Volume 1

A medicinal dictionary; including physic, surgery, anatomy, chymistry, and botany, in all their branches relative to medicine. Together with a history of drugs ... and an introductory preface, tracing the progress of physic, and explaining the theories which have ... prevail'd in all ages / By R. James.

  • James, R. (Robert), 1703?-1776.
Date:
1743-1745
Catalogue details

Licence: Public Domain Mark

Credit: A medicinal dictionary; including physic, surgery, anatomy, chymistry, and botany, in all their branches relative to medicine. Together with a history of drugs ... and an introductory preface, tracing the progress of physic, and explaining the theories which have ... prevail'd in all ages / By R. James. Source: Wellcome Collection.

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    jijipimiipmpiji . . ,FIC- '°: ReprefentJ the finall Syphon or Syringe proper for meamg Liquors into the Urethra of Males, and the Vagina ol P emales, for the Cure of Wounds and Ulcers. A. A. The Body of the Syringe. B. Its Extremity, ending with an obtufe Point inftead of a fmall I ube, to prevent the injected Liquor from regurgitat¬ es The Ring or Handle of the Sucker, by which the Liquor is drawn into, and forced out of, the Cylindric Body Fig. n. The Letters A. A. exhibit thole Parts in the Soles of the Feet which the ltahan Phyfician Mijiicbellim direits to be cauteriz’d in Apoplexies. nThe/4lT .C?utery for.the Operation, which in that Diforder, he fays, is highly ferviceable. Fig; 12. Reprefents the Method of burning the Part affeft- ed in the Gout with the Indian Moxa. A. denotes the Cone of Moxa not yet fired. B. One that is burning. FlCT £3; f* 9've a View Several eneyfted Tumors. c. d. Scirrhous Glands in the Neck. e. A flefhy Excrefcence or Mark from the Mother Fig. 14. Reprefents the fmall Knife, which I generally ufe for extirpating feirrhous Tumors, or Glands in the Neck Wens, or even feirrhous Glands of the Breafts. . Fig. I5* Reprefents the Hand of an Infant with fix Finders in which D ’ A. Denotes the fuperfluous Finger with a Nail like a Cock’s opur, which I took off by a Pair of amputating ScilTors or Pincers ; which Instrument I alfo ufe in a Spina Ventofa, or Caries of the Fingers. Rig. 16. Is a Hand with the whole Index A. carious and ulcerated, which I amputated clofe to the Metacarpus, with the Knife reprefented by Fig. 14. but then I alfo removed the Head of the firft Phalanx, that the Wound might heal the fooner. B. Denotes a Spina Ventofa in the middle Finger, and in the fecond Internode, which I amputated in the firft Bone, or Phalanx. C. Is a large Excrefcence or Protuberance at the End of the little Finger from the fame Diforder, which I fuccefsfully am¬ putated in the fecond Bone, by the Mallet and Chifel. Fig. 17. Shews the Method of amputating the great Toe with the Mallet and Chifel, ufed by Roonhuyfe. TABLE XXXIV. From Heister. Fig. 1. Exhibits a fmall-fized Knife, more commodious for dividing the Skin and Flefh in Amputations, than the large crooked one following. Fig. 2. Is the large crooked Knife, commonly ufed for dividing the Flefh to the Bone in Amputations of the upper and lower Extremities ; though, in moft Cafes, I prefer the fmall one, reprefented by Fig. 1. Fig. 3. The double-edged Knife for dividing the Flefh and Ligament betwixt the Bones of the Arm and Leg, which may be alfo performed by a lefs and fingle-edged Knife like that in Fab. 22. Letter G. This Knife is alfo ufed in the Method of amputating the Leg, when the Calf is to be preferv’d. the Limbs. This Inftrument is by many delineated as again as our Figure of it ; but a Saw of the fame Size, or but little larger than our Figure, will perform the Operation as well, and even more commodioufly, than a larger. This, and the two preceding Inftruments, are ufually embellifhed with various Ornaments, which may ferve to encumber them, and enhance their Price, but can add nothing at all to their Ulefulnefs. Fig. 5. Reprefents a Pair of Pliers, furnifhed with Teeth at one End, and a Spring at the other, for large taking hold w»v ..