many_o little_a one_o which_o still_o remain_v and_o take_v growth_n in_o the_o kidney_n a_o patient_n labour_v under_o a_o suppression_n of_o urine_n can_v be_v cure_v after_o the_o three_o day_n if_o he_o be_v take_v with_o a_o drowsy_a fit_n and_o if_o he_o can_v hardly_o fetch_v breath_n the_o hicket_n be_v a_o mortal_a symptom_n the_o gout_n happen_v to_o those_o who_o be_v trouble_v with_o the_o stone_n may_v sometime_o cure_v they_o the_o contrary_a also_o through_o the_o abundance_n of_o humour_n do_v also_o happen_v when_o the_o stone_n be_v adherent_a or_o cover_v with_o a_o coat_n or_o if_o we_o meet_v with_o a_o fungous_a or_o sarcomatick_a body_n the_o separation_n of_o they_o be_v gradual_o to_o be_v attempt_v by_o injection_n and_o moderate_o detersive_a medicine_n child_n be_v soon_o and_o more_o easy_o cure_v by_o this_o operation_n because_o they_o have_v a_o more_o sedate_v mind_n and_o less_o trouble_v with_o passion_n be_v near_o the_o source_n of_o life_n than_o those_o that_o be_v strike_v in_o age._n whilst_o all_o thing_n be_v prepare_v it_o be_v the_o surgeon_n part_n to_o comfort_v the_o patient_n order_v likewise_o that_o he_o have_v spiritual_a and_o ghostly_a help_n administer_v unto_o he_o chap._n ix_o of_o the_o method_n of_o search_v woman_n be_v least_o trouble_v with_o the_o stone_n because_o their_o vrethra_n be_v short_a wide_a and_o more_o direct_a and_o therefore_o be_v not_o so_o obnoxious_a to_o disease_n as_o that_o of_o a_o man_n but_o see_v all_o sort_n of_o person_n be_v subject_a to_o the_o stone_n have_v first_o inquire_v into_o the_o sign_n the_o patient_n be_v to_o be_v put_v in_o a_o convenient_a posture_n to_o be_v search_v that_o so_o the_o cause_n of_o their_o pain_n may_v be_v discover_v if_o it_o be_v a_o woman_n she_o be_v to_o be_v lay_v upon_o she_o back_o her_o buttock_n a_o little_a raise_v and_o have_v choose_v a_o catheter_n bend_v only_o at_o the_o end_n and_o anoint_v with_o salade-oyl_n or_o some_o other_o sweet_a oil_n she_o be_v to_o be_v make_v to_o open_v her_o thigh_n a_o little_a then_o the_o operator_n be_v to_o open_v and_o separate_v the_o nymphae_n with_o two_o finger_n of_o the_o same_o hand_n that_o the_o orifice_n of_o the_o vrethra_n may_v appear_v beneath_o the_o clitoris_n afterward_o the_o catheter_n be_v to_o be_v thrust_v in_o gentle_o with_o the_o other_o hand_n and_o so_o a_o search_n to_o be_v make_v whether_o there_o be_v any_o stone_n or_o not_o it_o be_v no_o great_a matter_n whether_o the_o bend_a part_n of_o the_o catheter_n be_v turn_v towards_o the_o pubis_fw-la or_o the_o vagina_n because_o of_o the_o conformation_n of_o the_o vrethra_n and_o it_o be_v convenient_a not_o to_o be_v just_o opposite_a to_o the_o hollow_a of_o the_o catheter_n for_o fear_n of_o the_o eruption_n of_o urine_n for_o the_o more_o easy_a search_n of_o man_n they_o ought_v to_o lean_v a_o little_a back_n or_o to_o be_v lay_v upon_o their_o back_n and_o the_o chirurgeon_n have_v make_v they_o open_v their_o thigh_n he_o be_v to_o raise_v the_o yard_n and_o hold_v it_o straight_o betwixt_o the_o thumb_n and_o the_o fore_n and_o middle_a finger_n of_o the_o same_o hand_n skinning_n and_o take_v the_o prepuce_fw-la off_o of_o the_o glans_fw-la afterward_o with_o the_o other_o hand_n he_o shall_v gentle_o thrust_v a_o oil_a catheter_n to_o the_o very_a bottom_n of_o the_o vrethra_n hold_v it_o by_o the_o end_n where_o the_o ring_n be_v like_o a_o pen_n betwixt_o his_o finger_n with_o this_o difference_n that_o the_o ring_n of_o the_o catheter_n be_v be_v hide_v with_o the_o same_o finger_n his_o hand_n be_v half_o open_a turn_v towards_o the_o pubis_fw-la and_o the_o bend_n or_o bill_n of_o the_o catheter_n towards_o the_o anus_fw-la then_o must_v the_o catheter_n and_o yard_n be_v move_v towards_o the_o groin_n that_o be_v remote_a from_o he_o that_o search_v and_o in_o the_o mean_a time_n he_o be_v to_o turn_v betwixt_o his_o finger_n the_o catheter_n and_o the_o bill_n of_o it_o towards_o the_o pubis_fw-la observe_v that_o the_o fore_n and_o middle_a finger_n touch_v the_o catheter_n on_o the_o one_o side_n and_o the_o thumb_n on_o the_o other_o answer_v exact_o to_o the_o space_n betwixt_o the_o finger_n at_o the_o same_o time_n the_o chirurgeon_n be_v to_o press_v a_o little_a more_o with_o the_o fore_n finger_n which_o be_v high_o than_o the_o middle_a finger_n so_o that_o the_o centre_n of_o the_o motion_n be_v upon_o the_o thumb_n by_o that_o mean_v the_o handle_n of_o the_o catheter_n be_v cover_v and_o the_o bill_n or_o bend_n of_o the_o catheter_n raise_v that_o it_o may_v press_v the_o sphincter_n and_o enter_v into_o the_o bladder_n this_o be_v the_o figure_n of_o it_o page_n 44_o sometime_o when_o the_o catheter_n be_v introduce_v to_o the_o very_a bottom_n of_o the_o vrethra_n and_o when_o the_o bill_n of_o it_o be_v turn_v towards_o the_o pubis_fw-la the_o chirurgeon_n be_v oblige_v to_o let_v go_v the_o yard_n and_o to_o put_v a_o finger_n into_o the_o anus_fw-la and_o by_o a_o light_a compression_n of_o the_o vectum_fw-la and_o the_o vrethra_n the_o catheter_n be_v conduct_v into_o the_o bladder_n which_o be_v do_v he_o be_v to_o draw_v out_o his_o finger_n and_o hold_v the_o yard_n no_o long_o the_o wire_n or_o stilet_n be_v take_v out_o of_o the_o catheter_n before_o it_o be_v introduce_v and_o when_o it_o be_v in_o the_o bladder_n it_o be_v hold_v by_o the_o ring_n betwixt_o the_o fore_n and_o middle_a finger_n have_v the_o thumb_n upon_o the_o hollow_a of_o the_o catheter_n and_o the_o back_n of_o the_o hand_n turn_v towards_o the_o patient_n belly_n then_o the_o chirurgeon_n be_v to_o give_v some_o easy_a jog_n move_v the_o bill_n a_o little_a to_o the_o right_n and_o left_a without_o turn_v the_o catheter_n full_o round_a the_o ring_n be_v lower_v that_o the_o bend_n may_v mount_v towards_o the_o bottom_n of_o the_o bladder_n and_o sometime_o they_o be_v incline_v near_o the_o belly_n without_o force_v the_o catheter_n out_o of_o the_o sphincter_n and_o by_o these_o kind_n of_o motion_n if_o one_o be_v very_o attentive_a when_o it_o be_v a_o stone_n one_o shall_v hear_v a_o little_a sound_n as_o of_o two_o small_a stone_n that_o touch_v one_o another_o or_o at_o lest_o something_o be_v to_o be_v feel_v that_o make_v a_o collision_n with_o the_o catheter_n as_o if_o it_o be_v rub_v with_o a_o stone_n if_o it_o float_v it_o may_v be_v feel_v when_o there_o be_v urine_n in_o the_o bladder_n and_o that_o require_v that_o the_o operator_n shall_v stop_v the_o hollow_a of_o the_o catheter_n with_o his_o thumb_n but_o if_o nothing_o be_v feel_v the_o urine_n be_v to_o be_v let_v out_o by_o the_o catheter_n and_o then_o diligent_a search_n to_o be_v make_v there_o be_v another_o way_n of_o search_a man_n the_o yard_n be_v to_o be_v raise_v and_o moderate_o pull_v up_o lay_v upon_o the_o groin_n and_o the_o ring_n of_o the_o catheter_n incline_v towards_o the_o belly_n so_o that_o the_o bill_n be_v turn_v towards_o the_o anus_fw-la there_o be_v ungosity_n in_o the_o bladder_n that_o sometime_o deceive_v he_o that_o search_v but_o they_o may_v be_v discern_v because_o then_o one_o find_v only_o something_o that_o be_v soft_a or_o but_o moderate_o hard_a which_o make_v no_o noise_n