substance_n notwithstanding_o it_o be_v certain_a that_o all_o the_o part_n be_v nourish_v by_o its_o white_a and_o chilous_a part_n and_o not_o at_o all_o by_o the_o red_a if_o we_o conceive_v that_o this_o white_a part_n be_v sweet_a balsamic_a glewy_a and_o viscous_a which_o be_v all_o the_o requisite_a and_o necessary_a condition_n for_o their_o entertainment_n from_o whence_o we_o may_v conclude_v that_o its_o the_o balsam_n and_o true_a cement_n of_o all_o the_o reunion_n which_o be_v make_v in_o nature_n it_o will_v be_v hard_a to_o understand_v how_o this_o nourish_a juice_n who_o substance_n be_v homogeneal_a can_v be_v employ_v to_o the_o maintain_v so_o great_a a_o number_n of_o different_a part_n if_o by_o what_o we_o have_v say_v of_o their_o structure_n we_o do_v not_o conceive_v that_o this_o juice_n though_o indifferent_a can_v easy_o become_v flesh_n a_o artery_n membrane_n bone_n tendon_n etc._n etc._n according_a as_o it_o be_v modify_v pass_v through_o the_o insensible_a channel_n which_o must_v be_v regard_v as_o so_o many_o little_a thread_n where_o it_o be_v shape_v and_o frame_v different_o according_a to_o the_o configuration_n of_o their_o porosity_n just_a as_o the_o part_n of_o the_o sap_n which_o be_v confound_v and_o as_o it_o be_v indeterminate_v in_o the_o earth_n take_v a_o form_n and_o determinate_a figure_n on_o they_o pass_v through_o the_o different_a pore_n of_o the_o fibre_n which_o compose_v the_o plant_n as_o round_o point_a square_a etc._n etc._n this_o diversity_n of_o figure_n be_v the_o cause_n that_o those_o particle_n can_v produce_v quite_o contrary_a effect_n as_o well_o in_o plant_n as_o in_o animal_n this_o be_v suppose_v and_o well_o understand_v i_o say_v that_o the_o surgeon_n science_n whether_o in_o the_o reunion_n in_o loss_n of_o substance_n or_o final_o in_o what_o occasion_n soever_o serve_v for_o nothing_o but_o to_o rectify_v this_o sap_n by_o the_o way_n of_o general_a medicine_n when_o it_o be_v corrupt_v and_o topic_n which_o have_v the_o virtue_n of_o conserve_n the_o natural_a purity_n of_o the_o nourish_a juice_n which_o the_o artery_n carry_v to_o the_o offend_a part_n and_o to_o defend_v it_o in_o the_o same_o time_n from_o the_o impression_n of_o the_o air_n therefore_o the_o traumaticks_n sarcotic_n carminative_n and_o astringent_n which_o surgeon_n use_v in_o the_o beginning_n progress_n state_n and_o declination_n of_o wound_n do_v produce_v such_o effect_n as_o i_o shall_v prove_v in_o explain_v their_o virtue_n medicine_n the_o virtue_n of_o traumatick_a medicine_n vulneraries_n be_v ordinary_o charge_v with_o oily_a and_o salt_a particle_n which_o cause_n two_o good_a effect_n first_o the_o oily_a particle_n unite_v and_o adjust_a themselves_o easy_o to_o the_o viscous_a and_o nourish_a particle_n of_o the_o blood_n and_o make_v together_o a_o kind_n of_o covert_n which_o resist_v the_o powerful_a attack_n of_o the_o air_n which_o be_v a_o great_a enemy_n to_o wound_n second_o the_o saline_a particle_n divide_v cut_v and_o attenuate_v such_o part_n which_o be_v most_o dispose_v to_o alteration_n and_o help_v they_o forward_o in_o suppuration_n carminative_n sarcotic_n and_o carminative_n the_o sarcotic_n and_o carminative_n which_o only_o differ_v secundum_fw-la majus_fw-la &_o minus_fw-la do_v always_o abound_v in_o fine_a saltish_a sulphur_n and_o fix_v disicative_a alcaly_n the_o saltish_a and_o most_o rarify_v sulphur_n subtilize_n and_o purify_v the_o nourish_a particle_n and_o maintain_v they_o in_o their_o natural_a motion_n and_o consequent_o in_o their_o state_n of_o goodness_n whilst_o the_o fix_a alcaly_n and_o other_o desicative_a particle_n repel_v by_o a_o sort_n of_o caustick_a virtue_n the_o most_o sharp_a and_o malign_a particle_n capable_a of_o produce_v a_o bad_a pus_fw-la and_o beget_v fungous_a flesh_n the_o most_o exalt_a sharp_a particle_n be_v absorb_v the_o flesh_n keep_v unite_v firm_a and_o red_a astringent_n of_o astringent_n concern_v astringent_a remedy_n it_o be_v proper_a to_o give_v a_o reason_n why_o scar_n oftentimes_o be_v so_o deform_v this_o depend_v almost_o common_o on_o the_o surgeon_n either_o because_o he_o have_v not-skill_n enough_o to_o make_v the_o fibres_fw-fr answer_v one_o another_o or_o else_o he_o compress_n the_o wound_n too_o rude_o in_o search_v for_o the_o strange_a body_n or_o because_o he_o sink_v the_o fibre_n of_o the_o part_n of_o which_o some_o tend_v upward_o other_o downward_o in_o their_o intercussade_v one_o another_o deform_v too_o astringent_n make_v scar_n deform_v so_o that_o the_o two_o lip_n of_o the_o wound_n can_v never_o be_v exact_o even_o or_o final_o because_o he_o make_v use_v of_o too_o astringent_a remedy_n all_o these_o contribute_v to_o make_v the_o cicatrix_fw-la defective_a but_o particular_o styptic_a medicine_n because_o be_v fill_v with_o fix_a alcaline_a or_o vitriolic_a particle_n the_o fix_a one_o stop_n the_o pore_n and_o the_o vitriolic_a bourn_n and_o cauterise_n they_o and_o take_v away_o even_o some_o of_o the_o substance_n this_o in_o general_n be_v the_o idea_n one_o must_v have_v of_o the_o effect_n of_o these_o medicine_n i_o pass_v now_o to_o the_o reunion_n of_o the_o tendon_n which_o the_o ancient_n and_o most_o part_n of_o our_o modern_n have_v abandon_v and_o which_o in_o imitation_n of_o they_o will_v have_v be_v neglect_v if_o late_a mr._n bienaise_n to_o who_o we_o be_v oblige_v for_o it_o have_v not_o renew_v it_o practise_v suture_n of_o the_o tendon_n to_o be_v practise_v in_o effect_n there_o be_v no_o more_o danger_n in_o practise_v the_o suture_a of_o a_o tendon_n than_o in_o that_o of_o a_o flesh_n wound_n if_o we_o consider_v that_o the_o liquor_n which_o run_v into_o its_o channel_n be_v no_o way_n differ_v from_o that_o which_o pass_v into_o the_o belly_n of_o the_o muscle_n why_o shall_v it_o not_o be_v allow_v that_o the_o cut_v tendon_n unite_v as_o well_o together_o as_o a_o muscle_n and_o since_o the_o same_o juice_n run_v into_o the_o bone_n to_o serve_v they_o for_o their_o nourishment_n and_o be_v the_o true_a bond_n and_o cement_v which_o reunite_v they_o when_o break_v why_o will_v not_o they_o allow_v that_o it_o shall_v produce_v the_o same_o effect_n in_o respect_n of_o the_o tendon_n which_o be_v continuous_a to_o they_o do_v we_o even_o observe_v in_o plant_n when_o we_o put_v the_o graff_n on_o a_o wild_a stock_n comparison_n a_o paraleâ—…_n comparison_n that_o the_o sap_n pass_v from_o the_o porosity_n of_o the_o longitudinal_n fibres_fw-fr of_o the_o stock_n to_o those_o of_o the_o graff_n that_o its_o salfish_n and_o glewy_a particle_n stop_v and_o fix_v themselves_o at_o every_o circuit_n about_o the_o union_n as_o well_o by_o the_o motion_n and_o action_n of_o the_o subtle_a and_o ethereous_a matter_n as_o by_o encounter_v the_o external_a air_n and_o frame_v a_o callous_a like_o that_o which_o be_v make_v in_o break_a bone_n likewise_o put_v in_o fix_v graff_n of_o different_a kind_n in_o the_o same_o stock_n experiment_n a_o experiment_n you_o will_v have_v the_o pleasure_n to_o see_v they_o bear_v fruit_n of_o as_o different_a kind_n which_o can_v be_v explain_v without_o say_v that_o the_o juice_n which_o pass_v through_o the_o root_n and_o trunk_n of_o the_o stock_n have_v not_o yet_o any_o determinate_a figure_n but_o that_o they_o receive_v one_o pass_v through_o the_o pore_n of_o each_o graff_n this_o be_v a_o experiment_n which_o i_o relate_v by_o the_o by_o because_o it_o fortify_v the_o system_v which_o i_o have_v establish_v concern_v the_o reunion_n callous_a cause_o of_o the_o inequality_n of_o the_o callous_a as_o for_o the_o inequality_n which_o remain_v at_o the_o unition_n after_o the_o formation_n of_o the_o callous_a it_o be_v not_o difficult_a to_o conceive_v that_o it_o proceed_v from_o the_o too_o great_a abundance_n of_o salt_n which_o rise_v up_o to_o the_o surface_n where_o they_o be_v stop_v and_o fix_v by_o the_o action_n of_o the_o external_a air_n as_o we_o have_v remark_v heretofore_o have_v explain_v the_o principal_a difficulty_n that_o regard_v the_o reunion_n i_o conceive_v it_o be_v make_v after_o this_o manner_n after_o the_o surgeon_n have_v cleanse_v the_o wound_n from_o all_o the_o grumou_n blood_n make_v how_o the_o reunion_n of_o wound_n be_v make_v and_o other_o strange_a body_n after_o he_o have_v exact_o bring_v together_o the_o lip_n and_o endeavour_v to_o take_v all_o necessary_a care_n for_o maintain_v they_o in_o the_o same_o situation_n i_o say_v that_o the_o molicule_n of_o the_o blood_n how_o indifferent_a or_o indeterminate_v soever_o they_o be_v passing_z and_o repass_v from_o one_o of_o the_o lip_n of_o the_o wound_n to_o the_o other_o by_o pipe_n which_o i_o look_v upon_o as_o so_o many_o little_a thread_n they_o frame_v and_o figure_n themselves_o different_o according_o to_o the_o configuration_n of_o their_o pore_n it_o happen_v that_o by_o the_o different_a
