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ID	Title	Author	Corrected Date of Publication (TCP Date of Publication)	STC	Words	Pages
A67187	An experimental treatise of surgerie in four parts : 1. The first part shewing the dangerous abuses committed among the modern surgeons, 2. Of cures of all sorts of wounds in mans body ..., 3. Of the symptomes of wounds ..., 4. Treating of all kinds of balmes, salves, plaisters, ointments, oyles, bloodstenchers, potions, tents, corrosives, &c. which are used for wounds ... / by that most famous and renowned surgeon, Felix Wurtz, citie surgeon at Basell ... ; exactly perused after the authors own manuscrip, by Rodolph Wurtz, surgeon at Strasburg ; faithfully the second time translated into Neather Dutch, out of the twenty eighth copy printed in the German tongue, and now also Englished and much corrected, by Abraham Lenertzon Fox, surgeon at Zaerdam ; whereunto is added a very necessary and useful piece, by the same author, called the Childrens book, treating of all things which are necessary to be known by all those, to whose trust and overlooking, little children are committed.; Practica der Wundartzney. English	Würtz, Felix, 1518-1575?; Fox, Abraham Lenertzon.; Wurtz, Rodolf.; Wurtz, Felix, 1517 or 18-1574 or 75. Childrens book of Felix Wurtz.	1656 (1656)	Wing W3733; ESTC R38771	274,491	374

following drink be prepared for him Take of Cardnus Benedictus ℥ 1 of Calmus ℥ ¼ Flowers of Centorie ℥ 1 ss Wormwood ℥ ¼ Cinnamon ℥ ¼ pour upon these six quarts of Wine let him drink of it and no other or a very little of Barley Water in case the party be very dry Thus the Sciatica will soon pass away make no doubt of it though the hip were out of joint it will soon turn inward again to its right place without any further purging fomenting wood cures and such like which are otherwise made use of in that case though to little purpose Thus I close this third part of Symptoms let no man imagine that I have written of all Symptoms because there are many which have not been touched at all neither was it my intent to do it But these are the chiefest and of greatest concernment he that knoweth these aright and can handle them well he may easily deal with the rest if so be he have judgement in Surgery Finis of the Third Part of Symptomes in Wounds The Fourth Part. Treating of all kinds of Balmes Slaves Plaisters Ointments Oyles Blood-stenchers Potions Tents Corrosives c. which are used for Wounds have been mentioned hitherto in the former parts of the Book How they are to be Artificially prepared and used well This Fourth Part is called the Book of Cookery COurteous Reader it is well known and found it so perhaps by your own experience that a bad Cook may spoile good Meats over or under seasoning them though in themselves they be good and wholesome yet by his bad cooking may be very unwholesome and on the other side Meats that in themselves are unpleasant and unwholesome may be dressed so that they may safely be eaten Even so is it with Medicaments and those that prepare them For Medicines which in themselves are good and usefull are by those which are to prepare them made pestiferous and unsafe to be used on the other side there are some Druggs which in themselves are naught and poisonous may in their preparation be so rectified that they prove wholesome and effectual Medicaments Therefore those that profess such an Art as to prepare Medicaments must do it so that their compounded Medid●caments may be proper and safely used to Wounds Sores Ulcers Fistulaes Cancers and that their Medicaments may agree with Wounds c. In consideration hereof I would not could not intermit to annexe to my practick of Surgery this fourth Part which for some reasons I call the Book of Cookery And that Novices in Surgery may know how to deal in Salves Plaisters Vulnerary Potions Ointments c. the which to do I am the more moved thereunto because in the precedent parts I named some Ingredients but did not set down the composition of them nor how they were to be prepared and directed the Reader to this fourth Part. Courteous Reader do not think that I will write of such things here which are known all the world over as how Oyl of Roses Oyl of Cammomil and such like are to be made which would not only raise the Book to a great Volum but would be needless also and superfluous therefore if I give only hints of Plaisters made of raw Druggs is the reason because their compositions are common and very well known Other things which do not lye so open as yet and their preparations are not known to every one these I will reveale and impart faithfully And then will I speak of things also which want corrections which though they be good yet have some bad things also for which cause they ought not to be ministred unto patients unless their good and pure things be first separated from their impure parts and that is commonly called correcting when a harmless thing is put to that which is dangerous which is a great fault to do so and be warned that you beware of it CHAP. I. Of Wound Balsams Ointments Plaisters Oyles