time　effects　both　acts；　this　is　common　in　all　cases。
  Part　28
  Dislocations　of　the　bones　of　the　foot　are　to　be　treated　like
  those　of　the　hand。
  Part　29
  Dislocations　of　the　bones　connected　with　the　leg；　if　not
  reduced；　whether　occurring　at　birth　or　during　adolescence；　are　of
  the　same　character　as　those　in　the　hand。
  Part　30
  Persons　who；　in　jumping　from　a　height；　have　pitched　on　the　heel；
  so　as　to　occasion　diastasis　（separation）　of　the　bones；　ecchymosis　of
  the　veins；　and　contusion　of　the　nerves；…when　these　symptoms　are　very
  violent；　there　is　danger　that　the　parts　may　sphacelate；　and　give
  trouble　to　the　patient　during　the　remainder　of　his　life；　for　these
  bones　are　so　constructed　as　to　slip　past　one　another；　and　the　nerves
  communicate　together。　And；　likewise　in　cases　of　fracture；　either
  from　an　injury　in　the　leg　or　thigh；　or　in　paralysis　of　the　nerves
  connected　with　these　parts；　or；　when　in　any　other　case　of
  confinement　to　bed　the　heel；　from　neglect；　becomes　blackened；　in　all
  these　cases　serious　effects　result　therefrom。　Sometimes；　in　addition
  to　the　sphacelus；　very　acute　fevers　supervene；　attended　with　hiccup；
  tumors；　aberration　of　intellect；　and　speedy　death；　along
  with　lividity
  of　the　large　bloodvessels；　and　gangrene。　The　symptoms　of　the
  exacerbations　are　these：　if　the　ecchymosis；　the　blackened　parts；　and
  those　around　them；　be　somewhat　hard　and　red；　and　if　lividity　be
  combined　with　the　hardness；　there　is　danger　of
  mortification；　but；　not
  withstanding；　if　the　parts　are　sublivid；　or　even　very　livid　and
  diffused；　or　greenish　and　soft；　these　symptoms；　in　all　such
  cases；　are
  favorable。　The　treatment　consists　in　the　administration　of
  hellebore；　if　they　be　free　from　fever；　but　otherwise；　they
  are　to　have
  oxyglyky　for　drink；　if　required。　Bandaging；…agreeably　to　the　rule　in
  other　joints；　but　this　is　to　be　attended　to　also；…the　bandages
  should　be　numerous；　and　softer　than　usual；　compression　less；　more
  water　than　usual　to　be　used　in　the　allusions；　to　be　applied
  especially
  to　the　heel。　The　same　object　should　be　sought　after　in　the
  position　as
  in　the　bandaging；　namely；　that　the　humors　may　not　be
  determined　to　the
  heel；　the　limb　to　be　well　laid　should　have　the　heel　higher　than　the
  knee。　Splints　not　to　be　used。
  Part　31
  When　the　foot　is　dislocated；　either　alone；　or　with　the
  epiphysis；　the　displacement　is　more　apt　to　be　inward。　If　not
  reduced；　in　the　course　of　time　the　parts　of　the　hips；　thigh；　and
  leg；　opposite　the　dislocation；　become　attenuated。　Reduction：…As　in
  dislocation　at　the　wrist；　but　the　extension　requires　to　be　very
  powerful。　Treatment：…Agreeably　to　the　rule　laid　down　for　the　other
  joints。　Less　apt　to　be　followed　by　serious　consequences　than　the
  wrist；　if　kept　quiet。　Diet　restricted；　as　being　in　an　inactive
  state。　Those　occurring　at　birth；　or　during　adolescence；　observe　the
  rule　formerly　stated。
  Part　32
  With　regard　to　slight　congenital　dislocations；　some　of　them
  can　be　rectified；　especially　club…foot。　There　is　more　than
  one　variety
  of　club…foot。　The　treatment　consists　in　modeling　the　foot
