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A77712 Vade mecum or, a companion for a chyrurgion: fitted for times of peace or war. Compendiously shewing the yong artist the use of every severall instrument belonging to a chyrurgion; and the vertues and qualities of all such medicines as are needfull and necessary, with the maner of compounding them, according to the most approved authors. As also the perfect cure of green wounds, either incised or contused, ulcers, fistulaes, fractures, and dislocations. To which is added the maner of making reports before a judge of assize, of any one that hath come to an untimely end. By Tho. Brugis Doctor in Physick. Brugis, Thomas, fl. 1640?; Cross, Thomas, fl. 1632-1682, engraver. 1651 (1651) Wing B5225; Thomason E1357_2; ESTC R209491 89,747 252

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the body if the ayr come forth at the wound making a certain whizzing noise if the Patient breath with great difficulty if he feel a great heavinesse or weight on or about the midriffe whereby it may be gatherered that a great quantity of bloud lyeth on the place or midriffe and so causeth him to f●el a weight or heavinesse which by little and little will be cast up by vomiting But a little after a Feaver commeth and the breath is unsavoury and stinking by reason that the putrifying bloud is turned into sanies the Patient cannot lye but on his back and he hath an often desire to vomit but if he escape death his wound will degenerate into a Fistula and at length will consume him by little and little We may know that the lungs are wounded by foming and spumous bloud comming out both at the wound and cast up by vomiting he is vexed with a shortnesse of breath and a pain in his sides We may perceive the heart to be wounded by the abundance of bloud that commeth out at the wound by the trembling of all the whole body by the faint and small pulse palenesse of the face cold sweat with often swounding coldnesse of the ex●●eam parts and sudden death When the Midriffe which the Latines call Diaphragma is wounded the Patient feeleth a great weight in that place he raveth and talketh idely he is troubled with shortnesse of wind a cough and fit of grievous paine and drawing of the entralls upwards Wherefore when all these accidents appear we may certainly pronounce that death is at hand Death appeareth suddenly by a wound of the hollow veyne or the great Artery by reason of the great and violent evacuation of bloud and spirits whereby the functions of the heart and lungs are stopped and hindred The marrow of the backbone being pierced the Patient is assaulted with a Palsie or Convulsion very suddenly and sense and motion faileth in the parts beneath it the excrements are either evacuated against the Patients will or altogether stopped the intestines putrifie and rot and death suddenly follows When the Liver is wounded much bloud commeth out at the wound and pricking pain disperseth it selfe even unto the sword like gristle which hath its scituation at the lower end of the breast bone called Sternon the bloud that falleth from thence downe into the intestines doth oftentimes infer most maligne accidents yea and most commonly death When the stomach is wounded the meat and drink come out at the wound there followeth a vomiting of pure choler then commeth sweating and coldnesse of the extreame parts and therefore we ought to prognosticate death to follow When the Milt or Spleen is wounded black and gross bloud cometh out at the woūd the patient wil be very thirsty with pain on the left side and the bloud breaks forth into the belly and there putrifying causeth most maligne and grievous accidents and oftentimes death to follow When the guts are wounded the whole body is griped and pained the excrements come out at the wound whereat also oftentimes the guts break forth with great violence When the reins or kidneys are wounded the patient will have great pain in making his urine and the bloud commeth out together therewith the pain commmeth down even unto the groyn yard and lesticles When the bladder and Ureters are wounded the pain goeth even unto the entrails the parts all about and belonging to the groyne are distended the urine is bloudy that is made and the same also oftentimes commeth out at the wound When the womb is wounded the bloud commeth out at the privities and all other accidents appeare like as when the bladder is wounded When the sinews are pricked or cut halfe asunder there is great pain in the affected place and there followeth a sudden inflammation flux abscesse Feaver Convulsion and oftentimes a gangrene or mortification of the part whereof commeth death unlesse it be speedily prevented If a Nurse through drowsinesse or negligence lies upon her infant being in bed with her and so stifles or smothers it to death which we call overlaying if the judgement and opinion of the artist be required whether it dyed by default of the Nurse or by some violent disease lurking in the body these rules following shall shew the truth of the matter If the infant were in good health before if