BUB 



eeawi polnur. The claws are large, much incurvaied, and 

 of a d.illcy colour. 



'I'his bird h of a folitary dirpofition, refiding almod con- 

 na:itly in ihi- depths of cxlri.five fouils, in vuiiit-d cditiccs 

 ft.indiiiJ ill lui.fly fitualious, or among rocks that are dilFi- 

 ciik of accofs. It thcnfore abounds moll in woody and 

 itioiinlitinot.'s countries. There are few inftances of its liav- 

 iii^ been obfcrved in Britain. Once or twice it has been 

 (liot in Scotland, and another lime in Yorklhire. In France 

 it is rjiher more frequent, but is ftill Id's fo there than in Ger- 

 many, Sweden, and Lapland. Betides the Etnopcan variety, 

 vhicli is found gencrdUy diffufed over the continent, there are 

 three other very dillinit varieties ot thcy/'7.v Imio. The lirll is 

 the Ath:niaii owl, luLo yfl/jtn'ui'fti of Linuicus, which Latham 

 and other ornithologilts a^ree in adinitiing to be nolhinjj 

 iiiore thaii a variety o( lulo. This \i te ^raiid due d' llalie 

 Li B.iUon, and^rcj/ horned oiul from Alhuis figured by Ed- 

 wards. Albin names it the Idaci-win^ed horn oic'i, in al- 

 lollon to the blackiili colour of the winjjs ; the -whole plu- 

 mage being of a darker colour than in luio, but the wi-igs 

 efpecia'.ly. This bird is further diilinguiihid by the legs 

 which are fliorter and weaker, but the claws are large and 

 fharp ; tlic face is of a whitifh grey colour. Another variety, 

 I: grand due deehaujfi of BrifTon, differs only from the Athe- 

 iiia.i variety in having the legs bare of Lathers, and both tiie 

 legs and feet weaker. The exillcnce of the lall mentioned 

 variety rells principally upon Marcgrave, who dcfcribes it 

 under the Brafjlian name of jaeurula. He informs us it is 

 the fizc of a goofe, with a head like that of a cat ; the eyes 

 r.iining like cryllal, with a yellow circle. Near the aperture 

 of the ears it has f^vcral pointed feathers, two fingers long, 

 which being moveable can be erefted at plcafure. The tail 

 is broad, the wings not reaching to the ei;d of it. Legs 

 covered to the feet. Colour ot the bird variegated with 

 yellow, blackilli, and white. This is the variety !>. lulo 

 inj^e/i'anieui of Gniclin. 



It (hould be further added, that the Virginian owl is con- 

 fidertd by Bufi'on to be a mere variety of the fpecies lulo ; 

 the two birds differing only in the pofition of the ear-hke 

 tufts of feathers on the head. AVe mufl allow, that it ad- 

 mits a doubt whether the Virginian o.vl be in reality a di- 

 iliiicl fpecies from bulo, or not. 



Bubo, in Surgery, is a term derived fiom the Greek 

 Bb-^xi, iiiguen, which among the ancients had various fignifi- 

 cations ; viz. the inguinal region cr groin ; an inflammation 

 and fwelling of the abforbent glands in the groin ; aa in- 

 flamed or fuppurating gland at the bend of the elbow, or 

 under the arnij)it ; a phlegmonous tumour behind the ear, in 

 the neck, or in fome other external part of the body, ac- 

 companied with febrile fymptoms, &c. Vide Defiiiit. Me- 

 dicar. Gorrh^i, ct CEconom. Hippocr. Fajii, Art. /Sobo/V. 



As the remote caufes and confequences of buboes arc va- 

 rious, fo there have been numerous p:itholog!cal diftinftions 

 introduced ; many of which, however, are of but little im- 

 portance to the pradlical furgeon : for example, lenign bubo, 

 malignant bubo, pcjl'dcntial bubo, fympatbelic bubo, zenereal 

 bubo, ferofulous bubo, variolous bubo, fcirrhous bubo, ery- 

 Jipelatous bubo, edematous bubo, pllegmunous bubo, idiopathic 

 bubo, eorifcutive bubo, &c. &c. 'I'he principal indications 

 of cure arc not fo much governed by the luppofed cliarafter 

 and name of the local dilorder, as by the nature and tendency 

 of its remote caufe ; which being deteded and removed, will 

 very fcldom leave any doubt as to the choice we (hould make 

 of topical remedies. To defcribc all the poffible caufes, 

 fymptoms, concomitants, and fecondary effects of buboes, 

 in whatever part of the body they may arife, with their va- 

 rious modes of treatment, would be to write a large volume. 



