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A01943 The composition or making of the moste excellent and pretious oil called oleum magistrale First published by the commaundement of the King of Spain, vvith the maner hovv to apply it particulerly. The which oyl cureth these diseases folowi[n]g ... Also the third book of Galen of curing of pricks and wounds of sinowes. A method for curing of vvounds in the ioynts, and the maner how to place them. Abreef gathering togither of certain errours which the common chirurgians dayly vse ... Faithfully gathered and translated into English by George Baker chirurgian. 1574. Baker, George, 1540-1600.; Galen. De compositione medicamentorum secundum locos. 1574 (1574) STC 1209; ESTC S100526 50,504 142

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their proper names and the others by similitude the proper Hernies doo moste commonly come by the relaxasiō or Rupture of the Pretoneū insomuch that the Intestines and Epiplocō or zirbus dooth loose their naturall place and of these are vij kindꝭ that is Enterocele otherwise called Hernie Intestinale Epiplocele or Hernie Zirbale Bubonocele or Hernie Inguinale the hernies by similitude are whē there is some tumor against nature in the Cods or in some parte of the Groin without the comming foorth of the Intestines or Zirbus and of these there are v. kindes the first is called Hernie Aqueuse and of the Gréeks Hidrocele the second hernie Charneuse or Sarcocele the third Variquese the fourth Venteuse which is called of the Gréeks Pneumatocele the fifth Humorale whiche shal be spoken of pertitulerly in order and first we wil begin with the proper kindes Of the hernie Intestinale FOr because that the hernie Intestinale is the moste conuenientest I wil speake first of it This kinde is no other then a certain descending down of the Intestines in Scrotum the cause of the whiche is when the Peretoneum is broken or relaxed in the place wher the Spermatike vessels doo passe which cōs commonly by some vehement strain as by vehement running leaping lifting or vehement crying and such other like the signes to knowe when the Intestines is descended into Scrotum is when he lyes they wil easely be put vp again without any maner trouble or may bee reduced the patient standing with ones hands and in the redusing you shall hear a gurguling or noise by this you may knowe it from Zirbus because that whē the zirbus is put vp it makes no noise and also it is not so painfull the other signes shal be declared when we come to speak of the hernie Zirbale When this kinde is not very farre gone and that it be not complet the best way is to cure it by medicines aswel to be taken inwards as to be applyed with out that is to say with emplaisters and so by conuenient trussing and boulstering stipt in the Iuce of herbes conuenient for Ruptures which are of astringāt and glutinatiue facultie I haue seen many by these afore said medicines haue béen perfectly cured yet neuerthelesse if for the oldenes of it that it be not tobe cured by these menes then you must come to the last remedy which is by cutting for the executing of the whiche I wish all men to chuse an expert woorkman and not to trust to much to these runners about and as for this kinde it may be cut without taking away of the Testicle Of hernie Zirbale HErnie Zirbale whiche the Gréeks doo call Epiplocele is a nother thing then the falling of zirbus whiche is a grece that couereth the Guts into Scrotum the which moste commonly falles within Didimes but yet sōtimes by the breaking of the Didimes it falls out the causes aswel inwarde as outwarde are the same which cause hernie Intestinale for look how the Peretoneum is broken or relaxed in the other euen so dooth it in this the signes are much like also sauing that it is much more softer for in the touching it handleth like wul and is also lesse painful and it is more difficult to put vp thē the hernie Intestinale and in the redusing makes no noise this kinde is lesse dangerous then the others by reason that the pain is lesse and also for because that the excrement is not in it as it is in the hernie Intestinale Now héer is a speciall thing tobe noted in this kinde which the common cutters doo vse that is they doo vse to cut away the zirbus whiche is descended within Didime without either tying or cautrising and so there foloweth a flux of blood which hauing no issue but is retained in the belly there dooth corrupt whiche causeth most perilous accidents and moste commonly the death Of the relaxacion of the Peretonium called hernie Inguinale HErnie Inguinale is a descending of the Intestines or zirbus into the Groynes which the Latins cal Inguina the which sort