r 40 ] 
llveilcd to twice their natural lize, and were entirely 
ufeltfs to him ; he luffered much pain, and the ab- 
Ibrption of the matter had brought on hedfic fym- 
pt'oms, fuch as, night-fweats, diarrhe^a^ quick pulfe, 
and lofs of appetite, which had extremely emaciated 
him. 
Under thefe very dangerous circumldances, there 
feemed no refource but from an operation. The 
common one in thefe cafes, that of taking off the arm 
at the articulation with the fcapula, appeared dreadful 
both in the fird; inftance and in its confequences. I 
therefore propofed the following operation, from 
which I expedted many advantages j and performed 
it on the' 14th of the fame month. 
1 began my incifion at that orifice which was fl- 
tuated juft below the procejjiis acromion^ and carried it 
down to the middle of the humerus, by which all the 
fubjacent bone was brought into view. I then took 
hold of the patient’s elbow, and eafily 'forced the 
head of the humerus out of its focket, and brought it 
fo entirely out of the wound, that I readily grafped 
the whole head in my left hand, and held it there till 
I had fawn it off (fee Tab. I. Fig. i.), with a com- 
mon amputation-faw, having flrfl; applied a pafle- 
board card betwixt the bones and the ,fkin. 1 had 
taken the precaution of placing an afllftant on whom 
I could depend, with a comprefs jufl above the cla- 
vicle, to flop the circulation in the artery, if 1 fliould 
have the misfortune to cut or lacerate it ; but no acci- 
dent of any kind happened, and the patient did not 
lofe more than two or three ounces of blood, only a 
fmall artery which partly furrounds the joint being 
wounded, which was eafily fecured. 
He 