advantage_n we_o receive_v from_o it_o it_o be_v this_o which_o recommend_v the_o artist_n who_o dexterous_o reunite_v the_o part_n divide_v who_o divide_v those_o discreet_o that_o be_v unite_v who_o draw_v together_o with_o a_o extraordinary_a care_n those_o body_n which_o in_o respect_n one_o to_o another_o be_v strange_a and_o who_o with_o art_n and_o industry_n supply_v whatever_o be_v want_v to_o our_o perfection_n whence_o the_o end_n which_o he_o ought_v to_o propose_v to_o himself_o be_v to_o perform_v well_o these_o four_o operation_n to_o disentangle_v all_o the_o difficulty_n they_o contain_v and_o to_o observe_v all_o the_o circumstance_n which_o be_v precedent_n concomitant_a and_o which_o follow_v in_o order_n to_o maintain_v the_o part_n in_o their_o union_n and_o natural_a situation_n here_o i_o have_v a_o large_a field_n to_o dilate_v myself_n into_o the_o praise_n of_o surgery_n but_o beside_o that_o the_o shortness_n of_o time_n do_v not_o permit_v i_o i_o must_v acknowledge_v i_o dare_v not_o undertake_v it_o lest_o i_o shall_v sink_v under_o the_o weight_n of_o so_o painful_a a_o enterprise_n for_o all_o the_o author_n who_o have_v write_v of_o it_o and_o boast_v of_o their_o excellency_n in_o this_o art_n be_v never_o able_a to_o give_v it_o those_o due_a encomium_n which_o be_v proportionable_a to_o the_o great_a advantage_n we_o find_v in_o it_o wherefore_o i_o shall_v stick_v close_o to_o my_o subject_n and_o i_o dare_v say_v that_o if_o these_o new_a anatomist_n who_o have_v make_v such_o great_a and_o wonderful_a discovery_n have_v make_v a_o due_a and_o just_a application_n of_o they_o to_o the_o art_n of_o surgery_n and_o if_o those_o great_a practitioner_n have_v enrich_v it_o with_o their_o observation_n we_o shall_v have_v find_v such_o advantage_n which_o will_v never_o be_v unless_o they_o change_v their_o principle_n but_o the_o subject_a be_v so_o thorny_a and_o difficult_a we_o find_v very_o few_o who_o be_v willing_a to_o cummunicate_v to_o we_o their_o idea_n and_o particular_a discovery_n most_o do_v but_o treat_v of_o these_o matter_n superficial_o and_o without_o dive_v into_o the_o bottom_n which_o be_v the_o reason_n that_o ofttimes_o we_o cast_v the_o difficulty_n of_o the_o art_n upon_o the_o evil_a disposition_n of_o the_o subject_n i_o acknowledge_v that_o it_o be_v very_o hard_a to_o hit_v always_o right_a because_o nature_n be_v often_o various_a in_o her_o motion_n and_o work_n in_o such_o hide_a corner_n and_o by_o way_n so_o little_o know_v that_o she_o destroy_v by_o some_o unexpected_a stroke_n which_o we_o do_v not_o foresee_v the_o whole_a oeconomy_n of_o her_o operation_n half_n it_o be_v not_o enough_o to_o understand_v the_o practice_n of_o chirurgical_a operation_n by_o half_n it_o be_v not_o sufficient_a to_o undertake_v one_o operation_n only_o we_o must_v have_v a_o perfect_a knowledge_n of_o the_o subject_n on_o which_o we_o be_v to_o exercise_v our_o practice_n that_o be_v to_o say_v its_o temper_n disposition_n and_o the_o part_v afflict_v by_o the_o temper_n i_o mean_v a_o certain_a disposition_n of_o part_n that_o consist_v in_o the_o order_n of_o these_o resort_n or_o spring_n which_o compose_v they_o temper_n what_o the_o temper_n and_o in_o the_o figure_n of_o their_o pore_n proportionable_a to_o the_o nature_n of_o those_o liquor_n which_o pass_v through_o they_o and_o of_o their_o motion_n sometime_o more_o sometime_o less_o rapid_a body_n disposition_n of_o the_o body_n the_o disposition_n of_o our_o body_n relate_v to_o the_o regimen_n of_o life_n inclination_n age_n season_n habit_n and_o strength_n for_o if_o a_o indispose_a person_n observe_v a_o irregular_a way_n of_o live_v if_o he_o be_v of_o a_o spare_a body_n void_a of_o strength_n if_o his_o age_n obstruct_v the_o performance_n of_o the_o operation_n or_o in_o fine_a if_o he_o have_v a_o great_a tendency_n to_o that_o which_o be_v contrary_a and_o hurtful_a to_o he_o than_o to_o what_o will_v be_v profitable_a and_o advantageous_a in_o this_o case_n the_o surgeon_n ought_v to_o suspend_v his_o judgement_n lest_o he_o shall_v run_v the_o risk_a of_o do_v the_o indispose_a person_n more_o harm_n than_o good_a affect_v part_v affect_v touch_v the_o part_n which_o suffer_v the_o operator_n must_v perfect_o understand_v its_o natural_a constitution_n connection_n action_n and_o use_v in_o case_n he_o design_n to_o draw_v any_o advantage_n from_o his_o undertake_n and_o prevent_v the_o emergent_a symptom_n usual_a in_o these_o occasion_n if_o the_o operation_n may_v be_v delay_v it_o be_v convenient_a to_o expect_v a_o favourable_a season_n as_o for_o example_n the_o spring_n and_o autumn_n spring_n nature_n of_o the_o spring_n in_o the_o spring_n the_o blood_n and_o spirit_n which_o the_o cold_a have_v drive_v towards_o the_o centre_n exalt_v themselves_o to_o the_o surface_n and_o with_o a_o great_a heat_n revive_v the_o part_n which_o before_o be_v as_o if_o benumb_a and_o without_o life_n they_o be_v in_o a_o fermentation_n soft_a natural_a and_o by_o consequence_n capable_a of_o all_o the_o good_a effect_n which_o can_v be_v expect_v but_o on_o the_o contrary_a in_o winter_n the_o cold_a obstruct_v the_o pore_n hinder_v transpiration_n change_v the_o oeconomy_n of_o the_o circulation_n and_o the_o blood_n be_v deprive_v of_o that_o vivacity_n which_o be_v capable_a to_o animate_v our_o body_n autumn_n nature_n of_o the_o autumn_n in_o the_o autumn_n the_o action_n of_o the_o salt_n and_o sulphur_n which_o have_v seize_v the_o upper_a part_n and_o which_o be_v in_o a_o continual_a exaltation_n during_o the_o excessive_a heat_n of_o summer_n be_v a_o little_a repress_v the_o blood_n which_o have_v get_v a_o sharp_a and_o bilious_a disposition_n by_o a_o immoderate_a heat_n sweeten_v and_o allay_v the_o extraordinary_a effervescence_n which_o be_v the_o occasion_n of_o a_o continual_a loss_n of_o spirit_n these_o be_v as_o i_o conceive_v the_o chief_a maxim_n which_o be_v to_o be_v observe_v before_o we_o enter_v upon_o the_o particular_a of_o every_o operation_n i_o can_v enlarge_v myself_o more_o upon_o the_o operation_n in_o general_a but_o as_o such_o long_a discourse_n do_v clear_v the_o difficulty_n which_o they_o contain_v and_o according_a to_o the_o order_n which_o i_o have_v propose_v myself_o to_o publish_v nothing_o to_o the_o world_n which_o be_v not_o worthy_a the_o attention_n of_o the_o reader_n i_o conceive_v i_o may_v be_v excuse_v from_o produce_v the_o troublesome_a definition_n division_n and_o subdivision_n which_o make_v up_o the_o principal_a ornament_n of_o the_o great_a part_n