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A14401 The most excellent workes of chirurgerye, made and set forth by maister John Vigon, heed chirurgie[n] of our tyme in Italie, translated into english. Whereunto is added an exposition of straunge termes [and] vnknowen symples, belongyng to the arte Vigo, Giovanni da, 1450?-1525.; Traheron, Bartholomew, 1510?-1558? 1543 (1543) STC 24720; ESTC S105827 667,948 594

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copyously at the begynnynge accordynge to the age and strength of the patient The profyte of flebotomy there comme thereby two great profytes to nature The fyrste is that the corrupted bloode is drawē from a principal membre to the emūctories which thynge nature enforced hyr selfe to doe The seconde is that nature hathe discharged hyr selfe of thys venimous mattyer so that afterwarde suche corruption canne not extende it selfe vpon the membre wherefore ye ought to be ware that ye lette bloode none otherwyse than we haue sayde For yf the Carbuncle be founde in the emunctories of the brayne as in the ryght syde yf nowe ye open the veyne cardiake or basilike in the lyfte syde ye shal drawe the infected bloode to the harte or lyuer And yf the Carbuncle be vndre the ryght arme hole and ye open the lyfte Cardiake or lyfte Basilyke ye shall drawe the venimous mattyere to the pryncypall membres If the Aposteme be in the flankes and ye open the veyne called Basylyke it draweth the mattyer to the lyuer Therefore whan the Aposteme is in the Flankes it is better to open the veyne Sciatyke or Saphena For in drawynge the sayde bloude ye shall ayde nature greatlye Wherefore it appeareth that in thys case to committe any error is the cause of deathe Furthere it is to be noted that yf ye canne not lette bloode thorough the weakenes of the patient or for some other cause Than in the steede of Flebotomye it is good to boxe or cuppe the place wyth depe scarificatyon Boxinge or applicatiō of Ventoses as for the emunctoryes of the heade ye muste boxe and make scarificatyon vpon the necke For the emunctoryes of the harte ye muste laye the same ventoses vpon the shulders For the emunctoryes of the Lyuer boxe the buttockes or the thyghes Thus we conclude that we muste euer lette bloode in the sore place for the alleged causes After lettynge of bloode dygeste the mattyer after thys sorte Digestyue yf the disease gyue leysure to take a medicine ℞ of Syrupe of vinaigre of the iuyce of endiuie and of Syrupe of vinaygre called Acetosus symplex or fumiterre Ana ℥ ss of the waters of Endiuie buglosse and hoppes Ana ℥ j. Purgation mengle them After that the patient hath vsed thys Syrupe foure or fyue dayes lette hym take thys potyon yerlye in the mornynge ℞ of Cassia of diacatholicon Ana ʒ v. of electuarye of Roses after Mesue ʒ ij and. ss wyth the decoctyon of cordiall stoures and frutes addynge of Syrupe of Violettes ℥ j. and. ss The nexte daye after the takynge of thys medicine it is verye good to take a clyster Lenityue Whan the mattyer is malygne and furious so that it is not a Carbuncle but Anthrax the mattyer muste be purged wythout digestion bycause Anthrax gyueth no leysure to the patient to digeste the mattyer Wherefore Hypocrates sayde wel that we shuld purge thynges digested and not moue rawe thynges excepte it were verye expedyent Ye shall note that there ben foure cases Howe a purgatyon maye be geuē without a digestiue in whyche ye maye gyue a purgatyon wythout digestyon goynge before The fyrst is whan the mattyer is in great quantyte The seconde whan the mattyere is furyous The thyrde whan the mattyer is venimous as in Anthrax other diseases procedynge of venimous mattier The fourthe is whan the disease is caused of mattyer deryued of a pryncypall membre hurtynge the same As it chaunseth in the pestilence whan a noble membre is touched of infectyon it sendethe the same infectyon to the emunctoryes and ingendreth in them a Carbuncle or Aposteme by the waye of mutation or chaungynge Whan the mattyer is minished ye maye comme to the dygestion of euyll humours and afterwarde to purgatyon Here foloweth a purgatyon verye good for hym that hath Anthrax ℞ of Cassie of diaprunis non solutiui Purgatyon of Diacatholicon Ana ℥ ss of the confectyon of hamech of electuarye de Psillio Ana ʒ j. and. ss wyth a decoctyon of cordyal floures and frutes wherin hathe been sodden of Terebentyne and dittanye Ana ʒ j. of scabiouse of sorell and of the iuyce of Pomegranades make a smalle potion addynge of Syrupe of Vyolettes ℥ j. and. ss The thyrde intentyon whyche is to take awaye the mattyer conioynte is accomplysshed through applicatyon of conuenyent thynges aswell in the hole partes as in the sore And whan the Chyrurgyen hathe perceaued the Carbuncle or Anthrax by euydent sygnes Cornelius Celsus sayethe that there is no greater remedye nor surer waye than incontinentlye to burne the Carbuncle wyth an hote Yron comprehendynge the corrupted parte Cauterie vnto the hole or els to vse a potentyall cauterie so that ye maye see a cyrcle rounde aboute the Carbuncle For a cyrcle aboute the Carbuncle is a sygne of the termynatyon of the venimnes after the opinion of Arzi But we ought euer to be ware that the nygh and sanguine partes be not touched of thys cauterye For it wolde grieue the place wythout profytte and as Galene sayeth that shall not helpe that hathe hurte in it selfe Payne The greate payne caused by aygre medicines vpon the hole place is an euydent cause of drawynge mattyere to the sayde hole parte wythout anye succoure yea it is a cause that malignyte is ioyned to malygnyte For payne is as a cuppynge glasse drawyng humours to the paynfull place And to comme to practyce it is conuenyente to ordeyne the maners and formes whyche be requyred in the curatyon of a Carbuncle or Anthrax Fyrste laye vpon the hole parte thys defensyue Defensyue ℞ of Oyle of Roses of Oyle Mirtine Ana ℥ ij of the iuyce of plantayne and nyghschade of whyte vynegre Ana ℥ j. and. ss lette them boyle all together vnto the consumptyon of the iuyce than putte to of whyte waxe ℥ j. of all the faunders Ana ℥ j. of bole Armenye of terra Sigillata Ana ℥ ss of whyte Coralle and redde Ana ʒ j. mengle them Whan ye haue layed thys defensyue vpon the hole parte laye vpon the sore parte a playstere of floures wyth sodden wyne and a lytle lye whyche is described in the Chapitre of the cure of Cancrena and Ascachilos Also vse the corrosyue medicynes whyche shal be rehersed in thys Chapytre vntyll ye perceaue that the venimnesse of the Carbuncle is mortifyed We haue foūd thyes corrosyue medicines to be of gret vtilitie Corrosyue medicines Whan the bodye is stronge ye maye vse an actuall cauterye so that the Carbuncle be not in a Synnowie place Ye maye also vse a potentyall cauterye begynnynge at the easyest as is Vnguentum Egyptiacum of our descriptyon wryten in the Chapytre of the cure of Formica Corrosyua or with Vnguentum Egyptiacum whyche hathe in it the vertue of Arsenyke and is declared in the same Chapytre or wyth Trocisques of Minium descrybed in oure antidotarye in the Chapytre of corrosyue medicines or wyth a ruptorie of
The seconde chapytre of the fluxe of bloode and of the cure thereof IT is euydent after the doctrine of auncient writers Of the fluxe of bloode that blood floweth out of the veynes thorough two causes The fyrste issuynge commethe by cause primytiue the seconde by cause antecedent The fluxe of blood called Hemoragia proceding thoroughe a cause antecedent Hemoragia maye chaūce thre maner of wayes First by resudatiō or swetynge out of veynes Secondly by openyng of the mouthes of the same Thyrdly by corruption of the veynes caused by some sharpe venimous and bytyng matter But bycause we wyll treate only in this present chapy of the fluxe of bloode that chauncethe in woundes and vlceres we wyll declare the cure thereof as briefely as we canne Fyrst ye shall note that the fluxe of bloode which chaunceth in awounde is great lytle or meane Whan it is lytle or meane it is sone restrayned And it is a sygne that the veynes ben not verie greate If bloode flowe out of the wounde abundauntlye and yf ye perceaue that the wounde is in a place of greate veynes or Arteries than incontinentlye wyth all diligēce ye shall remedye it For as the Philosophers saye bloode is the treasure of lyfe A sygne that the bloode issueth out of an Arterie is thys Signe of arterial bloode the colour is purple and it commethe out by leapes The bloode that commethe out of the veynes is grosser and redder than the bloode of the Arteries and therefore leapeth not Furthere it is to be noted that yf the fluxe of bloode be wyth putrefaction of the wounde and continuethe manye dayes than there is daunger of deathe as we haue seen in lytle fluxes of bloode in the handes fete or armes And Auicenne sayth that yoxyng the crāpe and perturbation of rayson foloweth thys fluxe of bloode As touchynge the bloode fluxe of the inner membres as of the lyuer the lunges the reynes and the blader we wyll not treate of them in thys present chapytre but hereafter particulerly The curation of the fluxe of bloode hathe a double intentyon namelye a particuler and vniuersall The intention vniuersall is accomplisshed by purgation of the bodye and regiment of lyfe whyche maye engrosse blood And more ouer by rubbynges The cure of Hemoragia and dyuersions in the contrarye syde The patyente in thys case shall eate Lentiles Rise Quynces Layctuce Purcelayne breyfely all stiptyke frutes as aygre Pomegranades ce For hys dryncke he shall vse colde water wyth a iuleb of Vyolettes and Roses whyche in thys case is verye good For it engrosseth bloode and altereth humours and quencheth thirst Also water of symple barley is not to be discommended The bodye is dewly emptied in thys case by flebotomie in the contrarye syde hauynge a lytle orifyce or mouthe and made by a diametre as from the ryghthande to the lyfte Phlebotomie But yf the wounde be in the lyfte syde of the head ye shall cutte a veyne of the fote in the same syde And yf it be in the ryght syde ye shall cutte a veyne in the ryght fote after the sentence of Galene and Hypocrates Item thys digestiue is souerayne to alterre Digestiue and engrosse bloode ℞ of syrupe of vyolettes ℥ j. of syrupe of roses ℥ ss of the water of violettes sorell and purcelane Ana ℥ j. mengle them Moreouer cōserua of roses and vyolettes maye be conueniently permytted Dyuersyōs by rubbynges vētosations wythout scarification some tyme wyth scarification muste be practysed in the contrarye syde And incontinently plonge those contrarye partes in hote water and weete the sore membre wyth water and vynegre Lykewyse it is good to laye a ventose vpon the lyuer wythout scarifycation It is profytable also to laye vpō the stones the whyte of an egge Rose water and vynegre wyth a cloute so that it be actually colde The particuler intention of hemoragia of woūdes and vlcers is accōplyshed by the administration of sondrye locale medicynes accordynge to the sondrye intentiōs required in thys case Cōsideratiōs in hemoragia Fyrste you muste consydre whether the wounde out of whyche the bloode runneth be wyth putrefactiō or wtout putrefactiō And yf the woūde be depe wythout putrefaction losse of substaunce than it is expedient to sewe the woūd depely that the sydes maye be ioyned together prouided euer that no congeled blood remayne wythin the wounde Aterwarde immediatly ye shall laye thys poudre vpon it wyth the whyte of an egge ℞ of the floure of beanes and lentyles and of mylle dust Ana ʒ iij. of Sanguinis draconis of frankencense Ana ʒ ij and. Pouder ss of Myrrhe of Aloes Ana ʒ ij of terra sigillata of bole armenie of gypsum Ana ʒ j. ss of hares heare cutte in as small pieces as maye be ʒ vj. of a cobwebbe cutte in pieces ʒ iiij of spong of the see somewhat dryed at the fyer or burnt and brayed ʒ iij. and ss of coralles of all the saunders ana ʒ j. and. ss of the iuyce of the herbe called lingua passerina or knot grasse of the iuyce of conferie Ana ʒ v. of dragagantum braied ʒ iij. the whytes of two newe layed Egges Note that to the sayde whytes of Egges it is sufficient to putte of the fore rehersed poudre ℥ j. of burnt cotton ʒ x. The maner of appliyng thys poudre is thys You muste mengle the sayde poudre wyth the whyte of an Egge and putte thereof wythin and wythout the wounde After thys ye shall fylle the wounde wyth lyntes and stowpes or towe dypped in water and vinegre than lette the woūde be bounde wyth a conuenient maner of byndynge and boulsters whyche thynge is requisite in this case Furtheremore it is a synguler remedie to laye the sayde poudre so prepared vpon the mouthe of the veyne wyth the toppe of the fynger holdyng it a good space vpon the veyne and pressynge it downe by lytle and lytle so that the patiēt be not payned there wyth and incontenently afterwarde lette it be bounde as we haue shewed before For thys thynge is profytable for two purposes Fyrste it kepethe the bloode frome runnynge Secondelye it causethe the bloode that flowethe out of the veyne to congele vpon the mouthe of the same by reason whereof it stoppethe the waye of bloode cheyfely whan the veynes ben smalle Furtheremore sometymes it is necessarye to cutte the veynes and the Arteries that their orifices or mouthes maye be in the depthe of the membre and couered wyth fleshe and by thys meane it is restrayned wythout the mother of bloode The maner of byndyng a veyne Sometymes also it is necessarye to tye the veyne and cheyfely the arterye For whan it is tyed the place is sone incarned The maner to tye it is as it foloweth You muste putte a nedle vndre the veyne wyth a cered threede and drawe it together softly or els ye shall bynde the veyne aboue and tye
be apostemed It is requisite for the resolution of the matter and for apeasynge of the grefe Epithema to vse fuffumigatyon and epithemes folowynge ℞ of camomylle mellilote branne of the leues of malowes holyhocke and of tapsus barbatus ana m̄ j. of lynseed ʒ j of the rotes of holihocke ℥ .iiij. seeth them all together wyth suffycyent water tyll halfe beconsumed and let the smoke be receauyd and the place epithemed wyth the same decoction ⸫ The thyrde chapyter of the chappyng and cleftes of the fundamente IT chaunseth often Of ryftes in the fundamente that the fundamente is chapped through salte fleme or brente melancolie and sometyme through great costyfenes of the belye or throughe the floynge of a colyrycke humor whyche byteth and chafeth away the skynne of the place wherfore for the curation of the same a leuytyue purgation of the belye presupposed there is nothynge better then to bathe the place and to receaue the smooke of thys decoction folowynge ℞ of camomylle mellylot branne of barlye malowes vyolettes lentylles ana m̄ ii of swete apples somewhat broused in nomber .x. of tapsus barbatus m̄ iii. of lynseed ℥ .iij. of suger ℥ .iij of frankensence of aloes of myrre ana ʒ.ss of licium ʒ x. roche alume ℥ .ii. ss lette them seth al together wyth suffycyent water tyl the thyrde part be consumed and lette the smoke be receyued into the fundament and than vse this lynimente folowynge ℞ oyle of lynseed of oyle omphacine ana ℥ ss of the wyne of swete granades brayed with the ryndes and than strongelye pressed ℥ .iiij. of roche alume ʒ.j of gootes suet and calues talowe ana ℥ .iii. lette them seeth al together tyl the iuce and the wyne be consumed then strayne them and vse them Item oyle of linseed applyed vpon the chappes is good agaynst the paynes of the emoroydes and all dyseases of the fundamēt as Mesue sayth Oyle also of the yolckes of egges laboured in a morter of leade wyth as much oyle of lynsed is a present remedye agaynste the chappes of the fundamente An other lynemente for the same purpose ℞ of the oyle of nuttes Linimentes of the fruite called crysomela of the oyle of swete almons of peches ana ʒ.ii of oyle of the yolkes of egges of oyle of lynseed ana ℥ ss of the iuce of wylde tasell of the iuce of knotgrasse of the iuce of tapsus barbatus an̄ ʒ.vi of aloes epathike ʒ.iii of the iuce of plantayne ℥ .i. seethe them tyll the iuces be consumed than strayne them and vse thys medecyne wythin the fundamente Another ℞ of the oyle of yolkes of egges of the oyle of lynseed ana ʒ x. of goates talowe of moost clere terbentyne ana ʒ iii. of frankensence of Mastike ana ʒ.ss of Rasyn of the Pynaple tree ʒ.i of Aloes Epatyke ʒ.i.ss of tapsus barbatus of the leaues of Plantayne of the leaues of houndestong of horsetayle ana m̄ i. stampe them al and drawe oute the iuce let them all seeth together tyll the iuce be consumed then streyne them and put to the streynynge of litarge of golde and syluer ana ℥ ss of ceruse ℥ iii.ss of burned lede of tucia ana ℥ .ii. myngle them and laboure them in a morter of leade the space of two houres And for as muche as sumtyme the sayde chappes perce into the inwarde parte of the fundamente and cause greate payne chefelye Suffumigation when they are ioyned with emoroides then suffumygacyons and bathynges that swage the payne make to the purpose as a bathe of tapsus barbatus aforenamed Lykewyse ye maye clyster the place wyth the sayde decoction and redde suger and a lytle aloes epathike dyssolued for this clyster swageth payne and maketh good incarnation If the sayde chappes cannot be healed by the foresayde remedyes than it is necessarye to fylle the chappes wyth oure pouder of mercurye for within two or thre times it remoueth the malygnitie as we haue proued in my lorde Marcke cardynal of Romemyshe churche named Cornarius After that the malygnytie is remoued the foresayde remedyes shall suffyce for the curacyon of the vlceres But some tyme it chauncethe as we haue seene that the fundamente is vlcered of a prymytyue cause for the cure whereof at the begynnynge ye shall proceade wyth lenytiue medycynes Wherefore it is conuenyente to bathe the place wyth the decoctyon of malowes of lynseed of tapsus barbatus of barlye and of branne And after the common fashyon ye shall applye a dygestyue of the yolkes of egges and oyle of rooses omphacyne and a lytle saffron Whan the place is dygested for mundyfycation and incarnacyon ye shall procede wyth oyle of lynseede wyth oyle of yolkes of egges and a lytle aloes epatike laboured the space of two houres in a mortar of leade addynge therunto a lytle iuyce of plātayne and a litle litarge of golde and syluer For the reste of the cure ye shal procede with the remedyes afore wrytten c. ¶ The fourthe chapiter of emoroydes or pyles THere are about the ende of the fundamente .v. veynes which are calemoroydalle Of emoroydes or piles and are ordeyned of nature to purge the grosse melancholye bloode in men as womens bodyes are purged euery moneth And as the auncient wryters saye yf the sayde purgation come duely it preserueth the body from sondrye diseases as from the leper from cāker and other like And they be called called emoroyde of Hema whyche in greke is bloode and roys whyche is flowynge kyndes of emoroydes And there are diuers kyndes of them for some bene lyke greynes of raysons or lyke lytle bladers some are lyke wartes and other bene lyke an opened figge redde and full of litle greynes some are lyke mulberyes and are called morales some are small as lytle peces of flesh about the fundamente and some are payneful and apostemous The cause of these for the mooste parte The causes of emoroydes is abundaūce of grosse and melancholyke bloode and sometyme of fleume and sometyme of brent choler sent vnto the sayd place or elles they come through the receit of sharpe medicines or elles of the longe vse of pilles of aloes not washed Wherfore by the great abundaunce of such bloode it chaūceth that the said veynes swel and be extended out of the fundamēt beynge verye paynefull and apostemous Therfore yf the bloode be verye subtyle and sharpe and the passion natural and comynge by courses than the mouthes of the veynes are opened wythoute the melancholye bloode is purged by the benifyte of nature and also the sayde subtile and sharpe humoure Yf they be caused of flegmatyke bloode watrye and not grosse thē they are lyke lytle bladers or greanes of raysonnes whyte in coloure and softe in towchynge and cause no greate payne If they be engendred of grosse flegmatyke bloode they are harde lyke wartes and bene lyke vnrype figges and are not verye payneful
in the hynder They that are in the hynder parte ben more daungerous then the other for many causes namely bycause of the multitude of greate veynes and arteries that passe by the lengthe of the backe and also for the multitude of the synnowes whyche descende from the nuke and moreouer bycause of the lygamentes whych haue coniunction wyth the harte and bycause also that the pannicle called Mediastinum and the mydryffe ben nyghe to that parte Sometyme a wounde in the sayde parte thoughe it be not penetraunte or persynge is deadlye But it is not mortall or deadlye in the former parte yf it perse not wythin the breste The sygnes of the penetration or persynge of suche a wounde wythout the hurte of the inner membres bene these Ayer cōmeth out of the wounde the patiente hathe greate payne to breathe and felethe griefe in the sore place wyth ponderositie or heuynes chyefelye aboute the small rybbes You maye moreouer knowe whether the wounde persethe by the applycation of coton well toosed vpon the orifyce of the wounde and by the holdynge of a lytle candell burnynge nyghe to the wounde for the flame thereof shal be moued and lykewyse the coton yf the patiente holde hys breathe stoppynge hys mouthe and nostrelles The sygnes also by whyche you shal knowe whether the harte be hurte ben these there issueth oute of the wounde blacke bloode the extreme partes bene colde and death foloweth incontinently after For Auicēne sayth that the harte can not endure solution of continuitie without the approchynge of death Sygnes of the woūdyng of lunges The sygnes that chaunce when the lunges bene hurte are these effusion of bloode full of fome continuall coughe dyfficultie of breathynge and payne of the rybbes Midriffe The sygnes that declare the midryffe to be hurte Mediastinū or the pannicle called Mediastinum bene these dyfficultie to fetche breathe continuall coughynge sharpe pryckynges in the sore place heuynes of the sayd place and perturbation of reason whych can be restored by no medicine and moreouer the patiente fyndethe hym selfe worse and worse euerye daye and wyth fieuers Also you maye knowe the putrefaction of the bloode in the inner parte Sygnes of putrifyed bloode by the stynckynge of the patientes breathe by the continual inquietnesse of the patient and by the increasynge of the fieuer and other euyll accidentes afore rehersed Galene sayeth yf bloode be shedde in to the belly besyde nature it commeth necessarely to putrefaction When it is putrefyed it is wonte to engendre greate paynes fieuers and heuynes of the place wherfore we affyrme that the sayd accidentes chaunce accordynge to the quantitie of rotten bloode in the inner parte Nowe that we haue knowlege of woundes percynge and of the hurte of the inner membres it remayneth that we come to the curation of the same whether they bene persynge or not But before we speake of the curation we wyll declare the dyscorde that is betwene the doctours of thys tyme concernynge the same There ben many that commaunde to shutte incontinently the penetraunt wounde and to procede wyth desiccatiue thynges aswell wythin as wyth out to cause incarnation sayenge that yf the sayd wounde be not shutte the ayer wol entre in vnto the harte more ouer that the vitall spirites woll issue out by the wounde whyche thynge myghte hurte the patient Agayne many ben of a contrary opinion and commaunde to kepe the wounde open And yf the wounde be not large they saye it must be enlarged that the blood maye issue out affyrmynge that yf the bloode whyche is in the inner parte yssue not out by the orifyce of the woūd it maye engendre many euyll accidentes and corrupte the inner membres Wherfore to auoyde suche accidentes they commaunde to kepe the wounde open Vigo hys iugement In my iudgement they whyche cōmaūde to kepe the woūde open maynteyne a surer opinion then the other for many reasons Fyrste bycause of the commune bruyte For yf the patient shulde dye the people wolde say that the retaynynge of bloode caused hys deathe whyche is true Lykewyse bycause the bloode beynge retayned causeth some fistula and other accidētes whych brynge the patient to death To come to the curation we saye that the curation of a wounde penitraunt is accomplyshed by foure intentions The cure The fyrst is ordinaunce of diete The seconde euacuation of matter antecedent The thyrde purgation of the blood whych is entred in to the inner parte The fourth mundifycation of quytture cause by the sayde bloode and after mundification incarnation of the place Touchynge the fyrste and the seconde intention ye shall procede as it is declared in the former chapitres excepte that yf the patiēt be very weake and hath euel accidentes as soūdyng in such case you may gyue hym wyne and other thynges that comforte nature Furthermore bycause that difficultie of breathynge happeneth to the patiente ye shall gyue hym meates sodden with rootes of perseley and fenell And for the comfortation of hys harte and stomake ye maye mengle wyth the meates of the patient a lytle cinnamome and saffran Item it is very profytable to vse often at the begynnynge A decoction that helpeth breathynge thys decoction whyche helpeth respiration or breathynge and kepeth of catarrhous matter whyche happeneth in the sore places ℞ of cleane barley m̄ i. of the rootes of langdebeefe ℥ ij of cleane liquerice somewhat stamped ʒ x. of the commune seedes ℥ i. of iuiubes and rasines ana ʒ x. of penidies ℥ ij ss of suggre cādy of syrupe de duabus radicibus ʒ x. of fyne suggre ℥ iij. Let them boyle altogether wyth suffycient rayne water vntyll the barley breake thē strayne them Let the patiēt vse here of as we haue sayd for it is merueylous good Prouided alwayes that the patiente haue conuenient digestiues and purgations accordynge to the qualitie of the humour as is afore declared Item seuen or eyght dayes after the woūde besyde the meates declared ye may gyue the patient fleshe and wyne of good odour mengled wyth sodden water of the decoctiō of cinnamome and coriandre Yf the patient haue a fieuer he must eate the fleshe of chyckens and hennes kyddes flesh and veale boyled wyth perseley and altered wyth the foresayde thynges Lykewyse you shall procede when you wyll purge the quytture of the inner parte Also you maye gyue the patient potage made of the brothe of the foresayd fleshe with perseley buglosse borage laictuce and beetes It is good for the wounde for the breath and for the taste and engendreth good bloode When you wyll mundifye the wounde and drye vp the quytture thē the sayde fleshe is better rosted thē boyled Also byrdes that lyue in woodes and meddowes maye well be suffered but not waterfoule Item there bene some whyche commende that the patient vse stiptike meates but not at the begynnynge but when the bloode and quytture are purged For yf you gyue them at
