it be in the way of resolution you shal procede with the resolutyues folowynge of which the fyrst is in this sorte ℞ of the rootes of holyhocke .li. ss of camomyll Resolutiue melilote fenugreke m̄ i. Seeth these thinges in suffycyent quantitie of brothe of fresh flesh vntyll they be perfectlye sodden than cut them stampe them and strayne them and with the crommes of breed make a stiffe playster in the decoction addynge of oyle of camomyll and dyl ana ℥ ii of buttyre of hennes grece ana ℥ i. the yolkes of two egges Laye these ordinaunces vpon the aposteme actually hote after the maner of a plaistre This plaistre resolueth all harde matter and swageth grefe chefely yf the matter be mengled with colde humours Yf the mattier be hote ye must not procede with so stronge a resolution for the generall rule is agaynste it but by a gentle resolution as is this ordinaunce folowyng ℞ of mallow leaues m̄ ii of the rootes of holyhok li. ss boyle them togyther in suffyciēt quantitie of broth of fresh flesshe and strayne them as it is sayde before and in the decoction with the flour of barlye beanes and wheate ana ℥ ii make a styffe playstre at the fyre addynge of oyle of camomyl of hennes grese of buttyre ana ℥ i. ss of saffran ℈ i. and the yolkes of two egges Let the playstre be actuallye hote whan it shal be layed to These two foresayde playstrs resolue and resyst not maturation yf nature wyll that the matter come to maturation wherfore yf ye perceyue that the mattier can not be resolued by the foresayde remedyes and that it requyreth to come to rypenesse which thynge may be knowen by the sygnes of maturation incontinently whan the matter is mēgled with sōdry humours for the maturation of the same A maturatiue vse this playstre folowing ℞ of whyte lylly rootes of the rootes of holyhok an̄ .li. ss seeth these thīges in suffyciēt water cut them stāpe thē and strayne them and set the sayd decoction vpō the fyre and make a playstre with suffycient quantitie of the flour of fenugreke of the flour of line seede and of wheate addyng of buttyre of melted swynes grese ana ℥ ii and in the ende of the decoction put in the yolkes of thre egges and laye it hote vpon the Aposteme Note that yf you take of this plaistre ℥ i and adde two snayles wyth theyr shelles and thre fat fygges of confyte raysines ℥ ss well stamped togyther and layed vpon the poynte of the aposteme whan it is rype the saynne shal be made thynne and the aposteme shall be opened by the vertue of the sayde playstre But yf the aposteme be caused of hote humours it shal not be conuenient to vse so stronge a maturatiue but it shal suffyse that in the decoctiō ye adde onely the floure of barly and wheate til it be brought to the forme of a playstre and than you must put to of buttyre and of swynes grese a suffycyent quatitie Item Embrocation it is a generall rule for maturation and mitigatiō of the payne of this Aposteme to make often embrocation with the decoction aforesayde sodden with wheate floure fresh buttyre Afterwarde whan the Aposteme is rype ye shall open it in the rypeste place after the doctryne declared in the Chapitre of exitures that haue grosse skynnes to whiche chaptre resorte for the knowledge of makynge incisions from the heed to the feete accordynge to the sondrye partes of mannes bodye After incision for the cure of the vlcer ye shall procede with the remedyes gyuen in the chaptre of the cure of Flegmon in generall Aposteme of catarhous mattier Yf the Aposteme be caused of a catarchous matter and of a cause antecedent and commeth not by the way of termination ad crisim ye shall vse the remedyes declared in this chapitre touchyng resolution and maturation Here is to be noted that though these apostemes vnder the eares ben of the kynde of Flegmon which Galene and Celsus call parotides neuerthelesse in the begynnynge we vse not the intentions prescrybed in the cure of Flegmon but contrary wyse we vse attractyues and resolutines The reason is thys as Auicenne sayth that yf the membre apostemed be an emunctorie or a clenser Repenssiues may not be applyed of a prīcipal membre we ought not to apply repercussyue thynges vpon the Aposteme at any tyme. It is true that a repercussyue medicine is conuenyent for an aposteme neuerthelesse bycause the aposteme procedeth by the deriuation of a princypall membre it is better that the mattier be drawen to the emūctories than that it shoulde be dryuen backe for the daunger that myght ensewe thereby Ye maye lawfullye applye ventoses and playstres attractiue whā the aposteme cōmeth by the waye of terminatiō ad crisim And therfore Auicenne sayth let the malyce be deriued with ventoses to a vyle membre wyth the safegarde of a principal So that we must euer studye to drawe the matter to a membre lesse noble and cause the sayde membre to be apostemed For yf we shulde apply repercussyue medicines the matter wolde returne to the principall membre and wolde cause some disease that cannot be corrected by medicines Ventoses in thre cases He sayeth moreouer in the chaptre of apostemes vnder the eares that in thre cases ventoses and thynges attractyue maye be applyed The fyrst is whan the maitter is venimous The second whan there is feare lest the matter by a repercussyue medicyne returne to a principall membre The thyrde whan the aposteme is by the waye of termination ad crisim Neuerthelesse whan the mattier is in greate abundaunce whan ventoses are not to be vsed and cōmeth by sodayne deriuation and with great payne than duryng the tyme of hys begynnyng ye must beware of applyinge ventoses or thynges moche attractyue For they wolde drawe to great quātitie of mattier to the place and wold encrease the payne and also the fieuer wherfore it sufficeth thā to euapore the mattier by the decoction of thynges anodyne that is to saye which take away payne and wyth resolutyue playsters afore rehersed Cauterie actuall It is also to be consydred that the chirurgyens whych cōmaunde to open the place with an actual cauterie not lokynge for maturation and afterwarde in all tymes applye thynges moche attractyue worke folishly wherfore Auicen sayth that yf the apostē be of swyft comyng attractiō or drawyng namely yf it be wyth a sodeyne deriuation the matter beinge apt to flowe abundauntly to the sore place than we must leaue hym to his owne nature For this entent that the medicyne very moch attractiue cause not vehement grefe in the place and that the payne cause not a fieuer or cause the patient to be choked which thynge we haue often seene to haue chaunced wherfore in the stede of attraction we muste be content wyth mollification and gentle resolution Resolution chefelye whan there is
tyme maye be well vsed in these vlceres The lynemente also vnderwritten is conuenyente in thys case wherewyth ye shall anoynte all the legge ℞ of the iuce of plantayne of nyghte shade or the sede therof housekele ana ʒ.vi of oyle of rooses odoriferous of vnguentum populeon ana ℥ iii. of lytarge of golde and syluer ana ℥ .ii. of vyneger of rooses ʒ.ii of camphore ʒ ss make a lynemente of all these in a mortar of leade for thys lynemente dilateth sharpenesse of humoures and suffereth not the matter antetedente to passe to the matter conioynte Abande also wette in vineger and water of rooses and strayned is necessarye to defende the matter antecedente and cole the place c. The .vii. chapter of a member corrupte and rotten throughe incision ⸫ AS we haue sayde in the chapter of cancrena Of a putryfyed member a member putryfyeth .iii maner of wayes Fyrst by a thing that corrupteth the naturall complexion of the member as by venyme hote or colde Secondelye a member is corrupted throughe the prohibicion of vytal spirites whyche were wonte to come to the member Thyrdelye by a thynge that causeth the two foresayd impedimentes as by a venemose pustule and by a medycyne putrefactiue vndiscretelye administred as arsenyke and realgar As we haue seene The cardinalles muste be gloryously tytled in the mooste reuerente Lorde my Lorde the Lord Facio of the tytle of Saynte Sabyne Cardinall whiche had the apostemes called herpes and Estiomenus in his ryghte foote throughe the defaute of naturall heate and wekenesse of the member and also throughe hys long ague and by reason of the vehemente wynter that was that yeare Wherefore we beganne fyrste to cure the corrupte member wyth the cure of cancrena and askachillos and that wyth sondrye scarifycations and lykewyse we washed the place wyth salte water and wyth the decoction of lupynes soden in lye and some tyme wyth myxte vineger and salte And after the lotion we administred vpon the rotten boone twyse a daye vnguentum egyptiatum after the descrption of Auycenne that the partes adioynynge myghte be kepte from putrefaction And because as Celsus sayth the remedyes profytelytle in thys most cruell dysease and the canker seaseth not to crepe yet one remedye there is to cutte the corrupte member away that the hole parte of the body be not enfected Wherefore I seynge that the forsayde remedyes ware not conuenyent and that they coulde not defende the putrefactiō but that it crept ouer the knee dayly more and more I councelled to cutte the legge of aboue the ancle betwene the hole and the corupte parte and than to cauteryse the same howbeit certayne greate Phisicians of the Romayne courte resisted myne opinion wythoute reason and auctoritie though I had astablished it with other of the sayde auctorytyes and also wyth the auctoritie of master Iohn Marcerathensis So they wolde not suffer that the member shulde be cutte of yee one of them promysed that he woulde kylle the dysease wyth the onelye applycation of arsenycke but the sayde arsenycke through the wekenesse of the member and naturall heate coulde notte worcke accordynge to the mynd of the Phisicion but rather gnawed and rotted the membre And albeit that the sayde physition that worse is affyrmed that he woulde mayntayne the corrupte mē ber with the hole the space of tenne yeares yet the sayde cardynall was constreyned to dye through that enterpryse And because this chaūce is rare I haue declared the processe thereof that the phisitions maye not in suche be deceyued In the yere of our lorde M.D. and .ix. at syxe a clocke of the nyghte the fyrste daye of Februarye there chaunced a vehemente peyne withe inwarde pryckynges in the lyfte foote of the sayde cardynall insomoche that he cryed that his foote was burned And yet in touchynge the membre was as colde as yse vnto the knee and yet it felte not naturally nor perfectlye but after the maner of a false felyng Moreouer there apered no chaungyng of the membre in coloure no rednes nor swellynge vntylle the .vii. daye In the nyghte tyme he was vexed a certeyne space with the foresayde peyne and it swaged some what in the day tyme. And when he arose frome his bedde he semed to carye a great weyght of leade in his foote whiche peyne continued vntylle the seuenth daye euery nyght as we haue sayd In the seuenth day the membre was mortified welnygh from the ancle dounwarde Of whyche mortification we douted fyrste afterward we ware certified in the seuenth day that the membre was plainly mortified Foundyng our pronostication vppon Willelmus Placentinus a man of gret auctority in chirurgerye whose woordes be these The sygnes sayethe he of peynes whiche proocede of a colde cause in the extremyties of members are theese Losse of heate and readnes benommynge styfenesse and heuynesse and pryckyng of the place whych thinges signifie that the palsey shall ensue or that the member is mortified In the same daye the forsayd cardinall was vexed wyth a vehemente feuer and sounded ofte and was vtterlye oute of quiet in al his bodye so that al the phisicians thought that he wold dye the same daye by the reasone of the crueltie of the accidentes wherfore there assembled the hole college of phisicions in the mornyng to dispute of the qualitie of the desese and of the cure therof and there was greate discorde amonge them concernynge the same for some of thē sayde it was the frenche pockes some sayde the gout some that the membre was benommed some that it was mortified and cankerd I and mayster Iohn Macerathensis alowed the laste opynyon and I declared to the foresayde Phisycyons the effecte of the matter by experyence and mooste weyghtye argumentes For though the membre semed not corrupted nother in swellinge nor in coloure sauynge that it was somewhat blewyshe yet in the presence of them all I scarified vpon the place vnto the bone and caused no paine to the cardinall and the bloode that issued oute was grosse and thicke as it ware congeled and of a very blacke coloure lyke ynke which thinge done the phisiciōs chaunged theyr myndes and consentyd to our opinion though they resisted vs concernynge the cure of the desease Hitherto we haue declared the storie nowe we wyll returne to our purpose Fyrst purgacion of the bodye by a lenitiue clister or some other lenitiue medecyne presupposed there is no better remedye than to cutte the corrupted member nygh the hole part so that some of the corrupted membre remayne and that for thre causes Fyrste that insicion maye be wythout payne Secondlye that fluxe of blood maye be aduoyded Thyrdelye that a cauterisation maye be vsed wythoute payne The maner to cutte the corrupte member is thys Fyrst ye must proue wyth a prouet howe the mortificacyon of the membre gooethe and afterwarde ye muste cutte the membre syrcle wyse in the fleshye and musculose parte and ye must dyseuer
the bodye but also it is a meane of all the substaunce generatiue and corruptiue The membres simple hote and moyst ben spirites fleshe as Auerroys sayeth The mary flegme and fatte are colde and moyste ¶ The seconde Chaptre Compounde membres NOwe that we haue spoken of symple membres it is coÌ„uenient that we traicte of membres compounde The membres compounde ben those which ben coÌ„posed or set together of the foresayd symple membres And they bene called properly Membra heterogenia that is membres made of other that may be diuided into another kynde or membres instrumentall because they ben the instrumentes of the soule as the face the handes the fete the herte the lyuer And of these membres compounde some ben called membres principall some not principall Principall membres The principal membres ben foure the herte the brayne the lyuer and the stones The membres compounde not principall ben all the other excepte the symple Membres not principal as the eyes the nose the eares the head the face the necke the armes the legges and semblable whose complection shal be declared in the chaptre folowynge ¶ The thyrde chaptre of the Anatomie of the heade and of the membres conteyned in the same WE haue traicted sufficientlye of the Anatomie of membres compouÌ„de and that it behoueth to consyder nyne thynges touchynge euery membre of mans bodye but Auicenna sayeth that in the Anatomie of the heade The situatioÌ„ of the heade we muste coÌ„sydre aleuen thinges and fyrst the situation of the same The heade was not set in the hyghest parte of the bodye for the nastrelles nor for the brayne nor for any other sens but cheifly for the eyes as Auicenna sayth and for the vertue of seynge And the reason is thys bycause the eyes haue the garde kepynge of the body so that men maye se theyr enemyes afarre of auoyde that that is noysome to the bodye They were ordeyned of nature in the former part that they might receaue the visible spirite by the synnowe called Optique and that they might carye visible thinges to the coÌ„mune sens for the synnowe Optique beyng diuided into two brauÌ„ches entreth into the composition of the eye as we shall declare here after An other reason is thys bycause the eyes receaue mouynge of the seconde payre of synnowes whych procede from the brayne And for these causes nature hath set the heade in the hyghest parte of the bodye The parte couered wyth heere The brayne panne and conteynynge the brayne and the interiour partes of the same and the Animal spirites is called after the philosophers the vessell or panne It foloweth consequently that we consyder the ioynynges of the partes of the same For froÌ„ the heade the muscles procede and Lacertes whyche go to the necke and to the face ben moued throughe all the partes of the heed The brayne panne of a man is greater then of any other lyuyng thynge bycause the braine is of greater quantite in man then in other beestes The fourme of the heed is rounde as a boole and as Galene sayeth a rounde fygure amonge all other is moost noble and in lest dauÌ„ger of noysome thynges It is also bossie and bouncheth out in the fore and in the hynder partes The composition of the same is partly bonye partly ful of mary and is of a colde complexion also the partes therof and the dyseases whyche chaunce in it as the tothache dysease of the eyes Catarrhes lyke thynges as it shal be declared in a chapter for the same purpose The noÌ„bre of the partes is knoweÌ„ by the partes conteynynge and coÌ„teyned Basilare and by the bone called Basilare vpon whych all the bones of the heade haue theyr seate and fouÌ„dation The partes conteynynge ben fyue the heere the skyn the musculous fleshe the pannicle whyche is called pericranium or gingiua mater bycause it procedeth from dura mater by the commissures of the bones of the heade after thys is the bone named Cranium or the fyrst table of the bones of the heade The partes conteyned ben fyue The fyrst is the bone called the seconde table The seconde is a grosse pannicle called Dura mater The thyrde couereth the substauÌ„ce of the brayne and is called Pia mater or the Teye The fourth is Rhete mirabile The fyfth is the substauÌ„ce of the brayne Vnder thies is the bone called Basilare whych susteyneth the head And it is called Basilare of Basis whych sygnifyeth a fouÌ„dation There ben in the composition of the heade seuen principall bones of whych the fyrst is called Coronale Coronale and begynneth after the opinion of Haliabas in the fore parte aboute the eye browes endeth at the Coronale coÌ„missure And in that bone there is some tymes a strayte coÌ„missure or seame goynge dyrectly to the myddest of the heade chiefly of womeÌ„ And it is called the bone coronale bycause kynges beare theyr crownes vppoÌ„n that bone In the nether partes of thys bone ben two holes whyche are called Colatories or strayners of the nastrelles and betwene the concauite or hollownes of the two eyes there is a lytle bonye addition in the facyon of a cokescombe vpon the whyche nature hathe planted the grystelles of the nastrelles to diuide the nastrelles After this ben the two Laterall or syde bones ioyned to the bone coronal on both sydes Syde bones Os Laude and in the hynder parte they ben ioyned to the bone called Laude or occipitall in the hynder parte And in the toppe of the heade they ben closed together lyke a sawe And they make the commissure called sagittalis For they come dyrectly from the coronall bone to the coÌ„missure called Lauda and thys is the commyssure called Transuersalis Transuersalis in thys fygure of ciffre 7. and the bone called Lauda is of harder substaunce theÌ„ the other in whych there is an hole and through that hole the marye called Nuka descendethe from the brayne to the ende of the backe by Spondiles After this ben the bones called Petrosa or stonye Pâ—trosa whych are false coÌ„missures or seames touchyng the two Laterall or syde bones in the ryghte and the left syde And they ben called false coÌ„missures bycause they ben skalie stonye and harder theÌ„ other And they are bored through for the necessitie of hearynge And these bones begynne at the commissure called Lauda and ende in the myddest of the temples The last bone is called Basilare whyche susteyneth the heade as it is aforesayde And thys bone hathe manye holes and spongiositees whych serue to purge the superfluities of the brayne of these seuen bones procede fyue commyssures where of thre ben trewe and the other false as we haue sayde The fyrste of the thre commyssures is called the commyssure Coronall The seconde Sagittall The thyrde Laudale Nature hath produced the bones of the heede spongious and full of pores or priuye holes in the myddes of two
copyously at the begynnynge accordynge to the age and strength of the patient The profyte of flebotomy there comme thereby two great profytes to nature The fyrste is that the corrupted bloode is drawē from a principal membre to the emūctories which thynge nature enforced hyr selfe to doe The seconde is that nature hathe discharged hyr selfe of thys venimous mattyer so that afterwarde suche corruption canne not extende it selfe vpon the membre wherefore ye ought to be ware that ye lette bloode none otherwyse than we haue sayde For yf the Carbuncle be founde in the emunctories of the brayne as in the ryght syde yf nowe ye open the veyne cardiake or basilike in the lyfte syde ye shal drawe the infected bloode to the harte or lyuer And yf the Carbuncle be vndre the ryght arme hole and ye open the lyfte Cardiake or lyfte Basilyke ye shall drawe the venimous mattyere to the pryncypall membres If the Aposteme be in the flankes and ye open the veyne called Basylyke it draweth the mattyer to the lyuer Therefore whan the Aposteme is in the Flankes it is better to open the veyne Sciatyke or Saphena For in drawynge the sayde bloude ye shall ayde nature greatlye Wherefore it appeareth that in thys case to committe any error is the cause of deathe Furthere it is to be noted that yf ye canne not lette bloode thorough the weakenes of the patient or for some other cause Than in the steede of Flebotomye it is good to boxe or cuppe the place wyth depe scarificatyon Boxinge or applicatiō of Ventoses as for the emunctoryes of the heade ye muste boxe and make scarificatyon vpon the necke For the emunctoryes of the harte ye muste laye the same ventoses vpon the shulders For the emunctoryes of the Lyuer boxe the buttockes or the thyghes Thus we conclude that we muste euer lette bloode in the sore place for the alleged causes After lettynge of bloode dygeste the mattyer after thys sorte Digestyue yf the disease gyue leysure to take a medicine ℞ of Syrupe of vinaigre of the iuyce of endiuie and of Syrupe of vinaygre called Acetosus symplex or fumiterre Ana ℥ ss of the waters of Endiuie buglosse and hoppes Ana ℥ j. Purgation mengle them After that the patient hath vsed thys Syrupe foure or fyue dayes lette hym take thys potyon yerlye in the mornynge ℞ of Cassia of diacatholicon Ana ʒ v. of electuarye of Roses after Mesue ʒ ij and. ss wyth the decoctyon of cordiall stoures and frutes addynge of Syrupe of Violettes ℥ j. and. ss The nexte daye after the takynge of thys medicine it is verye good to take a clyster Lenityue Whan the mattyer is malygne and furious so that it is not a Carbuncle but Anthrax the mattyer muste be purged wythout digestion bycause Anthrax gyueth no leysure to the patient to digeste the mattyer Wherefore Hypocrates sayde wel that we shuld purge thynges digested and not moue rawe thynges excepte it were verye expedyent Ye shall note that there ben foure cases Howe a purgatyon maye be geuē without a digestiue in whyche ye maye gyue a purgatyon wythout digestyon goynge before The fyrst is whan the mattyer is in great quantyte The seconde whan the mattyere is furyous The thyrde whan the mattyer is venimous as in Anthrax other diseases procedynge of venimous mattier The fourthe is whan the disease is caused of mattyer deryued of a pryncypall membre hurtynge the same As it chaunseth in the pestilence whan a noble membre is touched of infectyon it sendethe the same infectyon to the emunctoryes and ingendreth in them a Carbuncle or Aposteme by the waye of mutation or chaungynge Whan the mattyer is minished ye maye comme to the dygestion of euyll humours and afterwarde to purgatyon Here foloweth a purgatyon verye good for hym that hath Anthrax ℞ of Cassie of diaprunis non solutiui Purgatyon of Diacatholicon Ana ℥ ss of the confectyon of hamech of electuarye de Psillio Ana ʒ j. and. ss wyth a decoctyon of cordyal floures and frutes wherin hathe been sodden of Terebentyne and dittanye Ana ʒ j. of scabiouse of sorell and of the iuyce of Pomegranades make a smalle potion addynge of Syrupe of Vyolettes ℥ j. and. ss The thyrde intentyon whyche is to take awaye the mattyer conioynte is accomplysshed through applicatyon of conuenyent thynges aswell in the hole partes as in the sore And whan the Chyrurgyen hathe perceaued the Carbuncle or Anthrax by euydent sygnes Cornelius Celsus sayethe that there is no greater remedye nor surer waye than incontinentlye to burne the Carbuncle wyth an hote Yron comprehendynge the corrupted parte Cauterie vnto the hole or els to vse a potentyall cauterie so that ye maye see a cyrcle rounde aboute the Carbuncle For a cyrcle aboute the Carbuncle is a sygne of the termynatyon of the venimnes after the opinion of Arzi But we ought euer to be ware that the nygh and sanguine partes be not touched of thys cauterye For it wolde grieue the place wythout profytte and as Galene sayeth that shall not helpe that hathe hurte in it selfe Payne The greate payne caused by aygre medicines vpon the hole place is an euydent cause of drawynge mattyere to the sayde hole parte wythout anye succoure yea it is a cause that malignyte is ioyned to malygnyte For payne is as a cuppynge glasse drawyng humours to the paynfull place And to comme to practyce it is conuenyente to ordeyne the maners and formes whyche be requyred in the curatyon of a Carbuncle or Anthrax Fyrste laye vpon the hole parte thys defensyue Defensyue ℞ of Oyle of Roses of Oyle Mirtine Ana ℥ ij of the iuyce of plantayne and nyghschade of whyte vynegre Ana ℥ j. and. ss lette them boyle all together vnto the consumptyon of the iuyce than putte to of whyte waxe ℥ j. of all the faunders Ana ℥ j. of bole Armenye of terra Sigillata Ana ℥ ss of whyte Coralle and redde Ana ʒ j. mengle them Whan ye haue layed thys defensyue vpon the hole parte laye vpon the sore parte a playstere of floures wyth sodden wyne and a lytle lye whyche is described in the Chapitre of the cure of Cancrena and Ascachilos Also vse the corrosyue medicynes whyche shal be rehersed in thys Chapytre vntyll ye perceaue that the venimnesse of the Carbuncle is mortifyed We haue foūd thyes corrosyue medicines to be of gret vtilitie Corrosyue medicines Whan the bodye is stronge ye maye vse an actuall cauterye so that the Carbuncle be not in a Synnowie place Ye maye also vse a potentyall cauterye begynnynge at the easyest as is Vnguentum Egyptiacum of our descriptyon wryten in the Chapytre of the cure of Formica Corrosyua or with Vnguentum Egyptiacum whyche hathe in it the vertue of Arsenyke and is declared in the same Chapytre or wyth Trocisques of Minium descrybed in oure antidotarye in the Chapytre of corrosyue medicines or wyth a ruptorie of
a Playstre in the maner of a Cerote Yf the Vndimia be wyth payne of a cause antecedent than it muste nedes be eyther Flegmonides or herisipelades Yf it be Herisipelades it is necessarye to appayse the griefe and to take awaye the Herisipelas For excepte ye take awaye the payne and the Herisipelas the Vndimia can not be taken awaye The reason is bycause the remedyes requyred to thys Cure of true Vndimia bene hoote and drye and contraryewyse ☜ the remedyes requyred to the Cure of Herisipelas bene not hoote and drye neyther fytte to swage payne caused of Flegmon or Herisipelas Therfore Galene sayethe that whan two diseases bene ioyned togyther the intention of the medicine muste be to the pryncipall withoute the whiche the lesse can not be cured respect had also to the other The fourth intention whych is to correcte the accidentes is accomplisshed as it here foloweth The accidentes that chaunce in this disease bene itchynges chefelye whan the Aposteme commeth of solution of continuitie or by breakyng of a bone or dislocation and whan thys Aposteme is healed by resolution or whan the payne was in the Aposteme throughe commixtion of an hote humour with fleame Yf thys Aposteme come to ryping it must be ryped wyth a Playstre of Holyhocke wrytten in the Chaptre of the Cure of Flegmon wherevnto ye maye adde a lyttle fenugreke and lyneseede A cerote To take awaye the payne of Herisipelas or of Flegmon chauncinge wyth Vndimia ye maye vse this cerote â„ž of the leaues of Mallowes and vyolettes Ana. mÌ„ i. of the rootes of Langedebeefe â„¥ ii of the rootes of Holyhocke halfe a pounde of the seede of quynces Ê’ iii. of cleane barlye mÌ„ ii Let them seeth all togyther wyth suffycyent water tyll the barlye breake than presse them and cut them after the breadthe and afterwarde stampe them and strayne them and to that that is strayned adde of oyle of roses of oyle mirtine of oyle of vyolettes and Camomylle Ana â„¥ ii of hennes grece of vnguentum Rosarum after Mesue of vnguentum Galeni Ê’ i. of calues kyddes and gootes tallowe ana â„¥ i. and ss and let them al boyle agayne togyther a lyttle whyle and than wyth suffycyent whyte waxe make a softe cerot addyng in the ende of the decoction of beane floure well boulted and of barlye floure ana â„¥ i. This cerote is right good to swage payne and hath strengthe to take awaye Herisipelas and to comforte the place And it is somewhat resolutyue of the mattier that causeth Vndimia All whyche vertues bene requyred to the curation of the same After that the grefe is ceased and the inflammation of Herisipelas or Flegmon taken awaye For the remotion of Vndimia ye must procede wyth gentle resolutyues and confortatyues hauyng vertu to comfort to drye and to consume the vnctuositie that is in vndimia howbeit ye must do this wyselye you must beware that Herisipelas retourne not and cause newe inflammation and payne In this case the descryption folowynge is conuenyent â„ž of vngueÌ„tum rosarum Mesue of vnguentum Galeni Ana â„¥ iiii of oyle of roses coÌ„plete and of oyle mirtine Ana .li. ss of oyle of camomyll and dyll Ana â„¥ ii of lambes or kyddes and calues tallowe Ana. l. ss .. of the iuyce of morell of the leaues of mirtilles and graynes of the same stamped al togyther Ana â„¥ iii. of a decoction of holyhocke li. i. Let them boyle al togyther vnto the consumption of the decoction and Iuyces than putte to these vnder wrytten Take of litarge of golde and syluer well brayed Ana â„¥ iiii of bolearmenye â„¥ i. and. ss of Cerusse Ê’ x. of Tutie preparate Ê’ syxe of quenched lyme and ten tymes wasshed â„¥ ss A sygne of the perfecte decoction of of this cerote is whan it begynneth to be blacke we haue proued this cerote with the other aboue wrytten A proued cerote in a cardinall in the cardynall of Alexandria whyche longe tyme trauayled wyth Vndimia meÌ„gled wyth a wyndie Aposteme and with a choleryke humour And it didde holde him from the flanckes vnto the legges and fete And for thys cure we receaued c. lxxx ducates of golde It resolueth flegmonike mattier whiche causeth vndimia with exiccatioÌ„ and confortatioÌ„ of the place so that the hote mattier which is sharpe as we haue sayde and cause the payne and itche sometyme heresypelas inflammatyon canne not ioyne hym selfe wyth the mattyer conioyncte Moreouer it resolueth ventosities or wyndines of flegmatyke Apostemes Whan this Aposteme is comme to maturitie or rypenes incisyoÌ„ must be made accordyng to the doctrine declared in the former cha After incisyoÌ„ ye muste digeste mundifie and incarne the place with the remedies declared in the foresayde chapitre An oyntment for an â—â—che If itche chauÌ„ce in the place ye must anoynte it wyth thys vnctyon â„ž of oyle of roses of oyle myrtine of vnguentuÌ„ PopuleoÌ„ Ana â„¥ ij of vnguentuÌ„ rosarum or in stede thereof of VnguentuÌ„ Galeni infrigidatinuÌ„ â„¥ ij ss of the iuyce of plantayne and nyghshade Ana â„¥ ij lette them leeth all together vnto the consumptyon of the iuyce thaÌ„ stirre theÌ„ aboute with a pestil in a mortare two houres so that they bee all strayned before addynge of litarge of gold and syluer Ana â„¥ ij ss of bole Armenie â„¥ ss of cerusse Ê’ iij. of camfore ℈ j. we haue proued this vnction to be excellent in taking away itchynges of what soeuer sorte they be If the Aposteme comme to hardnes for mollifycatyon and resolutyon ye must resorte to the cha of Sephiros ¶ The fourthe Chapytre of Knobbes NOdi or knobbes after Auicenne ben harde eminences Knobbes hauynge wythin a pannycle as it were a purse called Cistis in whiche the mattyer is conteyned And thys mattyer is sometymes lyke a chestnutte halfe chawed and sometymes there issuethe oute of them a mattyer lyke honye Mellinus and than it is called Mellinus Whan the mattier is lyke a chestnutte as we haue sayde some calle it Lugia Lugia Somtymes there is founde in the sayde knobbes a mattyer lyke the muscilage of Holyhocke and sometimes with corrupted quytture oftentymes there ben founde knobbes whiche onely are ful of carnosyte or flesshines and than they ben called carnall or flesshie knobbes Furthermore there is a kynde whyche commethe vpon the synnowes Fleshie knobbes and is called nodatyon Thys appearethe the dyfference that is betwene nodes or knobbes Nodes nodatioÌ„ diffeâ—â—e and nodatyon For nodes be in the flesshe and nodatyoÌ„ in the synnowes Nodes growe in synnowye places and aboute the ioyntes and moue froÌ„ place to place but nodatyon remayneth fyxed knobbes ben engendred of a cause primityue antecedent and conioyncte The primityue is a fall a stroke or euyll regyment The cause antecedent is a grosse humour flegmatyke sent of nature to the weake place And by reason of the weakenes of the place the subtyle parte
of a Melon and some tymes to the greatnes of a courde And it hathe sondrye names accordynge to the places in whyche it is engendred as we haue sayde of Testudo but we nede not to passe for the names so that we haue the true intentyon of healynge All thies kyndes of eminences ben engendred of a cause primityue antecedente and conioyncte The cause primityue is euyl regiment in eatyng and drynckynge The cause antecedent is the multytude of fleame hardened and dryed The cause conioyncte is the humoure gathered to the place Scrophiles As concernynge Scrophiles some ben paynful and haue part of an hote humour and ben redde and not verye harde Thies maye be healed by resolutyon or by suppuratyon Sometymes they ben greate and olde and haue coniunctyon wyth synnowes and veynes and are of euyll coloure Take no cure of thē for they comme often to a Canker Ye maye haue the same iudgement of glandules whan they comme to malignitie and cancrosytie Consydre wel theyr sygnes that ye maye knowe whan they ben euyll There chaūce in the emunctories certayne harde emynences called Bubo and fugile and they haue coniunction wyth the synnowes ¶ The seuēth Chapitre of the cure of Scrophiles glandules and lyke emynences THe cure of glandules The cure of glandules c. Scrophiles and excrescences of the same nature is accomplisshed by foure intentyons The fyrste is good regiment of diete The seconde is to take away the mattier cōioyncte by medicines resolutiue The thyrde to purge the mattyer antecedent The fourthe to take away the mattyer cōioyncte by handye operatyon or by the applicatyon of a caustyque medicyne whan they canne not be healed by resolutyon The fyrste intentyon is accomplisshed accordyng to that Diete that is sayde in the Chapitre of the cure of nodes In thys case the patyent must endure hōgre asmuche as is possyble and kepe hym selfe frome eatyng vnto vomite He muste haue hys heade layed hygh nether muste he slepe grouelyng whā he slepeth lykewyse he must not speke muche nor laughe whan he speaketh For the accomplisshement of the seconde intentyon lette the mattyer be thus digested ℞ Oximel compositū Digestiue of Syrupe of Sticados of honye of Roses Ana ℥ ss of the waters of scabiouse Endiuie and Fumiter Ana ℥ j. mengle thē After that he hath vsed this digestife let hī be purged with this purgatiō Purgation ℞ of Diacatholicon of Diaphenicō of electuarij indi maioris ana ʒ ij make a small potion wyth the cōmune decoction addynge of syrupe of violettes ℥ i. and. ss Eyght dayes after that he hath vsed thys medicine to euacuate the matter antecedent it is good to take euery daye in the mornynge one of these pilles Pilles by the space of fourtye dayes excepte the two dayes whē the moone chaungeth ℞ of Euphorbiū of ginger of turbith of the iuice of the rootes of Ireos of Agarike ana ʒ i. make xl pylles wyth the sayd iuyce Also it shal be very good to take euery euenynge a lytle of thys compositiō ℞ of hony of roses of syrupe of sticados ana ℥ iiij of suggre ʒ iij. of agarike in trocisques ʒ ss of salis gemme of spike of cinnamome of galangale ana ℥ ij of cloues of macis ana ʒ i. of polipodie ʒ i. ss of turbith preparate ʒ ij of longe pepper ℈ ij make a confection of al these wyth the wyne of quynces The receyte of thys is ℥ ss It is of excellent operation to take away an euel flegmatyke complexion in any bodye it rectifyeth the euyll qualite and purgeth the grosse humour The thyrde intention whych is to take awaye the matter conioynct is accomplyshed by the administration of locale medicines whych maye resolue thys matter and mollifye it Of whych thys is one of good effecte A cerote resolutiue ℞ of the muscilage of holyhocke of fenugreke linsede of drie fygges .li. i. of cōmune oyle of oyle of lillies and camomille ℥ ij of capons grece gose grece and swynes grece melted of cleare terebentine of wethers tallowe melted ana ℥ ij and ss of lytarge of golde well brayed and cersed ℥ viij Let thē boyle al together to the consumption of the iuyce muscilage thē wyth sufficient newe waxe make a cerote clāmysh and cleauynge addynge of armoniake Iris sygnifyeth a flouredeus of galbane dissolued in vynegre ana ʒ i. of newe ireos well brayed ℥ i. and. ss seeth them altogether and make a cerote after the maner of diaquilon Thys cerote is souerayne to resolue scrophules and all other glandules procedyng of flegmatyke matter Another remedy to thys entētiō Playster ℞ of whyte diaquilon of great diaquilō of the swette of shepes woulle called isopus humida ana ℥ i. of ysope of galenes cerote ʒ x. of the iuyce of flouredelys ℥ ss of the iuyce of affodilles ʒ i. of the muscilage of holihocke ℥ iiij Let them boyle altogether vnto the consumptiō of the muscilage then put to of cleare terebētine ʒ vi of whyt waxe asmuch as shall suffice make a cerote Item to the same intētion ℞ of galbanū of serapine of Opopo armoniake ana ℥ ss of the decoction of flouredelis ℥ ij of whyte vynegre ℥ ij and. ss dissolue thē altogether and boyle them vnto consumption of the iuyce and decoction then adde of oyle of lillies of cleare terebentine of whyte waxe ana ʒ iij. let them boyle agayne one boylyng put to of brayed flouredelis ʒ ij Another ℞ of the rootes of lillies ℥ iij. of the sedes of water cresses of ireos cutte accordynge to breadth ana ʒ i. boyle thē in sufficiēt water tyll the sede of the watercresses be broken then presse them and stampe them Whych thyng done make a plaister in the muscilage of the foresayde thynges wyth branne well brayed and sodden wyne asmuche as the muscilage shal be Thys playster is excellēt to resolue scrophules so that they be not paynful and suspected of a canker A cerote To the same intētiō ℞ of armoniake and galbane dyssolued in vynegre and adde a lytle terebentine and a lytle mastique gūme and a lytle of the rootes of flouredelis wel brayed of oyle of lyllies of hēnes grece ana ʒ iij. reduce these thynges to the forme of a cerote vpon the fyer accordynge to arte It is a good remedye for scrophules Yf it chaunce that the scrophules cā not be resolued by the medicines aforesayde but that they come to the waye of maturation it auayleth muche to helpe the maturation forward Maturatiue The maturatiue of scrophules must be such ℞ of the rootes of holihocke of lillie rootes ana .li. ss when they ben soddē in sufficient water stāped strained put vnto them of garleke headdes rosted vnder the coales ℥ iij. asmuche of whyt oynions rosted after the same maner of oyle of lillies buttyre ana ℥ ij of swynes grece gose grece ana ℥ ij ss whyche
