as_o for_o the_o order_n of_o the_o complication_n chap._n xxiii_o of_o medicine_n to_o prevent_v the_o stone_n for_o avoid_v of_o the_o stone_n and_o of_o medicament_n for_o dress_v those_o that_o be_v cut_v though_o we_o promise_v to_o inquire_v into_o the_o medicine_n that_o may_v prevent_v the_o stone_n we_o must_v however_o confess_v that_o it_o be_v very_o difficult_a and_o perhaps_o impossible_a to_o determine_v precise_o wherein_o they_o do_v consist_v because_o the_o most_o learned_a in_o natural_a discovery_n speak_v only_o in_o general_n of_o the_o figure_n of_o body_n and_o microscope_n have_v not_o be_v able_a to_o make_v know_v the_o particular_a nature_n of_o every_o one_o nor_o yet_o of_o all_o their_o pore_n possible_o we_o may_v succeed_v without_o observe_v all_o these_o particularity_n for_o though_o inquiry_n into_o nature_n be_v pursue_v to_o that_o very_a point_n yet_o still_o there_o will_v be_v cause_n that_o do_v not_o depend_v on_o we_o and_o which_o may_v form_v the_o stone_n the_o bigness_n figure_n number_n and_o motion_n of_o the_o particle_n of_o body_n of_o which_o we_o be_v compose_v and_o of_o those_o which_o serve_v we_o for_o food_n be_v no_o way_n in_o our_o power_n though_o these_o thing_n be_v sufficient_a to_o produce_v in_o we_o the_o malady_n that_o we_o fear_v if_o the_o secretion_n and_o excretion_n be_v not_o perform_v according_a to_o the_o course_n of_o nature_n that_o we_o may_v reap_v benefit_n from_o the_o misery_n of_o other_o it_o be_v to_o be_v consider_v that_o they_o who_o be_v most_o subject_a to_o the_o gravel_n or_o stone_n live_v after_o such_o a_o manner_n as_o may_v be_v avoid_v or_o at_o least_o correct_v by_o other_o mean_n and_o see_v we_o have_v speak_v of_o fenny_a and_o marshy_a place_n gross_a and_o thick_a air_n calculous_a food_n muddy_a water_n and_o of_o the_o excess_n that_o may_v much_o debilitate_v the_o part_n of_o the_o body_n they_o be_v careful_o to_o be_v avoid_v use_v moderate_o those_o thing_n that_o be_v for_o our_o nourishment_n follow_v exercise_n suitable_o to_o our_o strength_n without_o affect_v too_o much_o niceness_n and_o delicacy_n it_o be_v better_a to_o use_v a_o little_a too_o much_o than_o not_o enough_o because_o life_n consist_v in_o action_n and_o man_n love_v themselves_o too_o well_o not_o to_o repose_v and_o take_v their_o rest_n if_o we_o be_v not_o guilty_a of_o excess_n the_o part_n of_o our_o body_n continue_v in_o good_a health_n ready_a to_o resist_v all_o attack_n though_o few_o thing_n contribute_v more_o to_o the_o form_n of_o the_o stone_n in_o the_o bladder_n than_o continue_v long_o without_o make_v of_o water_n yet_o we_o must_v not_o at_o first_o give_v diuretic_n but_o only_o gentle_a purgative_n to_o empty_a the_o intestine_n and_o adjoin_a part_n of_o that_o kind_n be_v manna_n cassia_n catholicum_fw-la duplex_fw-la lenitive_a electuary_n diaprunum_n simplex_fw-la a_o day_n or_o two_o after_o turpentine_n prepare_v in_o this_o fashion_n may_v be_v give_v in_o drink_n take_v a_o ounce_n or_o six_o drachm_n of_o the_o best_a turpentine_n unwashed_a dissolve_v it_o in_o a_o mortar_n with_o a_o little_a of_o the_o yelk_n of_o a_o egg_n then_o add_v to_o it_o two_o or_o three_o ounce_n of_o the_o water_n of_o winter-cherry_n smallage_n pelletory_n of_o the_o wall_n or_o of_o some_o other_o liquor_n according_a to_o the_o nature_n of_o the_o disease_n and_o the_o state_n of_o the_o patient_n stir_v all_o together_o that_o it_o may_v be_v exact_o mix_v and_o become_v of_o so_o white_a a_o colour_n that_o it_o look_v like_o cream_n or_o coagulate_v milk_n bever_n c._n xi_o of_o the_o stone_n of_o the_o kidney_n and_o bladder_n the_o bath_n give_v ease_n to_o those_o that_o be_v trouble_v with_o the_o stone_n and_o contribute_v much_o to_o the_o bring_v away_o of_o little_a stone_n that_o stop_v in_o the_o kidney_n and_o bladder_n the_o use_n of_o the_o follow_a ptisanne_n or_o barleywater_n be_v very_o good_a against_o the_o same_o distemper_n it_o be_v make_v with_o a_o ounce_n of_o linseed_n and_o the_o root_n of_o mallow_n and_o marshmallow_n of_o each_o two_o ounce_n put_v into_o five_o quart_n of_o water_n boil_a away_o to_o four_o into_o three_o ounce_n of_o this_o ptisanne_n may_v be_v drop_v four_o or_o five_o drop_n of_o the_o spirit_n of_o sulphur_n and_o it_o may_v be_v make_v strong_a by_o augment_v the_o do_v of_o the_o ingredient_n in_o the_o same_o quantity_n of_o water_n it_o be_v approve_v of_o for_o make_v one_o void_a water_n mitigate_a pain_n and_o bring_v away_o stone_n the_o two_o follow_a receipt_n be_v give_v i_o by_o mounseur_fw-fr jonnot_n the_o first_o of_o which_o he_o tell_v i_o have_v often_o to_o his_o experience_n be_v successful_a in_o ease_v nephritick_n pain_n and_o those_o who_o be_v subject_a to_o void_a small_a stone_n and_o that_o the_o second_v never_o fail_v he_o provide_v the_o stone_n be_v of_o a_o bigness_n fit_a to_o come_v out_o of_o the_o pelvis_n or_o basin_n of_o the_o kidney_n the_o first_o medicine_n be_v to_o be_v take_v in_o the_o spring_n and_o fall_v every_o morning_n for_o three_o day_n together_o take_v six_o ounce_n of_o the_o water_n of_o pelletory_n of_o the_o wall_n a_o ounce_n of_o the_o oil_n of_o sweet_a almond_n and_o a_o ounce_n and_o a_o half_n of_o the_o syrup_n of_o lemon_n in_o case_n of_o necessity_n it_o be_v take_v at_o any_o time_n for_o the_o second_o remedy_n the_o patient_n must_v be_v once_o or_o twice_o blood_v and_o twice_o purge_v with_o two_o or_o three_o drachm_n of_o sena_n infuse_v overnight_o in_o the_o decoction_n of_o dogs-grass_n root_n of_o marsh-mallow_n and_o a_o little_a bundle_n of_o flax_n to_o the_o colature_n of_o which_o must_v be_v add_v a_o ounce_n of_o cleaned_a cassia_n for_o every_o do_v the_o day_n after_o he_o be_v to_o make_v use_n of_o the_o follow_a limonade_n and_o be_v to_o continue_v it_o three_o day_n successive_o in_o the_o wane_n of_o the_o moon_n fast_v three_o or_o four_o hour_n after_o take_v of_o argentine_n or_o wild_a tansey_n water_n lentil_o and_o cress_n of_o each_o one_o handful_n let_v they_o boil_v half_o a_o quarter_n of_o a_o hour_n in_o a_o quart_n of_o water_n when_o it_o be_v take_v off_o the_o fire_n add_v to_o it_o the_o juice_n and_o rind_n of_o three_o or_o four_o lemon_n let_v all_o infuse_v together_o for_o the_o space_n of_o four_o hour_n then_o strain_v it_o and_o add_v thereunto_o three_o ounce_n of_o the_o powder_n of_o sugar-candy_n and_o twenty_o grain_n of_o the_o spirit_n of_o salt_n keep_v it_o for_o the_o use_v aforesaid_a the_o garden-flag_n or_o blue_a flower-de-luce_n that_o grow_v upon_o wall_n infuse_v cold_a into_o what_o quantity_n one_o please_v of_o white-wine_n and_o a_o ounce_n of_o the_o infusion_n take_v for_o the_o first_o time_n by_o child_n of_o ten_o or_o twelve_o year_n of_o age_n bring_v away_o the_o stone_n the_o do_v be_v to_o be_v increase_v or_o diminish_v according_a to_o the_o age_n of_o the_o patient_n and_o its_o operation_n give_v always_o too_o little_a rather_o than_o too_o much_o for_o fear_v of_o draw_v the_o stone_n in_o too_o great_a abundance_n towards_o the_o sphincter_n of_o the_o bladder_n which_o will_v cause_v a_o suppression_n of_o urine_n one_o may_v renew_v it_o two_o or_o three_o day_n after_o and_o purge_v by_o the_o advice_n of_o a_o physician_n the_o use_n of_o white-wine_n raddish-water_n and_o wine_n make_v of_o the_o fruit_n of_o eglantine_n or_o sweet_a briar_n take_v now_o and_o then_o be_v good_a paracelsus_n in_o the_o end_n of_o the_o preface_n to_o his_o second_o treatise_n of_o his_o great_a chirurgery_n prescribe_v for_o remedy_v the_o suppression_n of_o urine_n the_o use_n of_o the_o stone_n that_o be_v find_v in_o the_o head_n of_o crab_n beat_v into_o a_o subtle_a powder_n drink_v in_o the_o juice_n or_o water_n of_o radish_n and_o if_o the_o patient_n do_v not_o thereby_o make_v water_n to_o make_v a_o little_a bag_n of_o saffron_n and_o lay_v it_o upon_o the_o kidney_n or_o the_o belly_n towards_o the_o passage_n of_o the_o ureter_n and_o upon_o the_o perinaeum_n or_o to_o make_v a_o powder_n of_o dry_a acorn_n and_o give_v it_o to_o be_v drink_v in_o the_o water_n or_o juice_n of_o radish_n in_o what_o quantity_n the_o physician_n shall_v judge_v fit_a the_o two_o follow_a medicine_n be_v approve_v of_o for_o bring_v away_o of_o sand_n and_o small_a stone_n in_o the_o wain_n of_o the_o moon_n the_o patient_n be_v purge_v let_v he_o take_v in_o the_o morning_n the_o bigness_n of_o a_o nut_n of_o fresh_a butter_n and_o swallow_v it_o down_o like_o a_o pill_n then_o let_v he_o take_v a_o four_o limon_n and_o squeeze_v out_o the_o juice_n of_o it_o into_o four_o ounce_n of_o white