agues by the waye of crysis and somtime they appere in women after theyr delyueraunce of chyldren The sygnes are manifest in syght and in touchynge for some tyme they are harde and stretched oute chefelye when they be full of bloode and the coloure of them is blackyshe and sometyme they come to vlceracyon cause greate payne and are harde to be cured and there ensueth often a fluxe of bloode which is also of harde curacyon and though it be cured it commeth agayne with more malignitie so that when we wolde cure the sayde vlceration we haue ben constrayned to purge the matter by the places that lye aboute namelye by an issue Lykewyse besyde the saide vlceration the veines so swel are fylled sodēly with grosse melancholicke and burned blood that the sayde bloode congeleth together and commeth by lytle and lytle to putrifaction and so there ascend vp euell vapoures and fumes to the brayne cause euell accydentes in the brayne and in the harte whereby the pacyent often tymes dyeth Wherfore the cure of these veines wyth vlceration or wythoute vlceration chefely yf they be confermed cānot be accomplysshed wythoute euydent daunger of the paciente I speake of vlcered veynes because the matter whyche was wounte to dyscende to vyle places and there to be purged throughe the curation of the varyces is retayned and cōueyed to the nobler members as the harte the stomacke and the brayne and so the dysposition thereof shulde be the worse wherfore Hipocrates saith that yf ye heale emoroides leuynge notone open daunger of the dropsye tysyke and frenesy shall ensue Wherefore in such dyspositions that is to say in emoroydes and swollen veynes it is better to leue them open then to cure them For they that be cured dye quyckelye but they that be not cured but palliated lyue a long season For Arnoldus de villa noua sayeth when there is an vnnatural issue in a mās body by the which some mater is wonte to be purged it cannot be stopped wythoute greater incommodyties excepte the matter be purged by a place nye to the sayde issue And therefore wise chirurgiens in thys case make an issue wyth an actuall cauterye or potencyall foure fyngers vnder the knee that the mater be purged by the same by whych meane we haue healed manye The cure of swolne veynes not vlcered by insicion is very daungerous for great fluxe of bloode foloweth the sayde incision whiche is harde to be retayned and sometyme when nature cannot deryue the bloode and matter to the wounded place the same blood beinge kepte in growethe to cankerdnes Wherefore I was wonte in the cure of swollen veynes fylled wyth melancholyke bloode a conuenyente purgacion of the bodye wyth the applyinge of leches vpon the emoroydall veines presupposed to euapoure oute the bloode wyth thys decoction folowynge ℞ of the rootes of holyehocke lj ss of hoorehounde of cammomylle of mellylote of dylle ana m̄ j. of branne of cleane berlye ana m̄ ii of honye lj i. ss seethe al these thynges at the fyre and make a bathe thereof where wyth ye shall washe the whole legge and make euaporation wyth sponges dypped therein Also we were wonte to make a cerote of the decoction of holyhocke and wyth the thynges vnderwrytten and wythe these two thynges for the most parte we euapoured oute the bloode and resolued it perfytly ℞ of holihok soden cutte and stamped lj ss of oyle of comomylle dylle ana ℥ .ij. of freshe butter and hennes grese ana ℥ i. ss of gose grese and duckes grese ana ℥ i.ss of calues talowe ℥ .iii. of the marye of of the legges of a calfe and of a cow ana ʒ.vi make a soft cerote of al with the foresaye straynynge and wyth suffyciente whyte waxe addynge of saffron ʒ.i Furthermore to open a veyne aboute the knee the member beynge fyrst bounde strayned that the congeled and corrupte bloode maye only yssue oute perchaunce it shall not be vnprofytable for by the euacuacyon of bloode sometyme the foresayde accidentes are remoued Afterwarde vpon the cutte place ye shall leye thynges that staunche bloode as the whyte of an egge beaten wyth pouder restryctiue The curation of the vlceres of swollē veynes dyffer not frome the curation of vlceres of the legges and of the thyghes declared in the former chapyter But for as muche as suche vlceres are ioyned wyth vehemente payne and malygnitie therefore for the remouyng of the same we wyl descrybe certayne peculyer remedyes and fyrst a fomentation to swage the payne A synguler fomentation ℞ of the leaues of malowes violettes of the leaues of plantain ana m̄ i. of clene barly m̄ ii of the seed of quinces somewhat brayed ℥ ss of scabyouse m̄ i. ss of butter lj ss let them be sodden altogether wyth suffycyente water tyll the thyrde parte be consumed and vse thys remedye after the maner of a fomentacyon After ye haue washed the place with a sponge ye shall take the yolcke of a newe layde egge and of butter ℥ .i ss whych ye shal laboure in a mortar of lead and applie them with cloutes And yf ye put to thys medecyne an ℥ of vnguentum populeon yt shal be verye good we haue some tyme remoued the payne and malignitie of the sayde vlceres by apliynge oure pouder of mercurye ones or twyse and afterwarde leying vppon the same thys sparadrappe folowyng and thyn plates of leade vsynge a conuenyente maner of byndynge from the insteppe to the knee and whan the place was paynefull we washed it wyth the water of plantayne and water of alume Lykewyse we founde that the iuce of plantayne and of houndestonge boyled wyth a lytle suger tyll halfe be consumed and applyed vpon the vlcered place is of good operacyon The leues also of the sayde herbes and the leues of woodbynd layed vppon the vlceres in steade of an oyntemente or sparadrappe bryngeth great ease to the pacyente The myxture of the sayde sparadrap is ℞ of the iuce of plantayne nyght shade ana ℥ .ii. of the iuce of knotgrasse houndestonge and wodbynde ana ℥ .i of oyle of rooses omphacyne of oyle of rooses complete of oyle myrtyne ana ℥ .ii. of calues talow ℥ .iiij. of swines grese of gootes talowe ana ℥ .ii. ss of cowes talowe ℥ .iii. of vnguentum populeon ℥ i.ss of lytarge of golde and siluer ana ʒ.i.ss of minium ʒ.x of bole armenye fynelye poudred of terra sigillata ana ℥ ss let the fattes the oyles and the iuces seeth together tyll the iuces be consumed then strayne them and adde the reste to the straynynge and lette them seethe at the fyre and styrre them aboute tyll they be blacke in coloure than make a sparadrap or a soft cerote wyth suffycyente whyte waxe addynge in the ende of the decoction of camphore brayed accordinge to arte ʒ.ii of tucia ʒ.x vse thys medecyne in all vlcers for it is of excellente operation Item vnguentum camphoratum some
lv Alopetia Fol. ccliiij cxxx Alexanders liniment Fol. cliij Amigdals Fol. v. Anatomie Fol. i. Anatomye the order of it eodem Anatomie .ix. thynges to be consydered therin eodem Anthrax Fol. xxviii Aposteme Fol. xiii xcl Aposteme hath foure tymes eodem Aposteme hath foure maner healynges eodem Aposteme is opened Fol. xv Aposteme simple colde Fol. xxxiiii Apostemes wyndy Fol. xlv Aposteme of the eyes Fol. xlix Aposteme of the browes and eye lyddes Fol. lv Aposteme vnder the eares Fol. lvii Apost of the iawes amigdals Fol. lx Apost of the throte necke Fol. lxiiii Apost hote in the brestes Fol. lxv Apost through flebotomye Fol. 233. Apost colde of the brestes Fol. lxvi Apost of brest rybbes c. Fol. lxvii Aposteme in the backe Fol. lxviii Aposteme of the flankes Fol. lxix Aposteme of the flanke commyng of a longe fieuer or of congeled blood in the bellye Fol. lxx Aposteme of the yarde Fol. lxxi Apost of the fundament Fol. lxxv Aposteme of the shulders eodem Aposteme of the arme Fol. lxxvii Apost of the handes fyngers eodē Aposteme sclirotike Fol. lxxviii Aposteme of the fynger called panaritium Fol. lxxix Aposteme of the hyppes eodem Aposteme of the knees thyghes and legges eodem Aposteme of the feete Fol. lxxx Aposteme of the stomake Fol. lxxxi Aposteme of the lyuer eodem Apostemation to let it Fol. lxxxv Apoplexie Fol. iiii Armes woundes of them Fol. xcv Arme broken Fol. clxxvii Aroes the drawing out of thē Fol. cx Aroe cure of a venemed aroe eodem Arterie Fol. ii Arteria trachea Fol. v. Aschachillos Fol. xxvi Aspes his styngyng Fol. cxvii Attractyue medicines whye they be vsed Fol. ciiij. cvi Auripigmentum howe for to calcinate it Fol. ccvii Aeyre rectifieng of it Fol. xxx B Backe aposteme of the backe Fol. lxviii Backbone peine therin eodē ccxxxix Basillare Fol. iii. Bellye Fol. viii Bellye apost of the belly Fol. lxix Belly woūdes ꝑcing throgh it Fol. c. Byndyng or lygature Fol. cxi Bytynge and the cure Fol. cxvi Blader wounde therin Fol. cii Bladers the cure therof Fol. xxiiij Blood when it ought to be stopped in what cause Fol. lxxxiii Blood fluxe of blood Fol. lxxxv Blood signe of arterial blood eodem Blood stāchyng of blood Fol. xciiii Blood staunchynge of blood at the nose Fol. clxxxjjjj clxxxvii Blood the abundaunce of it in vlcers Fol. cxx Blood diminutiō of it in vlcers eodē Boci●● Fol. xxxix ccxxxvij Bodyes tender moyst Fol. lxxxiij bolster Fol. cxiij Bone Fol. ij Bones are nombred Fol. xi Bones broken in generall Fol. clxxij Bones broken dysplased Fol. clxxv Bone of the nose broken eodem Bones chawbones broken eodem Bone canel bone or brest bone broken Fol. clxxvi Bones of the necke brused eodem Bone ●umpe bone broken Fol. clxxvij Bones of the hādes brokē Fo. clxxviij Bone roūd bone of the kne bro. fo clxxix Bonchines Fol. c●xxxiij Boxynge Fol. xxix Breakynge of the skulle Fol. lxxx●ij Breyne panne Fol. iij Breyne Fol. iiij Breyne of the cōmotion of the brey fo xci brest Fol. vij Brest woūdes of it Fol. x●vij Brest fystula therin Fol. xcix Brestes hote apostemes in bre fo lxv Brest aposteme in it Fol. lxvij Browe aposteme therin Fol. lv Bruse and cure therof Fol. xciiij Brused woundes Fol. ●xiiij Bub● a maturatiue for it Fol. ●xxii Burning blerednes of the eyes fo liiij B●r●ynge by fyre Fo. ccxxx●●iij C Cancrena hys cure Fol. xxvi Canker the forme diuisiō of it fo xliij Can●●● Fol. vi Capsula cordis Fol. viij Carbunculus hys cure Fol. xxviij Carb●●culus pustules Fol. lxxi Carolles betwene the foreskinne and heade of the yarde Fol. lxxij Catarattes in the eyes Fol xxxv Cause primitiue antecedēt Fol. xiij Causes of corruption eodem Cauteries Fol. ccviij Cerote for hardnes of the liuer fo lxxxij Cerote of minium Fol. x●● Cerote for the heade Fol. cxxxvi Cerote for the goute Fol. clxviij Ce●●●es in generall Fol. ccix Chappes of the lyppes Fol. cxlij Chafynge betwene the thyghes fo clvi Chyldren of the preffynge downe of the bone in theyr heades Fol. xci ccxlvij Chylde deade howe to drawe it out of the wombe Fol. ccxxxij Chilus Fol. ix Chorde Fol. ij Chordes woundes of them Fol. ciiij Cicatrizatiues Fol. ccv Cicatrice Fol. xvi Clisters Fol. ccvi Cistis fellis Colon Fol. ix Complexion is good to be knowen Fol. lxxxiiij Cōplexiō of medicines incarnati eodē Complexions the iudgement of them in all vlcers Fol. cxx C●●craua chilis Fol. ix Cōfideratiōs .iiij. in al cures fol. xlix Con●usion Fol. cxiij ccxlvi Cordial confection Fol. xxxi Coronale Fol. iij Cornea Fol. vij Cornea and coniunctiua Apostemes in them Fol. liij Corrosiues Fol. ccvi Cough short breth Fol. cxci cxcvij Crabbe lyce Fol. cxl Curynge in generall Fol. ccxxiij Enttynge of a cataratte Fol. cxxxvi D Decoctiō helpyng breathing fo xcviij Decoction pectoral Fol. xcix Decoction to breake wynde Fol. ci Deffenes is cured Fol. cxlvi Delatation of the apple of the eye Fol. cxxvii Derbia Fol. cxxxix Di●●●●s Fol. x Diet● stiptike Fol. c Digestiues of choler Fol. liiij l Digestiues of sanguine eodem Digestiue of fleume and melancholye eodem Digest of salt grosse fleume Fo. liiij Digestiue of hote cause Fo. lxxxi Digestiue of colde cause eodem Digestiue must fyrst be vsed in woūdes Fol. lxxxiij Disease of diuerse ꝓperties must haue diuerse curations Fo. xlvi Dislocation Fol. c. lxxix Diuersion of humours Fo. li drawyng out of arowes f. cx ccxlix Dugges cold aposteme of thē Fo. lxvi Dugges hardnes of dugges not cancrous Fol. lxvij Dura mater causes of apostemation of it Fol. xc E. Eare peyne wtin the eare Fo. lviij Eare apo vnder the eares f. lvij lviij Eares peyne in them Fo. cxlv Eares wormes in them Fo. cxlvij Elbowe woundes of it Fo. xcvi Elbowe displaced Fo. clxxxij Electuary to resolue blood Fo. cxiiij Electuaries lenitiue and resolutiue theyr properties Fo. ccxiiij Electuary to purge fleume Fo. cxliij Emoroydes Fo. cli cclx Epiglotte Fo. v Epitheme cōfortati of the hart F. xxxj Eschare and the cure Fo. xxv Eschare to remoue it Fo. xxij xxvij xxx xxxi xliiij Estiomenos Fo. xxvi Estiomenos the cure f xxviij ccli Excrescentes Fo. xxxix Exiture Fo. xxxiij Experience of vigo Fo. xxvij Eyes Fo. vij Eyes itchynge burnyng blerednes of them Fo. liiij cclix Eyelyddes aposteme therin Fo. lv Eye wounde in the eye Fo. xciij Eyes vlceres spottes and webbes in them Fo. x. xxxij Eyes pani cicatrizes in thē f. cxxxiij F. Face rubies in the face Fo. xxl Fantasie Fo. iiij Fatnes cured Fo. ccxxxiiij Feuers of maryners Fo. ccxxvij Feuer cureth a spasme Fo. cix Feuer flegmatyke Fo. ccxxx Flebotomy Fo. xxix ccxxij ccxliij Flegmon Fo. xij Flegmon herisipelades Fo. xiij Flegmon the cause therof eodem Flegmon of a primitiue cause fo xiiij Fleg of an antecedent cause Fo.
Pruna and sygnes therof fo xxiiij Purgation howe it maye be gyuen wythout digestiue fo xxix Purgatiōs of choler fo liiij lxij xcv Purga of sanguine fo liiij l. lxij Purgation of melancholy ibidem Purgation of flegme ibidem Pur. of salt grosse flegme fo liiij Purg. of a myxte cause fo lxij Purgation of hote cause fo lxxxi Purgation of colde cause eodem Purgers of the head fo xcij Purse of the stones hardenes therein fo lxxiij Pustules carbunculous fo lxxi Pustles in the eye lyddes fo cxxxviij Putrefactiō in vlcers is knowē f. cxx R. Ragadie vulue Fo. cliiij Retifyeng of the ayre fo xxx xxxi Regiment of health fo ccxxi Rhethe mirabile fo v Reynes fo ix Reynes payne of them fo ccxxviij Repercussiues perilous in eyght cases fo xvi Repercussiues are not to be ministred in the heed fo xlvij Repercussiues how to vse thē fo xvij Repercussiues maye not be ministred in the emunctories fo lix Repercus symple cōpounde fo cxcix Resolution sygnes of it fo xiij Resolutiue with repercussiō f. lxxviij Resolutiues symple fo CC Resolutiues compounde fo cci Rybbes fo vij Rybbes brokē displaced fo clxxviij Ryftes in the fundament fo cl Rotten nayles and the cure fo lxxx Rubies in the face fo cxl Rupture and the causes fo lxxiiij Ruptorie of capitell fo ccviij S. Sanguine feuer fo ccxxx Saphati fo cxxxi Scaldynge fo ccxxxix scabbes of the heed causes f. cxxix cclv Scabbes of the eye lyddes fo cxxxiij Scabbes and hys cure fo clxv Scipions pouder fo cxlviij Sciatica and hys cure fo clxix Sclerosis fo vij Sclirotyke aposteme fo lxxviij Scourged and hys cure fo ccxxxi Scrophula glādula differ fo xxxix Scrophules fo lxxxii ccli Sebell in the eyes fo cxxxv Secundiue fo vij Sense comune sense fo iiij Sephiros fo xiij Sephiros and hys cure fo xli Sephiros cancer differ eodem Sephiros cacrous in a womans brest fo lxvi Serpigo fo cxxxix Shulders apostemes therof fo lxxvi Shulders the woūdes therof fo xcv Shulder broken fo clxxvi Shulder displaced Fol. clxxxi Syde bones Fol. iii. Signes of sharpe matter fol. lxx Signes of mortificatiō of pust f. lxxi Signes of resolution Fol. xiii Signes of maturation Fol. xxxiii Signes of hote exitures and colde eo Signes that be good in vlcers Fo. cxix Signes that be euel Eo Sight weaknes of it Fol. cxxxvij Simples folow in order Fo. clxxxiiij Sinnowe Fol. i. Sinnowes Fol. xij Sinnowes woūdes in thē F. ciiii ccxlvi Sinowes the peyn of thē F. clxvi Sirupes their properties Fo. ccxiii Skin roughnes therof Fol. ccxxxv Skynne Fol. ij Skull breakynge of it Fol. lxxxvij Skul howe to know breking of it Fo. lxxxviij Slepe Fol. ccxxix Slepynge Fol. xxxi Smellyng diminished Fol. ccxxxiij Solution of continuitie Fol. lxxxij Sowyng of a woūde Fo. xciij cxiij Sowynge two maner of it Fol. cxiii Sowynge of guttes Fol. ci Spasme and the cure fol. cviii Spasme prohibition of it fol. xciiii Spondiles Fol. vi Squinātie of four kindes Fo. lxi cclviij Stomake Fol. ix Stomake hurt the signes Fol. c. Stomake weaknes therof Fo. ccxxx Stones Fol. x. Stone for the stone Fol. cxcv Stones wounde of thē Fol. ciij. Subtiliatiue medicines why they be vsed Fol. cvi Suffumigation to resolue windines of the eares Fol. cxlv Suppositories Fol. ccxvi Swellynge in the knee Fol. lxxx Swellynge or loosenes of the eyes Fol. cxxxviij Sweate superfluous Fol. ccxxxv Syrsen Fol. iiii Siphac Fol. viij Siphac Fol. x. T. Table of medicines for a chirurgien Fol. ccxij Talpa topinaria Fo. xxxiii xxxix Talpa is cured Fol. xlviii Tela aranea Fol. vii Tela vnea Eo Tentes fol. cxiii Tenasmō fo cliii Terminus comunis Fol. xii Tertian pure Fol. ccxxviii Tertian not pure Fol. ccxxix Testudo Fol. xlviii xxxix Tessilus oyntment Fol. cclxiiii Thighes wounde in them Fol. ciii Thighes chafynge betwene the thyghes Fol. clvi thighe bone broken Fol. clxxviii Thryst Fol. ccxxix Throte Fol. v. Throte Apostemes of it fo lxiiii Tonge Fol. vi Toth ache Fol. clxx cxciii Trachea arteria Fol. v. Transuersales Fol. iii. Tremblynge of the herte Fol. xxxi Trociskes of affodilles Fol. ccvii Trociskes restrictiue Fol. Eo V. Verrices or swelling veines Fo. clvii Ventricles of the brayne Fol. iiii Vētoses application therof Fo. ccix Vētoses in thre causes Fol. lix Ventoses when they oughte not to be ministred Fol. Eo Ventoses Fol. ccxxii Vertue imaginatiue Fol. iiii Vertigo Fo. Eo Verualia Fol. vi Veyne Fol. ii Veyne the maner of byndynge it Fol. lxxxvi Vesicatorie Fol. l. Vesicatorie medicines Fo. ccviii Vlcers in generall Fol. cxvii Vlcer what it is causes and kyndes of it Fol. cxviii Vlcers in general cured Fol. cxxi Vlcers virulent corosiue Fo. cxxiii cclii Vlcers rottē filthie Fol. cxxv cclii Vlcers holow the cure Fo. Eo cclii Vlcers of the heade Fo. cxxix Vlcers of harde curation Fol. cxxvi Vlcers of the nose Fol. cxli. cclviij Vlcers of the face Fol. cxlii Vlcers of the mouth Fol. Eo Vlcers of the throte Fol. cxliii Vlcers of the backe Fol. Eo Vlcers of the brest Fol. Eo Vlcers of the arme Fol. cxliiii Vlcers of womans brestes Fol. Eo Vlcers of the eares Fol. Eo Vlcers of the bellie Fol. cxlviii Vlcers of the stanckes Fol. Eo Vlcers of the yarde Fol. Eo Vlcers of the fundamēt not percinge Fol. cl Vlcers of the matrice Fol. clv. Vlcers of the hanches Fol. clvi Vlcers virulente of the thighes legges Fol. clvii Vlcers moyst of the head Fol. cxxix Vlcers in the eyes Fol. cxxxii Vndimia Fol. xiii cclxii Vndimia and hys cure Fol. xxxv Vnguentum mixtum Fol. xv Vng. egip Fol. xv xxvii ccvi cclxiiii Vnguentum basilicū magistrale Fol. xvi ciiii cclxvii cxlvi Vnguētum magistrale for vlcers and cankers Fol. xlv Vnguentum apostolorum Fol. ccvi Vngm̄ basilicū capitale Fo. lxxxviii Vnguētū de minio Fol. cxxix cxlviii Vngula in the eyes Fol. cxxxiiii Vomitynge Fol. ccxxxii Vrine reteyned Fol. ccxxxv Vuula Fol. vi Vuula the fallynge therof Fol. lx W. wakynge Fol. xxxi wartes in the eye lyddes Fol. cxxxviii wartes growing in the eares Fol. cxlv water ryght excellent for the eyes Fol. cxxxvi waters magistral Fol. ccxx waters simple Fol. ccxxi wyndye apostemes Fol. xlv wynde places apte to receaue wynde Fol. xlvi windie the cause of windy apostemes Fol. Eo wynde medicines breakynge wynde Fol. ccii wyndines in the eares Fol. cxlvii wine of pomgranades is made Fol. cxliiii wine to a woūde fo lxxxiiii wormes called sirones in the flesh Fo. cxl wormes and other thynges in the eares Fol. cxlvii woundes Fol. lxxxii ccxlv wounde of the heade Fol. lxxxvii woundes of the face Fol. xcii wounde sowynge of a wounde Fol. Eo cxiii woundes of the nose eares Fol. Eo wounde in the eye Fol. Eo woundes of the necke fol. xciiii woundes of the shulders fol. xcv woūdes of armes ioyntes
tables that thoroughe theyr spongiosite they myghte drawe theyr nouryshment And they ben full of pores that the moyst fumes ascendynge from the brayne maye vapoure out wythout the hurte of the brayne The hed was made of sondrie bones to the entente that yf one parte were hurte it shulde not be commucated to the other And that the Anatomie of membres cōtained in the head might be more euidently declared it is profitable after that ye haue taken awaye the flesche of the sculle of the eyebrowes to diuide the brayne panne with a sawe circularely For incontinently assone as it is opened ye maye see the inner table full of pores and glassie as the outwarde and ye may see also the saide true commissures to whiche the pannicle called dura mater is knyt and ioyned Nature hathe produced thies commissures for foure causes The first is that the veynes maye entre by them whiche brynge nourishement to the brayne The seconde that the fillettes or thredes of the sinowes procedynge from the braine maye comme out and gyue felyng to the partes lying aboute The thyrde that the vapoures ascendyng to the braine may haue passage The last that the pannicle dura mater maye be holden vp that it greue not the braine By the middele or sagyttalle commyssure there passe two veynes procedynge frome the liuer and entre in vndre the sculle lyke wyse by the hole of the bone called basilare theyr commethe an Arterie procedynge frome the harte and ascendeth in to the heade vntil he ioyne hymselfe to the sinowes and veynes afore sayde Of whiche the harde pannicle called dura mater is cōpouned and is ioyned to the commissures procedynge wythout them by certaine lytle synnowes and as it were heres so that those synnowes and heere 's or thynne thredes commynge out of the commissures make a pannicle whiche couereth all the sculle and is called Gingiua mater or Pericraniū Pericraniū Therfore it was conuenient that an Arterie shulde ascende vpwarde frō the hart for if hys pulsatiue mouynge and subtile bloode shulde haue gone downewarde it wolde haue descended to hastely Therefore it is moderated by mountynge or goynge vpwarde Neuertheles it was mete that the veyne shulde goe downewarde frome the ouer parte to the nether that the grosse bloode myght easely descende Also the sayde veynes synnowes Pia mater and arteries ioyne them selues together agayne as it is sayde and make a pannicle verye thynne and subtile called pia mater whiche couerethe al the braine And than the sayd veynes and arteries goe downe to the braine and gyue it lyfe nourischement and vitall spirite procedyng from the harte And asmuche more as the braine receaueth of that vitall spirite so muche more perfecte ben the animall spirites The brayne is a substaunce full of marye diuided in to three vētricles of whyche there is one in the fore parte which is greater than the other three The brayn● The seconde is in the myddest The thyrde hath hys resydence in the hyndre parte And therfore after Galenes iudgemēt it is the foundation of imagination and of deuysynge and of remembraunce Rasis also affyrmethe that the thyrde ventricle is the fountayne of the senses and voluntarie mouynge The Nuke is as it were a streame descendynge from the sayd partie The Nuke and the synnowes that comme frome the same are as it were lytle ryuers commynge out of a greate streame And moreouer the sayd Rasis sayeth that whan the heade sprynge that is the brayne is endammaged al the ryuers namely synnowes descendynge frome the same be also endammaged by the reason of participation But yf anye harme chaunce to the ryuers the foūtayne is not alwaye hurted but the places wherunto the synnowes are directed The substaunce of the braine is whyte and full of marye and softe and of a colde and moyste qualyte In whyche qualytee it differreth frome the maryes of other bones For it was not ordayned to nourishe the sculle but to conteyne the brayne to preserue the same And the pryncypall vtilyte of it is to tempre the heate of the vitall spirites procedynge frome the harte that the animall spyrites myght be made Of vētricles We sayed before that the brayne hathe three ventricles and the former and the hynder after the opinyon of Anatomistes ben diuided in the myddell that is to saye in the ryght syde and in the lyfte and the sydes of them ben wrapped aboute wyth the sayde pannicles goynge here and there vnto the fundation by whiche the ryght parte is diuyded frome the lyfte In the fore parte that is in the fyrste ventricle consysteth fantasie Fantasie whyche retaynethe the semblaunces of thynges receaued by syght and hearynge In the hyndre parte consisteth the vertue imaginatiue Imaginatiue vertue whyche apprehendethe thynges receaued reteyned by fantasie In the middel ventricule resteth the commune sense Commune sense whych apprehendeth the semblaūces of thinges brouze vnto hym by particulare senses and therefore it is directed to that place and there is ended And hereby appeareth the profite of this ventricle which serueth to imagination or fantasie to the cōmune sense and was produced that it shulde gyue sense animal spirite to al the instrumētes of felyng Also the accidētes which may chaūce to this ventricle ben apparant as solution of continuite euyll complectiō the payne of migraime whan there is anye hurte in the ventricle and some tymes it sufferethe Apostemes hote colde Yf the Aposteme be hote and cōsiste in the pānicles it is called Sirsen Syrsen Yf the Aposteme be colde it is called Lethargus Lethargus and inducethe forgetfulnes And yf by chaunce there be an Aposteme in the substaūce of the braine it is called a mortal Aposteme There maye also chaunce to them a disease by reason of the euyll composition with yf it bee vtterly stoppynge ether it is by vapoures Vertigo and than causeth Vertigo or scotome which is a darckenīg of the syght and a swymmyng in the head as though all thynges turned aboute Or yf it be of an euyll humour than it causeth astonishement and the Palsie Palsye And yf al the ventricles of the braine be stopped with the substaunce of the braine Apoplexie they cause a cōtinuall apoplexie Also the braine is diuided in to foure partes the former the hynder the right the lyfte in the former parte bloode raigneth in the hyndre parte flegme in the right cholere in the lifte melancholie And therefore the former parte is hotest ¶ The seconde ventricle AFter that we haue spoken of the fyrst ventricle and of the seate and complection of it and of the vtilities and diseases that maye chaunce to the same it is conuenient that we speake of the seconde vētricle In the ende of the first ventricle there ben two smal partes or substaūces after the maner of the nastrelles of a man whyche ben to the ventricle as it were a bedde
ben prycked Vuula Semblably the Vuula was produced cheifly to forme the voyce in retaynynge the ayer accordynge to the wyll of man And also to purge the superfluites of the brayne and it hangethe iustly betwene the two Amigdales or almandes as it were a grayne of a Pyne apple and it is of a spongious and rare substaunce ¶ The .v. Chap. of the Iawes and the Teethe AFter the opinion of Anatomistes the teth bē xxxij Incisorii in nombre Of whych some ben Incisorij that is cuttynge and they serue to cut the meate Canini The other ben called Canini sharpe as the teethe of a Dogge and they are cōmunly called the eye teeth for theyr rootes goe welnygh to the eyes Molares There ben some which be called Molares bicause they grynde the mete as a mille corne and they begynne the fyrste digestion There ben .xvi. in the ouer iawe they ben compouned of .xiiij. bones whose compositiō is vnknowen And that iawe is couered wyth a pannicle procedynge out of the fore part of the foreheade whyche pannicle is called Pericranium Consequentelye the sayde iawe takethe parte of the synnowes of the thyrde payre procedynge frome the brayne and of the secōde parte of the Nuke The skynne of the face commethe of the Pericranium and takethe parte of the thyrde payre and parte of the fourthe and fyfte payre of synnowes procedynge frome the brayne wyth certayne veynes and Arteries and stretcheth it selfe ouer all the face and therefore the sayde synnowes cause the felyng and mouyng of all the face It is conuenyent to knowe that all the teethe ben knytte wythe lygamentes and pannicles procedynge out of the foresayde pannicle The nether iawe is compouned of two bones and aboute the chynne it is ioyned together lyke a sawe and is knytte to the other And we wyll make a chapitre of them and of theyr dislocation or displacynge ¶ The .vi. Chap. of the tonge and of the eares THe tonge is a mēbre ryght necessarye whyche nature hath produced in the mouth Tonge and it is spongious and fleschie compouned of sinnowes Lacertes Veynes Arteries and Ligamentes And the roote of it is planted in the bone called Os Laude and is tyed wyth manye ligamentes The synnowes of it procede of the syxt payre of synnowes cōmyng from the braine and receaue felyng thereby and mouynge of the .vij. payre of synnowes commynge frome the brayne Vndre the tonge there ben two veynes whyche appeare whan the tong is lyfted vp The cuttyng where of is verye profytable for manye passyons of the throte whyche we wyll speake of in the cure of a quynce And the tonge was pryncipally ordayned to speake and to conueye the meate in to the mouthe And it is verye necessarye to the arte of Phisicke For by taste we obtayne the knowlege of manye thynges called Simples And the synnowes of tastyng comme from the fourthe and syxte payre of synnowes of the brayne And in that ther ben .ix. lacertes procedynge frome the bone called Laude and frome the addytion sagyttall There is vndre the tonge glandulous or kernelly flesche in whyche there are two lytle oryfices or mouthes which purge the spittell lyke a strayner The Eates In the extreme ouer partes of the iawes the eares ben situated aboute the bones called Verualia and are founded vpon the bones called Petrosa whyche ben harde and bored thorough After the bone called Mendosum or False there ben manye innolutions or inwrappynges in their passage goynge inwarde tyll the fyfte payre of synnowes of the brayne be touched And by the vertue of them the power of hearynge is gyuen to the eares And therefore the sayde Synnowes ben hollowe that they maye the better heare all soundes And aboute the eares and extremitees of the iawes nature hathe produced a cartilage or grystell whyche fynyshethe the eares And at the extremytees of the sayde eares there ben synnowes and smalle threedes of veynes and Arteryes produced circlewyse Therefore the incisyon or cuttynge of them must be done after the maner of an halfe circle There ben afterwarde in the right and lyfte syde of the Necke behynde the eares two veynes procedynge frome the liuer vndre the whyche there are Arteryes procedynge frome the harte and mounte vp by the commyssures or seames of the heade as it is a foresayde vnto the brayne And whan they haue done theyr effecte in the heade they retourne towarde the eares And they conduycte some parte of the sede to the reynes and extende to the vessels of sede And thys is the cause that he canne not engendre that hathe the veyne vndre the eares throughly cutte Lykewyse nature hathe produced in those partyes of the necke two as it were lytle neckes one in the ryght syde another in the lyfte and theyr foundacyons ben planted in the bones of the heade And therefore they ben of the nature of lygamentes and they procede frome bothe the sydes of the backe bone vnto the ende of the same they ben called longe neckes And so they ben the restynge bedde of all the synnowes procedynge from the Nuke ¶ The seuenth Chapytre of the Anatomie of spondyles or of the chyne bone A Spondele is a bone bored thorough whiche maketh the backe bone and thorough the hole thereof the Nuke passethe frome one ende to another Spondeles And the sayde spondele hathe manye addytions or particles descendynge and ascendynge whyche successyuely ioyne them selues one to another tyll they come to the extremyte of the backe And thys ordynaunce of dyuerse portyons or pyeces is as it were the conseruatyon of the Nuke And out of eche side of those spōdiles sinnowes issue which bene dispersed in to sōdrie partes of the body as we shal shewe here after Moreouer there ben foure partes of spondiles in the backe as Galene witnesseth the firste is the necke the secōde the spondiles of the shoulders the thyrde the loynes Os sacrū the fourth Os sacrū or the hyppe In the firste parte there ben .vii. spōdiles in the seconde xii in the thyrde .v. in the fourthe .vi. But of the muscles sinnowes and veynes of the necke we wyl speake in theyr propre chapiters ¶ The .viii. chap. of the Anatomie and figure of the eyes SEynge that the eyes bene righte profitable to mans body Of the eyes we must serche diligently the anatomy of the same that when we know the disposition of them their cōplectiō we maye more easely helpe thē Their situatiō is manifeste to euery bodye Nature hath ordeined two that the body might be guyded the better and that yf one shulde be put out the other might cōduict the body And they ben mēbres cōpouned of seuen skinnes thre humours I wyl declare first their cōposition after this sort First frō the fore parte of the brayne procede two sinnowes beyng holowe cōmyng from the first paire of sinnowes of the brayne Nerui optici which assone
