HEMORRHAGE. 
cfeated to the circulation of the blood in the limb, that, were 
ae is Sad this reafon that furgeons only u 
We have to meRHOns f however, that tour- 
refs a pad sei the artery with his hands, by which 
means, it is ftated, the hemorrhage may be fufficiently com- 
manded in almoft every inftance. In amputations at the 
fhoulder-joint, the influx of blood into the arm may eafily 
he prevented, by makin ng preflure upon the fubclavian 
artery as it pafies over the firft rib, with a comprefs or 
fimply with the fingers. ‘This, fays the French writer, can 
more conveniently done thus, than with a tourniquet. 
He adds, that wherever a tourniquet will command the flow 
of blood, an intelli fing ea affiftant, accuftomed to the ae 
an amputation of “the thigh, the 
e was fawn eek immediately below the little tro- 
heii and the artery was merely preffed upon with the 
his method, which was recommended many years fince 
by the celebrated Monro, has been followed by various 
het and, in particular, by that diftinguifhed fur- 
Default, who feldom ufed the tourniquet in his practice. 
‘< ‘ie is reprefented as being more convenient to the 
operator, and lefs fatiguing to the patient. Diminifhing 
the number of inftruments in the os is alfo held 
forth as a reafon for the dae ouis was cd an 
advocate for it, 
P pikwnatienting thefe obj and reafons, we find 
all the beft f ns commonly ais the tourniquet in am- 
putations, and, as we think, with perfec 
dence in the SS of cafes. 
thoulder, indeed, the t iquet is aw and hardly 
admits of being applied f fo t that, in this cafe, iti is common 
to ae preffure u e fubclavian artery, with a com- 
with I Tome fuch rumen as the handle = 
Edinb ee ! 
ed applied around an artery, without eee ssp 
dent. It is true, the affiftant can effectually flop the car* 
rent of blood through the main artery ; but, does he pres 
vent the hemorrhage from the branches, which, by reaf 
of the anaftomofes, bleed as profufely as the trunk itfelf ? 
How many patients, brought to the fad dilemma of partin 
with a limb, for the fake of having a chance of Bea are 
incapable of bearing much lofs of blood ? 
al artery is comprefle 
that alarming 
e femo- 
plan of tying the eat of a bleed- 
ing cee, with a ligature feems, es firft dy fo exceedingly 
fimple and obvious, and at the e tim ely to be 
effectual, that we fhould be Feociee at the delay attending 
its introduction into practice, were we not convinced, that 
it is the infeparable fate of the medical profeflion always 
to be retarded by the influence of bafe, interefted, merce- 
nary characters, by an obitinate adherence to old errors, 
and the worfe effeét of blind and obdurate prejudice. The 
ancients, undoubtedly, cannot be faid to have been totally 
unacquainted with the method of tying arteries, as some 
paflages in the article ANEURIsM, of this work will clearly 
rofe Par 
the a oblivion, a which he <0 had 
reputed to be its inventor, the great 
ture proceeded feo jlo cea 
rabian 
ees of the en, and of their 
hey were intolerant and revengeful ; one claimed to be 
the legitimate reprefentatives of the old {chools ; they would 
rather cauterize arteries with the ignorant and brut ine 
ahs that Arabian farrier, than tie them with Pay 
oe a in 1 oppolition to that, without any mee ce 
t £ d veins. %, 
wn, of tying acer nd folk pad 
is  eitilge was ‘informed by Dr. J. Thom 
urgh, that in every in hich a 
