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FISTULA. 



A FISTULA is the palpable confequence of 

 general neglect in more inftances than one; 

 firfl:, 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 feldom taken 7iotice of in time, till the 

 EVIL has been repeated and conftitutes bruife 

 upon bruife, when an inflammation and 

 fwelling enfue, threatening an unavoidable 

 fuppuration. To this a ftill greater error fuc- 

 ceeds^for, during the time the procefs of Nature 

 is going on, and the matter contained in the 

 tumour is undergoing concodion, or change 

 from inflammatory or grumous blood, and ex- 

 travafated lymph, to its ftate of fyftematic per- 

 fedion for difcharge, (in general termed a 

 proper degree of ripenefs) ftrong repellents or 

 powerful Jpirituous compojltiom are brought 

 into conftant ufe ; and, by their peculiar pro- 

 perties, form one univerfal obstacle to the 



great 



