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Word A Word B Word C Word D Occurrence Frequency Band MI MI Band Prominent
heart_n artery_n blood_n lung_n 3,010 5 11.3115 5 false
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ID Title Author Corrected Date of Publication (TCP Date of Publication) STC Words Pages
A47964 A treatise of chirurgical operations after the newest, and most exact method founded on the structure of the parts ... : to which is annex'd A general idea of wounds / written originally by Joseph De la Charier ; and translated into English by R. B. La Charrière, Joseph de, d. 1690.; R. B., fl. ca. 1695. 1696 (1696) Wing L134A; ESTC R43339 135,106 375

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specific_a remedy_n to_o hinder_v the_o progress_n of_o this_o disease_n be_v bleed_v which_o keep_v the_o first_o rank_n and_o i_o say_v that_o if_o it_o be_v of_o any_o use_n at_o all_o in_o surgery_n it_o be_v without_o doubt_n in_o this_o occasion_n here_o bleed_v no_o where_n of_o so_o great_a use_n as_o here_o because_o in_o empty_v the_o vessel_n it_o hinder_v the_o blood_n from_o be_v carry_v so_o abundant_o to_o that_o part_n and_o must_v consequent_o lessen_v the_o bigness_n of_o the_o tumour_n in_o diminish_v the_o quantity_n of_o the_o blood_n pleurisy_n approve_a remedy_n in_o a_o pleurisy_n the_o other_o remedy_n be_v those_o which_o rarify_v subtilise_v and_o attenuate_v the_o blood_n as_o horse_n or_o mule_n dung_n infuse_v in_o white-wine_n old_a he-goat_n blood_n in_o powder_n all_o volatile_a salt_n and_o several_a other_o remedy_n of_o that_o nature_n the_o decoction_n of_o nettle_n in_o strong_a wine_n which_o you_o sweeten_v with_o sugar_n be_v also_o excellent_a you_o may_v at_o the_o same_o time_n you_o take_v the_o decoction_n lay_v on_o the_o side_n the_o bruise_a nettle_n in_o form_n of_o a_o cataplasm_n peripneumonia_n of_o a_o peripneumonia_n have_v thus_o in_o general_n explain_v the_o cause_n of_o a_o pleurisy_n i_o be_o oblige_v to_o say_v something_o of_o a_o peripneumonia_n that_o sometime_o proceed_v from_o a_o impostume_n of_o the_o brain_n or_o from_o the_o inflammation_n of_o some_o membrane_n which_o change_v into_o a_o abscess_n as_o experience_n demonstrate_v in_o those_o that_o die_v of_o great_a wound_n of_o the_o head_n but_o for_o the_o most_o part_n it_o be_v cause_v by_o the_o corruption_n of_o the_o blood_n that_o be_v to_o say_v by_o the_o exaltation_n of_o its_o sharp_a particle_n all_o the_o difficulty_n be_v to_o know_v why_o the_o pus_fw-la or_o blood_n stop_v rather_o in_o the_o lung_n than_o in_o any_o part_n else_o for_o to_o make_v a_o impostumation_n i_o say_v that_o three_o cause_n contribute_v to_o its_o formation_n the_o alteration_n of_o the_o blood_n peripneumonia_n cause_n of_o peripneumonia_n long_a and_o slow_a respiration_n and_o the_o structure_n of_o the_o part_n blood_n first_o cause_n alteration_n of_o the_o blood_n concern_v the_o first_o you_o must_v only_o make_v reflection_n on_o the_o nature_n and_o mixture_n of_o the_o chile_n and_o thick_a blood_n which_o the_o right_a ventricle_n of_o the_o heart_n send_v in_o every_o sistole_n to_o the_o lung_n through_o the_o pulmonic_a artery_n we_o know_v that_o these_o two_o liquor_n pass_v through_o the_o heart_n and_o lung_n for_o to_o receive_v some_o necessary_a preparation_n for_o the_o function_n of_o the_o part_n therefore_o we_o may_v say_v that_o they_o be_v the_o two_o receptacle_n of_o all_o that_o be_v most_o thick_a and_o indigested_a in_o the_o mass_n of_o blood_n but_o if_o the_o heart_n have_v the_o strength_n and_o power_n by_o its_o constriction_n to_o subtilise_v and_o cast_v off_o all_o that_o be_v most_o heavy_a and_o material_a in_o the_o mass_n the_o lung_n have_v not_o the_o same_o advantage_n as_o we_o will_v prove_v so_o that_o the_o grosser_n substance_n be_v accompany_v with_o some_o impurity_n and_o have_v only_o feel_v the_o first_o effect_n of_o the_o heart_n for_o its_o perfection_n it_o must_v needs_o stop_v there_o and_o putrefy_v espiration_n second_o cause_n long_o and_o slow_a i_o espiration_n the_o second_o cause_n which_o i_o establish_v be_v a_o long_a and_o slow_a respiration_n it_o be_v certain_a the_o more_o free_a the_o air_n enter_v into_o the_o breast_n and_o the_o more_o the_o vessel_n be_v extend_v they_o be_v in_o a_o more_o fit_a condition_n by_o their_o elastic_a virtue_n or_o spring_n to_o express_v the_o air_n through_o the_o pipe_n of_o the_o trachea_n arteria_fw-la and_o the_o more_o the_o blood_n be_v agitate_a by_o the_o inspiration_n of_o the_o air_n it_o be_v drive_v with_o great_a quickness_n into_o the_o vein_n but_o on_o the_o contrary_a if_o the_o blood_n be_v move_v slow_o by_o a_o long_a respiration_n it_o follow_v that_o the_o vessicle_n be_v not_o so_o extend_v as_o they_o shall_v be_v and_o not_o expel_v the_o blood_n out_o of_o they_o with_o such_o a_o violence_n it_o stop_v and_o corrupt_v there_o gradual_o by_o the_o arrival_n and_o mixture_n of_o some_o ill_a leaven_n or_o by_o the_o exaltation_n of_o its_o salt_n particle_n from_o whence_o it_o come_v that_o those_o who_o have_v a_o long_a neck_n be_v more_o subject_a to_o it_o than_o other_o because_o the_o air_n be_v oblige_v to_o make_v a_o long_a traverse_n before_o it_o come_v to_o the_o lung_n which_o make_v they_o dry_v up_o and_o alter_v insensible_o be_v three_o cause_n on_o the_o structure_n of_o the_o part._n what_o the_o lung_n real_o be_v the_o three_o cause_n be_v ground_v upon_o the_o structure_n of_o the_o part_n the_o lung_n be_v a_o complication_n of_o little_a vessicles_n in_o which_o the_o artery_n pour_v the_o blood_n and_o where_o it_o be_v mingle_v with_o the_o air_n to_o receive_v some_o alteration_n there_o now_o it_o be_v show_v in_o the_o hydravlic's_n that_o a_o liquor_n which_o pass_v from_o a_o little_a pipe_n into_o a_o great_a lose_v much_o of_o its_o motion_n and_o be_v the_o artery_n be_v very_o little_a in_o proportion_n to_o the_o cell_n it_o be_v no_o wonder_n if_o the_o blood_n grow_v slow_a there_o and_o change_v its_o nature_n by_o the_o exaltation_n of_o some_o sharp_a and_o tartarous_a salt_n and_o by_o the_o fermentation_n which_o they_o cause_v there_o wherefore_o the_o alteration_n of_o the_o blood_n the_o irregularity_n of_o respiration_n and_o the_o largeness_n of_o the_o vessicle_n of_o the_o lung_n in_o proportion_n to_o those_o of_o the_o artery_n be_v the_o three_o cause_n that_o concur_v to_o the_o formation_n of_o the_o peripneumonia_n since_o the_o sign_n of_o all_o these_o kind_n of_o disease_n be_v of_o the_o great_a importance_n to_o succeed_v well_o in_o the_o operation_n and_o to_o make_v a_o favourable_a or_o dangerous_a prognostic_n i_o will_v endeavour_v to_o describe_v they_o with_o all_o the_o order_n that_o be_v possible_a pleura_fw-la sign_n of_o pus_fw-la or_o blood_n in_o the_o pleura_fw-la the_o sign_n which_o show_v we_o that_o there_o be_v some_o pus_fw-la or_o blood_n stop_v in_o the_o pleura_fw-la be_v inflammation_n penetrate_v pain_n heaviness_n a_o languish_a and_o continual_a fever_n a_o hard_a thick_a and_o deep_a pulse_n accompany_v with_o shiver_v difficulty_n of_o breathe_v a_o dry_a cough_n and_o thirst_n one_o can_v lie_v on_o the_o sound_a side_n by_o reason_n the_o matter_n lie_v heavy_a on_o the_o pleura_fw-la and_o one_o grow_v lean_a and_o thin_a in_o a_o few_o day_n diaphragma_n sign_n of_o the_o matter_n on_o the_o diaphragma_n but_o if_o the_o impostume_n break_v and_o the_o matter_n fall_v on_o the_o diaphragma_n all_o these_o symptom_n cease_v and_o the_o patient_n find_v some_o ease_n for_o a_o time_n but_o immediate_o there_o come_v other_o not_o less_o dangerous_a and_o insupportable_a beside_o the_o difficulty_n of_o breathe_v which_o be_v common_a to_o every_o empiema_n one_o feel_v a_o heaviness_n upon_o the_o diaphragma_n fluctuation_n a_o great_a uneasiness_n the_o fever_n increase_v and_o become_v burn_v the_o pulse_n rise_v the_o pain_n indeed_o be_v not_o so_o sharp_a it_o be_v feel_v towards_o the_o false_a rib_n one_o can_v lie_v but_o on_o the_o side_n where_o the_o matter_n be_v for_o if_o you_o lie_v on_o the_o opposite_a side_n one_o feel_v a_o twitch_a upon_o the_o mediastinum_fw-la more_o cruel_a pain_n and_o a_o much_o great_a heaviness_n their_o spittle_n be_v sometime_o stink_a and_o there_o follow_v very_o often_o impostume_n of_o the_o liver_n after_o these_o kind_n of_o indisposition_n even_o as_o it_o be_v observe_v after_o great_a wound_n of_o the_o head_n if_o the_o pus_fw-la be_v diffuse_v on_o both_o side_n one_o can_v lie_v on_o either_o by_o reason_n of_o the_o sharp_a pain_n one_o suffer_v to_o be_v ease_v you_o must_v lie_v upon_o the_o back_n or_o belly_n lung_n sign_n of_o pus_fw-la in_o the_o substance_n of_o the_o lung_n the_o sign_n when_o there_o be_v pus_fw-la in_o the_o substance_n of_o the_o lung_n may_v be_v divide_v into_o equivocal_a and_o convince_a the_o equivocal_a belong_v to_o other_o disease_n of_o the_o lung_n it_o be_v very_o dangerous_a to_o be_v mistake_v therefore_o let_v we_o endeavour_v to_o examine_v they_o well_o that_o we_o may_v draw_v some_o advantage_n and_o that_o we_o may_v not_o undertake_v a_o operation_n who_o effect_n will_v prove_v not_o only_o useless_a but_o fatal_a if_o there_o be_v any_o pus_fw-la in_o the_o substance_n of_o the_o lung_n the_o disease_v can_v breathe_v without_o pain_n he_o find_v a_o insupportable_a and_o troublesome_a heaviness_n upon_o the_o diaphragma_n because_o the_o weight_n of_o the_o matter_n deprive_v it_o of_o
