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5

u

R

hot water . He now fallen!

Or recures

down

lhe

veio from

fl1llplng

with his

lert

bando

B UI

tr

tbe

veio,

do

nal appear

Vld¡ under the ancles, the.ligalure mu(l be removed htgher.

abaut

.twC"

fingers b, eadth a.bove where you ¡otead to make

Ibe apertion of ,he v<in whieh beU offe.. i,relf.

The blood from .he ve in

I~US

opened may be re«ived

loto a baCon ; and

ir

it does

nOI

Bow

fre~ly

from the orifice,

tbe toot fhould be rcturnt:d into tbe

w~rm

Water I

WblCh

will ei,her ("e. em orodW;'lve Ihe eongeahng of Ihe bloOO

that in lhls

ca

re

often obHruéls lhe apcnure. When a fuf

ficlcnt quantit y of

binad

has

beeo {hus drawn, whlch

may

be

kno.wn

p.nly from ,he lime, and par Iy trom Ihe I. rge·

neis of the UreaOl,

as

aJ fo

froM

the

rroDee,

of the water,

and condítioo or llrC'ngth of

lhe palient

lhe orifice is tben

to be clofed by Ihe hnger, and

arl~r

drying Ihe foo. with

a

aapkin 10 be feeured by eompreífes and b.ndages.

OíBLEEDING

in Ihe VeinlOí Ihe

F OUHEAD, TEMPLES.

Dnd

OCCIPU1',

G

T Hu, .re maoy

phyfici.ns

aod furgeons, who Ibink Iha!

bleedlng by Ihe . eios of Ihe foreh e.d .od temples i. mucll

more ferviceable and c:xpeditioas

10

rclieving alJ

dlforder,

of the head, fuch -as .,.¡olent p.ins. vertigo,

ddinum.

me–

"ocholy, .od ravinc m. docf.,

&c

Ihan Ihe like difeharge

by

veins more renaole

from the

paru

affd led

j

judging Ihat

tbeir vicinity Tendera Ihem more c..p.bJe of e,acuating the

offC!ndiDg matter of lhe

diCeare.

Bdore

procceding la cut

the veins, an-handkerchir:f or neckcloch ought to be drawn

tight rouad lhe neck

i

tbar,

by

comprcaing

~he

jugu"'.rveio,

.hefe braoches of

it

may bc:come more ulrgid

aud confpi.

cuous .~

The yeio being?Opc'ned, the

pati~nt

mufi hold

down his head . Ih.. Ihe blood may nOl trk kle from hlS

forehead ioto ht.S eyes or mouth . when Ihe fiream dacs

nOI

epio OUI wilh fuflieoem force

¡ r ,be bloOO does 001 llop of

itfelf after • due·qu.milY is difehargod, yoo mutl eompref.

tbe orifice w"h your finger;

and afler

wiping Ihe

(orehead

and face. applya compn:rs or two. and thenyour band:.ge.

Bleeding from the occlp.tal veios, whlch

commUQlc.ue

witb

the lateral finulfes of

the

du 'a

mal a',

15

both

by

rea·

(on

and

cxperiencc proved

JO

be ferJlceable

in

moll diCor

der. of lhe brain, where thu pan ISOYer holrgtd

with

blood,

which

may

be lhis w.¡,y

~hvert ~d

and eVolcu;¡,terl.

r he cele ..

brated anatonuO

Morg__

gnl

I.'fpeclall y recorumepds it, wlrh

fcari6catioD

aDd

cupping

In

thoCe pOlrts, for

all

Jethargic

diforders.

B LEE DO NG

in Ihe

]UGUL AR VEl NS

oí Ihe

NECE.

IT

has beeo

a

very ancient prafhce to blet-d in lhe ( xttr.

gal

jugular Teíos 01

the

ncck, for moll loO"p1malory dlf–

orders of the adjacem parrs for a qUloCey, phrt:nzv.

m.id

Defs, _ophtha lm,a. apoplexy. inveter.u e he.td_.tch(s. lerhar–

gy. and utber rllforders of the head .

N o!'"

are Ihefe waot ..

iDg

ruany among our modern fu rgeons and phyGeians ro en–

courage lhe [..

Ole

pnttice. and that even from lhe aUlhori ..

ty of n"afon

~nd

experieoee : fince the accumul Ht'd and

obnru!tcd blor,d ..

na

humou's may be this

Wdy

dircharg~d

{rom lhe put:-

aff~~le

j ,

.tnd

their

had confr'quences prevent–

cd.

N',r is thr op ra;ton

in

all dangerous;

fince!

th~

jugu–

lar

velO!!

ruo on rach fiete lbt ncck from (he bl'ad ro ·the

c1avlcles lmmc:dtately under the fkin. and appedrlng gene·

r ally ""y torge. Ihty m"y be e.,fil y peretived and optncd:

be fore which. you muU

Oldkc

a Urrt'lurc upon Ihe lowl'r part

of the ncck Nith a hantlkerchicf, or

the

comlllon ligatur'!',

VOL .

ru.