c. and among the rest of that pretious Brown Ointment which was so often mentioned hitherto I Never made use of any distilled Wound-Balsams neither Distilled wound balsams do I greatly esteem them because usually they are too hot and are not only dangerous in Head wounds and useless in other wounds but also by reason of their too violent penetrating quality are poisonous to Head wounds But if sinews are cut in a member there I praise the red Oyl of Turpentine and hold it to be very good Use of redd oyle of terpentine Some Surgeons are accustomed to use Wound Balsams to all Wounds which I do not approve of advise them rather to forbear though many pretious Ingredients come to their composition yet they are made too hot in the destilling I like and approve better of Wound Oyles and of Wound Ointments than of Wound Balsams I know no Wound-oyles wound ointments other difference between them but onely that the Ointments are somewhat thicker and may more conveniently be carryed into other places for that reason I rather used Ointments for easier carriage sake and when I had use for them I dissolved and applyed them warm by letting them run into the wound Note also this difference about Wound Ointments some Clear terpentine Wounds are better pleased with this Ointment and others are dissafected unto it which may be seen by that when an Ointment causeth pains in a Wound for that reason I approve not so well of clear Turpentine to be used thus crude into the Wounds especially to Head wounds because it paineth them The dry Turpentine or the Gum of Larix is better for this purpose if it be well washed Of Wound Ointments in particular Note about Wound Ointments there are so many things used hereunto that they hardly can be named because Gumms of trees Surgeons hold this or that and as many heads so they varie herein Several sorts of Hearbs Roots Flowers Seeds Fruits are used hereunto also all sorts of Gums of Apple trees Cherry trees Juniper trees Mastick Frankincense c. Balsam of Apples c. Who is able to relate all What matter it is how many things are used to Wound Ointments as long as the Ingredients are good It is not so great a skill to heal wounds because one Salve or Ointment if good may heal many wounds though one wound is not healed so soon as the other yet it will be done in due time The chiefest thing is that a Surgeon have judgment in these things and be able to discern when any simptom is coming that it may timely be opposed or prevented Many Surgeons use these Gums Bdellium Opopanax Bedellium Opopanax Serapium Serapium and such like for to dresse wounds withal of which I do not approve because they are of too strong an atractive quality which ought not to be used to wound Ointments being more dangerous with their too much drawing Other Surgeons make use of Unguentum Apostolicum which is an absurd thing

An Experimental TREATISE of SURGERIE In Four Parts 1. The first Part shewing the dangerous Abuses committed among the Modern Surgeons 2. Of Cures of all sorts of Wounds in Mans Body from the Head to the Toe and of other Infirmities belonging to Surgerie ʒ how the same ought to be observed according to the Fundamentals of Art to be handled and cured 3. Of the Symptomes of Wounds how they are to be discerned and known before they appear what they foretell how to prevent them and how to cure them when apparent c. 4. Treating of all kinds of Balmes Salves Plaisters Ointments Oyles Blood-stenchers Potions Tents Corrosives c. which are used for Wounds and have been mentioned hitherto in the former Parts of this Book how they are to be Artificially prepared and used well All which are very plain and easie to be understood and managed by an ordinary capacity By that most famous and renowned Surgeon FELIX WURTZ Citie Surgeon at Basell The praise of whose worth you may read in the following Epistles the worth it self in this Book Exactly perused after the Authors own Manuscrip by Rodolph Wurtz Surgeon at Strasburg Faithfully the second time Translated into Neather Dutch out of the twenty eighth Copy printed in the German Tongue and now also Englished and much corrected by ABRAHAM LENERTZON FOX Surgeon at Zaerdam Whereunto is added a very necessary and useful Piece by the same Author called the CHILDRENS BOOK Treating of all things which are necessary to be known by all those to whose trust and overlooking little Children are committed London Printed by Gartrude Dawson over against the Black Horse in Alder●gate Street and are to be sold at the Book-sellers Shops 1656. TO THE HONOURABLE Wise deep Learned Sr. CLAES PIETERS TULP Doctor of Physick Counceller and Assessor at AMSTERDAM SIR IT is Gods Will and pleasure to make it a duty to every one to do good unto his Neighbour which befitteth every one in his calling to express that duty according to the gift God hath bestowed on him your Honour is herein well disposed to put to use that talent you have received no better opportunitie may be had for it following the calling then this present work in which simply is presented that which another with great toil hath brought