of_o chyrurgical_a author_n chap._n ii_o of_o the_o reunion_n of_o wound_n according_a to_o the_o order_n of_o this_o treatise_n we_o begin_v with_o the_o suture_n which_o be_v only_o practise_v to_o reunite_v the_o divide_a part_n but_o first_o we_o must_v say_v something_o concern_v reunion_n to_o be_v inform_v after_o what_o manner_n it_o be_v do_v we_o must_v observe_v two_o thing_n nature_n vnition_n of_o part_n divide_v the_o work_n of_o nature_n the_o first_o be_v that_o the_o reunion_n of_o the_o divide_a part_n be_v only_o the_o work_n of_o nature_n who_o on_o this_o occasion_n make_v use_v of_o her_o natural_a balm_n the_o second_o that_o all_o the_o surgeon_n art_n do_v nothing_o for_o this_o reunion_n but_o as_o he_o be_v the_o imitator_n of_o nature_n he_o must_v to_o second_v her_o design_n and_o to_o procure_v the_o union_n of_o wound_n use_v three_o mean_n wound_n three_o mean_n to_o be_v use_v towards_o the_o vnition_n of_o wound_n first_o to_o cleanse_v the_o wound_n exact_o and_o free_v they_o from_o all_o extraneous_a body_n second_o to_o bring_v the_o lip_n together_o and_z third_z to_o keep_v they_o in_o the_o same_o situation_n for_o to_o satisfy_v these_o three_o intention_n a_o surgeon_n must_v be_v inform_v of_o the_o structure_n of_o the_o part_n and_o of_o the_o nature_n of_o the_o nourish_a juice_n which_o entertain_v they_o vessel_n the_o body_n only_o a_o heap_n of_o fibres_n vesicles_n and_o vessel_n as_o for_o the_o first_o its_o necessary_a to_o know_v that_o all_o the_o part_n of_o our_o body_n be_v only_o a_o heap_n of_o fibres_n vesicle_n and_o vessel_n but_o because_o the_o different_a rank_n they_o keep_v dispose_n in_o every_o one_o of_o they_o space_n and_o pore_n of_o different_a figure_n the_o nourish_a particle_n of_o blood_n must_v needs_o accommodate_v themselves_o different_o according_a to_o the_o various_a configuration_n of_o the_o pore_n and_o conduit_n through_o which_o they_o pass_v white_a pass_v blood_n the_o common_a matter_n of_o nourishment_n yet_o not_o the_o red_a part_n but_o white_a in_o consideration_n of_o the_o nourish_a juice_n one_o must_v imagine_v that_o the_o blood_n which_o be_v the_o common_a matter_n of_o it_o contain_v and_o homogeneous_a liquor_n and_o though_o it_o appear_v to_o our_o eye_n under_o the_o form_n of_o two_o
turn_n and_o return_n of_o the_o most_o glew_v particle_n the_o most_o nourish_v and_o balsamic_a which_o heat_n have_v thicken_v and_o harden_v disengage_v themselves_o from_o the_o other_o rank_a and_o apply_v themselves_o to_o the_o mouth_n of_o the_o little_a fibril_n frame_n as_o it_o be_v a_o million_o of_o little_a chain_n horizontal_o draw_v from_o one_o lip_n of_o the_o wound_n to_o the_o other_o for_o to_o tie_v and_o join_v they_o exact_o together_o after_o this_o manner_n i_o shall_v always_o explain_v the_o reunion_n vegetation_n of_o the_o particle_n and_o progress_n of_o wound_n the_o loss_n of_o which_o be_v sometime_o considerable_a i_o pass_v now_o to_o the_o examination_n of_o the_o suture_n and_o the_o circumstance_n which_o depend_v on_o they_o chap._n iii_o of_o the_o suture_n ancient_n three_o kind_n of_o suture_n use_v by_o the_o ancient_n the_o ancient_n have_v establish_v two_o sort_n of_o suture_n the_o one_o of_o separate_a point_n which_o they_o call_v incarnative_a and_o the_o other_o of_o continuous_a point_n call_v restrictive_a they_o have_v also_o speak_v of_o a_o kind_n of_o conservative_n suture_a which_o they_o use_v in_o great_a wound_n to_o avoid_v deformity_n suture_n five_o kind_n of_o incarnative_a suture_n there_o be_v five_o kind_n of_o incarnative_a suture_n 1._o the_o interfect_v or_o interrupt_v 2._o the_o quilled_a or_o spiral_n 3._o the_o twist_a 4._o hook_a and_o 5._o the_o dry_a suture_a suture_n five_o kind_n of_o restrictive_a suture_n the_o tanner_n shoemaker_n tailor_n be_v stitch_n and_o from_o without_o inward_o and_o that_o of_o celsus_n which_o be_v make_v a_o cross_n be_v the_o five_o kind_n of_o suture_n which_o antiquity_n have_v describe_v to_o we_o under_o the_o name_n of_o restrictive_a but_o without_o insist_v on_o the_o description_n of_o these_o last_o because_o absolute_o useless_a i_o pass_v to_o those_o which_o be_v in_o use_n use_n three_o sort_n of_o suture_n most_o in_o use_n viz._n the_o interrupt_v quilled_a and_o twist_v the_o last_o be_v use_v in_o the_o hare_n lip_n the_o quilled_a in_o deep_a wound_n and_o the_o interrupt_v in_o all_o other_o it_o be_v not_o enough_o to_o entertain_v you_o with_o the_o suture_n i_o be_o also_o oblige_v to_o make_v you_o remark_n all_o the_o circumstance_n which_o accompany_v they_o after_o i_o have_v give_v you_o the_o most_o perfect_a idea_n that_o i_o possible_o can_v of_o wound_n to_o which_o they_o be_v convenient_a and_o to_o which_o not_o use_v where_o suture_n be_v to_o be_v use_v the_o wound_n where_o ordinary_o suture_n be_v practise_v be_v angular_a transverse_a oblique_a in_o a_o word_n every_o where_o the_o bandage_n can_v make_v the_o reunion_n wound_n where_o not_o first_o in_o alter_a wound_n the_o wound_n in_o which_o suture_n be_v reject_v be_v those_o alter_v by_o the_o air._n i_o will_v propose_v my_o conjecture_n about_o its_o malign_v action_n in_o such_o wound_n wound_n the_o malign_a quality_n of_o air_n in_o wound_n i_o say_v that_o the_o air_n be_v a_o fluid_a and_o transparent_a matter_n full_a of_o saline_n nitre_n who_o particle_n be_v branch_v and_o irregular_a this_o be_v suppose_v it_o be_v easy_a to_o draw_v some_o consequence_n concern_v the_o manner_n how_o it_o communicate_v its_o evil_a quality_n to_o wound_n and_o how_o its_o capable_a to_o alter_v the_o nature_n of_o the_o blood_n which_o be_v not_o hard_a to_o conceive_v if_o we_o consider_v that_o it_o rust_v not_o only_a iron_n and_o copper_n etc._n etc._n but_o also_o corrupt_v even_o the_o most_o solid_a body_n i_o consider_v the_o humidity_n of_o the_o air_n and_o the_o nitre_n with_o which_o it_o be_v load_v as_o two_o great_a agent_n which_o have_v the_o power_n to_o consume_v and_o destroy_v the_o most_o oily_a portion_n of_o the_o nutritive_a juice_n of_o the_o part_n part_n how_o the_o air_n destroy_v the_o tone_n of_o wound_a part_n so_o that_o the_o oil_n of_o the_o blood_n which_o be_v the_o true_a balm_n that_o nature_n make_v use_v of_o to_o reunite_a wound_n and_o keep_v the_o vessel_n supple_a be_v dissipate_v by_o the_o humidity_n of_o the_o air_n and_o action_n of_o the_o nitrous_a salt_n which_o be_v disperse_v in_o it_o the_o fibre_n dry_v up_o and_o the_o pore_n contract_n which_o occasion_n very_o frequent_a and_o dangerous_a obstruction_n the_o salt_n thus_o have_v get_v the_o upper_a hand_n and_o unite_a themselves_o with_o those_o salt_n which_o result_n from_o the_o consummation_n of_o the_o oleaginous_a particle_n that_o serve_v they_o as_o a_o vehicle_n change_v into_o a_o vitriolic_a and_o arsenical_a matter_n that_o gnaw_v cuts_z and_o corrode_v the_o vessel_n of_o this_o mixture_n arise_v a_o kind_n of_o verdigrease_n almost_o like_o that_o we_o see_v on_o copper_n after_o the_o action_n of_o this_o powerful_a enemy_n of_o body_n so_o that_o if_o one_o do_v not_o defend_v the_o wound_n from_o its_o ravage_n it_o happen_v that_o the_o obstruction_n and_o inflammation_n increase_v more_o and_o more_o which_o occasion_n fever_n and_o give_v way_n for_o a_o gangreen_n to_o seize_v the_o part._n wound_n 2._o suture_n not_o convenient_a in_o contused_a wound_n the_o suture_n be_v not_o convenient_a in_o contused_a wound_n because_o there_o be_v extravasated_a blood_n between_o the_o fibre_n and_o vesicles_n which_o must_v needs_o turn_v to_o pus_fw-la we_o want_v no_o other_o indication_n to_o show_v we_o that_o we_o must_v give_v it_o vent_v by_o way_n of_o