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
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
in the bellie bowelles or vesselles wherein the iuyces are engendred and from whence euery parte receiueth nourishmeÌ„t 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 amoÌ„g 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 inflaÌ„mation 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 abundaÌ„ce 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 coÌ„tinually moistneth them euen as Sordes thickneth theÌ„ 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 curatioÌ„ 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 knoweÌ„ 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 definitioÌ„s of the chiefe differences aboue meÌ„cioned 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 definitioÌ„s allowed long agoe of all professours though they bee more rude and common then with eloquence though it were more pure stile to â—ast a mist vpon that thing whiche is obscure enough of it selfe Notwithstanding â— haue eschewed in euery place as muche â—s I might lanfully that grosse and idle â—arbarousnes Therfore to go to the purpose that is a virulent Ulcer wherein is â—oyson which is a certaine thinne and liâ—uid excremeÌ„t called properly of the Laâ—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 theÌ„ 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 skiâ— and subiect fleshe doth corrode and feedâ— on the toppe or outward partes but it neuer perseth inwardly Wherefore it hatâ— to name also Vlcus in suÌ„mo residens â—â— neuer Profundum That Ulcer withâ— Galene is calâ—ed Sordidum whiche hatâ— 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
ex qua fit vitruÌ„ half a pouÌ„d 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 Iâ— 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 instrumeÌ„t 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 auoydeâ— 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 immineÌ„t dauÌ„ger 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. EgiptiacuÌ„ 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 exicâ—ation and astriccion we may mingle Nonnihil calchitidis Corticis Granat Gallarum OmphacitiduÌ„ 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 fotioÌ„ or take other astringentes namely Sumach Plantago Balaust Herb. Rosar Mirt. And boile theÌ„ 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 prouideÌ„tly purged the inner parts are next to be strengthened and this decocâ—ion folowing to bee geuen in drinke Whiche hath bene proued and tried by sundrie Authours exceeding coÌ„modious in this kinde of case Rec. Osmunde regalis ana parteâ— 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 IniectioÌ„s 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 ouÌ„ce 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 iniectioÌ„ 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
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
and corrodeth more Rec. Mercurij precipit one ounce and a halfe Masticis tvvo dragmes Vitrioli coÌ„bust 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 dragagaÌ„ti 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 guÌ„mes 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 curatioÌ„ 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 ouÌ„ces and a half Aquae fontanae tvvelue pounde Vini albi foure pounde Herbarum saluiae ana i. haÌ„dful 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 CoÌ„fection hamechâ— 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 coÌ„moditie Rec. Axungiae porcinae purae i. pound and a halfe Pomorum dulcium scissoruÌ„ halfe a pounde Pingued caponis ana foure dragmes Cigni Succi Limonis iiii ounces Let them boile betweene twoo pewter â—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 ouÌ„ce 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 coÌ„mend 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 operatioÌ„ 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 quaÌ„titie 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