like_o that_o which_o one_o feel_v sometime_o after_o the_o cut_n of_o a_o sword_n this_o do_v not_o proceed_v from_o the_o first_o division_n but_o by_o those_o which_o be_v make_v through_o the_o action_n of_o the_o sharp_a and_o extravasated_a humour_n continuity_n no_o pain_n without_o solution_n of_o continuity_n so_o that_o as_o often_o as_o the_o animal_n feel_v pain_n there_o be_v some_o division_n make_v by_o which_o mean_v the_o soul_n which_o watch_v and_o interest_n itself_o in_o the_o conservation_n of_o the_o part_n of_o our_o body_n be_v afflict_v convulsion_n the_o cause_n of_o convulsion_n these_o sharp_a humour_n come_v to_o shake_v vigorous_o the_o little_a filament_n of_o the_o nerve_n cause_v the_o spirit_n to_o run_v irregular_o into_o the_o muscle_n which_o excite_v the_o convulsion_n the_o spirit_n be_v put_v to_o flight_n instead_o of_o run_v into_o the_o fibre_n of_o the_o heart_n syncopes_fw-la and_o of_o syncopes_fw-la and_o rule_v their_o motion_n be_v 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of_o gall_n and_o the_o neighbour_a bilous_n and_o pancreatic_a duct_n that_o it_o squeeze_v out_o their_o juice_n into_o the_o cavity_n of_o the_o gut_n which_o present_o cause_v a_o diarrhaea_n fever_n the_o cause_n of_o a_o fever_n these_o two_o liquor_n be_v thus_o press_v out_o of_o their_o vessel_n without_o have_v receive_v all_o the_o preparation_n and_o alteration_n which_o be_v necessary_a for_o they_o fail_v not_o to_o make_v the_o chyle_n acid_n with_o mix_v themselves_o in_o the_o intestine_n they_o serve_v for_o leven_n and_o ferment_n to_o corrupt_v and_o produce_v a_o fever_n sense_n of_o heaviness_n of_o the_o head_n and_o failure_n of_o the_o sense_n the_o blood_n be_v in_o fermentation_n mount_v with_o such_o a_o impetuosity_n to_o the_o brain_n that_o the_o sinew_n thereof_o which_o receive_v all_o the_o rest_n of_o the_o blood_n of_o the_o interior_n head_n can_v discharge_v proportionable_o so_o much_o blood_n into_o the_o jugular_n as_o the_o artery_n furnish_v 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cut_v it_o so_o that_o the_o surgeon_n intention_n be_v to_o reunite_v the_o two_o extremity_n by_o suture_a if_o it_o happen_v that_o the_o extremity_n of_o one_o part_n be_v so_o far_o shrink_v into_o the_o flesh_n that_o it_o can_v be_v bring_v to_o the_o other_o by_o the_o forceps_n it_o will_v be_v convenient_a to_o mollify_v the_o fibre_n a_o little_a with_o some_o oil_n extract_v without_o fire_n as_o ol._n amygd_v dul._n ovor._fw-la cerae_fw-la etc._n etc._n which_o be_v proper_a to_o relax_v the_o fibre_n and_o facilitate_v their_o union_n for_o if_o the_o oil_n be_v extract_v without_o fire_n the_o heat_n do_v not_o so_o soon_o dissipate_v their_o viscosity_n which_o be_v the_o true_a cement_n beside_o they_o be_v more_o capable_a of_o temper_v the_o acid_n of_o the_o blood_n and_o of_o appease_v pain_n the_o tendon_n be_v mollify_v you_o must_v stitch_n if_o you_o can_v and_o see_v they_o be_v compose_v of_o little_a fibres_n operation_n how_o to_o perform_v the_o operation_n you_o must_v take_v half_a the_o breadth_n of_o a_o finger_n upon_o the_o body_n