spirit_n by_o any_o mishap_n the_o machine_n must_v needs_o fall_v sense_n cause_o of_o loss_n of_o the_o sense_n the_o sense_n be_v lose_v by_o reason_n the_o course_n of_o the_o spirit_n be_v interrupt_v in_o the_o brain_n and_o can_v repair_v to_o the_o organ_n of_o the_o sense_n now_o since_o the_o function_n of_o the_o sense_n depend_v on_o the_o course_n of_o the_o spirit_n in_o the_o nerve_n it_o be_v no_o wonder_n if_o the_o exterior_a object_n make_v no_o more_o impression_n upon_o our_o sense_n and_o we_o be_v no_o more_o in_o a_o condition_n to_o distinguish_v they_o the_o phaenomena_n be_v a_o consequent_a of_o the_o precedent_n ear_n cause_o of_o bleed_v of_o the_o nose_n mouth_n and_o ear_n the_o blood_n flow_v out_o of_o the_o nose_n mouth_n and_o ear_n to_o explain_v which_o symptom_n you_o must_v consider_v that_o these_o part_n be_v rude_o shake_v in_o the_o time_n of_o the_o assault_n that_o the_o blood_n and_o spirit_n be_v stop_v in_o the_o brain_n and_o that_o the_o great_a cord_n of_o the_o nerve_n which_o at_o their_o passage_n out_o of_o the_o skull_n pass_v between_o the_o branch_n of_o the_o carotidal_a and_o vertebral_a artery_n imprint_v there_o such_o a_o violent_a motion_n at_o the_o time_n of_o the_o concussion_n that_o they_o oblige_v the_o arterial_a blood_n to_o turn_v short_a and_o flow_v into_o the_o external_a carotides_n so_o that_o these_o receive_n almost_o all_o the_o blood_n which_o mount_v to_o the_o head_n as_o well_o from_o the_o inflammation_n as_o from_o the_o shake_n of_o the_o nerve_n must_v needs_o break_v some_o capillary_a vessel_n excrement_n the_o cause_n of_o involuntary_a shed_n of_o urine_n and_o excrement_n the_o excrement_n and_o urine_n come_v forth_o against_o one_o will_n because_o the_o spirit_n repair_v no_o more_o in_o such_o case_n to_o the_o sphincter_n of_o the_o anus_fw-la and_o bladder_n than_o to_o other_o part_n which_o cause_v they_o to_o lose_v their_o spring_n and_o permit_v the_o issue_n of_o those_o excrement_n the_o motion_n of_o the_o heart_n be_v weak_a and_o languish_a only_o for_o want_v of_o these_o same_o spirit_n vomit_v cause_o of_o vomit_v one_o vomit_v at_o the_o very_a instant_n or_o some_o time_n after_o if_o one_o vomit_v present_o it_o be_v a_o sign_n that_o the_o commotion_n have_v not_o be_v one_o of_o the_o great_a and_o the_o course_n of_o the_o spirit_n not_o long_o interrupt_v since_o the_o impulse_n of_o the_o blood_n have_v break_v the_o sluice_n of_o they_o and_o force_v they_o to_o retake_v their_o course_n and_o launch_v with_o so_o much_o quickness_n into_o the_o ventricle_n that_o they_o excite_v this_o first_o vomit_v in_o which_o one_o render_v nothing_o but_o aliment_n but_o if_o the_o spirit_n be_v long_o retard_v it_o be_v a_o sign_n that_o the_o shake_n have_v be_v very_o rude_a and_o that_o the_o figure_n of_o the_o brain_n be_v vitiate_a since_o we_o see_v that_o when_o they_o be_v at_o full_a liberty_n they_o run_v with_o precipitation_n into_o the_o tunicle_n of_o the_o ventricle_n and_o intestine_n which_o by_o their_o irregular_a and_o vermicular_a motion_n oblige_v the_o bile_n which_o run_v into_o their_o cavity_n to_o force_v the_o pylorus_n and_o pass_v into_o the_o stomach_n from_o whence_o it_o be_v drive_v by_o the_o powerful_a contraction_n of_o its_o carnous_a fibre_n you_o must_v observe_v that_o in_o this_o last_o vomit_v where_o one_o render_v bile_n it_o be_v much_o more_o violent_a than_o the_o first_o and_o that_o the_o disease_a lose_v their_o strength_n vigour_n and_o ordinary_a motion_n these_o be_v the_o accident_n which_o immediate_o follow_v concussion_n of_o the_o brian_n now_o it_o be_v very_o important_a to_o examine_v well_o those_o that_o happen_v when_o the_o brain_n be_v hurt_v and_o when_o any_o blood_n or_o pus_fw-la be_v extravasated_a in_o its_o substance_n sometime_o it_o be_v a_o effect_n of_o the_o concussion_n that_o have_v break_v some_o vessel_n and_o sometime_o a_o effect_n of_o the_o blow_n which_o have_v prick_v or_o cut_v the_o dura_fw-la mater_fw-la or_o which_o have_v penetrate_v or_o carry_v off_o some_o portion_n of_o the_o brain_n or_o final_o it_o be_v some_o pus_fw-la between_o the_o dura_fw-la and_o pia_fw-la mater_fw-la which_o be_v shed_v upon_o the_o brian_n in_o all_o these_o cause_n the_o fever_n come_v with_o double_a fit_n and_o shivering_n accompany_v with_o vomit_v convulsion_n delirium_fw-la lethargy_n and_o apoplexy_n and_o beside_o this_o crowd_n of_o symptom_n the_o liver_n and_o lung_n often_o impostumate_v which_o be_v know_v by_o a_o fix_a pain_n on_o the_o breast_n or_o in_o the_o region_n of_o the_o liver_n and_o by_o reiterated_a shivering_n fever_n cause_o of_o the_o redouble_a of_o the_o fever_n as_o for_o the_o fever_n with_o its_o intermitting_n which_o come_v upon_o it_o it_o be_v not_o hard_a to_o give_v reason_n for_o this_o extraordinary_a fermentation_n as_o soon_o as_o we_o be_v a_o little_a attentive_a upon_o the_o change_n of_o corruption_n which_o happen_v to_o the_o matter_n that_o be_v diffuse_v upon_o the_o substance_n of_o the_o brain_n it_o be_v not_o to_o be_v doubt_v but_o that_o it_o grow_v impure_a and_o more_o or_o less_o sour_a according_a to_o the_o time_n it_o lie_v there_o that_o the_o vein_n be_v from_o time_n to_o time_n charge_v with_o it_o and_o that_o a_o part_n pass_v into_o the_o heart_n lung_n and_o all_o the_o other_o organ_n which_o by_o their_o continual_a motion_n form_n and_o grind_v they_o as_o it_o be_v into_o a_o thousand_o little_a part_n which_o lively_o hasten_v the_o impetuous_a course_n of_o the_o blood_n and_o which_o cause_n the_o trouble_n and_o perturbation_n of_o the_o spirit_n which_o march_v in_o disorder_n which_o precipitate_v the_o motion_n of_o the_o heart_n and_o increase_v the_o fever_n and_o when_o ever_o that_o strange_a matter_n which_o be_v offensive_a to_o the_o brian_n have_v get_v some_o degree_n of_o corruption_n and_o make_v itself_o fit_a to_o circulate_v with_o the_o venal_a blood_n this_o matter_n i_o say_v receive_v the_o same_o alteration_n and_o trituration_n which_o we_o have_v suppose_v set_v the_o blood_n more_o sensible_o in_o motion_n and_o put_v it_o in_o a_o much_o great_a effervescency_n on_o which_o depend_v the_o strength_n of_o the_o return_n of_o the_o fever_n after_o this_o manner_n as_o often_o as_o the_o blood_n be_v charge_v with_o it_o the_o returns_z which_o be_v a_o sit_v be_v periodical_a be_v renew_v from_o all_o the_o reason_n which_o i_o have_v allege_v it_o be_v easy_a to_o understand_v that_o there_o be_v few_o part_n or_o corner_n of_o the_o body_n where_o this_o purulent_a matter_n be_v not_o throw_v it_o prick_v the_o nerve_n irritate_v the_o membrane_n transmits_n its_o action_n on_o the_o ventricle_n nest_n its_o self_n sometime_o in_o one_o muscle_n sometime_o in_o another_o and_o cause_n shivering_n vomiting_n and_o the_o vicissitude_n of_o irregular_a and_o convulsive_a motion_n which_o show_v that_o the_o mass_n of_o blood_n be_v mighty_o suppress_v the_o course_n of_o the_o spirit_n much_o agitate_a so_o that_o delirium_fw-la and_o lethargy_n must_v follow_v delirium_fw-la cause_o of_o delirium_fw-la the_o delirium_fw-la be_v a_o effect_n of_o the_o great_a inequality_n of_o the_o course_n of_o the_o blood_n in_o the_o redoubling_n of_o the_o fever_n and_o of_o the_o diffuse_a matter_n which_o begin_v to_o penetrate_v and_o corrupt_v the_o substance_n of_o the_o brain_n the_o inequality_n of_o the_o course_n of_o the_o blood_n in_o the_o time_n of_o the_o redoubling_n rule_v the_o irregularity_n of_o the_o course_n of_o the_o spirit_n in_o the_o part_n and_o the_o extravasated_a matter_n gnaw_v by_o its_o acrimony_n the_o vessel_n and_o nervous_a fibre_n of_o the_o white_a part_n so_o put_v to_o the_o rout_n the_o spirit_n into_o the_o muscle_n organ_n of_o the_o sense_n and_o in_o the_o passage_n of_o the_o brain_n where_o the_o idea_n be_v weaken_v with_o irregularity_n and_o confusion_n lethargy_n cause_o of_o the_o lethargy_n the_o lethargy_n follow_v when_o ever_o there_o be_v much_o blood_n spill_v upon_o the_o brain_n be_v in_o its_o last_o degree_n of_o motion_n and_o exaltation_n the_o weight_n of_o the_o extravasated_a blood_n press_v the_o brain_n and_o the_o quick_a motion_n of_o the_o blood_n cause_v the_o courser_n particle_n to_o separate_v from_o the_o fine_a one_o that_o they_o stick_v to_o the_o pore_n of_o the_o gland_n and_o stop_v the_o passage_n of_o the_o spirit_n so_o that_o the_o brain_n find_v itself_o oppress_v with_o the_o weight_n of_o the_o matter_n the_o patient_n fall_v into_o a_o profound_a drowsiness_n but_o in_o the_o time_n that_o this_o extravasated_a matter_n dissipate_v its_o self_n the_o courser_n particle_n which_o be_v so_o many_o sluice_n be_v put_v out_o of_o order_n by_o the_o impulsion_n of_o new_a blood_n the_o
hydropic_n what_o i_o have_v say_v explain_v it_o sufficient_o beside_o we_o well_o enough_o conceive_v that_o the_o serous_a blood_n be_v deprive_v of_o spirit_n that_o it_o move_v more_o slow_o in_o the_o extremity_n than_o any_o where_o else_o and_o consequent_o the_o heat_n must_v rather_o be_v lessen_v in_o these_o part_n than_o in_o other_o as_o i_o have_v make_v you_o observe_v when_o i_o speak_v of_o the_o dropsy_n beside_o the_o ferosity_n filter_n in_o so_o great_a a_o quantity_n between_o the_o fibre_n and_o the_o part_n that_o it_o may_v by_o its_o weight_n press_v the_o vessel_n and_o so_o cause_v a_o gangrene_n second_o great_a cold_a cause_v often_o gangrene_n and_o mortification_n in_o the_o extremity_n especial_o the_o foot_n hand_n ear_n and_o nose_n particular_o in_o person_n oblige_v to_o march_v in_o the_o snow_n during_o excessive_a rigour_n of_o winter_n as_o those_o which_o travel_v in_o the_o northern_a region_n gangrene_n how_o cold_a cause_n a_o gangrene_n to_o explain_v this_o phenomena_n you_o must_v only_o remember_v what_o i_o have_v say_v in_o the_o comparison_n of_o wine_n where_o we_o have_v see_v that_o the_o spirit_n of_o wine_n be_v concentre_v by_o the_o cold_a and_o that_o the_o exterior_a part_n find_v themselves_o deprive_v of_o spirit_n freeze_n this_o happen_v to_o a_o bottle_n of_o wine_n expose_v to_o a_o very_a cold_a air_n you_o may_v observe_v in_o break_v the_o bottle_n that_o the_o spirit_n have_v retire_v to_o the_o centre_n and_o preserve_v their_o fluidity_n while_o all_o the_o rest_n be_v congeal_v i_o say_v that_o the_o same_o thing_n happen_v in_o the_o blood_n by_o the_o rigour_n of_o cold_a and_o while_o the_o spirit_n retire_v to_o the_o centre_n of_o the_o animal_n the_o exterior_a part_n remain_v gangrenate_v be_v only_o irrigate_v with_o a_o dead_a and_o insipid_a phlegm_n which_o congeal_v in_o the_o very_a substance_n of_o the_o part_n it_o be_v easy_a to_o comprehend_v that_o at_o the_o same_o time_n the_o part_n feel_v the_o pinch_n of_o the_o cold_a they_o retire_v be_v compress_v by_o the_o action_n of_o the_o air_n which_o first_o cause_v those_o quick_a and_o penetrate_a pain_n and_o hinder_v the_o blood_n from_o continue_v its_o motion_n in_o those_o part_n therefore_o lie_v there_o still_o it_o insensible_o stop_v every_o passage_n and_o cause_v a_o entire_a mortification_n hinc_fw-la interdum_fw-la say_v ettmuller_n ex_fw-la frigore_fw-la extrinsecus_fw-la irruente_fw-la part_n gangrenosae_fw-la fiunt_fw-la so_o much_o for_o what_o regard_v all_o kind_n of_o gangrene_n that_o depend_v on_o the_o dissipation_n and_o concentration_n of_o the_o spirit_n gangrene_n tumour_n fracture_n luxation_n etc._n etc._n may_v cause_v a_o gangrene_n now_o i_o come_v to_o those_o that_o depend_v on_o the_o interruption_n of_o the_o course_n of_o the_o blood_n and_o its_o motion_n first_o tumor_n fracture_n and_o luxation_n may_v cause_v a_o gangrene_n in_o a_o part_n by_o compress_v too_o hard_a the_o vessel_n that_o convey_v the_o blood_n there_o i_o confess_v that_o this_o kind_n of_o gangrene_n be_v rare_a because_o the_o vessel_n communicate_v themselves_o in_o so_o many_o place_n and_o there_o come_v so_o great_a quantity_n of_o different_a branch_n from_o they_o that_o it_o be_v difficult_a that_o all_o the_o supply_n of_o blood_n shall_v be_v hinder_v in_o a_o member_n nevertheless_o fabritius_n hildanus_n assure_v we_o observation_n observation_n that_o he_o have_v see_v a_o man_n who_o be_v attack_v with_o a_o gangrene_n in_o both_o leg_n and_o his_o foot_n be_v always_o cold_a and_o benumb_v so_o he_o die_v without_o a_o fever_n &_o without_o any_o other_o symptom_n his_o body_n be_v open_v there_o be_v find_v a_o schirrou_n tumour_n in_o the_o region_n of_o his_o reins_o over_o the_o division_n of_o his_o iliac_n branch_n this_o tumour_n press_v first_o slight_o the_o vessel_n and_o cause_v the_o cold_a and_o benumb_a of_o the_o leg_n but_o as_o it_o grow_v it_o press_v the_o artery_n and_o vein_n so_o hard_o that_o the_o blood_n can_v no_o more_o descend_v into_o the_o inferior_a part_n to_o vivifie_v they_o concern_v fracture_n of_o dislocation_n it_o may_v happen_v that_o the_o head_n of_o a_o bone_n or_o some_o piece_n may_v compress_v the_o vessel_n so_o hard_o as_o to_o hinder_v the_o passage_n of_o the_o blood_n for_o the_o same_o reason_n bandage_n bandage_n too_o tight_a bandage_n etc._n etc._n use_v in_o fracture_n and_o luxation_n strong_a and_o close_a ligature_n of_o the_o vessel_n may_v cause_v a_o gangrene_n especial_o if_o one_o make_v it_o on_o the_o great_a trunk_n unless_o the_o branch_n which_o communicate_v together_o in_o several_a place_n furnish_v the_o blood_n that_o be_v necessary_a for_o the_o vivification_n of_o the_o part_n ettmuller_n say_v nimis_fw-la firmae_fw-la ligaturae_fw-la