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the ver)' points of the fingers or toes, fo as to leave no part 

 whatever bare, as a tumor would be produced in fuch a 

 part. The method of applying it to the fuperior extremi- 

 ties is as follows : — For each finger we are to take a fillet a 

 foot in length, and of the breadth of a finger, and wind 

 it round each finger as wlI! as the thumb in the following 

 inanr.tr. The firil turn is made circularly round the point 

 of the finger, the fccond, in order to afcrd a good jiold 

 for the red, immediately over the firfl ; the third turn co- 

 vers half or a little more of the fecond, and the fourth and 

 following turns the fame. The ends of thefe fillets are laid 

 upon the back of the hand, and fecured with a fillet from 

 20 to 40 feet long, and 2 or 2| fingers broad. With this 

 long fillet, the firft turn is made immediately over the fin- 

 gers round the hand, and for the fake of fecurity, the fe- 

 cond llraight over the firil ; but the following turns always 

 cover each orie half of the preceding turn, and they afcend 

 as high as the elbow, being applied neither too loofc nor too 

 tight ; for we muft always have it in our power to introduce 

 a finger between the turns in cale of nccefiity. If we in- 

 tend to wet this bandage with any liquid, we mull apply 

 it fomewhat loofer, as it contrafts and becomes tighter when 

 it is moill ; but afterwards it rnufl be kept conftantly moiil, 

 as otherwife, when it dries, it becomes too loofe, and is 

 cor.fcquently rendered ufeiefs. Should the perfon who ap- 

 plies the bandage, not knov,' how to hit the proper meafure 

 of tightncfs in this cafe, he may wet the bandage before 

 he applies it. 



Thefe turns are earned up as hiLjli as the elbow, where, 

 if it be a cafe of injiuy from blood-letting, a piece of rag 

 fpread with a proper ointment is laid upon the inflamed or 

 ulcerated part, and the bandage is canied two or three times 

 up to the humerus, and back again, fo as to form turns 

 like 00 00, as m the operation of blood-letting. If we 

 cannot cover every part by means of thefe turns, we may 

 lay an oblong piece of hnen, 3—4 fingers broad, and a foot 

 long, under the elbow, draw it tight, and fecure it above 

 and below with the bandage. The end of the piece of li- 

 nen that proje£ls under the bandage is doubled back, and 

 another turn made round it, in order to prevent its giving 

 way. The turns are then continued as high as the deltoid 

 inufcle, or to the fhoulder, and the end of the bandage is 

 faftened to the neck. When the tumor grows fmaller, fo 

 as to render the bandage too loofe, it may be renewed. 



In fv/athing the lower extremities, it is not neceflary to 

 bandage each toe feparatcly, and tiiis would aUo be very 

 difhcult on account of the (hortnefs of thefe members. 

 We may therefore apply the middle part of a piece of 

 linen, about twice the breadth of a man's hand in 

 breadth and length, clofe to the points of the toes, and 

 tHrn on^e part over the back of the foot, and the other 

 under the fole ; the two folds of the linen are then to be 

 drawn tig^ht towards the foot, and doubled downwards, both 

 at the great and little toe, towards the fole, where they arc 

 to be held faii with the left hand. The furgeon then takes 

 into his other hand the bandage, which may be from 30 

 to 40 feet long, and 2 — 3 fingers broad, and fecurcs the 

 piece of linen that inclofes the toes, with two circular turns, 

 after which he proceeds to carry the bandage with fpiral 

 turns towards the leg. In order to obviate the ditficnlty 

 that attends the bandaging of the heel, we may apply under 

 the fole another piece of linen, fomewhat more than the 

 breadth of a man's hand, fo as to reach above the heel, 

 furround it with the bandage and draw it tight, then dou- 

 ble down the ends, and fecure them with the bandage in 

 order to prevent their giving way. For the greater fecurity 

 of the bandage, and in order to prevent the pain which it 

 might occafion by its prcflure upon the Tendo Achillis, 



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we may fill up the depreffions on both f;des of the tendon, 

 as I'.igh as the termination of the calf, with lint, whilil we 

 are bandaging the hmb. As often as it is necelTary, namely 

 when any turn is not dr^wn fo as to cover half of the pre- 

 ceding, v.c muft turn tlie bandage, and this muft be done 

 particularly under the calf. When the Lmb has beea 

 fwathed, a ilocking that fits well fhould be drawn over it. 