a_o treatise_n of_o lithotomy_n or_o of_o the_o extraction_n of_o the_o stone_n out_o of_o the_o bladder_n write_a in_o french_a by_o mr._n tolet_n lithotomist_n in_o the_o hospital_n of_o the_o charity_n at_o paris_n translate_v into_o english_a by_o a._n lovel_n london_n print_v by_o h._n h._n for_o william_n cademan_n at_o the_o pope_n head_n in_o the_o lower-walk_a of_o the_o new-exchange_n in_o the_o strand_n m.dc.lxxxiii_o to_o the_o ingenious_a and_o expert_a chirurgeon_n mr._n tho._n hobbs_n lithotomist_n in_o the_o hospital_n of_o st._n bartholomew_n in_o london_n sir_n i_o confess_v it_o be_v but_o a_o weak_a apology_n for_o my_o confidence_n in_o prefix_v your_o name_n to_o this_o book_n to_o tell_v you_o that_o i_o can_v more_o easy_o satisfy_v the_o world_n than_o yourself_o in_o make_v this_o dedication_n though_o indeed_o it_o be_v all_o that_o i_o have_v to_o say_v for_o myself_o for_o this_o trouble_v i_o give_v you_o the_o truth_n be_v sir_n since_o most_o book_n now_o adays_o do_v court_n what_o but_o a_o few_o deserve_v i_o mean_v protection_n as_o i_o will_v not_o be_v singular_a in_o publish_v this_o translation_n without_o a_o patron_n so_o i_o dare_v not_o be_v so_o unjust_a to_o the_o intrinsic_a value_n of_o the_o treatise_n as_o to_o send_v it_o into_o the_o english_a world_n no_o other_o way_n provide_v than_o with_o the_o credential_n of_o a_o specious_a recommendation_n to_o the_o train_n of_o some_o great_a man_n who_o perhaps_o after_o all_o will_v not_o admit_v it_o into_o his_o family_n without_o your_o approbation_n it_o be_v therefore_o in_o imitation_n of_o the_o ingenious_a author_n of_o this_o book_n who_o give_v i_o a_o precedent_n for_o dedication_n that_o follow_v the_o guidance_n of_o universal_a and_o therefore_o least_o err_a fame_n i_o be_v lead_v to_o your_o door_n there_o to_o leave_v this_o foreign_a child_n which_o i_o have_v teach_v to_o speak_v i_o hope_v intelligible_a english_a to_o be_v by_o you_o dispose_v of_o in_o the_o world_n according_a as_o you_o shall_v think_v it_o deserve_v &_o as_o you_o be_v please_v to_o give_v it_o a_o character_n if_o it_o may_v be_v able_a to_o serve_v those_o that_o serve_v you_o in_o that_o famous_a hospital_n where_o you_o successful_o operate_v or_o prove_v useful_a to_o any_o that_o profess_v lithotomy_n that_o laudable_a but_o difficult_a and_o dangerous_a part_n of_o chirurgery_n you_o be_v in_o the_o judgement_n of_o most_o man_n the_o fit_a judge_n so_o that_o the_o public_a i_o make_v no_o doubt_n will_v justify_v my_o conduct_n in_o submit_v it_o to_o your_o censure_n but_o sir_n how_o you_o yourself_o will_v interpret_v this_o attempt_n of_o i_o i_o dare_v not_o affirm_v see_v fortune_n have_v not_o encourage_v i_o to_o it_o by_o intitle_v i_o to_o those_o freedom_n that_o mutual_a conversation_n &_o long_a friendship_n do_v allow_v however_o sir_n i_o will_v not_o despair_v but_o that_o the_o kind_a acceptance_n my_o endeavour_n shall_v meet_v with_o in_o the_o world_n will_v so_o far_o intercede_v for_o i_o that_o what_o be_v intend_v and_o real_o find_v to_o conduce_v to_o public_a good_a will_v not_o be_v think_v by_o you_o to_o want_v any_o private_a motive_n to_o commend_v it_o to_o your_o patronage_n i_o shall_v say_v no_o more_o lest_o by_o seem_v to_o know_v you_o better_o than_o indeed_o i_o do_v i_o shall_v spoil_v my_o own_o plea_n and_o appear_v to_o be_v a_o intimate_v friend_n when_o in_o reality_n i_o be_o sir_n your_o humble_a servant_n a._n lovel_n london_n sept._n 23._o 1682._o a_o treatise_n of_o lithotomy_n or_o of_o the_o extraction_n of_o the_o stone_n out_o of_o the_o bladder_n chap._n i._n what_o be_v mean_v by_o lithotomy_n lithotomy_n according_a to_o the_o etymology_n of_o the_o word_n signify_v cut_v of_o the_o stone_n it_o have_v be_v a_o more_o proper_a way_n of_o speak_v to_o have_v use_v a_o term_n that_o may_v have_v express_v the_o part_n which_o be_v open_v by_o the_o edge_n of_o the_o instrument_n because_o the_o division_n or_o cut_v of_o the_o stone_n happen_v contrary_a to_o the_o intention_n of_o the_o artist_n however_o i_o shall_v make_v use_n of_o the_o word_n lithotomy_n which_o be_v in_o vogue_n and_o understand_v by_o all_o that_o be_v skilful_a in_o the_o profession_n that_o we_o may_v dive_v into_o the_o meaning_n and_o give_v the_o definition_n of_o the_o thing_n it_o be_v a_o operation_n in_o chirurgery_n practise_v for_o the_o extract_a of_o preternatural_a hard_a body_n which_o be_v retain_v in_o the_o bladder_n by_o preternatural_a body_n be_v to_o be_v understand_v all_o thing_n that_o be_v retain_v within_o the_o body_n of_o man_n contrary_n to_o the_o ordinary_a course_n of_o nature_n and_o see_v sometime_o there_o be_v several_a thing_n in_o the_o bladder_n which_o require_v the_o open_n of_o it_o we_o have_v put_v in_o the_o definition_n preternatural_a body_n rather_o than_o the_o stone_n and_o for_o clear_a distinction_n sake_n we_o have_v subjoin_v that_o lithotomy_n be_v only_o practise_v for_o such_o as_o be_v hard_a and_o retain_v in_o the_o bladder_n chap._n ii_o observation_n upon_o the_o part_n of_o the_o body_n of_o man._n the_o vessel_n and_o pore_n of_o the_o glandule_n be_v the_o usual_a conduit_n through_o which_o the_o corpuscules_n or_o little_a body_n pass_v and_o be_v filtrate_v when_o their_o bigness_n and_o figure_n make_v they_o fit_a to_o be_v receive_v there_o but_o if_o there_o be_v no_o proportion_n betwixt_o the_o conduit-pipe_n and_o the_o liquor_n which_o shall_v pass_v through_o they_o they_o stop_v on_o the_o contrary_a if_o the_o humour_n have_v a_o very_a rapid_a motion_n they_o distend_v the_o passage_n and_o many_o time_n break_v they_o whatever_o the_o impulse_n of_o the_o humour_n may_v be_v their_o motion_n abate_v the_o more_o that_o they_o communicate_v it_o they_o make_v no_o sensible_a attempt_n to_o get_v out_o when_o they_o be_v move_v on_o every_o side_n in_o a_o place_n that_o can_v stretch_v and_o be_v enlarge_v to_o a_o certain_a bigness_n as_o the_o bladder_n and_o the_o basin_n of_o the_o kidney_n but_o when_o the_o place_n wherein_o they_o be_v contain_v be_v full_a if_o they_o be_v not_o evacuate_v they_o be_v the_o cause_n of_o several_a disease_n for_o the_o humour_n consist_v of_o part_n of_o different_a figure_n or_o bigness_n it_o follow_v that_o sometime_o they_o can_v glide_v through_o one_o and_o the_o same_o passage_n it_o be_v true_a that_o body_n of_o the_o like_a or_o different_a extent_n may_v pass_v through_o one_o and_o the_o same_o channel_n