he were not froward nor crying if his mouth and nosthrils now being dead be moystned or bedewed with a certain foame or froath if his face be not pale but of a violet or purple colour if when the body is opened the lungs be found swoln and puffed up as it were with a certain vaporous foam and all the other intrails sound it is a token that the infant was stifled smothered or strangled by some outward violence If the body or dead corps of a man be found lying in the field or house alone and it be questioned whether he were slaine by lightning or some other violent death these signes following will shew the certainty thereof For every body that is blasted or stricken with lightning doth cast forth or breath out an unwholsome stinking or sulphureous smell so that the Birds or Fowls of the aire nor dogs will not once touch it much lesse prey or feed on it the part that was stricken oftentimes sound and without any wound but if you search it well you shall find the bones under the skin to be bruised broken or shivered in pieces But if the lightning hath pierced into the body which making a wound therein according to the judgement of PLINY the wounded part is far colder than all the rest of the body For lightning driveth the most thin and fiery ayre before it and striketh it into the body with great violence by the force whereof the heat that was in the part is soon dispersed wasted and consumed Lightning doth alwayes leave some impression signe of some fire either by ustion or blacknesse for no lightning is without fire Moreover whereas all other living creatures when they are stricken with lightning fall on the contrary side only man falleth on the affected side if he be not turned with violence toward the coast or region from whence the lightning came If a man be stricken with lightning while he is asleep he will be found with eyes open contrariwise if he be stricken while he is awake his eyes will be closed as PLINNY writes Also it may be inquired in judgement whether any that is dead and wounded received these wounds alive or dead Truly the wounds that are made on a living man if he dye of them after his death will appeare red and bloudy with the sides or edges swoln or pale round about contrariwise those that are made in a dead man will be neither red bloudy swollne nor puffed up for all the faculties and functions of life in the body do cease and fall together by death so that thenceforth no spirits nor bloud
one in the hand one in the forehead one under the tongue and two in the foot The first in the arm is called the Cephalica or head-veine and lyeth uppermost on the outside the arm and is opened for aff cts of the head and eyes and without danger of touching either nerve or artery The next is the mediana or middle or common vein and lyeth in the middest of the arm and is opened instead of the cephalick or basilick veine when they are difficult to be opened It is cut generally in any affect of the body but beware of going too deep for fear of pricking the nerve or tendon of the two-headed muscle lying under it The third is the basilica epatica or liver-veine and lyeth lowest on the inside of the arm and is opened for to breath the liver and spleen and hath an artery lying under it And because all veines have their original in the liver therefore if the two first will not easily be taken then you shall bleed the median or middle veine or as the general rule amongst Physitians is to take the fairest appearing veine in the arme except some principal occasion alter their minde The fourth veine is betwixt the ring-finger and ●●e little finger and breatheth the liver spleen and head and may be opened safer in weak bodies then any veine in the arm you shall make a ligatu e about the wrist and put the hand in warm water untill the vein appear chasing it a little to make it rise the fuller and then with your lancet open it aslant and let it bleed in the water The fifth is the vein in the forehead which is opened for pains in the head rhumes distillations of humours and the like but have a care of going too deep for hurting the perioranium and it is opened in good successe in the phrenzie The sixt is the vein under the tongue and is opened in the squinanzy inflammation and swelling of the amigdals or Almonds of the throat Apostumes of the mouth or throat or root of the tongue but if the Artist be not ready in the taking this vein let him open the Cephalica of the side affected The seventh is the Saphana lying under the ancle and is opened in warm water as the vein in the hand is and chiefly to draw down women monthly visits The eight last is the vein on the outside the leg called popletica and is opened in the sciatica and pain in the joynts and is opened in water as the former The Artist having all his instruments thus fitted shall keep them all very clean oyled and rowled up in oily clouts and chose that have edges shall be ever well set and sharp remembring alwayes when he hath used any of them to rub them very clean and dry before he lay them up have also in a readinesse these things following viz. A Clyster-pot Searces