in_o their_o circulation_n meet_v with_o many_o obstruction_n stagnize_v in_o those_o passage_n of_o the_o tendon_n and_o then_o by_o the_o humour_n follow_v they_o be_v force_v up_o to_o that_o membrane_n which_o invest_v the_o tendon_n where_o have_v form_v a_o cavity_n for_o themselves_o they_o be_v collect_v and_o the_o more_o viscous_a particle_n be_v in_o some_o sort_n concrete_v the_o more_o thin_a particle_n in_o the_o mean_a while_n pass_v out_o hence_o the_o tumour_n of_o which_o i_o here_o treat_v and_o be_v by_o many_o distinguish_v by_o the_o name_n of_o a_o ganglion_n derive_v its_o original_n ay_o with_o my_o thumb_n strong_o compress_v this_o tumour_n and_o see_v it_o by_o this_o mean_n sudden_o to_o vanish_v viz._n when_o the_o humour_n constitute_v the_o tumour_n be_v again_o thrust_v out_o on_o every_o side_n through_o those_o small_a passage_n of_o the_o tendon_n but_o because_o the_o obstruction_n can_v not_o be_v so_o remove_v i_o fear_v their_o return_n therefore_o for_o attenuate_v the_o viscous_a humour_n and_o remove_v the_o remain_a obstruction_n i_o apply_v a_o plaster_n of_o frog_n with_o mercury_n and_o upon_o that_o a_o sufficient_o strait_a ligature_n which_o prevent_v the_o viscous_a humour_n from_o gather_v again_o as_o before_o in_o the_o aforesaid_a cavity_n but_o when_o this_o tumour_n have_v continue_v for_o some_o year_n than_o it_o can_v not_o be_v remove_v by_o pressure_n of_o the_o thumb_n but_o i_o be_v constrain_v to_o use_v a_o wooden_a ferula_fw-la not_o differ_v from_o that_o which_o schoolmaster_n use_v in_o chastize_v boy_n only_o that_o in_o the_o midst_n thereof_o a_o certain_a portion_n of_o lead_n lie_v infuse_v and_o with_o one_o only_a stroke_n of_o such_o a_o ferula_fw-la the_o patient_n face_n be_v turn_v backward_o from_o his_o affect_a hand_n i_o see_v the_o ganglion_n whole_o to_o vanish_v which_o have_v full_a three_o year_n vex_v the_o patient_n who_o cure_n be_v then_o complete_v in_o a_o short_a time_n after_o by_o the_o aforesaid_a plaster_n and_o a_o strict_a ligature_n observat._n ix_o of_o a_o movable_a round_a tumour_n of_o the_o lower-lip_n a_o young_a man_n twenty_o three_o year_n of_o age_n show_v to_o i_o a_o round_a tumour_n in_o his_o lower-lip_n movable_a and_o somewhat_o painful_a which_o in_o the_o mean_a while_n be_v not_o a_o little_a troublesome_a by_o reason_n of_o its_o bulk_n that_o equalise_v one_o of_o those_o ball_n with_o which_o child_n be_v wont_a to_o play_v but_o its_o colour_n differ_v not_o from_o the_o colour_n of_o the_o lip_n this_o patient_n three_o month_n before_o have_v with_o his_o tooth_n bite_v his_o low_a lip_n and_o from_o that_o time_n he_o perceive_v this_o tumour_n now_o there_o be_v scarce_o any_o man_n skilled_a in_o chyrurgy_n that_o know_v not_o how_o many_o very_a small_a glandule_n be_v insert_v not_o only_o in_o all_o the_o other_o part_n of_o the_o mouth_n but_o also_o in_o the_o low_a lip_n one_o of_o which_o be_v undoubted_o so_o hurt_v that_o the_o humour_n pass_v but_o from_o the_o small_a artery_n their_o passage_n be_v shut_v up_o settle_v in_o the_o glandule_n