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A20850 A most excellent and compendious method of curing woundes in the head, and in other partes of the body with other precepts of the same arte, practised and written by that famous man Franciscus Arceus, Doctor in phisicke & chirurgery: and translated into English by Iohn Read, chirurgion. Whereunto is added the exact cure of the caruncle, neuer before set foorth in the English toung. With a treatise of the fistulae in the fundament, and other places of the body, translated out of Iohannes Ardern. And also the description of the emplaister called dia chalciteos, with his vse and vertues. With an apt table for the better finding of the perticular matters, contayned in this present worke.; De recta curandorum vulnerum ratione. English Arcaeus, Franciscus, 1493-1573?; Read, John, surgeon.; Arderne, John, fl. 1307-1370.; Galen. 1588 (1588) STC 723; ESTC S100216 164,574 268

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As Galen saieth in his second ad Glauconem you must vnderstand that this name of Canker among Phisitions hath diuers significations and beareth the name of two seuerall diseases namely a swelling Canker as well growing in the outward part as in the inward part of the body lurking and as it were lingring The other is an vlcered Canker alwaies créeping fretting and gnawing Of both these kinds this aucthor handleth in this Chapter For both these kindes procéede of Melancholy or of a Melancholy ioyse much like as liées séeme to wine and dregges to oyle I meane the like difference and comparison is betwéene Melancholy in respect of pure blood Galen in his xiiij booke de Therapeutica handleth this question more largely Cancri Feminis Cankers to women That question is intreated oft by Celsus but cankers happen to those men chiefelie whose accustomed hemerhoids and purging of Melancholy that wa● is surprised as Galen reporteth in his second booke ad Glauconem Vnde illud where hence that It may seeme meruailous wherefore or by that memanes the aucthor should here séeme to alter the cure of both Cankers as well vlcerate as not vlcerate For the vlcerate canker requireth that maner of cure which is done by excision or cutting out The other nothing so as Hippocrates teacheth in his vi booke of Aphorismes 38. For saith he it is better not to séeke to cure the Canker that lurketh or lieth still for by curious curing of that canker the partie most commonly is kilde Whereas if they had béene let alone life might longer haue béene protracted Experience daylie confirmeth this very well For as Galen saith in his Comentary it hath béene approoued that those that haue attēpted those cankers by sections or searing hath rather stirred them to more malignite and so in short time hastened their endes For doth not our aucthor cure those cankers which bréede in the superficiall or outward partes of the body by cutting Which Auicen alloweth off Galen before his time but not the lurking or hidden cankers hée cureth in that manner Cura Palliatiua a pallatiue cure We call a pallatiue cure That wherein we presently haue respect vnto the paine For sometimes the Phisicion must conuert all his indeuour to appeasing of the accident and simptoma and not vnto the cause in cases of great extremitie As Galen warneth and I would haue that obserued which Paulus mencioneth in his 67. Chapter of his third booke That wée must minister medicines that ass wage paine in cankers that remay● 〈◊〉 the m●…d part of the body as the d●co●ider of common 〈◊〉 and March Mai 〈◊〉 Nanque huiusemods canci●… for in such cankers Now the ancte haudieth onely those cankers which lurke and are hidden in inward partes of the body as here after shall appeare Qu● a 〈…〉 what due of cankers is appointed by anothers For by reason of the thickinsse of the humor it neither can be repelled nor scattired And so great is the malignite or venum of that desease that gentle remedies●an nothing preuaile And vehement thinges rather prouoke it to more bitternes As fat or wide breake into f●ame by ●…ious and scorching ●er Igitur vbi cancrum when you will cure a canker Now the aucthor goeth about to shew you the maner of cure of that canker which is done by Chiruegery which Galon alloweth in his xiiij booke de Meth. medeo approued by his owne wordes as follow If at any time you will goe about to cure a canker by Chirurgery you must beginne by purging and auoiding me lauchaly humours And when ye haue quite rooted out the corruption of that humor so that no part renaine thereof and that some flux of bloud doe seeme to follow yet shall ye not stoppe it suddenly but rather séeme to presse or straine the partes néere adioyning that the grose and thicke bloud may bée from them expelled also Now may ye cure other vlcers in like maner It séemed good to produce these places out of Galen that the reader might vnderstand how ready the aucthor coulde call these auncient aucthorities to memorie that other Chirurgians might studie to doe the like Exulceratis cancris in vlcered cankers Séeing we haue spoken alredy of those cankers which grow without any vlcer it shall not be inconuenient if wée somewhat touch those that be contrary In an vlcered canker beside the paine the hardnesse and the vlcered fretting humor and the inequalities of vlcers that doe appeare yet there flowes from thence on euerie side both out of the swelling lippes some ingratfull filthie corruption bréed of the combining of many putrified humors both fulsome to smell and lothsome to behold These things we must endeuour gently to shadow and lenefie all those intencions wée must thus purpose First purge melancholy with Epithemū verie gently then if yéeres and strength permit draw some bloud and that discretly Afterward purge againe melancholy and that verie gently All this done procéede to stronger purgations Appoint a spare dyet and of those thinges that are most opposite to