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A01410 Certaine vvorkes of Galens, called Methodus medendi with a briefe declaration of the worthie art of medicine, the office of a chirurgion, and an epitome of the third booke of Galen, of naturall faculties: all translated into English, by Thomas Gale Maister in Chirurgerie.; On the therapeutic method. Book 3-6. English Galen.; Gale, Thomas, 1507-1587. 1586 (1586) STC 11531; ESTC S117692 202,970 290

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he sawe such vertue in herbes and other things as is aforesaid and how profitable they were for mankinde in helping of diseases woundes pestilence and many other things wherewith many people in that countrey were afflicted he hauing compassion vpon them and minding to leaue a perpetuall remembrance in writing of the natures and properties of those herbes and other things aforesaide and what diseases they serued for He called vpon the eternall Gods to strengthen assist him in his enterprise with wisdome and cunning with length of time that he might set forth these things to their euerlasting praise to the vniuersall profit and commoditie of mankinde And so he began to wryte and wrote foure bookes in tables of wood as Strabus doth affirme and some saith that those tables indured to the time of Ptolome the great who did dedicate them vnto the gods and deliuered them vnto the Priestes of the Temple where afterwarde they were destroyed by the meanes of warre Some hold opinion that Chiron Sentaurus hearing of this excellent man Mercurie went forth of Grecia into Egipt to learne of him and became excellent in diuers artes and specially in the arte of medicine and in knowledge of the simples and afterwards he returned againe into Grecia his owne countrie and in that time there reigned in Grecia a noble Prince named Apollo who was of excellent wisedome and diligent in studie to further the common welth of his countrie with knowledge and he hearing of this excellent man Chiron Sentaurus sent for him and gaue him great rewards and so he learned of Chiron Sentaurus as some writers affirme to know the natures of herbes and other thinges appertaining to the Arte of Medicine hauing knowledge of them and their natures he put the same in vse to the great comfort reliefe and helpe of the diseased and sicke people and to his owne immortall fame for that he did help such diseases and sicknesses which before that time coulde neuer be holpen wherefore the people did honour him as a God and supposed that he was a counsaile with the Gods in that that he did knowe the nature and propertie of these hearbes and other thinges which they did affirme no man might know except he learned it of the Gods themselues and after the death of their king Apollo they lamented and mourned throughout all the Countrie thinking the art had bene vtterlie lost but hée béeing carefull for his Countrie had taught the same vnto Aesculapius his sonne which when the people vnderstoode and for the worthinesse of his owne good déedes they gathered great summes of money throughout all the lande of Grecia and builded therewithall a rich Temple and buried his bodie in a meruailous rich Sepulcher within the same and called it the Temple of Apollo and dyd honour him as a God for his most vertuous life and painfull trauaile as concerning the common wealth of his Countrie and speciallie for that hée dyd not disdaine to cure the most miserable diseased people which before his time perished without remedie And now that wée are entered in amongest the Grecians and for that some affirmeth Apollo to bée the first inuentour of Medicine wée will procéede foorth to the noble men of that Countrie which had this arte in so great honour and estimation that they most diligentlie aboue all other artes studyed it and in time dyd growe so excellent therein that they excelled all other Nations in the world as it doth most manifestlie appeare by their most worthie Bookes lefte vnto their posteritie for a perpetuall memorie of their most vertuous and painefull trauaile which redoundeth vnto our greate commoditie and to the helpe and succour of those that be diseased The most auncient of all the Grecians I supposed to bée Apollo who dyd cure many great and wonderfull diseases by the helpe of the forenamed Chiron Centaurus and some suppose for that that the same Chiron dyd cure manie grieuous malignant and virulent vlcers amongst other diseases that the name of the Arte of Chirurgia was first deriued from Chiron for that hée dyd minister medicamentes with his hands and so cured the people and being the first that practised with medicines by the vse of the hande it is supposed that hée gaue it that name Then after Apollo came Aesculapius his son who was no lesse diligent and studious in the same arte than his Father and calling vnto him diuerse Philosophers and other noble men of his Countrie and by their aduice and consent hée dyd constitute it an Arte and made it lawfull for his subiectes that had studied the same and béeing brought vp with men of greate experience and practise to vse the same arte amongest his people to the restoring of their health in curing of their diseases and infirmities By meanes whereof Aesculapius got vnto himselfe