as_o for_o the_o order_n of_o the_o complication_n chap._n xxiii_o of_o medicine_n to_o prevent_v the_o stone_n for_o avoid_v of_o the_o stone_n and_o of_o medicament_n for_o dress_v those_o that_o be_v cut_v though_o we_o promise_v to_o inquire_v into_o the_o medicine_n that_o may_v prevent_v the_o stone_n we_o must_v however_o confess_v that_o it_o be_v very_o difficult_a and_o perhaps_o impossible_a to_o determine_v precise_o wherein_o they_o do_v consist_v because_o the_o most_o learned_a in_o natural_a discovery_n speak_v only_o in_o general_n of_o the_o figure_n of_o body_n and_o microscope_n have_v not_o be_v able_a to_o make_v know_v the_o particular_a nature_n of_o every_o one_o nor_o yet_o of_o all_o their_o pore_n possible_o we_o may_v succeed_v without_o observe_v all_o these_o particularity_n for_o though_o inquiry_n into_o nature_n be_v pursue_v to_o that_o very_a point_n yet_o still_o there_o will_v be_v cause_n that_o do_v not_o depend_v on_o we_o and_o which_o may_v form_v the_o stone_n the_o bigness_n figure_n number_n and_o motion_n of_o the_o particle_n of_o body_n of_o which_o we_o be_v compose_v and_o of_o those_o which_o serve_v we_o for_o food_n be_v no_o way_n in_o our_o power_n though_o these_o thing_n be_v sufficient_a to_o produce_v in_o we_o the_o malady_n that_o we_o fear_v if_o the_o secretion_n and_o excretion_n be_v not_o perform_v according_a to_o the_o course_n of_o nature_n that_o we_o may_v reap_v benefit_n from_o the_o misery_n of_o other_o it_o be_v to_o be_v consider_v that_o they_o who_o be_v most_o subject_a to_o the_o gravel_n or_o stone_n live_v after_o such_o a_o manner_n as_o may_v be_v avoid_v or_o at_o least_o correct_v by_o other_o mean_n and_o see_v we_o have_v speak_v of_o fenny_a and_o marshy_a place_n gross_a and_o thick_a air_n calculous_a food_n muddy_a water_n and_o of_o the_o excess_n that_o may_v much_o debilitate_v the_o part_n of_o the_o body_n they_o be_v careful_o to_o be_v avoid_v use_v moderate_o those_o thing_n that_o be_v for_o our_o nourishment_n follow_v exercise_n suitable_o to_o our_o strength_n without_o affect_v too_o much_o niceness_n and_o delicacy_n it_o be_v better_a to_o use_v a_o little_a too_o much_o than_o not_o enough_o because_o life_n consist_v in_o action_n and_o man_n love_v themselves_o too_o well_o not_o to_o repose_v and_o take_v their_o rest_n if_o we_o be_v not_o guilty_a of_o excess_n the_o part_n of_o our_o body_n continue_v in_o good_a health_n ready_a to_o resist_v all_o attack_n though_o few_o thing_n contribute_v more_o to_o the_o form_n of_o the_o stone_n in_o the_o bladder_n than_o continue_v long_o without_o make_v of_o water_n yet_o we_o must_v not_o at_o first_o give_v diuretic_n but_o only_o gentle_a purgative_n to_o empty_a the_o intestine_n and_o adjoin_a part_n of_o that_o kind_n be_v manna_n cassia_n catholicum_fw-la duplex_fw-la lenitive_a electuary_n diaprunum_n simplex_fw-la a_o day_n or_o two_o after_o turpentine_n prepare_v in_o this_o fashion_n may_v be_v give_v in_o drink_n take_v a_o ounce_n or_o six_o drachm_n of_o the_o best_a turpentine_n unwashed_a dissolve_v it_o in_o a_o mortar_n with_o a_o little_a of_o the_o yelk_n of_o a_o egg_n then_o add_v to_o it_o two_o or_o three_o ounce_n of_o the_o water_n of_o winter-cherry_n