externae_fw-la interdum_fw-la hoc_fw-la malum_fw-la inducunt_fw-la in_fw-la quod_fw-la fit_a interdum_fw-la si_fw-la in_o ossium_fw-la fracturis_fw-la locus_fw-la fractus_fw-la orcte_fw-la nimis_fw-la ligetur_fw-la in_o all_o these_o case_n it_o be_v very_o easy_a to_o see_v that_o the_o mortification_n depend_v simple_o on_o the_o interruption_n of_o the_o course_n of_o the_o blood_n without_o the_o concurrence_n of_o any_o other_o cause_n but_o you_o will_v see_v in_o what_o follow_v how_o the_o ill_a disposition_n of_o the_o humour_n may_v augment_v and_o even_o produce_v this_o kind_n of_o gangrene_n etc._n a_o gangrene_n may_v happen_v by_o long_o lie_v on_o the_o buttock_n etc._n etc._n second_o a_o gangrene_n happen_v often_o upon_o the_o buttock_n of_o those_o who_o have_v have_v long_a sickness_n and_o that_o be_v oblige_v to_o lie_v long_o on_o their_o back_n first_o the_o cutis_fw-la begin_v to_o rise_n afterward_o there_o happen_v inflammation_n in_o the_o flesh_n which_o end_v in_o rotteness_n and_o gangrene_n the_o first_o be_v cause_v by_o the_o sole_a compression_n of_o the_o vessel_n in_o the_o part_n but_o if_o at_o the_o same_o time_n the_o patient_a involuntary_a shed_v his_o water_n and_o excrement_n the_o gangrene_n come_v soon_o because_o they_o gall_v and_o heat_v the_o part_n by_o their_o acrimony_n and_o so_o increase_v the_o inflammation_n and_o consequent_o the_o inflammation_n and_o gangrene_n gangrene_n great_a inflammation_n contusion_n etc._n etc._n may_v cause_v a_o gangrene_n in_o the_o three_o place_n nothing_o more_o common_a in_o the_o practice_n of_o chirurgery_n than_o to_o see_v gangrene_n follow_v great_a inflammation_n contusion_n and_o even_a aneurism_n when_o ever_o the_o tunicle_n of_o the_o artery_n be_v break_v and_o the_o blood_n extravasated_a between_o the_o muscle_n i_o say_v that_o in_o all_o these_o occasion_n if_o the_o blood_n be_v extravasated_a in_o great_a abundance_n it_o must_v needs_o lie_v heavy_a on_o the_o part_n and_o press_v at_o the_o same_o time_n the_o blood_n vessel_n so_o that_o it_o entire_o stop_v the_o passage_n to_o the_o new_a blood_n which_o come_v to_o irrigate_n and_o vivifie_v the_o part_n behold_v this_o be_v the_o period_n of_o inflammation_n proper_a to_o produce_v a_o gangrene_n and_o as_o there_o must_v be_v great_a abundance_n of_o blood_n to_o compress_v hard_o the_o vessel_n so_o it_o happen_v only_o upon_o great_a inflammation_n if_o i_o say_v that_o in_o great_a inflammation_n the_o extravasated_a blood_n compress_v the_o vessel_n it_o be_v not_o a_o simple_a imagination_n only_o but_o a_o constant_a truth_n since_o the_o pulse_n cease_v to_o verberate_v at_o the_o same_o time_n the_o part_n begin_v to_o gangrenate_n and_o it_o be_v red_a colour_n grow_v pale_a livid_n and_o black_a which_o clear_o demonstrate_v that_o the_o sanguiferous_a vessel_n be_v compress_v and_o the_o access_n of_o new_a blood_n hinder_v gangrene_n repercussive_a astringent_a medicine_n improper_o apply_v may_v cause_v a_o gangrene_n in_o the_o four_o place_n a_o gangrene_n may_v happen_v upon_o the_o least_o inflammation_n even_o on_o érispielas_n when_o ever_o too_o strong_a repercussive_a astringent_a or_o emplastic_a medicine_n be_v inconsiderate_o apply_v to_o conceive_v this_o well_o you_o must_v observe_v that_o the_o extravasated_a liquor_n transpire_v very_o much_o and_o that_o this_o transpiration_n do_v extreme_o discharge_v the_o disease_a part_n of_o the_o quantity_n of_o humour_n which_o it_o contain_v so_o while_o the_o pore_n be_v open_a in_o phlegmon_n and_o erisipelase_n and_o the_o most_o active_a and_o agitate_a particle_n of_o the_o bile_n and_o blood_n evaporate_v the_o part_n always_o discharge_v itself_o of_o some_o of_o its_o burden_n so_o not_o much_o fear_n of_o gangrene_n this_o be_v the_o reason_n why_o in_o the_o southern_a part_n of_o america_n there_o never_o be_v see_v a_o gangrene_n come_v upon_o wound_n or_o inflammation_n because_o the_o great_a heat_n of_o the_o country_n open_v the_o pore_n of_o the_o body_n but_o when_o the_o pore_n be_v close_v by_o astringent_a repercussive_a or_o emplastic_a medicine_n and_o the_o transpiration_n
utter_o impede_v in_o the_o part_n the_o tumour_n increase_v the_o part_n retain_v all_o those_o particle_n which_o will_v have_v escape_v through_o the_o pore_n the_o extravasated_a humour_n be_v in_o a_o great_a quantity_n proportionable_a to_o the_o part_n which_o contain_v it_o compress_n the_o flesh_n and_o vessel_n and_o of_o necessity_n cause_v a_o mortification_n behold_v the_o true_a cause_n of_o gangrene_n which_o come_v upon_o inflammation_n contusion_n aneurism_n and_o erisipelas_n all_o these_o cause_n have_v be_v very_o well_o observe_v by_o ettmuller_n when_o he_o say_v hinc_fw-la est_fw-la quod_fw-la vix_fw-la saepius_fw-la oriuntur_fw-la gangrene_n &_o sphaceli_fw-la quam_fw-la ex_fw-la inflammationibus_fw-la male_a curatis_fw-la imprimis_fw-la si_fw-la partis_fw-la inflamatae_n per_fw-la emplastica_fw-la imprudenter_fw-la admota_fw-la impediatur_fw-la insensilis_fw-la transpiratio_fw-la tunc_fw-la sanguis_fw-la extravasatus_fw-la stagnat_fw-la corrumpitur_fw-la ex_fw-la toto_fw-la putrescit_fw-la &_o partis_fw-la inflammate_v gangrenam_fw-la post_fw-la se_fw-la trahit_fw-la in_o primis_fw-la erisipelata_fw-la per_fw-la ungt_fw-fr oleosa_fw-mi ac_fw-la muilaginosa_fw-la insulsae_fw-la tractata_fw-la subito_fw-la serpentem_fw-la inducunt_fw-la gangrenam_fw-la but_o these_o cause_n have_v produce_v their_o effect_n there_o be_v that_o augment_v it_o and_o which_o give_v even_o occasion_n that_o it_o be_v communicate_v to_o the_o nigh_o part_n it_o be_v the_o corruption_n of_o the_o blood_n and_o extravasated_a humour_n in_o a_o simple_a inflammation_n when_o the_o blood_n be_v extravasated_a and_o can_v be_v discuss_v it_o change_v into_o pus_fw-la this_o change_n be_v not_o only_o cause_v by_o the_o action_n of_o the_o principle_n of_o the_o extravasated_a blood_n but_o also_o by_o the_o soft_a influence_n of_o the_o blood_n and_o spirit_n which_o be_v contain_v in_o the_o neighbour_a part_n this_o make_v that_o the_o pus_fw-la be_v not_o altogether_o a_o strange_a substance_n and_o enemy_n to_o nature_n but_o as_o i_o have_v show_v that_o the_o access_n of_o the_o blood_n be_v entire_o press_v towards_o the_o gangrened_a part_n and_o the_o circulation_n very_o often_o intercept_v it_o so_o happen_v that_o the_o extravasated_a blood_n be_v so_o far_o from_o be_v convert_v into_o pus_fw-la that_o it_o degenerate_v into_o a_o virulent_a sanies_fw-la which_o first_o cause_v blister_n upon_o the_o part_n and_o then_o by_o its_o acrimony_n gnaw_v the_o gangren_a part_n and_o insensible_o corrupt_v those_o that_o be_v sound_a which_o make_v the_o gangrene_n become_v so_o angry_a that_o it_o attack_n even_o the_o part_n that_o suffer_v no_o inflammation_n of_o the_o rest_n the_o gangrene_n which_o follow_v upon_o inflammation_n attack_v rather_o the_o soft_a and_o fungous_a part_n than_o other_o other_o why_o the_o soft_a part_n gangrenate_n soon_o than_o other_o as_o the_o gum_n lip_n vulva_fw-la and_o membrum_fw-la virile_a intestine_a and_o brain_n the_o reason_n be_v these_o part_n be_v very_o soft_a and_o spungy_a imbibe_n a_o a_o great_a quantity_n of_o humour_n beside_o the_o most_o of_o they_o have_v no_o muscle_n that_o may_v squeeze_v the_o blood_n which_o make_v it_o easy_o lie_v cake_v there_o gangrene_n ulcer_n wound_n scorbutic_a spot_n and_o sharp_a medicine_n may_v cause_v a_o gangrene_n five_o gangrene_n come_v upon_o ulcer_n wound_n scorbutic_a spot_n and_o upon_o the_o application_n of_o sharp_a and_o corrosive_a medicine_n which_o happen_v two_o way_n 1._o when_o pain_n which_o accompany_v all_o these_o symptom_n cause_n often_o great_a inflammation_n on_o which_o follow_v gangrene_n 2._o from_o the_o actual_a cautery_n from_o pus_fw-la and_o sanies_fw-la come_v from_o gnaw_a ulcer_n from_o scorbutic_a spot_n and_o from_o sharp_a and_o corrosive_a medicine_n which_o cauterise_v the_o cutis_fw-la and_o vessel_n so_o the_o blood_n be_v no_o more_o send_v into_o the_o part_n they_o lose_v their_o motion_n and_o life_n gangrene_n malignity_n may_v cause_v gangrene_n final_o all_o author_n do_v admit_v a_o malign_a and_o occult_a cause_n of_o a_o gangrene_n from_o thence_o they_o say_v come_v the_o gangrene_n in_o the_o plague_n as_o carbuncle_n which_o sometime_o in_o 24_o hour_n time_n cause_v a_o entire_a mortification_n of_o a_o part_n to_o the_o same_o cause_n they_o attribute_v the_o gangrene_n which_o happen_v on_o malignant_a fever_n and_o sometime_o after_o the_o small_a pox_n by_o a_o depositum_fw-la or_o crisis_n of_o the_o matter_n which_o the_o disease_n make_v in_o some_o part_n last_o it_o be_v this_o way_n which_o they_o pretend_v to_o explicate_v the_o action_n of_o poison_n and_o bite_v of_o venomous_a animal_n which_o they_o say_v will_v cause_v a_o gangrene_n but_o without_o have_v recourse_n to_o the_o malign_v and_o occult_a quality_n of_o the_o plague_n be_v we_o to_o wonder_v at_o carbuncle_n cause_v a_o mortification_n in_o any_o part_n mortify_v why_o a_o carbuncle_n mortify_v since_o the_o humour_n which_o produce_v they_o be_v in_o the_o high_a degree_n of_o sharpness_n and_o corrosion_n it_o gnaw_v the_o flesh_n and_o cauterise_n the_o vessel_n so_o it_o be_v evident_a the_o part_n must_v mortify_v the_o same_o thing_n may_v be_v say_v of_o the_o matter_n of_o malign_v fever_n and_o of_o the_o small_a pox_n where_o the_o blood_n be_v load_v with_o sharp_a and_o malign_a particle_n if_o so_o be_v that_o this_o acrimony_n can_v be_v overcome_v by_o nature_n or_o by_o medicine_n there_o be_v a_o depositum_fw-la make_v of_o it_o in_o some_o part_n where_o the_o sharp_a and_o corrosive_a humour_n do_v not_o fail_v to_o gnaw_v the_o flesh_n cauterise_v the_o vessel_n and_o even_o to_o rot_v the_o very_a bone_n as_o we_o have_v see_v in_o many_o example_n i_o say_v the_o same_o thing_n of_o poison_n that_o do_v not_o work_v but_o by_o their_o acrimony_n of_o which_o some_o be_v acid_a and_o other_o abound_v with_o lixivial_a salt_n but_o always_o they_o produce_v the_o same_o effect_n as_o we_o daily_o see_v it_o happen_v by_o the_o application_n of_o acid_n and_o potential_a cautery_n after_o the_o explication_n of_o the_o cause_n we_o must_v pass_v to_o the_o sign_n and_o difference_n of_o a_o gangrene_n as_o for_o the_o difference_n its_o easy_a to_o draw_v they_o from_o their_o cause_n i_o pass_v to_o the_o sign_n which_o be_v of_o more_o importance_n etc._n sign_n of_o a_o gangrene_n from_o want_n of_o spirit_n etc._n etc._n the_o sign_n of_o a_o gangrene_n which_o attack_z old_a people_n and_o which_o come_v from_o the_o want_n of_o spirit_n be_v know_v by_o that_o they_o feel_v neither_o pain_n nor_o have_v inflammation_n the_o part_n fade_v away_o and_o be_v as_o it_o be_v deprive_v of_o sense_n and_o motion_n which_o make_v they_o die_v insensible_o dropsy_n sign_n for_o the_o dropsy_n in_o a_o gangrene_n which_o succeed_v the_o dropsy_n there_o be_v but_o a_o slight_a pain_n in_o the_o beginning_n but_o afterward_o the_o leg_n inflame_v and_o the_o pain_n augment_v cold._n sign_n from_o cold._n if_o it_o be_v cause_v from_o external_n cold_a the_o pain_n be_v present_o sharp_a the_o part_n grow_v red_a livid_n and_o then_o black_a at_o last_o the_o spirit_n forsake_v it_o and_o mortification_n seize_v accompany_v with_o a_o shiver_a like_o that_o in_o a_o ague_n etc._n sign_n from_o compression_n tumor_n luxation_n etc._n etc._n if_o the_o gangrene_n be_v the_o consequence_n of_o some_o compression_n as_o of_o too_o narrow_a ligature_n tumor_n luxation_n fracture_n or_o of_o too_o long_o lie_v on_o the_o back_n it_o be_v know_v by_o the_o benumb_a or_o by_o a_o total_a privation_n of_o feeling_n and_o motion_n according_a as_o the_o compression_n be_v more_o or_o less_o strong_a etc._n sign_n from_o inflammation_n etc._n etc._n if_o it_o be_v cause_v by_o inflammation_n the_o pain_n and_o pulsation_n cease_v the_o part_n which_o be_v red_a grow_v pale_a and_o livid_n there_o be_v some_o little_a blister_n form_v upon_o the_o surface_n of_o the_o skin_n fill_v with_o salt_n water_n like_o muddy_a wine_n the_o heat_n be_v extinguish_v the_o part_n grow_v soft_a and_o wither_v so_o that_o be_v press_v with_o the_o finger_n the_o dent_n remain_v final_o if_o the_o mortification_n be_v perfect_a the_o patient_n fall_v into_o great_a weakness_n accompany_v with_o a_o burn_a malignant_a fever_n with_o vomit_v and_o several_a other_o symptom_n which_o show_n that_o the_o mass_n of_o blood_n be_v very_o much_o oppress_v and_o death_n must_v needs_o follow_v upon_o it_o etc._n sign_n from_o repercussive_n etc._n etc._n the_o gangrene_n which_o be_v produce_v by_o the_o use_n of_o repercussive_n and_o emplastic_a remedy_n be_v accompany_v with_o the_o same_o accident_n medicine_n sign_n from_o caustic_n medicine_n the_o sign_n of_o that_o which_o come_v from_o the_o use_n of_o actual_a cautery_n and_o caustick_a remedy_n be_v almost_o always_o the_o same_o as_o in_o that_o which_o proceed_v from_o too_o strong_a compression_n malignity_n sign_n from_o malignity_n as_o for_o the_o gangrene_n which_o come_v from_o