immortall fame and was called the sonne of the Gods and first constituter and founder of the arte of Medicine as you maye reade in the Historie of Tragus Homer and manie more of the Gréeke writers and the same Tragus doeth saie that those men which vsed the arte of Medicine were named Iatroes for that they dyd cure all manner of griefes woundes and sores and in our auncient English tongue they were called Léeches and in the Latine tongue Medicus which names doeth signifie no other thing but curing and healing of mennes bodies with conuenient medicines Then next after were Aesculapius two sonnes called Machaon and Podalirius who béeing well instructed in the foresayde arte by their Father Aesculapius became wonderfull excellent as it may appeare more at large in the Storie of the Troyan warres by their cures which they dyd vppon the wounded sore and sicke men These two noble Princes as Tragus sayth had manie Disciples which they taught this arte vnto and they and their Disples by continuall practise in proouing experiments found out manie meruailous remedies against poisons of vncleane meates and drinkes and against the poyson of Hearbes Serpents and many other things and against the poisoning of Swoordes Dartes Arrowe heades and Speares as it is sayd by Demosthenes and other writers Then of their Disciples did growe a greate number which were dispearsed into diuerse partes of the worlde some were sent for into Aegypt some into Persia some to the Romanes and some to the Scithians whereas they were had in great estimation with the Princes and noble men of those Countries for that they did cure and helpe their wounded and hurt Souldiers in the time of warres and also did reléeue and cure their people in the time of pestilence and other grieuous infections to the great safegard helpe and comfort of their people and to the great securitie and staie of the Realme which if their people had dyed of these contagious infections that were saued by them their Country should haue lien open to haue ben taken and possessed of their enimies Now of these men vsing this arte in diuerse Countries hauing many
Disciples or as wée may tearme them Schollers and diuerse and sundrie sects and opinions did growe vp amongest them by meanes whereof there was great controuersie contention and disputation of a long time some suppose it was a leauen hundred yéeres but the matter was not concluded indéede till the time of Hyppocrates which after long and manie disputations confuted their fonde and erronious opinions and brought this most excellent arte vnto a most perfect waie and methode of curing which before his time was vnperfect and vsed onelie by Experience without anie methode Some of the same Experimenters affirming that they coulde cure onelie by dyet all manner of diseases and other some affirming that by purging medicines they coulde doe the same and other some were of that opinion that with outward medicines onelie these might bée done vtterlie condemning the other two Many other foolish opinions there were which héere were too long to bée rehearsed Now after all these commeth Hyppocrates that most excellent and noble Philosopher indued by the spirite of God with such excellent wisedome and knowledge in this most worthie arte that his lyke was neuer before or since hée established this art and made it most perfect that before his time was vnperfect He wrote manie worthie Bookes of this arte and speciallie for the curing of Wounds Vlcers Tumours against nature Fractures and Dislocations wherein hée shewed himselfe not onelie to bée excellent in knowledge but also in practise as it may most manifestlie appeare by the Methode therein contained he did diuide the arte of Medicine into diuerse partes that it might be the better learned and vnderstanded declaring which ought first to be learned which second and so to the third and fourth and so to the fifth as it shall héereafter bée set foorth more at large Soranus in the Preface of his booke named Isagogus did saiy that Apollo dyd first finde out the arte of Medicine And Aesculapius dyd inlarge it and constitute it an Arte but that noble man Hyppocrates dyd finish it and make it perfect He sayth that by the excellent knowledge of this arte hée dyd driue awaie the plague out of all Grecia and was rewarded with a crowne of golde of greate value by a Decrée made in the Citie of Athens for his great paines and good deseruing toward the common wealth After his death the Grecians did make in a perpetuall remembrance of his Honourable déedes a most fayre Tombe at Delfus where they did most solempnlie burie his bodie and wrote vppon his Tombe this Epitaph which followeth Hyppocrates of Thesalia and by kinde of the Countrie of Coos doth lie buried in this place begotten of the seede of the immortall God Phoebus leauing in the world manie bookes of Medicine to put awaie sicknesse and to preserue health what shall we neede to saie more of this worthie worthie man there is no mannes cunning that may giue him his condigne praise After his tyme there was manie in the Countrie of Grecia which practised the Arte of Medicine not onelye Kinges but great learned Philosophers Princes Dukes and Lordes and by their worthie déedes in preseruing of mennes liues