of_o the_o tendon_n that_o the_o stitch_n may_v better_o resist_v the_o motion_n of_o the_o part_n and_o the_o flow_a of_o the_o matter_n if_o the_o tendon_n be_v not_o discover_v enough_o you_o must_v try_v to_o make_v the_o suture_a without_o unflesh_v it_o because_o the_o flesh_n secure_v it_o from_o all_o alteration_n after_o the_o surgeon_n have_v put_v the_o part_n in_o a_o convenient_a situation_n a_o servant_n must_v uphold_v one_o extremity_n with_o the_o forceps_n whilst_o the_o surgeon_n with_o his_o left_a hand_n hold_v the_o other_o and_o with_o a_o strait_a needle_n arm_v with_o double_a wax_v thread_n knot_v at_o the_o end_n pierce_v they_o from_o without_o inward_o and_o from_o within_o outward_n bring_v they_o exact_o together_o then_o lay_v away_o your_o needle_n and_o take_v a_o little_a compress_v of_o cloth_n with_o two_o hole_n in_o it_o to_o pass_v the_o two_o end_n of_o the_o thread_n through_o and_o make_v a_o single_a knot_n over_o which_o apply_v another_o little_a compress_v which_o you_o fasten_v with_o the_o surgeon_n knot_n and_o slip_v knot_n you_o must_v observe_v to_o wet_v the_o compress_n in_o some_o spiritous_a liquor_n and_o put_v some_o wax_n candle_n on_o the_o knot_n instead_o of_o lint_n the_o suture_a be_v make_v you_o must_v humect_v the_o first_o day_n with_o some_o oil_n and_o spirit_n of_o wine_n the_o follow_a day_n we_o use_v a_o balsam_n make_v of_o tereh_n tinct_v aloe_n proper_a unctuous_a medicice_n not_o proper_a or_o that_o of_o the_o tinct_v flor._n hyperici_n the_o use_n of_o oil_n or_o fat_n be_v be_v here_o to_o be_v reject_v because_o they_o putrify_v the_o tendon_n in_o the_o begin_n cataplasm_n make_v of_o the_o four_o meal_n wine_n the_o yolk_n of_o a_o egg_n and_o honey_n be_v very_o proper_a it_o must_v be_v observe_v that_o as_o soon_o as_o suppuration_n be_v make_v it_o be_v evident_a that_o the_o tendon_n begin_v to_o be_v unite_v most_o good_a practitioner_n commend_v in_o long_a suppuration_n to_o make_v use_n of_o spirit_n on_o bare_a tendon_n &_o emplas_n andreae_n è_fw-fr cruse_n chap._n v._o of_o the_o hair-lip_n call_v why_o so_o call_v if_o suture_n have_v any_o use_n in_o perform_v operation_n it_o be_v doubtless_o in_o the_o unition_n of_o the_o hair_n lip_n so_o call_v because_o this_o animal_n have_v natural_o the_o upper-lip_n slit_v this_o malady_n come_v sometime_o from_o a_o imperfect_a conformation_n and_o sometime_o by_o accident_n viz._n it_o may_v be_v cause_v by_o some_o blow_n fall_v or_o other_o like_a mischance_n if_o the_o reunion_n be_v then_o neglect_v it_o be_v to_o be_v fear_v lest_o the_o edge_n grow_v callous_a and_o at_o length_n a_o true_a hair_n lip_n be_v form_v it_o be_v very_o often_o a_o hereditary_a deformity_n which_o we_o keep_v as_o long_o as_o we_o live_v unless_o we_o be_v willing_a to_o suffer_v the_o operation_n however_o its_o cure_n can_v be_v accomplish_v but_o by_o suture_a if_o there_o be_v great_a loss_n of_o substance_n you_o must_v not_o hazard_v the_o operation_n because_o the_o cutis_fw-la will_v be_v so_o much_o extend_v that_o it_o will_v be_v very_o hard_a to_o pronounce_v well_o certain_a word_n and_o