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A03479 A needefull, new, and necessarie treatise of chyrurgerie briefly comprehending the generall and particuler curation of vlcers, drawen foorth of sundrie worthy wryters, but especially of Antonius Calmeteus Vergesatus, and Ioannes Tagaltius, by Iohn Banister ... Hereunto is anexed certaine experiments of mine ovvne inuention, truely tried, and daily of me practised. Banister, John, 1540-1610. 1575 (1575) STC 1360; ESTC S100786 92,466 324

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they are ioyned that is to saye the differences of the thinges conteined with the disease the differences of the thinges conteined with the accidentes and the differēces of the things conteyned with the causes and others if any be of like sort Of the causes of Vlcers THe latter sect of Chirurgians haue instituted two generall causes throughout all vlcers that is to saye the Antecedent causes named of the Grekes 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 And the coniunctiue causes also called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The antecedent causes are these viz. cutting breaking tearing and suche like solution of continuitie whiche cannot euen by by stirre vp Sanies Pus or Sordicies which are iudged necessarily to associate the vlcers although it may be done in time that in remouing the antecedent and corporall causes Therefore the antecedent causes of vlcers is Cacochima whiche is euill iuyce and that is when the humors haue onely defaulte in qualitie and not in quantitie and also to muche aboundance of those peruerse humors being in the bodye may at lengthe corrupt and putrifie the said partes of the same body Furthermore the wickednes of the said iuyce is either engendred by a peruerse kynde of diet or throughe the whole body or els some particuler member as through default which may be either in the liuer or splene as Galene in diuers places hath sufficiently testified The coniunctiue causes is said to be that intemperature whiche is called the malice of complexion in the wounded partes through the antecedēt causes or through the woundes and hurtes them selues or other tumors against nature but especially through malignaunt vlcers either broken opened or stirred For euē the corroding vlcer is engendred Ex herpete miliari called of the Grekes Cenchrias also of Esthïomeno whiche is an eating vlcer proceding of choller more grosse thicke so maye it also happen of the carbuncle chiefly if it be venemous whiche maketh an escharous vlcer ful of bankes filthy and full of depe hollowes Wherefore these three are accompted vlcers rebellious hard to be cured First because of intemperature which commeth to the subiect fleshe Secondly through defaulte of the bloud thereto resorting And thirdly through copie and quantitie of the matter flowing as Galene credibly hath vs enfourmed He also affirmeth that the same diuision may be made otherwyse that is of curable and also rebellious vlcers the one for intemperature of the vlcerated fleshe and the other in respecte of the humor flowing and the same intemperature also may be deuided twoo manner of wayes viz. when the fleshe is subiecte to the onely qualitie of nature aboue measure or otherwyse when there is present some accesse or certaine tumor Now also that flowing may be deuided into twoo partes that is as well in the qualitie as also in the quātitie of the humor flowing There shal be therefore foure kyndes of vlcers contumelious or hard to be cured that is to witte the onely intemperature of the subiect fleshe whiche wee call Discrasia intēperature with an accessiue tumor the humor flowing or vitious or much for the humor which floweth abundantly into the greuous part of the vlcer yea although it be not vitious yet for because it engendreth therein excrementes it hindreth the healing with long detraction of tyme Galen seemeth also to make and adde hereto a fift kinde in his Cōmētarie vpō the Aphorisme of Hippocrates which beginneth thus Vlc. quaecunque annua sunt c. whiche is the passion of the corrupted bone in the vlcered place For when the fleshe which couereth the bone hauing applied according to art exiccatiue medicines receiueth cicatrice by and by it semeth perfectly restored and amended but shortly after some matter thither resorting from the corrupt bone reduceth in the healed part a present inflāmation so that after there followeth not onely generation of matter but also erosion of the aforesayd cicatrice exulceration of flesh And as we may plainly gather by Galen among the aforesaide affectes and dispositions al others to be vnited and knit and that many and diuers differences of vlcers doe spring of those aboue mencioned Furthermore there must be a methode of healing shewed and declared not of al together but euery one by him selfe which shall followe after beginning onely with the cure of simple thinges that therby the waye and meane to heale the compounde affectes may the more easely be attained Now seing that as we entreat throughly of vlcers these wordes Sanies Pus virus Ichor Sordes and such like are much in vse I think it not much forth of the way if in this place we shew what those words doe signifie among the Chyrurgians and that in fewe wordes how they agree and disagre Sanies i. ichor is properly that thin humor which the Grekes cal 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 suche as is in a wounde neither newe nor olde but betwene both and some kinde of this Ichor is interpreted Sanies sanguinis the matter of bloud And of Sanies saith Celsus be twoo kindes the one named 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and the other 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 being thin and halfe white proceading of an euill vlcer and chiefly where as a sine we being hurt inflāmation is gathered Meliceria is more grosse glewie and like to white honie proceding also of euil vlcers wher the sinewes about the ioyntes be hurt in which places it greatly floweth But nowe amongest the newe and later Physitiōs and Chyrurgiās who not obseruing the true proprietie of voice or agreeing vpon the nature of the thing do wrongfullye vsurpe the name of Pus in steede of Sanies sometime they make Sanies a kinde of Sordes Virus Virulentū and Purulentam colluuiem called of the Grekes 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and of the Latines Pus For the name of Sanies being truely defined signifieth all humiditie altered aboue nature Wherefore if the humor be thinne whiche proceedeth from the vlcer it is called Virus or virulentia If it be thicker Sordes And if it be in a meane betwixte both it hath to name by proper appellatiō Sanies And it is saide to be found aboundantly in vlcers and but little in deepe woundes Sanies therefore is properlye among the vulgar Phisitions and Chirurgians the same that Pus is among the Latines and 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 among the Grecians Celsus calleth it the Genus hauing vnder it twoo kindes conteined called of the Grekes 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the whiche ichor of the Latine interpretors is called and turned to Sanies and Meliceria called Pus hauing the beginning of contused flesh or bloud But in the generatiō therof there is a doubtfull or halfe euil transmutation or alteration For as Galene saith there is in the bodies of liuing creatures three alterations One plaine and according to nature that is when the meate is digested
to passe that the eaters of fruites doe ofte suffer paines tormēts in the belly viz. such as Quinces Orenges Medlars Sorbes Nuts such like which are not only slow in passage but also being grosse gluie doe engendre astringent iuyces retaining the naughtines of humors Notwithstāding we accompt not sweete Almondes vnprofitable sithe in them is conteined no binding force for y they doe make cleane and extenuate and therefore probably allowed in Ulcered bodies And Galene also affirmeth that Almondes do purge the bowels wherby it cōmeth to passe that virious humors being propulsed to the skin and forbidden to abide in the inner parts are driuen out by the pores of the skinne as it were by breathing whereby paines of the belly and other exterior inconueniences are preuented wherefore sweete Almondes are a conuenient fitte meate for affected bodies But Filberdes and Walnuttes because of their binding strengthe and the cause aforeshewed are moste vnprofitable and verie vnholsome for Ulcered bodies ¶ Of herbes to be vsed in brothes c. HErbes fitte for suche bodies are those whiche be hoate and drie viz. Hysope Calamint Watermint Fenill Sage Betonie c. And when herbes that doe attenuate and make softe bee with these compounded then doe they easely clense and expuise al grosse and slymie humors and therfore must needes be graunted cōmodious for suche persones the herbes of contrarie temperature viz. colde and moist are as muche hurtful such as Lettuse Endiue Mallowes Spinache and suche like whiche by their colde nature doe compact and heape together naughty humors in thinner partes of the bodye hindring their passage or expulsion for whiche cause the depth of the bodie is not purged but the disease more augmented and a great deale the more when the patient through fonde and gredie desire shal haue eaten herbes colde and drie with astringent facultie whiche to the pacients are moste obnoxious of whiche sorte bee these viz. Plantain Sorrel Nightshade and of like sorte ¶ Of Onions Garlike Musheromes or Toade stooles c. ONions Garlyke Scalians Leekes for their sharpe and byting tartnes together with the obscuritie of their substaunce both more dāmage to the body thē their force of extenuating can pleasure agayne Of the earth also proceadeth funges or Todestoles whiche any waye prepared are to be eschewed since they are not onely of euill iuyce but their nutriment is colde and flegmatick and to all accidentes and dispositions proceding of Ulcers moste hurtfull Of that minde is Galene saying further for as muche as Toadestooles can not drie it is a manifest token that in them is euill contained