450 PHILOSOPHICAL TRANSACTIONS. [aNNO iSpy. 



little fibre to the upper part of the larynx, &c. Indeed there were frequent 

 ruptures, the waxed thread and needles often fretting through the flesh they 

 held ; but I as often repeated the said stitches as before-mentioned. About the 

 10th day, the larger blood-vessels appeared conglutinated, and covered with 

 new flesh, the gula had a good aspect, and the inflammation of that and all the 

 neighbouring parts gone ofl'. I now dressed with liniment, arcaei. On the 1 1th 

 day the symptomatic fever was in a manner gone, and the wound under the cir- 

 cumstances of good digestion. 



In the mean time the diet, when he could swallow, was of mutton broth, 

 medicated ale, and poached eggs. The cough continuing a long time very 

 severe, was at length overcome by duly adhering to the linctus aforesaid, with 

 repeated boluses of balsam, lucatel. cons, rosar. rub. hora somni, with a draught 

 of a pectoral decoction, used also instead of common drink. To mitigate the 

 violence of the cough, and procure him sleep, the following draught was 

 frequently used, and never fjiiled : R ol. amygdal. dul. rec. express, gfj,. syr. de 

 mecon. gvj. laud. Lond. (aq. steph. §ij. solut.) gr. ij. fiat haustus hora somni 

 sumendus. About the 11th and 12th days we plainly discovered little portions 

 of new flesh arising, not only from the carneous membrane incumbent on the 

 gullet, but also out of the substance of the cartilages themselves, both on the 

 upper and lower parts of the divided trachea. The external containing parts of 

 the neck now began to unite by incarnation ; new flesh arising and apparently 

 lessening the dimensions of the wound every time there was a laceration of the 

 stitches, insomuch that two needles were now sufficient, whereas I used in the 

 beginning not less than six. And those carneous portions, both of the trachea 

 and exterior parts, gradually joining and intermixing, became one solid cicatrix, 

 from each end of the wound almost to the middle of the wind-pipe, where the 

 air continued in some degree to have an exit. About the 15th day I removed 

 several pieces of bone, which had contracted a caries in the cartilage, which in 

 this old man, as in many others, was grown osseous, and were expelled by the 

 new flesh. 



At this time he swallowed with little trouble, eat sufficiently, and was nou- 

 rished in proportion. The aperture about the 26th day was almost closed up, 

 and in 4 or 5 days more the sides of the wound were perfectly joined and cica- 

 trized, the trachea performing its part in respiration as at other times, without 

 any considerable inconvenience. He speaks indifferent well, but is forced to 

 take care in swallowing, the rimula not being exactly shut as before the wound, 

 which makes liquor of any sort more apt to fall into the canal, and so cause a 

 cough, hoarseness, &c. He does not swallow dry meats as well as formerly, 

 but in all other respects is as well as ever. 