holyhocke and lyneseede l. ss melt them all at the fire and lette them boyle with the sayde muscilage and than strayne them and make a softe cerote wyth suffyent whyte waxe Item we haue proued a playstre made of ryse sodden til it be thycke wyth the brothe of a shepes heed or of an henne and incorporated wyth suffycient buttyre oyle of camomylle and haue founde it good which I dyd boyle in a posâ—et addynge in the ende the yolkes of .iii. egges and of saffran ℈ i. It mollifyeth the hardenesse of the mamilles merueylouslye Lykewyse crommes of breed steped in a decoction of holyhocke and afterwarde stamped with oyle of roses camomyll and dyl and set on the fyre with a lytle of the forsayde decoction and an ounce of duckes grese and boyled togyther and hauyng added in the ende the yolkes of thre egges and of saffran ℈ ss is of good effect Thus endeth this present Cha. for which the name of God be blessed ¶ Here endeth the fourth treatyse of Apostemes and the the fyfth begynneth ¶ The fyrst Chaptre Of apostemes of the brest and of the rybbes and that chaunce vpon the paÌ„nicle called diaphragma or midriffe IN the regyon of the breest Of apost of the brest eybbes c. and ribbes there are engendred hote and colde Apostemes as in other partes of the bodye And they come sometymes of a primityue cause but for the moost parte of a cause antecedent Yf they come of a primitiue cause than the cure may be after the cure of flegmoÌ„ engeÌ„dred of a primitiue cause For mooste commenly these apostemes are of an hote nature and bene engendred of bloude or cholers wherfore I wyll recite the ordre of a mattier that chaunced at Genua whan I was in that cytie An experieÌ„ce There was a labourer whyche satte vpon a wall And he had a soÌ„ne of thre or foure yeres of age whyche came vnto him vpoÌ„ the wall whom as the father saw he rose vp to mete hym and by an euyll chaunce they fell downe bothe And the sayde labourer was sore hurte in the rybbes so that it came to a greate apostemation And whan the Aposteme beganne to enclyne towarde maturation he was vexed wyth a sharpe fieuer wherfore it was necessarye to open the Aposteme acccordynge to the length of the rybbes The incision was made very greate and depe for the Aposteme was greate and there issued oute greate quantitie of matter And one daye at the tyme of his dressynge nature voyded at ones in one instante a greate quantitie of matter by the opened place of the Aposteme by the Patientes mouthe and hys bellye we seinge thys chaunce ordeyned conuenyente potions wasshynges incarnations and mundifycations whereof we wyll speake in the chapitre of a wounde that pearceth into the breest so that by the ayde of God we restored the labourer being an olde man vnto his health agayn At whyche curation the excellent Phisition Iames Baroia a Geneuoye greatlye meruayled Yf the Aposteme be engendred of a cause antecedent we muste consydre howe we proceade to the curation of it eyther by resolution or by an other meane For yf the sayde Aposteme come by the waye of termination ad crisim as we haue often sene after longe fieuers than the wyse Chirurgyen ought to consydre whether the Aposteme be come to maturation Yf it so be he maye conuenyently make incision after the length of the rybbes as we haue sayde But yf the place be not yet come to maturation lette it be ryped wyth a playstre of colewortes made with buttyre and the brothe of flesshe vnsalted or wyth a Playstre of holyhockes and other wrytten in the Chapitre of the cure of Flegmon And bycause this aposteme sheweth no exiture nor swellynge outwardlye so that vnconnynge Chyrurgyens perceyue not the collection of the sayde aposteme ther is greate nede of an experte and learned Chyrurgyen wherfore for the verifycation of thys Aposteme whan it is growen in the sayde place and that there is gatherynge of corruptyon in it it is necessarye to knowe the sygnes that are wonte to come before maturation that is to saye Signes of maturatioÌ„ heuynes and ponderositie of the place wythout swellynge chefely whan it is percynge and for the moost parte without rednesse of the place And it hath alwaye a lytle fieuer And the patient eateth wyth greate dyfficultye and can not slepe And yf the Chirurgyen presse the place with hys fynger where the matter is gathered togyther there remayneth in the pressed place a concauitye or holownesse and moreouer ye maye feale a pulsation or beatyng Lykewyse ye maye haue knowlege by the relacyon of the Patient for thys Aposteme bryngethe greate payne To conclude whan the foresayde sygnes be obserued by a wyse Chyrurgyen and whan the Aposteme is come to maturation let depe incision be made after the length of the rybbes and after the quantitye of the mattier For whan the mattier is in greate abundaunce the openynge must be the greater At the fyrst ye shal not suffre moch fylth to yssue out that nature be not to moche feabled Therfore the quytture must be retayned in laying tow and hurdes vpon it wyth the whyte and yolke of an egge mengled togyther The next daye lettte it issue out in good quantitie And bycause thys Aposteme is penetrant or persynge we ought to procede as it shal be declared in the Chapitre of a persynge wounde Yf ye perceyue that the aposteme perceth not than must the place be digested with a dygestyue of terebentine by the space of thre or foure dayes After digestion let the place be mundifyed wyth hony of Roses and terebentyne and with a mundificatyue of smallage And ye shall consydre yf the Aposteme haue manye hollowe places that before the incarnation the sayd hollowe places muste be mundifyed wyth vnguentum apostolorum layed vpon a tente or wyth vnguentum Egiptiacum or wyth vnguentum mixtum or wyth a lotion of lye or pouldre of Minium of oure descryption whyche taketh awaye superfluous flesshe Afterwarde for the incarnation and sigillation ye shall vse the remedyes wrytten in the former Chapytres Yf the Aposteme chaunce in the fore partes of the breastes ye muste procede as it is declared afore of an Aposteme in the rybbes Thus endeth thys Chapitre For the whyche God be praysed c. ¶ The .ii. Chaptre Of an Aposteme in the backe as well hotte as colde THe Aposteme the chaunceth in the backe Aposteme in the backe bycause of the nobilitie of the place where the nuke is situated and by reason of the multitude of synnowes is daungerous as the doctours saye The curation of it is this If the Aposteme be hote the vniuersall rules presupposed ye shall annoynt the place wyth oyle of camomyll oyle of Roses and oyle of vyolettes by the space of two or thre dayes And yf ye perceyue that the Aposteme bendeth to the waye of resolution than it is conuenyent to
purse of the stones then it is called a rupture complete The causes that engendre a rupture bene sometymes primitiue The causes of rupture and somteymes antecedente Primitiue bene these a fall from an hyghe place a strype wyth the fyste wyth a staffe wyth a dagger wyth the fote The causes antecedente bene for the mooste parte humours flegmatyke grosse and wyndye sente to the nether partes from the membres nutritiue And thys cause procedethe moste of euell dyete and meates that engendre grosse humours and greate cowghynge Also of coldnes of the feete and greate cryenges as syngers preachers trompetters and other mynstrelles vse All these forsayde thynges cause rupture or burstynge Lykewyse to leape or lyfte heuye burthens causethe rupture and many other thynges whych may chaunce when a man forceth hymselfe to muche Nowe seynge that we haue serched out the kyndes of rupture and the causes of the same it is tyme to come to the cure by the waye of exiccation or dryenge and conglutination or gluynge together The cure The curation of a rupture not complete and complete vnto the age of .xxx. yeares and aboue is accomplyshed by regyment vniuersal and partyculer Vniuersall regiment shall be accomplyshed by good ordynaunce kepte in eatynge Dyete and drynkynge Wherfore the patient muste vse to eate fleshe of good nouryshmēt rather rosted then boyled wyth coriandre and fenell stronge and swete Lette the fleshe be of mutton of a yeare olde of veale of a kydde of chyckens of hennes of capons of faysannes of pertriches of byrdes that lyue in myddowes and hylles Also ye maye gyue the patient egges how so euer they bene dressed chiefelye wyth cynnamon and maioram or wyth a lytle perseley or a fewe myntes lykewyse a suppynge or shewe of borage wyth the leaues of conferye wyth perseleye and a lytle myntes wyth egges or wythoute egges and the brothe of the good fleshe aforenamed is verye conueniente in thys case Also ryse wheate and grated breade bene profytable when they are sodden aparte wyth the sayde brothe The wyne muste be of good odoure of meane strengthe and moderatelye delayed wyth good water also of meane coloure neyther to redde nor to whyte but clarette or yelowe Item thys curation is accomplysshed by the regiment of an vniuersal purgation whych may euacuate euell matter and conforte the membre from whyche the matter is deryued Fyrste lette the patiente take thys syrupe Syrupe the space of a weke ℞ of syrupe de duabus radicibus wythoute vynegre of a syrupe of cicoree or in the stede of it of the iuyce of endiue of euery one ʒ vi of the water of endiuie fumiterre mayden heere of euery one ℥ i. Let the patient take it warme in the breake of the daye When he hathe vsed thys syrupe lette hym take thys purgation ℞ of diacatholicon ʒ vi Purgation of diafinicon ʒ iij. and. ss of reubarbe infused or steeped ℈ i. mengle them and make a small potion with the commune decoction The particuler regiment is accomplyshed by the administration of sondrye conuenient remedyes vppon the place Fyrst yf the rupture be complete when ye haue shauen of the heere 's about the priuie mēbre ye shall reduce the guttes and the zirbus wyth your hāde into hys place and thē ye shall bynde a fyne sponge vpon the rupture accordyng to the quantitie therof or more dypped in the decoction folowynge let the sponge be bounde vpon a trusse made by a good artificer ℞ of stiptike redde wyne .li. iiij of roses of balaustyes or floures of pomegranades of the leaues of myrtilles and graynes therof of sumach of the leaues of plantayne of hypericon or saynt Iohns wurte of woodbynde of euery one m̄ i. of the rootes of the greater consolida called conferie and the lesse theyr leaues of euery one m̄ ss of the rootes of holihocke ℥ ij of the nuttes of cypresse in nombre .xij. of hipoquistidos ℥ ss of roche alume ℥ ij of vynegre of roses ℥ ij and. ss of licium ℥ iij. of myrre of frankencense of euerye one ʒ v. of fyshe glue ℥ i. Let these foresayd thynges be boyled together wyth the sayd wyne vntyll halfe the wyne be consumed then strayne the decoction Decoction and wyth the sponge applye it vppon the rupture and vse a trusse chaungynge it twyse a weke It is requisite that the patiente kepe hys bedde and vse none exercyse of the body When you haue vsed this spoūge the space of fyftē dayes other fyften dayes ye shall vse thys poudre folowynge ones a daye shal make a fumigation of the forsayd decoction and when ye haue sprynckeled the poudre vpon the rupture bynde on the sponge after the maner aforesayde Poudre The ordynaunce of the pouldre is thys ℞ of frankencense mastyke myrre of euery one ʒ ij of aloes of sanguinis draconis sarcocolle mumie of euerye one ʒ i. and. ss of bole armenie of terra sygillata of euery one ʒ ij and. ss of whyte dragagantum brayed of fyshe glue ana ʒ i. ss of balausties or the floures of pome granades of the nuttes of cypresse of a myrobalane citrine of hipoquistidos of euery one ℈ iiij of laudanū wel brayed ʒ iij. and. ss brynge them al to a fyne pouldre This pouldre is of good operatiō in thys case it draweth together the loosed parte it dryeth riueleth or wrynkeleth and incarneth not a lytle After that these dayes bene passed and that ye haue vsed the sayde thynges ye shall procede wyth thys cerote folowynge whyche ye muste sprede vppon a lether and tye it to wyth a trusse chaungynge it frō weke to weke Thus you muste procede vnto fourtye dayes countynge the dayes passed Cerote The forme of the cerote is thys ℞ of the foresayde pouldre ℥ iij. of the iuyce of the roote of cōsolida the greater or conserye and the lesse ʒ x. of cleare terebentyne ℥ ij and ss of oyle of mastyke and oyle omphacine of euerye one ʒ iij. of oyle of terebentyne oyle of myrtilles of euery one ℥ ss of lytarge of golde and syluer of euery one ʒ vi of gotes talowe ʒ v. Let the foresayde oyles be boyled with the lytarge and a lytle stronge vynegre of roses vntyll the vynegre be consumed And then let them boyle agayne with the iuyce of conferie and afterwarde adde the terebentyne and boyle them agayne a lytle wyth a softer fyer and styrre them euer aboute and wyth the foresayde pouldre and whyte waxe make a cerote in a styffe forme whyche we haue proued to oure worshyppe and profyte and haue healed many therwyth Nowe that we haue sene the cure of a rupture by the waye of conglutination and exiccation it is conuenient that we describe the cure that is by handye operation that is to saye by incision whyche muste be done by a man well exercised therin Fyrste a conuenient purgation by clisters presupposed let the patient lye vpon a benche
swerdes c. Some by brusynge thynges as by staues stones c. Some by poynted thynges as by a darte an arowe and lyke Furthermore solution of continuitie in the flesh as the doctours say maye be restored by the waye of the fyrst intention but that that is in the bone can not be restored Porus sarcoidis but by the waye of the seconde intention that is to saye per porum sarcoidem Neuerthelesse the bones of yonge chyldren may be restored by the waye of the fyrste intention for two causes Fyrst bycause of the tendernesse of the bone Secondly bycause of the vertu of seede remaynynge yet in the membres of yonge chyldren Some doctours saye that the sinnowes the veynes and the arteries can not be restored by the way of the fyrst intention but by the way of the second intention as bones be Some saye that thys is true onely in arteries whiche thynge Galene wytnesseth sayinge manye haue thought that it is impossyble that the substaunce of an arterie shulde be consounded and theyr probation rested in consyderation and experyence The consyderation was that one of the skynnes of an arterie semeth to be grystellye for grystels and extremities of bones cā not be consounded neyther receyue incarnation The experience was that they neuer sawe an arterie to haue receyued incarnation Arteries may be consoūded But Galene reproueth theyr opynion sayinge that arteries ben incarned bothe by reason and experience By experience for we see sayth he often the arteries that ben vnder the veyne called basilica in the temples and in the legges to be consounded By reason it maye this be proued The bones receyue not consolidation bycause they be harde in an extreme degree But the arteryes being of a meane substaūce betwene a bone and flesh maye receyue incarnatiō by the way of the fyrst intention But before we come to the vniuersall curation of woundes it is expedyent The fyrst doctrine to be obserued in curyng of woūdes that we declare certayne doctrynes touchynge the cure of woundes Fyrst whan ye begynne to cure a depe wounde ye shal put your finger into it to assay whether there be any parte of the bone separated Yf there be you must drawe it out softlye for otherwyse you can neuer come to the true cure Secondly yf there chaunce greate affluence of bloude in the hurt place incontinently you shal staūche the bloude accordyng to the doctrine wrytten in a propre Chapitre of the cure of the fluxe of bloude Whan blood ought to be stopped But yf the bloode be not in greate abundaunce ye shall not staunche it which thyng is approued by Auicenne sayinge that yf the blood runne not to abundantly it is good to kepe the wounde frō apostemyng from oppilations and fieuers wherfore we maye conclude that bloode cōmyng in a small quantitie ought not to be restrayned But yf it runne abundauntly ye shall stop it for bloode is the treasure of lyfe The thyrde doctryne is that the lyppes of a grene wounde muste be sewed togyther incontinentlye that they be not altred by the ayre Also ye must take good hede that thycke and congeled bloode remayne not wythin the wound for it may cause payn and putrefaction and hyndre incartion The fourthe is that you must beware that no heer nor vnctuous thīg nor dust entre into the borders or lippes of the wounde For these thinges let true consolidation Howbeit whā the wounde is depe it is verye good to leaue an hole in the lower parte of it to put into the same a tent rolled in a digestiue of yolkes of egges and terebentine It is profytable for two causes Fyrst to purge the moysture and fylth commyng out of the depth of the wounde Secondly to appayse payne and to kepe the place from apostemation For the mattier that myght cause an aposteme is purged by the sayde hole The fyft doctrine is that after the vnition of the sondred partes by a cōuenyent seame Whan the poynts of the seame must be remoued the poyntes of the sayde seame be taken away after the syxt daye althoughe Arzilata commaundeth to leaue thē .x. dayes For the flowe remouynge of the poyntes causeth manye euyll accidentes as fylth engendred within them payne apostemation wherfore it is more cōuenyent to remoue thē the thyrd the fyfth or at the leest the syxt daye and in stede of them ye shall retayne the borders of the wounde by the admynystration of a pece encolled Enrolled what it is rede the .vi. cha of this boke of woundes wherof we wyl speake in the chaptre of woūdes of the face But to come to the curation of flesshie woundes we saye that therevnto there bene foure intentions requyred The fyrst is accomplyshed by ordynaunce of lyfe or diete The secōde by purgation of the body The thirde by application of sondrye remedyes vpon the sore place The fourthe by defending accidentes that they come not and by remouynge those that be come Concernynge the fyrst intention which is kepyng of diete Diete yf the patient be choleryke or sanguyne it is necessary that he eate no flesh nor drink wyne vnto the fourthe or seuenthe daye Also he must abstayne frō meates that engendre great abundaunce of bloude But flegmatike and melācholyke persons may eate fleshe and drynke wyne namelye at the begynnynge wherfore these chirurgiens the commaunde a strayte diete to all patientes as though they had a contynuall fieuer do euyll and vnlernedly For wine gyuen in due tyme to woūded men as the Philosophers saye furthereth moche the generacyon of flesshe in flesshye woundes wherfore the excellent doctour Arnolde de villa noua sayeth that a spedye consolidation of a wounde chaunceth not but by pure bloude wythoute watrynesse wherfore in this case what thyng is worse than to defraude nature of bloude by the meanes wherof that Wyne to a wounded that is lost is restored and that that is sondred is vnyed and conioyned and the wounde that is hollowe is fylled with flesh Yea we saye wyth Galene that wyne is cōuenyent to anye wounded man For whan it is dronken it engendreth good bloude and whan it is layed vpon the wound it dryeth and mundifyeth it whyche thynges ben requisyte in this case And it is as it were the artifycer of nature And therfore we saye whatsoeuer other thynke that the tru cure of woundes consysteth in two thynges Fyrst in hym that quykneth and mortifyeth all thynges Secondly in nature And nature can not worke ryghtly without the noryshmente of of good bloode neyther in great nor in lytle woundes wherfore we must conclude that meates which engendre good bloude maye be gyuen to wounded men that nature maye be able to engendre the lost substaunce for the consolidation of the wounde who is ygnoraunt that that medycine is not conuenient nor restoreth flesh which drieth humiditie notably and gyueth moysture to drye places cooleth superfluous heate and heateth colde partes
the begynnynge ye shall retayne the bloode and the quytture whyche thynge myghte encrease difficultie of breathynge a daungerous thynge in thys case wherfore at the begynnyng ye shal not applye stiptike and clammyshe thynges nether wythin nor wythout Furthermore you maye vse flebotomie in the contrarye parte and scarifycation vpon the botockes and rubbynges and byndynges of the extreme partes to kepe of apostemation at the begynnynge Item it is commendable to vse a clyster hauynge vertue to dyssolue wyndynes and bloode The thyrde intention whych consysteth in purgation of bloode in the inner parte by the mouth of the wouÌ„de shal be accomplyshed as it foloweth Fyrste when the chirurgien commeth to the patiente he muste consyder the sygnes And when he is certayne he muste diligeÌ„tly serche meanes to cause the blood whych is in the inner parte to issue out by the orifyce of the wouÌ„d whych thyng may be brought to passe by conuenient situation of the bodye that is to saye that the heade be layed downewarde the feete beynge raysed vp or that the patientlye vpon a bedde hys heade hangynge downeward leanynge vpon some fourme or stoole lower then the bedde that the blood wyth in maye easely issue out He muste lye thus the fyrst daye For it is good for two causes Fyrst to purge the bloode that is wythin Secondly that bloode other humours the communly chauÌ„ce in woundes fall not into the bodye And the patient muste lye grouelynge asmuche as he can vpon the wounde Some gyue certayne thynges by the mouth to cause the blood to come forth whyche thinge is very commendable so that the medicines be not to sharpe and to stronge Furthermore it is to be noted that if the wouÌ„de be very large so that the spirites come forthe aboundauntly then you muste sewe the sondred partes leauynge an hole beneth that the bloode and quytture maye easelye issue out And after that the bloode is issued and the wounde mundifyed you must begynne to applye tentes of lynte dypped in the whyte of an egge or in wyne And lette the sayde tentes be greate in the outwarde parte that they fall not in or els tye them to a threde that yf they fall in they maye be drawen out agayne Here it is to be noted that ye must not in any wyse laye vpon the wouÌ„de poudre restrictiue as Albucasis sayeth ☜ for it wolde dryue matter towarde the herte or deriue bloode whyche myghte sone choke the patient Item yf ye be sure that there is no bloode entred in by the waye of the wounde then it shall be conuenient that ye sewe the wounde and procede wyth thynges incarnatiue in the fyrst dayes But bycause a man can not haue trewe knowlege at the begynnynge whether the bloode be entred or no it is the surest waye to kepe the orifyce of the wounde open at the begynnynge howe be it the seconde daye ye shall putte in a tente dypped in oyle of roses hote and in a digestiue of terebentyne and a yolke of an egge and a lytle saffran vnto the seuenth daye layenge aboute the wounde a defensiue of oyle of roses of bole armenie and a lytle whyte waxe And for as muche as in the fyrste dayes there happen euell accidentes as payne in the syde Accidentes dyfficultie of breathynge and a greate coughe it is good to applye thys playster folowynge vpoÌ„ the sore syde â„ž of camon il Plâ—yster melilote dille wormewoode ana mÌ„ i. of dryed branne and cersed mÌ„ ij ss of the floure of barley beanes and leÌ„tiles ana .li. ss of roses mÌ„ ss stampe them all and wyth sufficient sodden wyne and a lytle odoriferous wyne by arte and fyer make a styffe playster addynge of oyle of roses â„¥ iiij of camomill dille of euery one â„¥ ij of whyte waxe â„¥ ij and. ss Set the foresayd thynges agayne on the fyer wyth the oyles and the waxe melted and put to in the ende of saffran Ê’ ss This playster as ye may knowe by the symples hath vertue to swage payne and is resolutiue and coÌ„fortatiue and prepareth the bloode the matter to yssue out WheÌ„ the patient is come to the thyrd or fourth daye no euel accident happenynge vnto hym as a spasme tremblynge of the herte and difficultie of breathynge and other lyke and when the patient fyndeth hym selfe in good dysposition a maÌ„ may iudge knowe that the wounde is not mortal Wherfore at the begynnynge vnto the seuenth daye for resolution and purgation of bloode thys poudre wyth hys waters hereafter prepared Poudre maye well be gyuen to the patient â„ž of reubarbe Ê’ ss of madder of mumie of euery one ℈ .i. of terra sigillata ℈ ss of the water of stabious the water of buglosse of the wyne of granades of euery one â„¥ i. Some doctours gyue at the begynnynge potions or drynkes made wyth wyne and hote thinges as cloues and madder whyche thynges maye greatlye hurte the patientes For they cause fieuers and dyfficultie of breathynge Wherfore at the begynnynge pectoral decoctions are better as diadragantum and diapenidium or as thys description A pectoral decoction â„ž of penidies of suggre candye of syrupe of violettes of euerye one â„¥ i. of the nuttes of pyne apples of swete almandes of coÌ„mune seedes of euery one â„¥ iij. of diagragantum â„¥ ss meÌ„gle them and wyth syrupe of violettes make a loch addyng of the iuyce of lyquerice â„¥ ss After that the wounde is come to manyfeste quyture for the mundification and purgatioÌ„ of the same we say that ye muste often washe the wouÌ„de wyth conuenient lotions And though sondrye lotions ben wrytten of the doctours as of Guilhelmus placentinus and other whych are composed wyth wyne and with the decoction of floure delice lupines myrrhe and other hote simples myne opinion is that suche medicines are not coÌ„uenieÌ„t as I haue ofteÌ„ proued for two causes The fyrst is the inflammation of the foresayde thynges The seconde is bycause that when bloode putrefyeth greate heate alwaye happeneth Wherfore to muÌ„difie the quytture and to take awaye the euell complexioÌ„ of the place it is a more sure waye to procede wyth thys lotion A lotion â„ž of cleane barley of lentyles ana â„¥ ij of roses mÌ„ ss of the herbe called horsetayle mÌ„ i. let them boyle wyth water of plantayne and rayne water and a lytle wyne of granades vnto the consumption of the thyrde parte and adde of redde suggre â„¥ ij of syrupe of roses by infusion â„¥ iij. of saffran ℈ ss The quantitie of water muste be fyue pounde whyche muste boyle tyll it come to thre Ye shal wash the wounde here wyth all and bynde it coÌ„ueniently so procede vntyl there issue out matter lyke cleare water when the patient hath vsed the sayd lotion and hath no fieuer and when the wounde is rectifyed and the quytture mundifyed then ye maye adde to the former decoction of honye of roses â„¥ iij. And when the quytture
suerlie they worke vnwysely for the place at that tyme is paynfull and full of humours is not so at the begynning And therfore the place must be lightened and not altered and payned The curation of thornes nayles and peces of woode remaynnynge in the wounde is lyke to the cure aforesayd Neuertheles I thynke thys one thyng worthie to be remembred that we haue drawen out a thorne which had caused putrefaction puttyng into the wounde a tente whyche myght touche the place where the thorne was and it was fyrste weted with spittel ☞ than inrolled wyth oure pouder of mercury the sayd poudre engendred a quiture with which the thorne issued out Thus it is good somtyme to procure quitture for the thornes lyke thynges come forth therwith all Manye doctours allowe the applicatiō of thynges attractiue An attractiue among which this descriptiō folowyng is cōmended of brunus theodorike ℞ of the iuyce of a reede or cane rotes ℥ ss of diaquilō gūmed ℥ j. of aristologialonga ʒ.ij of leuen ʒ.x of terebentyne ʒ vj. of galbane of armonyake ana ʒ.iij dissolue the armoniake galbane in vinegre mengle thē altogether make them after the maner of a plaister And if ye adde therunto of duckes grese of hennes grese Ana ʒ ss it shal the better swage payne And forasmuche as the heades of arowes are oftē enuenomed The cure of a venomed arowe whiche thyng is knowē by the swellyng of the place by the blewnes blacknes of the same by the inflāmatiō of the hart ye must therfore scarifie the place about the wounde wyth a depe scarificatiō or cauterise the place with an hote yrō vntill the venemousnes be destroyed And if the place begyn to canker as we haue often seane it is necessarye to take away the corruptiō with an hote yron as we haue sayd For the remouyng of the eschare ye shall procede lyke as in other burned woundes The seconde ententiō which cōcernyth the cure of the wounde after the drawyng out of the arowes or thornes is accōplished after the doctryne declared in this present treatise of woūdes Wherfore yf the arowe be in the heade ye shal resorte to the cha of the woūdes of the head and lykewyse in other partes Thus we ende c. ¶ The .xix. cha of the percyng or openyng of woundes and of the regiment of woūdes apostemed IT chaunsethe often that in euery parte of the bodye therbe woundes Of the openynge of a wounde whyche are so closed vp that quytture beyng engendred in them can in no wyse issue out And it is often tymes the cause why the euyll is encreased and daungerous accidens induced To resist this inconueniens it is necessary to enlarge the wounde otherwise it may easely grow to an holow fistulose vlcere therfore Auicenne cōmaundeth that as sone as it is possible the wounde be opened and enlarged As for the curatiō therof ye shal haue recourse to the chapitres of other woūdes Lykewyse yf the wound be caused by cōtusyon or brusyng ye shal peruse the Chapitre of the woundes caused by the said cōtusion And forasmuche as oftentymes the woūdes are with apostematiō for the cure thereof ye shall resort to the chapter of woundes hauynge apostemation For the woūde can not be healed except the aposteme be first remoued it must be remoued without paine which thing is accōplished by the administratiō of medicines that drie coole with mollification And Auicenne sayth that the application of a plaister made wyth a pomegranade sodden in small wyne stamped and strayned is good in all woundes which haue apostemation and in all partes of mannes bodye Furthermore ye shall consyder the cōplexion or qualitie of the aposteme that is to saye whether it be vndimia which neuertheles chaunceth not oftē in this case or herisipelas or phlegmon For Herisipelas is otherwyse cured than Phlegmō wherfore yf the wounde haue the aposteme of Herisipelas it must be cured with the cure of Heresipelas And lyke maner must be obserued in other Thus we ende c. ¶ The .xx. chapi of the maner of byndynge woundes and vlcers Of Ligature or byndynge of woundes or vlceres AFter the doctryne of the auncient writers ther be thre maners of bindīges The fyrst is called ligatura incarnatiua which is good in woundes brokē bones whā intentiō is to ioyne the loosed partes together The secōde is called ligatura expulsiua and is conuenient in holowe vlceres that the mater maye be drawen out toward the mouth of the wounde The thyrd is called retētiue and it reteynethe the medicyne in the sore place and is comen to woundes vlceres and breakynges of bones The byndynge called incarnatiue Byndyng incarnatiue muste thus be administred Firste ye must haue a bande rolled in at bothe endes begynne beneith to wrappe the sore membre bryngynge the bande by lytle lytle vnto the wounded place and a lytle forther straynyng it a litle And note that one of the partes of the bande must go vp the other downe rydyng one vpō an other and takyng as muche of the partes lyeng about as shall seme expedient And ye muste strayne the bande more strongly vpon the wounde thā in other places Howbeit ye must nat strayne it to moch for that might cause apostematiō and lykewyse ye must auoyde to much losenes for otherwyse the byndyng shuld not be of good operation Whan ye haue thus wrought as it is aforesayd ye must sowe the heades or endes of the bande Thys is Galenes inuenciō in .vj. therapeutices To the same intention the bynding of the woundes in the face wrytten in the chapitre of the sayde woundes in the face is conuenient The seconde kynde of bynding called ligatura expulsiua Expulsiue byndynge is done with a bonde onlye bounde at one head And ye muste begynne to bynde frome the ende of the sore membre straytlye at the fyrst And whā ye come to the sore place you muste slacke it somewhat that the corruptiō may issew out of the place The thyrd kynde of bynding called ligatura retentiua Retentiue byndynge whiche is profytable to retayne the medicynes vpon the places where ye canne not vse the foresayd maners of byndynge As in the necke in the belly and in the face and vpon paynfull Apostemes In thys kynde I saye the bandes muste be large and longe and of softe lynen cloth And here in it is necessarye to haue sene the workynge of an experte Chirurgien It auayleth also as Galene saith to haue the knowlege of situation of membres Thus we ende thys present chapytre c. ¶ The .xxj. chapytre of medicynes incarnatiue or that engendre Fleshe of medicynes incarnatiue ALbeit that we haue sufficiently declared in the chapi of fleshy woūdes medicynes incarnatiue neuerthelesse that ye maye haue a more serten knowlege therof I thought it good to make an especyall chapytre of