ligature_n upon_o the_o aperture_n of_o the_o vessel_n instead_o of_o make_v it_o a_o little_a high_o because_o the_o blood_n by_o its_o impulsion_n will_v not_o fail_v to_o dilate_v the_o weaken_a part_n and_o to_o bleed_v afresh_o for_o this_o purpose_n you_o pass_v a_o needle_n over_o the_o pipe_n of_o the_o artery_n make_v first_o a_o single_a knot_n on_o which_o you_o place_v a_o little_a compress_v which_o you_o fasten_v with_o two_o other_o knot_n most_o make_v another_o knot_n in_o the_o low_a part_n of_o the_o artery_n because_o of_o the_o branch_n of_o communication_n and_o since_o it_o be_v a_o precaution_n not_o to_o be_v despise_v one_o may_v use_v it_o the_o ligature_n be_v make_v you_o lose_v the_o tourniket_n if_o the_o blood_n be_v well_o stop_v you_o open_v the_o tumour_n to_o empty_v the_o blood_n and_o fill_v it_o with_o dorsel_n arm_v with_o astringent_a powder_n as_o vitriol_n alb_fw-la to_o consume_v the_o bag_n more_o easy_o you_o cover_v the_o rest_n of_o the_o wound_n with_o bolster_n accompany_v with_o a_o plaster_n embrocation_n of_o ol._n rosar_n defensative_n all_o along_o the_o arm_n with_o compress_n temper_v in_o strong_a warm_a wine_n with_o the_o bandage_n some_o time_n afterward_o you_o must_v bleed_v the_o patient_n if_o his_o strength_n permit_v you_o stay_v two_o or_o three_o day_n without_o take_v off_o the_o dress_n and_o you_o leave_v the_o dossel_n at_o the_o bottom_n of_o the_o sac_n 3_o or_o 4_o day_n long_o lest_o in_o take_v they_o out_o you_o bleed_v afresh_o and_o procure_v a_o fresh_a suppuration_n the_o situation_n of_o the_o arm_n which_o seem_v a_o thing_n of_o little_a consequence_n must_v nevertheless_o be_v regard_v as_o very_o advantageous_a for_o further_a the_o cure_n the_o arm_n must_v be_v a_o little_a bend_a and_o the_o hand_n elevate_v on_o the_o pillow_n that_o the_o circulation_n be_v more_o free_a but_o you_o must_v particular_o recommend_v the_o disease_a to_o bow_n and_o stretch_v it_o from_o time_n to_o time_n we_o daily_o see_v that_o several_a become_v lame_a for_o not_o have_v move_v the_o arm_n or_o leg_n during_o such_o indisposition_n the_o cause_n of_o this_o accident_n come_v from_o the_o little_a motion_n of_o the_o slimy_a matter_n which_o bedaub_v the_o joint_n this_o slime_n be_v of_o the_o consistence_n of_o the_o white_a of_o a_o egg_n and_o which_o transpire_v from_o the_o ligament_n and_o gland_n of_o the_o joint_n serve_v to_o entertain_v the_o supple_a ligament_n and_o to_o smooth_v the_o shine_a cartilage_n as_o well_o to_o facilitate_v the_o motion_n as_o to_o hinder_v the_o part_n from_o be_v waste_v by_o their_o continual_a attrition_n but_o from_o the_o moment_n that_o this_o matter_n be_v at_o rest_n and_o no_o more_o fluid_a or_o liquid_a by_o the_o diversity_n of_o motion_n it_o grow_v thick_a and_o hard_o by_o the_o heat_n of_o the_o part_n so_o that_o the_o ligament_n and_o cartilage_n be_v no_o more_o humect_v by_o that_o liquor_n they_o dry_v up_o lose_v their_o elastic_a virtue_n and_o humidity_n till_o at_o last_o they_o grow_v incapable_a of_o motion_n sometime_o it_o happen_v in_o old_a rottenness_n and_o fistula_n of_o the_o joint_n that_o the_o purulent_a and_o malign_v matter_n gnaw_v the_o ligament_n and_o cartilage_n and_o give_v occasion_n to_o the_o saline_n juice_n which_o exud_n from_o the_o body_n fibres_fw-fr to_o unite_v the_o extremity_n of_o the_o two_o bone_n and_o frame_v a_o kind_n of_o anchilose_a which_o be_v much_o more_o defectuous_a than_o the_o precedent_n chap._n xxxv_o of_o gangrene_n and_o sphacel_n which_o occasion_n the_o amputation_n several_a author_n have_v treat_v of_o the_o gangrene_n particular_o willis_n etmuller_n and_o silvius_n and_o i_o believe_v no_o body_n doubt_n but_o that_o all_o whatever_o our_o new_a discoverer_n have_v advance_v upon_o this_o subject_a in_o their_o exercise_n be_v nothing_o but_o a_o perpetual_a pillage_n of_o what_o these_o great_a man_n have_v speak_v to_o speak_v of_o it_o methodical_o we_o must_v first_o give_v a_o idea_n of_o the_o vivification_n of_o the_o part_n and_o of_o the_o mortification_n which_o be_v its_o opposite_a we_o must_v relate_v all_o particular_n which_o cause_n a_o gangrene_n and_o seek_v all_o the_o mean_n to_o illuminate_v they_o with_o reason_n ground_v on_o the_o oeconomy_n of_o the_o blood_n and_o upon_o some_o observation_n which_o experience_n authorise_v vivification_n cause_o of_o vivification_n to_o know_v how_o the_o part_n be_v vivify_v you_o must_v consider_v that_o the_o heat_n and_o life_n of_o animal_n consist_v only_o in_o the_o motion_n and_o fermentation_n of_o the_o principle_n of_o the_o blood_n that_o this_o fermentation_n and_o motion_n as_o well_o circular_a as_o intestine_a be_v entertain_v by_o the_o pulsation_n of_o the_o heart_n and_o artery_n by_o the_o motion_n of_o the_o muscle_n and_o action_n of_o the_o subtle_a and_o penetrate_a particle_n of_o the_o air_n which_o we_o breathe_v it_o be_v in_o effect_n the_o spiral_n and_o nitrious_a particle_n of_o the_o air_n which_o attenuate_v and_o subtilise_v the_o particle_n of_o the_o blood_n in_o mingle_v themselves_o intimate_o together_o in_o the_o substance_n of_o the_o lung_n which_o make_v they_o wave_v upon_o their_o centre_n and_o which_o give_v they_o all_o their_o vivacity_n and_o influence_n which_o be_v necessary_a to_o the_o maintain_n of_o their_o intestine_a motion_n and_o consequent_o of_o their_o heat_n and_o life_n it_o be_v certain_a then_o that_o it_o be_v the_o blood_n agitate_a by_o these_o mean_n which_o vivify_v and_o animate_v the_o part_n repair_v the_o continual_a loss_n which_o they_o suffer_v furnish_v the_o matter_n of_o the_o spirit_n and_o of_o all_o the_o different_a liquor_n that_o be_v subtilise_v in_o pass_v through_o a_o 1000_o different_a strainer_n in_o one_o word_n it_o be_v the_o master_n spring_n that_o make_v the_o whole_a machine_n go_v this_o be_v so_o it_o be_v not_o hard_a to_o conceive_v that_o it_o be_v from_o the_o actual_a distribution_n presence_n and_o action_n of_o the_o spirituous_a and_o nourish_a particle_n of_o the_o blood_n in_o a_o part_n on_o which_o entire_o depend_v its_o motion_n and_o life_n mortification_n cause_o of_o mortification_n so_o that_o this_o dispensation_n come_v to_o cease_v or_o be_v interrupt_v for_o some_o moment_n one_o feel_v no_o more_o there_o either_o heat_n motion_n or_o life_n to_o convince_v ourselves_o of_o it_o we_o must_v only_o examine_v that_o which_o happen_v every_o day_n in_o syncop_n where_o we_o see_v that_o the_o pulsation_n of_o the_o heart_n be_v hinder_v and_o the_o circulation_n of_o the_o blood_n stop_v all_o the_o extremity_n grow_v cold_a the_o face_n pale_a and_o sometime_o live_v and_o the_o whole_a body_n deprive_v of_o feeling_n and_o motion_n but_o according_a as_o the_o heart_n recover_v its_o motion_n and_o the_o blood_n convey_v into_o all_o the_o part_n they_o recover_v their_o heat_n motion_n and_o life_n it_o be_v therefore_o evident_a that_o the_o life_n of_o a_o part_n depend_v on_o the_o presence_n and_o motion_n of_o the_o blood_n and_o on_o the_o contrary_n i_o say_v that_o the_o cause_n of_o a_o gangrene_n and_o mortification_n of_o a_o part_n be_v doubtless_o the_o absence_n and_o want_n of_o these_o spirituous_a and_o nutritive_a particle_n in_o the_o same_o part_n this_o be_v the_o explication_n which_o the_o illustrious_a etmuller_n give_v of_o it_o in_o tome_n 1._o operum_fw-la pag._n 587._o where_o he_o say_v causae_fw-la gangrene_n &_o sphaceli_fw-la in_o genere_fw-la sunt_fw-la &_o quae_fw-la quacumque_fw-la ratione_fw-la sanguinis_fw-la &_o spirituum_fw-la vitalium_fw-la distributionem_fw-la inhibere_fw-la valent_fw-la it_o be_v a_o question_n whether_o the_o animal_n spirit_n which_o run_v from_o the_o brain_n through_o the_o nerve_n be_v not_o likewise_o interest_v in_o a_o gangrene_n i_o say_v that_o the_o most_o cause_n which_o work_n upon_o the_o blood_n for_o the_o production_n of_o a_o gangrene_n may_v in_o the_o same_o manner_n work_v upon_o the_o animal_n spirit_n but_o in_o the_o mean_a time_n the_o gangrene_n only_o depend_v on_o the_o alteration_n which_o happen_v unto_o the_o blood_n this_o be_v prove_v because_o a_o gangrene_n be_v a_o privation_n of_o life_n or_o at_o least_o a_o disposition_n next_o to_o a_o mortification_n now_o the_o function_n of_o life_n depend_v chief_o from_o the_o blood_n whereas_o the_o animal_n function_n depend_v on_o the_o animal_n spirit_n the_o nerve_n may_v be_v obstruct_v and_o the_o animal_n function_n cease_v in_o a_o part_n without_o mortification_n as_o be_v see_v in_o paralytic_n it_o be_v true_a then_o to_o conclude_v that_o a_o gangrene_n depend_v only_o on_o the_o default_n of_o the_o vital_a and_o spiritual_a particle_n of_o the_o blood_n those_o that_o will_v have_v the_o animal_n spirit_n to_o have_v much_o share_n in_o the_o gangrene_n as_o well_o because_o a_o
ascite_n the_o urinal_n be_v red_a muddy_a and_o lixivious_a the_o patient_n have_v excessive_a thirst_n slow_a fever_n and_o difficulty_n of_o urin._n i_o shall_v not_o trouble_v myself_o to_o tell_v you_o the_o ancient_n opinion_n concern_v the_o cause_n of_o the_o dropsy_n dropsy_n four_o chief_a cause_n of_o the_o dropsy_n but_o suppose_v these_o four_o thing_n contribute_v to_o its_o formation_n viz._n 1._o indigestion_n of_o the_o chyle_n 2._o loose_a texture_n of_o the_o part_n 3._o slowness_n of_o the_o blood_n circulation_n 4._o a_o general_a dissolution_n of_o its_o whole_a mass_n chyle_n 1._o indigestion_n of_o the_o chyle_n i_o begin_v first_o with_o indigestion_n of_o the_o chyle_n which_o almost_o always_o proceed_v from_o the_o alteration_n of_o the_o dissolvent_n that_o serve_v for_o the_o preparation_n and_o the_o consummation_n of_o their_o oil_n and_o viscosity_n when_o the_o chyle_n be_v well_o temper_a prepare_v and_o free_v from_o the_o course_n particle_n it_o be_v nothing_o but_o a_o buttery_n mass_n which_o pass_v into_o the_o venae_fw-la lacteae_fw-la and_o from_o thence_o into_o the_o right_a ventricle_n of_o the_o heart_n to_o be_v unite_v with_o the_o blood_n which_o come_v from_o all_o part_n deprive_v of_o its_o oil_n and_o most_o active_a principle_n and_o serve_v for_o a_o vehicle_n and_o balm_n for_o new_a nourishment_n it_o be_v this_o lactaceous_a liquor_n well_o depurate_v and_o extreme_o fluid_a which_o entertain_v the_o part_n and_o which_o by_o its_o mixture_n unite_v and_o tie_v in_o the_o heart_n the_o two_o substance_n of_o blood_n viz._n the_o white_a part_n to_o the_o red_a which_o substance_n well_o join_v make_v a_o whole_a neither_o too_o fluid_a nor_o solid_a but_o such_o as_o nature_n judge_n most_o proper_a to_o circulate_v without_o obstacle_n in_o the_o vessel_n but_o if_o by_o chance_n the_o oil_n of_o the_o blood_n and_o other_o humour_n with_o which_o it_o be_v furnish_v shall_v happen_v to_o be_v dissipate_v either_o by_o violent_a exercise_n too_o serious_a meditation_n extreme_a grief_n or_o by_o the_o abundance_n and_o exaltation_n of_o the_o salt_n the_o chyle_n must_v of_o necessity_n grow_v sour_a become_v indigested_a serous_a and_o incapable_a of_o any_o union_n then_o it_o be_v so_o far_o from_o preserve_v the_o consistence_n of_o the_o blood_n that_o it_o rather_o dissolve_v liquefy_v and_o dispose_v it_o to_o make_v obstruction_n rheumatism_n dropsy_n etc._n etc._n because_o the_o arterial_a blood_n not_o be_v able_a to_o receive_v through_o this_o indigestion_n and_o the_o preparation_n and_o trituration_n necessary_a for_o the_o life_n of_o the_o part_n it_o be_v course_n must_v be_v in_o a_o manner_n intercept_v pass_v into_o the_o vesicles_n or_o rather_o space_n between_o the_o porosity_n of_o the_o artery_n and_o vein_n where_o the_o little_a oil_n free_v and_o disengage_v its_o self_n from_o the_o other_o principle_n which_o it_o have_v take_v hold_n of_o before_o to_o change_v into_o our_o proper_a substance_n so_o that_o the_o serosity_n of_o the_o blood_n be_v at_o full_a liberty_n and_o have_v lose_v a_o part_n of_o its_o motion_n pour_v itself_o into_o the_o space_n which_o it_o meet_v with_o part_n 2._o loose_a texture_n of_o the_o part_n and_o so_o cause_v the_o dropsy_n according_a to_o the_o texture_n of_o the_o part_n which_o we_o have_v suppose_v more_o or_o less_o lax_n circulation_n 3._o slow_a circulation_n we_o must_v now_o explain_v that_o cause_n which_o proceed_v from_o the_o slow_a circulation_n of_o the_o venal_a blood_n that_o we_o may_v have_v a_o idea_n of_o it_o we_o must_v examine_v by_o what_o mechanism_n this_o blood_n be_v carry_v back_o to_o the_o ventricle_n of_o the_o heart_n which_o be_v the_o focus_n of_o its_o ●●●ion_n artery_n how_o the_o venal_a blood_n be_v carry_v to_o the_o artery_n i_o set_v first_o omit_v the_o