SkUaled Bandage ivilh Two Beads. This bandage is 

 ufed after blood-letting at the temporal artery. It is from 

 16 to 20 feet long, two fingers broad, and rolled upon 

 two heads. Inftead of this bandage Mr. B. Bell recommends 

 the ufe of a wcli-iiardened ftecl fpring, three quarters of an 

 inch broad, and twelve or fourteen inches long, which is 

 covered with foft leather, and of equal ftrength with the 

 fpring of a rupture bandage. 



The fiiigU Star B^nda^e. This is a one-headed bandage, 

 from fi.'iteen to twenty-four feet long, and four fingers broad, 

 which is ufed in fome affections of the fcapula:. 



The doul//e Star Bandage. This bandage is 3—4 fingers 

 broad, 24 — 32 feet long, and rolled upon two heads : it is 

 likewife ufed in lefions of the fcapula?. 



The Bandage for an Umlllical Hernia. Thefe bandages 

 may either be claftic or non-elaftic. With infants an claftic 

 bandage is both tron'okfome and fuperfluous. Mr. Ilichter 

 therefore recommends to apply half a nutmeg, vrrapped in 

 a piece of hnen to the umbilicus, and to fecure this with a 

 fingle adhefive plaifter and a circular roller. But lefl the 

 bandage fhould flip, and the plaifter together with the nut- 

 meg fall off, he direds the front part of the bandage t» 

 be made almoft as broad as the hand, and that which lies 

 upon the hips two thirds narrower, in order that if it 

 fhould flip a little upwards- or downwards, it may ftill in 

 fome degree help to retain the piece of nutmeg iu its place. 

 In order to prevent the bandage from wrinkling, it is made 

 of double linen, and at the front part which covers the na- 

 vel, a piece of leather is infcrted between the two pieces of 

 linen ; by which means this part of the bandage confta.^tly 

 preferves its proper breadth. When we wilh to change the 

 bandage, we fhould itjtroduce a finger under the bandaTc,. 

 and prefs down the nutmeg upon the navel till the new ban- 

 dagc has been applied, left the navel fhould again be pro- 

 truded. Inftead of the nutmeg, we may employ for the 

 lame purpofe a fet of graduated compreffes, or any other 

 proper hard fubltance. See the article Re pturb. 



An unelaftic bandage for the umbilical hernia in adults 

 is made in the following manner. We take a piece of 

 parchment four or five feet long and four fingeis broad, 

 and cut into the middle of it a flit a foot long, which 

 paffes over the patient's head when it is applied. To the 

 one end, at both corners, two flraps arc fewed, which r;:n 

 on in a flraight line with the whole. Two other llraps are 

 fewed immediately over the former to the margin of the 

 bandage, fo that when the whole is laid upon a hori/.ontal 

 furface, they form a right angle with the flip of parchment, 

 on each fide. Finally, to the inner fide of the bandage 

 a cuihion is attached, which is ftuffed with Iiorfe-hair," cork, 

 or cotton, and in order that it may lie properly, it ought 

 to have a degree of Iwcll round the m.irgin. In applying 

 it, the patient introduces his head threngh the flit above- 

 inentioned, fo that tlie longer portion of the flip of parch- 

 ment hangs down perpendicularly over his brcaft, and the 

 fliorter down his back. After the hernia has been reduced, 

 the two upper llnips attached to the margin of the band- 

 age are carried round the body snj tied upon the back ; 

 or if they be long enough, over the cufhion in front. The 

 ether two are brought through between the thighs, and 

 faftened at the back to the firil, or to the upper piece of 

 parchment or linen. Buc 



