o sign_n be_v equivocal_a except_o the_o least_o which_o be_v know_v by_o the_o colour_n smell_v and_o consistence_n of_o the_o matter_n which_o be_v discharge_v out_o of_o the_o wound_n or_o flow_v in_o the_o cavity_n of_o the_o belly_n belly_n after_o what_o manner_n the_o viscera_n get_v out_o of_o the_o belly_n but_o as_o the_o most_o of_o these_o part_n be_v float_v and_o always_o relax_v they_o get_v out_o of_o their_o cavity_n at_o the_o least_o impression_n or_o disorder_n particular_o at_o the_o time_n of_o expiration_n when_o the_o thorax_n contract_v though_o it_o seem_v that_o they_o shall_v rather_o escape_v in_o the_o inspiration_n when_o the_o diaphragm_n be_v level_v push_v back_o as_o the_o antagonist_n of_o the_o muscle_n of_o the_o low_a belly_n all_o the_o part_n that_o be_v under_o it_o yet_o its_o certain_a that_o the_o muscle_n of_o the_o low_a belly_n oblige_v they_o against_o their_o natural_a motion_n and_o inclination_n to_o come_v out_o of_o the_o wound_n in_o time_n of_o expiration_n when_o they_o press_v all_o the_o contain_v part_n of_o the_o belly_n this_o be_v so_o it_o be_v evident_a that_o it_o be_v necessary_a for_o the_o part_n that_o be_v under_o the_o muscle_n and_o out_o of_o action_n to_o regurgitate_v and_o show_v itself_o out_o of_o the_o wound_n as_o a_o piece_n of_o paste_n do_v between_o the_o finger_n when_o squeeze_v with_o the_o hand_n whereof_o depend_v those_o frequent_a strangulation_n and_o dangerous_a inflammation_n you_o must_v also_o remark_n that_o these_o part_n be_v extreme_a spongy_a and_o greezy_a who_o texture_n be_v very_o loose_a humect_v with_o a_o quantity_n of_o humour_n bedew_v with_o a_o infinite_a number_n of_o vessel_n and_o consequent_o very_a subject_n to_o putrefaction_n for_o the_o air_n come_v to_o strike_v and_o penetrate_v their_o substance_n they_o fail_v not_o to_o tumefie_v and_o condense_a the_o blood_n which_o animate_v they_o if_o they_o be_v too_o long_o expose_v to_o it_o these_o part_n be_v therefore_o deprive_v of_o the_o motion_n of_o the_o blood_n in_o which_o consist_v their_o heat_n and_o life_n there_o must_v needs_o happen_v a_o mortification_n beside_o the_o action_n of_o the_o air_n we_o know_v that_o inflammation_n be_v capable_a of_o cause_v the_o strangulation_n and_o mortification_n it_o be_v easy_a to_o conceive_v that_o the_o part_n be_v inflame_v and_o swell_v must_v take_v up_o more_o room_n than_o before_o and_o press_v the_o intestine_a and_o omentum_fw-la which_o be_v common_o find_v in_o the_o passage_n intestia_n cause_o of_o the_o inflation_n of_o the_o intestia_n from_o which_o must_v follow_v interruption_n of_o the_o course_n of_o the_o blood_n and_o spirit_n in_o those_o part_n and_o consequent_o gangrene_n it_o often_o happen_v that_o the_o intestine_a be_v inflate_v the_o cause_n of_o which_o proceed_v from_o the_o inflammation_n which_o the_o wound_n communicate_v to_o the_o gut_n and_o the_o air_n obstruct_v the_o pore_n beside_o the_o return_n of_o the_o venal_a blood_n be_v in_o a_o manner_n stop_v by_o the_o strangulation_n and_o the_o little_a motion_n which_o be_v to_o be_v see_v there_o the_o inflammation_n which_o attack_n the_o gut_n be_v capable_a of_o rarify_n a_o part_n of_o the_o serosity_n and_o the_o other_o juice_n which_o be_v contain_v there_o who_o motion_n be_v make_v more_o slow_a not_o be_v able_a to_o escape_v by_o reason_n of_o the_o air_n which_o stop_v all_o the_o passage_n and_o shut_v the_o pore_n of_o the_o intestine_a so_o that_o it_o be_v impossible_a for_o the_o surgeon_n to_o reduce_v they_o without_o dilate_v the_o wound_n narrow_a how_o to_o dilate_v when_o too_o narrow_a to_o perform_v which_o the_o surgeon_n must_v pass_v a_o hollow_a probe_n between_o the_o lip_n of_o the_o wound_n and_o intestine_a and_o slip_v a_o bistory_n all_o along_o the_o hollow_a of_o the_o probe_n but_o before_o he_o make_v the_o incision_n it_o will_v be_v convenient_a to_o examine_v whether_o the_o gut_n be_v not_o engage_v lest_o he_o wound_v it_o this_o be_v know_v he_o may_v bold_o dilate_v the_o wound_n and_o cut_v as_o much_o off_o the_o peritonaeum_fw-la as_o of_o the_o muscle_n etc._n etc._n because_o the_o strangulation_n be_v every_o where_o equal_a against_o their_o opinion_n who_o pretend_v it_o be_v more_o considerable_a without_o than_z within_z i_o shall_v here_o speak_v of_o the_o precaution_n which_o the_o ancient_n take_v in_o apply_v fomentation_n and_o several_a other_o medicine_n but_o suppose_v it_o necessary_a to_o foment_n and_o warm_v the_o part_n with_o hot_a clothes_n or_o with_o wine_n part_n if_o the_o omentum_fw-la be_v alter_v cut_v off_o the_o mortify_a part_n before_o you_o reduce_v they_o you_o must_v examine_v whether_o they_o be_v hurt_v and_o if_o the_o omentum_fw-la be_v not_o mortify_v which_o be_v know_v by_o its_o lividity_n then_o without_o delay_n cut_v off_o the_o gangrene_v part_n after_o have_v make_v the_o ligature_n of_o that_o which_o be_v sound_a if_o there_o be_v a_o little_a wound_n in_o
