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death_n die_v great_a year_n 6,663 5 4.6617 4 false
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ID Title Author Corrected Date of Publication (TCP Date of Publication) STC Words Pages
A51662 A rational practice of chyrurgery, or, Chyrurgical observations resolved according to the solid fundamentals of true philosophy by John Muys : in five decades. Muys, John, b. 1654. 1686 (1686) Wing M3165; ESTC R32112 102,986 270

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in_o the_o groin_n which_o glandule_n be_v no_o other_o than_o a_o congesture_n of_o very_a small_a vessel_n much_o inflexied_a in_o the_o meander_n of_o which_o the_o humour_n more_o easy_o subsist_v than_o elsewhere_o if_o surgeon_n by_o cold_a and_o astringent_a thing_n unreasonable_o apply_v retard_v their_o circulation_n all_o penetrate_a wound_n of_o the_o abdomen_fw-la be_v dangerous_a but_o far_o more_o perilous_a when_o they_o be_v large_a because_o the_o omentum_fw-la or_o bowel_v at_o that_o time_n easy_o slip_v out_o and_o if_o it_o be_v not_o present_o after_o its_o egress_n force_v into_o its_o proper_a place_n it_o die_v and_o change_v its_o colour_n by_o reason_n of_o the_o ambient_fw-la air._n but_o whence_o be_v it_o that_o the_o omentum_fw-la for_o some_o time_n remain_v out_o of_o the_o belly_n so_o sudden_o die_v the_o omentum_fw-la consist_v of_o very_a many_o small_a bag_n into_o which_o the_o grease_n be_v convey_v through_o several_a fatty_a vessel_n as_o the_o 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and_o be_v too_o much_o pain_v not_o only_o by_o the_o ambient_fw-la air_n but_o also_o by_o the_o medicament_n but_o usual_o on_o the_o three_o day_n be_v form_v a_o rudiment_n of_o a_o new_a cuticle_n then_o i_o apply_v the_o above-prescribed_n cerot_n with_o unguentum_fw-la aureum_fw-la for_o temperate_a the_o peccant_a acidity_n where_o the_o part_n be_v only_o slight_o burn_v that_o be_v where_o the_o fibril_n or_o the_o cutis_fw-la be_v only_o much_o agitate_a by_o force_n of_o the_o fire_n but_o none_o or_o few_o of_o they_o break_v in_o sunder_o and_o where_o the_o cuticle_n be_v only_o light_o shrink_v there_o oil_n of_o tartar_n per_fw-la deliquium_fw-la will_v have_v suffice_v viz._n if_o the_o affete_v part_n have_v be_v light_o touch_v therewith_o because_o so_o the_o pore_n of_o the_o cuticle_n and_o small_a passage_n of_o the_o cutis_fw-la will_v have_v be_v open_v and_o the_o acor_n of_o the_o stagnize_a humour_n temperate_v as_o i_o not_o long_o since_o do_v experience_n in_o myself_o when_o i_o burn_v my_o foot_n with_o boil_a hot_a coffee_n which_o burn_v be_v not_o without_o dolour_n and_o redness_n observat._n iii_o of_o the_o hernia_n a_o man_n seventy_o year_n of_o age_n be_v vex_v with_o a_o very_a great_a and_o painful_a tumour_n in_o his_o scrotum_fw-la which_o tumour_n be_v of_o the_o same_o colour_n with_o the_o sound_a skin_n he_o feel_v great_a dolour_n in_o his_o abdomen_fw-la and_o vomit_v up_o whatsoever_o he_o assume_v have_v be_v in_o this_o state_n for_o 24_o hour_n he_o implore_v my_o help_n then_o do_v the_o sick_a man_n by_o i_o examine_v relate_v that_o he_o have_v for_o a_o long_a series_n of_o year_n be_v afflict_v with_o a_o hernia_n