and_o by_o that_o mean_v the_o small_a glandule_n increase_v to_o such_o a_o large_a tumour_n as_o be_v here_o in_o this_o observation_n by_o i_o describe_v although_o this_o tumour_n often_o occur_v in_o the_o practice_n of_o our_o art_n yet_o i_o know_v no_o man_n that_o have_v explain_v the_o cause_n thereof_o and_o and_o but_o one_o only_o that_o have_v by_o example_n describe_v the_o cure_n of_o the_o same_o viz._n job_n van_fw-mi meeckeren_fw-mi chirurgeon_n of_o amsterdam_n who_o if_o my_o memory_n fail_v i_o not_o to_o this_o affect_n give_v a_o name_n which_o in_o the_o dutch_a idiom_n be_v even_o steen_fw-mi knoop_o but_o why_o do_v you_o wonder_v that_o so_o very_o small_a a_o glandule_n shall_v be_v extend_v to_o so_o great_a a_o magnitude_n consider_v i_o pray_v how_o much_o the_o magnitude_n of_o one_o and_o the_o same_o womb_n differ_v in_o a_o virgin_n and_o in_o a_o woman_n with_o child_n peruse_v the_o disputation_n which_o the_o most_o famous_a john_n munnicks_n ultrajectine_a professor_n publish_v november_n 20_o in_o the_o year_n 1678._o in_o which_o he_o declare_v that_o the_o womb_n of_o a_o certain_a maid_n be_v so_o large_o extend_v that_o it_o do_v contain_v 112_o pound_n of_o water_n why_o do_v you_o yet_o doubt_n i_o shall_v here_o offer_v yet_o one_o experiment_n which_o come_v more_o near_a to_o our_o purpose_n i_o myself_o when_o i_o be_v at_o any_o time_n above_o measure_n hurt_v by_o cold_a have_v often_o find_v the_o glandule_n about_o the_o neck_n which_o in_o a_o state_n of_o health_n i_o can_v find_v by_o the_o touch_n to_o increase_v to_o so_o great_a a_o bulk_n that_o they_o have_v exceed_v the_o largeness_n of_o a_o pidgeons-egg_n but_o now_o at_o last_o to_o hasten_v to_o the_o cure_n i_o say_v medicament_n can_v neither_o be_v commodious_o apply_v nor_o retain_v in_o such_o a_o place_n therefore_o i_o take_v away_o the_o whole_a tumour_n at_o one_o time_n by_o section_n with_o a_o knife_n and_o heal_v the_o remain_a wound_n with_o honey_n of_o rose_n only_o observat._n x._o of_o a_o affect_n of_o the_o month_n by_o we_o vulgar_o call_v de_fw-fr water-kank_a i_o not_o long_o since_o see_v a_o manchild_n two_o year_n old_a who_o have_v for_o three_o whole_a month_n be_v afflict_v with_o a_o quartane_a fever_n and_o between_o his_o upper-lip_n and_o gum_n i_o find_v a_o ulcer_n which_o take_v begin_v four_o day_n before_o sufficient_o tend_v upward_o hollow_a hard_a painful_a blackish_a and_o ill-smelling_a the_o blood_n of_o this_o sick_a child_n by_o his_o acid_n and_o sower_a meat_n and_o drink_n as_o also_o by_o his_o long_a continue_a quartane_a be_v become_v much_o more_o acid_a than_o be_v fit_a and_o be_v such_o do_v not_o so_o much_o settle_v any_o where_o as_o between_o the_o upper-lip_n and_o the_o gum_n because_o the_o blood_n and_o humour_n be_v there_o easy_o coagulate_v by_o the_o cold_a air_n admit_v by_o inspiration_n also_o by_o the_o relic_n of_o meat_n stick_v between_o the_o tooth_n and_o by_o their_o delay_n there_o contract_a sharpness_n the_o blood_n and_o humour_n stagnize_v do_v in_o time_n become_v very_o