BAN 



clofe as pnlTible to the difeared part, and con^.antly be turned 

 tou-ards the furgeon ; the bandage fhoiild never be rolled 

 out too far, and the head (hould be held neither too tight 

 nor too loofe. When we wifh to remove t!ie bandage again, 

 we fhould not pull it forcibly off from any part to \vhich it 

 may adhere, but previoufly f >ften it with warm water. It 

 is then cautioiifly drawn off fro.-n*the difeafed part, aiid i:i 

 winding it off, that part of the bandage which has been 

 rolled off is alternately ftiifted cut of the right hand i.ito the 

 left, and vice "verfa. 



To the fimple bandages belong the circular bandage, the 

 fpiral bandage, the retaining, the expclient, the cieepino-, 

 and the uniting bandages. To the cojnpound bandages are 

 referred the eighteen-headed bandage, the many-hcadcd 

 ■ bandage, the T bandage, and in fome neafure alfo the Tour- 

 NiCiL'ET. Some bandages receive th?ir appellations from the 

 names of the parts to which they are applied : as. bandages 

 for the head, eyes, ears, nofe, neck, brcafl, back, belly, &.c. 

 Tiie eigh'.cen-Iieadsd handn^e may be formed of feveral 

 (fuppofe three) pieces of linen, about a foot in length, and 

 tenor twelve inches in breadth, more or lefs accordin"- to 

 the length and thicknefs of the limb, and ail three are laid 

 at th; middle over each other. At the middle they are 

 fewed together longitudinally, after which each cf them is 

 cut through on each fide, till about two fingers breadth 

 from the middle, into tliree equal parts, which form nine 

 heads on each fids. But as in this mode one head covers 

 the other, there always remains a flit between the heads, by 

 which means the limb is unequally prefTedupon andfecured. 

 This defect may be remedied by arranging the cuts in fiich 

 a manner that the heads of the middle piece of linen are 

 always covered by a (lit and the half of two heads of the 

 two other pieces of linen. This will be the cafe if, as Lo- 

 efflcr advifes us, we give the firft piece of linen four, the 

 fecond three, and the third again four heads. See the Many- 

 headed Bandage. 



In cafes of compound fravlures, in which the bandages 

 are frequently foiled, it will hz more convenient, as Delfanlt 

 advifes, to ufe a bandage confiding of eleven feparate fillets 

 of linen, each a foot and a half in length, and four fingers 

 broad. Four of thefe are to be laid at the bottom, three 

 in the middle, and again four at the top, at the fide of each 

 other : and thus we obtain a twenty-two headed bandage of 

 a more convenient conilruftion. This bandage may ilill be 

 improved by cutting the middle fillets (liortcr than the 

 loweft, and the upper fliorter than the middle ; by which 

 means the bandage will apply far better to the part. Should 

 now any of the fillets be foiled, we have the advantage of 

 being able eafily to fubftitute another in its place ; for we 

 need onU" to few the new fillet to the old one, and drav/ it 

 by means of the latter through between the reit, without 

 deranging any of the ctlier parts ot the bandage. 



Tiie Circular Bandage. This bandage may be of various 

 lengths and breadths ; it is rolled upon one head, and is 

 «fed for fecuring fmall drtffings, fuch as lint and com- 

 prclFes. It is applied in fuch a manne'- that one turn entirely 

 covers the other, fo thnt oiily the lad turn is vifible. 



Retentive B uidage. This is a common fimple bandage, 

 which is ufcd fur retaining drefiiiigs in their proper fitnation ; 

 and it is applied fo'nelimes with circular, fometimts with 

 fpiral, and fometimes with creeping turns. 



The Neck Band.^ge. A fillet, two ("et or two feet and a 

 half in length, is laid acrofs over the head in fuch a manner 

 that the ends reach down on both ficies to the fhonldci-s ; 

 and over this another fillet, five or fix feet in length and 

 two or three fingers broad, is rolled round the neck with circu- 

 lar turns. The two ends of the firll fillet are then doubled 

 back to the head, and Tccured to the circular turnn with 



B A IT 



pinj ; 'ly which means the circiilar turns are prrv»n^»d froai 

 Hipping off, a:i accidtnt th^it is particularly to hi appre- 

 hended w len the neck is long. 