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 peritonaeum_fw-la and_o muscle_n and_o so_o diminish_v part_n of_o their_o motion_n you_o must_v observe_v that_o wound_v of_o the_o gut_n be_v never_o reunite_v except_o to_o the_o ☜_o neighbour_a gut_n and_o other_o nigh_o part_n as_o peritonaeum_fw-la etc._n etc._n for_o which_o reason_n it_o be_v convenient_a to_o past_a a_o needle_n arm_v with_o wax_v thread_n under_o the_o body_n of_o the_o gut_n through_o the_o mesenterium_fw-la choose_v a_o place_n most_o free_a from_o vessel_n to_o pull_v it_o gentle_o towards_o the_o peritonaeum_fw-la to_o which_o it_o will_v easy_o adhere_v have_v observe_v these_o circumstance_n search_v for_o that_o part_n of_o the_o gut_n which_o be_v near_a the_o mouth_n of_o the_o wound_n gut_n how_o to_o reduce_v the_o gut_n and_o reduce_v it_o with_o your_o forefinger_n into_o the_o cavity_n of_o the_o belly_n and_o before_o you_o pull_v that_o back_n introduce_v the_o other_o and_o after_o this_o manner_n push_v it_o successive_o till_o in_o its_o natural_a place_n the_o ancient_n use_v to_o shake_v to_o the_o patient_n that_o the_o part_n may_v return_v to_o their_o former_a situation_n we_o always_o leave_v out_o of_o the_o wound_v a_o part_n of_o the_o ligature_n of_o the_o omentum_fw-la which_o we_o place_n on_o that_o side_n where_o the_o matter_n run_v least_o and_o we_o make_v the_o interrupt_v suture_a hence_o come_v the_o name_n of_o gastroraphia_fw-la belly_n how_o to_o make_v the_o suture_a of_o the_o belly_n you_o must_v have_v two_o crooked_a needle_n arm_v with_o the_o same_o thread_n then_o with_o your_o left_a hand_n hold_v the_o peritonaeum_fw-la and_o the_o other_o integument_n and_o take_v a_o needle_n with_o your_o right_n pass_v it_o from_o within_o outward_n on_o one_o lip_n and_o without_o lift_v your_o finger_n pass_v the_o other_o on_o the_o opposite_a side_n as_o the_o first_o you_o must_v make_v as_o many_o stitch_n as_o be_v necessary_a leave_v some_o space_n to_o put_v a_o tent_n in_o on_o that_o side_n where_o the_o matter_n take_v its_o course_n if_o there_o be_v any_o appearance_n of_o suppuration_n which_o common_o happen_v if_o the_o omentum_fw-la or_o intestine_a be_v any_o way_n alter_v have_v examine_v all_o these_o circumstance_n you_o begin_v with_o the_o middle_a stitch_n and_o so_o of_o the_o rest_n the_o suture_n be_v make_v you_o must_v apply_v a_o pledgit_fw-la dip_v in_o some_o balm_n or_o spirituous_a liquor_n make_v a_o light_a embrocation_n with_o ol._n ros_n and_o spirit_n vin._n on_o the_o region_n of_o the_o belly_n than_o a_o convenient_a defensative_a sustain_v with_o the_o napkin_n and_o scapule_a the_o next_o day_n instead_o of_o use_v astringent_n it_o be_v good_a to_o use_v emollient_a and_o resolve_v fomentation_n to_o hinder_v tension_n symptom_n tension_n a_o dreadful_a symptom_n which_o be_v a_o dreadful_a symptom_n for_o the_o edge_n of_o the_o wound_n endeavour_v to_o retire_v cause_n extreme_a pain_n and_o often_o break_v the_o thread_n 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 infallible_o if_o the_o surgeon_n by_o his_o industry_n do_v not_o so_o dispose_v the_o gut_n to_o let_v the_o contain_v matter_n run_v out_o that_o be_v he_o must_v show_v the_o gut_n to_o the_o peritonaeum_fw-la and_o tegument_n which_o make_v a_o kind_n of_o anus_fw-la that_o give_v the_o excrement_n liberty_n to_o come_v forth_o through_o the_o wound_n unless_o nature_n shall_v work_v by_o its_o self_n as_o it_o happen_v to_o a_o soldier_n in_o the_o invalid_n at_o paris_n which_o serve_v we_o for_o a_o example_n chap._n vii_o of_o the_o dropsy_n which_o occasion_n the_o paracentesis_n the_o dropsy_n as_o all_o the_o world_n know_v be_v a_o disease_n definition_n definition_n who_o part_n where_o it_o be_v make_v be_v as_o it_o be_v overflow_v with_o a_o great_a quantity_n of_o serosity_n particular_a division_n into_o general_n and_o particular_a we_o make_v ordinary_o two_o sort_n of_o they_o the_o general_a and_o particular_a the_o particular_a which_o we_o will_v examine_v 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 strictnâ—â—…_n but_o one_o soâ—…_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
the_o other_o unless_o the_o patient_n be_v resolve_v to_o endure_v the_o operation_n the_o 4._o be_v in_o all_o old_a excrescency_n to_o have_v a_o idea_n of_o their_o generation_n you_o must_v consider_v that_o the_o one_o attack_n the_o substance_n itself_o and_o the_o other_o its_o tunicle_n after_o this_o you_o must_v look_v upon_o the_o spermatic_a artery_n as_o the_o true_a source_n and_o channel_n which_o convey_v the_o matter_n of_o which_o the_o carnosity_n be_v form_v and_o that_o the_o arterial_a blood_n furnish_v the_o testicle_n with_o the_o matter_n of_o seed_n to_o be_v prepare_v there_o let_v we_o slip_v in_o this_o elaboration_n its_o most_o greasy_a and_o viscous_a part_n which_o the_o moderate_a heat_n that_o we_o find_v there_o condense_n in_o the_o little_a channel_n which_o compose_v they_o or_o in_o their_o tunicle_n almost_o as_o the_o white_a of_o a_o egg_n harden_v over_o a_o moderate_a fire_n this_o matter_n come_v to_o swell_v and_o extend_v these_o little_a tender_a pipe_n produce_v that_o which_o we_o call_v a_o spungy_a and_o carcinomatous_a excrescence_n it_o be_v only_o a_o swell_n of_o these_o little_a filament_n which_o a_o strange_a humour_n force_v to_o rise_v in_o a_o tumour_n you_o may_v also_o observe_v that_o by_o the_o over-growing_a of_o a_o new_a matter_n it_o become_v very_o often_o so_o remarkable_a that_o one_o can_v long_o carry_v this_o burden_n without_o discharge_v it_o if_o it_o happen_v that_o by_o what_o cause_n soever_o this_o liquor_n shall_v be_v determinate_v rather_o into_o the_o membrane_n of_o the_o testicle_n than_o any_o where_o else_o and_o that_o there_o be_v form_v a_o carcinomatous_a substance_n all_o along_o the_o production_n of_o the_o peritonaeum_fw-la which_o encroach_v sometime_o upon_o the_o interior_n part_n of_o the_o belly_n i_o suppose_v that_o the_o operation_n will_v then_o be_v needless_a because_o this_o carnosity_n occupy_v not_o only_o the_o vaginal_a tunicle_n which_o be_v a_o dilatation_n of_o the_o production_n of_o the_o peritonaeum_fw-la but_o