which_o the_o bowel_v be_v fall_v into_o the_o scrotum_fw-la do_v often_o in_o a_o strange_a manner_n afflict_v he_o but_o so_o soon_o as_o the_o bowel_v be_v again_o thrust_v into_o its_o place_n he_o feel_v no_o discommodity_n thereby_o but_o the_o bowel_v have_v never_o before_o so_o long_o as_o now_o remain_v out_o of_o the_o abdomen_fw-la and_o notwithstanding_o all_o endeavour_n of_o the_o patient_n he_o can_v not_o put_v it_o up_o again_o to_o his_o friend_n i_o declare_v his_o disease_n to_o be_v full_a of_o danger_n because_o the_o bowel_v have_v so_o long_o remain_v out_o of_o the_o abdomen_fw-la so_o a_o man_n 40_o year_n of_o age_n travel_v on_o foot_n from_o ultrajectum_n to_o arenacum_n be_v afflict_v with_o a_o hernia_n infest_v his_o scrotum_fw-la and_o yet_o after_o this_o he_o walk_v on_o his_o foot_n for_o full_a four_o hour_n with_o this_o hernia_n he_o have_v also_o be_v former_o afflict_v but_o that_o be_v only_o in_o his_o groin_n whence_o the_o tumour_n very_o much_o increase_v and_o be_v very_o hard_a and_o painful_a the_o patient_n in_o the_o mean_a while_n vomit_v continual_o and_o be_v constrain_v to_o lodge_v for_o one_o whole_a cold_a night_n in_o straw_n at_o a_o ruftick_v house_n the_o next_o day_n he_o be_v carry_v in_o a_o coach_n continual_o vomit_v to_o arenacum_n to_o the_o sick_a man_n be_v give_v a_o mixture_n discuss_v flatulency_n but_o that_o be_v soon_o reject_v by_o vomit_v also_o three_o clyster_n be_v inject_v but_o to_o no_o purpose_n the_o patient_n be_v lay_v in_o a_o good_a posture_n moist_a and_o dry_a fomentation_n be_v apply_v to_o the_o affect_a part_n but_o these_o prove_v ineffectual_a the_o patient_n pulse_n gradual_o diminish_v he_o die_v the_o four_o day_n after_o this_o last_o invasion_n of_o his_o distemper_n his_o carcase_n be_v open_v the_o great_a gut_n ileon_n be_v find_v to_o be_v infect_v with_o a_o gangrene_n the_o length_n of_o a_o span_n and_o site_v in_o the_o scrotum_fw-la with_o flatulent_a and_o hard_a excrement_n beside_o a_o great_a part_n of_o the_o omentum_fw-la be_v contain_v in_o the_o scrotum_fw-la wrap_v up_o like_o a_o ball_n with_o the_o sanguiferous_a vessel_n very_o much_o distend_v in_o the_o mean_a while_o i_o admonish_v the_o friend_n of_o my_o patient_n not_o too_o much_o to_o despond_v and_o to_o that_o end_n relate_v to_o they_o the_o eight_o observation_n communicate_v to_o riverius_n by_o mr._n ozia_n aimar_n a_o most_o famous_a chirurgeon_n of_o gratianopolis_n in_o which_o after_o many_o remedy_n for_o nine_o day_n use_v in_o vain_a the_o bowel_v for_o as_o many_o day_n remain_v in_o the_o scrotum_fw-la be_v happy_o reposit_v by_o incision_n make_v as_o far_o as_o to_o the_o production_n of_o the_o peritoneum_fw-la which_o strangule_v the_o bowel_v the_o method_n by_o which_o this_o operation_n be_v institute_v you_o will_v find_v in_o the_o abovecited_a observation_n but_o whence_o be_v it_o that_o in_o a_o hernia_n the_o bowel_v slip_n down_o into_o the_o scrotum_fw-la and_o other_o part_n this_o be_v occasion_v by_o relaxation_n of_o the_o peritoneum_fw-la which_o proceed_v from_o obstruction_n of_o the_o many_o small_a passage_n of_o the_o same_o and_o because_o in_o they_o the_o humour_n stagnize_v and_o be_v coacervate_v and_o in_o