the_o contrary_n be_v not_o impossible_a and_o may_v give_v a_o beginning_n to_o those_o tumour_n which_o swell_v outward_o high_o than_o the_o surface_n of_o the_o body_n go_v by_o the_o name_n of_o abscess_n after_o the_o same_o manner_n as_o the_o internal_a collection_n have_v other_o appellation_n and_o if_o the_o same_o humour_n be_v compose_v of_o unequal_a part_n and_o meet_v together_o in_o a_o narrow_a place_n that_o be_v full_a of_o wind_n some_o of_o they_o join_v together_o and_o by_o their_o conjunction_n form_v a_o body_n that_o in_o respect_n of_o the_o rest_n be_v solid_a this_o body_n by_o its_o continuance_n there_o and_o the_o apposition_n of_o other_o corpuscules_n become_v more_o sensible_a to_o we_o it_o harden_v according_a as_o the_o rough_a part_n close_o embrace_v one_o another_o and_o the_o other_o separate_a and_o continue_v their_o motion_n after_o the_o same_o manner_n as_o it_o be_v in_o brook_n and_o rivulet_n where_o the_o small_a stone_n separate_v and_o retain_v the_o mud_n so_o be_v it_o in_o the_o glandule_n through_o which_o the_o humour_n be_v filtrate_v and_o in_o the_o pipe_n where_o water_n run_v in_o great_a quantity_n though_o they_o be_v straight_o earth_n and_o other_o sandy_a substance_n mingle_v with_o the_o water_n cleave_v close_a and_o stick_v together_o and_o there_o form_v a_o stony_a crust_n which_o in_o time_n hinder_v the_o passage_n of_o the_o water_n chap._n iii_o of_o the_o cause_n of_o the_o stone_n our_o food_n liquify_v be_v not_o destroy_v and_o the_o diversity_n of_o aliment_n make_v it_o apparent_a that_o they_o have_v part_n different_a in_o bigness_n figure_n and_o number_n the_o most_o nourish_v as_o jelly_n and_o strong_a broth_n have_v all_o these_o quality_n see_v the_o juice_n of_o animal_n which_o be_v the_o basis_n of_o they_o be_v take_v from_o the_o soft_a and_o hard_a part_n of_o the_o body_n with_o which_o they_o be_v assimilate_v or_o be_v still_o within_o the_o vessel_n and_o among_o the_o glandule_n tend_v to_o that_o assimilation_n or_o from_o those_o body_n that_o be_v to_o be_v retain_v or_o void_v by_o physician_n call_v retenta_fw-la or_o excreta_fw-la other_o kind_n of_o food_n contain_v also_o part_n of_o a_o different_a nature_n because_o
one_o part_n of_o it_o be_v before_o and_o the_o rest_n hang_v behind_o 3._o a_o budget_n to_o put_v in_o separat_o the_o straight_a forcipes_fw-la in_o the_o one_o side_n and_o the_o crooked_a with_o the_o hook_n in_o the_o other_o in_o the_o bottom_n the_o dilatatory_n the_o button_n and_o the_o conductor_n be_v hide_v it_o may_v be_v shut_v lift_v up_o the_o side_n of_o it_o where_o there_o be_v button-hole_n into_o which_o be_v put_v the_o button_n that_o be_v fasten_v to_o the_o place_n mark_v c._n d._n near_o the_o string_n a_o table_n whereon_o the_o porringer_n with_o oil_n be_v set_v and_o the_o mount_v bistoris_n lay_v under_o which_o a_o piece_n of_o linen-cloth_n fold_v with_o many_o plait_n be_v put_v cross-way_n that_o their_o point_n may_v not_o touch_v any_o thing_n it_o be_v fit_a that_o several_a bistory_n shall_v be_v mount_v though_o there_o be_v but_o one_o operation_n to_o be_v make_v because_o the_o edge_n or_o the_o point_n be_v sometime_o blunt_v and_o it_o be_v necessary_a to_o have_v some_o rag_n of_o linen-cloth_n and_o napkin_n in_o readiness_n all_o the_o instrument_n may_v be_v make_v of_o steel_n or_o iron_n nevertheless_o the_o catheter_n conductor_n button_n and_o tent_n be_v neat_a when_o they_o be_v of_o silver_n and_o less_o subject_a to_o rust_v of_o each_o kind_n there_o ought_v to_o be_v several_a size_n and_o those_o well_o polish_a it_o be_v not_o enough_o to_o have_v speak_v of_o the_o instrument_n of_o chirurgie_n we_o must_v likewise_o according_a to_o the_o rule_n of_o good_a method_n take_v into_o consideration_n what_o thing_n be_v necessary_a before_o in_o the_o time_n and_o after_o the_o operation_n before_o the_o operation_n the_o patient_n ought_v to_o be_v prepare_v for_o some_o day_n by_o a_o diet_n blood-letting_a glister_v purge_n reiterated_a more_o or_o less_o according_a to_o the_o advice_n of_o a_o skilful_a physician_n and_o the_o night_n before_o the_o operation_n the_o patient_n must_v take_v a_o laxative_a or_o else_o a_o astringent_a glyster_n according_a as_o need_v shall_v require_v he_o must_v have_v a_o day_n time_n at_o least_o to_o rest_v in_o after_o he_o have_v take_v physic_n and_o spiritual_a remidy_n be_v not_o to_o be_v omit_v at_o the_o time_n of_o cut_v the_o operator_n must_v choose_v four_o faithful_a servant_n at_o least_o a_o chamber_n indifferent_o warm_a and_o in_o a_o good_a air_n where_o the_o light_n of_o day_n may_v suffice_v he_o must_v have_v a_o apron_n and_o sleeve_n and_o under_o the_o table_n a_o tub_n of_o warm_a water_n to_o wash_v the_o instrument_n upon_o the_o table_n there_o must_v be_v salad-oyl_n or_o oil_n of_o rose_n and_o there_o he_o be_v to_o lay_v his_o instrument_n in_o order_n for_o the_o operation_n all_o these_o thing_n be_v call_v the_o preparative_n apparel_n for_o the_o operation_n the_o bandage_n and_o medicine_n that_o be_v make_v use_n of_o to_o dress_v the_o patient_n that_o be_v cut_v be_v call_v the_o preparative_n for_o the_o dress_n which_o ought_v to_o be_v in_o readiness_n because_o they_o be_v use_v immediate_o after_o the_o operation_n the_o medicine_n both_o powder_n and_o ointment_n ought_v to_o be_v astringent_a warm_a oxycrat_n and_o oxyrodinum_fw-la the_o bandage_n as_o well_o for_o man_n as_o woman_n be_v 1._o the_o ligature_n or_o colier_n which_o be_v a_o great_a band_n for_o blood-letting_a when_o the_o two_o end_n of_o it_o be_v tie_v together_o it_o be_v of_o a_o oval_a figure_n which_o be_v put_v over_o the_o head_n and_o come_v down_o as_o far_o as_o the_o navel_n this_o band_n may_v be_v put_v about_o the_o patient_n before_o the_o operation_n 2._o a_o bolster_n or_o compress_v of_o a_o moderate_a thickness_n three_o or_o four_o finger_n broad_a to_o put_v upon_o the_o wound_n when_o the_o operation_n be_v do_v and_o when_o the_o patient_n be_v to_o be_v carry_v to_o bed_n it_o ought_v to_o be_v lay_v upon_o the_o table_n with_o the_o bistory_n and_o the_o catheter_n 3._o a_o astringent_a plaster_n of_o a_o sufficient_a bigness_n to_o cover_v the_o belly_n 4._o a_o ventriere_n or_o belly-clout_n which_o be_v a_o great_a bolster_n or_o compress_v to_o cover_v the_o belly_n it_o be_v to_o be_v dip_v in_o warm_a oxycrat_fw-mi 5._o the_o froude_n or_o bandage_n or_o truss_n with_o four_o head_n a._n the_o head_n which_o may_v be_v call_v twin_n because_o they_o begin_v in_o the_o same_o place_n and_o be_v destine_v for_o one_o and_o the_o same_o use_n 6._o the_o truss_n or_o double_v t._n or_o second_o truss_n b._n b._n the_o girdle_n of_o the_o truss_n c._n c._n the_o tail_n or_o strap_n of_o the_o truss_n 7._o a_o pledget_n plumacean_n cover_v with_o astringent_a 8._o astringent-plaster_n of_o several_a size_n 9_o a_o plaster_n long_o than_o broad_a to_o be_v put_v some_o day_n after_o the_o operation_n upon_o the_o pledget_n instead_o of_o the_o former_a plaster_n this_o plaster_n ought_v to_o be_v somewhat_o long_o than_o the_o wound_n 10._o a_o small_a square_a bolster_n or_o compress_v indifferent_o thick_a and_o somewhat_o large_a than_o the_o plaster_n above_o describe_v 11._o another_o double_a compress_v a_o inch_n broad_a and_o a_o foot_n long_o for_o male_n call_v a_o truss_n these_o two_o bolster_n be_v to_o be_v moisten_v in_o war_n m_o oxycrat_n 12._o a_o ligature_n or_o farettiere_n which_o be_v a_o long_a band_n to_o be_v swath_v about_o the_o thigh_n