The American practice condensed, or The family physician : being the scientific system of medicine ... . out the parts, sickness and vomiting,fever, tension and swelling of the parts, and costiveness. There is alwaysmore or less danger attendant on these symptoms ; although patients undermy treatment have, in almost every case, recovered. The first object is, toreduce it as S0< ? W possible ; to effect which the body must be bent, andthe tumour pressed upon until it is reduced. The endeavours of the patientto reduce it will be attended with more success than those of another meth
The American practice condensed, or The family physician : being the scientific system of medicine ... . out the parts, sickness and vomiting,fever, tension and swelling of the parts, and costiveness. There is alwaysmore or less danger attendant on these symptoms ; although patients undermy treatment have, in almost every case, recovered. The first object is, toreduce it as S0< ? W possible ; to effect which the body must be bent, andthe tumour pressed upon until it is reduced. The endeavours of the patientto reduce it will be attended with more success than those of another method of reduction practised by M. Gimbernat, of Madrid, is sooas, and at the same time so successful, that 1 shall give it in detail. Hethe patient on his side opposite the hernia, with his body a little L nh,and lower than the pelvis, in order to relax the muscles of the abdomen:with the same intention the bead is brought forward toward the the /< moral hernia he elevates the thigh on which the hernia is, yet soas not in the least to obstruct the operation. Sitting then by the bed-side,. 568 THE REFORMED PRACTICE OF SURGERY. with his hand which is nearest to the patient he grasps the tumour at itsbase, which is the upper part, and with his first three fingers he compressesit all around, to diminish its diameter ; at the same time with the fingers ofthe other hand he pushes the apex, which is the lower end of the tumour,upward and inward, to direct it toward the crural arch, because it cannot bereduced in any other direction. He has sometimes found that more than onehour was required for this operation. When the patient is fatigued, he ceasesboth to press and push, yet never quits his hold ; when he renews theseefforts he graduallly increases their force. Of numerous hernia? treated byhim in this way, and many of them desperate, those which have not beenreduced have been very few. It may be needless to add, that this method isimproper, if the tumour is inflamed and ve
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