together for the benefit and comfort of fore wounded Men it being the twenty eighth Copie published in the German Tongue still augmented and corrected by that most famous Surgeon Felix Wurtz City Surgeon at Basell whose notable and good doctrinals I have successfully practised these many years which urged me to undertake the Translating of it into our Belgick Tongue the rather because I am well versed in the German Tongue counting it worthy of our Nation to the praise of that greatly experienced Surgeon and the benefit of our people And knowing your Honour a sound Doctor in Physick not onely well experienced but doubtless well seen also in the German Tongue and a great practitioner in Chymicks and deeply enlightned therein in consideration whereof I present this out of a good affection to your Honour the rather because Mr. Iohn Watshaert Stationer and Printer hath recommended your Honour very much knowing my intention was no other but that I would Dedicate this my labour to a Learned Man To which end I present it to your Honour praying you would be pleased to peruse it and upon your worthy judgement to commend it to the judicious and to protect it against the ignorants in the way your Honour shall think most fit Therefore Honourable Doctor be pleased to accept of it favourably to that end that those which are of mean capacitie and are of small gifts may be incouraged by your gracious acceptance and may put out to use their small talents also for the publick good which happily may be practised shortly if your Honour be pleased graciously to accept of it it will be an incouragement to the desire of my affection to get new supplies the more willingly to accomplish that which is begun that I may speed the better in the pursuit of my intention as well in the hitting of the sense as in the framing of the stile I thought it to be necessary to take in hand the readiest means as to help my neighbour in the speediest way and through the same means also to get into practice the more conveniently Therefore with the greater courage I dedicated this my labour to your Honour as a well expert Dr. in Physick to the end that when your Honour hath perused it to receive better instructions in that where I mistook Herein I seek no other but your Honours good affection towards me not only to protect the Work but also to learn some good instructions from your Honour in Surgery as being necessary for my calling If I might be so happy in such enjoyment I should value it at the greatest rate of my worldly things Your Honour hath greater judgement of the utilitie of the work as well of its Manuals as of its Medicaments more than my expressions can reach at notwithstanding I have followed them in Surgery above these nineteen years I commit most humbly this my labour to your learned and grave judgement and my self into your gracious favour thus closing I commend your Honour into Gods most gracious and fatherly protection to keep your Honour in health to the welfare of his Church and the good of his People Amen Dated at Zaerdam the 28. Of October Anno. 1632. Your Honours most willing Servant ABRAHAM LENERTZON FOX of Assendelf To the Judicious READER Courteous Reader SOme years agoe my friends prevailed with me to take in hand the translating out of the German Tongue into the Belgick stile this present Book of that most famous and well expert Surgeon Felix Wurtz Citie Surgeon at Basell I undertook it and having done the moity of it an unavoidable obstruction fell in whereby the work was left by another to be finished who as much as he was able to do took it in hand to further the publick good but being not so well expert in the German Tongue some of the Simples were not well translated These Copies being spent for the most part and since that Book was at severaltimes new printed with augmentation and correction thereupon I thought it good to undertake the second translation into the Belgick stile in respect of the great utilitte of it how necessary it would be for many young men and Novices in that profession who having been Apprentises to good Masters undertake to cure such and such accidents as may come into their hands which they hardly understand any thing of such young men must put their greatest confidence to the severall doctrines and instructions of expert and good Authors among which this though but small ought to have not the lowest place being well expert in his wayes plain in his doctrinals and prosperous in his manualls perfect in his preparations and correct in their