95.

2

E

R

Y.

wh ieh man be drawn ligbl by an .¡¡¡naDI or lhe patienl, lO

ruake

th~

nia turgid and confpieuous .

\-Vhen ,he jugular

vetOs

hOive been by thi,means

~ndered

turgid and

confpi~uousJ

ellbcr of them whictr 3ppeaa

plaindl m. y be feeured by Ihe fioge r for ineifion\ citber in

lhe right or lert fide of the neck

indiffer~ndy

j

when the

diforder

Hes in

the whole head, or

in Ihe

neck aod f<luces .

But

when onJy one lide of the head, or one eye, ís "ffc!t;¿,

Ihe veio Dughl 'o be opcoed on ,he d,fordered fid. of ,h.

neck . The requifite qoaollly of Ihe blood, being ..ken; Ihe

ligature is o.ext rem'oved, and the oritice comprdfed

wllh

your 6nger, if ,he blood doc. 001 1I0p WilhoUl, whde yOIl

wipe clean the neck, ao'd lhenapply"-Y0br comprefs and Cir–

cular

band.ge

. Thus Ihe bJood flops ,!,idlOUI any dangtr

of. frelb h=rrhage. Laflly, il moll b - .ekno"ledged,

that the pataenl faiots away as readiJ'yafter blt:ed,ng in the

neck, as 'be.jogular veins are fafely and eafily opcn, a : OUt

DO danger follow. from Iheoee.

BLtEDONG

in Ihe

VEIN.,

ealled

R.nul~,

under Ihe

Tongue.

h ¡,

.ery of,eo found' of no fmall

fer";~

in • quinfey,

or oeher inBammatory diforder of Ihe neek, to bJetd

10

,he

two Jmall vein! which run uoder the

tip

or end of the

toogue: erpcdal1y

ir

a targer veio has been opened before,

eÍther io the neck, foot, or

~rmJ

whereby the

io{pdTatcd and

flagna«d bloOO may. bc goadoally e..eualed . To blced il>

th'tre veins, a (lrtlt,ure belftg made upon the neck as before,

you then elevare the

apex

of the ,tongue with your Icf,

haod,

whtle, with the

l~ncet

10

)'our righe you clrcum{peétly opert

.6dt

ooe,

a.od

tben the orher

00

eaeh

fide; bec..uCe che a..

pertlOR of one only will

hardlye.er

dofeharge bluod

enou~h

.0 g'vc any

e~nfiderable

,dief. Wkcn you judge a fu fli·

cient

q

uantity

of

blood-

has:

run

OUt

of the mouth Into your

. cfTeI,

remove

the

Ilgature fr ....

m

the fteck :

opoo

which the

ftux ufuall flop. of i,relf. BOl if il Ibould rbll eon"nue,

Jet ,he patíent take a linle

vine-gar

or

Fronli"i,tc

wine

in

his

mO~IIl :

or elfe you m.y apply. bil of yitriol or

.1·

lum, ' or a eomprefs dopo in fome

fl.yp

,ie liquor, ,ill Ihc h",.

morrhage

ceafes

;

which caD oe,er

be

dangerous even with ..

out fuch topies.

0í P HLU OTOMV

inlhe

PENOS.

BLS ED'HG in ,he

v,ntt doríJ1ir peni¡

ufually furparre.

the bene6.1 of

all

remediu whatt vc.r in abatiflg IOflamin.nory

diforders of thls member T his large velO, which rons

i ..

long Ihe

b.ek

or uppcr fide of ,he

penit,

being

~eo<rally

pretl y

much diliended., and confpicuous in

ao Infh.·"m..tion

of

Ihis

plrt,

may

be inc¡red aboue the mlddle Or

b.r.:k

p"rt

of

Ih

#

pCOIS .

and

kept bleeding (iJl

the

mc::mber bc:comes

fl.eeod . nd a fuffi ien< quan,i,y of btood be dofeh"ged pr!'_

portionable to

the

urgency of the fpmptoms . Thls done,

you muOapply a comprefs. and lhe

baDda,~e

proper_for che

yenis.

Bu(

you mult cnefull y eodt'avour co avoid !Oju–

riog

(he

anenes or nenes which enler [he penls near

this

Teln ; as alfo' oot

[O

make your bandage tOo

(t ,,{l:

ro;

by

rhef~

means {he inBammation and fy,.,ptoms may (uro

OUt

\Vorfe thao befare.

'VO UNDS .

T o conceive rightly of the oature and trt2tmrnr of wounds,

" nder ,he varifly of difordcn ,ha< ,h, y art fubj

él

te·

it

will

be prope, firll 10 learn, wh.t 3re Ibe

appe.or.

no.. in

7 Z

t

~e