suppuration_n and_o so_o consequent_o the_o suture_a will_v be_v very_o dangerous_a substance_n 3._o where_o there_o be_v loss_n of_o substance_n i_o say_v also_o that_o suture_n be_v not_o use_v in_o wound_n where_o there_o be_v great_a loss_n of_o substance_n as_o in_o gun_n shoot_v or_o in_o those_o who_o lip_n the_o surgeon_n can_v bring_v together_o animal_n 4._o nor_o in_o bite_v of_o venomous_a animal_n nor_o be_v suture_n make_v in_o bite_v of_o of_o venomous_a animal_n for_o without_o doubt_v their_o poison_n present_o irritate_v the_o spirit_n which_o ascend_v to_o the_o brain_n and_o infect_v the_o whole_a mass_n of_o blood_n which_o must_v present_o be_v remedy_v by_o the_o help_n of_o cardiac_n and_o corroborative_n after_o have_v apply_v to_o the_o wound_v strong_a resolutives_n as_o theriaca_n dissolve_v in_o spirit_n vini_n and_o other_o medicine_n of_o the_o same_o nature_n inflammation_n 5._o nor_o in_o great_a inflammation_n they_o be_v also_o reject_v in_o great_a inflammation_n the_o understanding_n of_o which_o suffer_v no_o difficulty_n since_o the_o obstruction_n precede_v always_o the_o inflammation_n it_o be_v necessary_a that_o the_o matter_n which_o be_v stop_v and_o out_o of_o its_o vessel_n be_v evacuate_v wound_v 6._o nor_o where_o large_a vessel_n be_v wound_v they_o be_v of_o no_o use_n where_o considerable_a vessel_n be_v open_v because_o the_o blood_n which_o flow_v from_o they_o the_o bandage_n which_o one_o be_v oblige_v to_o make_v and_o the_o astringent_n which_o be_v strange_a body_n oppose_v the_o reunion_n thorax_n 7._o nor_o in_o wound_n of_o the_o thorax_n they_o must_v also_o be_v avoid_v in_o wound_n of_o the_o thorax_n as_o well_o superficial_a as_o deep_a because_o of_o the_o frequent_a motion_n contrary_a to_o unition_n for_o the_o breast_n be_v force_v to_o dilate_v and_o contract_v the_o muscle_n and_o cutis_fw-la make_v a_o effort_n in_o assist_v the_o elevation_n and_o dilatation_n of_o it_o will_v burst_v and_o be_v tear_v because_o of_o the_o resistance_n which_o the_o suture_n make_v which_o will_v excite_v inflammation_n pain_n ancient_n 8._o in_o discover_v bone_n according_a to_o the_o ancient_n and_o difficulty_n of_o respiration_n final_o the_o ancient_n have_v add_v that_o we_o must_v not_o use_v they_o in_o place_n where_o the_o bone_n be_v discover_v because_o of_o exfoliation_n but_o as_o there_o be_v nothing_o that_o alter_v more_o the_o texture_n of_o the_o bone_n and_o facilitate_v more_o quick_o exfoliation_n than_o the_o appulle_n of_o the_o air_n we_o must_v not_o question_v to_o shelter_v they_o by_o the_o help_n of_o the_o suture_n have_v a_o due_a regard_n to_o the_o contusion_n and_o fracture_n which_o often_o happen_v to_o the_o bone_n however_o be_v it_o as_o it_o will_v we_o hazard_v nothing_o because_o if_o the_o accident_n shall_v be_v urgent_a we_o have_v nothing_o to_o do_v but_o to_o cut_v the_o thread_n so_o that_o one_o may_v without_o danger_n use_v suture_n in_o wound_n of_o the_o head_n which_o penetrate_v even_o to_o the_o bone_n unless_o they_o be_v in_o the_o furthermost_a part_n of_o the_o coronal_z bone_n or_o behind_o the_o head_n or_o in_o a_o direct_a line_n than_o we_o may_v use_v a_o unite_n bandage_n this_o be_v know_v and_o explain_v we_o must_v speak_v now_o of_o the_o circumstance_n which_o accompany_v the_o suture_n that_o we_o practice_v they_o consist_v in_o choose_v needle_n
proportionable_a to_o the_o nature_n of_o the_o wound_n needle_n choice_n of_o needle_n e._n gr._n if_o they_o be_v great_a and_o deep_a you_o must_v use_v a_o crooked_a flat_a and_o very_o sharp_a needle_n the_o thread_n must_v be_v single_a or_o double_a according_a to_o the_o force_n it_o be_v to_o resist_v in_o all_o sort_n of_o wound_n the_o finger_n be_v more_o convenient_a than_o the_o canula_n have_v take_v all_o these_o precaution_n and_o free_v the_o wound_n from_o all_o extraneous_a body_n a_o servant_n must_v bring_v the_o lip_n together_o suture_n the_o manner_n of_o perform_v the_o suture_n and_o the_o surgeon_n with_o a_o needle_n arm_v with_o wax_v thread_n pierce_v they_o in_o a_o strait_a line_n from_o without_o inward_o and_o from_o within_o outward_n make_v as_o many_o stitch_n as_o convenient_a you_o must_v pierce_v deep_a enough_o into_o the_o flesh_n because_o for_o want_v of_o penetrate_v you_o may_v leave_v some_o space_n in_o the_o bottom_n of_o the_o wound_n where_o some_o blood_n may_v be_v spill_v which_o will_v hinder_v unition_n answer_v a_o objection_n answer_v i_o be_o not_o of_o their_o opinion_n who_o recommend_v in_o the_o practice_n of_o suture_n to_o take_v more_o of_o the_o upper_a than_o the_o under_o lip_n because_o say_v they_o the_o strength_n of_o a_o muscle_n be_v much_o more_o considerable_a towards_o its_o origin_n than_o insertion_n but_o they_o do_v consider_v in_o the_o sensible_a action_n of_o a_o muscle_n that_o when_o the_o tendon_n of_o the_o origin_n obey_v and_o be_v relaxt_v that_o of_o the_o insertion_n be_v much_o brace_v and_o bend_a so_o much_o more_o subject_a to_o be_v break_v if_o it_o suffer_v any_o convulsion_n in_o some_o part_n from_o whence_o i_o conclude_v that_o if_o you_o be_v to_o take_v more_o of_o one_o lip_n of_o the_o wound_n which_o we_o suppose_v to_o be_v in_o the_o belly_n of_o the_o muscle_n than_o the_o other_o it_o will_v be_v much_o better_a to_o do_v so_o on_o that_o which_o regard_v the_o insertion_n but_o without_o insist_v on_o a_o thing_n of_o so_o little_a consequence_n i_o suppose_v it_o no_o way_n necessary_a to_o engage_v one_o side_n more_o than_o another_o final_o all_o the_o thread_n be_v past_a you_o must_v begin_v to_o tie_v that_o in_o the_o middle_n make_v present_o a_o single_a knot_n on_o the_o firm_a side_n and_o where_o the_o matter_n be_v least_o apt_a to_o run_v over_o that_o apply_v a_o little_a compress_v of_o linen_n on_o which_o make_v another_o knot_n which_o i_o believe_v more_o useful_a than_o the_o surgeon_n knot_n which_o only_o consist_v in_o twice_o pass_v the_o thread_n through_o the_o same_o knot_n because_o if_o any_o accident_n shall_v happen_v it_o can_v be_v more_o easy_o unite_v then_o make_v a_o slip_n knot_n and_o so_o of_o the_o rest_n if_o the_o wound_n be_v superficial_a a_o strait_a needle_n will_v serve_v single_a thread_n and_o your_o finger_n observe_v always_o the_o forementioned_a circumstance_n thread_n be_v to_o be_v prefer_v before_o silk_n silk_n thread_n better_o than_o silk_n because_o this_o cut_v the_o flesh_n if_o the_o wound_n have_v but_o one_o angle_n you_o must_v begin_v at_o it_o if_o two_o begin_v in_o the_o more_o solid_a part_n if_o three_o or_o four_o begin_v always_o by_o the_o angle_n with_o little_a compress_n or_o bolster_n the_o balm_n and_o bandage_n be_v at_o the_o surgeon_n discretion_n if_o you_o apply_v a_o emplaster_n you_o must_v lay_v little_a compress_n on_o the_o knot_n lest_o you_o move_v they_o in_o take_v off_o the_o dress_n if_o there_o happen_v any_o troublesome_a accident_n lose_v the_o knot_n without_o any_o violence_n so_o that_o you_o may_v tie_v they_o again_o when_o the_o accident_n cease_v thread_n how_o to_o cut_v and_o draw_v out_o the_o thread_n but_o if_o there_o shall_v happen_v any_o considerable_a inflammation_n so_o that_o we_o shall_v be_v force_v to_o cut_v they_o you_o must_v introduce_v your_o probe_n under_o they_o on_o which_o you_o must_v cut_v the_o thread_n we_o do_v so_o when_o we_o find_v the_o reunion_n be_v make_v and_o that_o we_o be_v about_o to_o undo_v the_o stitch_n with_o dexterity_n then_o lie_v your_o finger_n next_o the_o knot_n and_o draw_v the_o thread_n soft_o out_o for_o fear_v you_o renew_v the_o wound_n these_o be_v the_o principle_n circumstance_n which_o must_v be_v observe_v in_o perform_v the_o