smallage_n pelletory_n of_o the_o wall_n or_o of_o some_o other_o liquor_n according_a to_o the_o nature_n of_o the_o disease_n and_o the_o state_n of_o the_o patient_n stir_v all_o together_o that_o it_o may_v be_v exact_o mix_v and_o become_v of_o so_o white_a a_o colour_n that_o it_o look_v like_o cream_n or_o coagulate_v milk_n bever_n c._n xi_o of_o the_o stone_n of_o the_o kidney_n and_o bladder_n the_o bath_n give_v ease_n to_o those_o that_o be_v trouble_v with_o the_o stone_n and_o contribute_v much_o to_o the_o bring_v away_o of_o little_a stone_n that_o stop_v in_o the_o kidney_n and_o bladder_n the_o use_n of_o the_o follow_a ptisanne_n or_o barleywater_n be_v very_o good_a against_o the_o same_o distemper_n it_o be_v make_v with_o a_o ounce_n of_o linseed_n and_o the_o root_n of_o mallow_n and_o marshmallow_n of_o each_o two_o ounce_n put_v into_o five_o quart_n of_o water_n boil_a away_o to_o four_o into_o three_o ounce_n of_o this_o ptisanne_n may_v be_v drop_v four_o or_o five_o drop_n of_o the_o spirit_n of_o sulphur_n and_o it_o may_v be_v make_v strong_a by_o augment_v the_o do_v of_o the_o ingredient_n in_o the_o same_o quantity_n of_o water_n it_o be_v approve_v of_o for_o make_v one_o void_a water_n mitigate_a pain_n and_o bring_v away_o stone_n the_o two_o follow_a receipt_n be_v give_v i_o by_o mounseur_fw-fr jonnot_n the_o first_o of_o which_o he_o tell_v i_o have_v often_o to_o his_o experience_n be_v successful_a in_o ease_v nephritick_n pain_n and_o those_o who_o be_v subject_a to_o void_a small_a stone_n and_o that_o the_o second_v never_o fail_v he_o provide_v the_o stone_n be_v of_o a_o bigness_n fit_a to_o come_v out_o of_o the_o pelvis_n or_o basin_n of_o the_o kidney_n the_o first_o medicine_n be_v to_o be_v take_v in_o the_o spring_n and_o fall_v every_o morning_n for_o three_o day_n together_o take_v six_o ounce_n of_o the_o water_n of_o pelletory_n of_o the_o wall_n a_o ounce_n of_o the_o oil_n of_o sweet_a almond_n and_o a_o ounce_n and_o a_o half_n of_o the_o syrup_n of_o lemon_n in_o case_n of_o necessity_n it_o be_v take_v at_o any_o time_n for_o the_o second_o remedy_n the_o patient_n must_v be_v once_o or_o twice_o blood_v and_o twice_o purge_v with_o two_o or_o three_o drachm_n of_o sena_n infuse_v overnight_o in_o the_o decoction_n of_o dogs-grass_n root_n of_o marsh-mallow_n and_o a_o little_a bundle_n of_o flax_n to_o the_o colature_n of_o which_o must_v be_v add_v a_o ounce_n of_o cleaned_a cassia_n for_o every_o do_v the_o day_n after_o he_o be_v to_o make_v use_n of_o the_o follow_a limonade_n and_o be_v to_o continue_v it_o three_o day_n successive_o in_o the_o wane_n of_o the_o moon_n fast_v three_o or_o four_o hour_n after_o take_v of_o argentine_n or_o wild_a tansey_n water_n lentil_o and_o cress_n of_o each_o one_o handful_n let_v they_o boil_v half_o a_o quarter_n of_o a_o hour_n in_o a_o quart_n of_o water_n when_o it_o be_v take_v off_o the_o fire_n add_v to_o it_o the_o juice_n and_o rind_n of_o three_o or_o four_o lemon_n let_v all_o infuse_v together_o for_o the_o space_n of_o four_o hour_n then_o strain_v it_o and_o add_v thereunto_o three_o ounce_n of_o the_o powder_n of_o sugar-candy_n and_o twenty_o grain_n of_o the_o spirit_n of_o salt_n keep_v it_o for_o the_o use_v