organ_n of_o respiration_n and_o the_o assistance_n of_o the_o valve_n three_o principal_a mover_n which_o oblige_v the_o venal_a blood_n to_o pass_v through_o the_o heart_n 1._o the_o pulsation_n of_o the_o artery_n 2._o the_o motion_n of_o the_o muscle_n 3._o the_o mixture_n of_o the_o lympha_fw-la if_o the_o pulsation_n of_o the_o artery_n be_v weaken_v blood_n 1._o pulsation_n of_o the_o artery_n help_v the_o motion_n of_o the_o blood_n the_o motion_n of_o the_o venal_a blood_n must_v be_v lessen_v because_o the_o artery_n beat_v and_o actual_o flagellate_v those_o vessel_n and_o so_o oblige_v the_o blood_n which_o they_o contain_v to_o repair_v to_o the_o heart_n with_o a_o wonderful_a facility_n muscle_n 2._o motion_n of_o the_o muscle_n the_o motion_n of_o the_o muscle_n be_v much_o more_o important_a to_o hasten_v the_o circulation_n of_o this_o liquor_n they_o be_v as_o so_o many_o hand_n which_o press_v the_o vessel_n that_o penetrate_v or_o pass_v through_o they_o and_o determine_v the_o liquor_n which_o they_o contain_v to_o a_o quick_a discharge_n into_o their_o recepticle_n so_o that_o if_o they_o have_v lose_v a_o part_n of_o their_o motion_n for_o want_v of_o spirit_n the_o circulation_n of_o this_o course_n blood_n will_v be_v as_o it_o be_v supend_v in_o the_o vein_n lympha_fw-la 3._o the_o lympha_fw-la in_o the_o three_o place_n i_o say_v that_o the_o lympha_fw-la dispose_v itself_o in_o the_o vein_n to_o make_v the_o blood_n more_o fluid_a and_o fit_a to_o circulate_v no_o it_o be_v certain_a if_o its_o course_n be_v impede_v either_o in_o the_o gland_n or_o lymphatic_a vessel_n the_o blood_n will_v circulate_v much_o slow_a for_o want_v of_o a_o dissolvent_a this_o be_v suppose_v that_o indigestion_n of_o the_o blood_n slow_a and_o dull_a pulsation_n of_o the_o artery_n weak_a motion_n of_o the_o muscle_n and_o interruption_n of_o the_o course_n of_o the_o lympha_fw-la be_v cause_n which_o concur_v somewhat_o to_o impede_fw-la the_o circulation_n of_o the_o venal_a blood_n poor_a the_o venal_a blood_n very_o poor_a which_o be_v a_o blood_n deprive_v of_o its_o spirituous_a particle_n have_v no_o consistence_n or_o strait_a union_n between_o they_o then_o the_o serosity_n which_o serve_v the_o rest_n of_o the_o blood_n as_o a_o matrix_fw-la separate_v itself_o from_o it_o as_o the_o serosity_n of_o milk_n from_o the_o curd_n it_o transpire_v between_o the_o interval_n of_o the_o fibre_n or_o pour_v itself_o out_o as_o a_o gentle_a rain_n in_o some_o capacity_n for_o to_o frame_v both_o kind_n of_o dropsy_n two_o experiment_n confirm_v i_o in_o this_o opinion_n the_o first_o be_v that_o if_o we_o make_v the_o ligature_n of_o the_o vein_n in_o some_o part_n and_o that_o one_o hinder_v the_o passage_n of_o the_o blood_n it_o do_v not_o fail_v to_o be_v overflow_v in_o a_o short_a time_n leg_n big_a belly_a woman_n subject_a to_o hydropical_a leg_n the_o second_o be_v we_o observe_v that_o most_o big_a belly_a woman_n have_v hydropic_a leg_n or_o at_o lest_o varices_fw-la this_o be_v a_o matter_n of_o fact_n not_o to_o be_v dispute_v and_o which_o be_v easy_o explain_v only_o by_o the_o disposition_n of_o the_o part_n we_o observe_v that_o as_o the_o foetus_fw-la grow_v big_a it_o enlarge_v the_o matrix_fw-la and_o compress_n so_o much_o the_o iliac_n and_o crurel_n vein_n which_o be_v near_o that_o the_o blood_n which_o come_v from_o the_o inferior_a part_n not_o have_v the_o liberty_n to_o move_v as_o it_o use_v to_o do_v by_o reason_n of_o this_o compression_n there_o must_v a_o dropsy_n follow_v as_o we_o have_v show_v blood_n dissolution_n of_o the_o blood_n what_o belong_v to_o the_o cause_n of_o the_o dropsy_n which_o proceed_v from_o the_o dissolution_n of_o the_o blood_n we_o have_v already_o remark_v when_o he_o speak_v of_o indigestion_n of_o the_o chyle_n that_o nothing_o be_v so_o capable_a of_o destroy_v and_o consume_v the_o oil_n of_o the_o blood_n as_o the_o abundance_n and_o exaltation_n of_o the_o sharp_a and_o tartarous_a salt_n it_o be_v by_o the_o mean_n of_o their_o action_n that_o we_o explain_v how_o scorbutic_a hypocondriac_n lienteric_a person_n and_o those_o who_o lie_v long_o in_o prison_n become_v hydropical_a which_o we_o can_v not_o easy_o demonstrate_v if_o we_o do_v not_o admit_v the_o motion_n and_o agitation_n of_o the_o cut_n and_o corrosive_a particle_n which_o put_v the_o principle_n of_o the_o blood_n to_o the_o rout_n and_o disunite_v they_o so_o that_o the_o sarum_n escape_v on_o all_o side_n and_o give_v way_n for_o the_o dropsy_n to_o seize_v on_o some_o part_n whether_o it_o transpire_v in_o form_n of_o a_o dew_n through_o the_o tunicle_n and_o membrane_n or_o filter_n between_o their_o fibre_n or_o the_o gland_n let_v it_o escape_v or_o it_o be_v spill_v by_o the_o interruption_n of_o its_o most_o insensible_a vessel_n in_o the_o void_a space_n which_o present_v themselves_o at_o their_o passage_n it_o will_v always_o be_v true_o say_v that_o the_o part_n which_o nature_n have_v a_o mind_n
the_o most_o violent_a and_o caustie_a acid_n as_o aq._n fortis_fw-la spirit_n nitri_fw-la &c._n &c._n can_v dissolve_v it_o we_o make_v they_o know_v also_o that_o if_o ever_o these_o impostor_n have_v any_o medicine_n capable_a to_o produce_v such_o effect_n without_o alter_v any_o part_n before_o they_o be_v past_o the_o stomach_n intestine_n receptacle_n of_o the_o chile_n heart_n lung_n and_o in_o the_o most_o insensible_a way_n where_o they_o mingle_v with_o the_o blood_n and_o humour_n they_o will_v doubtless_o lose_v their_o quality_n and_o dissolve_v virtue_n therefore_o there_o be_v nothing_o can_v free_v we_o from_o such_o a_o cruel_a disease_n but_o the_o operation_n operation_n nothing_o can_v free_v we_o of_o the_o stone_n but_o the_o operation_n after_o have_v use_v general_a remedy_n as_o bleed_v gentle_a purge_v and_o clyster_n unless_o the_o stone_n be_v of_o a_o extraordinary_a bigness_n and_o there_o be_v a_o complication_n of_o disease_n if_o the_o stone_n be_v of_o a_o moderate_a bigness_n prognostic_n prognostic_n the_o operation_n be_v less_o dangerous_a if_o it_o be_v big_a and_o stick_v in_o the_o bladder_n it_o be_v more_o to_o be_v fear_v because_o of_o the_o ruption_n of_o the_o vessel_n and_o of_o the_o great_a laceration_n it_o cause_v to_o the_o part_n which_o be_v always_o accompany_v with_o inflammation_n convulsion_n fever_n gangrene_n and_o often_o death_n especial_o in_o young_a who_o be_v not_o over_o nine_o year_n of_o age_n and_o who_o part_n be_v soft_a and_o tender_a or_o in_o old_a who_o part_n be_v dry_v up_o and_o inflexible_a as_o it_o be_v through_o the_o little_a heat_n and_o humidity_n which_o we_o find_v in_o they_o if_o the_o bladder_n be_v ulcerate_v and_o there_o be_v any_o great_a hemorrhage_n or_o some_o carnosity_n you_o must_v avoid_v the_o operation_n all_o these_o particularity_n belong_v to_o the_o prognostic_n of_o the_o disease_n you_o must_v observe_v that_o these_o sort_n of_o subject_n often_o relapse_n and_o if_o the_o operation_n be_v not_o reiterated_a you_o will_v find_v a_o quarry_n in_o their_o bladder_n chap._n xix_o of_o the_o extraction_n of_o the_o stone_n have_v thus_o consider_v the_o precedent_a circumstance_n you_o may_v hazard_v the_o operation_n but_o before_o it_o be_v necessary_a to_o stir_v the_o stone_n by_o some_o motion_n and_o to_o empty_v the_o bladder_n of_o its_o urine_n operation_n the_o situation_n of_o the_o patient_n in_o the_o operation_n place_v the_o patient_n on_o the_o brink_n of_o a_o bed_n his_o back_n on_o a_o even_o sloap_a board_n his_o thigh_n open_a knee_n near_o his_o belly_n his_o heel_n draw_v up_o to_o his_o brich_n and_o his_o hand_n hang_v down_o on_o the_o side_n of_o his_o ankle_n to_o keep_v the_o patient_n in_o this_o posture_n you_o have_v a_o band_n with_o which_o you_o support_v the_o thigh_n low_a end_n of_o the_o leg_n and_o hand_n and_o after_o some_o turn_n of_o the_o band_n you_o pass_v it_o upward_o about_o the_o shoulder_n and_o drip_v it_o behind_o the_o back_n you_o repass_v it_o about_o the_o other_o shall_v to_o bind_v the_o hand_n leg_n and_o thigh_n of_o the_o opposite_a side_n this_o posture_n be_v very_o proper_a to_o execute_v this_o design_n for_o it_o uphold_v the_o bladder_n and_o give_v liberty_n to_o the_o muscle_n of_o the_o abdomen_fw-la to_o relax_v and_o bend_v as_o they_o former_o do_v gripe_n the_o manner_n of_o cut_v for_o the_o stone_n by_o the_o aparatus_fw-la minor_fw-la or_o gripe_n the_o patient_n be_v in_o this_o posture_n the_o chirurgeon_n dispose_v himself_o to_o the_o operation_n if_o it_o be_v by_o the_o little_a aparatus_fw-la which_o be_v not_o so_o much_o in_o use_n he_o wett_v his_o index_n and_o middle_a finger_n in_o some_o oil_n or_o other_o unctuous_a matter_n and_o introduce_v they_o a_o little_a oblique_o into_o the_o anus_fw-la not_o stretch_v they_o till_o he_o have_v press_v gentle_o the_o hypogastrium_n with_o the_o other_o hand_n than_o the_o operator_n endeavour_v to_o push_v the_o bottom_n of_o the_o bladder_n towards_o its_o neck_n to_o place_v it_o fast_o between_o his_o finger_n and_o the_o os_fw-la pubis_fw-la have_v fix_v it_o the_o chirurgeon_n with_o a_o bistory_n cut_v on_o both_o side_n make_v a_o incision_n on_o the_o stone_n according_a to_o its_o bigness_n make_v the_o place_n where_o the_o incision_n must_v be_v make_v on_o the_o side_n of_o the_o ralph_n and_o between_o the_o os_fw-la pubis_fw-la about_o two_o finger_n breadth_n from_o the_o anus_fw-la the_o incision_n be_v make_v you_o extract_v it_o with_o fit_a instrument_n of_o which_o ☞_o we_o will_v speak_v in_o the_o great_a aparatus_fw-la sometime_o it_o will_v slip_v out_o of_o the_o orifice_n by_o only_o press_v the_o finger_n a_o little_a forward_o towards_o the_o orifice_n so_o much_o for_o the_o lesser_a aparatus_fw-la for_o see_v we_o can_v use_v it_o without_o make_v the_o intestine_a and_o bladder_n very_o livid_v nor_o often_o without_o endamage_v they_o we_o ought_v to_o reject_v this_o method_n and_o prefer_v the_o great_a aparatus_fw-la of_o which_o we_o will_v give_v the_o description_n aparatus_fw-la the_o manner_n of_o cut_v for_o the_o stone_n by_o the_o great_a aparatus_fw-la after_o we_o have_v regulate_v all_o that_o precede_v this_o so_o important_a a_o operation_n and_o have_v place_v the_o patient_n in_o a_o convenient_a posture_n the_o first_o thing_n we_o must_v propose_v to_o ourselves_o be_v to_o search_v he_o well_o catheter_n several_a way_n of_o use_v the_o catheter_n as_o for_o probes_fw-la you_o ought_v to_o have_v some_o great_a small_a and_o middle-sized_a one_o for_o all_o sort_n of_o age_n strait_a and_o crooked_a for_o both_o sex_n with_o canulas_fw-la garnish_v with_o a_o stillett_n to_o empty_a the_o bladder_n of_o the_o urine_n and_o other_o hollow_a as_o a_o directory_n to_o perform_v the_o operation_n with_o you_o may_v use_v the_o prob●…or_n catheter_n divers_a way_n in_o the_o first_o the_o chirurgeon_n take_v with_o his_o left_a hand_n the_o top_n of_o the_o yard_n dilate_v its_o passage_n a_o little_a and_o pull_v it_o upward_o that_o the_o channel_n of_o the_o urethra_fw-la make_v a_o strait_a line_n to_o facilitate_v