interrupt_a stitch_n use_v in_o what_o part_n the_o quilled_a stitch_n be_v most_o use_v i_o pass_v to_o the_o spiral_n or_o quilled_a which_o differ_v from_o the_o other_o only_o in_o the_o manner_n of_o dispose_v the_o thread_n we_o use_v it_o for_o the_o most_o part_n in_o deep_a wound_n which_o happen_v to_o the_o great_a muscle_n of_o the_o buttock_n and_o thigh_n though_o perhaps_o if_o well_o examine_v inferior_a to_o the_o interrupt_a but_o see_v it_o may_v be_v useful_a and_o have_v in_o all_o time_n be_v esteem_v so_o i_o shall_v now_o describe_v how_o it_o be_v perform_v stitch._n how_o to_o make_v the_o quilled_a stitch._n the_o surgeon_n must_v take_v a_o crooked_a needle_n arm_v with_o a_o wax_v thread_n the_o two_o end_n of_o which_o must_v pass_v together_o through_o the_o eye_n of_o the_o needle_n that_o there_o remain_v a_o sort_n of_o loop_n have_v pass_v it_o through_o the_o flesh_n you_o must_v so_o dispose_v two_o or_o three_o of_o they_o according_a to_o the_o length_n of_o the_o wound_n in_o which_o you_o must_v put_v some_o peg_n of_o wood_n arm_v with_o lint_n some_o strong_a tent_n of_o lint_n or_o a_o quill_n which_o must_v be_v rank_v all_o along_o the_o extremity_n of_o the_o lip_n which_o have_v be_v bring_v together_o by_o a_o servant_n who_o hold_v they_o while_o the_o surgeon_n make_v the_o knot_n upon_o the_o tent_n etc._n etc._n as_o have_v be_v say_v except_o that_o we_o put_v not_o compress_v on_o they_o there_o be_v one_o kind_a of_o quilled_a suture_a where_o you_o can_v cut_v the_o thread_n and_o make_v the_o knot_n on_o both_o side_n the_o twist_v stitch_n be_v only_o make_v in_o a_o hair-lip_n it_o consist_v in_o dispose_v the_o thread_n cross_n about_o the_o needle_n as_o shall_v be_v describe_v in_o the_o operation_n useful_a the_o dry_a stitch_n not_o very_o useful_a some_o put_v the_o dry_a stitch_n among_o those_o that_o be_v in_o use_n but_o beside_o that_o this_o suture_a be_v only_o fit_a for_o cutaneous_a wound_n and_o be_v often_o subject_a to_o come_v off_o i_o find_v it_o useless_a not_o only_o because_o of_o the_o humidity_n which_o loosen_v it_o but_o also_o because_o it_o be_v not_o capable_a of_o make_v a_o exact_a union_n make_v how_o the_o â—…ry_a stitch_n 〈◊〉_d make_v but_o they_o that_o will_v make_v use_n of_o it_o have_v nothing_o to_o do_v but_o to_o take_v two_o piece_n of_o new_a linen_n with_o their_o selvage_n cut_v in_o several_a angle_n or_o indent_v more_o or_o less_o according_a to_o the_o length_n of_o the_o wound_n at_o the_o extremity_n of_o which_o tie_v some_o little_a fillet_n then_o dip_v the_o clothes_n in_o some_o agglutinative_a medicine_n apply_v they_o in_o such_o a_o manner_n that_o the_o angle_n may_v be_v a_o little_a distant_a from_o the_o edge_n of_o the_o wound_n about_o half_a a_o finger_n breadth_n to_o facilitate_v the_o unition_n more_o commodious_o chap._n iu._n of_o the_o suture_a of_o the_o tendon_n to_o make_v a_o end_n of_o the_o suture_n i_o come_v to_o show_v how_o that_o of_o the_o tendon_n be_v perform_v but_o before_o i_o begin_v it_o be_v necessary_a to_o explain_v the_o symptom_n which_o ordinary_o accompany_v its_o wound_n in_o these_o kind_n of_o accident_n the_o tendon_n be_v whole_o cut_v or_o in_o part_n only_o if_o the_o former_a it_o be_v evident_a that_o the_o symptom_n be_v not_o so_o bad_a and_o that_o it_o suffer_v neither_o tension_n tumour_n nor_o fluxion_n but_o withdraw_v somewhat_o into_o the_o flesh_n and_o increase_v a_o little_a in_o thickness_n but_o if_o the_o latter_a the_o symptom_n be_v very_o dangerous_a because_o the_o fibre_n that_o remain_v destitute_a of_o their_o wont_a assistant_n must_v of_o necessity_n be_v break_v and_o tear_v in_o the_o sensible_a contraction_n of_o the_o muscle_n or_o at_o least_o suffer_v such_o violent_a tension_n that_o cruel_a accident_n speedy_o arise_v beside_o that_o the_o blood_n spill_v tendon_n accident_n attend_v wound_v tendon_n in_o the_o interval_n of_o the_o fibre_n do_v ferment_n the_o saline_n particle_n and_o work_v upon_o the_o tendinous_a fibre_n divide_v they_o on_o which_o follow_v sharp_a pain_n convulsion_n syncope_n vomit_v diarrhaea_n fever_n coma_n and_o often_o gangreen_n if_o the_o rest_n of_o the_o tendon_n be_v not_o speedy_o cut_v pain_n case_n of_o pain_n the_o pain_n be_v not_o excite_v but_o by_o the_o continual_a divulsion_n of_o the_o little_a insensible_a fibril_n
spirit_n fly_v out_o into_o the_o part_n with_o so_o much_o vivacity_n and_o confusion_n that_o they_o renew_v the_o frenzy_n which_o succeed_v the_o lethargy_n just_a as_o the_o lethargy_n succeed_v the_o delirium_fw-la you_o must_v observe_v that_o in_o this_o kind_n of_o lethargy_n the_o eye_n be_v sometime_o open_a and_o trouble_v last_o it_o happen_v that_o the_o blood_n hasten_v with_o so_o great_a impetuosity_n to_o the_o brain_n and_o that_o the_o extravasated_a matter_n gather_v there_o so_o abundant_o that_o it_o interrupt_v by_o its_o weight_n the_o course_n of_o the_o spirit_n and_o constrain_v the_o sinuss_n of_o the_o dura_fw-la mater_fw-la every_o where_o to_o overflow_v apoplexy_n cause_o of_o apoplexy_n so_o that_o the_o artery_n be_v unable_a to_o empty_v themselves_o either_o into_o the_o vein_n or_o sinuss_n the_o brain_n find_v itself_o so_o press_v on_o all_o side_n that_o the_o wound_a fall_n into_o a_o apoplexy_n which_o make_v we_o know_v that_o death_n be_v not_o far_o off_o and_o that_o there_o be_v no_o more_o help_n head_n how_o the_o liver_n or_o lung_n impostumate_v in_o wound_n of_o the_o head_n the_o liver_n of_o lung_n impostumate_v in_o great_a wound_n of_o the_o head_n by_o the_o arrival_n of_o pus_fw-la which_o come_v from_o the_o brain_n of_o which_o the_o mass_n of_o blood_n have_v get_v some_o impression_n we_o have_v in_o the_o chapter_n of_o the_o empiema_v give_v a_o account_n of_o the_o formation_n of_o a_o impostume_n of_o the_o lung_n for_o to_o have_v a_o idea_n of_o that_o of_o the_o liver_n one_o can_v ground_v upon_o more_o solid_a reason_n than_o to_o examine_v its_o structure_n in_o relation_n to_o that_o of_o other_o viscera_n which_o be_v contain_v in_o the_o abdomen_fw-la be_v what_o the_o liver_n be_v the_o liver_n be_v the_o big_a and_o most_o considerable_a of_o all_o the_o viscera_n it_o be_v a_o conglomerate_v gland_n deprive_v of_o all_o carnous_a fibres_fw-fr water_v by_o a_o prodigious_a number_n of_o sanguiferous_a vessel_n among_o which_o the_o vena_fw-la porta_fw-la do_v the_o office_n of_o a_o artery_n and_o the_o circulation_n consequent_o must_v be_v very_o slow_a there_o beside_o we_o be_v sure_a that_o the_o little_a gland_n which_o compose_v it_o separate_z a_o liquor_n which_o be_v extreme_o glewy_a and_o viscous_a of_o its_o own_o nature_n which_o be_v all_o the_o requisite_a and_o necessary_a condition_n to_o retain_v a_o matter_n which_o already_o have_v a_o great_a tendency_n to_o stop_v and_o cause_v some_o disorder_n so_o that_o after_o the_o heart_n and_o the_o other_o organ_n have_v prepare_v and_o put_v it_o in_o a_o condition_n to_o produce_v its_o effect_n it_o diffuse_v itself_o into_o the_o whole_a mass_n of_o blood_n and_o be_v the_o liver_n receive_v a_o great_a number_n of_o vessel_n it_o follow_v that_o the_o hepatic_a artery_n and_o vena_fw-la porta_n which_o be_v distribute_v through_o its_o whole_a capacity_n have_v cram_v every_o glandulous_a grain_n with_o it_o according_a to_o its_o disposition_n and_o different_a alteration_n which_o it_o receive_v it_o this_o parenchima_fw-la it_o putrefy_v it_o or_o make_v it_o schirrou_n you_o must_v observe_v that_o the_o hydrocephalus_n be_v almost_o always_o follow_v with_o the_o same_o accident_n and_o that_o in_o these_o kind_n of_o impostumation_n the_o shivering_n cease_v most_o common_o