process_n of_o time_n insinuate_v themselves_o between_o the_o fibril_n of_o the_o peritoneum_fw-la and_o so_o relax_v the_o same_o now_o why_o do_v not_o the_o bowel_v fall_v into_o the_o scrotum_fw-la of_o our_o patient_n with_o as_o much_o ease_n return_n into_o the_o abdomen_fw-la as_o it_o come_v out_o see_v the_o way_n be_v the_o same_o this_o principal_o happen_v because_o the_o bowel_v have_v remain_v so_o long_o out_o of_o the_o abdomen_fw-la in_o the_o scrotum_fw-la where_o be_v less_o heat_n for_o the_o pore_n of_o the_o bowel_v by_o that_o mean_n somewhat_o constringe_v prevent_v the_o free_a egress_n of_o the_o vapour_n partly_o also_o condense_v by_o the_o bowel_n long_o lie_v in_o the_o scrotum_fw-la wherefore_o they_o be_v coacervate_v in_o the_o bowel_v and_o distend_v it_o with_o flatuse_n as_o they_o be_v common_o call_v therefore_o it_o be_v hence_o sufficient_o manifest_a that_o the_o principal_a cure_n of_o this_o evil_n consist_v in_o open_v the_o pore_n of_o the_o bowel_v fall_v out_o of_o the_o belly_n and_o render_v the_o vapour_n in_o some_o measure_n condense_v again_o fit_a for_o great_a motion_n and_o agitation_n that_o so_o they_o may_v circulate_v as_o former_o round_o their_o proper_a centre_n i_o effect_v this_o with_o thread_n new_o twist_v and_o not_o purge_v by_o boil_a which_o i_o first_o boil_v in_o sweet_a milk_n and_o then_o apply_v it_o hot_a to_o the_o affect_a part_n by_o which_o mean_n after_o it_o have_v be_v apply_v one_o quarter_n of_o a_o hour_n the_o bowel_v with_o gentle_a force_n of_o the_o hand_n return_v into_o the_o abdomen_fw-la of_o the_o patient_n lay_v in_o a_o fit_a posture_n the_o sick_a man_n thus_o as_o it_o be_v snatch_v out_o of_o the_o jaw_n of_o death_n with_o the_o fisher_n learn_v to_o be_v wise_a and_o afterward_o always_o wear_v a_o iron_n truss_n all_o over_o cover_v with_o cotten_n for_o retain_v the_o bowel_v in_o its_o place_n for_o to_o attempt_v to_o heal_v man_n perfect_o that_o be_v so_o far_o in_o year_n and_o afflict_v with_o this_o evil_a be_v to_o labour_v in_o vain_a what_o fabritius_n hildanus_n relate_v in_o his_o book_n of_o observation_n very_o rare_o happen_v viz._n that_o a_o man_n sixty_o year_n of_o age_n have_v for_o twenty_o year_n be_v afflict_v with_o a_o great_a hernia_n which_o can_v not_o be_v heal_v by_o any_o physician_n or_o chirurgeon_n and_o that_o the_o same_o old_a man_n afterward_o be_v entire_o restore_v to_o his_o pristine_a health_n without_o medicament_n after_o he_o afflict_v with_o some_o perilous_a disease_n have_v lie_v upon_o his_o back_n 14_o day_n therefore_o the_o same_o author_n affirm_v rest_n and_o lie_v on_o the_o back_n to_o be_v the_o best_a remedy_n against_o the_o hernia_n but_o we_o see_v the_o hernia_n of_o young_a child_n very_o often_o cure_v and_o indeed_o especial_o about_o the_o eight_o year_n of_o their_o age_n with_o a_o good_a truss_n make_v of_o linen_n and_o silvius_n his_o carminative_a plaster_n spread_v upon_o leather_n the_o description_n of_o which_o be_v find_v in_o the_o first_o book_n of_o his_o praxis_fw-la chap._n 14._o under_o the_o title_n 58._o in_o which_o notwithstanding_o there_o be_v one_o error_n which_o i_o hope_v no_o man_n will_v follow_v worthy_a to_o be_v note_v viz._n that_o