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386 EXTRACTION OF TEETH.

liable to follow the operation. It is the duty of the
patient, under such circumstances, to notify the ope-
rator of the condition; or, if the latter has any know-
ledge of it, it is his duty to become fully acquainted
with the circumstances, and then to conform to the
indications. In such case, treatment will avail but
little to prepare the system for the operation. The
better method is to adopt palliative treatment; which,

if the affection is wholly sympathetic, must be
directed to the organ producing the difficulty. But

if the affection is in part local, then topical treatment
is also indicated. When there is a suppression of
menstruation, there will be an increased disposition
to hemorrhage ; and in the extraction of the teeth of
a patient of hemorrhagic diathesis, this is a point to
which observation should be very specially directed :
here, of course, a remedy for the obstruction would
meet the difficulty.
Persons subject to epilepsy should be very cau-
tiously treated in all operations on the teeth, and
most especially in their extraction. It is not pro-
bable, however, that an operation of this character
would increase the tendency to epilepsy ; but any

undue excitement is liable to produce a paroxysm of
the disease ; and hence the operator should proceed
to his work with as little parade as possible; yet, not
stealthily ; the patient should be thoroughly aware of