Di-ujfi'je Bandage, to fupy.^it the head, is formed with a 

 fmaii fillet, which is laid ov^r the head in the direction of 

 the fa:rittal future, fo that one end hangs ovtr the nofe 

 d )-.vn to the breall, and tlie other over the back of the 

 neck till between the Ihouiders ; and another larger hdlct, 

 fixteen or eighteen feet long und three lin^e-s broad, whicK' 

 is rolled upon two heads. 'i"he m.ddl- part of the latter is 

 la'd upon the forehead, over ti.e firil fillet ; it is then carried 

 over the ears, round the h: J, to the hact of the neck ; 

 its heads are then Ihiftcd to oppofite \\ii», broight forwards 

 under both axilK?, then canitd back ivard? over tiie Iho'.-.l- 

 ders, croffcd again, carried under the axilla? ovtr the bread, 

 the heads fljifted again, and the reit of the banda'T, .- led 

 round with circular turns. The furgeon then '.-i.o ;.o!d 

 ot the two hanging ends of the i n^ll filiet, cnrr.s them 

 back over the head, and th;re f ns them togelhei, or to the 

 other turns, after having drawn the patir.it's head (liaight. 

 The ExpJJive, or Kxpellent Bandage. This ;s a common 

 fimple bandage, the length a:;d breadth of which i.re to be 

 regulated accordmg to t:!e purpofc for vrich it is to be 

 ufed. It is ufed in cafes of n'.tulas, and wounds made with 

 pointed inflruxents, in ord«r l-ith to force the pus and 

 blood towards the orifices, and iJius expel them frojn the 

 body, and alfo by bringing their inner f.rfaces into contact, 

 to promote their healing up. Before the bandage is appiied,- 

 all the fluids mud be expelled out of the wond, ulcer, or 

 filt'.ila, by rubbing, preiling, or throwing injections into it. 

 When this has been done, compreffes of various dimenfiona 

 are apphed along the courfe of the fore, and particularly 

 at the regim of its bottom ; and generally it is neccffarr 

 to have compreffes that are graduated at one end, the 

 thickelt part of which is applied over the bottom of the 

 fore, and the thinnelt over its orifice. Aji afliilar.t holds 

 the compreffes fail in their proper fituation, whilft the fur. 

 geon applies a fingle or a two-headed bandage, according to 

 the filuation of the ulcer. He commences tlic apphcation 

 over the bottom of the comprefs, fo as to fecure a. id prtf* 

 it down by two or three turns of the bandage, which he 

 then carries towards the orifice with fpiral turns ; after which 

 he carries it backas;ain, and finiflies with fpiral turns. This 

 mode of bandaging may alio be ufed with great advantage in 

 cafes in which a flap of flefh has been partly cut or tor:i off 

 from the b.jjy, whilff it Ihll remains attached by one part, in 

 order to iiiske it heal up again in its proper fituation ; and in 

 this cafe the b;:i>dage becomes an uni/itig one. But when we 

 apply it in this manner, we ought always to be careful to 

 make a fufScient and equal prcffure at every point ; for 

 othjrwife our intention, if not entirely fruftratcd, «t11 at 

 leaf! be impeded, and the cure protraded. 



Gmch'j Bandage. The four-tieaded or fling bandage for 

 the head. This bandage is formed of a piece of lincrii thice 

 or four feet in length, and from four to fight fingers broad, 

 both ends of which are flit cp^n fo far as to lca»e the mid- 

 dle part about eight fingers long. It is generally applied 

 with the middle pirt ilraight upon the head, fo that the an- 

 terior ends hang down over tiie cheeks, and the two others 

 over the ears ; and in order that it may lie more firmly upon 

 the head, the edge of the middle part that lies over the 

 forehead, as well as that on the back of the head, is doubled 

 round, fo as to form a kind of feam. The two anterior 

 ends of the bandage are then carried over the ears, and faf:- 

 ened at the back of the neck -, after which tlie two pofte- 

 rior cnda are carried in t!ie fame manner over the ears, and 

 fattened under the chin. The bandage may be applied in 

 a limilar manner upon various pi.rts of the Lead, only it is to 



be 