to_o make_v with_o care_n all_o the_o other_o motion_n which_o this_o part_n be_v capable_a of_o those_o which_o happen_v to_o the_o under-lip_n be_v of_o difficult_a cure_n because_o the_o defluxion_n be_v more-frequent_a and_o the_o lip_n always_o humect_v with_o many_o serosity_n useless_a where_o cut_v hair-lip_n will_v be_v useless_a there_o be_v several_a other_o occasion_n where_o the_o operation_n will_v be_v useless_a as_o in_o child_n by_o reason_n of_o their_o continual_a cry_v in_o the_o old_a scorbutic_n and_o pox_v in_o irregular_a woman_n and_o in_o several_a other_o vitiate_a and_o indispose_a subject_n in_o which_o the_o blood_n
the_o liberty_n of_o move_v he_o suffer_v a_o fix_a and_o dull_a pain_n which_o be_v a_o common_a sign_n of_o a_o pleurisy_n with_o this_o difference_n that_o the_o pluretic_n pain_n be_v pungent_a come_v all_o of_o a_o sudden_a whereas_o the_o pneumonic_a pain_n that_o be_v to_o say_v that_o which_o proceed_v from_o a_o impostume_n of_o the_o lung_n come_v only_o by_o little_a and_o little_a and_o successive_o the_o continue_a fever_n do_v not_o leave_v accompany_v sometime_o with_o a_o immoderate_a thirst_n his_o spittle_n be_v purulent_a his_o mouth_n and_o throat_n dry_a he_o have_v red_a cherry_n cheek_n sink_v and_o hollow_a eye_n have_v lose_v their_o lively_a and_o glitter_a colour_n his_o nail_n bend_v backward_o and_o the_o whole_a body_n grow_v at_o lest_o dry_a and_o emaciate_v and_o if_o the_o fever_n increase_v the_o patient_n fall_v into_o delirium_fw-la and_o his_o spital_n be_v black_a livid_n or_o ash-coloured_a death_n be_v not_o far_o off_o because_o they_o be_v mortal_a symptom_n which_o oftentimes_o accompany_v it_o so_o much_o for_o the_o impostumation_n of_o the_o lung_n which_o come_v from_o a_o internal_a cause_n let_v we_o now_o examine_v those_o that_o follow_v the_o impostume_n of_o the_o lung_n cause_v by_o wound_n the_o difficulty_n of_o breathe_v be_v not_o so_o considerable_a the_o fever_n be_v continual_a accompany_v with_o shiver_a and_o cold_a sweat_v which_o appear_v from_o time_n to_o time_n these_o two_o last_o accident_n be_v depend_v from_o the_o pleura_fw-la the_o patient_n spit_v pretty_a often_o blood_n in_o the_o beginning_n and_o towards_o the_o end_n it_o be_v frothy_a and_o purulent_a when_o the_o spital_n be_v of_o a_o yellow_a colour_n it_o be_v mortal_a he_o can_v lie_v but_o on_o his_o back_n because_o be_v on_o his_o sound_a side_n the_o wound_a loab_n lie_v heavy_a upon_o the_o mediastinum_fw-la and_o cause_v a_o twitch_a and_o cruel_a pain_n and_o when_o he_o turn_v himself_o on_o the_o wound_a side_n the_o lung_n come_v to_o lie_v heavy_a upon_o the_o pleura_fw-la which_o be_v hurt_v do_v not_o fail_v to_o excite_v the_o same_o pain_n wherefore_o he_o dare_v not_o stir_v wound_v sign_n of_o the_o lung_n be_v wound_v in_o the_o beginning_n his_o eye_n be_v brisk_a but_o at_o last_o they_o grow_v dull_a and_o the_o face_n puff_v up_o but_o the_o most_o certain_a sign_n that_o the_o wound_n reach_v to_o the_o capacity_n of_o the_o breast_n and_o of_o the_o lung_n be_v hurt_v be_v the_o probe_n the_o noise_n which_o the_o air_n make_v