by_o that_o mean_v the_o entry_n of_o the_o catheter_n into_o the_o bladder_n all_o the_o difficulty_n consist_v in_o introduce_v it_o methodical_o which_o be_v that_o the_o extremity_n which_o be_v hold_v in_o the_o hand_n be_v outward_a and_o the_o convexity_n inward_a and_o as_o its_o point_n approach_v towards_o the_o neck_n of_o the_o bladder_n you_o give_v it_o half_o a_o turn_n by_o which_o mean_v you_o make_v it_o slip_v under_o the_o os_fw-la pubis_fw-la and_o cause_v it_o to_o enter_v into_o the_o hollow_a of_o the_o bladder_n so_o that_o its_o point_n be_v within_o and_o its_o convexity_n without_o probe_v second_o way_n of_o probe_v the_o second_o method_n be_v much_o more_o easy_a and_o less_o troublesome_a because_o you_o introduce_v the_o probe_n quite_o contrary_a to_o the_o former_a and_o without_o give_v it_o a_o turn_n you_o make_v it_o slip_v into_o the_o bladder_n good_a probe_v be_v not_o only_o necessary_a for_o extract_v the_o stone_n but_o also_o in_o all_o carnosity_n and_o inflammation_n of_o the_o bladder_n it_o be_v of_o great_a use_n as_o often_o as_o the_o urine_n be_v suppress_v in_o this_o passage_n and_o very_o often_o one_o perish_v in_o all_o those_o occasion_n for_o not_o know_v how_o to_o probe_n well_o methodical_o how_o to_o perform_v the_o operation_n methodical_o to_o make_v the_o operation_n you_o use_v a_o hollow_a probe_n which_o be_v in_o the_o bladder_n the_o chirurgeon_n must_v bring_v it_o to_o the_o side_n of_o the_o belly_n that_o its_o convexity_n may_v press_v the_o interior_a surface_n of_o the_o perineum_fw-la and_o make_v it_o rise_v in_o a_o hillock_n and_o whilst_o the_o servant_n hold_v up_o the_o yard_n and_o top_n of_o the_o probe_n with_o his_o left_a hand_n and_o the_o testicle_n with_o his_o right_n the_o operator_n with_o his_o thumb_n and_o forefinger_n fasten_v the_o most_o eminent_a part_n of_o the_o probe_n to_o the_o right_a side_n of_o the_o perineum_fw-la and_o with_o a_o knife_n cut_v on_o both_o side_n he_o make_v a_o incision_n all_o along_o the_o hollow_a more_o or_o less_o great_a according_a as_o he_o judge_v the_o bulk_n of_o the_o stone_n to_o be_v to_o make_v the_o incision_n regular_o he_o hold_v the_o instrument_n like_o a_o lancet_n begin_v to_o pierce_v the_o most_o elevate_a part_n of_o the_o perineum_fw-la still_o to_o the_o hollow_a of_o the_o probe_n which_o serve_v to_o the_o knife_n as_o a_o directory_n and_o without_o any_o stop_n pass_v and_o repass_v it_o several_a time_n over_o the_o surface_n of_o the_o probe_n till_o it_o be_v quite_o discover_v lest_o you_o make_v divers_a incision_n on_o the_o bladder_n before_o you_o withdraw_v the_o catheter_n feel_v
of_o a_o part_n be_v afflict_v the_o inflammation_n happen_v when_o the_o course_n of_o blood_n be_v hinder_v in_o any_o part_n and_o that_o it_o be_v sufficient_a to_o produce_v the_o fever_n which_o be_v a_o consequence_n of_o the_o pain_n and_o inflammation_n if_o a_o drop_n of_o extravasated_a and_o corrupt_a blood_n be_v carry_v to_o the_o heart_n cheek_n cause_o of_o red_a cheek_n one_o have_v red_a cheek_n in_o a_o impostume_n of_o the_o lung_n this_o come_v from_o the_o irregular_a motion_n which_o the_o purulent_a particle_n communicate_v to_o the_o principle_n of_o the_o blood_n and_o from_o the_o great_a number_n of_o blood_n vessel_n which_o irrigate_n the_o cheek_n eye_n cause_o of_o the_o dulness_n of_o the_o eye_n the_o eye_n lose_v their_o vivacity_n and_o sink_v into_o the_o head_n because_o the_o blood_n lose_v its_o consistence_n and_o colour_n in_o lose_v its_o oil_n and_o unctuosity_n which_o make_v the_o eye_n sink_v and_o become_v insensible_o wan_a and_o dull_a proportionable_a as_o the_o sharp_a and_o tartarous_a salt_n dissipate_v the_o oily_a and_o sulphureous_a particle_n corrupt_v in_o all_o disease_n of_o the_o lung_n the_o caule_n and_o mesenterium_fw-la always_o corrupt_v this_o i_o say_v be_v so_o true_a that_o in_o all_o disease_n of_o the_o lung_n we_o always_o find_v the_o epiploon_n and_o mesenterium_fw-la which_o be_v the_o two_o reservatorium_n of_o the_o fat_a corrupt_v it_o be_v for_o the_o same_o reason_n that_o all_o part_n of_o the_o body_n dry_v up_o and_o grow_v lean_a blood_n what_o give_v the_o red_a colour_n to_o the_o blood_n you_o must_v also_o observe_v that_o the_o red_a colour_n of_o the_o blood_n do_v not_o only_o depend_v on_o the_o mixture_n of_o the_o sulphur_n but_o also_o on_o the_o action_n of_o the_o air_n which_o whirl_n about_o its_o particle_n and_o be_v the_o air_n that_o get_v into_o the_o impostumate_v lung_n change_v its_o nature_n it_o be_v no_o more_o capable_a of_o set_v they_o in_o motion_n neither_o to_o excite_v so_o lively_a a_o sensation_n as_o before_o back_o cause_o of_o the_o nail_n bend_v back_o the_o nail_n bend_v backward_o because_o their_o extremity_n be_v irrigate_v with_o a_o serous_a liquor_n deprive_v of_o spirit_n the_o cutis_fw-la mus_fw-la of_o necessity_n fall_v away_o and_o dry_v up_o now_o as_o the_o nail_n be_v only_o a_o production_n of_o it_o it_o pull_v they_o along_o and_o constrain_v they_o to_o bend_v like_a as_o a_o slice_n of_o bread_n hold_v to_o the_o fire_n you_o must_v look_v upon_o all_o these_o sign_n as_o certain_a token_n that_o the_o wound_n penetrate_v into_o the_o breast_n you_o may_v stay_v some_o day_n to_o examine_v its_o progress_n for_o if_o they_o proceed_v from_o a_o not_o penetrate_v wound_n in_o a_o few_o day_n they_o cease_v by_o bleed_v and_o suppuration_n and_o they_o continue_v and_o increase_v when_o the_o lung_n be_v alter_v or_o when_o the_o diaphragma_n be_v oppress_v by_o the_o weight_n of_o some_o extravasated_a matter_n body_n a_o emphisema_n may_v happen_v to_o any_o part_n of_o the_o body_n the_o emphisema_n be_v not_o always_o a_o sign_n that_o the_o wound_n penetrate_v because_o it_o may_v happen_v not_o only_o to_o wound_n of_o the_o breast_n but_o also_o to_o all_o other_o part_n we_o see_v it_o even_o to_o come_v on_o wound_n of_o the_o head_n where_o we_o can_v suppose_v the_o lung_n to_o send_v any_o air_n so_o that_o unless_o the_o oppression_n be_v very_o great_a you_o must_v not_o try_v the_o operation_n these_o sign_n do_v not_o only_o lead_v we_o to_o the_o knowledge_n of_o the_o nature_n of_o the_o empiema_n but_o they_o tell_v we_o also_o whether_o its_o necessary_a to_o practice_v the_o operation_n for_o example_n useless_a where_o the_o operation_n will_v be_v useless_a it_o will_v be_v useless_a in_o the_o empiema_n of_o the_o lung_n by_o reason_n the_o open_n of_o the_o breast_n contribute_v nothing_o at_o all_o to_o the_o evacuation_n of_o the_o matter_n unless_o the_o impostume_n be_v on_o the_o superficies_n of_o the_o lung_n than_o it_o will_v be_v of_o more_o use_n because_o we_o know_v that_o the_o lung_n be_v fasten_v to_o the_o pleura_fw-la and_o the_o impostume_n be_v precise_o where_o one_o feel_v a_o fix_a pain_n but_o if_o so_o be_v the_o impostume_n shall_v be_v deep_a and_o manifest_v itself_o in_o that_o place_n by_o a_o fix_a pain_n it_o will_v be_v fruitless_a if_o the_o effusion_n of_o the_o blood_n shall_v happen_v from_o a_o wound_n and_o that_o by_o good_a luck_n the_o wound_n be_v in_o a_o place_n where_o the_o extravasated_a blood_n can_v easy_o get_v out_o provide_v the_o lung_n be_v not_o adherent_a by_o enlarge_n the_o mouth_n of_o the_o wound_n to_o make_v way_n for_o it_o or_o by_o lay_v the_o patient_n in_o a_o posture_n convenient_a for_o the_o run_v out_o of_o the_o matter_n the_o operation_n will_v be_v useless_a final_o let_v the_o wound_n be_v of_o what_o manner_n soever_o if_o we_o can_v facilitate_v the_o evacuation_n of_o the_o pus_fw-la by_o make_v the_o aperture_n big_a we_o ought_v to_o avoid_v the_o operation_n but_o if_o the_o matter_n can_v have_v its_o free_a course_n you_o must_v make_v use_n of_o it_o for_o to_o deliver_v the_o patient_n from_o suffocation_n and_o the_o chief_a circumstance_n of_o the_o operation_n be_v to_o choose_v a_o proper_a place_n to_o facilitate_v the_o exit_z of_o the_o matter_n necessity_n the_o most_o proper_a place_n to_o perform_v the_o operation_n of_o necessity_n there_o be_v two_o place_n in_o the_o breast_n proper_a to_o make_v the_o operation_n one_o of_o necessity_n the_o other_o of_o election_n of_o necessity_n where_o the_o matter_n appear_v as_o in_o the_o impostumation_n of_o the_o pleura_fw-la or_o in_o that_o of_o the_o superficies_n of_o the_o lung_n adhere_v to_o the_o pleura_fw-la because_o we_o be_v force_v to_o make_v the_o operation_n where_o the_o impostume_n be_v that_o of_o election_n election_n of_o election_n when_o there_o be_v nothing_o that_o oblige_v we_o to_o make_v it_o rather_o in_o one_o place_n than_o another_o in_o this_o case_n you_o must_v choose_v the_o most_o convenient_a place_n which_o be_v between_o the_o second_o and_o three_o of_o the_o true_a rib_n reckon_v from_o below_o upward_o four_o finger_n from_o the_o inferior_a angle_n of_o the_o scapula_fw-la and_o as_o much_o from_o the_o spin_v you_o must_v observe_v that_o in_o those_o who_o have_v be_v trouble_v with_o any_o long_a disease_n of_o the_o breast_n as_o with_o a_o long_a pleurisy_n etc._n etc._n the_o diaphragme_n be_v insensible_o fasten_v to_o the_o rib_n and_o reach_v sometime_o even_o to_o the_o three_o four_o or_o five_o rib_n observe_v a_o caution_n to_o be_v observe_v particular_o when_o the_o breathe_n be_v frequent_a and_o force_v therefore_o you_o must_v inform_v yourself_o which_o be_v the_o place_n where_o the_o disease_a feel_v the_o pain_n if_o it_o be_v about_o the_o second_o of_o the_o true_a rib_n where_o ordinary_o the_o diaphragma_n be_v fasten_v or_o if_o it_o be_v high_a which_o must_v be_v well_o examine_v before_o you_o make_v the_o operation_n chap._n xxiii_o of_o the_o operation_n of_o the_o empiema_n have_v preparel_n all_o that_o must_v precede_v such_o a_o necessary_a operation_n you_o place_v the_o disease_a on_o a_o chair_n or_o bed_n he_o must_v keep_v his_o body_n very_o straight_o and_o be_v hold_v up_o by_o servant_n that_o the_o chirurgeon_n may_v the_o easy_o take_v notice_n of_o the_o place_n where_o he_o be_v to_o make_v the_o incision_n in_o fat_a people_n you_o make_v it_o somewhat_o large_a that_o you_o may_v not_o be_v mistake_v operation_n how_o to_o perform_v the_o operation_n you_o pinch_v up_o the_o tegument_n for_o to_o cut_v they_o at_o length_n with_o a_o bistory_n and_o the_o fibre_n of_o the_o great_a musculus_fw-la dorsalis_fw-la cross_n for_o if_o they_o be_v cut_v otherwise_o they_o will_v stop_v the_o aperture_n of_o the_o pleura_fw-la and_o so_o hinder_v the_o run_v out_o of_o the_o matter_n you_o continue_v to_o incise_v dextrous_o the_o intercostal_n muscle_n some_o incise_v they_o at_o the_o uppermost_a part_n of_o the_o rib_n to_o avoid_v the_o vessel_n that_o lie_v all_o along_o its_o internal_a lower_v sinus_n but_o see_v the_o wound_n which_o be_v near_o the_o bone_n degeneration_n often_o into_o fistula_n caution_n caution_n its_o more_o proper_a to_o make_v it_o in_o the_o middle_n of_o the_o intercostal_n muscle_n when_o you_o be_v come_v to_o the_o pleura_fw-la you_o put_v your_o finger_n there_o all_o along_o which_o you_o slip_v a_o bistory_n for_o to_o incise_v the_o pleura_fw-la mind_v to_o guide_v well_o the_o point_n of_o the_o instrument_n with_o the_o finger_n and_o penetrate_v not_o too_o deep_a lest_o you_o offend_v the_o lung_n or_o diaphragma_n which_o be_v often_o fasten_v to_o the_o pleura_fw-la