And Auicen saith that prefocation happeneth to them which vse to eate Toadstoles ¶ Of Pulse SInce there is no Pulse endewed with good perfect pleasure but doe greatly fill the bodye with wynde by whiche meanes paines in the bodye may arise to Ulcered bodies therefore vnneedefull I do not without cause accompt them vnprofitable Galene being author of which sorte be these viz. Beanes Fitches Rise and suche like let vs streightly cōmaunde the Ulcered patientes clearely to eschew these kinde of graines in what order soeuer they be altred but to an immoderate appetite the broth of red Rice may indifferently be permitted for that doeth attenuate and clense grosse and clammie humors open the obstructed wayes which meanes are much assistaūt to the healing of Ulcers ¶ Of motion and reste VNderstanding by Galene that reasonable motion is not onely helthfull to the bodie but also maketh the sayde bodie of a good fourme and habite and kepeth it in healthfull plight It shal be moste expedient that the person affected do moderatly frequent the motion and exercise of his bodie But yet saith Galene I would not haue him to vse it when he is full for endamaging or hurting the head with vapours whiche by muche motion maye arise from the meate newely taken and vndigested Exercise is good before meat for thē it encreaseth the force and strēgthe of the bodie saith Galene and thereby purgeth the pores of the bodie and expelleth the excrementes Galene therefore affirmed it profitable to vse exercises before meate yet it is conuenient also to vse exercises sometime after meate not alwaye but as Galene sayeth when the meate is entred into the seconde digestiō and the time of eating is at hande againe But if either before or after that time the exercise be vsed it either filleth the bodie with rawe superfluities or els hastneth the comming of Melancolie For sayeth Galene if the exercise after meate bee not gentle and easie it hasteneth downe the meate from the stomake before it be digested Wherfore the exercises before meat must be more hastie and quicke to the end that the superfluities whiche lurketh in the hollowe places of the body may more easely be expulsed nature being assisted by exercise ¶ Of sleepe and vvatching GAlene saith that sleepe and watching doth come on euery side according to the motions of vnconstaunt heate slepe to the inner partes and watching to the outward The naturall heate beeing moued forewarde for the whiche cause when as in muche sleepe the naturall heate being called to the inner partes a great quantitie of vapours doeth rise vp to the head whereby fluxions doe distill to the members belowe I thinke it expediēt that the Ulcered bodie refraine from much sleepe least superfluities multiplied by reason of sleepe should heape and gather to muche to the members which lie and reste Day sleepes must be altogether forbidden For in watching the breathinges may be moued from the harte to the outward parts they doe attenuate and dissolue the grosse and clammie humors engendred in the members natural heate being adioyned For the whiche thing it is expedient for the partie to vse watching for the longer distāce of time And when daily sleepe would possesse an accustomed order let it be shaken of and lost by litle and litle according to the precept of Galene ¶ Of Ioye or Mirthe GAlene saith that mirth proceadeth by motion of the minde to the outwarde partes of the body For the breath being gathered at the hart at the going foorth doth yeelde a comfortable heate to all the members whereby all flegmatick superfluities in them hidde is scattered and put foorth therfore profitable to Ulcered bodies But by sadnes by reason cometh the contrarie for that reuoketh al the spirites and heate vnto the heart so that the outward partes are vtterlye destitute of heate therefore greatly mouing and augmenting the cause of Ulcers wherefore vse myrthe and auoyde sadnes Of repletion and Inanition REpletion whether it be of meate or of euill humors filling the vessels of the body it is euill and straightly to bee reproued as sayeth Galene For when the vessels be filled aboue meane or measure with meates and drinkes the parties are in ieopardie of burstnes obstruction of naturall heate c. I counsell
in the bellie bowelles or vesselles wherein the iuyces are engendred and from whence euery parte receiueth nourishmēt An other plainly against nature viz. in putrefying all thinges this after a certaine manner is contrarie to it selfe The thirde is mixt or in a meane doing partly according to nature partly contrarie to nature Therefore the transmutation or alteration whiche doth engender Pus hath the middest place amōg the best transmutation which is the nourishement of the partes of liuing thinges and that whiche is simply the worste whiche is made stinking with putrefaction For neither of onely heat against nature neither of heat obtained according to nature is suppuration or Pus engendred But the heate of the inflāmation is after a certaine manner mixte of them both whiche whilest it gathereth to suppuration moueth great paine and by the heat aboue nature of the inflamed part feuers oftentimes are raised and that by extreeme heating that harte And these twoo doe chaunce as it were of a certaine boyling or burning of the bloud which being throughly exusted or burnt the remnaunt of it is made Pus as by the altering of wood into ashes by burning as Galene hath left testified in his Commentarie vppon Hippocrates thus beginning Dum pus conficit c. By this nowe it is manifestly proued what pus is howe it is engendred and what is the efficient cause and matter thereof Nowe we will shewe in fewe woordes what Virus Virulentia and Sordes are amongest the Chirurgians Virus or Virulentia is a subtile superfluitie begotten of abundāce of watrie humors which saieth Guydo is of twoo sortes hote and colde whealike or ruddie But Sordes is a certaine superfluitie more thicke engendred of humors hauing a thicker substaunce which truly is of three sortes for some is thicke vnequall heaped and white some black and like dregges mixt with ashes Furthermore that which they cal Virus Galene calleth it in Greke 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 in latine Sanies But to saye at one woorde Sanies or Virus is that thinne excrement in vlcers which cōtinually moistneth them euen as Sordes thickneth thē whiche procureth the vlcer named Rhyparon that is Sordidum For euen as Galen saith the excrementes whether they bee thicke or thinne doe followe euery mutation of the qualitie of the nourishement So is there wont to be a double kinde of excrement and that chiefly in hollowe vlcers that is to saye a thinner called in Latine Sanies in Greke 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and a thicker also named Sordes Of the thinne excrement the vlcer is made moiste and of the grosser filchie whereof it commeth that the sayde vlcer nedeth twoo sortes of medicines viz. to drie that which is moist and to mundifie the filthie but these thinges doe belonge to an other contemplation But Pus doth chose as it were a middle substaunce betweene thicke and thinne especially if it be that which is good For that is best saith Hippocrates which is white light equall and without noisome sauour And that is euill sayeth Celsus whiche is thinne watrishe especially if it be so from the beginning also if the coloure be like whay pale yellowe or like dregs and besides that if it smell euill There is an other kynde of Pus faieth the same Corn. Celsus called in Greke 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 which is apparauntly founde in great vlcers beginning to heale which is thinne half white and as it were vnctuouse not vnlike the white fattines of oile That Sanies is euill which is muche in quantitie ouer thinne yellow pale or black glewy or of euill sauour or if it corrode in the same vlcer or the skinne nere thereto is litle better if it be somwhat more grosse half red or whitishe Therefore the better that the excrementes aforesaid appeareth in vlcers the better hope is to be had in their curatiō euen as that wound is like to be cured with expedition whiche hathe good and freshe bloude flowing from it wherefore the signes both good and euil in euery of these must of the Chirurgian be diligently wayed So that he may either reprehend or pronounce what vlcers be vncurable which be easie to be cured and which be harde to be cured Whiche thing is of no small weight and the Chirurgian thereby may laudably be wondred at and auoyde cauillouse slaunders And this saide shall suffice as touchinge Pus Sanies and Sordes Nowe it resteth that we speake of the signes of vlcers and likewyse of the iudgementes The signes to knovve the differences of vlcers taken of the definitions EUerie vlcer hath his proper note or token whereby he is diseried and knowē from an other and they are taken of the definitions of euery of them Wherefore I suppose it to be worthy the labour here to recite by the waye the short definitiōs of the chiefe differences aboue mēcioned wherein doing wee woulde not haue the Reader to regarde so much the woordes as the thing it selfe For we had rather vse the common definitiōs allowed long agoe of all professours though they bee more rude and common then with eloquence though it were more pure stile to ●ast a mist vpon that thing whiche is obscure enough of it selfe Notwithstanding ● haue eschewed in euery place as muche ●s I might lanfully that grosse and idle ●arbarousnes Therfore to go to the purpose that is a virulent Ulcer wherein is ●oyson which is a certaine thinne and li●uid excremēt called properly of the La●nes Sanies abounding about erosion called also by an other name Saniosum The vlcer whiche by the malignitie and malice thereof doth stirre vp euill and byting iuyce which eateth and gnaweth the affected part is made by the increase of humors more ample daily is named Corrosiuum or Arrodens But if the malice thereof do so much encrease that not only it vlcerateth the corrupt fleshe but also wastfully consumeth the sound with dayly encreasing it is thē called Depascens All the Phisitions of Grece Galene also witnessing doe call this affect 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 because it was wonte to feede and carrie to the sound partes the corruption of the affected and to the affected that which was in the sounde Whose species or kinde is Phagedena which is an ambulatiue Ulcer which creping here there in that ski● and subiect fleshe doth corrode and feed● on the toppe or outward partes but it neuer perseth inwardly Wherefore it hat● to name also Vlcus in sūmo residens ●● neuer Profundum That Ulcer with● Galene is cal●ed Sordidum whiche hat● more grosse viscous excrementes which we call Sordem but in Greke Rhyparon but the later writers haue otherwyse defined it affirming that it hath certaine crustes thicke and grosse or as they saye some fleshe softe thicke and superfluous The vlcer named Putridum is that from whence some vaporouse euill smelling fumes do