any_o malignity_n as_o from_o the_o bite_v of_o a_o venomous_a animal_n beside_o the_o sign_n of_o mortification_n which_o appear_v upon_o the_o part_n several_z other_o manifest_v themselves_o as_o carbuncle_n fever_n vomit_v syncope_n and_o frenzy_n sphacel_n sign_n of_o a_o sphacel_n the_o sign_n of_o the_o sphacel_n do_v not_o differ_v from_o those_o of_o the_o gangrene_n but_o secundum_fw-la majus_n and_o minus_n a_o sphacelated_a part_n be_v heavy_a black_a stink_a and_o wither_v feeling_n be_v quite_o lose_v and_o the_o skin_n be_v easy_o separate_v from_o the_o subjacent_a flesh_n final_o from_o be_v soft_a as_o it_o be_v before_o when_o it_o be_v gangrenate_v it_o dri_v up_o when_o it_o be_v entire_o mortify_v you_o must_v observe_v that_o if_o the_o motion_n sometime_o remain_v in_o a_o sphacelated_a part_n as_o in_o the_o foot_n etc._n etc._n it_o proceed_v from_o that_o the_o belly_n of_o the_o muscle_n which_o be_v not_o interest_v make_v their_o contraction_n the_o tendon_n in_o the_o mortify_a part_n be_v oblige_v to_o follow_v their_o motion_n i_o pass_v to_o the_o explication_n of_o the_o chief_a accident_n blister_n cause_o of_o the_o blister_n the_o blister_n that_o come_v upon_o the_o skin_n proceed_v from_o the_o blood_n lie_v cake_v and_o curdle_v in_o its_o part_n there_o separate_v from_o it_o a_o sharp_a and_o corrosive_a serosity_n which_o insinuate_v itself_o under_o the_o skin_n separate_v the_o cuticle_n and_o raise_v it_o almost_o like_a as_o in_o scald_v blackness_n cause_o of_o the_o blackness_n the_o pulsation_n cease_v in_o the_o part_n and_o its_o colour_n grow_v pale_a and_o livid_n i_o have_v show_v that_o the_o pulsation_n cease_v by_o the_o compression_n of_o the_o vessel_n it_o be_v probable_a that_o the_o red_a colour_n disappear_v for_o want_v of_o new_a blood_n and_o that_o which_o lie_v cake_v rot_n in_o the_o part_n give_v a_o violent_a or_o black_a colour_n according_a to_o the_o degree_n of_o corruption_n and_o mortification_n pain_n cause_o of_o the_o pain_n the_o pain_n proceed_v from_o the_o irritation_n and_o great_a impression_n which_o the_o sharp_a and_o malign_a serosity_n make_v upon_o the_o membrane_n and_o on_o the_o nervous_a fibre_n which_o be_v disperse_v in_o the_o part_n the_o pain_n cease_v because_o the_o extravasated_a matter_n lie_v heavy_a upon_o the_o nerve_n as_o well_o as_o upon_o the_o sanguiferous_a vessel_n and_o stop_v entire_o the_o passage_n of_o the_o spirit_n we_o also_o observe_v that_o the_o pain_n give_v soon_o over_o after_o the_o pulsation_n some_o modern_a author_n pretend_v it_o to_o be_v enough_o that_o the_o motion_n of_o the_o blood_n be_v hinder_v in_o a_o part_n to_o abolish_v the_o sensation_n and_o motion_n without_o the_o nerve_n be_v compress_v to_o prove_v it_o they_o tie_v the_o descend_a aorta_n and_o they_o observe_v the_o inferior_a part_n deprive_v of_o sense_n and_o motion_n but_o they_o do_v not_o consider_v that_o these_o part_n be_v no_o more_o irrigate_v nor_o stretch_v by_o the_o arterial_a blood_n they_o must_v needs_o sink_v and_o dry_v up_o and_o the_o nerve_n who_o substance_n be_v very_o soft_a must_v be_v press_v from_o whence_o i_o conclude_v that_o in_o all_o kind_n of_o gangrene_n where_o the_o feel_n be_v entire_o lose_v the_o nerve_n do_v always_o suffer_v some_o compression_n softness_n cause_o of_o the_o softness_n the_o softness_n of_o the_o part_n proceed_v from_o the_o abundance_n of_o serosity_n that_o water_n the_o fibre_n but_o also_o be_v no_o more_o vivify_v by_o the_o blood_n and_o spirit_n the_o relax_v and_o loose_v entire_o their_o spring_n or_o elaftic_a virtue_n gangrene_n cause_o of_o the_o progress_n of_o a_o gangrene_n the_o progress_n of_o the_o gangrene_n come_v sometime_o from_o the_o blood_n which_o cease_v to_o vivifie_v the_o part_n as_o in_o old_a people_n but_o for_o the_o most_o part_n it_o come_v from_o the_o action_n of_o the_o acid_a juice_n which_o gnaw_v and_o successive_o destroy_v the_o neighbour_a part_n it_o be_v doubtless_o this_o malignant_a matter_n which_o cause_v the_o fever_n syncope_n and_o the_o other_o accident_n which_o be_v ordinary_o before_o death_n thus_o have_v speak_v of_o the_o cause_n sign_n and_o accident_n of_o the_o gangrene_n i_o come_v to_o its_o prognostic_n and_o cure_n a_o gangrene_n which_o attack_n old_a people_n and_o hydropic's_n prognostic_n prognostic_n for_o want_v of_o natural_a heat_n be_v always_o mortal_a in_o this_o kind_n of_o gangrene_n where_o the_o spirit_n have_v forsake_v their_o subject_n we_o must_v not_o undertake_v the_o operation_n because_o the_o patient_n will_v infallible_o succumb_v under_o the_o violence_n of_o the_o pain_n that_o which_o possess_v the_o soft_a and_o tender_a part_n especial_o the_o internal_a be_v veâ—â—_n dangerous_a and_o degenerate_v very_o often_o into_o a_o sphacel_n it_o be_v also_o soon_o cure_v in_o young_a than_o old_a in_o strong_a body_n than_o in_o cachochymic_a gold_n cure_v of_o a_o gangrene_n from_o gold_n the_o gangrene_n which_o be_v cause_v by_o cold_a and_o which_o ordinary_o possess_v the_o extremity_n may_v be_v cure_v provide_v the_o part_n be_v not_o entire_o mortify_v you_o bring_v the_o patient_n near_o a_o moderate_a fire_n chafe_v the_o part_n or_o steep_v it_o in_o lukewarm_a water_n and_o when_o the_o great_a cold_a diminish_v and_o the_o spirit_n begin_v to_o spread_v themselves_o upon_o the_o surface_n you_o apply_v fomentation_n &_o similia_fw-la that_o which_o follow_v great_a inflammation_n tumor_n fracture_n luxation_n contusion_n aneurism_n erisipelas_n ulcer_n scald_v scorbutic_a spot_n venomous_a bite_v after_o application_n of_o too_o emplastic_a medicine_n caustic_n and_o actual_a cautery_n and_o general_o upon_o all_o strong_a compression_n may_v be_v cure_v in_o the_o beginning_n which_o make_v we_o consider_v these_o kind_n of_o gangrene_n in_o two_o different_a state_n as_o that_o of_o their_o birth_n and_o that_o of_o their_o perfection_n in_o the_o first_o good_a remedy_n capable_a of_o smother_a and_o stop_v this_o disease_n as_o deep_a scarification_n which_o disengage_v not_o only_o the_o part_n but_o also_o give_v occasion_n for_o the_o medicine_n to_o penetrate_v and_o produce_v a_o more_o sensible_a effect_n if_o in_o spite_n of_o all_o this_o care_n the_o gangrene_n shall_v increase_v and_o encroach_v on_o the_o neighbour_a part_n lay_z aside_o the_o use_n of_o medicine_n and_o proceed_v to_o amputation_n of_o the_o member_n that_o the_o mortification_n may_v not_o be_v communicate_v to_o the_o whole_a body_n chap._n xxxvi_o of_o amputation_n you_o must_v observe_v first_o of_o all_o that_o though_o a_o part_n be_v mortify_v and_o amputation_n the_o only_a help_n to_o save_v a_o man_n life_n yet_o you_o must_v not_o always_o declare_v for_o the_o operation_n for_o example_n attempt_v when_o the_o operation_n be_v not_o to_o be_v attempt_v when_o the_o mortification_n possess_v the_o superior_a part_n of_o the_o arm_n or_o thigh_n it_o will_v be_v a_o profane_v it_o to_o undertake_v it_o be_v too_o near_a part_n so_o necessary_a for_o life_n without_o cause_v the_o ruin_n of_o the_o whole_a subject_n if_o it_o only_o possess_v the_o extremity_n and_o a_o acute_a fever_n syncope_n and_o vomit_v which_o be_v mortal_a symptom_n 〈◊〉_d accompany_v it_o and_o the_o natural_a disposition_n of_o the_o humour_n be_v entire_o pervert_v and_o deprave_v the_o operation_n will_v prove_v very_o dangerous_a and_o hazardous_a every_o one_o know_v that_o this_o operation_n be_v practise_v in_o great_a shattering_n of_o the_o bone_n in_o old_a ulcer_n and_o fistula_n of_o the_o joint_n but_o it_o be_v first_o necessary_a to_o examine_v the_o nature_n of_o the_o wound_n for_o example_n if_o the_o bone_n be_v quite_o break_v to_o piece_n if_o the_o splint_n be_v engage_v and_o as_o it_o be_v force_v down_o into_o the_o flesh_n or_o among_o the_o tendon_n if_o they_o prick_v some_o nerve_n or_o sanguiferous_a vessel_n so_o that_o they_o can_v be_v restore_v to_o their_o natural_a position_n it_o will_v be_v necessary_a to_o try_v the_o operation_n but_o if_o the_o accident_n be_v not_o too_o great_a and_o the_o piece_n can_v be_v bring_v level_a again_o with_o the_o bone_n be_v no_o way_n alter_v nor_o have_v cause_v any_o inflammation_n or_o pain_n one_o may_v hope_v for_o its_o cure_n by_o medicine_n unless_o some_o joint_n be_v concern_v in_o a_o word_n i_o say_v that_o all_o compound_v wound_n be_v of_o difficult_a cure_n how_o inconsiderable_a soever_o the_o complication_n be_v especial_o there_o be_v any_o indisposition_n in_o the_o subject_n in_o this_o occasion_n the_o pain_n and_o inflammation_n the_o two_o accident_n most_o to_o be_v fear_v particular_o when_o they_o continue_v and_o produce_v some_o more_o troublesome_a and_o when_o the_o accident_n be_v press_v it_o be_v dangerous_a to_o delay_v and_o very_o often_o the_o operation_n itself_o be_v not_o able_a to_o
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 carry_v in_o disorder_n sometime_o to_o one_o part_n sometime_o to_o another_o the_o heart_n be_v deprive_v of_o the_o influx_n of_o the_o spirit_n which_o be_v the_o true_a instrument_n of_o its_o ordinary_a motion_n and_o be_v no_o more_o capable_a of_o contraction_n the_o course_n of_o the_o blood_n must_v be_v suspend_v for_o some_o moment_n from_o whence_o come_v syncopes_fw-la vomit_v and_o of_o vomit_v but_o as_o soon_o as_o they_o retake_v their_o course_n they_o double_v their_o action_n and_o be_v launch_v with_o so_o great_a precipitation_n into_o the_o fleshy_a fibres_fw-fr of_o the_o stomach_n through_o the_o familiar_a commerce_n and_o mutual_a consent_n between_o the_o cardiac_n nerve_n and_o those_o of_o the_o stomach_n that_o they_o oblige_v it_o to_o discharge_v itself_o of_o all_o that_o be_v in_o it_o which_o be_v call_v vomit_v diarrhaea_n and_o diarrhaea_n the_o ventricle_n with_o its_o powerful_a and_o repeat_v contraction_n pass_v so_o hard_a the_o bladder_n 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 by_o reason_n of_o the_o slowness_n of_o circulation_n in_o these_o sinew_n so_o that_o the_o nerve_n which_o come_v from_o the_o base_a of_o the_o skull_n to_o be_v distribute_v to_o the_o organ_n of_o the_o sense_n be_v a_o little_a compress_v by_o the_o weight_n of_o the_o blood_n which_o cause_v heaviness_n of_o the_o head_n and_o that_o the_o sense_n do_v receive_v the_o impression_n of_o their_o object_n with_o the_o same_o facility_n as_o before_o through_o the_o obstacle_n that_o the_o spirit_n find_v in_o their_o passage_n accident_n how_o to_o prevent_v those_o ill_a accident_n to_o prevent_v all_o these_o accident_n you_o have_v nothing_o to_o do_v but_o to_o cut_v the_o rest_n of_o the_o tendon_n if_o the_o major_a part_n be_v divide_v but_o if_o the_o loss_n of_o the_o fibre_n be_v not_o so_o considerable_a and_o the_o symptom_n not_o so_o press_v you_o must_v do_v nothing_o rash_o if_o you_o perform_v the_o operation_n you_o must_v stitch_n the_o tendon_n rather_o than_o 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
to_o attack_v be_v in_o a_o very_a little_a time_n drown_v we_o observe_v that_o the_o muscle_n of_o all_o hypocondriac_n be_v deprive_v of_o a_o part_n of_o the_o spirit_n which_o be_v necessary_a to_o they_o for_o their_o natural_a motion_n for_o if_o we_o consider_v that_o the_o sulphur_n which_o we_o have_v suppose_v to_o be_v destroy_v be_v what_o the_o animal_n spirit_n be_v contribute_v only_o to_o the_o generation_n of_o the_o animal_n spirit_n that_o the_o little_a cut_a particle_n which_o this_o sulphur_n wrap_v up_o be_v the_o matter_n of_o they_o and_o the_o residue_n the_o vehicle_n and_o true_a oil_n with_o which_o the_o brain_n be_v imbue_v we_o shall_v agree_v that_o the_o gland_n of_o the_o brain_n furnish_v very_o few_o spirit_n in_o these_o disease_a person_n who_o body_n be_v deprive_v of_o fat_a and_o that_o consequent_o their_o muscle_n must_v lose_v of_o their_o force_n vigour_n and_o motion_n from_o whence_o come_v the_o great_a heaviness_n which_o they_o feel_v you_o must_v also_o observe_v that_o they_o be_v no_o more_o provide_v with_o this_o fat_a which_o before_o make_v their_o fibre_n supple_a flexible_a and_o capable_a of_o activity_n this_o be_v so_o it_o be_v evident_a that_o their_o motion_n must_v be_v weaken_v that_o they_o can_v no_o more_o communicate_v any_o to_o the_o vessel_n the_o course_n of_o the_o liquor_n must_v be_v slacken_v and_o the_o animal_n spirit_n which_o bring_v some_o formality_n to_o every_o part_n be_v no_o more_o in_o a_o condition_n to_o keep_v the_o pore_n open_a or_o at_o least_o so_o wide_a as_o ordinary_o so_o the_o vessel_n be_v as_o it_o be_v sink_v and_o the_o arterial_a blood_n not_o have_v any_o more_o the_o power_n or_o strength_n to_o make_v its_o way_n the_o part_n be_v almost_o defraud_v of_o life_n i_o allege_v all_o these_o reason_n because_o they_o fortify_v our_o system_fw-la of_o the_o formation_n of_o the_o dropsy_n dropsy_n old_a man_n very_a subject_n to_o the_o dropsy_n which_o be_v found_v on_o the_o slowness_n of_o the_o circulation_n of_o the_o blood_n which_o be_v remarkable_a in_o old_a man_n who_o be_v most_o subject_a to_o dropsy_n the_o reason_n be_v because_o their_o blood_n be_v only_o a_o fluid_a indigested_a and_o corrupt_a mass_n have_v lose_v all_o its_o consistence_n and_o unctuosity_n one_o may_v say_v it_o have_v lose_v its_o oil_n and_o consequent_o be_v make_v incapable_a of_o sustain_v its_o fermentation_n i_o add_v that_o those_o who_o inhabit_v boggy_a place_n be_v of_o a_o cold_a temperament_n and_o use_v to_o moist_a food_n will_v be_v more_o liable_a to_o it_o than_o other_o the_o dropsy_n which_o often_o effect_n fat_a and_o full_a people_n who_o nevertheless_o be_v in_o a_o certain_a moderate_a repose_n have_v for_o its_o cause_n only_o the_o slowness_n of_o circulation_n through_o the_o frequent_a obstruction_n which_o ordinary_o happen_v in_o the_o gland_n and_o vessel_n which_o occasion_n the_o lympha_fw-la to_o disengage_v itself_o and_o overflow_v some_o part_n incurable_a when_o the_o