aforesaid_a the_o garden-flag_n or_o blue_a flower-de-luce_n that_o grow_v upon_o wall_n infuse_v cold_a into_o what_o quantity_n one_o please_v of_o white-wine_n and_o a_o ounce_n of_o the_o infusion_n take_v for_o the_o first_o time_n by_o child_n of_o ten_o or_o twelve_o year_n of_o age_n bring_v away_o the_o stone_n the_o do_v be_v to_o be_v increase_v or_o diminish_v according_a to_o the_o age_n of_o the_o patient_n and_o its_o operation_n give_v always_o too_o little_a rather_o than_o too_o much_o for_o fear_v of_o draw_v the_o stone_n in_o too_o great_a abundance_n towards_o the_o sphincter_n of_o the_o bladder_n which_o will_v cause_v a_o suppression_n of_o urine_n one_o may_v renew_v it_o two_o or_o three_o day_n after_o and_o purge_v by_o the_o advice_n of_o a_o physician_n the_o use_n of_o white-wine_n raddish-water_n and_o wine_n make_v of_o the_o fruit_n of_o eglantine_n or_o sweet_a briar_n take_v now_o and_o then_o be_v good_a paracelsus_n in_o the_o end_n of_o the_o preface_n to_o his_o second_o treatise_n of_o his_o great_a chirurgery_n prescribe_v for_o remedy_v the_o suppression_n of_o urine_n the_o use_n of_o the_o stone_n that_o be_v find_v in_o the_o head_n of_o crab_n beat_v into_o a_o subtle_a powder_n drink_v in_o the_o juice_n or_o water_n of_o radish_n and_o if_o the_o patient_n do_v not_o thereby_o make_v water_n to_o make_v a_o little_a bag_n of_o saffron_n and_o lay_v it_o upon_o the_o kidney_n or_o the_o belly_n towards_o the_o passage_n of_o the_o ureter_n and_o upon_o the_o perinaeum_n or_o to_o make_v a_o powder_n of_o dry_a acorn_n and_o give_v it_o to_o be_v drink_v in_o the_o water_n or_o juice_n of_o radish_n in_o what_o quantity_n the_o physician_n shall_v judge_v fit_a the_o two_o follow_a medicine_n be_v approve_v of_o for_o bring_v away_o of_o sand_n and_o small_a stone_n in_o the_o wain_n of_o the_o moon_n the_o patient_n be_v purge_v let_v he_o take_v in_o the_o morning_n the_o bigness_n of_o a_o nut_n of_o fresh_a butter_n and_o swallow_v it_o down_o like_o a_o pill_n then_o let_v he_o take_v a_o four_o limon_n and_o squeeze_v out_o the_o juice_n of_o it_o into_o four_o ounce_n of_o white
which_o be_v not_o leave_v in_o the_o bladder_n it_o be_v say_v that_o patient_n have_v a_o quarry_n of_o stone_n the_o figure_n and_o bigness_n of_o the_o stone_n be_v consider_v after_o the_o operation_n one_o may_v judge_v whither_o or_o no_o the_o consequence_n will_v be_v dangerous_a for_o if_o it_o be_v monstrous_a the_o part_n have_v be_v much_o dilate_v and_o coutuse_v and_o if_o it_o be_v craggy_a and_o point_a there_o have_v be_v dilaceration_n or_o adherence_n and_o some_o time_n complication_n the_o stone_n that_o have_v many_o asperity_n be_v never_o so_o big_a as_o those_o that_o be_v even_o and_o smooth_a in_o their_o surface_n and_o that_o for_o two_o reason_n the_o first_o be_v because_o the_o minute_n body_n that_o compose_v those_o rough_a stone_n be_v not_o so_o close_o compart_v and_o some_o of_o they_o may_v break_v off_o and_o be_v void_v with_o the_o urine_n the_o second_o because_o those_o asperity_n cause_v a_o more_o sudden_a and_o pungent_a pain_n than_o other_o figure_n and_o force_v the_o patient_n to_o betake_v himself_o more_o speedy_o to_o the_o chirurgeon_n for_o ease_n who_o