speake of the mēbres in the belly called conteynynge And fyrst of Siphac Siphac Siphac is an harde pannicle growynge out of the midriffe which descendeth towarde the spondyles of the backe And the stomake and the guttes bene susteyned by the sayde pannicle and it endeth in the nether parte of the bellye And of the sayde Siphac the two didimes ben engēdred which descende to the stones ouer the bone called os Pectinis Didimes And the didymes ben thin skynnes which compasse the stones holde them hangyng And through the myddest of them certaine veynes arteries passe By whiche the seede is conduicted to the stones and so cōueyed to the yarde by these didymes two lytle braunches ascende from the stones which are called the vesselles of seed ¶ Of the stones THe stones ben nombred amōg the principal membres The stones which nature hath made for generacion And they ben of glandulos and whyte flesh And they are also of gret felyng by reason of the participacion that they haue with the sinnowes of Siphac and by reason of certayne small fylmes or thredes procedynge from Mirach Therfore whan the zirbus or caule descendeth with the didymes it stretcheth them oute beneth And it is the cause of greate payne so that the paciente thynketh that his guttes be rent from the fat ¶ Of the yarde and of the blader The yarde THe yarde is a membre very ful of sinnowie lacertes with many ligamentes veynes and arteries It is hollowe and that holownesse is ful of ventosite or winde engendred in the pulsyng veynes by which ventositie the eleuation of the same commeth This eleuacion procedeth chefely of the arteries whiche come from the herte for the herte gyueth volūtary motiō to the sayd arteries The ligamentes of the yarde procede frō the bones of the thighes And the synnowes growe frome the nether parte of the nuke and by reason of those sinnowes the sayd yard is of great felynge The veynes of it procede out of a greate veyne descendynge from the lyuer And the arteries procede of a great arterie descendynge from the hert whan the herte gyueth voluntarye motion to them And the sayde veynes and arteryes ben greater and euydenter in the yard and vnder the tonge then in anye other place of the body Therfore bycause of the synnowes it hath participacion with the nuke bycause of the veynes and arteries it hath particypacyon with the herte and the lyuer And about the yarde in the extremitie therof there is found symple flesh as we haue sayde And thus the partes of the yarde ben euydent and the profyte namelye to conserue kynde The qualitie of the sayde yarde by reson of the partes compouninge it is colde and drye The blader is a vessel compouned of two tunicles ordeyned of nature to receyue the vrine It is situated betwene the ouer part of the two bones of the thighes and the arse hole And in his mouthe called the necke of the blader there ben lytle muscles which draw the necke togyther and kepe in the vrine The vrine is conduicted from the reynes to the bladder by two emunctories or clensers called Pori vritides whiche whan they touche the bladder Pori vritides they entre throughe one of the forsayde pannicles and afterwarde they passe bytwene two tunicles of the blader tyl they come to the necke thereof In which place they pearce through an other tunicle and descende to the concauitie of the bladder conueynge the vrine thyther ¶ The Matrice or wombe THe matrice is situated betwen the blader The matrice and the gutte called intestinū rectum it is very synnowye that it may stretche out whā a woman is with chylde It hath also two ventricles which ende at one mouth and it hath lytle additions of flesh called the two hornes of the matrice and behynde them the two stones of a woman ben situated And the sayde stones ben smaller and broder than a mans but they ben not so lōg And the seed of a woman descendeth to them through the myddest of the matrice The necke of the matrice is stretched to the wycked of a woman and this necke is to the woman as the yarde is to a man Furthermore the mouthe thereof is strayte and harde in maydens hauynge fyue lytle veynes which breake whan a maiden is defloured The matrice The matrice of a woman with child is so closed that the poynt of a nedle can not entre in And therfore the accustomed purgations come not forth For whan they issue out it is a sygne that the chylde is not in helth as Hippocrates wytnesseth And whan the tyme of deliueraūce is come or whā an aborcemēt chaūceth the necke of the matrice so stretcheth out that the chylde may passe throughe The generacyon of a chylde is of Sperma or seed and it is noryshed with menstruall bloude And the fourme of a male chylde is sooner fynisshed than of a woman whyle the chylde is in the matrice certaine veynes come to the same by which the infaunt receyueth his noryshment we wyl not declare here howe it receyueth hys norysshment for that pertayneth more to phisitions than to Chyrurgeins Neuerthelesse thus moche ye shall knowe that the sayd veynes by which the chylde receyueth nourysshmente breake whan the tyme is come that the chylde shal be borne ¶ The .xiii. and .xiiii. Chapter of bones and of the muscles of all the bodye WE sayde in the first Chapiter of simple membres that there bene in mans body two hūdred fourtie and eight bones besides the bones called laude and Sisamina bycause the Chyrurgians name them cōmunely in latin we thought good so to ordre them in latin as it foloweth A Os coronale .i. B Ossa parietalia .ii. C Ossa petrosa .ii. D Os laude .i. E Os basilare .i. F Ossa paris .iiii. G Ossa nasi .ii. H Ossa colatorii .ii. I Ossa mādibule superioris .xx. K Ossa mandibule inferioris .ii. L Spondilia vera et mēdosa .xxx. M Ossa furcule .ii. O Ossa vtriusque spatule .ii. P Os vtriusque adiutorii .ii. Q Os vtriusque focilis .ii. R Ossa rasete manuum .xviii. S Ossa pectinis manuum .x. T Ossa digitorum manuū .xxx. V Os focile minus brachiorū .ii. X Caste vere et mendose .xxiiii. Y Ossa thoracis .vii. Z Os cordis .i. Os Epiglottale .i. 9 Ossa ancarum .ii. a Ossa coxarum .ii. b Rotula genuum .ii. c Minor canna tibiarum .ii. d Os chaab tibiarum .ii. e Os nauicularis tibiarum .ii. f Ossa pectinis pedum .viii. g Ossa calcanei pedum .ii. h Maior canna tibiarum .ii. i Ossa caude .iii. k Os pectinis .i. l Ossa digitorum pedū .xxviii. m Dentes .xxxii. ¶ The .xiii. Chapter of muscles WE said before that the muscles of mānes bodye bene in nōbre .431 Muscle A muscle is a membre cōpouned of flesh synowe ligamente synnowye fylmes and of a Pannicle couerynge the sayde partyes And
and with a decoction of mallowes make a styffe playstre adding in the ende of the decoction of oyle of roses of oyle of Camomil Ana ℥ ii of buttyre of cōmune oyle ana ℥ i. ss the yolkes of two egges put in whā the decoction shall be taken from the fyre This playstre is of good operation in appaysing griefe in drawing mater to the incision or opened place and suffreth not the sides therof to be rawe After digestion ye must mundifye the place and so incarne it and seale it vp after the doctryne declared in the Chaptre of Flegmon whervnto resorte as the case shall requyre ¶ The xxii Chapter of Frōcles and of theyr cure A Froncle is a lytle Aposteme A Froncle engendred of grosse bloude causyng griefe whan it cometh to maturation and it is with pulsation hauynge the accidentes lyke to the accidentes of Flegmon Neuerthelesse it hath one signe that is not in Flegmō and that is that there issueth out of it without openyng a grosse mattier lyke a rotten synnowe ☜ Note that yf a froncie be not spedelye remedyed it wyll be chaunged into a carbuncle To the cure of a Froncle there belonge thre intentions The fyrste is to ordre diete The seconde to purge the mattier antecedente The thyrde to take awaye the mattier conioynct The fyrst and seconde intention ben accomplysshed after the doctrine declared in the Chaptre of the cure of Flegmon The thyrd intentiō which is to take away the mattier cōioynct is accomplysshed by application of medicines maturatyue For this aposteme commeth euer to maturation and neuer to resolution A maturatyue This is the fourme of a good maturatyue Take of the rotes of white lyllyes ℥ vi of the rotes of tendre buglosse ℥ ii of mallowes vyolettes an̄ m̄ i. whan they bene soddē presse out the water and stāpe them and afterwarde in the decoction of the foresayde thynges make a styffe plaister at the fyre with the floure of wheat barly addyng in the ende of the decoctiō of buttyre ℥ ii of swete oyle ℥ iiii of swynes grece ℥ ii and ss the yolkes of two egges of saffran ℈ i. thā mēgle them with the foresayde thinges stamped and laye it to after the maner of an hote Playstre whan ye chaunge this playstre laye vpon the sore this liquide Cataplasma ℞ of the foresayde decoction li. iii. of the floure of barly It is ℥ i ss in the Frenche and wheate ana ʒ i. ss of cōmune oyle of buttyre of swynes grece melted ana ℥ ii wyth the yolkes of foure egges let them seeth all togyther except the yolkes of the egges to the consūptiō of the fourth parte than put to the sayd yolkes of egges This cataplasma is very euaporatyue it muste be applyed hote with cloutes steped in the sayd decoction It helpeth maturation and procureth the mattier to issue oute and appayseth the payne whan ye perceyue that the froncle is come to maturation and that the grosse matter is purged that with the fornamed plaistre it is good to ayde digestyon Amfidificatiue laying a lytle pece vpō the openyng of the froncle of this abstersiue ℞ of clere terebentine ℥ ii and. ss of hony of roses ℥ i. of the iuce of smalage ʒ vi Let them seeth al togyther vnto the consumption of the iuce thā put to of the floure of barly wheate and veanes an̄ ℥ ii and. ss of saffron ℈ ss the yolke of a newe layed egge This mundificatyue with the plaistre aboue named is verye good to purge grosse matter engendred in froncles After that the grefe is apppaised and the inflāmation hath ceased so that the grosse matter be somewhat purged perfectly to heale the froncle vse this oyntment An oyntmēt ℞ of whyte Diaquilon without gūmes ℥ ii of clere terebentyne of swynes grece ana ℥ ii ss of litarge of golde and syluer of minium ana ʒ ss of Cerusse ℥ i. of oyle of roses ℥ i. and. ss sturre them about at the fyre and make a cerote adding of white waxe asmoch as shal suffice A sygne of perfect decoction is whā the oyntment receyueth a blacke colour This is our shorte curation of froncles which we haue oft proued with good lucke Thus we ende the fyrst parte of the second boke for which god be praysed and thanked ¶ The seconde treatyse of the seconde boke of colde Apostemes in generall ¶ The fyrst Chaptre OF cold humours Apostemes are wont to chaunce in euery parte of mans bodye Symple● colde apostemes of sondry qualities and quantityes aswell in composition as in symplycitie Symple colde Apostemes bene these glādules or kernelles scrofules nodys or knobbes sephiros vndimies a canker wyndy apostemes and full of water Neuertheles some of these through adustion bene made compounde as it chaunceth in a canker and in sephiros Some of these also are made compounde throughe the admixtiō of humours as it chaūceth in Vndimia These harde Apostemes scrophules glandules bene engendred of gros steame or of indurated melancholy Sometymes certayne colde Apostemes ben engendred of subtyle matter as vndimious Apostemes Sometyme an imposteme is engendred of subtyle watrye fleame as the hydropsye Sometyme of vaporous fleame a wyndye aposteme is engendred And oftentymes in the bodyes of chyldren there is engendred a kynde of colde exitures in whyche mattier is founde lyke the iuce of floure tempred wyth water And oftentymes it produceth quytture without payne and without pulsation of the place and without chaungyng of the place frō his proprecolour whiche thynge is agaynste Auicenna sayinge be ye assured that oute of an Aposteme in the exterior partes in which there is no pulsation neuer cōmeth any corruption But ye must vnderstande Auicenne of hote Apostemes and not of colde For as we sayde before we haue sene many colde apostemes vtterynge quytture or fylthe withoute payne and pulsation Of whiche one after an other we wyl speake in this present Chaptre ¶ The seconde Chaptre of Vndimia Vndimia VNdimia as Galene wytnesseth is a Flegmatyke apostem of white colour softe in felynge withoute heate chefelye whan it is pure How this aposteme is compounde it is suffycientlye declared in the chaptre of Flegmonyke Apostemes A true and symple Aposteme called Vndimia is engendred of naturall fleame whiche as Auicenne declareth in the chaptre of humours is nothyng els but bloude vnperfectlye decocted this Aposteme is wyth lytle payne chefelye whan it cōmeth of a cause antecedent Sometymes after Auicenne this Aposteme is engēdred of a cause Primitiue and than it is not without payne howbeit vndimia cōmeth not ofte of a cause prymitiue The reason is bycause the humours that resort to the hurted placebe not colde but hote For nature sendeth bloude or cholere and spirytes as seruitoures to succour the hurted place Of whiche humours an hote Aposteme is engendred Note that the truest sygne of simple Vndimia is Signe of Vndimia yf
chaunceth in the face Noli me tangere it is called noli me tangere If it chaunce in the thyghes or in the legges it is called lupus Lupus in other partes it is called a cāker And they assygne an other dyfference and qualitie of complexion and they saye that a canker called lupus or woulfe is caused of more burnynge choler than Noli me tangere But touchynge the distinction of the later doctours we haue founde nothynge in auncyent wryters A canker taketh hys name for one of the two causes folowynge as Auicenne sayeth namelye bycause it stycketh to the membres of the patient as a creuyce or a crabbe called in latyne cancer in the hande of hym that holdeth it or it is called cancer bycause of the rounde forme and bycause that all aboute there bene sondrye veynes as it were the feete of a crabbe or creuyce This canker as Rasis wryteth to kynge Almansor is a disease in whiche is greate laboure and werynesse Fynallye of the dyfference bytwene a canker and Sephiros we haue playnly wryttē in the Chaptre of Sephiros Note this one thynge that a canker is engendred by the way of cōmencement or begynnynge Sephiros by the way of cōsequution or folowynge Thus endeth this chaptre for which god be praysed ¶ The .xi. Chaptre of the cure of a canker and hys kyndes WE haue shewed in the former Chapter what a canker is The cure of a canker in this chaptre we wyll speake of his cure aswel eradicatyue as palliatyue There ben foure intentions necessarye in this disease The fyrste is accomplysshed by the ordynaunce of diete The seconde by digestyon of the mattier antecedent The thyrde by purgation of the mattier antecedent The fourth by a gentle resolution of the matter conioynct wyth a comfortation of the sore place The fyrst and the seconde intention is accomplysshed after the doctryne wrytten in the Chaptre of the cure of Sephiros The thyrde intention which is to purge the matter antecedent after digestion is accomplysshed by medicynes that purge euyll humours Fyrst let the matter be thus dygested ℞ of syrupe of fumiterye Digestyue of the iuces of sorell of buglosse Ana ℥ ss of the water of fumiterre Buglosse and maydenheere Ana ℥ i. mengle them whan the Pacient hathe vsed thys Syrupe the space of tenne dayes let hym be purged with thys purgation ℞ of electuarie lenitiue of Diacatholicon Ana ʒ vi of the cōfection of Hamech ʒ iii. Make a smal potion with the decoction of cordyal floures and frutes of myrobolanes called Kebuli and emblici Note that ye ought not to be contented wyth one purgation as we haue sayde for the matter is melancholyke Neyther muste ye proceade with a stronge medicyne as Galene testifyeth sayinge whan the matter is melancholyke ye must purge it by lyttle and lyttle wherfore we haue wrytten sondrye remedyes to digest and purge melancholye in the Chapter of Sephiros Haliabas is of the same opynyon touchyng the purgation of this matter sayinge be not content with one purgation in the mattier that causeth a Canker but purge it ofte tyl ye perceyue that the sayde mattier is clene euacuated Flebotomie Galene and Auicenne saye that we may sometime vse Phlebotomie chefely in a yonge and stronge body And in this flebotomie large incision must be made that the grosse melancholy bloude maye easely yssue out Purgation we haue proued the purgation folowyng in this case and afterwarde the purgation aboue named And this is the forme of it ℞ of the coddes of sene of epithimum Ana ʒ i. of the confection of Hamech ʒ ii of iuleb of vyolettes of roses by infusion of Buglose Ana ℥ ss of gootes whey ℥ ii mengle them Gyue this to the patiente in the mornynge and thys small purgation must oft be renued The fourth intention whiche is to take away the matter conioynct shal be accomplysshed by the administration of conuenyent medycynes vpon the canker And those shall be gentle resolutyues resoluynge by lytle and lyttle the mattier conioynct and they are pryncipally good whan the canker is not vlcered Resolutyne The fyrste ordynaunce is this ℞ of the oyle of Roses omphacine of the oyle of vyolets Ana ℥ ii of vnguentum rosarum of Vnguentum Populeon Ana ʒ x. of the iuce of Plantayne and nyghtshade Ana ℥ ss of the decoction of malowes vyolettes and holyhocke of the seede of Quynces of Psillium sodden accordynge to arte li. i. of calues tallowe ℥ iiii of the mary of calues legges and of an oxe legge of duckes grese of oyle of camomylle Ana ℥ i. Let them boyle all vnto the consumption of the iuce and decoctiō and than strayne them and put vnto the straynynge of whyte Diaquilon ℥ iii. of lytarge of golde well brayed ℥ iiii of tutia Alexandrina ʒ x. And make a softe cerote with whyte wax by arte and fyre styrrynge it about This cerote is very good in this case resoluynge matter and comfortyng the place with some mollification Also to the same intention the descryption folowynge is cōmendable An other ℞ of Oyle of Roses ℥ ii of Oyle of Vyolettes ℥ i. of calues grese ʒ x. of the iuce of nyghtshade and plātayne Ana ℥ i. let them boyle vnto the consumption of the iuyce than strayne them and styrre them about in a mortare of leade two houres Yf it chaunce that the canker be engendred in suche a place that it may be roted vp without cuttyng of great veynes and synnowes and if it be in a stronge bodye you maye vse incision or cauterisation and it shall be a true curation Anicenne sayeth that a canker at the begynnynge maye be healed but whan it is confyrmed it receyueth not true curation And it chaunceth often in the inner partes so that hys generacyon is hyd and than it maye be easely rectifyed The rectification is that it be not moued wyth a stronge medycyne For yf it be moued wyth a stronge medicyne it maye brynge the pacient to sodayne death But yf ye procede wyth gentle medicynes it is possyble that the lyfe of the patient maye be prolonged and some health recouered in palliynge the canker It is euydent by the aucthoritie of auntient men that an olde and malygne canker canne not be healed by true cure that is to saye by incision or cauterisation or application of medicynes wherfore Albucazar coūsayleth this whan a canker is olde and confyrmed meddle not wyth it And he sayeth moreouer that he neuer sawe nor hearde that anye bodye was healed of an olde canker Thys it appereth that Hipocrates doctrine is true ☞ whiche sayeth it is best not to take cure of them that haue hydden cankers but to vse a cure palliatyue Yf ye stoppe the canker the humours which were wonte to come to the vlcered place wyll go to the princypall membres Yf it chaunce that ye wyll make incision in this disease ye must do it wysely For as Auicenne
thyes sharpe fieuers no appearaunce of swellynge or rednes wythin difficultie of breathyng and swallowynge meate and sometymes the tonge is swollen and the iawes and whan the voyce canne not be well formed but it semeth that the patyent speaketh thoroughe the nose it is an euyll sygne and also whā the face is pale and the eyesmoue hither and thyther oftentymes there chauncethe wyth the sayed sygnes a yowxynge Thyes are the sygnes that folow an Aposteme of daungerous terminatyon and thys last termination is wurst of all A Sanguyne Squinancye Furthermore thys disease is sometyme engendred of sanguine mattier somtymes of Choleryke and seldome of Flegmatyke and most seldome of Melancholyke mattyer The sygnes of a sanguyne Squinantia maye be taken out of the Chapytre of Flegmon in generall and lykewyse of other humours accordynge as it is declared in theyr propre Chapytres at the begynnynge of Apostemes after the dyuersyte of the foure humours The cure of Squinantia To cōme to the cure of Squinantia there ben foure intentyons requyred thereunto The fyrste is to ordre dyete The seconde partlye to turne asyde the mattyer antecedent partlye to purge by the nether partes The thyrde to take awaye the mattyere conioyncte The fourthe to comforte the place frome whyche the mattyer is descended The fyfthe to correcte the accydentes The fyrste is accomplysshed by the adminystration of the syxe thynges not naturall Diete of whyche we haue abundantly treated in the former Chapytre of hote Apostemes in generall Wherefore for hys dryncke as good Mesue sayethe lette the patient vse at the begynnyng water of suggre and Hydromell and successyuelye he muste comme to the water of cleane lentiles or barley mengled with a iuleb of violettes or Roses by infusyon Thies take away thyrst and swage inflammation Furtheremore for hys meate he maye comme by lytle and lytle to a potage made of the floure of beanes and barley sodden in water If the patyent be stronge lette the foresayde thynges be sodden in the brothe of a leane chyckynge yf he be weake wyth the addition of oxymell and suggre Laste of all gyue the patyente reare Egges wyth the brothe of an henne Thus by lytle and lytle we muste fortifye nature and so doynge we maye restore the patient to hys fyrste estate Item at the begynnynge ye maye gyue the patyent wyne of Pomegranades wyth a lytle suggre and water of barley For it is bothe dryncke and a remedye of the Aposteme For it resoluethe familiarly and gentilly and moreouer it quenchethe the heate of the place Apostemed and kepethe the meate in the stomake frō corruptynge as Auerrois testifyeth whych vertues ben necessarye in the cure of thys dysease The seconde intention whyche is partly to purge the mattyere antecedent and partlye to turne it asyde is accomplysshed by an v●yuersall purgation aswell by flebotomie as euacuation of the bellie and moreouer by rubbynge the extremites of the bodye and byndynge them laiynge ventoses vpon the shulders and vpō the necke wythout scarificatyon or wyth scarification as the case shall requyre All thyes thynges muste be done spedely for thys disease sufferethe not delaye wayting to worcke after the rules of Phisyck Whan you cōme to the curatiō of this disease Phlebotomie yf the strēgth and age of the patient wyll suffre it shal be conuenyent to cutte the veyne called basilica in the cōtrarie syde presupposed that the patiente be purged fyrst with a clyster leuiti●e And .xij. houres after you may cutte the veyne named Cephalica in the same syde so that no lette be Afterwarde to take awaye the mattier conioyncte after the doctryne of all doctours it is conuenient to cutte the veynes vndre the tonge For it is a synguler remedye whan the strength of the patient cāne endure it Item it is good to turne away the mattyer plungynge the legges vp to the knees and the armes to the Elbowes Decoction in thys decoctyon folowynge ℞ of Camomille Melilote Roses sticados m̄ ij of branne M. iij. of rosmarye sage wormewoode Ana. M. j. of squinantum a lytle Let them boyle all together wyth a sufficyent quantytie of rayne water asmuche odoryferous wyne vnto the consumptyon of the thyrde parte Thys lotion ministred as it is sayd before and as hote as the patyent maye suffre it onlye twyse a daye aydethe muche the quynce drawyng the humours from the sore place vnto the inferyour partes After thys you maye diminishe the mattyer wyth conuenyent laxatiue medicynes accordynge to the dyuersite of the euyll humours If the mattyer be sanguine after flebotomye as is sayde you muste purge the same wythout digestion Purgatiō in a Sangui●● cause in this forme that foloweth ℞ of cassia of chosen māna Ana ℥ ss of tamarindes ʒ j. and. ss dissolue thē all together wyth the decoctyon of cordyall floures frutes and make a small potion addynge of syrupe of violettes ℥ j. and. ss But yf the mattyer be Choleryke Purgatiō in a Choleryke cause ye maye conuenientlye gyue the patyent thys purgation folowynge before flebotomye ℞ of chosen manna ʒ x. of Diaprunis non solutyue ʒ vj. make a small potion wyth the decoction of cordyall floures and frutes made of water of violettes and night shade addynge of syrupe of violettes ℥ j. and. ss If ye perceaue that blood is mengled wyth fleame Purgatiō in a mixte cause than gyue the patient pylles called Cochie and pylles of Iera wyth agaryke or in the stede of pylles purge the patient with thys purgation ℞ of cassia of Diacatholicō Ana ℥ ss Diaphinicon ʒ iij. make a small potion wyth the decoction of cordiall floures and frutes addyng of syrupe of violettes ℥ j. and. ss In thys case suppositories clysters hauyng some acuite or sharpnes seme more cōuenient thā medicynes receyued by the mouth For in this case the patientes abhorre to receaue medicynes by the mouthe The thyrd intentiō which is to take awaye the mattier cōioyncte is accōplished by the administration of sondrie thynges vpon the sayd Aposteme accordynge to the diuersitie of the tymes of this disease At the beginnyng of thys Aposteme you muste beware that ye lay not on it thynges vehemētly repercussyue before a purgatyon For in retaynynge the mattyer in the place and by inducyng of reumes it maye cause greate payne and consequently drawe muche mattyer to the place Wherefore before the purgatyon incontinentlye as sone as ye perceaue this Aposteme to begynne it is good to administer thys gargarisme folowynge whiche is of suche effecte that it conforteth the sore place and quencheth the heate of the mattyere wyth mitigation of the paine and resolueth somewhat the mattyer cōioyncte and kepethe the mattyer antecedent from commynge to the Apostemed place And it is in thys forme folowyng A gargarisme ℞ of the water of barley sodden vntyll the barley breake .li. ss of the wyne of swete Granades and sower Ana ℥ j. syrupe of Roses