spirit_n by_o any_o mishap_n the_o machine_n must_v needs_o fall_v sense_n cause_o of_o loss_n of_o the_o sense_n the_o sense_n be_v lose_v by_o reason_n the_o course_n of_o the_o spirit_n be_v interrupt_v in_o the_o brain_n and_o can_v repair_v to_o the_o organ_n of_o the_o sense_n now_o since_o the_o function_n of_o the_o sense_n depend_v on_o the_o course_n of_o the_o spirit_n in_o the_o nerve_n it_o be_v no_o wonder_n if_o the_o exterior_a object_n make_v no_o more_o impression_n upon_o our_o sense_n and_o we_o be_v no_o more_o in_o a_o condition_n to_o distinguish_v they_o the_o phaenomena_n be_v a_o consequent_a of_o the_o precedent_n ear_n cause_o of_o bleed_v of_o the_o nose_n mouth_n and_o ear_n the_o blood_n flow_v out_o of_o the_o nose_n mouth_n and_o ear_n to_o explain_v which_o symptom_n you_o must_v consider_v that_o these_o part_n be_v rude_o shake_v in_o the_o time_n of_o the_o assault_n that_o the_o blood_n and_o spirit_n be_v stop_v in_o the_o brain_n and_o that_o the_o great_a cord_n of_o the_o nerve_n which_o at_o their_o passage_n out_o of_o the_o skull_n pass_v between_o the_o branch_n of_o the_o carotidal_a and_o vertebral_a artery_n imprint_v there_o such_o a_o violent_a motion_n at_o the_o time_n of_o the_o concussion_n that_o they_o oblige_v the_o arterial_a blood_n to_o turn_v short_a and_o flow_v into_o the_o external_a carotides_n so_o that_o these_o receive_n almost_o all_o the_o blood_n which_o mount_v to_o the_o head_n as_o well_o from_o the_o inflammation_n as_o from_o the_o shake_n of_o the_o nerve_n must_v needs_o break_v some_o capillary_a vessel_n excrement_n the_o cause_n of_o involuntary_a shed_n of_o urine_n and_o excrement_n the_o excrement_n and_o urine_n come_v forth_o against_o one_o will_n because_o the_o spirit_n repair_v no_o more_o in_o such_o case_n to_o the_o sphincter_n of_o the_o anus_fw-la and_o bladder_n than_o to_o other_o part_n which_o cause_v they_o to_o lose_v their_o spring_n and_o permit_v the_o issue_n of_o those_o excrement_n the_o motion_n of_o the_o heart_n be_v weak_a and_o languish_a only_o for_o want_v of_o these_o same_o spirit_n vomit_v cause_o of_o vomit_v one_o vomit_v at_o the_o very_a instant_n or_o some_o time_n after_o if_o one_o vomit_v present_o it_o be_v a_o sign_n that_o the_o commotion_n have_v not_o be_v one_o of_o the_o great_a and_o the_o course_n of_o the_o spirit_n not_o long_o interrupt_v since_o the_o impulse_n of_o the_o blood_n have_v break_v the_o sluice_n of_o they_o and_o force_v they_o to_o retake_v their_o course_n and_o launch_v with_o so_o much_o quickness_n into_o the_o ventricle_n that_o they_o excite_v this_o first_o vomit_v in_o which_o one_o render_v nothing_o but_o aliment_n but_o if_o the_o spirit_n be_v long_o retard_v it_o be_v a_o sign_n that_o the_o shake_n have_v be_v very_o rude_a and_o that_o the_o figure_n of_o the_o brain_n be_v vitiate_a since_o we_o see_v that_o when_o they_o be_v at_o full_a liberty_n they_o run_v with_o precipitation_n into_o the_o tunicle_n of_o the_o ventricle_n and_o intestine_n which_o by_o their_o irregular_a and_o vermicular_a motion_n oblige_v the_o bile_n which_o run_v into_o their_o cavity_n to_o force_v the_o pylorus_n and_o pass_v into_o the_o stomach_n from_o whence_o it_o be_v drive_v by_o the_o powerful_a contraction_n of_o its_o carnous_a fibre_n you_o must_v observe_v that_o in_o this_o last_o vomit_v where_o one_o render_v bile_n it_o be_v much_o more_o violent_a than_o the_o first_o and_o that_o the_o disease_a lose_v their_o strength_n vigour_n and_o ordinary_a motion_n these_o be_v the_o accident_n which_o immediate_o follow_v concussion_n of_o the_o brian_n now_o it_o be_v very_o important_a to_o examine_v well_o those_o that_o happen_v when_o the_o brain_n be_v hurt_v and_o when_o any_o blood_n or_o pus_fw-la be_v extravasated_a in_o its_o substance_n sometime_o it_o be_v a_o effect_n of_o the_o concussion_n that_o have_v break_v some_o vessel_n and_o sometime_o a_o effect_n of_o the_o blow_n which_o have_v prick_v or_o cut_v the_o dura_fw-la mater_fw-la or_o which_o have_v penetrate_v or_o carry_v off_o some_o portion_n of_o the_o brain_n or_o final_o it_o be_v some_o pus_fw-la between_o the_o dura_fw-la and_o pia_fw-la mater_fw-la which_o be_v shed_v upon_o the_o brian_n in_o all_o these_o cause_n the_o fever_n come_v with_o double_a fit_n and_o shivering_n accompany_v with_o vomit_v convulsion_n delirium_fw-la lethargy_n and_o apoplexy_n and_o beside_o this_o crowd_n of_o symptom_n the_o liver_n and_o lung_n often_o impostumate_v which_o be_v know_v by_o a_o fix_a pain_n on_o the_o breast_n or_o in_o the_o region_n of_o the_o liver_n and_o by_o reiterated_a shivering_n fever_n cause_o of_o the_o redouble_a of_o the_o fever_n as_o for_o the_o fever_n with_o its_o intermitting_n which_o come_v upon_o it_o it_o be_v not_o hard_a to_o give_v reason_n for_o this_o extraordinary_a fermentation_n as_o soon_o as_o we_o be_v a_o little_a attentive_a upon_o the_o change_n of_o corruption_n which_o happen_v to_o the_o matter_n that_o be_v diffuse_v upon_o the_o substance_n of_o the_o brain_n it_o be_v not_o to_o be_v doubt_v but_o that_o it_o grow_v impure_a and_o more_o or_o less_o sour_a according_a to_o the_o time_n it_o lie_v there_o that_o the_o vein_n be_v from_o time_n to_o time_n charge_v with_o it_o and_o that_o a_o part_n pass_v into_o the_o heart_n lung_n and_o all_o the_o other_o organ_n which_o by_o their_o continual_a motion_n form_n and_o grind_v they_o as_o it_o be_v into_o a_o thousand_o little_a part_n which_o lively_o hasten_v the_o impetuous_a course_n of_o the_o blood_n and_o which_o cause_n the_o trouble_n and_o perturbation_n of_o the_o spirit_n which_o march_v in_o disorder_n which_o precipitate_v the_o motion_n of_o the_o heart_n and_o increase_v the_o fever_n and_o when_o ever_o that_o strange_a matter_n which_o be_v offensive_a to_o the_o brian_n have_v get_v some_o degree_n of_o corruption_n and_o make_v itself_o fit_a to_o circulate_v with_o the_o venal_a blood_n this_o matter_n i_o say_v receive_v the_o same_o alteration_n and_o trituration_n which_o we_o have_v suppose_v set_v the_o blood_n more_o sensible_o in_o motion_n and_o put_v it_o in_o a_o much_o great_a effervescency_n on_o which_o depend_v the_o strength_n of_o the_o return_n of_o the_o fever_n after_o this_o manner_n as_o often_o as_o the_o blood_n be_v charge_v with_o it_o the_o returns_z which_o be_v a_o sit_v be_v periodical_a be_v renew_v from_o all_o the_o reason_n which_o i_o have_v allege_v it_o be_v easy_a to_o understand_v that_o there_o be_v few_o part_n or_o corner_n of_o the_o body_n where_o this_o purulent_a matter_n be_v not_o throw_v it_o prick_v the_o nerve_n irritate_v the_o membrane_n transmits_n its_o action_n on_o the_o ventricle_n nest_n its_o self_n sometime_o in_o one_o muscle_n sometime_o in_o another_o and_o cause_n shivering_n vomiting_n and_o the_o vicissitude_n of_o irregular_a and_o convulsive_a motion_n which_o show_v that_o the_o mass_n of_o blood_n be_v mighty_o suppress_v the_o course_n of_o the_o spirit_n much_o agitate_a so_o that_o delirium_fw-la and_o lethargy_n must_v follow_v delirium_fw-la cause_o of_o delirium_fw-la the_o delirium_fw-la be_v a_o effect_n of_o the_o great_a inequality_n of_o the_o course_n of_o the_o blood_n in_o the_o redoubling_n of_o the_o fever_n and_o of_o the_o diffuse_a matter_n which_o begin_v to_o penetrate_v and_o corrupt_v the_o substance_n of_o the_o brain_n the_o inequality_n of_o the_o course_n of_o the_o blood_n in_o the_o time_n of_o the_o redoubling_n rule_v the_o irregularity_n of_o the_o course_n of_o the_o spirit_n in_o the_o part_n and_o the_o extravasated_a matter_n gnaw_v by_o its_o acrimony_n the_o vessel_n and_o nervous_a fibre_n of_o the_o white_a part_n so_o put_v to_o the_o rout_n the_o spirit_n into_o the_o muscle_n organ_n of_o the_o sense_n and_o in_o the_o passage_n of_o the_o brain_n where_o the_o idea_n be_v weaken_v with_o irregularity_n and_o confusion_n lethargy_n cause_o of_o the_o lethargy_n the_o lethargy_n follow_v when_o ever_o there_o be_v much_o blood_n spill_v upon_o the_o brain_n be_v in_o its_o last_o degree_n of_o motion_n and_o exaltation_n the_o weight_n of_o the_o extravasated_a blood_n press_v the_o brain_n and_o the_o quick_a motion_n of_o the_o blood_n cause_v the_o courser_n particle_n to_o separate_v from_o the_o fine_a one_o that_o they_o stick_v to_o the_o pore_n of_o the_o gland_n and_o stop_v the_o passage_n of_o the_o spirit_n so_o that_o the_o brain_n find_v itself_o oppress_v with_o the_o weight_n of_o the_o matter_n the_o patient_n fall_v into_o a_o profound_a drowsiness_n but_o in_o the_o time_n that_o this_o extravasated_a matter_n dissipate_v its_o self_n the_o courser_n particle_n which_o be_v so_o many_o sluice_n be_v put_v out_o of_o order_n by_o the_o impulsion_n of_o new_a blood_n the_o
of_o it_o a_o thread_n which_o keep_v it_o from_o go_v too_o far_o under_o this_o be_v call_v sindon_n it_o must_v be_v somewhat_o big_a than_o the_o aperture_n that_o the_o medicine_n may_v have_v room_n to_o extend_v themselves_o on_o the_o neighbour_a part_n and_o the_o dura_n matter_n not_o to_o be_v hurt_v in_o the_o motion_n of_o the_o brain_n against_o the_o edge_n of_o the_o skull_n upon_o this_o sindon_n you_o put_v another_o of_o lint_n dip_v in_o the_o same_o medicine_n you_o fill_v the_o rest_n of_o the_o hole_n with_o dry_a lint_n and_o cover_v the_o bone_n with_o it_o and_o the_o rest_n of_o the_o wound_n for_o the_o first_o day_n be_v dress_v with_o digestives_n able_a to_o procure_v a_o strong_a suppuration_n convenient_a great_a suppuration_n very_o convenient_a we_o have_v already_o make_v you_o observe_v that_o great_a suppuration_n of_o the_o exterior_a wound_n very_o much_o contribute_v towards_o the_o ease_n of_o the_o dura_n mater_fw-la through_o the_o frequent_a commerce_n that_o be_v between_o the_o exterior_a and_o inferior_a vessel_n you_o shave_v the_o head_n for_o to_o embiocate_v with_o ol._n rosat_n &_o spirit_n vini_n you_o make_v use_v of_o emplast_n de_fw-fr betonica_n or_o andreas_n e_o cruse_n of_o a_o compress_v temper_v in_o strong_a wine_n and_o useful_a bandage_n you_o dress_v the_o wound_n the_o follow_a day_n with_o the_o same_o care_n if_o the_o splint_n be_v separate_v you_o take_v they_o away_o if_o they_o stick_v to_o the_o skull_n and_o can_v be_v replace_v you_o cut_v they_o off_o with_o the_o incisive_a pincer_n the_o dura_n matter_n be_v sometime_o so_o inflame_v that_o it_o rise_v beyond_o the_o aperture_n of_o the_o skull_n in_o spite_n of_o all_o the_o precaution_n that_o one_o can_v take_v and_o see_v it_o be_v dangerous_a to_o trepan_n too_o much_o nothing_o but_o bleed_v clyster_n and_o a_o exact_a diet_n can_v stop_v the_o progress_n of_o the_o inflammation_n if_o blood_n or_o matter_n be_v get_v between_o the_o membrane_n there_o be_v no_o other_o