dropsy_n be_v incurable_a the_o water_n sometime_o gather_v together_o in_o a_o cystis_n which_o make_v the_o dropsy_n incurable_a this_o cystis_n be_v a_o strange_a covert_n at_o first_o insensible_a but_o by_o degree_n separate_v itself_o from_o some_o other_o cover_v either_o of_o the_o peritonaeum_fw-la or_o elsewhere_o by_o the_o saline_n and_o lixivious_a nutriture_n which_o it_o have_v contract_v or_o by_o the_o too_o great_a humidity_n receive_v after_o the_o same_o manner_n as_o the_o particle_n of_o a_o egg_n or_o seed_n disengage_v or_o unfold_v themselves_o this_o cystis_n be_v sprinkle_v with_o a_o multitude_n of_o gland_n and_o vessel_n which_o it_o receive_v from_o the_o part_n from_o whence_o it_o derive_v its_o origin_n and_o from_o other_o neighbour_a part_n which_o be_v as_o so_o many_o source_n that_o produce_v new_a dropsy_n dropsy_n sign_n of_o the_o dropsy_n the_o sign_n of_o this_o disease_n be_v swell_v of_o the_o belly_n transparency_n of_o the_o water_n and_o fluctuation_n hydropical_a difference_n between_o corpulant_a person_n and_o hydropical_a before_o i_o speak_v of_o the_o accident_n it_o be_v necessary_a to_o give_v a_o idea_n of_o the_o difference_n between_o the_o swell_a of_o the_o dropsy_n and_o a_o good_a habit_n of_o body_n in_o the_o dropsy_n the_o belly_n be_v extreme_o extend_v and_o even_o the_o navel_n rise_v and_o terminate_v in_o a_o point_n whereas_o in_o the_o latter_a its_o soft_a and_o less_o extend_v be_v more_o elevate_v on_o the_o side_n than_o elsewhere_o where_o the_o fleshy_a portion_n of_o the_o muscle_n lie_v and_o the_o navel_n be_v quite_o hide_a dropsy_n symptom_n of_o the_o dropsy_n the_o symptom_n which_o accompany_v this_o disease_n be_v slow_a fever_n weak_a pulse_n heaviness_n of_o the_o whole_a body_n difficulty_n of_o respiration_n considerable_a swelling_n excessive_a thirst_n and_o difficulty_n of_o urine_n fever_n 1._o slow_a fever_n the_o slow_a fever_n be_v nothing_o else_o but_o a_o effect_n of_o the_o impurity_n of_o the_o chyle_n and_o other_o leven_n which_o intimate_o mix_v with_o it_o this_o mixture_n design_v to_o make_v the_o life_n of_o the_o part_n happy_a be_v impress_v with_o this_o brine_n or_o rather_o charge_v with_o this_o impure_a and_o strange_a matter_n pass_v to_o the_o heart_n how_o corrupt_a soever_o it_o be_v where_o it_o ferment_n and_o disorder_n its_o motion_n the_o heart_n communicate_v its_o unruly_a pulsation_n to_o the_o artery_n excite_v this_o kind_n of_o fever_n which_o be_v only_o feel_v very_o slight_o pulse_n 2._o weakness_n of_o the_o pulse_n the_o pulse_n weakness_n depend_v on_o the_o slow_a influence_n of_o the_o animal_n spirit_n into_o the_o fibre_n of_o the_o heart_n which_o be_v incapable_a to_o augment_v their_o action_n in_o respect_n of_o the_o spirit_n as_o well_o as_o blood_n by_o reason_n of_o their_o scarcity_n maintain_v the_o blood_n in_o that_o little_a degree_n of_o precipitate_a motion_n which_o distinguish_v this_o slow_a fever_n from_o the_o other_o and_o consequent_o cause_v this_o weakness_n of_o the_o pulse_n body_n 3._o heaviness_n of_o the_o body_n the_o pale_a colour_n and_o heaviness_n of_o the_o body_n proceed_v from_o the_o slow_a motion_n of_o the_o blood_n and_o from_o the_o dissipation_n and_o concentration_n of_o the_o spirit_n which_o be_v stifle_v and_o choke_v as_o it_o be_v in_o the_o water_n now_o as_o the_o heat_n and_o vigour_n depend_v on_o the_o presence_n and_o natural_a ferment_n of_o the_o blood_n and_o spirit_n which_o shall_v animate_v these_o part_n and_o be_v carry_v to_o the_o surface_n you_o must_v not_o wonder_v if_o they_o be_v so_o pale_a and_o if_o the_o muscle_n can_v sustain_v the_o weight_n of_o the_o body_n respiration_n 4._o difficulty_n of_o respiration_n the_o difficulty_n of_o respiration_n be_v cause_v by_o the_o swell_a and_o great_a tension_n of_o the_o belly_n which_o press_v the_o diaphragm_n against_o the_o lung_n and_o diminish_v the_o diameter_n of_o the_o breast_n so_o that_o the_o lung_n have_v not_o the_o liberty_n to_o extend_v themselves_o the_o respiration_n grow_v frequent_a and_o force_v the_o excessive_a thirst_n be_v raise_v from_o the_o humour_n that_o be_v separate_v from_o the_o gland_n of_o the_o stomach_n thirst_n 5_o thirst_n oesophagus_n and_o other_o part_n of_o the_o gula_fw-la to_o moisten_v their_o coast_n and_o to_o maintain_v they_o in_o the_o humidity_n which_o be_v requisite_a for_o they_o it_o be_v not_o enough_o either_o through_o the_o frequent_a settle_n which_o be_v make_v in_o other_o part_n or_o that_o the_o invincible_a and_o intemperate_a fire_n which_o the_o fever_n kindle_v in_o all_o part_n dissipate_v consume_v or_o ratify_v it_o which_o cause_n these_o part_n to_o heat_n and_o dry_a and_o that_o saltish_a spirit_n who_o action_n be_v not_o correct_v by_o any_o dissolvent_a rush_v into_o the_o little_a fibres_fw-fr and_o produce_v a_o motion_n in_o the_o nerve_n which_o excite_v thirst_n as_o to_o difficulty_n of_o urine_n i_o suppose_v that_o part_n of_o the_o water_n which_o use_v to_o take_v its_o course_n through_o the_o kidney_n urine_n 6._o difficulty_n of_o urine_n tend_v another_o way_n and_o that_o the_o urinous_a volatile_a and_o other_o fix_a salt_n of_o the_o urine_n be_v deprive_v of_o a_o part_n of_o their_o dissolvent_a stop_n at_o the_o entry_n of_o the_o pore_n of_o the_o gland_n and_o hinder_v the_o urine_n from_o run_v with_o that_o liberty_n into_o its_o conduit_n the_o salt_n thus_o have_v the_o upper_a hand_n and_o find_v nothing_o in_o the_o blood_n capable_a to_o blunt_v their_o point_n irritate_fw-la all_o the_o part_n through_o which_o they_o pass_v particular_o the_o aretery_n and_o oblige_v the_o sphincter_n of_o the_o bladder_n to_o a_o more_o than_o usual_a contraction_n which_o cause_v the_o urine_n to_o flow_v very_o difficult_o and_o by_o turn_n i_o pass_v to_o
since_o the_o ligament_n of_o the_o liver_n pancreas_n and_o kidney_n be_v relax_v viscera_n also_o the_o other_o viscera_n they_o may_v as_o well_o as_o the_o spleen_n contribute_v to_o its_o formation_n according_a to_o the_o order_n i_o design_v in_o speak_v of_o so_o nice_a a_o operation_n i_o think_v it_o more_o proper_a successive_o to_o describe_v the_o sign_n of_o all_o kind_n of_o hernias_fw-la that_o i_o may_v not_o confound_v they_o hydrocele_n sign_n of_o hydrocele_n i_o begin_v with_o those_o of_o the_o first_o kind_n of_o hydrocele_n in_o which_o the_o water_n be_v spill_v between_o the_o membrane_n of_o the_o scrotum_fw-la which_o be_v light_a tension_n considerable_a largeness_n heaviness_n we_o feel_v a_o undulation_n when_o we_o handle_v the_o tumour_n and_o perceive_v the_o transparency_n of_o the_o water_n when_o we_o hold_v a_o light_n behind_o and_o the_o skin_n become_v tender_a soft_a without_o pain_n and_o look_v extreme_o shine_v in_o those_o of_o the_o second_o kind_n where_o the_o water_n possess_v the_o membrane_n of_o the_o testicle_n be_v great_a tension_n pain_n great_a heaviness_n than_o in_o the_o other_o the_o skin_n of_o the_o scrotum_fw-la be_v not_o so_o much_o extend_v and_o keep_v its_o rugosity_n though_o it_o be_v very_o much_o swell_v through_o it_o be_v very_o much_o swell_v it_o possess_v ordinary_o but_o one_o side_n the_o fluctuation_n deep_a the_o transparency_n more_o obscure_a it_o be_v to_o be_v observe_v that_o these_o two_o sort_n may_v conjunct_o meet_v together_o sarcocele_n sign_n of_o sarcocele_n the_o sign_n of_o sarcocele_n be_v great_a hardness_n insupportable_a weight_n and_o insensible_a augmentation_n of_o the_o tumour_n if_o there_o appear_v no_o elevation_n in_o the_o groin_n it_o be_v a_o sign_n that_o the_o preduction_n of_o the_o peritonaeum_fw-la be_v not_o accompany_v with_o any_o carcinomatous_a substance_n it_o be_v distinguish_v from_o the_o hernia_n intestinalis_fw-la that_o the_o one_o be_v soft_a the_o other_o be_v hard_a this_o tumour_n may_v be_v divide_v into_o scirrhous_n and_o malign_v in_o the_o scirrhous_n we_o feel_v neither_o heat_n nor_o pain_n but_o in_o the_o malign_v a_o excessive_a heat_n and_o sharp_a burn_a pain_n varicoâ—â—…_n varicoâ—â—…_n sign_n of_o varicocele_n be_v great_a inequality_n heaviness_n pain_n and_o inflammation_n particular_o when_o it_o be_v irritate_v with_o some_o medicine_n it_o be_v also_o know_v because_o it_o make_v a_o man_n somewhat_o impotent_a especial_o when_o it_o possess_v both_o testicle_n circoce_fw-la circoce_fw-la sign_n of_o circocele_n which_o be_v cause_v by_o the_o dilatation_n of_o the_o external_a vessel_n different_a from_o the_o varicocele_n which_o come_v from_o the_o internal_a be_v the_o same_o as_o the_o former_a except_o there_o be_v less_o pain_n weight_n and_o inflammation_n add_v that_o the_o membrane_n of_o the_o scrotum_fw-la be_v more_o extend_v and_o the_o tumour_n more_o apparent_a pneumatocele_n of_o pneumatocele_n sign_n of_o pneumatocele_n be_v when_o the_o tumour_n disappear_v from_o time_n to_o time_n it_o sound_v like_o a_o drum_n when_o it_o be_v strike_v without_o pain_n weight_n and_o inflammation_n very_o transparent_a the_o colour_n of_o the_o cutis_fw-la change_v not_o and_o the_o wind_n be_v feel_v sometime_o above_o sometime_o below_o part_n sings_z of_o hernias_fw-la make_v from_o the_o part_n let_v we_o now_o examine_v the_o sign_n of_o those_o hernias_fw-la which_o be_v cause_v by_o the_o part_n and_o inquire_v exact_o into_o they_o because_o it_o be_v of_o the_o great_a importance_n in_o the_o begin_n of_o these_o hernias_fw-la they_o be_v ordinary_o soft_a without_o inflammation_n change_n of_o colour_n disappear_v at_o the_o least_o pressure_n except_o they_o be_v cause_v by_o some_o blow_n fall_v or_o suchlike_a inconvenience_n and_o be_v not_o accompany_v with_o some_o strangulation_n cause_v by_o matter_n stop_v and_o harden_v in_o the_o intestine_n either_o by_o the_o course_n of_o the_o blood_n and_o spirit_n in_o these_o part_n which_o present_o excite_v inflammation_n and_o often_o mortification_n therefore_o you_o must_v do_v no_o violence_n to_o the_o tumour_n by_o rude_a handle_n lest_o it_o occasion_n a_o gangreen_n but_o that_o we_o may_v have_v a_o clear_a notion_n of_o all_o these_o sign_n let_v we_o examine_v they_o in_o particular_a and_o see_v what_o be_v those_o which_o make_v we_o distinguish_v all_o these_o kind_n of_o tumour_n be_v 〈◊〉_d that_o â—…ut_o be_v if_o the_o gut_n be_v engage_v without_o inflammation_n strangulation_n or_o adhere_v to_o any_o part_n the_o tumor_n soft_a plain_a and_o the_o colour_n of_o the_o skin_n not_o change_v it_o disappear_v from_o time_n to_o time_n particular_o when_o the_o party_n lie_v on_o his_o back_n when_o the_o intestine_a be_v reduce_v a_o kind_n of_o whistle_a noise_n be_v hear_v omentum_fw-la sign_n of_o the_o omentum_fw-la but_o if_o it_o be_v in_o omentum_fw-la the_o tumour_n soft_a and_o do_v not_o return_v so_o easy_o it_o be_v unequal_a by_o reason_n of_o the_o band_n and_o fat_a with_o which_o it_o be_v charge_v when_o press_v with_o the_o finger_n there_o remain_v a_o mark_n and_o we_o feel_v the_o same_o resistance_n as_o in_o press_v a_o steatomatous_a tumour_n this_o be_v more_o subject_a to_o mortification_n because_o the_o texture_n of_o the_o part_n of_o which_o it_o be_v form_v be_v loose_a spungy_a and_o more_o subject_a to_o corruption_n so_o that_o at_o the_o least_o impression_n the_o blood_n stop_v more_o easy_o there_o than_o any_o where_o else_o wherefore_o you_o must_v not_o delay_v the_o operation_n in_o certain_a occasion_n as_o we_o shall_v hereafter_o mention_v note_v that_o if_o inflammation_n happen_v it_o be_v always_o at_o the_o intestine_n side_n if_o it_o be_v the_o omentum_fw-la it_o grow_v livid_v at_o the_o least_o alteration_n symptom_n inflammation_n a_o veâ—â—_n severe_a symptom_n as_o for_o the_o accident_n i_o find_v none_o more_o dangerous_a than_o inflammation_n which_o be_v always_o accompany_v with_o pain_n fever_n strangulation_n and_o sometime_o with_o the_o illiac_n passion_n where_o the_o excrement_n be_v often_o force_v against_o their_o own_o weight_n to_o mount_v and_o come_v out_o of_o the_o mouth_n the_o cause_n of_o which_o cruel_a symptom_n proceed_v from_o the_o gut_n be_v inflame_v by_o the_o excrement_n which_o be_v lodge_v there_o it_o communicate_v this_o inflammation_n to_o the_o ring_n of_o the_o muscle_n particular_o to_o those_o of_o the_o external_a oblique_a which_o by_o reason_n of_o its_o tendinous_a nature_n fail_v not_o to_o shut_v up_o the_o gut_n and_o augment_v the_o inflammation_n by_o a_o reciprocal_a action_n which_o cause_v interruption_n of_o the_o course_n of_o the_o blood_n and_o spirit_n in_o that_o part_n from_o thence_o come_v the_o reflux_n of_o the_o excrement_n lividity_n and_o mortification_n it_o be_v easy_a to_o conceive_v that_o have_v lose_v their_o motion_n there_o can_v follow_v nothing_o but_o divulsion_n pain_n and_o loss_n of_o life_n there_o be_v yet_o another_o kind_n of_o lividity_n which_o come_v from_o have_v handle_v and_o press_v the_o tumour_n too_o much_o these_o unprofitable_a touching_n be_v as_o so_o many_o bruise_n which_o be_v imprint_v on_o the_o part_n the_o gut_n and_o omentum_fw-la be_v press_v the_o blood_n stop_v in_o the_o vessel_n which_o cause_v immediate_a mortification_n and_o change_v of_o colour_n operation_n when_o the_o surgeon_n ought_v to_o avoid_v the_o operation_n it_o be_v also_o know_v by_o the_o pain_n which_o be_v great_a as_o we_o have_v say_v the_o surgeon_n see_v all_o these_o bad_a symptom_n ought_v to_o retire_v the_o rest_n of_o the_o accident_n i_o reserve_v till_o i_o describe_v the_o manner_n of_o perform_v the_o operation_n vmbilicus_fw-la a_o idea_n of_o the_o vmbilicus_fw-la i_o begin_v with_o the_o exomphalos_n but_o before_o i_o enter_v on_o the_o operation_n i_o design_v to_o give_v a_o idea_n of_o the_o disposition_n of_o the_o navel_n it_o be_v form_v by_o the_o reunion_n of_o the_o umbilical_a vessel_n which_o slip_v oblique_o into_o the_o thickness_n of_o the_o peritonaeum_fw-la which_o accompany_v they_o and_o pierce_v conjuct_o the_o n1_fw-la alba_fw-la fasten_v themselves_o to_o the_o surface_n of_o the_o cutis_fw-la where_o they_o leave_v a_o little_a tumour_n which_o be_v call_v the_o navel_n after_o the_o birth_n in_o the_o foetus_fw-la the_o way_n through_o which_o these_o vessel_n pass_v be_v as_o manifest_a as_o the_o ring_n of_o the_o muscle_n of_o the_o low_a belly_n be_v in_o adult_n but_o after_o the_o birth_n they_o shrivel_v up_o and_o turn_v into_o ligament_n and_o as_o the_o part_n where_o these_o vessel_n meet_v grow_v big_a they_o oblige_v the_o navel_n by_o their_o own_o weight_n insensible_o from_o which_o i_o conclude_v that_o all_o the_o difference_n between_o the_o passage_n of_o the_o umbilical_a and_o spermatic_a vessel_n be_v that_o the_o latter_a be_v easy_o distinguish_v and_o separate_v one_o