corrosive_a and_o so_o not_o only_a much_o vellicate_v the_o fibril_n of_o the_o lip_n and_o gum_n but_o also_o break_v in_o sunder_o many_o of_o they_o and_o by_o this_o mean_v a_o deep_a hard_a hollow_a and_o painful_a ulcer_n take_v beginning_n but_o that_o we_o may_v the_o better_o find_v out_o the_o reason_n of_o the_o soon-after-induced_n blackness_n i_o think_v good_a first_o to_o declare_v that_o i_o not_o long_o since_o do_v by_o the_o help_n of_o my_o microscope_n look_v upon_o a_o small_a piece_n of_o white_a linen_n and_o all_o the_o fibril_n with_o which_o the_o thread_n be_v twist_v appear_v transparent_a as_o ice_n but_o every_o thread_n make_v of_o those_o pellucid_a fibril_n be_v to_o the_o sight_n white_a no_o otherwise_o than_o as_o water_n appear_v pellucid_a but_o the_o froth_n which_o consist_v of_o many_o superficies_n of_o the_o water_n so_o superposit_v one_o above_o another_o that_o much_o air_n be_v contain_v within_o they_o present_v itself_o white_a to_o the_o fight_n but_o when_o i_o have_v burn_v this_o linen_n not_o only_o all_o the_o thread_n but_o also_o all_o the_o fibril_n of_o they_o present_v to_o my_o sight_n strengthen_v by_o the_o microscope_n a_o black_a colour_n viz._n because_o the_o pore_n in_o the_o linen_n be_v much_o distort_v by_o the_o force_n of_o fire_n and_o many_o particle_n fly_v away_o from_o the_o burn_a linen_n in_o the_o form_n of_o smoke_n insomuch_o that_o the_o solar-ray_n suffocate_v in_o those_o pore_n can_v not_o be_v reflect_v to_o my_o eye_n now_o what_o fire_v effect_v in_o the_o linen_n the_o same_o do_v the_o acido-corrosive_n particle_n effect_v in_o the_o ulcer_n when_o they_o break_v in_o sunder_o the_o fibril_n and_o otherwise_o figure_v and_o change_v the_o pore_n of_o they_o yea_o they_o compel_v many_o particle_n to_o evaporate_v from_o the_o ulcer_n in_o the_o form_n of_o vapour_n as_o be_v manifest_a by_o the_o stink_n but_o that_o i_o may_v remove_v from_o many_o their_o cause_n of_o wonder_n that_o i_o shall_v write_v that_o acidity_n concur_v to_o the_o induce_n of_o blackness_n i_o will_v have_v they_o to_o examine_v how_o good_a ink_n may_v be_v make_v with_o a_o decoction_n of_o gall_n in_o vinegar_n in_o which_o file_n of_o steel_n have_v be_v first_o infuse_v or_o at_o least_o let_v they_o cut_v a_o pomecitron_n with_o a_o knife_n and_o they_o will_v soon_o see_v the_o knife_n to_o wax_v very_o black_a now_o the_o evil_a odour_n of_o the_o ulcer_n only_o remain_v to_o be_v explain_v wherefore_o that_o the_o aforesaid_a comparison_n
trouble_n whereas_o the_o spirit_n of_o nitre_n do_v not_o a_o little_a corrode_v the_o tongue_n because_o it_o be_v now_o at_o liberty_n and_o separate_v from_o the_o other_o particle_n of_o the_o nitre_n with_o which_o it_o be_v before_o mix_v after_o the_o same_o manner_n vitriolate_v tartar_n bite_v the_o tongue_n little_a whereas_o spirit_n of_o vitriol_n by_o distillation_n thence_o again_o separate_v recover_v its_o pristine_a corrosive_a force_n which_o it_o have_v before_o these_o acido-corrosive_n particle_n free_v from_o their_o cell_n in_o which_o they_o