also_o the_o production_n themselves_o you_o will_v ruin_v the._n vessel_n ring_n and_o several_a part_n include_v in_o the_o hypogastrium_fw-la i_o will_v not_o repeat_v here_o the_o sign_n of_o this_o disease_n as_o for_o its_o prognostic_n prognostic_n prognostic_n they_o be_v always_o very_o bad_a because_o it_o cost_v the_o testicle_n if_o any_o carnosity_n possess_v its_o substance_n for_o it_o can_v be_v consume_v without_o destroy_v it_o and_o the_o sare_a way_n be_v the_o operation_n chap._n xiii_o of_o castration_n the_o patient_n be_v lay_v on_o his_o back_n the_o surgeon_n incise_n with_o a_o very_a sharp_a instrument_n the_o membrane_n of_o the_o scrotum_fw-la upon_o the_o body_n of_o the_o testicle_n to_o discover_v the_o carnosity_n which_o must_v be_v separate_v from_o the_o dartos_fw-la without_o offend_v the_o cover_n of_o the_o seminal_a vessel_n be_v free_v from_o the_o neighbour_a part_n you_o make_v the_o ligature_n of_o the_o vessel_n between_o the_o ring_n and_o the_o tumour_n you_o must_v cut_v they_o half_o the_o length_n of_o a_o finger_n from_o the_o ligature_n and_o take_v away_o the_o testicle_n with_o the_o sarcoma_n you_o leave_v a_o end_n of_o the_o thread_n out_o of_o the_o wound_n avoid_v to_o pull_v the_o spermatick_a vessel_n to_o you_o hard_o the_o spermatick_a vessel_n not_o to_o be_v tie_v too_o hard_o or_o compress_v they_o too_o hard_o lest_o the_o patient_n shall_v fall_v into_o a_o convulsion_n that_o they_o may_v not_o slip_v into_o the_o belly_n where_o they_o will_v shed_v blood_n and_o so_o cause_n death_n in_o a_o little_a time_n if_o the_o tumour_n be_v considerable_a scirrhous_a inflame_v painful_a and_o posfess_v both_o the_o testicle_n and_o of_o continuance_n the_o operation_n be_v very_o dangerous_a if_o the_o production_n of_o the_o peritonaeum_fw-la be_v carcinomatous_a and_o you_o have_v a_o design_n to_o make_v the_o operation_n you_o must_v first_o consume_v the_o flesh_n by_o the_o help_n of_o potential_a cautery_n or_o mollify_v they_o by_o a_o powerful_a suppuration_n yet_o it_o must_v be_v avoid_v if_o the_o tumour_n extend_v itself_o into_o the_o cavity_n of_o the_o belly_n for_o the_o reason_n before_o mention_v when_o the_o superfluous_a flesh_n be_v consume_v and_o the_o eschar_n fall_v if_o the_o vessel_n be_v preserve_v you_o make_v the_o ligature_n by_o the_o ring_n of_o the_o muscle_n and_o take_v away_o the_o testicle_n as_o i_o have_v say_v for_o shall_v you_o make_v it_o before_o the_o fall_n of_o the_o eschar_n the_o patient_n will_v suffer_v dangerous_a convulsion_n you_o fill_v the_o wound_n afterward_o with_o dossils_n dip_v in_o some_o digestive_a and_o emborate_v and_o apply_v defensitives_n compress_n with_o a_o suspensorium_fw-la order_v bleed_a clyster_n and_o other_o general_a remedy_n chap._n fourteen_o of_o hydrocele_n ascite_v a_o hydrocele_n from_o ascite_v incurable_a unless_o you_o cure_v the_o ascite_v if_o the_o hydrocele_n be_v the_o consequence_n of_o the_o dropsy_n ascite_v the_o operation_n be_v useless_a because_o there_o run_v always_o new_a matter_n which_o present_o produce_v another_o hydrocele_n so_o that_o unless_o you_o dry_v up_o the_o source_n there_o be_v no_o hope_n of_o cure_n in_o this_o the_o water_n occupy_v always_o the_o tunica_fw-la vaginalis_fw-la and_o run_v from_o the_o capacity_n of_o the_o abdomen_fw-la through_o the_o prolongation_n of_o the_o peritonaeum_fw-la all_o other_o sort_n of_o hydrocele_n proceed_v from_o the_o slow_a motion_n of_o the_o blood_n cure_n other_o cure_n or_o its_o dissolution_n fall_n and_o blow_v may_v also_o contribute_v to_o their_o formation_n the_o reason_n be_v that_o the_o blood_n stagnate_v more_o easy_o in_o these_o part_n which_o cause_v the_o serosity_n to_o separate_v from_o it_o on_o the_o same_o principle_n i_o say_v that_o the_o circumvolution_n and_o serpentine_a turn_n which_o the_o spermatick_a vein_n form_n in_o their_o root_n be_v for_o the_o most_o part_n the_o cause_n of_o it_o if_o the_o blood_n be_v the_o least_o dispose_v to_o it_o for_o see_v it_o do_v not_o circulate_v here_o but_o with_o much_o ado_n the_o serosity_n have_v time_n enough_o to_o separate_v and_o distil_v into_o the_o purse_n have_v examine_v the_o sign_n of_o the_o two_o sort_n of_o hydrocele_n when_o we_o speak_v of_o those_o of_o the_o hernia_n intestinalis_fw-la we_o will_v say_v nothing_o more_o of_o they_o than_o the_o prognostic_n which_o be_v only_o of_o ill_a consequence_n when_o the_o water_n be_v include_v in_o a_o cystis_n we_o must_v now_o examine_v all_o the_o circumstance_n of_o both_o kind_n which_o require_v two_o different_a way_n of_o operate_a we_o have_v observe_v when_o we_o treat_v of_o the_o sign_n that_o the_o first_o kind_n of_o hydrocele_n be_v distinguish_v and_o know_v when_o the_o water_n extraordinary_o swell_v and_o extend_v the_o membrane_n of_o the_o scrotum_fw-la chap._n xv._o of_o the_o operation_n of_o hydrocele_n this_o operation_n consist_v in_o make_v a_o puncture_n into_o the_o scrotum_fw-la with_o the_o trocher_n accompany_v with_o its_o canula_n through_o which_o the_o water_n run_v free_o and_o when_o it_o be_v empty_v you_o withdraw_v your_o instrument_n and_o the_o cutis_fw-la of_o the_o cod_n become_v rugous_a as_o before_o and_o the_o aperture_n stop_v exact_o this_o be_v perform_v without_o trouble_n or_o danger_n but_o omit_v not_o dry_v up_o the_o source_n by_o the_o use_n of_o general_a remedy_n otherwise_o the_o tumour_n will_v not_o fail_v to_o return_v the_o second_o kind_n of_o hydrocele_n which_o general_o possess_v only_o one_o side_n ordinary_o attack_n the_o tunicle_n of_o the_o