breath For the mitigation of payne it is moste expedient to administre a gargarisme made of hote cowes mylke of syrupe of popie and a lytle oyle of violets and a lytle saffrā Let the patiēt gargaryse the sayd cōposition beynge actually hote Also the application of ventoses vndre the chinne is good after the opiniō of Celsus for it kepeth a man from suffocation bycause it draweth the matter to the outwarde partes To the same intention many doctours cōmaunde to applye a ventose vpon the necke wythout scarification We suppose the foresayd medicines to be sufficiēt for the cure of thys daungerous dysease for whyche God be thanked ¶ The .xviij. chapitre of apostemes of the necke and of the throte and theyr partes THere are often apostemes engendred in the necke Apostemes of the throte necke c. or in the throte of catarrhous matter beynge colde or mēgled And lykewyse of hote matter in chyldren by reason of the cōmunite that the necke hath wyth the head Thys aposteme cōmeth somtymes by rupture or breakyng by an hard crust or shelly scabbe that chaunceth in chyldrēs heades or by some stripe or woūd And it groweth in shorte tyme to maturation or resolution The sygnes of thys aposteme may easely be knowen by the doctrine of the vniuersall chapiters Sygnes The curation of these apostemes obseruation of general rules and purgation of the bellye presupposed is accomplyshed by the administration of conuenient remedyes accordynge to the place At the begynnynge whē the matter is mengled and the aposteme harde you shall rubbe the aposteme wyth oyle of camomill beynge hote and wyth oyle of lillyes and hennes grese and duckes grese layenge it vpō vnwashen woulle well toosed taken from betwene the legges of a shepe Yf the matter be hote rubbe the place with oyle of roses and violettes beynge hote and wyth oyle of camomill and hennes grese applyenge it as it is sayde before Yf thys aposteme chaunce in chyldrens neckes thoroughe the foresayde causes it shal be conuenient onlye to anoynte the place wyth oyle of roses violettes beynge actually hote And yf the sayd aposteme come to the waye of resolution A playster resolutiue then ye shall procede wyth a gentle resolution as is thys playster folowyng ℞ of the crommes of breade steped in the decoction of mallowes camomill melilote holihocke aboute .li. i. then bruse well the breade incorporate it wyth the foresayd decoction and seeth it at the fyer wyth oyle of camomil of roses and a lytle buttyr vnto a styffe thycknes addynge in the ende the yolkes of two egges of saffrā ℈ i. whyche done take it forthwyth frō the fyer Thys playster resolueth the sayd aposteme and resysteth not the maturation of the same Yf it come to maturitye ye shall helpe the rypynge wyth such thinges as are declared in the chapitre of the cure of Flegmon In whyche we haue taught the maner of makynge incision from the heade to the feete Item for digestion mundifycation incarnation and sygillation you muste procede as it is wrytten in the chapitre of flegmō A maturatiue Neuertheles we wyl descrybe here a maturatiue playster whych is after thys forme ℞ of the leaues of mallowes and violettes of euery one m̄ i. of whyte lillye ●ootes ℥ iij. Seeth the thynges in the broth of an hēne or of fleshe not salted wyth the crommes of bread steped in the sayd decoction and afterwarde pressed and strayned So make a playster wyth freshe buttyre in suffycient quantitie and commune oyle Seeth them vntyll they be thycke addynge in the ende two yolkes of egges and settynge them agayne vpon the fyer al together and make a playster This playster is of ryght good effecte for maturation and resysteth not resolution Yf the aposteme be catarrhous and hote the cure is in maner all one touchynge maturation and resolution Yf the matter be mengled with grossenes and heate and the chirurgiens intention be to resolue then he maye vse thys resolutiue folowing Resolutiue ℞ of the rootes of holihocke sodden and strayned .li. ss of the oyle of camomill dille of euery one ℥ ij of oyle of roses of duckes grese ℥ i. of oyle of lillyes ʒ x. of whyte diaquilon gummed ℥ iij. ss of the marye of the legges of a cowe of a calfe ana ʒ vi of cowes tallowe ℥ iij. make a cerote at the fyer nether to harde nor to softe wyth sufficient whyte waxe Thys cecote resolueth merueylouslye all harde matter wythout drawynge of matter to the place To thys intention the playster of melilote is good lykewyse the playster of diaquilon magnum Howe beit they are not so muche wythout daunger of drawynge matter to the place But yf the aposteme come to suppuration ye shall procede wyth thys maturatiue ℞ of lillye rootes Maturatiue and Holyhocke rootes of euery one .li. ss Seethe them in water stampe them strayne them and then make a stiffe plaister at the fyer in the decoction wyth the floure of fenugreke lynsede and wheate of euery one as muche as shall suffyce addynge of buttyre of swynes grese melted of euery one ℥ iij. and. ss the yolkes of two egges mengle them and wyth the forsayde straynynge incorporate them and make a playster When the aposteme is rype let it be opened and let it be digested thre or foure dayes afterwarde mundifye it wyth the mundifycatiue de apio or of smalage or with the mundifycatiue of syrupe of roses after our description After mundifycation vse an incarnatiue of honye of roses and sarcocoll bycause of the synnowes whyche are in the place Finally for other intentions yf it be nedefull resorte to the chapitre afore rehersed Note this that the quit ture muste not tarye longe in the aposteme bycause of the multitude of the synnowes veynes and lygamentes whych be in the place Thus we ende this chap. For which the name of God be praysed Amen ¶ Here endeth the thyrde treatyse and the fourth begynneth ¶ The fourth treatyse speaketh of the apostemes of womans brestes and it conteyneth foure chapiters of whyche the fyrste treateth of hote apostemes engendred in the dugges Hote apostemes in brestes THere is engēdred in a womans brestes an hote aposteme through sondrye causes sometymes of a primitiue cause by a stripe of the fyste or of a staffe or by to hard lasyng of theyr garmentes Sometymes of a cause antecedent that is to saye by to muche aboūdaunce of hote humours and by the curdynge of mylke and that for the moste parte The cure of an aposteme of the dugges caused by curdynge of the mylke obseruation of the vniuersall rules presupposed accordynge to necessitie shal be accōplyshed by the administration of mollifycatiue and resolutiue medicines hauynge for thys cause a lytle resolution that matter be not drawen to the place An aposteme of the dugges desyreth not repercussion bycause of the curdynge of mylke whyche is in the veynes Wherfore thynges euaporatiue and
that open the veynes wyth sedation of payne are very expedient at the begynnynge as we haue often proued Mollificati Here foloweth a mollifycatiue verye expedient in thys case ℞ of the leaues of mallowes and violettes of euery one m̄ i. of clene barley m̄ ss of smalage leaues of camomill floures of eche a lytle Let them boyle altogether in sufficient water wyth ℥ iij. of freshe buttyre and asmuche oyle of violettes vnto the consumption of two partes of the thre Thys mollifycatiue muste be layed vpon the place apostemed receyuynge the fume wyth hote cloutes moysted in the sayd decoction Last of of all let the place be rubbed wyth the forsayde buttyre and oyle of violettes sodden It is of good operation for by hys vertue of openynge it causeth the humours to breath out wyth gentyll resolution and sedation of payne To the same intention Another thys mollifycatiue folowynge is conuenient but it is more resolutiue thē the other ℞ of fyne branne m̄ ij of camomil m̄ ss of melilote well brayed m̄ i. of the flour of beanes ℥ iiij of the oyle of camomill roses dille of euery one ℥ i. and. ss of hennes grese of oyle of violettes of euery one ʒ x. make a styffe playster of all wyth sufficient sodden wyne addynge of saffran ʒ ij You maye vse thys that foloweth when the place is not enflamed Another ℞ of sodden wyne of honye of euery one ℥ viij and make a styffe playster on the fyer wyth barley floure Semblablye gotes dunge sodden wyth honye purgeth the mylke Item the floure of beanes and lentylles sodden with lye and sapa that is to say soddē newe wyne and wyth a lytle myntes and oyle of myrtilles and oyle omphacine mengled together and layed on after the maner of a playster dryeth the mylke merueylouslye To the same intention you maye take the crommes of breade plunged and moysted in the sayd decoction makynge a playster at the fyer wyth the foresayde oyle and buttyre and the yolke of an egge and a lytle saffran And here wyth ye muste playster all the dugge Yf you wyll make greater resolution adde to the playster laste rehersed of the floure of barley and beanes of euery one ℥ iij. and a lytle camomil and melilote well stamped Yf ye perceaue that thys aposteme cōmeth to maturation whych thynge is easely knowen by the rednes of the place and by the hardnes and pulsation or beatynge then ye shall procede to the maturation wyth thys maturatiue A maturati ℞ of mallowe and violette leaues of euery one m̄ i. of the rootes of Holihocke ℥ iiij Seeth them al in water stampe them and strayne them and make a playster in the decoction wyth the floure of wheate and barley addynge of freshe buttyre ℥ iij. of swynes grese melted ℥ ij the yolkes of two egges put in whē ye take the playster from the fyer then mengle it agayne wyth the straynynge and make a playster Thys playster is of merueylous operation in rypynge Yf the aposteme be verye hote and choleryke with participation of blood then ye muste procede wyth some maturatiue of a colde and moyste complection The descryption of thys maturatiue is wrytten aboute the ende of the chapytre of the cure of flegmon Note that we haue often founde thys aposteme to be of harde maturation chyefely when it is aboute the heade of the dugge vexynge the woman wyth vehement payne and causynge fyeuers so that somtymes it induceth a phransye Wherfore when suche peryll is doubted we muste procede wyselye to maturation and incision of the place The incisyon muste be made after the facion of the newe moone Incision that the vapours of the mylke and of the matter whyche hurteth the brayne maye yssue out by the sayde opened place Afterwarde for the dygestion and mundifycation you shall vse the medicines wrytten in the former chapiters Note that it is cōuenient to applie a mollifycatiue and resolutiue playster at that tyme when the incisyon shal be made bycause of the spongiosite of the dugge and of the humours whyche be yet in the matter conioynct that the place maye be mollifyed and some parte of the matter resolued Playster whyche playster maye be after thys sorte that foloweth ℞ of the crōmes of breade steeped in the decoction of holyhocke and then make a playster at the fyer in the forsayde decoction with buttyre and oyle of roses and camomill addynge the yolkes of two egges and a lytle saffran Item to the same intentyon thys descryption folowynge is verye expediente Another ℞ of the leaues of mallowes and violettes of euery one m̄ i. of camomill and roses of euery one m̄ ss Seeth them al in water stampe them and strayne them and put in the decoction of the crommes of breade .li. i. then bruse and strayne the forsayde breade and wyth the forerehersed thinges beynge strayned and wyth a lytle of the decoction make a styffe playster at the fyer adding of oyle of roses ℥ ij of oyle of camomill of buttyre ana ℥ i. and. ss the yolkes of two egges Thys playster is of great efficacite in resoluynge matter conioyncte and mollifyeng the place and swagyng paine as we haue often proued Item to thys intention it is good to make a playster of the flour of barleye and beanes in the forsayde decoction wyth thynges lyke wyse wrytten in the sayd descryption Here you shall note T●●ti 〈◊〉 not be to lō● that your tente must not be to longe bycause it myght cause great payne and it muste be hollowe made of leade or syluer or of the roote of dyttanie well pyked Canullaia or of a leafe of colewurtes dryed in the shadowe you maye moreouer make one of a gourde dryed in the sonne and it is the beste of all Yf it be nedefull to vse a stronger mundifycation then weete the tente wyth spettell and wrappe it in oure poudre and putte it in the mouthe of the vlcered place For it mundyfyethe myghtelye and purgethe the matter conioyncte When the tyme of incarnynge is come whych thynge is easelye knowen by the mitigation of payne and by the diminution of the matter and swellyng then put in this incarnatiue wyth a tente Incarntiue ℞ of honye of roses ℥ ss of terebentyne ʒ v. of Sarcocoll well brayed ʒ ij of frankencense ʒ i. and. ss mengle them After that incarnation is accomplyshed whyche thynge is knowen by the matter that issueth out lyke the slymynes of holihockes ye muste come to cicatrisation whych maye be after thys sorte that foloweth ℞ of the floures of pomegranades A sigilllatiue of myrobalanes citrins of roche alume cōbust or burnt of euery one ʒ i. of terra sigillata of bole armenie of euery one ʒ i. mengle thē Item the water of alume is of good operation wyth the foresayd thinges Note that from the daye that ye begin to mundifye vnto parfyte cicatrisatiō is good to vse our
swerdes c. Some by brusynge thynges as by staues stones c. Some by poynted thynges as by a darte an arowe and lyke Furthermore solution of continuitie in the flesh as the doctours say maye be restored by the waye of the fyrst intention but that that is in the bone can not be restored Porus sarcoidis but by the waye of the seconde intention that is to saye per porum sarcoidem Neuerthelesse the bones of yonge chyldren may be restored by the waye of the fyrste intention for two causes Fyrst bycause of the tendernesse of the bone Secondly bycause of the vertu of seede remaynynge yet in the membres of yonge chyldren Some doctours saye that the sinnowes the veynes and the arteries can not be restored by the way of the fyrst intention but by the way of the second intention as bones be Some saye that thys is true onely in arteries whiche thynge Galene wytnesseth sayinge manye haue thought that it is impossyble that the substaunce of an arterie shulde be consounded and theyr probation rested in consyderation and experyence The consyderation was that one of the skynnes of an arterie semeth to be grystellye for grystels and extremities of bones cā not be consounded neyther receyue incarnation The experience was that they neuer sawe an arterie to haue receyued incarnation Arteries may be consoūded But Galene reproueth theyr opynion sayinge that arteries ben incarned bothe by reason and experience By experience for we see sayth he often the arteries that ben vnder the veyne called basilica in the temples and in the legges to be consounded By reason it maye this be proued The bones receyue not consolidation bycause they be harde in an extreme degree But the arteryes being of a meane substaūce betwene a bone and flesh maye receyue incarnatiō by the way of the fyrst intention But before we come to the vniuersall curation of woundes it is expedyent The fyrst doctrine to be obserued in curyng of woūdes that we declare certayne doctrynes touchynge the cure of woundes Fyrst whan ye begynne to cure a depe wounde ye shal put your finger into it to assay whether there be any parte of the bone separated Yf there be you must drawe it out softlye for otherwyse you can neuer come to the true cure Secondly yf there chaunce greate affluence of bloude in the hurt place incontinently you shal staūche the bloude accordyng to the doctrine wrytten in a propre Chapitre of the cure of the fluxe of bloude Whan blood ought to be stopped But yf the bloode be not in greate abundaunce ye shall not staunche it which thyng is approued by Auicenne sayinge that yf the blood runne not to abundantly it is good to kepe the wounde frō apostemyng from oppilations and fieuers wherfore we maye conclude that bloode cōmyng in a small quantitie ought not to be restrayned But yf it runne abundauntly ye shall stop it for bloode is the treasure of lyfe The thyrde doctryne is that the lyppes of a grene wounde muste be sewed togyther incontinentlye that they be not altred by the ayre Also ye must take good hede that thycke and congeled bloode remayne not wythin the wound for it may cause payn and putrefaction and hyndre incartion The fourthe is that you must beware that no heer nor vnctuous thīg nor dust entre into the borders or lippes of the wounde For these thinges let true consolidation Howbeit whā the wounde is depe it is verye good to leaue an hole in the lower parte of it to put into the same a tent rolled in a digestiue of yolkes of egges and terebentine It is profytable for two causes Fyrst to purge the moysture and fylth commyng out of the depth of the wounde Secondly to appayse payne and to kepe the place from apostemation For the mattier that myght cause an aposteme is purged by the sayde hole The fyft doctrine is that after the vnition of the sondred partes by a cōuenyent seame Whan the poynts of the seame must be remoued the poyntes of the sayde seame be taken away after the syxt daye althoughe Arzilata commaundeth to leaue thē .x. dayes For the flowe remouynge of the poyntes causeth manye euyll accidentes as fylth engendred within them payne apostemation wherfore it is more cōuenyent to remoue thē the thyrd the fyfth or at the leest the syxt daye and in stede of them ye shall retayne the borders of the wounde by the admynystration of a pece encolled Enrolled what it is rede the .vi. cha of this boke of woundes wherof we wyl speake in the chaptre of woūdes of the face But to come to the curation of flesshie woundes we saye that therevnto there bene foure intentions requyred The fyrst is accomplyshed by ordynaunce of lyfe or diete The secōde by purgation of the body The thirde by application of sondrye remedyes vpon the sore place The fourthe by defending accidentes that they come not and by remouynge those that be come Concernynge the fyrst intention which is kepyng of diete Diete yf the patient be choleryke or sanguyne it is necessary that he eate no flesh nor drink wyne vnto the fourthe or seuenthe daye Also he must abstayne frō meates that engendre great abundaunce of bloude But flegmatike and melācholyke persons may eate fleshe and drynke wyne namelye at the begynnynge wherfore these chirurgiens the commaunde a strayte diete to all patientes as though they had a contynuall fieuer do euyll and vnlernedly For wine gyuen in due tyme to woūded men as the Philosophers saye furthereth moche the generacyon of flesshe in flesshye woundes wherfore the excellent doctour Arnolde de villa noua sayeth that a spedye consolidation of a wounde chaunceth not but by pure bloude wythoute watrynesse wherfore in this case what thyng is worse than to defraude nature of bloude by the meanes wherof that Wyne to a wounded that is lost is restored and that that is sondred is vnyed and conioyned and the wounde that is hollowe is fylled with flesh Yea we saye wyth Galene that wyne is cōuenyent to anye wounded man For whan it is dronken it engendreth good bloude and whan it is layed vpon the wound it dryeth and mundifyeth it whyche thynges ben requisyte in this case And it is as it were the artifycer of nature And therfore we saye whatsoeuer other thynke that the tru cure of woundes consysteth in two thynges Fyrst in hym that quykneth and mortifyeth all thynges Secondly in nature And nature can not worke ryghtly without the noryshmente of of good bloode neyther in great nor in lytle woundes wherfore we must conclude that meates which engendre good bloude maye be gyuen to wounded men that nature maye be able to engendre the lost substaunce for the consolidation of the wounde who is ygnoraunt that that medycine is not conuenient nor restoreth flesh which drieth humiditie notably and gyueth moysture to drye places cooleth superfluous heate and heateth colde partes
dayes you muste set the forsayd thynges vpō the fyer agayne boyle them vntyll the wyne be cōsumed thē strayne them through a thycke clouth with stronge pressynge set them on the fyer agayne addynge a sufficient quantitie of whyte waxe make a cerote in a good forme And when you wyl vse it you shall malaxe or softē it wyth gotes mylke or cowes mylke wyth the iuyce of the forsayde herbes last of al wyth aqua vite After that you haue vsed these thynges the space of fouretene dayes it is profytable to applye stouppes dypped in thys decoctiō folowyng ℞ of redde wyne Decoction li. iij. of roses of myrtilles of wurmwoode ana m̄ i. of the floures of pomegranades called balaustie m̄ ss of squinātū a lytle of the nuttes of cypres in nōbre .xij. of rosemarie of saynt Iohns wurte of madder of fyne graine ana m̄ ss of hony ℥ ij let thynges that are to be brayed be braied grossely thē boyle them vnto the cōsūptiō of the thyrde parte and strayne them Thys decoction muste be applyed actually hote after the maner aforesayd Note thys that a piece of syndall muste be put betwene the sculle dura mater as it is sayd before after the daye that the bone is remoued vntil the bloode or quytture whych was vndre the bone be clearely mūdifyed and vntyl the said pānicle be incarned with the sculle The application of a syndall betwene the sculle The cause of applicatiō of the syndall dura mater is profytable for two thynges Fyrste for purgation of bloode and quytture whych was vnder the bone and that easely depressyng dura mater from the bone wythout any hurte of the same Secondly it kepeth the ryme dura mater that it be not hurt through the roughnes of the bone when the sayd ryme moueth maketh pulsation or beatynge After that the fouretene dayes bene passed Incarnatiue ye shall fyll the woūde with thys incarnatiue for sufficient incarnation of the ryme dura mater with the sculle ℞ of clere terebentyne ℥ ij of hony of roses ℥ i. of odoriferous wyne ℥ iij. of saynt Iohns wurt of betonie of pimpernel of centauree the greater ana m̄ ss stampe the foresayd herbes mēgle them al together boyle them vnto the wyne be consumed then strayne them through a thycke cloth and adde to the straynyng agayne of cleare terebentin ℥ ss of hony of roses ʒ iij. of myrrhe ʒ ij of sarcocolle of aloes hepatike ana ʒ i. of saffran ℈ i. of sersed barley floure ʒ ij ss Yf it chaūce that in the wounde superfluous fleshe be engendred as we haue sene in many then ye shal laye vppon it vnguētū mixtū or roche alume burnt or our poudre of mercurie And yf any vnctuous fleshe be engēdred vpon dura mater the applicatiō of the poudre of hermodactyles is a sure remedy amōge al other And a spōge somwhat burnt hath the same effecte After incarnatiō let the place be sealed vp with vnguētū de minio A poudre sicar●izatine whych is wrytten in the ende of thys present chapitre puttynge thys poudre folowynge into the woūde ℞ of bole armenie ℥ ss of roche alume burnte ʒ ij of the floures of pomegranades called balaustie of mirtilles of myrobalanes citrine ana ʒ i. ss Lykewyse to thys intētion it is conuenient to washe the wounde with redde wyne in whyche roses mirtilles floures of pomegranades a lytle alume haue ben boiled we haue euer vsed these forsayd remedyes with our owne honour profyte of the patientes Auncient doctours haue declared the forme of sondry instrumentes of yron as trepanes hāmers molinels c. whych are perillous But it is our custome to describe those meanes of healynge patiētes that ben lest daungerous Auicēne also sayeth that many haue reproued the vse of trepanes and other instrumentes of yron Seynge nowe that we haue declared the cure of a broken sculle aswell by handye operation as by locall medicines we wyll speake hereafter of thynges concernynge dyete and conuenient purgation to defende apostemation and sondrye accidentes with other obseruations whych muste be kepte in the procedynge of handy operation The dyete of a woūde with a cracke in the sculle muste be slendre Diete The patiēt shal eate grated breade sodden in water with almandes a lytle suggre And yf the patient be weake he maye eate of the brothe of a chycken altered wyth barley he may also haue a potage made with wheat floure or grated bread Further more it is good that the patient eate after meat a confection of quinces that vapours ascende not into the brayne Likewyse whē the patiēt is weake at the begynnynge he muste abstayne from drynkynge of wyne and he must drinke water of barley with suggre or with a iuleb of violets chiefly whē he hath a fieuer yf he be very weake ye may gyue hym wyne of pomegranades After that eleuē dayes ben passed ye may gyue the patient a chycken to eate and to drynke wyne moderatly delayed And after fourtene dayes ye maye ordeyne hys dyete somewhat grosser that the incarnation of dura mater wyth the sculle may come to passe more easely Thē ye may gyue hym the extreme partes inwardes of beastes of good nouryshment as the trypes of an heyfare the heade the fete of the same Also he may eate ryse sodden in the forsayd brothe of laudable fleshe How be it he muste not eate to saturitie or fulnes for there is nothing wurse in this dysease thē the superfluitie of meates and drynkes Causes of Apost●mation of dura mater Wherfore Auicenne sayeth that an aposteme of dura mater cōmeth through fyue causes namely by multitude of wyne and meates by the ayer wherfore he sayeth beware of colde euen in the sommer by aggrauation of tentes or other thynges put in to the wounde or by the bone whyche is sharpe and roughe and hurteth the ryme called dura mater and by some pryuie cause When the cause of the aposteme is manyfest then cure the aposteme with hys contrary Yf the cause be hyd study in the remouinge of it to serche out the secrete cause as yf it came of drinkyng wyne you muste forbyd wyne to the patient Yf it came of to muche eatynge of fumous meates ye shall forbydde the same and cause hym to kepe a slender dyete Yf a pryckyng sharpe bone stāde out ye shall laboure to remoue it And yf it procede by aggrauation of tentes you muste take them awaye and also the medecynes that aggreue the sayde pannicle Yf the colde ayer be the cause of the apostemation the patient muste be kepte in a warme chambre and you muste often laye vpon the heade of the patient hote cloutes To take awaye the aposteme of dura mater Playstes it is very expedient to applie thys playster ℞ of the rootes of holyhocke .li. ss of camomill melilote ana
m̄ i. of roses m̄ ss Let them boyle al together with a fufficiēt quantitie of water vnto the consumption of halfe and make a styffe playster in the decoction wyth barley floure well cersed adding of oyle of roses complere ℥ ij and. ss of oyle of camomill ℥ i. and. ss of saffran ℈ i. the yolkes of two egges whych must be put in after that the forsayde thynges be taken from the fyer Thys playster is resolutiue and swageth payne and is not contrarye to maturation yf nature wyll that the aposteme come to suppuration Note that dura mater is sometymes hurte ☞ wounded rente by some piece of the sculle for the consolidation wherof ye maye conueniently laye on thys poudre ℞ of colofonia ʒ iij. of myrrhe Poudre aloes mastyke of euerye one ʒ i. of saffran of sarcocoll of euery one ʒ ss mengle them together and brynge them to a poudre The ayer of the patientes chambre muste be hote in al tymes chiefllye in wynter so that the wynde come not in wherfore let the chābre be kept darke vnto the one and twentye daye Note that ye maye conuenientlye holde ouer the heade a brasen vessell ful of coales that the reuerberatiō of the heate maye touche the woūde chieflye in the fyrst dayes we wyll speake somwhat to kepe of the aposteme of dura mater and a spasme For the prohibition of these two thynges is very profytable in thys case The apostemation is defended by drawyng of the matter from one place to another whyche thynge is done by a diuersiue flebotomie of the veyne called cephalica Item by rubbynges of the extreme partes and bynding of the same and by application of ventoses wyth scarifycation alwayes the age the strengthe of the patient consydered You muste kepe the bellye soluble or loose by suppositories or clysters And for the prohibition of a spasme ye shal rubbe often the nuke or marye of the backebone wyth oyle of camomil and of dille wyth hēnes grese layenge often vpon the necke hote cloutes Lykewyse the patient oughte to haue a cappe furred with lambes skynnes Pronostication For it defendeth outwarde colde Touchynge pronosticacion you maye iudge of deathe or lyfe after the qualitie of the quytture whyche commeth out of the wounde and by the accidentes and not by the poulses or vryne For they that lese theyr speche and whose woundes become drye and the borders thereof fall downe wyth some of theyr mouthes and swellyng of theyr eyes these I saye are wonte to dye Lykewyse when the patiente abhorreth meat and is vexed with colde and hath the palsye and spasme it is a sygne of death Note that as Paule sayeth yf the blacknes that chaūceth in the ryme dura mater be not remoued by the application of honye of roses it sygnifyeth vtter consumption of naturall heate Thys blacke coloure is caused sometymes at the begynnynge wyth bloode retayned vpon the pannicle dura mater and some tyme by a bruse of it and also by the dyenge or colourynge of medicines applyed vpon the sayde place And when thys blacke coloure procedethe of the three causes laste named it is not so daungerous as when it procedethe of putrefaction The sygnes whyche sygnifye helth in thys case bene these Sygnes of health good digestion of the borders of the wounde good colour of the sculle as whyte without to muche dryenes and with some moysture lykewyse when the patient abhorreth not meates and drynkes And when the fleshe that groweth betwene the bone dura mater is of red colour Itē whē the patiēt hath no feuer after the .xiiij. day but is of good corage Furthermore before ye come to handye operation ye shal note the obseruations folowynge Obseruation whych are declared by sondry auctours The fyrst is that you muste admonysh the patiētes frendes of the daunger that you may escape an euel name yf the patiēt chaūce to dye The seconde is that yf the patient be weake you shal not take cure of him as Galene by the auctoritie of Hipocrates sayethe where feblenesse is there you shall not meddle The thyrde is to auoyde the touchynge of the commissures For yf you touche them you maye cause the ryme Dura mater to falle vpon the brayne For it is sustayned thereby The fourth is that yf it be possible you worke not in the tyme of the full of the moone For the brayne increaseth at that tyme and approcheth to the sculle The fyft is the remouinge of the bone For the bone must be taken awaye from the lower place yf there be no lette For whan the bone is taken awaye towarde the lower parte the mattier is the more easelye purged The syxte is that you muste note the quantitie of the eleuation of the bone which is declared by Galene and Paule which doctours say that the bone must not be taken away after the quantitie and lengthe of the cracke whan it is great but it suffyceth onelye to eleuate the bone in the lowest parte of the cracke But yf the bone be depressed or diminisshed it is neadefull to take awaye the bone all togyther The seuenth is that yf you assaye to plucke awaye the bone and it wyll not come out you muste rubbe the sayde bone with oyle of roses that it maye the more easely and with lesse payne be drawen out The eyght is that with all spede you come to handye operation chefelye whan there is pryckynge or depressyon of the pannycles For they cause apostemation and euyll accidentes The nynth is that in sommer the handye operation be fynysshed within seuen dayes and ten in the wynter for the soner the better for the auoydaunce of accidentes And Auicenne sayeth that whan there is necessitie of rubbing cutting or drawynge oute some parte of the bone or to take them vp whan prycking peces be fallen vpō dura mater than you must make haste wythout lokynge for the parfyte generacyon of quytture But yf the sayde pannicle be not hurt you maye loke for the generacyon of quytture Seing that we haue declared the curatiō of a broken sculle by handy operation it is conuenient that we speake somewhat of the same by the waye of exiccation and incarnation which is touched of Auicenne in the Chap. de incisione cutis capitis and lykewise of Celsus about the myddest of the Chapitre of the cure of the sculle Neuerthelesse Auicenne in the alleged place after the opinion of some auncient writers vnderstandeth that desiccatiue medicines muste be applyed after the eleuation of the bone not digestiues mittigatiues of payne as he cōmaūdeth in a peculier cha of the fracture or breakyng of the sculle And it is no merueyl for the bones the pannicles are of drye cōplexion And Cornelius Celsus sayth the aūciēt doctours healed more by the way of exiccation and incarnation than by the way of incision and eleuation of the bone To come to the foresayde waye of curation of
