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Show 0f the @i/egfir of the Shall, and their Cures. Book]ll_ ‘4 Book III. in abfuming all fuperfluous and extraneous moillure, which tenderer}, the Skull obnoxious to be corrupted and carious. A care mull be had in the application of the Trepan lefl the neighbouring prrta be wounded. And the Trepan being applied in a Fraéture of both Tables, 3 great care mull be had, that the Dam Mater be not wounded; And it is alfo worth out confideration, how to demean our felves, when a great flux of Blood ( arifeth from a broken Velfel, adhering to the inward L,_ mina) which mui't not be immediately flopped, but be permitted to flow fome time, as far it is confillent with the firength of the Patient, to Prevent a Fever, Inflammation, pains, and other ill fymptoms. The application of the Trepan being very troublcfome, it may be demanded upon what account it is celebrated ; to which I take the freedom to make this reply; Firil, That the deprefled Bones in great ‘Fraétures of the Skull may be reduced to their former firuationg Secondly, To difchargc the extravafatcd Blood falling upon the Dura Mater in great wounds of the Skull, when the inward or both Tables are broken, and the Blood-vefli-ls lacerated; and that the Sanious Matter may be evacuated, which olten happens in Contufion of the Coats of the Brain. Off/98 Di/éa/éi of the Skull, and their Carer; 977 flatz'm fab ipji) wulnere Coutufio otulis efl' Con/picua, ut mgue rimd- quxd‘am, gm , , ._ ' Prowl a Fifl71,0fle longiur excurrunt. A Contufion of the Skull is made by a Collifion of one hard Body (vi- The cant": of olently encountring another ) wherein the outward Surface remaineth entire according to Senfe, and the inward pofition of Parts, receiveth an alteration, whence the Bone is forced more inward, and its parts are lodged more clofe and contrarfted ; f0 that there feemeth to be Two kinds of Contufion in the Skull 3 The one is when the more outward parts have a recourfe inward, not admitting a change in the Figure of their Surface; The other is when the ourward Table is deprelTed, and lofeth its former Situation and, Form, by obtaining a Cavity or Trench, which is the Third kind of wound relating to the Skull, of which I intend to Treat hereafter. The Firll kind of Contufion is found in the foft part ofSkulls, and chiefly in thofe of Children, who are endued with a more moil't and loofe Compage of Bones, and the more folid frames of Skulls of Men have a fpungy fubl‘tancc lodged between the two Tables, which is receptive of comprefli- a Coutulion of the Skull. The kinds of a Contufion, on, and may have its parts more clofely brought together, and affected with a Contulion, which being aéted with violent ill accidents, is fometimes accompanied with the laceration of VelTels; whereupon extravafated Blood is Thirdly, the Trepan is ufed to lay open the wounded inward parts, the The Blood is not immsdiatcly to be flopped upon the application of the Trcpan. Dun: and (Pia Menynx, to fee how they are affected, and that they may have Medicines immediately adminillred to them. "7hen the flux of Blood hath been fulliciently permitted upon the appli- cation of a Trepan; to hinder an Ap0plex, Fever, and other accidents, Medicines may be advifed to {top the flux of Blood made of the Powder of Aloes, Frankincenfe, Mallick beaten up with the Whites of Eggs, and the Hairs of a Hare cut into mofi minute Particles. After the flux of Blood is flopped, the Searcloth of Vigo may be ufed, as good in Fraétures of the Skull, by reafon it is attractive and made up of refolving and drying Ingredients; which being of afragrantfmell, do refrelh the Brain, and alfo are endued with other qualities, which do corroborate it and its Membranes. lodged in the inward ReceiTes of the Skull, and rendreth it cations. The Third kind of wound belonging to the Skull, is called by the La; tine; Deprejjio, and by Hipocrate: "Erww‘ As he hath it in his Book De CaPi!" Vul;zgribu,5_ 'Ea‘yxim n‘ 552'" :3» 177; ode/©- ~73 imufi 'éou- ru‘y fiofpfiaiv, 4"».