from_o another_o whereas_o those_o of_o the_o navel_n be_v not_o at_o all_o distinguishable_a because_o they_o shrivel_v up_o and_o the_o tendinous_a fibres_fw-fr of_o every_o aponeurosis_n twist_v themselves_o so_o one_o into_o another_o that_o all_o their_o part_n seem_v to_o be_v continuous_a it_o must_v also_o be_v observe_v that_o the_o navel_n be_v without_o flesh_n about_o half_a the_o breadth_n of_o a_o finger_n round_o about_o all_o this_o contribute_v to_o the_o formation_n of_o the_o exomphalos_n chap._n x._o of_o the_o operation_n of_o exomphalos_n after_o have_v use_v bandage_n and_o all_o medicine_n as_o well_o general_a as_o particular_a without_o success_n you_o must_v prepare_v the_o sick_a to_o the_o operation_n operation_n how_o to_o perform_v the_o operation_n be_v dispose_v the_o surgeon_n must_v lay_v he_o on_o his_o back_n without_o violate_v the_o tumour_n and_o endeavour_v to_o reduce_v the_o intestine_a into_o the_o belly_n pinch_v up_o the_o skin_n on_o one_o side_n whilst_o a_o servant_n do_v the_o same_o on_o the_o other_o and_o with_o a_o bistory_n incise_v all_o along_o the_o side_n of_o the_o tumour_n hepatis_n danger_n of_o the_o suspensorium_n hepatis_n that_o he_o may_v avoid_v the_o umbilical_a vessel_n particular_o the_o suspensorum_fw-mi of_o the_o liver_n for_o this_o visera_n be_v no_o more_o suspend_v the_o vena_fw-la cava_fw-la will_v be_v compress_v and_o the_o circulation_n hindt_v which_o will_v cause_v death_n if_o you_o be_v sure_a of_o the_o reduction_n of_o the_o intestine_a you_o must_v soft_o incise_v still_o into_o the_o cavity_n of_o the_o belly_n and_o scarify_v the_o lip_n of_o the_o wound_n in_o all_o its_o extension_n to_o procure_v a_o strong_a cicatrix_fw-la make_v the_o intersected_a stirch_z some_o pretend_v the_o quilled_a suture_a be_v more_o convenient_a because_o it_o more_o strong_o refist_n the_o motion_n of_o the_o muscle_n and_o intestine_n you_o must_v introduce_v the_o tampion_n of_o lint_n tie_v to_o a_o thread_n to_o hinder_v the_o regurgitation_n of_o the_o part_n and_o to_o give_v way_n to_o the_o matter_n as_o it_o incarn_v you_o must_v diminish_v your_o tent_n proportionable_o till_o the_o cicartrix_n be_v form_v here_o good_a diet_n and_o repeat_v clyster_n be_v to_o be_v prefer_v before_o other_o remedy_n as_o in_o gastroraphia_fw-la this_o operation_n include_v other_o particular_n which_o will_v more_o proper_o fall_v under_o the_o discourse_n of_o the_o bubonocele_n chap._n xi_o of_o the_o operation_n of_o bubonocele_n and_o hernia_n complete_a that_o i_o may_v not_o confound_v all_o the_o circumstance_n which_o accompany_v bubonocele_n and_o hernia_n complete_a nor_o mistake_v in_o the_o order_n which_o i_o have_v propose_v in_o describe_v they_o i_o be_o force_v to_o comprehend_v they_o both_o in_o one_o sole_a operation_n these_o tumor_n be_v either_o wander_a or_o permanent_a they_o disappear_v sometime_o or_o remain_v always_o in_o the_o same_o condition_n if_o they_o be_v wander_v it_o be_v a_o sign_n of_o no_o adherance_n and_o that_o the_o intestine_n suffer_v no_o compression_n than_o the_o bandage_n alone_o and_o general_a remedy_n well_o order_v may_v finish_v the_o cure_n if_o they_o be_v permanent_a it_o come_v from_o the_o inflammation_n adherence_n or_o from_o some_o excrement_n harden_v in_o the_o intestine_n we_o know_v when_o the_o epiploon_n be_v fasten_v there_o by_o the_o sign_n speak_v of_o heretofore_o which_o induce_v we_o to_o make_v the_o operation_n without_o irritate_v the_o tumour_n for_o it_o alter_v at_o the_o least_o impression_n and_o it_o be_v very_o hard_a to_o reduce_v into_o the_o hypogastrium_n i_o have_v make_v you_o observe_v that_o the_o inflammation_n and_o strangulation_n succeed_v the_o induration_n of_o the_o excrement_n contain_v in_o the_o gut_n according_a as_o it_o swell_v and_o grow_v thick_a by_o the_o flow_a of_o they_o the_o ring_n of_o the_o external_a oblique_a which_o do_v not_o obey_v as_o the_o other_o for_o the_o reason_n already_o mention_v restrain_v sit_v proportionable_o as_o it_o dilate_v which_o cause_v the_o blood_n and_o spirit_n not_o to_o circulate_v with_o the_o same_o liberty_n and_o the_o inflammation_n of_o the_o intestine_a to_o increase_v equal_o with_o the_o strangulation_n you_o must_v also_o observe_v that_o the_o gut_n never_o contract_v any_o adherency_n but_o with_o the_o bag_n that_o make_v the_o hernia_n unless_o some_o sharp_a and_o strange_a matter_n have_v corrode_v it_o this_o bag_n be_v sometime_o adherent_a to_o the_o cover_n of_o the_o spermatic_a vessel_n sometime_o to_o the_o omentum_fw-la or_o to_o the_o ring_n of_o the_o muscle_n in_o all_o their_o circumference_n or_o in_o some_o part_n only_o to_o the_o dartos_fw-la or_o final_o to_o the_o membrane_n of_o the_o testicle_n operation_n the_o most_o difficult_a part_n of_o the_o operation_n so_o that_o the_o intestine_a can_v return_v into_o the_o belly_n unless_o separate_v by_o incision_n which_o necessitate_v the_o surgeon_n to_o use_v his_o utmost_a prudence_n and_o dexterity_n if_o he_o mean_v to_o succeed_v in_o so_o nice_a a_o operation_n the_o chief_a circumstance_n of_o it_o indeed_o be_v careful_o to_o examine_v where_o the_o gut_n be_v fasten_v not_o only_o because_o the_o oeconomy_n of_o the_o operation_n must_v be_v change_v but_o also_o because_o this_o knowledge_n rule_v our_o judgement_n and_o cause_v we_o to_o make_v a_o favourable_a or_o dangerous_a prognostic_n symptom_n a_o danger_n our_o symptom_n the_o hernia_n where_o the_o intestine_a be_v adherent_a to_o the_o testicle_n be_v very_o dangerous_a and_o for_o the_o most_o part_n mortal_a if_o it_o be_v a_o old_a one_o the_o happy_a can_v be_v rid_v of_o it_o without_o loss_n of_o the_o testicle_n the_o true_a way_n to_o know_v whether_o there_o be_v any_o coherence_n be_v to_o question_v the_o disease_a how_o long_a it_o be_v since_o the_o tumour_n do_v not_o disappear_v whether_o he_o feel_v vehement_a and_o pulsific_a pain_n and_o great_a weight_n on_o the_o testicle_n testicle_n sign_n that_o the_o gut_n adhere_v to_o the_o testicle_n if_o the_o intestine_a be_v one_o fall_v down_o into_o the_o purse_n and_o that_o it_o keep_v there_o some_o time_n without_o return_v and_o there_o appear_v no_o inflammation_n in_o the_o groin_n it_o be_v a_o sign_n that_o the_o sack_n which_o contain_v it_o be_v join_v to_o the_o testicle_n by_o the_o action_n of_o the_o viscous_a humour_n which_o run_v from_o the_o peritonaeum_fw-la or_o even_o from_o the_o membrane_n of_o the_o testicle_n these_o humour_n grow_v thick_a by_o heat_n be_v like_o a_o kind_n of_o a_o glue_n which_o tie_v they_o close_o together_o and_o if_o the_o matter_n come_v to_o dry_v up_o by_o the_o reaction_n of_o the_o blood_n and_o spirit_n it_o be_v impossible_a to_o sever_v they_o without_o offend_v the_o body_n of_o the_o testicle_n you_o must_v observe_v that_o if_o the_o gut_n do_v not_o return_v into_o the_o belly_n it_o be_v not_o always_o a_o sign_n of_o adherence_n it_o may_v be_v inflame_v or_o contain_v some_o excrement_n which_o be_v the_o better_o distinguish_v because_o we_o know_v that_o it_o have_v the_o liberty_n to_o enter_v before_o the_o inflammation_n we_o common_o undertake_v the_o operation_n when_o the_o inflammation_n hinder_v the_o matter_n from_o enter_v the_o intestine_n have_v examine_v the_o different_a condition_n of_o the_o disease_a if_o there_o be_v any_o of_o they_o which_o induce_v up_o to_o perform_v the_o operation_n we_o must_v use_v this_o method_n operation_n how_o to_o perform_v the_o operation_n lay_v the_o patient_n on_o his_o back_n i_o suppose_v here_o that_o the_o intestine_a be_v stop_v in_o the_o purse_n fasten_v to_o the_o testicle_n and_o inflame_v then_o incise_v with_o the_o bistory_n the_o skin_n of_o the_o scrotum_fw-la near_o the_o thigh_n all_o along_o the_o tumour_n then_o separate_v the_o two_o lip_n of_o the_o wound_n for_o to_o break_v gentle_o with_o a_o fleam_n or_o your_o finger_n all_o the_o tegament_n of_o the_o intestine_a and_o testicle_n sack_n how_o to_o distinguish_v the_o gut_n from_o the_o sack_n as_o for_o the_o precaution_n which_o we_o must_v observe_v to_o distinguish_v well_o the_o intestine_a from_o the_o sack_n which_o form_v the_o hernia_n its_o brown_a colour_n i_o suppose_v be_v the_o most_o convince_a sign_n by_o reason_n of_o the_o many_o blood_n vessel_n which_o irrigate_n they_o it_o form_v a_o kind_n of_o arch_n which_o be_v sensible_o perceive_v when_o discover_v beside_o if_o it_o be_v the_o gut_n the_o tumour_n lessen_v it_o be_v always_o thick_a than_o the_o peritonaeum_fw-la be_v compose_v of_o four_o tunicle_n i_o agree_v that_o this_o sign_n be_v equivocal_a so_o much_o the_o more_o because_o the_o sack_n of_o the_o peritonaeum_fw-la grow_v often_o to_o a_o very_a considerable_a thickness_n there_o run_v always_o frem_fw-la the_o intestine_a a_o thick_a and_o stink_a matter_n whereas_o from_o the_o sack_n of_o
those_o which_o cover_v the_o bottom_n four_o or_o five_o day_n before_o you_o take_v they_o out_o to_o the_o end_n that_o by_o their_o stay_n the_o matter_n which_o be_v stop_v become_v more_o sharp_a and_o that_o they_o may_v dissolve_v more_o easy_o the_o tunicle_n which_o contain_v the_o water_n you_o suppurate_a it_o and_o dress_v it_o as_o a_o ordinary_a wound_n before_o you_o go_v further_o you_o must_v also_o observe_v that_o if_o the_o water_n grow_v sharp_a and_o corrosive_a or_o rather_o lixivious_a they_o change_v often_o into_o pus_fw-la which_o make_v the_o testicle_n alter_v and_o corrupt_v so_o that_o you_o be_v force_v to_o take_v it_o out_o pneumatocele_n cure_v of_o pneumatocele_n as_o for_o pneumatocele_v you_o must_v use_v the_o bandage_n and_o all_o the_o carminative_a remedy_n as_o well_o internal_a as_o external_a and_o as_o it_o be_v a_o part_n of_o the_o surgeon_n prudence_n to_o order_v they_o according_a to_o his_o knowledge_n i_o shall_v be_v ridiculous_a if_o i_o shall_v boast_v here_o of_o remedy_n which_o author_n be_v full_a of_o chap._n xvi_o of_o the_o phymosis_n be_v what_o phymosis_n be_v the_o phymosis_n be_v nothing_o else_o but_o a_o shrivel_a and_o contraction_n of_o the_o extremity_n of_o the_o prepuce_fw-la which_o compress_n so_o hard_a the_o glans_fw-la that_o if_o you_o do_v give_v it_o air_n by_o way_n of_o incision_n it_o become_v inflame_v and_o often_o mortify_v this_o incommodity_n be_v either_o natural_a or_o accidental_a the_o natural_a come_v from_o the_o part_n be_v yet_o concentre_v and_o as_o it_o be_v retire_v into_o its_o tunicle_n and_o that_o one_o have_v not_o yet_o betake_v himself_o to_o any_o exercise_n or_o touch_v the_o prepuce_fw-la form_n in_o this_o affect_v wrinkle_n which_o be_v like_o so_o many_o little_a bolster_n venery_n as_o venery_n between_o which_o gather_v and_o stagnate_v a_o tenacious_a matter_n separate_v by_o the_o glans_fw-la with_o which_o the_o inner_a surface_n of_o the_o prepuce_fw-la be_v sprinkle_v which_o thicken_v by_o the_o heat_n and_o grow_v impure_a by_o its_o stay_n there_o be_v as_o it_o be_v a_o kind_n of_o glue_n which_o fasten_v the_o prepuce_fw-la to_o the_o gland_n and_o so_o strait_o press_v it_o that_o it_o will_v not_o let_v the_o urinal_n flow_v the_o surgeon_n therefore_o first_o endeavour_n to_o free_a the_o part_n pull_v to_o he_o the_o extremity_n of_o the_o prepuce_fw-la then_o introduce_v at_o the_o side_n of_o the_o virga_n a_o incision_n knife_n between_o the_o gland_n and_o cutis_fw-la pierce_v the_o prepuce_fw-la without_o danger_n and_o cut_a all_o between_o the_o instrument_n and_o extremity_n of_o the_o glans_fw-la if_o one_o incision_n be_v not_o enough_o to_o discover_v it_o you_o may_v bold_o make_v another_o on_o the_o opposite_a side_n the_o sole_a motion_n of_o the_o part_n be_v capable_a to_o extend_v the_o fibre_n of_o the_o prepuce_fw-la and_o render_v they_o obedient_a and_o make_v they_o that_o they_o restrain_v and_o dilate_v themselves_o according_a to_o thenecessity_n of_o nature_n you_o must_v not_o use_v this_o operation_n till_o you_o have_v try_v fomentation_n caution_n caution_n emollent_a injection_n and_o all_o other_o remedy_n in_o vain_a which_o method_n be_v to_o be_v observe_v in_o all_o operation_n the_o second_o kind_n of_o phymosis_n be_v cause_v by_o some_o inflammation_n shanker_n ulcer_n induration_n callosity_n and_o often_o by_o irritative_a remedy_n misapply_v in_o all_o these_o case_n whether_o the_o sharp_a humour_n which_o