melancholy Administer to the partie the ioyce of nightshade or Diapompholiges Recepit olej rosacei This medicine Galen vseth against the vlcers called A●…ora following therein the aucthoritie of Apolonius in his first booke de pedum doloribus And Theodoricus hath vsed the same in cankers wherevpon this aucthor reduceth it into his owne practise Of wounds in the bellie and the parts thereof with penetracion and without Cap. 4. WHatsoeuer wounds are made in the bellie which notiwhtstanding doe not hurt nor yet penetrate the members contained in the same those I say if they be rightly cured are without all daunger except those which are taken about the nauell within two or thrée fingers bredth to the which there may happen much hurt by reason of those eight sinowes which reaching to the Nauell doe come through those p●ates And also those wounde● which are taken in the h●nder p●… of the bellie nigh the backe doe bring some daunger although they doe not penetrate for it may be that those Neru●s which haue thir beginning from the Nuca be hurte Therefore it shoulde wisedome to feare of such woundes for they are woom sometimes to bring d●…th But of the other woundes although they doe penetrate yea and although they doe disclose the zirbe and beweils so that the same vs not perished there is no daunger to bée feared so that they be well cured but when the members contained in the bellie haue recoaued hurte there is presēt dan̄ger Yet it doth happen oftentimes notwithstāding that many bée deliuered Therefore of those woundes which haue brought no hurt to those partes this is the curs The bowelles which doe appeare or hang foorth and the zirbe also is first of all to be washed with a decoction Vini Camemille Melliloti Absinthij aneti Rosarum And afterward to be brought and redueed into their owne place but the part of the zirbe which hangeth foorth is yet to be drawen
but if néede be washed in wine Also the leaues of Caprifolium of themselues brused and applyed vppon vlcers of the leggesde sperate stincking and casting foorth ofule matter and bloud and growing nigh to the māner of a caucer and disobedient to any medicine cureth them maruelously and that I prooued in the legge of a rich man hauing an vlcer in the same in curing of the which all medicines failed and with this he was cured for why the first time that it was put to it dried the vlcer toke away stinch put away all accidents within a moneth he was fully cured by gods prouidence and goodnesse Of the making of Pulueris sine Pari● Chapter 19. REc Auripigmenti Varidis et is Ana. ℥ .ij. Vitrioli Combusti ℥ .iiij. Alluminis Zaccatini Combasti ℥ .viij. Let each of these by them semes e most su●telly ground vppon a stone Then mingle them well together and keepe them in a lether bagge for this may be keept .7 yéeres in good effecte and longer This mortifieth and bringeth foorth dead rooten or superfluous flesh in all woundes and vlcers This pouder deceiueth neither the pacient nor the Chirurgion for though it bée handled vnt ki●fully it doth no harme and the vlcer haue no dead flesh yet at the last it shall heale it But not without byting for if it did it passed all other medicines The ioyse of this pouder is this When it is put in a wound or vlcer put thereon lint or thin linnen cloth vppon that the plaister of Narbon or some other and so binde it vp without remouing for .48 houres and when you remoue the planter if the pouder come forth voluntarilie with the dead flesh then thy purpose is sped then put into the wound or vlcer a droppe or two of Sanguis Veniris and so vse a vntill the flesh be replete But if in the remouing thy plaister the pouder come not away willinglie with the dead flesh then put vppon the pouder a droppe or two of Sanguis Veniris and binde it vppe againe for a naturall day or at your discretion vntill the escarre be fallen which being remoued vse Sanguis Veniris as before taught But this lelarne that a corrosiue must not be remoue before it fall off by it selfe Also there is a great error among vnskilfull Chirurgions in the ofte remouing or dresing their vlcers and wounds which letteth conuenient curing and that by this reason For Naturall heate which is principal author of curing expiring or brething out by oft opening of a wound or vlcer hindereth digestion of humours flowing to the part wherefore there cannot be made generation of matter And the super●…uous humours flowing to the place and gathered together are thereby holden backe Which is the onely cause of swelling paine inflamation c. Whereby the wound or vlcer is made hard anf oule and casteth foorth matter thin watrie and vndigested And oftentimes of little hurt is made vncurable diseases Also another cause is by oft opening it taketh aire and aire changeth the body and consequently the wound And that may be praued by experience For the breath of a menstrius woman hurteth woūds or the Surgion himselfe if he hath liue with any such womā or if he haue eaten Garlike or Onyons But let this be holden for a generall rule of all Chirurgious that will vse the medicines contained in this booke to renewe or dresse their patients once euery day For when you see a wound or an vlcer to cast foorh flore of matter well digested the swelling pa●…e and inflamation to cease and the member to come vnto a good habitude and coulour and that the pacient be in good ease and take well his rest then iudge health to be at hand For if he canne sleepe quietly it is good For in sléepe nature wo●keth the better about digestion of euery matter both in body and members But oftentimes sléepe and rest in hindered because of paine therfore before all things labour to cease paine For that not only pressth bowne vertues of the body but also of the medicins Which may be done in hotte causes with oyle of Roses and in cold with oyle of C●…mmuill Also a plaister of hony and bran and a little veniger fried together mitigateth all manner