remedy_n than_o to_o give_v vent_n to_o the_o matter_n to_o execute_v which_o design_n with_o prudence_n you_o arm_v a_o lancet_n mater_fw-la how_o to_o penetrate_v the_o dura_n mater_fw-la and_o dexterous_o open_v the_o dura_n matter_n without_o the_o knowledge_n of_o the_o bystander_n when_o the_o dura_n mater_fw-la and_o the_o brain_n be_v hurt_v there_o arise_v very_o often_o in_o the_o last_o day_n upon_o it_o a_o fungus_n like_o a_o mushroom_n which_o increase_v more_o or_o less_o according_a as_o the_o matter_n which_o contribute_v to_o its_o generation_n be_v more_o or_o less_o unctuous_a opinion_n malpigius_n be_v opinion_n the_o famous_a malpigius_n pretend_v that_o the_o displace_v the_o gland_n of_o the_o brain_n and_o the_o little_a nervous_a pipe_n frame_v this_o excrescence_n but_o without_o run_v to_o the_o disorder_v of_o the_o gland_n be_v it_o not_o more_o reasonable_a to_o believe_v that_o it_o be_v breed_v from_o the_o abundance_n of_o the_o fat_a fungus_n cause_o of_o a_o fungus_n and_o oleaginous_a matter_n with_o which_o the_o brain_n be_v actual_o water_v as_o we_o have_v sufficient_o prove_v in_o several_a place_n of_o this_o treatise_n which_o experience_n also_o every_o day_n show_v we_o in_o those_o upon_o who_o dura_n mater_fw-la oil_n be_v outward_o apply_v in_o this_o inconvenience_n you_o must_v dry_v it_o with_o spirit_n of_o wine_n or_o tinct_v aloe_n which_o dissipate_v its_o humidity_n and_o forsake_v the_o use_n of_o ointment_n fungus_n how_o to_o consume_v a_o fungus_n if_o these_o remedy_n be_v not_o sufficient_a to_o extirpate_v the_o fungus_n use_v the_o soft_a catheretic_n as_o turpentine_n in_o powder_n pul._n irid._n florent_fw-la alurn_v ustum_fw-la some_o time_n you_o may_v apply_v precept_n rub._n in_o use_v these_o powder_n the_o flesh_n must_v be_v also_o a_o little_a compress_v or_o it_o will_v not_o be_v consume_v after_o these_o medicine_n have_v perform_v their_o virtue_n a_o decoct_v of_o traumatic_a herb_n in_o white_a wine_n be_v very_o advantageous_a to_o which_o add_v mel._n rosat_n more_fw-it or_o less_o according_a as_o its_o necessary_a to_o humect_v or_o dry_v up_o you_o must_v correct_v the_o air_n of_o the_o patient_n chamber_n by_o the_o use_n of_o fire_n especial_o when_o you_o dress_v he_o &_o apply_v the_o medicine_n as_o warm_a as_o you_o can_v when_o the_o flesh_n be_v quick_a and_o firm_a you_o must_v maintain_v it_o in_o that_o condition_n but_o when_o it_o be_v too_o soft_a you_o must_v compress_v it_o or_o use_v more_o dry_a remedy_n whilst_o you_o be_v cure_v the_o interior_n after_o this_o manner_n you_o must_v external_o use_v the_o best_a traumatics_n and_o apply_v upon_o the_o bone_n such_o remedy_n as_o hasten_v the_o exfoliation_n as_o spirit_n vini_n in_o which_o euphorb_n be_v infuse_v which_o be_v admirable_a to_o hasten_v exfoliation_n it_o must_v be_v always_o use_v before_o the_o flesh_n which_o grow_v upon_o the_o brain_n surmount_v the_o aperture_n and_o according_a to_o the_o nature_n of_o the_o accident_n which_o happen_v general_a medicine_n ought_v to_o accompany_v the_o topic_n chap._n xxxiii_o of_o the_o aneurisma_n anevrisma_n two_o sort_n of_o anevrisma_n a_fw-la aneurisma_n be_v a_o preternatural_a tumour_n form_v by_o the_o dilatation_n of_o the_o artery_n or_o by_o the_o rupture_n of_o its_o tumicle_n which_o make_v two_o kind_n of_o anevrisma_n the_o true_a and_o false_a the_o true_a one_o be_v that_o which_o do_v not_o abandon_v the_o pipe_n of_o the_o artery_n false_a true_a and_o false_a and_o which_o have_v correspondence_n with_o the_o blood_n which_o the_o heart_n send_v continual_o there_o on_o the_o contrary_a the_o false_a possess_v the_o nigh_o part_n and_o have_v no_o communication_n at_o all_o with_o the_o arterial_a blood_n aneurisma_n internal_a cause_n of_o a_o true_a aneurisma_n concern_v the_o internal_a cause_n of_o the_o true_a aneurisma_n we_o can_v attribute_v it_o to_o nothing_o but_o to_o the_o action_n of_o a_o sharp_a and_o corrosive_a humour_n which_o be_v separate_v from_o the_o gland_n that_o be_v spread_v about_o the_o vessel_n and_o which_o insensible_o gnaw_v the_o outward_a coat_n of_o the_o artery_n so_o that_o the_o blood_n by_o reiterated_a shake_n dispose_v the_o inferior_a tunicle_n to_o extend_v and_o dilate_v itself_o and_o after_o several_a impulsion_n not_o be_v in_o a_o condition_n of_o resist_v its_o motion_n it_o give_v way_n and_o obey_v till_o at_o last_o a_o tumour_n be_v form_v which_o be_v call_v a_o aneurism_n thus_o i_o conceive_v all_o sort_n of_o anevrism_n to_o be_v form_v which_o natural_o happen_v on_o the_o neck_n arm_n and_o several_a other_o part_n we_o also_o observe_v that_o these_o kind_n of_o tumor_n possess_v rather_o lean_a and_o atrophiated_a person_n who_o blood_n be_v load_v with_o salt_n than_o those_o that_o be_v fat_a and_o pamper_a aneurisma_n external_n cause_v of_o a_o true_a aneurisma_n the_o external_n cause_n of_o a_o true_a aneurisma_n come_v from_o a_o punction_n make_v on_o the_o exterior_a coat_n of_o the_o artery_n with_o a_o lancet_n sword_n or_o other_o like_a instrument_n or_o from_o some_o blow_n etc._n etc._n or_o final_o from_o the_o strong_a impression_n which_o sharp_a and_o corrosive_a medicine_n or_o humour_n which_o lurk_v about_o the_o vessel_n make_v upon_o the_o same_o exterior_a coat_n it_o be_v easy_a to_o comprehend_v that_o all_o these_o cause_n be_v capable_a of_o weaken_v the_o pipe_n of_o the_o artery_n and_o the_o blood_n beat_v without_o intermission_n extend_v and_o force_v outward_o the_o pipe_n and_o so_o produce_v a_o tumour_n aneurisma_n cause_o of_o the_o false_a aneurisma_n the_o false_a aneurisma_n be_v cause_v by_o the_o total_a ruption_n of_o the_o tunicle_n of_o the_o artery_n which_o give_v vent_v to_o the_o blood_n to_o extravasate_n itself_o between_o the_o porosity_n of_o the_o flesh_n and_o skin_n and_o so_o form_v a_o tumour_n which_o be_v follow_v by_o troublesome_a accident_n because_o the_o extravasated_a blood_n be_v no_o more_o in_o motion_n ferment_n and_o suffer_v alteration_n which_o be_v almost_o always_o follow_v by_o the_o mark_v of_o mortification_n these_o two_o kind_n of_o anevrisma_n increase_n more_o or_o less_o according_a as_o the_o action_n of_o the_o sharp_a juice_n contusion_n aperture_n of_o the_o vessel_n and_o impulsion_n of_o the_o blood_n be_v more_o or_o less_o considerable_a aneurisma_n sign_n of_o a_o true_a aneurisma_n the_o sign_n of_o the_o true_a aneurisma_n be_v sensible_a pulsation_n of_o the_o tumour_n and_o its_o softness_n when_o it_o be_v press_v with_o the_o finger_n it_o disappear_v at_o the_o same_o time_n but_o as_o soon_o as_o you_o give_v over_o press_v it_o come_v again_o into_o its_o first_o state_n the_o colour_n of_o the_o skin_n be_v not_o change_v because_o the_o blood_n which_o maintain_v the_o tumour_n keep_v its_o liquidness_n by_o
the_o meeting_n and_o mixture_n of_o new_a blood_n who_o motion_n be_v continual_a in_o its_o least_o increase_n or_o bigness_n it_o be_v common_o as_o big_a as_o a_o nut_n or_o egg_n at_o most_o some_o author_n assure_v we_o that_o these_o tumor_n augment_v sometime_o so_o much_o that_o they_o break_v nevertheless_o we_o know_v that_o some_o have_v keep_v they_o all_o their_o life_n and_o that_o in_o most_o person_n who_o be_v trouble_v with_o they_o the_o part_n of_o the_o weaken_a artery_n become_v so_o hard_a and_o callous_a that_o it_o resist_v all_o the_o effort_n one_o can_v make_v artery_n cause_o of_o induration_n of_o the_o artery_n though_o this_o ossification_n of_o the_o artery_n seem_v very_o difficult_a to_o explain_v one_o may_v nevertheless_o believe_v that_o the_o saline_n pungent_a and_o most_o exalt_a particle_n of_o the_o blood_n penetrate_v the_o lesser_a porosites_n of_o the_o fibre_n of_o its_o tunicle_n and_o they_o post_v and_o mingle_v themselves_o with_o the_o nourish_a juice_n of_o the_o artery_n and_o so_o contribute_v towards_o its_o ossification_n but_o the_o reason_n which_o to_o i_o seem_v most_o evident_a and_o best_a ground_v be_v that_o the_o blood_n which_o maintain_v the_o anourism_n and_o which_o be_v in_o a_o continual_a fermentation_n must_v by_o its_o motion_n increase_v the_o heat_n of_o the_o part_n which_o insensible_o dri_v and_o harden_v the_o fibre_n of_o the_o dilate_a part_n in_o dissipate_v and_o rarefy_v the_o humidity_n which_o water_n and_o make_v they_o dull_a that_o which_o fortify_v more_o this_o thought_n be_v that_o the_o aorta_fw-mi grow_v bony_a sometime_o in_o old_a people_n at_o its_o exit_n from_o the_o left_a ventricle_n of_o the_o heart_n either_o through_o the_o little_a heat_n that_o be_v leave_v there_o dry_v it_o or_o because_o their_o blood_n have_v lose_v its_o viscosity_n which_o be_v necessary_a to_o preserve_v its_o spring_n notwithstanding_o experience_v show_v we_o that_o it_o be_v ossify_v in_o some_o person_n aneurism_n sign_n of_o the_o false_a aneurism_n the_o sign_n of_o the_o false_a aneurism_n be_v opposite_a to_o those_o of_o the_o true_a in_o the_o false_a the_o pulsation_n of_o the_o artery_n be_v very_o deep_a the_o skin_n almost_o livid_v the_o tumour_n be_v not_o so_o high_a nor_o round_o as_o in_o the_o true_a one_o but_o it_o take_v up_o more_o room_n it_o give_v not_o way_n so_o easy_o in_o touch_v as_o the_o true_a one_o the_o most_o convince_a sign_n of_o the_o artery_n be_v open_v be_v when_o the_o blood_n come_v out_o impetuous_o and_o by_o jump_n which_o convince_v we_o that_o its_o motion_n be_v continual_a and_o unequal_a this_o inequality_n of_o the_o course_n of_o the_o blood_n proceed_v from_o two_o contrary_a motion_n the_o first_o depend_v on_o the_o strong_a constriction_n of_o the_o ventricles_n of_o the_o heart_n and_o the_o second_o from_o the_o spring_n of_o the_o artery_n but_o be_v the_o impulsion_n of_o the_o one_o be_v much_o strong_a than_o that_o of_o the_o other_o it_o happen_v that_o as_o the_o heart_n drive_v the_o blood_n vigorous_o forward_o in_o the_o time_n of_o the_o systole_n the_o artery_n by_o their_o elastic_a virtue_n beat_v and_o drive_v it_o back_o weekly_a in_o the_o diastole_n which_o prove_v the_o irregularity_n and_o continuation_n of_o its_o motion_n artery_n sign_n of_o a_o wound_a artery_n if_o you_o perceive_v that_o you_o have_v unlucky_o open_v one_o of_o the_o tunicle_n of_o the_o artery_n which_o be_v know_v by_o the_o resistance_n of_o the_o blow_n by_o the_o elevation_n and_o the_o violence_n of_o its_o pulsation_n which_o be_v present_o communicate_v to_o the_o vein_n and_o which_o oblige_v the_o venal_a blood_n to_o come_v out_o by_o jump_n as_o the_o arterial_a blood_n but_o be_v not_o so_o brisk_a lively_a or_o shine_v and_o be_v less_o swift_a you_o must_v have_v recourse_n to_o phlebotomy_n which_o impede_v its_o motion_n and_o by_o this_o mean_n hinder_v the_o progress_n of_o the_o tumour_n you_o apply_v thereon_o a_o little_a compress_v in_o which_o you_o put_v half_o a_o bean_n which_o press_v only_o the_o aperture_n over_o that_o you_o lay_v another_o a_o little_o big_a after_o this_o manner_n you_o apply_v several_a compress_n gradual_o big_a which_o you_o keep_v on_o with_o a_o fit_a bandage_n and_o