some_o day_n before_o death_n we_o suspect_v that_o the_o brain_n be_v alter_v when_o the_o fracture_n be_v big_a and_o some_o of_o the_o animal_n function_n be_v deprave_v for_o since_o our_o action_n depend_v on_o the_o function_n of_o the_o brain_n when_o ever_o those_o be_v hinder_v they_o show_v that_o the_o brian_n be_v offend_v you_o must_v observe_v that_o in_o all_o i_o have_v propose_v concern_v wound_n of_o the_o brain_n i_o have_v not_o comprehend_v the_o hind-part_n of_o the_o brian_n i_o be_o thorough_o persuade_v that_o a_o animal_n die_v present_o mortal_a wound_n of_o the_o hinder_a part_n of_o the_o brain_n inevitable_o mortal_a as_o soon_o as_o the_o cineritious_a substance_n of_o the_o hind_a part_n of_o the_o brian_n be_v prick_v carry_v off_o or_o compress_v because_o the_o nerve_n that_o furnish_v we_o with_o spirit_n for_o the_o function_n of_o the_o vital_a and_o natural_a part_n take_v immediate_o their_o origin_n from_o thence_o this_o be_v doubtless_o the_o reason_n that_o have_v oblige_v nature_n to_o take_v so_o much_o care_n and_o precaution_n to_o preserve_v this_o part_n so_o precious_a to_o life_n she_o have_v place_v it_o under_o two_o posterior_n advance_v of_o the_o brain_n for_o fear_v it_o may_v be_v interest_v in_o the_o great_a havock_n which_o happen_v in_o divers_a place_n of_o the_o head_n she_o have_v separate_v it_o from_o the_o brain_n by_o a_o membranous_a enclosure_n very_o strong_a and_o thick_a to_o hinder_v it_o lest_o in_o any_o concussion_n it_o may_v be_v compress_v by_o its_o two_o posterior_n lobe_n last_o nature_n have_v cover_v it_o behind_o with_o a_o piece_n of_o very_o hard_a thick_a and_o irregular_a bone_n for_o a_o defence_n against_o outward_a injury_n and_o to_o secure_v it_o from_o all_o that_o may_v be_v hurtful_a brain_n prognostic_n of_o wound_n of_o the_o brain_n you_o must_v observe_v that_o the_o more_o wound_n approach_v to_o the_o medulla_n oblongata_fw-la the_o more_o mortal_a they_o be_v because_o all_o the_o nervous_a fillament_n of_o the_o white_a substance_n join_v there_o together_o and_o a_o considerable_a quantity_n of_o they_o be_v divide_v all_o this_o have_v regard_n to_o the_o prognostic_n of_o wound_n of_o the_o head_n but_o to_o speak_v of_o they_o more_o large_o we_o have_v only_o to_o consider_v the_o nature_n of_o the_o wound_n and_o to_o examine_v their_o accident_n if_o the_o fracture_n be_v make_v with_o a_o cut_a instrument_n it_o be_v not_o so_o dangerous_a as_o one_o make_v by_o a_o prick_n or_o that_o which_o be_v cause_v by_o a_o fall_n or_o contuse_v instrument_n which_o can_v break_v the_o skull_n without_o great_a violence_n upon_o which_o follow_v always_o a_o great_a commotion_n but_o if_o it_o be_v make_v with_o gun-shot_n it_o be_v always_o mortal_a unless_o the_o bullet_n carry_v off_o only_o some_o portion_n of_o the_o cranium_fw-la without_o offend_v the_o brain_n we_o know_v that_o contuse_v wound_n of_o the_o head_n be_v simple_a or_o compound_n the_o latter_a be_v more_o dangerous_a because_o accompany_v with_o fracture_n if_o a_o simple_a wound_n with_o contusion_n be_v only_o superficial_a it_o be_v cure_v with_o resolutive_a medicine_n as_o a_o ecchimosis_n if_o it_o penetrate_v it_o require_v superation_n if_o the_o pericranium_n be_v rumple_v and_o that_o it_o suffer_v some_o divulsion_n the_o eyelid_n inflame_v and_o there_o come_v some_o accident_n upon_o it_o as_o upon_o wound_n of_o the_o tendon_n to_o remedy_v this_o inconvenience_n we_o have_v nothing_o more_o to_o do_v but_o to_o cut_v the_o pericranium_n to_o the_o bone_n and_o to_o dress_v the_o wound_n after_o the_o ordinary_a manner_n sometime_o it_o happen_v that_o the_o skull_n be_v fracture_v the_o tegument_n be_v undivided_a the_o reason_n be_v that_o be_v make_v of_o a_o hard_a and_o brittle_a matter_n it_o can_v resist_v the_o fury_n of_o the_o blow_n as_o body_n which_o be_v pliable_a do_v and_o it_o can_v break_v even_o as_o a_o sword_n which_o in_o its_o scabbard_n may_v be_v break_v without_o endanger_v the_o scabbard_n in_o this_o case_n we_o make_v a_o incision_n over_o the_o fracture_n more_o or_o less_o as_o be_v convenient_a with_o this_o circumstance_n that_o we_o lean_v not_o too_o hard_o with_o the_o knife_n upon_o the_o fracture_v part_n especial_o if_o it_o be_v a_o considerable_a one_o lest_o you_o offend_v the_o brain_n the_o prognostic_n also_o of_o wound_n of_o the_o head_n depend_v on_o the_o good_a or_o ill_a disposition_n of_o the_o patient_n the_o violence_n of_o the_o blow_n and_o the_o strength_n of_o he_o that_o give_v it_o with_o more_o or_o less_o force_n a_o fracture_n that_o keep_v its_o equality_n be_v not_o so_o dangerous_a as_o one_o of_o several_a piece_n which_o press_n or_o prick_v the_o part_n that_o be_v under_o they_o particular_o when_o they_o be_v engage_v or_o lie_v one_o upon_o another_o because_o the_o compression_n be_v much_o strong_a and_o the_o dura_n matter_n suffer_v more_o beside_o when_o the_o skull_n be_v so_o break_a it_o be_v always_o a_o sign_n that_o the_o blow_n have_v be_v violent_a enough_o to_o shake_v the_o brain_n dangerous_a wound_n of_o the_o dura_n mater_fw-la very_o dangerous_a if_o the_o dura_n matter_n be_v break_v by_o the_o splint_n the_o wound_n be_v very_o pernicious_a because_o of_o the_o blood_n spill_v upon_o the_o brain_n and_o of_o the_o tention_n and_o inflammation_n it_o suffer_v the_o inflammation_n of_o this_o membrane_n tend_v often_o to_o mortification_n because_o of_o its_o hardness_n and_o
mortification_n these_o be_v more_o or_o less_o mortal_a according_a as_o the_o malignity_n activity_n and_o penetration_n of_o the_o acid_n humour_n wherein_o consist_v the_o nature_n of_o poison_n be_v more_o or_o less_o great_a and_o fatal_a chap._n iii_o of_o wound_n of_o the_o tendon_n i_o have_v make_v you_o observe_v speak_v of_o the_o suture_a of_o the_o tendon_n that_o when_o it_o be_v quite_o cut_v there_o happen_v no_o troublesome_a accident_n but_o that_o it_o retire_v towards_o its_o origine_fw-la and_o that_o one_o be_v oblige_v to_o soften_v their_o fibre_n with_o oil_n draw_v without_o fire_n that_o their_o reunion_n may_v be_v the_o easy_a i_o have_v also_o make_v you_o observe_v that_o the_o stitch_n be_v make_v it_o be_v necessary_a to_o humect_v the_o tendon_n with_o oil_n and_o spirit_n of_o wine_n the_o oil_n resist_v the_o impression_n of_o the_o air_n and_o the_o spirit_n of_o wine_n penetrate_v the_o least_o porosity_n deobstruct_v their_o channel_n in_o drive_v out_o the_o humour_n and_o by_o this_o mean_v the_o concourse_n of_o symptom_n particular_o that_o of_o pain_n be_v stop_v suppurative_n must_v follow_v next_o immediate_o forasmuch_o as_o they_o hinder_v that_o the_o inflammation_n may_v not_o cause_v long_a suppuration_n which_o will_v infallible_o rot_v the_o tendon_n in_o spite_n of_o all_o the_o care_n that_o may_v be_v take_v as_o it_o happen_v in_o all_o great_a fluxion_n where_o the_o tendon_n be_v discover_v this_o be_v the_o reason_n which_o oblige_v we_o to_o stay_v till_o the_o suppuration_n be_v accomplish_v and_o the_o tendon_n cover_v before_o we_o use_v dissicatives_n as_o tinct_v aloe_n spirit_n vini_n with_o several_a other_o because_o in_o dry_v the_o part_n too_o soon_o you_o hinder_v the_o dissolution_n of_o the_o juice_n stop_v suppuration_n and_o retain_v the_o inflammation_n which_o be_v the_o true_a cause_n why_o the_o tendon_n rot_v the_o inflammation_n which_o come_v upon_o wound_n of_o the_o tendon_n that_o lie_v but_o shallow_a under_o the_o skin_n be_v not_o dangerous_a but_o since_o the_o juice_n which_o exude_v out_o of_o it_o be_v corrosive_n it_o awake_v the_o pain_n and_o all_o other_o accident_n which_o most_o common_o attend_v wound_n of_o the_o tendon_n but_o