a playster .. Thys defensyue as it appeareth by the ingrediētes hath vertue to conforte the place and to kepe it from receauynge mattier antecedente and moreouer it hath parte of familiare resolution Briefly it is a singuler remedy in all woundes to defende apostemation whan the wounde is made after the lengthe of the sayde membre you maye soone iudge that the wounde is wythout daunger of deathe And in thys case it sufficiceth besyde the remedyes aboue noted to make a ligature or byndynge incarnatyue of two endes to ioyne together sondred partes leauynge euer an hole open in the nether parte If the sayde place be hurte wyth apoynted thynge as wyth a darte c. you shall cōsider whether the wound be vpon the muscle For we haue often sene that by incisiō made after the breadth of the muscle the hande hath loste hys natural mouynge but whā the sayde wounde is large ynoughe than it sufficeth to applye a digestiue of the yolkes of egges and oyle of roses hote vnto a perfytte digestion And afterwarde let it be cured accordynge as it is declared in the former chapiters But yf the wounde be so strayte that deriuation of mattier to the said place is to be feared whyche myghte cause greate payne and apostemation Than you mustenlarge the sayde wounde after the sort declared in the chapiter of the wounde of the necke caused by some poynted thynge The cure of the woundes of the elbowe The woundes of the arme in other partyes muste be cured as we haue sayde before Nowe we wyll come to the woundes of the elbow and the handes whyche bene verye daungerous and more in the parte wythin the arme than wythout bycause of the multitude of greate veynes and synnowes whereby greate paynes happen to the sayd places and great apostemations with great abūdaūce of bloode whyche cause rigours fieuers spasmes youxinge and perturbation of reason wherfore to auoyde the sayde accidentes we wyll gyue a profitable doctrine Fyrste besyde the intentions afore sayde there be two intentions required The fyrste is to applye conuenient thynges vpon the sayde places The seconde to defende and remoue accidentes Fyrst yf the wounde be large studye to staunche the bloode and to ioyne the sondred partes together as it is sayde in the chapiter of the woundes of the throte then cure the wound vnto the fourth day wyth thys oyle folowyng R. of oyle of the yolkes of egges ʒ vi oyle of Roses omphacine cleare Turpentyne ana ʒ ii saffranne ℈ i. odoriferous wyne ℥ i. and. ss seede of S. Iohānes wort floures of Rosmarye ana m̄ i. Mastyke ʒ ii ss the iuyce of Plantayne ℥ i. of womans mylke ℥ ss calues tallow ʒ x. oyle of Elders ℥ ss oyle of roses odoriferous ℥ i. earthe wormes washed wyth wyne ʒ x. Seeth them all together wyth a softe fyre vntyll the wyne and iuyce be cōsumed And vse thys oyle wythin in the wounde But in the vtterpart of the wound ye shall applye this cerote folowyng Cerote R. oyle of Roses Violettes Camomylle ana ℥ ii calues tallowe .li. ss swynes grese ℥ ii hennes grese mary of the legges of a calfe ana ʒ i. earth wormes washed wyth wyne ℥ ii of freshe buttyre ℥ i. ss Muscilage of Holihocke .li. i. Seeth them all together tyll the Muscilage be consumed thā strayne them and put to the straining of Litarge of golde and syluer ana ℥ ii ss Minium ʒ vi make a cerote at the fyre wyth sufficient whyte waxe addynge in th ende of cleare Turbentyne ℥ ii ss Mastyke ℥ i. and lette them boyle agayne a lytle whan ye haue vsed the sayde oyle in the woūd foure or seuen dayes yf no accidente lette It shal be verye good to mengle wyth it a lytle honye of Roses and a lytle syrupe of Roses For the other intentions ye shall procede as it is afore sayde But that the payne maye be swaged and Aposteme remoued we wil speke of some necessary remedyes accordynge to the situation of the membres For yf ye perceaue that the mattier whyche causeth payne is hote ye maye take cromes of whyte breade and dyppe it in the brothe of an henne or of fleshe and afterwarde presse it and incorporate it wyth oyle of Roses and yolkes of egges addynge oyle of camomill and a lytle saffran Let these thynges be boyled together tyll they becomme thycke Thys is a synguler remedye to swage the payne of the synnowes beynge hurte and of apostemes caused by the same Item the cromes of whyte breade lythed in cowes mylke and prepared as the foresayde thynges is expedient for the same intention Lykewyse a playster composed of thynges anodine that is to say which remoue payne Playster is commendable after thys description folowynge ℞ of the rootes of holihocke .li. ss of branne camomill melilote of euery one m̄ i. of barley of lentyles of euery one m̄ ss of lynsede ℥ i. of parietarie m̄ ss Let them boyle all wyth sufficient water vnto the consumption of halfe and then wyth the floure of barley and beanes and a lytle camomil and melilote stamped make a styffe playster addynge of oyle of camomill ℥ ij of saffran ℈ i. the yolkes of two egges Thys playster appayseth griefe resoluynge matter and moreouer it is maturatiue when the nature wyll that the matter shall come to maturation or rypenes Furthermore ye shall note that yf the matter whyche causeth payne be greatlye enflamed then for the mitigation of the payne it is expedient to applye a playster of the floure of barley and beanes made in a decoction of barley mallowes and violettes wyth a good quantitie of oyle of roses and violettes and a lytle saffran Let them boyle al together and adde in the ende two yolkes of egges For thys playster quencheth inflāmation Yf the forsayde place chaunce to come to an apposteme called vndemia ye shall resorte to the chapitre whyche treateth of the cure of Vndimia Touchynge the situation of the arme it muste be susteyned towarde the breste that the humours may not easelye descende When there is incisyon of the bone you muste splinte the arme and bynde it conueniently and kepe it vp on hyghe Also a tablette of woode yf the hurte be in the hande or arme vndrelayed wyth stoupes and cloutes and situated vnder the hande and arme from the elbowe to the toppes of the fyngers is verye conuenient Thus endeth the chapitre of the woundes of the shulders cure of the same ¶ The .x. chapitre of the woundes of the brest called Thorax and cure of the same IT chaunceth often that the brest is hurt by poynted thynges The woūdes of the br●ste as daggars dartes c. And of them some perce vnto the inner partes Some bene onely superficiall and not percynge Some are wyth hurte of the conteyned mēbres and some wyth out hurte of the same Moreouer of these woūdes persynge and not persynge some bene in the former parte and some
the begynnynge ye shall retayne the bloode and the quytture whyche thynge myghte encrease difficultie of breathynge a daungerous thynge in thys case wherfore at the begynnyng ye shal not applye stiptike and clammyshe thynges nether wythin nor wythout Furthermore you maye vse flebotomie in the contrarye parte and scarifycation vpon the botockes and rubbynges and byndynges of the extreme partes to kepe of apostemation at the begynnynge Item it is commendable to vse a clyster hauynge vertue to dyssolue wyndynes and bloode The thyrde intention whych consysteth in purgation of bloode in the inner parte by the mouth of the woūde shal be accomplyshed as it foloweth Fyrste when the chirurgien commeth to the patiente he muste consyder the sygnes And when he is certayne he muste diligētly serche meanes to cause the blood whych is in the inner parte to issue out by the orifyce of the woūd whych thyng may be brought to passe by conuenient situation of the bodye that is to saye that the heade be layed downewarde the feete beynge raysed vp or that the patientlye vpon a bedde hys heade hangynge downeward leanynge vpon some fourme or stoole lower then the bedde that the blood wyth in maye easely issue out He muste lye thus the fyrst daye For it is good for two causes Fyrst to purge the bloode that is wythin Secondly that bloode other humours the communly chaūce in woundes fall not into the bodye And the patient muste lye grouelynge asmuche as he can vpon the wounde Some gyue certayne thynges by the mouth to cause the blood to come forth whyche thinge is very commendable so that the medicines be not to sharpe and to stronge Furthermore it is to be noted that if the woūde be very large so that the spirites come forthe aboundauntly then you muste sewe the sondred partes leauynge an hole beneth that the bloode and quytture maye easelye issue out And after that the bloode is issued and the wounde mundifyed you must begynne to applye tentes of lynte dypped in the whyte of an egge or in wyne And lette the sayde tentes be greate in the outwarde parte that they fall not in or els tye them to a threde that yf they fall in they maye be drawen out agayne Here it is to be noted that ye must not in any wyse laye vpon the woūde poudre restrictiue as Albucasis sayeth ☜ for it wolde dryue matter towarde the herte or deriue bloode whyche myghte sone choke the patient Item yf ye be sure that there is no bloode entred in by the waye of the wounde then it shall be conuenient that ye sewe the wounde and procede wyth thynges incarnatiue in the fyrst dayes But bycause a man can not haue trewe knowlege at the begynnynge whether the bloode be entred or no it is the surest waye to kepe the orifyce of the wounde open at the begynnynge howe be it the seconde daye ye shall putte in a tente dypped in oyle of roses hote and in a digestiue of terebentyne and a yolke of an egge and a lytle saffran vnto the seuenth daye layenge aboute the wounde a defensiue of oyle of roses of bole armenie and a lytle whyte waxe And for as muche as in the fyrste dayes there happen euell accidentes as payne in the syde Accidentes dyfficultie of breathynge and a greate coughe it is good to applye thys playster folowynge vpō the sore syde ℞ of camon il Pl●yster melilote dille wormewoode ana m̄ i. of dryed branne and cersed m̄ ij ss of the floure of barley beanes and lētiles ana .li. ss of roses m̄ ss stampe them all and wyth sufficient sodden wyne and a lytle odoriferous wyne by arte and fyer make a styffe playster addynge of oyle of roses ℥ iiij of camomill dille of euery one ℥ ij of whyte waxe ℥ ij and. ss Set the foresayd thynges agayne on the fyer wyth the oyles and the waxe melted and put to in the ende of saffran ʒ ss This playster as ye may knowe by the symples hath vertue to swage payne and is resolutiue and cōfortatiue and prepareth the bloode the matter to yssue out Whē the patient is come to the thyrd or fourth daye no euel accident happenynge vnto hym as a spasme tremblynge of the herte and difficultie of breathynge and other lyke and when the patient fyndeth hym selfe in good dysposition a mā may iudge knowe that the wounde is not mortal Wherfore at the begynnynge vnto the seuenth daye for resolution and purgation of bloode thys poudre wyth hys waters hereafter prepared Poudre maye well be gyuen to the patient ℞ of reubarbe ʒ ss of madder of mumie of euery one ℈ .i. of terra sigillata ℈ ss of the water of stabious the water of buglosse of the wyne of granades of euery one ℥ i. Some doctours gyue at the begynnynge potions or drynkes made wyth wyne and hote thinges as cloues and madder whyche thynges maye greatlye hurte the patientes For they cause fieuers and dyfficultie of breathynge Wherfore at the begynnynge pectoral decoctions are better as diadragantum and diapenidium or as thys description A pectoral decoction ℞ of penidies of suggre candye of syrupe of violettes of euerye one ℥ i. of the nuttes of pyne apples of swete almandes of cōmune seedes of euery one ℥ iij. of diagragantum ℥ ss mēgle them and wyth syrupe of violettes make a loch addyng of the iuyce of lyquerice ℥ ss After that the wounde is come to manyfeste quyture for the mundification and purgatiō of the same we say that ye muste often washe the woūde wyth conuenient lotions And though sondrye lotions ben wrytten of the doctours as of Guilhelmus placentinus and other whych are composed wyth wyne and with the decoction of floure delice lupines myrrhe and other hote simples myne opinion is that suche medicines are not cōueniēt as I haue oftē proued for two causes The fyrst is the inflammation of the foresayde thynges The seconde is bycause that when bloode putrefyeth greate heate alwaye happeneth Wherfore to mūdifie the quytture and to take awaye the euell complexiō of the place it is a more sure waye to procede wyth thys lotion A lotion ℞ of cleane barley of lentyles ana ℥ ij of roses m̄ ss of the herbe called horsetayle m̄ i. let them boyle wyth water of plantayne and rayne water and a lytle wyne of granades vnto the consumption of the thyrde parte and adde of redde suggre ℥ ij of syrupe of roses by infusion ℥ iij. of saffran ℈ ss The quantitie of water muste be fyue pounde whyche muste boyle tyll it come to thre Ye shal wash the wounde here wyth all and bynde it cōueniently so procede vntyl there issue out matter lyke cleare water when the patient hath vsed the sayd lotion and hath no fieuer and when the wounde is rectifyed and the quytture mundifyed then ye maye adde to the former decoction of honye of roses ℥ iij. And when the quytture
is altogether mundifyed then ye maye conuenientlye administer stiptike lotions A stiptike lotion as thys that foloweth ℞ of roses of the floures of pomegranades called balaustie of the croppes of brambles called cyme rubi of myrtilles of sumach of euery one m̄ i. of hypoquistidos of myrobalane cytrine ana ʒ ij of hony of roses ℥ ij let them boyle wyth water of plantayne wyne of pomegranades in sufficient quantitie vnto the consumption of the thyrde parte Let thys decoction be spouted into the wounde that perseth wyth a syrynge For so Auicenne teacheth Item in the same tyme yf the patient be not troubled wyth the coughe and the quytture dryed or mundifyed consoundyng and stiptike thynges are permitted to be receaued by the mouth in a liquide forme or in meates as terra sigillata wyth the iuyce of quinces sumach hypoquistidos roses floures of granades c. Galene affyrmeth the same wyth lyke wordes Furthermore we wyll descrybe a playster abstersiue and mundifycatiue whyche shal serue for those intentions when nede shall requyre ℞ of hony of roses strayned Playster ℥ ij of cleare terebentyne ℥ iiij of the iuyce of smalage ℥ i. Let them boyle altogether a lytle and take them from the fyer and forthwith adde the yolkes of two egges of wheate floure well cersed ℥ ij of the floure of fenugreke and barley of euery one ʒ ij of saffran ℈ .i. For the same intention ye maye applye our cerote wrytten in the chapitre of the cure of the sculle beynge brused It is more attractiue thē this plaister When the intention is to consoūde and to drye you may vse a cerote of minium descrybed in the foresayde chapitre Item yf the sayde wounde resyst greatlye true curation and endureth longe tyme ye maye knowe that the sayde wounde is turned to a fistula whyche receaueth seldome trewe curation howe be it we haue healed many whyche hadde fistules and dydde caste out quytture longe tyme by the orifyce of the wounde after thys sorte The cure of a fystle in the breste Fyrst we washed the wounde with thys decoction Decoction ℞ of honye of roses strayned ℥ iiij of the croppes of brambles of the leaues of wylde olyues of euery one m̄ i. of balausties of the ryndes of granades of euery one m̄ ss of lentyles asmuche of the herbe called horsetayle in latine cauda equina m̄ i. of saffran ℈ .i. Let these forsayd thynges be boyled in the lye of vynebraunches and fygge tre braunches and a lytle wyne of granades vnto the consumption of the thyrde parte then strayne the sayde decoction and applye it often wythin the wounde After the sayde lotion I vsed vnguentum de minio and I caused the patiente to vse drynkes that drye and purge quytture as is the potion descrybed by Mesue destinctione eleuen where he makethe mention of playsters and oyntmentes and the sayd potiō is called a mixture to heale woūdes The forme there of is thys A potion of Mesue hys description ℞ of cloues of the rootes of motherwurte of pimpernell of camomill of synckfoyle of the herbe of violettes of the herbe of redde coalewurtes of hempe of euerye one m̄ i. of madder to the quantitie of all Let these forsayde thynges be boyled in sufficient quantitie of wyne tyl halfe be consumed then strayne them and adde vnto them as muche of cleare and cleane honye as the thyrde parte of the sayde decoction shall be The dose of it is in the mornynge ℥ iiij wyth water of mayden heere and scabiouse Here ye shall note that yf in the stede of wyne the sayde potion were made wyth water of maydē heere and scabiouse and wyne of granades it myght conueniently be gyuē to the patient in a fieuer And briefely to fynyshe thys chapitre we wyll gyue two doctrines profytable in thys case The fyrste is that when the chirurgien is called he must dresse it as quyckelye as maye be And the chāber muste be very warme and manye hote clothes aboute the wounde lest the ayre enter in and yf it enter that it be hote and not colde The seconde is the chirurgien muste pronosticate accordynge to the signes that he shal see that he maye saue his name Neuertheles the Chirurgien shall not refuse to cure anye hurte of the membres contayned in the inner parte excepte the harte For nature by the Chirurgiens ayde workethe so well that oftentymes it bryngethe that to passe that semed impossyble Thus. c. ¶ The .xj. chapytre of penetraunt or persynge woundes of the bellie Of woundes persyng thorow the bellie THe woundes of the bellie as the Doctours affyrme ben daungerous cheyfely those that persewyth the hurte of the membres cōteyned The woundes of the bellie communely are caused of cuttynge thynges as by a swerde or poynted thynges as wyth a darte c. Whan the Chirurgien is called to the cure he must consyder the place of the wounde and whether the conteyned membres ben hurte or no which thynge maye be knowen by the sygnes that folowe signes of stomake hurte The sygnes that declare the stomake to be hurt are thies the patient spettethe bloode and hys meate commethe out by the wounde That the guttes ben hurte it is knowen by the great payne Of the guttes and torsyon or grypynge of the bellie and whan the superfluites of the meate commeforthe by the mouthe of the wounde Of the small guttes The sygnes that the small guttes ben hurte are knowen by the place where the wounde is namelye whan the wounde is aboue the nauell If the wounde be benethe the nauel it is in greate guttes we haue declared in oure Anatomie howe that there ben three greate guttes and three small of whyche the three greate are vndre the nauell the three smalle aboue the nauell Wherefore by the place of the wounde ye maye knowe what guttes are hurte You maye knowe whan the lyuer is hurte by thys Of the lyuer that the wounde is aboute the false rybbes of the ryght syde and the bloode that issuethe out of the wounde is redde and the patient hathe greate payne frome the sayd rybbes vnto the flanke by cause the bloode is deryued frome the liuer all a longe vnto the grynde Whan the mylte is hurte it is knowen by thys Of the milte that the wounde is betwene the false rybbes of the lyfte syde and the bloode that issuethe out of the wounde is grosse Of kydnes and verye blacke The hurte of the kydnees is knowen by the place whan the wounde is somewhat lower than the nauell and the bloode also that issuethe oute is cleare and watrishe It is to be noted that sometymes the woundes of the bellie not penetrant or persynge ben not wythout daunger of deathe namelye whan they are aboute the nauell wythin three or foure fyngers bycause of the great muscles that are knytte to the nauell Furtheremore the woundes whiche are in the hyndre
the administration of locall medicines Fyrst yf the wound be made after the length of the membre ye muste ioyne together the sōdred partes with a cōuenient seame procede wyth thynges moderately desiccatyue Also you must digest the wounde with a digestyue made wyth oyle of Roses yolkes of egges the space of two or thre dayes layeng about the same a digestyue magistral ordeyned in the chap. of the cure of the woundes of the adiutorye whā the digestion is ended ye shal mundifie the wounde wyth a mundificatyue of syrupe of roses of our description And yf nede be ye may put a tent in the lower parte that the mattier may be purged the better After mundification ye must incarne it adding to the sayd mūdificatiue a lytle aloes hepatike and a litle sarcocolle And for the sigillation you maye cōueniently vse Vnguentū de minio described in the cha of the fracture or breaking of the sculle Ye shal procede lykewise whan the wounde is made after the breadth of the membre whan the wounde is caused by cōtusion or brusyng it is cōuenient that the wound be digested a longer time bycause that euerye wounde that is made by cōtusion necessarely cometh to putrefaction As Galene sayeth oē vnlnus c. For the other intentions ye shal procede after the doctrine written in the former chapiters Thus. c. The .xiiii. chap. of the woundes of the thyghes and of the legges of theyr partes with the cure of the same woundes of the thighes legges and their partes THe woūdes of the thighes and legges muste be cured as the woundes of the armes of the bones called adiutoria But the pronostications ben diuerse For the woundes of the thighes and the legges are more daungerous than the other bycause of the multitude of the great synnowes veynes muscles chordes and ligamentes whych bynde together the ioynctures And in the former parte of the knee there bene two synnowes verye sensible whyche descende from the brayne and whan they chaunce to be hurt great payne and euyll accidentes ensue as a spasme a fieuer aposteme ꝑturbatiō of reason c. whiche oftentimes bryng the patient to deth because of the comunion coniunctiō that they haue wyth the brayne wherfore Auicēne sayth in the cha of woūdes that induce a spasme ther ben vlcers in the nuke vlcers in the higher part of the knee And the lacertes of those partes bē very sinnowie therfore the woūdes induce a spasme sodayne deth Lykewyse within the legge and without they ben very daūgerous bicause of the gret veines which beyng cut issewe of blood foloweth For the staūchyng wherof you muste resort to the cha of the fluxe of bloude For the blood of those partes can not be easely restrayned Moreouer they are more daungerous than thother bicause they bene lower the higher mēbres sende humours to the lower that is to say to the thyghes and legges cause oftē apostemation in the said places which thing chaunceth not in the armes And therfore it is profitable to hold the mēbre eleuate lyfted vp with the rest of the body wherin the comune prouerbe of Italiās is verified namelye Lamano al pecto la gamba al lecto that is to say the hande on the brest the fote in the bedde Likekewyse whā the woūde is vndre the knee that the daūger of apostematiō is passed it is expediēt to bynd the legge from the foote to the knee For Guydo sayeth that the diseases of the legges haue nothynge propre by them selues and deferynge from other diseases of the bodye but byndyng that the antecedent mattier be not deryued to the sore place To the cure of the forsayde woundes the intention alleged in the former chaptres are requisyte Concernyng the fyrst and seconde intention ye shall so procede as it hath ben oftē sayde in the former Chaptre The thyrde shal be accomplysshed by the application of conuenient medicines vpon the sore place wherfore obseruation of conuenyent dyete vniuersall purgatyon presupposed there is nothyng better to defende apostemation than to admynistre thīges that swage payne For as Galen sayeth payne in woundes draweth humours to the place as a vētose wherfore we wyl declare certayne remedyes to ease payne and those onely which we haue proued Fyrste this liniment is good to be layed aboute the sore ioynctures A liniment whiche is of our description ℞ of the oyle of camomyll of the oyle of roses ana ℥ ii of hennes grese ʒ x. of erthwormes washed with wyne ℥ i. ss of saffran ℈ i. of calves suete ℥ i. Let the forsayd thynges be boyled togyther a lytle than put to of whyte waxe ℥ i. Lette them boyle agayne a lytle strayne thē Itē we are wont to put this oile to the wounde whiche is of merueylous operation in woūdes of the ioynctures ℞ oyle of terebētin of oyle of roses ōphacine an̄ ℥ ii of moste clere terebētine ʒ x. of erthwormes ℥ i. ss of mastike ʒ vi of gūme elimi armoniake dissolued with wyne ʒ i. ss of saffrā ℈ i. of the floures of s iohns wort m̄ i. ss of cētaurie the greter m̄ i. of oyle of lineseed ʒ vi let these thinges be boiled together a litle afterward strayne them through a cloth thā set them a sūnyng in a glasse the space of a moneth and putte into the vessell a fewe floures of saint Iohānes wort chaunge them euerye seuenth daye Thys oyle as it maye appeare by the simples is of great excellentie in the woūdes of the synnowes ioynctures For it easeth payne it draweth gentlely dryeth moderately which intentions are requisite to the cure of the said woūdes Likewyse you may apply vpon the wound plaisters that swage griefe wrytten in the former chapiters Item thys vnguent folowynge is good to be applyed in all times vpon the sayd woundes Vnguentum basilicū magistrate which is of our description and is called vnguentū basilicū magistrale R. of the oyle of camomylle and roses an̄ ℥ iii. of the oyle of linsede ℥ ii ss of the oyle of swete almandes ℥ i. of hennes grese calues suet an̄ ℥ ii of cleare terebentyne ℥ iiii of mastyke ʒ x. of wethers suet ℥ i. ss of erth wormes washed wyth wyne ℥ ii ss of saffran ℈ i. of the muscilage of holihocke li. ss Let them all boyle together besyde the terebētyne vnto the consūption of the muscilage than strayne them adde to the straynynge of litarge of golde siluer an̄ ℥ i. ss of miniū ʒ x. lette them boile agayne wyth a softe fyre stirre them about And then encrease the fire let thē boyle agayn til they become black of colour than adde the foresaid terebentine of rosyne of the pine tree ʒ vi of shippe pitche ʒ ss of white diaquilō wyth gūmes ℥ iii. Let them boyle agayne a lytle wyth sufficiente whyte waxe