by_o the_o touch_n of_o the_o catheter_n the_o bladder_n of_o child_n have_v no_o ungosity_n like_v to_o those_o of_o men._n in_o the_o hospital_n of_o the_o charity_n at_o paris_n about_o the_o begin_n of_o a_o cut_n in_o the_o year_n 1681._o two_o child_n be_v present_v to_o be_v cut_v but_o the_o stone_n not_o be_v feel_v they_o be_v put_v to_o bed_n again_o notwithstanding_o after_o many_o other_o have_v be_v cut_v they_o be_v examine_v the_o second_o time_n the_o stone_n discover_v and_o immediate_o cut_v out_o because_o they_o be_v prepare_v this_o make_v it_o appear_v that_o one_o shall_v not_o be_v too_o hasty_a to_o give_v his_o opinion_n if_o sometime_o the_o stone_n be_v not_o feel_v though_o the_o sign_n seem_v evident_a because_o they_o may_v be_v small_a or_o change_v their_o place_n at_o the_o same_o time_n a_o man_n be_v search_v with_o a_o catheter_n use_v to_o make_v patient_n void_a urine_n after_o that_o the_o bill_n have_v be_v incline_v to_o the_o right_a side_n and_o several_a time_n thrust_v towards_o the_o bottom_n of_o the_o bladder_n the_o ring_n be_v press_v down_o towards_o the_o belly_n as_o if_o there_o have_v be_v a_o design_n to_o bring_v out_o the_o catheter_n but_o when_o the_o bill_n of_o it_o be_v judge_v to_o be_v near_o the_o sphincter_n of_o the_o bladder_n it_o be_v turn_v to_o the_o left_a side_n which_o can_v not_o have_v be_v do_v soon_o because_o of_o
the_o groin_n and_o on_o the_o side_n of_o the_o linea-alba_a the_o white_a line_n the_o bottom_n of_o the_o bladder_n may_v without_o doubt_n be_v open_v withoutuhrt_v the_o part_n of_o the_o low_a belly_n because_o it_o be_v situate_v between_o the_o duplicature_n of_o the_o peritoneum_fw-la and_o the_o full_a that_o it_o be_v of_o urine_n the_o more_o apparent_a it_o will_v be_v by_o mean_n of_o the_o urine_n the_o simple_a dilatatory_n may_v be_v conduct_v and_o then_o the_o button_n which_o after_o the_o dilatory_a be_v take_v out_o may_v serve_v for_o a_o conductor_n to_o the_o forceps_fw-la mr._n jonnot_n tell_v i_o that_o mr._n bonnet_n a_o chirurgeon_n who_o heretofore_o practise_v lithotomie_n in_o the_o hotel_n dieu_n of_o paris_n assure_v he_o that_o he_o have_v cut_v in_o that_o manner_n mr._n petit_fw-fr a_o master_n chirurgeon_n of_o that_o hospital_n tell_v i_o that_o he_o have_v see_v mr._n bonnet_n practice_v it_o upon_o a_o young_a girl_n the_o cure_n be_v to_o be_v perform_v as_o of_o simple_a wound_n in_o the_o lowor_n belly_n or_o otherways_o the_o method_n may_v be_v change_v according_a as_o symptom_n happen_v to_o follow_v experience_n teach_v we_o that_o the_o wound_n of_o the_o bladder_n be_v not_o always_o mortal_a if_o any_o one_o will_v practise_v the_o high_a operation_n it_o will_v be_v necessary_a to_o try_v many_o experiment_n on_o dead_a body_n after_o the_o water_n be_v take_v out_o of_o the_o bladder_n de_fw-fr franco_n in_o the_o same_o place_n chap._n xxxiii_o proposes_n another_o way_n of_o cut_v which_o be_v immediate_o after_o the_o incision_n to_o put_v in_o a_o tent_n unless_o the_o stone_n present_v itself_o at_o first_o and_o some_o day_n after_o when_o the_o pain_n be_v cease_v to_o pull_v out_o the_o stone_n but_o this_o way_n be_v only_o practise_v when_o the_o operation_n be_v laborious_a and_o instead_o of_o a_o tent_n a_o pipe_n be_v make_v use_n of_o chap._n fourteen_o the_o practice_n of_o the_o lesser_a operation_n for_o men._n the_o lesser_a operation_n have_v be_v so_o call_v because_o the_o practice_n thereof_o require_v but_o a_o few_o instument_n it_o be_v invent_v by_o celsus_n and_o describe_v in_o the_o seven_o book_n twenty_o six_o chapter_n as_o it_o be_v heretofore_o practise_v but_o if_o the_o stone_n be_v not_o towards_o the_o neck_n of_o the_o bladder_n and_o that_o it_o be_v feel_v in_o the_o perineum_fw-la near_o to_o and_o under_o the_o scrotum_fw-la the_o manner_n of_o extract_v it_o be_v different_a that_o i_o may_v give_v a_o clear_a notion_n of_o the_o thing_n i_o shall_v here_o observe_v what_o happen_v in_o many_o lithotomy_n in_o the_o year_n one_o thousand_o six_o hundred_o and_o eighty_o in_o the_o hospital_n of_o the_o charity_n of_o paris_n though_o i_o have_v my_o share_n in_o those_o operation_n that_o be_v laborious_a yet_o i_o shall_v only_o mention_v one_o that_o happen_v to_o monsieur_n jonnot_n the_o circumstance_n whereof_o agree_v exact_o with_o other_o operation_n which_o i_o perform_v in_o his_o presence_n this_o relation_n will_v give_v ground_n for_o make_v two_o kind_n of_o lesser_a operation_n for_o man_n there_o be_v bring_v to_o he_o a_o boy_n of_o seven_o year_n of_o age_n that_o have_v be_v cut_v the_o year_n before_o he_o need_v not_o make_v use_n of_o the_o catheter_n to_o assure_v he_o of_o the_o destemper_n for_o with_o two_o finger_n one_o may_v feel_v the_o stone_n towards_o the_o middle_n of_o the_o perineum_fw-la above_o the_o former_a cicatrice_n to_o hold_v it_o fast_o it_o be_v needless_a to_o put_v the_o finger_n into_o the_o anus_fw-la because_o the_o stone_n be_v too_o high_a it_o can_v not_o be_v compress_v as_o be_v usual_o do_v when_o it_o be_v in_o the_o neck_n of_o the_o bladder_n but_o have_v cause_v the_o scrotum_fw-la to_o be_v lift_v up_o and_o the_o skin_n hold_v straight_o mounseur_fw-fr jonnot_n turn_v the_o inside_n of_o the_o left_a hand_n towards_o the_o cod_n he_o press_v the_o tumour_n with_o his_o thumb_n and_o forefinger_n on_o both_o side_n of_o the_o suture_a where_o he_o have_v observe_v the_o stone_n at_o the_o same_o time_n he_o make_v the_o incision_n on_o the_o side_n of_o the_o suture_a upon_o the_o tumour_n and_o have_v open_v a_o passage_n with_o a_o middle_a size_a hook_n he_o extract_v the_o stone_n afterward_o feel_v with_o one_o finger_n that_o there_o be_v other_o still_o remain_v he_o be_v oblige_v to_o keep_v the_o place_n dilate_v with_o the_o same_o finger_n that_o introduce_v the_o hook_n and_o that_o the_o stone_n may_v not_o shift_v its_o place_n he_o hold_v it_o fast_o with_o the_o forefinger_n of_o the_o lefthand_n put_v upon_o the_o upper_a part_n of_o the_o wound_n and_o with_o the_o thumb_n on_o the_o low_a part_n by_o that_o mean_v he_o happy_o finish_v that_o operation_n that_o he_o may_v cut_v the_o same_o patent_n by_o the_o great_a operation_n for_o have_v pull_v out_o all_o the_o small_a stone_n and_o fragment_n that_o be_v in_o the_o perineum_fw-la he_o introduce_v by_o the_o yard_n a_o furrow_a catheter_n wherewith_o he_o find_v another_o stone_n in_o the_o bladder_n and_o upon_o that_o catheter_n he_o continue_v the_o incision_n with_o the_o other_o circumstance_n whereof_o we_o shall_v speak_v in_o the_o great_a operation_n i_o be_v necessitate_v to_o do_v the_o same_o to_o a_o young_a man_n of_o twenty_o two_o year_n of_o age._n i_o remember_v that_o before_o mounseur_fw-fr jonnot_n make_v use_v of_o the_o catheter_n to_o cut_v he_o by_o the_o great_a operation_n be_v introduce_v into_o the_o yard_n a_o great_a straight_a wire_n or_o stilet_n to_o force_v down_o some_o fragment_n that_o stick_v a_o little_a high_o than_o the_o incision_n whilst_o he_o compress_v the_o vrethra_n underneath_o and_o then_o put_v his_o thumb_n below_o the_o wound_n he_o draw_v they_o out_o with_o a_o small_a