and putting away of sicknesse they dyd obteine immortall fame I saye such fame did indure longer and was more estemed then the fame of theyr Kingedomes as for their names I let passe for that there be many wryters haue spoken of them at large there was other diuers professers of Medicine before the tyme of Galen that were of worthie fame as you may reade more at large in the first booke of Cornelius Celsus wherefore we lette them passe After all these came that worthie manne Galen who was without any comparison from the beginning of the worlde vnto this daye except Hippocrates not onely for his excellent learning in so many famous Artes which he was perfect in but specially for this Arte of Medicine which he was most excellently séene in both in the Theorike and Practike parte thereof his worthie Commentaries vppon Hippocrates doeth well declare his excellent knowledge wherewith he hath most bountifully garnished the Arte of Medicine as our latter writers doe saye more like vnto a God then a man How excellent be these bookes which he hath written of the method of curing called Methodus Medendi some part whereof wée haue with great trauaile brought into the Englishe tongue and likewise other of his bookes also as hereafter followeth Well I will saye no more of him but what séede so euer were sowen abroad in the vniuersall worlde be the excellent learned men in the Arte of Medicine not onely of Hippocrates who was the Father and fountaine of all Medicine as Galen himselfe doeth witnesse but the séedes of other menne he hathe gathered together sowne in one plaine fielde and watered them with such diligence that they haue so increased that at this daye the vniuersall earth hath receiued nourishment by them perpetuall commoditie and pleasure and he for his great vertue and painefull trauaile hath wonne vnto himselfe immortall fame which shall remaine to the worldes ende After him came Aesius who hath written diuers worthie bookes in the same arte of Medicine Also Oribasius Actuarius and Paulus Aegeneta were worthie writers in the same Arte as you may sée by their workes which they haue written Dioscorides also which was before Galens time I may not forget for his paineful trauaile in knowledge of the simples as it doth apeare by a worthie booke which he hath made thereof All these and many more were worthie men amongst the Grecians and professers of the arte of Medicine and dyd alwaies extoll and take Apollo as the chiefe Captaine and first beginner of the arte of Medicine and Aesculapius his sonne to be a setter forewarde of the same and Hippocrates did make it perfect and finish it What shall I saye for the worthie Arabians as that noble man of Cartage named Aunconius Prince Auisen Auorois Auinsor Rasis Mesuea Albucasius and many other worthie men that spronge emongest the Arabians who hath not a little garnished the Arte of Medicine with a great number of most excellent bookes which are to be séene at this daye All these men I saye toke their beginning of Galen and doeth honour him as their principall head and doeth glory and exalte them selues in his name for that they neuer had perfect method of curing before his time but cured onely by experience as they were taught of their maisters For Hippocrates workes before Galens time were so short and obscure that they were vnto most men not vnderstanded by meanes whereof many doubtes did grow but Galen by most worthie commentaries made vppon the same bookes made those doubtes most plaine and euident vnto all people by meanes whereof not onely many worthie Grecians as I haue sayde before haue taken a courage to write but also many of these moste famous Arabians haue followed their steppes and examples in setting foorth many excellent woorkes in the same Arte
might be hurtful vnto the same and then to procéede with locall remedies by outward application vnto the greued part This is Galens doctrine also that no strong medicine shal be outwardly applyed for the resoluing of inflammations before the bodie be purged And furthermore in virulent and malignant vlcers which Galen nameth Cacoethe and where the bodie is full of euill and vicious humors which humors Galen calleth Caccochimia these faith Galen must be purged away before we procéede to the cure of the vlcer for otherwaies the vlcer may not be cured and if it bée it wil come againe either in the same place or else in some other or else the same humors not being euacuated may be the cause of some other greater disease in the body worse then that which was cured wherfore Galen doth reproue Thesalus in his fourth booke called Therapenticon saying Thesalus goeth about to cut away the lippes of the vlcer to apply his Malagma of Mustard seede by meanes whereof he hath inflamed all the parte and made the vlcer worse then it was before not taking any indication of the affect neither yet of the cause thereof by meanes whereof he committed great errour as Galen doth say and was accompted for a rude emperike and for an vnskilfull Phisition Obiectiō Why sir it séemeth to mée by your wordes and by the saying of these men that be learned in the arte that Phisicke and Chirurgerie are both one arte and I will assure you if these woordes be true which you recite of Hippocrates and Galen