1000000031

but a

aeel

point is necerrary

fOT

their c;l(ier penetration,

firn

fpecies of

pl/(urifm

is incider.t to e'fcry part of the ba .

which

inde~d

mdkes

ther..l pars fa readily, thu

theTe

is no '

dy.

bUl

does not ahen happen. except

(he"

cur:vature

need of

any~n'trumeDt

tOaffiO:

i:l

puChing them through. lhe

florln,

which is' fubj eél: lO this diforder from the

(;"{+

T he praétice of bolHering lhe cheeks

fonvArd

does liule or trlordinary

impulCe

of lhe blood On that

pan :

from lhe

no fe rvice

\ 0

lhe wound , ancl is \'cry un!afy to lhe pad ent.

curvature.

it runs upwards

along

lhe carotids or

fubclavians ,

T he manner of drdliog willue'

removc: che applications generally

increar.ng,

till

¡ls great ddlenfion

ruptul'ed.

which are quite fupc:rficial. as Orten ollly as is necdr ...ry for aod the palient dies .

c1eanlincCs . The mcthod is tO

de~fl

the lhree 6rH days, and

There are {e ,'eral 101iO:ories -given of

oneuriftns

of rhe

afterwlTds to do it every day, or ehry other day :

is not curvalure of (he

aorla;

in lome of which, the "errel has

at all

rcq~úfite

to drefs between the jaw and Jip wh.:re the beeo fo exceffiveJy

dilu~d,

as to

po{feCs

a great fpace of

f rtenulllJll

was wounded, there being no danger that an in- the upper p:Ht of the

Ihora,,'

and the

molt

curions ci r–

coo"enient ¡dhcfion Ihould enfue.

about eight or nine cumllance tO be gathered (rom them is, IIMt the fpot o( the

dzys the pans ate u{"ually uoited, and io children much

n -t1i.:1

",;hich is weakdl, aod where the dlreaCe: begim,

&e–

{ooner, when you mu(l geotly

Cut

lhe threads, ttnd draw otrally gives way in (uch a mttnner lO the force of (he

'out the pios, applying

~pon

lbe oritices a piece of plainer blood cootioually pufhing.

oUlwards, as to (orm a Iarge

and dty lint.

will be propcr, in or:dtr tO withdraw the pouch or cyfl, with coats nearly as thlck as (hoCe: of the

pins more cafily. to d:lUb (he Iigatll res ?nd píos with w:lrm anery ¡treIC. H owever, lhe thicknef¡ of the coats of thefe

wattr. 2nd :llfo mniften them with r\Veet oil. t\Vo or three cyHs willJaO: bUl to a certain

pe1

iod ; for wheo f-he veffe!s

days befare you remi)ve thrm, which \Vdl wafh off r"he coa· of the coats can no longer conform

lhe eXlenfion, the

gu!ated blood, lhat would otherwife f2flen them fo hard lO

circubtion grows hnguid, lhe

cya

becomt!l thinnl'r ¿t

its

l he ligatu re as

mtlke the ext.:.¡ft.i0o painful.

pex , and foon a(ter buríls.

0;- h

The fymptoms of this

Qmurifm,

ore

flrong pulf..ion

EC It.

gainfi

thejJ~rJJlIm

;!,ud rihs; e'fery!Jjlo/e of lhe heut ; and.

T HE

operation of cutting [he wry neck is very l1ncom- when it exteods abOl'c lhe

jlernll1/J,

a tumour Wilh pulfa–

mon, apd

¡,

never to be

pra~'l1red

but wheD the diforder is tion . Upon ¿ ¡([c{tion. the ribs,

jJerIJu1JJ,

find

clavirle,

are

owing tO a contraélion of the

lIIttjloideul

mufcle only

Cometimes fouad carious, from lhe obUruétloD of the ver.

it can anfwer no plIrpo(e to (et that mufde free bJ di9iding fels of the

púiojJeu1/J.

which are prdrl!d by the tumour.

it,

(wh~h

is aH Ibat is to be done,) if the ot hers ie lhe

'Vha t

Y/ e

have -fpoken of hitheno, has beco only the

neck "re

the {ltme Oate ; and more efpecially if it h"s beeo

aneurifill

of the

Ihorax

from an inlcrnal diforder

011(11·

of long Oandinc from iofd OCY ;' becaufe the growth of {he

rif1ll1

of ¡he extrc:mities, are fo r the mon pan owing lO

verlehrrr

\ViII

h..ve been determined io tho¡t dirC'éhoo, and wounds, though wht"n they happce of theOlfc:!ves, they dir.

make it imponible

10 {e l

lhe head upci.,ghL

fer

vcry

linle from ,he defcripticn gi,·en of that in the

160 -

' Vhen Ihe c.aCe 1S fair, the operation is tbis. I1aving

rax.