perform_v the_o operation_n before_o that_o it_o have_v have_v time_n to_o increase_v to_o a_o great_a bigness_n chap._n viii_o what_o be_v to_o be_v observe_v by_o the_o chirurgeon_n before_o the_o operation_n hypocrates_n have_v take_v a_o oath_n never_o to_o undertake_v the_o cut_n of_o the_o stone_n have_v instruct_v we_o how_o necessary_a it_o be_v to_o observe_v all_o circumspection_n in_o perform_v it_o wherefore_o when_o a_o chirurgeon_n pretend_v to_o the_o cut_n of_o the_o stone_n he_o ought_v to_o frame_v to_o himself_o a_o notion_n or_o idea_n of_o open_v to_o himself_o a_o passage_n to_o the_o bladder_n through_o a_o convenient_a place_n for_o extract_v of_o the_o stone_n by_o his_o rule_n and_o precept_n he_o will_v know_v if_o he_o can_v operate_v and_o then_o he_o be_v to_o resolve_v upon_o it_o he_o that_o be_v trouble_v with_o the_o stone_n be_v his_o subject_a matter_n and_o it_o be_v the_o duty_n of_o a_o skilful_a chirurgeon_n to_o foresee_v the_o consequence_n to_o the_o end_n he_o may_v guard_v himself_o with_o necessary_a remedy_n against_o the_o accident_n of_o the_o matter_n and_o of_o the_o operation_n a_o chirurgeon_n that_o be_v call_v to_o search_v or_o cut_v a_o patient_n aught_o to_o make_v himself_o be_v distinguish_v from_o quack_n this_o will_v be_v easy_a for_o he_o to_o do_v if_o he_o observe_v what_o be_v teach_v in_o the_o principle_n of_o chirurgie_n where_o they_o treat_v of_o the_o quality_n of_o the_o chirurgeon_n and_o of_o the_o servant_n it_o be_v one_o of_o his_o chief_a quality_n to_o have_v great_a skill_n in_o anatomy_n that_o he_o may_v know_v the_o formation_n and_o fcituation_n of_o the_o part_n that_o so_o he_o may_v operate_v with_o necessary_a circumspection_n be_v bold_a but_o yet_o not_o rash_a he_o ought_v to_o make_v his_o prudence_n appear_v by_o make_v his_o prognostic_n and_o distinguish_v between_o those_o thing_n that_o be_v ineffectual_a and_o perilous_a and_o those_o thing_n wherein_o according_a to_o the_o rule_n of_o his_o art_n he_o may_v succeed_v without_o exaggerate_v the_o least_o circumstance_n and_o event_n that_o depend_v not_o upon_o he_o by_o a_o unnecessary_a stand_v of_o word_n he_o be_v to_o consider_v the_o state_n strength_n and_o age_n of_o the_o patient_n for_o know_v that_o a_o man_n be_v upon_o the_o brink_n of_o death_n before_o that_o he_o search_v or_o probe_n he_o he_o be_v to_o acquaint_v those_o that_o be_v by_o that_o it_o be_v no_o disgrace_n to_o he_o if_o he_o can_v search_v he_o or_o if_o though_o the_o catheter_n be_v even_o introduce_v into_o his_o bladder_n if_o he_o make_v but_o little_a or_o no_o water_n by_o reason_n of_o his_o weakness_n because_o a_o patient_n fall_v sometime_o into_o a_o apparent_a suppression_n when_o he_o have_v no_o urine_n to_o render_v this_o happen_v to_o i_o about_o 3_o year_n ago_o i_o be_v send_v for_o to_o search_v mr._n sartorin_n a_o advocate_n he_o be_v very_o ancient_a hydropical_a and_o at_o the_o very_a point_n of_o death_n and_o have_v not_o make_v water_n for_o three_o day_n i_o do_v not_o search_v he_o and_o he_o die_v within_o a_o hour_n after_o i_o see_v he_o when_o he_o be_v open_v there_o be_v not_o one_o drop_n of_o water_n find_v in_o his_o bladder_n his_o ureter_n be_v so_o close_v up_o