37。Inthosecasesinwhichthefracturedportionsaredepressedandflattened，ifitisdepressedinfrontatthecartilage，somethingmaybeintroducedintothenostrilstorectifytheparts。Ifnot，allsuchdeformitiesmayberestoredbyintroducingthefingersintothenostrils，ifthiscanbemanaged，butifnot，athickspatulaistobeintroducedwiththefingers，nottotheforepartofthenose，buttothedepressedportion，andthephysicianistotakeholdofthenoseexternallyonbothsides，andatthesametimeraiseitup。Andifthefracturebemuchintheforepartonemayintroduceintothenostrilsasalreadystated，eithercaddisscrapedfromalinentowel，orsomethingsuchwrappedupinapieceofcloth，orratherstitchedinCarthaginianleather，andmouldedintoashapesuitabletotheplaceintowhichitistobeintroduced。Butifthefracturebeatagreaterdistance，itisnotpossibletointroduceanythingwithin，forifitwasirksometobearanythingofthekindintheforepart，howisitnottobesowhenintroducedfartherin？Atfirst，then，byrectifyingthepartsfromwithin，andsparingnopainsuponthemfromwithout，theyaretobebroughttotheirnaturalposition，andset。Afracturednosemaybereadilyrestoredtoshape，especiallyonthedayoftheaccident，orevenalittlelater，butthephysiciansactirresolutely，andtouchitmoredelicatelyatfirstthantheyshould；forthefingersshouldbeappliedonbothsidesalongthenaturallineofthenose，anditistobepusheddownward，andthus，withpressurefromwithin，thedisplacementistoberectified。Butforthesepurposesnophysicianisequaltotheindex—fingersofthepatienthimself，ifhewillpayattentionandhasresolution，fortheyarethemostnaturalmeans。Eitherofthefingersistobeplacedfirmlyalongthewholenose，andthusitistobegentlyheld，andsteadily，ifpossibleuntilitbecomefirm，butifnot，hehimselfistoholditforaslongatimeaspossible，orifhecannot，achildorwomanshoulddoit，forthehandsoughttobesoft。Thusmayafractureofthenose，attendedwithdepression，andnotwithdisplacementtotheside，butinastraightline，bemostproperlytreated。Ihaveneverseenacaseoffracturednosewhichcouldnotberectifiedwhenattempted，beforecallusisformed，providedthetreatmentbeproperlyapplied。Butalthoughmenwouldgiveagreatpricetoescapebeingdeformed，yetatthesametimetheydonotknowhowtotakecare，norhaveresolution，iftheydonotexperiencepain，norfeardeath，althoughtheformationofcallusinthenosespeedilyplace，forthemostpartisconsolidatedintendays，providedsphacelusdonottakeplace。
38。Whenthefracturedboneisdisplacedlaterally，thetreatmentisthesame，butitisobviousthatthereductionistobemade，notbyapplyingequalforceonbothsides，butbypushingthedisplacedportionintoitsnaturalposition，andpressingonitfromwithout，andintroducingsomethingintothenostrils，andboldlyrectifyingthefragmentswhichinclineinward，untilthewholebeproperlyadjusted，wellknowingthatifyoudonotrestorethepartsatonce，itisimpossiblebutthatthenosemustbedistorted。Butwhenyourestorethepartstotheirnaturalposition，eitherthepatienthimself，orsomeotherperson，istoapplyonefingerormoretothepartwhichprotrudes，andkeepitinpositionuntilthefracturebeconsolidated；butthelittlefingeris，fromtimetotime，tobepushedintothenostril，torectifythepartswhichinclineinward。
Whenanyinflammationsupervenes，doughmustbeused，butattentionmuststillbeequallypaidtotheapplicationofthefingers，althoughthedoughbeonthepart。Butifthefracturebeinthecartilage，withlateraldisplacement，theendofthenosemustnecessarilybedistorted。Insuchcasessomeoftheaforementionedmeansofreduction，orwhateversuits，istobeintroducedintothenostril；
buttherearemanyconvenientthingstobefoundwhichhavenosmell，andareappropriateinotherrespects；thus，ononeoccasion，I
introducedasliceofsheep’slung，asithappenedtobeathand；