scoop_v without_o any_o trouble_n page_n 81_o page_n 81_o it_o be_v not_o needful_a to_o make_v the_o patient_n jump_v before_o he_o be_v cut_v by_o the_o lesser_a operation_n if_o he_o be_v a_o little_a boy_n and_o the_o stone_n in_o the_o neck_n of_o the_o bladder_n it_o be_v enough_o after_o that_o he_o be_v put_v into_o a_o posture_n and_o hold_v fast_o by_o the_o servant_n that_o the_o chirurgeon_n dip_v his_o forefinger_n and_o middle-finger_n into_o oil_n the_o nail_n be_v pare_v and_o if_o one_o finger_n be_v not_o suffiicient_a that_o he_o thrust_v they_o one_o after_o another_o into_o the_o fundament_n as_o far_o as_o possible_o he_o can_v that_o they_o may_v reach_v beyond_o the_o stone_n and_o press_v it_o down_o to_o the_o neck_n of_o the_o bladder_n betwixt_o the_o rectum_fw-la and_o the_o os_fw-la pubis_fw-la a_o servant_n in_o the_o mean_a time_n lift_v up_o the_o scrotum_fw-la with_o one_o hand_n and_o with_o the_o other_o arm_v with_o a_o compress_v lean_v upon_o the_o belly_n to_o make_v the_o stone_n come_v down_o then_o the_o chirurgeon_n be_v to_o dry_v the_o perineum_fw-la and_o stretch_v the_o skin_n very_o straight_o with_o his_o other_o finger_n as_o it_o be_v represent_v in_o this_o figure_n the_o tumour_n that_o the_o stone_n cover_v with_o tegument_n make_v render_v the_o incision_n 〈◊〉_d on_o the_o side_n of_o the_o suture_a which_o may_v be_v make_v long_o enough_o for_o extract_v of_o the_o stone_n care_v nevertheless_o must_v be_v have_v to_o avoid_v the_o rectum_fw-la the_o hemmorhoid_n vein_n and_o the_o cod_n one_o must_v not_o fear_v the_o spoil_n of_o the_o edge_n or_o point_n of_o the_o bistori_n for_o every_o time_n that_o it_o be_v to_o be_v use_v of_o new_a it_o must_v be_v set_v again_o so_o soon_o as_o the_o incision_n be_v make_v the_o stone_n appear_v and_o then_o the_o operator_n lay_v aside_o the_o bistori_n and_o take_v the_o hook_n or_o crotchet_n he_o be_v to_o hide_v it_o in_o his_o hand_n as_o much_o as_o he_o can_v the_o end_n of_o its_o handle_n be_v towards_o the_o little_a finger_n and_o the_o forefinger_n cover_v the_o length_n of_o its_o body_n without_o draw_v the_o finger_n out_o of_o the_o rectum_fw-la the_o hook_n be_v to_o be_v slip_v in_o betwixt_o the_o pubis_fw-la and_o the_o stone_n in_o this_o manner_n when_o the_o hook_n be_v behind_o the_o stone_n and_o that_o the_o operator_n intend_v to_o pluck_v it_o out_o the_o handle_n of_o it_o ought_v to_o be_v in_o the_o hand_n with_o the_o end_n rest_v upon_o the_o thumb_n that_o it_o may_v be_v use_v with_o great_a page_n 82_o page_n 83_o the_o finger_n be_v not_o to_o be_v take_v out_o of_o the_o anus_fw-la before_o the_o extraction_n nevertheless_o when_o the_o stone_n break_v because_o of_o its_o softness_n or_o shape_n which_o be_v sometime_o crooked_a like_o a_o crescent_n if_o the_o rest_n can_v be_v extract_v with_o the_o hook_n or_o a_o little_a forceps_fw-la
be_v use_v be_v to_o put_v upon_o the_o incision_n a_o square_a dry_a compress_v about_o three_o or_o four_o finger_n breadth_n in_o bigness_n and_o indifferent_o thick_a and_o hold_v it_o on_o with_o one_o hand_n to_o take_v the_o patient_n about_o the_o body_n and_o with_o assistance_n and_o help_n to_o carry_v he_o to_o bed_n we_o have_v already_o say_v that_o the_o collar_n may_v be_v put_v on_o before_o the_o operation_n afterward_o take_v a_o frond_n or_o truss_v suitable_a to_o the_o patient_n it_o be_v to_o be_v lay_v upon_o his_o back_n above_o the_o buttock_n that_o so_o the_o two_o head_n or_o strap_n call_v the_o twin_n and_o which_o may_v be_v then_o call_v the_o superior_a may_v serve_v for_o a_o girdle_n the_o body_n or_o middle_n of_o the_o bandage_n in_o the_o mean_a time_n decline_v towards_o the_o place_n where_o the_o incision_n have_v be_v make_v which_o hinder_v the_o stop_n up_o of_o the_o anus_fw-la before_o the_o two_o superior_a strap_n of_o the_o frond_n or_o 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one_o must_v take_v the_o other_o end_n which_o be_v more_o remote_a from_o the_o anus_fw-la and_o give_v it_o a_o turn_n outward_o towards_o the_o body_n of_o the_o bandage_n to_o make_v a_o equal_a compressure_n it_o be_v likewise_o to_o pass_v over_o the_o square_n compress_v that_o be_v upon_o the_o wound_n and_o disengage_v the_o finger_n wherewith_o it_o be_v hold_v it_o be_v to_o be_v carry_v along_o the_o rite_n groin_n make_v but_o a_o very_a slight_a compression_n then_o the_o hand_n that_o hold_v on_o the_o dress_n be_v to_o be_v remove_v and_o with_o the_o help_n of_o both_o hand_n this_o last_o end_n be_v convey_v under_o the_o girdle_n before_o and_o on_o the_o right_a side_n and_o then_o tie_v with_o the_o knot_n call_v the_o mariner_n knot_n the_o same_o be_v do_v to_o the_o other_o end_n on_o the_o left_a side_n or_o otherwise_o if_o both_o end_n be_v long_o enough_o after_o they_o have_v be_v bring_v under_o the_o girdle_n they_o be_v tie_v together_o by_o the_o 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the_o truss_n and_o the_o other_o end_n which_o make_v the_o tail_n of_o the_o t_o pass_v betwixt_o the_o thigh_n and_o crossway_n upon_o the_o dress_n will_v hold_v it_o fast_o and_o press_v it_o as_o little_a as_o one_o please_v when_o the_o patient_n have_v a_o mind_n to_o make_v water_n the_o bandage_n be_v to_o be_v take_v off_o they_o be_v not_o subject_a to_o so_o many_o accident_n and_o they_o be_v soon_o cure_v than_o men._n in_o man_n the_o first_o dress_v may_v be_v remove_v within_o twelve_o hour_n after_o the_o applicat_fw-la on_o renew_v the_o imbrocation_n with_o the_o same_o astringent_a and_o the_o same_o belly_n piece_n for_o four_o or_o five_o day_n at_o least_o or_o more_o if_o the_o belly_n be_v swell_v or_o pain_a one_o may_v likewise_o make_v use_n of_o fomentation_n of_o the_o belly_n with_o rough_a wine_n and_o red_a rose_n and_o sometime_o they_o be_v to_o be_v reiterated_a four_o or_o five_o time_n a_o day_n the_o wound_n be_v to_o be_v dress_v with_o the_o lineament_n of_o arceus_n half_o melt_v to_o make_v it_o penetrate_v the_o more_o with_o the_o finger_n or_o feather_n of_o a_o quill_n introduce_v to_o the_o very_a bottom_n of_o the_o wound_n as_o gentle_o as_o may_v be_v then_o a_o little_a flat_a pledget_n dip_v in_o the_o same_o lineament_n be_v to_o be_v apply_v upon_o the_o lip_n of_o it_o with_o a_o triangular_a plaster_n soak_v in_o warm_a oil_n of_o rose_n use_v a_o compress_v and_o a_o truss_v moisten_v with_o warm_a oxycrat_n and_o a_o clean_a dry_a frond_n or_o bandage_n to_o be_v change_v at_o every_o new_a dress_n as_o at_o first_o for_o the_o follow_a day_n the_o patient_n be_v to_o be_v dress_v twice_o every_o four_o and_o twenty_o hour_n due_o change_v the_o dress_n except_o that_o of_o the_o belly_n which_o may_v serve_v for_o the_o first_o day_n and_o ever_o now_o and_o then_o the_o patient_n be_v to_o be_v make_v dry_a which_o be_v observe_v to_o be_v do_v when_o they_o be_v a_o dress_n not_o forget_v to_o make_v they_o clean_o for_o avoid_v a_o gangrene_n they_o be_v to_o be_v dress_v with_o all_o speed_n and_o diligence_n and_o the_o wound_n keep_v open_a as_o little_a as_o may_v be_v have_v a_o fire_n always_o in_o the_o room_n to_o correct_v the_o badness_n of_o