to the cure of a spasme caused by repletiō For the cause of a spasme by inanition is drienes whiche cōsumeth the radicall moysture And the cause of a spasme by repletiō is matter cōioincte fyllyng the synnowes And therfore in a spasme by repletiō the synnowes become more large in bredthe shorter in length but in a spasme by inanytiō the synnowes be shortened receyue no maner increase The cure of a spasme by inanition The cure of a spasme by inanycion must be accōplished by moyste colde thynges therfore thys bayne folowyng is right profytable in this case A bathe ℞ of the leaues of mallowes violettes Ana. m̄ ij of the sede of quynces Psilliū Ana ℥ j. of the sede of malowes and Holyhock ana m̄ j. of the rotes of Holyhocke somewhat stamped .li. j. of cleane barley m̄ iij. of wardēs or gret peares in nōbre .xx. let the forsaid thynges be boyled in the brothe of a henne with mylke withe the broth of the heade feate of a calfe vntyll the thyrde part be cōsumed thā strayne thē and lette the patiente be bathed wyth this decoction moderatly hote Lykewyse it is profytable to bathe the patient in a bayne made of gootes mylke cowes mylke or shepes mylke After that the patient is bathed it is cōueniēt to rubbe his backe bone al the ioyntes with this linimēt folowyng ℞ of oyle of violettes A linimente ℥ iiij of oyle of swete almādes of hennes grese of the marye of calues legges Ana ʒ vj. of calues suet kiddes suet Ana ʒ x. Let thē boyle al together with a pounde of the forsayd decoctiō of the bath vntyll the decoction be consumed Than strayne them and vse them The regimēt cōcernyng diete in this spasme ought to enclyne to coldnes moystnes If the spasme happē often in a wounde it is mortall for the most part nether any mā escapeth lightly For Hipocrates sayth that a spasme caused by a wounde is mortall for the most part which thyng is true bycause of the euyl accidētes which ensue after a spasme as difficultie of breathynge which is necessary to lyfe hurte of the brayne through the cōmuniō that the brayne hath with the synnowes The spasme of inanition is seldome or neuer healed howbeit the chiruurgien ought not therfore to forsake the cure for nature somtymes worketh thynges that seme impossible to men ¶ The .xvij. chapy of the palsy and of the cure thereof THe cure of the palsy hathe sondrie intentiōs Of the palsy which I wyll leue to my maysters the Phisicions for most cōmunely the palsy chaunceth of a corporall cause therfore the curation therof perteyneth to thē Neuertheles forasmuche as it is wont to chaūce in the woundes of synnowes of the heade we wyl declare some cōuenient medicynes for the remotion of the same for the other intentiōs ye may resort to mesne which hathe substantially entreated of thys mattyer But to come to practise we say that the remedies declared in the former cha are verye cōuenient for the cure of the palsy Howbeit this one thyng I wyl not ouerpasse that the oyle of bawme writtē in our antidotary is a souerain remedie in this case Mesue also hathe described in the cha of a palsy an oyle of lyke efficacitie which is after thys forme An oyle for the palsye ℞ of chosen myrrhe of aloes Epatyke of spyke narde sanguinis draconis of frākencēse of Mumia of Opoponax of Bdelliū of carpobalsamū of Saffrā of Mastyke of Gūme arabyke of liquide storax of the other storax of Mader Ana ℥ ij ss of muske ʒ j. of Terebētyne to the weyght of thē al mengle thē together put thē in a lembyke of glasse adding of courslope called herbe Peralisis ℥ ij stylle thē kepe the licour in a glasse wel stopped rubbe the mēbres wherin the palsy is and the hynder parte of the necke with the sayd licour Decoction Itē thys decoctiō folowyng is riȝt expedient ℞ of lycorice ʒ vj. wylde myntes m̄ ij of the floures of rosmary M. j. of sage m̄ ss of courslope Yua muscata of squinantū of euery one a lytle Let thē boyle in a glasse til halfe be cōsumed with the water of wormood fenell rosmary sage in sufficiēt quātytie Thā strayne them adde to the straynyng of hony ℥ iij. of the syrupe de duabus radicibus ℥ ij of syrupe of sticados ℥ j. ss let thē boyle agayne a lytle Thys decoctiō is ryght cōueniēt for them that haue the palsy for thē that haue the crampe thorough repletion and they must dryncke thereof at nyght and in the mornyng ℥ ij Thus we ende c. ¶ The .xviij. chap. of drawyng out of arowes thornes and other lyke thynges IT chaunseth often that mannes bodye is hurt by arowes Drawynge out of arowes c. thornes and lyke thynges whyche remayne wythin the woundes For the cure whereof we saye that two intentiōs are requisyte The fyrst is the maner to drawe out the forsayd thinges The secōde to cure the woūdes after the instrumētes ben drawē out Touchyng the fyrst intentiō a discrete Chirurgien muste consyder the place where the arow is fyxed in For yf the arow stycke in a fleshie membre as in the arme the thygh or legge hauyng barbes the woūde be depe it is not in cōueniēt to make the arowe perce thorough on that other syde and so to be drawen out For by reason of the barbes the arowe canne not be drawen back without tearyng of much fleshe and many veynes and pannycles and perchaunce in the drawynge out the heade shuld remayne behynde which shulde be a very daungerous thynge but yf the heade remayne within and the mouthe be so streat that it can not be drawen out wyth an instrumente made after the fashion of a Cranes becke than ye muste cutte the place euen vnto the arowe heade and ye shal procede after the same maner yf it stycke in the bone Note here that the soner ye make incisyō the better it is for auoydās of apostematiō The cause is this Whā a blody freshe wound is cutte the place is not yet altered with vehement payne nether apostemed with humours ariued to the sore place and therfore yf it may be done without the hurte of synnowes and veynes it is better that incision be made spedelye thā whan the place is peynfull and apostemed After the incision is made the arowe must be drawen out with the foresaid instrumentes as sone as maye be and afterwarde ye muste powre vpon the place twise a daye hote oyle myngled with the yolkes of egges There be some doctours which commaunde to mollifie the place where the arow or thorne stycketh the space of .iij. or .iiij. dayes with oyle of roses hote layenge there on thynges attractiue before ye come to the drawyng out or cuttyng out of the sayd arowes or thornes But
the sayde medicynes incarnatiue Fyrste we saye by the auctoritie of Auicenne that that is an incarnatiue medicyne whyche hath vertue to congele and make thycke good bloode in the flesshe And that is brought to passe by medicynes that haue power to drye in the fyrst degre or in the begynnynge of the seconde degre For yf the medicyne be to muche desiccatiue it wyll let the bloode to comme down to the place And so the flesshe shal not haue mattyer wherwyth it maye be encreased Lykewyse yf it scoure to muche it wyl make the bloode to runne to fast and so consume the mattier that shuld engendre fleshe Wherefore a medicyne incarnatiue muste be of suche qualytie that it maye conserue the cōplexion of the sore membres For Galene sayeth that we muste kepe the course of nature whyle it contynueth And agayne whan it is lost we muste restore it And the foresayd medicines worke cheiflye by the nature and vertue of the membre And therfore we muste consydre the nature and qualitie of the mēbre For somme ben moyst and some ben drye The drye requyre drye thinges and the moyste moyste thynges For moyst membres are not preserued by dryenesse but are destroied therwith al. For as Galene sayth hote bodyes wyll haue hote remedyes and drye bodyes drye remedyes c. Whyche thynge muste be vnderstande concernynge the naturall complexion of the membre and not concernynge the disease For as a disease touchynge hys curation desyreth hys contrary so a mēber desyreth his lyke So it foloweth that in woundes of moyst membres ☜ we muste vse moyst medicynes that the nature or complexion of the membre be not destroyed Neuerthelesse we muste note that a medicyne incarnatiue ought to be lesse drye in a temperate bodye than in a body vntemperate in his qualitees And therfore we sayd in the chap. of flesshie woundes that drie strong and thicke bodyes membres for the incarnacion of theyr woundes require greater exciccation or dryenge thā tender bodyes or membres For whā woundes happē in tender bodies the incarnatiue may not exceade the first degree of drynesse but in drye and stronge bodyes the incarnatiue medicyne must be in the begynnyng of the seconde degree Wherfore we conclude that a medicyne incarnatiue muste be dyuers accordynge to the dyuersitie of bodyes and membres For the same medicyne is drye in the fyrste degree in one bodye and moyste in another And therfore it engendreth fleshe in one and corruption in another And therfore Galene sayeth expressely that fanckincense is drye in the fyrst degre in respecte of a temperate bodye For in a temperate bodye it engendreth fleshe And that onely bycause it preserueth the complexion of the mēbre and dryeth the superfluous moystnes that hyndreth the generatiō of fleshe which thynge chaūceth not in a drye body for therin it engēdreth not flesh but quytture because it is moyst in respect of the same And therfore Galene numbryng medicines incarnatiue declareth sundry medicines simple in complexion As frankincense barley floure beane floure and floure of orobus floure delice tutia climia aristologia and the plante of oppoponax And he declareth some incarnatiues compounde in complexion as mirre sarcocolle sanguis draconis Wherfore it foloweth that a medicine to engendre fleshe muste in dryenesse excede the naturall dryenesse of the membre But where as we sayd before by the auctoritie of Galene that a medicine incarnatiue must be of such drynes that it maye preserue the complexion of the membre It is true yf ye vnderstande it absolutly that is to say the membre alone But it muste moreouer haue vertue and power to heale the dysease For a medicine muste be of such power that may not alonly cōserue the cōplexion therof but also dystroye dysease Also where as we sayd that a mēbre is cōserued by his lyke as moist mēbres by moyst thynges we saye that it is true yf ye vnderstande cōseruatiō only but yf ye haue respecte to the cure of the dysease ye must not only administer thinges lyke but ye shal also administer thynges that both conserue the naturall cōplexion of the membre and destroye the dysease Wherfore seynge the moystnes is cōtrary to generatiō of fleshe in woūdes ye must administer such drye thinges that besyde the natural cōseruation of the membre it maye also drye vp the moystnesse of the wounde Thus to cōclude we saye that a medicine incarnatiue euē in moyst bodies ought to be of a drie cōplexion Further more ye shal note thys one thynge touchynge the incarnation of woūdes that ye muste maynteyne the natural cōplexion of the mēbre the nature of the bodie Which thyng Galene wytnesseth sayenge that nature is the worker the phisition or chirurgie is the minister For the generation of fleshe wythout the helpe of nature is against the operation of the same And therfore it is very necessarye that the pacient be fedde with meates that engendre good blood And to thys our purpose sayeth Auicenne in the chapitre of a fleshie wounde when thou haste kept the complexion of the membre take good hede that nothynge be drawen thervnto but blood that is naturall And here in are two thynges to be noted Fyrst that the incarnatiue medecines be of that cōplexion that the membre is of so that they shall not be able to drawe vnto the member any thynge but naturall bloode that as well in qualitie as in quātitie for the bloode that is noysome other in qualitie or quantitie doeth hynder the growynge of fleshe in the wounde as sayeth Galien in the thyrde and fourth bokes de ingenio sanitatis and as Auicenne sayeth take hede that nothynge be drawen to the mēber but only natuturall bloode And this shal ye do yf ye defende the mēber that no antecedente matter of the bodye come to it cause payne with apostemation in the place and chaūge the mēbre frō his natural cōplexion And thus doynge there shal come only natural bloode vnto the membre And thus it foloweth that the medecines incarnatiue shal haue theyr operation in regendringe of fleshe closynge vp of the woūdes And thys is the mynde of Auicē to let the cōming of euel blood and of contrary humours as it is sayd in the place before alleged the stoppyng of bloodynes watrines c. It is also to be noted that these incarnatiue sigillatiue medecines of woūdes vlceres ought not to be administred within afore that the sores be mūdifyed the woūdes digested as the cause shal requyre For as Auicēne sayeth capitulo de nascentia carnis in vlceribus there maye be no incarnatiue layed to the vlcere tyll it be very perfytly mundifyed and that ther be brought vnto it the nouryshmēt that is gentel naturall bloode wherby nature wyth the incarnatiue medecine doth engēder blood bothe in vlceres woūdes And afterwarde he sayeth when that the euel fleshe rotten matter are expelled thē may ye laye to the
putrefaction to an aposteme called Estiomenos Lykewyse we haue sene some by the helpe of chirurgyens to obteyne perfyte curation after that they had caryed the stone a greate whyle The fourth intention which cōcerneth the curatiō of accidētes is accōplisshed after the doctrine written in the cha of the cure of woūdes caused by brusing And ye shal note touchīg the pronostication that ye must iuge of health or death accordynge to the hurt place Also yf the wounde be very strayte ye shall open it with a sharpe instrument that the superfluities of the sayde wounde maye more easely issue out And so the wounde shall be the soner healed Thus we ende c. ¶ The .iiii. chaptre of woūdes made by the bytynge of foure foted beastes as dogges cattes horses and other lyke beastes THe cure of woundes The cure made by the bytynge of beastes shall be accomplysshed by thre intentions The fyrst consysteth in the ordinaunce of diete the seconde in purgation the thyrde in the admynystration of locall medicynes The first is accōplyshed after the doctrine declared in the cha of the cure of a carbūcle this woūde is of the nature of venim for the teeth clawes of cattes dogges haue euer som venenositie in thē As touching purgatiō ye shal procede as in the cha afore rehersed is shewed sauing ye shal note this one thinge that if the woūd hapned by a mad beast cutting of a veyne is not cōueniēt as Auicen saith in the ca. of the bytīg of a mad dog Cutting of a veine sayth he in this case draweth blood frō al partes of the bodye to the middes of the same therfore flebotomie might draw venim to the harte Moreouer the nature of all venemes is fyrst to assaute the hert as the kyng of the other membres As touchyng the thirde intention we say that in the biting of beastes ther is no better remedy thā at the begynnyng to cauterise the place with oyle of elders burnyng hote the sayd cauterisation may be vsed to the .iii. day And afterward ye must put into the woūde this vnction folowing ℞ an egge an vnction bete it with oyle of violets with butter and with a lytle saffrā This vnction apeaseth grefe causeth the daūgerous fume of the woūd to breth out kepeth the mouth of the same open To the same intentiō this plaistre folowing is also profitable ℞ of the leues of malowes vio an̄ m̄ ii of wormwod m̄ i. of roses of the leues of holihock an̄ ʒ i. ss of bran wel groūd m̄ iii. seeth thē all togyther with sufficient water and thā stāpe thē in the decoc with beneflour barliflour make a stif plaistre adding of oyle mirtine of camomyl roses an̄ ℥ iii. the yolkes of .iii egges of saffrā ʒ i. of cūmī ʒ i. ss this plaistre is cōueniēt vnto the .vii. day after the .vii. day ye shall apply thys oyntment folowyng ℞ of the rotes of holyhocke li. ss of scabiouse m̄ ss of diptanie ʒ ii See the these thynges in water vntyl they be perfectly soddē thā stāpe thē strayne them and afterwarde take as moche waxe as shall suffyce and of oyle of roses and mastike an̄ ℥ iii. and set al on the fyre agayne addyng of clere terebentine ℥ iii. of gootes suete ʒ ss of saffran ʒ ii For mūdification ye shall put into the wounde a mundificatyue of sarcocol after this sorte ℞ of clere terebentine ℥ iii. of honye of roses ℥ i. ss of the iuce of smalage ʒ vi lette them seeth a lytle and put to of barlyflour wel sifted ℥ ss of sarcocol ʒ i. and. ss of saffrā ʒ ss This oyntment is mūdificatiue and incarnatiue and of good operation in this case After mundification ye must apply vnguentū de minio written in the cha of a broken scul Itē ye shal note that at the begynnynge some defensyue must be layed about the wound to auoyd deriuatiō of humours scarificaton And if ye perceyue that the sayd bytyng groweth to cancrenositie ye muste scarifye the place rounde about and after scarification ye shall procede The cure of the bytinge of a madde dogge after the doctryne wrttē in the cha of a cācrena Lykewyse yf it be the bytynge of a mad dog ye must procede accordyng to that we haue written in this present cha Howbeit ye shall note thys one thyng namely that incontinētly after the bytīg of a mad dog ye must scarifye the place and applye vētoses and afterwarde cauterise the byting with an actuall cauterye and bynde the place about straytely vntyl the cauterization be ended And whan it is ended ye shal remoue the said bynding ¶ The .v. Chapter Of the styngynge of Aspis and other serpentes and of the cure of the same Of the styngynge of aspes GOd our glorious Lorde which created mā to hys owne semblaunce hathe gyuen vnto the same dominion vpon all other creatures Howebeit there are some which naturally desyre to hurt hym as serpentes and euyll spyrites Notwythstandyng he hath receyued wysdome to kepe hym selfe from them and sondrye remedyes to the ease of theyr malycyous crueltie wherein hys deuyne power is declared and therfore man ought to haue recourse vnto hym in all thynges as to his defender and protectour The cure Now to our purpose The cure of a serpentes styngynge is accomplysshed by one onely intention that is to saye by admynistryng thynges vniuersall and perticuler as soone as it is possible And fyrste the chirurgien must incontinently gyue the patient a medicine that resisteth venim and it is preseruatiue as the triacle of Galene or the triacle of the description of Haliabas in the quantitie of ℥ ss with wyne of good odour Likewyse ye must immediatly scarify the place with a depe scarification and afterwarde applye ventoses to drawe out the venemous bloude Item it is right expediēt to vse an actuall cauterie or in the stede therof to vse hote oile of elders And after the cauterisatiō ye must lay vpō the place Playstre a plaistre of rosted onyons with a lytle triacle and buttur a lytle scabious diptanie and gentian stamped togyther with a lytle terebētine for this plaistre hath vertue to mortify venym is retractiue with some digestion of the escared place aswel by an actual cauterie as by oyle Howbeit some later doctours saye that it is not good to apply triacle in the outward partes bycause it dryueth backe venim neuertheles it is not to be discōmēded as Hugo senensis witnesseth saying that gret triacle applyed vpō the hart and vpon a byting is good for .ii. causes The fyrst is bycause it kylleth venim the second is bycause the vertu of the triacle is drawen in by the veynes and arteries insēsibly toward the hart And he sayth moreouer that the accidētes proceding of the stingynge of aspis and other serpētes ben more horyble than any other diseases which thing
the euyl complexiō of the vlcered perticule Hote cōplexiō For an hote euyl cōplexiō of the vlcered place is knowen by the rednes inflāmation and outward heate of the place and of the partes there about and by the runnyng out of thyn quytture hauinge a redde yelowe or grene coloure A colde complexion is knowen Colde by the blewnes or palenes of the membre wyth whytenes softnes coldnes of the place by grosse slymye and vndigested quytture and wyth watry substance wythout all bytynge and burnyng The signes of an euyl moyst complextion are these The membre is sorte and loose Moyst and full of superfluous moysture These thynges declare a drye complexion drynes Drye hardnes roughnes and thinnes of quytture As touching putrefaction we say that some putrefaction is done alredy some is to be done That whych is done is ambulatyue or walkynge that whyche is to be done continueth styll in hys owne kynde The signes of putrefaction that shall ensue are knowen by alteration of the membres by chaunginge the colour of the sayd vlcers that is to saye by the blacke blewe or grenyshe coloure of the vlcered membre The signes of putrefaction alredy done Signes of putrefaction is euyll colour of the vlcered place and whan the sayde place is depriued vtterly of al felyng though the place shuld be cut or haue bytynge thynges applied therupon An vlcere ambulatiue is sone knowē by enlargynge of the place Further a rounde and fistulare figure resisteth true curinge bycause that the quytture can not issue out but is constrayned to tary in the botome of the vlcers and bycause it remayneth in the botome of the vlcers more thē reason is it receaueth venemenes whych produceth holownes in the vlcers and weakneth the said partes through the weakenes of the mēber the superfluities of the hole membre ben ariued to the vlcered place In like maner the subtilenes of the quytture hyndreth curation for towchyng the partes of the vlcers it maketh a depe holownes throughe hys percyng and through hys moysture it maketh the fleshe softe readye to receaue putrefaction For thynges that come to putrefaction haue parte of moystnes whyche maketh them soft Item the grossenes of the quytture hyndreth curation of vlcers bycause that throughe hys slymynes it cleaueth to the poores and bicause it tarieth to longe in the sayde vlcers it receaueth an euyll qualitie for that that is touched of a rotten thynge rotteth Item the sharpnes of quytture bytynge corosion of the same hyndreth consolidation bycause it consumeth the natural moysture of the mēbre whych shuld be the cause to ioyne together the sondred partes The bloode that is not in due quātitie hindreth curation for the abūdans therof choketh natural heate the wante therof causeth that the vlcered member hathe not hys nouryshmente and nature is deceaued of her purpose bicause it hath not mattier to engender newe fleshe Item the euyll complexiō of the vlcered place letteth curation as well by heate as by coldnes as well by moysture as by drynes whether it be simple or cōpoūde material or not material The reason is bicause that when the complexion of the membre is hurte it must nedes be that the other naturall vertues of the membre be diminished or corrupted for the complexiō of the membre is the hande maide of the natural vertues and helpeth to turne the nourishment in to the substance of the mēbres and conueyeth awaye the noysome superfluities Itē there be some accidētes which hynder curation amonge whyche is immoderate fluxe of blood by which the mattier whereof the newe fleshe shulde be engendred and the spirites is taken awaye or diminished Furthermore paynfulnes weakeneth the hole body the vlcered membres and causeth that the humours arryue to the vlcered place in greate abundans whyche hindreth the cure Also an aposteme whych is a disease compounde of thre thynges namely of euyl complexion euyl compositiō and solution of continuitie hyndreth the cure for sondrye dyseases vexe and greue nature more then one In lyke maner the superfluitie of harde and skalye fleshe gendred in the borders of the vlceres lette the matter to be sente of nature for the generation of fleshe in the same for it can not passe by the poores nor accomplyshe hys naturall operation The addition also of fleshe resysteth curation Moreouer softe fleshe corrosion and putrefaction hyndreth curation bycause that thorough those thynges the matter sente of nature to engender fleshe is altered and so can not do hys kyndelye operation and thus the substaunce of the member is corrupted These thynges before alleged are the causes whyche hyndre the curation of vlceres Nowe we wyll brieflye speake of thynges Remotion of the sayd causes whyche haue vertue to take awaye the forsayde causes Fyrste yf the fygure be fystulare or holowe it muste be destroyed as it shal be declared here after in the chapiter of the cure of fystules and yf it can not be then ye muste fynde a meane to purge the matter before it receaue euyll qualitie in the botome of the vlceres Yf the sayde quytture be subtyle and moyste for rottynge mollifyenge the substaunce of the member ye muste procede to the curation wyth thynges desiccatiue accordynge to the great or small moysture of the sayde vlcere that putrefaction maye be resysted and the straunge moysture consumed Yf the quytture be grosse and slymye cleuynge to the botome of the vlceres and hyndrynge the nouryshmente of the place ye muste remoue it from the vlcered partes as well from the botome as from the borders therof Yf the quytture be sharpe and corrosiue ye muste rectifye the same by thynges whyche haue power to resyste sharpenes and corrosion And when the bloode is in to greate quantitie ye shall diminishe it by cuttynge a veyne yf it be in to smal quātitie ye shal gyue the patient meates of great nouryshement that engendre good bloode Yf the bloode be euyl in qualitie ye muste rectifye it by thynges contrarye to the sayde qualitie as yf it be to hote by colde thynges yf it be to moyst by drye thynges Yf there chaunce fluxe of bloode in the vlceres ye shall drawe the same to the contrarye partes by the cuttyng of a veyne by ventoūs and lyke thynges Yf ther be great paynfulnes ye shall take awaye the cause therof and comforte the vlcered place Yf the fleshe of the vlceres be to soft ye muste take away the straunge or vnnaturall moysture Yf there be superfluous fleshe the same muste be remoued and yf it be harde and shelly ye shall applye there vnto thynges resolutiue and linitiue and yf it resysteth resolution ye muste cut it awaye Yf ther be apostemation ye muste consume the matter by resolution yf it be vndigest ye must prepare it to digestion yf the cause come by corrosion ye shall turne awaye the matter antecedente and remoue the matter conioyncte Yf the
vlceres Fyrst bycause we haue often spoken of the accidentes of all euyll vlceres we wil now onely speake of paynfulnes for in some vlceres ther is vehement gryefe so that it causethe euyll accidentes and sometymes bryngeth the patiente to deathe wherfore yf there be vehement gryef than ye shall applye thynges aboute the vlcere that be stupefactiue as a playster made of the leaues of whyte popie and of henbane wrapped in wete cloutes and putte vnder hote ymbres Playster stupefactiue and afterwarde stampe them and strayne them and adde oyle of Roses Omphacyne and vnguentum Populeon and make a playstere wyth a lytle waxe Item to thys intentiō vse the oyntmente folowynge ℞ the leaues of mallowes and of henbane Ana. m̄ ij sethe them in water and afterwarde stampe them and strayne them and adde vnto them of oyle of Nenuphar oyle of popye as muche as shall suffyce set them on the fyer agayne and make an oyntmente addynge of Philonium Persicum ʒ vj. Item vse this recepte ℞ oyle of Popie oyle of Camomylle oyle of Violettes Ana ℥ j. of whyte waxe ʒ vj. make a lyniment at the fyere addynge of womans mylke ℥ ss of opium ℈ j. of Saffran ʒ j. the yolke of an Egge and styrre them aboute in a morter of leade the space of an houre If the dyfficultie of healynge seame to procede thoroughe the euyll complexion of the vlcered parte ye muste consyder whether the sayde complexion be hote or colde materiall or ymateriall yf it be hote lette it be cured wyth local medi●ynes and that haue vertue to cole as vnguetū de cerusa A colliry made with water of roses plātayne and with whyte sief wythoute opium is of good operation Further the difficultie of healynge chaunceth of the quantitie or qualitie of bloode if it be in quantitie it is other superfluous or diminished yf it be in qualitie it is in complexion hote or colde moist or drye c. If the bloode be superfluous the cure is accomplyshed with slender diete and wyth cuttyng of a veyne by administration of bloodsuckers If the bloode be diminished ye shall remedye it wyth grosse diete of good iuyce and by drawyng nouryshment to the vlcered place by rubbynges vnctions and fomentations and suche fomentations that swage payne so continuynge tyll the member waxe redde and begynne to swelle If the blood be of an yl qualitie as of a hote materiall cōplexion let the hote mattier be purged yf it be thinne with rubarbe Myrobalanes Tamarindes pulpe cassie wyth water or wyne of pomegranades made after the maner of iuleb c. And yf nede be let the mattier be purged wyth the iuyce of roses psilio or sebestē c. Yf the mattier be grosse throughe adustion let it be purged with a lectuary lenitiue of hamech diasene cassia strengthened with sene pillulis indis c. Note that hote mattier beyng subtile must be digested before purgation with sirupe of roses endyue vinaygre simple occisaccarū syrupe of violets with the waters of endyue violets sorell or other like If the mattier be grosse through adustion it must be digested wyth a sirupe of apples of buglosse of hoppes with a iulep of violettes of fumiterre or other suche Here ye shal note thys one thing that in eating drinkinge in other thynges not naturall ye kepe a proportiō according to the defaut in these other cōplexions which are found with an vlcere If there chaunce a fieuer in the vlcers so much more ye shal encrease the forsayde thinges in the degre of coldnes or diminish the same as the fieuer shal seme stronger or weaker If the blood be of a hote cōplexiō simple or cōpounde wtout mattier thē the foresayde digestiues shal onely suffice wtout purgation If it be of a colde complexion material thē let the mattier be purged If it be flegmatike with aloes agarike polipody turbith electuary de dactilis pillule de hiera pillule cochie or other like alway directyng the mattier with syrupe de bisantiis with oximel sirupe of vinaygre cōpoūde with hony of roses with waters of fenell borage smallage maiorū mint worwood or other such These thynges one after another are good in an euel colde cōplexion not material wythout purgation Lyke curation shal be in colde mattier moyste materiall but if the cōplexion be moyst wtout mattier onelye digestyues are conuenient but if the cōplexiō be drie material the mattier muste be purged the mēbers that engendre the same rectified If it be not materiall the cure shal be wyth hote moyst thinges Hitherto we haue spokē of the cure of euil blood Furthermore we saide that the roundnes of vlcers hindreth curatiō wherefore the chirurgien shal reduce it frō a roūde vlcere to alonge vlcere with an hote yron or with a caustike medicine briefly it is a generall rule in the cure of these vlcers that if the difficultie of their curation do cōsist in yl blood that then ye minister meate whiche engendreth good bloode contrary to that that hyndreth the cure If the cause be in slender nouryshmente the bloode shall be multiplyed by dilatynge the waye wyth good meates But yf the cause be mollifitation thorowe fylthye mattier than it shall be healed wyth the cure of a fylthye and softe vlcere If superfluous dryeng be the cause so that it be not a fistulous vlcere it shall be cured wyth moyst thynges and herin it auayleth muche as Auicēne sayeth to perfume the vlcered place wyth some thynge of gentle moysture and by administrynge medicines of lytle exiccation or drieng and therfore Auicēne saith perchaunce it is good to administer cloutes dypped in warme water If some cankerouse corruptiō be the cause of difficultie then cure that accidente as it is sayde in the cure of a canker Lykewyse yf a fistula be the cause resorte to the cure of a fistula For the remouynge of other causes that letteth the curation of vlcers resort to the second chapiter of thys presente boke Nowe I wyll begynne to declare certayne remedyes as I promised afore Oyntment And to speake generally of oyntmentes whyche helpe vlcers that ben harde to cure these ben they Fyrst R. of oyle myrtyne oyle of roses omphacine an̄ ℥ iii. of goates suet of calues suet an̄ ℥ ii of Plantayne leaues of woodbynde of the tender partes of bramles of the leaues and graynes of myrtilles of the leaues of wylde olyues of the herbe called Horsetayle ana m̄ i. of Hypocistidos ʒ x. two sower pomegranades of the herbe called alleluya of sorell an̄ m̄ i. ss of vnguentum populeon oyle of roses complete ana li. ss stampe all these foresayde thynges together and let them seeth wyth a cyathe of water of plantayne and as muche of water of Roses tyll the waters be consumed thē strayn them set the liquor vpon the fyre agayne put thervnto of ceruse ℥ ii of Litarge of gold and syluer an̄ ℥ i.