testicle_n it_o be_v also_o much_o more_o painful_a through_o the_o great_a tension_n of_o its_o membrane_n operation_n the_o method_n of_o the_o operation_n the_o method_n require_v in_o this_o consist_v in_o make_v the_o aperture_n deep_a and_o large_a enough_o as_o well_o to_o give_v vent_n to_o the_o water_n as_o to_o carry_v medicine_n thither_o which_o have_v the_o virtue_n of_o dissipate_v the_o membrane_n that_o be_v imbue_v with_o they_o we_o use_v to_o make_v the_o aperture_n at_o the_o side_n of_o the_o scrotum_fw-la with_o a_o lancet_n lancet_n the_o caustic_n better_a than_o a_o lancet_n or_o a_o potential_a cautery_n to_o avoid_v the_o spermatick_a vessel_n and_o see_v the_o cautery_n make_v a_o great_a eschar_n it_o be_v to_o be_v prefer_v before_o the_o lancet_n because_o you_o be_v in_o less_o danger_n of_o offend_v the_o testicle_n and_o you_o dissipate_v insensible_o the_o membrane_n by_o suppuration_n you_o must_v note_n that_o see_v the_o water_n hinder_v the_o action_n of_o this_o remedy_n in_o blunt_v its_o corrosive_a particle_n if_o the_o first_o that_o be_v apply_v make_v not_o a_o eschar_n deep_o enough_o it_o be_v necessary_a to_o apply_v another_o when_o the_o eschar_n be_v off_o you_o fill_v the_o wound_n with_o dossils_n and_o leave_v
adherence_n which_o the_o lung_n contract_n with_o the_o pleura_fw-la so_o that_o they_o can_v communicate_v their_o inflammation_n and_o alteration_n to_o one_o another_o and_o that_o the_o matter_n may_v pass_v from_o the_o lung_n through_o the_o aperture_n of_o the_o wound_n without_o one_o drop_n of_o it_o be_v spill_v in_o the_o cavity_n of_o the_o breast_n which_o be_v to_o be_v well_o examine_v before_o you_o separate_v the_o lung_n from_o the_o pleura_fw-la with_o your_o finger_n or_o probe_n as_o most_o practitioner_n be_v wont_a to_o do_v that_o be_v to_o say_v if_o the_o matter_n run_v with_o ease_n through_o the_o aperture_n and_o without_o the_o diaphragma_n be_v oppress_v with_o it_o you_o must_v no_o way_n break_v the_o adherence_n of_o they_o empiema_n a_o quinsy_n can_v never_o cause_v a_o empiema_n i_o do_v not_o speak_v here_o of_o disease_n of_o the_o throat_n we_o know_v well_o enough_o that_o never_o a_o empiema_n succeed_v a_o quinsy_n the_o reason_n be_v that_o the_o pus_fw-la can_v fall_v upon_o the_o substance_n of_o the_o lung_n without_o cause_v a_o sudden_a suffocation_n because_o the_o pus_fw-la by_o its_o weight_n will_v hinder_v the_o play_n of_o the_o vessel_n that_o compose_v they_o wherefore_o there_o be_v only_a pleurisy_n and_o impostume_n of_o the_o lung_n which_o precede_v the_o empiema_n that_o come_v from_o a_o internal_a cause_n pleurisy_n cause_n of_o a_o pleurisy_n as_o for_o the_o eause_n of_o a_o pleurisy_n some_o say_v it_o be_v form_v by_o a_o boil_a and_o impetuous_a blood_n which_o be_v extravasated_a in_o the_o plura_fw-la other_o pretend_v it_o be_v cause_v by_o a_o bilous_a blood_n which_o gather_v and_o putrefy_v between_o the_o rib_n and_o plura_fw-la some_o other_o maintain_v that_o it_o proceed_v from_o a_o extravasation_n of_o blood_n that_o come_v from_o the_o intercostal_a vein_n and_o the_o aziges_fw-ge which_o be_v discharge_v between_o the_o duplicature_n of_o this_o membrane_n where_o it_o change_v into_o pus_fw-la by_o its_o stay_n there_o though_o this_o last_o opinion_n be_v not_o over-well_a ground_v yet_o it_o be_v the_o most_o common_a and_o most_o receive_v it_o be_v to_o be_v wish_v that_o all_o these_o opinion_n be_v as_o true_a as_o they_o be_v authorize_v by_o their_o partisan_n for_o beside_o that_o the_o blood_n be_v ordinary_o spill_v out_o of_o the_o vessel_n only_o after_o some_o blow_n or_o wound_n it_o be_v evident_a that_o the_o bilous_a particle_n be_v rather_o capable_a to_o dissolve_v a_o matter_n than_o coagulate_v it_o and_o that_o it_o be_v only_o the_o salt_n volatile_a alkaly_n of_o the_o bile_n which_o tend_v to_o the_o exaltation_n but_o there_o must_v needs_o be_v here_o a_o coagulate_a agent_n which_o dispose_v it_o to_o be_v obstruct_v in_o this_o membrane_n there_o be_v nothing_o more_o common_a pleurisy_n a_o common_a cause_n of_o pleurisy_n than_o to_o see_v in_o the_o summer-season_n pleurisy_n affect_v those_o who_o have_v overheat_v themselves_o by_o run_v or_o some_o other_o as_o violent_a exercise_n go_v imprudent_o to_o drink_v ice_v liquor_n or_o in_o a_o cellar_n to_o cool_v themselves_o have_v most_o common_o their_o breast_n open_a you_o must_v consider_v that_o in_o the_o same_o moment_n the_o pore_n be_v much_o dilate_a the_o blood_n be_v in_o a_o extraordinary_a agitation_n and_o furnish_v abundance_n of_o swetts_n this_o be_v so_o it_o happen_v that_o at_o the_o same_o time_n as_o this_o cold_a drink_n chill_v as_o it_o be_v the_o blood_n in_o the_o vessel_n the_o impression_n of_o the_o external_a cold_a air_n suppress_v the_o swetts_n in_o shut_v up_o the_o pore_n and_o they_o be_v quite_o disengage_v from_o the_o rest_n of_o the_o mass_n stop_v in_o the_o duplicature_n of_o this_o membrane_n where_o they_o coagulate_v the_o blood_n by_o the_o mean_n of_o their_o urinous_a volatile_a salt_n analogous_fw-la urine_n and_o swett_n analogous_fw-la experience_n teach_v we_o that_o there_o be_v no_o liquor_n in_o the_o body_n have_v more_o analogy_n with_o the_o urine_n than_o swett_n we_o observe_v also_o that_o it_o have_v the_o same_o taste_n smell_v and_o consistence_n we_o know_v that_o the_o urine_n abound_v in_o a_o urinous_a volatile_a salt_n and_o in_o a_o very_a aetherious_a sulphur_n now_o i_o say_v that_o these_o two_o spirit_n which_o be_v find_v in_o the_o swett_n as_o well_o as_o urine_n