these ought to be remedied 253. Chap. 14. Of a Callus on the Head or Foot causing great miserable paines 259. Chap. 15. Of swellings of Wounds after they were healed and what it meaneth and how they must be handled 262. Chap. 16. Of Vulnerary Simptomes caused by bodily infirmities chiefly by the Pox or supprest Menstruum how these are to be dealt withal 264. Chap. 17. Of three sorts of Wound diseases and first of the Wound Feaver how that is to be discerned prevented and cured 268. Chap. 18. Of the second sort of the Wound disease called the shaking or Wound gall how that is to be discerned and cured 276. Chap. 19. Of the third sort of Wound disease called the pulling and unquietness in the Wound 279. Chap. 20. Of an accident in a Wound which is almost like to the Wound disease 282. Chap. 21. Of the Prunella in the wound how it may be discerned and cured ibid. Chap. 22. Of the Cramp Palsie Apoplexie c. how these Simptomes befalling Wounds must be cured 286. Chap. 23. Of consumed withered or up-dryed Wounds and Members how Surgeons ought to deal with them 289. The Fourth Part. 298. Chap. 1. Of Wound Balsams Ointments Plaisters Oyles c. and among the rest of that precious Brown Ointment which was so often mentioned hitherto 300. In this Chapter is conteined these several things following Of wound Ointments in particular ibid. 1. Wound Ointment 301. 2. Another Wound Ointment 302. 3. Another Wound Vnguent ibid. Of wound Oyles 303. Of Vnguentum Anodynum 305. Of the Cramp Vnguent ibid. Of the Brown Vnguent for wounds which I have made mention of so often 306. Chap. 2. Of Plaisters in general and in particular of Opodeldoch Stiptick and Defensive Plaisters 308. In this Chapter is conteined these several things following Description of the Plaister called Opodeldoch 309. Preparation of some of the Ingrediences which come to the said Plaister and first of the Magnet 310. The Calmy is thus prepared ibid. Preparation of Tutia 311. Preparation of Crocus Veneris ibid. Preparation of Crocus Martis ibid. How the Earth of Vitriol is made 312. Of Stiptick Plaisters ibid. Another Stiptick Plaister 313. Another Stiptick Plaister ibid. Of Defensive Plaisters 314. Seven several Defensive Plaisters 315. 316. 317. Chap. 3. Of Electuarium Anodynum vel Labdanum 318. Chap. 4. Of Blood stenching in Wounds and Noistrils how the things requisite thereunto must be prepared and used 319. Chap. 5. Of Vulnerary Potions in general and particular how these are to be made and in what different manner they are to be used 325. 1. A good wound Drink ordinarily used 330. 2. Another ordinarily Drink which is good also ibid. 3. Another which is pleasant to be used ibid. 4. Another Wound Drink for one in which there is a loose Bone fowl corruption or the like 331. 5. A Vulnerary Potion for Stabs in wounds ibid. 6. A rare Master piece for a wound or stab where you suspect there is a Bone proud flesh broken veines or other impurities ibid. 7. A Vulnerary Potion for spoiled wounds which yieldeth a tuff and slimie matter environed with a swelling and are deep and hollow underneath are like to turn to a Cancer 332. 8. A Vulnerary Potion for the Joint water 333. 9. A Vulnerary Potion against Gun-shots ibid. Chap. 6. Of spouting or sprinkling into wounds of Tents and of Corrosives 335. Of Wicks or Tents ibid. Of Corrosives 336. How to prepare Arsenick that it may safely be used 337. Here ends this Book of Surgery To which is added a very necessary and usefull piece called The CHILDRENS BOOK by the same Author viz. FELIX WURTZ a famous and expert Surgeon Treating of infirmities and defects of new born Children and of the faults and abuses which wet or dry Nurses commit among and against little Children and of Medicines and Cures of such Children which received hurt in that way 339. Some Country fashion about the winding their Children into clouts and to lay them down in the Cradle 354. Of crooked and lame Children coming thus into the World 355. Of crooked and dislocated Leggs caused by careless layings and of their cure 358. With many more things very needfull to be known by all those to whose trust and overlooking little Children are committed Of the dangerous abuses committed among the modern SURGEONS The First Part. CHAP. I. Of the original of Arts among men and of some sort of Wounds treated of in this first Book GOD Almighty having Created man among other gifts he bestowed also on him a Knowledge of good and profitable Arts wherein he was compleatly furnished if so be he had continued in that state in which the Lord at first had created him but not staying there and being missed by the Devil falling into sin then he lost those good endowments also wherewith he at first was adorned and fell from the light of Knowledge into a darkness of ignorance whereupon he was put to it with great paines and industry to recall them to his mind again and in part to recover that which formerly he had been endewed withall and we see that men naturally are thus qualified that they are able either to speak or to practise one Skill or other be the degree thereof what it will as we see in Musical Arithmetical and other Arts. That the like was happened also unto Surgery is no question For though a physical Skill had been needless if man had not sinned yet is it certain that all things which God had from the beginning created to be medicinal were more effectual and operative then they are now adayes the which doubtless was well known unto man but having lost this Knowledge through sinning and there being a necessity of a physical Knowledge by reason of the multiplicity of infirmities he made himself subject unto by sin then he