on_o the_o neighbour_a part_n lay_v good_a defensative_n money_n a_o certain_a piece_n of_o money_n there_o be_v some_o which_o make_v use_v of_o a_o double_a to_o compress_v the_o aperture_n of_o the_o artery_n but_o this_o practice_n be_v not_o approve_v by_o reason_n that_o be_v oblige_v to_o tie_v the_o bandage_n straight_o the_o double_a take_v more_o room_n than_o half_a a_o bean_n which_o only_a compress_n the_o aperture_n it_o be_v to_o be_v fear_v lest_o the_o circumference_n of_o the_o wound_a part_n gangreen_n but_o to_o supply_v the_o want_n of_o this_o strong_a compression_n you_o place_n at_o the_o internal_a part_n of_o the_o arm_n all_o along_o the_o thick_a vessel_n a_o longitudinal_n compress_v which_o you_o secure_v with_o the_o creap_a bandage_n this_o compress_v produce_v very_o good_a effect_n for_o beside_o that_o it_o moderate_v the_o rapid_a stream_n of_o the_o blood_n and_o by_o this_o mean_v you_o may_v avoid_v tie_v the_o band_n too_o right_o it_o help_v also_o the_o reunion_n of_o the_o artery_n because_o the_o impulsion_n of_o the_o blood_n be_v only_o weak_a the_o aperture_n separate_v very_o little_a when_o the_o patient_n begin_v to_o have_v strength_n you_o must_v reiterate_v bleed_v for_o reason_n we_o have_v allege_v you_o take_v off_o the_o dress_n as_o late_a as_o you_o can_v because_o in_o a_o very_a little_a time_n it_o increase_v considerable_o but_o the_o accident_n which_o follow_v upon_o a_o false_a aneurism_n be_v ordinary_o violent_a and_o cruel_a be_v gangreen_n and_o mortification_n be_v its_o mournful_a consequence_n you_o must_v not_o differ_v the_o operation_n unless_o the_o use_n of_o the_o compress_n which_o be_v apply_v there_o and_o other_o precaution_n which_o must_v be_v take_v stop_v its_o progress_n or_o the_o resolutive_a medicine_n which_o we_o use_v make_v the_o extravasated_a blood_n re-enter_v again_o in_o commerce_n with_o the_o liquor_n or_o be_v discuss_v by_o insensible_a perspiration_n in_o attenuate_v and_o rarefy_v its_o molicule_n lie_v between_o the_o porosites_n of_o the_o flesh_n on_o the_o contrary_a a_o true_a aneurism_n may_v be_v keep_v all_fw-mi one_o life_n time_n or_o at_o least_o some_o considerable_a time_n for_o which_o reason_n one_o may_v prolong_v the_o operation_n in_o lay_v on_o the_o tumour_n some_o compress_n fortify_v with_o a_o bandage_n without_o the_o patient_n be_v in_o any_o danger_n unless_o he_o resolve_v to_o endure_v the_o operation_n this_o as_o have_v be_v say_v grow_v to_o a_o certain_a bigness_n whereas_o the_o progress_n of_o the_o false_a be_v not_o limit_v last_o if_o in_o spite_n of_o all_o precaution_n and_o all_o the_o care_n that_o can_v be_v take_v in_o both_o kind_n you_o succeed_v not_o you_o be_v oblige_v to_o perform_v the_o operation_n chap._n xxxiv_o of_o the_o operation_n of_o the_o aneurism_n button_n three_o way_n of_o the_o operation_n of_o a_o aneurism_n 1._o by_o the_o vitriolic_a button_n this_o operation_n be_v practise_v three_o different_a way_n the_o first_o be_v by_o the_o vitriol_n button_n but_o the_o worst_a be_v that_o as_o the_o vitriolic_a particle_n melt_v they_o spread_v themselves_o upon_o the_o ligament_n and_o adjacent_a tendon_n which_o they_o carry_v off_o rend_v and_o cauterise_v till_o at_o last_o the_o patient_n be_v lame_v be_v the_o part_n grow_v incapable_a of_o its_o ordinary_a motion_n the_o second_o be_v to_o disgorge_v the_o tumour_n before_o you_o make_v the_o ligature_n of_o the_o vessel_n but_o behold_v as_o i_o think_v the_o sure_a method_n the_o patient_n be_v place_v you_o lay_v on_o the_o midst_n of_o the_o arm_n a_o strong_a compress_v sustain_v with_o a_o ligature_n through_o which_o you_o pass_v the_o tourniket_n make_v several_a turn_n by_o which_o mean_v you_o benumb_v the_o arm_n stop_v the_o passage_n of_o the_o blood_n and_o spirit_n the_o surgeon_n incise_v with_o a_o lancet_n the_o tumour_n follow_v the_o length_n of_o the_o artery_n which_o must_v be_v separate_v from_o the_o nerve_n to_o have_v the_o liberty_n of_o tie_v the_o artery_n half_a a_o finger_n breadth_n above_o the_o aperture_n with_o a_o little_a strong_a waxed_a thread_n you_o must_v observe_v that_o in_o a_o true_a aneurism_n the_o tumour_n regulate_v the_o place_n where_o you_o must_v make_v the_o ligature_n whereas_o in_o the_o false_a we_o be_v oblige_v to_o loose_v the_o turniket_n to_o know_v positive_o whence_o the_o blood_n come_v which_o be_v the_o most_o important_a circumstance_n of_o the_o operation_n for_o to_o stay_v the_o blood_n and_o to_o avoid_v make_v the_o
be_v not_o apply_v upon_o nervous_a part_n nor_o upon_o the_o great_a vessel_n but_o always_o between_o the_o muscle_n you_o first_o rub_v the_o part_n with_o a_o warm_a cloth_n to_o open_v the_o pore_n and_o to_o make_v the_o part_n in_o a_o manner_n insensible_a you_o put_v a_o plaster_n on_o it_o with_o a_o hole_n in_o the_o middle_n to_o put_v the_o caustic_n in_o which_o you_o cover_v with_o a_o compress_v and_o with_o a_o little_a fillet_n a_o general_z idea_n of_o wound_n chap._n i._o of_o incise_v or_o contuse_v wound_n of_o the_o flesh_n to_o finish_v this_o treatise_n i_o think_v fit_a to_o relate_v the_o most_o important_a observation_n which_o regard_v the_o cure_n of_o wound_n and_o to_o clear_v the_o stiff_a difficulty_n which_o puzzle_v most_o surgeon_n in_o the_o method_n of_o discuss_v they_o well_o without_o which_o we_o can_v obtain_v our_o wish_a for_o end_n those_o that_o hitherto_o have_v treat_v of_o they_o have_v be_v satisfy_v to_o hold_v long_a discourse_n about_o their_o several_a kind_n difference_n and_o prognostic_n but_o see_v these_o sort_n of_o useless_a discourse_n serve_v only_o to_o tire_v the_o memory_n of_o those_o which_o seek_v to_o be_v instruct_v i_o will_v not_o repeat_v they_o i_o begin_v first_o with_o the_o most_o simple_a and_o know_v symptom_n wound_n to_o stop_v the_o hemorrhage_n in_o wound_n be_v the_o hemorrhage_n be_v the_o first_o and_o most_o dangerous_a symptom_n of_o wound_n it_o be_v that_o which_o the_o surgeon_n must_v quick_o correct_v in_o close_v the_o vessel_n from_o whence_o the_o blood_n flow_v for_o if_o you_o stop_v they_o the_o blood_n run_v no_o more_o that_o be_v to_o say_v you_o must_v put_v into_o their_o aperture_n some_o medicine_n which_o hinder_v the_o effusion_n of_o the_o liquor_n they_o contain_v or_o in_o tie_v or_o compress_v they_o these_o two_o last_o method_n be_v the_o sure_a because_o one_o may_v order_v they_o as_o one_o please_v so_o that_o the_o intention_n for_o which_o we_o make_v the_o ligature_n or_o introduce_v lint_n into_o a_o new_a wound_n be_v to_o hinder_v the_o flux_n of_o blood_n in_o press_v the_o lint_n a_o little_a to_o oblige_v the_o side_n of_o the_o vessel_n to_o approach_v and_o resist_v the_o impulsion_n of_o the_o blood_n yet_o so_o that_o the_o compression_n excite_v not_o inflammation_n a_o wound_n have_v be_v so_o dress_v it_o be_v of_o importance_n to_o prevent_v the_o inflammation_n and_o pain_n which_o be_v the_o two_o accident_n which_o always_o accompany_v it_o inflammation_n cause_o of_o inflammation_n the_o inflammation_n or_o tumour_n proceed_v from_o the_o circulation_n in_o the_o part_n be_v impede_v by_o the_o division_n of_o the_o vessel_n the_o grumou_n clode_v blood_n and_o the_o dress_n these_o strange_a body_n be_v as_o so_o many_o sluice_n which_o oppose_v the_o course_n of_o the_o blood_n oblige_v it_o to_o stop_v and_o excite_v inflammation_n pain_n cause_o of_o pulsative_a pain_n i_o conceive_v two_o sort_n of_o pain_n the_o first_o be_v a_o pulsative_a pain_n which_o depend_v on_o the_o artery_n that_o creep_v about_o the_o nerve_n which_o at_o that_o time_n be_v so_o extend_v that_o they_o strike_v the_o nerve_n more_o rude_o than_o they_o use_v to_o do_v and_o make_v they_o suffer_v so_o great_a distention_n that_o they_o break_v and_o it_o be_v this_o plurality_n of_o division_n which_o cause_n the_o pain_n pain_n cause_o of_o the_o quick_a and_o burn_a pain_n the_o second_o be_v a_o quick_a and_o burn_a pain_n cause_v by_o the_o suppression_n of_o the_o course_n of_o the_o blood_n which_o by_o the_o motion_n and_o frequent_a shock_n of_o its_o most_o active_a principle_n burst_v the_o vessel_n and_o extravasate_v between_o the_o porosites_n of_o the_o flesh_n where_o it_o be_v rarify_v by_o the_o great_a quantity_n of_o concentred_a spirit_n which_o penetrate_v the_o most_o insensible_a porosity_n then_o do_v the_o blood_n by_o its_o irregular_a action_n shake_v and_o violent_o prick_v the_o little_a nervous_a fillament_n from_o whence_o proceed_v this_o second_o kind_n of_o burn_a pain_n pain_n 2._o to_o prevent_v pain_n we_o common_o prevent_v these_o two_o accident_n by_o repress_v the_o motion_n of_o the_o blood_n which_o come_v to_o the_o part_n with_o too_o great_a precipitation_n by_o repercussive_n and_o gentle_a astringent_n bandage_n be_v of_o the_o first_o rank_n which_o we_o use_v very_o successful_o in_o bind_v the_o wound_n up_o gentle_o as_o also_o the_o neighbour_a part_n whereas_o too_o tight_a a_o compression_n will_v augment_v the_o inflammation_n it_o be_v for_o this_o end_n we_o ready_o employ_v defensative_n as_o we_o call_v they_o because_o they_o be_v compound_v of_o a_o desiccative_a matter_n which_o insensible_o shut_v up_o the_o porosity_n of_o the_o vessel_n as_o terra_fw-la sigillata_fw-la &_o bole_n mix_v with_o the_o white_a of_o a_o egg_n or_o common_a water_n you_o must_v observe_v never_o to_o leave_v they_o long_o on_o then_o 24_o hour_n caution_n caution_n for_o reason_n which_o we_o shall_v allege_v hereafter_o you_o must_v at_o the_o same_o time_n sweeten_v the_o acrimony_n of_o the_o blood_n and_o empty_a the_o vessel_n by_o phlebotomy_n clyster_n and_o a_o good_a diet._n wound_n a_o thin_a diet_n exceed_v good_a in_o wound_n if_o the_o patient_n will_v be_v prudent_a in_o his_o way_n of_o live_v and_o use_v only_o a_o thin_a spare_a diet_n he_o will_v suffer_v much_o less_o pain_n and_o his_o cure_n will_v be_v quick_a because_o salt_n meat_n be_v capable_a of_o thicken_a the_o blood_n and_o make_v it_o fit_a for_o fermentation_n whereas_o sweet_a liquid_n by_o their_o insipidness_n dissolve_v and_o charge_v themselves_o with_o the_o salt_n and_o precipitate_v it_o by_o urine_n after_o this_o manner_n the_o intempery_n of_o the_o blood_n be_v correct_v and_o the_o affect_a part_n relieve_v clyster_n benefit_n of_o clyster_n clyster_n be_v also_o of_o great_a use_n because_o they_o hinder_v the_o excrement_n from_o heat_n and_o boil_a back_n again_o in_o the_o intestine_n they_o dilate_v the_o matter_n moderate_a the_o heat_n of_o all_o the_o viscera_n and_o contribute_v much_o to_o the_o cure_n of_o wound_n dress_n repercussive_n use_v only_o in_o the_o first_o dress_n you_o must_v observe_v that_o at_o the_o same_o time_n repercussive_n retain_v the_o most_o subtle_a and_o agitate_a salt_n particle_n of_o the_o blood_n they_o grow_v sour_a gnaw_v the_o vessel_n and_o excite_v a_o fermentation_n upon_o which_o a_o fever_n soon_o follow_v they_o be_v therefore_o only_o use_v in_o the_o first_o dress_n and_o prefer_v discutients_n which_o open_v the_o pore_n and_o cause_v