who_o nature_n and_o property_n we_o have_v explain_v elsewhere_o happen_v to_o be_v unite_v together_o in_o the_o plura_fw-la in_o the_o time_n of_o the_o suppression_n of_o abundance_n of_o swett_n be_v very_o capable_a to_o condense_a the_o blood_n and_o cause_v the_o pleurisy_n which_o hippocrates_n have_v well_o observe_v 24._o sect._n 5._o aph._n 24._o when_o he_o say_v that_o cold_a thing_n as_o snow_n and_o ice_n be_v enemy_n to_o the_o breast_n and_o that_o they_o excite_v cough_n dysentery_n and_o fluxion_n frigida_fw-la ucluti_fw-la nix_n &_o glacies_fw-la pectori_fw-la inimica_fw-la tusses_fw-la moverit_fw-la &_o sanguines_fw-la fluxiones_fw-la &_o distillationes_fw-la movent_fw-la he_o say_v likewise_o that_o the_o scythian_n do_v not_o live_v long_o because_o they_o drink_v ice_n water_n and_o that_o the_o frequent_a use_n of_o these_o water_n offend_v the_o breast_n for_o the_o same_o reason_n say_v hippocrates_n 23._o sect._n 3_o aph._n 23._o pleurisy_n happen_v most_o common_o in_o the_o wintertime_n as_o also_o peripneumonia_n cough_n pain_n of_o the_o breast_n and_o side_n hyeme_n plureide_n peripneumoniae_fw-la tusses_fw-la &_o pectoris_fw-la laterum_fw-la dolores_fw-la it_o be_v common_o observe_v that_o those_o who_o expose_v their_o breast_n to_o the_o air_n in_o the_o begin_n of_o hot_a weather_n be_v almost_o always_o trouble_v with_o a_o pleurisy_n the_o reason_n of_o it_o be_v evident_a if_o we_o make_v reflection_n that_o no_o part_n of_o the_o body_n be_v so_o deprive_v of_o flesh_n as_o the_o breast_n which_o be_v the_o enclosure_n of_o the_o treasure_n of_o life_n and_o which_o consequent_o be_v soon_o penetrate_v by_o the_o air_n wherefore_o those_o who_o take_v care_n to_o cover_v at_o all_o time_n their_o breast_n well_o be_v much_o less_o subject_a to_o pleurisy_n and_o many_o other_o disease_n air._n a_o pleurisy_n often_o from_o a_o nitrous_a air._n the_o cause_n of_o a_o pleurisy_n do_v not_o always_o come_v from_o have_v put_v yourself_o into_o a_o heat_n or_o expose_v yourself_o to_o too_o great_a a_o cold_a but_o it_o come_v often_o from_o a_o air_n too_o much_o load_v with_o nitrous_a and_o sulphureous_a particle_n which_o we_o attract_v in_o inspiration_n and_o which_o produce_v the_o same_o effect_n as_o the_o principle_n which_o we_o have_v say_v be_v find_v in_o the_o swett_n those_o kind_n of_o pleurisy_n which_o we_o call_v popular_a or_o epidemical_a happen_v often_o in_o country_n where_o the_o earth_n abound_v with_o nitre_n and_o sulphur_n and_o where_o the_o heat_n be_v excessive_a as_o in_o meridional_a region_n pleurisy_n who_o most_o subject_a to_o on_o pleurisy_n the_o constitution_n of_o person_n contribute_v much_o to_o its_o formation_n those_o who_o be_v of_o a_o quick_a wit_n who_o blood_n be_v subtle_a and_o be_v of_o a_o tender_a complexion_n be_v more_o subject_a to_o it_o than_o other_o person_n a_o observation_n on_o the_o blood_n of_o a_o pluretic_n person_n it_o be_v observable_a that_o after_o have_v bleed_v a_o pleuretic_n person_n there_o be_v a_o little_a skin_n form_v on_o his_o blood_n like_o glue_n and_o almost_o of_o the_o same_o consistence_n which_o have_v a_o kind_n of_o spring_n or_o elastic_a virtue_n for_o when_o ever_o you_o handle_v it_o with_o your_o finger_n it_o resist_v a_o little_a and_o return_n into_o its_o first_o posture_n it_o swim_v upon_o the_o blood_n even_o as_o certain_a little_a flank_n swim_v upon_o the_o urine_n of_o those_o trouble_v with_o the_o inflammation_n of_o the_o reins_o as_o for_o the_o prognostic_n of_o this_o disease_n prognostic_n prognostic_n it_o be_v always_o very_o dangerous_a when_o bleed_v and_o general_a remedy_n do_v not_o dissipate_v the_o tumour_n hippocrates_n say_v that_o if_o one_o spit_v from_o the_o beginning_n the_o disease_n will_v be_v short_a but_o if_o one_o spit_v not_o till_o some_o time_n after_o it_o will_v be_v long_o velut_fw-la in_o pluretide_n laborantibus_fw-la si_fw-la sputum_fw-la statim_fw-la appareat_fw-la inter_fw-la initia_fw-la ipsam_fw-la abbreviat_fw-la si_fw-la vero_fw-la postea_fw-la appareat_fw-la producit_fw-la yet_o this_o rule_n be_v not_o always_o true_a because_o there_o be_v some_o that_o do_v not_o spit_v and_o yet_o recover_v in_o a_o very_a short_a time_n whether_o that_o the_o humour_n which_o cause_v the_o obstruction_n be_v dissipate_v by_o insensible_a perspriration_n or_o by_o the_o way_n of_o circulation_n according_a to_o the_o virtue_n and_o operation_n of_o the_o medicine_n which_o be_v use_v in_o this_o disease_n pleurisy_n the_o best_a way_n of_o cure_v a_o pleurisy_n the_o most_o
hydropic_n what_o i_o have_v say_v explain_v it_o sufficient_o beside_o we_o well_o enough_o conceive_v that_o the_o serous_a blood_n be_v deprive_v of_o spirit_n that_o it_o move_v more_o slow_o in_o the_o extremity_n than_o any_o where_o else_o and_o consequent_o the_o heat_n must_v rather_o be_v lessen_v in_o these_o part_n than_o in_o other_o as_o i_o have_v make_v you_o observe_v when_o i_o speak_v of_o the_o dropsy_n beside_o the_o ferosity_n filter_n in_o so_o great_a a_o quantity_n between_o the_o fibre_n and_o the_o part_n that_o it_o may_v by_o its_o weight_n press_v the_o vessel_n and_o so_o cause_v a_o gangrene_n second_o great_a cold_a cause_v often_o gangrene_n and_o mortification_n in_o the_o extremity_n especial_o the_o foot_n hand_n ear_n and_o nose_n particular_o in_o person_n oblige_v to_o march_v in_o the_o snow_n during_o excessive_a rigour_n of_o winter_n as_o those_o which_o travel_v in_o the_o northern_a region_n gangrene_n how_o cold_a cause_n a_o gangrene_n to_o explain_v this_o phenomena_n you_o must_v