take awaye the inflamaciō and sharpenes of the oyntement and afterwarde ye shal applye the forsaid collyrie and ye muste renewe the sayd remedyes tyll the hardenes and skabbes be vtterly remoued And ye muste consyder one thynge that is to say when this disease is ioyned wyth some euell accidente as is peyne and euell complexion or ophtalmia or some other ye must remoue the same before ye come to the cure and yf the scabbes be dry ye shal moysten them wyth a moystyng medicine hauynge resolucyon and abstercyon as is thys lotion ℞ of the rotes of holye hockes and dockes Cure of drye scabbes of the leues of malowes vyolettes and plantayne ana m̄ i. of sower apples nombre thre of lentylles of barly of branne ana m̄ i. ss of roses m̄ ss seeth these thinges in sufficyent quantitie of reyne water tyll two partes of .iij. ben consumed and than washe the place therewyth as we sayde befor the space of a weke twyse a daye and afterwarde applye the collyrie aboue wrytten After a weke ye shal washe the place with this grene water that foloweth ℞ of water of plantayne of water of rooses A precious grene water ana ℥ ij of odiferous whyte wyne ℥ i. ss of tucia of antimonium ana ʒ i. ss of verdegrece of roche alume ana ʒ ss of lytarge of golde of lycium ana ʒ iij. seeth the waters with alume a lytle and pouder the reste and putte thē to the waters when ye take them from the fire After that ye haue washed the place wyth thys water ye shal apply the abouenamed collyry in maner aboue sayde And if nede be of greater exiccacion ye shal repayr to that that is wrytten in thys presente chapter And for as muche as in thys case there chaunceth great ytchyng which is engendred of salte fleme to remoue the same ye shal vse the forsayd grene water wyth an vnction made of lard of tucia and of the water of rooses for it taketh awaye itchynge and healeth the sorenes of the eye lyddes c. thus we ende thys presente chapter The .v. chapter of the dysease of the eyes called vngula VNgula after the doctoures Of vngula in the eyes is a pannycle of coniunctiua somewhat reysed vp whyche appereth for the most parte in the the wepyng parte of the ryghte syde howebeit somtyme it chaunceth in the lefte syde and at the begynnyng it is small and afterward extendeth it selfe vnto the commissure of the pannycle called cornea And because the matter causynge thys pannycle sometyme groweth in the ouer parte of the kyrtylle of the eye and somtime in the nether part of the same whan it is in the ouer part it apereth to be somewhat redde because of the veynes whyche are wythoute and when it is in the nether parte it is of a whytyshe coloure The causes of thys disease are grosse and flegmatyke humours engendred of euell dyete dyscendynge frome the heade by the veynes and conduites to the kyrtyll of the eye The cure of these dyseases is accōplyshed by the admynistracion of localle medycynes hauinge vertue to resolue and drye and to byte somwhat Fyrst obseruation of the dyet and purgacyon as it is declared in the chapter of ophthalmia presupposed we wyll ordayne ii pryncypall remedyes of whych the fyrst is thys ℞ of the iuce of horhound of the iuce of sowre pomgranades of the iuce of lyqueryce of myrabolanes cytryne well poudred Collorye ana ʒ i. of liciū ʒ ss of aloes epatike of tucia preparate ana ℈ ii of the grene water descrybed in the former chapter ʒ vi of the sief of memyte of whyt sief wythoute opium ana ʒ ss of odoryferous whyte wyne ʒ x. make a collyrye accordynge to arte Thys collyrie applied in the eye is verye good in all kyndes of vngula of sebell and other dyseases of the eyes Item to thys entencyon this water folowynge is conuenyentlye vsed ℞ of the iuce of saladine ʒ v. of the iuce of sowre pōgranates wyth the rindes ℥ iij. of the iuce of liquerice carwaies ana ℥ ss of cumin ʒ ss of sirup of roses of hony of roses ana ʒ iiii of water of rooses ℥ ij of myrobalanes emblyke and cytryne ana ℈ ij of antimonium ceruse ana ʒ v. of roche alume ʒ j ss of oxe galle and of capons and of partryches ana ʒ ij of cloues of nutmegges ana ʒ ss of tucia of lyme tenne tymes washed with water of plantaine sorrell ana ʒ iii. let the harde thynges be pounded before ye myngle thē wyth the other and afterwarde putte them all to gether in a lembicke of glasse and whan the water is stylled kepe it in a glasse well couered and ye muste applye therof into the eye one droppe at once for it is an excellente water and consumeth superfluytees and is desiccatiue and resolutyue and yf ye wyll that the foresayde water shall more strongelye consume superfluous fleshe ye shall take of the sayde water ℥ iij. of odoriferous whyte wyne ℥ j. of water of rooses ʒ x. of tutia and antimonie ana ʒ j. ss of verdegrece wel poudered ℈ ij heate the waters a lytle at the fyre than put to the reste applye therof in the eye as it is sayd Yf the desease be so rooted that yt cannot be drawen oute wyth these remedyes ye muste come to handye operacyon thoughe thys curacyon be hard and daungerous for in pullyng vp the vngula yf the chirurgyen be not experte he maye plucke vp the pānycle called cornea and so marre the apple of the eye Wherefore the frendes of the pacyente are to be admonyshed of the daunger and the matter is to be taken in hande wyth greate feare and cyrcumspection howbeit my counsayle is to leue suche thynges to the vacabounde toothdrawers Neuerthelesse I wyll declare my mynde herein fyrst ye muste haue an ynstrumente of syluer made after the maner of smalle tenacles or pynsones croked take the vngula by the parte that is towarde the ende and not towarde the root that is to saye toward the pannicle called cornea and as ye hold it wyth the sayde instrument ye must haue another sharpe cuttynge instrumente and cutte it by lytle and lytle into the roote And after that the vngula is remoued ye muste dygeste the place with womans mylke and suger candye of a syrupe of vyolettes to swage the payne ye must put vpon the eye a plaster made wyth rosted apples wryten in the chapter of the cure of ophtalmia After that the payne is swaged yf there reste anye superfluytie ye shall procede with the forsayd waters collyryes which haue vertue to consume superfluous fleshe thus we ende this presente chapter c. The syxte chapter of Sebel and of the cure therof SEbell Of Sebell in the eyes after Iesu haly is a replecyon of the veynes of the pannycle of the eye called con unctiua and it
excepte they be vlcered and ioyned wyth some hote humoure Theyr colour is betwene blewnes and rednes If they be caused of melancholyke and flegmatyke bloode mixt together they ar like lytle peces of flesh of blacke colour called Condilomata and yf they be caused of brente choleryke bloode wyth melancholye they are in coloure and figure lyke to a mulberye and verye paynefull Item ye shal note that some be naturall and some accidental the naturall are those whiche in some dodies euerye moneth or euery yere foure tymes purge grosse and melancholyke bloode The accidentall are those whyche procede of the foresayde causes throughe euyll diete and other thynges not naturall wherfore the pacient muste auoyde all sharpe salt tarte thynges and the engender melancholyke bloode as all pulses the heade and the inwardes of beastes and grosse fleshe as of kyne swyne goates hares and byrdes of the ryuer Further more the emoroydes are caused inwardly and outwardelye Those that are engendred inwardly are natural they are wōt to sende forth grosse bloode those that apere outwardelye sende forth watry bloode somewhat reddyshe The cure of emoroydes shal be accomplishid by an vniuersal and particuler regiment Cure of emoroydes The vniuersall regiment hath two intenciones namelye ordinaunce of diete and purgation of the cause antecedent Particuler regiment is accomplished by the administration of locall medicines As touchyng the fyrst intention we say that when they droppe inordinatly they muste be restrayned thoughe it be a generall rule that the flowynge of bloode by certayne tymes courses shulde not be restrayned leste the pacient fall into a dropsye throughe the weaknes of the lyuer and of the stomake For the restraynynge of the same the remedyes whyche be administred to stoppe the floures are conuenient in thys case applyed as well within as without lykewise in prouokynge the same Yf the fluxe come of a colde cause let the pacient be purged with diacatholicon cassia with the decoction of myrobalanes called kebuli equally proportioned accordynge to the strength age of the patient Yf they procede of hote mattier ye shall purge the body wyth diaprunis not solutiue reubarbe wyth the decoction of myrobalane citrine The doctours say that the solutiues must purge in pressing together leauyng some stipticitie in the mēbre that sendeth and receaueth the humours After purgation ii dayes ye shal administer a bathe of thinges the restreyne as sumach roses myrtilles plātayn boyled in water wherein hote steele hath bē quēched It it is good to take trifera magna cū sāguine draconis with a litle mumia a lytle reubarbe wyth wyne of aygre pomegranades Rasis prayseth trosciskes of karabe Playsters for the emoroydes with sumach to restrayne the fluxe of the emoroydes he prayseth the application of a playster of spica written in the chapter of the weaknes of the liuer Item a sirupe of myrte of roses is of great excellencie in this cause Furthermore it is very good to laye vpō the rennyng place in the somer a plaister of lentilles roses beanes made wyth water wherin a hote yron hath ben quenched for it stauncheth blood marueylously Item this playster folowing serueth for the same purpose R. of roses of myrtilles of the leaues of plātaine of the herbe called lingua passerina or knotgresse ana m̄ i sethe them all in water wherein hote yron hath ben quenched then stampe them streyne them put therunto a lytle wyne of pomegranades a litle vinaygre of roses shake them together brynge them in the maner of a plaister vse the same If the fluxe of emoroydes chaūceth in wynter ye must take wormewood with oyle of roses omphacine a lytle sage and mugwort and seeth them in a pot and afterwardes stampe them applye them vpon the place Ye shal put also wtin the fundament this oyntment folowing R. of roses myrtilles knotgrasse an̄ ℥ ss of frākensence ʒ.i of sāguis draconis of myldust of ●eane floure an̄ ʒ.ii of hares heare cut in smal peces ʒ.ii.ss of bole armeny terre sigill an̄ ʒ.iii.ss of tutia of litarge of golde syluer an̄ ʒ.i.ss of the iuyce of tapsus barbatus of the iuyce of horsetayle plantayne and comferye ana ʒ.iii the whytes of two egges shake them all together put them into the fundamēt with cotton or wyth lynte for it is a presente remedye to staunche bloode Also byndynge of the armes and shulders and ventoses is verye good to tourne awaye the mattier Also it is profitable to laye a ventose vpon the liuer Item it helppeth muche that the patient eate before his meate some stypstyke thynge as rosted peares or quinces or mynes made of the same medlers wyldynges c. Also ye muste auoyde anger immoderate vse of women and greate exercise Thys doctrine shall suffice for particuler purgation of emoroydes Vniuersall cure of emoroydes Nowe we wyll come to the vniuersall cure whyche shall be accomplyshed by foure intentions The fyrste consisteth in the ordinaunce of diete the seconde in purgation of the mattier antecedente the thyrde in remouinge the matter conioynt the fourth in correction of the accidentes As towchyng the fyrste the patient must vse suche meates as maye engendre good blood and destroy euyl as chickyns hennes partryches fesauntes motton veale sodden wyth herbes that engēder good blood as borage buglosse lettuse spinache c. He must auoyde all fishe excepte perches and fyshes that lyue amonge stones Also he must auoyde al sharpe thynges that engender melancholyke blood For the seconde intention whiche is to purge the mattier antecedente you shall vse Diacatholicon or Cassia or Diacassia and ye shal forbeare solutyues into whyche Aloes and scamonye enter wherfore it shall suffice to loose the bellye with one of the sayd lenitiues The thyrde intention shall be accomplyshed wyth the administration of locall remedyes And fyrste yf the emoroydes be like mulberies though they be of lytle aperaunce yet they cause great payn which if you swage not spedelye an apostemous or fistulous vlcere maye be engendred in the place Wherefore Lanfranke a lerned man comaundeth at the begynnynge to cutte the veyne called Basilica of the same syde the next daye the veyne saphena of the same syde And if the patient were wont to haue purgation by the veynes emoroydal ye shall prouoke the same and yf he were not acustomed he shal forbeare And herein the chirurgiens erre often tymes applyenge in the begynnynge of emoroydes bloode suckers and thynges that prouoke bloode wherby they haue broughte the place to an aposteme or to a fistula wherfore it is better to studye to swage the payne and to resolue the emoroydes wherunto a suffumigation and fomentation of the place by this decoction folowynge is profitable in all kyndes of emoroydes whyche we haue proued in Iulye the seconde A pope full of pyles R. of the leaues of Malowes and Violettes of
ministres as we haue sayde afore of whyche lette one drawe the hande the other the elbowe they must drawe bothe together equallye And thē let the master restore the bone vnto hys place imbracynge the arme wyth bothe hys handes and let hym haue his aparel prepared as it is said in the vniuersal chapter And let splintes be applyed sixe in nōbre at the leste of whych one must be greater then another and must be layd vpon the fracture as we haue declared in the vniuersal chapter and the byndyng must be more streyght vpon the fracture then in the endes of the splyntes And it is a verye requisite thynge to bynde them conueniently for yf the bynding be to streyte the mēber might be astonyed sometyme cause an aposteme or cancrena and yf it be to loose it wyll not holde the bone fast in hys place When the fracture of the focilles is restored after the foresayd maner let the arme be layed equallye vpō the bedde Neuerthelesse the hande must be somewhat reysed vp that the humours renne not downe to the lower parte At the begynnyng excepte necessitie constrayne ye shal not visit the fracture vnto the .viii. daye Howbeit ye shal laye vpon the bone called adiutoriū a clout dipped in odoriferous oyle of roses beatē with the white of an egge and a lytle iuyce of plantayne leste humours resort to the sore place Furthermore it is a generall rule in thys case and in other lyke that the medicine be chaunged euerye tenthe daye washynge the members wyth the decoction described in the vniuersall chapter of fractures Itē the olde and later doctours cōmaund that the splyntes be not taken awaye wythin xl dayes for as Auicenne sayeth it is better that they shulde remayne to long thā to lytle while It is also requisite in this case that the paciēt absteyn frō laborious mouīg And he must beware that he lay not the member vncomelye Of dyete purgation and flebothomye we haue spoken suffycient in the vniuersall chapter of fractures ¶ The .xi. Chapter Of the fracture of the bones of the handes IT chaunceth seldome that the bones of the hande and the fingers be broken neuerthelesse when it chaūceth the pacyente muste holde his hande vpon a playne table wrapped with stoupes than he muste haue a mynystre to stretche out the thōbe and the other fingers and then the master must conuey the bones of the fyngers and of the other parte of the hande into their natural places applying afterwarde a playster of mildust wrytten in the vniuersall Chapiter of fractures and byndyng on .ii. splyntes accordyng to the length of the fynger He must moreouer bynde the sayde fracture wyth a bande begynnynge from the elbowe to the hande which thynge muste be done sleyghtly that it be neither to loose nor to strayte and the apparell must not be remoued vnto the .vii. daye For other intentions ye shal procede accordinge to that is wrytten in the vniuersall Chapter c. ¶ The .xii. Chapter Of the fracture of the rybbes WE sayde in oure anatomy that .xii. rybbes are situated in mans body of whiche the .v. nether rybbes are called false rybbes and they are seldome broken by reason of the gristlye nature The other rybbes whiche are called complete are often broken by reason of the hardnesse through a bruse or a stroke Concernyng the restauracion of thē the doctours varye neuerthelesse I wyll folowe the excellent doctour m. Guilelmus Placentinus Fyrst as the same doctour sayeth yf the rybbes be broken in one place or in two it maye be knowen by touchyng for ye shal fele a holownesse in the place Signes and by touchynge ye shall cause great payne to the patient and he can not easelye breathe and somtyme there is herde a crashyng of the fracture and sometyme they are but bowed onelye when ye perceyue the forsayde signes then vnderstande that the rybbes be verye moche bowed or els brokē which bowyng or brekyng of the rybbes there foloweth sometymes a disese called a pleurisie coughing spittyng of blood and a great feuer and this fracture is iudged of all doctours to be very daungerous it is lyke in signes causes cure vnto the fractures of the bones of the brest And they must be discretely restored depressyng the bones that stād vp Maner of restoryng and raysyng vp the boones that ben depressed The maner of restoring them is this Ye must laye your lefte hande vpon the parte of the broken bone that standeth out and ye muste prepare your ryght hande to be holden vpon the sayde parte beinge annoynted with some glewysshe oyntment or cerote the space that a man may saye the Psalme of Miserere which done ye must cause the patiēt to cough as stronglye as he can and togyther and in one tyme ye muste thrust downe the parte of the bone that standeth oute with your lefte hande and rayse vp the depressed part with your ryght hande A glewysh oyntment The fourme of the glewysh oyntmēt is this ℞ the white of an egge of mylduste ℥ ss of dragagantū brayed of frankensence ana ʒ i. of fyne byrde lime ʒ vi of muscilage made with rose water glewe of pitche ʒ i. ss mengle them and vse them as is aforsayd or after this maner Take a threfolde cloth and playstre it wyth the sayde oyntment and laye it vpon the depressed part And ye must leaue in the myddes of the playster a pece like a sleue to draw it when nede shal be to reyse vp the depressed bone thrustyng downe with your thombe the parte raysed vp and cause the patiēt to coughe in tyme of restauracion when the bone is restored ye shall applye this playstre folowynge vnto the .vii day renewyng it euery secōde daye ℞ the whytes of .iii. egges of oyle of roses omphacine of oyle mirtine ana ℥ ii of mylduste ℥ i. ss of the muscilage of holyhocke ℥ ii ss of bene floure and barly flour ana ʒ vi of sāguis draconis of terra sigulata of bole armenye ana ℥ ss of frankensēce ʒ i. After the .vii. daye ye shall applye this cerote folowyng ℞ of the rotes of holyhock li. i. two fete of a calfe seeth them all in water and odoriferous wyne and than stampe and strayne the rootes onely and adde to the straynynge of oyle myrtyne and omphacyne ana ℥ iii. of oyle of mastyke ʒ i. ss of most clere terebentine ℥ x. of saffrā fynely poudred ʒ ss of sanguis draconis of terra sigillata ℥ ss of frankensence ʒ ii of beane floure ℥ i. ss mengle them and make a softe cerote wyth suffycient white waxe and lay it vpō the fracture with a brode cloute for his operation is merueilous good to swage payne and to resolue wyndenesse and to comfort the sore place Yf the body be full of humours ye maye cutte the veyne called basilica the fyrst or seconde day in the contrary arme The patientes diete must be
vi mengle them and make as it were an electuarye with honye of roses and a syrupe of vyolettes the receyte of it is from .vi. ʒ to ℥ i. Celedony is hoote and drye in the thyrde degree the vertue thereof is put in colliries to sharpinne the sighte The iuce of it put into the teeth causeth them fal within a certayn space as some reaporte The roote is of lesse exiccation or drying and it hath vertue to drawe and to resolue and therfore the sayde roote brayed and sprynkled with vynegre and holden in the teeth healeth the toth ache cōmynge of a colde cause Catapucia or spurge is hote in the thyrde and moyst in the seconde and it hath vertu to purge fleme melācholy choler therfore the decoctiō therof with mercury polipody doder borage reisins damaske prunes soddē in the broth of an henne and spyced wyth a lytle cinamome purgeth al rawe slymye flegmatyke and melancholycke humours chefely if it be takē fasting wyth syrupe and honye of Roses Furthermore the poudre of spurge taken with a lytle cynamome in a rere egge or in the broth of an henne purgeth grosse fleame myghtely and wythoute payne wherfore the vse thereof is good for the conseruacyon of the health of the bodye Canabus or hempe is hote and drye in the seconde and the seede is dryer and therfore it hath vertue to breake wynde Coperose is hoote and drye in the fourth and therfore it is corosyue Consolida or comfery is hote and drye with temperate heate and slymy moysture and therfore being chewed it taketh awaye the drynesse of the mouth and both the consolidaes that is to saye comferye and dasies haue vertue to consounde woundes Some say that comferye brayed bytwene two stones by a diuyne myracle kylleth anthrax Howbeit they ar both of one vertue Cantharides are lyke the greater flyes but that theyr bodyes be longer of grene colour and they ben hoote and drye in the thyrde degree and haue vertue to burne and to blyster Castoreum is hoote and drye in the seconde it hathe vertue to comforte synnowye places and therfore his oyle is good for the crampe Capitellum whiche is made of lye of Frenche sope is hote and drye in the fourth it burneth and cauteriseth as it were fyre Item capitelle made thycke at the fyre in a brasse banne wyth a lytle vitrioll romayne breaketh all Apostemes in cauterysynge Cinis or asshes is of hoote and drye complexion but of more or lesse excesse accordynge to the nature of the woode wherewyth it is made it hath vertue to drye and to scoure Chese beinge fresshe hath vertue to consounde but olde chese is cōtrarye Crassula is colde in the thyrde and moyste in the seconde and therfore it quencheth inflāmations and is very repercussiue and the iuce thereof with the iuce of lettuse oyle of roses and the whyte of an egge beaten all togyther easeth Herisipelas and healeth the chafynges of the priuye mēbres and is good agaynst scaldynge Cressoni or water cresses ben hote and drye in the second they open and perce and when they bene eaten with oyle and vinegre they prouoke vrine and they are agreable to some mennes taste Cumyn is hote in the thyrde and drye in the seconde It hath vertue to resolue and to breake grosse wyndynesse and when it is mengled wyth waxe with oyle of camomyll and of myrte with the iuce of radyshe and a lytle iuyce of wormewoode it resolueth deed blood that remayneth vnder the skynne throughe a bruse and it healeth easelye the blacknesse and blewnesse of the eye lyddes whē they come of a primitiue cause Carduus benedictus hath vertues that coole and bynde The leaues and floures sodden in swete wyne wyth sapa resolue the swellynge of the stones and the sayde carduus benedictus healeth all vlcers of the fūdament Item the iuce of it is conuenyentlye putte into oyntmentes agaynst woundes Galene sayth that carduus benedictus hathe vertue inflatiue or puffynge vp and that it is moderately percynge Dytany is hote and drye in the thyrd and it is good gaynst the stingyng of venemous thynges howe soeuer it be admynystred and therfore Virgil sayth that deere being wounded by venimous arowes naturallye seke out dytanye whiche they eate rubbe the wounded place therewith and so recouer health The decoction folowyng taken in drynke hath gret vertue in all percyng woundes in the brest and fystles ℞ sufficient quantitie of the rootes of dytany of auens of mugwort of mouseare of ielosioures of red coolewortes of threleafed grasse seth thē with the wyne of pomgranades and let thē be made swete with a syrupe de duabus radicibus Daucus or frenche persnepes or as some thynke yelow carattes bē hote and drye in the thyrde degre Theyr vertue is to drawe to loose to consume and to prouoke vryne ELeborus albus or whyte elebore is hote and drye in the thyrde hath vertue to purge fleme but the blacke purgeth melancholy and in old tyme they were vsed in purgatiōs bycause the bodyes were then stronger and myght sustayne stronger purgatiōs But nowe in stede therof we vse scamonie neyther can the other be vsed wythout euydent daunger The iuce of elebore mēgled with swynes grese and oyle of mastyke and laurell with a lytle quycksyluer quenched and a lytle litarge which all must be incorporate after the fourme of a liniment healeth all scabbes of harde curatiō chefely after a bathe of the decoction of mallowes vyolettes barly brāne fumyterrye and apples Item the sayde linimente mengled with terebentine is good agaynst all morphewes and scalles Enula campana is hoote and drye in the seconde degree the roote thereof sodden wyth holyhocke and Salomons seale and a lytle wormwod which all afterwarde must be stamped and strayned and ye must make a styffe playster with sapa beane floure branne and melilote addyng of oyle of roses camomyll and myrt an̄ ℥ ii The roote I saye thus ordeyned resolueth marueylouslye contusyons and attritions of muscles and lacertes and wrestynge of synowes after the fyrst dayes ben passed and it swageth payne Item it may be admynistred in goutes of the feete and of the iointes Fynally the vertue of it how so euer it be admynystred easeth the passyons of the herte and of the stomacke Esula or rounde spurge is hote and drye in the thyrde hys vertue is to purge melancholie and fleme and it draweth vp the rootes of wartes and dryeth them Epatica or lyuer worte is colde and drye in the fyrst The leues of it stamped and sodden in the wyne of pomegranades wyth barlye floure wyth whyte saunders and with oile of roses omphacyne disperse dryue backe and resolue a hote aposteme of the lyuer And a decoctiō of the same made with garden endyue and wild endyue and a lytle maydenheer and a lytle cicorie sodden in water and suger and a lytle wyne of pomegranades healeth the lyuer when it is distempered in heate Ebulus or walwurte is hote and drye it
dissolue liquide pytch shippe pitch are conuenientlye put into oyntmentes for colde vlcers Purcelane is colde in the thyrde and moyste in the seconde The iuyce therof hathe vertue and proprietye to plucke vp wartes being rubbed therwythall And moreouer it stoppeth the flowynge of hote humours And whan it is put into playsters for flegmon and herisipelas it defendeth putrefaction and finallye it healeth the congelation of the teeth Pinguedo anatis or duckes grese is hoote and moyste and excedeth all other in swagynge peyne wyth mollification Peper is hote in the fourth and dry in the seconde it draweth notablye in dissoluynge and consumeth through hys drynes Prunes be colde and drye and the meate of them sodden in a brothe of fleshe wyth a quynce or a warden or buttyre is good for hote apostemes of the fundament and of the yarde And yf ye put therunto barlye floure wyth the yolkes of egges and a lytle saffrā it wyl be a singuler remedy Pomegranades are sondrye some be swete some other sower The sower are colde and drye in the seconde The sweete are colde and moyste in the fyrst The iuyce of them both stamped wyth theyr ryndes and sodden wyth as much honie of roses and the leaues of wylde olyues somwhat brused cureth perfytlye the vlceres of the nosethrylles and of the mouthe The graynes of them confort the stomake vsed moderatelye Otherwyse they hurt the same The wyne of pomegranades takē after repast kepeth meate from corruption Item when they be sodden in the ryndes stamped and made after the fourme of a playster they are excellent remedies at the begynnynge for al hote apostemes Populus or the popler tree is cold and drye in the thyrde It is repercussyue and stupefactyue yf ye rubbe the nosethrilles and temples wyth the iuyce therof And the oyntment called populeon mengled wyth the whyte of an egge oyle of violettes and oyle of popie abateth the heate of a chafed yarde and swageth the peyne Popye is colde and drye in the second and therfore it astonyeth moderatelye Psilium is colde and moyste in the seconde and hathe vertue to represse choleryke apostemes and therfore in the begynning augmentation of the same it is a good reꝑcussiue ministred in the fourme of a muscillage Item the muscilage of psilium beaten wyth oyle of Roses omphacyne wyth an oyntmente of roses and the iuyce of lettuce made after a playster or linimente healeth herisipelas The inner parte of thys sede is hote and drye in the thyrde and therfore hathe vertue to burne to chafe the outwarde part cooleth and souppleth Papirus is colde and drye wyth familier repercussion therfore when it is weted wyth water of roses oyle of Roses and aplyed vpon the legges it reteyneth deriuation of humours Psidia is colde in the seconde and dry in the thyrd it hath vertue to dry cicatrise and restrayne Polium montauum is hote in the seconde drye in the thyrde it hath vertue to sesolue cōsume and to prouoke vryne Petroleum is hote and drye in the thyrde and more beynge sodden with philosophers oyle terebentyne earth wormes and the iuyce of walworte it is a merueylous medicyne agaynst the peynes of sciatica and other goutes Pinguedo or grese is hote moist more or lesse accordyng to the nature of beastes and it hathe vertue to rype and mollifye and swageth peyne Palma is hote and colde in the seconde Pentaphillon or cynkefoyle drieth vehemently howbeit it hath no manifest hotnes Pineole or the kernelles of a pinaple are hote and moyste and bene of greate nouryshmente The ryndes of them bene colde drye and stiptike Plumbum is colde and moyste in the seconde and it is good agaynste maligne and cankerouse vlcers and hathe a meruelouse prerogatyue to resolue the hardnes and lyppes of the said vlcers through a certeyn vnknowē vertue Plates of lead bound fast vpon knobbes resolue them maruelouslye Peaches bene colde in the seconde and drie in the fyrst Dioscorides sayeth that they conforte the stomake Serapion saith that the leaues of peches are abstersyue and resolutyue and thorowe theyr bytternes haue strengthe to kylle wormes Peches be of harde digestion and yf they be eaten afore meate they prepare awaye for other thynges to passe out but yf they be eaten after meate they are easely corrupted howebe it they are rectifyed wyth good wyne Pellis castrati or the skynne of a wether newely flaine is good for strypes and brusing of the entrayles and of the bellye procedynge by a fal and sometyme it restoreth the patiente in one daye resoluynge and consuming the bloode that is out of the veynes Piretrum is hote and drye in the thyrde it hathe vertue to drawe and to heate and therfore holdē vnder the teeth it healeth the toeth ache procedynge of a colde cause yf it be fyrste mollified wyth vinaygre Pionye is hote and drye in the seconde the seede of it caried about the necke wyth the roote preserueth enfantes from the epilepsia or fallynge sycknes Item when it is poudred wyth sage rosemarye and maierum and geuen to drynke with hydromell or methe it healeth the epilepsia or at the lest swageth it Percelye is hote and drye in the seconde it prouoketh vryne The roote of it is of harde digestion howebeit it styrreth vp appetite and the leaues confort the stomake And yf it be mēgled with fenell water cresses bawme Myrte Rue in lytle quantitie wyth floures of rosemarye pympernell borage lettuse in equal portiō making a salet of it wyth swete oyle and vinaygre it styrreth vp appetyte effectuouslye Paritarye is hote and drye in the thyrde and the seed is colde and drye wyth stipticitye and when it is fryed wyth buttyre and eaten it maketh the stone to come oute of the raynes the blader Item parietarye heated in a panne wyth a lytle wine and percelye leaues and water cresses and applyed vpon the bone ouer the priuy members prouoketh vryne And yf ye seeth it wyth malowes Roses mugworte branne husked beanes and stamped sodden agayne wyth sapa tyll they be thycke It shulde be a good playster for attrition and brusynge of the lacertes and muscules REsina pini or rosin of pynaple tree and almoost all other rosins haue vertue to heate and bene mundyficatiue and dissolutyue and mynystred in oyntmentes they heate and drye colde vlcers and produce flesh in woundes of stronge bodyes Roses ben colde in the fyrst and drye in the seconde and are moche vsed in oyntmentes syrupes other confections Rosemarye is hote and drye in the thyrde it resolueth and mundifieth with cōfortation the floure is called authos which hath vertue to clarifye the syghte Item it hathe vertue to resolue and mundifye with cōfortation Rue is hoote and drye in the thyrde and hathe vertue to consume wynde and the iuce of it is put in coliryes to helpe the dymnesse of the syght Radysh is hote and drye in the seconde the rymme of it taken in a lytle quantitie aydeth