The fllnher fymptoms of them are (berides pl1lf?tioo)

Jaid your patienc on a table, m..ke a tranrvc:rre

ioci~on

thro' the tumour's bt:ing w;tboUI dlfcolourat ion of the

fI(i D;

it5

the ikin "nd f:u, fomething broadt:r thAn the: mu(cle, and fubfiding wt>.en prelred by the hOlnd,

íl.nd

iOlO1ediatd y re:ltlrn–

fl Ot

above half an ¡neh from the

c!avicle;

then paffing the ing when the hand is toikeo away; though, if it be upon the

probed razor with care uodcrneath Ihe ruurcle,

dr.aw

it out point of bur(ling, the fldo will grow inflamed, and lhe coa·

and cut the mufcle. The gre" veff, ls of the neck lit under- gul,"d blood in ,he cyfl

will

fomttiOles make the pulfation

ne:l:th

bU I ",hen we are Olware of lheir fitu ,ltioo, the dan- much lefs perceptiblt:.

ger of woun¿ing \hcm Olíty be ilfoided. Afler the iocifion

This Cpecin of

olJeurifill

may rometimes be fuported a

is made. the wound ís tO be cr..¡mnJed with dry fíot,

íl.nJ

gre:u riumber of ye?rs,

refiH its ddatat:on by proper

alw3ys drelrcd

as to prevent the extremitic:s o( the murcie band.ege : but If we do noto Ihere is danger of its bur:l ing,

from re·uoiting; tO which el d they are tO be fcp lf,¡tt d and, If it be prelty large, ofrO\til g Ihe adjilcc:nt bones.

froAl eacn olher as much as poffible by the affilbnce of a

A fouod attery wouoded through p:\n of its exterr. . 1coM

{upponing b"odage fo r the heacl during the whule tiOle of would lO

al!

prob..¡hd lty prcduce nearly lhe

f~me

aFpear–

the cure, which will gener..Uy be about a month.

ances

:1:$ \\

here the: whole eoat is \\'eakencd f: om an internal

índl!"pofitioc ¡2nd ¡his mofl Ekely is rile

C:1r:~

af.,a lll.:cdir.r.

EXPL ANATION of Fig 6 . Plate

CLVIlI.

io the Hm, when it htts not beeo immedi.etely perceiH'lÍ

T he

in(lru01~nt

ca.lled lhe prube r: zor to

CIU

lhe

nJ(lf

that lhe

~rury

was pflcked, 2nd the lllmour Ilas begun

loideru

mufde in (he wryoeck, and is fharpooly aóout h"lf form fome days after tht: pun(\ure

though the c.

ml~10n;¡p·

its

lenglll al lbat end wherc: lhe bb de is brood.

pearancc of::;n

olJcurifm

Jrom thc wtlund of

I"nl et, is a

The two pios with the twiHed CUlure, ufed in lhe difcharge of blnod llrlt t.h rough the oriflce ofthe Ocio, and

hare lip.

upon belng fl apt froril b)t:eding olltwardly, ;n infi nu:u ion

The

pO/Jlptu

forceps, with one of lhe rings open for it amung ad the mu(cles as fu a,

can fpread. in

I h~

Ibau!.

the reccption of the tl1umb , w!líeh woulJ be c'f3mped in da 2nd

Mm :

herc-, the ;¡rm grows livid

frolll

the

ea },,"?:

pull ing Ihe forceps with O1'Jch (orce, ir

were recelved

jil,

and the tilood coagulating [O the cor fiHence of IIdh,

the farDe Con of ring as in th e Othlf handle.

prevcnts flOy fc:nfible pullarion. T he cyH wJllch arifl!s nc:1C

lhe orifice of the artcry is (orrned by ,he celluhr capru!.\ en·

Ihe

AWEV R lSM.

"doping the vdlel! of tha! part, and a portian of th(:

apa-

T u I

is a

difc~re

of the arteries, in which, cilher by a

nruroJil

of the biceps mufcle, which admit1ing of fom e cx–

pr eternat ur~1 \l.'c~kne(s

or any part of thcm, they oecome tran.l"'lIcd blood underneath it, blcomc:

ex~dE\"lly. th:ckcnm

ex tefiively ddafcd ; or

a wound through Ihcir

COílfS,

~nd

expanded. The(e membral"les nll1l1 rnake Ihe cya.

-. he: blnnd

1600

ra""f;¡ted amongU lhe adjaccDt cafities. The othcrwire \Ve cnllld oot, UpOD opening lhe lumcur

lhe

VOL.

!Ir.

97.

8 G

V,wi'ln,