come_v from_o the_o ulcer_n irritate_fw-la the_o part_n or_o corrosive_a medicine_n it_o happen_v that_o the_o passage_n of_o the_o blood_n and_o spirit_n be_v hinder_v and_o the_o inflammation_n become_v so_o considerable_a that_o the_o fibre_n be_v no_o more_o in_o a_o condition_n to_o obey_v this_o be_v also_o the_o reason_n why_o this_o virulent_a sanies_fw-la which_o come_v from_o the_o shanker_n excoriate_v these_o part_n excite_v sharp_a pain_n feel_v only_o at_o the_o extremity_n of_o the_o yard_n and_o inflammation_n which_o be_v soon_o follow_v by_o a_o gangreen_n if_o you_o hinder_v not_o its_o progress_n part_n cause_o of_o pulsation_n in_o the_o part_n the_o pulsisick_n pain_n which_o be_v feel_v in_o this_o part_n can_v proceed_v but_o from_o the_o glans_fw-la which_o be_v cover_v with_o a_o thin_a and_o delicate_a membrane_n humect_v by_o a_o great_a number_n of_o vessel_n particular_o of_o nerve_n and_o that_o its_o substance_n be_v of_o a_o very_a fine_a and_o sensible_a texture_n so_o the_o motion_n which_o these_o virulent_a matter_n imprint_v on_o the_o spirit_n not_o be_v able_a to_o communicate_v themselves_o to_o the_o rest_n of_o the_o yard_n because_o of_o the_o force_n and_o thickness_n of_o the_o cover_n of_o the_o cavernous_a body_n the_o pain_n must_v needs_o augment_v and_o become_v much_o more_o sensible_a and_o acute_a in_o this_o part_n but_o before_o you_o resolve_v on_o the_o operation_n use_v bleed_v fomentation_n suppuration_n mix_v with_o some_o prepation_n of_o mercury_n which_o you_o must_v introduce_v with_o the_o end_n of_o your_o probe_n the_o cerot_n of_o galen_n emollient_a injection_n a_o ball_n of_o lint_n put_v between_o the_o glans_fw-la and_o skin_n compress_n wet_a in_o oxycrate_n in_o a_o word_n all_o these_o remedy_n must_v be_v apply_v but_o especial_o the_o situation_n of_o the_o virga_n which_o must_v be_v lay_v on_o the_o belly_n and_o sustain_v with_o a_o little_a bandage_n chap._n xvii_o of_o paraphymosis_n be_v what_o paraphymosis_n be_v paraphymosis_n be_v a_o disease_n quite_o contrary_a to_o a_o phymosis_n in_o one_o the_o glans_fw-la be_v hide_v in_o the_o other_o strangle_v and_o so_o stripe_v of_o its_o prepuce_fw-la that_o you_o can_v cover_v it_o again_o the_o cause_n of_o this_o strangulation_n come_v sometime_o from_o the_o overthrow_n of_o the_o cutis_fw-la cause_n cause_n which_o form_v a_o sort_n of_o bolster_n and_o sometime_o from_o inflammation_n which_o a_o shanker_n or_o some_o other_o tumour_n precede_v if_o the_o strangulation_n be_v considerable_a there_o must_v needs_o follow_v interruption_n of_o the_o course_n of_o blood_n and_o spirit_n in_o these_o part_n and_o consequent_o a_o mortification_n in_o this_o affect_v the_o yard-swells_a so_o hard_a that_o it_o form_n three_o or_o four_o bag_n as_o it_o be_v alternate_o dispose_v half_a a_o finger_n breadth_n one_o from_o another_o these_o pursing_n come_v partly_o from_o the_o obstruction_n and_o partly_o from_o the_o reflux_n of_o blood_n and_o spirit_n in_o the_o body_n of_o the_o virga_n they_o be_v common_o follow_v by_o a_o tumour_n which_o occupy_v the_o neck_n of_o the_o prepuce_fw-la and_o which_o be_v full_a of_o a_o red_a water_n which_o by_o the_o great_a heat_n of_o the_o part_n so_o rarefy_v ordinary_o that_o from_o a_o aqueous_a it_o become_v windy_a this_o tumour_n augment_v so_o considerable_o the_o inflammation_n that_o if_o you_o do_v scarify_v deep_a the_o tumified_a place_n to_o give_v a_o discharge_n the_o penis_n will_v not_o fail_v to_o mortify_v prepuce_fw-la how_o to_o bring_v over_o the_o prepuce_fw-la you_o must_v endeavour_v to_o reduce_v the_o prepuce_fw-la without_o compress_v the_o glans_fw-la or_o put_v your_o thumb_n on_o its_o extremity_n as_o most_o do_v that_o treat_v of_o this_o disease_n the_o reason_n be_v that_o when_o the_o extremity_n of_o the_o glans_fw-la be_v press_v it_o enlarge_v itself_o and_o swell_v more_o which_o instead_o of_o make_v the_o prepuce_fw-la slip_n rather_o fold_v up_o and_o hinder_v its_o reduction_n you_o use_v almost_o the_o same_o remedy_n as_o in_o phymosis_n there_o be_v some_o that_o pour_v cold_a water_n on_o the_o belly_n but_o i_o think_v it_o of_o no_o great_a use_n or_o at_o least_o see_v no_o great_a effect_n of_o it_o for_o want_v of_o these_o remedy_n you_o may_v use_v in_o inflammation_n some_o styptic_a water_n in_o which_o dip_v your_o compress_n and_o apply_v they_o about_o the_o part_n you_o must_v also_o keep_v the_o same_o situation_n and_o bandage_n as_o in_o phymosis_n chap._n xviii_o of_o the_o stone_n and_o lithotomy_n the_o stone_n with_o which_o mankind_n of_o all_o other_o animal_n be_v most_o trouble_a be_v call_v in_o latin_a calculus_fw-la name_n name_n and_o those_o affect_v with_o it_o calculosi_n its_o origin_n will_v have_v be_v always_o unknown_a to_o we_o if_o the_o chemist_n art_n have_v not_o discover_v to_o we_o the_o secret_a of_o its_o formation_n in_o show_v the_o principle_n which_o compose_v it_o by_o the_o just_a analysis_n that_o science_n make_v of_o it_o formation_n the_o opinion_n of_o the_o ancient_n concern_v its_o formation_n all_o the_o ancient_n and_o their_o abettor_n have_v always_o maintain_v with_o great_a heat_n that_o the_o stone_n be_v form_v by_o the_o most_o crass_n course_n and_o viscous_a particle_n of_o blood_n which_o be_v carry_v into_o the_o bladder_n with_o the_o urine_n come_v to_o be_v
stony_a matter_n the_o good_a or_o bad_a use_n of_o food_n contribute_v much_o to_o its_o formation_n we_o observe_v that_o those_o who_o use_v too_o spiritous_a drink_n and_o dirty_a food_n be_v more_o subject_a to_o it_o than_o other_o we_o see_v also_o that_o those_o who_o live_v on_o milk_n meat_n fruit_n pulse_n rye_n bread_n and_o several_a other_o impurity_n be_v often_o torment_v with_o it_o the_o latter_a contribute_v to_o it_o because_o of_o their_o impurity_n and_o the_o other_o by_o reason_n of_o their_o spiritous_a particle_n the_o latter_a furnish_v the_o principle_n of_o the_o stone_n and_o the_o other_o the_o ferment_n which_o dispose_v the_o excrement_n because_o work_v on_o the_o colon_n which_o be_v near_o it_o gnaw_v and_o corrode_v the_o tunicle_n and_o after_o this_o manner_n open_v a_o passage_n to_o come_v out_o this_o way_n vomit_v and_o palsy_n of_o the_o thigh_n and_o leg_n be_v also_o concomitant_a the_o disease_a can_o stand_v straight_o and_o the_o testicle_n of_o the_o same_o side_n retire_v into_o the_o groin_n reins_o cause_o of_o vomit_v in_o inflammation_n of_o the_o reins_o the_o vomit_v proceed_v from_o the_o mutual_a communication_n that_o be_v between_o the_o nerve_n of_o the_o kidney_n and_o stomach_n by_o the_o irritation_n of_o the_o spirit_n in_o the_o carnous_a fibres_fw-fr of_o the_o stomach_n occasion_v by_o the_o inflammation_n of_o the_o reins_o reins_o cause_o of_o the_o palsy_n of_o the_o thigh_n etc._n etc._n in_o inflammation_n of_o the_o reins_o to_o give_v a_o reason_n for_o the_o palsy_n you_o must_v observe_v that_o the_o kidney_n be_v lay_v upon_o the_o head_n of_o the_o muscle_n psoas_n which_o it_o press_v and_o inflame_v this_o muscle_n be_v inflame_v also_o press_v a_o thick_a string_n of_o nerve_n which_o pass_v through_o its_o body_n and_o distribute_v itself_o into_o the_o interior_a part_n of_o the_o thigh_n and_o leg_n from_o whence_o follow_v the_o stupor_n by_o the_o suppression_n or_o obstruction_n of_o the_o spirit_n after_o this_o manner_n the_o muscle_n psoas_n reciprocal_o inflame_v the_o iliac_n to_o which_o it_o be_v join_v and_o see_v these_o two_o muscle_n serve_v to_o bend_v the_o thigh_n it_o can_v no_o more_o obey_v not_o follow_v the_o action_n of_o these_o extensor_n which_o be_v the_o cause_n that_o we_o can_v stand_v upright_o without_o cruel_a pain_n groin_n cause_o of_o the_o contraction_n or_o shrivel_a up_o of_o the_o testicle_n into_o the_o groin_n the_o testicle_n retire_v into_o the_o groin_n by_o reason_n the_o iliac_n muscle_n be_v join_v to_o the_o cremaster_n which_o embrace_v the_o body_n of_o the_o testicle_n so_o that_o its_o fibre_n be_v shorten_v by_o the_o inflammation_n which_o the_o iliac_n communicate_v to_o it_o the_o testicle_n must_v necessary_o mount_v into_o the_o groin_n nevertheless_o all_o these_o sign_n be_v equivocal_a see_v they_o may_v happen_v in_o the_o ordinary_a inflammation_n of_o the_o reins_o that_o be_v to_o say_v in_o the_o nephretic_n colic_n bladder_n sign_n of_o the_o stone_n in_o the_o bladder_n the_o sign_n of_o the_o stone_n in_o the_o bladder_n be_v palsific_a burn_a pain_n in_o the_o time_n of_o make_v water_n the_o urine_n come_v out_o by_o drop_n and_o reiterated_a turn_n as_o in_o stranguria_n and_o as_o the_o bladder_n be_v empty_v and_o diminish_v in_o bigness_n its_o side_n apply_v themselves_o so_o hard_o against_o the_o surface_n of_o the_o stone_n which_o if_o it_o be_v rough_a it_o fail_v not_o to_o cause_v sufficient_a convulsion_n and_o break_v some_o vessel_n in_o which_o consist_v the_o burn_a pain_n one_o feel_v after_o piss_v and_o the_o last_o drop_n be_v often_o bloody_a the_o water_n be_v make_v by_o turn_n because_o the_o stone_n which_o lie_v heavy_a on_o the_o neck_n of_o the_o bladder_n bladder_n cause_n of_o these_o sign_n of_o the_o stone_n in_o the_o bladder_n stop_v partly_o the_o passage_n of_o the_o urine_n but_o the_o worst_a be_v that_o in_o the_o time_n of_o piss_v and_o when_o the_o side_n which_o before_o be_v extend_v come_v to_o touch_v rude_o against_o this_o rough_a body_n its_o nervous_a fibre_n break_v and_o give_v way_n to_o the_o urine_n by_o its_o acrimony_n to_o prick_v they_o so_o cause_v convulsion_n cruel_a and_o pungent_a pain_n and_o imprint_n on_o the_o spirit_n a_o irregular_a motion_n by_o occasion_n of_o which_o the_o carnous_a fibres_fw-fr contract_n and_o embrace_v the_o stone_n fast_o the_o disease_a think_v in_o that_o moment_n to_o ease_v himself_o and_o desire_v to_o suspend_v the_o course_n of_o the_o spirit_n augment_v on_o the_o contrary_a the_o violence_n of_o the_o pain_n and_o retard_v the_o course_n of_o the_o urine_n and_o so_o cause_v some_o of_o it_o to_o remain_v always_o in_o the_o bladder_n which_o grow_v acid_a and_o at_o length_n become_v stink_v by_o its_o stay_n there_o so_o renew_v much_o sharp_a and_o insupportable_a pain_n itch_a cause_o of_o itch_a one_o feel_v a_o itch_a in_o the_o region_n of_o the_o perineum_fw-la which_o irritate_v the_o sphincter_n of_o the_o anus_fw-la excite_v a_o tenesmus_n the_o itch_a continue_v even_o to_o the_o extremity_n of_o the_o gland_n which_o oblige_v the_o patient_n to_o rub_v it_o often_o perineum_fw-la cause_o of_o heaviness_n about_o the_o perineum_fw-la the_o heaviness_n about_o the_o perineum_fw-la can_v proceed_v but_o from_o the_o weight_n of_o the_o stone_n and_o the_o itch_a from_o the_o acrimony_n of_o the_o urinc_fw-la sometime_o there_o happen_v a_o priapism_n or_o a_o involuntary_a erection_n of_o the_o penis_n cause_v by_o the_o irritation_n of_o the_o fibre_n and_o inflammation_n of_o the_o bladder_n and_o urethra_fw-la which_o communicate_v itself_o to_o the_o cavernous_a body_n it_o be_v easy_a to_o see_v that_o the_o irritation_n of_o the_o part_n join_v with_o some_o slight_a indisposition_n can_v awake_v and_o hasten_v the_o course_n of_o the_o blood_n and_o spirit_n design_v for_o the_o function_n of_o the_o yard_n and_o adjacent_a muscle_n which_o be_v swell_v by_o the_o spirit_n compress_v the_o vein_n which_o be_v distribute_v in_o it_o to_o hinder_v the_o return_n of_o the_o blood_n the_o blood_n and_o spirit_n fill_v all_o the_o vacuum_n or_o empty_a space_n of_o the_o hollow_a body_n the_o yard_n must_v needs_o grow_v stiff_a and_o extend_v itself_o we_o observe_v that_o the_o urine_n be_v sometime_o white_a sometime_o bloody_a trouble_a and_o muddy_a and_o be_v charge_v with_o a_o mucous_a and_o sandy_a sediment_n hippocrates_n in_o his_o aphorism_n report_n that_o when_o the_o urine_n be_v extreme_a clear_a and_o you_o find_v sand_n in_o the_o bottom_n of_o the_o urinal_n it_o be_v a_o infallible_a mark_n of_o the_o stone_n be_v existence_n in_o the_o bladder_n bladder_n a_o certain_a sign_n of_o two_o or_o more_o stone_n in_o the_o bladder_n when_o the_o stone_n be_v smooth_a it_o be_v a_o sign_n that_o it_o be_v accompany_v with_o some_o other_o stone_n which_o by_o their_o continual_a atrition_n become_v polish_v and_o smooth_a if_o the_o stone_n be_v big_a and_o lie_v heavy_a on_o the_o neck_n of_o the_o bladder_n it_o dilate_v in_o such_o a_o manner_n that_o in_o time_n it_o grow_v as_o big_a as_o its_o bottom_n if_o it_o adhere_v to_o any_o part_n or_o be_v contain_v in_o a_o cistis_fw-la the_o patient_n may_v carry_v it_o all_o his_o life_n without_o any_o detriment_n or_o manifest_v any_o of_o the_o sign_n which_o we_o have_v speak_v of_o especial_o when_o it_o be_v suspend_v at_o the_o bottom_n of_o the_o bladder_n observation_n a_o observation_n van_n helmont_n assure_v we_o that_o he_o know_v a_o priest_n who_o go_v to_o reach_v a_o book_n in_o his_o library_n at_o the_o same_o moment_n feel_v a_o great_a weight_n in_o the_o hypogastric_a region_n which_o be_v present_o follow_v with_o all_o the_o symptom_n we_o have_v describe_v it_o be_v the_o stone_n which_o be_v then_o separate_v from_o the_o bottom_n of_o the_o bladder_n by_o this_o simple_a effort_n so_o that_o he_o be_v oblige_v to_o come_v to_o the_o operation_n but_o the_o most_o sure_a and_o certain_a sign_n of_o the_o stone_n be_v the_o probe_n which_o convince_v we_o of_o it_o by_o the_o resistance_n it_o make_v and_o noise_n which_o we_o hear_v when_o we_o strike_v upon_o it_o this_o be_v also_o the_o sign_n which_o cause_v the_o necessity_n of_o the_o operation_n if_o the_o age_n season_n and_o strength_n of_o the_o patient_n permit_v stone_n no_o medicine_n so_o powerful_a as_o to_o dissolve_v the_o stone_n here_o it_o be_v where_o mountebank_n triumph_v who_o by_o their_o imposture_n endeavour_v to_o persuade_v people_n that_o they_o have_v infallible_a secret_n to_o dissolve_v the_o stone_n in_o the_o reins_o and_o bladder_n these_o sweet_a hope_n flatter_v the_o mind_n of_o those_o who_o be_v trouble_v with_o it_o but_o when_o we_o show_v they_o by_o evident_a demonstration_n that_o