that_o the_o urine_n will_v not_o pass_v the_o chirurgeon_n ought_v to_o be_v inform_v from_o the_o patient_n own_o mouth_n and_o by_o those_o that_o wait_v on_o he_o of_o the_o secret_a matter_n and_o distemper_n to_o which_o he_o be_v subject_a of_o the_o excess_n that_o may_v have_v contribute_v to_o his_o indisposition_n nothing_o be_v to_o be_v conceal_v from_o he_o because_o of_o the_o remedy_n and_o instrument_n which_o he_o be_v to_o choose_v hypocrates_n in_o the_o six_o aphorism_n of_o his_o six_o book_n affirm_v that_o old_a man_n be_v hardly_o cure_v of_o the_o disease_n of_o the_o kidney_n and_o bladder_n and_o elsewhere_o he_o assure_v we_o that_o he_o never_o see_v any_o past_a fifty_o year_n of_o age_n cure_a because_o according_a to_o caelius_n aurelianus_n their_o bladder_n be_v nervous_a and_o they_o have_v but_o little_a natural_a heat_n beside_o it_o be_v seat_v too_o high_a so_o that_o medicine_n can_v be_v convey_v to_o it_o they_o be_v weak_a and_o many_o excrement_n fall_v continual_o that_o way_n nevertheless_o several_a have_v be_v cut_v and_o cure_v of_o the_o stone_n at_o a_o great_a age._n it_o be_v a_o good_a presage_n for_o the_o cure_n after_o the_o operation_n be_v perform_v if_o the_o patient_a sleep_n if_o his_o respiration_n be_v equal_a his_o tongue_n moist_a and_o if_o he_o be_v not_o dry_a nor_o do_v vomit_n the_o low_a region_n of_o the_o belly_n little_a or_o not_o at_o all_o swell_v with_o moderate_a pain_n and_o a_o slight_a fever_n because_o in_o that_o disposition_n according_a to_o celsus_n the_o inflammation_n cease_v most_o common_o about_o the_o five_o or_o seven_o day_n he_o ought_v to_o know_v that_o the_o patient_n often_o die_v by_o the_o accident_n that_o accompany_v or_o follow_v the_o operation_n than_o by_o the_o stone_n whilst_o they_o be_v in_o the_o bladder_n if_o the_o patient_n be_v too_o weak_a he_o ought_v to_o have_v time_n to_o gather_v strength_n otherways_o the_o operation_n will_v reduce_v he_o to_o evident_a danger_n and_o the_o chirurgeon_n ought_v to_o give_v notice_n of_o it_o that_o he_o may_v avoid_v the_o blame_n before_o the_o operation_n some_o time_n be_v to_o be_v allow_v for_o the_o digestion_n of_o the_o food_n that_o the_o patient_n have_v take_v that_o so_o his_o body_n may_v be_v in_o better_a plight_n to_o endure_v it_o celsus_n observe_v that_o most_o of_o learned_a man_n have_v a_o weak_a stomach_n and_o that_o they_o be_v not_o strong_a by_o reason_n of_o watch_n and_o over_o study_v the_o medicine_n of_o pharmarie_n can_v cure_v the_o stone_n they_o only_o bring_v relief_n when_o the_o stone_n be_v very_o small_a in_o the_o kidney_n or_o bladder_n and_o when_o they_o be_v as_o yet_o but_o a_o kind_n of_o matter_n easy_a to_o be_v resolve_v into_o powder_n and_o to_o be_v evacuate_v with_o the_o urine_n the_o chirurgeon_n ought_v to_o make_v his_o prognostic_n examine_v if_o he_o can_v the_o bigness_n of_o the_o stone_n with_o his_o finger_n thrust_v into_o the_o fundament_n inform_v himself_o how_o long_o the_o patient_n have_v complain_v of_o it_o observe_v the_o season_n place_n and_o other_o circumstance_n direct_v by_o the_o principle_n of_o chirurgerie_n those_o that_o have_v the_o jaundice_n or_o dropsy_n be_v not_o strong_a enough_o to_o