  like　a　piece
  of　wax；　applying　resinous　cerate；　and　numerous　bandages；　or
  a　sole；　or
  a　piece　of　lead　is　to　be　bound　on；　but　not　upon　the　bare　skin；　the
  adjustment　and　attitudes　to　correspond。
  Part　33
  If　the　dislocated　bones　cause　a　wound　in　the　skin；　and　protrude；
  it　is　better　to　let　them　alone；　provided　only　they　are　not　allowed
  to　hang；　nor　are　compressed。　The　treatment　consists　in　applying
  pitched　cerate；　or　compresses　dipped　in　hot　wine　（for　cold　is　bad　in
  all　such　cases）；　and　certain　leaves；　but　in　winter　unwashed　wool　may
  be　applied　as　a　cover　to　the　part；　neither　cataplasms　nor　bandaging；
  restricted　diet。　Cold；　great　weight；　compression；　violence；
  restricted
  position；　all　such　are　to　be　accounted　as　fatal　measures。
  When　treated
  moderately　（they　escape）；　maimed　and　deformed；　for；　if　the
  dislocation
  be　at　the　ankle；　the　foot　is　drawn　upward；　and；　if　elsewhere；
  according　to　the　same　rule。　The　bones　do　not　readily　exfoliate；　for
  only　small　portions　of　them　are　denuded；　and　they　heal　by　narrow
  cicatrices。　The　danger　is　greatest　in　the　greatest　joints；　and　those
  highest　up。　The　only　chance　of　recovery　is；　if　they　are　not　reduced；
  except　at　the　fingers　and　hand；　and　in　these　cases　the　danger　should
  be　announced　beforehand。　Attempts　at　reduction　to　be　made　on
  the　first
  or　second　day；　or；　if　not　accomplished　then；　on　the　tenth；
  by　no　means
  on　the　fourth。　Reduction　by　levers。　Treatment：…As　in　injuries　of　the
  bones　of　the　head；　and　the　part　is　to　be　kept　hot；　and　it　is
  better　to
  give　hellebore　immediately　after　the　parts　have　been　reduced。　With
  regard　to　the　other　bones；　it　should　be　well　known；　that；　if
  replaced；
  death　will　be　the　consequence；　the　more　surely　and　expeditiously；
  the　greater　the　articulation；　and　the　more　high　its　situation。
  Dislocation　of　the　foot　is　attended　with　spasm　（tetanus）　and
  gangrene；
  and　if；　upon　its　being　replaced；　any　of　these　symptoms　come　on；　the
  chance　of　recovery；　if　there　be　any　chance；　is　in　displacing　it
  anew；　for　spasms　do　not　arise　from　relaxation；　but　from
  tension　of　the
  parts。
  Part　34
  Excision；　either　of　articular　bones　or　of　pieces　of　bones；　when
  not　high　up　in　the　body；　but　about　the　foot　or　the　hand；　is
  generally　followed　by　recovery；　unless　the　patient　die　at　once　from
  deliquium　animi。　Treatment：…As　in　injuries　of　the　head；　warmth。
  Part　35
  Sphacelus　of　the　fleshy　parts　is　produced　by　the　tight
  compression　of　bleeding　wounds；　and　by　pressure　in　the　fractures　of
  bones；　and　by　blackening；　arising　from　bandages。　And　in
  those　cases　in
  which　a　portion　of　the　thigh　or　arm；　both　the　bones　and　the
  flesh　drop
  off；　many　recover；　the　case　being　less　dangerous　than　many　others。
  In　cases；　then；　connected　with　fracture　of　the　bones；　the　separation
  of　the　flesh　quickly　takes　place；　but　the　separation　of　the　bone；　at
  the　boundary　of　its　denuded　part；　is　slower　in　taking　place。　But　the
  parts　below　the　seat　of　the　injury；　and　the　sound　portion　of
  the　body；
  are　to　be　previously　taken　away　（for　they　die　previously）；
  taking　care