only_o remember_v what_o i_o have_v say_v in_o the_o comparison_n of_o wine_n where_o we_o have_v see_v that_o the_o spirit_n of_o wine_n be_v concentre_v by_o the_o cold_a and_o that_o the_o exterior_a part_n find_v themselves_o deprive_v of_o spirit_n freeze_n this_o happen_v to_o a_o bottle_n of_o wine_n expose_v to_o a_o very_a cold_a air_n you_o may_v observe_v in_o break_v the_o bottle_n that_o the_o spirit_n have_v retire_v to_o the_o centre_n and_o preserve_v their_o fluidity_n while_o all_o the_o rest_n be_v congeal_v i_o say_v that_o the_o same_o thing_n happen_v in_o the_o blood_n by_o the_o rigour_n of_o cold_a and_o while_o the_o spirit_n retire_v to_o the_o centre_n of_o the_o animal_n the_o exterior_a part_n remain_v gangrenate_v be_v only_o irrigate_v with_o a_o dead_a and_o insipid_a phlegm_n which_o congeal_v in_o the_o very_a substance_n of_o the_o part_n it_o be_v easy_a to_o comprehend_v that_o at_o the_o same_o time_n the_o part_n feel_v the_o pinch_n of_o the_o cold_a they_o retire_v be_v compress_v by_o the_o action_n of_o the_o air_n which_o first_o cause_v those_o quick_a and_o penetrate_a pain_n and_o hinder_v the_o blood_n from_o continue_v its_o motion_n in_o those_o part_n therefore_o lie_v there_o still_o it_o insensible_o stop_v every_o passage_n and_o cause_v a_o entire_a mortification_n hinc_fw-la interdum_fw-la say_v ettmuller_n ex_fw-la frigore_fw-la extrinsecus_fw-la irruente_fw-la part_n gangrenosae_fw-la fiunt_fw-la so_o much_o for_o what_o regard_v all_o kind_n of_o gangrene_n that_o depend_v on_o the_o dissipation_n and_o concentration_n of_o the_o spirit_n gangrene_n tumour_n fracture_n luxation_n etc._n etc._n may_v cause_v a_o gangrene_n now_o i_o come_v to_o those_o that_o depend_v on_o the_o interruption_n of_o the_o course_n of_o the_o blood_n and_o its_o motion_n first_o tumor_n fracture_n and_o luxation_n may_v cause_v a_o gangrene_n in_o a_o part_n by_o compress_v too_o hard_a the_o vessel_n that_o convey_v the_o blood_n there_o i_o confess_v that_o this_o kind_n of_o gangrene_n be_v rare_a because_o the_o vessel_n communicate_v themselves_o in_o so_o many_o place_n and_o there_o come_v so_o great_a quantity_n of_o different_a branch_n from_o they_o that_o it_o be_v difficult_a that_o all_o the_o supply_n of_o blood_n shall_v be_v hinder_v in_o a_o member_n nevertheless_o fabritius_n hildanus_n assure_v we_o observation_n observation_n that_o he_o have_v see_v a_o man_n who_o be_v attack_v with_o a_o gangrene_n in_o both_o leg_n and_o his_o foot_n be_v always_o cold_a and_o benumb_v so_o he_o die_v without_o a_o fever_n &_o without_o any_o other_o symptom_n his_o body_n be_v open_v there_o be_v find_v a_o schirrou_n tumour_n in_o the_o region_n of_o his_o reins_o over_o the_o division_n of_o his_o iliac_n branch_n this_o tumour_n press_v first_o slight_o the_o vessel_n and_o cause_v the_o cold_a and_o benumb_a of_o the_o leg_n but_o as_o it_o grow_v it_o press_v the_o artery_n and_o vein_n so_o hard_o that_o the_o blood_n can_v no_o more_o descend_v into_o the_o inferior_a part_n to_o vivifie_v they_o concern_v fracture_n of_o dislocation_n it_o may_v happen_v that_o the_o head_n of_o a_o bone_n or_o some_o piece_n may_v compress_v the_o vessel_n so_o hard_o as_o to_o hinder_v the_o passage_n of_o the_o blood_n for_o the_o same_o reason_n bandage_n bandage_n too_o tight_a bandage_n etc._n etc._n use_v in_o fracture_n and_o luxation_n strong_a and_o close_a ligature_n of_o the_o vessel_n may_v cause_v a_o gangrene_n especial_o if_o one_o make_v it_o on_o the_o great_a trunk_n unless_o the_o branch_n which_o communicate_v together_o in_o several_a place_n furnish_v the_o blood_n that_o be_v necessary_a for_o the_o vivification_n of_o the_o part_n ettmuller_n say_v nimis_fw-la firmae_fw-la ligaturae_fw-la externae_fw-la interdum_fw-la hoc_fw-la malum_fw-la inducunt_fw-la in_fw-la quod_fw-la fit_a interdum_fw-la si_fw-la in_o ossium_fw-la fracturis_fw-la locus_fw-la fractus_fw-la orcte_fw-la nimis_fw-la ligetur_fw-la in_o all_o these_o case_n it_o be_v very_o easy_a to_o see_v that_o the_o mortification_n depend_v simple_o on_o the_o interruption_n of_o the_o course_n of_o the_o blood_n without_o the_o concurrence_n of_o any_o other_o cause_n but_o you_o will_v see_v in_o what_o follow_v how_o the_o ill_a disposition_n of_o the_o humour_n may_v augment_v and_o even_o produce_v this_o kind_n of_o gangrene_n etc._n a_o gangrene_n may_v happen_v by_o long_o lie_v on_o the_o buttock_n etc._n etc._n second_o a_o gangrene_n happen_v often_o upon_o the_o buttock_n of_o those_o who_o have_v have_v long_a sickness_n and_o that_o be_v oblige_v to_o lie_v long_o on_o their_o back_n first_o the_o cutis_fw-la begin_v to_o rise_n afterward_o there_o happen_v inflammation_n in_o the_o flesh_n which_o end_v in_o rotteness_n and_o gangrene_n the_o first_o be_v cause_v by_o the_o sole_a compression_n of_o the_o vessel_n in_o the_o part_n but_o if_o at_o the_o same_o time_n the_o patient_a involuntary_a shed_v his_o water_n and_o excrement_n the_o gangrene_n come_v soon_o because_o they_o gall_v and_o heat_v the_o part_n by_o their_o acrimony_n and_o so_o increase_v the_o inflammation_n and_o consequent_o the_o inflammation_n and_o gangrene_n gangrene_n great_a inflammation_n contusion_n etc._n etc._n may_v cause_v a_o gangrene_n in_o the_o three_o place_n nothing_o more_o common_a in_o the_o practice_n of_o chirurgery_n than_o to_o see_v gangrene_n follow_v great_a inflammation_n contusion_n and_o even_a aneurism_n when_o ever_o the_o tunicle_n of_o the_o artery_n be_v break_v and_o the_o blood_n extravasated_a between_o the_o muscle_n i_o say_v