or priuie partes doe also swell or receiue inflammatiō for when the bloud floweth or other humours should haue recourse to the outward partes straight by their losenes and raritie part of the saide flowinges are in them reteined sometime also the glandulouse partes of the neck either by Ulcers of the head or partes nighe to them or els in them selues do swel And Galene calleth these glandulouse partes which in that order doe swell Bubones When medicines applied to Ulcers do profite or at least doe no hurt or discommoditie it is a sure agrument that such medicines were rightly administred But if they cause any present hurt or do make the Ulcer more drie hote or colde it is a token that the things ministred are not fit for that present griefe for that thinges more drie or more moiste as the thing requireth should be applied Also if by the thinges applied the Ulcer become more softe by by vse things more astringent Neuerthelesse if the Ulcer doe erode and become more depe then beware diligently for that springeth of sharpe and vicious iuyce together with malignitie of the Ulcer els through the facultie of medicines applied whiche doe more then sufficiently mundifie for suche by arroding the vlcered part do encrease muche Sanies and make the Ulcer verie moist whereby it happeneth that vnskilfull Chyrurgians are so ofte deceiued in their purpose for thinking the Ulcer to be Cacoethes that is that the matter therin cōteined to procede of malignitie or as they terme it of virulent and superfluous humiditie and whyle they earnestly minister thinges sharpelye to mundifie and thereby maketh not onely the Ulcer more depe and hollowe but also more hote sometyme maketh it Phlegmonodes Hereby the parties affected doe feele erosion and mordication Furthermore amongest many thinges which hurt or hinder Ulcers sayth Guy do de Cauliaco the South wynde is vnprofitable and also a moist aire ioyned with heat For they induce putrefaction in Ulcers euen as all things that putrefie procede of heat and moisture Hence cōmeth it saith he that Ulcers of the Legges are harder difficulter to be cured in the South parts thē in the North but in wounds of the head it is contrarie And euen as many tokens and iudgementes in woundes are cōmon to Ulcers so likewyse the iudgementes of Ulcers whereof we nowe speake may bee to woundes compared Wherefor● whatsoeuer is spoken before in the iudgementes of woundes conuenient or agreeing to Ulcers reuoke them in this place Of the curing of Vlcers in generall IN the curatiō of Ulcers there are two thinges to bee considered and propounded vnto vs that is the contemplation of the Ulcer it selfe by what meanes it is an Ulcer with consideration of the cause of the Ulcer of the Accidentes and euery disposition therein cōteined as also what parte here or there it occupieth For euery Ulcer as we haue saide before either is alone and by him selfe that is hauing no other affect neither conuersaunt with it neither going afore nor following it or els is ioyned with one or moe of whiche some haue not onely stirred vp the Ulcer frō the beginning but also do now make it greater Others be of that sorte without the which it can not obtaine the reason of the scope of curation But euery Ulcer in that it is an Ulcer hath some common indication of the cure euē as Galene saith the way of healing Ulcers is by a meane drying this indication also is common to woundes if at least they be woūdes that is receiued of some stripe This onely is their difference this nedeth lesse and the other through the great humiditie requireth greater desiccation If the Ulcer be ioyned with any other affect curation ought not to be applied to the Ulcer but first to cure the affect lastly the Ulcer For whether Phlegmon Erisepelas or the tumor called Oedema or blackenes or Ecchimosis do besiege the Ulcered part the cure must be gentle But if there be some strong intemperature whiche is wont to bringe weakenes to the affected part and be ioyned to the Ulcered fleshe then that is first to be cured And when thou hast cured the intemperature afterwarde thou shalt easely heale the affecte So must we first helpe the tumors called Varices whiche are ofte aboue the Ulcered place and then to cure the Ulcer But none of these curations saieth Galene is of the Ulcer it selfe but of some other affect whiche either maketh the Ulcer or nourisheth it Furthermore Galene affirmeth that in taking a way the dispositions cōtained in Ulcers there are two things to be considered that is to saye either vtterly to take awaye suche like affectes in the body or els to destroye that which is therein vnprofitably conteined But this he meaneth to be done where affect is little and playne for where it is great it can not be brought to a Cicatrice before till the other affectes haue remedie Of suche like Ulcers therfore as are ioyned with other affectes or dispositions there bee foure particuler wayes of curation 1 The first prescribeth a cōuenient diet fit for the curation of suche Ulcers 2 The seconde is to diuerte the matter antecedent 3 Thirdly in correcting and remouing the accidentes and dispositiōs ioyned with the Ulcer 4 Fourthly those accidentes being corrected doth teache and instruct vs to cure them after the maner of hollowe woūds But we doe follow the first and second intention both by amending emptying diuerting and preuenting that same flowing wherewith the bodie of the affected doth abounde and flowe in the vlcered part Furthermore the wayes whereby we may aptlye amende and diuert the abundaunce of humors take away their corruption is thus viz. by Phlebotomie Purgation Approued diet Cauterie potentiall Uomiting others of that sort We preuent flowinges with hinding washings epithmes ointments Exbolo armeno and other restrictiues When as therefore the humour flowing in the Ulcered places is neither more nor yet much worse then cōuenient sufficient repercussiues binding aboue the Ulcered place shall suffice whiche binding doth shut the pores wherby the matter should flowe into the Ulcer it is meete therfore that the medicines applied to suche Ulcers be more drie then they that serue for the simple Ulcer But if it happen that this flowing can not be stayed or kept vnder the cause thē must be searched foorth and that must first be taken away whiche if it come by weakenes of the parte that receiueth it it must be strengthened with proper curation of the vlcered place But if it come by abundaunce of bloud or euill humors either in the whole Bodies or in any of the partes they are first to be cured but the imbecillitie of the part whereto by reason thereof more of humors then is conuenient doth resort doth come altogether of intemperature notwithstanding not of euery intemperature Whereupon it commeth to passe that the vlcered
flesh is ofttimes only temperate not weake and ofttimes both vntēperate weake for strong intēperature bringeth weakenes to the affected part The thirde and last intention which is in amending and taking awaye the accidentes and dispositions ioyned with the Ulcer is brought to passe by due consideration of the qualities of the humors and nature of the affected part The Seconde part ¶ The seconde discourse of Vlcers vvith their particuler cures HEretofore I haue expressed the causes signes differences and vniuersall or generall cure for all kyndes of Ulcers with their Prognostications or Iudgementes Now also will I prosecute the matter without ceasing vntil I haue prescribed to euery Ulcer his particuler distinction and seueral cure gathered forth of diuers Authours and especially out of Antonius Calmeteus Vergesatus Of an Vlcer vvith intemperature VVHat kinde of intemperature soeuer it be it may be abated by vniuersall remedies as by diet conuenient purgations and if it be ioyned with anye humor by reuulsions of all sortes Hote in temperature whether it bee alone or ioyned with the Fluxe of humors it may be amended with Vnguentūalb or Rub. cum Camfora or Vng. ex Pompholig vel de Plumbo vel de Cerusa aut aqua Rosacea Succis Plantaginis Solani Semperuiui Colde intemperature may be amēded by fotibus only of wine heated or boiling therein Wormwoode Mintes Isope Penirial Calamint Organi Rosemary Stechados c. or Lee with Allom or vnguē Basilic or vng Citrin vel Dealthea The moist intemperature is brought to a natural by exiccatiue vnguentes as De Pōpholi de Plūbo de Cerusa de Gratia Dei Diacalcitis The humors respected for that intēperature hapneth seldome without a humor neither must we passe the nature of thaffected part which must either more or lesse receiue drying medicines The drie intemperature may be restored naturall sayeth Galene by fotions of water or Vng. Basilicō or vng de Pice or Diachilon dissolued in oyle to euery ounce whereof is added Pulueris Rosarum I dragme Of an Vlcer vvith paine PAine in an Ulcer proceedeth moste cōmonly of hote and sharpe intemperature with corrosion And then profiteth publique medicines as Succus Plantaginis Solani Sēperuiui Hiosciami or their stilled waters mixt with Uineger and Oile of Roses It profiteth also to minister the white of an Egge or the whole Egge mixt with Oile of Roses Bolo armeno and Terra sigillata and Aceto A Cataplasme also