if_o it_o happen_v that_o a_o deep_a tendon_n be_v hurt_v the_o inflammation_n and_o obstruction_n be_v great_a and_o more_o troublesome_a by_o reason_n of_o the_o many_o sanguine_a vessel_n which_o lie_v over_o it_o if_o the_o accident_n continue_v and_o the_o tendon_n suppurate_v not_o it_o be_v most_o convenient_a to_o dilate_v the_o wound_n that_o the_o remedy_n may_v be_v able_a to_o penetrate_v and_o ease_v the_o part_n by_o cause_v a_o speedy_a suppuration_n if_o the_o flesh_n which_o be_v generate_v in_o these_o kind_n of_o wound_n become_v callous_a it_o be_v a_o sign_n that_o the_o salt_n abound_v every_o where_o and_o that_o the_o fluxion_n will_v be_v great_a since_o the_o salt_n particle_n condense_a themselves_o in_o the_o very_a substance_n of_o the_o part_n we_o use_v only_o here_o digestive_n and_o balsam_n which_o be_v convenient_a till_o the_o wound_n be_v ready_a to_o cicatrise_v be_v capable_a of_o melt_v and_o dissolve_v the_o juice_n by_o which_o we_o know_v that_o dissicatives_n be_v noxious_a because_o they_o procure_v too_o soon_o a_o cicatrix_fw-la there_o be_v sometime_o generate_v a_o soft_a spungy_a flesh_n which_o threaten_v the_o part_n with_o great_a obstruction_n then_o it_o be_v also_o necessary_a to_o continue_v the_o digestive_n for_o dissicatives_n glue_v and_o harden_v too_o much_o the_o nourish_a particle_n and_o augment_v the_o abundance_n of_o the_o salt_n which_o cause_n faulty_a flesh_n in_o this_o case_n schroder_n green_a balm_n be_v excellent_a you_o must_v observe_v that_o a_o tendon_n may_v be_v hurt_v by_o a_o prick_n without_o any_o accident_n happen_v this_o be_v when_o the_o instrument_n slip_v between_o the_o interval_n of_o the_o fibre_n without_o endamage_v they_o but_o if_o by_o chance_n it_o divide_v some_o of_o the_o fibre_n obstruction_n follow_v which_o occasion_n the_o nourish_a juice_n to_o become_v corrosive_a gnaw_v the_o fibre_n and_o membrane_n which_o cause_v a_o great_a obstruction_n &_o more_o violent_a pain_n beside_o the_o spirit_n which_o be_v irritate_v by_o these_o sharp_a matter_n augment_v the_o inflammation_n which_o at_o first_o be_v not_o 〈◊〉_d considerable_a but_o afterward_o very_o dangerous_a to_o help_v this_o inconvenience_n you_o ought_v without_o scruple_n to_o open_v the_o tegument_n and_o flesh_n to_o find_v the_o place_n of_o the_o prick_v tendon_n and_o to_o sweeten_v the_o acrimony_n of_o the_o salt_n with_o ol._n ovor._n cere_fw-la and_o spirit_n vini_n not_o neglect_v at_o the_o same_o time_n the_o use_n of_o digestive_n and_o balm_n if_o the_o accident_n cease_v not_o it_o be_v a_o sign_n the_o puncture_n be_v deep_a and_o that_o the_o medicament_n can_v penetrate_v than_o you_o must_v separate_v dexterous_o the_o fibre_n of_o the_o tendon_n according_a to_o their_o length_n to_o give_v way_n to_o the_o balsamic_a particle_n to_o soften_v the_o fibre_n and_o the_o spirit_n of_o wine_n to_o discuss_v the_o humour_n and_o cause_v a_o more_o easy_a suppuration_n the_o inflammation_n which_o follow_v upon_o the_o puncture_n of_o a_o tendon_n incroach_v often_o upon_o the_o near_a part_n as_o for_o example_n if_o the_o tendon_n of_o the_o finger_n be_v prick_v the_o wrist_n and_o arm_n swell_v so_o much_o that_o one_o be_v often_o oblige_v to_o amputate_v it_o for_o see_v the_o tendon_n and_o belly_n of_o the_o muscle_n contain_v nothing_o but_o a_o heap_n of_o fibres_n of_o the_o same_o continuity_n the_o convulsion_n 〈◊〉_d consequent_o the_o inflammation_n communicate_v itself_o not_o only_o to_o the_o belly_n of_o the_o muscle_n but_o also_o to_o all_o the_o neighbour_a part_n you_o must_v not_o be_v astonish_v if_o these_o part_n have_v such_o a_o correspondence_n together_o and_o if_o they_o communicate_v so_o mutual_o one_o to_o another_o their_o alteration_n if_o there_o be_v any_o difference_n between_o the_o tendon_n and_o the_o belly_n of_o the_o muscle_n it_o consist_v only_o in_o their_o texture_n and_o in_o the_o more_o or_o less_o inflammation_n tention_n or_o pain_n the_o most_o specific_a remedy_n to_o stop_v the_o accident_n of_o a_o punctured_a tendon_n be_v to_o give_v issue_n to_o the_o wound_n if_o the_o tendon_n lie_v high_a we_o use_v balsamic_n and_n digestive_n but_o if_o deep_a you_o must_v add_v spirit_n of_o wine_n if_o the_o fluxion_n be_v great_a you_o apply_v upon_o the_o tendon_n a_o little_a bolster_n soak_v in_o brandy_n to_o secure_v it_o from_o the_o impression_n of_o the_o purulent_a matter_n as_o concern_v cataplasm_n its_o know_v that_o we_o apply_v emollient_n discutient_n and_o defensative_n during_o the_o first_o 2_o or_o 3_o day_n according_a to_o the_o degree_n of_o the_o inflammation_n afterward_o we_o prefer_v discutient_n which_o be_v continue_v all_o the_o time_n of_o the_o fluxion_n and_o during_o the_o rest_n of_o the_o cure_n you_o must_v use_v plaster_n and_o compress_n soak_v in_o spirit_n of_o wine_n warm_v if_o the_o tendon_n of_o the_o hand_n be_v hurt_v we_o lay_v not_o only_o defensatives_n upon_o the_o part_n but_o also_o over_o the_o whole_a arm._n if_o the_o puncture_n be_v make_v with_o a_o square_n or_o triangular_a instrument_n it_o be_v doubtless_o more_o to_o be_v fear_v than_o that_o which_o be_v make_v by_o a_o flat_a or_o round_a one_o because_o of_o the_o great_a number_n of_o the_o division_n it_o therefore_o require_v more_o circumspection_n last_o if_o the_o inflammation_n be_v great_a and_o there_o be_v appearance_n of_o a_o gangrene_n you_o must_v scarify_v and_o use_v all_o that_o be_v capable_a to_o awake_v the_o motion_n of_o the_o spirit_n chap._n iu._n of_o wound_n of_o the_o ligament_n and_o bone_n wound_n of_o the_o ligament_n differ_v not_o much_o from_o those_o of_o the_o tendon_n but_o in_o the_o more_o or_o less_o sensibility_n and_o though_o they_o be_v not_o so_o painful_a nor_o dangerous_a nevertheless_o it_o happen_v very_o often_o that_o putrefaction_n seize_v it_o by_o the_o abode_n of_o the_o purulent_a matter_n upon_o these_o part_n if_o the_o ligament_n of_o the_o joint_n be_v hurt_v i_o say_v that_o thicken_a remedy_n be_v most_o contrary_a because_o we_o must_v by_o all_o mean_n oppose_v the_o coagulation_n of_o the_o viscous_a and_o salt_a juice_n which_o entertain_v these_o part_n as_o also_o the_o formation_n of_o ganglion_n and_o anchilose_a which_o can_v be_v mollify_v nor_o dissolve_v by_o the_o most_o powerful_a medicine_n if_o the_o ligament_n of_o a_o joint_n can_v be_v hurt_v without_o some_o tendon_n receive_v damage_n also_o it_o may_v be_v easy_o comprehend_v that_o the_o inflammation_n hinder_v they_o from_o obey_v the_o motion_n of_o the_o muscle_n and_o that_o the_o humour_n which_o