the sayde medicynes incarnatiue Fyrste we saye by the auctoritie of Auicenne that that is an incarnatiue medicyne whyche hath vertue to congele and make thycke good bloode in the flesshe And that is brought to passe by medicynes that haue power to drye in the fyrst degre or in the begynnynge of the seconde degre For yf the medicyne be to muche desiccatiue it wyll let the bloode to comme down to the place And so the flesshe shal not haue mattyer wherwyth it maye be encreased Lykewyse yf it scoure to muche it wyl make the bloode to runne to fast and so consume the mattier that shuld engendre fleshe Wherefore a medicyne incarnatiue muste be of suche qualytie that it maye conserue the cōplexion of the sore membres For Galene sayeth that we muste kepe the course of nature whyle it contynueth And agayne whan it is lost we muste restore it And the foresayd medicines worke cheiflye by the nature and vertue of the membre And therfore we muste consydre the nature and qualitie of the mēbre For somme ben moyst and some ben drye The drye requyre drye thinges and the moyste moyste thynges For moyst membres are not preserued by dryenesse but are destroied therwith al. For as Galene sayth hote bodyes wyll haue hote remedyes and drye bodyes drye remedyes c. Whyche thynge muste be vnderstande concernynge the naturall complexion of the membre and not concernynge the disease For as a disease touchynge hys curation desyreth hys contrary so a mēber desyreth his lyke So it foloweth that in woundes of moyst membres ☜ we muste vse moyst medicynes that the nature or complexion of the membre be not destroyed Neuerthelesse we muste note that a medicyne incarnatiue ought to be lesse drye in a temperate bodye than in a body vntemperate in his qualitees And therfore we sayd in the chap. of flesshie woundes that drie strong and thicke bodyes membres for the incarnacion of theyr woundes require greater exciccation or dryenge thā tender bodyes or membres For whā woundes happē in tender bodies the incarnatiue may not exceade the first degree of drynesse but in drye and stronge bodyes the incarnatiue medicyne must be in the begynnyng of the seconde degree Wherfore we conclude that a medicyne incarnatiue muste be dyuers accordynge to the dyuersitie of bodyes and membres For the same medicyne is drye in the fyrste degree in one bodye and moyste in another And therfore it engendreth fleshe in one and corruption in another And therfore Galene sayeth expressely that fanckincense is drye in the fyrst degre in respecte of a temperate bodye For in a temperate bodye it engendreth fleshe And that onely bycause it preserueth the complexion of the mēbre and dryeth the superfluous moystnes that hyndreth the generatiō of fleshe which thynge chaūceth not in a drye body for therin it engēdreth not flesh but quytture because it is moyst in respect of the same And therfore Galene numbryng medicines incarnatiue declareth sundry medicines simple in complexion As frankincense barley floure beane floure and floure of orobus floure delice tutia climia aristologia and the plante of oppoponax And he declareth some incarnatiues compounde in complexion as mirre sarcocolle sanguis draconis Wherfore it foloweth that a medicine to engendre fleshe muste in dryenesse excede the naturall dryenesse of the membre But where as we sayd before by the auctoritie of Galene that a medicine incarnatiue must be of such drynes that it maye preserue the complexion of the membre It is true yf ye vnderstande it absolutly that is to say the membre alone But it muste moreouer haue vertue and power to heale the dysease For a medicine muste be of such power that may not alonly cōserue the cōplexion therof but also dystroye dysease Also where as we sayd that a mēbre is cōserued by his lyke as moist mēbres by moyst thynges we saye that it is true yf ye vnderstande cōseruatiō only but yf ye haue respecte to the cure of the dysease ye must not only administer thinges lyke but ye shal also administer thynges that both conserue the naturall cōplexion of the membre and destroye the dysease Wherfore seynge the moystnes is cōtrary to generatiō of fleshe in woūdes ye must administer such drye thinges that besyde the natural cōseruation of the membre it maye also drye vp the moystnesse of the wounde Thus to cōclude we saye that a medicine incarnatiue euē in moyst bodies ought to be of a drie cōplexion Further more ye shal note thys one thynge touchynge the incarnation of woūdes that ye muste maynteyne the natural cōplexion of the mēbre the nature of the bodie Which thyng Galene wytnesseth sayenge that nature is the worker the phisition or chirurgie is the minister For the generation of fleshe wythout the helpe of nature is against the operation of the same And therfore it is very necessarye that the pacient be fedde with meates that engendre good blood And to thys our purpose sayeth Auicenne in the chapitre of a fleshie wounde when thou haste kept the complexion of the membre take good hede that nothynge be drawen thervnto but blood that is naturall And here in are two thynges to be noted Fyrst that the incarnatiue medecines be of that cōplexion that the membre is of so that they shall not be able to drawe vnto the member any thynge but naturall bloode that as well in qualitie as in quātitie for the bloode that is noysome other in qualitie or quantitie doeth hynder the growynge of fleshe in the wounde as sayeth Galien in the thyrde and fourth bokes de ingenio sanitatis and as Auicenne sayeth take hede that nothynge be drawen to the mēber but only natuturall bloode And this shal ye do yf ye defende the mēber that no antecedente matter of the bodye come to it cause payne with apostemation in the place and chaūge the mēbre frō his natural cōplexion And thus doynge there shal come only natural bloode vnto the membre And thus it foloweth that the medecines incarnatiue shal haue theyr operation in regendringe of fleshe closynge vp of the woūdes And thys is the mynde of Auicē to let the cōming of euel blood and of contrary humours as it is sayd in the place before alleged the stoppyng of bloodynes watrines c. It is also to be noted that these incarnatiue sigillatiue medecines of woūdes vlceres ought not to be administred within afore that the sores be mūdifyed the woūdes digested as the cause shal requyre For as Auicēne sayeth capitulo de nascentia carnis in vlceribus there maye be no incarnatiue layed to the vlcere tyll it be very perfytly mundifyed and that ther be brought vnto it the nouryshmēt that is gentel naturall bloode wherby nature wyth the incarnatiue medecine doth engēder blood bothe in vlceres woūdes And afterwarde he sayeth when that the euel fleshe rotten matter are expelled thē may ye laye to the
bycause it hath lytle felyng bytynge medicines layed theron shal cause lytle payne And note that euyll fleshe is more sensible and felynge then good by accidens and that those bodyes are more apte to receaue curation of vlcers whych haue lytle superfluitie with good complexion and good bloode But in moyste bodyes as are the bodyes of women wyth chylde of them that haue the dropsy and of children vlcers are not easely cured bicause of their moystnes Also vlcers whyche succede some disease are of hard curatioÌ„ bicause nature enforseth her selfe to sende the water of the first disease to the seconde as we se daylye in the vlcers caused of the french pockes of whyche we wyll make a treatyse by the grace of god that shal be profitable to the studiouse reader Further concernynge vlcers in sinnowye places when the quytture is good and the vlcere swelleth a lytle about it is a good signe And the sayde vlcere is not redye to cause a spasme nor perturbation of reason nor other euyl accidentes Howebeit yf the said vlcers swell beyonde reason it is no good signe Some vlcers be of euyll complexion whyche must be reduced and rectifyed by their contraryes for the rectification of them Euyll signes in vlcers is the cause of theyr curation Euyll signes of vlcers are when they become drie with out quytture for no reasonable cause and when the vlcers bene swollen a aboute and the same swellynge conueyeth it selfe away without any resonable cause Thys is a signe of death bicause the mattier is drawen into the inwarde parte and by sinnowes mounteth vnto the brayne and causeth a spasme and other euyl accidentes Also Galene sayth that wheÌ„ swellyng hydeth it selfe in vlcers and apostemes the man dyeth Hipocrates affirmeth the same sayeng yf swelling apeare in woundes and vlcers and sodenly vanyshe awaye without reasonable cause it is mortall whan he sayeth wythout reasonable cause he meaneth excepte it be remoued wyth a resolutiue medicine than it is to be feared lest a spasme shal be caused by that mattier For Hypocrates sayeth that a spasme in a wounde or vlcere is mortal And he sayeth moreouer in the same place when swellynges apeare in woundes the patientes suffer not spasme nether waxe madde but wheÌ„ they vanysh awaye the sayd accidentes chaunce to some men Nowe seyng that we haue declared the kyndes of vlcers according to the diuersity of causes and accidentes it is coÌ„uenient that we declare the thynges which hynder the curation of the same And fyrst ye shall knowe that there be two maner causes whyche hynder the saide cure that is to saye causes conioyncte and causes anticedent The causes conioyncte be these that folowe paynefulnes euyll complexion aposteme a corrupted bone the hardnes of the lyppes suê‘fluous fleshe softnes distemperatnes of the vlcere as well in heate as in colde a rounde figure of the vlcere a superficiall and fistulare figure or some other figure The causes antecedeÌ„tes haue euyll humoures in quantitie or qualitie Further we saye that thynges that hyndre consoundyng are of double difference that is to say other they be of the parte of the vlcere or of the part of thynges annexed and ioyned to the same Yf they be of the part of the vlcere they procede of solution of continuite or of quytture as it appeareth by the diffinition of an vlcere The hyndrans caused by solution of continuitie cometh of the figure as roundnes holownesse c. The hyndrance caused by quytture cometh of the substaunce or of the qualitie wheÌ„ it cometh of the substance it is by reason of the subtilenes grossenes slymynes or runninge mattier Yf the hindrance come of the qualitie it is bycause of hys sharpenes his corosion or substance by it selfe or by accideÌ„t and the foresaid causes are nombred with the mattier conioynct The hindrance that cometh by thinges annexed to the vlcers procedeth of a cause materiall or efficiente the materiall is bloode sent to the member for hys nouryshment whyche cannot be chaunged in to good nouryshmente therefore hurtethe the vlcered place as well through hys euyl qualitie as throughe hys quantitie wheÌ„ it hyndreth through hys quantitie it is by abundaunce or insufficient quaÌ„titie and when it hurteth by qualitie it is through euil coÌ„plexion as coldenes heate moystnes drynesse simple or compounde material or not materiall Lykewyse the efficient cause whyche hindreth healynge of vlcers is euil complexion of the vlcered meÌ„bre whyche is contrarye to the natural complexion of the sayd membre And it is called efficient bycause of the actiue qualities which are heate and moystnes the sayd causes ben simple or coÌ„pounde material or not materiall Further if the hyndrance procedeth by thynges contrary to the vlcers whych brynge euyll disposition vnto them eyther they be accidentes or maladyes yf they be accidentes they are paynfulnes c. yf they be maladies they be purgynge of the belly aposteme shelly flesh additioÌ„ of flesh corosion putrefaction and such other maladyes whyche ben annexed to vlcers These are they whyche hynder the ryght curation of vlcers as well by thynges annexed to vlcers as by causes material and efficient The signes of the sayde thnges shal be knowen as it foloweth Fyrste ye shall knowe Signes of abundans of bloode that the bloode is to muche abundaunt in quantitie by the nature of the patient whiche is stronge and fleshye of reddyshe coloure and hath full and large and great veynes and wheÌ„ the quytture of the vlcers is bloodyshe Ye shall knowe that the bloode is diminished in quaÌ„titie by thynges contrarye to the aforesayde that is to saye Sigges of diminition of bloode when the bodie of the patient is leane and thynne when the veynes ben small emptie and than the mattier whyche shulde engender fleshe is not deriued to the vlcered place and the quyture is in small quantitie Further ye shall knowe that the bloode of humours fayle in qualitie by the signes folowing First in heat Qualitie whyche is knowen by the yelowe colour of the body of the face of the eyes and when the bodie is leane and choleryke then the quytture whyche issueth oute of the vlcers is for the most parte yelowe and yf the heate be to muche so that it burneth the humours the quytture is of a duskyshe coloure somwhat blacke And yf the humours be colde ye may know it by that Colde that the patient is flegmatike pale wheÌ„ the vlcered membre is whyte and the quytture is slimy and grosse whyte in coloure And yf they bene drye Drye the meÌ„bre vlcered is of a duskyshe colour and the bodye of the patient is drye leane and the quytture is thycke like ashes and derte and of blacke colour After that we haue declared the signes whyche procede of sondrye maters accordynge to the diuersitie of the coÌ„plexion of the bodye we must serch out the cause that hyndreth the curation of an vlcere after the diuersity of
the euyl complexiō of the vlcered perticule Hote cōplexiō For an hote euyl cōplexiō of the vlcered place is knowen by the rednes inflāmation and outward heate of the place and of the partes there about and by the runnyng out of thyn quytture hauinge a redde yelowe or grene coloure A colde complexion is knowen Colde by the blewnes or palenes of the membre wyth whytenes softnes coldnes of the place by grosse slymye and vndigested quytture and wyth watry substance wythout all bytynge and burnyng The signes of an euyl moyst complextion are these The membre is sorte and loose Moyst and full of superfluous moysture These thynges declare a drye complexion drynes Drye hardnes roughnes and thinnes of quytture As touching putrefaction we say that some putrefaction is done alredy some is to be done That whych is done is ambulatyue or walkynge that whyche is to be done continueth styll in hys owne kynde The signes of putrefaction that shall ensue are knowen by alteration of the membres by chaunginge the colour of the sayd vlcers that is to saye by the blacke blewe or grenyshe coloure of the vlcered membre The signes of putrefaction alredy done Signes of putrefaction is euyll colour of the vlcered place and whan the sayde place is depriued vtterly of al felyng though the place shuld be cut or haue bytynge thynges applied therupon An vlcere ambulatiue is sone knowē by enlargynge of the place Further a rounde and fistulare figure resisteth true curinge bycause that the quytture can not issue out but is constrayned to tary in the botome of the vlcers and bycause it remayneth in the botome of the vlcers more thē reason is it receaueth venemenes whych produceth holownes in the vlcers and weakneth the said partes through the weakenes of the mēber the superfluities of the hole membre ben ariued to the vlcered place In like maner the subtilenes of the quytture hyndreth curation for towchyng the partes of the vlcers it maketh a depe holownes throughe hys percyng and through hys moysture it maketh the fleshe softe readye to receaue putrefaction For thynges that come to putrefaction haue parte of moystnes whyche maketh them soft Item the grossenes of the quytture hyndreth curation of vlcers bycause that throughe hys slymynes it cleaueth to the poores and bicause it tarieth to longe in the sayde vlcers it receaueth an euyll qualitie for that that is touched of a rotten thynge rotteth Item the sharpnes of quytture bytynge corosion of the same hyndreth consolidation bycause it consumeth the natural moysture of the mēbre whych shuld be the cause to ioyne together the sondred partes The bloode that is not in due quātitie hindreth curation for the abūdans therof choketh natural heate the wante therof causeth that the vlcered member hathe not hys nouryshmente and nature is deceaued of her purpose bicause it hath not mattier to engender newe fleshe Item the euyll complexiō of the vlcered place letteth curation as well by heate as by coldnes as well by moysture as by drynes whether it be simple or cōpoūde material or not material The reason is bicause that when the complexion of the membre is hurte it must nedes be that the other naturall vertues of the membre be diminished or corrupted for the complexiō of the membre is the hande maide of the natural vertues and helpeth to turne the nourishment in to the substance of the mēbres and conueyeth awaye the noysome superfluities Itē there be some accidētes which hynder curation amonge whyche is immoderate fluxe of blood by which the mattier whereof the newe fleshe shulde be engendred and the spirites is taken awaye or diminished Furthermore paynfulnes weakeneth the hole body the vlcered membres and causeth that the humours arryue to the vlcered place in greate abundans whyche hindreth the cure Also an aposteme whych is a disease compounde of thre thynges namely of euyl complexion euyl compositiō and solution of continuitie hyndreth the cure for sondrye dyseases vexe and greue nature more then one In lyke maner the superfluitie of harde and skalye fleshe gendred in the borders of the vlceres lette the matter to be sente of nature for the generation of fleshe in the same for it can not passe by the poores nor accomplyshe hys naturall operation The addition also of fleshe resysteth curation Moreouer softe fleshe corrosion and putrefaction hyndreth curation bycause that thorough those thynges the matter sente of nature to engender fleshe is altered and so can not do hys kyndelye operation and thus the substaunce of the member is corrupted These thynges before alleged are the causes whyche hyndre the curation of vlceres Nowe we wyll brieflye speake of thynges Remotion of the sayd causes whyche haue vertue to take awaye the forsayde causes Fyrste yf the fygure be fystulare or holowe it muste be destroyed as it shal be declared here after in the chapiter of the cure of fystules and yf it can not be then ye muste fynde a meane to purge the matter before it receaue euyll qualitie in the botome of the vlceres Yf the sayde quytture be subtyle and moyste for rottynge mollifyenge the substaunce of the member ye muste procede to the curation wyth thynges desiccatiue accordynge to the great or small moysture of the sayde vlcere that putrefaction maye be resysted and the straunge moysture consumed Yf the quytture be grosse and slymye cleuynge to the botome of the vlceres and hyndrynge the nouryshmente of the place ye muste remoue it from the vlcered partes as well from the botome as from the borders therof Yf the quytture be sharpe and corrosiue ye muste rectifye the same by thynges whyche haue power to resyste sharpenes and corrosion And when the bloode is in to greate quantitie ye shall diminishe it by cuttynge a veyne yf it be in to smal quātitie ye shal gyue the patient meates of great nouryshement that engendre good bloode Yf the bloode be euyl in qualitie ye muste rectifye it by thynges contrarye to the sayde qualitie as yf it be to hote by colde thynges yf it be to moyst by drye thynges Yf there chaunce fluxe of bloode in the vlceres ye shall drawe the same to the contrarye partes by the cuttyng of a veyne by ventoūs and lyke thynges Yf ther be great paynfulnes ye shall take awaye the cause therof and comforte the vlcered place Yf the fleshe of the vlceres be to soft ye muste take away the straunge or vnnaturall moysture Yf there be superfluous fleshe the same muste be remoued and yf it be harde and shelly ye shall applye there vnto thynges resolutiue and linitiue and yf it resysteth resolution ye muste cut it awaye Yf ther be apostemation ye muste consume the matter by resolution yf it be vndigest ye must prepare it to digestion yf the cause come by corrosion ye shall turne awaye the matter antecedente and remoue the matter conioyncte Yf the
the eye a lytle more Then he muste take the pannicle and drawe it downeward so that he may touche the cataracte and ther holde it a lytle space for it is in the fourme of a pannicle and returneth to hys place therfore he muste drawe it downe agayne wyth the poynt of the nedle tyll it remayne beneth Neuerthelesse the mayster muste be ware that he dylate not the pannicle called Vuea ne touche the cristalline humoure And then when it is remoued oute of hys place the chirurgien muste shewe the patient some thynge that he may seme not to haue wrought in veyne And incontinentlye afterwarde ye muste put into the eye the whyte of an egge beten wyth water of roses water of myrtilles warme for colde myghte hurte the prycke caused by the nedle And vpon the eye in the outsyde ye shall applye the whyte of an egge mengled wyth the wyne of pomegranades to defende apostemations and to comforte the place And ye must bynde bothe the eyes with a duble bande and after put the paciēt in a bed hauyng the heade somewhat hie and lette hym continue with this medecine the space of .iii. dayes and kepe a slender dyete so that the fyrst daye he eate litle or nothyng whē these daies be passed remoue the medecyne procede with the sayd medecyne agayne without openyng of the eye onelye applieng it vpon the eyes and in the corners with moyst cloutes and this ye must do vnto the tenthe day And bycause that through the prickyng of the pannicle coniunctiua perturbation or opthalmia chaūceth in the eye ye shall resort to the chapter of opthalmia Note that as I haue declared handye operation in the ryght eye wyth the lefte hande so ye shal worke in the lefte eye wyth the ryght hande thus we ende ehys present chapter c. The .viij. chapter of the dilatation of the blacke of the eye The delatatiō of the apple of the eye THe dilatatiō of the apple of the eye is double That is to saye natural and accidental That that is natural cometh of natiuitie and is alwayes of an euyll nature hyndreth the syght the cure therof is impossible Neuertheles the colliries whych cōfort sharpen the syght written in the former chapter are expedient in thys case The accidentall dilatation is double For one procedeth of a matter antecedent the other of a primitiue cause That that procedeth of a cause antecedēt cōmeth alwayes of a reumatyke matter descendynge from the heade vpon the pannicles of the eyes And to remoue the cause antecedent it is conuenient to procede accordynge to that that is wrytten in the former chapter But to auoyde many wordes we wyll onely speake of that that cometh of a cause primitiue Fyrst obseruatiō of vniuersal purgation presupposed ye shall put into the eye water of roses and water of myrtilles wyth the whyte of an egge shaken together vntyl the fourth day after the stroke For suche dilatation of the apple of the eye procedyng of a cause primitiue is caused by some stroke vpon or aboute the eye And therfore it is good at the begynnynge to procede as well wythin as wythout wyth thynges refrigeratiue and that comforte the sore place And bycause that often throughe a strype there is bloode dyspersed through out all the eye it is necessarie besyde the reducyng of the apple of the eye to resolue the sayde bloode Then when ye haue vsed the forsayde thynges the space of foure dayes it is ryght profytable A synguler playster to applye thys playster folowynge Recipe of beanfloure and barlye floure ana ℥ iij. of water of roses of water of myrtilles ana ℥ i. make a styffe playster wyth sufficient sodden wyne Thys playster hath vertue to resolue bloode and to reduce the apple of the eye into hys proper place A spetiall water Item to thys entention the water folowynge maye well be vsed R. of swete fenell ʒ i. of doues bloode ℥ i. of tucia of antimoniū ana ʒ ij of water of roses water of myrtilles ana ℥ i. ss of myrobalane citryne ʒ ss mēgle these forsayd thinges together stylle them in a lembyke of glasse applye them wythin the eye for thys water reduceth the apple of the eye into hys place and comforteth the syght Furthermore A decoction it is a synguler remedye to vse the decoction folowyng layenge it vpon the eye with a thynne sponge ℞ of roses of myrtilles ana m̄ i. of melilote of rosemary floures of euery one m̄ ss of the nuttes of cypres in nombre .ij. of redde and thycke wyne .li. i. ss of water of roses and water of myrtilles ana ℥ iij. braye the thynges that are to be braied let them seeth vntil halfe the wyne and the water be consumed and then strayne them and vse them as is aforesayde thus we ende thys present chapter ¶ The .ix. chapter of the weakenes of the syght and of the cure therof Of the weaknes of the syght THe weakenes of the syghte procedeeth of sondrye causes For sometymes it procedeth of outward thynges as by scabbes pustules and sebell growynge vpon the pannicles coniunctiua cornea sometyme it procedeth of an ynner cause as are humours grosse and slymy vapours ascendynge from the stomacke to the heade com̄yng to the synnowes called optici whyche vapours hynder theyr naturall operation and trouble the syght Itē somtymes it chaūceth through thynnes smal quātitie of the spirites sometyme through the great multitude grossenes of the same In lyke maner it chaūceth sometyme through defaute of the humour called albugineus or the whyte of the eye or because it is to grosse in substāce or to thinne and when it is altered in coloure And therfore foloweth oftē ymaginatiōs whych threatē that a cataract wyl ensue Also thys weaknes may come of the humour kristallyne bycause it is to grosse or to thinne or altered ī colour or transposed out of hys place Lykewyse it may procede of the glassye humour through the euyl dysposition of the same Therfore Galen sayeth that whē the spirites be thynne of greate quātitie a mā seeth dyscerneth smal thinges afarre of yf they be in small quātitie thinne a mā seeth afarre of but can not dyscerne And therfore the thynne spirites require not great clerenes nor great mouyng of the body Causes of the syght nor great subtiliation of medicines The spirites that ben rare in smal quantitie cause euyl syght for in thys case a mā seeth euyl both nye a farre of And whē a man seeth the sunne or other bryghtnes it hurteth him he reioyceth in the ayre of the mornynge the euentyde And of this last dysposition cōmeth alway an euyll syght Item when the spirites be in great quātitie grosse thē a man seeth better afarre of then nye and reioyceth in bryght ayer for it thinneth the spirites through exercisyng mouynge
be apostemed It is requisite for the resolution of the matter and for apeasynge of the grefe Epithema to vse fuffumigatyon and epithemes folowynge ℞ of camomylle mellilote branne of the leues of malowes holyhocke and of tapsus barbatus ana m̄ j. of lynseed ʒ j of the rotes of holihocke ℥ .iiij. seeth them all together wyth suffycyent water tyll halfe beconsumed and let the smoke be receauyd and the place epithemed wyth the same decoction ⸫ The thyrde chapyter of the chappyng and cleftes of the fundamente IT chaunseth often Of ryftes in the fundamente that the fundamente is chapped through salte fleme or brente melancolie and sometyme through great costyfenes of the belye or throughe the floynge of a colyrycke humor whyche byteth and chafeth away the skynne of the place wherfore for the curation of the same a leuytyue purgation of the belye presupposed there is nothynge better then to bathe the place and to receaue the smooke of thys decoction folowynge ℞ of camomylle mellylot branne of barlye malowes vyolettes lentylles ana m̄ ii of swete apples somewhat broused in nomber .x. of tapsus barbatus m̄ iii. of lynseed ℥ .iij. of suger ℥ .iij of frankensence of aloes of myrre ana ʒ.ss of licium ʒ x. roche alume ℥ .ii. ss lette them seth al together wyth suffycyent water tyl the thyrde part be consumed and lette the smoke be receyued into the fundament and than vse this lynimente folowynge ℞ oyle of lynseed of oyle omphacine ana ℥ ss of the wyne of swete granades brayed with the ryndes and than strongelye pressed ℥ .iiij. of roche alume ʒ.j of gootes suet and calues talowe ana ℥ .iii. lette them seeth al together tyl the iuce and the wyne be consumed then strayne them and vse them Item oyle of linseed applyed vpon the chappes is good agaynst the paynes of the emoroydes and all dyseases of the fundamēt as Mesue sayth Oyle also of the yolckes of egges laboured in a morter of leade wyth as much oyle of lynsed is a present remedye agaynste the chappes of the fundamente An other lynemente for the same purpose ℞ of the oyle of nuttes Linimentes of the fruite called crysomela of the oyle of swete almons of peches ana ʒ.ii of oyle of the yolkes of egges of oyle of lynseed ana ℥ ss of the iuce of wylde tasell of the iuce of knotgrasse of the iuce of tapsus barbatus an̄ ʒ.vi of aloes epathike ʒ.iii of the iuce of plantayne ℥ .i. seethe them tyll the iuces be consumed than strayne them and vse thys medecyne wythin the fundamente Another ℞ of the oyle of yolkes of egges of the oyle of lynseed ana ʒ x. of goates talowe of moost clere terbentyne ana ʒ iii. of frankensence of Mastike ana ʒ.ss of Rasyn of the Pynaple tree ʒ.i of Aloes Epatyke ʒ.i.ss of tapsus barbatus of the leaues of Plantayne of the leaues of houndestong of horsetayle ana m̄ i. stampe them al and drawe oute the iuce let them all seeth together tyll the iuce be consumed then streyne them and put to the streynynge of litarge of golde and syluer ana ℥ ss of ceruse ℥ iii.ss of burned lede of tucia ana ℥ .ii. myngle them and laboure them in a morter of leade the space of two houres And for as muche as sumtyme the sayde chappes perce into the inwarde parte of the fundamente and cause greate payne chefelye Suffumigation when they are ioyned with emoroides then suffumygacyons and bathynges that swage the payne make to the purpose as a bathe of tapsus barbatus aforenamed Lykewyse ye maye clyster the place wyth the sayde decoction and redde suger and a lytle aloes epathike dyssolued for this clyster swageth payne and maketh good incarnation If the sayde chappes cannot be healed by the foresayde remedyes than it is necessarye to fylle the chappes wyth oure pouder of mercurye for within two or thre times it remoueth the malygnitie as we haue proued in my lorde Marcke cardynal of Romemyshe churche named Cornarius After that the malygnytie is remoued the foresayde remedyes shall suffyce for the curacyon of the vlceres But some tyme it chauncethe as we haue seene that the fundamente is vlcered of a prymytyue cause for the cure whereof at the begynnynge ye shall proceade wyth lenytiue medycynes Wherefore it is conuenyente to bathe the place wyth the decoctyon of malowes of lynseed of tapsus barbatus of barlye and of branne And after the common fashyon ye shall applye a dygestyue of the yolkes of egges and oyle of rooses omphacyne and a lytle saffron Whan the place is dygested for mundyfycation and incarnacyon ye shall procede wyth oyle of lynseede wyth oyle of yolkes of egges and a lytle aloes epatike laboured the space of two houres in a mortar of leade addynge therunto a lytle iuyce of plātayne and a litle litarge of golde and syluer For the reste of the cure ye shal procede with the remedyes afore wrytten c. ¶ The fourthe chapiter of emoroydes or pyles THere are about the ende of the fundamente .v. veynes which are calemoroydalle Of emoroydes or piles and are ordeyned of nature to purge the grosse melancholye bloode in men as womens bodyes are purged euery moneth And as the auncient wryters saye yf the sayde purgation come duely it preserueth the body from sondrye diseases as from the leper from cāker and other like And they be called called emoroyde of Hema whyche in greke is bloode and roys whyche is flowynge kyndes of emoroydes And there are diuers kyndes of them for some bene lyke greynes of raysons or lyke lytle bladers some are lyke wartes and other bene lyke an opened figge redde and full of litle greynes some are lyke mulberyes and are called morales some are small as lytle peces of flesh about the fundamente and some are payneful and apostemous The cause of these for the mooste parte The causes of emoroydes is abundaūce of grosse and melancholyke bloode and sometyme of fleume and sometyme of brent choler sent vnto the sayd place or elles they come through the receit of sharpe medicines or elles of the longe vse of pilles of aloes not washed Wherfore by the great abundaunce of such bloode it chaūceth that the said veynes swel and be extended out of the fundamēt beynge verye paynefull and apostemous Therfore yf the bloode be verye subtyle and sharpe and the passion natural and comynge by courses than the mouthes of the veynes are opened wythoute the melancholye bloode is purged by the benifyte of nature and also the sayde subtile and sharpe humoure Yf they be caused of flegmatyke bloode watrye and not grosse thē they are lyke lytle bladers or greanes of raysonnes whyte in coloure and softe in towchynge and cause no greate payne If they be engendred of grosse flegmatyke bloode they are harde lyke wartes and bene lyke vnrype figges and are not verye payneful
heale And therfore AuiceÌ„ne saith that if it be not restored quyâ—kely humours maye be deryued to the place and rotte the member As touchynge the restauration the doctoures are of sondrye opynyons but commonlye the later writers teach .ii. wayes of restauration The fyrste is the waye of Albucrasis which is vniuersal to all dislocations of the hippes chefly whan ye knowe not in whyche side the dislocation is it is after this sort Ye must tie the pacient to some pyller or other stronge thing with a double towel bounde vnder his armes flanckes and also of the other side ye muste tie to his knee an other towell discending downward toward the in step which done at ones the paciente must be so stretched on euerye syde that he may seme to hang from the ground in the tyme of the stretching the master must enbrace the ioynt with hys handes mouing the hippe hither and thither til he perceaue that it is come to his proper place which thing is knowen by the seasinge of paine by the equalitie of the other legge And though this meane be comon to al dislocatioÌ„s yet it is chefely good in a dislocation of the inner and outewarde parte The second way is this Ye must set the pacient al along vpon a table longer then the pacient and set a barre at both endes Than ye muste bynde the pacient vnder the flankes with a towel crossewayes ouer the belly drawinge it vp ye must tye it to the barre wyth annother towel ye must bynde the legge aboue the knee crossewyse wyndyng it often tymes ouer the legge vnto the heele and ye muste tye it to the tother barre and ye must stretch oute the pacient with pinnes put betwene the towel and the barre turning and wrestyng the same on euery syde tyll the mayster maye set the ioynt in hys place wyth hys handes Another maner of byndyng Ye muste bynde the pacyente vnder the armes vnto a barre wyth a towell and hys hyppe wyth another towell to a presse for thys wyse all dislocatyons of the hyppe maye be restored so that they be newe After the restauration of the sayde dyslocations ye shall vse the remedies wrytten in the vnyuersall chapyter of fractures But yf thys dyslocation come of a cause antecedente for the restauration thereof the olde wryters prayse an actual cauterye to drye vp the superfluos moysture After that the ioynt is returned into hys place it is ryghte profitable to vse a splente of woode wrapped with hurdes frome the out warde parte of the hyppe vnto the insteppe byndyng it crossewyse accordyngelye and thys apparell muste not be chaunged but euerye syxte daye The restauration is accomplyshed in .xxx. dayes The .viii. chapter of the dislocacion of the panne or rowell of the knee ⸫ THe ioint of the knee as Haliabbas sayeth may be dysplaced on euerye side excepte the former parte for the panne or rounde boone suffereth it not to be there The restauration herof is finished as we haue often declared in other chapters that is to saye by stretchynge the legge and addressynge the boones into the ioyntes wyth handes whan the panne of the knee is onelye oute of the ioynte lette the pacyente set vpon a bench and put hys foote vpon the grounde and then let the mayster set the pan in his place pressynge it strongelye wyth hys handes and afterwarde lette the place be plaistred wyth a playster of myldust and wyth stoupes than bynde it and putte cloutes vnder the hamme that the knee bowe not For the confyrmamation of the ioynte ye shall applye some of the remedies wrytten in the former chapyters And it is good to splente the knee frome restauratyon vnto the .xii. day And ye shall remoue the apparel euery thyrde daye The pacyente maye not goo vppon hys legge tyll it be perfytelye healed for as Auycenne sayth the knee is sone put out of ioynte c. The .ix. chapter of dyslocation of the heele and of the toes ⸫ THe hee le is sometyme dysplaced with a complete dyslocation and some tymes it is onlye separate or sondred The dyslocation of it can not chaunce but in the former or hynder parte and it maye be knowen by the swellynge of that syde where the heele is dysplaced The ioyntes of the toes are soone dysplaced and soone restored For the restauration of the heele boone whan it is throughly dysplaced nedeth gret stretchynge and thrustynge downe vpon the sayde dislocation But yf it be onelye separated it nedeth not greate stretchynge or compression but it may be redressed wyth the handes onelye The restauration shal be accomplyshed as it foloweth that is to sape The maner of restoring the heele ye muste haue two mynisters of whyche one must holde the fote and the other the knee and they muste stretche oute the legge together and than the mayster muste returne the boone into hys place and after restauratyon ye shall applye the remedies wrytten in the former chapter and it muste be bound discretelye not to harde for therby the synowes of the foote maye be hurted For the restauration of the toes ye shall procede as we haue sayde of the fyngers Here ye shal note thys one thynge that after the bone of the heele is redressed the patieÌ„t walke not the space of .xl. dayes for after restauration the foote abydeth paynefull a longe season by reason of the multytude of the bones synowes and ligamentes And therfore to swage the payne and resolue the matter that causethe it to comforte the place it is ryght conueniente to vse the ordinaunce vnderwrytten after the maner of a cerote â„ž of the rootes of holihocke sodden Cerote to swage payne and stamped â„¥ ss of the rootes of enula campana of salomoÌ„s seale in lyke maner sodden and staÌ„ped â„¥ iij. of oyle of camomill roses and myrte of euery one â„¥ i. ss of agrippa and dialthea of euery one Ê’ vi of oyle mastyke â„¥ ss of erthe wormes washed wyth wyne â„¥ i. ss of camomil roses wormewood squinantum of rosemarye floures of euery one a litle of odoriferous wyne one cyathe let them seeth all together tyl the wyne be consumed then streyne them and adde to the streynynge of beane floure and barlye floure well bulted of redde pouder ana Ê’ v. of saÌ„guis draconis of mumia ana Ê’ iij. of saffran Ê’ i. of all the sandres Ê’ i. ss of moste clere terebentyne â„¥ i. Agayne make a softe cerote wyth sufficiente whyte waxe and the forsayde streynynge accordynge to arte whyche is a greate medicine in all wrestynges and attritions of lacertes And thus endeth the booke of fractures and dyslocations in the name of God who be blessed foreuer and euer AMEN Here beginneth the seuenth booke of mayster Iohn de Vigo of the nature of simples COnsyderynge the great vtilitie that commeth by the knowlege of simple medicines I thought it good to make a particuler boke of the same beynge comunelye