of paines In my cures I was not wont to remoue my medicines but from thrée dayes to thrée dayes and namely in the shine and hurts of the legges And I sped well and cured many hard thinges that were forsaken of diuers men with this Puluis sine Parie other emplaisters And I saw neuer in all my time this pouder to ●aile me except in the legges of a great man in which it coulde haue no strength of working as it had in others Wherefore I was long astonied but neuerthelesse in the ende I cured him with gréene Licium put thereto as it is saide aboue The Lorde being my meane Of the making of Sanguis Veneris and the working of it Cap. 20. REc The pouder of Alkanet ℥ .j. And put it in a quarte of common oyle and the oyle wil be couloured as red as blood whether it bée boyled or no for it may be made both wayes let it be kéept in a pweter pot And this is your Sāg Venetis For Alkenit is cold dry in the first or second degrée it consumeth humiditie in woūds and vlcers For it is subtill and resolueth without byting It is incarnatiue apertiue and exsiccatiue with stipticknes wherefore it is good in hot Apostumes with little matter in the beginning and it helpeth wounds in the sinnowes and ioynts and vlcers of the mouth in drying them mingled with viniger and anoynted halpeth the aking of the head it helpeth purgeth and defendeth from perill and déepe wounds mads with Arrowe or Knife And all hollowe vlcers if it be put into them and Emplaistrum Narbon layde aboue with many other thinges profitable But this know that it may be made another waie Take the blood of a maide of 19. or 20. yéeres olde which must be drawne the Moone being at the full the signe in Virgo and he Sunne in Pistes And or it be cold adde vnto it of the pouders of Aloe Cicatrine myrrhaē Sang. Dra. an ℥ .j. or more according to the quantitie of the bloud of the pouder of Allcane as much as of all the rest mingle the pouders with the blond to the forme of a past and then drie it in the sunne and kéepe it to your vse And when you wil vse thereof take a part thereof and bring it to pouder and boyle it in gréene oyle oliue for euerse ounce of the confection you must take two pounde of oyle And boyle them together vntill the oyle appeare red Then take it of the fier stirring it vntill it bée colde or else the substance will fall to the bottome then kéepe it vnto your vse Of the making of Salus Populi and the working thereof Cap. 21. REc Celidonium M.ij. Hederae
of that Monastaire who had the charge to keepe the Gotes whiles he was in the ●elde to thrust into the cundute of his yarde a stalke of corne with the eare The eare was now dri● and all the corne b●…ten out and he did shew me that whiles he did thrust it in he felt no griefe at all but when he would haue pluckt it out againe he could not because the beard of the eare being fastened in the flesh he was meruailously grieued at the length he thought it better to thrust it all forward then to draw foorth the part which was thrust in And within few daies that it came through into his bladder But when a whole yéere and a halfe he selt no griefe he thought it conuerted into water that he made After that time he began to be troubled with an impostume in the lest thigh For the curing whereof he came to the hospitall of that Monasterie which was appointed for the curing of the poore In which place whiles he was in curing and the impostume was now ripe and opened of vs. It happened that vpon a certaine daye in the morning when we had made cleane the wound by chaunce we saw a hull in the very vlcer but I thinking the same to haue bene mingled in with the lints the day before and so to haue sticken fast to the flesh did cause it to be taken away with the Mullets and at the last the stalke with the eare did most easely sollow as I drew it But all we the Phisitions being amased at the straungenesse of the thing and also others that stoode by wée could not gesse what that matter should meane vntill that olde man being noued with our talke lifting vp his head seeing the eare sticking in the foreceps said vnto mée I my selfe did thrust it into my yarde a yéere and a halfe since and so declared all the whole matter how it was done and the times in which it was altogether thrust in In which place great admiracion came vpon vs and most especiall occasion to praise the diuine prouidence for thus God prouided for the man that the skinne of the bladder should be broken by little and little and so should expell the eare from the bladder being broken to the flesh that was next and after that the skinne of the bladder should come together and the flesh being impostumated should ripen and the unpostumation being ripe and cured the eare should come foorth and at the length within very fewe dayes the olde man should be deliuered for he was throughly cured Annotations of the fourth Chapter Those wounds discussed which concerne the vpper belly he hasteneth to those which concerne the nethermost Hippocrates in his second booke of the order of diet in sharp and daungerous discases deuideth the bellies into two containing the vppermost by the Middriffe the other by the cell called Omentum The learned Chirurgions deuide them into three that is co saye the vppermost the middlemost and the nethermost Whereof the first two agrée with the other deuision the third comprehendech the ventricles of the braine For this cause looke Alfonsus Ferrius in his third booke de Scolopatorom vulneribus Ab huiusmodi ergo These wounds must be deuided as we haue done those of the brest Either they doe hurte the inward parts or not If the inward the stomake the liuer the splene or the bowels If the inward partes be wounded they are veny deadly as witnesseth Hippocrates in his vi boke of Aphorismes if the bladder c. If those inward parts be not hurt although the wound be inward it is lesse daungerous But if on the hinder part ther be any wound receaued that perceth inwardly