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If I S T U L A* 



A FISTULA is the palpable confequence of 

 general negledl in more inftances than one > 

 firft, in not perceiving the faddle's being too 

 wide in the tree, and fufFering the infide of the 

 pummel to prefs fo much as not only to pinch, 

 but, by its conftant fridion, to bruife the parts, 

 and render an impofthumation or formation of 

 matter inevitable. I am very forry to obferve, 

 this is Je/Jom taken notice of in time, till the 

 EVIL has been repeated, and conftitutes bruife 

 upon bruife, v^hen an inflammation and 

 fwelling enfue, threatening an unavoidable 

 fuppuration. To this aftill greater error fuc- 

 ceeds; for, during the time the procefs of Na- 

 ture is going on, and the matter contained in the 

 tumour is undergoing concodtion, or change 

 from_ inflammatory or grumous blood, and 

 extravafated lymph, to its flate of fyftematic 

 perfedion for difcharge, (in general termed a 

 proper degree of ripenefs) flrong repellents or 

 pov^erful fpiritiious compojltions are brought 

 into conjftant ufe ; and, by their peculiar pro-^ 

 perties, from one univerfal obstacle to the 



