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
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
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 â—â—â—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
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
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
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