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
flesh is ofttimes only temperate not weake and ofttimes both vnteÌ„perate weake for strong inteÌ„perature 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 VnguentuÌ„alb 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 ameÌ„ded by fotibus only of wine heated or boiling therein Wormwoode Mintes Isope Penirial Calamint Organi Rosemary Stechados c. or Lee with Allom or vngueÌ„ Basilic or vng Citrin vel Dealthea The moist intemperature is brought to a natural by exiccatiue vnguentes as De PoÌ„pholi de PluÌ„bo de Cerusa de Gratia Dei Diacalcitis The humors respected for that inteÌ„perature 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. BasilicoÌ„ 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 coÌ„monly of hote and sharpe intemperature with corrosion And then profiteth publique medicines as Succus Plantaginis Solani SeÌ„peruiui 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 LeadeÌ„ mortar after boiled at a geÌ„tle 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 TerebeÌ„tine or vng Popillionis halfe an ounce cum oleo Vitelli ouoruÌ„ 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 aâ—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. ouÌ„c. 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 cuÌ„ Opio or Succus Hios cuÌ„ lact mulie cuÌ„ 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 chauÌ„ce it must be asswaged the cause of pain considered whether it come thy dissolutioÌ„ of coÌ„tinuitie or with biting or inteÌ„perature 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 flowedâ— 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 augmentatioÌ„ the like medicines adding to Hordei FabaruÌ„ Tritici Farinae Camomel In the state make a Cataplasme ex decoct Mal. Absinth in vino dulci cum Far. Sem Lini Fenug furfure But if Puâ— firste appeare make a Cataplasme ex Mal. in aqua coctis â—â— Farina Sem. Lini Fenugr axungiâ—â—suilla vel ex Farina Tritici Oleo â— Croco boyled in water to the forme of â— pulteise If the â—muÌ„ctory places througâ— paine of y Ulcer be afflicted with tumorâ— 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. MuÌ„miae in vino ad crassitiem coctae i. ouÌ„ce Oesipi ii ouÌ„c. 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 TriticuÌ„ aqua calida diutissime maceratum which being boiled applie it Or one made ex radi altheae caricis simul coctis ad mellis crassitiem cuÌ„ Fari triticea fiat Cataplas and then resorte to the cure of woundes Of Fleshe excreasing in Vlcers THis being coÌ„monly called proud flesh must
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 theÌ„ For the tumors Varices thou hast a proper chap. but for inteÌ„perature of the inner partes take couÌ„sell 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 reâ—resseth at whiche floweth and to take aâ—aye that which is infixed And for this â—urpose these folowing are moste expeâ—ient Aristoloch Corticis Radi Caparis Malicorium Radix Pannacis Sarcocolâ—ae Vitrum Combustum Testae pisciuÌ„ Vstae All metalles burnte likewyse are profitable as Cadmia Calchitis vsta â—ota sub Canicula cum aceto trita Antimonium Diaphriges Plumbum â—vstuÌ„ lotuÌ„ Squamma aeris ferri Scoâ—ia plumbi Erugo rasilis vsta lota om â—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 dauÌ„ger certaine of them may vnwashed bee applied because in suche parties the meÌ„bers sence is more dull Wherefore firste let the Ulcer be washed with an astringeÌ„t 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 ouoruÌ„ vi Stirre these together and distille them let the Uler with the water thereof â—â— washed twyse in the daye whiche waâ—â—â— also muche auayleth to conglutinaâ— woundes Afterwarde Rec. Olei Rosar vi ounces Cerusae iii. ounces Lithargyri auri an i. ounâ— and a halfeâ— Lap. Calaminaris Tuthiae preparat an one ounce Boli Armeni Camforae dissolut in aqua Rosâ— ii dragmes Olei de Papauere iiâ— 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 extiÌ„ct vi drag Lota Malecorij an vii drames Balaustiâ— 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 ouâ— Secundum maius minus must haâ—ue the Methode of their cure consiste â—â— three thinges onely Firste in a diet colâ— and drie secondly by euacuation of the aâ—â—â—ecedent matter both by Phlebotomie â— it seme profitable as also by medicines â—iccatiue as is sayde in Herpes and Eriâ—â— pelas Also particuler reuulsions are â— modious as cupping frication and bâ—â—ding the contrarie member or vse of vnâ— de Bolo to beate backe the matter floâ—ing The thirde scope is referred to meâ—â—cines colde and drie astringent and disâ—â—tient Conuenient simples be these Leâ—tes Arnoglos a Solanum SuÌ„mitates â—â—bi Fol. Vlmi Papaueris Fol. frucâ— Cydoniorum Mirti Balaustia Cortâ—â— Granatorum Galla omphacitis Accasâ— Bolus armenus Cortex thuris Nuclâ— Mirobal Mastiche Simphitum Plumâ— 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 corrosioÌ„ 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 ouÌ„c. 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 woÌ„derfull manner will drie All these may bee taken to the decoction or some of them wherof also if it be thought coÌ„uenieÌ„t you may adde more colde things as HeÌ„bane 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 Camâ—forat or vng de Pompholigo Or els Rec. VnguentuÌ„ 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
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