before_o lie_v include_v and_o collect_v in_o a_o very_a small_a part_n of_o the_o abdomen_fw-la do_v with_o their_o sharpness_n in_o a_o wonderful_a manner_n continual_o agitate_v the_o fibril_n and_o so_o infer_v that_o almost_o intolerable_a torment_n which_o must_v necessary_o cease_v when_o these_o corrosive_a particle_n be_v drive_v out_o with_o the_o pus_fw-la through_o the_o issue_n observat._n vii_o of_o a_o bleed_a teat_n a_o honest_a man_n wife_n give_v suck_n whilst_o she_o be_v cleanse_v her_o infant_n from_o his_o excrement_n be_v not_o a_o little_a offend_v with_o their_o blackness_n the_o infant_n in_o the_o mean_a while_o be_v somewhat_o ill_o i_o be_v consult_v about_o this_o case_n first_o ask_v of_o the_o infant_n mother_n whether_o she_o feel_v any_o pain_n in_o her_o nipple_n she_o answer_v she_o do_v i_o therefore_o bid_v she_o in_o my_o presence_n somewhat_o to_o compress_v her_o nipple_n and_o then_o i_o see_v blood_n issue_v out_o thence_o because_o one_o or_o other_o of_o the_o small_a vessel_n be_v hurt_v which_o assume_v by_o the_o infant_n and_o carry_v through_o the_o belly_n wax_v black_a by_o reason_n of_o the_o acid_a ferment_n in_o the_o infant_n stomach_n mix_v therewith_o the_o mother_n by_o my_o order_n sprinkle_v gum_n arabic_n cut_v into_o thin_a slice_n dry_v and_o pulverise_v upon_o her_o finger_n first_o moisten_v with_o her_o proper_a spital_n and_o with_o that_o finger_n touch_v her_o nipple_n by_o this_o mean_v she_o be_v the_o next_o day_n whole_o free_v from_o this_o evil_a and_o remain_v well_o the_o most_o famous_a silvius_n in_o the_o three_o book_n of_o his_o medicinal_a praxis_fw-la chap._n 10._o under_o the_o title_n 28_o and_o follow_v instance_v this_o blood_n sometime_o issue_v from_o the_o nipple_n of_o woman_n give_v suck_n as_o a_o uncontrollable_a argument_n to_o demonstrate_v that_o milk_n be_v not_o generate_v of_o the_o chyle_n but_o of_o the_o blood_n yet_o in_o this_o he_o be_v deceive_v because_o that_o blood_n issue_v out_o from_o the_o sanguiferous_a vessel_n hurt_v or_o otherwise_o open_v by_o the_o child_n suck_v chap_n be_v often_o see_v in_o the_o nipple_n of_o suckling_n woman_n which_o affect_v they_o with_o very_o great_a torment_n and_o be_v difficult_o heal_v because_o they_o can_v have_v little_a or_o no_o rest_n by_o reason_n of_o the_o infant_n continual_a suck_n but_o i_o have_v frequent_o heal_v these_o chap_n in_o a_o short_a time_n by_o every_o day_n often_o gentle_o touch_v the_o nipple_n with_o a_o feather_n moisten_v with_o oil_n of_o myrrh_n the_o description_n of_o which_o may_v be_v see_v in_o the_o amsterdam_n pharmacopoea_n prudent_a old_a woman_n be_v wont_a to_o advise_v young_a man_n affect_v matrimony_n first_o with_o their_o hand_n gentle_o to_o touch_v the_o breast_n of_o the_o maid_n they_o love_v that_o so_o they_o may_v be_v assure_v that_o they_o either_o have_v or_o have_v not_o nipple_n but_o though_o virgin_n may_v often_o seem_v to_o be_v without_o nipple_n yet_o experience_n teach_v that_o the_o nipple_n before_o hide_v when_o they_o become_v mother_n may_v easy_o by_o the_o