began to look for that he lost as much as lay in his power knowing and finding in himself by the help of that little spark which he had left to him of the first Light that such infirmities and diseases might be prevented by remedies Hence we observe that few men are found which do not know either how to help or how to advise in time of sickness be it in any kind Being it is so as I hope none will gain-say it it enforced me to write somewhat of Surgery for the benefit of the Novices in Surgery I should at first speak of the meaner and slighter Wounds which being known for the most part how they may be cured and generally the practise thereof professed I hold it needless to write of them and so I begin with higher matters Note therefore my intention is not to treat of slight Wounds in this Book when the skin onely is cut which either Nature or an old Woman may cure my purpose is to speak of dangerous Wounds in respect of the place or of the blow which are subject unto symptoms accordingly as when not onely the skin is

not to bring in their own fancies then things would fall out better then they do Things may be brought to light if Nature onely were well studied as Experience testifieth which is nothing else but Nature her self Nature in her self doth remain Which Experience makes known amain No new thing on earth e're comes on Things past do return again What is that to me what opinion Gallen Avicen Guido c. hatch'd in their breasts were not the things they brought forth in their age new things and who knoweth whether the same thing did not befal them then which befals those who produce new things now as they call it Momus who is never pleased hath doubtless lived in those times as well as now adayes and besides this many things are done out of hatred and envie Therefore it is best to consent and to follow those which agree best with Experience and commend and shew their skill effectually and really if any one findeth and learneth better things though they more agree with antient things who shall forbid him to make use of them Thus much of the first part touching the abuses in Surgery committed The end of the first Part. OF CURES Of all sorts of VVounds in Mans body from the head to the toe and of other infirmities belonging to Surgery how the same ought to be observed according to the fundamentals of Art to be handled and cured The Second Part. IN the first part of my Surgery books I treated of the abuses which are in full practise among the greater part and number of those that profess themselves to be Surgeons and shewed what mischief is caused thereby to the greatest prejudice and ruine of poor wounded men Yet have I not related all the abuses which are practised and committed now adayes because that relation would be never at an end would prove tedious to the Reader to peruse them and so I gave onely a hint of the grossest hoping that those that know these may easily guess at the rest In this second part are rehearsed many abuses which every judicious man will easily discern and if he finds any defect in that particular in the first Part he may easily supply that want without great labour Now I come for the present nearer to the business and declare what belongeth unto Surgery Therefore my intent is to write in this second Part of all sorts of Wounds from the head to the toe and of all kinds of infirmities which belong also unto Surgery namely how the same ought to be cured without any abuse Where I will bring in several subtle Manuals which Surgeons advantageously may use and will conceal nothing as much as is known unto me Let the Courteous Reader be perswaded that I will have great care to bring and shew nothing which I know to be not true but that which I have made tryal of and seen experimentally what good it hath done and what hurt it did For it is not my purpose to borrow any thing out of other Surgeons writing and to trim my self with strange feathers and to publish the same for mine own as it is the custom of many now adayes which do nothing else but to make up volumous collections and is all one to them from whom they have it even like Smiths who know how to hammer their old nailes and so to get a great name and fame thereby whereas it had been much better that their prating and loquacity and their names had ever been concealed and unknown and that good paper which would have served for better uses had not been spoiled For to what end are such great volumes in which there is no utility but hurt it had been better they were quite let alone then they would have done no hurt It is better a book be short and good To what end should it be to write a great volume and to shew in it even those things which others before me a thousand years more or less have written Is it not so those that are minded to read them would rather read them in their own books according to the verse Purius ex ipso fo●te bibuntur aequae I do not speak it to that end as if all were new what I write and that my book containeth nothing which in other books of Surgery might not be had is it not a common saying the one puls the