sodden in the brothe of fleshe it maye be vsed with oyle and pepper for it sharpeneth the syght Pastyes or pyes are seldome to be vsed Item muschrymes of all kyndes are to be auoyded If ye chaunce to vse them ye must seth them in water wyth leekes and afterwarde frye thē wyth organye and pepper All kyndes of fyshe except see fysh and skalye fysshe and all frutes that lyghtly be corrupted in the stomake muste be eaten in small quantitie The best among them are these grapes fygges prunes rype peches peres and apples of good sente These thynges my sonne Aluisius shal suffyce for preseruation of thy healthe yf thou remembre to kepe a moderation in slepe that is to saye that thou slepe not past .vii. or eyght houres and that in the nyght and not in the daye c. ¶ The .ii. Chapter Of Flebothomye and ventoses FLebothomye as the doctours testify is a good euacuation of humours and surer than a purgation receyued by the mouth for it lyeth in the chirurgyens wyll to emptye euyl blood and kepe in the good by closynge of the veyne And it is a synguler remedye to heale diseases procedynge of aboundaunce of bloode of euyll qualitie as Arnoldus de villa noua declareth gyuynge a good definition of the same Flebotomie and sayinge Flebothomye is the cuttynge of a veyne purgynge bloode and humours rennynge therewithall Here ye shall obserue a generall rule whiche is that ye purge the bellye wyth a lenitiue clyster before ye vse flebothomye lest the emptye veynes be fylled wyth euyl vapours ascendynge from dregges and noughtye humours The lettynge of blood must neyther be to aboundaunte nor to smalle for yf it be to aboundaunt the strengthe of the pacyent shall be weaked yf it be to smalle the disease shall not be cured Howbeit it is better to fall in to lytle then in to moch wherfore Auicenne sayeth that we must auoyde that we brynge not the patient to one of these two infirmyties that is to saye to the boylynge oute of colerycke humours or to the rawnesse of colde humours Rasis sayeth that flebothomye vsed in due tyme mayntayneth health and defēdeth diseases It semeth conuenient to cut a veyne the seconde or thyrde day of the sycknesse but it is better to renewe flebothomye than to let oute moche blood at ones for lyfe consistteth in blood Flebotomye preseruatyue maye not be vsed in wynter nother in somer but in the spryng of the yere and in haruest Antonius Gaynerius saythe that whan yong menne ben infected with the pestilence they muste be let blood aboundantlye for so the venemouse matter maye be soone purged and the pacient healed But ye shal note that as flebothomye duly vsed is the cause of many commodities so if it be vsed out of season and inordinately beside that it weakeneth nature it bringeth many diseases as the dropsye c. Wherfore we muste procede discretelye If flebothomye be vsed for the remouynge of some disease a lenytyue clyster muste go before and the nexte daye ye must cut a veyne afterward ye must geue an other medicine of gentle solution The doctoures assigne many vtilities of flebothomy The first is to emtye all humours the seconde to turne matter frome place to place the thrid to drawe the fourth to alter the fifte to preserue the bodye that it fal not in to some disease the syxt to lyghten the patient wherof Galene speketh sayeng If the patientes age and strengthe wyll suffer it is verye good to cut a veyne not onelye in continuall feauers but in all diseases commyng of rotten humours Howebeit flebothomy must not onely be vsed because of multitude of humours but also because of the foresayd vtilities and for the intemperance of diseases The in temperaunce of a disease as Galene sayeth is accordynge to .iii. thynges that is to say accordyng to the principalitie of the greued parte according to the actiuitie of the disease accordyng to the euyll qualytie and disposition of the same Seynge that we haue shewed the vtylyties of flebotomye we wylle nowe declare what veynes are wont to be cutte A declaration of the order of phlebotomye and whan persones maye endure the cuttynge of theym Those whyche maye endure flebothomy are menne of strong and sanguyne complexion hauyng ample and large veynes Contrary wyse weake and pale personnes can not susteyne flebothomye neyther chyldren before they be twelue nor olde menne after .lxx. yere olde excepte great necessitie requyre it Howebeit Auenzoar dyd lette his sonne bloode at thre yeare olde The veynes whyche are wont commonly to be opened are these fyrst the veynes of the forhead agaynste the dysease ophtalmia and the mygryme to heale greatte peynes in the heade and the frenesye and a leprye not confyrmed The .ii. veynes whiche are founde in the necke are sometyme cut to auoyde humours and rewmes The veyne aboute the nosthrilles is commonly cutte to recouer lost hearynge and to purge the humours of the head Item the .ii. veynes whych are within the mouthe are cutte agaynste skalles and pustules in the heade and agaynst peynes of the teth and of the iawes Also it amendethe heuynes of the head and dyseases of the mouthe and of the throte The veyne of the lyppes beyng cut easeth apostemes of the throte and of the gummes The veyne that is in the toppe of the nose is cut agaynste heuynesse of the head and droppyng of the eyes The two veynes vnder the tongue are cutte for the passions of the throte chyefly for the quynce to purge the matter conioncte The veyne betwene the lytle fynger the ryng fynger is opened for the diseses of the mylt and quartayne feuers The veyne called cephalica is cutte in the hande agaynst the passions of the heade and the eyes at the begynnynge in the contrarye parte and in the state on the same syde that the matter conioyncte maye be purged The veyne called Cardiaca or mediana is cut agaynst passions of the harte The veyne called Basilica or epatica is ordeyned for the passions of the lyuer and in them that haue quarteyne feuers The veyne called Saphena whyche is in the insteppe is wonte to be cutte agaynst the payne in the hyppes and agaynst inflammation and a postemes of the stones and the matrice and to prouoke the floures The veyne called sciatica which is in the outward parte of the fote is opened agaīst the dysease called also sciatica The veynes behynd the eares are opened agaīst apostemes of the eyes and to amende remembraunce and mundifye pustles and spottes of the face The veynes of the tēples are opened to swage greate payne of the eyes and to heale the dysease called Ophtalmia And whē they ben opened the heade muste be bound diligentlye The veynes emoroidall are opened or haue leches applyed vnto them to purge melancholyke humours and to preserue the body from leprye canker scabbes mortmale vertigo and melancholia And therfore Hipocrates
or such as purge rottē mattier For lyce are engendred of rotten mattier Concerninge diete the patient muste absteyne from meates that engender corrupte or rotten mattier as figges chestnuttes colewortes c. To come to locall medicines some affirme that the iuce of brome wyth the iuce of wormewood and oyle of mirt sodden kylleth lyce yf ye annoynt the heade therwythall Oyle dissolued with aloes lykewyse vsed is of lyke effecte Item a decoction of the gumme of an yuye tree whyte beetes and blacke of the coddes of senye made with wormewood yarowe and lye kylleth lyce yf ye wasshe the heade wythall twyse a weke Note that what soner killeth lyce kylleth nyttes also To kylle crab lyce in the priuy members and vnder the arme holes ye shall rubbe the place wyth a clout wherwyth the goldsmyth gyldeth syluer But if the lyce be foūde in the eye liddes ye shal vse a surer medicine Take of a hēnes galle ʒ ss water of roses of wormewood an̄ ʒ ii of aloes epatyke ℥ i. mengle thē lay it vpon the eyeliddes Or thus ℞ of buttyre thryse washed wyth rose water ʒ iii. of aloes epatyke ʒ i. mengle them together and make a linimente and anoynte the eye liddes therwyth when the patient goeth to bedde c ¶ Of the stynkynge of the nose and of the mouth THe euyl odour of the nose and of the mouthe maye come of sondrye causes as Galene sayeth Somtyme it cometh by corrupte vapours ascendyng from rotten humours in the stomake and this chaunceth to those persons that lyue riotously vsyng excesse in meate and drynke Sometymes it chaunceth through the rottenes of the gōmes and of the teeth The stynke of the nose cometh somtyme of a rottē vlceration and sometyme of corrupte and catarrouse mattier descēding frō the brayne and somtyme through the stoppyng of the streynour of the nose and thys kynde is of harde curation or rather incurable as some affirme The cure of thys euyll disposition cōsisteth in thre intentions The first is ordinaunce of diete the second purgation of corrupte mattier The third is administration of local medicines For the fyrste the pacicient muste absteyne from all meates that engender grosse and corrupte humours as are grosse fleshe fyshe colewortes oynyons garlike pasties and pies and he muste eate meates of good digestion as capons chyckyns veale lambe lyke spyced wyth cynamome Hys breade must be vnleuened Pomegranades are comended in thys case for they suffer not meates to corrupte in the stomake Item stiptyke frutes as medlers quynces are permitted after meate but al other frutes are to be abhorred Furthermore hys wyne muste not be swete nor grosse nor troublous nor strōg Of herbes he may vse borage lettuse maiorū ꝑcely mintes sauerye tyme sage sorell rosemarye Also it is good to vse after meate corianders swete fenell cynamome For the seconde intention lette the mattier be purged wyth diacatholicō cassia and tamarindes or with pilles of mastyke or pilles de octo rebus or pilles of washed aloes these muste be receyued twyse a weke thre houres before supper or .ii. houres after supper We haue founde it good to take in the mornynge fastynge an ounce of honye of roses aromatised wyth a lytle cynamome and nutmigges Also the roote of gynger wyth hony suger receyued fastynge comforteth digestion and causeth good odour of the mouthe and so doth the rynde of a citron or of an orenge confecte as is aforesayde Item confection of the thre saunders and aromaticum rosatum receyued fastynge wyth a lytle wyne is profitable in thys case The thyrde intention is thus accomplished Fyrst yf the cause of the stynke be in the rotten teeth let them be remoued But yf it be in the gōmes let them be rubbed wyth thys mixture folowynge R. of the water of sorel of the wine of pomegranades an̄ ℥ i. of roch alume ʒ ii ss of licium ʒ vi let them seeth all together tyll the water and wyne be consumed yf nede be of stronger remedyes put to the mixture of vnguentū egiptiacū ʒ vi If the stinke of the nose procede of rotten vlceration ye muste mundifye the place wyth the forsayde remedye or wyth vnguentū applorū mengled with vnguentū egiptiacum It is good also to draw into the nose thrilles thys decoction folowynge R. of water of roses and plantayne ana ℥ iii. of wyne of pomegranades ℥ ii of licium of hony of roses ana ℥ i. ss of sarcocolle ʒ i. of alume ʒ i. ss of myrrhe ʒ ss seeth them all together a litle Item it is good to make a lotion wyth water of roses wyne of pomegranades a lytle odoriferous wine wherein roses myrte calamus aromaticus ciperus and a lytle alume a lytle honye of roses are sodden Itē it is good to holde in the mouth cynamome nutmigges or sweete fenell to eate medlers after repaste or sower apples ¶ A chapter of horcenes TO clarifye the voyce a purgation wyth pilles of hieracum agari●o or wyth cassia and diacatholicon premised it is verye profitable to take thys decoction folowynge hote when the patient goeth to bedde R. of water of scabiouse fenell and buglosse ana li. i. of iuiubes fattefigges raysons dates ana ℥ i. of clene liquiryce ʒ x. of sirupe de duabus radicibus wtout vinaygre ℥ iii. of hony ℥ ii of penydies of suger candy of sirupe of violettes an̄ ℥ i. ss seeth thē all together in a glasse tyll the thyrde parte be consumed Dioscorides sayeth that assa fetida takē wyth water of hony rectifieth a horce voyce Item it is very good to take after supper ʒ i. of these pilles R. of the iuyce of liquiryce of aloes epatike of dragagantum braied of assa of aloes ana ʒ i. of cububes of myrrhe ana ʒ ii of liquyde storax of clere terebentyne an̄ ʒ i. ss of coriandes swete fenel an̄ ℈ ii of garden saffran ʒ ss mēgle them all together and make pilles wyth hony Also pilles bechichie siue de liquiritia holden vnder the tonge synke downe to the longes and clarifye the voyce Item a leke boyled wyth oyle and eaten wyth hony amēdeth horcenes yf ye put therto a lytle cubebes it shal be the better Auncient wryters in thys case prayse a decoction made wyth honye water and mustarde Finallye a decoction made wyth the seede of quynces liquiryce the rootes of langdedefe syrupe of violets soupleth the roughnes of the pype clarifieth the voyce And thus we make an ende c. ¶ A chapter of an aposteme which is wont to chaunce through flebothomye IT chaunceth sometimes that through negligence in cuttyng a veyne a synowe is prycked or that yuell bloode is reteyned thoroughe streate phlebotomye of whiche .ii. causes the membre is apostemed with a coleryke or a sanguyne aposteme For the curation whereof ye shall resorte to the booke of apostemes Howebeit ye shall obserue this one thynge that if ye feare the commyng of an
foure iuce of an orenge howebeit the apothecaries make this syrupe with the iuce of a citron as they haue shewed me Natheles Fuchsius techeth that they ben both of lyke vertue and effect And Io. Agricola sayth the citrō signifyeth an orenge and also a limō And bycause this name is doutfull I leue it to thy iudgemēt good reader whether thou wylt when thou fyndest the ryndes of a cytron or the iuce vnderstand an orēge or a pome citrō Acorus Brūfelsius calleth acorū wild flour delyse Mainarde sayth that he was wont to vse calamus aromaticus in the stede of acorus Some take it for galingale Adiutorie They call the two bones which extende from the shulders vnto the elbowes ossa adiutoria Aematites Haematites is a precious stone and hath his name of bloody colour For Haema in Greke signifyeth bloode It hath strength to heate to thynne and to scoure and it is vsyd in medicines for the eyes Agarike Some say that Agaricū is a rote and some affirme that it growtth to trees lyke to destooles It is founde in wylde places of Sarmatia and also in Galatia and Cilitia and it dryueth out fleame and cholere but not spedely Agrippa Agrippa is an oyntment descrybed in Galenes antidotari Albugineus Albugineus is that that pertayheth to the whyte of the eye Alchohol The barbarous auctours vse alchohol or as I fynde it sometymes wryten alcofoll for moost fyne poudre Alchachinga Alchachinga is taken for the secōd kynde of nyghtshade Plinnie calleth it halicacabum Alleluya They vse thys worde Alleluya for a kynde of thre leaued grasse which is soure in taste Almocatim The barbarous wryters calle the nether bones of the heed Almocatim Aloes Aloe is the liquour of an herbe brought vnto vs out of India Som affirme that the maner of makyng it is this They stāpe the herbe draw out the slymye iuyce and lay it to the fyre tyll it boyle and than they set i● a sunnynge tyll it be drye And that that is purest they call succotrine or succocitrine that which is in the middell beinge lesse pure hepaticke and fynally that which synketh to the botome and is as it were the dregges they call Cabaline Aloe is bytter in taste and of an hote and drye complexion It purgeth choler and comforteth the stomacke and is moreouer of greate effect in woundes Althea Dioscorides wrytteth that Althea is a kynde of wylde mallowes hauynge rounde leaues and floures lyke roses it is commenlye taken for holyhocke and so I haue euer translated it Howbeit the chirurgyens beyonde the see vse marche mallowes for Althea Alumen zuccarinū There bene manye kyndes of Alumes But thre bene mooste knowen which they cōmunely call Iamenū zuccharinum or rotundum and roch alume Alume hath vertue to bynde and therfore it is called Stipteria in Greke and it is moreouer abstersyue or scourynge Ambrosine Ambrosia is communelye taken for wylde sage Ameos Ameos Ammi in the genetiue case Ammeos is a whyte seede hote and drye in the thyrde degre It groweth by the cytie of Egypte called Alexandria In stede of this herbe some vse the seed of cheruel Amygdalae At the roote of the tonge there bene as it were two flesshye kernelles lyke sponges called in Greke paris●●mia in latyne tonsillae and of the 〈◊〉 doctours amygdalae that is almondes Amydum They corruptly vse this worde Amydū for that that is called in greke Amylon and it is the iuyce or mylke of wheate steeped in water certayne dayes and afterwarde pressed Anthera Though Vigon thynketh Antheram to be the yollowe in the myddest of a rose yet Cornelius Celsus sayeth that it is a composition for the diseases of the mouthe wherein roses entre Anotamie Anotamie is a Greke worde and sygnifyeth the cuttynge vp of a mans bodye or of some other thing Anacardinum mel They call the iuyce of anacardus honye anacardine And whan they saye that anacardus is the frute of a tree called Pediculus Eliphantis whych groweth in Sicilia and Apulia The honye or iuyce of this frute burneth bloode and rooteth vp wartes Animall spirites Resorte to vitall spirites Anodine Thynges whiche are wythout grefe are caled in Greke anodina Howbeit Vigon vseth the word for thynges that remoue payne Antecedent Antecedent Goyng before Antidota Antidota are medicines to be receyued within the bodye whereof there bene thre dyfferences For some are gyuen agaynst poyson some agaynst the styngyng of venemous beastes or serpentes and some heale diseases gathered of corrupt meates and drinkes They call a boke wherein suche medicynes are descrybed an antidotarie Anthos Anthos in Greke sygnifyeth a floure howbeit it is cōmunely vsed for the floures of rosemarye Antimonium Antimoniū is a veyne of the earth lyke leade howbeit it hath this difference from a metal A metal melteth Antimonium is brayed and wyll be burnt rather than molten it is colde and drye in the thyrde degree And it is put in colliries for the eyes c. Anthrax Anthrax is engendred when grosse and boylyng blood leanyng to some part of the body burneth the skynne For Anthrax in Greke sygnifyeth a coole and for the same cause it is called carbunculus in latyne which is a diminitiue of carbo a coole Apium risus Apium risus is taken for Batrochion whiche is thought to be crowfote it is called Betrachiō or ranūculus bicause frogges delite therin And therfore the later auctours cal it apiū raninū And they say that it is called apium risus bycause the man that eateth therof dyeth laughynge For risus signifieth laughing which auctours assigne to that that groweth in Sardinia Aphorisme Aphorismus signifieth a distinctiō Aposteme Aposteme is a passion wherein the thynges are sondred whiche before were ioyned togyther wherfore ther remayneth an emptye space whyche receyueth a wyndye or moyste substaunce or bothe And the sayde substaunce fretteth the partes about makynge roume for hym selfe In latyne it is called abscessus Aqua gariofilata Aqua gariofilata is the water of cloues as it appeareth in the fourthe boke of abridgementes Howbeit bycause gariofilata is commenly taken for ieloflours for that that they haue the odour of cloues called gariophili I thynke I dyd translate it ones the water of iellyflours Here ye shal note that though gariofillata be commenlye taken for iellofloures yet other well lerned men thinke it to be Auēs and so perchaunce I haue translated it sometymes Armoniake Dioscorides calleth that that Vigon calleth armoniake ammoniacum of ammos whyche sygnifyeth sande For it is the lyquour of a shrub in Aphrica called agafyllis whyche falleth vpon sande and so is found in clottes Ammoniacum also is a kinde of salte founde vnder sande Arcula puerorum Arcula puerorū The later wryters of chirurgeri vsing an arabike terme call the blysterynges which through corrupt mylke happen in the roofe of chylderens mouthes Alcolā Yf this be not the disease whiche Vigon calleth arculā I can lerne of nomā what it shulde be
growynge in India Whereof some bene hote lyke pepper Some bytter c. they prouoke vrine and breake the stone Cuscuta Cuscuta dodder It wrappeth it selfe about flaxe and therfore it is called podagra lini that is flaxes goute Cyperus Cyperus is a rushe of swete odour growynge in Syria and in the Isles called Cyclades the rootes whereof are vsed in medicines to heate and to prouoke vrine There is another kynd of cyperus in India and the roote of it is lyke gynger It remoueth heere beynge annoynted vpon one place c. Cyathe Cyathus is a measure conteyning in weight of wyne one ounce thre drāmes foure siliquas Siliqua is the thyrde part of obolus Obolus is half a scruple Cyclaminus Cyclaminus is an herbe hauynge leaues lyke iuye purple chaūgeable wyth whytysh spottes aboue and beneth The floure of it is lyke a rose of coloure enclinyng to purple The iuce of the stalke of thys herbe is poured into the nose wyth honye to purge the heade Dianucum DIanucum is made of the iuyce of the ryndes of walnuttes and honye They vse this medicine when humours descende frō the heade to the brest and we saunde Digestiue In chirurgerie a digestiue is taken for that that prepareth the matter to mundification or clensynge Howbeit properly digestion is when good iuce is distributed into al the partes of the bodye by the veynes Desiccatiue Desiccatiue is that that hathe vertue to drye Dialthea Dial. is a confection made of holihockes Daigredium Diacrydiū is the iuyce of scamonie howebeit it is counterfaite Diacyminū A confection of cumine Diaphinicon Diaphoenicō is a cōfectiō made of dates Phoenix in greke signifieth a date tree Diophoretica vis Vis diaphoret is strēgth to discusse Dianthos Dianthos is a cōfectiō made wyth floures whyche is geuen to pensiue troubled personnes to cause myrth Diamorō A confection made of mulberies Diapōfilicos Diapompholix is the oyntmente made of tutia Resort to tutia Diarodō A confection made of roses Diacartamus Diacartamus is a confection made of garden saffrā Diametre Diametros is a right line equallye cuttynge a figure where it is longest Didimi Didimi ben the two stones Howbeit Mūdyne vigō vse this worde for the two skinnes which couer the stones Dictamnus The true dictamnus groweth onlye in Candie Howbeit practisians haue founde profite in our ditany and therfore it is to be vsed Dilatation Dilatation is enlargynge Diuretike Diuretike prouokynge vrine or that hath vertue to prouoke vrine Doronici Doronici are litle rootes of sweete rellise like vnto calamus aromaticus they are brought frō the east partes Dragagantū Tragacātha is a brode a woddie rote appearing aboue the erth wherout many low braūches spring spreading thēselues al about There cleaueth to this rote a gūmie liquour of a bryght colour sōwhat swete in tast whych they cal comunely dragagantū Dregge Leonardus Fuchsius thynketh the tragea cometh of tragemata whyche signifieth ionkets or dilicate meates vsed in the ende of dinner or supper Dysuria Dysuria is difficultie of pyssinge Embroke EMbroche cometh of embrocho whyche signifieth to rayne And it is an embrocatiō when we droppe downe liquor from an higher place vpō some parte of the body as vpon the heade Elaterium Elateriū is the iuce of a wild cocōber Elebore There ben two kindes of elleborus namely whyte and blacke The white hath leaues like plātayn but shorter blacker The blacke hath leues lyke the leaues of the plane tre sōwhat lesse iagged about The rotes therof ben smal thyn blacke which are vsed in medicines to purge melancholye Electuariū de daclilis is an electuarie of dates Eliuation Eleuare signifieth to lyft vp eleuation when a thinge is raysed vp Eminences Eminētia is whē a thing stādeth out Emūctories Emūctoria ben the clensyng places as the flanckes the armeholes c. Emborisma Emborisma is a swelling whyche cometh of a woūde of an arterie whē the flesh leanynge vpō the arterie cometh to a cicatrice but the vlcer of the arterie is nether growē together nether hath receyued a cicatrice nor is stopped wyth fleshe Epiglottis Epiglottis is a lytle peece of flesh which cometh frō the rote of the tong couereth the toppe of the pipe or wesaunde Epilepsia Epilepsia is the disease comunelye called the fallynge sycknes Epithema Epithema cometh of epitheo which signifieth to lay on And it is made of stilled liquours other simples layed vpon a place wyth wete cloutes Epithymum Some say that epithymū groweth wtout a rote and hath as it were thinne heere 's wonde together like a botome The floures therof bene verye small whyte lyke the floures of thyme Mufa sayth that epithymum is as it were redde heere 's growyng about cetayne herbes Eradicatiue That is eradicatiue that hathe power to rote out Erectum is raysed vp Eryngium They comunelye take erynglum for Scholme whyche is an herbe hauynge pryckes lyke a thystel and rootes swetyshe in taste and groweth by the sea syde Eschare Eschara is the hardnes or cruste that remayneth after the burnynge of a wounde or vlcer Essare Essere or essare ben called of Paulus Aegineta epenyctides bycause these lytle redde pushes breake out in the nyghte season Estiomenos Estiomenos is an eatyng sore For esthiomai in greke signifieth to eate Vigon is deceyued in serching the originall of this worde Exmoline Ermolinus is an herbe wherof I haue founde nothynge wryttē Howbe it the apothecaries affirme that they haue it Expulsiue Expulsiue is hauyng vertue to dry out Eufrage Eufragia hath a lytle leafe iagged about and a yelow floure and bicause it is a singuler remedie for the eyes it is called in greke ophthalmica Euforbiū Euphorbium is a liquoure of a tree growing in Aphrica of vehemē heat Excoriation Excoriation is when the skynne is chafed awaye Excresences outgrowynges Exiturae outbreakynges outgoynges Exciccation dryenge Extirpation Extirpation is when a thynge is plucked vp by the roote Eupatorium Leonicenus thynketh eupatoriū to be agrimonie It hath one onely stalke woodye blackyshe streyght thynne roughe The leaues bene lyke sinckefoile or hempe leaues and it hath his name of kyng Eupator Fanus FAuus signifieth an honye combe and some tymes it is vsed for a swellynge whych hath holes in the skyn wherout there is strayned a grosse humoure lyke honye In greke it is called cerion Filius ante patrem Filius ante patrem is an herbe hauynge tustes or heades from whyche other braunches sprynge bearynge tuftes also And therfore it is called filius ante patrem that is the sōne before the father or impia that is wycked Thys herbe is good for the quynce Fistula Fistula is an hollowe sore and it is so called bycause it hath an holownes lyke a pype For the same cause the grecians haue named it Syrynges flebotomye Phlebotomie signifieth the cutting of a veyne or phleps is a veyne thomos signifieth cutting or a cut of temno
greate prouocation to the seege but can do nothynge It commeth of teinein which signifyeth to stretche Tension Tension stretchynge Terra sigillata Terra sigillata is an earth dygged oute of certayne caues in the Isle Lemnos And bycause it was sent from thence beinge sealed it was called Sigillata Some thynke that we haue not the thynge thoughe we retayne the name Terebentine Mainarde sayeth that the true Terebinthina was broughte oute of the Isle called Chios and out of Libia and Pontus But nowe in the stede of it we vse Rhasyne of the fyr or sapyne tree Terminatio ad crisim Crisis sygnifyeth iudgemente and in thys case it is vsed for a sodayne chaunge in a disease Thys chaunge is wonte to happen foure maner of wayes For eyther the patient is immedyatly delyuered of hys disease or is moche better at ease or dyeth incontynentlye or becommeth moche worse The fyrst of these chaunges is called Crisis the seconde Elleipes that is wantynge the thyrde cace that is euyll the fourth ateles that is vnperfyte Hereafter it appeareth that those chaunges which happen by litle and lytle are not properly called Crises but lises that is solutions or loosinges Trachea arteria The wesaunde pype is called Trachea bycause it is rough Transuersalis Transuersalis crosseouer Trifera Trifera is an electuarie made of myrobalanes gynger cloues c. for wyndynesse rawe humours c. Trociskes Trochiscos in Greke is a lytle whele Amonge the apothecaries it is a confection made of sondrye pouders and spyces by the mene of some lyquoure In latyne they call it Pastillum Tunecis Some thynke that Tunici is the herbe that dioscorides calleth polemonium and some take it for the floures of gillofloures Polemonium after Dioscorides descryption hath leaues lytle bygger than Rue but longer In the toppe of hys braunches it hath as it were Iuye berryes in whyche there is a blacke seede The roote is dronken with wyne agaynst venyme Tutia Tutia is called in Greke Pompholix that is to saye a bubble For it is that that bubbleth vp in brasse whan it is boyled and cleueth to the sydes or couer of the fornace And that that synketh and is as it were the asshes of boyled brasse is called Spodium For spodos in Greke sygnifyeth the dust and asshes wherof spodion is a diminutiue Turbith Musa sayeth that Turbith is the seconde kynde of spurge Some thynke that Turbith is taken out of a plant whyche hath leaues lyke the leaues of the myrte tree Varices VArix is the swellynge of a veyne somtymes in the temples sometyme in the base parte of the belly somtymes about the stones but chefelye about the legges Ventoses They vse this worde Ventosa for Cucurbicula that is a cuppynge or boxynge glasse Ventricles Ventricles Lytle as it were mawes chambres holes Vermicularis Vermicularis the lesse housleke it groweth vpon houses Vesicatorie Vesicatorie Bladderynge blysterynge Viscum One kynde of Viscum is byrdelyme made of honye and oyle An other kynde is called Damascene and commeth from Damasco Mysteltowe also is called Viscum Vlcers Vlcers Sores Volubilis There ben many kyndes of volubilis one hathe whyte floures lyke belles and wrappeth it self in hedges Another crepeth on the grounde wyndeth it selfe aboute herbes The germaines call volubilos winde bycause I thynke it wyndeth and wrappeth it selfe aboute bushes or herbes I founde it englished in an olde wrytten boke hyehone Vitis alba Vitis alba hath leaues and braunches like a set vine and twyneth it self aboute brambles wyth hys tendrelles as a vine byndeth it selfe to trees and it hathe clusters of redde coloure lyke grapes wherwyth men were wonte to courie skynnes The name soundeth a white vine and it is called moreouer brionia There is another called nigra vitis or a blacke vine it hath leaues like yuie catcheth trees which grownigh vnto him with his tendrelles it beareth clusters fyrste grene and afterwarde blacke when they ben rype and it is called in latine bryonia nigra and vua taminia Vngula Vngula is a sinnowye eminence of the skynne of the eye called coniunctiua beginning at the greater corner of the eye and procedyng vpto the apple of the eye and when it is increased it couereth the apple also Vndimia Vndimia is a barbarouse terme in greke it is called oedema in latine tumor For it is a softe swellynge wythout payne Vital spirites A spirite is a subtile fyne aerye and cleare substaunce produced of the thynnest and fynest parte of bloode that vertue and strength maye be caried from the principal parte to the rest The physitions teache that there ben thre kindes of spirites animal vital naturall The animal spirite hath his seate in the brayne and is spredde in to all the bodye by synnowes gyuyng facultie of mouynge and felynge It is called animal bycause it is the first instrument of the soule whych the latines call animam And it is ingēdred of the vital spirite caried vp thither by arteries and there more parfectly digested and elaboured For whych purpose nature made the merueylouse nette in the brayne as it were a chaungeable and manifolde mase The vital spirite is conteyned in the harte and is caried to the partes of the bodye to cause naturall heate It is engendred of inspiration and of exhalation or outbreathinge of bloode The natural spirite dwelleth in the lyuer and in the veynes Howbeit some alowe not the addition of this spirite beyng contented wyth the other two Nowe that we haue declared the spirites we wil speake somewhat of the natural faculties There ben thre faculties I call a facultie the cause wherof action or doynge procedeth whych gouerne man and are distributed to the hole bodye as it were from an hedspringe namely animal vital and natural The animal facultie is the whyche sendeth felynge and mouynge vnto al the bodie from the brayne by sinnowes as it were by lytle pypes or conduytes moreouer it nourisheth vnderstāding therfore the Greciās cal it logisticē The vital facultie gyueth lyfe from the harte by arteries vnto all the bodye the Grecians call it thymoeides that is fitte to be angry or couragious wherby it appeareth that the hart is the headsprynge of natural heate The natural facultie gyueth nouryshment to al the partes of the bodye from the lyuer by veynes and is called of the grecians epithymetice that is couetynge or appetyng and also threptice that is nouryshynge And it hath foure vertues attractiue retentiue alteratiue and expulsiue The attractiue vertue is the whyche cā drawe such iuyce as is agreable to the part the iuce is agreable and fryndlye to the parte whyche is apte and fit to be made lyke to the sayd parte and to fede the same This facultie ministreth matter wherby euerye parte is nouryshed and is as it were an handmaide to the retentiue vertue The retentiue vertue is the whyche retayneth the drawen iuyce vntyll the alteratiue vertue hathe chaunged it in to the nature of the parte that is nouryshed and so it serueth the alteratiue vertue The alteratiue vertue is that whyche altereth chaungeth and boyleth that that is drawen and retayned a certayne space and finallye maketh it like and ioyneth it to the parte that is nouryshed The expulsiue vertue sondreth straunge and vnprofitable thynges from concoction and dryueth superfluities out of euery part of the bodye leste they taryenge to longe in the bodye shulde rotte and putrifie And thys also is a seruaunte to the alteratiue vertue Vitriolū romanū Musa sayeth that vitriolum romanum is that that Dioscorides calleth Misy whyche is founde in mynes hath the colour of golde and is harde and when it is broken it sendeth out the golden sparcles shinynge lyke sterres It hathe vertue to purge to heate to scoure awaye euyll corruption lyenge in the corners of the eyes when vitriolum is put wythout the addition of thys worde romanum Some vnderstande therby chalcantum whyche ye shall seke in the lettre C. Vuea One of the skynnes of the eye is called vuea bycause it is lyke the stone of a grape Vuula In the extreme parte of the rouffe of the mouthe there appeareth hangynge a lytle peece of fleshe whyche some call columellam some vuulum that is a lytle grape Xylobalsamū The woode of bawme is called xylobalsamum the frute carpobalsamū the iuyce or liquor opobalsamum zeduarie zeduaria is thought to be a roote of hote and drye temperamente whyche they seeth in wyne for the cough for paynes of the stomake c. Of wieght Libra or a pounde is deuided in to twelue ounces Here ye shal note that those apothecaries erre whyche for a pounde put sixtene ounces into theyr medicines For that is the marchauntes pounde The fourthe parte of a pounde is called quadrans in latine the thyrde triens the sixte sextans wherfore quadrans or a quarterne is the weyght of thre ounces Triens of four Sextās of two An oūce maketh viii .. drāmes a dram .iii. scruples And as the comune practicioners say .lx. barley cornes make a dramme Granum is the weyght of a grayne Manipulus signifieth an handfull Here folow the notes of these weyghtes A graine gr A scruple ℈ A dramme ʒ An ounce ℥ A quarterne Qr. A pounde li. Halfe. ss An handful m̄ Ana. is vsed for euerye one In number n̄ FINIS