is commodious made with Mallowes Plantaine and Branne and boyled and mixt with oile of Roses Or it shall not be incommodious to vse the white of an Egge with Oile of Roses Litharges diligently mixed in a Leadē mortar after boiled at a gētle fier in a pound of the iuyce of Housleeke to the consumption of the sayde iuyce Els the whole Egge mixt with Oile of Roses and Terebētine or vng Popillionis halfe an ounce cum oleo Vitelli ouorū one ounce Or vng Album Camforati or vng de Lithargi De minio de Tutia De Plumbo vng Rub. cum Camfora If the paine come of colde intemperature washe the place with wyne wherin hoote thinges is boyled such as is spoken of before and these or suche like also are profitable viz. Basilicon vnguentum Fuscum Citrinum But when the paine springeth by dissolution of continuitie stupefactiues then are exceeding commodious Notwithstanding those are much more profitable which encrease the naturall heate as the yolke of an Egge Saffron Terebentine and Oile of Roses together mixt and applied to the Ulcer And about the circuit of the Ulcer Ping. Gallinarum Anseris Anatis Suis c. Muccagi sem Lini Fenugreci Maluae a●e good and necessarie Also Oleo Rosa Amig Chamomeli Aneti Violacei Vulpini c. Or els Rec. Maluae one handful and a half Farmae Sem Lini ana half an ounce Fenugreci Hordei Olei Camomeli ana vi drag Lilij Ol. Ros. iii. oūc. Muccag sem Altheae one ounce and a halfe Vitellos num ii mixe them and make therof a Cataplasme When the paine is great and the precedent medicines preuaile not then Ad Narcotica accedendum and make a Cataplasme with Far. Hordei Oleo Ros. Nimpheae vel Mandrag cum lacte vel passo coctis or with bread crummes infused in water with Oile of Roses the yolkes of Egges and Saffron adding thereto Opij halfe a scruple Or a Cataplasme made with the leaues of white Poppie Mandrag and Henbane with the pouder of Camomill So is it good to apply Philonium or Theriaca or OI de Papauere Mandrag vel Hiosc cū Opio or Succus Hios cū lact mulie cū Ouillo Opio And great commoditie hath bene founde ex Oleo Ranarum Of an Vlcer vvith a tumor IF with the Ulcer through paine a tumor do chaūce it must be asswaged the cause of pain considered whether it come thy dissolutiō of cōtinuitie or with biting or intēperature But if the swelling come by the malice or aboundaunt Fluxe of humors to the place then prescribe a diet thinne and colde Mollisie or purge the belly respecting the humors nature vse Phlebotomie restraine the humor flowing and resolue that which is already flowed● which all must be considered in tumors against nature If the tumor proceede of hote humors it shall be expedient to boyle in tart wine a swete Orenge brused or Quinces and sower Peares boiled with the poulder of Mirtles els Lintels decocte with the poulder of the rindes of Pomegranettes mixte with Roses and Terebintine In the augmentatiō the like medicines adding to Hordei Fabarū Tritici Farinae Camomel In the state make a Cataplasme ex decoct Mal. Absinth in vino dulci cum Far. Sem Lini Fenug furfure But if Pu● firste appeare make a Cataplasme ex Mal. in aqua coctis ●● Farina Sem. Lini Fenugr axungi●●suilla vel ex Farina Tritici Oleo ● Croco boyled in water to the forme of ● pulteise If the ●mūctory places throug● paine of y Ulcer be afflicted with tumor● the matter being hote coquito Mal iii. ounces cum Furfure in aqua and apply it whiche also preuayleth muche against the tumor in the Ulcer but if the matter be colde Rec. Mūmiae in vino ad crassitiem coctae i. oūce Oesipi ii oūc. Fari Tritici half an ounce Boyle these together and make thereof a Cataplasme Of the Contused Vlcer AN Ulcer contused requireth thinges moistening and engendring Pus as a pulteis ex Fari triti Oleo aqua coct aut Triticū aqua calida diutissime maceratum which being boiled applie it Or one made ex radi altheae caricis simul coctis ad mellis crassitiem cū Fari triticea fiat Cataplas and then resorte to the cure of woundes Of Fleshe excreasing in Vlcers THis being cōmonly called proud flesh must
ex qua fit vitrū half a poūd Axungij veteris one quart Let them all remaine mixed with Liee whereof Sope is made the space of seuen dayes afterwarde straine it and boyle it to the hardenes of a stone or to a sufficient thickenes and drienes ad to if you will Saponis moll one ounce And this not onely auayleth to take awaye fleshe but also to consume Fistulous hardenes I● shal be good also to vse Aqua sublimata as is in the aforesaide Chapiter whiche without great paine doth corrode heale both the Ulcers of the mouth and other partes Or vse this in liquid fourme following Rec. Terebentinae lotae halfe an ounce Cerae albae ii dragmes Melte them together and adde therto Hidrargyri sublimati one ounce So stirre them together till they be cold Or Rec. Hidrargyri sublimati i. ounce Sanguis Draconis ii dragmes Make it in poulder and strewe it into the Ulcer els rowle Bombast on thy instrumēt fasten it in the Ulcer or Ueine where hence the bloude floweth Which is is astringent and hath power to cauterize and then to finishe flye to the cure of Gangrena or Sphacelus and also for this purpose many thinges are to bee founde profitable in the chapiter aforegoing Of the deepe and Crooked Vlcer THe methode in curing depe and crooked Ulcers appertaineth to diet and other vniuersall order according to the disposition of the bodie and Ulcers forseeing and preuenting all paine intemperature c. associating the Ulcer for alwaye the causes bothe efficient and fauouring must be resisted The parte affected must be so ordred that the Ulcers orifice may decline downward whereby the matter may more easely auoyde● but if that can not bee done incision is to bee made from the orifice to the bottom of the Ulcer chiefly if the hollowenes be along or nere the skinne els if the imminēt daūger prohibite the same in the botome at the least it ought to bee opened and annointed with a mundifying vnguent The which if it cannot be fitly applied then in to the hollowe and crooked corners must iniections mundicatiue be ministred for whiche purpose these or suche like are profitable viz. Oximel Oenomel of astringent wyne Aqua alluminosa cum melle Lixiuium Aqua marina Egipt ac pulueris Mercurii Dissolued in hony lye as in the aforesayd chapter Rec. Aquae Plantaginis an ii ounc Peculi rosar Caprifolii Vng. Egiptiacū i. ounce and s. Make thereof iniection Or Rec. Aquae Plantaginis an foure ounces Peculi Rosarum Vini albi ii ounces Aluminis vsti half an ounce Baccarum mirti an one dragme Aloes Make iniection Or Rec. Hordei integri i. P. s. Ceterach an one handfull Agrimoniae Centaureae minor an halfe a handful Absinthii Coquantur in Mellicrato and make thereof iniection And when the Ulcer is sufficiently wel clensed then vse this folowing to regenerate the substaunce Rec. Hordei i. P. and a halfe Radicis ireos Foliorum oliuae an halfe a handfull Plantaginis Agrimoniae Boyle them in water in half a pound of the strained liquor dissolue Mel. Rosar colata ii ounces Mirrhae ii dragmes and a halfe Thuris an one dragme Masticis Make thereof iniection Or Rec. Decoct Hordei one pounde Mel. Rosar col iii. ounces Sarcocollae ii dragmes Mirrae an one dragme Thuris Vini vi ounces Boile them to the consumption of the thirde parte whereto may bee added if it seme requisite some Aloes Rec. Farinae Hordei an one ounce Lupinorum Mel. iiii ounces Thuris an one dragme Mastices Mirtice halfe an ounce Terebentinae lotae i. ounce s. Olei hiperici q. s. Make thereof an vnguent and this or the aforesayde shal be auaileable Afterwarde applie this cerote folowing Rec. Nitri tenuiss pul i. quart Aquae Rosar ii ounces and a half Boile them together at a gentle fier to sufficient thickenes euer stirring it and after ad to it Rec. Terebentinae an one quart Olei veteris Cerae q. s. Boile them together againe stirring them still and make thereof a cerote Fitte also to bee applied alofte is Emplastrum de Minio vel Apostolo Chirurg vel Diacalchiteos wherto to increse exic●ation and astriccion we may mingle Nonnihil calchitidis Corticis Granat Gallarum Omphacitidū in pul redact In the meane season let vs defende the nighe partes with medicines partlye repellent and partly discutient or washe it with this decoction folowing Rec. Calamithi Origani Saluiae an one handfull Matricariae Adsinthij Rosmarini Camomeli an one P. Stecados Ros. rub Nucis cupressi x. Salis ii ounces Aluminis x. dragmes Mellis one pound Boile them in Lee or sower wine to the third part and make a fotiō or take other astringentes namely Sumach Plantago Balaust Herb. Rosar Mirt. And boile thē in wyne Also it were profitable to applie a peece of Leade in the orifice and to vse ligatures so that the matter may auoide or a sponge likewyse in the orifice that by the sucking and drawyng thereof the Ulcer may be dried Of the Fistula DUe diet being prescribed and the bodie according to that nature of humors being prouidētly purged the inner parts are next to be strengthened and this decoc●ion folowing to bee geuen in drinke Whiche hath bene proued and tried by sundrie Authours exceeding cōmodious in this kinde of case Rec. Osmunde regalis ana parte● Filix mas Diosc. dicitur Scrophulariae Agrimoniae an tvvo partes Centaurie minoris Aristolo an halfe a parte Gentianae Radi filicis partem Filipendulae ii partes Boyle them in whyte wyne adding to Zacchari q. s. and let the party take of the decoction daily a prety quantitie And good it were to ad to the same decoction Guiacum And after Callus be remoued and taken awaye the vse of Guiacum in wyne or water boyled hauing respecte to the strengthe and humors and how much or howe little drying is expedient Iniectiōs here are also profitable such as is afore in the chap. of the crooked Ulcer or els make a decoction ex Radic filicis Agrimoniae foliorum Oliuae wherein dissolue Egiptiac or Apostolo as shal be needefully required Or Rec. Lixiuij ex cineribus brassicae cortic Fabarum iiii ounces whereto ad Mel. Rosar one ounce and a halfe Aluminis halfe an ounce Boile them a litle then take the decoction iii. ounces wherto ad Pulueris Precipitati halfe an oūce Make thereof an iniection or vse the destilled water Stercoris humani Els. Rec. Terebintinae one ounce Thuris ii ounces Mastic Aloes Gariofilorum Galangiae an one ounce Cinamomi Nucis muscatae Cubebarum Croci Gummi Hederae vi ounces Infuse them in whyte wyne and Aqua vitae and distille them and vse this distilled water for an iniectiō to the Fistula And after the infection applie one of the Emplastres aforesayde as Emplastrum Diuinum or Gratia Dei. Some appoint to fill the Fistula with Hellebory and so to remaine three