supple_a the_o ligament_n and_o gland_n be_v not_o entertain_v in_o their_o ordinary_a fluidity_n and_o as_o i_o have_v show_v in_o thâ—_n aneurism_n that_o it_o condense_n at_o the_o least_o heat_n by_o the_o repose_n of_o its_o particle_n and_o it_o form_v a_o anchilose_a so_o i_o say_v its_o formation_n must_v be_v much_o quick_a here_o the_o heat_n be_v more_o excessive_a now_o it_o be_v evident_a that_o a_o concatenation_n of_o accident_n of_o this_o nature_n may_v utter_o destroy_v the_o part_n for_o if_o the_o anchilose_a which_o grow_v about_o the_o joint_n and_o ganglion_n which_o be_v form_v upon_o the_o ligament_n by_o the_o thicken_a and_o coagulation_n of_o the_o nutritive_a juice_n cause_n the_o loss_n of_o motion_n the_o alteration_n and_o mixture_n of_o several_a liquor_n of_o different_a nature_n be_v very_o fit_a to_o putrify_v it_o by_o their_o purulancy_n and_o acidity_n the_o purulent_a hmour_n corrupt_v and_o infect_v it_o the_o acid_n prick_v and_o gnaw_v it_o and_o the_o viscous_a obstruct_v and_o make_v it_o immovable_a it_o be_v doubtless_o by_o reason_n of_o the_o contrariety_n of_o their_o principle_n which_o destroy_v one_o another_o in_o the_o action_n of_o the_o medicament_n which_o cause_v they_o to_o be_v of_o so_o difficult_a a_o cure_n and_o so_o hard_a to_o prevent_v the_o ligament_n from_o rot_v we_o have_v make_v you_o observe_v in_o the_o examination_n of_o the_o fistula_n in_o ano_fw-la that_o wound_v of_o the_o joint_n often_o degenerate_a into_o fistula_n because_o the_o salt_n juice_n abound_v there_o from_o every_o part_n and_o the_o pus_fw-la change_v into_o a_o sharp_a and_o malignant_a sanies_fw-la which_o filter_n into_o the_o porosity_n of_o the_o nervous_a fibres_fw-fr of_o the_o part_n make_v the_o ulcer_n callous_a and_o fistulous_a this_o humour_n become_v sometime_o so_o bite_v that_o it_o destroy_v not_o only_o the_o tendon_n and_o ligament_n but_o gnaw_v also_o the_o cartilage_n and_o cause_v a_o cariosity_n of_o the_o bone_n to_o prevent_v all_o this_o you_o must_v follow_v the_o same_o method_n which_o we_o have_v prescribe_v in_o wound_n of_o the_o tendon_n that_o be_v to_o say_v you_o must_v use_v every_o thing_n that_o temper_n sweeten_v and_o be_v capable_a to_o correct_v the_o acrimony_n of_o the_o salt_n when_o the_o wound_n have_v run_v well_o for_o some_o day_n and_o the_o swell_a of_o the_o part_n a_o little_a go_v down_o you_o use_v a_o balm_n make_v of_o oxgall_n etc._n a_o extraordinary_a medicine_n in_o wound_n of_o the_o joint_n etc._n etc._n spirit_n of_o wine_n and_o mel._n rosat_n which_o have_v the_o faculty_n of_o discuss_v and_o resolve_v the_o coagulate_a matter_n after_o this_o manner_n you_o prevent_v the_o callosity_n of_o the_o wound_n and_o all_o other_o accident_n we_o common_o cicatrise_v with_o humect_v medicament_n because_o dissicatives_n make_v it_o deform_v the_o bone_n differ_v from_o the_o tendon_n and_o ligament_n in_o that_o their_o contexture_n be_v more_o thick_a close_o and_o compact_a and_o be_v nourish_v with_o a_o more_o salt_n and_o subtle_a juice_n if_o the_o wound_n which_o happen_v to_o they_o be_v simple_a the_o sole_a reduction_n of_o the_o piece_n maintain_v by_o bandage_n be_v sufficient_a to_o cure_v they_o if_o the_o fractured_a bone_n press_v some_o vessel_n or_o tendon_n and_o the_o contusion_n be_v considerable_a if_o you_o differ_v the_o reduction_n the_o part_n fall_v into_o a_o gangrene_n and_o mortify_v if_o some_o piece_n of_o the_o bone_n be_v separate_v so_o that_o you_o can_v reduce_v they_o you_o must_v make_v a_o incision_n to_o pull_v they_o out_o i_o know_v that_o this_o happen_v very_o seldom_o and_o the_o splinter_n must_v the_o very_a much_o entangle_v in_o the_o flesh_n if_o they_o can_v be_v reduce_v without_o incision_n if_o the_o bone_n be_v quite_o break_v to_o piece_n and_o some_o great_a vessel_n lacerate_v you_o must_v cut_v off_o the_o limb._n i_o speak_v not_o here_o of_o the_o dress_n which_o be_v use_v in_o all_o sort_n of_o fracture_n i_o only_o recommend_v to_o you_o that_o the_o bone_n be_v tie_v hard_a where_n break_v than_o any_o where_o else_o to_o keep_v they_o reduce_v and_o to_o hinder_v the_o callus_fw-la from_o grow_v too_o abundant_o we_o know_v that_o compound_v wound_n comprehend_v both_o those_o of_o the_o flesh_n and_o bone_n and_o that_o beside_o the_o 18_o tail_n bandage_n they_o require_v the_o application_n of_o several_a different_a remedy_n we_o use_v in_o the_o beginning_n discutient_fw-la cataplasm_n to_o evacuate_v part_n of_o the_o matter_n by_o transpiration_n you_o must_v by_o all_o mean_v suppurate_a because_o we_o be_v oblige_v to_o wait_v for_o the_o generation_n of_o the_o callus_fw-la and_o exfoliation_n of_o the_o bone_n beside_o a_o great_a suppuration_n alter_v the_o bone_n in_o a_o very_a little_a time_n it_o be_v therefore_o necessary_a that_o discutient_n be_v use_v in_o stead_n of_o suppurative_n and_o if_o in_o the_o first_o day_n we_o use_v digestive_n spirit_n of_o wine_n and_o hony_n must_v exceed_v you_o apply_v dry_a lint_n upon_o the_o bone_n till_o the_o callus_fw-la be_v form_v and_o after_o its_o generation_n you_o apply_v bolster_n on_o it_o soak_v in_o spirit_n of_o wine_n in_o which_o sal._n ammoniac_a and_o camphire_n have_v be_v dissolve_v which_o be_v a_o most_o excellent_a medicine_n to_o cure_v ulcer_n of_o the_o bone_n and_o to_o hasten_v exfoliation_n you_o must_v observe_v that_o there_o never_o grow_v good_a flesh_n upon_o a_o rot_a bone_n or_o that_o which_o be_v ready_a to_o exfoliate_v it_o be_v always_o spungy_a and_o one_o may_v say_v that_o whenever_o they_o be_v of_o such_o a_o nature_n it_o be_v a_o certain_a sign_n that_o the_o bone_n must_v needs_o exfoliate_v which_o most_o ordinary_o happen_v in_o long_a suppuration_n the_o formation_n of_o the_o callus_fw-la grow_v according_a to_o the_o patient_n way_n of_o live_v it_o be_v observe_v that_o it_o grow_v too_o much_o and_o render_v the_o part_n unequal_a when_o the_o patient_n eat_v too_o plentiful_o and_o when_o they_o use_v too_o spare_v a_o diet_n it_o grow_v not_o sufficient_a to_o reunite_v the_o part_n the_o prognostic_n of_o compound_v wound_n be_v always_o very_o dangerous_a to_o cachectical_a person_n old_a and_o pox_v who_o bone_n rot_v oftentimes_o without_o any_o wound_n come_v upon_o they_o chap._n v._o of_o gunshot_n wound_n gunshot_n wound_n be_v always_o very_o dangerous_a as_o well_o by_o reason_n of_o the_o great_a contusion_n which_o accompany_v they_o for_o the_o most_o part_n as_o because_o the_o passage_n of_o the_o blood_n be_v utter_o stop_v we_o know_v that_o the_o bullet_n pass_v through_o a_o part_n scatter_v the_o substance_n and_o break_v the_o vessel_n without_o any_o hemorrhagy_n or_o suppuration_n before_o three_o four_o five_o or_o sometime_o six_o day_n the_o age_n temperament_n and_o nature_n of_o the_o part_n regulate_v these_o accident_n the_o reason_n of_o it_o be_v ground_v upon_o the_o great_a agitation_n of_o the_o bullet_n and_o upon_o its_o round_a and_o blunt_a figure_n that_o enter_v with_o so_o much_o force_n and_o swiftness_n into_o the_o flesh_n bruise_v and_o crush_v the_o vessel_n so_o that_o it_o force_v their_o tunicle_n to_o glue_v themselves_o to_o one_o another_o and_o so_o oppose_v the_o flux_n of_o blood_n unless_o some_o great_a vessel_n be_v break_v and_o the_o blood_n force_v a_o passage_n by_o its_o impulsion_n wound_v obstruction_n great_a in_o gunshot_n wound_v of_o all_o wound_n there_o be_v none_o where_o the_o obstruction_n be_v great_a than_o in_o these_o and_o which_o consequent_o be_v more_o capable_a of_o inflammation_n and_o gangrene_n the_o contain_v several_a particularity_n to_o which_o the_o chirurgeon_n ought_v to_o give_v his_o attention_n the_o first_o be_v to_o consider_v whether_o they_o be_v in_o any_o of_o the_o venture_n or_o the_o limb_n if_o superficial_a or_o penetrate_a if_o the_o bullet_n have_v pass_v through_o and_o through_o if_o it_o have_v touch_v some_o important_a part_n tend_v to_o the_o function_n of_o life_n in_o its_o passage_n which_o may_v be_v know_v by_o the_o succeed_a symptom_n but_o whether_o it_o have_v pass_v through_o or_o find_v some_o obstacle_n in_o its_o passage_n it_o be_v well_o know_v that_o these_o kind_n of_o wound_n be_v almost_o always_o accompany_v with_o troublesome_a accident_n wound_v accident_n accompany_v gunshot_n wound_v as_o rapture_n of_o some_o vessel_n fracture_n of_o a_o bone_n or_o contusion_n which_o be_v of_o least_o consequence_n if_o the_o orifice_n of_o the_o wound_n be_v of_o a_o round_a figure_n and_o grow_v less_o by_o the_o fluxion_n the_o first_o intention_n which_o you_o must_v satisfy_v be_v to_o dilate_v it_o you_o excite_v by_o that_o mean_v suppuration_n and_o procure_v a_o more_o equal_a cicatrice_n you_o discharge_v the_o part_n in_o let_v the_o wound_n bleed_v as_o much_o