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compress, and in an hour afterwards the lower pad was also taken 

 away. The skin beneath the upper compress had become somewhat 

 abraded by the pressure, which required the application of a poul- 

 tice, and subsequently simple dressings for a few days. 



On the 28th no pulsation could be detected in the tumour, or in 

 the femoral artery below the point, upon which the upper pad had 

 rested. 



By the 28th of October the tumour had much diminished in size, 

 and become softer. 



On the 12th of November, nearly two months subsequent to the 

 commencement of the treatment, she left the hospital well, the 

 tumour still gradually becoming smaller. There was no pulsation 

 to be detected in the anterior or posterior tibial arteries, or at any 

 point below the giving off of the profunda, and the femoral artery 

 itself below that point was felt like a solid cord beneath the integu- 

 ment. 



The case furnished by Dr. Mutter, was that of a book-keeper, 

 aged 41, whose general health was feeble, and who, six weeks pre- 

 vious to the 24th of September, 1847, had been seized with stiffness 

 in the right ham, which was soon followed by a pulsating tumour of 

 the size of a turkey's egg. After a few days' rest in the horizontal 

 position, his treatment was commenced by applying a roller to the 

 limb in order to prevent swelling, and the application of one of 

 Charriere's compressors, with a small oval pad over the femoral 

 vessel where it passes down to become popliteal, and another similar 

 compressor with a larger pad over the artery at the upper third of 

 the thigh. The limb was then placed upon an inclined plane. After 

 remaining in this position for twelve hours, the lower compressor 

 was tightened until all pulsation ceased in the tumour. The pain 

 produced by this procedure was severe, and could only be borne at 

 first for half an hour. When it became insupportable, the upper 

 compressor was screwed down, and the pressure from the lower one 

 removed. The patient supported the pressure above for two hours 

 without much difficulty; it then became annoying, and in order to 

 relieve the suffering, the lower compressor was again tightened. 



By thus alternating the points to which it was applied, the ne- 

 cessary amount of pressure was kept up without excoriation, or any 

 other injurious consequence resulting, and from the peculiar con- 

 struction of the instruments, and the previous application of the 

 roller, the swelling of the limb was trifling. During the treatment, 