mortify_a part_n be_v deprive_v of_o motion_n and_o feeling_n as_o because_o a_o great_a pain_n cause_v a_o inflammation_n and_o sometime_o mortification_n do_v not_o consider_v that_o the_o weight_n of_o the_o courser_n particle_n of_o the_o blood_n which_o lie_v in_o a_o part_n press_v the_o nerve_n and_o so_o interrupt_v the_o course_n of_o the_o spirit_n and_o the_o pulsation_n of_o the_o artery_n be_v no_o more_o feel_v for_o as_o nature_n delight_v to_o glue_v the_o artery_n to_o the_o nerve_n nerve_n artery_n for_o the_o most_o part_n join_v with_o nerve_n and_o that_o she_o make_v use_v of_o the_o pulsation_n to_o oblige_v all_o the_o little_a nervous_fw-fr fibres_n to_o discharge_v the_o spirit_n which_o they_o contain_v so_o it_o will_v be_v always_o true_a to_o say_v that_o the_o gangrene_n succeed_v great_a pain_n and_o inflammation_n and_o that_o the_o privation_n of_o motion_n and_o feeling_n come_v chief_o from_o the_o blood_n since_o it_o be_v that_o which_o hinder_v by_o its_o stay_n the_o distribution_n of_o the_o spirit_n i_o deny_v not_o that_o the_o want_n of_o animal_n spirit_n in_o paralytic_n may_v give_v occasion_n to_o a_o gangrene_n to_o seize_v the_o soon_o on_o a_o part_n as_o we_o shall_v see_v in_o the_o follow_a discourse_n after_o all_o i_o have_v say_v it_o be_v easy_a to_o comprehend_v that_o the_o heat_n and_o life_n be_v precise_o contain_v in_o the_o blood_n since_o the_o dissipation_n and_o absence_n of_o its_o spirituous_a and_o nourish_a particle_n cause_v the_o gangrene_n and_o that_o their_o presence_n and_o exaltation_n entertain_v the_o natural_a heat_n gangrene_n true_a and_o only_a cause_n of_o a_o gangrene_n i_o say_v then_o in_o general_a that_o the_o cause_n of_o a_o gangrene_n and_o mortification_n be_v the_o dissipation_n &_o absence_n or_o concentration_n of_o the_o spirituous_a particle_n of_o the_o blood_n which_o must_v vivify_v the_o part_n or_o at_o least_o the_o interruption_n of_o the_o course_n of_o the_o same_o and_o its_o coagulation_n these_o cause_n act_n for_o the_o most_o part_n separately_z it_o may_v also_o happen_v that_o they_o act_v together_o to_o cause_v a_o gangrene_n as_o i_o shall_v make_v you_o observe_v let_v we_o examine_v all_o these_o cause_n and_o first_o see_v what_o be_v this_o alteration_n of_o the_o blood_n that_o be_v deprive_v of_o its_o spirituous_a particle_n from_o which_o follow_v gangrene_n and_o mortification_n to_o give_v a_o just_a idea_n of_o it_o let_v we_o consider_v the_o change_n that_o happen_v to_o wine_n all_o the_o world_n agree_v comparison_n a_o comparison_n that_o the_o good_a condition_n of_o wine_n consist_v in_o the_o exaltation_n of_o its_o most_o subtle_a and_o spirituous_a principle_n as_o long_o as_o these_o principle_n have_v the_o upper_a hand_n the_o wine_n remain_v in_o a_o state_n of_o gentle_a and_o natural_a fermentation_n and_o consequent_o of_o goodness_n but_o if_o it_o happen_v by_o what_o cause_n soever_o that_o they_o be_v weaken_a and_o dissipate_v and_o the_o acid_a salt_n or_o salt_n sulphur_n take_v the_o upperhand_n than_o it_o be_v that_o the_o wine_n grow_v sour_a and_o at_o least_o sharp_a and_o very_a disagreeable_a it_o happen_v also_o very_a often_o that_o after_o the_o loss_n and_o dissipation_n of_o the_o spirit_n there_o remain_v nothing_o in_o the_o wine_n but_o earth_n and_o phlegm_n it_o be_v without_o taste_n and_o be_v nothing_o but_o a_o dead_a mass_n and_o barren_a liquor_n which_o in_o latin_a be_v call_v vappa_fw-la vinum_fw-la pendulum_fw-la which_o be_v as_o it_o be_v the_o cadaver_n of_o the_o wine_n final_o it_o happen_v that_o in_o cold_a wether_n the_o spirit_n of_o the_o wine_n concentre_v in_o the_o midst_n of_o the_o vessel_n which_o contain_v it_o so_o that_o all_o the_o part_n in_o the_o circumference_n be_v deprive_v of_o the_o spirit_n congeal_v i_o say_v that_o when_o the_o spirituous_a particle_n of_o the_o blood_n be_v dissipate_v or_o concentre_v it_o receive_v almost_o the_o same_o alteration_n if_o the_o acid_a salt_n or_o salt_n sulphur_n take_v the_o upper_a hand_n it_o become_v acid_a or_o rank_n willis_n use_v the_o same_o example_n when_o he_o explain_v the_o alteration_n that_o happen_v to_o the_o blood_n 68_o in_o tract_n de_fw-fr ferm_n p._n 68_o in_o comparison_n to_o those_o that_o happen_v to_o wine_n cum_fw-la a_o long_fw-mi fermentatione_n spiritus_fw-la absumi_fw-la actandum_fw-la deficere_fw-la incipiunt_fw-la inducitur_fw-la defectionis_fw-la status_fw-la quo_fw-la vina_fw-la aliique_fw-la liquores_fw-la ant_n in_o vappam_fw-la transeunt_fw-la of_o it_o demum_fw-la sale_n vel_fw-la sulphur_n nimium_fw-la exaltatis_fw-la acetosi_fw-la ant_n rancidi_fw-la fiunt_fw-la pariter_fw-la &_o sanguis_fw-la dum_fw-la in_o vasis_fw-la circulatur_fw-la juxta_fw-la triplicem_fw-la hujusmodi_fw-la diathesin_n considerari_fw-la potest_fw-la etc._n etc._n final_o when_o all_o the_o spirit_n be_v dissipate_v that_o the_o blood_n degenerate_v into_o a_o dead_a inspire_v mass_n incapable_a of_o any_o fermentation_n and_o whenever_o the_o spirit_n be_v concentre_v in_o great_a cold_a they_o abandon_v or_o forsake_v the_o exterior_a part_n which_o be_v then_o only_o irrigate_v with_o blood_n deprive_v of_o vital_a and_o spirituous_a particle_n this_o last_o state_n of_o the_o blood_n answer_v to_o turn_v wine_n whence_o depend_v the_o mortification_n of_o a_o part_n in_o certain_a case_n which_o i_o be_o go_v to_o propose_v people_n cause_o of_o gangrene_n in_o old_a people_n first_o we_o observe_v that_o old_a people_n die_v very_o often_o of_o gangrene_n and_o that_o that_o it_o begin_v by_o the_o extremity_n and_o follow_v through_o the_o whole_a body_n in_o spite_n of_o all_o remedy_n that_o may_v be_v use_v the_o same_o thing_n happen_v through_o long_a abstinence_n and_o after_o all_o sort_n of_o too_o great_a evacuation_n to_o give_v a_o account_n of_o this_o phenomena_n you_o must_v observe_v that_o the_o blood_n can_v no_o more_o than_o other_o liquor_n that_o ferment_n always_o remain_v in_o the_o same_o condition_n it_o be_v active_a principle_n be_v yet_o entangle_v in_o infancy_n they_o get_v loose_a in_o our_o youth_n remain_v in_o a_o state_n of_o exaltation_n during_o a_o certain_a age_n but_o at_o last_o they_o be_v dissipate_v and_o begin_v to_o abandon_v their_o subject_n in_o old_a age_n therefore_o old_a people_n become_v by_o little_a and_o little_a incapable_a of_o their_o ordinary_a motion_n they_o lose_v insensible_o their_o vigour_n till_o at_o last_o their_o life_n in_o lose_v their_o heat_n and_o spirit_n this_o be_v so_o it_o be_v not_o hard_a to_o explain_v why_o old_a people_n who_o die_v after_o this_o manner_n be_v always_o trouble_v with_o gangrene_n in_o their_o last_o day_n the_o reason_n be_v because_o their_o blood_n become_v a_o languid_a mass_n which_o no_o more_o contain_v any_o character_n of_o life_n and_o which_o in_o effect_n be_v no_o more_o than_o a_o cadaver_n of_o blood_n this_o kind_n of_o death_n one_o may_v call_v natural_a because_o it_o happen_v not_o but_o when_o the_o heat_n be_v extinguish_v of_o itself_o and_o by_o degree_n ideoque_fw-la mori_fw-la simul_fw-la dicuntur_fw-la &_o extingui_fw-la in_o this_o manner_n it_o be_v that_o a_o mortification_n of_o the_o blood_n and_o spirit_n happen_v after_o a_o hectic_a fever_n long_a flux_n great_a abstinence_n too_o great_a labour_n and_o general_o after_o all_o sort_n of_o great_a evacuation_n because_o in_o these_o occasion_n the_o matter_n design_v for_o the_o entertain_n of_o natural_a heat_n be_v dissipate_v or_o be_v not_o enough_o furnish_v to_o supply_v the_o loss_n of_o it_o which_o it_o actual_o suffer_v of_o the_o rest_n though_o in_o this_o state_n of_o the_o blood_n the_o gangrene_n be_v almost_o universal_a and_o need_v no_o other_o cause_n to_o manifest_v itself_o yet_o sometime_o it_o happen_v that_o the_o slowness_n of_o the_o circulation_n give_v it_o occasion_n to_o attack_v certain_a part_n there_o be_v a_o very_a particular_a case_n of_o it_o in_o the_o 46th_o chapter_n of_o the_o second_o book_n of_o tulpius_n his_o observation_n observation_n observation_n where_o he_o relate_v that_o a_o old_a man_n be_v reduce_v to_o such_o a_o languish_a condition_n and_o so_o great_a a_o weakness_n that_o the_o least_o impression_n cause_v he_o to_o have_v a_o gangrene_n he_o dare_v not_o so_o much_o as_o sit_v down_o nor_o lean_a on_o a_o elbow_n nor_o even_o set_v a_o foot_n on_o the_o ground_n or_o press_v any_o of_o his_o member_n but_o there_o appear_v some_o mark_n of_o mortification_n which_o follow_v the_o gangrene_n this_o observation_n be_v rare_a and_o singular_a we_o must_v confess_v that_o his_o blood_n be_v mighty_o exhaust_v of_o spirit_n since_o a_o slight_a compression_n only_o be_v capable_a to_o produce_v a_o gangrene_n in_o a_o part_n we_o need_v not_o search_v any_o where_o else_o for_o the_o cause_n of_o a_o gangrene_n which_o happen_v to_o the_o leg_n and_o other_o part_n of_o
be_v not_o apply_v upon_o nervous_a part_n nor_o upon_o the_o great_a vessel_n but_o always_o between_o the_o muscle_n you_o first_o rub_v the_o part_n with_o a_o warm_a cloth_n to_o open_v the_o pore_n and_o to_o make_v the_o part_n in_o a_o manner_n insensible_a you_o put_v a_o plaster_n on_o it_o with_o a_o hole_n in_o the_o middle_n to_o put_v the_o caustic_n in_o which_o you_o cover_v with_o a_o compress_v and_o with_o a_o little_a fillet_n a_o general_z idea_n of_o wound_n chap._n i._o of_o incise_v or_o contuse_v wound_n of_o the_o flesh_n to_o finish_v this_o treatise_n i_o think_v fit_a to_o relate_v the_o most_o important_a observation_n which_o regard_v the_o cure_n of_o wound_n and_o to_o clear_v the_o stiff_a difficulty_n which_o puzzle_v most_o surgeon_n in_o the_o method_n of_o discuss_v they_o well_o without_o which_o we_o can_v obtain_v our_o wish_a for_o end_n those_o that_o hitherto_o have_v treat_v of_o they_o have_v be_v satisfy_v to_o hold_v long_a discourse_n about_o their_o several_a kind_n difference_n and_o prognostic_n but_o see_v these_o sort_n of_o useless_a discourse_n serve_v only_o to_o tire_v the_o memory_n of_o those_o which_o seek_v to_o be_v instruct_v i_o will_v not_o repeat_v they_o i_o begin_v first_o with_o the_o most_o simple_a and_o know_v symptom_n wound_n to_o stop_v the_o hemorrhage_n in_o wound_n be_v the_o hemorrhage_n be_v the_o first_o and_o most_o dangerous_a symptom_n of_o wound_n it_o be_v that_o which_o the_o surgeon_n must_v quick_o correct_v in_o close_v the_o vessel_n from_o whence_o the_o blood_n flow_v for_o if_o you_o stop_v they_o the_o blood_n run_v no_o more_o that_o be_v to_o say_v you_o must_v put_v into_o their_o aperture_n some_o medicine_n which_o hinder_v the_o effusion_n of_o the_o liquor_n they_o contain_v or_o in_o tie_v or_o compress_v they_o these_o two_o last_o method_n be_v the_o sure_a because_o one_o may_v order_v they_o as_o one_o please_v so_o that_o the_o intention_n for_o which_o we_o make_v the_o ligature_n or_o introduce_v lint_n into_o a_o new_a wound_n be_v to_o hinder_v the_o flux_n of_o blood_n in_o press_v the_o lint_n a_o little_a to_o oblige_v the_o side_n of_o the_o vessel_n to_o approach_v and_o resist_v the_o impulsion_n of_o the_o blood_n yet_o so_o that_o the_o compression_n excite_v not_o inflammation_n a_o wound_n have_v be_v so_o dress_v it_o be_v of_o importance_n to_o prevent_v the_o inflammation_n and_o pain_n which_o be_v the_o two_o accident_n which_o always_o accompany_v it_o inflammation_n cause_o of_o inflammation_n the_o inflammation_n or_o tumour_n proceed_v from_o the_o circulation_n in_o the_o part_n be_v impede_v by_o the_o division_n of_o the_o vessel_n the_o grumou_n clode_v blood_n and_o the_o dress_n these_o strange_a body_n be_v as_o so_o many_o sluice_n which_o oppose_v the_o course_n of_o the_o blood_n oblige_v it_o to_o stop_v and_o excite_v inflammation_n pain_n cause_o of_o pulsative_a pain_n i_o conceive_v two_o sort_n of_o pain_n the_o first_o be_v a_o pulsative_a pain_n which_o depend_v on_o the_o artery_n that_o creep_v about_o the_o nerve_n which_o at_o that_o time_n be_v so_o extend_v that_o they_o strike_v the_o nerve_n more_o rude_o than_o they_o use_v to_o do_v and_o make_v they_o suffer_v so_o great_a distention_n that_o they_o break_v and_o it_o be_v this_o plurality_n of_o division_n which_o cause_n the_o pain_n pain_n cause_o of_o the_o quick_a and_o burn_a pain_n the_o second_o be_v a_o quick_a and_o burn_a pain_n cause_v by_o the_o suppression_n of_o the_o course_n of_o the_o blood_n which_o by_o the_o motion_n and_o frequent_a shock_n of_o its_o most_o active_a principle_n burst_v the_o vessel_n and_o extravasate_v between_o the_o porosites_n of_o the_o flesh_n where_o it_o be_v rarify_v by_o the_o great_a quantity_n of_o concentred_a spirit_n which_o penetrate_v the_o most_o insensible_a porosity_n then_o do_v the_o blood_n by_o its_o irregular_a action_n shake_v and_o violent_o prick_v the_o little_a nervous_a fillament_n from_o whence_o proceed_v this_o second_o kind_n of_o burn_a pain_n pain_n 2._o to_o prevent_v pain_n we_o common_o prevent_v