the_o air._n after_o five_o or_o six_o day_n there_o be_v no_o more_o use_v make_v of_o oxycrat_n nor_o astringent_a nor_o of_o the_o triangular_a plaster_n but_o only_o of_o a_o dry_a belly_n piece_n and_o in_o the_o incision_n three_o or_o four_o drop_n of_o the_o lineament_n of_o arceus_n with_o a_o feather_n or_o the_o finger_n and_o a_o flat_a pledget_n upon_o the_o lip_n of_o the_o wound_n the_o balsam_n of_o peru_n and_o of_o capivei_n which_o be_v call_v natural_a white_a balsam_n be_v sovereign_a remedy_n for_o agglutination_n that_o of_o capivei_n be_v excellent_o good_a from_o the_o begin_n to_o the_o very_a end_n some_o take_v equal_a part_n of_o the_o lineament_n of_o arceus_n and_o the_o oil_n of_o egg_n other_o make_v use_n of_o the_o lineament_n of_o arceus_n during_o the_o whole_a cure_n other_o again_o of_o capivei_n some_o there_o be_v that_o make_v a_o mixture_n of_o equal_a part_n of_o basilicum_fw-la of_o venice_n turpentine_n and_o oil_n of_o egg_n or_o the_o lineament_n of_o arceus_n and_o the_o success_n be_v alike_o provide_v the_o operation_n have_v be_v fortunate_a and_o no_o bad_a accident_n superveen_v upon_o these_o medicine_n a_o pledget_n be_v put_v and_o a_o plaster_n of_o diacalciteos_n a_o little_a long_o than_o the_o wound_n and_o of_o a_o breadth_n proportionable_a to_o the_o subject_n a_o dry_a truss_n to_o bear_v up_o the_o cod_n a_o compress_v and_o a_o bandage_n upon_o
the_o length_n of_o the_o bend_n of_o that_o catheter_n and_o the_o smallness_n of_o the_o bladder_n the_o operator_n continue_v to_o search_v the_o stone_n which_o not_o be_v feel_v be_v find_v with_o another_o catheter_n who_o bill_n from_o the_o begin_n of_o the_o bend_n be_v not_o so_o long_o and_o therefore_o that_o catheter_n turn_v easy_o in_o the_o bladder_n this_o observation_n instruct_v we_o what_o catheter_n be_v to_o be_v choose_v for_o void_v of_o urine_n who_o bill_n ought_v not_o to_o be_v so_o long_o as_o those_o that_o serve_v for_o make_v of_o the_o incision_n and_o which_o be_v channel_v or_o furrow_v there_o be_v some_o man_n who_o have_v very_o narrow_a vrethra's_n which_o require_v small_a catheter_n like_o those_o for_o child_n and_o of_o a_o sufficient_a length_n catheter_n that_o do_v not_o easy_o bend_v or_o bow_n be_v likewise_o to_o be_v choose_v and_o that_o depend_v on_o the_o work_n of_o the_o artist_n that_o make_v they_o when_o the_o stone_n be_v in_o the_o neck_n of_o the_o bladder_n it_o be_v not_o necessary_a that_o the_o catheter_n shall_v be_v introduce_v so_o far_o as_o the_o bottom_n of_o it_o because_o the_o stone_n may_v be_v feel_v provide_v the_o catheter_n be_v only_o introduce_v as_o far_o as_o the_o bottom_n of_o the_o vrethra_n when_o there_o be_v a_o carnosity_n which_o hinder_v the_o catheter_n to_o slide_v into_o the_o bladder_n the_o operator_n must_v put_v a_o finger_n into_o the_o rectum_fw-la and_o if_o there_o be_v a_o stone_n he_o will_v find_v a_o hard_a and_o ponderous_a body_n towards_o the_o pubis_fw-la if_o there_o be_v a_o great_a inflammation_n it_o be_v the_o opinion_n of_o fernelius_n that_o no_o search_n shall_v be_v make_v in_o that_o case_n one_o shall_v observe_v to_o search_v gentle_o and_o seldom_o because_o otherways_o it_o may_v be_v the_o cause_n of_o pain_n inflammation_n excoriation_n a_o gangrenous_a ulcer_n in_o the_o sphincter_n nay_o and_o even_o a_o supression_n of_o urine_n or_o a_o pierce_a of_o the_o vrethra_n beside_o these_o disease_n one_o can_v sometime_o search_v because_o of_o a_o phymosis_n and_o of_o a_o stone_n in_o the_o vrethra_n something_o must_v be_v say_v as_o to_o that_o as_o much_o as_o be_v necessary_a to_o be_v know_v upon_o the_o account_n of_o lithotomy_n chap._n x._o of_o a_o phymosis_n and_o of_o the_o stone_n in_o the_o urethra_n many_o child_n have_v a_o phymosis_n to_o search_v they_o we_o must_v hold_v the_o yard_n betwixt_o the_o little_a finger_n and_o the_o ring_n finger_n the_o back_n of_o the_o hand_n be_v towards_o the_o belly_n and_o with_o the_o other_o finger_n pull_v back_o the_o prepuce_fw-la as_o if_o one_o intend_v to_o skin_n the_o glans_fw-la the_o thumb_n on_o one_o side_n and_o the_o forefinger_n and_o middle-finger_n on_o the_o other_o gentle_o press_v with_o these_o three_o finger_n towards_o that_o part_n of_o the_o nut_n or_o balanus_n where_o one_o judge_n the_o end_n of_o the_o glans_fw-la to_o be_v seat_v that_o by_o that_o mean_v the_o orifice_n of_o the_o vrethra_n may_v be_v the_o more_o dilate_a then_o the_o catheter_n be_v to_o be_v entroduce_v gent_o search_v for_o the_o perforation_n of_o the_o glans_fw-la one_o may_v know_v that_o he_o be_v in_o the_o vrethra_n if_o the_o catheter_n enter_v easy_o and_o by_o feel_v with_o the_o finger_n of_o the_o other_o hand_n along_o the_o vrethra_n on_o the_o under_o side_n of_o the_o yard_n if_o the_o prepuce_fw-la be_v so_o straight_o that_o the_o catheter_n can_v be_v introduce_v or_o if_o one_o can_v hit_v upon_o the_o orifice_n of_o the_o vrethra_n there_o be_v no_o danger_n to_o dilate_v a_o little_a the_o prepuce_fw-la sideways_o with_o the_o point_n of_o a_o common_a bistori_n or_o a_o pair_n of_o sharp_a cissar_n observe_v that_o before_o the_o introduce_v of_o the_o catheter_n it_o will_v be_v fit_a to_o squeeze_v the_o yard_n with_o the_o finger_n along_o the_o vrethra_n and_o so_o to_o try_v if_o one_o do_v not_o feel_v some_o hard_a body_n which_o stop_v the_o passage_n as_o carnosity_n or_o stone_n when_o it_o be_v a_o stone_n the_o catheter_n be_v to_o be_v draw_v out_o and_o if_o before_o search_v it_o be_v know_v to_o be_v a_o stone_n and_o that_o it_o stick_v in_o the_o middle_n of_o the_o yard_n between_o the_o glans_fw-la and_o the_o testicle_n there_o be_v no_o search_v but_o have_v only_o press_v the_o yard_n with_o the_o finger_n from_o the_o pubis_fw-la to_o the_o stone_n the_o operator_n shall_v take_v a_o curette_n or_o extractor_n oil_v and_o have_v introduce_v it_o by_o little_a and_o little_a and_o pass_v it_o beyond_o the_o stone_n he_o may_v therewith_o draw_v it_o out_o of_o the_o vrethra_n the_o curette_n or_o extractor_n be_v like_o a_o ear-picker_n make_v of_o steel_n because_o it_o be_v less_o apt_a to_o bend_v than_o if_o it_o be_v make_v of_o another_o metal_n the_o operator_n must_v have_v of_o they_o of_o several_a size_n in_o bigness_n four_o or_o five_o inch_n long_o the_o figure_n of_o it_o you_o may_v see_v in_o the_o low_a end_n of_o the_o second_o plate_n of_o instrment_n the_o extremitiy_n of_o the_o vrethra_n may_v be_v dilate_v in_o the_o upper_a part_n of_o the_o glans_fw-la when_o stone_n be_v extract_v with_o the_o curette_n and_o when_o be_v bring_v as_o far_o as_o the_o orifice_n they_o can_v pass_v without_o pain_n the_o urine_n serve_v for_o a_o remedy_n and_o if_o there_o have_v be_v a_o contusion_n and_o pain_n it_o be_v enough_o to_o foment_n the_o yard_n with_o the_o oil_n of_o rose_n and_o cover_v the_o nut_n or_o balanus_n with_o a_o little_a pledget_n dip_v in_o the_o lineament_n of_o arceus_n dissolve_v with_o a_o little_a mell_v rasatum_n moderate_o express_v out_o with_o the_o nucial_a or_o cross_a bandage_n open_a in_o the_o middle_n and_o the_o band_n with_o three_o head_n to_o wrap_v it_o up_o in_o