of hair and lawn Splints Tape Spunges Rowlets A mortar and pestle Strayners Junckes Tow Clouts Thred and needles to make Rowlers Of Wounds BEcause I will not seem tedious I shall not rehearse the definition of wounds which is so much treated of already in all Authours but shew the Artist what he ought to do when he is called to a wounded Patient First then the Artist must know that all wounds are either externall or internall and penetrating The externall wounds are discerned by sight or handling Those which are internall and penetrating are either in the head breast or lower belly and are discovered also by sight feeling or by searching them with an instrument Now to know what internall parts are wounded by the symptomes you shall observe That if the membranes of the brain be hurt there follows sneezing vomiting bleeding at nose or ears running and the like but if the substance of the brain be hurt those signs are encreased and bilious or sharp vomiting is seen also a Feaver dull understanding with alteration of favour and countenance stupidity also and dumbnesse If the breast be wounded the air commeth out of the wound the Patient feeleth the taste in his mouth of the things applied to the wound If the lungs be hurt the Patient breatheth hardly with a ratling sound and his spittle is frothy pale and raw If the perecranium that is the skin covering the skull be hurt sudden and often sounding sometimes ensues If the heart be wounded there follows a coldnesse of all the members extinction of naturall beat and speedy death If the great veins and arteries in the breast be hurt an immoderate fluxe of blood defection of vertue in all the faculties a cold and unsavoury sweat doth ensue and death within few hours The Diaphragma or midriffe wounded in the sinowy part causeth convulsion hard breathing sharp feaver raving and death but if it be onely in the fleshy part it hath no such symptomes and is capable of remedies If the recurrent nerves be wounded there followeth losse of speech suppression of motion and sense without recovery If the Liver be hurt there followeth vomiting ejections of blood much pain continuall feaver raving resolution of the spirits cold sweat and consequently death The Liver and the Spleen are alike affected when they are wounded onely the symptomes of the Spleen are on the left side the Livers on the right If the Stomack be wounded there follows frequent vomiting swounding fainting and death If the Guts are wounded the excrements will come through the wound unsavoury and putrified If the Reins or Kidnies be hurt there follows suppression of urine with a sore pain in the groin and stones with swelling even to death If the Bladder be hurt the like symptomes happens as in wounds of the Reins unlesse the sinewy parts be grieved for then follows distention of the belly pissing of blood vomiting voiding of urine at the wound suppression of the faculties doting and death when the marrow of the back-bone is hurt there followeth resolution of the sinews which hindreth the function of sense and motion voluntary evacuation of the excrements putrefaction of the intestines and death A vein cut bleeds thick red blood An Artery cut sends forth yellowish subtill blood thin hot beating and flying out by jumps with great violence Wounds dressed THe manner of dressing wounds shall be first to view well the part wounded and to remove such things as may hinder consolidation as hairs broken bones iron lead wood or whatsoever is besides nature with fitting instruments and with as little pain as may be not tearing or breaking any adjacent vessel but clear the wound so as nothing may be left to hinder the good application of medicines to the grief Next you shall reduce the dislocated and dis-joyned parts setting and composing the veins and nerves in their right order and places that the beauty and due office of the member may not be diminished and that it may conglutinate the easier these being thus united must be kept so together by ligature future and such other due
symptomes appeare he may expect natures worke by which he shall perceive the skull depressed to rise and scale admirably It may also serve many times to take off a scale of a bone after amputation of the fingers or toes Of the stitching Quill and Needles THese are instruments that cannot be missed in your Plaister-box you shall therefore have in your stitching Quill at least three needles of severall sizes or bignesse with square points well set and ready armed with green or red silk oyled your needles alwayes kept oiled and cleane from rust in want of silk at any time upon necessity you may use thread rubbing it with some kinde of emplaister You must also have in your said stiching Quill a Taylors needle or two with thread to sow your rollers make them fast in the rolling of wounds fractures or dislocations Of the Director THe Director is an Instrument to guide and direct the Incision knife in dilation or inlarging a wound when you are neare any vessels They are also used in cutting for the stone Of the Forceps THese are used to take of Emplaisters Pledgets