that_o in_o all_o these_o occasion_n if_o the_o blood_n be_v extravasated_a in_o great_a abundance_n it_o must_v needs_o lie_v heavy_a on_o the_o part_n and_o press_v at_o the_o same_o time_n the_o blood_n vessel_n so_o that_o it_o entire_o stop_v the_o passage_n to_o the_o new_a blood_n which_o come_v to_o irrigate_n and_o vivifie_v the_o part_n behold_v this_o be_v the_o period_n of_o inflammation_n proper_a to_o produce_v a_o gangrene_n and_o as_o there_o must_v be_v great_a abundance_n of_o blood_n to_o compress_v hard_o the_o vessel_n so_o it_o happen_v only_o upon_o great_a inflammation_n if_o i_o say_v that_o in_o great_a inflammation_n the_o extravasated_a blood_n compress_v the_o vessel_n it_o be_v not_o a_o simple_a imagination_n only_o but_o a_o constant_a truth_n since_o the_o pulse_n cease_v to_o verberate_v at_o the_o same_o time_n the_o part_n begin_v to_o gangrenate_n and_o it_o be_v red_a colour_n grow_v pale_a livid_n and_o black_a which_o clear_o demonstrate_v that_o the_o sanguiferous_a vessel_n be_v compress_v and_o the_o access_n of_o new_a blood_n hinder_v gangrene_n repercussive_a astringent_a medicine_n improper_o apply_v may_v cause_v a_o gangrene_n in_o the_o four_o place_n a_o gangrene_n may_v happen_v upon_o the_o least_o inflammation_n even_o on_o érispielas_n when_o ever_o too_o strong_a repercussive_a astringent_a or_o emplastic_a medicine_n be_v inconsiderate_o apply_v to_o conceive_v this_o well_o you_o must_v observe_v that_o the_o extravasated_a liquor_n transpire_v very_o much_o and_o that_o this_o transpiration_n do_v extreme_o discharge_v the_o disease_a part_n of_o the_o quantity_n of_o humour_n which_o it_o contain_v so_o while_o the_o pore_n be_v open_a in_o phlegmon_n and_o erisipelase_n and_o the_o most_o active_a and_o agitate_a particle_n of_o the_o bile_n and_o blood_n evaporate_v the_o part_n always_o discharge_v itself_o of_o some_o of_o its_o burden_n so_o not_o much_o fear_n of_o gangrene_n this_o be_v the_o reason_n why_o in_o the_o southern_a part_n of_o america_n there_o never_o be_v see_v a_o gangrene_n come_v upon_o wound_n or_o inflammation_n because_o the_o great_a heat_n of_o the_o country_n open_v the_o pore_n of_o the_o body_n but_o when_o the_o pore_n be_v close_v by_o astringent_a repercussive_a or_o emplastic_a medicine_n and_o the_o transpiration_n
all_o the_o blood_n that_o shall_v run_v out_o you_o must_v take_v care_n in_o pull_v off_o the_o dress_n not_o to_o handle_v they_o with_o too_o much_o violence_n lest_o you_o pull_v also_o off_o the_o ligature_n you_o must_v take_v care_n after_o suppuration_n to_o press_v the_o stump_n a_o little_a by_o mean_n of_o the_o compress_v to_o hinder_v the_o generation_n of_o fungeous_a and_o superfluous_a flesh_n which_o ordinary_o happen_v after_o long_a suppuration_n button_n caution_n to_o be_v use_v in_o apply_v the_o vitreol_n button_n those_o that_o use_v the_o vitriol_n button_n must_v precise_o apply_v it_o to_o the_o mouth_n of_o the_o vessel_n and_o take_v care_v it_o do_v not_o fall_v in_o apply_v the_o bolster_n nevertheless_o though_o we_o have_v disapprove_v its_o use_n for_o several_a reason_n yet_o those_o that_o will_v make_v use_n of_o it_o ought_v to_o lift_v the_o stump_n up_o a_o little_a and_o hold_v the_o hand_n upon_o it_o for_o 3_o or_o 4_o hour_n until_o the_o vitriol_n have_v begin_v to_o produce_v its_o effect_n in_o happen_v sometime_o that_o after_o the_o operation_n the_o part_n suffer_v some_o convulsive_a motion_n convulsion_n cause_o of_o after_o convulsion_n occasion_v by_o the_o spirit_n be_v irritate_v by_o sharp_a corrosive_a or_o vitriolic_a matter_n or_o by_o the_o trouble_n of_o the_o spirit_n themselves_o in_o the_o part_n for_o if_o we_o consider_v that_o the_o brain_n actual_o prepare_v a_o certain_a quantity_n of_o spirit_n which_o run_v through_o the_o nerve_n to_o serve_v the_o function_n of_o the_o whole_a body_n we_o shall_v agree_v that_o those_o which_o be_v design_v for_o the_o motion_n and_o sensation_n of_o that_o part_n which_o be_v no_o more_o existent_a but_o separate_v from_o the_o other_o must_v needs_o run_v back_o it_o be_v perhaps_o this_o unlucky_a reflux_n which_o excite_v these_o irregular_a convulsion_n and_o the_o involuntary_a contraction_n pull_v along_o with_o they_o the_o artery_n and_o so_o give_v occasion_n to_o the_o ligature_n to_o break_v and_o the_o part_n to_o bleed_v which_o often_o cause_v death_n therefore_o in_o these_o occasion_n a_o chirurgeon_n must_v not_o stand_v search_v for_o the_o artery_n he_o must_v only_o lay_v upon_o it_o the_o vitriolic_a button_n with_o bolstâ—…â—oaked_a in_o some_o styptic_a liquor_n these_o be_v the_o measure_n which_o you_o must_v take_v in_o such_o occasion_n chap._n xxxvii_o of_o paronychia_fw-la paronychia_fw-la be_v a_o very_a painful_a tumour_n which_o possess_v the_o finger_n end_n cause_v by_o the_o alteration_n and_o effervescency_n of_o the_o bilious_a and_o sulphureous_a particle_n of_o the_o blood_n paronychia_fw-la two_o kind_n of_o paronychia_fw-la they_o ordinary_o make_v two_o kind_n of_o it_o in_o the_o one_o the_o matter_n lie_v between_o the_o periostium_fw-la and_o the_o bone_n accompany_v with_o a_o burn_a heat_n acute_a pain_n and_o deep_a pulsation_n great_a tention_n and_o burn_a fever_n the_o other_o be_v only_o in_o the_o flesh_n with_o less_o heat_n and_o pain_n light_a pulsation_n less_o tention_n and_o hardly_o any_o fever_n at_o all_o pain_n cause_o of_o the_o heat_n and_o pain_n the_o heat_n and_o pain_n come_v from_o the_o strong_a ebullition_n of_o the_o blood_n and_o many_o irritation_n whiâ—â—â—he_v sulphureous_a particle_n