cause of hear falling viz. whether through raritie of the skinne or defecte of nourishement I es through corruptiō of humors as in Morbo Gallico If through raritie of the skinne then are they to bee thickened moderatly if through want of nutriment then apply nourishementes plentifully but if it proceade of corruption of humors then prescribe a conuenient diet for the same and purge the bodie according to the nature of the humors mundifie the skinne of the head vse after such medicins folowing Rec. Cinerū capillorū Veneris i. drag Labdani puri iii dragmes Mirrhae ii dragmes Pulueris abrotani vsti half a drag Olei Sesamini an tvvo ounces Olei Mirt. Vini rubi i ounce Aceti vi dragmes Adipis Vrsi an half an ounce Anseris Cerae q. s. Make thereof an vnguent and applie to the places where heare wanteth Or Rec. Sterco●is Muris Cineris Apum partes equales cum Olei rosar Make thereof an ointment Or Rec. Mellis tvvoo pounde Cineris abrotani ii ounces Apum vstarum i. ounce Politrici iiii handfull Labdani i ounce s. Bruse altogether and infuse thē nine dayes in red wyne and then distil them in a double vessell Of the Vlcers of the eyes FOr the cure of these Ulcers vse the generall orders both by diet euacuation and all other vniuersall remedies prescribed in Cap. de Opthalmia with a speciall respect to the nature of humors in the bodie As for medicines meanly mundifying and ceasing dolor and biting vse the like as in woundes of the eies viz. Sir rosar● Mel Virgineum Saccharum Candium Aloe lota Mirrha c. To glutinate or ioyne Rec. Tuth●ae preparat Collirium de plumbo Collirium album siue Apio Whiche being fine grounde together dissolue them in aquis rosar Plantag. Caudae equinae vel● lact Caprino vel muliebri Many mo fourmes of medicins as wel● simple as compounde are diuersly in Authours prescribed neuerthelesse full litle commoditie haue I at any tyme by them founde Of the Fistula in the corners of the eies THe order aforesaid viz. both diet pu●●gation other vniuersall medicines is excellent good in the beginning when the Fistula is not confirmed filling the hollownes of the Ulcer with a certaine light or woolly substaunce founde about the roote of the reed vntill it be cleane mundified Also a Colliriū made ex Thure Sarcocollae Sang. Draconis Balaust Antimon Alumi mixtis ad partes equales whereto ad quartam partem floris aerise and the Collirium cum aqua pluuiali And I my selfe haue neuer founde● more excellēt medicine thē this folowing Rec. Aquae vitae seu viniopt an one drag Mel. rosar col Mirrhae tvvo dragmes Make therof a liniment wherwith euening morning anoint the place Amoniacū also dissolued in A ceto cum erugine rasili wasteth this Fistula If the bone doe not putrifie but onely tallous fleshe abounde it may bee consumed with vng Egipt or the poulder of Mercurie or Asphodel Afterward being well mundified seeke to regenerate the fleshe But● if there bee putrefaction at the boone vse cauterie actual for in this case it excelleth the potentiall the largenes of Caries wil shewe the fourme of the cauterie so that the eie be safely regarded by laying vpon bombase in the white of an Egge and couered with a siluer spoone An olde Fistula in this place is scarsly curable for the great default of the bone and if it be cured the eie will water continually Vlcers of the Nose IN curation of Ulcers of the Nose called Phagedenici or Cācrosi others call th● Noli me tangere some prescribe diet and other orders as In curatione Cancri and vse cauteries Other caustiek medicines as is written in the chapter De Polipo Or a Sponge dipped in Aqua Arsenici adding Olei De Euphorbio which separateth the putrefied flesh but some would haue those vsed onely in the beginning And that wysely to be done for ofttimes much vse of corrosi●es maketh the Ulcer worse as experience teacheth but whe● the Canker is cōfirmed it is best to leau● the cure whiche if thou doe to preseru● the partie prescribed a conuenient die● wherein all sharpe thinges and whatsoeuer shall heate the bloud must be forbidden opening a veine in the spring time vsing purgations to au●yde burnt or M●lancolie humors suche as be in the char● De Cancro tumore Letting this medicine folowing be in vse twise in a moneth● Rec. Catholic one ounce Cōfect Hamech an halfe an ounce Diasenae solut Elect. de Psilio an iii. drames de Citro de succ Rosar Sirup Viol. q. s. Fiat opiata To be vsed● of the partie twyse in a moneth The medicines likewyse expressed in Cap. Vlc. virulent ac Cancricuratione ac de tumore nasi may hetherto be referred and suche as foloweth Rec. Aquae Rosar an ii ounces Plant. Solani Mirobal cit an tvvo dragmes Balaust Aluminis half a dragme Boile them all a litle then streine thē and washe the Ulcer therewith Further Rec. Olei rosar one pounde Olei Mirt. an ii ounc Vng. ros mesue Vng. Popul Succi plantag solani an ii ounces Semperuiui Boyle them to the consumption of the iuyce then ad to Litharg auri v. ounces Tuthiae preparat iii. dragmes Cerusae lot x. dragmes Plumb vst lot vi dragmes Camforae i. dragme Cerae q. s. Stirre them together in a Leade● mortar the space of one houre Or Rec. Olei rosati v. ounces Suc. Planta an one ounce Solani Semperuiui Mali punici contus ii ounces Tuthiae preparatae half an ounce Plumb vst lot Cerusae lot an three dragmes Lithargy Antimon loti Cerae q. s. Stirre them diligentlye in a Lead●● mortar Or Rec. Olei Amigdal dulc recēt an● oūe● s. Vng Succi vtriusque Granati Succi solani Vnguentumdeplumbo ii ounces Make thereof an vnguent in a Leaden mortar Or Rec. Butiri bubulini loti an partes equales Suc. Semperuiui Stirre them together in a Leaden mortar to the fourme of an vnguēt whiche greatly asswageth paine delaieth heat If the edges of the Ulcer swell then apply diligently Pul. Mercurii loti Vlcers of the mouth LEt vniuersall medicines be first vsed according to the nature of humors then further prescribe And if the Ulcer be corroding proceading of hoote and sharpe humors this folowing is profitable Rec. Mel. rosat col one ounce Suc. mali punici vel Omphacij ii ounces Aquarū Plantag. an iii ounces Rosa● seu Acetosae Make thereof a gargarisme If the Ulcer come of Phlegmatike humors washe the orifice cum vino albo modico Aluminis vsti Applie also the Ulcer water sublimated This gargarisme folowing muche in this case auaileth of what humor soeuer the Ulcer doe proceede Calices Glandiū Nuces Cipressi Fol. Oliuae Sumach Plātaginem Saluiam Rosemarinam Lent●● Rosas Make a decoction of these in good fourme with a litle Aluminis vsti adding to
therefore all those that be infected with Ulcers to flee from vnmoderate filling of their bodies according to the causes rehearsed for that thereby all paynes anguishe and perturbations with euill disposition accompaning the Ulcers may be incited Let the patientes therefore vse a slender kinde of diet and yet not an vnmoderate kinde and excessiue fourme spare feeding sithens suche may easely engēder the falling sicknes whiche when the stomack shal be inordinatly emptied hath rediest accesse for so saith Galene But a thinne diet by moderate vse obserued resisteth the same Galene therfore hath this sentence a meane moderate diet vsually kept doth safely cure yong folkes of the falling sicknes newely begon doth metely assiste them though they be olde and the disease inueterated De Coitu FOr as muche as generally all Ulcers doe proceede of intemperature with colde and weakenes of natural heate and that nothing more augmenteth the mallice of suche affectes nor encreaseth their continuaunce then exercises decaying naturall heate thuse of thinges that weaken coole and drie the bodie And againe since nature in such parties is sufficiently busied in strengtheninge and sending due nourishement to the affected partes it must needs bee great damage to the patient and hinderaunce of the curation to vse Coiture which as Galene affirmeth doth make the body more weake slacke cold and drie whiche sure is needeles in Ulcered bodies who are commōly giuen to be of that intemperature And Paulus Aegineta saith that Coiture hurteth bodies sound that be of colde and drie complexion Wherefore to affected bodies which haue nothing in them naturall that may be wanted we ought without pardō to prohibite the vse of venerie A Table of Simples AND since I haue so narrowely touched the curatiō of Ulcers in the former treatises I thinke it more expedient then vnneedeful and more worthie the labour then out of the waye to set foorth in order the naturall temperatures and diuers operatiōs of suche simple medicines as my slender diligence at oportunitie of tyme hathe collected and drawen out of diuers worthie and approued writers and for the more easie finding of them I haue tradured and brought them into the order of an alphabet as followeth Aqua water colde and moist in the firste degree repercussiue Acetum Uineger colde in the first drie in the thirde degree aperitiue Aqua aluminosa Alom water drie in the fourth degree abstersiue and repercussiue Agresta nota Ueriuse colde in the second degree in the thirde repercussiue Acasia the iuyce of Sloes colde and drie in the thirde degree repercussiue Acedula litle Sorel colde and drie in the seconde degree repercussiue Anthera the yellowe of the Rose colde drie in the firste degree repercussiue Atriplex Arage colde and moist temperatly maturatiue and lenitiue Absinthium Wormewood hoate in the first degree drie in the seconde degree abstersiue Apium Smaledge hote in the first drie in the seconde degree maturatiue and mundificatiue Agrimonia Egrimonie hoate and drie in the seconde degree abstersiue Acusmuscate vide pes Columbinus