foure iuce of an orenge howebeit the apothecaries make this syrupe with the iuce of a citron as they haue shewed me Natheles Fuchsius techeth that they ben both of lyke vertue and effect And Io. Agricola sayth the citroÌ„ signifyeth an orenge and also a limoÌ„ And bycause this name is doutfull I leue it to thy iudgemeÌ„t good reader whether thou wylt when thou fyndest the ryndes of a cytron or the iuce vnderstand an oreÌ„ge or a pome citroÌ„ Acorus BruÌ„felsius calleth acoruÌ„ wild flour delyse Mainarde sayth that he was wont to vse calamus aromaticus in the stede of acorus Some take it for galingale Adiutorie They call the two bones which extende from the shulders vnto the elbowes ossa adiutoria Aematites Haematites is a precious stone and hath his name of bloody colour For Haema in Greke signifyeth bloode It hath strength to heate to thynne and to scoure and it is vsyd in medicines for the eyes Agarike Some say that AgaricuÌ„ is a rote and some affirme that it growtth to trees lyke to destooles It is founde in wylde places of Sarmatia and also in Galatia and Cilitia and it dryueth out fleame and cholere but not spedely Agrippa Agrippa is an oyntment descrybed in Galenes antidotari Albugineus Albugineus is that that pertayheth to the whyte of the eye Alchohol The barbarous auctours vse alchohol or as I fynde it sometymes wryten alcofoll for moost fyne poudre Alchachinga Alchachinga is taken for the secoÌ„d kynde of nyghtshade Plinnie calleth it halicacabum Alleluya They vse thys worde Alleluya for a kynde of thre leaued grasse which is soure in taste Almocatim The barbarous wryters calle the nether bones of the heed Almocatim Aloes Aloe is the liquour of an herbe brought vnto vs out of India Som affirme that the maner of makyng it is this They staÌ„pe the herbe draw out the slymye iuyce and lay it to the fyre tyll it boyle and than they set iâ— a sunnynge tyll it be drye And that that is purest they call succotrine or succocitrine that which is in the middell beinge lesse pure hepaticke and fynally that which synketh to the botome and is as it were the dregges they call Cabaline Aloe is bytter in taste and of an hote and drye complexion It purgeth choler and comforteth the stomacke and is moreouer of greate effect in woundes Althea Dioscorides wrytteth that Althea is a kynde of wylde mallowes hauynge rounde leaues and floures lyke roses it is commenlye taken for holyhocke and so I haue euer translated it Howbeit the chirurgyens beyonde the see vse marche mallowes for Althea Alumen zuccarinuÌ„ There bene manye kyndes of Alumes But thre bene mooste knowen which they coÌ„munely call IamenuÌ„ zuccharinum or rotundum and roch alume Alume hath vertue to bynde and therfore it is called Stipteria in Greke and it is moreouer abstersyue or scourynge Ambrosine Ambrosia is communelye taken for wylde sage Ameos Ameos Ammi in the genetiue case Ammeos is a whyte seede hote and drye in the thyrde degre It groweth by the cytie of Egypte called Alexandria In stede of this herbe some vse the seed of cheruel Amygdalae At the roote of the tonge there bene as it were two flesshye kernelles lyke sponges called in Greke parisâ—â—mia in latyne tonsillae and of the 〈◊〉 doctours amygdalae that is almondes Amydum They corruptly vse this worde AmyduÌ„ for that that is called in greke Amylon and it is the iuyce or mylke of wheate steeped in water certayne dayes and afterwarde pressed Anthera Though Vigon thynketh Antheram to be the yollowe in the myddest of a rose yet Cornelius Celsus sayeth that it is a composition for the diseases of the mouthe wherein roses entre Anotamie Anotamie is a Greke worde and sygnifyeth the cuttynge vp of a mans bodye or of some other thing Anacardinum mel They call the iuyce of anacardus honye anacardine And whan they saye that anacardus is the frute of a tree called Pediculus Eliphantis whych groweth in Sicilia and Apulia The honye or iuyce of this frute burneth bloode and rooteth vp wartes Animall spirites Resorte to vitall spirites Anodine Thynges whiche are wythout grefe are caled in Greke anodina Howbeit Vigon vseth the word for thynges that remoue payne Antecedent Antecedent Goyng before Antidota Antidota are medicines to be receyued within the bodye whereof there bene thre dyfferences For some are gyuen agaynst poyson some agaynst the styngyng of venemous beastes or serpentes and some heale diseases gathered of corrupt meates and drinkes They call a boke wherein suche medicynes are descrybed an antidotarie Anthos Anthos in Greke sygnifyeth a floure howbeit it is coÌ„munely vsed for the floures of rosemarye Antimonium AntimoniuÌ„ is a veyne of the earth lyke leade howbeit it hath this difference from a metal A metal melteth Antimonium is brayed and wyll be burnt rather than molten it is colde and drye in the thyrde degree And it is put in colliries for the eyes c. Anthrax Anthrax is engendred when grosse and boylyng blood leanyng to some part of the body burneth the skynne For Anthrax in Greke sygnifyeth a coole and for the same cause it is called carbunculus in latyne which is a diminitiue of carbo a coole Apium risus Apium risus is taken for Batrochion whiche is thought to be crowfote it is called BetrachioÌ„ or ranuÌ„culus bicause frogges delite therin And therfore the later auctours cal it apiuÌ„ raninuÌ„ And they say that it is called apium risus bycause the man that eateth therof dyeth laughynge For risus signifieth laughing which auctours assigne to that that groweth in Sardinia Aphorisme Aphorismus signifieth a distinctioÌ„ Aposteme Aposteme is a passion wherein the thynges are sondred whiche before were ioyned togyther wherfore ther remayneth an emptye space whyche receyueth a wyndye or moyste substaunce or bothe And the sayde substaunce fretteth the partes about makynge roume for hym selfe In latyne it is called abscessus Aqua gariofilata Aqua gariofilata is the water of cloues as it appeareth in the fourthe boke of abridgementes Howbeit bycause gariofilata is commenly taken for ieloflours for that that they haue the odour of cloues called gariophili I thynke I dyd translate it ones the water of iellyflours Here ye shal note that though gariofillata be commenlye taken for iellofloures yet other well lerned men thinke it to be AueÌ„s and so perchaunce I haue translated it sometymes Armoniake Dioscorides calleth that that Vigon calleth armoniake ammoniacum of ammos whyche sygnifyeth sande For it is the lyquour of a shrub in Aphrica called agafyllis whyche falleth vpon sande and so is found in clottes Ammoniacum also is a kinde of salte founde vnder sande Arcula puerorum Arcula pueroruÌ„ The later wryters of chirurgeri vsing an arabike terme call the blysterynges which through corrupt mylke happen in the roofe of chylderens mouthes AlcolaÌ„ Yf this be not the disease whiche Vigon calleth arculaÌ„ I can lerne of nomaÌ„ what it shulde be
xvi Flesshe Fo. ij Fistula cimbalaris Fo. xij Fistula in the brest Fo. xcix Fistula and the cure fo cxxviij ccliij Fist in the corner of the eyes fo cxlj Fistula of that fundameÌ„t f. cxlix cclxij Fistula and hys kyndes eodem Foyne and hys cure fol. xciiij Foyne thorow the body fol. cij Formica hys cure fo xxi Formica miliaris hys cure and sygnes fo xxij Forunculi fo xxvi Frensche pockes fo clx Frensch pockes confyrmed fo clxij Froncle and hys cure Fo. xxxiiij Formica Fo. xx Fugilles fo lxxxij Fundament aposteme therof fo lxxv Fundamente ryftes chappynge and clyftes fo cl Furcula broken hys cure fo clxxvi G. Gargarisme resolutiue fo lxij Glandula scrophula differ fo xxxix Goutes are cured fo clxvi cclxij Gratia dei fo cclxiiij Grystell fo ij Guidegi fo v GuÌ„mes hote apo in theÌ„ fo lx cclviij Guttes fo ix Guttes hurt the sygnes fo C Gutte the loosynge of the greate gutte fo cliiij Gutta rosacea fo cxli H. Handes tynglyng of them fo xlvij Hardnes of the purse of the stones f. lxxiij Health sygnes of health in woundes of the heade fo xc Heed purgers of the heed fo xcij Heed and hys situation fo iij Heed diseases of the heed fo xliiij Heed wounde of the heed fo lxxxvij Heed payne of the heed fo ccxxviij Heed aposâ—emes therin fo xl Heed repercussiues are not to be ministred aboute the heede eodem Hâ—eâ—â— displaced fo clxxxiij Hemoragia Fo. lxxxv Hemora coÌ„sideratioÌ„s therof fo lxxxvi Hemoragia remedie for it eodem Heere 's fo I Heere 's a linimeÌ„t to engendre f xxxxi Heere 's curlynge inwarde in the eye â—yddes fo cxxxviij Heere 's to make theÌ„ growe fo cxxvix Heere 's to preserue them frome fallynge fo ccxxxij Hernia fo cclx Hernia ventosa fo lxxiij cclx Hernia in suckynge chyldren eodem Hernia aquosa the cause of it eodem Hernia carnosa fo lxxiiij Hernia syxe kyndes of it eodem Hernia humoralis Fo. xviij Heresipelas eodem Herisepel colour signe therof fo xix Heresipelas cured eodem Harte Fo. vij Hidropisis the cause of it fo lxxiij Hyppes wounde therof fo clij Hyppe displaced fo clxxxiii Horcenes fo ccxxxiij I. Iawes apostemes of them fo lx Iawes displaced fo clxxxi Ieâ—â—num fo ix Iguis persicus fo xxiij xxl Impeâ—igo fo cxxxix Incarnatiue fo xvi Incarnatiue medicines fo â—â—i Incarnatiues fo cciiij Inflation fo xxiiij Incision to make it fo xxxiij Incision how to procede after it f. xv Incisorij fo vi InstrumeÌ„tes the makyng of theÌ„ f. ccxlij IntestinuÌ„ rectum fo ix Inuolutum eodem Ioyntes woundes of them fo xcv Ioyntes payne in them fo clxvi Ioyntes of the handes or fyngers displaced fo clxxxiij Itchyng of the eyes fo liiij cclvij K. Kybes a playster for it fo clvij Kydnes hurt and sygnes fo C Knee swellyng in it fo lxxx Knee bone displaced fo clxxxiii Knobbes fleshie knobbes fo xxxvij Knottes of the eye lyddes fo lvi L. Lacuna Fol. v Legges wounde in them fo ciij Legges broken fo clxxix Lethargus fo iiij Lenitiue of payne fo xx Lyce fo ccxxxi Ligamentes fo ij Ligature or byndynge fo cxi Lynte a goodlye lynte and the vse therof fo xxxviij Lyntes fo cxiij Liniment to engender heer fo cxxxi Liniment for a skurfe eodem Lyppes choppes in them fo cxlij Lyuer fo ix Liuer a cerot for hardnes of it f. lxxxij Liuer hurte the sygnes fo C Longes fo viij Lotion for holowe vlcers fo cxlviij Lugia fo xxxiiij LuÌ„ges signes of wouÌ„des therin xcvij Lupia fo xxxix Lupus fo xliij M. Marula fo cxxxij Malum mule fo clvij Mammylle fo vij Mans bodye fo I Matrice fo x Matrice of a woman with chylde fo xi Matrice itchynge of it Fo. clv Matrice vlcers of it eodem Matrice wounde of it fo cij Maturatiues symple coÌ„pouÌ„de f. ccij Mediastine fo viij Medicyne howe to knowe hys qualitie fo lxxxiiij Mellinus fo xxxvij Melancholie fo xliij Membre Fo. I Membres the diuision of them eodeÌ„ Membres symple fo ij Membres compounde fo iij Membres principall and not principall eodem Membres conteyned fo ix Membre putrified fo clviij Membre extenuate fo ccxxxiiij Meri fo v Meseraice fo ix Mesenterium fo x Midriffe mediasti wouÌ„ded f. xcvij Midriffe fo viij Milte fo ix Milte hurte and sygnes fo C Milke to drye it vp fo cxliiij Mirach Fo. viij Molares Fo. vi Morphew Fo. cxxxix Mortemale fo clxiiij Mouth stynkynge fo ccxxxi MuÌ„dificati of smalage f. xv lxxvij MuÌ„dificatiues in generall fo ccij Muscle fo I Muscles of the breest fo vij Muâ—â—les are numbred fo xi N. Natta fo xxxix Natural thynges not natu fo xvi Nayles brusynge of them fo ccxxxvij Necke woundes of the necke fo xciij Necke Apostemes of the necke f. lxiiij Nerui optici fo vij Nodes nodation the cure fo xxxvij Nodi mellini fo lvi Noli me tangere Fol. xliij cxlij Nose the burnynge rednes Fol. lvij Nose wounde therin Fol. xcij. Nose stynkynge Fol. ccxxxi Nuke Fol. ij iiij O Oleum magistrale Fol. xciij Oleum de perforata Fol. cvij Ophthalmia Fol. ccxv Ordeolum Fol. lvi Os laude Fol. ij Os sacrum fo vij Oyntmentes colynge Fol. lxxxiiij Oyntmentes heatynge eodem Oyntmentes for vlcers Fol. cxxvij Oyntmentes in general Fol. ccix Oyle for the palsye Fol. cx Oyle of grayne Fol. cxci Oyle of erthwormes Fol. cxcviij Oyles the composition and nature of them Fol. ccxvi P Palsye Fol. iiij Palsye cure of it Fol. cix Palliatiue cure Fol. lvij Pannicles Fol. ij Panaritiun Fol. lxxix Paast conseruatiue of semes fo xcix Pericranium Fol. iiij Pestilence the cure of it Fol. xxxi Pestilence Galenes potion agaynst the pestilence Fol. cxvij Pestilence Fol. clxxxviij cclxiij Pessarie fo clv Pessaries in general Fol. ccxvi Petrosa ossa Fol. iij Peyne a lenitiue of peyne Fol. xx Peyne wythin the eare Fol. lviij Peyne in the backe bone Fo. lxviij Peyne of the ioyntes Fol. clxvi Peyne medicines swagyng it ccv Peyne causes of it eodem Peyne .xv. kyndes of peyne eodem Pia mater Fol. iiij Pixis Fol. vij Piles Fol. clv Pilles for the pestilence Fol. xxxij Pilles for the pockes Fol. clxiij Pilles in generall fo ccxix Places apte to receaue winde fo xlvi Playster of waybreed fo xxiij Playster of pomegranades fo xxiiij Playster of an apple fo .li. lij Playster of oynyons fo lviij Playster mitigatiue fo cxv Playster of dogges turde fo cxxiiij Playster stupefactiue fo cxxvi Playster to swage payne fo clxxix Pleura fo viij Pockes part of all diseases fo clx Pockes the boke of pockes eodem Pockes confyrmed fo clxij Polipus Fo. lâ—j Pomegranades prepared fo xvi Porta fo ix Portanarium eodem Pore vritides Fo. x Porus sarcoydis fo lxxxiij Pouder corrosiue and how to administer it fo xxi Pouder conseruyng a seeme fo lxxxv Pouder cicatrizatiue fo lxxxix PronosticatioÌ„ of deeth or lyfe fo xc
whyte Lyllies â„¥ iiij of Camomylle melilote Ana. mÌ„ ss of branne mÌ„ j. lette them boyle to a perfecte concoctyon than presse them and choppe the rootes of Holyhocke and the rootes of Lyllies and stampe them and strayne them fynely and putte to the thynges vndre wrytten of Oyle of Roses Camomylle dyll and of Lyllies Ana â„¥ ij the marye of the legges of a Calfe and of a Cowe of hennes grece Ana â„¥ j. of whyte waxe â„¥ j. and. ss the substaunce or meate of Apples rosted vndre coales â„¥ iij. and. ss melte them al and lette them boyle on a softe fyere styrre them aboute halfe an howre We haue proued thys playstre to be of good operatyon in resoluynge all hote Apostemes And it is of the composityon of mayster Iohan de Barnardis whyche was of great estimatyon amonge the practysers of Chirurgerye whyche in oure tyme were at Rome And I haue vsed of thys playstre and the other aboue wrytten and haue gotteÌ„ honour and proffyte thereby The fyrste playstre is of the descriptyon of Auicenne and it is also verye fytte to resolue I coulde describe manye other but I shulde be to longe And the foresayde remedyes are suffycyent to resolue anye Aposteme be it of a primityue cause or of an antecedent Whan ye perceaue that the Aposteme enclineth to maturation which thynge is sone knowen by thies sygnes namely by great pulsatioÌ„ hardnes prolonged wyth heate by the reddische couloure of the place than you muste vse maturatiue thynges that it maye be perfectly ryped ¶ A plaistre maturatiue for flegmon A maturatiue TAke the leaues of mallowes and of violettes of eche mÌ„ j. of the rootes of langede beefe tendre and fresche â„¥ ij of the rootes of holyhocke â„¥ iiij lette thies aforesayd thynges boyle seeth perfectlye than choppe them small stampe them and strayne them fynely and afterwarde take a lytle lynsede of fenugreke well beaten and put theÌ„ in the decoctioÌ„ of the sayde herbes and rootes wyth barley floure and make a stiffe plaistre addynge in the ende of commune oyle â„¥ iij. of fresche buttyre â„¥ ij ss of fresche swynes grece â„¥ ij three yolkes of Egges whiche done meÌ„gle them agayne with the foresaid rootes strayned and sette them on the fyer agayne and stirre them about make a plaister and vse it as the other twyse a daye We haue proued this plaister to be good to rype al hote Apostemes And yf you nede a stronger maturatiue vse this vndre wrytten which I durste not vse but in great necessyte after suppuratioÌ„ This is the description of it A stronge maturatiue Take of the floure of linsede and of fenugreke the cromes of rawe wel leuened bread Ana â„¥ j. ss foure drie fygges and fyue snailes wythout shelles and of the playstre aboue ordened â„¥ iij. mengle them and stampe them in a mortare and than lette them boyle a lytle at the fyer and make a playstre I haue founde it profitable layinge it onlye vpon the heade of the Aposteme whan the Aposteme was well nygh rype For it drawethe the matter outwarde and makethe the skynne thynne And I was wonte to put ouer the Aposteme the playstre maturatiue aboue named A fomentation and to fomente or bathe the place wyth thys decoction before I applied the sayde playstre The decoction is thys Take of the leaues of mallowes of violettes of Holyhoc of euerye one mÌ„ j. branne mÌ„ ss boyle them in sufficient quantytie of water tyll two partes ben consumed than strayne them and putte to the decoction a lytle barley floure and of fresche buttyre of commune Oyle Ana â„¥ iij. wyth the yolkes of three Egges and lette them boyle agayne a lytle and fomente the Aposteme therewyth Arzi a lerned man in Chirurgerye sayethe that thys decoction or a lyke is verye conuenient to resolue and rype hote Apostemes and it swagethe the payne and thynnethe the skynne and causethe the mattyere to comme outwarde After the maturation ye must open the Aposteme The maneâ— of openynge an Aposteme wherein certayne doctrynes are to be obserued Fyrste the openynge muste be in the rypest place Secondlye in a lowe place that the heyuy mattyere maye the more easelye be purged Thyrdely the openynge muste be made accordynge to the lengthe of the Muscles Veynes synnowes and Chordes The fourthe obseruatyon is that we make incisyon accordynge to the growynge of the heares and accordynge to the wryncles of the skynne The fyfthe is that after the incisyon ye must not drawe out all the mattier at ones that the strengthe of the patient be not affebled The syxte and last is that the incisyon be made accordynge to the quantyte of the mattyers If the Aposteme be great ye muste make a great incisyon yf lytle a lytle incisyon And also after the lernynge of Auicenna whan the skynne of the Aposteme is lyfted vp on hygh the chirurgien muste open it in the rypest and lowest parte that he canne After the incisyon ye muste put in youre fynger and proue the hollownes of it and than fylle the hollownes wyth conuenient medicyne It is good also to knowe and assaye the hollownes wyth conuenieÌ„t instrumentes so that it be done softely and warely for hurtynge the synnowes and veynes I saye also that in rounde Apostemes incisyon muste be made in the lowest part after the figure of a newe Moone that it maye be the soner healed and to auoyde the daunger of a Fistula Auicenna commaundethe to make two or thre incisyons We haue proued bothe wayes and haue founde more succurre in the incisyon made after the facion of a new Moone And it is to be noted that whan suche an incisyon is made after the fygure of a newe Moone the two poyntes must be vpwarde and the middle benethe that the mattier may be purged more easely The order of procedyng aftâ—r the incisyon After thys incisyon you muste put in tentes moysted in the yolke of an Egge or in Oyle of Roses And afterwarde ye muste procede wyth a dygestiue compouned of the yolke of an Egge and a lytle terebentyne And yf the place be verye paynfull ye muste vse Oyle of Roses in the stede of terebentyne Thys digestyue causethe the payne to cease and it muste be vsed the space of thre or foure daies After the digestyue ye muste clense the place wythe a mundificatyue of Syrupe of Roses cheyfelye whan the Aposteme is aboute verye sensible places and synnowie as aboute the priuie membres The description of the mundificatyue is thys â„ž of Syrupe of Roses â„¥ ij of terebentyne â„¥ iij. let them boyle a litle together Whan they haue boyled adde to them a yolke of an Egge after that ye haue take the sayde thynges from the fier and putte there vnto moreouer of barley floure well boulted â„¥ j. ss wyth a lytle Saffran ¶ Another stronger mundificatyue â„ž of Honye of Roses strayned â„¥ ij Mundification de Apto of cleare terebentyne
small potion wyth a decoction of cordiall floures and frutes addynge in the ende of syrupe of violettes â„¥ i. and. ss The fourthe intention is accomplyshed by mynistrynge sondrye thynges vppon the aposteme Reê‘cussiues be perilous in viii cases Fyrste by mynistrynge familiare repercussiue medicines excepte conditioned cases in whyche by no meanes you muste not mynistre thynges repercussiue The fyrste case is when the matter is venimous The seconde when the matter is in the emunctories or clensynge places Thyrdlye when it procedeth by the waye of termination of some dysease as it chaunceth in continuall fieuers and other Fourthlye when the matter descendeth from one membre to another Fyfthlye when the matter is grosse Syxtlye when the matter is hardened lyke a stone Seuenthlye when an aposteme chaunseth in a body replenyshed wyth humours Eyghtlye when it commeth of brusynge In these cases we muste not applye thynges repercussiue excepte the fyrste daye for the causes shewed in the chapiter before Repercussiues bene the whyte of egges oyle of roses Reê‘cussiue oyle of myrtin beateÌ„ together We wil describe three kyndes of repercussiues whyche we haue often proued The fyrst is thys take two whytes of egges oyle of roses VnguentuÌ„ of roses ana â„¥ i. and. ss the iuyce of plantayne or morell â„¥ vi mengle all together one after another and make as it were an oyntmente and laye it vppon the aposteme wyth a linnen cloute and se that it be luke warme The seconde forme is thys Take three whytes and yolkes of egges and of oyle of roses of oyle of violettes of womans mylke Ana â„¥ i. and. ss lette them be mengled together and be layed to warme Thys repercussiue is good after the begynnynge The thyrde is thys take of the leaues of mallowes and violettes Ana. mÌ„ i. and. ss of roses of hole barleye Ana. mÌ„ ss of the seede of quynces Ê’ v. Lette them be sodden al in sufficient water vnto parfyte decoction Then strayne them and presse them oute vehementlye braye them and serce them fynelye And putte to of oyle of roses after the recepte of mesue â„¥ iiij of Vnguentum rosarum â„¥ i. and. ss of whyte waxe â„¥ ij melte them at the fyer and lette them boyle agayne at a softe fyer wyth the thynges serced a quarter of an houre and euer styrre them aboute And when it is taken from the fyer adde there vnto of barleye floure well boulted â„¥ ii and vse it vpon a clothe as it is aforesayde Thys playstre as ye maye perceyue by the symples that go in to it is good in the ende of the begynnynge and in the myddest of the begynnynge and in the begynnynge of augmentation These three oyntmentes aboue named bene good for hote apostemes that maye be cured wyth resolution Howe to vse reê‘cussiues and also in purged bodyes I saye that they bene profytable after the begynnynge of an Aposteme vnto the encrease And in the encrease of an aposteme enclynynge to resolution ye muste mengle thynges repercussyue wyth molifycatiues For Auicenne sayeth that as longe as an aposteme procedeth in encrease it is necessarye to laye vppon thynges repercussyue and to adioyne mollifycatiues And thys proposition of the sayde AuiceÌ„ne semeth to be agaynst the opinion of al doctours chieflye of Rasis and Galene whyche saye that at the encrease of an Aposteme we muste consyder two thynges that is to saye the thynge done and the thynge to be done To take awaye the thynge done there nedeth resolution And to defende the thynge to come we muste vse repercussyon And so it appereth that an aposteme alreadye made is not healed by thynges mollifycatiue but by thynges resolutiue And the Aposteme that may ensue hereafter must be stopped by thynges repercussiue Neuerthelesse me thynketh that Auicenne hathe better weyed the matter then the other consyderynge the cure more particulerlye then other auctours He sayeth that in the augmentation we muste vse thynges mollifycatiue And it is reason so to do for in the augmentation the mater of PhlegmoÌ„ throughe the layenge to of thynges repercussiue is waxen harde and is retayned wythin the meÌ„bre Therfore we must applye medicines that may mollifye and soften the matter and that maye open the pores And so doynge we prepare to trewe and perfyte resolution egallye by lytle and lytle For otherwyse wheÌ„ sodayne resolutioÌ„ is made the subtyle humour is resolued and the grosse remayneth But resolutiues mollifycatiues bene of thys effecte that they resolue mollify by lytle lytle Wherfore they arne more conuenient then other that ben hote and drye whyche resolue the subtyle humoure and leaue the grosse as we haue sayde Furthermore resolutiues mollificatiues appayse the paine as Auicenne sayeth The reason is bycause they resolue by lytle and lytle whyche thynge a medicine resolutiue hote and drye dothe not For thoroughe heate it draweth humours to the place and causeth payne Lyke wyse in the augmentation and in the state thynges molifycatiue and resolutiue ben conuenient In the ende declination of thys aposteme thynges resolutiue and drye bene agreable as Auicenne sayeth Apud finem et statum c. In thys place Auicenne sheweth that an aposteme hath foure tymes as we haue sayde And euerye tyme is diuided into thre partes namely begynnyng augmentation diminutioÌ„ he sheweth what medicine we must vse in the state of flegmon In the begynnynge in the myddest and in the ende of the state lette the mollifycatiues surmounte the repercussiues and he sayeth afterwarde fac ea pura c. that is to saye in the ende of state we muste vse thynges purelye mollifycatiue we saye then that euery one of the foure tymes hath in it selfe thre tymes begynnynge augmentation and ende Wherfore we conclude that the ende of augmentation hath participation wyth the begynnynge of state and the myddest of state hathe hys trewe tyme and the ende of state hathe participation wyth the begynnynge of declination and so forthe of other tymes In the state of an Aposteme that is in the waye of resolution we haue proued thys composition profytable Ye muste take of the rootes of Holyhocke Resolutiue of the rootes of lillies of Camomil of melilote of euerye mÌ„ v. and put them in a bagge of course lynnen and boyle them altogether in sufficient quantite of water tyll they be well sodden Then stampe them strayne them and serce them puttynge to these thynges vnder wrytten and makyng a cerote in maner of a playster â„ž of oyle of Camomille of oyle of lillyes of euery one â„¥ ij and. ss of whyte diaquilon of the fatte or swete called Isopus of Galenes cerote of euery one â„¥ ij of heÌ„nes grece goce grece of euery one Ê’ x. of whyt waxe â„¥ i. and. ss make an oyntmente Let these latter thynges boyle together at a softe fyer with the thynges aboue named let them be layed to warme ¶ Another playster for the same entention TAke of the cromes of bread steped in a
the body ben shutte in the nyght But when the pores ben open in the daye tyme the matter passeth and breatheth out wherfore Rasis sayeth that this dysease payneth the patient more in the nyght then in the daye And therfore a bayne of thynges aperitiue or openynge aydeth thē whyche bene troubled wyth thys dysease Note that when the matter is sanguine and occupyeth a greate parte of the body yf thē ye procure not a veyne to be cutte it is no merueyle yf a fyeuer tertiane ensue Wherfore at the begynnynge yf the strength and the age of the patient wyll suffre it auayleth muche to cutte the lyuer veyne or the cōmune veyne ¶ The .xv. Chapitre of the cure of Essara THe cure of thys dysease is accōplyshed by two intentions The fyrste The cure of Essara is to order dyete The seconde to purge the matter antecedent that causeth the Essara The fyrste is accomplyshed by those thynges that ben sayde in formica touchyng dyete The seconde is accomplyshed by euacuatiō of the naughtye humour And yf the matter be sanguine Digestiue let it be dygested with thys syru ℞ of syru of fumiter of the iuice of ēdine of a siru called acetosus sīplex ana ℥ ss of water of endiue of hoppes of fumiterre ana ℥ i. After that he hath takē of thys syrupe iiij dayes Purgation purge him with this purgatiō ℞ of Cassia ʒ x. of an electuarie of roses after Mesue ʒ ij ss vnto ʒ iij. accordynge to the strength of the patient wyth the cōmune decoctiō make a potion addynge of syrupe of violettes ℥ .i. and. ss Also it is very good to take of thys wyne vnder wrytten euery daye ℥ iiij ss whych is of Auicennes dyscription in thys forme Take two poūdes of aygre pomegranades swete with the skynnes that diuide one part from another and of fyne suggre ℥ vi stampe them together and presse thē myghtelye and vse thys wyne as we haue declared It is a ryght good medicine in thys case And yf it be sette abrode in fayre dayes wyth suggre it wyll haue a more laxatiue vertue A bayne The bayne conuenient in thys case cōpouned of thynges aperitiue is this ℞ of the leaues of mallowes and violettes of brāne ana m̄ .iij. of cleane barley m̄ .ij. ss of sower apples in nōbre xx of beanes m̄ .i. of suggre ℥ iiij Let them boyle all in sufficiēt water vnto the consumption of the thyrde parte washe all the bodye therewyth in a warme bath Thys bayne is synguler for the sayd pustles and for many other kyndes of pustles Purgation Here foloweth a purgation verye good in thys case ℞ of the floures of violets of the floures buglosse borage ana m̄ ss of hoppes of endiuie of the croppes of vynes of maydē heere ana m̄ ss of sebesten of iuiubes of clene barley ana ℥ i. let them seeth al in the decoctiō dissolue of cassia ℥ ss of diacatholicō ℥ i. of tamarindes ʒ ij of an electuarie of psilliū ʒ i. ss dissolue them al adde thervnto of syrupe of violets by infution ℥ i. Thys medicine is of good operation in essare whē the matter is sanguine And yf the mater be mēgled with grosse fleame salte the patient muste be purged with thys laxatiue medicine that foloweth Digestiue But fyrst the mater must be digested with this syrupe ℞ of the greater sirupe of fumiterre of hoppes of vinegre called acetosus an ℥ ss of waters of fumiterre of mayden heere of endiuie ana ℥ i. mengle them And whē he hath vsed thys syrupe the space of syxe dayes Purgation let hym be purged with thys purgatiō ℞ of cassia of diacatholicō ana ʒ vi of the cōfectiō hamech ʒ ij ss vnto iij. make a small potion with the decoctiō of maydē heere of gallitricū politrichū of polipodie of cordiall floures frutes addyng of syrupe of violets ℥ i. ss This later purgatiō purgeth the subtyle humour the grosse the salte the adust or burnt Pylles Another purgatiō cōmēdable in thys case ℞ of pilles aggregatiue of agarike in trociskes ana ʒ i. ss of turbit preparat ℈ i. make pilles with the wine of pomegranades lyke pease The dose of geuynge of these pillules is frō ʒ i. vnto ʒ i. ss according to the strēgth of the patient they must by gyuē in the morning Here ye shal vnderstāde that the doctours make no mētiō of locale medicines in these diseases The cause is that whē the matter antecedēt is euacuated the mater cōioyncte is easy to be resolued we wyl folowe the aūcientes touchyng the curatiō of the sayd dyseases Neuertheles we wyl shewe one remedye which auaileth to take away the itching of the pustles ℞ of vnguentū Galem freshe buttyre .x. tymes washed with water of barley ana ℥ ij of the iuyce of limmons or citrons ʒ ij of water of roses ℥ ss of litarge of golde ʒ vi of oyle of roses ʒ iij. mēgle thē make an oyntmēt accordinge to arte in a morter of leade styrryng it aboute halfe an houre with a pestel Thē adde of the substāce of rosted strained apples ℥ ij of freshe hennes grece melted of gose grece ana ʒ vi agayne stirre thē aboute altogether in the forsaid morter the third part of an houre ¶ The .xvi. Chapitre of Cancrena and of the dyfference betwene Cācrena Ascachillos Esthiomenos Cancrena CAncrena is not takē for fleshe deade altogether but for that whyche begynneth to putrifye by lytle and lytle hauyng yet some felynge wyth blacke coloure and intolerable payne and burnynge The skynne rounde aboute is bluishe And it is called Cancrena bycause it is like a canker For as a redde canker gnaweth byteth corrupteth the places aboute Ascachissios euē so doth Cancrena Ascachillos is an entiere priuation of felyng whych was in Cācrena and it is called Ascachillos of Asca whyche sygnifyeth in the Arabike tonge corruption and chilos a Greke worde sygnifyeng iuyce Thys Ascha is a corruption of the fleshe and synnowes vnto the bones Estiomenos Estiomenos is a confyrmed adustion or burnyng of the nouryshynge humours and of the spirites and of the symple and cōpounde membres in whyc it is And it is called Esthiomenos of Heste in Arabie an enemye It commeth of a greke worde Esthiomai to eate and menos a man so Esthiomenos then is the enemye of man And the corruption of Esthiomenos spreadeth it self vpon the membre gnawynge it and corruptynge it as fyer consumeth drye woode And thys corruptiō is engēdred of one of these thre causes The fyrst is bycause the vytall spirites bene prohibited to come to the hurted place The seconde is by reason of the corruption of the payned mēbre The thyrde by reason of these two causes both together alledged before Thys corruption and prohibitiō of vytale spirites