> .n- °f the Ends of divided Arteries, in order to fecurc them by Ligature with ftrong Thread, and flop their bleeding in Amputations of the upper and lower Extremities. Fig. 6. Is another Pair of Pliers for the fame Ufe, taken from Mr. Garengeot; which may be alio made with very flat or no Teeth at the End, to avoid injuring the Coats of tire Artery. 1 TABLE XXXV. From Heister. Fig. 1. Shews the Manner in which the Patient, Surgeon, and Afliftants are to be placed, for amputating the Hand or Arm. A. Denotes the Patient. B. The Surgeon amputating with the Saw. C. The Afliftant extending the Hand. D. Another Afliftant holding the Arm. E. The Afliftant who holds the Patient’s Body, and takes Care of the Tournequet. F. Denotes the Diflr or Veil'd placed underneath to receive the Blood. Pig. 2. Reprefents the Pofition of the Patient, Surgeon, and his Afliftants, in amputating the Leg. A. Denotes the Patient feated in a Chair. B. The Surgeon. C. The Afliftant who holds the Foot below the Calf. D. The Afliftant who holds the Leg above the Knee. E. A Veffel placed on the Floor, to catch what little Blood may be fpilt in the Operation. Fig. 3. A. denotes the moft convenient Part for amputating the Leg ; and B. J hat moft proper for amputating the Thigh. But when the Diforder has extended itfelf higher up in the Thigh, it muft be amputated proportionably above this Mark, though the Ope¬ ration is then fo much the more dangerous. Fig. 4. A. Reprefents the Thigh, with the Leg, B. ampu¬ tated. In the Thigh may be feen the Part for fixing the Tour¬ nequet C. D. The Tournequet, thus apply’d, may ferve for amputating the Tarfus or Metatarfus ; as alfo for amputating the Leg, though not fo conveniently. In this Figure you have alfo a V iew of the divided Artery extended a little by the Pliers E. and about to be fecured by the Ligature and Knot F. Some indeed do not approve of this manner of tying the Ligature ; but I have often experienced, that it anfwers very well. Pig. 5. Defcribes the Manner of amputating the Leg, fo as to preferve the Calf. r The Line A. B. denotes the firft Incifion to be made by the Knife in Fab. 34. by Fig. 1. or Fig. 3. 1 he Line B. C. is the Courfe of the fecond Incifion, by which the Flefti of the Calf is feparated from the Bones of the Leg. C. D. The Place where the reft of the Flefh being remov’d, the Amputation is to be perform’d. Some reverie this Courfe of Incifion, and firft perforate the Calf with a double-edged Knife, Fab. 34. Fig. 3. at C. and then they direct the Knife in the Courfe B. A. but the former Method is, in my Opinion, more eligible. Fig. 6. A. Reprefents the Manner of turning back the Calf of the Leg towards the Ham, after it has been feparated from the Bones of the Leg by a double Incifion ; which done, the Sur¬ geon next cuts the Integuments, Flefh, and Periofteum, in the Line B. and then faws off the Bones there. Fig. 7. Denotes a Leg juft amputated, wdth the Calf A. hanging down, to fee the Ends of the two Bones. B. The Extremity of the Os Tibiae. C. The Extremity of the Os Fibulae. Fig. 8. Shews the Leg thus amputated, with B. C. Denotes Part of the Thigh. Fig. 9. Reprefents the Method of applying the Screw Tournequet (Fab. 26. Fig. 6. or Fab. 27. Fig. i.j above the Knee, for amputating the Leg. C. C. The Tournequet, with its fubjacent Pillow. D. The Place where the leathern or filken Strop E. E. is faftened by Studs on one Side, and by two fmall Hooks, F. on the other Side. G. The Screw, by turning which the fubjacent Artery is compreffed in the Ham. J Fig. 10. Is a large crooked Needle for making a Ligature on the Brachial Artery, before the Arm is amputated in its Articu¬ lation with the Scapula, though the fame may be alfo performed by the ftrait Needle, 39. Fig. 12. either of which Needles will alfo lerve for making Setons in the Neck.