help_n of_o a_o fit_a instrument_n be_v draw_v forth_o and_o commodious_o enough_o perform_v their_o office_n therefore_o there_o be_v no_o need_n of_o nurse_n to_o which_o many_o mother_n be_v much_o averse_a because_o they_o firm_o persuade_v themselves_o that_o the_o infant_n by_o the_o milk_n they_o assume_v must_v needs_o imbibe_n the_o evil_a and_o bad_a quality_n of_o their_o nurse_n in_o this_o case_n i_o can_v determine_v nothing_o certain_a yet_o this_o i_o know_v viz._n that_o infant_n daily_o nourish_v with_o cows-milk_n do_v not_o thence_o acquire_v to_o themselves_o brutish_a and_o cow-like_a manner_n observat._n viii_o of_o a_o exceed_a great_a dolour_n of_o the_o ear._n a_o virgin_n age_v twenty_o four_o year_n have_v now_o for_o 15_o week_n very_o much_o complain_v of_o a_o almost_o intolerable_a pain_n of_o her_o ear_n which_o sometime_o will_v whole_a night_n hinder_v her_o sleep_n the_o ear_n in_o the_o mean_a while_n daily_o pour_v out_o abundance_n of_o well_o digest_v pus_fw-la many_o medicament_n be_v adhibit_v in_o vain_a i_o be_v call_v give_v heed_n to_o all_o and_o indeed_o the_o least_o circumstance_n as_o circumspect_o as_o i_o can_v and_o at_o length_n with_o my_o finger_n feel_v a_o certain_a undulation_n of_o pus_fw-la deep_o site_v behind_o the_o affect_a ear._n this_o abscess_n be_v not_o observe_v by_o other_o though_o it_o be_v the_o cause_n of_o the_o whole_a evil._n well_o weigh_v and_o consider_v the_o matter_n i_o soon_o understand_v that_o this_o abscess_n behind_o the_o ear_n will_v never_o spontaneous_o viz._n without_o external_a artifice_n be_v open_v not_o only_o by_o reason_n of_o its_o depth_n but_o also_o because_o the_o pus_fw-la there_o contain_v have_v already_o seek_v a_o exit_fw-la for_o itself_o by_o the_o ear_n although_o that_o passage_n be_v full_a of_o crooked_a turn_n and_o not_o sufficient_a wherefore_o i_o quick_o apply_v a_o sufficient_o sharp_a corrosive_n by_o which_o the_o eschar_n be_v separate_v a_o abundance_n of_o well-digested_a pus_fw-la issue_v out_o by_o the_o hole_n make_v by_o art_n and_o after_o that_o time_n the_o dolour_n of_o the_o ear_n and_o the_o outflowing_a of_o pus_fw-la from_o the_o cavity_n of_o the_o same_o whole_o cease_v the_o hole_n make_v by_o the_o corrosive_n all_o the_o pus_fw-la be_v by_o it_o evacuate_v in_o the_o space_n of_o two_o week_n whole_o close_v up_o and_o the_o sick_a maid_n be_v perfect_o restore_v to_o her_o pristine_a state_n of_o health_n i_o judge_v this_o aperture_n behind_o the_o ear_n be_v to_o be_v make_v without_o delay_n lest_o otherwise_o the_o pus_fw-la shall_v have_v touch_v the_o subject_v bone_n and_o in_o time_n have_v infect_v the_o same_o with_o rottenness_n although_o good_a pus_fw-la abide_v for_o some_o time_n upon_o a_o bone_n do_v not_o always_o necessary_o infect_v the_o same_o with_o rottenness_n as_o i_o shall_v easy_o demonstrate_v by_o the_o follow_a example_n a_o man_n about_o the_o thirty_o six_o year_n of_o his_o age_n travel_v in_o very_o stormy_a wether_n in_o the_o wintertime_n soon_o after_o feel_v a_o great_a pain_n in_o his_o