and Tents to take out a spill of a bone to hold up any peice of superfluous flesh or skin thereby the better to cut it with the sizzers or incision knife to take out any thing that may chance into the eare nostrils mouth or throat to take out a bullet lying within reach or any thing that is offensive in a wound and is an Instrument of continuall and very necessary use in Chyrurgery Spatula Linguae THe Spatula linguae or speculū linguae is much like an ordinary spatula at one end only it is perforated and cut through the better to hold the tongue downe without slipping off the other end is made to scrape the tongue that is furred in Feavers Cankers or other affects of the mouth it is used to hold downe the tongue when you inject any liquor into the throat or apply any medicine to the mouth or throat or when you would make inspection into the mouth or throat in any affects of the Uvula or in Quinces Cankers or excoriations of the mouth or gums The Flegme IS an Instrument used to open the gums and separate them from the tooth you intend to pull out compassing the tooth with the round sharpe end thereof close to the tooth piercing deeper by little and little untill you feele it as low as the jaw bone Some use to open a veine with this instrument but for mine owne part I do disalow it as very uncertaine and dangerous for touching the Nerves or greater vessels Next we must look into the Salvatory to see what Vnguents we have there to declare the Composition of them their Vertues and Uses Of first of Basilicon BAsilicon is an Unguent used almost in all kinds of wounds ulcers apostumes either per se or mixed with other unguēts for it hath the vertue to heat humect and mitigate pain it digesteth incarnateth wounds and ulcers and suppurateth apostumes either hot or cold being somewhat thick spread upon cloath or leather and it mitigateth the paine thereof It is likewise very fitly used with Praecipitate Aegyptiacum or any corroding medicine making them work with more case and better mundifies it is also good for burnings and scaldings and is thus made ℞ Cerae flavae Resinae pinguis Picis graecae of each half a pound Olei two pounds four ounces Melt the Rosin and the Pitch in the Oyle then adde the Wax and boyle them to a just consistence Liniment of Arcaeus THis Arcaeus Liniment is a soveraigne balme not to be sufficiently commended in all wounds whatsoever especially in those of the head where it doth meerly of it selfe all the intentions of healing the Flux of bloud being first stayed for it digesteth mundifieth incarnateth and cleatrizeth it defendeth from accidents and is very avodine I have divers times applyed it mixed with other unguents to painfull ulcers and fistula's with good successe it is made as followeth ℞ Gummi elemni Of each 1. ounce and halfe Teribinthinae abietinae Of each 1. ounce and halfe Sevi veruecini antiqui liquefacti 2 ounces Pinguedinis Porcinae antique liquefactae one ounce Dissolve the Gum in Sack and evaporate the Sack then put in the fats and lastly the terebinte and mingle them well together The golden Oyntment THis unguent is used to incarne wounds and ulcers being first mundified and it is a most precious balme to heale them it is a good healer of burnings and scaldings the fire first taken out the composition is as followeth ℞ Cerae flavae one pound Olei two pound and halfe Terebinthinae two ounces Resinae pinae Of each one ounce and halfe Coloplioniae Of each one ounce and halfe Thuris Of each one ounce Mastices Of each one ounce Croci one dramme Dissolve the Mastick in Sack then put in the Oyle Rosin Colophony and Frankinsence and when they are well melted scrape in the Wax melt that and then adde the Turpentine and lastly the Saffron when you take it off Vnguent Apostolorum VVEE commonly use this Unguent to cleanse and scoure foule Ulcers and Fistula's and to make a good ground for healing it abateth spongeous flesh and is of temperature hot and dry and is made as followeth ℞ Terebinthinae Of each fourteen drams Resinae Of each fourteen drams Cerae albae Of each fourteen drams Ammoniaci Of each fourteen drams Rad. Aristolochiae longae of each six drammes Thuris masculi of each six drammes Bdellii of each six drammes Myrrhae Galbani Of each halfe an ounce Oppoponax Floris aeris Of each two drammes Lithargyti Nine drammes Olei If it be Summer two pounds If Winter three pounds Aceti as much as will suffice to dissolve the Ammoniacum Galbanum and Oppoponax Make the Oyntment according to Art Lukatullies Balsome IT is good for burnes inflammations fresh wounds ulcers fistulaes being powred in scalding hot for so I use it to incarne fresh wounds In bruises ulcers of the reines stone in kidneyes or bladder with difficulty of making water I use to give one drachme in Sacke for bruises in white wine for tha stone it is made as followeth Olei one pound and halfe Vini Hispanici one pound Boyle them to the consumption of halfe the Sack then scrape in Cerae albae three ounces Boyle them untill all the wine bee consumed take it from the fire and put in Terebintinae Venetae purae washed in Rose water six ounces Boyle them a little then take them from the fire sprinkle in half an ounce of red sanders in powder and stir it until it be cold lest the Sanders lye in the bottome Vnguent Diapompholigos IS good to heale painfull ulcers in any part of the body especially of the yard or betwixt glans and preputium as also any fretting or painfull ulcers of the legges or elsewhere It is very much used before all other unguents in ulcers of