endure_v the_o operation_n when_o one_o have_v discover_v the_o sign_n of_o the_o stone_n or_o gravel_n if_o the_o urine_n after_o it_o have_v be_v bloody_a or_o become_v full_a of_o purulent_a matter_n it_o be_v a_o sign_n that_o there_o be_v a_o ulcer_n in_o the_o kidney_n or_o bladder_n cause_v hy_z the_o roughness_n and_o asperity_n of_o the_o stone_n and_o that_o there_o be_v no_o hope_n of_o cure_v a_o ulcer_n in_o the_o kidney_n because_o hot_a and_o penetrate_a medicine_n be_v require_v for_o expulsion_n of_o the_o stone_n and_o the_o contrary_a for_o ulcer_n nature_n sometime_o stir_v up_o or_o assist_v by_o divert_v medicine_n discharge_v itself_o of_o that_o load_n and_o give_v opportunity_n of_o ease_v the_o patient_n of_o their_o torment_a pain_n the_o chirurgeon_n ought_v not_o to_o expect_v a_o cure_n if_o after_o the_o patient_n have_v be_v cut_v the_o nephritick_n colic_n continue_v long_o with_o pain_n that_o be_v sometime_o heavy_a and_o dull_a and_o sometime_o acute_a and_o sharp_a because_o that_o be_v a_o sign_n that_o there_o be_v a_o big_a stone_n or_o
the_o groin_n and_o on_o the_o side_n of_o the_o linea-alba_a the_o white_a line_n the_o bottom_n of_o the_o bladder_n may_v without_o doubt_n be_v open_v withoutuhrt_v the_o part_n of_o the_o low_a belly_n because_o it_o be_v situate_v between_o the_o duplicature_n of_o the_o peritoneum_fw-la and_o the_o full_a that_o it_o be_v of_o urine_n the_o more_o apparent_a it_o will_v be_v by_o mean_n of_o the_o urine_n the_o simple_a dilatatory_n may_v be_v conduct_v and_o then_o the_o button_n which_o after_o the_o dilatory_a be_v take_v out_o may_v serve_v for_o a_o conductor_n to_o the_o forceps_fw-la mr._n jonnot_n tell_v i_o that_o mr._n bonnet_n a_o chirurgeon_n who_o heretofore_o practise_v lithotomie_n in_o the_o hotel_n dieu_n of_o paris_n assure_v he_o that_o he_o have_v cut_v in_o that_o manner_n mr._n petit_fw-fr a_o master_n chirurgeon_n of_o that_o hospital_n tell_v i_o that_o he_o have_v see_v mr._n bonnet_n practice_v it_o upon_o a_o young_a girl_n the_o cure_n be_v to_o be_v perform_v as_o of_o simple_a wound_n in_o the_o lowor_n belly_n or_o otherways_o the_o method_n may_v be_v change_v according_a as_o symptom_n happen_v to_o follow_v experience_n teach_v we_o that_o the_o wound_n of_o the_o bladder_n be_v not_o always_o mortal_a if_o any_o one_o will_v practise_v the_o high_a operation_n it_o will_v be_v necessary_a to_o try_v many_o experiment_n on_o dead_a body_n after_o the_o water_n be_v take_v out_o of_o the_o bladder_n de_fw-fr franco_n in_o the_o same_o place_n chap._n xxxiii_o proposes_n another_o way_n of_o cut_v which_o be_v immediate_o after_o the_o incision_n to_o put_v in_o a_o tent_n unless_o the_o stone_n present_v itself_o at_o first_o and_o some_o day_n after_o when_o the_o pain_n be_v cease_v to_o pull_v out_o the_o stone_n but_o this_o way_n be_v only_o practise_v when_o the_o operation_n be_v laborious_a and_o instead_o of_o a_o tent_n a_o pipe_n be_v make_v use_n of_o chap._n fourteen_o the_o practice_n of_o the_o lesser_a operation_n for_o men._n the_o lesser_a operation_n have_v be_v so_o call_v because_o the_o practice_n thereof_o require_v but_o a_o few_o instument_n it_o be_v invent_v by_o celsus_n and_o describe_v in_o the_o