and_o it_o be_v not_o to_o be_v forget_v if_o there_o be_v need_n for_o it_o to_o put_v a_o girdle_n about_o the_o child_n to_o which_o the_o band_n may_v be_v tie_v nay_o and_o a_o collar_n hang_v about_o the_o neck_n like_o a_o chairmans_n strap_n the_o low_a part_n of_o which_o be_v to_o be_v fasten_v to_o the_o girdle_n that_o it_o may_v not_o sink_v low_o than_o one_o will_v have_v it_o that_o bandage_n serve_v for_o other_o distemper_n of_o the_o yard_n begininng_a to_o apply_v it_o upon_o the_o glans_fw-la and_o then_o bring_v it_o near_o to_o the_o belly_n with_o slight_a couling_n and_o circumvolution_n to_o keep_v the_o medicine_n fast_o to_o the_o part_n and_o near_o to_o the_o pubis_fw-la a_o indifferent_a hard_a knot_n be_v to_o be_v cast_v than_o the_o two_o head_n at_o the_o other_o extremity_n of_o the_o band_n or_o truss_n be_v to_o be_v â—ied_v to_o the_o girdle_n the_o precise_a length_n and_o breadth_n of_o all_o the_o part_n of_o that_o bandage_n can_v be_v determine_v because_o it_o depend_v upon_o the_o judgement_n of_o the_o chirurgeon_n to_o make_v they_o so_o long_o and_o so_o narrow_a as_o that_o they_o be_v not_o cumbersome_a there_o be_v still_o another_o way_n of_o extract_v the_o stone_n out_o of_o the_o yard_n when_o it_o be_v at_o a_o distance_n from_o the_o sphincter_n of_o the_o bladder_n and_o that_o be_v this_o have_v draw_v back_o the_o skin_n of_o the_o praepuce_fw-la as_o much_o as_o one_o can_v towards_o the_o nut_n of_o the_o yard_n ligature_n be_v make_v betwixt_o the_o stone_n and_o the_o pubis_fw-la or_o otherways_o one_o may_v with_o the_o finger_n compress_v the_o yard_n and_o the_o â—kin_n be_v fore_o and_o behind_o the_o place_n where_o the_o stone_n be_v observe_v to_o stick_v and_o afterward_o make_v incision_n upon_o the_o stone_n a_o little_a sideways_o in_o the_o vrethra_n that_o so_o the_o stone_n may_v be_v take_v out_o by_o mean_n of_o the_o curette_n or_o extractor_n introduce_v into_o the_o orifice_n of_o the_o incision_n the_o ligature_n be_v remove_v and_o the_o skin_n losen_v the_o incision_n stop_v and_o be_v cure_v by_o the_o balsam_n of_o the_o urine_n without_o other_o medicine_n if_o one_o be_v unwilling_a to_o make_v incision_n in_o the_o vrethra_n or_o if_o the_o stone_n can_v be_v get_v out_o with_o the_o extractor_n it_o will_v be_v fit_a to_o give_v diuretic_n medicine_n to_o force_v it_o forward_o to_o the_o glans_fw-la thereby_o to_o facilitate_v its_o extraction_n chap._n xi_o of_o the_o time_n of_o search_v and_o cut_v of_o the_o instrument_n of_o the_o patient_n diet_n and_o of_o the_o first_o preparation_n a_o patient_n may_v at_o any_o time_n be_v search_v or_o probe_v to_o make_v he_o render_v his_o water_n and_o to_o discover_v the_o disease_n if_o one_o find_v himself_o extreme_o trouble_v with_o the_o stone_n cut_v be_v not_o to_o be_v delay_v without_o danger_n
be_v not_o hurt_v the_o sleeve_n of_o his_o shirt_n may_v be_v pull_v down_o to_o cover_v his_o hand_n after_o that_o the_o same_o servant_n with_o his_o right-hand_n shall_v lay_v hold_n of_o the_o leg_n on_o the_o same_o side_n by_o the_o foot_n and_o ankle_n the_o servant_n on_o the_o patient_n lefthand_n shall_v do_v the_o same_o taking_z hold_v of_o the_o left-arme_a with_o the_o right-hand_n and_o with_o the_o lefthand_n of_o the_o left-leg_n near_o to_o the_o foot_n in_o this_o posture_n the_o child_n hand_n must_v almost_o touch_v his_o heel_n and_o if_o he_o but_o any_o way_n hold_v fast_o his_o thigh_n spread_v the_o lithotomist_n have_v room_n to_o operate_v and_o because_o child_n do_v extreme_o struggle_v and_o strive_v two_o other_o servant_n may_v likewise_o keep_v their_o knee_n a_o sunder_o but_o it_o be_v chief_o to_o be_v observe_v in_o this_o posture_n that_o the_o patient_a lean_a half_a backward_o according_a to_o the_o shape_n of_o the_o chair_n or_o for_o want_n of_o that_o near_o the_o bed_n side_n or_o the_o table_n cover_v with_o a_o quilt_n or_o matteress_n so_o that_o his_o fundament_n may_v be_v see_v and_o that_o his_o foot_n do_v not_o rest_v upon_o any_o thing_n so_o that_o he_o have_v less_o force_n to_o stir_v or_o move_v himself_o hear_v be_v the_o figure_n of_o it_o there_o be_v some_o operator_n who_o choose_v a_o strong_a man_n and_o make_v he_o sit_v upon_o a_o pretty_a high_a common_a chair_n or_o upon_o the_o end_n of_o a_o bench_n who_o have_v a_o cushion_n against_o his_o belly_n and_o a_o sheet_n over_o it_o take_v the_o child_n who_o be_v to_o be_v cut_v upon_o his_o knee_n join_v together_o the_o man_n have_v his_o knee_n close_o put_v his_o hand_n betwixt_o the_o child_n leg_n and_o so_o take_v hold_v of_o his_o two_o wrist_n by_o this_o mean_v the_o child_n be_v put_v into_o a_o convenient_a posture_n to_o be_v cut_v take_v here_o the_o figure_n of_o it_o beside_o the_o man_n that_o hold_v it_o be_v requisite_a that_o some_o other_o person_n lean_a upon_o the_o child_n shoulder_n open_v his_o knee_n and_o keep_v his_o foot_n steady_a page_n 70_o page_n 70_o nevertheless_o see_v the_o operation_n be_v sometime_o laborious_a and_o that_o the_o man_n who_o hold_v may_v be_v weary_a it_o be_v better_a to_o make_v use_n of_o the_o first_o way_n chap._n xiii_o of_o the_o different_a way_n of_o extract_v the_o stone_n according_a to_o the_o custom_n of_o the_o egyptian_n the_o practice_n of_o the_o high_a operation_n sometime_o the_o chirurgeon_n can_v introduce_v the_o furrow_a catheter_n because_o of_o pain_n or_o inflammation_n occasion_v by_o too_o frequent_a search_v before_o or_o because_o there_o may_v be_v fear_n of_o put_v the_o patient_n to_o too_o much_o pain_n or_o that_o there_o may_v be_v a_o carnositie_n or_o callositie_n in_o the_o part_n or_o because_o the_o stone_n be_v in_o the_o perineum_fw-la or_o in_o the_o neek_z of_o the_o bladder_n these_o different_a disposition_n oblige_v the_o operator_n to_o consider_v how_o and_o in_o what_o manner_n the_o operation_n be_v to_o be_v perform_v the_o first_o which_o be_v not_o in_o use_n be_v call_v the_o high_a operation_n the_o second_o and_o three_o be_v daily_o practise_v and_o be_v call_v the_o lesser_a and_o the_o great_a operation_n we_o pretend_v not_o to_o comprehend_v the_o two_o method_n mentiond_v by_o prosper_n alpinus_n in_o the_o fourteen_o chapter_n of_o his_o 3d._a book_n of_o the_o medicine_n of_o the_o egyptian_n where_o he_o relate_v their_o practice_n of_o extract_v the_o stone_n of_o the_o bladder_n without_o make_v incision_n but_o only_o by_o dilatation_n of_o the_o vrethra_n by_o blow_v into_o the_o yard_n when_o i_o live_v in_o egypt_n say_v he_o a_o certain_a arabian_a name_v haly_n in_o great_a reputation_n for_o extract_a stone_n without_o incision_n take_v out_o several_a in_o my_o presence_n from_o horam_n bey_n a_o turkish_a commander_n in_o this_o manner_n he_o set_v about_o it_o he_o make_v use_v of_o a_o wooden_a pipe_n eight_o finger_n long_o and_o about_o the_o thickness_n of_o one_o thumb_n have_v apply_v this_o to_o the_o passage_n of_o the_o yard_n he_o blow_v into_o it_o with_o great_a force_n at_o the_o same_o time_n with_o the_o other_o hand_n he_o press_v the_o extremity_n of_o the_o privy_a part_n towards_o the_o perineum_fw-la to_o hinder_v the_o wind_n from_o enter_v