ARe hot in the third degree dry in the first corroborateth the stomack openeth the obstructions of the lungs liver and kidnies and causeth abundance of milk in womens breasts These two seeds are used in carminative Cylsters Caraway-seeds CAraway-seeds are of the same nature and vertue with Anniseeds and are used in Clysters to break wind Cummin-seeds ARe hot and dry in the third degree they attenuate digest resolve discusse wind dissipate flegmatick tumours and are good against the collick and tympany Linseed LInseed is hot in the first degree temperate in moisture and drinesse softneth all cold tumors ripeneth and breaketh impostumes draweth out thorns sticking in the body expelleth wind and griping of the belly and cleanseth the flesh from spots Fenugreek IS hot in the second dry in the third degree doth mollifie discusse and mundifie helpeth cold hard swellings impostumes and gout in the feet wasteth and lenifieth the hardnesse of the milt mitigateth heat profitable for the matrix in women and cleanseth the skin from many evills as itch scurffe pimples wheals and the like Sugar SUgar is hot in the first degree looseth the belly is convenient to the stomack doth cleanse digest take away the asperity or roughnesse of the tongue and siccity thirst or drought in Feavers helpeth the reins and bladder and is profitable for eyes dim of sight White-starch IS moderately hot levigateth the parts exasperated it is effectual against defluxions of humors into the eyes against pustles and hollow ulcers it filleth with flesh stoppeth spitting of bloud helpeth the roughnesse and soarnesse of the breast and throat and easeth the cough it is very good in the fluxes of the belly to be given in Cluysters against inflammations and excoriations in the intrails Nutmegs ARe hot and dry in the second degree helpeth the stoppings of the liver milt stomack windinesse of the belly lask weaknesse of the kidnies and stopping of the urine comforteth the heart and aromatizeth the stomack Myrrhe MYrrhe chosen fragile or brittle light splendent of little drops bitter sharp which smelleth sweet full of whitish veins being broken is hot and dry in the second degree it openeth the wombe procureth womens monthly visits bringeth forth speedily the birth and is good for the cough stitch fluxe and bloody fluxe it killeth worms amendeth the breath closeth up wounds confirmeth the teeth loose and slayeth the hair from shedding Mastick MAstick sweet in smell white splendent brittle old and very dry is hot in the second degree it helpeth concoction stoppeth vomiting confirmeth the power of retaining sustenance is abstersive it is profitable also to them that spit blood or that are troubled with a cough it attracteth flegme from the brain and is good for the breath Pitch PItch is hot and dry in the second degree it discusseth conglutinateth mollifieth maturateth suppleth the hardnesse of the matrix and hard tumours cureth ulcers filleth them that are hollow up with good flesh and helpeth cold aches and the gout Rosin ROsin is hot mollifying discussing and cleansing and being taken inwardly is good against the cough mendeth the breast provoketh urine concocteth crude matters looseth the belly expelleth the stone and gravel and is excellent for the cure of green and fresh wounds Turpentine TUrpentine is hot in the second degree it is cleansing mollifying and operative it is good taken inwardly for the shortnesse of breath ptisick stone collick cold and windy affections of the breast it provokes urine and sends forth gravel it avails much in the running of the reins used outwardly it is good in wounds in sinewy places it fils wounds and ulcers with flesh and is used much in Emplaisters and Unguents Waxe yellow and white YEllow waxe doth mollifie and heat moistneth temperately it is good to amend the milk in Nurses breasts coagulated it assawageth pain healeth wounds and ulcers and hath commonly a place in all good Unguents and Emplaisters it is good medicine to be drunk or eaten and so swallowed down for to cure the exulceration of the stomack or intrails in fluxes where inward exulcerations are to be feared white-wax is colder then yellow Harts-suet HEarts-suet is of a hot nature doth asswage aches resolveth and mollifieth hard tumours in any part of the body and by experience is found very good administred in Clysters to heal the excoriations of the right gut for it is avodine and very sanative Hogs-suet IT hath a lenifying and avodine quality and therefore it is not unprofitably used for mitigation of sharp humours asswaging of pain healing of burnings with fire and very fitly mixed with Cataplasmes appointed for that purpose