that they were both Phisitions and Chirurgions and vsed all the whole arte together then I must néedes concéeue that the vsing of all these partes together made them so excellent men and of such notable fame and that your deuiding the arte in two partes and exercising the same seuerally hath made you that be both Phisitiōs and Chirurgions vnexpert to the greate detriment and ill report of the whole arte Wherefore I most hartely desire you for that that I may know both the art and the artist the better to declare the diuision of these fiue parts which you haue spoken of before perteining vnto these artists Sir I will right gladly doe the best that I can to satisfie your desire although I haue not that learning in the Gréeke and Latine tongue which I would wish for your sake that I had and also which this arte doeth require in him that shall presisely set footh the same yet with the little learning that I haue and according to reasō and experiēce which two be the foundatiōs of euerie arte as Galen doth say in his third booke de Methodo medendi I will doe my indeuour to declare vnto you these parts in as few woords as I can desiring you to accept my good will and if I haue left out any thing by the reasō of the briefenesse of my writing which other learned men doe finde fault with all thē I most heartely desire them both for curtesie and humanitie sake to amend the faults that they shall finde and in so doing they shal not onely be profitable to the cōmon welth in the furtheraunce of this arte but also bynde mee during my life to honor them serue them and loue them and incourage mée to take further paines to the vttermost of my power Now that wée may accomplish our former talke as concerning these fiue parts pertaining to the arte of medicine which haue bene set out by these names of the auncient Phisitions long before Galens time as I haue declared vnto you before The parts Phisiologia Pathologia Hygiena Semiotica Theraputica Partaining to the arte of medicine The first part called Phisiologia is that which doth cōsider the vnnaturall thinges whereof the bodie of man is made as Elementes temperaments humours members spirites vertues and operations The Elements be foure as Fier Ayer Water and Earth The humours be foure also as Bloud Choller Flegme Melācholy And the temperaments be foure likewise as hot colde moyst and drye These foure are the matter whereby all the members of the bodie are made with the temperamentes and spirites therein conteined and he that shall cure the bodie of man rightly must chiefely vnderstand how to cōserue euery one of these by their like and to expel and remoue from them their contraries For the knowledge of these it doth behoue the artist to haue long experience and chiefely in that part which wee call the Anathomie of mans bodie which is the deuiding and seperating of dead bodies that wée may therby vnderstand all the partes of the same bodie with theyr position figure number place nature temperature office and affects and also to know their names and true diuisions and which be similer and which be compound and instrumentall for of the simuler and simple members the compound are made Simuler parts be these bones cartilages ligamentes membranas or panicles fleshe nerues arteries veines fatnesse and the skinne These be called simuler parts whereof the instrumentall or compound partes are made and some requireth more of these and some lesse according to the necessitie of the member for some member doth require all these and some doth not The compound or instrumentall members be the head the heart the liuer the legges the eyes and all other like Which member both simuler and compounde the Chirurgion ought to know with their natures temperatures and actions and their other necessarie properties or else he cannot rightly cure them when they are greued and hurt But in the curing of them that he hurt he shall distemper them that be quiet for how can he conserue the right temperament of any thing whose temperature he knoweth not that is vnpossible except it be by chaunce as the blinde man shooteth at a Crowe and hitteth one by misfortune or as Galen doth compare him which knoweth not the partes of mans bodie with their nature vnto a blinde Carpinter which cannot sée his woorke cutting more or lesse then is necessarie by meanes whereof his woorke doth neuer come to a good perfection Therefore who so euer is not expert as I haue saide before in the temperamentes and natures of these parts he can neither cure woūds nor vlcers neither yet any other thing rightly neither can he tell by what way the vlcer or wound shal be cured neither whether it may be cured or not neither yet whether any cause doe remaine that may let the curation neither how to remoue the same nor whether nature and strength may suffer the same causes to be remoued nor how to maintaine the strength and temperaments of the same bodie for he being ignorant in these seuen naturall thinges whereof the bodie of man consisteth which bodie being subiect to the arte of medicine he must of necessitie I say be also ignoraunt not onely of the preseruation of health with his temperaments but also to be ignoraunt in the curation of hurtes and diseases which chaunceth vnto our bodies Wherefore in