USEFUL PROJECTS. 



341 



mon vinegar, only by bsing used 

 too cold, affected two of my pa- 

 tients wUh tremblings and chilli- 

 ness, wliicii alarmed me agcod deal. 

 I removed these symptoms indeetl 

 (as I betore-meutioiied) very rea- 

 dily, by warming the paticnt'd feet 

 with cloths dipped in warm water, 

 and giving them warm water .and 

 spirits to drink ; but ever since I 

 have been careful to use precautions 

 against the like symptoms, particu- 

 larly in cold weather, by warming 

 the vinegar a little, placing the pa- 

 tients near a fire, giving them some- 

 thing warm internally, and," in short 

 by keeping tliem in every respect in 

 a comfortable condition. 



In any slight case it is not neces- 

 sary to heat the vinegar, and seldom 

 in fevere ones, if the injury is on the 

 hands or face. Were it not for the 

 chilling effects, it ought to be used 

 cold on every jiart, because heating 

 weakens it, and hasleusits becoming 

 \apid duringthe application ; when 

 used warm, it must, therelbre be 

 the oftener thrown out and replaced 

 with a fresh supply. 



If the vinegar is introduced into 

 hospitals, tubs (resembling bathing 

 tubs, but shallower) Uiat would hold 

 a patient at full length would be 

 useful in cases of universal burns 

 and scalds. A mattress, or some- 

 thing soft, should be made to tit the 

 tub, and the patient ought to be 

 extended on it, and as much warm 

 vinegar poured into the tub as 

 would wet all the under pan of tlie 

 body and the sides, and the upper 

 part iifight be wetted with cloths. 

 1 never met with such a case ; but 

 from the success 1 lia\e uninter- 

 ruptedly liad, I should nut be a- 

 fraid of undertaking almost auy 

 cas«r. 



Account of acuricnis chhurgical ope- 

 ration, long practised inhidia with 

 success, oj ajfixing a /icwnose on a 

 man's Jace. 



COWASJEE, aMahratta, ofihe 

 cr.st of husbandmen, was a 

 bullock-driver wilh the English ar- 

 my in the war of l/Q'i, and was 

 made a prisoner by Tippoo, wlio 

 cut of his nose and one of his 

 hands. In this state, he joined the 

 Bombay army near Seringapatam, 

 and is now a pensioner of the ho- 

 nourable East-Indiacompany. For 

 above twelve monihs he remained 

 without a nose, when he had a new 

 one put on by a man of the brick- 

 iTiaker cast, near Poonah. This o- 

 peratipn is not uncommon in India, 

 and has been practised from time im- 

 memorial. Two of the medical gei:- 

 tlemen, Mr. I'homas Cruso, and 

 •lames Trindlay, of the Bombay 

 presidency, have seen it performed, 

 as follows : a thin plate of wax is 

 litted to the stump of the nose, so 

 as to make a nose of a good appear- 

 ance. If is theii liattsned, and laid 

 on the forehead. A line is drawn 

 round the wax, and the operator 

 then dis^ects off as much skin as it 

 covered, leaving undivided a sn:all 

 slij) between the e^'es. This slip 

 preserves the circulation till an 

 union has taken place between the 

 new and old parts. The cicatri.K: 

 of the stump of the nose is next 

 pared off, and immediately behind 

 this law part an incision is m.Hde 

 through the skin, which passes a- 

 round both a/ce, and goes along the 

 upper lip, I'he skin is now brought 

 down from the forehead, and, being 

 tv\isicd half round, its edge is in- 

 serted into this incision, so that a 

 nose is formed with a double hold 

 Z 3 above. 