@ '4‘; iu a‘v imamd‘un, 79‘ )5}? "WWW", Snfinfydmh/a'v 75, )5; unfrdflsltv, inquiry '45-» hard vii chm 551's (MN/7D; $14 717 eu'm ,g iii-mix. :9 Ju vim fiery") Er ogm'n 7i? broaden. 72175: in; 19'79: ‘(a‘pAzzs-uq ‘3‘ 16 592'" rip-«Mi; um, 9‘ ‘amzmy Iris ist'nu :9 37' éaamy, Jr), «in,» 72 :9 a; Bead-liar 19'"! 19‘ WWW 72‘ 29 flaw-Mathew. The Third kind of a wound, talled a Dcpteflion of 2 Skull. 0! medium defidz't, ubi :1 Nature jiia intro recedit, una cum rimir, alioqui medium'nan defideret; quad enim' medium defidit , ab alio Ofle naturaliter ft lid/mite abrupmm frafiumque imroeedit , ildque jime huic cafui rimam attedere nerefle eff. Alt/pm bic tertim efl' modua. Multi: autem Mada": or medium defrdit. Nimzquc hot majorem @- minorem oflir partem occupat, aux magi}: (7‘ alrim adimum enetrat, ant minus, 6" in fuperficie cxtat. This kind 0 fracture of the Skull,named Depreflion,is different from that Drying Powders are proper in the Fracture of the Skull, '1 he fecoud wound of the Skull called Curn/Fa, is defmbed by lineman. Powders of a drying nature, or a corrolive nature may be ufed to the Skull, as Aloes, Frankincenfe, Dragons Blood, Mafiick, Myrrhe, (N- ofa Rum, by reafon it changeth its place, as the Bones of the Skullare bea- The fecond wound of the Skull is called by the Latina, Count/i0, by Hipaerater w'mi and is defcribed by him after this manner in his Trad-lat. d2 CA- fimplici, wherein the furface of the Skull retaineth the fame equality of fur{3", With which it was invelled before the FiiTure. And this wound of the Skull doth not fuppofe only an Introceflion of it, but is attended with a Fraéture,wherein the natural union of the Bones is violated, and is fometimes accompanied Cum Fiflura, and other times CumSede. ' The depreliéd Particles of the Skull being protruded inward, have fome~ times one or more fragments, or ihivers,gauling the tender Compage of the pitic Vullleribm'. Maou'n J" iv 76 Fm'w 8y 73} [mag :u'm, i9 flag/Lari 'rii "aim in «In menu/om ml égt'n Elegtil- M‘ m9- 5705, Wu .A‘ Til: "is"; rash; yiyaij, 25‘, )3 gum" 72‘ )9 that "so, )9 e; Elhflfjvy 7v‘ )9 M mum‘s '1; his. )9 é'rr? diet 7% )5; Emmy mini); 72‘ )9 7:).sL7II'TETH. dim‘ 1'27!in 311" Univ JApia :57" My" ten inward, and receive a Cavity or Furrow, which is not vifible in Rima wim 5¢51AIAETJIV yvni‘ym, Satin 7?: it} Hit iJniy, :9 5,7574 n‘ ghsdot. xiJli fi ti m'zAam, icy-1w, mwM'l‘i' my )5; vi: git? martyr/u, yivej win aflbukpu'l‘n K471i1l€{ "57v :25qu new) ,‘,‘. 795m iii/amp th‘ '7»; [3‘7‘ Dun: Mater, which now and then happens, but is not a requilite condition my in be; Ham ,9 19,5575": a§ Fm. (ontundi auteur 0r pate/i, of: naturalifer f‘ fall or {troke againf‘t fome hard body or Weapon, dafhing the broken Skull Inward, without any violence offered to the neighbouring Membranes of babeme , ut 2'9: rima nulla ad oflir wmufiam-m accedat, atque bit 131'" niodm efl: A: Conlufioni: plurer fimt forum. Nam plus aut mimu, @41‘ new per totum 0r contufioper'zmdit, ant minus alle, mg; per 10mm OJ‘ @‘ 4"" FINN"! 41" ffiifloflmi tum longitudinem, tum latitudinem ottupat. earum qualifier" [perit- , tar: pair/l. ant Sid Wu" quanta magnitudine tori/lat , Out/if til/"‘5‘ Namque enim nl7i quid Contufum eflr , e'yv malum 4659.01} [mm to conilitute a depreflion of the Skull, which may be produced by a Violent t e Brain. , In order to help the deprefiion of the Skull, when it is broken into divets Particles, fometimes the Trepan may be applied, to let out‘the putrid pr famous Matter lodged near the Brain, and other times the (hivers of the knit may be removed by Vcélex, or Forciper, lefl; they fhould offend the bidder Coats of the Brain; with this caution, that as little of the Skull as R 1I may A Trepaumay be admini{lrtd in the Deptetliou of a Skull. |