of a partial Obstruction of the Circulation. 479 



mities the natives tie a ligature round the affected part 

 with the effect of removing the pain. A second useful 

 application of pressure is to increase absorption in swelled 

 parts. The following is an example of such an application 

 which I insert here, as it may be often used with advantage 

 for the cure of those swellings which constitute the disease 

 called elephantiasis. 



Mirza Hyder Buksh had been for many years afflicted 

 with an enormous enlargement of the scrotum, which he had 

 reduced by means of pressure. The swelling was still of the 

 size of a man's head ; which, however, he attributed to the 

 fever which he had had the night previous. Before applying 

 the bandages he rubbed a small portion of a slightly irritating 

 ointment over the enlarged scrotum, and the swelling was 

 supported by a towel, the two corners of which were tied on 

 each side, to a broad belt which had been tied round his 

 waist. Pieces of flannel were next placed so as to prevent 

 friction, and at the same time exclude the extremities of the 

 penis. A long piece of broad tape encircled the swelling, 

 and was applied tight from above downwards. So rapid was 

 the effect of the pressure upon the swelling, that the bandage 

 became loose, and required to be made tight twice or thrice 

 during the day. By a continuance of this pressure the swell- 

 ing was soon reduced, and with a little care and attention 

 the cure was rendered permanent. 



The intention of the following remarks is to exhibit the 

 most advantageous manner in which a partial obstruction 

 of the circulation may be employed in the cure of certain 

 diseases. For convenience, I shall arrange them under differ- 

 ent heads, with reference to the application of the treatment 

 to accidental, symptomatic, and specific diseases. 