that_o the_o patient_n may_v keep_v they_o within_o a_o moderate_a nearness_n to_o one_o another_o 13._o a_o bed_n cover_v with_o a_o rowling-sheet_n or_o a_o sheet_n double_v into_o many_o fold_n and_o lay_v across_o the_o bed_n in_o the_o place_n where_o the_o kidney_n and_o thigh_n of_o he_o that_o be_v cut_v do_v rest_n there_o be_v need_n of_o several_a sheet_n or_o alaise_n to_o shift_v and_o make_v it_o dry_v when_o it_o be_v wet_a it_o be_v to_o be_v warm_v with_o a_o warming-pan_n if_o it_o be_v needful_a it_o be_v requisite_a also_o to_o have_v a_o good_a many_o napkin_n in_o readiness_n to_o put_v under_o the_o patient_n when_o he_o have_v a_o looseness_n that_o he_o may_v be_v the_o soon_o lay_v dry_a and_o sometime_o beside_o that_o sheet_n a_o serecloath_n or_o thin_a blanket_n be_v put_v betwxit_fw-la the_o sheet_n &_o the_o quilt_n to_o preserve_v it_o from_o spoil_v and_o rot_v by_o the_o urine_n but_o a_o serecloath_n make_v the_o bed_n too_o hard_o and_o be_v not_o good_a but_o when_o there_o be_v a_o want_n of_o sheet_n or_o a_o quilt_n to_o shift_v the_o patient_n it_o be_v not_o to_o be_v forget_v that_o a_o cord_n must_v be_v fasten_v to_o the_o top_n of_o the_o bed_n or_o some_o other_o place_n to_o help_v the_o patient_n to_o raise_v himself_o there_o be_v some_o operator_n that_o hide_v their_o instrument_n in_o their_o pocket_n or_o put_v the_o catheter_n in_o their_o button-holes_n before_o they_o anoint_v they_o with_o oil_n other_o lay_v they_o in_o a_o dish_n nevertheless_o see_v it_o make_v a_o noise_n when_o the_o operator_n take_v they_o up_o to_o operate_v with_o it_o seem_v more_o commodious_a to_o have_v they_o in_o a_o pouch_n or_o budget_n chap._n xii_o of_o the_o posture_n and_o situation_n into_o which_o child_n be_v to_o be_v put_v when_o they_o be_v to_o be_v cut._n all_o thing_n be_v prepare_v the_o catheter_n put_v into_o oil_n the_o bistoris_n and_o tent_n mount_v and_o lay_v upon_o the_o table_n the_o tub_n with_o warm_a water_n underneath_o it_o the_o straight_a and_o crooked_a forcipes_fw-la with_o the_o hook_n place_v in_o order_n in_o the_o before_o part_n of_o the_o budget_n a_o conductor_n the_o button_n and_o scoop_v and_o a_o dilatatory_n if_o it_o be_v think_v necessary_a in_o the_o bottom_n of_o the_o pouch_n or_o budget_n the_o patient_n be_v send_v for_o bring_v to_o the_o place_n of_o operation_n and_o set_v upon_o the_o chair_n stand_v a_o little_a oblique_o that_o the_o light_n from_o the_o window_n may_v dart_v upon_o the_o right_a side_n of_o the_o operator_n who_o be_v to_o keep_v his_o instrument_n from_o the_o sight_n of_o the_o patient_n if_o it_o be_v a_o child_n of_o four_o five_o seven_o ten_o or_o twelve_o year_n of_o age_n two_o servant_n may_v hold_v he_o by_o the_o hand_n and_o foot_n on_o each_o side_n whilst_o another_o get_n up_o upon_o something_o behind_o the_o chair_n and_o look_v forward_o may_v commodious_o lean_v upon_o the_o patient_n shoulder_n place_v the_o thumb_n of_o both_o hand_n towards_o his_o back_n and_o the_o other_o finger_n upon_o the_o clavicle_n for_o the_o sure_a hold_n the_o servant_n who_o be_v on_o the_o right_a side_n of_o the_o patient_n aught_o to_o put_v his_o left_a hand_n betwixt_o the_o patient_n thigh_n and_o take_v fast_o hold_v on_o his_o right_a hand_n wrist_n and_o that_o the_o child_n
break_v and_o moulder_n and_o the_o forceps_n easy_o shut_v but_o than_o one_o feel_v as_o it_o be_v a_o heap_n of_o sand_n and_o then_o the_o ring_n be_v not_o to_o be_v bring_v whole_o together_o because_o then_o a_o small_a matter_n of_o gravel_n will_v be_v draw_v out_o and_o the_o part_n of_o the_o bladder_n may_v be_v hurt_v the_o forceps_n with_o what_o be_v betwixt_o the_o tooth_n of_o it_o be_v to_o be_v pull_v out_o and_o this_o be_v to_o be_v reiterated_a conduct_v it_o upon_o the_o button_n as_o often_o as_o shall_v be_v judge_v necessary_a and_o then_o a_o tent_n or_o pipe_n be_v to_o be_v introduce_v as_o shall_v be_v mention_v in_o the_o follow_a chapter_n when_o the_o operator_n judge_v the_o stone_n to_o be_v flat_a and_o of_o the_o shape_n of_o a_o almond_n he_o may_v endeavour_v to_o make_v one_o of_o the_o tooth_n of_o the_o forcipes_fw-la slide_v under_o and_o the_o other_o above_o though_o common_o the_o stone_n be_v take_v sideways_o and_o when_o it_o be_v take_v hold_v of_o he_o be_v to_o turn_v the_o forceps_n again_o so_o that_o the_o thickness_n of_o the_o stone_n may_v answer_v to_o the_o length_n of_o the_o incision_n sometime_o a_o stone_n of_o the_o shape_n of_o a_o large_a hens-egg_n be_v catch_v hold_v of_o by_o its_o two_o end_n which_o may_v be_v guess_v by_o the_o great_a distance_n that_o be_v observe_v betwixt_o the_o ring_n of_o the_o forceps_n nay_o one_o may_v see_v it_o when_o the_o stone_n be_v near_o the_o passage_n to_o keep_v it_o fast_o the_o forceps_fw-la be_v to_o be_v thrust_v back_o into_o the_o bladder_n the_o tooth_n of_o it_o a_o little_a open_v that_o the_o stone_n may_v be_v loose_a and_o it_o will_v turn_v without_o fail_n by_o that_o mean_v it_o be_v afterward_o take_v hold_v of_o by_o its_o thickness_n sideways_o and_o the_o passage_n thereby_o less_o dilate_v if_o the_o stone_n be_v adherent_a and_o stick_v very_o close_o it_o be_v better_a to_o delay_v the_o extraction_n of_o it_o because_o suppuration_n contribute_v to_o the_o separation_n thereof_o and_o if_o the_o operator_n can_v hold_v the_o forceps_n fast_o enough_o he_o may_v make_v use_n of_o a_o napkin_n to_o wrap_v the_o ring_n in_o that_o his_o hand_n may_v not_o slip_v when_o it_o be_v excessive_o big_a it_o be_v better_a to_o let_v it_o alone_o than_o to_o expose_v the_o patient_n to_o evident_a death_n especial_o if_o age_n and_o other_o circumstance_n be_v contrary_a to_o the_o operation_n pareus_n and_o beverovicius_n advise_v to_o break_v it_o with_o forcipes_fw-la who_o tooth_n resemble_v the_o tooth_n of_o a_o great_a saw_n and_o tevenin_n chap._n 121._o of_o his_o operation_n propose_v the_o introduce_v of_o a_o pretty_a long_a tent_n or_o pipe_n to_o hinder_v that_o the_o stone_n fall_v not_o upon_o the_o sphincter_n that_o so_o the_o patient_n may_v make_v his_o water_n that_o pipe_n shall_v shut_v with_o a_o screw_n that_o it_o may_v be_v use_v as_o need_n require_v when_o all_o the_o stone_n have_v be_v extract_v in_o a_o operation_n it_o be_v not_o needful_a to_o introduce_v a_o tent_n or_o pipe_n nevertheless_o there_o be_v some_o operator_n who_o always_o use_v they_o to_o void_a as_o they_o say_v the_o clot_n of_o congeal_a blood_n but_o they_o liquifie_v and_o come_v out_o by_o the_o yard_n or_o by_o the_o wound_n without_o a_o tent_n which_o hinder_v the_o reunite_a of_o the_o divide_a part_n that_o still_o be_v bleed_v it_o be_v true_a that_o they_o who_o well_o understand_v the_o conduct_n of_o that_o operation_n may_v succeed_v in_o it_o without_o leave_v a_o tent_n or_o pipe_n long_o in_o the_o place_n but_o yet_o it_o be_v sometime_o necessary_a to_o use_v it_o for_o some_o day_n when_o there_o be_v a_o ulcer_n in_o the_o bladder_n that_o injection_n may_v be_v the_o more_o convenient_o make_v into_o it_o chap._n xvii_o what_o time_n the_o patient_n may_v be_v keep_v under_o the_o operation_n and_o what_o be_v to_o be_v do_v when_o it_o be_v hard_a and_o laborious_a a_o operation_n be_v call_v hard_a and_o laborious_a when_o by_o a_o skilful_a man_n it_o be_v not_o perform_v in_o a_o short_a time_n in_o such_o a_o case_n the_o patient_n be_v not_o to_o be_v hold_v in_o pain_n until_o the_o stone_n or_o all_o its_o part_n be_v extract_v sometime_o it_o so_o stop_v the_o passage_n that_o the_o