the_o volatile_a salt_n to_o perspire_v and_o so_o empty_a the_o part_n it_o be_v easy_a to_o see_v if_o one_o continue_v the_o use_n of_o repercussive_n the_o salt_n endeavour_v to_o escape_v fail_v not_o to_o excite_v inflammation_n and_o to_o corrupt_v the_o nourish_a juice_n of_o the_o part_n in_o disunit_a the_o principle_n of_o the_o blood_n which_o depend_v one_o on_o another_o &_o which_o by_o the_o frequent_a encounter_n and_o shock_n of_o their_o particle_n change_v figure_n from_o which_o depend_v the_o generation_n of_o a_o new_a matter_n and_o all_o the_o change_n which_o happen_v together_o discutient_n and_o suppuration_n must_v work_v together_o if_o in_o such_o a_o occasion_n discutient_n which_o cause_n perspiration_n and_o digestive_n which_o excite_v a_o quick_a suppuration_n shall_v not_o work_v together_o to_o disengage_v the_o part_n it_o will_v tumifie_v so_o much_o as_o to_o fall_v into_o gangrene_n cataplasm_n which_o have_v oil_n and_o fat_n be_v in_o their_o composition_n have_v almost_o the_o same_o effect_n as_o repercussative_n for_o which_o reason_n good_a practitioner_n disapprove_v their_o use_n we_o observe_v that_o in_o great_a wound_n discutient_n excite_v often_o a_o fermentation_n which_o increase_v the_o inflammation_n in_o that_o case_n a_o cataplasm_n make_v with_o crumb_n of_o bread_n milk_n the_o yolk_n of_o a_o egg_n mallow_n root_n etc._n etc._n be_v very_o proper_a we_o ordinary_o blame_v those_o who_o let_v the_o pus_fw-la lie_v too_o long_o in_o the_o wound_n because_o it_o always_o get_v some_o malignity_n &_o corrode_v the_o neighbour_a vessel_n which_o present_o produce_v inflammation_n &_o putrefaction_n or_o else_o the_o vein_n absorb_v it_o &_o carry_v it_o to_o the_o heart_n from_o whence_o it_o diffuse_v itself_o into_o the_o whole_a mass_n of_o blood_n and_o cause_v the_o fever_n and_o according_a to_o the_o different_a alteration_n which_o it_o receive_v in_o pass_v through_o the_o part_n it_o obstruct_v the_o liver_n lung_n or_o some_o other_o part_n so_o cause_v a_o imposthume_n there_o as_o we_o have_v observe_v in_o wound_n of_o the_o head_n this_o demonstrate_v to_o we_o that_o we_o ought_v to_o dry_v up_o all_o the_o matter_n that_o be_v in_o the_o wound_n and_o press_v the_o dossel_n
to_o attack_v be_v in_o a_o very_a little_a time_n drown_v we_o observe_v that_o the_o muscle_n of_o all_o hypocondriac_n be_v deprive_v of_o a_o part_n of_o the_o spirit_n which_o be_v necessary_a to_o they_o for_o their_o natural_a motion_n for_o if_o we_o consider_v that_o the_o sulphur_n which_o we_o have_v suppose_v to_o be_v destroy_v be_v what_o the_o animal_n spirit_n be_v contribute_v only_o to_o the_o generation_n of_o the_o animal_n spirit_n that_o the_o little_a cut_a particle_n which_o this_o sulphur_n wrap_v up_o be_v the_o matter_n of_o they_o and_o the_o residue_n the_o vehicle_n and_o true_a oil_n with_o which_o the_o brain_n be_v imbue_v we_o shall_v agree_v that_o the_o gland_n of_o the_o brain_n furnish_v very_o few_o spirit_n in_o these_o disease_a person_n who_o body_n be_v deprive_v of_o fat_a and_o that_o consequent_o their_o muscle_n must_v lose_v of_o their_o force_n vigour_n and_o motion_n from_o whence_o come_v the_o great_a heaviness_n which_o they_o feel_v you_o must_v also_o observe_v that_o they_o be_v no_o more_o provide_v with_o this_o fat_a which_o before_o make_v their_o fibre_n supple_a flexible_a and_o capable_a of_o activity_n this_o be_v so_o it_o be_v evident_a that_o their_o motion_n must_v be_v weaken_v that_o they_o can_v no_o more_o communicate_v any_o to_o the_o vessel_n the_o course_n of_o the_o liquor_n must_v be_v slacken_v and_o the_o animal_n spirit_n which_o bring_v some_o formality_n to_o every_o part_n be_v no_o more_o in_o a_o condition_n to_o keep_v the_o pore_n open_a or_o at_o least_o so_o wide_a as_o ordinary_o so_o the_o vessel_n be_v as_o it_o be_v sink_v and_o the_o arterial_a blood_n not_o have_v any_o more_o the_o power_n or_o strength_n to_o make_v its_o way_n the_o part_n be_v almost_o defraud_v of_o life_n i_o allege_v all_o these_o reason_n because_o they_o fortify_v our_o system_fw-la of_o the_o formation_n of_o the_o dropsy_n dropsy_n old_a man_n very_a subject_n to_o the_o dropsy_n which_o be_v found_v on_o the_o slowness_n of_o the_o circulation_n of_o the_o blood_n which_o be_v remarkable_a in_o old_a man_n who_o be_v most_o subject_a to_o dropsy_n the_o reason_n be_v because_o their_o blood_n be_v only_o a_o fluid_a indigested_a and_o corrupt_a mass_n have_v lose_v all_o its_o consistence_n and_o unctuosity_n one_o may_v say_v it_o have_v lose_v its_o oil_n and_o consequent_o be_v make_v incapable_a of_o sustain_v its_o fermentation_n i_o add_v that_o those_o who_o inhabit_v boggy_a place_n be_v of_o a_o cold_a temperament_n and_o use_v to_o moist_a food_n will_v be_v more_o liable_a to_o it_o than_o other_o the_o dropsy_n which_o often_o effect_n fat_a and_o full_a people_n who_o nevertheless_o be_v in_o a_o certain_a moderate_a repose_n have_v for_o its_o cause_n only_o the_o slowness_n of_o circulation_n through_o the_o frequent_a obstruction_n which_o ordinary_o happen_v in_o the_o gland_n and_o vessel_n which_o occasion_n the_o lympha_fw-la to_o disengage_v itself_o and_o overflow_v some_o part_n incurable_a when_o the_o dropsy_n be_v incurable_a the_o water_n sometime_o gather_v together_o in_o a_o cystis_n which_o make_v the_o dropsy_n incurable_a this_o cystis_n be_v a_o strange_a covert_n at_o first_o insensible_a but_o by_o degree_n separate_v itself_o from_o some_o other_o cover_v either_o of_o the_o peritonaeum_fw-la or_o elsewhere_o by_o the_o saline_n and_o lixivious_a nutriture_n which_o it_o have_v contract_v or_o by_o the_o too_o great_a humidity_n receive_v after_o the_o same_o manner_n as_o the_o particle_n of_o a_o egg_n or_o seed_n disengage_v or_o unfold_v themselves_o this_o cystis_n be_v sprinkle_v with_o a_o multitude_n of_o gland_n and_o vessel_n which_o it_o receive_v from_o the_o part_n from_o whence_o it_o derive_v its_o origin_n and_o from_o other_o neighbour_a part_n which_o be_v as_o so_o many_o source_n that_o produce_v new_a dropsy_n dropsy_n sign_n of_o the_o dropsy_n the_o sign_n of_o this_o disease_n be_v swell_v of_o the_o belly_n transparency_n of_o the_o water_n and_o fluctuation_n hydropical_a difference_n between_o corpulant_a person_n and_o hydropical_a before_o i_o speak_v of_o the_o accident_n it_o be_v necessary_a to_o give_v a_o idea_n of_o the_o difference_n between_o the_o swell_a of_o the_o dropsy_n and_o a_o good_a habit_n of_o body_n in_o the_o dropsy_n the_o belly_n be_v extreme_o extend_v and_o even_o the_o navel_n rise_v and_o terminate_v in_o a_o point_n whereas_o in_o the_o latter_a its_o soft_a and_o less_o extend_v be_v more_o elevate_v on_o the_o side_n than_o elsewhere_o where_o the_o fleshy_a portion_n of_o the_o muscle_n lie_v and_o the_o navel_n be_v quite_o hide_a dropsy_n symptom_n of_o the_o dropsy_n the_o symptom_n which_o accompany_v this_o disease_n be_v slow_a fever_n weak_a pulse_n heaviness_n of_o the_o whole_a body_n difficulty_n of_o respiration_n considerable_a swelling_n excessive_a thirst_n and_o difficulty_n of_o urine_n fever_n 1._o slow_a fever_n the_o slow_a fever_n be_v nothing_o else_o but_o a_o effect_n of_o the_o impurity_n of_o the_o chyle_n and_o other_o leven_n which_o intimate_o mix_v with_o it_o this_o mixture_n design_v to_o make_v the_o life_n of_o the_o part_n happy_a be_v impress_v with_o this_o brine_n or_o rather_o charge_v with_o this_o impure_a and_o strange_a matter_n pass_v to_o the_o heart_n how_o corrupt_a soever_o it_o be_v where_o it_o ferment_n and_o disorder_n its_o motion_n the_o heart_n communicate_v its_o unruly_a pulsation_n to_o the_o artery_n excite_v this_o kind_n of_o fever_n which_o be_v only_o feel_v very_o slight_o pulse_n 2._o weakness_n of_o the_o pulse_n the_o pulse_n weakness_n depend_v on_o the_o slow_a influence_n of_o the_o animal_n spirit_n into_o the_o fibre_n of_o the_o heart_n which_o be_v incapable_a to_o augment_v their_o action_n in_o respect_n of_o the_o spirit_n as_o well_o as_o blood_n by_o reason_n of_o their_o scarcity_n maintain_v the_o blood_n in_o that_o little_a degree_n of_o precipitate_a motion_n which_o distinguish_v this_o slow_a fever_n from_o the_o other_o and_o consequent_o cause_v this_o weakness_n of_o the_o pulse_n body_n 3._o heaviness_n of_o the_o body_n the_o pale_a colour_n and_o heaviness_n of_o the_o body_n proceed_v from_o the_o slow_a motion_n of_o the_o blood_n and_o from_o the_o dissipation_n and_o concentration_n of_o the_o spirit_n which_o be_v stifle_v and_o choke_v as_o it_o be_v in_o the_o water_n now_o as_o the_o heat_n and_o vigour_n depend_v on_o the_o presence_n and_o natural_a ferment_n of_o the_o blood_n and_o spirit_n which_o shall_v animate_v these_o part_n and_o be_v carry_v to_o the_o surface_n you_o must_v not_o wonder_v if_o they_o be_v so_o pale_a and_o if_o the_o muscle_n can_v sustain_v the_o weight_n of_o the_o body_n respiration_n 4._o difficulty_n of_o respiration_n the_o difficulty_n of_o respiration_n be_v cause_v by_o the_o swell_a and_o great_a tension_n of_o the_o belly_n which_o press_v the_o diaphragm_n against_o the_o lung_n and_o diminish_v the_o diameter_n of_o the_o breast_n so_o that_o the_o lung_n have_v not_o the_o liberty_n to_o extend_v themselves_o the_o respiration_n grow_v frequent_a and_o force_v the_o excessive_a thirst_n be_v raise_v from_o the_o humour_n that_o be_v separate_v from_o the_o gland_n of_o the_o stomach_n thirst_n 5_o thirst_n oesophagus_n and_o other_o part_n of_o the_o gula_fw-la to_o moisten_v their_o coast_n and_o to_o maintain_v they_o in_o the_o humidity_n which_o be_v requisite_a for_o they_o it_o be_v not_o enough_o either_o through_o the_o frequent_a settle_n which_o be_v make_v in_o other_o part_n or_o that_o the_o invincible_a and_o intemperate_a fire_n which_o the_o fever_n kindle_v in_o all_o part_n dissipate_v consume_v or_o ratify_v it_o which_o cause_n these_o part_n to_o heat_n and_o dry_a and_o that_o saltish_a spirit_n who_o action_n be_v not_o correct_v by_o any_o dissolvent_a rush_v into_o the_o little_a fibres_fw-fr and_o produce_v a_o motion_n in_o the_o nerve_n which_o excite_v thirst_n as_o to_o difficulty_n of_o urine_n i_o suppose_v that_o part_n of_o the_o water_n which_o use_v to_o take_v its_o course_n through_o the_o kidney_n urine_n 6._o difficulty_n of_o urine_n tend_v another_o way_n and_o that_o the_o urinous_a volatile_a and_o other_o fix_a salt_n of_o the_o urine_n be_v deprive_v of_o a_o part_n of_o their_o dissolvent_a stop_n at_o the_o entry_n of_o the_o pore_n of_o the_o gland_n and_o hinder_v the_o urine_n from_o run_v with_o that_o liberty_n into_o its_o conduit_n the_o salt_n thus_o have_v the_o upper_a hand_n and_o find_v nothing_o in_o the_o blood_n capable_a to_o blunt_v their_o point_n irritate_fw-la all_o the_o part_n through_o which_o they_o pass_v particular_o the_o aretery_n and_o oblige_v the_o sphincter_n of_o the_o bladder_n to_o a_o more_o than_o usual_a contraction_n which_o cause_v the_o urine_n to_o flow_v very_o difficult_o and_o by_o turn_n i_o pass_v to_o