that_o â—…elt_v and_o be_v â—â—rned_v into_o sanies_fw-la excite_v at_o the_o fibre_n of_o the_o periostium_fw-la tention_n cause_o of_o the_o tention_n the_o tention_n proceed_v only_o from_o the_o fermentation_n of_o the_o humour_n it_o be_v easy_a to_o comprehend_v that_o when_o a_o liquor_n boil_v it_o extend_v itself_o more_o in_o length_n and_o breadth_n than_o when_o it_o be_v at_o rest_n and_o must_v consequent_o dilate_v the_o vessel_n in_o a_o great_a manner_n that_o contain_v it_o pulsation_n cause_o of_o the_o pulsation_n the_o pulsation_n be_v nothing_o else_o but_o a_o more_o exquisite_a and_o lively_a feeling_n that_o we_o have_v of_o the_o artery_n beat_v in_o the_o inflame_a part_n cause_v by_o a_o great_a tention_n and_o effervescency_n of_o the_o blood_n fever_n cause_o of_o the_o fever_n the_o fever_n come_v from_o the_o mutual_a agitation_n of_o the_o different_a particle_n of_o the_o blood_n that_o fight_n against_o one_o another_o with_o great_a strength_n and_o tear_v one_o another_o in_o a_o thousand_o little_a particle_n of_o a_o different_a bigness_n and_o figure_n which_o be_v move_v in_o the_o mass_n of_o blood_n excite_v the_o fever_n but_o after_o a_o long_o struggle_v the_o pus_fw-la be_v make_v the_o vessel_n burst_v the_o matter_n extravasates_n the_o tumour_n grow_v soft_a the_o fever_n and_o all_o other_o symptom_n diminish_v than_o we_o give_v the_o pus_fw-la issue_n by_o incision_n incision_n where_o to_o make_v the_o incision_n which_o we_o make_v at_o the_o side_n of_o the_o finger_n to_o avoid_v the_o tendon_n we_o then_o use_v those_o medicine_n ordinary_o use_v for_o other_o ulcer_n i_o will_v no_o long_o insist_v upon_o the_o paronychia_fw-la though_o it_o will_v furnish_v we_o with_o matter_n for_o a_o long_a discourse_n and_o see_v most_o author_n have_v give_v their_o opinion_n of_o it_o any_o one_o may_v be_v instruct_v by_o they_o chap._n xxxviii_o of_o the_o use_n of_o cupping-glass_n most_o practitioner_n of_o physic_n be_v wont_v rather_o to_o approve_v the_o use_n of_o cupping-glass_n and_o leech_n than_o condemn_v it_o be_v it_o that_o they_o either_o find_v themselves_o upon_o that_o pretend_a attraction_n of_o the_o ancient_n use_n cupping-glass_n of_o very_a little_a use_n or_o that_o they_o think_v to_o discharge_v soon_o a_o part_n load_v with_o the_o weight_n of_o some_o strange_a matter_n it_o be_v true_a they_o use_v they_o but_o with_o little_a success_n beside_o this_o attraction_n be_v just_a a_o chimaera_n and_o be_v the_o most_o cruel_a and_o temerarious_a practice_n that_o can_v be_v imagine_v what_o appearance_n be_v there_o to_o scarrifie_v the_o back_n to_o dissipate_v inflammation_n of_o the_o eye_n to_o slash_v the_o loin_n to_o hinder_v the_o progress_n of_o malign_a fever_n attraction_n no_o such_o thing_n as_o attraction_n to_o cut_v the_o skin_n and_o flesh_n in_o 20_o different_a place_n to_o draw_v one_o or_o two_o ounce_n of_o blood_n i_o do_v not_o believe_v that_o those_o who_o have_v a_o idea_n of_o the_o circulation_n of_o the_o blood_n can_v show_v i_o by_o experience_n or_o any_o other_o way_n that_o the_o division_n of_o some_o cupillary_a vessel_n be_v capable_a of_o cure_v the_o least_o cutaneous_a affect_v nevertheless_o there_o be_v some_o that_o do_v authorise_v this_o practice_n maintain_v that_o the_o scarification_n do_v determine_v the_o blood_n and_o spirit_n to_o repair_v in_o abundance_n to_o the_o scarify_v part_n and_o that_o in_o move_v the_o humour_n after_o this_o manner_n the_o afflict_a part_n be_v disengage_v and_o the_o inflammation_n lessen_v it_o be_v to_o be_v wish_v for_o the_o partisan_n of_o this_o practice_n that_o the_o inflammation_n will_v favour_v their_o opinion_n for_o we_o can_v believe_v that_o the_o blood_n and_o spirit_n run_v into_o a_o part_n in_o a_o great_a quantity_n than_o the_o use_v to_o do_v without_o cause_v some_o inflammation_n which_o be_v not_o observe_v here_o beside_o blood_n inflammation_n cause_v only_o by_o the_o interruption_n of_o the_o blood_n that_o the_o inflammation_n come_v not_o but_o because_o the_o motion_n of_o the_o blood_n be_v intercept_v by_o the_o divulsion_n of_o the_o vessel_n as_o it_o happen_v in_o all_o new_a wound_n and_o not_o at_o all_o by_o a_o determination_n occasion_v by_o the_o pain_n last_o all_o the_o virtue_n which_o be_v attribute_v to_o cupping-glass_n shall_v not_o hinder_v i_o from_o disapprove_v their_o use_n for_o i_o say_v that_o they_o be_v not_o only_o useless_a in_o many_o disease_n where_o they_o be_v employ_v but_o also_o in_o venereal_a sore_n and_o bite_v of_o venomous_a animal_n since_o it_o be_v certain_a that_o the_o poison_n of_o these_o animal_n which_o consist_v in_o a_o strange_a acid_n manifest_v itself_o in_o a_o moment_n to_o the_o brain_n in_o spite_n of_o the_o influence_n of_o the_o spirit_n and_o that_o the_o mass_n of_o blood_n be_v present_o oppress_v with_o it_o by_o the_o law_n of_o circulation_n from_o whence_o i_o conclude_v that_o once_o bleed_v or_o the_o least_o sudorific_a in_o what_o disease_n soever_o will_v always_o do_v more_o good_a than_o all_o the_o cupping-glass_n you_o can_v apply_v fistula_n leech_n very_o often_o the_o cause_n of_o fistula_n you_o must_v observe_v that_o in_o the_o hemmorhoide_n emollient_a and_o discuss_a remedy_n be_v to_o be_v prefer_v before_o leech_n which_o be_v very_o often_o the_o cause_n of_o imposthume_n and_o fistula_n in_o the_o anus_fw-la as_o i_o have_v show_v you_o in_o the_o treatise_n of_o fistula_n caustic_n where_o and_o how_o to_o make_v a_o issue_n by_o caustic_n i_o also_o say_v by_o the_o bye_n that_o caustic_n