these_o two_o accident_n by_o repress_v the_o motion_n of_o the_o blood_n which_o come_v to_o the_o part_n with_o too_o great_a precipitation_n by_o repercussive_n and_o gentle_a astringent_n bandage_n be_v of_o the_o first_o rank_n which_o we_o use_v very_o successful_o in_o bind_v the_o wound_n up_o gentle_o as_o also_o the_o neighbour_a part_n whereas_o too_o tight_a a_o compression_n will_v augment_v the_o inflammation_n it_o be_v for_o this_o end_n we_o ready_o employ_v defensative_n as_o we_o call_v they_o because_o they_o be_v compound_v of_o a_o desiccative_a matter_n which_o insensible_o shut_v up_o the_o porosity_n of_o the_o vessel_n as_o terra_fw-la sigillata_fw-la &_o bole_n mix_v with_o the_o white_a of_o a_o egg_n or_o common_a water_n you_o must_v observe_v never_o to_o leave_v they_o long_o on_o then_o 24_o hour_n caution_n caution_n for_o reason_n which_o we_o shall_v allege_v hereafter_o you_o must_v at_o the_o same_o time_n sweeten_v the_o acrimony_n of_o the_o blood_n and_o empty_a the_o vessel_n by_o phlebotomy_n clyster_n and_o a_o good_a diet._n wound_n a_o thin_a diet_n exceed_v good_a in_o wound_n if_o the_o patient_n will_v be_v prudent_a in_o his_o way_n of_o live_v and_o use_v only_o a_o thin_a spare_a diet_n he_o will_v suffer_v much_o less_o pain_n and_o his_o cure_n will_v be_v quick_a because_o salt_n meat_n be_v capable_a of_o thicken_a the_o blood_n and_o make_v it_o fit_a for_o fermentation_n whereas_o sweet_a liquid_n by_o their_o insipidness_n dissolve_v and_o charge_v themselves_o with_o the_o salt_n and_o precipitate_v it_o by_o urine_n after_o this_o manner_n the_o intempery_n of_o the_o blood_n be_v correct_v and_o the_o affect_a part_n relieve_v clyster_n benefit_n of_o clyster_n clyster_n be_v also_o of_o great_a use_n because_o they_o hinder_v the_o excrement_n from_o heat_n and_o boil_a back_n again_o in_o the_o intestine_n they_o dilate_v the_o matter_n moderate_a the_o heat_n of_o all_o the_o viscera_n and_o contribute_v much_o to_o the_o cure_n of_o wound_n dress_n repercussive_n use_v only_o in_o the_o first_o dress_n you_o must_v observe_v that_o at_o the_o same_o time_n repercussive_n retain_v the_o most_o subtle_a and_o agitate_a salt_n particle_n of_o the_o blood_n they_o grow_v sour_a gnaw_v the_o vessel_n and_o excite_v a_o fermentation_n upon_o which_o a_o fever_n soon_o follow_v they_o be_v therefore_o only_o use_v in_o the_o first_o dress_n and_o prefer_v discutients_n which_o open_v the_o pore_n and_o cause_v the_o volatile_a salt_n to_o perspire_v and_o so_o empty_a the_o part_n it_o be_v easy_a to_o see_v if_o one_o continue_v the_o use_n of_o repercussive_n the_o salt_n endeavour_v to_o escape_v fail_v not_o to_o excite_v inflammation_n and_o to_o corrupt_v the_o nourish_a juice_n of_o the_o part_n in_o disunit_a the_o principle_n of_o the_o blood_n which_o depend_v one_o on_o another_o &_o which_o by_o the_o frequent_a encounter_n and_o shock_n of_o their_o particle_n change_v figure_n from_o which_o depend_v the_o generation_n of_o a_o new_a matter_n and_o all_o the_o change_n which_o happen_v together_o discutient_n and_o suppuration_n must_v work_v together_o if_o in_o such_o a_o occasion_n discutient_n which_o cause_n perspiration_n and_o digestive_n which_o excite_v a_o quick_a suppuration_n shall_v not_o work_v together_o to_o disengage_v the_o part_n it_o will_v tumifie_v so_o much_o as_o to_o fall_v into_o gangrene_n cataplasm_n which_o have_v oil_n and_o fat_n be_v in_o their_o composition_n have_v almost_o the_o same_o effect_n as_o repercussative_n for_o which_o reason_n good_a practitioner_n disapprove_v their_o use_n we_o observe_v that_o in_o great_a wound_n discutient_n excite_v often_o a_o fermentation_n which_o increase_v the_o inflammation_n in_o that_o case_n a_o cataplasm_n make_v with_o crumb_n of_o bread_n milk_n the_o yolk_n of_o a_o egg_n mallow_n root_n etc._n etc._n be_v very_o proper_a we_o ordinary_o blame_v those_o who_o let_v the_o pus_fw-la lie_v too_o long_o in_o the_o wound_n because_o it_o always_o get_v some_o malignity_n &_o corrode_v the_o neighbour_a vessel_n which_o present_o produce_v inflammation_n &_o putrefaction_n or_o else_o the_o vein_n absorb_v it_o &_o carry_v it_o to_o the_o heart_n from_o whence_o it_o diffuse_v itself_o into_o the_o whole_a mass_n of_o blood_n and_o cause_v the_o fever_n and_o according_a to_o the_o different_a alteration_n which_o it_o receive_v in_o pass_v through_o the_o part_n it_o obstruct_v the_o liver_n lung_n or_o some_o other_o part_n so_o cause_v a_o imposthume_n there_o as_o we_o have_v observe_v in_o wound_n of_o the_o head_n this_o demonstrate_v to_o we_o that_o we_o ought_v to_o dry_v up_o all_o the_o matter_n that_o be_v in_o the_o wound_n and_o press_v the_o dossel_n
mortification_n these_o be_v more_o or_o less_o mortal_a according_a as_o the_o malignity_n activity_n and_o penetration_n of_o the_o acid_n humour_n wherein_o consist_v the_o nature_n of_o poison_n be_v more_o or_o less_o great_a and_o fatal_a chap._n iii_o of_o wound_n of_o the_o tendon_n i_o have_v make_v you_o observe_v speak_v of_o the_o suture_a of_o the_o tendon_n that_o when_o it_o be_v quite_o cut_v there_o happen_v no_o troublesome_a accident_n but_o that_o it_o retire_v towards_o its_o origine_fw-la and_o that_o one_o be_v oblige_v to_o soften_v their_o fibre_n with_o oil_n draw_v without_o fire_n that_o their_o reunion_n may_v be_v the_o easy_a i_o have_v also_o make_v you_o observe_v that_o the_o stitch_n be_v make_v it_o be_v necessary_a to_o humect_v the_o tendon_n with_o oil_n and_o spirit_n of_o wine_n the_o oil_n resist_v the_o impression_n of_o the_o air_n and_o the_o spirit_n of_o wine_n penetrate_v the_o least_o porosity_n deobstruct_v their_o channel_n in_o drive_v out_o the_o humour_n and_o by_o this_o mean_v the_o concourse_n of_o symptom_n particular_o that_o of_o pain_n be_v stop_v suppurative_n must_v follow_v next_o immediate_o forasmuch_o as_o they_o hinder_v that_o the_o inflammation_n may_v not_o cause_v long_a suppuration_n which_o will_v infallible_o rot_v the_o tendon_n in_o spite_n of_o all_o the_o care_n that_o may_v be_v take_v as_o it_o happen_v in_o all_o great_a fluxion_n where_o the_o tendon_n be_v discover_v this_o be_v the_o reason_n which_o oblige_v we_o to_o stay_v till_o the_o suppuration_n be_v accomplish_v and_o the_o tendon_n cover_v before_o we_o use_v dissicatives_n as_o tinct_v aloe_n spirit_n vini_n with_o several_a other_o because_o in_o dry_v the_o part_n too_o soon_o you_o hinder_v the_o dissolution_n of_o the_o juice_n stop_v suppuration_n and_o retain_v the_o inflammation_n which_o be_v the_o true_a cause_n why_o the_o tendon_n rot_v the_o inflammation_n which_o come_v upon_o wound_n of_o the_o tendon_n that_o lie_v but_o shallow_a under_o the_o skin_n be_v not_o dangerous_a but_o since_o the_o juice_n which_o exude_v out_o of_o it_o be_v corrosive_n it_o awake_v the_o pain_n and_o all_o other_o accident_n which_o most_o common_o attend_v wound_n of_o the_o tendon_n but_o if_o it_o happen_v that_o a_o deep_a tendon_n be_v hurt_v the_o inflammation_n and_o obstruction_n be_v great_a and_o more_o troublesome_a by_o reason_n of_o the_o many_o sanguine_a vessel_n which_o lie_v over_o it_o if_o the_o accident_n continue_v and_o the_o tendon_n suppurate_v not_o it_o be_v most_o convenient_a to_o dilate_v the_o wound_n that_o the_o remedy_n may_v be_v able_a to_o penetrate_v and_o ease_v the_o part_n by_o cause_v a_o speedy_a suppuration_n if_o the_o flesh_n which_o be_v generate_v in_o these_o kind_n of_o wound_n become_v callous_a it_o be_v a_o sign_n that_o the_o salt_n abound_v every_o where_o and_o that_o the_o fluxion_n will_v be_v great_a since_o the_o salt_n particle_n condense_a themselves_o in_o the_o very_a substance_n of_o the_o part_n we_o use_v only_o here_o digestive_n and_o balsam_n which_o be_v convenient_a till_o the_o wound_n be_v ready_a to_o cicatrise_v be_v capable_a of_o melt_v and_o dissolve_v the_o juice_n by_o which_o we_o know_v that_o dissicatives_n be_v noxious_a because_o they_o procure_v too_o soon_o a_o cicatrix_fw-la there_o be_v sometime_o generate_v a_o soft_a spungy_a flesh_n which_o threaten_v the_o part_n with_o great_a obstruction_n then_o it_o be_v also_o necessary_a to_o continue_v the_o digestive_n for_o dissicatives_n glue_v and_o harden_v too_o much_o the_o nourish_a particle_n and_o augment_v the_o abundance_n of_o the_o salt_n which_o cause_n faulty_a flesh_n in_o this_o case_n schroder_n green_a balm_n be_v excellent_a you_o must_v observe_v that_o a_o tendon_n may_v be_v hurt_v by_o a_o prick_n without_o any_o accident_n happen_v this_o be_v when_o the_o instrument_n slip_v between_o the_o interval_n of_o the_o fibre_n without_o endamage_v they_o but_o if_o by_o chance_n it_o divide_v some_o of_o the_o fibre_n obstruction_n follow_v which_o occasion_n the_o nourish_a juice_n to_o become_v corrosive_a gnaw_v the_o fibre_n and_o membrane_n which_o cause_v a_o great_a obstruction_n &_o more_o violent_a pain_n beside_o the_o spirit_n which_o be_v irritate_v by_o these_o sharp_a matter_n augment_v the_o inflammation_n which_o at_o first_o be_v not_o 〈◊〉_d considerable_a but_o afterward_o very_o dangerous_a to_o help_v this_o inconvenience_n you_o ought_v without_o scruple_n to_o open_v the_o tegument_n and_o flesh_n to_o find_v the_o place_n of_o the_o prick_v tendon_n and_o to_o sweeten_v the_o acrimony_n of_o the_o salt_n with_o ol._n ovor._n cere_fw-la and_o spirit_n vini_n not_o neglect_v at_o the_o same_o time_n the_o use_n of_o digestive_n and_o balm_n if_o the_o accident_n cease_v not_o it_o be_v a_o sign_n the_o puncture_n be_v deep_a and_o that_o the_o medicament_n can_v penetrate_v than_o you_o must_v separate_v dexterous_o the_o fibre_n of_o the_o tendon_n according_a to_o their_o length_n to_o give_v way_n to_o the_o balsamic_a particle_n to_o soften_v the_o fibre_n and_o the_o spirit_n of_o wine_n to_o discuss_v the_o humour_n and_o cause_v a_o more_o easy_a suppuration_n the_o inflammation_n which_o follow_v upon_o the_o puncture_n of_o a_o tendon_n incroach_v often_o upon_o the_o near_a part_n as_o for_o example_n if_o the_o tendon_n of_o the_o finger_n be_v prick_v the_o wrist_n and_o arm_n swell_v so_o much_o that_o one_o be_v often_o oblige_v to_o amputate_v it_o for_o see_v the_o tendon_n and_o belly_n of_o the_o muscle_n contain_v nothing_o but_o a_o heap_n of_o fibres_n of_o the_o same_o continuity_n the_o convulsion_n 〈◊〉_d consequent_o the_o inflammation_n communicate_v itself_o not_o only_o to_o the_o belly_n of_o the_o muscle_n but_o also_o to_o all_o the_o neighbour_a part_n you_o must_v not_o be_v astonish_v if_o these_o part_n have_v such_o a_o correspondence_n together_o and_o if_o they_o communicate_v so_o mutual_o one_o to_o another_o their_o alteration_n if_o there_o be_v any_o difference_n between_o the_o tendon_n and_o the_o belly_n of_o the_o muscle_n it_o consist_v only_o in_o their_o texture_n and_o in_o the_o more_o or_o less_o inflammation_n tention_n or_o pain_n the_o most_o specific_a remedy_n to_o stop_v the_o accident_n of_o a_o punctured_a tendon_n be_v to_o give_v issue_n to_o the_o wound_n if_o the_o tendon_n lie_v high_a we_o use_v balsamic_n and_n digestive_n but_o if_o deep_a you_o must_v add_v spirit_n of_o wine_n if_o the_o fluxion_n be_v great_a you_o apply_v upon_o the_o tendon_n a_o little_a bolster_n soak_v in_o brandy_n to_o secure_v it_o from_o the_o impression_n of_o the_o purulent_a matter_n as_o concern_v cataplasm_n its_o know_v that_o we_o apply_v emollient_n discutient_n and_o defensative_n during_o the_o first_o 2_o or_o 3_o day_n according_a to_o the_o degree_n of_o the_o inflammation_n afterward_o we_o prefer_v discutient_n which_o be_v continue_v all_o the_o time_n of_o the_o fluxion_n and_o during_o the_o rest_n of_o the_o cure_n you_o must_v use_v plaster_n and_o compress_n soak_v in_o spirit_n of_o wine_n warm_v if_o the_o tendon_n of_o the_o hand_n be_v hurt_v we_o lay_v not_o only_o defensatives_n upon_o the_o part_n but_o also_o over_o the_o whole_a arm._n if_o the_o puncture_n be_v make_v with_o a_o square_n or_o triangular_a instrument_n it_o be_v doubtless_o more_o to_o be_v fear_v than_o that_o which_o be_v make_v by_o a_o flat_a or_o round_a one_o because_o of_o the_o great_a number_n of_o the_o division_n it_o therefore_o require_v more_o circumspection_n last_o if_o the_o inflammation_n be_v great_a and_o there_o be_v appearance_n of_o a_o gangrene_n you_o must_v scarify_v and_o use_v all_o that_o be_v capable_a to_o awake_v the_o motion_n of_o the_o spirit_n chap._n iu._n of_o wound_n of_o the_o ligament_n and_o bone_n wound_n of_o the_o ligament_n differ_v not_o much_o from_o those_o of_o the_o tendon_n but_o in_o the_o more_o or_o less_o sensibility_n and_o though_o they_o be_v not_o so_o painful_a nor_o dangerous_a nevertheless_o it_o happen_v very_o often_o that_o putrefaction_n seize_v it_o by_o the_o abode_n of_o the_o purulent_a matter_n upon_o these_o part_n if_o the_o ligament_n of_o the_o joint_n be_v hurt_v i_o say_v that_o thicken_a remedy_n be_v most_o contrary_a because_o we_o must_v by_o all_o mean_n oppose_v the_o coagulation_n of_o the_o viscous_a and_o salt_a juice_n which_o entertain_v these_o part_n as_o also_o the_o formation_n of_o ganglion_n and_o anchilose_a which_o can_v be_v mollify_v nor_o dissolve_v by_o the_o most_o powerful_a medicine_n if_o the_o ligament_n of_o a_o joint_n can_v be_v hurt_v without_o some_o tendon_n receive_v damage_n also_o it_o may_v be_v easy_o comprehend_v that_o the_o inflammation_n hinder_v they_o from_o obey_v the_o motion_n of_o the_o muscle_n and_o that_o the_o humour_n which_o