into_o the_o bladder_n then_o he_o stop_v the_o mouth_n of_o the_o pipe_n to_o make_v the_o vrethra_n swell_v and_o stretch_v this_o be_v do_v a_o servant_n put_v his_o finger_n into_o the_o anus_fw-la and_o bring_v the_o stone_n by_o little_a and_o little_a towards_o the_o neck_n of_o the_o bladder_n and_o the_o beginning_n of_o the_o vrethra_n and_o then_o the_o operator_n perceive_v that_o the_o stone_n be_v near_o the_o perineum_fw-la he_o sudden_o and_o with_o force_n draw_v back_o the_o pipe_n from_o the_o passage_n of_o the_o yard_n and_o so_o dextrous_o extract_v the_o stone_n which_o be_v about_o the_o bigness_n of_o a_o olive-stone_n i_o be_v present_a at_o this_o operation_n which_o he_o perform_v upon_o that_o turkish_a commander_n and_o afterward_o i_o see_v he_o practise_v it_o upon_o two_o jew_n one_o of_o which_o be_v a_o little_a boy_n from_o who_o he_o take_v 8_o small_a stone_n and_o the_o other_o be_v grow_v up_o from_o who_o he_o take_v one_o as_o big_a as_o a_o olive_n this_o arabian_a make_v use_v of_o the_o same_o method_n to_o draw_v stone_n out_o of_o the_o bladder_n in_o the_o same_o chapter_n he_o speak_v of_o a_o letter_n write_v to_o he_o by_o octavius_n poveretus_n a_o most_o learned_a physician_n in_o egypt_n for_o the_o commonwealth_n of_o venice_n some_o month_n ago_o say_v he_o a_o arabian_a of_o sidon_n a_o christian_a extract_v a_o stone_n without_o incision_n from_o another_o christian_a name_v cophtus_fw-la and_o it_o be_v do_v in_o this_o manner_n the_o arabian_a have_v many_o pipe_n of_o different_a size_n much_o of_o the_o shape_n of_o flute_n or_o pipe_n which_o be_v musical_a instrument_n they_o be_v make_v of_o a_o cartiliginous_a matter_n which_o will_v easy_o stretch_v he_o introduce_v the_o small_a into_o the_o vrethra_n and_o thrust_v it_o forward_o as_o far_o as_o the_o bladder_n immediate_o thereupon_o he_o blow_v in_o it_o with_o all_o his_o strength_n to_o make_v it_o swell_v then_o he_o pull_v out_o that_o pipe_n and_o put_v in_o a_o big_a blow_v in_o it_o after_o the_o same_o manner_n and_o so_o continue_v charge_v the_o pipe_n until_o he_o put_v in_o the_o four_o which_o be_v the_o big_a and_o when_o he_o think_v by_o this_o mean_n that_o he_o have_v dilate_v the_o passage_n sufficient_o to_o make_v way_n for_o the_o stone_n he_o place_v the_o patient_n in_o a_o convenient_a posture_n and_o put_v one_o finger_n into_o the_o anus_fw-la to_o bring_v it_o towards_o the_o neck_n of_o the_o bladder_n where_o the_o end_n of_o that_o great_a pipe_n be_v into_o which_o he_o endeavour_v to_o make_v the_o stone_n enter_v this_o be_v do_v he_o put_v his_o mouth_n to_o the_o other_o end_n of_o the_o pipe_n and_o suck_v with_o all_o his_o strength_n he_o do_v what_o he_o can_v to_o draw_v the_o stone_n towards_o he_o which_o break_v often_o when_o it_o be_v too_o big_a as_o it_o happen_v to_o this_o man_n name_v cophtus_fw-la for_o he_o fetch_v from_o he_o but_o a_o part_n of_o it_o and_o the_o rest_n be_v a_o big_a and_o large_a fragment_n can_v not_o be_v get_v out_o this_o way_n say_v kovoretus_n be_v easy_a to_o be_v learn_v and_o perhaps_o a_o skilful_a chirurgeon_n may_v have_v better_a success_n in_o the_o practice_n of_o it_o which_o be_v a_o thing_n to_o be_v desire_v by_o those_o who_o be_v trouble_v with_o the_o stone_n beverovicius_n make_v mention_n of_o those_o two_o way_n take_v from_o prosper_n alpinus_n but_o it_o be_v more_o pertinent_a in_o this_o place_n without_o examine_v the_o circumstance_n of_o those_o two_o way_n to_o give_v the_o description_n of_o those_o which_o be_v call_v the_o high_a the_o great_a and_o lesser_a operation_n de_fw-fr franco_n be_v the_o first_o that_o practise_v the_o high_a operation_n which_o be_v so_o call_v because_o it_o be_v perform_v in_o the_o hypogastre_n and_o though_o he_o do_v not_o advise_v the_o do_v of_o it_o yet_o if_o there_o be_v a_o necessity_n for_o it_o it_o do_v not_o seem_v impracticable_a in_o this_o manner_n let_v the_o patient_n be_v lay_v and_o hold_v fast_o upon_o a_o matteress_n or_o quilt_n then_o let_v a_o servant_n thrust_v his_o forefinger_n and_o middle_a finger_n one_o after_o another_o into_o the_o rectum_fw-la to_o make_v the_o stone_n rise_v as_o high_a as_o one_o can_n at_o the_o same_o time_n the_o operator_n be_v to_o make_v incision_n gentle_o above_o
bed_n then_o lay_v upon_o the_o tent_n a_o thick_a pledget_n cover_v with_o astringent_a a_o little_a plaster_n another_o moderate_a compress_v and_o over_o that_o the_o triangular_a plaster_n cover_v likewise_o with_o astringent_a and_o another_o compress_v still_o upon_o the_o plaster_n a_o truss_n to_o bear_v up_o the_o cod_n and_o the_o frond_n or_o double_a t._n with_o the_o thigh-band_n as_o have_v be_v describe_v the_o bandage_n that_o be_v only_o contentive_a hinder_v not_o but_o that_o a_o little_a urine_n may_v come_v out_o nevertheless_o when_o the_o patient_n have_v rest_v and_o take_v refreshment_n he_o be_v to_o make_v water_n through_o the_o tent_n without_o pull_v of_o it_o out_o in_o dress_v the_o patient_a the_o chirurgeon_n be_v to_o examine_v if_o it_o be_v a_o fungus_n which_o cause_v the_o suppression_n and_o he_o may_v know_v that_o by_o the_o finger_n or_o the_o straight_o catheter_n by_o inspection_n into_o the_o matter_n that_o be_v void_v with_o the_o urine_n or_o by_o the_o injection_n of_o warm_a barley_n water_n detersives_n and_o the_o other_o medicament_n that_o be_v use_v in_o dress_v such_o a_o patient_n if_o a_o stone_n be_v feel_v it_o be_v to_o be_v extract_v with_o the_o scoop_v the_o hook_n or_o the_o forceps_fw-la fungus_n be_v fetch_v off_o by_o injection_n if_o it_o be_v a_o ulcer_n proper_a remedy_n for_o cleanse_v it_o be_v to_o be_v use_v a_o inflammation_n be_v more_o easy_o cure_v than_o any_o other_o distemper_n because_o many_o time_n it_o be_v keep_v in_o be_v by_o the_o retention_n of_o the_o urine_n when_o the_o cause_n of_o the_o suppression_n be_v remove_v the_o intention_n of_o the_o artist_n ought_v to_o be_v the_o reunite_a of_o the_o part_n and_o therefore_o the_o tent_n be_v draw_v out_o and_o the_o patient_n be_v dress_v like_o those_o that_o be_v cut_v of_o the_o stone_n according_a to_o the_o general_a cure_n if_o no_o accident_n appear_v or_o the_o particular_a method_n by_o remedy_v every_o symptom_n page_n 153_o this_o trocart_n may_v be_v make_v of_o various_a kind_n of_o metal_n except_v the_o point_n which_o ought_v to_o be_v of_o steel_n it_o be_v seven_o or_o eight_o inch_n in_o length_n that_o it_o may_v be_v the_o more_o commodious_a for_o use_v and_o as_o big_a as_o a_o ordinary_a quill_n in_o the_o shape_n of_o it_o several_a thing_n be_v to_o be_v consider_v for_o the_o end_n of_o it_o which_o be_v of_o steel_n be_v of_o a_o pyramidal_a and_o triangular_a figure_n this_o point_n be_v about_o a_o finger_n breadth_n in_o length_n in_o one_o side_n of_o it_o there_o be_v a_o furrow_n that_o reach_v from_o the_o point_n or_o very_o near_o it_o to_o the_o other_o end_n of_o the_o trocart_n and_o because_o of_o that_o furrow_n the_o instrument_n in_o its_o length_n represent_v a_o straight_o catheter_n for_o make_v incision_n because_o it_o be_v hollow_a on_o the_o one_o side_n and_o round_a on_o the_o other_o