gum_n galbanum_fw-la and_o other_o thing_n be_v dissolve_v in_o vinegar_n which_o not_o a_o little_a infringe_v the_o volatile_a salt_n of_o they_o the_o oath_n of_o physician_n in_o the_o ultrajectine_n academy_n command_v that_o thing_n hear_v or_o see_v in_o a_o cure_n shall_v not_o be_v mention_v but_o involve_v in_o silence_n and_o this_o oath_n i_o judge_v shall_v be_v strict_o observe_v in_o the_o hernia_n of_o young_a man_n because_o this_o evil_a attend_v they_o be_v wont_a to_o be_v more_o offensive_a to_o maiden_n than_o be_v fit_a
with_o a_o acid_a spirit_n not_o to_o fly_v away_o as_o it_o be_v otherwise_o wont_a to_o do_v the_o end_n of_o the_o four_o decade_n decade_n v._n observat._n i._n of_o a_o wound_n of_o the_o head_n a_o youth_n age_v sixteen_o year_n fall_v from_o a_o horse_n to_o the_o ground_n receive_v a_o sufficient_o large_a wound_n in_o the_o forepart_n of_o his_o head_n which_o be_v indeed_o so_o great_a that_o the_o bone_n present_v itself_o bare_a to_o the_o sight_n in_o the_o mean_a while_o the_o patient_n do_v often_o vomit_v and_o be_v very_o ill_o two_o hour_n after_o this_o mishap_n be_v scarce_o elapse_v before_o i_o be_v call_v to_o this_o youth_n in_o who_o head_n i_o can_v perceive_v neither_o fissure_n nor_o fracture_n nor_o imbow_v of_o the_o cranium_fw-la and_o at_o that_o time_n the_o vomit_v cease_v and_o the_o sick_a youth_n be_v pretty_a sedate_n and_o complain_v not_o much_o of_o pain_n or_o of_o any_o other_o discommodity_n it_o will_v in_o this_o place_n be_v superfluous_a to_o explain_v whence_o this_o vomit_v proceed_v the_o matter_n be_v as_o i_o judge_v sufficient_o clear_a of_o itself_o the_o hair_n be_v shave_v off_o i_o fill_v the_o wound_n with_o dry_a lint_n and_o indeed_o do_v this_o for_o two_o reason_n first_o that_o the_o flux_n of_o blood_n may_v by_o this_o mean_n be_v stop_v and_o second_o that_o the_o lip_n of_o the_o wound_n may_v be_v in_o some_o measure_n separate_v each_o from_o other_o to_o the_o end_n that_o the_o cranium_fw-la might_n the_o next_o day_n be_v the_o better_o discover_v then_o i_o superposit_v a_o plaster_n make_v of_o the_o follow_a mass_n â„ž_o emplast_n diapalma_n â„¥_o ij_o bolus_n and_o common_a chalk_n of_o eachÊ’ij_fw-la diaphoretic_a antimony_n â„¥_o i_o oil_n of_o bay_n Ê’ij_fw-la of_o tartar_n p._n d._n Ê’ss_n mix_v and_o make_v a_o plaster_n the_o next_o day_n nothing_o of_o evil_n appear_v in_o the_o cranium_fw-la discover_v and_o the_o patient_n be_v scarce_o vex_v with_o a_o evil_a symptom_n whence_o i_o conceive_v hope_n that_o the_o interior_n part_n of_o the_o cranium_fw-la have_v also_o receive_v no_o hurt_n and_o that_o the_o brain_n likewise_o lie_v unprejudiced_a within_o both_o its_o infolding_n therefore_o the_o bone_n be_v first_o cover_v with_o dry_a scrape_v lint_n i_o apply_v to_o the_o lip_n of_o the_o wound_v this_o follow_a medicament_n â„ž_o common_a turpentine_n honey_n of_o rose_n of_o each_o â„¥_o ss_z myrrh_n aloe_n of_o eachÊ’ss_n mix_v these_o make_v a_o unguent_n by_o this_o mean_v the_o patient_n be_v in_o a_o short_a time_n restore_v to_o his_o pristine_a state_n of_o health_n the_o plaster_n be_v apply_v for_o temperate_a the_o acidity_n and_o that_o it_o may_v speedy_o dissolve_v whatsoever_o be_v coagulate_v