maye chauÌ„ce thorough sondrye causes Some tymes through a cause primitiue and some tymes thorough a cause antecedent It commeth of the cause primitiue thoroughe brusynge or breakyng In brusyng it chauÌ„seth bycause the chirurgieÌ„ procedeth with thynges to colde whyche engrosse the matter and so cause putrefaction Sometymes the pores or passages ben stopped by whych nature sendeth the nourishement and lyfe to the membre And by reason of that stoppynge the vytale spirites can not come to the meÌ„bres So the membres beynge destitute of the vytale spirites do corrupte and rotte It chaunseth moreouer some tymes to them that go in the snowe Some tymes thoroughe to strayte tyenge of the membre For by reason there of the spirites can not come to the membre As we haue sene often thoroughe the strayte tyenge of a broken bone of the thyghe the legges or the armes We haue sene also Esthiomenos to haue chaunsed throughe vndiscrete application of sharpe medicines in whych arsenike realgar lyke entre And lykewyse thorough applicatioÌ„ of thynges stupefactiue and coolynge Of the cause antecedent Esthiomenos chaunseth often as of some venimous pustle not wel cured at the fyrst of the chirurgieÌ„ as we haue ofteÌ„ sene to haue chauÌ„sed in Anthrax carbo We haue sene moreouer thys prohibition of spirites to haue chaunsed through the corruption of some particuler meÌ„bre procedynge of greate Apostemes flegmonike froncles Foruneâ—â— In whiche oftentymes grosse and harde matter is engendred lyke a synnowe halfe rotteÌ„ In whyche apostemes the wayes and pores bene shutte oftentymes and by reason there of nouryshement and lyfe can not come to the membre and so the membre rotteth and dyeth We haue sene thys putrefaction in the handes and fete of them whyche haue ben longe in sharpe fieuers so that theyr bodies beyng destitute of natural heat became leane drye the extremitees of theyr bodyes cheflye theyr legges were reduced to suche colde and congelation or stupefaction cheflye in the wynter that it semed that the membres were altogether depriued of naturall heate Neuertheles though the membres semed colde the patient complayned of great payne and heate and inflammation as yf actuall fyer hadde bene there Also we haue sene it chaunse wythout payne goynge before wythout inflammation wythout inflatioÌ„ wythout liuidite or bleunes wythout blacke coloure of the place as it chauÌ„sed in Cancrena ☞ in a noble woman of the cytie of Genue called Saluagina de Grimaldis whyche fell in to thys corruption after a loÌ„ge dysease Thus it is euidente to euerye bodye what esthiomenos is Of the cause antecedent Estiomenos chaunseth not often but by the corruption and putrefactioÌ„ aboue named And it maye come by one of these thre causes as Auicenne sayeth that is to saye thoroughe the cause that corrupteth the complection of the membre and the spirite animall whyche is in the same membre or by some other cause defendynge the vitall spirite to come to the membre or by some thinge that gathereth together the two intentions as we haue declared in thys present chapitre and as it chauÌ„seth often by applyenge some locall medicine that is not conuenient and lykewyse by some venimous pustle corrumping the naturall complextion of the membre and dystroyenge the animall spirite whyche is in the membre so that the vytall spirites sente of nature to conserue the naturall heate of the meÌ„bre can not come to the membre bycause the place is mortifyed and eschared And thus necessarelye foloweth prohibition of the vytall spirites that they can not come to the places and also there foloweth mortifycation and corruption of the complection of the membres and of the vytall spirite remaygnynge therin Yf Esthiomenos maye come by one of the three causes aforesayde it maye much more come by two knytte together c. ¶ The seuententh chapitre of the cure of Cancrena Ascachilos and Esthiomenos AFter that we haue sufficientlye declared what Cancrena Ascachilos The â—ure of Cancrena and Esthiomenos is and the dyffereÌ„ce of the same in thys presente chapitre we wyll make mention of the cure of them The curation of these three dyseases dyfferre not but in the greater or smaller corruption for the one is a waye to the other We wyl declare after oure power the cure of these three dyseases whych is accomplyshed by three intentions The fyrste is the ordynaunce of lyfe The seconde to purge the mater antecedent The thyrde is to take awaye the matter conioyncte and corrupte and to kepe the hole partes from corruption The fyrste intention that is to saye the dyaete is accomplyshed accordynge to that that is spoken in the chapitre of Herisipelas Thys one thynge I saye that in thys case the brothe of a chekyn wyth herbes as beetes laictuce borage buglosse cicoree is verye good The seconde intention shal be accomplyshed wyth cut tynge a veyne called commune or the lyuer vayne or some part ouer against the hurted place so that the strength and the age of the patient be consydered Digestiue Afterwarde the mater shal be digested wyth this syrupe taken warme in the mornynge â„ž of syrupe of vyneaygre called acetosus symplex of syrupe of the iuyce of endiuiae and of fumiterre ana â„¥ ss of water of fumiterre buglosse and hoppes ana â„¥ i. when the patient hath vsed this syrupe the space of foure dayes Purgation let hym take thys purgation minoratiue â„ž of cassia of diacatholichon ana â„¥ i. make a smale potion wyth a decoction of cordiall floures and frutes and put there vnto syrupe of violettes â„¥ i. and. ss Thys I I saye yf the dysease make truce wyth the patieÌ„t giue time to euacuat the mater After that he hath takeÌ„ the sayd minoratiue two dayes after it shall be good to euacuate the naughtye matter wyth thys potion â„ž of cassia fistula of diacatholicon ana Ê’ vi of an electuarye of roses after Mesue Ê’ ij make a small potion wyth the coÌ„mune decoction adde of tamarindes â„¥ i. ss of syrupe of violettes â„¥ i. The thyrde inteÌ„tion whych is to take awaye the matter antecedente and to kepe the place from rottynge is accomplyshed in this maner At the begynnynge when the place waxeth blacke then there is no better remedy then to scarifie the blacke place Leeches wyth sondrye scarifications and depe layenge leeches or bloodsuckers aboute the place corrupted And then to washe the place wyth lye wherin Lupines haue ben soddeÌ„ in good quaÌ„rite For as Galene Auicenne saye the vertue of them taketh away rooteth vp all cancrous vlceres And we haue often proued thys decoction in thys case and haue founde it good for the patientes wyth the application of vngueÌ„tuÌ„ Egyptiacum of our description washynge the vlceres wyth the sayd decoctioÌ„ The descriptioÌ„ of vnguentuÌ„ EgyptiacuÌ„ is after this sort â„ž of verde griece of roche alume of honye ana â„¥ .ij. of whyte vinaygre Vnguentum Egyptiacum of the
and with a decoction of mallowes make a styffe playstre adding in the ende of the decoction of oyle of roses of oyle of Camomil Ana ℥ ii of buttyre of cōmune oyle ana ℥ i. ss the yolkes of two egges put in whā the decoction shall be taken from the fyre This playstre is of good operation in appaysing griefe in drawing mater to the incision or opened place and suffreth not the sides therof to be rawe After digestion ye must mundifye the place and so incarne it and seale it vp after the doctryne declared in the Chaptre of Flegmon whervnto resorte as the case shall requyre ¶ The xxii Chapter of Frōcles and of theyr cure A Froncle is a lytle Aposteme A Froncle engendred of grosse bloude causyng griefe whan it cometh to maturation and it is with pulsation hauynge the accidentes lyke to the accidentes of Flegmon Neuerthelesse it hath one signe that is not in Flegmō and that is that there issueth out of it without openyng a grosse mattier lyke a rotten synnowe ☜ Note that yf a froncie be not spedelye remedyed it wyll be chaunged into a carbuncle To the cure of a Froncle there belonge thre intentions The fyrste is to ordre diete The seconde to purge the mattier antecedente The thyrde to take awaye the mattier conioynct The fyrst and seconde intention ben accomplysshed after the doctrine declared in the Chaptre of the cure of Flegmon The thyrd intentiō which is to take away the mattier cōioynct is accomplysshed by application of medicines maturatyue For this aposteme commeth euer to maturation and neuer to resolution A maturatyue This is the fourme of a good maturatyue Take of the rotes of white lyllyes ℥ vi of the rotes of tendre buglosse ℥ ii of mallowes vyolettes an̄ m̄ i. whan they bene soddē presse out the water and stāpe them and afterwarde in the decoction of the foresayde thynges make a styffe plaister at the fyre with the floure of wheat barly addyng in the ende of the decoctiō of buttyre ℥ ii of swete oyle ℥ iiii of swynes grece ℥ ii and ss the yolkes of two egges of saffran ℈ i. thā mēgle them with the foresayde thinges stamped and laye it to after the maner of an hote Playstre whan ye chaunge this playstre laye vpon the sore this liquide Cataplasma ℞ of the foresayde decoction li. iii. of the floure of barly It is ℥ i ss in the Frenche and wheate ana ʒ i. ss of cōmune oyle of buttyre of swynes grece melted ana ℥ ii wyth the yolkes of foure egges let them seeth all togyther except the yolkes of the egges to the consūptiō of the fourth parte than put to the sayd yolkes of egges This cataplasma is very euaporatyue it muste be applyed hote with cloutes steped in the sayd decoction It helpeth maturation and procureth the mattier to issue oute and appayseth the payne whan ye perceyue that the froncle is come to maturation and that the grosse matter is purged that with the fornamed plaistre it is good to ayde digestyon Amfidificatiue laying a lytle pece vpō the openyng of the froncle of this abstersiue ℞ of clere terebentine ℥ ii and. ss of hony of roses ℥ i. of the iuce of smalage ʒ vi Let them seeth al togyther vnto the consumption of the iuce thā put to of the floure of barly wheate and veanes an̄ ℥ ii and. ss of saffron ℈ ss the yolke of a newe layed egge This mundificatyue with the plaistre aboue named is verye good to purge grosse matter engendred in froncles After that the grefe is apppaised and the inflāmation hath ceased so that the grosse matter be somewhat purged perfectly to heale the froncle vse this oyntment An oyntmēt ℞ of whyte Diaquilon without gūmes ℥ ii of clere terebentyne of swynes grece ana ℥ ii ss of litarge of golde and syluer of minium ana ʒ ss of Cerusse ℥ i. of oyle of roses ℥ i. and. ss sturre them about at the fyre and make a cerote adding of white waxe asmoch as shal suffice A sygne of perfect decoction is whā the oyntment receyueth a blacke colour This is our shorte curation of froncles which we haue oft proued with good lucke Thus we ende the fyrst parte of the second boke for which god be praysed and thanked ¶ The seconde treatyse of the seconde boke of colde Apostemes in generall ¶ The fyrst Chaptre OF cold humours Apostemes are wont to chaunce in euery parte of mans bodye Symple◠colde apostemes of sondry qualities and quantityes aswell in composition as in symplycitie Symple colde Apostemes bene these glādules or kernelles scrofules nodys or knobbes sephiros vndimies a canker wyndy apostemes and full of water Neuertheles some of these through adustion bene made compounde as it chaunceth in a canker and in sephiros Some of these also are made compounde throughe the admixtiō of humours as it chaūceth in Vndimia These harde Apostemes scrophules glandules bene engendred of gros steame or of indurated melancholy Sometymes certayne colde Apostemes ben engendred of subtyle matter as vndimious Apostemes Sometyme an imposteme is engendred of subtyle watrye fleame as the hydropsye Sometyme of vaporous fleame a wyndye aposteme is engendred And oftentymes in the bodyes of chyldren there is engendred a kynde of colde exitures in whyche mattier is founde lyke the iuce of floure tempred wyth water And oftentymes it produceth quytture without payne and without pulsation of the place and without chaungyng of the place frō his proprecolour whiche thynge is agaynste Auicenna sayinge be ye assured that oute of an Aposteme in the exterior partes in which there is no pulsation neuer cōmeth any corruption But ye must vnderstande Auicenne of hote Apostemes and not of colde For as we sayde before we haue sene many colde apostemes vtterynge quytture or fylthe withoute payne and pulsation Of whiche one after an other we wyl speake in this present Chaptre ¶ The seconde Chaptre of Vndimia Vndimia VNdimia as Galene wytnesseth is a Flegmatyke apostem of white colour softe in felynge withoute heate chefelye whan it is pure How this aposteme is compounde it is suffycientlye declared in the chaptre of Flegmonyke Apostemes A true and symple Aposteme called Vndimia is engendred of naturall fleame whiche as Auicenne declareth in the chaptre of humours is nothyng els but bloude vnperfectlye decocted this Aposteme is wyth lytle payne chefelye whan it cōmeth of a cause antecedent Sometymes after Auicenne this Aposteme is engēdred of a cause Primitiue and than it is not without payne howbeit vndimia cōmeth not ofte of a cause prymitiue The reason is bycause the humours that resort to the hurted placebe not colde but hote For nature sendeth bloude or cholere and spirytes as seruitoures to succour the hurted place Of whiche humours an hote Aposteme is engendred Note that the truest sygne of simple Vndimia is Signe of Vndimia yf
whan ye presse it downe with your fynger a concauitie or holownesse remayneth whych thynge foloweth not in an Aposteme eleuated that is engendred of grosse vapours and flegmatyke and than that vndimia is of the kynde of eleuation that is to saye of the kynde of wyndye apostemes by eleuation Vndimia is coÌ„menty resolued This Aposteme for the most part is ended by the waye of resolution coÌ„meth not often to suppuration yf the patient be wel haÌ„dled as we wyl declare in the Chaptre folowynge This Aposteme hath four tymes begynnyng encrease state and declination And it is engendred of a cause primitiue antecedent and conioynct The primitiue cause is a fal a stroke euyll regiment The cause antecedeÌ„t is repletion of flegmatyke humours The cause conioynct is a flegmatyke humour gathered to the place of the Aposteme ¶ The .iii. Chapter of the cure of Vndimia The cure of Vndimia THe cure of a softe Aposteme called Vndimia which is engendred of fleame hath four intentions The first is accomplisshed by gouernaunce of diete The seconde by purgation of mattier antecedent The thyrde by resolution of mattier conioynct and for the most part as we haue sayd it endeth by the way of resolution as olde and newe doctours testifye so that conuenient thynges be layed to The fourth intention is accomplyshed by correction of the accidentes The fyrst intentioÌ„ which is to ordre diete is accomplysshed by the administration of the syxe thynges not naturall as is the ayre meates drinkes and other Diete The meates must enclyne to hotenesse and drynesse and therfore the patient must eate muttoÌ„ rather rosted than boyled and also veale capons hennes byrdes of the woode and not of ryuers his wyne must be claret delaied or white wine of good odoure And as I sayde the meates which the pacient must vse muste be somewhat bendynge to hotenesse as Ryse sodden wyth the broth of flesh or grated breed with the broth of the sayde flesh Al kyndes of poulse as beanes peasen c. must be auoyded and lykewyse rotes except carat rootes fenel and parselye rootes which ben admytted in this case The seconde intention which is to digest the mattier antecedent and after digestion to purge it Syrupe is thus accomplyshed Fyrste let the mattier be digested with this syrupe â„ž of syrupe of the iuce of endyue of oximell composituÌ„ of syrupe de duabus radicibus anÌ„ â„¥ ss of the water of fenell scabiouse and cicorie Ana â„¥ i. meÌ„gle them After that he hath vsed this sirupe the space of foure dayes Purgatyon lette hym be purged with this purgation â„ž of Cassia Diacatholicon an Ê’ vi of electuarii indi maioris diafinicon ana Ê’ i. and. ss make a small potion with the coÌ„mune decoction addyng â„¥ i. ss of syrupe of viol Pilles Also to this inteÌ„tioÌ„ ye may vse pilles of hermodactiles or called pil fetide The dosis or gyuing of them is Ê’ i. somtimes ye maye take afore dynner a morsell of pure Casia or ye may make suche pylles â„ž of agaryke in trosisques of pylles called fetide et aggregatiue Ana. ℈ i. make .v. pylles wyth the water of fenell These pylles muste be taken at one tyme. The thyrde intention which is to take awaye the matter conioynct is accomplysshed by mynystryng thynges conuenyent vpon the aposteme Yf the vndimia procede of a cause antecedent without payne coÌ„mixtion of an hote humour it auayleth moch in the fyrst dayes to laye this oyntement vpon it â„ž of the oyle of camomyl dyll of mixte and roses AnÌ„ â„¥ ii Oyntement of the nuttes of cipres of wormwod camomylle dyll of squinantuÌ„ sticados ana mÌ„ ss Let the thynges that be to be brayed be brayed after a grosse maner than let them seethe with a suffucyent quaÌ„tite of wyne of good odour vnto the consumtion of halfe the wyne than strayne them and let the straynyng boyle agayne wyth the foresayde oyles and a lytle vynegre vnto the consumptioÌ„ of the hole sâ—raynynge This done make a linimeÌ„t with suffycyent whyte waxe adding in the ende of litarge of golde and syluer ana â„¥ iii. of bole armenie â„¥ i. ss Note that before ye applye this oyntmente it shal be good to wasshe the place wyth thys decoction that foloweth after foure dayes of the begynnynge of the Aposteme â„ž of camomyll roses myrtil wormewood sticados mÌ„ i. and. ss of squinantium sauyn rosemary ana a lytle of salt of roche aluÌ„me ana â„¥ i. and. ss of honye â„¥ iii. These sayde thynges muste seeth with a suffycyent quantitye of lye made wyth okeasshes and a lyttle vynegre vnto the consumption of the thyrde parte These two foresayde remedyes maye begynne after the begynnynge vnto the encrease ☞ Moreouer yf ye adde a lytle branne and fresh sope in the sayde decoction it shal be verye good in the state and declinatioÌ„ of this aposteme we haue moreouer proued it good to take a sponge A sponge to dyppe it in the sayde decoction and bynde it vpon the Aposteme with a large bande so that it embrace the hole aposteme AuiceÌ„ne sayeth that in the sponge there is a vertue resolutyue and deficatyue which two thynges bene requyred in the cure of this aposteme An oyntmeÌ„t An other stronger vnction â„ž of the oyle of dyll camomyl and lyllyes anÌ„ â„¥ ii of the oyle of rue â„¥ i. of the nuttes of cypresse in noÌ„bre .iii. of sauine Ê’ iii. of cyperus Ê’ i. of quenched lyme â„¥ vi of roche alume Ê’ i. and. ss of wyne of good odoure one cyath of whyte vynegre Ê’ i. stampe the thynges that beÌ„ to be stamped after a grosse maner than let them seeth togyther vnto the consumption of the wyne and than strayne them and adde to the straynynge of whyte waxe as moche as shall suflyce of Litarge of golde of Bolearmenye Ana â„¥ i. mengle them Yf it chaunce that the Vndimia is wyth grefe ye must consydre whether it be engendred of a cause Prymityue or antecedent Yf it procede of a cause primityue ye must laye to somewhat that appayseth payne and resolueth mattier wyth exiccation as this playstre folowynge â„ž of the floure of beanes barleye and lentyles A playstre of branne well boulted Ana .li. ss wyth suffycyent new wyne and a fewe greate Mallowes make a sâ—yffe Playstre at the fyre addynge in the ende of the decoction of Oyle of Roses Camomylle and of Oyle Myrtyne Ana â„¥ ii and. ss Thys Playstre hath vertu to swage griefe wyth resolution and exicration and comforteth the Apostemed place An other Playstre for the same intention â„ž of the rootes of greate Mallowes .li. ii seeth them in water and strayne them and lette that that is strayned seethe agayne and adde in the ende of Oyle of Mirte of oyle of Camomylle Ana â„¥ ii of whyte waxe â„¥ ii and. ss of Beane floure boulted of Barly floure Ana â„¥ i. and ss mengle them Of these foresayde make
of the fleame vaporethe out and the grosse remayneth of that knobbes beÌ„ engeÌ„dred The cause conioyncte is the mattyer gathered and conteyned in the place Note that ye nede not to care gretly for names so that ye haue true curations ¶ The .v. chapitre of the cure of nodes or knobbes The cure of nodes THe cure of nodes hath three intentioÌ„s The fyrst is the ordinauÌ„ce of diete that a good humour maye be engendred and the euyll destroyed The seconde is purgation of the mattier antecedent The thyrde is to take awaye the mattyer conioyncte Diete As touchyng the first they that haue nodes muste eate mutton rosted and veale and hennes pertriche and faysantes euer rather rosted thaÌ„ boylled And in the brothe of the sayde flesshe ye maye seeth persley fenel ryse and grated breade The patyente muste obstayne frome all poulses called in Latyne Legumina Lykewyse al disshes made of paest ought to be auoyded Lette not the wyne be sharpe but of good odour and moderatly delaied The seconde intentyon whyche is to purge the mattier antecedent is thys accomplisshed as it foloweth Fyrste lette the mattier be digeste by vsynge certayne dayes thys digestyue â„ž of Oximellis simplex of Syrupe dede duabus radicibus of honye of Roses Ê’ vj. of the waters of fenel cicoree and Fumiterre Ana â„¥ j. mengle After that he hath vsed thys digestyue thre or foure daies lette him take this purgatyon â„ž of Diacatholicon â„¥ j. of electuary indi maioris of Diafinicon Ana Ê’ ij make a shorte potion wyth the commune decoction addyng of Syrupe of violettes â„¥ j. and. ss It is good also to take euery daye a litle of thys confectyon â„ž of Diacatholicon â„¥ j. of honye of roses Ê’ x. of Diaturbit â„¥ ss of Agarike in Trocisques Ê’ j. of suggre asmuche as shall suffyce make a confectyon addynge a lytle Gynger The thyrde intentyon whych is to take awaye the mattyer conioynte is accomplished by one of the foure meanes vndre wrytten The fyrste is by waye of resolutyon The seconde by pressyng made wyth a place of leade and conuenient byndynge The thyrd is by incisyon The fourthe is by applicatyon of some caustique medicyne vpon the nodes The node Melline is that Mellyne that produceth a quytture lyke honye and ye must mollifye the place and laie vpon it a playstere of Diaquilon magnum Oftentymes it is holy resolued in laiynge vpon the place plates of leade wyth good coÌ„pression and conuenient ligation or byndyng as we haue said before After that the nodes ben mollifyed it is good to assaye to breake the sayd nodes pressyng your thombe vpon them For the resolutyon of nodes Melline folowethe oftentymes the breakynge of the blader called Cistis If the sayde nodes canne not be resolued Incisyon it is necessarye to cutte them after longytude or lengthe and that warely lest the skynne whych is lyke a purse be cutte For yf it be possyble ye muste drawe it out hole wyth the mattyer that is in it For whan anye parte of that remaynethe the node wyll returne Wherfore it is necessarye to fylle the node whan it is opened wyth Vnguentum Egyptiacum of oure descriptyoÌ„ or in the stede of thys oyntment ye shall putte in of a trocisque of Minium the quantyte of a grayne of Pinapple and it shall take awaye the hole node wyth the skynne called Cistis After thys ye muste procure that the eschare falle of wyth buttyre or wyth a digestyue made of Terebentyne Afterwarde the place muste be mundifyed incarned and cicatrised as we haue often sayde in the Chapytre before The same cure maye be vsed in nodes in whyche there is a mattyere lyke a chawed chestnutte and also in them whiche ben fylled with sanious or fylthie mattyer Fleschie node But for fleschie and knottie nodes we haue another curatyon In the curatyon of a fleschie node after a purgatyon and good regiment as we haue shewed we muste comme to the rootynge vp of the same wyth some caustique Medicyne In thys case the descryptyon of the caustyque folowynge is verye good A caustyque Medicyne Take a pounde of Capitell or of lye wherewyth sope is made of that that is called Magistra and droppethe fyrst in to the vessel of Vitriol Romayne or coppresse Ê’ j. of sal Armoniake Ê’ ij of roche alume Ê’ j. and. ss boyle thyes thynges together in a lytle brasen posnette tyll they ben as thycke as salt The maner of appliynge thys caustique we wyll declare hereafter as we haue proued it the yeare of oure Lorde M. CCCCC vj. in the curatyon of suche a fleschie node that Iulye ij had aboute the greatnes of a chestnutte in hys ryght hande betwene the rynge fynger and the lytle fynger That node was harde at the begynnynge and of a rounde fygure and of a duskysche coloure And it contynued .vj. monethes without payne or encresment and wythout the applycatyon of anye medicyne But in the ende whan the Bischoppe toke hys iorney to Bononye in the citie of Castellane the sayde node beganne to vlcer of hym selfe and nothynge issued out but blacke bloode wyth virulente or venymous mattyer The frenche poxe was homelye with the moste holye Father And by reason of iorneyinge we differred and palliated the cure tyll we came to Foroluue nether could we so haÌ„dle the node but that it came to a paynfull vlceratyon and augmentatyon of carnosyte vnto the bygnes of a great chest nut Than we beganne the rootynge vp of the node in thys maner Firste we applyed Vnguentum EgyptiacuÌ„ whyche of hys vertue gnaweth euyll flesche and conseruethe the good as Auicenna testifyeth Howbeit that oyntment coulde not take awaye the superfluous flesche of the node but caused greate payne and asmuche as the oyntment toke away in one day nature restored in another And he feared the application of the oyntmeÌ„t bycause of the payne Whan I perceaued that hys holynes could not endure the medicine I beganne to despeare of the cure and of necessyte souÈt some new remedye to auoyde the daunger of the sinnowie place At the last I ordayned thys remedye whych is of our inuentyon A goodlye lynte ☜ Take of fyne lynte of olde cloth â„¥ ij of the cromes of whyte breade well leuened â„¥ iij. of sublymate brought to a fyne poudre â„¥ ss of water of plantayne of water of Roses of eche a pounde seethe them in a brasen vessel to the consumptyon of two partes of the three Than presse the lynte and lette it drye in an ouem metely hote and toose it agayne and kepe it iÌ„ a boxe of wood wel stopped With this remedie we healed the sayd carnosyte of the node perfectly in the space of a monethe wythout greate payne whyche thynge the chirurgieÌ„s of Iulius merueyled at and cheyfely mayster Archangel which wolde not coÌ„sente to take away the sayd node by incisyon allegynge the texte of Auicenne whyche sayeth that
done in the decoction of holyhocke wyth the floure of wheate fenugreke lynsede make a playster at the fyer adding in the ende the yolkes of .ij. egges These thynges wel incorporated helpe meruaylously to the maturation of scrophules Ye muste vse thys playster a great whyle before ye open the scrophules that all the matter may be turned into quitture and be purged by the openynge When they ben rype ye muste open them with a caustique medicine made of capitell after the doctrine wrytten in the chapitre of nodes Or ye maye open them with a croked laūcette called gāmauth or wyth fyer so that it be done wtout hurte of the synnowes or veynes After the openyng for the mūdifycation the dygestion incarnation cicatrisation of the place it is conuenient to do accordynge to that that is declared in the chapitre of the cure of nodes The fourth intention whych is to take away the matter cōioynct by hādy operatiō is accōplished as it foloweth Yf ye perceyue that scrophules or glādules can not be healed by the waye of resolution nor by thinges maturatiue come to maturation ye muste vse handy operatiō to attayne to the true cure But ye muste beware that ye cutte not the greate vaynes Cutte the scrophules wysely accordinge to the lēgthe Incision begynnynge at one ende and goyng to the other and cutte the skynne aboue tyll ye come to the carnosite of the sayd scrophules and glandules Thē draw them out with your nailes or with some conuenient instrument rootes and all To whych busynes there nedeth an expert chirurgien Furthermore ye must know that when the scrophules ben in places nygh to greate veynes that they ben fixed in them as in the necke vndre the iawes it is beste not to meddle wyth them For it is a diuine thynge not of man to heale them as the French kynge in touchyng only dyd heale thē Thys is in the Frenche onely For after that he hadde touched them they dryed came to good cicatrisatiō After that ye haue plucked them vp by the rootes ioyne the partes together in a lowe place euer leauynge a lytle conduycte or hole beneth then heale them vp after the cure of freshe woūdes Thus we haue healed many to our worshyppe and profyte of the patiētes The curation is after thys forme we dyd laye to a dygestiue foure dayes then we mundifyed it after mundification we vsed an abstersiue of honye of roses fynally we fylled it vp wyth vnguentum de minio Yf it chaunced that there remayned in the place any part of the scrophules then we vsed for the extirpation of the same our pouldre precipitate or vnguētum Egyptiacum of our dyscription or we dyd put in the place a grayne of arsnike or of sublimate betwene the superfluous fleshe The maner to applye thys remedye is thys cutte the scrophule well nyghe to the mydle or els vnto the roote wyth a sharpe instrumēt as wyth a laūcette or a prouuet and in the hole put the quātite of a wheate graine of arsnike or of sublimate or of a trocisque of minium and renue the sayd remedyes as nede shall requyre These ben the remedyes that we wolde wryte for the cure of scrophules and glandules ¶ The .viij. of an Aposteme sclirotike or harde called Sephiros Aposteme sclirotyke IN the former chapitre we haue declared the cure of scrophules glandules lyke eminences now we speke of an aposteme called Sephiros Sephiros as Auicēne sayeth is an harde aposteme wythout payne chefly when he is pure He is pure as the sayd doctour testifyeth when there is nether payne nor felynge adioyned to hym But when it is wyth felynge Sephiros vnpure or payne it is called Sephiros vnpure So then there ben two kindes namely pure not pure A Sephiros not pure is of two kyndes cankreous and not cankreous Not cācrous Sephiros not cākreous is double that is to say that it is some tymes mēgled wyth some other kynde of an aposteme as Herisipelas or flegmon and then necessarely it causeth payne And it is more easely cured by the waye of resolution then the other And it hath felynge and causeth grefe when it is touched and when it is not touched and it is not cankreous whyche is agaynst the opinion of Dinus sayenge that an aposteme that hath payne and felynge by hym selfe or by accident is cankreous There is yet another kinde of an aposteme not pure and not cankreous hauynge felynge when it is touched And thys kynde of Sephiros receaueth curation by the waye of resolution and neuertheles it is wyth dyfficultie Moreouer ther is another not pure and cankreous of whych these ben the sygnes pryckynge beatynge and enflamynge payne Sygnes and it hath roūde about it certayne lytle veynes full of melancholyke bloode To verifye that that we haue sayde Auicenne sayeth some tymes Sephiros is cankered c. The approchynge of Sephiros wyth a canker is knowen by the inflāmation and pulsation and by the appearaūce of veines that ben about Rasis testifyeth thys thynge sayenge as ofte as ye fynde the accidentes of an hote aposteme as payne inflammation and pulsation then ye maye iudge that the aposteme is of the kynde of cākers Thus it appeareth that Sephiros called cankreous muste haue the forsayde accidentes as inflammation c. Auicenne sayeth that Cancer Sephiros ben so lyke together that they dyfferre not but onely in the accidētes and they are caused of one matter There ben fyue thynges Cancer and Sephiros dyfferre in whych Cancer dyffereth from Sephiros namelye pulsation inflammation pryckynge sharpe payne and appearaunce of veynes And therfore when Sephiros is not wel cured it commeth easely to a canker For as Aristotle sayeth thynges that ben of suche affinite passe easelye the one to thother Thys aposteme is engendred of grosse fleame it is of a whytyshe coloure Sometymes it is engendred of naturall melancholye and then the coloure is palyshe or blewysh Sometymes of two colde humours that is of fleame and melācholy and then the coloure is betwene whyte and blewe We haue sufficientlye shewed howe apostemes ben compounde There are thre causes that induce sephiros primitiue antecedent conioyncte The primitiue is a dyete that engendreth fleame and melancholye The cause antecedent is a multitude of euyl humours gathered in the body The conioynt is the sayde humour melancholyke or flegmatyke gathered in the place of the aposteme Thus we ende thys chapitre concernynge the cōtemplation of Sephiros for whyche the name of god be praysed ¶ The .ix. chapitre of the cure of Sephiros The cure of Sephiros IN the former chapitre we haue declared what an aposteme sclyrotyke is and what bene the kindes of the same In thys presēt chapitre we wyll speake of the cure of Sephiros whych hath foure intentions The fyrst is to ordre dyete The secōde is to dygeste the matter antecedente
poudre of mercurie or quick syluer which is of excellent operatioÌ„ and byteth away all maligne super fluous and corrosiue flesshe and the lippes or bourders of the vlcer which ben harde and shellye wythout anye payne of the patient That that I saye of this pouldre semeth incredible bycause we fynde in no writers of corrosiue medicines that saye that there is any corrosiue medicyne whyche maye take awaye superfluous flesshe wythout payne Neuerthelesse this pouldre doth so of whyche we wyll speake in our antidotarie by the grace of god in the Chaptre of medicines corrosiues Thus endeth the doctryne of thys Chaptre for which the name of god be blessed ¶ The .xii Chaptre of wyndie Apostemes OF a Flegmaryke melaÌ„cholike humour Wâ—ndye Apostemes there is engendred a grosse ventosite or windinesse which being meÌ„gled with Flegmatike moysture engendreth a wyndye aposteme by eleuatioÌ„ which Aposteme as Auicene sayeth is like a softe Aposteme that is to saye to Vndimia And bycause it is lyke vndimia it is cured after the cure of vndimia and it is knowen by the sygnes of vndimia wrytten in the chaptre of the same Aposteme Amonge other signes this is one that yf ye presse your fynger vpon it ther remayneth an holownesse in the place as in vndimia but not so gret whan any membre commeth to this Aposteme throughe grosse vapours onely Auicenne calleth it a wyndye Aposteme by inflation And the sygnes bene these whan ye presse your fynger vpon thys wyndy Aposteme suche holownesse is not caused as in Vndimia but whan ye touche it it dryueth backe the fynger and the holownesse doth not continue as in the other The reason is that in Vndimia there is no ventositie or wyndinesse And in this the ventositie is gathered into one place which refuseth the pressynge of the fynger as whan a maÌ„ toucheth a blader ful of winde And therfore AuiceÌ„ne sayeth that it goeth and commeth by courses And sometyme bycause of the multitude of the wyndye mattier and by cause of the place in which this mattier maye be easely assembled whan the matter is touched it souneth like a taborette and therefore Auicenne sayeth trewlye that it resysteth the preassynge or strykyng of the hande and chiefly whan thys ventosite fyndeth space in whych it may be gathered in great quantitie it exteÌ„deth the place and souÌ„deth whaÌ„ it is touched wherfore the sayde Auicenne hathe ryght wel declared the nature of this aposteme sayeng this soundynge is caused by some veÌ„tosite gathered together in some place apte to receaue the same Places apte to receaue wyâ—de as in the stomake the guttes and in the place that is betwene the pannicles whych compasse about the bones and betwene bones coÌ„passed aboute wyth lacertes For in all these places there is a certayne vacuitie or eÌ„ptie space in whych veÌ„tositie maye be assembled and moreouer in the roume whych is aboute the chordes Furthermore ther chauÌ„ceth somtymes so greate veÌ„tosite in certayne great ioinctures that often it maketh the ioinct to go out of hys place And thys veÌ„tosite abydeth in the place of the ioincte and it is not easely resolued whych thynge chaunceth by reason of his grossenes and by reason of the thycknes of the membre in which the veÌ„tosity is conteined and bicause the poores ben shutte And Auicenne sayth that it is not lyghtly resolued that it is enclosed betwene the ioinctures and thynneth and deuideth the membres conioyncte or knytte together and puttethe them oute of theyr propre places as we sayd before we haue often sene thys ventositie assembled in some place in so greate quantitie that whan a man thrusteth it downe pressynge one fynger lyftyng vp another he shal perceaue the sayd ventositye to heaue vp betwene hys fyngers as we perceaue the redoundynge of quytture in certayne apostemes we haue sene thys thing to haue chauÌ„ced in cankreous sephiros and in windy apostemes by the inflation of great ioinctes Auicenne declareth the forsayd signes in the cha of a wyndy aposteme and saith moreouer that a man thinketh oftentymes that he hathe an aposteme vpon some membre as vpoÌ„ the knee that nedeth to be persed but whan it is persed nothyng commeth out sauynge wynde wherfore in such case make no insition wtout good coÌ„syderation leste ye be deceaued as other haue bene Thus we ende thys present chapiter for whych the name of God be praysed ¶ The .xiii. chapi of the cure of a wyndye aposteme by inflation WE haue sufficientlye declared in the former chapiter The cause of windie apostemes what wyndye apostemes bene in thys presente Chapiter we wyl speake of the cure therof whyche conteyneth .iiii. intentions The fyrst is to ordre diete that the euyl humoure maye be distroyed and a good engendred The seconde intention is partely to digest the mattier antecedente partly to coÌ„sume the same The third to purge the mattier beyng digested The fourth to correct the accidentes The fyrst whyche is to ordre diete is accomplyshed by the thynges wrytteÌ„ in the cha of vndimia Syrupe The seconde whyche is to digest the mattier is accomplyshed by vsyng thys syrupe the space of a weke R. of syrupe de duabus radicibus of hony of roses anÌ„ Ê’ vi of the water of fenell mayden heare and scabiouse ana â„¥ i. After that he hathe vsed thys syrupe the space of a weke lette him be purged wyth thys purgation R. of diacatholicon â„¥ i. Purgation of diaphenicon â„¥ ss make a small potion wyth the water of fenel fumiterre addyng of diacyminuÌ„ Ê’ ss It is good also to giue the patient a lytle triacle wyth a lytle Diaciminum so that he faste seuen houres after And forasmuche as thys ventosite is engendred by the errour of the vertue digestiue it is good to coÌ„fort the vertue digestyue with aromatyke spices of diacyminuÌ„ and diacalamentuÌ„ or wyth thys dredge whyche takethe awaye ventositie â„ž of Cumine carwaies A dredge pouder Anise fenell of the beryes of laurell ana â„¥ ss of liqueritie of GalaÌ„gale of whyte ginger anÌ„ Ê’ ii of long pepper of cubebes of cloues of the sede of rue ana Ê’ i. of anise of swete fenell of coriandre anÌ„ Ê’ i. ss of sugre tabarzet .li. ii of cynamome Ê’ v. poudre those that maye be poudred and make a dredge of al and take a sponefull at ones with a lytle wyne of good odour we haue found thys dredge to be of good operation in consumynge ventosities chieflye those that ben in the stomake and in the bellie Note also that the purgation aboue wrytten is ryght conuenient in thys case for it purgeth mattier that chauÌ„geth it selfe into veÌ„tositie Or ye may purge the patient wyth some other solutiue as it shal seme good to you after the strength of the patiente and of the place in whyche such ventosite is engendred so that ye coÌ„fort the strength of the membre wherin the ventolite is founde chieflye yf it be