conductor_n or_o forceps_n can_v but_o with_o great_a difficulty_n enter_v and_o therefore_o a_o expert_a chirurgeon_n will_v not_o scruple_n to_o take_v out_o his_o instrument_n and_o with_o his_o finger_n or_o the_o button_n thrust_v back_o the_o stone_n into_o the_o bladder_n and_o will_v afterward_o make_v use_n of_o the_o bottom_n and_o forceps_fw-la to_o continue_v the_o operation_n it_o many_o time_n happen_v that_o after_o that_o the_o stone_n have_v be_v often_o lay_v hold_n of_o it_o escape_v and_o mount_v up_o again_o because_o the_o forceps_fw-la give_v way_n or_o the_o tooth_n of_o it_o be_v not_o good_a or_o otherways_o because_o the_o stone_n be_v monstrous_a in_o respect_n of_o the_o passage_n or_o that_o it_o break_v when_o it_o be_v hold_v too_o straight_o or_o because_o it_o be_v soft_a and_o can_v easy_o be_v extract_v when_o it_o adhere_v these_o circumstance_n be_v to_o be_v observe_v very_o exact_o and_o the_o chirurgeon_n ought_v not_o to_o be_v more_o careful_a in_o his_o operation_n than_o in_o consider_v the_o strength_n and_o age_n of_o the_o patient_n with_o the_o time_n that_o he_o have_v be_v upon_o the_o chair_n keep_v he_o under_o the_o operation_n rather_o too_o short_a a_o time_n than_o too_o long_o lest_o he_o be_v surprise_v by_o death_n if_o he_o be_v make_v to_o endure_v too_o much_o but_o if_o after_o the_o operation_n have_v be_v methodical_o carry_v on_o nothing_o be_v extract_v because_o there_o be_v no_o stone_n in_o the_o bladder_n or_o that_o the_o stone_n be_v small_a or_o if_o fragment_n remain_v he_o may_v take_v the_o button_n with_o a_o scoop_v by_o the_o small_a or_o middle_a and_o introduce_v the_o scoop_v or_o spoon_n into_o the_o wound_n and_o so_o endeavour_v to_o extract_v somewhat_o and_o this_o have_v be_v two_o or_o three_o time_n reiterated_a he_o ought_v to_o make_v use_n of_o a_o tent_n or_o pipe_n proportionable_a to_o the_o subject_n and_o mount_v according_a to_o art_n for_o introduce_v it_o he_o may_v make_v use_n if_o he_o please_v and_o with_o more_o security_n of_o the_o button_n put_v into_o the_o incision_n and_o have_v dip_v the_o end_n of_o the_o tent_n in_o oil_n he_o may_v conduct_v it_o along_o the_o button_n even_o to_o the_o bladder_n in_o this_o manner_n page_n 114_o when_o the_o fragment_n be_v but_o moderate_o big_a they_o may_v be_v extract_v a_o bed_n and_o it_o be_v good_a to_o leave_v the_o tent_n until_o one_o be_v certain_a that_o there_o be_v nothing_o more_o remain_v within_o which_o may_v be_v know_v if_o one_o observe_v what_o come_v out_o during_o the_o operation_n or_o afterward_o with_o the_o medicine_n moreover_n after_o the_o tent_n be_v take_v out_o one_o may_v introduce_v a_o catheter_n crooked_a at_o the_o end_n or_o a_o big_a wire_n through_o the_o cavity_n of_o the_o tent_n without_o take_v it_o out_o and_o by_o several_a little_a jogg_n or_o motion_n search_v as_o far_o up_o as_o can_v be_v do_v without_o pain_n one_o may_v likewise_o make_v use_n of_o a_o feather_n to_o clear_v the_o tent_n of_o blood_n or_o of_o slime_n and_o purulent_a matter_n that_o be_v form_v in_o the_o bladder_n the_o injection_n of_o warm_a barley_n water_n be_v proper_a and_o after_o the_o first_o day_n one_o may_v gentle_o press_v the_o belly_n with_o the_o hand_n in_o time_n of_o dress_n chap._n xviii_o of_o the_o symptom_n of_o lithotomy_n the_o symptom_n of_o lithotomy_n be_v divide_v into_o those_o which_o accompany_v the_o operation_n and_o those_o that_o follow_v it_o the_o first_o call_v concomitant_a and_o the_o other_o subsequent_a accident_n which_o accompany_v the_o operation_n be_v hemorrhage_n or_o bleed_v the_o length_n of_o time_n which_o make_v it_o to_o be_v call_v laborious_a the_o bruise_a and_o break_v of_o the_o stone_n the_o difficulty_n of_o extract_v it_o or_o the_o impossibility_n the_o number_n and_o fragment_n which_o can_v be_v extract_v because_o of_o their_o bigness_n numerousness_n or_o weakness_n of_o the_o patient_n sometime_o also_o nothing_o be_v find_v though_o the_o patient_n have_v be_v search_v and_o examine_v before_o a_o contusion_n superveens_fw-mi if_o the_o forceps_n be_v thrust_v too_o rude_o or_o too_o frequent_o when_o it_o be_v in_o the_o bladder_n excoriation_n or_o even_o a_o rupture_n of_o the_o bladder_n or_o other_o part_n as_o well_o by_o the_o bigness_n and_o asperty_n of_o the_o stone_n as_o by_o the_o tooth_n of_o the_o forcipes_fw-la
the_o universal_a regiment_n we_o suppose_v that_o to_o have_v be_v observe_v either_o while_o the_o patient_n be_v under_o cure_n for_o the_o stone_n or_o since_o but_o we_o shall_v only_o treat_v of_o the_o particular_a management_n of_o that_o cure_n author_n speak_v of_o potion_n and_o many_o topical_a medicine_n for_o the_o cure_n of_o fistula_n but_o since_o my_o design_n be_v only_o to_o describe_v what_o i_o have_v observe_v to_o have_v be_v successful_a i_o can_v affirm_v that_o many_o have_v be_v cure_v by_o the_o follow_a mean_n which_o consist_v in_o introduce_v into_o the_o bottom_n of_o the_o fistula_n a_o catheretick_n trochisque_fw-la describe_v in_o the_o last_o chapter_n next_o the_o fall_n off_o of_o the_o escar_n be_v to_o be_v procure_v by_o basilicum_fw-la and_o then_o the_o patient_n be_v to_o be_v dress_v like_o one_o that_o have_v be_v cut_v of_o the_o stone_n after_o the_o seven_o or_o eight_o day_n some_o make_v use_v at_o the_o same_o time_n of_o a_o desiccative_a wax_n candle_n which_o they_o thrust_v into_o the_o yard_n up_o to_o the_o bottom_n of_o the_o fistula_n other_o cure_v they_o without_o the_o use_n of_o wax_n candle_n when_o any_o accident_n appear_v it_o be_v to_o be_v remedy_v as_o have_v be_v say_v chap._n xix_o if_o those_o that_o be_v fistulous_a be_v to_o be_v pity_v they_o who_o be_v trouble_v with_o a_o unvoluntary_a emission_n of_o their_o water_n by_o the_o vrethra_n ought_v also_o to_o be_v rank_v among_o the_o miserable_a as_o those_o also_o who_o piss_v not_o at_o all_o but_o they_o from_o who_o the_o gross_a excrement_n drop_v against_o their_o will_n surpass_v the_o rest_n in_o misery_n what_o may_v be_v say_v then_o if_o one_o shall_v suffer_v many_o of_o these_o inconvenience_n at_o the_o same_o time_n the_o spill_n of_o the_o water_n be_v cause_v by_o a_o palsy_n in_o the_o sphincter_n of_o the_o bladder_n by_o the_o incision_n of_o its_o fibre_n or_o by_o a_o great_a dilaceration_n when_o a_o big_a and_o rough_a stone_n have_v too_o much_o widen_v the_o passage_n and_o have_v cause_v a_o suppuration_n of_o long_a continuance_n the_o kind_n and_n difference_n be_v take_v from_o the_o greatness_n or_o smallness_n of_o the_o emission_n the_o sign_n of_o it_o be_v visible_a or_o rather_o most_o sensible_a and_o uneasy_a to_o the_o patient_n because_o shame_n and_o vexation_n hinder_v they_o sometime_o from_o seek_v a_o remedy_n from_o whence_o the_o prognostic_n may_v be_v make_v that_o all_o of_o they_o be_v extreme_o hard_a to_o be_v cure_v the_o most_o part_n incurable_a and_o that_o the_o cure_n most_o common_o be_v but_o palliative_a woman_n be_v not_o subject_a to_o fistula_n but_o only_o to_o this_o spill_n of_o their_o water_n which_o be_v more_o uneasy_a to_o they_o than_o to_o man_n because_o of_o the_o conformation_n of_o their_o vrethra_n and_o that_o their_o sex_n which_o have_v modesty_n for_o its_o property_n oblige_v they_o to_o a_o great_a reservedness_n hinder_v they_o from_o seek_v relief_n and_o this_o make_v they_o to_o have_v clout_n or_o sponge_n about_o they_o to_o receive_v the_o water_n or_o to_o employ_v something_o else_o that_o necessity_n and_o uneasiness_n suggest_v to_o they_o