Aristolochia Aristologie hoat and drie in the fourth degree adustiue and attractiue Allium Garlike hoate and drie in the fourth degree adustiue and attractiue Aloes a Gumme hoate in the seconde drie in the firste degree consolidatiue Auena Dates hoate and moiste temperatly maturatiue and abstersiue Amilum Starche colde and drie in the first degree lightly binding Axungia fatte or grease of a swyne hoat and moist in the first degree mollifieth and ripeneth Argentum viuum Quicksiluer the temperature wherof is diuersly supposed and iudged of for Auicen saith it is colde and moist in the seconde degree Dioscorides saith it is hoate and moiste in the fourth degree Paulus saith it is hoate and drie in the fourth degree Montanus whose iudgement I suppose moste allowable saith it is colde and moist vehementlye it is penetratiue Anisum Anysseede hoat in the third drie in the second degree dissolueth and correcteth windines Anethum Dill hoate and drie in the seconde degree resolutiue Asphodeli radices Daffadil rootes hoat drie in the second degree abstersiue and corrosiue Anacardus A kinde of fruite hoate and drie in the fourth degree vlceratiue Arsenicū Arsnicke hoate in the third drie in the seconde degree mortificatiue Auripigmentum Orpiment of the propertie of arsnicke Alumen rochinum Roche alome hoate and drie in the thirde degree stipticke Argilla Claie colde in the first drie in the second degree repercussiue Antimoniū or Stibium colde in the firste degree drie in the seconde mundifieth and purgeth with correctiues Ammoniacū a gumme hoat in the third drie in the first degree mollifieth with attraction Assa foetida a Gūme hoate in the third drie in the firste degree abstersiue and attractiue Asphaltū a fome hardened of a part of the sea named Mare mortuū it is hoate and drie and consolidatiue Acanthus Bearfoote hoate and drie in the first degree maturatiue Atramentum a mineral hot drie in the third degree corrosiue with stipticitie Aconitum woulfes wort it is deadly by reason of putrefaction Acorus Gladin hoate drie in the thirde degree resolutiue Adiantum vide capillus veneris Aiuga seu abiga Ground pine hoate in the seconde drie in the thirde astringēt Aizoon vide Semperuiuum Altea Highe Mallowe drie without notable heate or colde loseth and scattereth humors Alcibiadicū wilde Buglosse hoate without manifest drines expelleth venime Alisma Water plantaine hoate abstersiue Amaracum Fetherfew hote in the third drie in the seconde it mollifieth and delaieth inflammation Amarantus flower amour hoate and drie aperitiue Ambubeia vide Endiuia Ammi Ameos hoat and drie in the third degree aperitiue Anagallis Thickweede hoate and drie conglutinatiue Anagallis aquatica Water pimpernell hoate and drie aperitiue Androsemon vide Ipericon Anetum vaccinum Oxe eye hoate and drie resolutiue Angelica Angelicke roote hoate drie in the thirde degree dissolueth and openeth Angurium vide Cucumer Anisum Anise hoat and drie in the third degree digesteth and dissolueth Annonis Arkangel hoate and drie in the firste degree abstersiue and aperitiue Anthemis vide Camomilla Apium agreste Wilde smaledge hoate drie vehemently vlceratiue Apium hortense Garden smaledge hoat in the seconde moiste in the thirde degree openeth and mundifieth Arnoglosson vide Plantago Artemisia Mugwort hoate and drie in the seconde degree aperitiue Aron wake Robin hoate and drie in the thirde it wipeth and maketh tender Asarum or Asara bacca Hoate and drie in the thirde degree the leafe is astringent and the roote is aperitiue Asperagus vide Speragus Atractilis vide Carduus benedictus Auricula muris Mouseare colde moist attractiue and mundificatiue Agaricus Agaricke hoate and drie in the firste degree resolutiue Amigdala Almondes hoate and moiste in the firste degree prouoketh vrine Ambra Amber hoate and drie in the seconde degree comforteth the braine Argentum scoria eius Siluer and the drosse or filinges thereof colde drie conglutinatiue Aurū Golde tēperatly
be taken away either with cauterie actuall or corrosiue pouders the weaker sorte be these Alumen vst hermodact cū tartaro Nuclei dactil cōbustorum aqua vitae cū Sulphure vng Aposto Sem. vrticae Serpētaria squāma aeris es vstum Radix asphodeli Cinis Erinacei Stupa minutim incisa Somewhat more vehement be these Pul. Mercurij solus vel admixtus alumine vsto ad partes equales vng Aegiptiacum vel Apostolorum cum aerugine rasili vel aqua vitae ij ounces Eruginis rasilis ii drag misceantur vel linimentum aqua sublimata ter aut quater imbutum exiccatum The strongest be these viz. Calx viua Calcitis Calcanthum vstum sublimatū Hydrargyrum and like these in fourme following Rec. Hydrargyri sublimat ii drag Aluminis crudi v. drag Aqua Ros vel plantag vi ounc Bulliant ad consumptionem quarte partis And this water is of maruelous operation Rec. Salis nitri Vitrioli Romani an half an ounce Aluminis Hydrargyri sublim half a drag Aqua plantagi vi ounc Aceti ii ounc Bulliant vt dictum est But when this is applied haue in a redines vng de Bol. armeno and applye it to the places round about to preserue the partes nighe therto duely considering the quantitie of superfluous fleshe Of the discoloured Vlcer vvith hardenes of the edges VUhen the Ulcer is discoloured the edges hardened note if the hardnes be but small it may be cured by resolutiue medicines whiche be these Ping. Anser Gal. Anatis Vituli Bouis Vrsi Leonis ●orum medullae and of thē those that be newest are beste muche profitable also be these viz Ole Lill Amigdal dul Lūbric Vulpinū Oesipus Muccag Alth. Lini Fenugr omnia gummi genera Bafilicon Diachilon Emplastrum de muccagine Medulla cruris bouis cum Muccag al thee Dragagan Terebent Ole Omphacino exigua cerae parte If by gentle medicines the hardnes amend not then scarifie the edges and lay on them Mercurie in poulder then apply some of the aforesayde medicines or vse a cauterie or incision els strong medicins as is aboue mentioned first knowing the Pacientes minde and then the sense and situation of the member Rec. Lithargyrij an ii drag Lapid hematitis Vitrioli Ro. Hydrargyri sublimati ii dram and a half misce Of the Vlcer vvith tumor in the the Veines OF this we haue litle to entreate whē as touching this matter wee haue spoken sufficiently in the Ulcer with tumor This only resleth that the Ulcer can not be cured till the tumor in the veines be taken away with often bathinges and after a sorte nourishing the which being taken away with the accidētes aforesaid either it will cure it selfe or els receiue the cure of a simple Ulcer Of the Vlcer vvith putrefaction in the Boone IF in an Ulcer the Boone be also putrefied the Boone is firste to bee bared by corrosiues or other wyse as is aforsayd so much of the boone as is corrupted must be taken awaye till the Boone appeare bloudye and afterwarde applye this following Rec. Radic Aristolo rotund Ireos Peucedani Corticis panacis an ii drag Corticis Pini Thuris Aloes Puluerizentur subtilissi Which being mixed cum Melle vng Regis vel Egiptiaco apply to the place lay alofte Emplastrum Diacalcitis vel diuinū When the Boone putrified lieth so deepe that it cannot be come by with instrumente prepare this iniection following Rec. Rad. Aristolo vtriusque an i. oūc. s. Iridis Florentiae Cen taurea minor Agarici iii. drag Simphitum Hiperici an i. m. Pes Collumbini Herb. Roberti Cortic. Pini ii ounces Ros. rub an P. sem Anthos Mel Ros. cola i quart Infuse them all in wyne and still them in Limbecke and iniec●e into the Ulcer of the water thereof twise in one daye Neuerthelesse if the Boone be greatly corrupted nothing can be better therfore then Cauterie for safely and speedely it drieth both the bottome and toppe Notwithstanding so order the heate of the Iron that it serue aptly both for y depth and quantitie of the Boone corrupted for we haue seene that to hotte and vehement cauteries expelleth not so sone the Boone corrupted but haue spoyled it with corruption But if the corruption lye ye● deepe after thuse of your first cautery to the ende it may be more easely auoyded to make the Boone sounde and whole it shal be moste expedient to pearse it with many holes vntill some bloud appeare in those holes to applie a cauterie by meanes whereof the Boone may be very well dried Or els fill them with Aqua forti so shall the Boone be dried and by litle and litle expell that is corrupted And vnder that shall nature incarnate fleshe to preserue the sounde Boone from the corruption of outwarde aire To conclude the Boone corrupted shal be excluded and none or very litle humor shall folowe it After the Cauterie hath bene applied the three first dayes and the Escar remoued thē good it is to powre into the Ulcer Ol. Ros. cum Oui albumine and the three dayes following vse a digestiue made Ex Oui vitello Rosaceo deinde Butyrum cum Melle. The reste of the cure for the Boone corrupte maye happely be wrought by this water followīg Rec. Aquae vitae ter distill an iii. ounces Aquae Rosarū Sublimati i. drag Bulliāt lento igni ad sublimati dissolutionem and keepe it to thy vse in pure Uial And after the vse therof the sequele is profitable Rec. Aristolo rotun iii. dragmes Cort. Pini sing Radi Peucedani an ii dragmes Arundinis Agarici albi an i. dragme and a halfe Tartari Euphorbij i. dragme Powder them together very small and put thereof into the Ulcers orifice Els mixe it with hony or vng Regis cū melle or vng Egiptiaco and applie that to the Boone corrupted after the vse of the water and laye on alofte Emplastrum Diacalciteos or diuinum or this plaster following whiche enduceth the Boone corrupted doth mundifie and incarnate by vse whereof I neuer fayled Rec. Corticis ouorum Ossiū humanorū an ii drag Pann cōbustorū in pul redact Radi Peucedani an halfe an ounc Lumbric puluerizat Emplastri de gratia Dei. an ii oun Diachilon com Picis naualis Mixe them together and make thereof a plaster whiche applie after the vse of the water and poulder or linamente as is aforesayde And finally if the Boone be corrupted through vsque ad medullam the remedy is only to seperate the member except it be capite coxendicis vel spina dorsi and thē it is best to flee the cure Of the malignaunt Vlcer called Cacoethes IN curing these kyndes of Ulcers the causes must first be diligently searched to witte whether it be Plethora Cacochymia or Cachexia els an vniuersall intemperature or of some inward part as the Liuer Splene Uentricle