breath For the mitigation of payne it is moste expedient to administre a gargarisme made of hote cowes mylke of syrupe of popie and a lytle oyle of violets and a lytle saffraÌ„ Let the patieÌ„t gargaryse the sayd coÌ„position beynge actually hote Also the application of ventoses vndre the chinne is good after the opinioÌ„ of Celsus for it kepeth a man from suffocation bycause it draweth the matter to the outwarde partes To the same intention many doctours coÌ„maunde to applye a ventose vpon the necke wythout scarification We suppose the foresayd medicines to be sufficieÌ„t for the cure of thys daungerous dysease for whyche God be thanked ¶ The .xviij. chapitre of apostemes of the necke and of the throte and theyr partes THere are often apostemes engendred in the necke Apostemes of the throte necke c. or in the throte of catarrhous matter beynge colde or meÌ„gled And lykewyse of hote matter in chyldren by reason of the coÌ„munite that the necke hath wyth the head Thys aposteme coÌ„meth somtymes by rupture or breakyng by an hard crust or shelly scabbe that chaunceth in chyldreÌ„s heades or by some stripe or wouÌ„d And it groweth in shorte tyme to maturation or resolution The sygnes of thys aposteme may easely be knowen by the doctrine of the vniuersall chapiters Sygnes The curation of these apostemes obseruation of general rules and purgation of the bellye presupposed is accomplyshed by the administration of conuenient remedyes accordynge to the place At the begynnynge wheÌ„ the matter is mengled and the aposteme harde you shall rubbe the aposteme wyth oyle of camomill beynge hote and wyth oyle of lillyes and hennes grese and duckes grese layenge it vpoÌ„ vnwashen woulle well toosed taken from betwene the legges of a shepe Yf the matter be hote rubbe the place with oyle of roses and violettes beynge hote and wyth oyle of camomill and hennes grese applyenge it as it is sayde before Yf thys aposteme chaunce in chyldrens neckes thoroughe the foresayde causes it shal be conuenient onlye to anoynte the place wyth oyle of roses violettes beynge actually hote And yf the sayd aposteme come to the waye of resolution A playster resolutiue then ye shall procede wyth a gentle resolution as is thys playster folowyng â„ž of the crommes of breade steped in the decoction of mallowes camomill melilote holihocke aboute .li. i. then bruse well the breade incorporate it wyth the foresayd decoction and seeth it at the fyer wyth oyle of camomil of roses and a lytle buttyr vnto a styffe thycknes addynge in the ende the yolkes of two egges of saffraÌ„ ℈ i. whyche done take it forthwyth froÌ„ the fyer Thys playster resolueth the sayd aposteme and resysteth not the maturation of the same Yf it come to maturitye ye shall helpe the rypynge wyth such thinges as are declared in the chapitre of the cure of Flegmon In whyche we haue taught the maner of makynge incision from the heade to the feete Item for digestion mundifycation incarnation and sygillation you muste procede as it is wrytten in the chapitre of flegmoÌ„ A maturatiue Neuertheles we wyl descrybe here a maturatiue playster whych is after thys forme â„ž of the leaues of mallowes and violettes of euery one mÌ„ i. of whyte lillye â—ootes â„¥ iij. Seeth the thynges in the broth of an heÌ„ne or of fleshe not salted wyth the crommes of bread steped in the sayd decoction and afterwarde pressed and strayned So make a playster wyth freshe buttyre in suffycient quantitie and commune oyle Seeth them vntyll they be thycke addynge in the ende two yolkes of egges and settynge them agayne vpon the fyer al together and make a playster This playster is of ryght good effecte for maturation and resysteth not resolution Yf the aposteme be catarrhous and hote the cure is in maner all one touchynge maturation and resolution Yf the matter be mengled with grossenes and heate and the chirurgiens intention be to resolue then he maye vse thys resolutiue folowing Resolutiue â„ž of the rootes of holihocke sodden and strayned .li. ss of the oyle of camomill dille of euery one â„¥ ij of oyle of roses of duckes grese â„¥ i. of oyle of lillyes Ê’ x. of whyte diaquilon gummed â„¥ iij. ss of the marye of the legges of a cowe of a calfe ana Ê’ vi of cowes tallowe â„¥ iij. make a cerote at the fyer nether to harde nor to softe wyth sufficient whyte waxe Thys cecote resolueth merueylouslye all harde matter wythout drawynge of matter to the place To thys intention the playster of melilote is good lykewyse the playster of diaquilon magnum Howe beit they are not so muche wythout daunger of drawynge matter to the place But yf the aposteme come to suppuration ye shall procede wyth thys maturatiue â„ž of lillye rootes Maturatiue and Holyhocke rootes of euery one .li. ss Seethe them in water stampe them strayne them and then make a stiffe plaister at the fyer in the decoction wyth the floure of fenugreke lynsede and wheate of euery one as muche as shall suffyce addynge of buttyre of swynes grese melted of euery one â„¥ iij. and. ss the yolkes of two egges mengle them and wyth the forsayde straynynge incorporate them and make a playster When the aposteme is rype let it be opened and let it be digested thre or foure dayes afterwarde mundifye it wyth the mundifycatiue de apio or of smalage or with the mundifycatiue of syrupe of roses after our description After mundifycation vse an incarnatiue of honye of roses and sarcocoll bycause of the synnowes whyche are in the place Finally for other intentions yf it be nedefull resorte to the chapitre afore rehersed Note this that the quit ture muste not tarye longe in the aposteme bycause of the multitude of the synnowes veynes and lygamentes whych be in the place Thus we ende this chap. For which the name of God be praysed Amen ¶ Here endeth the thyrde treatyse and the fourth begynneth ¶ The fourth treatyse speaketh of the apostemes of womans brestes and it conteyneth foure chapiters of whyche the fyrste treateth of hote apostemes engendred in the dugges Hote apostemes in brestes THere is engeÌ„dred in a womans brestes an hote aposteme through sondrye causes sometymes of a primitiue cause by a stripe of the fyste or of a staffe or by to hard lasyng of theyr garmentes Sometymes of a cause antecedent that is to saye by to muche abouÌ„daunce of hote humours and by the curdynge of mylke and that for the moste parte The cure of an aposteme of the dugges caused by curdynge of the mylke obseruation of the vniuersall rules presupposed accordynge to necessitie shal be accoÌ„plyshed by the administration of mollifycatiue and resolutiue medicines hauynge for thys cause a lytle resolution that matter be not drawen to the place An aposteme of the dugges desyreth not repercussion bycause of the curdynge of mylke whyche is in the veynes Wherfore thynges euaporatiue and
oyle of camomyl and Roses ana ℥ ii and the yolkes of two egges Thys composition made in the forme of a plaistre and layed vpō the paynefull place swageth the payne and prepareth the matter to suppuration mūdificatiue After digestyon let the place be mundifyed with thys mundificatiue vnder wrytten chefely whan the Aposteme is aboute the nauyll ℞ of cleare terebentyne ʒ x. of Syrupe of roses ℥ ss the thyrde part of the yolke of a newe layed egge Let the syrupe of roses boyle wyth the terebentyne one boylyng and than adde the part of the foresayde egge a lytle barleye floure and a lytle saffran And for incarnation it is good to adde to the foresayde mundificatiue of sarcole ʒ ii of myr ℈ i. of frankensence ʒ ss whan incarnation is fynyshed seale vp the place wyth vnguentum de minio and wyth the water of decoction of alume spryncklynge often vpō it this stiptyke poudre A poudre ℞ of bole armenie of terra sigillata ana ʒ ss of roche alume burnt ʒ ss of floures of Pomegranades of Myrobalanes citrines fynely brayed ana ℈ ii mengle them and make a poudre Yf the Aposteme of the bellye becaused of a cold matter or mengled for the resolution and maturation ye shall procede after as it is declared in the Chapitre of Apostemes in the necke The rest of this curation shall be accomplysshed accordynge to that that is wrytten afore in this present Chapitre For whyche the name of God be praysed ¶ The .v. Chaptre Of the Apostemes of the flankes THe apostemes of the pryuye membres Apostemes of the flankes procede of one of these thre causes namelye of euyll complexion of vlceracyon of the yarde or vlceration of the extremities we wyll speake in the nexte Chapitre of an Aposteme caused in the sayde place after some longe fyeuer or by bloude of a wounde in the bellye dryuen of Nature to the flankes The foresayde Apostemes which waye so euer they come for the most parte they be caused of hote mattier which we haue euer healed as it foloweth Fyrst the obseruacion of the rules prescrybed in the Chapitre of flegmon touchynge Flebotomie and Purgation by the bellye presupposed we dyd annoynt the place with oyle of Camomyll hote with a lytle of oyle of Roses omphacine layeng vpon the place vnwasshed wolle taken from betwene the legges of a shepe To this intention and for greater resolution a playster made wyth the cromes of breade wyth oyle of camomille and a litle oyle of roses wyth a decoction of mallowes holihocke camomille and melilote Thys playster must be made at the fyre in a styffe forme It is of good operation in resoluynge A cerote mollificatiue Item to the same intention thys cerote mollificatyue and resolutyue that foloweth is of great efficacitie For bisydes the sayde properties it swageth payne R. of the rootes of holihocke li. ss of lillie rootes ℥ ii Lette thē be boyled together wyth the broth of fleshe vnsalted vnto perfecte decoction than stampe them and strayne them and set them on the fyre agayn addynge of oyle of camomille ℥ iiii of oyle of roses ℥ i. of hennes grese ʒ vi of vnttyre ℥ ss of calues grese of white diaquilon an̄ ℥ ii sette them agayne on the fyre and make a cerote in good forme Thys cerote mollifyeth and resolueth and swageth the payne and resisteth not maturation yf nature hath brought the aposteme to the waye of maturation A plaister Item to this intention the plaister folowyng is cōuenient Take wheat floure and barley floure and put thē in the foresayde decoction and boyle them tyll they be thycke addynge of oyle of camomill ℥ ii of oyle of roses ℥ i. of saffrā ℈ i. and the yolkes of two egges If the aposteme cānot be resolued but cometh to the waye of maturation than ye shall applye maturatyue thynges as the playster folowynge R. of the leaues of mallowes Maturatiue and violettes an̄ m̄ ii of the rootes of holihocke being cut according to breadth li. i. ss of white lillie rotes ℥ iiii thā let them boyle wyth water vntyl they be perfectly soddē afterwarde stampe thē all and in the decoction wyth the floure of wheate or barley if the mattier be very hote make a styffe playster at the fyre addyng of oyle of swete olyues of buttyre an̄ ℥ iii. of swynes grese ℥ ii ss the yolkes of two egges mengle them and incorporate them wyth the sayd decoction Note that ye must often make euaporation dippyng cloutes in the sayd decoction beynge hote For it appaiseth griefe and prepareth the mattier to maturation lykewyse ye maye vse the maturatyues wrytten in the cha of flegmon And whan the sayde aposteme is come to maturation ye shal make incision in the rypest and lowest place after the figure of a mone Incision accordinge to the breadth of the bellie After the incision putte in a tente rolled in the whyte and yolke of an egge mengled together Lette not that tente be to longe After thys make a digestyue wyth the oyle of roses and oyle omphacine the yolke of an egge chiefly whan the patient is of a choleryke cōplection whā the mattier is sharp But whan the place is not paynfull procede wyth terebentine the yolkes of egges and a lytle saffran After digestion whych is knowen by good quytture mundifye the place wyth a mundificatyue of syrupe of roses after our description whā the bodye is choleryke or with a mundificatyue of honie of roses yf the body be flegmatyke Note that a playster swaging payne may conueniently be applyed after the daye of incision tyl the thyrde or fourth daye folowyng whyche also hath vertue to resolue to molifye In this case we haue alwayes vsed thys playster A plaister swaging paine R. of the floure of barley and beanes an̄ ℥ iiii with a decoction of mallowes or violettes or els wyth fatte broth vnsalted Let them seeth tyll they be thycke than adde thervnto of oyle of camomill ℥ i. ss of oyle of roses ℥ i. the yolkes of two egges of saffran ℈ i. Thys playster is of good operation For it resolueth the mattier cōioyncte and appayseth griefe and prepareth the mattier to suppuration whan the payn after incision hath bene great and hath vexed sore the patiente by reason of the great sensibilitie of the place and bycause the mattier is sharpe so that it scorcheth the lippes or borders of the vlcere we haue bene constrayned in thys case to take awaye the tent and in stede therof to wasshe the place oftentymes in a daye wyth this lotion R. of cleane barley A lotion of roses an̄ m̄ i. of plantayne leaues m̄ ii of sumach of lentiles an̄ m̄ ss of the sede of quinces ʒ ss Let them boyle in sufficiente water vnto the cōsumption of halfe washe the place wyth this decoction for it taketh awaye the sharpnesse of the mattier and swageth the
the heade downeward Incisyon and let hym be tyed handes and fete and vnder the arme holes to the bench hys heade downewarde Returne the guttes wyth the stones into theyr places and let all the parte called pecten whych is aboute the priuie membres be shauen and cut the place of the pecten towarde the grynde so that the stone maye come out And yf there be any gutte wythin the conducte called didyme you muste putte it into hys place agayne wyth youre two fyngers And afterwarde tye the didyme enlargynge it a lytle wyth an instrumente made after the lykenesse of a cranes becke Then sewe it vp wyth cered threde as taylours sewe garmentes or els tye it wyth the sayde threede After that cutte the dydyme a fynger vnder the seame and incontinentlye cauterize the place wyth an actuall cauterie vnto the seame or knotte of the didyme exclusyuelye Then lette the fleshye place be cauterized and leaue the ende of the threede hangynge oute and also leaue an hole in the basse or lower part of the incisyon The reste of the curation muste be handeled accordynge to that that is taughte in the chapytre of solution of continuite Note that this cure muste not be practysed in them that haue a great cough nor in thē that begynne to waxe hole of some sycknesse nor in olde men cheifely yf they passe .lx. yeres nor in a tyme to hote or to cold Also the patientes fryndes muste be admonyshed of the daunger It is thā conuenient that this cure be enterprised in the spryngtyme or in the haruest Thus endeth c. ¶ The .viij. Chapitre of an Aposteme in the fundement Apostemes of the fundamēt THe Apostemes of the fundement ben engendred for the moste parte of the payne of hemorroydes and of corrupte and hote mattyere whyche is sent frome the membres nutritiue to the saide place and therfore they comme al most euer to suppuration The cure of this Aposteme is this After euacuation caused by medicyne laxatiue and by cuttynge the veyne called Basilica in the same syde whan the bodye is full of humours ye shall at the begynnyng laye vpon it thynges that ben nether to muche repercussiue nor to muche maturatiue For yf the thynges shulde be muche repercussyue it were to be feared leste the mattyere shulde be enclosed wythin though a purgation went before For thys Aposteme is not engendred by mattyer gathered together by lytle and lytle but as you wolde saye by deriuatyon Lykewyse to great maturation is to be feared For the place sone receauethe putrefaction wherefore thynges maturatyue beynge hote and moyste myght lyghtly further the same For thyes causes it is good to anoynte the place wyth Oyle of Roses omphacyne wyth Oyle of Camomyll and Oyle Mirtyne Afterwarde ye shal vse the whyte and the yolke of an Egge beaten together wyth Oyle of Violettes and vnguente of Roses and a lytle Saffran If the Aposteme comme to maturation Maturatiue than ye shall vse thys maturatiue ℞ of mallowe leaues M. j. of the rootes of Holyhock and whyte Lillies Ana ℥ iij. Seeth them all in a brothe or in rayne water stāpe thē and strayne them than in the decoction wyth wheate floure make a stiffe playster addynge of oyle of Violettes of freshe buttyre Ana ℥ ij Thys playster rypeth wythout drawynge of mattyer to the place and moreouer it swageth payne Whan the Aposteme is rype wythout lokynge or tariyng for perfecte rypenes make incisyon after the figure of a new moone And for the digestyon mundifycation incarnation sygillation Incision and cycatrisation ye shall procede after the doctryne declared in the former chapitres of hote Apostemes And bycause thys Aposteme engendreth often a fistula persynge and not persynge to the gutte called rectum bycause of hys greatnes or bycause of the malignyte of the mattyer or bycause the Chirurgien hathe bynne to slowe in the openynge of it For the cure of a fistula not persynge ye shall resorte to the Chapytre of a fistula and for a persynge fistula goe to the Chapytre of a Fistula of the fundement Thus endeth c. ¶ Here endeth the .vi. treatise ¶ Here folowethe the seuenthe treatise of the seconde boke whyche treatethe of Apostemes from the shulders vnto the handes ¶ The fyrste chapytre of Apostemes colde and hote mattury and not matturye engendred in the shuldres Apostemes in the shulders THe Apostemes whyche are engendred aboute the ioynctures muste be diligently cured by dyscrete Chirurgiens leste the synnowes be hurte and the membre leese hys mouyng After obseruation of the vniuersal rules concernynge purgation flebotomie and diete the cure at the begynnynge is accomplysshed by the application of locall remedyes as wyth oyle of roses Omphacine and wyth a decoction of grounde wormes for they conforte greatly synnowie places at the begynnynge Linimente Item this liniment folowynge is profytable at the begynnynge vnto augmentation ℞ of oyle of roses cōplete of oyle Omphacine Ana ℥ ij of oyle of Camomyll ʒ x. of grounde wormes washed wyth wyne ℥ j. and. ss of saffran ℈ j. of odoriferous wyne ℥ vi of Camomill of melilote of eche a lytle Lette them boyle all together vntyll the wyne be consumed than strayne them and make a liniment wyth suffycient whyte waxe You must rubbe the place wyth thys liniment and laye vpon it vnwasshed woulle taken from betwene the legges of a shepe And yf ye putte to this liniment of the rootes of Holyhocke sodden and strayned the quantytie of ℥ iiij it shal be verye good frome the begynnyng vnto the ende of augmentation in resoluyng and appaysyng payne If the Aposteme comme to maturation and is flegmonyke lette it be cured after the curation of sanguine Apostemes If it be engendred of mengled humours lette it be cured accordynge to the commixtion of the same If it be Coleryke lette it be cured wyth the cure of a Coleryke Aposteme Merueyle not good reader that for the accomplysshement of some intentyon I sende you from one chapytre to another for one Chapytre aydethe another and I doe it to auoyde manye wordes and hereby ye shall haue an occasyon to reade sondrye chapytres and to lerne by that meane thynges whyche other wyse perchaūce you wold not haue sought for After that the place is comme to maturation Intisyon ye shall open it wythout lokynge for perfecte rypenes so that it be not to grene nether muste the incisyon be to depe that the synnowes be not touched After incisyon lette the place be digested wyth a dygestyue of terebentyne and of the yolkes of Egges addynge of the oyle of Hypericon ℥ ss For the other intentions ye maye procede by the remedyes wrytten in the chapytre of solution of continuite of synnowes Neuertheles we wil adde some profytable thynge for the cure of thys Aposteme whyche is that from the daye of incysyon vnto perfecte digestion this playster be applyed ℞ of the leaues of mallowes of the leaues and
a playster .. Thys defensyue as it appeareth by the ingredieÌ„tes hath vertue to conforte the place and to kepe it from receauynge mattier antecedente and moreouer it hath parte of familiare resolution Briefly it is a singuler remedy in all woundes to defende apostemation whan the wounde is made after the lengthe of the sayde membre you maye soone iudge that the wounde is wythout daunger of deathe And in thys case it sufficiceth besyde the remedyes aboue noted to make a ligature or byndynge incarnatyue of two endes to ioyne together sondred partes leauynge euer an hole open in the nether parte If the sayde place be hurte wyth apoynted thynge as wyth a darte c. you shall coÌ„sider whether the wound be vpon the muscle For we haue often sene that by incisioÌ„ made after the breadth of the muscle the hande hath loste hys natural mouynge but whaÌ„ the sayde wounde is large ynoughe than it sufficeth to applye a digestiue of the yolkes of egges and oyle of roses hote vnto a perfytte digestion And afterwarde let it be cured accordynge as it is declared in the former chapiters But yf the wounde be so strayte that deriuation of mattier to the said place is to be feared whyche myghte cause greate payne and apostemation Than you mustenlarge the sayde wounde after the sort declared in the chapiter of the wounde of the necke caused by some poynted thynge The cure of the woundes of the elbowe The woundes of the arme in other partyes muste be cured as we haue sayde before Nowe we wyll come to the woundes of the elbow and the handes whyche bene verye daungerous and more in the parte wythin the arme than wythout bycause of the multitude of greate veynes and synnowes whereby greate paynes happen to the sayd places and great apostemations with great abuÌ„dauÌ„ce of bloode whyche cause rigours fieuers spasmes youxinge and perturbation of reason wherfore to auoyde the sayde accidentes we wyll gyue a profitable doctrine Fyrste besyde the intentions afore sayde there be two intentions required The fyrste is to applye conuenient thynges vpon the sayde places The seconde to defende and remoue accidentes Fyrst yf the wounde be large studye to staunche the bloode and to ioyne the sondred partes together as it is sayde in the chapiter of the woundes of the throte then cure the wound vnto the fourth day wyth thys oyle folowyng R. of oyle of the yolkes of egges Ê’ vi oyle of Roses omphacine cleare Turpentyne ana Ê’ ii saffranne ℈ i. odoriferous wyne â„¥ i. and. ss seede of S. IohaÌ„nes wort floures of Rosmarye ana mÌ„ i. Mastyke Ê’ ii ss the iuyce of Plantayne â„¥ i. of womans mylke â„¥ ss calues tallow Ê’ x. oyle of Elders â„¥ ss oyle of roses odoriferous â„¥ i. earthe wormes washed wyth wyne Ê’ x. Seeth them all together wyth a softe fyre vntyll the wyne and iuyce be coÌ„sumed And vse thys oyle wythin in the wounde But in the vtterpart of the wound ye shall applye this cerote folowyng Cerote R. oyle of Roses Violettes Camomylle ana â„¥ ii calues tallowe .li. ss swynes grese â„¥ ii hennes grese mary of the legges of a calfe ana Ê’ i. earth wormes washed wyth wyne â„¥ ii of freshe buttyre â„¥ i. ss Muscilage of Holihocke .li. i. Seeth them all together tyll the Muscilage be consumed thaÌ„ strayne them and put to the straining of Litarge of golde and syluer ana â„¥ ii ss Minium Ê’ vi make a cerote at the fyre wyth sufficient whyte waxe addynge in th ende of cleare Turbentyne â„¥ ii ss Mastyke â„¥ i. and lette them boyle agayne a lytle whan ye haue vsed the sayde oyle in the wouÌ„d foure or seuen dayes yf no accidente lette It shal be verye good to mengle wyth it a lytle honye of Roses and a lytle syrupe of Roses For the other intentions ye shall procede as it is afore sayde But that the payne maye be swaged and Aposteme remoued we wil speke of some necessary remedyes accordynge to the situation of the membres For yf ye perceaue that the mattier whyche causeth payne is hote ye maye take cromes of whyte breade and dyppe it in the brothe of an henne or of fleshe and afterwarde presse it and incorporate it wyth oyle of Roses and yolkes of egges addynge oyle of camomill and a lytle saffran Let these thynges be boyled together tyll they becomme thycke Thys is a synguler remedye to swage the payne of the synnowes beynge hurte and of apostemes caused by the same Item the cromes of whyte breade lythed in cowes mylke and prepared as the foresayde thynges is expedient for the same intention Lykewyse a playster composed of thynges anodine that is to say which remoue payne Playster is commendable after thys description folowynge â„ž of the rootes of holihocke .li. ss of branne camomill melilote of euery one mÌ„ i. of barley of lentyles of euery one mÌ„ ss of lynsede â„¥ i. of parietarie mÌ„ ss Let them boyle all wyth sufficient water vnto the consumption of halfe and then wyth the floure of barley and beanes and a lytle camomil and melilote stamped make a styffe playster addynge of oyle of camomill â„¥ ij of saffran ℈ i. the yolkes of two egges Thys playster appayseth griefe resoluynge matter and moreouer it is maturatiue when the nature wyll that the matter shall come to maturation or rypenes Furthermore ye shall note that yf the matter whyche causeth payne be greatlye enflamed then for the mitigation of the payne it is expedient to applye a playster of the floure of barley and beanes made in a decoction of barley mallowes and violettes wyth a good quantitie of oyle of roses and violettes and a lytle saffran Let them boyle al together and adde in the ende two yolkes of egges For thys playster quencheth inflaÌ„mation Yf the forsayde place chaunce to come to an apposteme called vndemia ye shall resorte to the chapitre whyche treateth of the cure of Vndimia Touchynge the situation of the arme it muste be susteyned towarde the breste that the humours may not easelye descende When there is incisyon of the bone you muste splinte the arme and bynde it conueniently and kepe it vp on hyghe Also a tablette of woode yf the hurte be in the hande or arme vndrelayed wyth stoupes and cloutes and situated vnder the hande and arme from the elbowe to the toppes of the fyngers is verye conuenient Thus endeth the chapitre of the woundes of the shulders cure of the same ¶ The .x. chapitre of the woundes of the brest called Thorax and cure of the same IT chaunceth often that the brest is hurt by poynted thynges The wouÌ„des of the brâ—ste as daggars dartes c. And of them some perce vnto the inner partes Some bene onely superficiall and not percynge Some are wyth hurte of the conteyned meÌ„bres and some wyth out hurte of the same Moreouer of these wouÌ„des persynge and not persynge some bene in the former parte and some
in the hynder They that are in the hynder parte ben more daungerous then the other for many causes namely bycause of the multitude of greate veynes and arteries that passe by the lengthe of the backe and also for the multitude of the synnowes whyche descende from the nuke and moreouer bycause of the lygamentes whych haue coniunction wyth the harte and bycause also that the pannicle called Mediastinum and the mydryffe ben nyghe to that parte Sometyme a wounde in the sayde parte thoughe it be not penetraunte or persynge is deadlye But it is not mortall or deadlye in the former parte yf it perse not wythin the breste The sygnes of the penetration or persynge of suche a wounde wythout the hurte of the inner membres bene these Ayer cōmeth out of the wounde the patiente hathe greate payne to breathe and felethe griefe in the sore place wyth ponderositie or heuynes chyefelye aboute the small rybbes You maye moreouer knowe whether the wounde persethe by the applycation of coton well toosed vpon the orifyce of the wounde and by the holdynge of a lytle candell burnynge nyghe to the wounde for the flame thereof shal be moued and lykewyse the coton yf the patiente holde hys breathe stoppynge hys mouthe and nostrelles The sygnes also by whyche you shal knowe whether the harte be hurte ben these there issueth oute of the wounde blacke bloode the extreme partes bene colde and death foloweth incontinently after For Auicēne sayth that the harte can not endure solution of continuitie without the approchynge of death Sygnes of the woūdyng of lunges The sygnes that chaunce when the lunges bene hurte are these effusion of bloode full of fome continuall coughe dyfficultie of breathynge and payne of the rybbes Midriffe The sygnes that declare the midryffe to be hurte Mediastinū or the pannicle called Mediastinum bene these dyfficultie to fetche breathe continuall coughynge sharpe pryckynges in the sore place heuynes of the sayd place and perturbation of reason whych can be restored by no medicine and moreouer the patiente fyndethe hym selfe worse and worse euerye daye and wyth fieuers Also you maye knowe the putrefaction of the bloode in the inner parte Sygnes of putrifyed bloode by the stynckynge of the patientes breathe by the continual inquietnesse of the patient and by the increasynge of the fieuer and other euyll accidentes afore rehersed Galene sayeth yf bloode be shedde in to the belly besyde nature it commeth necessarely to putrefaction When it is putrefyed it is wonte to engendre greate paynes fieuers and heuynes of the place wherfore we affyrme that the sayd accidentes chaunce accordynge to the quantitie of rotten bloode in the inner parte Nowe that we haue knowlege of woundes percynge and of the hurte of the inner membres it remayneth that we come to the curation of the same whether they bene persynge or not But before we speake of the curation we wyll declare the dyscorde that is betwene the doctours of thys tyme concernynge the same There ben many that commaunde to shutte incontinently the penetraunt wounde and to procede wyth desiccatiue thynges aswell wythin as wyth out to cause incarnation sayenge that yf the sayd wounde be not shutte the ayer wol entre in vnto the harte more ouer that the vitall spirites woll issue out by the wounde whyche thynge myghte hurte the patient Agayne many ben of a contrary opinion and commaunde to kepe the wounde open And yf the wounde be not large they saye it must be enlarged that the blood maye issue out affyrmynge that yf the bloode whyche is in the inner parte yssue not out by the orifyce of the woūd it maye engendre many euyll accidentes and corrupte the inner membres Wherfore to auoyde suche accidentes they commaunde to kepe the wounde open Vigo hys iugement In my iudgement they whyche cōmaūde to kepe the woūde open maynteyne a surer opinion then the other for many reasons Fyrste bycause of the commune bruyte For yf the patient shulde dye the people wolde say that the retaynynge of bloode caused hys deathe whyche is true Lykewyse bycause the bloode beynge retayned causeth some fistula and other accidētes whych brynge the patient to death To come to the curation we saye that the curation of a wounde penitraunt is accomplyshed by foure intentions The cure The fyrst is ordinaunce of diete The seconde euacuation of matter antecedent The thyrde purgation of the blood whych is entred in to the inner parte The fourth mundifycation of quytture cause by the sayde bloode and after mundification incarnation of the place Touchynge the fyrste and the seconde intention ye shall procede as it is declared in the former chapitres excepte that yf the patiēt be very weake and hath euel accidentes as soūdyng in such case you may gyue hym wyne and other thynges that comforte nature Furthermore bycause that difficultie of breathynge happeneth to the patiente ye shall gyue hym meates sodden with rootes of perseley and fenell And for the comfortation of hys harte and stomake ye maye mengle wyth the meates of the patient a lytle cinnamome and saffran Item it is very profytable to vse often at the begynnynge A decoction that helpeth breathynge thys decoction whyche helpeth respiration or breathynge and kepeth of catarrhous matter whyche happeneth in the sore places ℞ of cleane barley m̄ i. of the rootes of langdebeefe ℥ ij of cleane liquerice somewhat stamped ʒ x. of the commune seedes ℥ i. of iuiubes and rasines ana ʒ x. of penidies ℥ ij ss of suggre cādy of syrupe de duabus radicibus ʒ x. of fyne suggre ℥ iij. Let them boyle altogether wyth suffycient rayne water vntyll the barley breake thē strayne them Let the patiēt vse here of as we haue sayd for it is merueylous good Prouided alwayes that the patiente haue conuenient digestiues and purgations accordynge to the qualitie of the humour as is afore declared Item seuen or eyght dayes after the woūde besyde the meates declared ye may gyue the patient fleshe and wyne of good odour mengled wyth sodden water of the decoctiō of cinnamome and coriandre Yf the patient haue a fieuer he must eate the fleshe of chyckens and hennes kyddes flesh and veale boyled wyth perseley and altered wyth the foresayde thynges Lykewyse you shall procede when you wyll purge the quytture of the inner parte Also you maye gyue the patient potage made of the brothe of the foresayd fleshe with perseley buglosse borage laictuce and beetes It is good for the wounde for the breath and for the taste and engendreth good bloode When you wyll mundifye the wounde and drye vp the quytture thē the sayde fleshe is better rosted thē boyled Also byrdes that lyue in woodes and meddowes maye well be suffered but not waterfoule Item there bene some whyche commende that the patient vse stiptike meates but not at the begynnynge but when the bloode and quytture are purged For yf you gyue them at