dooth neuer go further then the Groin for when the Intestines or zirbus dooth passe thorow the Peretoneum then is it either Intestinale or zirbale for this kinde is nothing but a relaxacion of the Peretoneum The causes are as of the others aforesaid and it is easely to be knowen by the roundnes and it will be more easely reduced then any of the others you may knowe when the Intestins is descended by noise that it wil make though not commonly yet moste oftennest as hath béen said of Enterocele but if it be the zirbus it makes no noise and is much more softer and not so great pain Of the kindes of Hernies which be by similitudes or improperly called HEertofore we haue spoken of those thrée kindes of hernie whiche are properly called now it remains to speak of the fiue kindes whiche are by similitudes first we wil begin with the Aquose whiche is no other thing then a certain watrish tumor of Croton increaced by little and little for the most part lies betwéen heritroides and the Spermatike vessels how beit some times it may be contained betwéen Dartos and heritroides and betwéen Dartos the Scrotum as many learned men haue written the signes are that the Scrotū doth wax big by little and little and for the moste parte without pain and the tumore is heauy and glistering and hard principally when the Scrotum is filled it waxes in length and dooth not return as doth the Intestinale and zirbale but remaines at one stay This kinde if that the water haue long line there and so corrupted the Testicle it must be taken away Of hernie Charneuse HErnie Charneuse which the Gréekꝭ doo cal Sarcocele is a tumor against nature in the Scrotum which there dooth grow to a certain scireuse flesh and dooth much resemble the Verequeses or swelled Vaines the causes of the which are by the gathering togithers of abūdance of grose humors whiche nature cannot rule because of the weaknes the signes are an vnequable hardenes and inflation which dooth alwaies remain in the parte that is to say the Dideme and doth alwaies increace with pain béeing vnequall and not euen wherefore Guido saith that this kinde and Vanqueuse ar very dangerous Hernie Verequese HErnie Verequese is an appéerāce of Vaines not accustomed about the Testicles and other partes contayned with in Scrotū The causes ar grose humors gathered togithers as melancolike blood and such like whiche nature cannot disparce because of wekenesse The signes are replecion of the vaines about like to the Twigs of Vines with softnes of the Testicle or Dideme This kinde if it be not very great and far gone it may be healed by solutiue medicines The hernie Ventose HErnie Ventose is a tumor of the cods increaced of a windines the cause is of the imbesility or weaknes of the parte and is knowen by the
Presipitatum mingled togither this doon you shall take away the corruption of the bone And then after that you may safely vse your vnctions made with Axungia Gummes Mineralls Oiles and Mercury also if you ad thereto of fine Treacle or Mithridatum it wil be the better You shall anoint the shoulders the muscles of the back the Loines the Hips the Thighs the knées and all the outward members as Legges and Armes But you must take very good héede that you touch not the head the region of the hart the Stomack nor the ridge of the Back Also yee must haue a good respect to ceasse your anointing in suche order that you bring not to muche accidents to the mouth wherby the Pacient might vtterly lose the vse bothe of his tung and teeth Because that so many ignorant Chirurgians haue taken vpon them this cure without either discretion in applying the vnction or ordering of the patient I haue thought good to write ij or thrée woords touching the ordering of the Pacient When the body is prepared of his humors with apt and méet medicines aswel Sirups Decoctions purgings and opening of the Vain according to the disposition of the body the patient shal be placed in a place naturally hot or els otherwise made warme whiche must be frée from all colde hauing the doores windowes and other open places closely stopt for the colde aire is very hurtful bothe for the Sinewy parts and also for the woorking of medicines for it wil deminish hinder the actions therof And in this case ther are many which commit great errors which are worthy of reprehencion for aswel in the winter as in the Summer they anoint the Patients in great and large Chambers where very much ayre entreth Wherfore at the beginning of this cure if the place be not very close warme you shall make a Pauilion with Couerings and suche other like round about a fire by the which meanes you shall keep the colde ayre from the Patient But if it be possible it is better to haue