it is the more perillous for the affinitie of the Vertebres the Spine bone and Nerues that spring from thence the case is not a like in the fore-parts of the bodie all circumstances considered Igitur eorumque Therefore of those which This maner of cure is set downe by Albucrasis and is very worthie of noting that in all wounds it is very profitable that there be some flux of bloud sauing onely those in the belly which Hippocrates excepteth in his booke of vicers Which place we thus expound least we should seeme to speake that which is contrarie to our selues in our treatise of wounds of the brest Hippocrates feareth least by the great plentie of bloud which breaking foorth of the ori●…re of the wound should fall downe into the nether region of the belly it should bréede very many inconueniences For as he saith in an other place whensoeuer any vnnaturall issue of bloud chaunceth to fall into the belly the same must néedes come to suppuration For bloud being out of the veines loseth both naturall qualitie and vertue as Galen testifieth Wherefore wounds of the belly are in that place to be vnderstoode Those which reach to déepely in any inwarde part whether it is to be feared least the bloud issuing will presētly conuay it selfe But those wounds that chaunce in any outward part of the belly require no especiall eu●e but must be héedefully looked vnto for feare of inflamation so must suffer a sufficient issue of bloud as well as other parts by which meanes they are safely cured and free from danger Tictus autem ratio tenuis A spare kinde of diet You must not onely obserue an order in diet but also a reason of your medicines where in you may be directed by Galen in his fourth booke of Methode of curing Of wounds simple and compound Cap. 5. ALl gréene wounds generally in whatsoeuer part they are made except those which are made in the head are wont to be cured of our vnexpert Surgions and practicioners after one sorte and with like remedies whether the same be simple or compound Yet I doe not deny but that there are in Spaine many learned Surgions whō the knowledge of the arte industry and faithfull dealing hath made worthie of all commendations but all the rest for the most part besides these doe vse one order all one sa●…ues and doe take one waie which they think that by no meanes els any man may or ought to passe That thing trulie commeth héereof because neither they vnderstand those thinges which they haue read nor yet account it good to aske of them which doe vnderstand nether do they thinke it conuenient or honest to aske counsell of those that are better learned neither to séeke to them that are more expert and to folow them as guides But oftentimes it commeth to passe that to such kinde of men their cure doth not prosper according to their minde in which thing when all there common remedies being assayed are in vaine this one thing is a common refuge at the last for them all that they send men awaie being spoiled of their mony with a plaister of Diacilon which they call Socrocium as if they were vtterly whole And would to God the same reward of their vnperfect cure did
affection in the member is de●ded from that which is good and the member it selfe is made more lustie and of a better disposition and the same is done also in vlcers where the 〈◊〉 is corrupt the which if thou doe burne it doth ●…uide by 〈◊〉 all that part of the bone which is corrupted from that which is sound The vii effect of the first is that it restraineth that fluxion of bloud which the escar maketh The viii vse is in the opening of cold impostumations for the fier of the actuall cauterie doth corr●borate and encrease the 〈◊〉 heat of the members in which the impostumes be The 〈◊〉 vse of her being taught by Mesue and Arno●… hath 〈◊〉 observed of vs by often experience to turne away those 〈◊〉 or 〈◊〉 which some times descend from the head into the eyes and the brest for that is presently done 〈◊〉 a 〈◊〉 in vse in the coronall comissure or with a 〈◊〉 drawing a bristle by the hi●der part of the necke aboue the ●uke But the 〈◊〉 of the fier is to amplifie any 〈◊〉 and to take away any callosis● or hardnes The ●… is of power to conforme 〈◊〉 and hard vlcers into 〈◊〉 fashion more apt for the 〈◊〉 By the xii also if ther be any super●…ons or ranke flesh in the vlcer it is burnt out with the 〈◊〉 in good order 〈◊〉 also which are 〈◊〉 to trouble the 〈◊〉 are stated the th●…ples being burnt with a ●…tery And finally if any euill or hurtful humor doth corruptly 〈◊〉 of one place into another is turned another 〈◊〉 very 〈◊〉 with the fier What things we 〈◊〉 and ●bserued of the vse of fier partly by 〈…〉 and partly by long experience we haue though 〈◊〉 good to put it downe in writing in this place because we were desirous both to prouide for the ne●lig●nce of some persons and throughly to satisfie the reasons of this cure Annotations of the vi Chapter When our purpose was and should haue béene to speake of woundes we fell likewise into the discourse of vlcers their natures now therefore it shal be sufficient to expresse and declare that they as other kinds of imperfections or passions vnnaturall haue their double cause antecedent as they terme it co●…uncte As for example in the ill ordering of a wound oftentimes there remaines an vlcer Or if by great disorder in diet it fall not in any one member that an vlcer breake out the same distemperature of Galen is called in many places the coni●… cause which the Arrabians doth call the malignite 〈◊〉 ill disposition of complexions Vniuersam igitur vlce●…●…rationem Therefore the generall cure of vlcers Many thinges may here be spoken of vlcers and of their cure which are ●…rie largely expected by Galen in his third and fourth book● of the Method of curing wherevnto I referre the reader For the manifold differences of vlcers and the diuersitie of causes with the variable manner of curing the same Cannot in this compendious treatise be