when_o the_o spill_n of_o urine_n remain_v with_o man_n they_o may_v have_v recourse_n to_o a_o little_a engine_n such_o as_o i_o see_v in_o the_o possession_n of_o a_o person_n who_o character_n and_o quality_n allow_v i_o not_o to_o name_v he_o i_o have_v hear_v he_o say_v that_o it_o be_v very_o useful_a and_o commodious_a for_o he_o that_o engine_n be_v make_v of_o steel_n iron_n or_o any_o other_o convenient_a metal_n it_o be_v compose_v of_o two_o part_n each_o about_o three_o inch_n long_o and_o a_o finger_n breadth_n wide_a one_o of_o the_o two_o piece_n bend_v a_o little_a in_o its_o longitude_n and_o the_o other_o be_v straight_o these_o two_o piece_n join_v together_o at_o one_o end_n with_o a_o turn_a joint_n like_o a_o compass_n and_o at_o the_o other_o end_n both_o be_v bend_v backward_o to_o fasten_v within_o one_o another_o so_o that_o press_v with_o the_o finger_n they_o may_v be_v open_v and_o shut_v these_o two_o piece_n be_v cover_v with_o linen_n as_o much_o or_o as_o little_a as_o one_o please_v afterward_o the_o yard_n be_v put_v into_o that_o instrument_n observe_v to_o keep_v the_o crooked_a part_n uppermost_o and_o when_o one_o have_v make_v water_n it_o be_v shut_v the_o compression_n may_v be_v make_v as_o slight_o as_o one_o please_v cover_v or_o face_v the_o engine_n more_o or_o less_o that_o it_o may_v be_v suffer_v without_o pain_n &_o let_v the_o urine_n pass_v through_o which_o in_o some_o manner_n supply_v the_o action_n of_o the_o sphincter_n of_o the_o bladder_n i_o have_v see_v some_o who_o have_v make_v use_n of_o box_n of_o white_a latin_a or_o other_o vessel_n of_o leather_n make_v in_o form_n of_o a_o urinal_n tie_v to_o a_o girdle_n and_o wherein_o the_o nut_n always_o hang_v which_o be_v not_o do_v without_o pain_n and_o trouble_n there_o be_v another_o instrument_n much_o like_o to_o a_o truss_n for_o rupture_n it_o be_v make_v like_o the_o steel_n truss_n have_v a_o girdle_n of_o the_o same_o fashion_n and_o on_o the_o left_a side_n in_o stead_n of_o a_o bolster_n the_o end_n of_o the_o girdle_n bend_v elbow-way_n downward_o and_o terminate_v in_o the_o shape_n of_o a_o small_a iron_n plate_n which_o be_v cover_v with_o felt_n leather_n or_o cork_n sufficient_o wax_v over_o that_o it_o may_v be_v of_o a_o convex_a figure_n like_o a_o olive_n and_o indifferent_o hard_a that_o it_o may_v exact_o answer_v to_o the_o vrethra_n above_o and_o near_o to_o the_o place_n where_o the_o incision_n have_v be_v make_v when_o the_o bandage_n be_v apply_v the_o little_a eminence_n press_v the_o vrethra_n below_o the_o cod_n and_o to_o keep_v it_o firm_a it_o be_v make_v fast_o by_o the_o other_o end_n where_o there_o be_v a_o strap_n of_o leather_n of_o the_o same_o fashion_n as_o in_o the_o steel_n truss_n for_o rupture_n and_o beside_o if_o a_o man_n be_v trouble_v with_o a_o fall_n down_o of_o the_o intestine_n one_o of_o these_o truss_n may_v be_v make_v on_o purpose_n for_o he_o where_o there_o may_v be_v a_o bolster_n for_o the_o rupture_n and_o the_o little_a eminence_n for_o compress_v the_o vrethra_n and_o hinder_v the_o shed_n of_o the_o water_n though_o this_o bandage_n or_o truss_n be_v in_o effect_n only_o for_o a_o palliative_a cure_n of_o this_o distemper_n yet_o it_o may_v sometime_o serve_v for_o a_o real_a cure_n because_o hereby_o the_o part_n gather_v strength_n and_o be_v corroborate_v there_o be_v another_o kind_n of_o bandage_n still_o the_o girdle_n whereof_o be_v make_v of_o fustian_n and_o that_o part_n which_o be_v to_o pass_v upon_o the_o pubis_fw-la of_o a_o piece_n of_o wood_n of_o the_o length_n and_o bigness_n of_o the_o patient_n finger_n cover_v with_o fustian_n and_o wax_n betwixt_o which_o and_o the_o pubis_fw-la the_o yard_n be_v compress_v lie_v along_o look_v upward_o that_o posture_n hinder_v the_o spill_n of_o the_o water_n the_o same_o bandage_n have_v point_n fasten_v to_o the_o before_o part_n of_o it_o that_o they_o may_v be_v carry_v betwixt_o the_o thigh_n and_o tie_v sideways_o to_o the_o girdle_n that_o so_o the_o bandage_n may_v not_o rise_v too_o high_a involuntary_a void_a of_o the_o excrement_n be_v cause_v sometime_o by_o the_o surgeon_n fault_n if_o in_o time_n of_o lithotomy_n he_o make_v the_o incision_n too_o low_a and_o if_o he_o cut_v the_o rectum_fw-la especial_o in_o the_o lesser_a operation_n if_o he_o take_v not_o good_a heed_n most_o frequent_o the_o violent_a motion_n of_o the_o patient_n contribute_v to_o it_o but_o much_o more_o putrefaction_n abscess_n or_o other_o accident_n that_o follow_v the_o operation_n their_o kind_n sign_n and_o prognostic_n be_v take_v from_o the_o more_o or_o less_o ejection_n of_o the_o excrement_n by_o the_o remain_a fistula_n which_o be_v far_o more_o uneasy_a than_o the_o spill_n of_o the_o water_n or_o the_o fistula_n alone_o the_o cure_n of_o this_o stercoral_a excretion_n be_v impossible_a when_o it_o be_v cause_v by_o incision_n of_o the_o upper_a part_n of_o the_o sphincter_n of_o the_o rectum_fw-la or_o when_o there_o be_v great_a loss_n of_o substance_n if_o any_o pretend_v to_o take_v such_o patient_n into_o cure_n they_o be_v to_o observe_v the_o method_n of_o cure_v fistula_n in_o the_o anus_fw-la we_o need_v not_o enlarge_v to_o prove_v that_o these_o kind_n of_o distemper_n may_v have_v several_a cause_n concur_v at_o the_o same_o time_n when_o many_o of_o these_o indisposition_n happen_v together_o we_o must_v have_v our_o recourse_n to_o the_o method_n of_o cure_v complicate_v distemper_n as_o well_o for_o the_o prognostic_n part_n
the_o length_n of_o the_o bend_n of_o that_o catheter_n and_o the_o smallness_n of_o the_o bladder_n the_o operator_n continue_v to_o search_v the_o stone_n which_o not_o be_v feel_v be_v find_v with_o another_o catheter_n who_o bill_n from_o the_o begin_n of_o the_o bend_n be_v not_o so_o long_o and_o therefore_o that_o catheter_n turn_v easy_o in_o the_o bladder_n this_o observation_n instruct_v we_o what_o catheter_n be_v to_o be_v choose_v for_o void_v of_o urine_n who_o bill_n ought_v not_o to_o be_v so_o long_o as_o those_o that_o serve_v for_o make_v of_o the_o incision_n and_o which_o be_v channel_v or_o furrow_v there_o be_v some_o man_n who_o have_v very_o narrow_a vrethra's_n which_o require_v small_a catheter_n like_o those_o for_o child_n and_o of_o a_o sufficient_a length_n catheter_n that_o do_v not_o easy_o bend_v or_o bow_n be_v likewise_o to_o be_v choose_v and_o that_o depend_v on_o the_o work_n of_o the_o artist_n that_o make_v they_o when_o the_o stone_n be_v in_o the_o neck_n of_o the_o bladder_n it_o be_v not_o necessary_a that_o the_o catheter_n shall_v be_v introduce_v so_o far_o as_o the_o bottom_n of_o it_o because_o the_o stone_n may_v be_v feel_v provide_v the_o catheter_n be_v only_o introduce_v as_o far_o as_o the_o bottom_n of_o the_o vrethra_n when_o there_o be_v a_o carnosity_n which_o hinder_v the_o catheter_n to_o slide_v into_o the_o bladder_n the_o operator_n must_v put_v a_o finger_n into_o the_o rectum_fw-la and_o if_o there_o be_v a_o stone_n he_o will_v find_v a_o hard_a and_o ponderous_a body_n towards_o the_o pubis_fw-la if_o there_o be_v a_o great_a inflammation_n it_o be_v the_o opinion_n of_o fernelius_n that_o no_o search_n shall_v be_v make_v in_o that_o case_n one_o shall_v observe_v to_o search_v gentle_o and_o seldom_o because_o otherways_o it_o may_v be_v the_o cause_n of_o pain_n inflammation_n excoriation_n a_o gangrenous_a ulcer_n in_o the_o sphincter_n nay_o and_o even_o a_o supression_n of_o urine_n or_o a_o pierce_a of_o the_o vrethra_n beside_o these_o disease_n one_o can_v sometime_o search_v