VOL. XXI.] PHILOSOPHICAL TRANSACTIONS. 449 



cut the trachea or wind-pipe, somewhat beneath the pomum adami, together 

 with several of the adjacent muscles, and some large blood-vessels, from which 

 he lost a very great quantity of blood. The ruffians having robbed him, and 

 thinking him dead, left him. After some time the wounded man recovered so 

 much sense and strength as to thrust his neckcloth into the large and gaping 

 wound, and by degrees to crawl home to his own house not far off. Lipolhym.ies, 

 or fainting fits, came frequently upon him, especially on every little motion of 

 his body, and these were after some time succeeded by convulsions. 



Having examined the wound, a great difficulty arose from the parts of the 

 trachea being now at a vast distance from each other ; the lower part being at 

 every turn of inspiration sunk deep into the neck, as low as the claviculae, and 

 only just appeared upon every expiration. To secure fast hold of the lower 

 part of the trachea, I ordered a strong fellow to hold the legs of the patient 

 over his shoulders, and by this means raise them, together with the abdomen, 

 above the thorax, collum, &c. in which posture the divided parts came so near 

 to each other, that with strong waxen thread I sewed several of them together ; 

 but as to the divisions of the trachea, I secured them together by passing large 

 needles deep into the flesh on each side, and twisting strong waxen thread 

 about them, as in labio fisso. Overall, for greater security, I applied a restric- 

 tive, ex pulv. restring. commun. covering the greatest part of the neck with a 

 defensative, ex bolo cum albumine ovor. advising the patient to lie as quiet 

 as he could. 



The patient now began again to speak, and with a low voice gave an account 

 of the occasion as above. An arteriac was then made up for him, to smooth 

 the trachea, and promote expectoration, viz. e troch. pectoral. Bateau, (in aq. 

 stephan. f ft. solut.) giij. syr. tussilag. §ifb. balsamic. §j pulv. anis. glycyr. ana 

 3J. balsam, sulphur, terebinth. §ft. Peruv. gut. vj. cum mellis opt. despumat. q.s. 

 fiat linctus per bacillum glycyr. ssepius adhibend. From the use of which his 

 cough abated, and he discharged by expectoration much grumous blood and 

 other matter. As to the convulsions and lipothymies, I applied to his nostrils 

 spir. c.c. succin. &c. and embrocated the back part of his neck with a liniment, 

 ex ol. lil. alb. §j. tereb. succin. ana 3J. n. m. 3fs. ung. nervin. 3VJ. mis. And 

 then took leave, and upon my return the next day found the convulsions had 

 left him ; nor had he from that time any return of them, or of the syncope. 



But on the 4th day the stitches were torn open, and the wound appeared large 

 enough to admit a middle sized hand ; a great part of the oesophagus appeared 

 in view, much inflamed and scratched by the instrument. The epiglottis did 

 not as usual cover the rima of the larynx, so that I could easily see up into the 

 mouth ; part of the annular cartilage was cut obliquely, and hung only by a 



VOL. IV. 3 M 