seven_o book_n twenty_o six_o chapter_n as_o it_o be_v heretofore_o practise_v but_o if_o the_o stone_n be_v not_o towards_o the_o neck_n of_o the_o bladder_n and_o that_o it_o be_v feel_v in_o the_o perineum_fw-la near_o to_o and_o under_o the_o scrotum_fw-la the_o manner_n of_o extract_v it_o be_v different_a that_o i_o may_v give_v a_o clear_a notion_n of_o the_o thing_n i_o shall_v here_o observe_v what_o happen_v in_o many_o lithotomy_n in_o the_o year_n one_o thousand_o six_o hundred_o and_o eighty_o in_o the_o hospital_n of_o the_o charity_n of_o paris_n though_o i_o have_v my_o share_n in_o those_o operation_n that_o be_v laborious_a yet_o i_o shall_v only_o mention_v one_o that_o happen_v to_o monsieur_n jonnot_n the_o circumstance_n whereof_o agree_v exact_o with_o other_o operation_n which_o i_o perform_v in_o his_o presence_n this_o relation_n will_v give_v ground_n for_o make_v two_o kind_n of_o lesser_a operation_n for_o man_n there_o be_v bring_v to_o he_o a_o boy_n of_o seven_o year_n of_o age_n that_o have_v be_v cut_v the_o year_n before_o he_o need_v not_o make_v use_n of_o the_o catheter_n to_o assure_v he_o of_o the_o destemper_n for_o with_o two_o finger_n one_o may_v feel_v the_o stone_n towards_o the_o middle_n of_o the_o perineum_fw-la above_o the_o former_a cicatrice_n to_o hold_v it_o fast_o it_o be_v needless_a to_o put_v the_o finger_n into_o the_o anus_fw-la because_o the_o stone_n be_v too_o high_a it_o can_v not_o be_v compress_v as_o be_v usual_o do_v when_o it_o be_v in_o the_o neck_n of_o the_o bladder_n but_o have_v cause_v the_o scrotum_fw-la to_o be_v lift_v up_o and_o the_o skin_n hold_v straight_o mounseur_fw-fr jonnot_n turn_v the_o inside_n of_o the_o left_a hand_n towards_o the_o cod_n he_o press_v the_o tumour_n with_o his_o thumb_n and_o forefinger_n on_o both_o side_n of_o the_o suture_a where_o he_o have_v observe_v the_o stone_n at_o the_o same_o time_n he_o make_v the_o incision_n on_o the_o side_n of_o the_o suture_a upon_o the_o tumour_n and_o have_v open_v a_o passage_n with_o a_o middle_a size_a hook_n he_o extract_v the_o stone_n afterward_o feel_v with_o one_o finger_n that_o there_o be_v other_o still_o remain_v he_o be_v oblige_v to_o keep_v the_o place_n dilate_v with_o the_o same_o finger_n that_o introduce_v the_o hook_n and_o that_o the_o stone_n may_v not_o shift_v its_o place_n he_o hold_v it_o fast_o with_o the_o forefinger_n of_o the_o lefthand_n put_v upon_o the_o upper_a part_n of_o the_o wound_n and_o with_o the_o thumb_n on_o the_o low_a part_n by_o that_o mean_v he_o happy_o finish_v that_o operation_n that_o he_o may_v cut_v the_o same_o patent_n by_o the_o great_a operation_n for_o have_v pull_v out_o all_o the_o small_a stone_n and_o fragment_n that_o be_v in_o the_o perineum_fw-la he_o introduce_v by_o the_o yard_n a_o furrow_a catheter_n wherewith_o he_o find_v another_o stone_n in_o the_o bladder_n and_o upon_o that_o catheter_n he_o continue_v the_o incision_n with_o the_o other_o circumstance_n whereof_o we_o shall_v speak_v in_o the_o great_a operation_n i_o be_v necessitate_v to_o do_v the_o same_o to_o a_o young_a man_n of_o twenty_o two_o year_n of_o age._n i_o remember_v that_o before_o mounseur_fw-fr jonnot_n make_v use_v of_o the_o catheter_n to_o cut_v he_o