expressed nor yet perfectly be shewed Purgationes omnino wholie purging medicines For the most part these be the causes of difficult and rebellious vlcers in cure either the bad disposition or distemperature of the flesh in the which vlcers doe light or chaūce or the bad qualitie of the humor that haunteth the same place or the abundance of humors that haue their recourse thither All which causes although they cannot quite be taken away with purging it certainely they may thereby bée much deminished and impaired Quarta porto consolidando fit the fourth intention is accomplished by consolidation And because the superfluitie that aboundeth in vlcers is of two kindes I will note vnto you that the thinnest is called Sa●ies The other which is more thicke is called Sor●es Which two excrementes or superfluities require a double cure for by the thinne matter the vlcer is made moyst the cure whereof requireth drying medicines The other thicke excrement makes the vlcer filthie which craueth the helpe of mundifiyng or clensyng medicines Multa preteria many besides Our aucthor handleth those vlcers which bée called venemous or poysoned all which Galen termeth hard to receaue Cicatrise For in trueth they are meruailous harde to bée cured they bée so intricate so ill disposed so rebellions all which when they waxe some-thing olde they are counted past handling and without hope The perfect definition and the best opinions of all these vlcers is to bée founde in Galen in the iii. and fourth booke of his method of curing In Celsus Aegineta If I shoulde speake my opinion of those vlcers which Auicen termeth 〈◊〉 to be healed I thinke with him that they haue some obscure and hidden mallicious propertie For saith he they be not rotten vlcers nor fretted nor yet créeping or stra●…ing But they be as of neyther disposition playnely sometimes closing and sometimes kind●ing a new ve●ome sometimes opening them selues and breaking out a fresh Of hollow vlcers and their cure Cap. 7. THe hollow vlcers so called come oftentimes of swelling contrarie to nature and by some great impostume which being suffered to ripen to much are opened either with the knife or with the cauter is a tent of linen dipt in the white of an egge is put in and then a digestiue of the yolke of an egge and oyle of Roses is daylie applied besides this to 〈◊〉 the vlcer tentes of linen cloth fully soked with Mell Rosarum are chrust in the oyn●ment Basilicon or some other of those which are in vse put vpon but they are dressed euerie day once or at the most twise but when he is doe 〈◊〉 the tents being drawen foorth and the matter which is within being expurged they are stopped againe and this manner of dressing is so long delayed vntill all being wea●…e the patient is left vnhealed Whom y● they may leane with some honestie an emplaister of Diaquilon or of some other i● put thereon whereas they are plainely ignoraunt whether the one or the other doe hurt or helpe And by this meanes perfect health is promised to the pacientes being commaunded to clense and wipe the same twise a day Some vlcers being ordered by this meanes are s●…e cured and some are protracted aboue a whole yéere But such hollow vlcers are made sometime of gréene woundes and 〈◊〉 of the sinewes and in fleshie places also the wounds being not wel healed we haue the same come to passe And of a simple wound and that very small wée haue séene not onely a great and cauernouse vlcer to haue foor●… out of the which vlcer to great abundance of filthie mat●… hath run but also those that suffered such vlcers at length to haue béene taken with a consūptiue ague But our state is now brought vnto y● pointe y● whereas all these thinges are done daily yet are they little regarded of those who ought especially to looke therevnto I thinke it cōmeth to passe for the iniquites of our people But how the hollow vlcers of
eate euery day Wethers flesh or rosted Henne in y● euening Raisons The body being purged let him take of this decoction folowing euery morning earlie ℥ .ij. and as many at two of the clock in the after none but in winter the fourth houre after supper the decoction is made as folowith Rec. Polipodij Quercini ℥ .ij. Folliculorū Sene. ℥ .j. Th●…i et Epichimi p.j. Let the decotion be made according to arte in ix li. of water to the consuming of the third part adding thereto Sacchari Ruby ℥ .viij. Mellis Cōmunis li.j. And so finish your decoction With the pocion of this medicine the diseased pacient shal be purged without any laboure And with good concoction of the humours which decoction being finished he shall take two pilles at the discrecion of the Phisicion in the dead time of the night But the third daie after his body is to bée anointed in the night after supper with this oyntment ensuing the which among the rest séemeth to me to be the chiefe Rec. Auxungie Porcine ℥ .viij. Butiri ℥ .j. Olei Laurinj Camomille Anethi Dialthae ana ℥ ss Argenti viui extincti ℥ .iij. fiat linimentum Let this oyntment be anoynted on the ioyntes if it may bée with the patientes owne hand for this is excellent and chiefest the féete the ha●s the knées the flankes the loynes the armehooles the shoulders the elbowes the hands And all the impostumes so that they possesse not the head But the oyntment is so to be rubbed in that it may vtterly sinke in And let the patient tarrie in his bed quiet and reasonably couered with clothes so that when he eateth he may be suffered to vse one hand onely The day also and euerie day following let the anointing bée applied in that order as hath béene tolde you vntill his mouth and gummes begin to swell which sometimes happeneth within two daies sometime within thrée or foure assoone as therefore the sorenesse of the mouth and the swelling of the gummes shall appeare ye must leaue off from anoynting and not before But at what time the body is anoynted let the patient eate Wethers flesh or Henne or Kid boyled or