Sperma-ceti IS sowr in taste spungy and white in shew unsavoury in smell and weighty having a sharp quality it is of a cold faculty cleanseth and digesteth it is good against inward bruises taken inwardly and the place contused anointed therewith and a Paracelsus plaister put over it or Greek-pitch it is also good for spots and morphew in the skin Dragons blood IS cold and dry in the first degree it is of an astringent quality it closeth up wounds and confirmeth the weak parts and stayeth the fluxe of blood inward or outward it is used outwardly with other astringent powders Cantharides ARe used outwardly to raise a blister and sometimes inwardly to move urine but not without danger Bole-armeny IS very dry and astringent it is a good medicine in resisting the fluxes of blood helping the Catarrhe dysentery and ulcers of the mouth It is good in the Pestilence and all other like infections Allome Is astringent mendeth putrified ulcers drieth the moist consumeth proud superfluous flesh taketh away the itch and cureth the scab and is very profitable in lotions for ulcerations of the mouth throat or elsewhere Being burnt it is most used to dry up ulcers and induce a cicatrize White Coperas IT is good for Collyriums or lotions for the infirmities of the eyes namely against itchings akings smartings defluxions and opthalmiaes of the eyes Album graecum OR white dogs turd is hot and astringent stayeth the Lask cureth the Squinancy helpeth the Dysentery and driveth away Feavers that come by course and is very good to strew the fundament fallen down withall being powdred and sifted through a Lawn or Sarcenet Trochisks of Red-lead THese trochisks consume proud flesh mundifie sordid ulcers as also callous or hard flesh and wonderfully cures Fistulaes They are thus made â„ž Medullae panis crudl bene fermentati four drams Sublimati electi one dram Minii halfe a dram Aqua Rosarum as much as will suffice to incorporate them into a stiffe paste Make them up into what fashion you please with the Rose water and dry them in an Oven and keep them for your use Praecipitate THis Mercuriall medicine is of the same quality with Mercury and for killing and curing gives way to no other it is good to cleanse and dry old ulcers being mingled with Basilicon it brings new or old sores to digestion and stays bloud
and artifical means as occasion shall offer Then let the fluxe of blood be stayed if any be by application of the astringent powder following first making a pledgent of tow dip it in the white of an egge well beaten and strow it over with the powder and lay it on the wound and rowl it up decently The astringent powder is thus made ℞ Aloes Boli Armeni Sanguis draconis Thuris Myrrhae of each one ounce Powder them finely and put to them the hairs of the belly of an old Hare cut small and keep it for your use If the fluxe of blood be great you shall not open it again untill two or three dayes be past but if the wound be slight you may dresse it again the next day In all slight wounds I mean such as are onely in the flesh without losse of substance close them as soon a possible and heal them according to the first intention that is by agglutination by applying such things as have power to comfort and consolidate not to suppurate If the wound be great with laceration of some vessell whereby follows a great fluxe of blood if it be an Artery the surest way is to cut it in two and cauterize it at both ends with a cauterizing button or else take it up and tye it and then cauterize it if the wound be accompanied with a shattered bone you shall not apply any thing that is unctious near the bone but you may dresse it with Spirit of wine and honey of Roses very hot either by injection or tents untill digestion or dissolve in your Spirit of wine a little myrrhe and storax and this dressing must be likewise hot afterwards by degrees you may use Arcaeus liniment and Lukatullies balsome prety warm keeping upon it a mellilote plaister or Paracelsus if the wound be in the head with fracture of the scull you shall next the scull lay a pledgent of dry lint next that a pledgent armed with Arcaeus liniment hot over that another dry pledgent to keep the lips of the wound from closing untill the scull be closed and over all these a plaister of bettonica or Paracelsus or mellilot simple If it be a shot wound then at the second dressing you shall use this oyl in case it be a fleshly wound ℞ Ol. Catullorum two ounces Ol. Terebinthinae half an ounce Ol. Hyperici one ounce Dip in tents and apply them hot But if it be a nervous part or the bone splintred then use this following ℞ Spirit of wine or st ong Aqua vitae ℥ ij Honey of Roses ℥ ●● Mingle them and use it warm till perfect digestion and this you shall use in wounds of the head till perfect digestion and then use Arcaeus liniment with a little basilicon when it is mundified adde to them the Golden-ointment alwayes applying them pretty warm Make not your tents above the length of half a finger and twist th m not too hard that the sauies be not hindred from flowing forth When you pull out your tent out of the wound m●r●●…el