which_o be_v the_o out_o side_n of_o it_o the_o pyramid_n of_o steel_n taper_n and_o grow_v small_a from_o the_o basis_n till_o you_o come_v to_o the_o point_n but_o from_o that_o basis_n to_o the_o other_o end_n of_o the_o trocart_n it_o be_v alike_o in_o bigness_n the_o wire_n or_o stilet_n be_v straight_o indifferent_o small_a of_o the_o same_o bigness_n all_o along_o and_o supple_a and_o pliant_a about_o eight_o inch_n long_o proportionable_a to_o the_o furrow_n of_o the_o trocart_n the_o mount_a tent_n that_o be_v use_v in_o this_o operation_n may_v be_v crooked_a for_o the_o high_a and_o straight_o for_o the_o lesser_a operation_n in_o the_o punction_n of_o the_o bladder_n long_o and_o small_a in_o proportion_n to_o the_o grossness_n and_o age_n of_o the_o patient_n that_o so_o the_o end_n may_v be_v thirst_n into_o the_o bladder_n without_o make_v too_o great_a a_o solutio_fw-la continui_fw-la it_o be_v to_o be_v observe_v that_o the_o end_n of_o the_o tent_n where_o its_o eye_n be_v aught_o to_o be_v proportion_v to_o the_o middle_a part_n of_o the_o pyramid_n of_o the_o trocart_n that_o it_o may_v easy_o enter_v into_o the_o orifice_n of_o the_o punction_n and_o that_o the_o body_n of_o that_o tent_n be_v of_o a_o conic_a figure_n grow_v big_a and_o big_a by_o degree_n as_o it_o come_v near_o the_o head_n where_o the_o ring_n be_v though_o the_o extremity_n of_o the_o tent_n be_v small_a yet_o it_o may_v suffice_v for_o convey_v of_o the_o urine_n but_o it_o will_v be_v useless_a if_o some_o more_o thick_a and_o viscuous_a matter_n be_v contain_v in_o the_o bladder_n in_o use_v of_o these_o three_o instrument_n when_o the_o patient_n be_v situate_v in_o the_o posture_n that_o have_v be_v say_v the_o cod_n be_v lift_v up_o and_o have_v mark_v the_o place_n where_o the_o punction_n be_v to_o be_v make_v in_o the_o perineum_fw-la on_o the_o side_n of_o the_o seam_n or_o suture_a the_o trocart_n be_v thrust_v in_o and_o sink_v the_o end_n by_o which_o it_o be_v hold_v the_o slit_n or_o furrow_n being_n upward_o the_o pyramid_n be_v to_o be_v thrust_v on_o forward_o towards_o the_o body_n of_o the_o bladder_n which_o be_v much_o distend_v be_v therefore_o easy_o open_v so_o soon_o as_o the_o trocart_n be_v within_o the_o urine_n will_v come_v run_v out_o by_o the_o furrow_n and_o the_o wire_n be_v to_o be_v take_v and_o conduct_v into_o the_o bladder_n by_o the_o same_o furrow_n afterward_o the_o trocart_n be_v draw_v out_o in_o place_n whereof_o hold_v the_o wire_n in_o one_o hand_n the_o tent_n mount_v be_v to_o be_v take_v and_o pass_v the_o wire_n into_o its_o cavity_n it_o be_v to_o be_v make_v to_o slide_v along_o the_o same_o when_o the_o tent_n be_v near_o to_o the_o perineum_fw-la the_o wire_n be_v to_o be_v take_v by_o the_o end_n and_o the_o tent_n at_o the_o same_o time_n conduct_v into_o the_o bladder_n we_o may_v know_v that_o it_o be_v in_o when_o the_o urine_n come_v out_o at_o its_o cavity_n and_o then_o the_o wire_n be_v pull_v out_o and_o as_o much_o urine_n suffer_v to_o be_v void_v as_o may_v be_v think_v convenient_a other_o thing_n be_v to_o be_v perform_v as_o in_o the_o other_o manner_n call_v the_o great_a operation_n this_o trocart_n have_v one_o thing_n that_o be_v singular_a which_o be_v that_o so_o soon_o as_o the_o extremity_n of_o its_o slit_n be_v in_o the_o place_n where_o the_o water_n be_v the_o urine_n be_v void_v without_o any_o danger_n of_o be_v thrust_v too_o far_o in_o there_o be_v some_o who_o make_v use_v of_o another_o trocart_n for_o the_o same_o operation_n this_o have_v a_o solid_a and_o round_a point_n of_o steel_n about_o a_o finger_n breadth_n in_o length_n other_o cause_v it_o to_o be_v make_v triangular_a or_o a_o little_a slat_n and_o two-edged_a but_o still_o proportion_v to_o the_o tent_n or_o pipe_n the_o instrument_n in_o its_o length_n be_v straight_o and_o hollow_a and_o have_v two_o open_n near_o the_o basis_n of_o its_o point_n that_o instrument_n be_v pass_v into_o the_o tent_n and_o in_o that_o posture_n the_o punction_n be_v make_v the_o open_n of_o which_o be_v always_o less_o than_o the_o orifice_n of_o the_o tent_n and_o it_o can_v be_v introduce_v without_o great_a pain_n to_o the_o patient_n beside_o this_o trocart_n must_v be_v thrust_v deep_a in_o than_o the_o other_o before_o the_o urine_n can_v be_v perceive_v to_o come_v out_o all_o man_n be_v free_a to_o examine_v and_o try_v those_o thing_n and_o to_o choose_v what_o please_v they_o best_o these_o trocart_n may_v serve_v for_o other_o operation_n as_o in_o a_o kind_n of_o hydrocele_n where_o the_o water_n be_v gather_v together_o without_o be_v still_v into_o the_o very_a substance_n of_o the_o membrane_n in_o the_o parakentesis_n or_o even_o in_o make_v perforation_n through_o the_o skin_n and_o pass_v the_o silk_n and_o stone_n because_o about_o three_o or_o four_o finger_n breadth_n from_o one_o end_n of_o the_o trocart_n that_o be_v first_o describe_v a_o hole_n may_v be_v make_v like_o the_o eye_n of_o a_o great_a needle_n through_o which_o the_o silk_n may_v be_v pass_v every_o time_n that_o it_o have_v be_v use_v it_o must_v be_v new_o set_v for_o the_o urine_n blunt_v the_o edge_n very_o much_o it_o be_v good_a to_o practice_v such_o kind_n of_o operation_n upon_o dead_a body_n for_o that_o end_n one_o must_v with_o a_o syringe_n squirt_n as_o much_o matter_n as_o possible_o he_o can_v into_o the_o bladder_n then_o tie_v a_o ligature_n about_o the_o yard_n and_o make_v the_o punction_n as_o have_v be_v describe_v and_o then_o make_v a_o dissection_n of_o the_o bladder_n to_o observe_v what_o have_v be_v do_v that_o so_o he_o may_v take_v his_o measure_n for_o another_o time_n we_o may_v avoid_v offend_v the_o rectum_fw-la by_o conduct_v
the_o universal_a regiment_n we_o suppose_v that_o to_o have_v be_v observe_v either_o while_o the_o patient_n be_v under_o cure_n for_o the_o stone_n or_o since_o but_o we_o shall_v only_o treat_v of_o the_o particular_a management_n of_o that_o cure_n author_n speak_v of_o potion_n and_o many_o topical_a medicine_n for_o the_o cure_n of_o fistula_n but_o since_o my_o design_n be_v only_o to_o describe_v what_o i_o have_v observe_v to_o have_v be_v successful_a i_o can_v affirm_v that_o many_o have_v be_v cure_v by_o the_o follow_a mean_n which_o consist_v in_o introduce_v into_o the_o bottom_n of_o the_o fistula_n a_o catheretick_n trochisque_fw-la describe_v in_o the_o last_o chapter_n next_o the_o fall_n off_o of_o the_o escar_n be_v to_o be_v procure_v by_o basilicum_fw-la and_o then_o the_o patient_n be_v to_o be_v dress_v like_o one_o that_o have_v be_v cut_v of_o the_o stone_n after_o the_o seven_o or_o eight_o day_n some_o make_v use_v at_o the_o same_o time_n of_o a_o desiccative_a wax_n candle_n which_o they_o thrust_v into_o the_o yard_n up_o to_o the_o bottom_n of_o the_o fistula_n other_o cure_v they_o without_o the_o use_n of_o wax_n candle_n when_o any_o accident_n appear_v it_o be_v to_o be_v remedy_v as_o have_v be_v say_v chap._n xix_o if_o those_o that_o be_v fistulous_a be_v to_o be_v pity_v they_o who_o be_v trouble_v with_o a_o unvoluntary_a emission_n of_o their_o water_n by_o the_o vrethra_n ought_v also_o to_o be_v rank_v among_o the_o miserable_a as_o those_o