bread out of the others mouth and what marvel is it if two write of one thing when sense and meaning maketh them seem to write the same It is lawful to publish one anothers meaning For that end and reason do I speak this that others may see that I am careful ●● publish and impart that which I have learned from others and got it upon mine own experience and that faithfully to benefit my neighbour withall And that will I perform without any prolixity and as briefly as may be possible so that this my Book may prove a small Enchiridium and pocket book easily to be carried about one as well in time of war as in time of peace for a present Instruction to Novices in Surgery For touching plaister-making salve roules and cakes turning of wicks and tents and such like these they ought to have learned afore and be industrious in those things if minded to be good Surgeons CHAP. I. What a Surgeon ought to know IT is well known to those that have any understanding that Art doth imitate Nature for all what Nature sheweth Art imitateth Nature the same Art undertaketh to imitate Therefore men ought to observe Nature in their actions and regulate themselves after her if so be they intend to have good success in their undertakings For Nature may as little be conquered as a strong River may be stopt in his course even so nothing will prove prosperous if undertaken against Nature Seeing things spoken are really found so therefore it is resolved upon that a Surgeon is Natures servant and that he ought to endeavour to imitate Nature because she will not be in subjection to any Therefore in Surgery nothing ought to be done against or contrary unto her For if a Surgeon should undertake to do and to force Nature then he would not onely labour in vain but also would make the last be worse than the first Though it be not my desire that a Surgeon should have a Nature must be known perfect knowledge in all natural causes because there are many things which concern not his Profession though it would do him no hurt if he knew them however Necessity requireth to have a good knowledge of such things that concern him as of Wounds and of Medicaments which he useth to them and of all such things that depend upon in all these he ought to know of what nature and condition each of them is that he may prepare his Medicine accordingly because all Wounds are not cured one way Therefore when he vieweth a Wound and considereth the place and scituation

the following Receipt To help the stopping in the urine I made use of with good success Take Annise seed ℥ 2. put it in a pewter bottle pour Water to it lb 1. keep it stopt and boyl it in a Kettle full of Water in this Annise seed water dip a sponge apply it to the Patients privy members as hot as he is able to endure it this provoketh urine And if this be too weak and doth not prevail then the Receipt must be made stronger thus ℞ Annise seed and parsley seed ana ℥ 1. Maiden-hair M 1. Berberries ʒ 1. boil these in Vinegar and Water to one pint of Vinegar put three quarts of Water boil away a third part of it and use it as you heard above And if these outward means will not help and the Patient is pained in his Urine then inward meanes must be used Viz. Maiden-hair Alkekengi oculi cancrorum take a sufficient quantity of these as of Maiden-hair ℥ ss of Alkekengi or Winter-cherries ℥ 1. lay it in the Patients drink and let him eat the Oculi Cancrorum doubtless it will provoke his Urine in case outward means be used also Touching his going to stool this is not much to be set by To help him to stool especially when the wounded ought to lie on bed but if he hath no stool in three or four dayes then is it time to look to his back dore Some think to remedy this with purging but in my judgement it is not good it is alwayes accompanied with danger especially in head-wounds it is better to make Suppositories of Honey and Mice turds mingled with Salt and if that will not help then make a Glister of Mallows oyl of Cammomil and flesh-broth and put Salt to it and minister it and if that be two weak then ℞ Electuarium Diaphenicum ℥ ss oyl of Cammomil ℥ 3. Mallows ℥ ss beaten pour on these a quart of Water Flesh-broth were better or Goats Milk stir it well about apply it neither too hot nor too cold you will soon see the effect of it you may put Salt to it if need But in case the wounded should be purged then the safest way is to make a Potion of Sene leaves and Rubarb and minister it Thus much of those three accidents usually befalling wounded men sometimes other Diseases are incident also which are to be remedied as there is occasion for Of other Simptoms which happen unto Wounds shall be treated in the next part of this Book where I intend to write of them CHAP. V. How a Surgeon 〈…〉 himself about his Swathing-bands and other Manuals ALL manner of Arts being invented through experimental knowledge and exact observations and even till now dies diem docet one day teacheth another I hold it a thing impossible considering the brevity of mans life that an Art can be so exactly learned but the after-comers find somewhat more