1000000031

fome

d~grcc

the

rot:nd

tdlic!e, \\

hiel! will greatly

facilit:l~e

and

qlric~en

th(! cure ; or

one Cluch

\VIII nOl

anfwcr Ihe

purpc..í!, you m..

repeat

in (uch

pUl

of lhe wound whc;-e

the fki n

011

each lide lies mo!l )oo(e.

J"rgd

tumou rs,

aovife:\blc

cut

¡",ay

great part

of ,be fl.;;in: for

b~f¡dcs

lh.u lhe

h::CUlorrh:'lge wdl be much

I~r.i

in Ihis CJft!,

i\nd the

operation

grc:uJy

lhon cned,

l he

fkin

lhe grcat

diHen~on

having beco renJcr ed very thin,

,~ ¡1I

grear polrt of

it ,

Doe

tal~.:n

aw.ly

, rphacclate,

and rhe

reit

more pror1:

degenerate ¡oto a canccroJls ulcer.

0f lh<

PHYMO" S.

T HE

pl"moji,

fignifies no more

th;\o 'ruch a

(lraitnefs

lhe prepucc, that lhe glans cannot be dl!nl1Jed. which

becamn trouble[ome, fo as

tO pre"ent Ihe egrc{s of lhe

urine, or co.leeal under

c!lane:-es, or (oul ulccrs, quite

Out

of the rei'ch of applieation, is te,

b::

CIH

open.

fome"

times hAppens, th.u ehildren

are:

boro inrpc:rforate

in which

care, a fm,,1I

puntl:u re, d·c.::lfeJ aCterwards \',ilh a tent, ef·

' fcéls a cure. But this operation is chiefly pr:\ébfed in "ene·

real cafes, in order to expofe chlncres tither on lhe glaos

01'" wi,hiDfidc the prepuce ¡tfdf: and heTe, ¡flhe prcpuce is

nOl

vc:ry c"Uous

and

thick,

mere ¡ncífion will anCwer ;–

'which may be made cither wnh lhe kifJús, or by n.pping

a knlfc bet",c:cn the fkin and gl,¡n,

lhe v(ry extremit

and

\!~;tin~

it up: lhe lan m:thod is more cafy dun that

of lhe Cctfrlrs

bU l

is Cafu to m.\ke the wound

the fiJe

lhe prep:lce thóln upon the

upp~r

pan,

(o;

Comttimes

the

great v:ITe!s on lhe

dl)r!u1J/

p~llj¡ ~fFúl'(.1

(errible hz:morrhage

t hough lhe prcpuct! remaJns bl!tter

Ih~ped

afler an incifion

J'n .lo!!

in the uppcr pan, and therdo e is tO be prefcrred by

t "-ore who' underlland h'ow

take up Ihe vdrds. In chil

dren it fometimes happens ,hac the prep Ice

lJ~comes

very

mucll cootrac'led; and in th:u cafe, il is 2ccident211y fub

jeél

n.~ht

infllmmatioos, which

brrng

0 0

fome fymploms

of [he Hooe ;

b!Jt

lhe diforde:- is always renlo\'ed by the cure

of Ihe phymofis.

If Ihe prepuce be vcry large and inJuratcd . Ihe opeoing

alone will not fuffi ce; and

is more adv.[t:able to

t~ke

a·

Wdy the callofity by circumclGon, which muH be performecl

with :\ knife; and

the artcry ble:d much, it

muH b::

taken

up wilh a

fm.U

n«dle and

lig3,ur~.

0f 'he

PARAPHnlos ls.

panphymoris is a

dife2.fe

of lhe penís, where fhe

prepuce is fall"! n b.\ck from

lhe

gIJ<lSI tincl cannot be brought

forw;(rds

cnver ir. 'fbere aTe nlilOy whofl! pcnis is na'

t urill:y lhl1s (orlll::d. hut wi¡ho'Jt íley W"O:"l\': nl: I)CC; fo that

fi nce th: time

t nt:

Rom~ns.

(fo.))!

W:10Il\

lÍlought

indecc:nt to have

tll~

gla::s bare ) it

has

Out

b~eo

ufu.1 tO

perform ani

op,:r.\lion

U?O:l

th.u

a:cO~:"lt;

I:.ut we read che

fever¿1 procd l{"s of it (hfcri!.Jed \'er)' p.\rticulady by Cd fllS,

who

do>!s nOl

fp~.k

as an UIlCOllllnon thing. MnO: or

t ile infl .l.nces o( th:s difrcOl(er arc owing to " venere.1 e/lufc;

but thl rc ;¡re (l>me

Wl1('re

lhe

pr:pu ;~

is nnurally Yery

tigh t, which

l;lk~

t!leir rife from a fudden rClr".tlion of

ir,

and immediate nlHgcm: nt of

lh::

glws p.tventing

re·

turn

So"Ct'm:i

Jnp.lens tlut the f .rccon (ucceeds in

thc red l1ét ,on

imm:di3.tt.ly,

by cQiupreffi llg cite C'Xtl'l.mHy of

lhe penis, at lhe time

is Cn¿Ca\fOunnJ tO adv"hce the

prt!pucl! :

dn~s

not , let

111m

kc~p

(...Ifp~ndt:d,

and "1 "

tempt

f't:!a:n,

,.rt-:,r h

lvinr,

(o.llentcd,

an.!