the end of it whether it digests or incarnates If the wound become to perfect digestion you shall perce●ve the end of the tent covered with matter of good consistence neither too thick nor too thin of a whitish yellow colour when it incarnates then you shall see a small spot of a reddish matter something like the Chylus as it issues from the bottome of the ventricle and you shall shorten your tents untill the wound be filled up with flesh and then use Diapalma or De minio plaister I knew some that never used any medicines to either incised or contused wounds save Basilicon and the Red-lead plaister yet cured many When you stich a wound you shall not set your stitches too thick but after this following manner set you stitching quill to one side and with your needle armed with green or red silk oyled you shall pierce the skin through on both sides the wound not taking too much hold for causing of pain nor taking up too little lest the hold breaks before the edges be agg●u●inated then tye your silk drawing he edges of the wound pretty close with two knots for slipping and cut off the ends about an inch from that you may make such another stich and thus do so often untill you have joyned the wound When you come to dresse a wound let all your instrument plaisters and tents or pledgents be laid orderly in a fair platter with your boulsters and rowlers your probe armed over the eye with fine lint either to dry the edges of the wound when you make probation or to make the wound clean from the sanies that shall be in it but in this you shall be very carefull that your lint be very fine and do it very lightly for the new flesh that grows is as thin as a spiders web and wil easily be removed Warm your unguents in your uvula spoon or any other spoon and dip in your tents so that they may be covered all save the head If the wound be dressed with pledgents then you shall fill it up with one pledgent upon another untill you have made it levell with the member and then lay on the plaister and next a boulster of fine cloath of three folds and then roul it up You shall not need to dresse any wound oftner then once in four and twenty hours except upon necessity In wounds of the head you shall use this method following First shave away ths hair and if any loose bones be you shall take them out gently without forcing if the cranium or scull be depressed raise it gently with the levatory but if it will not be done gently let it remain two or three dayes bef●re you try again for I have seen nature raise a depressed scull of it self next stay the fluxe of bloud and roul it up for two dayes in which time if the patient hath not bled much at the wound you shall open a vein in the arm and if he hath not had the benefit of nature it will do well to give him a carminative Clyster made as followeth ℞ Decoct com Clysterum one pound Spec. Benedict laxat two drams Mellis two ounces Bactyri as much as a nutmeg Salis one dram Mingle them all and give it warm about four a clock afternoon Let him eat thin broths and drink small beer lying in a good temperate ayre and free from noise But if there be a contusion without a wound so that symptomes arise with a tumour then dilatation is needfull that the contussd bloud may issue out and this must not be delayed where the scull is broken be su e to take out clean all spills or splinters of bones that may lye upon the membranes covering the brain and at every dressing with a little spunge take out the bloud or matter that shall fall upon them keeping coals near the wound all the time of your dressing for fear of cold If
For Dorycnium take Mandrake contra For Fir-leaves take the leaves of Poplar For leaves of Muncks Rubarb take leaves of Docks For Spurge take Tythimal For White-water-lillies use the Yellow contra For leaves of petty spurge take Tythimal For Female fearn use the Male. For Smyrnium use Smallage or Parsely For Garden-nightshade use Winter-cherry For Acacia use juyce of Sloes For opium use juyce of wild-lettice or tame but in a greater quantity For Opobalsome use liquid Styrax or oyl of Myrrhe For licorice use the juyce or decoction or the juyce of Raisons of the Sun For juyce of Citrons take juyce of Limons For Thymelaea take Chamaelaea For Sowbread take Orris For Aloe take juyce of Wormwood For Rain-water use rather River-water then Well-water For Carpobalsome use seed of Lentisk or Turpentine or Cubebs in a lesser dose For the licour of the Cedar tree use the oyl of Juniper bows or gum of Juniper For Xylobalsome use the tendrels of Lentisk For Galbanum use Sagapenum For Sagapenum use Oppoponax half the quantity For Ammoniacum use Beeglew For Oppoponax use Ammoniacum Bdellium or Galbanum For Frankinsence use Mastich or Rosin of the pine dry For liquid Pitch use Pitch dissolved in oyl For Pissasphaltum use Pitch and Bitumen For Mummie take Pissasphaltum For Lacca take Myrrhe For Bears-grease take Fox-grease For Goose-grease take Ducks or Hens-grease For Capons-grease take Hens-greas For Antimony take burnt lead contra For Lithargy take burnt-lead For lead take Pewter For spodium take burnt Harts