in their practical part and so it is impossible to set all down what belongeth to Surgery As much as is known to me I will communicate in the following Chapter Note the dressing of a Wound is of great concernment to handle it well and to use and take notice of advantages which some little regard and dress their Wounds without any difference or distinction whereby they effect this that they lame those which could be set upright if they had been honestly look'd too Sometimes it happeneth that neither the Wound nor the Medicine applied is in fault but the fault was committed at the dressing A Wound may be furthered in the healing if well drest and bound and a Wound may be spoiled in the dressing and a lameness caused as when a wounded member is bound too hard then is a swelling caused the Wound is choaked having left no vent to help it self and to receive any life yea I say this that if a Wound were onely kept clean and duly dressed it would sooner heal than if all the Art of Medicine had been used and all the Poultesses applied to it Seeing that binding is of great consequence therefore Take notice of the binding take good notice of all the parts of the body and chiefly of those that are dangerous in some Wounds there is great danger in some there is less and that according to their places And observe exactly the Wounds on the Shinns Knees Cartilages Armes Hands and where there is any joynt for those are dangerous require great care by reason of unhappy Simptoms which easily fall i● 〈◊〉 Touching other Wounds in the point of ●●ck Sides Neck Throat and Head those also must 〈◊〉 looked to but require not such exactness in the dressing and are for the most part dressed so that the Medicine applied may not fall off There are some Wounds also with a flap hanging down which require a careful dressing Those that have undertaken Surgery must have a care to be ready and have in readiness Salves Plaisters and other Surgeons must be ready at all times necessary Medicines well prepared that at what time soever any Patient be brought to them he may find good counsel and present help and not to tarry for their readiness or stay till they make and prepare something which tarrying would prove hurtful and prejudicial to the wounded by reason of his bleeding and other disturbations for the readier you are to dress him the better the healing prospereth and the more credit it will be for you And when any comes to be dressed you ought to endeavour to be ready with your Medicines Plaisters Salves Lints Roulers that the Wound be not kept long undressed and be speedily covered and closed And that must be observed for that reason that the air be Air hurtful to Wounds kept out as much as possible it may for air doth hurt to the Wound especially air is contrary to veins sinews and joynts usually causing cramps and stitches and the room in which the Patient is dressed ought to be kept shut and closed to keep out the air and wind A Surgeon ought to be careful that he breath not into the Not to breath into Wounds Wound especially when he is yet fasting and is to turn away his mouth from the Wound or ought to put a cloth before his mouth if need for such breathing may cause that a water may stick to the Wound and incline it to a rottenness But this is chiefly noted in Head-wounds when the Pan or the Dura mater is wounded for then it is dangerous Some Surgeons have that custom at the dressing of The blood in the Wound is to be let alone Wounds that they wash the bloud out they find in the Wound thinking it to be done very well freeing it from uncleanness and this they do at the first dressing But it is an abuse and a thing contrary no bloud should be washed out of the Wound but let it be there if settled for a congealed bloud in the Wound is no hurt unto it

it which will be good thereby the matter will take its course and let the first little Wound be healed up as fast as you can and bind it strongly And the neathermost hole must have vent and be kept open till to the last of the healing Let the Knee not lie still and rest but stretch and bow it as much as you can that it grow not lame For if you stay till all be healed then will it be too late for the Knee to be stirred Therefore do it betimes what you ought to do that the Knee be not healed stiffe For if you stay too long and neither bow nor out-stretch the Knee then you will hardly help it afterward and it will be a great difficulty to bring it to right For if you deal rightly and heal it well in the joyning of it then the party will be of a sound and strong body for all the dangerous humidity which was in all the body was expelled through this strong humour I have seen that all those which were cured of such humours grew strong and sound men There are other humours which fall into the Knee even A humor like the Rose but worse as the Rose or Anthonies Fire useth to fall and with such a cold as the Plague doth and looks like unto this Rose or Anthonies Fire but is somewhat worse having blew spots as the Rose hath red ones but the blew ones are not so big but are of that bigness as the