uf·tI fome e:nolli

;" EH J(plicJlions:.. b'..lt

if~

from the

contra~ion

b:lo

,\!

the

co,.~"a

glandir,

there is fo great a Clriélijre as to threateo a

~anórene,

or even, if the p!nis is

m\lch

Inlttrgt:d

water

the

lIl~mbralla

ulicu faril,

forming tUnlOurs called

crJ.

jlJltil/u,

tl1ret or foer fnlJlI inci(¡ons r.luU be made wilh

Ihe

~Ollll

la~cet~

iot o ,he tlr:éture and

cryj1o/finu,

ac–

conllng to the

dlrc~'bon

t~e

penís; which in

(he

GrO: cafe

will fc t frec the obflru{lioa, and in the other evacua

te.

the

water : the manner of dreffing arterwards mün be with fo ..

mentadons, digdlives, and

lhe

Ihuiaca Lrmd¡ncnjiJ

over

lbe

pledgits.

Of Ih,

PA RACE NT ESI S.

T H

opention is aDopening made ioto

[he

abdomen, in

ord~r

tOempty any qu¿ntity of extravaf¡ued water, collee.

ud In Ihal fpecies

01'

drorfy calld Ihe

4ftil";

bOl as

there

much more dHllr.u!ty in le:lrning wheD

pe(.

(orm than how to perform it, and indeed

fome illHances

n:quires the niceil judgment.

\Ve fiull

endeHour to fpeciry

the:: dlrtincrions whlch rcnJ er tbe::

undenak.ng

more or lef,

proper.

There are bUI tlVO kinds of dropfy : the

. nJfarca,

callcd

alCo

leucopht(grnacj,

wheo the

(xtrav.af

,lted water f·.vim,

the celis of Ihe

t!iellJbrana lIdlPola;

and

the

afciltJ,

when

the water po(fc{fes the. cavay of

rhe

<tbdomen,

In lhe

6rft

ki:'\d, the water

clear

and

limpld ; but

the recond,

linle groffer, very often gel.tinolls dnd' corrupted, and

fOOletirnes

eV~D

mix.cd w.th

Bclhy concretions.

T ilo oprralico of tapping is feldom ,he cure of Ihe dif–

tcmper : but dropfies, which are the confcquence of .. mere

impoverifhmcO( of the blood, are Itfs likely

returo

lhan

thoCe whieh are owing to any previous dlforder o( the liver;

aDd it is

not

unCOrn01OO fur dropl'its th21 follow ague"

h3!lflorrhagcs, and d•.Hrhce \s, to do Ivell

whereas in fuch

2S are complicaled with

fc:rrhous liver, thereis h:lrdty

eXilmple of

cure,

The

water fioating in the

bdly.

is, by its fluéluation, lo

determine whether the operatlon be 2J vlfeable : for if. by

IJyin.g one hand on any pdn of the .\lJdfimeo. you cannot

{eel aD

undul.nion

(roOl

ffriking on an or pofite part

witn

the: oth:r,

be prefumed th..!re

wilJ

bt: fome obllacle

lO the evacuation. It fome.imes happens, th¡t a great

qllantity. or alm01.

311

the: water, is conlaioed in linle bldd·

ders,

adhering to the liver :lDd the rur("ce of the

p(rito·

tlte /lIIl,

kno\Vn by the n.1m:

hJdatidl

2nd the ren of it

diff~rent

fized ones, from (he:

d:~;re:!

h)'d.1Iid,

lOth:

(iz:

of a glob:

holdin~

halC

pint or

p'Ol of water.

T his

is caJled th! encyllc:d drupfy, n<! flom the fnlJll ncfs of

.ts

cylls

m~kes

the operA.tion

Gfel~rs;

bU{ i5 OOl dirii..:u lt tObe:

c;¡nurguint::J ,

b~caur~

th: re 15

n.Jt

a flJét u.l:ion of

th~

water,

unlcfs it

complicdtc.d wlth an e:uravafation.

' Vhen

th~

Ruélu:ltion is hctrdly percep,ible, (except lhe:

t("gum~nt5

of the ..bdonlen are \': ry mllch thlck.!oed

all,jarca,)

in all probabrlity th: fluid is

g~l.ttinous.

T h('re

anothcr k,nd of drorfy.

wh.ch

for ,he .mua pilrt

(orhids thi! o?eration, imd is pe.:uhar ttt \Vomen, being feat–

eel in tal.! boJ y of one or both OVAflt'S

The.re

is:

no ex·

:lim pie

tlllS

fpeci:s

!.:1m

\',llAt

may

b::

1:.n lwn

the h",d·

nefs antl irrc g.:l.lrilY of thl! (umour uf Ihe aodomen, whicn

is n: ar Iy unílorm in lhe otha

c¿r~s.

'Vhen the

OV.Hy

is dropficd l, lhe waler is g.:nerally de–

pofi:l!d in a grc:H number of

c~ll.i

for-med

the body of it ;

which ci r: UOIa.lncc mtb:s th.:

H,.tl:'J~lion inr~nfiblc

..Uld

rh~

pcrforation uf..:kfs: thllJgh fu,ilClÍC1eS thc:re are: omly one

\,WO