  to　avoid　producing　pain；　for　deliquium　animi　may　occasion　death。　The
  bone　of　the　thigh　in　such　a　case　came　away　on　the　eightieth　day；　but
  the　leg　was　removed　on　the　twentieth　day。　The　bones　of　the　leg；　in　a
  certain　case；　came　away　at　the　middle　of　the　sixtieth　day。　In　these
  cases　the　separation　is　quick　or　slow；　according　to　the　compression
  applied　by　the　physician。　When　the　compression　is　gently　applied　the
  bones　do　not　drop　off　at　all；　neither　are　they　denuded　of　flesh；　but
  the　gangrene　is　confined　in　the　more　superficial　parts。　The
  treatment　of　such　cases　must　be　undertaken；　for　most　of　them　are
  more　formidable　in　appearance　than　in　reality。　The　treatment
  should　be
  mild；　but；　not　withstanding；　with　a　restricted　diet；　hemorrhages　and
  cold　are　to　be　dreaded；　the　position；　so　as　that　the　limb　may　be
  inclined　upward；　and　afterward；　on　account　of　the　purulent　abscess；
  horizontally；　or　such　as　may　suit　with　it。　In　such　cases；　and　in
  mortifications；　there　are　usually；　about　the　crisis；　hemorrhages　and
  crisis；　hemorrhages　and　violent　diarrhoeas；　which；　however；　only
  last　for　a　few　days；　the　patients　do　not　lose　their　appetite；
  neither　are　they　feverish；　nor　should　they　be　put　upon　a
  reduced　diet。
  Part　36
  Displacement　of　the　spine；　if　inward；　threatens　immediate　death；
  attended　with　retention　of　urine　and　loss　of　sensibility。
  Outward；　the
  accident　is　free　from　most　of　these　bad　effects；　much　more　so　than
  where　there　is　merely　concussion　without　displacement；　the　effects
  in　the　former　case　being　confined　to　the　spot　affected；
  whereas　in　the
  latter　they　are　further　communicated　to　the　whole　body；　and　are　of　a
  mortal　character。　In　like　manner；　when　the　ribs　are
  fractured；　whether
  one　or　more；　provided　there　be　no　splinters；　there　is　rarely　fever；
  spitting　of　blood；　and　sphacelus；　and　ordinary　treatment　without
  evacuation　will　suffice；　provided　there　be　no　fever；…bandaging；
  according　to　rule；　and　the　callus　forms　in　twenty　days；　the
  bone　being
  of　a　porous　nature。　But　in　cases　of　contusion；　tubercles　form；　along
  with　cough；　suppurating　sores；　and　sphacelus　of　the　ribs；　for　nerves
  from　all　the　parts　run　along　each　rib。　In　many　of　these　cases
  haemoptysis　and　empyema　also　take　place。　The　management　of　this　case
  consists　in　careful　treatment；　bandaging　according　to　rule；　diet　at
  first　restricted；　but　afterward　more　liberal；　quiet；　silence；
  position；　bowels；　and　venereal　matters　regulated。　Even　when　there　is
  no　spitting　of　blood；　these　contusions　are　more　painful　than
  fractures；　and　are　more　subject　in　time　to　relapses；　and　when　any
  mucous　collection　is　left　in　the　part；　it　makes　itself　be　felt　in
  disorders　of　the　body。　Treatment：…burning；　when　the　bone　is
  affected；　down　to　the　bone；　but　not　touching　the　bone　itself；　if　in
  the　intercostal　space；　the　burning　must　not　extend　through　it；　nor
  be　too　superficial。　In　sphacelus　of　the　ribs；　tents　are　to　be　tried；
  all　other　particulars　will　be　stated　afterward：　but　they　should　be
  learned　by　sight　rather　than　by　words；　namely；　food；　drink；　heat；
  cold；　attitude；　medicines