because_o of_o a_o phymosis_n and_o of_o a_o stone_n in_o the_o vrethra_n something_o must_v be_v say_v as_o to_o that_o as_o much_o as_o be_v necessary_a to_o be_v know_v upon_o the_o account_n of_o lithotomy_n chap._n x._o of_o a_o phymosis_n and_o of_o the_o stone_n in_o the_o urethra_n many_o child_n have_v a_o phymosis_n to_o search_v they_o we_o must_v hold_v the_o yard_n betwixt_o the_o little_a finger_n and_o the_o ring_n finger_n the_o back_n of_o the_o hand_n be_v towards_o the_o belly_n and_o with_o the_o other_o finger_n pull_v back_o the_o prepuce_fw-la as_o if_o one_o intend_v to_o skin_n the_o glans_fw-la the_o thumb_n on_o one_o side_n and_o the_o forefinger_n and_o middle-finger_n on_o the_o other_o gentle_o press_v with_o these_o three_o finger_n towards_o that_o part_n of_o the_o nut_n or_o balanus_n where_o one_o judge_n the_o end_n of_o the_o glans_fw-la to_o be_v seat_v that_o by_o that_o mean_v the_o orifice_n of_o the_o vrethra_n may_v be_v the_o more_o dilate_a then_o the_o catheter_n be_v to_o be_v entroduce_v gent_o search_v for_o the_o perforation_n of_o the_o glans_fw-la one_o may_v know_v that_o he_o be_v in_o the_o vrethra_n if_o the_o catheter_n enter_v easy_o and_o by_o feel_v with_o the_o finger_n of_o the_o other_o hand_n along_o the_o vrethra_n on_o the_o under_o side_n of_o the_o yard_n if_o the_o prepuce_fw-la be_v so_o straight_o that_o the_o catheter_n can_v be_v introduce_v or_o if_o one_o can_v hit_v upon_o the_o orifice_n of_o the_o vrethra_n there_o be_v no_o danger_n to_o dilate_v a_o little_a the_o prepuce_fw-la sideways_o with_o the_o point_n of_o a_o common_a bistori_n or_o a_o pair_n of_o sharp_a cissar_n observe_v that_o before_o the_o introduce_v of_o the_o catheter_n it_o will_v be_v fit_a to_o squeeze_v the_o yard_n with_o the_o finger_n along_o the_o vrethra_n and_o so_o to_o try_v if_o one_o do_v not_o feel_v some_o hard_a body_n which_o stop_v the_o passage_n as_o carnosity_n or_o stone_n when_o it_o be_v a_o stone_n the_o catheter_n be_v to_o be_v draw_v out_o and_o if_o before_o search_v it_o be_v know_v to_o be_v a_o stone_n and_o that_o it_o stick_v in_o the_o middle_n of_o the_o yard_n between_o the_o glans_fw-la and_o the_o testicle_n there_o be_v no_o search_v but_o have_v only_o press_v the_o yard_n with_o the_o finger_n from_o the_o pubis_fw-la to_o the_o stone_n the_o operator_n shall_v take_v a_o curette_n or_o extractor_n oil_v and_o have_v introduce_v it_o by_o little_a and_o little_a and_o pass_v it_o beyond_o the_o stone_n he_o may_v therewith_o draw_v it_o out_o of_o the_o vrethra_n the_o curette_n or_o extractor_n be_v like_o a_o ear-picker_n make_v of_o steel_n because_o it_o be_v less_o apt_a to_o bend_v than_o if_o it_o be_v make_v of_o another_o metal_n the_o operator_n must_v have_v of_o they_o of_o several_a size_n in_o bigness_n four_o or_o five_o inch_n long_o the_o figure_n of_o it_o you_o may_v see_v in_o the_o low_a end_n of_o the_o second_o plate_n of_o instrment_n the_o extremitiy_n of_o the_o vrethra_n may_v be_v dilate_v in_o the_o upper_a part_n of_o the_o glans_fw-la when_o stone_n be_v extract_v with_o the_o curette_n and_o when_o be_v bring_v as_o far_o as_o the_o orifice_n they_o can_v pass_v without_o pain_n the_o urine_n serve_v for_o a_o remedy_n and_o if_o there_o have_v be_v a_o contusion_n and_o pain_n it_o be_v enough_o to_o foment_n the_o yard_n with_o the_o oil_n of_o rose_n and_o cover_v the_o nut_n or_o balanus_n with_o a_o little_a pledget_n dip_v in_o the_o lineament_n of_o arceus_n dissolve_v with_o a_o little_a mell_v rasatum_n moderate_o express_v out_o with_o the_o nucial_a or_o cross_a bandage_n open_a in_o the_o middle_n and_o the_o band_n with_o three_o head_n to_o wrap_v it_o up_o in_o and_o it_o be_v not_o to_o be_v forget_v if_o there_o be_v need_n for_o it_o to_o put_v a_o girdle_n about_o the_o child_n to_o which_o the_o band_n may_v be_v tie_v nay_o and_o a_o collar_n hang_v about_o the_o neck_n like_o a_o chairmans_n strap_n the_o low_a part_n of_o which_o be_v to_o be_v fasten_v to_o the_o girdle_n that_o it_o may_v not_o sink_v low_o than_o one_o will_v have_v it_o that_o bandage_n serve_v for_o other_o distemper_n of_o the_o yard_n begininng_a to_o apply_v it_o upon_o the_o glans_fw-la and_o then_o bring_v it_o near_o to_o the_o belly_n with_o slight_a couling_n and_o circumvolution_n to_o keep_v the_o medicine_n fast_o to_o the_o part_n and_o near_o to_o the_o pubis_fw-la a_o indifferent_a hard_a knot_n be_v to_o be_v cast_v than_o the_o two_o head_n at_o the_o other_o extremity_n of_o the_o band_n or_o truss_n be_v to_o be_v â—ied_v to_o the_o girdle_n the_o precise_a length_n and_o breadth_n of_o all_o the_o part_n of_o that_o bandage_n can_v be_v determine_v because_o it_o depend_v upon_o the_o judgement_n of_o the_o chirurgeon_n to_o make_v they_o so_o long_o and_o so_o narrow_a as_o that_o they_o be_v not_o cumbersome_a there_o be_v still_o another_o way_n of_o extract_v the_o stone_n out_o of_o the_o yard_n when_o it_o be_v at_o a_o distance_n from_o the_o sphincter_n of_o the_o bladder_n and_o that_o be_v this_o have_v draw_v back_o the_o skin_n of_o the_o praepuce_fw-la as_o much_o as_o one_o can_v towards_o the_o nut_n of_o the_o yard_n ligature_n be_v make_v betwixt_o the_o stone_n and_o the_o pubis_fw-la or_o otherways_o one_o may_v with_o the_o finger_n compress_v the_o yard_n and_o the_o â—kin_n be_v fore_o and_o behind_o the_o place_n where_o the_o stone_n be_v observe_v to_o stick_v and_o afterward_o make_v incision_n upon_o the_o stone_n a_o little_a sideways_o in_o the_o vrethra_n that_o so_o the_o stone_n may_v be_v take_v out_o by_o mean_n of_o the_o curette_n or_o extractor_n introduce_v into_o the_o orifice_n of_o the_o incision_n the_o ligature_n be_v remove_v and_o the_o skin_n losen_v the_o incision_n stop_v and_o be_v cure_v by_o the_o balsam_n of_o the_o urine_n without_o other_o medicine_n if_o one_o be_v unwilling_a to_o make_v incision_n in_o the_o vrethra_n or_o if_o the_o stone_n can_v be_v get_v out_o with_o the_o extractor_n it_o will_v be_v fit_a to_o give_v diuretic_n medicine_n to_o force_v it_o forward_o to_o the_o glans_fw-la thereby_o to_o facilitate_v its_o extraction_n chap._n xi_o of_o the_o time_n of_o search_v and_o cut_v of_o the_o instrument_n of_o the_o patient_n diet_n and_o of_o the_o first_o preparation_n a_o patient_n may_v at_o any_o time_n be_v search_v or_o probe_v to_o make_v he_o render_v his_o water_n and_o to_o discover_v the_o disease_n if_o one_o find_v himself_o extreme_o trouble_v with_o the_o stone_n cut_v be_v not_o to_o be_v delay_v without_o danger_n
