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Of Medicine, in Eight Books

Chapter 180: CHAP. XXVIII. OF THE OPERATIONS REQUIRED WHEN A MEMBRANE, OR FLESH OBSTRUCTS THE VAGINA IN WOMEN.
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About This Book

It gathers medical knowledge into eight concise books that combine clinical observation, diagnosis, prognosis, and practical treatment. Chapters cover diet and regimen, descriptions of internal diseases and external injuries, medicinal preparations, and operative techniques with instructions for wound care and minor surgery. The text emphasizes careful observation and clear symptom description, pairing theoretical causes with hands-on remedies and measurements. Explanatory notes and technical detail support immediate clinical use, making the collection a practical reference for assessing, managing, and treating a broad range of conditions.

CHAP. XXVIII. OF THE OPERATIONS REQUIRED WHEN A MEMBRANE, OR FLESH OBSTRUCTS THE VAGINA IN WOMEN.

The foregoing diseases may happen both to men and women. But some are peculiar to women; as in the first place, where the vagina, by its lips being joined, does not admit of coition. And this happens sometimes in the womb of the mother; at other times, from an ulcer in those parts, and the lips, in healing, having by bad management been united. If it be from the birth, a membrane obstructs the vagina: if from an ulcer, it is filled up with flesh.

In the membrane an incision must be made in two lines crossing each other, in the form of the letter X, great care being taken not to wound the urinary passage; and then the membrane is to be cut out. But if flesh has grown there, it is necessary to open it in a straight line; then taking hold of it with a vulsella or hook, to cut off a small habenula, as it were, from the orifice of the vagina, after which must be introduced a piece of lint rolled in a long form (by the Greeks called lemniscus) dipped in vinegar; and over this sordid wool moistened with vinegar is to be bound on; the third day, these are to be removed, and the part dressed like other wounds. And when it begins to heal, it is proper to introduce into the part a leaden pipe armed with a cicatrizing medicine; and over that to apply the same medicine, till the wound be cicatrized.