C 4«<S ] 
O N the 5th of January laft, I was called to Thomas 
Conway , who had received a Wound with a 
Skane or great Knife, which went through the muf- 
cular part of his Fore-Arm, and into the Left Hypo- 
chondrium^ it was 24 Hours after he had receiv'd the 
Wound before I faw him (living 12 Miles diftant 
from me). I found the Spleen out at the Wound, 
and that what by prefling and thrufting of it with the 
Fingers, endeavouring to return it into its Place, which 
they that were about him could not accomplifh, and 
by being fo long expofed to the Air, it was quite 
cold, black and mortified. I confider'd that cutting 
away the mortified Part, muft be attended with the 
greateft Danger, and was, to me, an unprecedented 
Cafe 5 yet that the Patient muft inevitably die, if it was 
not done : I therefore made a Ligature with a ftrong 
wax'd Thread, above the unfound Part, and cut off 
three Ounces and a half of the Spleen: Notwith- 
ftanding the Ligature, there was a pretty large Artery 
that fprung with great Violence, which I immediately 
tied up 5 and, after bathing all the Parts with warm 
Wine, I return'd the remaining part of the Spleen 
into its Place, leaving the Ends of the Threads out of 
the Wound, to draw them away by when they fhould 
digeftoff, which they did on the iothDay, and came 
away with the Drefllngs: I drefs'd the Wound with 
Digeftives, and the Abdomen was ftuped twice a Day 
with an emollient Fomentation, and after ftuping it 
was always malaxated with an emollient Liniment, 
which he told me always gave him Eafe. What he 
moft complain’d of, was that he could not make 
Water, for which I every Day gave him a Carmi- 
native Clyfter, which kept his Belly from fwclling ; 