rosted at noone and euening and let him drinke white wine delaied with water but with vs in England we rather allow small Ale but when his anoynting is finished let him refrayne from flesh and other things Let him dine onely with Rice Potage with a crumme or two of breade let him suppe with meate made of Almonds drinking a decoction of Anise and Licorise neyther may it bée lawfull for him to drinke any wine all the next moneth vntill he bée restored to health as much as appertayneth to the mouth but after the mouth is healed hée may eate once a day the flesh of a Wether or Hen looking daylie for better strength of body foure daies or there about For the patient ought to perseuer in this order of dyet In the meane while vntill be begin to vtter spittle out of his mouth Because if he kéepe a contrarie dyet to this and eate more then is conuenient the patient should be hindred of that euacuation which we greatly desire Annotations of the ix Chapter I did not thinke it necessarie to giue any Annotations vpon this Chapter because no mā that carrieth but the name of a Phisition is or can bée ignorant or vnexpert in the cure of this disease And also for that I sée so many that haue both written and gathered all that may be said or in that can bée spoken so that I cannot say more effectually The disease ●aylie dying and wearing away by the exquisite cure thereof Notwithstanding because the aucthor hath set downe vnctions fumigations and Guaiacum I will briefely sette downe the maner method vse and effectuall handling of them Whosoeuer therefore that intendeth rightly to cure this disease must first take this occasion by the way for the causes effectes and essentiall markes of this disease are to bée gathered out of their workes that haue vndertaken publiquely to treate and write of the same First know whether the sickenesse bée newelie taken or haue béene of long continuance howe farre it reacheth and what partes it hath infected Whether Nerues bones or ioyntes Whether the paines bée milde or cruell whether the substance of the corruption bée much or little Whether hard knottie or gentle in handling If inward or outward of the vlcers or whe●kes be many or with much payne ve●…e fewe appearing Or if whether Pustulus matter or Gummie substance appeare To bée short all the signes of this griefe must bée verie readilie discorned and distinguished All this foreséene know that that imperfection which catcheth the bone cannot bée holpen without v●…ion or burning Therefore they eyther bée neuer cured or else onelie so palliated that they breake out againe Preparato igitur corpore Therefore the bodie being prepared For as much as all thinges are intermingled aswell in the seminarie as also in the materiall partes by reason of the flimish humor wée must search whether they bée together both pustles and hard swellinges And whether there bée one inuention and remedie which may performe all and preuaile in all thinges Or whther more may bée required And of what sort they bée For there be some that haue assaied by onely purging to cure the whole griefe some likewise by vnctions some by fumings some by those meanes which doth conuert the matter through swette Some by that meanes which doth resist the matter some verely by one meanes and some by other diuerse helpes as the cause requireth But our aucthor setteth downe the order how the matter is to be prepared and digested and soonest to bée taken away But they ought to bée hotte and attenuatiue and as we say pearcing or abstersiue Purgato semell corpore the bodie beyng once purged The first euacuation being done and ended they séeme in mine opinion to doe verie well which giue agayne dygestiues and so purge the bodie For wée haue séene some which beyng exactly well purged haue thereby béene very well cured There be also which giue the second time sirupes laxatiue by putting vnto them either Sene or Agaricke or Hormodactales namely such as the Apoticaries shops doe yeeld vs. Tertie deinceps die the third day afterwards I would aduise the Chirurgion to trie all other remedies before he procéede to these sharpe kind of curinges For this manner of crue is verie lothsome and daungerous And who would not feare the force the pearcing and power reflexiue of Quicksiiluer For whiles you doe anoynt the legges and the armes you driue the matter inward and contrarie to the method of Galen for you force it from the ignoble or outward parts vnto the chiefe and principall entraills And yet it is by experience well prooued that many whose health was dispaired of hath béene well recouered by this extreame manner of curing And least such an experiment shoulde séeme to bée without reason my
néedle vntill the incision be made 4 The fourth instrument is a Syring holow in the middeste and it ought to bée made of the shape as it is pictured which instrument is common FINIS Prologi Of A●stumes in ano causing Fistulae and of the Cure of them Cap. j THough our pr●…pall intent was to treat of the fistulae in ano neuerthelesse it is necessarie first to touch somewhat of apostumes bréeding therein or nigh fith oftentimes apostumes bréeding there do cuase fistulaes For when an apostume bréedeth in any place of the body if it bée not healed within thrée or foure monethes it is turned to a Fistulae or cancer therefore when there happeneth apostume in the fundament or nigh you shal know it by these signes by swelling payne pricking and burning And the patient for the payne and anguish may neyther sit lye nor sléepe Which once appearing first labor to ease the foresaid paines and other accidentes without repercussures for in that place ought none to be vsed because it is one of the Emunctories for in these places ought no repercussiue to be ministred And after the opinion of Gilbertine that apostume being within ano is cured with the infusion of Oleum Rosarum in which is Ceruse mixed or burnt leade or Litharge or all these