Ulcered part swelling of the Ueines hard edges weakenes of the affected part brought to passe by euill humors therein heaped or the causes aforesayde Therefore let vs take awaye the causes according to their natures then by diet Phlebotomie and purgation to suppresse the members intemperate whatsoeuer it be and in what part As for intemperature looke before in the chapter of the Ulcer with intemperature And commonly in these kinde of Ulcers we haue prescribed to the pacient the vse of Guiacum with happie successe after the vse of common purgation but in them whose humors and iuyce is profitable a diet is sufficient but if the vlcer seeme bathed in humors it is tyme to restraine thē For the tumors Varices thou hast a proper chap. but for intēperature of the inner partes take coūsell of the Physition And as touching Ulcers maligne and harde to receiue Cicatrice the sum or chief scope of curation is vehement exiccation of the biting humors whiche is brought to passe per repellentia and discutientia Hauing good respecte to re●resseth at whiche floweth and to take a●aye that which is infixed And for this ●urpose these folowing are moste expe●ient Aristoloch Corticis Radi Caparis Malicorium Radix Pannacis Sarcocol●ae Vitrum Combustum Testae pisciū Vstae All metalles burnte likewyse are profitable as Cadmia Calchitis vsta ●ota sub Canicula cum aceto trita Antimonium Diaphriges Plumbum ●vstū lotū Squamma aeris ferri Sco●ia plumbi Erugo rasilis vsta lota om ●nia Aluminis genera Terra sigillata But a further respecte must be had to the bodie for that in some bodies the metalles and suche like aforenamed medicines must be washed before they be ministred but in harder bodies without daūger certaine of them may vnwashed bee applied because in suche parties the mēbers sence is more dull Wherefore firste let the Ulcer be washed with an astringēt decoction made with Allome water like as followeth Rec. Succi Agrimoniae an halfe a pounde Solani Plantaginis Vinum album iiii ounces Aluminis crudi iii. ounc s. Auripigmenti half a scru Albumina ouorū vi Stirre these together and distille them let the Uler with the water thereof ●● washed twyse in the daye whiche wa●●● also muche auayleth to conglutina● woundes Afterwarde Rec. Olei Rosar vi ounces Cerusae iii. ounces Lithargyri auri an i. oun● and a halfe● Lap. Calaminaris Tuthiae preparat an one ounce Boli Armeni Camforae dissolut in aqua Ros● ii dragmes Olei de Papauere ii● ounces Cerae albae q. s. Make thereof an vnguente Rec. Olei Ros an ii ounces and a halfe Mirt. Succ. Solani an one ounce and a halfe Plantag. Semperuiui Sepi Hircini an ii ounc Vitulini Ping suillae liquefact iii. ounces Calcis tertio in aqua extīct vi drag Lota Malecorij an vii drames Balausti● Mirobal citrini Aerug. rasilis v. dragmes Scoriae ferri x. dragmes Sarcocollae ii dragmes All whiche being brused and mixt together infuse them one whole daye boyle them a litle adding therto Litarg vtriusque an x dragmes Cerusae vi dragmes Plumbi vsti v. dragmes Antimonij i. ounce Camforae i. scruple Cerae q. s. Mixe them well in a Marble mortar Hereto also may be added Argent viui i. ounce but it profiteth more first to vse the poulder of Mercurie after the water aforesaide and after the vnguent Of the virulent corroding and feding Vlcer THese kind of vlcers which differ ou● Secundum maius minus must ha●ue the Methode of their cure consiste ●● three thinges onely Firste in a diet col● and drie secondly by euacuation of the a●●●ecedent matter both by Phlebotomie ● it seme profitable as also by medicines ●iccatiue as is sayde in Herpes and Eri●● pelas Also particuler reuulsions are ● modious as cupping frication and b●●ding the contrarie member or vse of vn● de Bolo to beate backe the matter flo●ing The thirde scope is referred to me●●cines colde and drie astringent and dis●●tient Conuenient simples be these Le●tes Arnoglos a Solanum Sūmitates ●●bi Fol. Vlmi Papaueris Fol. fruc● Cydoniorum Mirti Balaustia Cort●● Granatorum Galla omphacitis Accas● Bolus armenus Cortex thuris Nucl● Mirobal Mastiche Simphitum Plum● vst lotum and all metalles mentioned in the aforesayde chapter Of whiche both fotions linimentes vnguentes cerotes and emplasters profitable for thy purpose may be made And some vse to applie the poulder of Mercurie first to take awaye the mallice of the Ulcer and corrosiō and leaue it the space of a whole daye in the Ulcer applying aloft vng de Minium vntil the malice of the Ulcer be quite extinct Afterwarde washe the Ulcer and the partes nighe therto with allome water as in the chapter a foresaid or as foloweth Rec. Succi rub Sumach Virga pastoris an i. quart Plantaginis Solani Acetosae Albumina ouorum vi Aluminis pulue iiii ounces Distill them all in a leaden still and vse it or els these waters folowing which is right profitable for Ulcers filthie and corrosiue Rec. Cerusae an one ounce Lithargyri Plumbi vsti an halfe an ounce Lapid Calaminaris Boli armeni i. ounce and a half Sang. Draconis an one ounce Terrae sigillatae Aluminis combusti half an oūc. Calicum glandium Gallarum viridium Baccarum mirti an i. m. Psidiae Balaustiarum Sumach Coriandri an half an ounce Sem. Plantaginis Rosar rub ii p. Boyle all these in sufficient quantitie of Smithes water whiche done in that water washe the Ulcer which in wōderfull manner will drie All these may bee taken to the decoction or some of them wherof also if it be thought cōueniēt you may adde more colde things as Hēbane mandrag and Popie if there bee muche hote intemperature ioyned with the Ulcer To the addition further may be annexed bonie to mundifie if thou vse it to a filthie vlcer Or. Rec. Aquae Rosarum an one quart Plantaginis Aluminis ii ounces Zacchari one ounce Boyle them altogether til the Allome and Sugar be melted there with washe the Ulcer Whereto also if thou ad Mellis one ounce It shall not be a litle profitable for all filthy Ulcers Els. Rec. Aquae Plantag. vi ounces Hidrargyri sublim i. dragme Salisamonniaci one drag s. Salis commu ii dragmes Aluminis i. dragme Boyle them together in a glasse vessel to the consumption of the fourth part And this water or the other shal be proued profitable After the Ulcer be washed applie therto vng de Minio or de Plumbo or vng rub cum Camfora or vng Album Cam●forat or vng de Pompholigo Or els Rec. Vnguentū de Plumbo ii ounces vng Popul ii drag Succi Plantaginis i. ounce Albumi oui i. Mixe them diligently in a leaden mortar or if you will this Rec. Tuthiae preparat half an ounce Plumb vst an i. ounce Loti Cerusae
and corrodeth more Rec. Mercurij precipit one ounce and a halfe Masticis tvvo dragmes Vitrioli cōbust i. drag and a half Aluminis vsti ii dragmes Corallij rub one dragme Poulder them finelye and make it to your vse ¶ Trochisis corrosiue very strong but exceading commodious being vsed with good discretion Rec. Mercurii precipit one dragme s. Mercurii sublim i. ounce i. drag Cinabrii ii drag and a half Masticis one dragme Vitrioli combusti halfe an ounce Corallii rub tvvo dragmes Amyli iii. dragmes Poulder these fine and make thereof trochisis with Muscilage of gumme Dragagant and Plantaine water drie them not at the fier but otherwyse and to occupie them make one in poulder and applie it ¶ A resolutiue plaster to be vsed vvhere any hardnes swelling or inflammation or paine is about the Ulcer Rec. Muccag altheae iii. dragmes Muccag psilii ii ounces s. Muccag dragagāti one ounce s. Olei rosar halfe a pounde Olei meliloti iii dragmes Olie Chamomillae half an ounce Olei liliacei iii. ounces Olei nenupharis ii ounces Olei violacei one ounce and a halfe Boile them together till the muscilages be consumed after ad to Ammoniaci one ounce Bdellii ana halfe an ounce Galbani Gummi Arabici iii. dragmes Opopanacis one ounce ii drag Sagapeni iii. dragmes Ping. Anseris ana halfe an ounce Anatis Resinae purae iiii ounces Terebintinae ii dragmes Cerae albae one pounde Cerusae vi ounces Plumbi albi vi ounces Dissolue the gūmes in vineger poulder that whiche is to be pouldred make it according to art in fourme of a plaster in roules of what bignes you will and so vse it ¶ A potion preparatiue for Vlcers THis I vsed in the curing of grosse Ulcered persones such as be engrossed replete with much corrupt humors for in suche bodies the Ulcers doe become rebellous and difficult to be cured for that is one of the principal thinges which maketh Ulcers hard of curatiō Neuerthelesse it must be vsed aduisedly and with good discretion that is to saye to what bodie it is geuen for as muche as that whiche helpeth a moist bodie harmeth a drie and that whiche succoureth a grosse bodie offendeth the leane c. Rec. Ligni sancti one pound and a halfe Corticis eiusdem vii ounces Salxza Parilia ii oūces and a half Aquae fontanae tvvelue pounde Vini albi foure pounde Herbarum saluiae ana i. hādful and a half Fumariae Eupatorii one handful Scabiosae ana halfe a handful Betonicae Epithimi Lapathi acuti vii ounces Rubarbari iii. dragmes Agarici ana one ounce Sem. Cartami Senae Alexandrinae vi ounces Zinziberis half an ounce Polipodii iii. ounces Galangae one ounce Sem. Anisi half an ounce Glicyrrizae rasae ana one p. Florum cordial Put all these into a narrowe mouthed pot close stopped that no aire goe foorth then set it within an other vessel of water and let it boyle the space of fourty houres then streine and clarifie it and ad thereto Mellis rosarum halfe a pounde and let the patient take thereof morning and euening the quantitie of foure or fiue ounces at a time a litle warmed the terme of three dayes together and on the fourth daye geue the patient foure ounces of the decoction adding therto Cōfection hamech● tvvo dragmes and a halfe Syrupi Cichorii cum Rubarbare one ounce Use it in this order to your patient so long as you thinke conuenient ¶ An excellent and most profitable ointment which extinguisheth the heate