in_o come_v forth_o and_o the_o emphysema_n when_o you_o probe_n you_o must_v observe_v to_o make_v the_o patient_n put_v himself_o in_o the_o same_o posture_n he_o be_v in_o when_o wound_v that_o the_o extravasated_a blood_n may_v run_v easy_a out_o if_o the_o wound_v penetrate_v to_o the_o substance_n of_o the_o lung_n the_o blood_n which_o flow_v be_v forty_o and_o the_o air_n make_v less_o noise_n and_o come_v not_o out_o with_o such_o impetuosity_n as_o when_o the_o wound_n penetrate_v only_o the_o breast_n without_o touch_v the_o lung_n if_o one_o ask_v objection_n whence_o come_v the_o air_n that_o be_v in_o the_o capacity_n of_o the_o breast_n the_o lung_n not_o be_v alter_v and_o the_o reason_n why_o it_o make_v such_o a_o noise_n you_o may_v answer_v answer_v that_o it_o be_v the_o outward_a air_n which_o be_v get_v in_o through_o the_o mouth_n of_o the_o wound_n and_o endeavour_v to_o escape_v because_o of_o the_o expansion_n of_o the_o lung_n which_o press_v it_o every_o where_n it_o happen_v that_o those_o particle_n which_o appear_v at_o the_o passage_n not_o be_v able_a to_o get_v out_o but_o with_o a_o great_a deal_n of_o pain_n through_o the_o resistance_n of_o the_o external_a air_n and_o the_o smallness_n of_o the_o aperture_n push_n and_o press_v one_o another_o so_o hard_a that_o they_o must_v needs_o make_v a_o noise_n and_o produce_v a_o kind_n of_o whistle_v pass_v out_o of_o the_o breast_n which_o can_v put_v out_o a_o candle_n hold_v to_o the_o mouth_n of_o the_o wound_n emphisema_n cause_o of_o the_o emphisema_n the_o emphisema_n be_v likewise_o only_o cause_v by_o the_o particle_n of_o the_o air_n which_o penetrate_v the_o porosity_n of_o the_o neighbour_a part_n which_o swell_v and_o blow_v they_o up_o so_o that_o often_o one_o can_v find_v the_o mouth_n of_o the_o wound_n nor_o introduce_v a_o probe_n it_o be_v easy_a to_o see_v from_o what_o we_o have_v say_v that_o the_o emphisema_n and_o the_o air_n be_v come_v out_o of_o the_o breast_n be_v not_o always_o convince_a sign_n of_o the_o lung_n be_v hurt_v because_o they_o happen_v when_o the_o wound_n penetrate_v into_o the_o breast_n without_o have_v touch_v the_o lung_n wherefore_o there_o be_v only_o the_o sign_n which_o we_o have_v speak_v of_o that_o can_v give_v we_o afterward_o certain_a mark_n of_o it_o but_o the_o probe_n and_o the_o exit_z of_o the_o air_n be_v two_o true_a sign_n that_o the_o wound_n penetrate_v into_o the_o breast_n you_o must_v observe_v caution_n caution_n that_o if_o the_o breast_n be_v pierce_v through_o and_o through_o you_o must_v never_o let_v both_o the_o orifice_n be_v open_a at_o once_o for_o fear_v you_o choke_v the_o patient_n the_o reason_n of_o it_o be_v evident_a because_o the_o air_n can_v enter_v by_o two_o opposite_a side_n without_o compress_v the_o lung_n and_o hinder_v the_o motion_n of_o the_o breast_n i_o have_v say_v that_o the_o true_a situation_n when_o the_o lung_n be_v alter_v be_v to_o lay_v one_o down_o on_o the_o back_n for_o to_o ease_v the_o patient_n because_o the_o bronchia_fw-la be_v compress_v by_o the_o weight_n of_o the_o extravasated_a blood_n which_o present_o take_v away_o the_o