BUB 



Our prefent bufinefs will be, to give only a fhort account of 

 the principal di.ignoillc figns of buboes, and their chirurgi- 

 cal management in ordinary cafes. 



Buboes are dillinguilhed from other tumours by one or 

 more of llie foliowing circumllaaces : 



1. By their vfual fit nation. 'I'hey are only to be found in 

 the courfe of the "lymphatic veifels ; i. e. chiefly along the 

 iiMier fides of the leg and thigh, afccnding to the groin ; alfo 

 upon the under furtacc of the arms, going towards the ax- 

 illx ; or, upon either fide of the neck, and underneath the 

 lower jaw. 



2. By ihcir form andfruclure. Thcfe glands are ufuiUy 

 roundiih or oblong : at the beginning of the inHamn.ation, 

 and for foxe time after, they are hard, or but flightly com- 

 preflible; ihev are moveable among the cellular membrane, by 

 which they are fuirounded ; they have very little fi i.fibility oa 

 being touched, until the inflammation advances confidtrcibly j 

 they are not, at fiiil, attended with rednefs, or dilcoloura- 

 tion of the fupi.rincnmbent fl<in ; and when they are fairly 

 fnppurated, the matter (being contined within a ciftinft cap- 

 fvilc) does not recede upon preiruic, like the pus iliolumbar 

 abfcefs, &c. 



J. By their pro'j^refs and t;-rmiitali(,n. They are commonly 

 flow in taking on the inflammatory ilate, and in advancing 

 to complete maturation. The fymptoms will frequently re- 

 main a long time, even when their exciting canft iias been 

 apparently removed ; and the difealed abforbent glands will 

 be apt to inflame repeatedly, with longer or Ihortcr inter- 

 miflions, after their natural ftrufture has been once de- 

 ranged. 



4. By the manner of their Jirjl appearance. Buboes often 

 appear in clufters, accompanied with induration and enlarge- 

 ment of the neighbouring lymphatic vefTels, which refemble 

 tenfe chords under the ikin ; they never arife fuddenly, like 

 ruptures and falfe ar.eurifms, alfuming a large bulk in a very 

 fliort period ; they may generally be aferibed to the prcfence , 

 of an acrid matter, or other cauie of local irritation, affcft- 

 ing the adjacent orifices of the abforbent v.flels ; though, 

 occafionaily, buboes will originate from morbid adlion ex- 

 cited in the glands themfelvcs by cold, &c. or by fome vitiated 

 and poifonous fluid, which, after circulating through tlie fyf- 

 tem of blood-veilels, is depofited in the glandular fubftance. 



We have known a final! crural hernia in a llrangulated 

 and irreducible ftate, miftaken by a celebrated praftitioner 

 for an enlarged and indurated lymphatic gland. An incipient 

 true aneurifm has been alio treated as a fuppurating bubo, and 

 even been advifed to be opened with a lancet, to the great 

 hazard of the patient's life. Another miftake, not muchlefs 

 ferious than thefc, we have likewife witneffed ; viz. that of 

 the operation for an aneurifm being propofed at an hofpital, in 

 a cafe where the patient had had deep glardular abfccfics or 

 buboes fituated over the femoral artery, which might there- 

 fore communicate a feeling of pulfation to the examiners. 

 This patient, having been terrified at the propofed opera- 

 tion, left the hofpital abruptly, and langmihed for fome 

 months under repeated evacuations of pus, &c. from the dif- 

 eafed glands. His diforder was not clearly underft;ood, un- 

 til after the man's dcceafe, when it was minutely infpected, 

 and proved to be as ftated above. Such cafes fliew the great 

 difRculty, as well as the importance, of forming ajuft dia- 

 gnofis of glandular affedions under particular circum- 

 ilances. 



We (hall now fuggeft a few hints for the general manage- 

 ment of buboes. 



Treatment of ajimple Bulo. 



All kinds of buboes may be included under two heads ; 

 the fimpk and the complicated. In the former, we are 



to 