but_o since_o some_o disease_n require_v a_o speedy_a operation_n we_o shall_v not_o speak_v of_o the_o time_n which_o be_v call_v the_o time_n of_o necessity_n but_o only_o of_o that_o of_o election_n which_o be_v lay_v hold_v of_o when_o the_o distemper_n be_v in_o such_o a_o condition_n as_o to_o give_v opportunity_n to_o do_v thing_n in_o order_n and_o without_o precipitation_n the_o spring_n be_v the_o most_o temperate_a season_n of_o the_o year_n wherein_o vitriol_n the_o father_n of_o all_o production_n give_v verdure_n to_o plant_n and_o contribute_v to_o the_o vigour_n and_o strength_n which_o man_n find_v renew_v in_o themselves_o at_o that_o time_n then_o do_v man_n undertake_v what_o be_v interrupt_v by_o the_o excessive_a cold_a or_o heat_n of_o other_o season_n that_o in_o the_o atumne_n they_o may_v enjoy_v the_o fruit_n of_o their_o past_a labour_n with_o great_a reason_n then_o man_n choose_v the_o spring_n time_n for_o many_o operation_n and_o among_o other_o for_o lithotomy_n in_o this_o conutry_n we_o must_v expect_v till_o the_o impression_n of_o the_o winter_n cold_a and_o the_o frequent_a rain_n be_v over_o though_o the_o spring_n begin_v on_o the_o eleaventh_n of_o march_n nevertheless_o according_a to_o the_o temper_n of_o the_o air_n the_o operation_n of_o the_o stone_n be_v accelerate_a or_o retard_v but_o common_o it_o be_v perform_v in_o the_o month_n of_o may_n next_o to_o the_o spring_n the_o autumn_n be_v to_o be_v prefer_v before_o the_o other_o season_n though_o liquor_n and_o menstruum_n for_o dissolve_v of_o stone_n be_v in_o use_n yet_o must_v we_o of_o necessity_n speak_v of_o the_o remedy_n of_o chirurgery_n which_o be_v instrument_n of_o iron_n or_o other_o metal_n proper_a for_o lithotomy_n take_v here_o their_o figure_n and_o the_o name_n of_o their_o part_n 1._o a_o razor_n to_o shave_v off_o the_o hair_n from_o the_o privy_a part_n 2._o common_a scissors_n for_o ordinary_a incision_n 3._o a_o hollow_a sound_n or_o probe_n call_v a_o catheter_n for_o search_v of_o man_n and_o make_v they_o render_v their_o water_n and_o its_o stilet_n or_o wire_n to_o cleanse_v it_o 4._o a_o catheter_n or_o staff_n for_o make_v incision_n in_o man_n furrow_v in_o the_o back_n from_o a._n which_o be_v the_o bill_n or_o bec_fw-la to_o the_o place_n mark_v b._n without_o any_o cavity_n in_o its_o length_n page_n 56_o page_n 56_o 1_o 2_o 3_o 4_o 5_o 6_o 7_o 8_o 9_o 10_o 11_o 6._o a_o straight_a catheter_n or_o staff_n and_o hollow_a or_o furrow_v from_o the_o bill_n to_o the_o place_n mark_v c._n which_o be_v sometime_o make_v use_n of_o for_o make_v incision_n at_o the_o orifice_n of_o the_o vretha_n of_o woman_n it_o be_v requisite_a to_o have_v always_o in_o the_o catheter_n case_n a_o part_n a_o little_a piece_n of_o a_o sponge_n moderate_o moisten_v with_o salad-oyle_n because_o sometime_o it_o may_v be_v want_v when_o there_o be_v need_n of_o it_o to_o anoint_v the_o catheter_n 7._o a_o bistori_n that_o open_v like_o a_o lancet_n with_o a_o point_n and_o edge_n like_o the_o same_o only_a the_o point_n blunt_a at_o the_o head_n whereof_o there_o be_v a_o flat_a tail_n to_o keep_v it_o firm_a against_o the_o handle_n when_o it_o be_v open_v 8._o a_o languette_n or_o roller_n to_o mount_v the_o bistori_n it_o be_v slit_v at_o the_o end_n a_o finger_n broad_a and_o a_o foot_n and_o half_a long_a 9_o a_o bistori_n mount_v that_o be_v to_o say_v arm_v with_o the_o languette_n or_o roller_n 10._o conductor_n or_o probes_fw-la whereof_o a_o pair_n serve_v for_o the_o operation_n that_o which_o be_v next_o to_o the_o bistori_n mount_v be_v fork_v and_o the_o other_o have_v a_o line_n in_o the_o length_n of_o its_o cavity_n for_o guide_v and_o conduct_v the_o former_a nevertheless_o that_o alone_o which_o be_v remote_a from_o the_o bistori_n may_v be_v use_v for_o conduct_v the_o forceps_n or_o tenette_n 11._o another_o kind_n of_o conductor_n compose_v of_o the_o two_o above_o describe_v it_o turn_v with_o a_o elbow_n about_o the_o middle_n and_o have_v a_o spring_n betwixt_o the_o branch_n near_o the_o ring_n it_o be_v invent_v by_o joseph_n covellart_n 1._o another_o kind_n of_o conductor_n call_v in_o french_a a_o gorgeret_n more_o commodious_a and_o more_o in_o use_n it_o be_v hollow_a taper_n and_o grow_v narrow_a at_o the_o end_n where_o there_o be_v a_o bill_n that_o be_v introduce_v into_o the_o furrow_n of_o the_o catheter_n whilst_o it_o be_v hold_v by_o the_o other_o end_n shape_v like_o a_o t._n there_o be_v some_o who_o do_v not_o approve_v of_o this_o conductor_n say_v that_o it_o dilate_v the_o part_n too_o much_o and_o that_o it_o occasion_n fistula_n but_o without_o ground_n for_o it_o be_v narrow_a than_o the_o forceps_n which_o be_v draw_v out_o with_o the_o stone_n and_o possess_v more_o room_n and_o the_o fistula_n be_v only_o occasion_v by_o the_o consequence_n of_o the_o operation_n as_o shall_v be_v explain_v in_o its_o proper_a place_n 2._o sreight_o and_o crooked_a forcipes_fw-la or_o tenette_n a._n their_o tooth_n b._n their_o branch_n c._n their_o ring_n 3._o a_o dilatatory_n for_o men._n it_o be_v name_v a_o compound_v or_o great_a dilatatory_n d._n the_o bill_n or_o bec_fw-la of_o the_o dilatatory_n e._n the_o handle_n 4._o a_o simple_a dilatatory_n for_o woman_n the_o extremity_n of_o it_o be_v blunt_a and_o very_o small_a the_o branch_n be_v join_v in_o such_o a_o manner_n that_o close_v the_o one_o end_n the_o other_z opens_z it_o represent_v the_o letter_n x._o 5._o another_o dilatatory_n that_o may_v serve_v for_o woman_n and_o little_a boy_n it_o have_v a_o spring_n near_o the_o handle_n and_o can_v dilate_v but_o moderate_o it_o may_v be_v use_v when_o one_o fear_n that_o some_o fibre_n have_v be_v leave_v in_o time_n of_o the_o incision_n 6._o a_o hook_n or_o crotchet_n to_o pull_v out_o the_o stone_n that_o be_v in_o the_o passage_n either_o in_o the_o lesser_a operation_n or_o otherways_o some_o cause_n they_o to_o be_v make_v with_o little_a tooth_n in_o the_o cavity_n of_o its_o bend_n but_o there_o be_v no_o necessity_n for_o it_o 7._o a_o button_n a_o scoop_v about_o ten_o inch_n long_o and_o as_o big_a as_o a_o quill_n f._n the_o part_n proper_o call_v the_o button_n g._n the_o body_n of_o the_o button_n h._n the_o other_o end_n which_o be_v hollow_a call_v the_o curette_n or_o scoop_v of_o the_o button_n i._o a_o slight_a line_n to_o conduct_v the_o forceps_fw-la 8._o a_o hollow_a tent_n pipe_n or_o canula_n have_v ring_n at_o one_o end_n call_v the_o head_n the_o other_o end_n be_v call_v the_o point_n where_o there_o be_v two_o hole_n call_v the_o eye_n of_o the_o tent._n 9_o a_o languette_n or_o fillet_n for_o mount_v the_o hollow_a tent_n introduce_v it_o into_o the_o slit_v and_o put_v the_o two_o end_n of_o the_o fillet_n through_o the_o ring_n of_o the_o tent_n than_o it_o be_v call_v a_o tent_n mount_v that_o fillet_n or_o languette_n be_v to_o be_v two_o foot_n long_o and_o a_o finger_n broad_a page_n 62_o 1_o 2_o 3_o 4_o 5_o 6_o 7_o 8_o 9_o 10_o 11_o 12_o 13_o 11._o a_o extractor_n or_o curette_n for_o extract_a stone_n out_o of_o the_o yard_n 1._o a_o chair_n use_v in_o the_o hospital_n of_o the_o charity_n at_o paris_n on_o which_o the_o patient_n be_v set_v for_o the_o more_o commodious_a perform_n of_o the_o operation_n there_o be_v behind_o two_o bar_n or_o rod_n of_o iron_n in_o form_n of_o butteress_n they_o be_v hook_v that_o so_o they_o may_v enter_v into_o the_o ring_n of_o the_o chair_n and_o sharp_a at_o the_o end_n to_o stick_v firm_a in_o the_o floor_n because_o the_o patient_n struggle_v and_o use_v violence_n in_o the_o time_n of_o the_o operation_n the_o chair_n shall_v be_v place_v a_o little_a oblique_o for_o the_o light_n to_o come_v upon_o the_o right_a hand_n of_o the_o chirurgeon_n that_o he_o may_v see_v the_o better_a when_o he_o be_v about_o his_o operation_n instead_o of_o that_o chair_n the_o patient_n may_v be_v seat_v upon_o the_o side_n of_o a_o bed_n or_o on_o a_o table_n with_o a_o mattress_n or_o quilt_n whereof_o one_o part_n cover_v the_o back_n of_o a_o common_a chair_n reverse_v about_o half_a a_o foot_n distant_a from_o the_o edge_n of_o a_o table_n in_o a_o sloap_a manner_n that_o chair_n be_v to_o be_v make_v fast_o with_o many_o strong_a cord_n if_o there_o be_v no_o matteress_n or_o quilt_n it_o will_v be_v sufficient_a to_o lay_v a_o pillow_n or_o any_o other_o thing_n to_o make_v the_o place_n soft_a and_o a_o fold_a sheet_n over_o it_o 2._o a_o sheet_n fold_a length-way_n with_o many_o fold_n to_o cover_v the_o chair_n that_o have_v be_v describe_v or_o the_o matteress_n in_o the_o time_n of_o operation_n