horn The manner how to make Reports FOrasmuch as upon divers occasions the Artist maybe called to deliver his opinion either of the death of any person or of the weaknesse and deprivation of any member in the function or execution of its proper office and duty and to give his testimony and report to a Magistrate or Coroners Enquest which may be a matter of great concernment I have for the benefit of young Artists and the good of the Commonwealth taken out of Ambrosius Paraus these following rules to which I have added what I have found by mine own practice I shall therefore wish the Artist to observe that exhortation which he gives that is That he have an honest minde and a carefull regard of true piety the fear of God and love to his neighbour before his eyes that he be not carried away with favour or affection nor corrupted with money or rewards but to declare the truth wholly and without partiality Let the Artist be carefull in the searching of such wounds as are brought to him that he be not deceived in making his probation but let the Patient be placed in the same posture he was in when he received the hurt otherwise a wound may seem by the probe to bee small when indeed it is mortal If therefore he be doubtful then let him suspend his judgement from the first day to the ninth by which time the accidents and symptomes will manifest the condition of the wound The general signes whereby we judge of diseases are four for they are drawn either from the nature and essence of the disease or from the cause or effects thereof or else from the similitude proportion and comparison of those diseases with the season or present constitution of the times Therefore if we are called to the cure of a green wound whose nature and danger is no other but a simple solution of continuity in the musculous flesh we may presently pronounce that wound to be of no danger and that it will soon be cured But if it have an Ulcer annexed to it that is if it be sanious then we may say it will be more difficult and long in curing and so we may pronounce of all diseases taking a signe of their essence and nature But of the signes that are taken of the causes let this be an example A wound that is made with a sharp pointed and heavy weapon as with an Halberd being stricken with great violence must be accounted great and also mortal if the accidents be correspondent But if the Patient fall to the ground through the violence of the stroke if a cholerick vomiting follow thereon if his sight fail him together with a giddinesse if bloud come forth at his eyes and nostrils if distraction follow with losse of memory and sense of feeling we may say That all the hope of life remaineth in one small signe which is to be deduced from the effects of the wound But by the comparing it unto the season that then is and diseases that assault mans body we may say That all those that are wounded with Gunshot are in danger of death as it happened in the Castle and Town of Wallingford in Berk● a Garrison of the late King which being infected with the Plague by those that fled from Abingdon which was fore visited the ayre became so disturbed that very few wounds made by Gunshot but proved mortal If the Patient fall down with the stroke if he lye senselesse as it were asleep if he void his excrements unwittingly if he be taken with a giddinesse if bloud come out of his ears mouth and nose and if he vomit choller you may understand that the scull is fractured or pierced through by the defect in his understanding or discourse You may also know when the scull is fractured by the judgement of your externall senses as if by feeling it with your finger you finde it elevated or depressed beyond the naturall limits if by striking it with the end of a probe when the pericranium or nervous filme that investeth the scull is cut crosse-wise and so divided there from it yeeld a base and unperfect sound like unto a potsherd that is broken or like an earthen pitcher that hath a crack or by a thred holden betwixt the teeth and the other end in your fingers and strike upon it as upon a Fiddle-string But we may say that death is at hand if his reason and understanding faile if he be speechlesse if his sight forsake him if he would tumble headlong out of his bed being not at all able to move the other parts of his body if he have a continuall feaver if his tongue be black with drinesse if the edges of the wound be black or dry and cast forth no sanious matter if they resemble the colour of salted flesh if he have an Apoplexie Phrensie Convulsion or Palsie with an involuntary excretion or absolute suppression of the urine and excrements You may know that a man hath his throat that is his weason and windpipe cut first by the sight of his wound and next by the abolishment of the function or office thereof both wayes for the Patient can neither speak nor swallow any meat or drink and the parts that are cut asunder divide themselves by retraction upwards or downwards one from another whereof commeth sudden or present death You may know that a wound hath pierced into the breast or concavity of