the administration of locall medicines Fyrst yf the wound be made after the length of the membre ye muste ioyne together the soÌ„dred partes with a coÌ„uenient seame procede wyth thynges moderately desiccatyue Also you must digest the wounde with a digestyue made wyth oyle of Roses yolkes of egges the space of two or thre dayes layeng about the same a digestyue magistral ordeyned in the chap. of the cure of the woundes of the adiutorye whaÌ„ the digestion is ended ye shal mundifie the wounde wyth a mundificatyue of syrupe of roses of our description And yf nede be ye may put a tent in the lower parte that the mattier may be purged the better After mundification ye must incarne it adding to the sayd muÌ„dificatiue a lytle aloes hepatike and a litle sarcocolle And for the sigillation you maye coÌ„ueniently vse VnguentuÌ„ de minio described in the cha of the fracture or breaking of the sculle Ye shal procede lykewise whan the wounde is made after the breadth of the membre whan the wounde is caused by coÌ„tusion or brusyng it is coÌ„uenient that the wound be digested a longer time bycause that euerye wounde that is made by coÌ„tusion necessarely cometh to putrefaction As Galene sayeth oeÌ„ vnlnus c. For the other intentions ye shal procede after the doctrine written in the former chapiters Thus. c. The .xiiii. chap. of the woundes of the thyghes and of the legges of theyr partes with the cure of the same woundes of the thighes legges and their partes THe wouÌ„des of the thighes and legges muste be cured as the woundes of the armes of the bones called adiutoria But the pronostications ben diuerse For the woundes of the thighes and the legges are more daungerous than the other bycause of the multitude of the great synnowes veynes muscles chordes and ligamentes whych bynde together the ioynctures And in the former parte of the knee there bene two synnowes verye sensible whyche descende from the brayne and whan they chaunce to be hurt great payne and euyll accidentes ensue as a spasme a fieuer aposteme ê‘turbatioÌ„ of reason c. whiche oftentimes bryng the patient to deth because of the comunion coniunctioÌ„ that they haue wyth the brayne wherfore AuiceÌ„ne sayth in the cha of wouÌ„des that induce a spasme ther ben vlcers in the nuke vlcers in the higher part of the knee And the lacertes of those partes beÌ„ very sinnowie therfore the wouÌ„des induce a spasme sodayne deth Lykewyse within the legge and without they ben very dauÌ„gerous bicause of the gret veines which beyng cut issewe of blood foloweth For the stauÌ„chyng wherof you muste resort to the cha of the fluxe of bloude For the blood of those partes can not be easely restrayned Moreouer they are more daungerous than thother bicause they bene lower the higher meÌ„bres sende humours to the lower that is to say to the thyghes and legges cause ofteÌ„ apostemation in the said places which thing chaunceth not in the armes And therfore it is profitable to hold the meÌ„bre eleuate lyfted vp with the rest of the body wherin the comune prouerbe of ItaliaÌ„s is verified namelye Lamano al pecto la gamba al lecto that is to say the hande on the brest the fote in the bedde Likekewyse whaÌ„ the wouÌ„de is vndre the knee that the dauÌ„ger of apostematioÌ„ is passed it is expedieÌ„t to bynd the legge from the foote to the knee For Guydo sayeth that the diseases of the legges haue nothynge propre by them selues and deferynge from other diseases of the bodye but byndyng that the antecedent mattier be not deryued to the sore place To the cure of the forsayde woundes the intention alleged in the former chaptres are requisyte Concernyng the fyrst and seconde intention ye shall so procede as it hath ben ofteÌ„ sayde in the former Chaptre The thyrde shal be accomplysshed by the application of conuenient medicines vpon the sore place wherfore obseruation of conuenyent dyete vniuersall purgatyon presupposed there is nothyng better to defende apostemation than to admynistre thiÌ„ges that swage payne For as Galen sayeth payne in woundes draweth humours to the place as a veÌ„tose wherfore we wyl declare certayne remedyes to ease payne and those onely which we haue proued Fyrste this liniment is good to be layed aboute the sore ioynctures A liniment whiche is of our description â„ž of the oyle of camomyll of the oyle of roses ana â„¥ ii of hennes grese Ê’ x. of erthwormes washed with wyne â„¥ i. ss of saffran ℈ i. of calves suete â„¥ i. Let the forsayd thynges be boyled togyther a lytle than put to of whyte waxe â„¥ i. Lette them boyle agayne a lytle strayne theÌ„ IteÌ„ we are wont to put this oile to the wounde whiche is of merueylous operation in wouÌ„des of the ioynctures â„ž oyle of terebeÌ„tin of oyle of roses oÌ„phacine anÌ„ â„¥ ii of moste clere terebeÌ„tine Ê’ x. of erthwormes â„¥ i. ss of mastike Ê’ vi of guÌ„me elimi armoniake dissolued with wyne Ê’ i. ss of saffraÌ„ ℈ i. of the floures of s iohns wort mÌ„ i. ss of ceÌ„taurie the greter mÌ„ i. of oyle of lineseed Ê’ vi let these thinges be boiled together a litle afterward strayne them through a cloth thaÌ„ set them a suÌ„nyng in a glasse the space of a moneth and putte into the vessell a fewe floures of saint IohaÌ„nes wort chaunge them euerye seuenth daye Thys oyle as it maye appeare by the simples is of great excellentie in the wouÌ„des of the synnowes ioynctures For it easeth payne it draweth gentlely dryeth moderately which intentions are requisite to the cure of the said wouÌ„des Likewyse you may apply vpon the wound plaisters that swage griefe wrytten in the former chapiters Item thys vnguent folowynge is good to be applyed in all times vpon the sayd woundes Vnguentum basilicuÌ„ magistrate which is of our description and is called vnguentuÌ„ basilicuÌ„ magistrale R. of the oyle of camomylle and roses anÌ„ â„¥ iii. of the oyle of linsede â„¥ ii ss of the oyle of swete almandes â„¥ i. of hennes grese calues suet anÌ„ â„¥ ii of cleare terebentyne â„¥ iiii of mastyke Ê’ x. of wethers suet â„¥ i. ss of erth wormes washed wyth wyne â„¥ ii ss of saffran ℈ i. of the muscilage of holihocke li. ss Let them all boyle together besyde the terebeÌ„tyne vnto the consuÌ„ption of the muscilage than strayne them adde to the straynynge of litarge of golde siluer anÌ„ â„¥ i. ss of miniuÌ„ Ê’ x. lette them boile agayne wyth a softe fyre stirre them about And then encrease the fire let theÌ„ boyle agayn til they become black of colour than adde the foresaid terebentine of rosyne of the pine tree Ê’ vi of shippe pitche Ê’ ss of white diaquiloÌ„ wyth guÌ„mes â„¥ iii. Let them boyle agayne a lytle wyth sufficiente whyte waxe
to the cure of a spasme caused by repletioÌ„ For the cause of a spasme by inanition is drienes whiche coÌ„sumeth the radicall moysture And the cause of a spasme by repletioÌ„ is matter coÌ„ioincte fyllyng the synnowes And therfore in a spasme by repletioÌ„ the synnowes become more large in bredthe shorter in length but in a spasme by inanytioÌ„ the synnowes be shortened receyue no maner increase The cure of a spasme by inanition The cure of a spasme by inanycion must be accoÌ„plished by moyste colde thynges therfore thys bayne folowyng is right profytable in this case A bathe â„ž of the leaues of mallowes violettes Ana. mÌ„ ij of the sede of quynces PsilliuÌ„ Ana â„¥ j. of the sede of malowes and Holyhock ana mÌ„ j. of the rotes of Holyhocke somewhat stamped .li. j. of cleane barley mÌ„ iij. of wardeÌ„s or gret peares in noÌ„bre .xx. let the forsaid thynges be boyled in the brothe of a henne with mylke withe the broth of the heade feate of a calfe vntyll the thyrde part be coÌ„sumed thaÌ„ strayne theÌ„ and lette the patiente be bathed wyth this decoction moderatly hote Lykewyse it is profytable to bathe the patient in a bayne made of gootes mylke cowes mylke or shepes mylke After that the patient is bathed it is coÌ„uenieÌ„t to rubbe his backe bone al the ioyntes with this linimeÌ„t folowyng â„ž of oyle of violettes A linimente â„¥ iiij of oyle of swete almaÌ„des of hennes grese of the marye of calues legges Ana Ê’ vj. of calues suet kiddes suet Ana Ê’ x. Let theÌ„ boyle al together with a pounde of the forsayd decoctioÌ„ of the bath vntyll the decoction be consumed Than strayne them and vse them The regimeÌ„t coÌ„cernyng diete in this spasme ought to enclyne to coldnes moystnes If the spasme happeÌ„ often in a wounde it is mortall for the most part nether any maÌ„ escapeth lightly For Hipocrates sayth that a spasme caused by a wounde is mortall for the most part which thyng is true bycause of the euyl accideÌ„tes which ensue after a spasme as difficultie of breathynge which is necessary to lyfe hurte of the brayne through the coÌ„munioÌ„ that the brayne hath with the synnowes The spasme of inanition is seldome or neuer healed howbeit the chiruurgien ought not therfore to forsake the cure for nature somtymes worketh thynges that seme impossible to men ¶ The .xvij. chapy of the palsy and of the cure thereof THe cure of the palsy hathe sondrie intentioÌ„s Of the palsy which I wyll leue to my maysters the Phisicions for most coÌ„munely the palsy chaunceth of a corporall cause therfore the curation therof perteyneth to theÌ„ Neuertheles forasmuche as it is wont to chauÌ„ce in the woundes of synnowes of the heade we wyl declare some coÌ„uenient medicynes for the remotion of the same for the other intentioÌ„s ye may resort to mesne which hathe substantially entreated of thys mattyer But to come to practise we say that the remedies declared in the former cha are verye coÌ„uenient for the cure of the palsy Howbeit this one thyng I wyl not ouerpasse that the oyle of bawme writteÌ„ in our antidotary is a souerain remedie in this case Mesue also hathe described in the cha of a palsy an oyle of lyke efficacitie which is after thys forme An oyle for the palsye â„ž of chosen myrrhe of aloes Epatyke of spyke narde sanguinis draconis of fraÌ„kenceÌ„se of Mumia of Opoponax of BdelliuÌ„ of carpobalsamuÌ„ of SaffraÌ„ of Mastyke of GuÌ„me arabyke of liquide storax of the other storax of Mader Ana â„¥ ij ss of muske Ê’ j. of TerebeÌ„tyne to the weyght of theÌ„ al mengle theÌ„ together put theÌ„ in a lembyke of glasse adding of courslope called herbe Peralisis â„¥ ij stylle theÌ„ kepe the licour in a glasse wel stopped rubbe the meÌ„bres wherin the palsy is and the hynder parte of the necke with the sayd licour Decoction IteÌ„ thys decoctioÌ„ folowyng is riÈt expedient â„ž of lycorice Ê’ vj. wylde myntes mÌ„ ij of the floures of rosmary M. j. of sage mÌ„ ss of courslope Yua muscata of squinantuÌ„ of euery one a lytle Let theÌ„ boyle in a glasse til halfe be coÌ„sumed with the water of wormood fenell rosmary sage in sufficieÌ„t quaÌ„tytie ThaÌ„ strayne them adde to the straynyng of hony â„¥ iij. of the syrupe de duabus radicibus â„¥ ij of syrupe of sticados â„¥ j. ss let theÌ„ boyle agayne a lytle Thys decoctioÌ„ is ryght coÌ„uenieÌ„t for them that haue the palsy for theÌ„ that haue the crampe thorough repletion and they must dryncke thereof at nyght and in the mornyng â„¥ ij Thus we ende c. ¶ The .xviij. chap. of drawyng out of arowes thornes and other lyke thynges IT chaunseth often that mannes bodye is hurt by arowes Drawynge out of arowes c. thornes and lyke thynges whyche remayne wythin the woundes For the cure whereof we saye that two intentioÌ„s are requisyte The fyrst is the maner to drawe out the forsayd thinges The secoÌ„de to cure the wouÌ„des after the instrumeÌ„tes ben draweÌ„ out Touchyng the fyrst intentioÌ„ a discrete Chirurgien muste consyder the place where the arow is fyxed in For yf the arow stycke in a fleshie membre as in the arme the thygh or legge hauyng barbes the wouÌ„de be depe it is not in coÌ„uenieÌ„t to make the arowe perce thorough on that other syde and so to be drawen out For by reason of the barbes the arowe canne not be drawen back without tearyng of much fleshe and many veynes and pannycles and perchaunce in the drawynge out the heade shuld remayne behynde which shulde be a very daungerous thynge but yf the heade remayne within and the mouthe be so streat that it can not be drawen out wyth an instrumente made after the fashion of a Cranes becke than ye muste cutte the place euen vnto the arowe heade and ye shal procede after the same maner yf it stycke in the bone Note here that the soner ye make incisyoÌ„ the better it is for auoydaÌ„s of apostematioÌ„ The cause is this WhaÌ„ a blody freshe wound is cutte the place is not yet altered with vehement payne nether apostemed with humours ariued to the sore place and therfore yf it may be done without the hurte of synnowes and veynes it is better that incision be made spedelye thaÌ„ whan the place is peynfull and apostemed After the incision is made the arowe must be drawen out with the foresaid instrumentes as sone as maye be and afterwarde ye muste powre vpon the place twise a daye hote oyle myngled with the yolkes of egges There be some doctours which commaunde to mollifie the place where the arow or thorne stycketh the space of .iij. or .iiij. dayes with oyle of roses hote layenge there on thynges attractiue before ye come to the drawyng out or cuttyng out of the sayd arowes or thornes But
smalnes Lykewyse rotten vlceres differ lytle froÌ„ fylthye Neuerthelesse in this one thynge they differ that somtyme the rotteÌ„ vlcere is ambulatiue or walkynge And therfore this vlcere putrefactiue and ambulatiue is not without a fieuer whyche goeth not from hym tyl the putrefaction and ambulatioÌ„ be remoued wherefore Galene called thys kynde of corosyue vlceration formicam ambulatinam et igneÌ„ persicum And therfore maligne and poysonable vlceres be cured after one maner and lykewyse fylthy and rotten vlceres The causes of maligne and virulent vlceres are wouÌ„des metyng the suê‘fluities of a body full of euyll and superfluous humours or vlceres folowynge euyl pustles or corrupte diete Lykewyse the causes of fylthye and rotten vlceres are apostemes and exitures to rype and caused of grosse somewhat hote humours in whyche also the chirurgien vsed longe tyme mollityue medicines Holowe vlceres are for the mooste parte engendred of a wounde euyl cured or of a greate aposteme broken of it selfe or bicause the incision was verye smal The causes of corosiue vlceres are sharpe and coleryke humours wyth adustynge or brennyng And therfore Auicenne sayeth Virus speakyng of the qualitie of quytture that that which is thyn and subtyle is called Virus and that whyche is grosse and thycke is called fylth The thinne requireth exiccatioÌ„ and the thicke abstersioÌ„ or skowring Virus is engendred of the boylynge of hote humours wyth the watrines of the same Fylth is engendred of superfluitie of colde grosse humours Furthermore of vlceres some be with a spasme some ben painful and some wythout payne some rounde some playne some depe hauynge many holes are called of Cornelius Celsus chyronica Moreouer some be softe some be hard some shelly some there are in which certeyn veynes are swollen through putrefaction and are called Vlcera varicosa of al these kindes we wyl make a ê‘ticuler chapter The vlceres whyche engendre a spasme bycause of their euyll qualities as Auicenne sayth are holow vlceres rotteÌ„ corosiue caÌ„kerous painfull and the vlceres of Argyromater that is to saye of a philosopher that onely healed vlceres of mooste harde curation Lykewyse certeyne vlceres engeÌ„dre spasme bycause of the place as the vlceres whyche be nye the synnowes chiefly those which are in the backe by reason of the nighnes of the nuke and the vlceres whyche bene in the former parte of the knee bycause the lacertes be very synnowie therfore the woundes and vlceres of that place doth sone enduce a spasme and manye other euyll accidentes as we haue declared in the chapiter of the woundes of the sayd place Further ye shall note that the vlceres of synnowie places maye engender thre kyndes of diseases Fyrste yf the mattier ascend or mount toward the brayne it engendreth a spasme or perturbation of reason and yf it goo downe to the nether membres it wil cause a fluxe of bloode wyth quytterouse mattier whych thyng we haue sene to haue often chaunced And yf it come towarde the partes of the middes of the bodye it wyll engender a pleuresye As touching signes AuiceÌ„ne saith that the generatioÌ„ of heare about the wounde whyche heare before dyd fal awaye is a good signe Also whyte quytture thynne equall in colour and substaunce and in lytle quantitie is a signe that the vlceres wyl be easely cured wherfore in euery vlcere ye maye make pronostication of easy or vneasy curation by the coÌ„sideration of the qualitie or quantitie of the quitture It is a laudable quytture whyche is engendred by digestion through natural heat of the meÌ„bre therfore it must be whyte not thycke equall Quytture not laudable is diuers Some is grosse slimye som blackish some venomous som corosiue of reddish coloure And therfore Auicenne sayth there bene vlceres whose rootes are sharpe that is to say the humours of whome suche vlceres are engendred are sharpe hote and bytynge wherefore through theyr sharpnes they are wont to engendre great ytche which manye tymes maketh the place to be vneaselye cured Lykewyse there be some vlcers as the same man sayth from whych ther sweateth out citrine or yelow corruption so that through hys heate it burneth and byteth the partes that lye about the vlcere And these vlcers bene of verye harde curation Further it chaunceth sometyme that euyll colour of bodye as whyte pale or yelowe accompanieth euyl vlcers whiche thynges signifye corruption of the lyuer and corruption of bloode sente from the lyuer to the vlcered place Also melancholyke and harde vlcers of blewe or blackyshe coloure are of harde curation Vlcers moreouer of blacke coloure wythout felynge ben worste of all bycause of their greate putrefaction Also vlcers that haue harde skalye borders or lippes can not be healed except these lippes or skales be remoued with a sharpe medicine The signes whiche are good in vlcers Good signes in vlcers be whan after muÌ„dification the borders of the lippes be whyte the growing of the flesh is lyke the graynes of pomegranades Also whaÌ„ the quytture is white and not thycke engendred by good operation of nature And when the vlcers be touched by a bytynge medicine they cause not so greate payne as when the vlcere is maligne And therefore those chirurgiens are deceaued whiche saye that it is a good signe when thynges abstersiue wyth mordication or byting administred in woundes cause payn thynkyng that it chauÌ„ceth by the reason of good fleshe where in very dede it cometh of the malignitie of the vlcere For good fleshe when it is touched with a byting medicine causeth litle payn And the reason why euyl fleshe feleth more the bytyng of the medicine then the good flesh is thys namely the sensibilitie of a contrary thynge whych is founde alway in a maligne vlcere For paynfulnes is the felynge of a coÌ„trary thynge Seynge then that euyl fleshe is euer paynful therfore byting medicines by the reason of sensibilitie of the euyll fleshe necessarilye cause greater payne in euyl vlcers than in vlcers muÌ„dified from that corrupt fleshe And therfore Auicenne sayeth thus beware in all medicines that ye cause not payne chiefly yf there be an aposte or euyl coÌ„plexion griefe yee it is nedefull that ye remoue the causes whych hynder the healynge of vlcers as thoughe he wolde saye that bytyng medicines ought not to be admistred in anye paynfull vlcere for that shulde adde payne vpon payne yee wheÌ„ the vlcere is apostemous he forbyddeth the washynge wyth wyne or wyth water of alume And these dryeng thinges are much praised of him in dryeng of vlcers to bryng on skyn when the vlcere is muÌ„dified and perfytly incarnated Furthermore the comune practicyeners do approue oure sayeng which do vse alume of roche burned to bryng on skynne and yet it causeth not greate payne but it wold do the crontrarye yf it were applyed vpon euyl fleshe Neuertheles yf the fleshe in the vlcere be rotten or cankerous theÌ„
the chapter of apostemed woundes but yf the payne be very vehemēt ye muste procede wyth mollifycatiue thynges and that swage payne as Auicenne sayeth that ye muste chiefly be occupied in swagynge payne when the vlceres be verye paynfull The payne can not be swaged by thynges desiccatiue but by mollifycatiue and thoughe they be somwhat contrarye to vlceres neuertheles when the grefe is not appeased the place is not prepared to receyue any curation and therfore the vlcere can not be healed excepte the payne be swaged As touchynge holowe vlceres it is necessarye to procede to the cure therof wyth medicines of stronge abstersyon and desiccation accordynge as the vlceres shal be very holowe or not For Auicenne sayeth that when the vlceres bene depe they nede more abstersyon and desiccation and the reason is because that greate quantitie of humours is drawen to the place whyche muste be cōsumed wyth great exiccation And for as moche as in greate holow vlceres there nedeth regeneration of fleshe by reason of loste substaunce to fyll the holes it is necessarye to obserue one rule that is to saye that ye muste in no wyse applye an incarnatiue medicine bycause that when incarnatiue thynges be applyed before mundifycation they produce superfluous fleshe whych hyndreth true incarnation Furthermore Auicenne sayeth that holowe vlceres be sone turned into fystules wherfore the chirurgien muste be diligent in the cure thereof And he sayeth moreouer that vlceres whyche be nyghe to synnowes and be in places full of vaynes and arteries bene apte to engendre apostemes in fleshye partes nyghe the sayde places as are the eniunctories and the stones and moste chieflye when the bodye is fylled wyth euyll humours And therfore it is good to purge the bodye accordynge to the euyll matter And afterwarde ye muste procede wyth thynges mollifycatiue and that swage paynefulnes whyche is comunely greate in thys case by reason of the nyghnes of synnowes When the payne is seased then ye shall procede to the cure of the sayd vlceres and amonge the conuenient remedyes vnguentum Basilicon of oure description is good Furthermore ye muste holde this for a generall rule that when the vlceres be in a verye sensyble place ye muste procede wyth lyghte medicines as moche as it is possyble And when they be in membres not sensyble ye shall procede wyth stronge medecines whyche is the doctrine of Auicenne whyche sayeth that as a synnowe discouered hathe nede of an easye medicine because of hys greate felynge so lygamentes that growe from the bones whyche are insensyble maye suffre stronger medicines Wherfore we maye more surelye worke in membres of smal felynge then in mēbres that bene verye sensyble And ye maye saye that preciouse membres and moost necessarye are sonest hurte bycause of theyr greate sensibilitie And therfore vlceres and sores in synnowie places and in inwarde mēbres can not endure a stronge medicine as is verdegrese and soch lyke yf they be not corrected by the admixtion of pleasaunt and glutynous thynges as dragagantū c. The lyquores that shal be putte in holowe and fystulous vlceres muste be of meane desiccation for you muste auoyde all vnctuose medicines yf it be not to take awaye the sharpenes of the medicines and to swage payne For as Galene sayeth vlceres can not be healed by moysture but by desiccation Also ye muste beware that ye cause not paynefulnes chiefelye when the vlceres be wyth apostemation and wyth euyll complection We haue declared in the former chapitre as concernynge speculation howe the sayde vlceres ioyned wyth accidentes ought to be healed and wyll speake more in the chapter folowynge Furthermore a good chirurgien must cōsyder what maner of byndyng is cōueniēt for in some vlcers the byndynge called incarnatiue is necessarie and in some the byndynge named expulsiue and sometyme ye shall nede the byndynge called retentiue and therfore ye muste not strayne the byndynge to moche for it myght cause apostemation of the vlceres The byndynge incarnatiue is conueniente in the armes and in the legges and defēdeth the humours that they aryue not to the vlcered place and as we haue sayde often it is not possible to heale an vlcere tyll the aposteme be remoued and of the sayde lygatures we haue spoken sufficientlye in the boke of woundes in a chapter properly of the same Furthermore there be certayne vlceres in whyche ye muste applye lyquide medicines that they maye more easelye enter vnto the botome of whyche we wyll speake in a peculier chapter of holowe vlceres Here ye shall obserue that the vlcers that bene olde and holowe are harde to be healed and for the moste parte they be wyth corruption of the bone For Hypocrates sayeth that in olde vlceres the bone muste be taken oute c. Thys Aphorisme is trewe in holowe vlceres and in vlcers caused of colde exitures One of the principall remedyes in the cure of vlceres is to take awaye the causes whyche engender the vlceres and to comfort the place from whēce the humours come and the vlcered place Whyche thynge maye be done by purgation of the euyll humours digestion of the same presupposed For a laxatiue medicine is not conuenient for it excepte the humours bene dygested as Hypocrates sayeth we muste heale dygested thynges and not moue rawe thynges In lyke maner cuttynge of a vayne some tyme auayleth to the curation of vlceres chyeflye when the bodye is full of humours Ye maye applye leches or bloodsuckers vpon the vaynes called Hemorroydales principallye when the vlceres ben in places nyghe to them Finallye we haue proued that the vse of vomytynge is good in those whych do easely vomyte in the somer tyme thus we ende thys present chapter ¶ The fourth chapter of virulent corosyue and malygne vlceres VIrulent corosyue and maligne vlceres differ not but in the qualitie excedynge for they ben al engēdred of hote burned matter and therfore Auicenne sayeth that the causes of maligne vlceres are superfluities procedynge of bodyes full of vicious humours and of euyll dyete and of euyll pustules and at the begynnynge these vlceres vtter subtyle and sharpe quytture called Virulentia and when theyr malyce is augmented by corosyon of humours they are called corosyue vlceres and when they encrease greatlye in shorte tyme they are called ambulatiue and yf the malyce be greate so that it confirmeth the membre they are called Lupi or eatynge vlceres or rankers as we haue declared in the chapter of melancolyke apostemes The cure of these vlceres shal be accomplyshed by foure intentions the fyrste is purgation of the bodye The seconde ordynaunce of dyete The thyrde remotion of the virulent and venimous matter and of the corrosyon The fourthe is administration of sondrye remedyes accordynge to the places and accordynge to the tymes of the foresayde vlceres The fyrste entention whyche consystethe in purgation of humours shal be accomplyshed as it foloweth Fyrst ye
strayned ℥ ij Mundificatiue with incarnation of clere terebentyne ℥ iiij of the iuyce of smallage plantayne worm wood Ana ℥ iij. let them sethe tyll the iuyces be consumed than strayne thē and adde to the straynynge of barley floure well bulted drammes syxe of the floure of lupynes ʒ iij. of sarcocolle ʒ j. ss And whā the place is perfytly mūdified for incarnation of the same ye shal putte to the mundificatiue a lytle myrre frankencense paucedinis and flouredelyce Item to the same intention thys collyrie is auaylable ℞ aqua vite ℥ ij of myrrhe of aloes ana ʒ ij ss frankensens ʒ j. ss of Saffran ℈ j. of paucedinis sarcocolle Ana ʒ j. ss mengle them together Thys collyrie must be applied thre or foure tymes a day In lyke maner for thys intentiō ye maye applye the vnguentū de Minio in the chapytre of the broken scui and whan the place is wel incarnate for sigillation ye must washe the place wyth wyne of the decoction of roses wyth alume hony of roses or wyth lye made with the decoction of roses and of alume or of hony of roses and whā ye haue washed the place ye must put vpon it incontinētly thys pouder ℞ roche alume brent ʒ iij. of myrobalane cytryne of floures of pomegranades Ana ʒ j. terra sigillata ʒ j. ss mēgle thē together This doctryne shall suffice for thys present chapytre c. ¶ The syxe chapytre of holowe vlceres and of the cure thereof HOlowe vlceres for the moste parte are engendred of exitures aposte which are permytted to come to ouer great maturatiō chiefly the said vlcers are in the botō of the mēbres They bē also engendred oftē tymes of apostematiō of woūdes caused in sinnowie places of those vlceres some procede of hote matter some of colde and for the cure thereof we wyll assygne but one intention vniuersall purgation and obseruation of diete presupposed as it is declared in the former chap. that is to saye application of locall medicynes Fyrst for the cure of thes vlcers ther nedeth greate exiccation and great mundification moreouer it is necessarye to gyue the patient meates of grete nourishmēt in good quātitie that good blood may be engendred and that the holes may be fylled vp and therfore ye must consyder whether the vlcere be with corruption of the bones for yf the corrupted bones be not remoued the vlcere can not be healed Also the mēbre must be situated that the mouthe of the vlcere be downeward and yf the vlcers be so corrupted that ther is no hope of healyng than ye must cut thē wysely so that no holownes be lefte yf it be possyble nor veynes arteries or synnowes touched For yf ye can not procede except ye touche the same it is better to cast liquours in to the holownes of the vlcere as Arnald de villa noua sayth that holowe vlceres can not be healed but wyth sharpe liquours cast into them wyth a syrynge And forasmuch as there are ioyned with the sayd vlcers certaine accidentes as payn Aposteme euil complexiō it is nedefull to remoue the same before ye procede to the cure For it is not possyble to come to a perfyt cure except the accidentes be remoued And therfore Auicenne saythe whā an Aposteme is ioyned wyth paynfulnes to an vlcere than ye shall not wasshe the vlcere with wyne nor with lye nor with see water as though he wolde say ther is no curatiō of vlcers without remouyng of accidentes Furtheremore to retourne to oure pourpose holow vlcers are mūdified wyth lotions made of lye hony of roses roch alume And also see water is cōmended of Auicenne in this case lykewyse water of alume and honye of roses is good to drie the fylthe and to defende the matter antecedent that it aryue not to the sore place And yf thes mundificatiues be not sufficient ye must washe the place wyth the collyrie in the former chapitre ordeyned for it is of good operatiō and causeth no payne And yf ye perceaue that by thes meanes the vlceres can not be mūdified thā applie vnguentū Egyptiacū of our descriptiō which ye must dissolue in barbours lye with a lytle hony of roses cast it in to the said vlcers with a syryng After the place is mundified which thyng is knowen by the good quytture ye must forbeare al bytyng and scouryng thynges washe the place with this decoction ℞ of barley water .li. ss of hony of roses ℥ iiij let them seth a lytyll vse thereof by the space of .vj. dayes washyng the vlcers two or thre tymes a daye than procede with a medicyne incarnatiue wythout bytyng for Auicenne sayth that flesshe muste not be engendred in vlceres tyll they be clensed We were wōte in thys case to vse thys lyquour for incarnation ℞ of barley water .li. j. of hony of roses ℥ iij. of sarcocolle ʒ ij of myrrhe of frankencense Ana ʒ j. of odoriferous wyne ℥ vj. let thē boyle al together tyll the thyrde part be cōsumed We haue often declared the medicines that engender fleshe wil make therof a proper cha wherunto ye shall resorte but for a more certen doctrine we wyl descrybe one recept conueniēt in thys case ℞ of clere terbentyne ℥ ii of honye of roses ℥ j. Incarnatiue of sarcocolle ʒ iij. of fysheglue of dragagantū Ana ℥ j. of Antymonium burned of burned leade ana ʒ j. ss of the iuyce of cētaury ʒ ij or of the poudre therof ʒ iij. of barley floure well bulted ʒ j. ss of Saffran ℈ j. lette the terebentyne be sodden a lytle wyth honye of roses than mengle them all together Thys oyntmente shortely incarneth all vlceres Note here that it is good to applie defensyues aboute the vlceres wrytten in the chapytre of the woundes of the bone called Adiutorium for it cōforteth the membre and defendeth the matter antecedent to arriue vnto the sore place Item ye maye conuenientlye adde hereunto in all tymes Vnguentum de Minio wrytten in the ende of the chapyter of the cure of the sculle For sigillation ye shall procede as is wrytten in the former chapyter Finally ye ought to knowe that in thys case that maner of byndyng is necessarye whereof we haue spoken in the boke of woundes to whyche chapytre ye shall resort c. ¶ The .vij. Chapytre of vlceres of harde curation hauynge an euyll proprietie to vs vnknowen wyth the cures thereof Of vlcers of harde curation AS Auicenne wytnessethe there is a kynde of vlceres which haue an euyll and hydde propertie and bycause we haue declared the causes and sygnes therof in the generall chapytre of vlceres we wyll vse the fewer wordes in thys present chapytre The curation of them vniuersall purgation and obseruation of diete presupposed shal be accomplysshed by the administration of sondrye remedies accordynge to the tymes and places of the sayde
vlceres Fyrst bycause we haue often spoken of the accidentes of all euyll vlceres we wil now onely speake of paynfulnes for in some vlceres ther is vehement gryefe so that it causethe euyll accidentes and sometymes bryngeth the patiente to deathe wherfore yf there be vehement gryef than ye shall applye thynges aboute the vlcere that be stupefactiue as a playster made of the leaues of whyte popie and of henbane wrapped in wete cloutes and putte vnder hote ymbres Playster stupefactiue and afterwarde stampe them and strayne them and adde oyle of Roses Omphacyne and vnguentum Populeon and make a playstere wyth a lytle waxe Item to thys intentioÌ„ vse the oyntmente folowynge â„ž the leaues of mallowes and of henbane Ana. mÌ„ ij sethe them in water and afterwarde stampe them and strayne them and adde vnto them of oyle of Nenuphar oyle of popye as muche as shall suffyce set them on the fyer agayne and make an oyntmente addynge of Philonium Persicum Ê’ vj. Item vse this recepte â„ž oyle of Popie oyle of Camomylle oyle of Violettes Ana â„¥ j. of whyte waxe Ê’ vj. make a lyniment at the fyere addynge of womans mylke â„¥ ss of opium ℈ j. of Saffran Ê’ j. the yolke of an Egge and styrre them aboute in a morter of leade the space of an houre If the dyfficultie of healynge seame to procede thoroughe the euyll complexion of the vlcered parte ye muste consyder whether the sayde complexion be hote or colde materiall or ymateriall yf it be hote lette it be cured wyth local mediâ—ynes and that haue vertue to cole as vnguetuÌ„ de cerusa A colliry made with water of roses plaÌ„tayne and with whyte sief wythoute opium is of good operation Further the difficultie of healynge chaunceth of the quantitie or qualitie of bloode if it be in quantitie it is other superfluous or diminished yf it be in qualitie it is in complexion hote or colde moist or drye c. If the bloode be superfluous the cure is accomplyshed with slender diete and wyth cuttyng of a veyne by administration of bloodsuckers If the bloode be diminished ye shall remedye it wyth grosse diete of good iuyce and by drawyng nouryshment to the vlcered place by rubbynges vnctions and fomentations and suche fomentations that swage payne so continuynge tyll the member waxe redde and begynne to swelle If the blood be of an yl qualitie as of a hote materiall coÌ„plexion let the hote mattier be purged yf it be thinne with rubarbe Myrobalanes Tamarindes pulpe cassie wyth water or wyne of pomegranades made after the maner of iuleb c. And yf nede be let the mattier be purged wyth the iuyce of roses psilio or sebesteÌ„ c. Yf the mattier be grosse throughe adustion let it be purged with a lectuary lenitiue of hamech diasene cassia strengthened with sene pillulis indis c. Note that hote mattier beyng subtile must be digested before purgation with sirupe of roses endyue vinaygre simple occisaccaruÌ„ syrupe of violets with the waters of endyue violets sorell or other like If the mattier be grosse through adustion it must be digested wyth a sirupe of apples of buglosse of hoppes with a iulep of violettes of fumiterre or other suche Here ye shal note thys one thing that in eating drinkinge in other thynges not naturall ye kepe a proportioÌ„ according to the defaut in these other coÌ„plexions which are found with an vlcere If there chaunce a fieuer in the vlcers so much more ye shal encrease the forsayde thinges in the degre of coldnes or diminish the same as the fieuer shal seme stronger or weaker If the blood be of a hote coÌ„plexioÌ„ simple or coÌ„pounde wtout mattier theÌ„ the foresayde digestiues shal onely suffice wtout purgation If it be of a colde complexion material theÌ„ let the mattier be purged If it be flegmatike with aloes agarike polipody turbith electuary de dactilis pillule de hiera pillule cochie or other like alway directyng the mattier with syrupe de bisantiis with oximel sirupe of vinaygre coÌ„pouÌ„de with hony of roses with waters of fenell borage smallage maioruÌ„ mint worwood or other such These thynges one after another are good in an euel colde coÌ„plexion not material wythout purgation Lyke curation shal be in colde mattier moyste materiall but if the coÌ„plexion be moyst wtout mattier onelye digestyues are conuenient but if the coÌ„plexioÌ„ be drie material the mattier muste be purged the meÌ„bers that engendre the same rectified If it be not materiall the cure shal be wyth hote moyst thinges Hitherto we haue spokeÌ„ of the cure of euil blood Furthermore we saide that the roundnes of vlcers hindreth curatioÌ„ wherefore the chirurgien shal reduce it froÌ„ a rouÌ„de vlcere to alonge vlcere with an hote yron or with a caustike medicine briefly it is a generall rule in the cure of these vlcers that if the difficultie of their curation do coÌ„sist in yl blood that then ye minister meate whiche engendreth good bloode contrary to that that hyndreth the cure If the cause be in slender nouryshmente the bloode shall be multiplyed by dilatynge the waye wyth good meates But yf the cause be mollifitation thorowe fylthye mattier than it shall be healed wyth the cure of a fylthye and softe vlcere If superfluous dryeng be the cause so that it be not a fistulous vlcere it shall be cured wyth moyst thynges and herin it auayleth muche as AuiceÌ„ne sayeth to perfume the vlcered place wyth some thynge of gentle moysture and by administrynge medicines of lytle exiccation or drieng and therfore AuiceÌ„ne saith perchaunce it is good to administer cloutes dypped in warme water If some cankerouse corruptioÌ„ be the cause of difficultie then cure that accidente as it is sayde in the cure of a canker Lykewyse yf a fistula be the cause resorte to the cure of a fistula For the remouynge of other causes that letteth the curation of vlcers resort to the second chapiter of thys presente boke Nowe I wyll begynne to declare certayne remedyes as I promised afore Oyntment And to speake generally of oyntmentes whyche helpe vlcers that ben harde to cure these ben they Fyrst R. of oyle myrtyne oyle of roses omphacine anÌ„ â„¥ iii. of goates suet of calues suet anÌ„ â„¥ ii of Plantayne leaues of woodbynde of the tender partes of bramles of the leaues and graynes of myrtilles of the leaues of wylde olyues of the herbe called Horsetayle ana mÌ„ i. of Hypocistidos Ê’ x. two sower pomegranades of the herbe called alleluya of sorell anÌ„ mÌ„ i. ss of vnguentum populeon oyle of roses complete ana li. ss stampe all these foresayde thynges together and let them seeth wyth a cyathe of water of plantayne and as muche of water of Roses tyll the waters be consumed theÌ„ strayn them set the liquor vpon the fyre agayne put thervnto of ceruse â„¥ ii of Litarge of gold and syluer anÌ„ â„¥ i.