together or with the yolke of an egge But euer take héede that your patient be not costiue If he be ye shal mollify his belly with an emplaister of Mallowes and Swines grease or with the decoction of Mallowes and branne with oyle of new fresh butter put it in a glister Therefore take oyle of Roses with the yolke of an egge by euen portion minister it in the forme of a glister this swageth the payne of pricking and aking comforteth the place in causes both hot and colde for after all aucthors oyle of Roses cooleth a hot member and heateth a colde and it hath many other properties both there and in all other partes of the body and therefore a good Surgion ought not to be without it sith it is so necessarie for diuers purposes for to euerie payne hot oyle of Roses is a mittigatiue and to euerie apostume outwarde it is good to vse a maturatiue of Diachylon dissolued with oyle of Roses or Lillies or Camomil● or De●lthae or cōmon oyle oliue or swines greace Malards or Hennes greace for Diachylon thus ordered and applied resolueth and mollifieth hard tumors or this vnguent take of Mallowes M.i. and bruse them in a morter and put thereto a ●uart of oyle Olife and infuse them eight or niene daies after séeth them verie well then straine it This mittigates the payne of the Apostume greatly and it mollisteth being applied with Lana Succida it openeth and consumeth The oyle openeth draweth and swageth payne if you haue no Lana Succida take a linnen cloth and applie it thereon warme binding it decently that it fall not away and a plaister of Mallowes is a good maturatiue and mittigateth payne of the Appstumes in ano and of womens brestes and other Apostumes it bringeth to supperation and is thus made Emplastrū maluarum Take of Mallowes M.i. séeth them in water vntill they be tender then straine them and cut them small then fry thē in common oyle butter or Swines greace or if you will with the foresaid oyles applied with cleane stuphes warm also wormewood preuaileth greatly therein if it be made in some emplaister for it mittigateth paine of the brestes and comforteth the place and maketh the matter to euaporate by the pores And for certaine it auaileth in all apostumes in euerie place of the body also for contusions For with this emplaister in the cure of the brestes I haue gotten much credit for it is verie Soueraigne as writers witnes and I haue proued it by experience And this note that Apostumes bréeding néere ano ought not to abide vntill they breake off them selues but the Chirurgion ought diligently to féele with his finger the place of the empostume and where is found any softnes there he ought artificially to open the place that the corrupt blood be let out least Intesti num rectū that desendeth to ano in the meane time grow to putrifaction before the Apostume breake which when it happeneth it dringeth a hard cure vnlesse there be an expert Chirurgion For then it may be called the first daies Fistulae Sith a Fistulae is nothing else but an vlcer which cannot be dryed vp for that cause it is vncurable For no woūd nor vlcer except they may be dried are not to be cured Sometime it happeneth some men haue an drifice appearing only outward pearcing through the longacion within ano by the space of an ynch or two and beside that another hole without not percing the longacion within And I haue féene some to haue eight or niene holes on the one buttocke and fiue or sixe on the other Of which none pearred the longacion but one And I haue féene some haue two or thrée holes on the one buttocke and two or thrée going down to the coddes And some haue one hole or more in the one buttocke and one or two in the other part of the yarde percing as well the longacion as the yarde And in this case as I thinke it is vncurable The Fistulae in the yarde may be knowen for that sometimes the séedepasseth by the orifice and sometime vrine sometime both together neuerthelesse of these I cured a Priest at Lincolne in the house of M. Geffrey Scroope that had an Apostume in his yard of which as wel vrine as matter came downe to his codde and sometime bloud went by the passage of the yarde Fistulated and his testicles were swollen excéedingly Therefore first I put vpon the codde a ruptorie and made an orifice where through came foorth both vrine and matter whome I cured perfectly God be thanked for his ano and longacion were not hurt But yet note that this cute is hard therefore let the Chirurgion be verie circumspecte to enquire diligently of the pacient if he féele at any time eyther wyndinesse or excrementes to passe by the orifice of the Fistulae or if hée féele anye payne or heauinesse in his heade or if he haue Vertigo or can scarse forbeare from falling or if he féele payne and heauinesse in his lungs and féeblenesse in his stomacke Also tell you the patient that this kinde of fistulae is such that sometime it is opened of it selfe and auoideth matter sometime thicke sometime thi●…e sometime watrie sometime bloodie sometime closed that it runneth not at all And eftsoone it beginneth to ake and to cast out matter and is opened of it selfe and runneth as is saide before And by these prognostications and tokens shewed vnto the patient he will iudge you the more expert in your cure For this note after the opinion of Barnard or Gordon that the nerue in ano hath affinitie with the stomacke brayne and for this cause
