When the _Præputium_ is so streight that the _Glans_ can be no longer uncover'd, this Indisposition is call'd _Phimosis_; but if the _Præputium_ be turn'd back above the _Glans_, after such a manner that it can no longer cover the same _Glans_, it is a _Paraphimosis_. If in the _Phimosis_ the _Præputium_ cleaves very close round about the _Glans_, it is most expedient to let it alone; but if in handling the _Glans_ it be perceiv'd that it is moveable, or else that some parts of it only stick together, the Operation may be perform'd after this manner: The Patient being set in a Chair, a Servant is employ'd in pulling back the Skin to the Root of the _Penis_, to the end that the Incision may be {262} made directly at the bottom of the _Glans_: Then the Surgeon having drawn out the bottom of the _Præputium_, introduceth a small Instrument with a very sharp Point on its flat side, at the end of which is fixt a Button of Wax, pierceth the _Præputium_ at the bottom of the _Glans_ on the side of the Thread, and finisheth the Incision by drawing the Instrument toward himself. The _Paraphimosis_ is cur'd by making Fomentations on the Part, to allay the Inflammation if there be any; and it is to be pull'd down with the Fingers. But if Medicinal Preparations prove ineffectual, Scarifications are to be made round about the _Præputium_; and afterward convenient Remedies may be apply'd to remove the Inflammation, and prevent the Mortification of the Part; so that at length the _Præputium_ may be drawn over the _Glans_. * * * * * CHAP. XXIX. _Of the Operation of the _Varix_._ In order to cure this Tumour, the Surgeon having first cut the Skin to discover the dilated Vein, separates it from the Membranes, and passeth underneath a crooked Needle with a double wax'd Thread; then he makes a Ligature both above and below the dilatation of the Vein, opens the dilated Part with a Lancet, to let out the Blood, and applies a convenient Bandage: But without performing this {263} Operation, the Vein might be open'd with a Lancet, to draw out a sufficient quantity of Blood; and then the _Varix_ is to be press'd with a somewhat close Bandage. * * * * * CHAP. XXX. _Of the Operation of the _Panaritium_._ The _Panaritium_ is an Abcess which ariseth at the end of the Fingers; some of these Tumours are only superficial, and others penetrate even under the _Periosteum_; nevertheless after whatsoever manner the _Panaritium_ may happen, it ought to be open'd on the side of the Finger, that the Tendons may not be hurt. If the Abcess be extended under the _Periosteum_, the opening must be made on the side, and the Lancet thrust forward to the Bone: Afterward the _Pus_ or corrupt Matter is to be discharg'd, which wou'd cause the Tendons to putrifie, if it shou'd remain too long upon 'em. _The Dressing and Bandage_