by_o the_o great_a operation_n be_v introduce_v into_o the_o yard_n a_o great_a straight_a wire_n or_o stilet_n to_o force_v down_o some_o fragment_n that_o stick_v a_o little_a high_o than_o the_o incision_n whilst_o he_o compress_v the_o vrethra_n underneath_o and_o then_o put_v his_o thumb_n below_o the_o wound_n he_o draw_v they_o out_o with_o a_o small_a scoop_v without_o any_o trouble_n page_n 81_o page_n 81_o it_o be_v not_o needful_a to_o make_v the_o patient_n jump_v before_o he_o be_v cut_v by_o the_o lesser_a operation_n if_o he_o be_v a_o little_a boy_n and_o the_o stone_n in_o the_o neck_n of_o the_o bladder_n it_o be_v enough_o after_o that_o he_o be_v put_v into_o a_o posture_n and_o hold_v fast_o by_o the_o servant_n that_o the_o chirurgeon_n dip_v his_o forefinger_n and_o middle-finger_n into_o oil_n the_o nail_n be_v pare_v and_o if_o one_o finger_n be_v not_o suffiicient_a that_o he_o thrust_v they_o one_o after_o another_o into_o the_o fundament_n as_o far_o as_o possible_o he_o can_v that_o they_o may_v reach_v beyond_o the_o stone_n and_o press_v it_o down_o to_o the_o neck_n of_o the_o bladder_n betwixt_o the_o rectum_fw-la and_o the_o os_fw-la pubis_fw-la a_o servant_n in_o the_o mean_a time_n lift_v up_o the_o scrotum_fw-la with_o one_o hand_n and_o with_o the_o other_o arm_v with_o a_o compress_v lean_v upon_o the_o belly_n to_o make_v the_o stone_n come_v down_o then_o the_o chirurgeon_n be_v to_o dry_v the_o perineum_fw-la and_o stretch_v the_o skin_n very_o straight_o with_o his_o other_o finger_n as_o it_o be_v represent_v in_o this_o figure_n the_o tumour_n that_o the_o stone_n cover_v with_o tegument_n make_v render_v the_o incision_n 〈◊〉_d on_o the_o side_n of_o the_o suture_a which_o may_v be_v make_v long_o enough_o for_o extract_v of_o the_o stone_n care_v nevertheless_o must_v be_v have_v to_o avoid_v the_o rectum_fw-la the_o hemmorhoid_n vein_n and_o the_o cod_n one_o must_v not_o fear_v the_o spoil_n of_o the_o edge_n or_o point_n of_o the_o bistori_n for_o every_o time_n that_o it_o be_v to_o be_v use_v of_o new_a it_o must_v be_v set_v again_o so_o soon_o as_o the_o incision_n be_v make_v the_o stone_n appear_v and_o then_o the_o operator_n lay_v aside_o the_o bistori_n and_o take_v the_o hook_n or_o crotchet_n he_o be_v to_o hide_v it_o in_o his_o hand_n as_o much_o as_o he_o can_v the_o end_n of_o its_o handle_n be_v towards_o the_o little_a finger_n and_o the_o forefinger_n cover_v the_o length_n of_o its_o body_n without_o draw_v the_o finger_n out_o of_o the_o rectum_fw-la the_o hook_n be_v to_o be_v slip_v in_o betwixt_o the_o pubis_fw-la and_o the_o stone_n in_o this_o manner_n when_o the_o hook_n be_v behind_o the_o stone_n and_o that_o the_o operator_n intend_v to_o pluck_v it_o out_o the_o handle_n of_o it_o ought_v to_o be_v in_o the_o hand_n with_o the_o end_n rest_v upon_o the_o thumb_n that_o it_o may_v be_v use_v with_o great_a page_n 82_o page_n 83_o the_o finger_n be_v not_o to_o be_v take_v out_o of_o the_o anus_fw-la before_o the_o extraction_n nevertheless_o when_o the_o stone_n break_v because_o of_o its_o softness_n or_o shape_n which_o be_v sometime_o crooked_a like_o a_o crescent_n if_o the_o rest_n can_v be_v extract_v with_o the_o hook_n or_o a_o little_a forceps_fw-la