morning you shall finde the yron or wood wrawen vp into the wound or else come cleane foorth If a bone within the wound be corrupt that sealt shall● taken away with the cantery or hotte yron but in no wise raspe the bone when it is canterised but put vpon it oile of Roses hot after this lay vpon it Speciale or Agrippa and such like but if you goe about to scrape the bone it will neuerthelesse of his owne accord cast of a scale afterward Wherefore you doe but increase your labour and bring the pacient to an inconuenience The healh of a wound is hindred in two causes the first is want of blood in the body or by corruption of the same blood for then there may no good flesh be engendred and the cause may be in the grosnesse or subtelnesse hotnesse or coldnesse Also if there be hard or dead flesh growing betwéene the lippes of the wound Or ●… the bone be 〈◊〉 or if there be ouer much putrifaction in the ●…und with many other causes Of Molifiyng medicines REc The f●ces of oyle of Lillies the feces of oyle of Linséed Bdellij Ana. ℥ .ij. Storax Galbanum Oppoponaxe Hhammoniaci Ana. ℥ .j. the grease of Hens or Malardes 4. ℥ disolue your gūmes in wine not ouer much the me●le altogether in a Morter vntil they be in corporated into one this molifieth hardnes wel after the fomentacion with the decoction of March Mallows Fenicricke Linséede and common Mallowes Another very good for the contraction of ●…nnowes and to moliste hardnes Take olde ole olyfe ioyse of Rosemary ana partes equales boyle them together vnto the consuming of the ioyse then reserue it to your vse Another of the same vertue Rec. Wax ℥ .ii. oyle of Been li.j. masticke Storax ana ℥ .j. Of this make an Vnguent Another for hardnesse of members Rec. Rosin li. ss waxe ℥ .ij. oyle of Cammomill li.ii. the flower of linsed and Fenicrick ana ℥ .ij. Mastix Olibani ana ℥ .j. Swines gréece Hens and Duckes gréece ana ℥ .ij. melt the waxe and Rosen and when they be molten ad there vnto all other thinges and séeth them vntil they be incorporated then reserue it to your vse Another Rec. Swines gréece Hens Goose and Duckes gréece ana ounce thrée waxe ounce i. common oyle ounce iiii pouder of Finitrick and lint féeds ana ℥ .j. Bdellij Oppoponax Mastick Encense ana ounce ss put the gummes in wine and after melt them y● they may be wel incorporated then coole it and kéepe it to thy vse This is a more molli●…yng and softening and more comforting of sinnews then any going before Another Rec. Axungie Porcine li. ss waxe ounce ii Goose Duckes and Hens gréece and ounce ii melt them at the fire and incorporate them together And this molifieth all hardnesse and the shrinking of sinnews Vnguentum de Palma with other Vnguent and pouders Consolidatiue and Sigillatiue REc Calues suet cleaue mundified from the skins li.j. melt it in a panne ouer the fier and put thereto olde oyle olife and lygarge in fine pouder ana li.j. et ss Romaine Vitrioll in pouder ounce ii Séeth all these togethere stirring it together with a sticke of gréene Palme or cutte péeces of gréene Pame and cast into the kettle among your 〈…〉 ●ar d●y take them away and put in flesh and so séeth it to the forme of an vnguent Another which cooleth and conglutinateth Rec. Oyle of Roses 〈◊〉 iiij Ceruse ounce i. waxe ounce ss Disolue the w●…e with the oyle at the ●yer which being desolued while it is hoste put in your Seruse continually stirring it then adde thereto the whiste of ●wo egges beaten well together and stirre it vntill it bée colde And this i● Vnguentum Coruse A pouder consolidating olde woundes and sores Rec. Alloes vsti ●…owers of Pome 〈◊〉 dryed My 〈◊〉 Galls ana ounce ss And make 〈◊〉 a pouder This dry●… and ficcatrizeth olde woundes Another consolidating 〈◊〉 woundes and sores Rec. Sanguis Draconi● Masticke Gum Arabic Dragagantum ana ℥ ss fiat puluis Alia Take Langdebefe and drye it ounce iiij Dragagantum Masticke Sa●guis Draconis ana ℥ .ij. Pouder and searce them this pouder consolidateth olde sores and bringeth together newe woundes lightly Another consolidating pouder Rec. The rindes of Pomgranets Balaustie the pouder of a post ana ℥ ss Miss● This pouder consolideth all manner of olde sores in wa●rie places Emplaisters for Marmolles and Vlcers REc Lytarge Ceru●e ana lib. ss Boliarmoni aci Lapis Calaminaris Masticis Olibani Mumie Aspatri ana ℥ .j. Olei Cōmunis lib.ij. et ss First boyle your oyle with your Lytarge and Ceruce almost to a full decoction then put to your Lapis Ca. soone after your Bole Ar. after y● your Aspatū whē this is al in almost sod take it of the fier put in your Masticke Oliba Mumie alwaies sturring it Another of mine owne and it corrodeth mightely and ciccatrizeth and mundifieth olde vlcers and Marmolls Rec. Ceruce ℥ .iiij. Sal. gemme ℥ .iij. Lapid Magnetis ℥ .j. et ss Lapid Calaminaris ℥ ss Oua Mund. iij. Cere ℥ .x. Make pouder of them that wil be poudred then melt the waxe and put in your pouders and when it is nigh colde put in your egges and make it vp in rolles My maister Mi●…el did adde therto of Turpentine ℥ .i. of wax more ℥ .ij. For it was so short it woulde not abide together and hée saide if the egges had béene put in first to the waxe when it was sodde and then put in the pouders it would incorporate the better Another emplaster Rec. Salis Gemme Salis vitri ana ℥ .j. Lapid Magnetis Lapid Lazuli ana ℥ ss Vitrioli Rom. ℥ .j. et ss Litargi Auti. ℥ .j. et ss Argenti viui ℥ ss Cere lib.j. et ss fiat empl First melt thy ware ouer a little ●…er of two or thr●e coles that your waxe bée warme then put in all your pouders except your Litarge Auri and Argen●i then mortifie the Argetum and incorporate it verie well with the Litarge and when your other stuffe is almost colde put into your Litarge with the Argent and woorke it ●est together but beware it ●ouch neyther oyle nor water and therefore the best making of this is in a hot morter Vnguentum Arabicum Rec. Vnguenti Albi. ana q. S. Boli Armoniaci ana q. S. Sanguinis Draconis ana q. S. Olei Rosarum ana q. S. Aqua Rosarum in quo dissolue Gummi Arabici Miss●antur et fiet Vnguentum Flos Vnguentorum TAke Déeres suet ounce liij rosen Perrosine ana lib. ss White waxe Frankensens ana ounce iiij Masticke ounce i. First melt the Déere suet and the waxe together then pouder the Gummes and put thereto and when they be relented strayne them thorow a péece of Canuas into another vessell and put thereto a pottell of white wine and set it ouer the fier agayne and boyle them to the consuming of the wine