by_o the_o contusion_n the_o unguent_n be_v also_o add_v for_o restore_v the_o circulation_n of_o the_o blood_n and_o humour_n somewhat_o impede_v by_o reason_n of_o the_o small_a passage_n in_o the_o wound_n interrupt_v and_o distort_v the_o bare_a cranium_fw-la be_v cover_v with_o dry_a scrape_v lint_n partly_o that_o the_o pus_fw-la issue_v from_o the_o lip_n of_o the_o wound_n may_v infer_v no_o damage_n to_o the_o bone_n and_o partly_o that_o the_o ambient_fw-la air_n may_v by_o this_o mean_n be_v keep_v from_o the_o cranium_fw-la to_o which_o by_o reason_n of_o its_o acidity_n with_o which_o it_o abound_v it_o be_v very_o inimical_a as_o the_o daily_a coagulation_n of_o blood_n let_v out_o from_o a_o vein_n cut_v cause_v by_o the_o external_a air_n do_v plain_o teach_v but_o that_o kind_a of_o lint_n which_o be_v in_o dutch_a call_v catoen_n be_v not_o convenient_a in_o wound_n because_o it_o be_v often_o wont_a by_o its_o acute_a angle_n with_o which_o it_o abound_v as_o by_o the_o help_n of_o a_o microscope_n may_v easy_o be_v see_v to_o excite_v inflammation_n all_o fat_a thing_n i_o here_o studious_o avoid_v because_o they_o with_o their_o stringy_a particle_n too_o pertinacious_o obstruct_v the_o very_a small_a passage_n of_o the_o cranium_fw-la and_o so_o cause_v the_o humour_n to_o stagnize_v and_o wax_v acid_a corrupt_v the_o volatile_a salt_n of_o the_o cranium_fw-la and_o induce_v rottenness_n and_o then_o the_o cure_n must_v needs_o be_v not_o a_o little_a procrastinate_v by_o reason_n of_o the_o perish_a part_n of_o the_o bone_n which_o must_v first_o be_v separate_v scultetus_n in_o his_o chyrurgick_a armoury_n anoint_v the_o part_n adjoin_v to_o a_o wound_n with_o astringent_a oil_n for_o some_o time_n to_o prevent_v inflammation_n as_o he_o judge_v but_o improper_o for_o in_o a_o inflammation_n the_o circulation_n of_o the_o blood_n shall_v not_o be_v stop_v but_o promote_v because_o the_o blood_n and_o humour_n by_o reason_n of_o their_o coagulation_n in_o a_o inflammation_n stagnize_v more_o than_o be_v fit_a therefore_o it_o will_v in_o this_o case_n be_v a_o argument_n of_o much_o great_a prudence_n to_o dissolve_v the_o coagulate_v humour_n by_o plaster_n temperate_a acidity_n the_o cut_n of_o a_o vein_n which_o many_o egregious_o extol_v in_o wound_n of_o the_o head_n i_o whole_o omit_v because_o i_o see_v not_o any_o utility_n thence_o to_o arise_v to_o distinguish_v medicament_n into_o mundificatives_n and_o narcotic_o and_o to_o take_v sometime_o these_o and_o afterward_o those_o into_o use_n be_v a_o matter_n of_o no_o utility_n for_o our_o unguent_n only_o be_v sufficient_a and_o perform_v whatsoever_o be_v necessary_a whilst_o it_o temperate_v acidity_n and_o restore_v the_o circulation_n of_o the_o humour_n but_o in_o the_o mean_a while_o it_o be_v to_o be_v observe_v that_o when_o the_o wound_n be_v almost_o fill_v up_o with_o flesh_n omit_v the_o aforesaid_a unguent_n we_o at_o length_n apply_v dry_a scrape_v lint_n for_o otherwise_o the_o flesh_n will_v have_v be_v too_o luxuriant_a and_o rise_v high_a than_o be_v fit_a the_o ancient_n in_o wound_n of_o the_o head_n use_v a_o swath_n which_o be_v call_v cancer_n the_o delineation_n of_o which_o 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