right_a ear_n out_o of_o which_o every_o day_n after_o some_o pus_fw-la issue_v out_o and_o then_o follow_v no_o small_a abatement_n of_o that_o dolour_n afterward_o the_o pus_fw-la flow_v out_o no_o more_o the_o sick_a man_n again_o complain_v of_o very_o great_a torture_n which_o in_o the_o night_n often_o produce_v a_o dilirium_fw-la have_v continue_v now_o for_o several_a month_n and_o yield_v to_o no_o external_a or_o internal_a remedy_n be_v call_v i_o find_v a_o tumour_n behind_o the_o ear_n extend_v far_o and_o wide_a in_o which_o i_o firm_o persuade_v myself_o pus_fw-la be_v contain_v although_o by_o reason_n of_o the_o deepness_n of_o the_o place_n in_o which_o the_o pus_fw-la lie_v hide_v no_o undulation_n can_v be_v perceive_v by_o the_o touch_n therefore_o i_o apply_v a_o corrosive_n by_o which_o a_o very_a gross_a eschar_n be_v separate_v a_o incredible_a quantity_n of_o pus_fw-la issue_v out_o this_o pus_fw-la lie_v upon_o the_o petrose_n bone_n which_o be_v whole_o bare_a as_o i_o can_v easy_o observe_v by_o my_o probe_n yet_o in_o the_o mean_a while_n without_o any_o separation_n of_o fragment_n of_o the_o bone_n the_o patient_n in_o the_o space_n of_o six_o week_n be_v perfect_o heal_v and_o remain_v well_o afterward_o no_o other_o medicament_n be_v use_v than_o a_o fit_a injection_n a_o good_a digestive_a and_o at_o length_n the_o bone_n be_v again_o cover_v my_o tincture_n of_o antimony_n which_o i_o daily_o find_v wonderful_o profitable_a in_o many_o case_n external_o use_v the_o drum_n of_o the_o ear_n be_v erode_v by_o a_o ulcer_n the_o hear_v be_v record_v to_o have_v remain_v by_o vopiscus_n fortunatus_n plempius_n in_o his_o fundamental_o of_o medicine_n page_n 148._o moreover_o i_o remember_v i_o have_v at_o rotterdam_n with_o jacob_n lodensteyn_n chief_a chirurgeon_n of_o the_o navy_n a_o most_o dexterous_a man_n see_v all_o the_o small_a bone_n pertinent_a to_o hear_v which_o after_o a_o ulcer_n come_v out_o of_o the_o ear_n of_o a_o certain_a boy_n but_o that_o boy_n never_o hear_v of_o the_o same_o ear_n afterward_o i_o
the_o dilate_a artery_n for_o by_o this_o mean_v i_o have_v certain_o know_v some_o to_o have_v augment_v the_o number_n of_o the_o dead_a moreover_o ligature_n must_v not_o be_v tie_v too_o close_o for_o by_o this_o mean_v i_o remember_v a_o mortal_a sphacelus_n have_v unexpected_o be_v introduce_v but_o if_o the_o patient_n from_o the_o wound_n of_o a_o artery_n lose_v so_o much_o blood_n as_o he_o suffer_v great_a swound_n and_o death_n seem_v to_o stand_v at_o the_o door_n what_o be_v then_o to_o be_v do_v can_v the_o transfusion_n of_o blood_n so_o much_o praise_v in_o this_o case_n profit_n especial_o see_v it_o be_v declare_v by_o credible_a man_n that_o a_o dog_n from_o who_o in_o one_o day_n so_o much_o blood_n be_v take_v that_o he_o can_v scarce_o move_v by_o calves-bloud_n receive_v the_o next_o day_n in_o a_o moment_n of_o time_n show_v recovery_n of_o strength_n and_o incredible_a vigour_n i_o answer_v i_o can_v remember_v this_o operation_n to_o have_v be_v at_o any_o 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