liberty_n of_o breathe_v i_o intend_v to_o speak_v here_o of_o the_o superficial_a wound_n of_o the_o lung_n for_o if_o they_o be_v deep_a and_o that_o any_o great_a vessel_n be_v divide_v one_o feel_v almost_o as_o much_o pain_n lie_v on_o the_o back_n as_o on_o the_o side_n lung_n a_o certain_a sign_n of_o extravasated_a blood_n in_o the_o body_n of_o the_o lung_n but_o one_o of_o the_o most_o certain_a sign_n that_o there_o be_v some_o blood_n extravasated_a into_o the_o body_n of_o the_o lung_n and_o of_o which_o we_o have_v not_o yet_o speak_v be_v that_o if_o we_o put_v our_o finger_n far_o enough_o into_o the_o wound_n provide_v the_o bigness_n or_o diameter_n of_o the_o breast_n permit_v it_o we_o find_v that_o the_o lung_n be_v fasten_v to_o the_o pleura_fw-la round_o about_o the_o wound_n and_o reunite_v themselves_o there_o even_o as_o the_o intestine_a be_v unite_v to_o the_o peritoneum_fw-la pleura_fw-la a_o sign_n that_o the_o wound_n have_v not_o pass_v the_o pleura_fw-la the_o sign_n which_o demonstrate_v that_o the_o wound_n do_v not_o pass_v the_o pleura_fw-la be_v the_o probe_n and_o the_o air_n which_o never_o pass_v through_o the_o wound_n there_o be_v some_o other_o as_o the_o pain_n inflammation_n fever_n heaviness_n and_o difficulty_n of_o breathe_v beside_o the_o thickness_n of_o the_o exterior_a part_n which_o may_v in_o some_o manner_n guide_v we_o for_o to_o be_v sure_a of_o it_o all_o these_o sign_n nevertheless_o do_v not_o always_o show_v that_o the_o wound_n be_v deep_a since_o a_o simple_a inflammation_n of_o the_o intercostical_a muscle_n hinder_v free_a respiration_n if_o we_o consider_v that_o the_o use_n of_o these_o muscle_n be_v to_o raise_v the_o rib_n to_o enlarge_v and_o widen_v the_o cavity_n of_o the_o breast_n and_o that_o inflammation_n and_o tention_n be_v utter_o contrary_a to_o their_o action_n we_o shall_v agree_v that_o the_o lung_n can_v dilate_v themselves_o but_o with_o difficulty_n and_o see_v the_o contraction_n of_o a_o inflame_a muscle_n increase_v the_o tention_n and_o great_a tention_n many_o divulsion_n and_o many_o divulsion_n vehement_a pain_n you_o must_v not_o wonder_v if_o the_o disease_a for_o to_o ease_v himself_o a_o little_a from_o the_o pain_n retard_v the_o course_n of_o the_o spirit_n and_o have_v very_o great_a difficulty_n of_o breathe_v heaviness_n cause_o of_o the_o heaviness_n the_o heaviness_n proceed_v from_o the_o impotency_n of_o the_o muscle_n for_o as_o soon_o as_o a_o part_n be_v out_o of_o action_n it_o seem_v heavy_a to_o we_o for_o it_o be_v a_o burden_n which_o the_o neighbour_a part_n must_v support_v and_o be_v they_o have_v neither_o strength_n nor_o motion_n to_o raise_v what_o offend_v they_o must_v succumb_v under_o the_o weight_n of_o a_o new_a and_o superfluous_a matter_n from_o whence_o depend_v the_o heaviness_n we_o have_v explain_v in_o several_a place_n of_o this_o treatise_n the_o cause_n of_o pain_n inflammation_n and_o fever_n we_o have_v say_v that_o the_o pain_n be_v excite_v by_o some_o actual_a divulsion_n by_o who_o occasion_n the_o soul_n perceive_v the_o destruction_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