black blisters are and this redness is altogether nought for it is a flour of the cold Fire But if that Member hath great help from the body then it doth not so much hurt for there fall little holes into those blisters and when their skins are pulled off their matter looks black and fals out and these are easily healed but are worse than the Anthonies Fire is and ought not to be made wet neither must they be annointed but kept onely warm and dry as long as the redness and the black blisters hold then plaisters are applied unto them as other little holes usually are healed There are also Dogs blisters very like unto the above named Dogs blisters but not so dangerous and they make the Knees swell these also ought not to be made wet There are also on the Knees laming humours which are of a difficult healing make deep impressions cause a great deal Laming Humours of trouble and are not easily turned or diverted and do not shew from whence their original is the pain they cause is just in the middle of the Knee with a little swelling and stand on the Knee-pan there seemeth to be store of filth in it but is not onely the pain is apparent there is a sinew and lame water which can neither be softened nor ripened even like the water which is in a Joynt as we heard above much pain usually creepleth and maketh the Knee crooked or shrinks it especially toward the day My constant practise was to dress and bind them dry strongly and warm to keep the Pores open No greasie things no Ointments no wet things I used thereunto after I had well learned the simptom but my red Plaister I still applied and warm clothes And as I shewed at the great Bands to keep things there in a sweat so these lame biles also will steal away for if Patients sweat well under the Plaister they will doubtlese be healed and tie the places hard though it makes the foot swell it matters not for that soon allayeth and goeth away if kept warm with clothes even as other humours are expelled by keeping open the Pores CHAP. XXII Of Wounds made by Gun-shot of the abuses committed with the thorough pullings and Ointments what a Surgeon ought to note here ANy shot that went thorough Mans body is held mortal Wounds made with shot because the internal parts are spoiled and hurt by that heat such Wounds are not easily cured of these I intend not to treat nor of such where the shot hath carried all away which things can neither be filled nor set on We will speak here how to quench such burnings and how such inflammations are to be prevented so that that burning cause no further mischief than the shot hath made and then how Surgeons in such particulars are to regulate themselves The condition of one that is shot is this some bullets Bullets stay or penetrate the Body stay in the Wound or else go quite through if gone quite through then the cure is this that the burning be quenched because if that prevaileth it causeth more hurt than the shot hath done But if the bullet staid in the Wound then it must be taken When a bullet stayes out but how that is done is not well possible to set down every particular for shots are made several wayes the one is not like the other a whole book could be written of it Experience must shew the way how they are to be dealt withal and so here you must go to school and learn The Antients indeed have used hereunto many strange Screws and Instruments and were very careful herein But these are either of no use or of very little For if the bullet cannot be laid hold on by the Instrument how shall it be gotten out The bullet will strive to get out at the Wound if the Patient be laid downward with the Wound or else by its sinking it will come to a place where it may be cut out if none of these can be Experience must shew you another way Touching Wounds where the bullet went through here I must shew the dangerous abuses which Surgeons commit if they have a Patient that is shot through a Member they take hempen threed or some twisted hair which rotteth less and draw it through the Wound let it hang out on both ends they put their cooling Ointments to it before they draw it thorough and when they come to dress the Patient again then they pull the threeds forth and besmear it afresh with their cooling Ointment and then they draw it through again that part of the threed which staid in the Wound they make very clean from that it gathered in the Wound then they apply their Plaisters to the Wound as they think they are fitting With these thorough-drawings as they call it they Thorough-drawings do more hurt than good suppose to have done great good Nay some are of opinion that this is the onely way to dress and heal Wounds made with shots But it is otherwise For they do not effect so much with these thorough drwaings as they think for the hurt weighed with the good that is done thereby it will be apparent that more hurt is done than good and ought to be omitted altogether For such a cord or line drawn through the Wound must Hurts done with the thorough-drawings needs cause great pains and that not onely at the first but at the several dressings This way