a little chamber close and warme and also continually a pan with Coles in the midst of it If it bee so that the Patients be so weke that they cannot abide the heat of the fire or would be loth to be séen naked as women or maids you shall anoint them lying in their beds First the patient shall put out one Arme and then the other and so the rest of the partes shal be anointed one after an other And you shall vse the Patients from time to time according to the dissease The third error is concerning wounds pearcing into the Brest IT fortuneth often times that the wounds pearce the holownes of the brest so that great quantitie of blood dooth fall down into the bottome of the same and there dooth stay vpon the Diaphragma Diaphragma 〈◊〉 two muscles which go 〈◊〉 〈◊〉 the ●●●st seperateth the hart frō the Liuer also the heuinesse of the said blood oppresseth the Diaphragma and putrifieth and ingendreth an euill qualtitie The which putrifaction sending vapours to the hart causeth a continuall feuer and commonly death within ● dayes Of the which the common Chirurgians haue no consideratiō or els by their ignoraunce they knowe not the cause and so the Patient is destitute of all help Wherfore when you sée that the wound perceth into the Thorax or brest you shal take good aduisemēt in searchīg out diligently whether the blood be descended into the lower parte of the Diaphragma the whiche may bee knowen by the stinking of the breath and by the relation of the Patient which dooth féele the blood quiuering or shaking inwardly And also commonly his face wil be of a reddish or hie coulour by reason of the vapours which assend vp And note that at the which side the blood dooth moste remaine in lying vpon the same side the patient shall feel lesse pain then vpon the other because that the said blood oppresseth the Lungs and the Diaphragma the Chirurgian ought to haue a good respect to the signes aboue written and whilst that the strength of the patient is yet remaining it shall bee needful to make way for the said blood to be Euacuated betwéen the fourth v. rib a hand breadth or a little more from the Ridge of the back and your incision knife shall be very sharp also you shall doo it by little and little very gentlely in cutting Mesopleuria or the muscles betwéen the ribs it ought to be doon towarde the lower part of the said muscles for the vain whiche nourisheth them and the ligaments which giueth them their mouing and féeling are placed more abooue then belowe After that the incision is made you shall let out the corrupted blood by little and little according to your discretion and it shall suffise to euacuate euery dressing v. or vi vnces this doon it shal be very profitabe to vse the wunted potions which you shall finde in the writings of learned practitioners which haue largely written of the said potions and by this meanes abooue written I healed foure in one yéer The whiche Cures without the aforesaid remedyes could neuer haue béen holpen for the whiche I giue vnto God moste harty thanks ¶ The fourth error touching the applications of the Traepans Terebelles for fractures of the hed IN the fractures of the Skul there are committed great errors touching the applycation of the Traepan principally when the bone is broken in many partes for they haue no consideration of the shiuering of the skul but apply the Trapan by the which meanes they presse down the shiuers of the bone vpon the Dura mater rent or tere it in such order that it bringeth great gréeuous accidents wherby commonly deth ensueth Wherfore in this case you shal haue a good consideration before that you apply the Traepan for it is better if it be possible in this case to vse other instrumētꝭ as Eleuiatories Cisers Lenticulj or such other like to make way for the brused matter which depresseth the Duramater it shal be the better lesse danger for the Patient By this meanes I I haue many times forborne the applying of the Traepan to the profit of my Patients and my good name and estimation Moreouer there bee many Ignorant Chirurgians which without consideration apply the Traepan vpon all partes of the hed aswel vpon the comistures or seames as other places whiche is the cause of the death of many Patients Wherfore they ought to haue a great consideration and to be very diligent in this respect and for to vse their art according to the true method The fift error touching the punctures of Nerues WHen it chaunceth that any is hurt by the punctures of Nerues if hee be not spéedily holpen by some cunning and expert Chirurgian hee is in great danger to fall into conuolsions which is the occasion of many a mans death whiche commonly chaunceth to them that be drest by the Ignorant and