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Show BLEEDING FROM A SMALL ARTERY. IIJEMORRHAGY FROM rm: nesrans. blood. In this case we must make an incision through the sound skin of the limb, and tie the arteryae. It is chiefly in bleeding from spongy fungous surfaces, or from sloughing sores or wounds, that styptics are used, applied on linti, and above them a sponge and bandage. In the extirpation of spongy tumours from the jaws, with obstinate bleeding, or in bleedng from bones, the actual cautery is still I have been greatly alarmed by the bleeding from an ulcerated callous surface, where neither pressure, nor the sponge and Lint, nor styptic, such as I could in the circumstances apply, availed. On one occasion I introduced a common sewing 30 used. A very small artery in a bone will throw out a profusion of blood; the reason is, because the connexion of the bone does not allow the vessel to contract, nor the pressure to be applied. If in this case we can take hold of the vessel with the forceps, and bruise it ; or pull it out smartly, and tear it, it, will cease to bleed. If there be bleeding from the cells of bone, as in the jaws, or in the sockets of the teeth, wax kneadmum , ,. ,_...,,- u B‘s-«.54 :w-ué'w- w.‘ :- 030w ed into them has succeeded in stopping itjj. When a small artery (for example, the temporal artery) is only partiallycut or torn across, it will continue to bleed initil steadily entirely out across and allowed to contract. When a cancerous tumour bleeds, our only resource is to put a piece of rough lint upon the part, and to compress it for some time with the finger. 31 needle into the neighbourhood of the bleeding spot, and round it cast a thread, with the common double or surgeon's knot, and draw it so tight only as to stop the bleedinn'. You cannot withdraw the needle in this case without the ligature slipping, until the'part has inflamed and hardened. This method may be used in bleeding from the ulceration from the glans penis, and where the preputium is destroyed. Where there is bleeding from the extremity of the penis, the preputium being entire, it may be drawn over the penis and held, or even tied, as Ruysch taught a surgeon of Amsterdam to do. Where there is bleeding from the penis, or urethra, in c0n~ sequence of the use of the caustic, either the fear or the local excitement produces a kind of erection, or at least fulness, uhich must be subdued by pouring cold water from a teaktttle on the glans penis. When from some deep part there is a continued oozing of blood, which we cannot suppress, continued, perhaps, from day to day, from a t‘ungous surface, the patient becomes weak, the countenance pale, and the whole skin cold, white, and " Mr. Lynn, of "'estminster, has twice, in bad sloughing stumps, tied the femoral artery on the fore-part ot'the thigh ; so has Mr. Ramsden. 1* Oil of turpentine is the best ; or brandy, or tincture of myrrh. transparent: in this situation, the health is ruined, though there is not immediate loss of life. We must then endeavour Pied gets to supply the system by nourishing diet, by rich soups, and of lint, soaked in these, are applied to the diseased surface, and frequentl y changed. animal food, if it does not load the weakened power of the stomach, and even give u ine, for this case dill'ers from an ac- :t Though it may seem to degrade the importance of my book, I will not omit the merest trifle. A gentleman reduced by mercury, had leeches applied to a bubo. One, perhaps, had opened alittle cutaneous vein, which continued bleeding until he was very sick and faint. The surgeon was sent for-he tried all the apparatus of styptics and compresses, but still the bleeding continued. The scene was like the story of the lush-light. They wondered at the thing till their alarm became greater than their wonder.- An. apothccary's boy getting a piece of strong; adhesive plaster, (I believci i" this instance, a bit of shoemaker's wax and leathe r) clapt it on the orifice, and held it for a few seconds with his thumb, to the discom titure of the surn goon, and to the patient the quiet cnj 0) ment of his night's repose. tive haemorrhagy. Human/logyfrom the nostrils. This bleeding is often very troublesome, and somttii ies alarming. In slighter cases it is a sutlicient cure to produce a chill upon the patient, by what means is of little consequence; as by throwinjjr a little cold water upon him, or by putting his hands in cold water; but he must at the same time be drilled, and made to stand up. right, and holdup his head, for the blood dropping from the nose, he naturally pokes forward and hangs his head, by |