also_o who_o piss_v not_o at_o all_o but_o they_o from_o who_o the_o gross_a excrement_n drop_v against_o their_o will_n surpass_v the_o rest_n in_o misery_n what_o may_v be_v say_v then_o if_o one_o shall_v suffer_v many_o of_o these_o inconvenience_n at_o the_o same_o time_n the_o spill_n of_o the_o water_n be_v cause_v by_o a_o palsy_n in_o the_o sphincter_n of_o the_o bladder_n by_o the_o incision_n of_o its_o fibre_n or_o by_o a_o great_a dilaceration_n when_o a_o big_a and_o rough_a stone_n have_v too_o much_o widen_v the_o passage_n and_o have_v cause_v a_o suppuration_n of_o long_a continuance_n the_o kind_n and_n difference_n be_v take_v from_o the_o greatness_n or_o smallness_n of_o the_o emission_n the_o sign_n of_o it_o be_v visible_a or_o rather_o most_o sensible_a and_o uneasy_a to_o the_o patient_n because_o shame_n and_o vexation_n hinder_v they_o sometime_o from_o seek_v a_o remedy_n from_o whence_o the_o prognostic_n may_v be_v make_v that_o all_o of_o they_o be_v extreme_o hard_a to_o be_v cure_v the_o most_o part_n incurable_a and_o that_o the_o cure_n most_o common_o be_v but_o palliative_a woman_n be_v not_o subject_a to_o fistula_n but_o only_o to_o this_o spill_n of_o their_o water_n which_o be_v more_o uneasy_a to_o they_o than_o to_o man_n because_o of_o the_o conformation_n of_o their_o vrethra_n and_o that_o their_o sex_n which_o have_v modesty_n for_o its_o property_n oblige_v they_o to_o a_o great_a reservedness_n hinder_v they_o from_o seek_v relief_n and_o this_o make_v they_o to_o have_v clout_n or_o sponge_n about_o they_o to_o receive_v the_o water_n or_o to_o employ_v something_o else_o that_o necessity_n and_o uneasiness_n suggest_v to_o they_o when_o the_o spill_n of_o urine_n remain_v with_o man_n they_o may_v have_v recourse_n to_o a_o little_a engine_n such_o as_o i_o see_v in_o the_o possession_n of_o a_o person_n who_o character_n and_o quality_n allow_v i_o not_o to_o name_v he_o i_o have_v hear_v he_o say_v that_o it_o be_v very_o useful_a and_o commodious_a for_o he_o that_o engine_n be_v make_v of_o steel_n iron_n or_o any_o other_o convenient_a metal_n it_o be_v compose_v of_o two_o part_n each_o about_o three_o inch_n long_o and_o a_o finger_n breadth_n wide_a one_o of_o the_o two_o piece_n bend_v a_o little_a in_o its_o longitude_n and_o the_o other_o be_v straight_o these_o two_o piece_n join_v together_o at_o one_o end_n with_o a_o turn_a joint_n like_o a_o compass_n and_o at_o the_o other_o end_n both_o be_v bend_v backward_o to_o fasten_v within_o one_o another_o so_o that_o press_v with_o the_o finger_n they_o may_v be_v open_v and_o shut_v these_o two_o piece_n be_v cover_v with_o linen_n as_o much_o or_o as_o little_a as_o one_o please_v afterward_o the_o yard_n be_v put_v into_o that_o instrument_n observe_v to_o keep_v the_o crooked_a part_n uppermost_o and_o when_o one_o have_v make_v water_n it_o be_v shut_v the_o compression_n may_v be_v make_v as_o slight_o as_o one_o please_v cover_v or_o face_v the_o engine_n more_o or_o less_o that_o it_o may_v be_v suffer_v without_o pain_n &_o let_v the_o urine_n pass_v through_o which_o in_o some_o manner_n supply_v the_o action_n of_o the_o sphincter_n of_o the_o bladder_n i_o have_v see_v some_o who_o have_v make_v use_n of_o box_n of_o white_a latin_a or_o other_o vessel_n of_o leather_n make_v in_o form_n of_o a_o urinal_n tie_v to_o a_o girdle_n and_o wherein_o the_o nut_n always_o hang_v which_o be_v not_o do_v without_o pain_n and_o trouble_n there_o be_v another_o instrument_n much_o like_o to_o a_o truss_n for_o rupture_n it_o be_v make_v like_o the_o steel_n truss_n have_v a_o girdle_n of_o the_o same_o fashion_n and_o on_o the_o left_a side_n in_o stead_n of_o a_o bolster_n the_o end_n of_o the_o girdle_n bend_v elbow-way_n downward_o and_o terminate_v in_o the_o shape_n of_o a_o small_a iron_n plate_n which_o be_v cover_v with_o felt_n leather_n or_o cork_n sufficient_o wax_v over_o that_o it_o may_v be_v of_o a_o convex_a figure_n like_o a_o olive_n and_o indifferent_o hard_a that_o it_o may_v exact_o answer_v to_o the_o vrethra_n above_o and_o near_o to_o the_o place_n where_o the_o incision_n have_v be_v make_v when_o the_o bandage_n be_v apply_v the_o little_a eminence_n press_v the_o vrethra_n below_o the_o cod_n and_o to_o keep_v it_o firm_a it_o be_v make_v fast_o by_o the_o other_o end_n where_o there_o be_v a_o strap_n of_o leather_n of_o the_o same_o fashion_n as_o in_o the_o steel_n truss_n for_o rupture_n and_o beside_o if_o a_o man_n be_v trouble_v with_o a_o fall_n down_o of_o the_o intestine_n one_o of_o these_o truss_n may_v be_v make_v on_o purpose_n for_o he_o where_o there_o may_v be_v a_o bolster_n for_o the_o rupture_n and_o the_o little_a eminence_n for_o compress_v the_o vrethra_n and_o hinder_v the_o shed_n of_o the_o water_n though_o this_o bandage_n or_o truss_n be_v in_o effect_n only_o for_o a_o palliative_a cure_n of_o this_o distemper_n yet_o it_o may_v sometime_o serve_v for_o a_o real_a cure_n because_o hereby_o the_o part_n gather_v strength_n and_o be_v corroborate_v there_o be_v another_o kind_n of_o bandage_n still_o the_o girdle_n whereof_o be_v make_v of_o fustian_n and_o that_o part_n which_o be_v to_o pass_v upon_o the_o pubis_fw-la of_o a_o piece_n of_o wood_n of_o the_o length_n and_o bigness_n of_o the_o patient_n finger_n cover_v with_o fustian_n and_o wax_n betwixt_o which_o and_o the_o pubis_fw-la the_o yard_n be_v compress_v lie_v along_o look_v upward_o that_o posture_n hinder_v the_o spill_n of_o the_o water_n the_o same_o bandage_n have_v point_n fasten_v to_o the_o before_o part_n of_o it_o that_o they_o may_v be_v carry_v betwixt_o the_o thigh_n and_o tie_v sideways_o to_o the_o girdle_n that_o so_o the_o bandage_n may_v not_o rise_v too_o high_a involuntary_a void_a of_o the_o excrement_n be_v cause_v sometime_o by_o the_o surgeon_n fault_n if_o in_o time_n of_o lithotomy_n he_o make_v the_o incision_n too_o low_a and_o if_o he_o cut_v the_o rectum_fw-la especial_o in_o the_o lesser_a operation_n if_o he_o take_v not_o good_a heed_n most_o frequent_o the_o violent_a motion_n of_o the_o patient_n contribute_v to_o it_o but_o much_o more_o putrefaction_n abscess_n or_o other_o accident_n that_o follow_v the_o operation_n their_o kind_n sign_n and_o prognostic_n be_v take_v from_o the_o more_o or_o less_o ejection_n of_o the_o excrement_n by_o the_o remain_a fistula_n which_o be_v far_o more_o uneasy_a than_o the_o spill_n of_o the_o water_n or_o the_o fistula_n alone_o the_o cure_n of_o this_o stercoral_a excretion_n be_v impossible_a when_o it_o be_v cause_v by_o incision_n of_o the_o upper_a part_n of_o the_o sphincter_n of_o the_o rectum_fw-la or_o when_o there_o be_v great_a loss_n of_o substance_n if_o any_o pretend_v to_o take_v such_o patient_n into_o cure_n they_o be_v to_o observe_v the_o method_n of_o cure_v fistula_n in_o the_o anus_fw-la we_o need_v not_o enlarge_v to_o prove_v that_o these_o kind_n of_o distemper_n may_v have_v several_a cause_n concur_v at_o the_o same_o time_n when_o many_o of_o these_o indisposition_n happen_v together_o we_o must_v have_v our_o recourse_n to_o the_o method_n of_o cure_v complicate_v distemper_n as_o well_o for_o the_o prognostic_n part_n