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Show 3.3 or 1111: orcaarwx ron war-sack. 3:)n or THE CATARAC'I‘. ...'r.. §,-," < "-19.7_; -:-..~,-y; .‘,. .W.. may be, there is almost an anchylosis of the cervical vertebrae. "'e have to see that there be no paralysis of the muscles; of the opposite side, rather than a permanent induration of this. If the distortion proceeds from a contraction of the skin of the neck, it will be sufi‘iciently apparent, and distin. guishablc. l oremriem lar muscle, but to a more general defect of the muscles of the side of the neck, or to general thickness, and induration Tun patient may be supported upright on a chair, then examining well the tract of the stringy part of the muscle, an incision is made two inches and a half, or three inches in such remedies as friction, with mercury and camphor, and E‘1,': (v ‘ (T . 1 t length, through the ipteguingni s, over "I;It dilseased 1:? Off tii: 5 i t ‘ muscle] _Thls_w:l {31011:} 0 carry 1e ower P 0 cu}? It 1:13:12wa faircls 2:11:11; surface of the muscle the MN}? >1 ‘ l , (1 1y _ 1 f t t] t: ' i ~.‘ muscle is to be 1c are )y movmg t 1e ace . 0 1e con rary side, amt. then the finger, or the handle of a knife or hook, is to 7 "I..." _. . \f a ‘1 1 l, . be nmnu Lu bthind the contracted and diseased part of the " muscle. This part is to be cut across by successive lesser cuts, ~ the handle of the knife, or hook which IS under it, guarding the parts below; or a directory is introduced, by which the knife is guided under the muscle, when the diseased part of the muscle is divided by drawing the knife outward ; the part as I have said, cuts firm like a tendon or cartilage. Yhen the whole diseased part is cut across, the patient feels as if a cord which had long bound down the side of his head ' and, ,_ . ‘upr was cut across; he can turn the head towards the other side, the use of the bandage, electricity, &c. If the cicatrix of the skin should be the cause, it is advised that it be cut . . . . through, and the head kept in an opposrte direction. . It is a very troublesome business, and I would rather endeavour perseveringly to relax the contraction of the skin, by giving motion to the head, and here emollient embrocation may also be recommended. but he brings it round again with more difficulty, and for a time the position of the head is awkward. Now we will see the advantage of the first incision, being in the length of the neck, for the more we make the patient hold the head towards the other side, the closer the lips of the wound are drawn, though the space betwixt the cut surfaces of the muscle be considerable. I have not found the bandagc to be necessary, during the cure of young people, the antagm that muscle answering the purpose ; but if after a long con- or THE CATARACT. 7 ._, ‘ Tne cataract is the crystalline humour of the eye, become opaque. It is characterized in the beginning by these symptoms. The person has a haziness before his eyes, he thinks he sees black specks or flies, or streaks of black moving before him, the vision is indistinct and rather diminished in strong light. Upon inspecting the eye, there is a whiteness and turbld opacity in the pupil. This is an afl‘cction not pe- ruliar to any age, though more common after the middle age. Sometimes it comes suddenly, though oftener very gradually. It may arise from inflammation, in some rare cases it has been dispersed by a casual inflammation. Sometimes there is only a cloudy opacity to be seen in the pupil, oftener the whole pupil is of a greyish colour, or it is of a deep milky whiteness. When the cataract comes as a consequence of a blow, or of inflammation, it ought to be a reason of delaying the operation, as long as possible, for these opacities will sometimes spontaneously disappear. VOL. ll. .i ("W-"5‘ n?_-"le‘-fww'¢k ( of the integuments, we must be contented with the trial of .L HQSOW lNUtA 3 tinuance of the disease, there should be such a change in the form of the vertebrae, that it requires the continued operation of a bandage, then a roller is to be put around the head, and brought over the opposite car, so as to come down forward and pass under the arm-pit. If the distortion be owing not to the rigidity of a particu- on has "t' 'w "T , . p. 3 ' " " |