of al Cholericke humors flowing to any Ulcered part and moste chieflye circa vlcera virgae as if the heate be betweene Glans and preputium it yeeldeth a wonderous cōmoditie Rec. Axungiae porcinae purae i. pound and a halfe Pomorum dulcium scissorū halfe a pounde Pingued caponis ana foure dragmes Cigni Succi Limonis iiii ounces Let them boile betweene twoo pewter ●ishes on a chaffingdishe with coales the space of foure houres or vntill the iuyces be perfectly consumed then let it runne through a linnen cloth into a fayre hasen and ad therto Muccaginis psilii extracti cum aqua Plantag. one oūce and a half aquae rosaceae iiii ounces aquae Semperuiui tvvo ounces Labour them altogether so long vntill all bee encorporated brought to one vniforme substaunce and no water perceiued then haue in readines these following finely pouldred viz. Boracis one ounce and a halfe Camforae half an ounce Plumbi albi tvvo ounces Aluminis vsti halfe an ounce Mixe all these together and laboure them a whole houre and reserue it the goodnes whereof is sufficient to cōmend it selfe as the learned who ministreth aduisedly shall plainly perceiue VVhat meates are to be vsed as touching diet in Vlcered bodies GALENE sayth that in the curing of Ulcers whiche haue their beginning of other matters or humors there be thre principal wayes viz. Diet aide of medicines and operatiō of the hand And sithens diet is the moste noble and excellent instrument among the rest as Galene supposeth I haue accompted it worthy the labour only in this treatise or part to set foorth the onely order of diet to bee vsed in curation of Ulcers but amongest those thinges wherof our bodies doe chaunce necessarily to bee altered as Galene saith and wherein also the whole way or consideration of diet doth consist is especially the aire whiche doeth enuiron and compasse vs about Whereto also Galene adding sayth that whiche doth compasse and enuiron vs is that without the which neither the disease can be taken away nor the health be kept and preserued further he saith also that there is no small strength or force of preseruing the healthe by chosing the good aire and for this cause it is meete first to shewe what aire the bodye corrupt with Ulcers doth require It is worthy to be noted howe the disease is driuen awaye by the chaunging of the ayre to the sicke bodie and that is by chaunging to an other kinde of temperature in the aire whiche the dissease which is driuen awaye by his contrarie doth aptly require as if the disease be of nature colde the ayre must bee hoate and somewhat more that is to witte of a greater inequalitie of the temperature of the ayre to the propertie of the disease whereby it may the more easelye be driuen awaye as for example If the disease be colde in twoo degrees moist in one the ayre must be of greater heate then of twoo degrees and of more drienes then one degree But howe shall we be able to know or discerne exquisitely this proportion or excesse in degrees sithens Galene hath saide that the certaine quātitie of the thing can neither be written with penne nor pronounced with the tongue The Chirurgian must therefore endeuour to finde it foorth by coniecture for it suffiseth to the driuing awaye of the disease if the propulsatiue cause of the disease doe obtaine a certaine
proportion of a greater inequalitie then the disease or fore Therefore it is good for them that are vexed with vlcers to inhabite y hoate ayre bothe because the naughtie humors are made ready thereby to breath foorth by the pores of the skinne also because the sine we members whiche suffer much dammage by Ulcers do take strength by heate As Hyppocrates and Galene affirmeth Yet let not the heate be vnmoderated or to muche inequalitie least the putrefaction be thereby burned and the disease made more sharpe and fearce and also least the bodie fall the more redely into distillation comming by dissoluing of the strong heate into the whiche distillation that bodie doth chieflye decline from the whiche distillation also inflammations maye easelye growe and heape together Let the aire therefore conuenient to him bee more drie that the Ulcers superfluities and moist excrementes maye the more easely be consumed and let hym therfore eschewe the cold and moist temperature of the aire since the disease doth proceede of suche like vntemperature as by Galene playnely appeareth The affected bodies therefore shall liue better in places where Hilles and Moūtaines are though not in the highest of them But worst of al in lowe fennie or plain countries in whiche places moisture doeth abounde but in the other drienes Auoyde therefore suche places as be cloudie mistie c. by reason of pooles and marrishes whiche be there at hande for that ayre is corrupt and encreaseth superfluous moisture whereby the Ulcers are nourished and mainteined whereby they ofte purchase payne in the head and encrease distillations which fall to the lower parts whiche is most familiar to Ulcers Therfore where the profitable ayre can not naturally be had let it be prepared by arte in the mansiō or abiding place of the partie for if the place and aire be not onelye disagreeing to him but also the constitution of the time let him vse gentle perfuminges with spices because their head is also commonly replete with euill and vitious humors as saith Hypocrates and if the affected bodie doe feele hurt by receiuing the fumes of swete spices then let it suffice that he beholde or haue them present by him for the breath or sauour of them is a safegarde to all colde diseases But when as in the wynter season the fier shal be agreable to it then burne therin the wood of Rosemarie Iuniper Laurell or of the wood called Terebinthus or of the Larche tree or the Pineaple tree Furthermore let the partie couer his head moderatly with hoate thinges for an extrinsicall heat is hurtfull vnto him both of those thinges wherewith the head is defended and couered as also of the aire whiche is about it for superfluities doe issue foorth from it to the members belowe by a certain dissolutiō by the which Ulcers are not onely nourished but also stirred and exiccated The bread whiche doth litle nourishe I suppose to be profitable for Ulcered bodyes and not their meate to bee equall to their appetite for the concoctiue facultie being weakened in them by to muche repletion many superfluities are engendred greatlye hurtfull vnto them let their bread bee suche as maketh the belly softe whereby the inner partes may be clensed and deiection made of the naughtie humors Therefore let the bread be muche brannie the finest meale boulted foorth which is proued fittest for suche as Galene witnesseth further let not their bread be to muche leuened for the tartnes thereof is hurtfull to the brayne and to the sinewes which suffer muche damage and anoiaunce of the Ulcers and yet let not the bread be vtterly without leauen for Galene saith in the same place rehersed that that bread which is altogether without leauen shall not be meete or fitte for any bodie Of the vvine vvhich Vlcered bodies ought to frequent OF this opinion is Galene that all excesse is to be eschewed especially that whiche bringeth damage both to the bodie and minde Wherfore since wine doth engender to smal damage to Ulcered bodies I suppose it best not onely to counsaile them to drinke but one draught but vtterly to refrayne all sortes of wyne for wyne hurteth the bodie in so muche that it sendeth grosse vapours to the head whiche being afterwarde expelled by the painfull trauaile of the brayne doth ruinously fall into the lower partes much hinder and endamage the healing or curation of the Ulcered And also for because the nature of the members is much delighting in wyne and therfore do draw it couetously to them before it bee concocted whiche then wonderfully doeth encrease superfluities in the bodie the whiche superfluous aboundance nature not being able to redresse or amende expulseth them to the outward members so plenteously that in shorte space they engender Ulcers of one kynde or other I therfore vnfainedly doe suppose that Hidromel ex decoctione Hisopi Betonicae should be a meete and conuenient drinke for thē the operation whereof is hoate and drie diminishing cold grosse moist humors and aptlye strengthening the power of braine saith Galene and whosoeuer readeth Galene in his first booke De tuenda sanitate and in his booke Exhortationis ad bonas artes and in his thirde booke De temperaturis shall plainely see the hurte that is receiued by drinking of wyne But in Ulcered bodies where doubt is also of dropsie and in those who through vehement appetite and breache of custome by the Physitians counsell doe waxe sicke for the taste of wyne to such I saye we must be compelled to pardon them for the drinking of a litle or as neede requireth The wine that is whyte in colour is least hurtfull for them the fuming force therof being delayed so saithe Galene for suche wyne doth not only litle send to the head but also maketh the stomach strong and forcible but strōg wyne or vndelaide doth the contrarie Of the fleshe meates vvhich they ought to eate FLeshe meates whiche in continuaunce of time doe get to them the nature of earthie foode substaunce or nourishment are very euill for those that bee troubled with Ulcers because they engender a grosser bloud then is conuenient so saith Galene for that their nourishement is rebellious and stubborne not strēgthening the vertues in the body as the fleshe of Beefe Stagges Rammes and olde beastes that be gealte neither is Swines flesh altogether cōuenient for such meates do grieue the stomack engēdring a grosse nourishement sayth Galene and nothing assistaunt to nature in digestion Those meates therefore are verie fitte which be hoate and drie in temperature for in the firste beginning the causes of Ulcers are iudged to proceede of colde and moisture and if any sodaine heate chaunce thereto it is thought to be through putrefaction lying aloft As by Galene we are plainly taught Wherfore the Thrushe Owsell wood Plouers and al that gette their liuing in drie places are most of others cōuenient Also