of thre or foure fyngers and let the pytche droppe vpon the fustian on the cottened syde leauing one part of the fustian wythoute pytche that whan the peces haue remayned the space of vi or .vii. dayes vpon the heed ye maye plucke them sodaynly awaye with a stronge hande and quycke thou shalte se that it wyll brynge the rotten heere 's awaye with it these peces must be renued tyl all the heere 's corrupt be roted out Howbeit ye must warne the patientes frendes of the harde and longe cure chefelye whē the disease is from the mothers wombe ¶ The .v. Chapter Of alopecia ALopecia Of alopecia after the aūcyent and later wryters is the baldenesse of the heed caused throughe vlcerous skabbes and is compared to the maūgynesse of dogges and foxes and is engendred of abūdaunce of corrupte humours ingrossed in the heed The signes be soone knowen for the heere 's falleth by lytle and lytle and the place is rough and somtyme vlcered The disease is also knowen by his fygure wyich is commenly rounde Some put a dyfference betwene alopecia and albaras saying Albaras alopecia dyffer thar alopecia is in the heed and albaras is in the beerde and dyffereth from alopecia for it hathe not suche roughnesse nor suche accidentes but the skynne is smothe The cure The cure hereof is accomplysshed by .iiii. intentions the fyrst is dyete the second purgation of matter antecedent the thyrde remotion of the cause conioyncte the fourth generation of heere 's in the balde places As touchyng the fyrste and seconde intention bycause the matter is flegmatike grosse or melancholye hauyng some sharpnesse and adustion it is conuenyēt to vse the ordinaūces and dyetes and purgations wryttē in the Chapiter of Vndimia and of sephiros The thyrde intention is accomplysshed as it foloweth Fyrste yf the places be roughe ye shall procede with lenitiue thynges to make the skynne smoth yf it be vlcerous ye shall drye vp the vlcer yf it be brāny ye shall clense awaye the skurfe Fyrste in all kyndes of alopecia ye muste wasshe the places the space of vii dayes with this lotion ℞ of beanes A good lotion of lupines ana m̄ i. of raysines of drye fygges ana ℥ ii of the rootes of docke li. ss of fumiterrye of the leaues of walworte of maydenheer an̄ m̄ i. ss of soure apples .x. of branne m̄ ii of clene barly ℥ iii. of liquirise ℥ i. ss seeth all the forsayde thynges togyther in sufficient quantitie of barboures lye tyll the thyrde parte be consumed and than put therto of honye ℥ iiii and seeth them agayne a lytle and wash the heed twyse a day with this decoction rubbyng the place with a course cloth And after that the places be wasshed ye shall annoynte them with this ointment which is conuenyent bothe in a crustye and vlcered alopecia ℞ of oyle of the yolkes of egges of lyneseede ana ʒ x. of oyle of roses omphacine ʒ v. of oyle mastike ℥ ss of of the iuce of plantayne of the iuce of fumiterry and dockes an̄ ʒ vii of gotes tallowe and cowes tallowe ana ℥ ii ss Let them be sodden al togyther vntyll the iuces be consumed than strayne them and adde to the straynynge of litarge of golde and syluer ana ℥ ii ss of roche alume burned ʒ v. of alume zuccatrine ʒ ii white waxe as moch as shall suffyce quyksyluer quenched with fastynge spyttle ʒ ix mengle these thynges togyther and styrre them al aboute the space of an houre in a mortare of leade except the quycksyluer which must be put in in the ende for the moost part of it els wolde remayne in the leade This lyniment maketh the skynne cleane remoueth the crust and hardnesse A liniment for skurfe Yf the alopecia be full of branne ye shall remoue it with this liniment ℞ of larde of oyle of lyneseed ana ℥ ii of oyle of the yolkes of egges ʒ vi of the iuce of dockes of vynegre ana ℥ i. of honye ʒ x. of branne ʒ xv seethe these thynges togyther tyl the vynegre and iuces be cōsumed thā strayn them and yf the hony be hardned ye shall seperate it from the other than set them vpon the fyre agayne with suffycyent quantitie of whyte waxe addyng of clere terebentine ℥ i. of lytarge of golde ℥ iii. of lyme ten times wasshen ℥ i. ss of orpyment ℥ i. of verdigrese ℥ ss make a liniment and applye it after ye haue washed the place with the forsayd decoctiō And whā the alopecia is with vlcers full of superfluous and deed flesh let it be clēsed wyth oure poudre of mercurye or vnguētū egiptiacū and for the other intentions ye shall procede with the lotion and liniment beforesayde For cicatrization it is conueniet to wash the heed with water of alume and afterwarde to applye vnguentū de minio or of ceruse Ye may somtyme scarifye the places with a depe scarifyinge or apply bloodsuckers to purge the matter conioynct And whan the alopecia is remoued which thynge is knowen by the good colour of the skynne ye shal apply suche thynges as haue nature to engendre heere A good liniment to engendre heer as is this linimente folowyng ℞ of the iuce of smalage ʒ ii of the iuce of fenell and parcelye an̄ ʒ i. of the iuce of enula campana ʒ vi the iuce of apium risus ʒ ii of oile of elders and terebentine ana ʒ x. of shyppe pytche greke pytche and lyquyde pitche ana ʒ v. of diaquilō gūmed mugwort sothernwoode somewhat stamped of rosemary of maydenheere fyne stamped ana the .iii. parte of an handfull of odoriferous wyne halfe a cyathe of vynegre ℥ ii Let them seethe all togyther tyll the wyne iuce and vynegre be cōsumed than strayne them and adde to the straynyng of newe odoriferous wax as moche as shall suffyce of saffrā ʒ ss of yreos ʒ i. ss make it after the maner of a cerote This linimente is of good operation to engendre heere 's in the heed and in the chynne Before ye apply this lyniment ye muste rubbe the place wyth a course clothe Note that when alopecia and albaras ben olde the cure is in a maner impossible Thus we ende this present Chapter ¶ The .vi. Chapter Of the cure of Saphatie Of Saphati SAphatie are litle pustles whiche are engendred in the foreheed in the neck and in the face and chefely about the nose and are fleshye with a lytle crust vpon them lyke the skale of a fysh This passyon appeareth often in a lepre and therfore the doctours calle it the begynnyng of leprye It appeareth also in the Frenche pockes The causes therof are grosse superfluous and burned humours The cure of the sayde vlcers conteyneth .ii. regimentes namelye vniuersall and perticuler vniuersall regyment is accomplyshed by the vniuersall purgation declared in the chapiter of a canker and also the
chicken mengled with rosted apples a lytle saffran Yf the matter be flegmatyk wyndye ye shall applye the playster folowynge Another ℞ of beane floure of the floure of lentyles ana ℥ i. ss of the floure of orobus ℥ ij make a styffe playster with sufficiēt soddē wine Thys playster helpeth the losenes of the eye lyddes resolueth the swellyng of the same whyche thynge thys decoction folowyng doth also when the sayd losenes is wtout inflāmatiō Another resolution ℞ of red wyne of barbours lye ana .li. i. of wyne of pomegranades ℥ ij of camomille mellilote corianders ana a lytle of the nuttes of cypres nōbre .iij. of roses of myrtilles eche a lytle of roche alume ℥ i. of hony ʒ vi stāpe the forsaid thinges except the lye the wine let them seth tyl the thyrd part be cōsumed dyppe in the straining a spōge presse the same bynd it vpō the eye c. ¶ The .xij. chap. of the wartes pustles that growe in the eye lyddes IT chaūceth that wartes other pustles beyng in the borders of the eye lyddes are inflāmed receiue euyl cōplexion so that somtyme they growe to a certeyne cākerdnes for the cure wherof ye muste procede with sharpe medicines to roote them vp euē as we haue declared in the chap. of the dysease called polipus for the remedies sygnes of both ben lyke Neuertheles for a more certeyne doctrine we wyll declare somewhat conuenient in thys case Fyrste whan the pustle or warte is not maligne ne yet inflamed to a cāker there is no surer remedy than to rote them vp with pynsons or to cut them with lytle cysers or to tye them with a threde of silke to streyne the same more and more tyl they fal and afterwarde ye must cauteryse the roote with an actuall cauterye or with a potentiall cauterye of great actiuitie as is that that is made of capitelle After the cauterisation ye must digest the place and incarne it with the cōmen cure of vlcers And yf other wartes pustles growe agayne ye must cure them as it is sayde c. ¶ The .xiii. Chapter Of the morphewe and the cure therof Of the morphewe THere be .ii. kyndes of morphewes namely whyte blacke The whyte is called albaras and the black is called morphea nigra And the morphew is a passion which chaūgeth the naturall colour of the skyn And whē it groweth in heery places it causeth the heere 's to fall and chefely the white morphewe This passyon when it is confyrmed vpō the skynne receyueth no curation Albaras is welnygh alwayes without vlceration thoughe Lanfrank be of a contrary opynion Signes of albaras Albaras is a chaungyng of the natural colour of the skin into whitenes without vlceratiō albeit the doctours ben of sondry opynions which I for brefenesse let passe and haue decreed to declare the cure of the whyte and the blacke morphewe whiche shal be accomplyshed by .iii. intentions The fyrste is ordynaunce of dyete the seconde purgation of the matter antecedent the thyrde is remotion of the matter conioynct and attraction of norishment to the place whē nede is Concernyng the fyrst and seconde intentions ye shall procede accordynge to the doctrines declared in the chap. of vndimia and chefely when it is a white morphew And in a black morphewe ye shall procede as it is written in the chapter of a canker The thyrde intention is perfourmed by the admynistration of locall remedyes And fyrst ye shal knowe that the remedyes declared in the cha of the cure of alopecia are conuenyent Neuerthelesse we wyll declare certayne synguler remedyes Fyrste for the cure of the whyte morphewe this epithyme folowyng is of great efficacitie ℞ of the iuce of motherwort of the iuce of squilla ana ʒ ii of the iuce of dockes ʒ iii. mengle them togyther The maner of applyinge this epithime is this Fyrst ye muste rub the place with a course cloth tyll it be red than laye on the epythyme with the forsayd iuces yf nede requyre the more noryshmente be drawen to the place doo this Yf the whyte morphewe be in an heerye place lette the place be shauen rubbed and thē lay vpon it the medicine folowyng ℞ of the iuce of squilla of the iuce of apiūrisus ana ʒ iii. of cantarides ʒ ii of stronge vynaygre ʒ ii of leuen ℥ ii stampe these thynges togyther and apply them after the maner of a plaister for it draweth noryshment and causeth blysteryng whan the place is blystered ye shall applye vpon it a leafe of coolewortes wyth duckes grese and butter the space of .iii. dayes And afterwarde ye shal vse this remedy folowyng A medicine to cause heer to growe which reteyneth natural hete in the place and produceth heer ℞ of ye. iuices of sothernwod mugworte of the iuce of squilla an̄ ʒ ii of mans heerbrent ʒ i. ss of oyle of tartare ℥ ss of clere terebentine of liquide rasyne of pyne ana ʒ vi of the flour of lupynes of fenugreke of leuen ana ʒ iii of hony ʒ x. of armoniak dissolued in vynegre ʒ ii ss seethe these foresayde thynges a lytle and afterward stāpe them and applye them after the maner of a playster Itē we haue proued this oyntmēt folowynge in a blacke morphewe which is with vlceration but before ye applye it rubbe the place with lye made with the iuce of dockes of fumiterry and with lupynes And afterwarde ye must scarify the place and than to remoue the causes conioynct ye shall lay bloodsuckers al about the oyntmēt is this ℞ the oyle of laurell oyle of tartare ana ℥ i. ss of terebentyne ℥ ii of branne of orpymente ana ʒ iii. of sublimate ʒ i. of the iuce of dockes ʒ ii ss of melted larde and of french sope ana ʒ x. of verdegrese ʒ v. of soote ʒ iii. ss of burned paper ʒ v. of litarge of golde and syluer ana ℥ i. of quycksyluer quenched with spittle ʒ x mengle it togyther and stampe them and make it after the fourme of an oyntment and ye shall vse thereof tyll the skynne be mūdifyed and the crust remoued And yf ther be any superfluous flesh ye shal take it away with our poudre of mercury and afterwarde drye the place and cicatrice it with vnguentū de minio wrytten in the Chapiter of the cure of a skalde heed which remoueth sharpnesse and inflammatiō that commeth of a sharpe medicyne and thus we ende this Chapter ¶ The .xiiii. Chapter Of impetigo serpigo derbia and of salte fleame SErpigo impetigo salt fleame Impetigo are engendred of grosse corrupt and sharpe fleme Impetigo or derbia after Papias is a drye and roughe skabbe of a rounde figure and marreth the beautie of the membres it is often without vlceration and groweth vpon the necke vpō the forhed vpon the vysage and vpon the armes
wyth the accidentes of a canker wherfore ye shall resort to the chapiter of a canker Neuertheles for a more certayne doctrine we wyll recite some remedyes alowed in thys case And fyrst a linimente after thys sorte â„ž of the herbes called gallitricuÌ„ politricuÌ„ ana mÌ„ i. of the fourthe kynde of nightshade called manicon Aprenâ—â—ce remedy mÌ„ ss of hole sower pomgranades noÌ„bre two of nyghtshade mÌ„ ss stampe them all together presse them seeth them wyth two ownces and a halfe of licium vnto the thycknes of hony WheÌ„ ye haue applied thys linimeÌ„t wyth lint or coton ye shall also apply vngmÌ„ of tucia written in our antidotary Item tutia poudred wyth antimoniuÌ„ and a lytle burned leade hath a marueylouse prerogatyue in thys case the vlcere beyng a fore hande mundified with our poudre of mercurye Moreouer the herbe called verucaria or wartworte roteth vp all cankerous mattier so it be not olde growen in the bone of whyche herbe we wyl speake more plainly in the seueÌ„th boke Moreouer the iuyce of manicoÌ„ and of houndestong may coÌ„ueniently be vsed and lykewyse vngmÌ„ albuÌ„ camphoratum wyth the iuyce of plaÌ„tayne and nightshade and a lytel tutia We haue wrytteÌ„ other remedies in the chapiter of canker whych may be well applied in thys case ¶ The .xxv. chapiter of the vlcers of the throte of the necke OFten tymes there chauÌ„ceth aboute the throte about the necke Of vlcers of the throte strophulous vlcers somtyme they ben holowe somtymes full whyche are engendred of colde meter The cure of whereof shal be thus accomplished Fyrst conuenient purgation accordynge to the humours and ordinauÌ„ce of diete presupposed as it is wrytten in the chapiter of sephiros Yf the sayde vlcers ben scrophulose namely hauynge superfluous fleshe bounchyng out they shal be cured wyth the cure of vlcered scrophules And yf they be holowe the shal be cured by the cure of holowe scrophules But as oure custome is we wyll declare certayne remedyes whych we haue proued Fyrst the patient must absteyn froÌ„ all colde moyst meates as we haue sayd in the chapiter of vndemia and thaÌ„ it shal be profitable that the patient take in the breke of the daye of this electuarye the quantiite of a sponeful â„ž of sirupe of sticados of honye of roses anÌ„ â„¥ vi of syrupe of violetes â„¥ .iiii. of Turbith preparate A lectuary to purge fleume Ê’ vi of agaryke made in trosciskes Ê’ x. of gynger Ê’.v of cinamome Ê’.ii of polipodye â„¥ i.ss of anise Ê’.vii of triacle Ê’.iii of fyne suger â„¥ .v. bray the thynges that are to be brayed and make an electuary After that ye haue geuen this electuary ye must study to remoue the mattier conioyncte and superfluous and vnctuouse flesh with the administration of vngmÌ„ egiptiacum and if it be necessary wyth the trosciske of minium wrytten in our antidotary And in delicate ê‘sonnes we haue vsed our poudre of mercury and afterwarde for mundification ye shall washe the place wyth water of Alume and applye lynt wyth hony of roses And bicause the vlcers of the necke requyre great drieng by reason of the moisture that coÌ„tinuallye descendeth froÌ„ the brayn our custome was for the cicatrisation to apply lynt with vngmÌ„ ceraseos our poudre cicatrisatyue IteÌ„ we haue proued thys oyntment folowynge to be good in all tymes vnto perfit curation â„ž of oyle of white lillies of the oyle of lynsede anÌ„ â„¥ .iii. oyle of roses odoriferouse oyle myrtyne anÌ„ Ê’.ii of litarge of golde and syluer of minium anÌ„ â„¥ .i. of white diaquilon with guÌ„mes â„¥ .iiii. of goates suet and wethers suet anÌ„ â„¥ ii.ss of shippe pitch and greke pitche ana â„¥ i.ss of the iuce of houndestonge â„¥ .iiii. seeth thes thinges together til the iuyce be coÌ„sumed and that the ointment receyue a blacke colour and theÌ„ strayne them through a cloth set them on the fyre agayne and lette them seeth tyll they be verye black and that done adde in the ende therunto of cleare terebentine â„¥ .iii. of opoponax â„¥ ii.ss Thys oyntmeÌ„t hath vertue to purge the mattier and to incarne and mundifye the sayd vlcers and to make good cicatrisatioÌ„ Item we haue proued good to applye the herbe called houndestong and to bynde it vpoÌ„ the vlcere Thus we c. ¶ Here foloweth the thirde treatyse of the fourthe boke whyche speaketh of vlcers of the brest the backe the ribbes and the armes ¶ The fyrst chapiter of the vlcers of the backe Vlcers of the backe THe vlcers of the backe as we haue sayd in the chapiter of the wouÌ„des of the sayd place are daungerous for many causes as it is there alleged The cure of the same differeth not from the comune cure of other vlcers wherfore yf they be rotteÌ„ or corosyue ye shall resorte to the chapiter of rotten and corosyue vlcers and lykewyse of other kyndes But you shall note one thynge that is to saye that the medicines whyche must be applyed in the same place oughte not to be so sharpe as those that be applyed in all other places And the cause is for that that in the backe there is a great multitude of synnowes procedynge out of the nuke wherfore in rotten vlcers of the said place it sufficeth to applye vngmÌ„ egiptiacum with asmuch of vngmÌ„ apostolo meÌ„gled together And in fylthye and mattrye vlcers it sufficeth to applie our oyntment with one part of vngmÌ„ egiptiacum and of two partes of vngmÌ„ apostolorum In lyke maner to mundifie them ye maye vse an abstersyue made of hony of roses of the iuyce of smallage of sarcocol of the iuyce of affodille with terebentyne and floure of lupyns Item yf the sayd vlcers ben holowe ye shall not vse sharpe and corosyue lotions For by towchyng the synnowes they maye induce a spasme If ye maye vse an incision wythout cuttyng of veynes synnowes it wolde be more laudable then to vse sharpe medicines chiefly when the mouth of the vlcere is aboue the holownes beneth Yf ye can not coÌ„uenientlye vse incision bycause of the daungers ye muste mundifye the place wyth thys lotion folowyng whiche hathe vetue to mundifye all holowe vlcers from mattier and euyll fleshe wythoute greate payne A good lotion â„ž of lye made of the asshes of the vyne tre or the figge tre of equall strengthe as is barbers lye Ê’ vi of oure poudre of mercurye Ê’.ii of sarcocolle Ê’.i of honye of roses â„¥ i.ss mengle them together Thys lotion muste be applied warme wyth a syrynge and it must remayne in the holownes the space of a daye before ye apply any other medicine for the forsayd medicine eateth yll flesh and turneth the fylth into good matter After they ben muÌ„dified wel whiche thyng is knowen by the growynge of good fleshe by laudable quyture ye must washe the place with water of barlie and honye of roses onely or wyth an
excepte they be vlcered and ioyned wyth some hote humoure Theyr colour is betwene blewnes and rednes If they be caused of melancholyke and flegmatyke bloode mixt together they ar like lytle peces of flesh of blacke colour called Condilomata and yf they be caused of brente choleryke bloode wyth melancholye they are in coloure and figure lyke to a mulberye and verye paynefull Item ye shal note that some be naturall and some accidental the naturall are those whiche in some dodies euerye moneth or euery yere foure tymes purge grosse and melancholyke bloode The accidentall are those whyche procede of the foresayde causes throughe euyll diete and other thynges not naturall wherfore the pacient muste auoyde all sharpe salt tarte thynges and the engender melancholyke bloode as all pulses the heade and the inwardes of beastes and grosse fleshe as of kyne swyne goates hares and byrdes of the ryuer Further more the emoroydes are caused inwardly and outwardelye Those that are engendred inwardly are natural they are woÌ„t to sende forth grosse bloode those that apere outwardelye sende forth watry bloode somewhat reddyshe The cure of emoroydes shal be accomplishid by an vniuersal and particuler regiment Cure of emoroydes The vniuersall regiment hath two intenciones namelye ordinaunce of diete and purgation of the cause antecedent Particuler regiment is accomplished by the administration of locall medicines As touchyng the fyrst intention we say that when they droppe inordinatly they muste be restrayned thoughe it be a generall rule that the flowynge of bloode by certayne tymes courses shulde not be restrayned leste the pacient fall into a dropsye throughe the weaknes of the lyuer and of the stomake For the restraynynge of the same the remedyes whyche be administred to stoppe the floures are conuenient in thys case applyed as well within as without lykewise in prouokynge the same Yf the fluxe come of a colde cause let the pacient be purged with diacatholicon cassia with the decoction of myrobalanes called kebuli equally proportioned accordynge to the strength age of the patient Yf they procede of hote mattier ye shall purge the body wyth diaprunis not solutiue reubarbe wyth the decoction of myrobalane citrine The doctours say that the solutiues must purge in pressing together leauyng some stipticitie in the meÌ„bre that sendeth and receaueth the humours After purgation ii dayes ye shal administer a bathe of thinges the restreyne as sumach roses myrtilles plaÌ„tayn boyled in water wherein hote steele hath beÌ„ queÌ„ched It it is good to take trifera magna cuÌ„ saÌ„guine draconis with a litle mumia a lytle reubarbe wyth wyne of aygre pomegranades Rasis prayseth trosciskes of karabe Playsters for the emoroydes with sumach to restrayne the fluxe of the emoroydes he prayseth the application of a playster of spica written in the chapter of the weaknes of the liuer Item a sirupe of myrte of roses is of great excellencie in this cause Furthermore it is very good to laye vpoÌ„ the rennyng place in the somer a plaister of lentilles roses beanes made wyth water wherin a hote yron hath ben quenched for it stauncheth blood marueylously Item this playster folowing serueth for the same purpose R. of roses of myrtilles of the leaues of plaÌ„taine of the herbe called lingua passerina or knotgresse ana mÌ„ i sethe them all in water wherein hote yron hath ben quenched then stampe them streyne them put therunto a lytle wyne of pomegranades a litle vinaygre of roses shake them together brynge them in the maner of a plaister vse the same If the fluxe of emoroydes chauÌ„ceth in wynter ye must take wormewood with oyle of roses omphacine a lytle sage and mugwort and seeth them in a pot and afterwardes stampe them applye them vpon the place Ye shal put also wtin the fundament this oyntment folowing R. of roses myrtilles knotgrasse anÌ„ â„¥ ss of fraÌ„kensence Ê’.i of saÌ„guis draconis of myldust of â—eane floure anÌ„ Ê’.ii of hares heare cut in smal peces Ê’.ii.ss of bole armeny terre sigill anÌ„ Ê’.iii.ss of tutia of litarge of golde syluer anÌ„ Ê’.i.ss of the iuyce of tapsus barbatus of the iuyce of horsetayle plantayne and comferye ana Ê’.iii the whytes of two egges shake them all together put them into the fundameÌ„t with cotton or wyth lynte for it is a presente remedye to staunche bloode Also byndynge of the armes and shulders and ventoses is verye good to tourne awaye the mattier Also it is profitable to laye a ventose vpon the liuer Item it helppeth muche that the patient eate before his meate some stypstyke thynge as rosted peares or quinces or mynes made of the same medlers wyldynges c. Also ye muste auoyde anger immoderate vse of women and greate exercise Thys doctrine shall suffice for particuler purgation of emoroydes Vniuersall cure of emoroydes Nowe we wyll come to the vniuersall cure whyche shall be accomplyshed by foure intentions The fyrste consisteth in the ordinaunce of diete the seconde in purgation of the mattier antecedente the thyrde in remouinge the matter conioynt the fourth in correction of the accidentes As towchyng the fyrste the patient must vse suche meates as maye engendre good blood and destroy euyl as chickyns hennes partryches fesauntes motton veale sodden wyth herbes that engeÌ„der good blood as borage buglosse lettuse spinache c. He must auoyde all fishe excepte perches and fyshes that lyue amonge stones Also he must auoyde al sharpe thynges that engender melancholyke blood For the seconde intention whiche is to purge the mattier antecedente you shall vse Diacatholicon or Cassia or Diacassia and ye shal forbeare solutyues into whyche Aloes and scamonye enter wherfore it shall suffice to loose the bellye with one of the sayd lenitiues The thyrde intention shall be accomplyshed wyth the administration of locall remedyes And fyrste yf the emoroydes be like mulberies though they be of lytle aperaunce yet they cause great payn which if you swage not spedelye an apostemous or fistulous vlcere maye be engendred in the place Wherefore Lanfranke a lerned man comaundeth at the begynnynge to cutte the veyne called Basilica of the same syde the next daye the veyne saphena of the same syde And if the patient were wont to haue purgation by the veynes emoroydal ye shall prouoke the same and yf he were not acustomed he shal forbeare And herein the chirurgiens erre often tymes applyenge in the begynnynge of emoroydes bloode suckers and thynges that prouoke bloode wherby they haue broughte the place to an aposteme or to a fistula wherfore it is better to studye to swage the payne and to resolue the emoroydes wherunto a suffumigation and fomentation of the place by this decoction folowynge is profitable in all kyndes of emoroydes whyche we haue proued in Iulye the seconde A pope full of pyles R. of the leaues of Malowes and Violettes of
veyne And yf the emoroydes be in fourme of lytle outgrowynges of fleshe the payne beynge somewhat remoued it is a good remedye to laye blood suckers theron and thē for the full mundification and resolution of them ye shall administer the forsayd cerote There chaunceth often in thys disease a swellynge rounde and large after the figure of a chestenut which causeth greate peyne and must be cured with the forsaid remedies namelye by resolution and mitigation of payne After the payne is swaged I was wonte to minister the foresayde cerote for perfit resolution Finally if the emoroydes growe to a hote aposteme for the cure therof ye shal resort to the chapter of flegmon The fourth entention whych is to correcte accidentes shal be accomplished by the administratiō of locall remedyes The accidentes of these diseases are these vehement payne gret fluxe of bloode apostemes cākerous putrefaction of the places Concernyng swagyng of payne staunchyng bloode and curation of aposteme we haue spoken in thys present chapter But for as muche as the payne is very vehement for the remotion therof ye maye applye some thynge wherin opium shall enter as thys that foloweth whyche is of the description of Alexander and we haue proued it in thys case in Tenasmō R. of mirre of frankynsence of licium of saffran ana one parte Alexanders liniment of opium two partes braye them and make a linimēt with the muscillage of psilium and oyle of roses wherewyth ye shall annoynte lyut and putte it both wythin with out Here foloweth an other sure and excellent remedye for the same purpose An excellent remedy R. of the leaues of henbane and of malowes and of colewortes ana m̄ i. wrappe them all in peces wete them and rost them vnder coles then stampe them and laboure them in a mortar of leade wyth a lytle oyle of roses the yolke of an egge and a lytle saffran and the meate of rosted apples ℥ ii applye thys medicyne after the maner of a playster And yf the emoroydes growe to blacknes cankerdnes ye shall resorte for the cure therof to the chapter of a canker And thus we ende c. ¶ The fyfth chapter of tenasmon Of tenasmon TEnasmos is a passiō of the gutte called intestinum rectū wherin the patiente hathe great desire to the siege but vttereth nothyng sauyng a lytle flymy mattier as is the gelye of fysh mengled wyth droppes of bloode And thys passion for the more part is caused of grosse and slymie mattier cleuing to the arse gutte whyche louseth the sayde gutte thorow hys slymynes byteth the same thorowe the sharpenes and saltnes styrreth vp the vertue expulsyue and causeth desyre of a siege thys kynde is euer wyth ponderositie or heuines of the place Somtime the sayde passion is engendred through cold of the fete or by the receyuyng of a medicine made wtoute scamony or elebore It chaūceth also sōtime through grosse choleryke and brente bloode and causeth greate payne and the patient vtreth more bloode then fleume And moreouer there happeneth in thys case vlceration in the ende of the muscule which prycketh the vertue expulsiue and prouoketh to siege The cure of tenasmon Cure shal be accomplyshed as it foloweth Fyrste a conuenient purgation muste be vsed that is to saye yf the mattier be hote that the bodye be purged wyth a linityue lectuarye or wyth cassia diacatholicon wyth manna If the matter be colde the patient shall be purged with cassia and diafinicon and diacatholicon Howebeit ye shall note thys one thynge before the administration of a medicine by mouthe ye shall vse a clister linityue to mollifye the dregges of the guttes A linityue clister conuenient for tenasmō in a hote and drye cause maye be thus ordeyned R. of the brothe of hennes or of other fleshe A linitiue clister thre pound of Violettes Malowes camomyll melilote ana m̄ ss of lyneseed ℥ .i. let them seeeh all togyther alytle and make a clyster with oyle of violettes oyle of camomyll and the yolkes of egges a lytle red suger But yf the forsayd passion be caused of a colde mattier the clystre folowyng is to be vsed which mollifieth and purgeth salt and slymy matter and breaketh wynde ℞ of camomil melilote and dyll ana m̄ i. of the leaues of holyhocke m̄ ss of bran m̄ ii of the rootes of tapsus barbatus m̄ i of lyneseed ℥ ii of swete fenelle of anise ana ℥ ss of cumyne a lytle of licoryce ʒ.x the heed of a wether somewhat broken seeth them all to gither with sufficient water tyl half of it be consumed than strayne them and presse them strongly and take of the strayning li. i ss of oile of camomil dyll an̄ ℥ .ii. of oyle of rue ℥ ss of hony of Roses ℥ .iii. the yolkes of ii egges and so vse the clystre Item it is good to bath the place with the decoction of the sayde clyster and to receyue the smoke therof Lykewyse it is a synguler remedye to take the same decoction and oyle of lyneseed in euen quantitye and a litle red sugre the yolke of an egge and to clysteryze the sore place therewith Item oyle of lyneseed rubbed with the roote of tapsus barbatus the leaues thereof and with a lytle mugwort and camomyll and than clystered warme swageth payne effecteouslye Item we haue founde it good to vse a suffumigation of frankensence terebentine a lytle myrre it swageth payne Lykewyse to syt vpon a warme table of a pynapple maketh to the same purpose Item a suffumigation and syttyng vpon the sayde decoction maye conuenyentlye be vsed Colliries also put in to the fundamente passe other remedyes Yea and linimentes brought into the fourme of lyquide oyntmes are of great efficacitie in this disease And therfore the liniment of Alexander noted in the former chapiter is of a maruelous excellēcye for it swageth payne in prouokyng slepe which is a synguler remedye in this case c. ¶ The .vi. Chapter Of the relaxation or loosynge of the gutte called intestinū rectum IT chaūceth often that the arse gutte is molified softened lowsyng of the greit gutte through sondrye causes so that it cometh out of the foūdament of the length of thre fingers and thys passion happeneth mooste in chyldren though it chaunce also in other ages And the cause therof is grosse and slymy fleume cleuynge to the gutte and molifienge the same pryckynge vp the vertue expulsyue wherefore there foloweth greate ytchynge and mollification of the fundamente whereby the gutte issueth out of his acustomed place this passion cometh ofte with tenasmon and happeneth to children by takynge colde in their feete The cure of thys desease The cure shal be accomplished with administratiō of locall medicines First cōuenient purgation and good diet presupposed ye must foment the place with rasyn of pyne apple terebentyne frankynsens and mastik afterwarde sprincle
somwhate the fleshe frome the bone in the ouer parte of the member And afterwarde cutte the rotten fleshe frome the boone by pece mele and couer the bourders wyth warme cloutes that they be not hurte by the ayre Than ye muste compasse about the ouer parte wyth youre handes and reduce the fleshe cyrclewyse and sawe the bone as hye as ye can wyth a sawe of sharpe teethe Whyche done ye muste cauteryse the cutte place vnto the hole parte and afterwarde ye muste cauteryse the boone and than cure the wounde as other burned woundes bene cured And because that some commaund to astoyne the member before incisyon by applycation of a medycyn wherin opium entreth or by the smelling of a spunge wherein opium is that the hole bodye maye be broughte a slepe Ye shall vnderstande the reuerence saued they enterpryse a daungerouse busynes for thys dysease somtymes chaunseth of a medycine made wyth opium as wrytters affyrme Neuerthelesse the member may be bound afore incision in the vpper parte because of the course of the bloode Furthermore they that prayse the applycacion of a certayn sparadrap for the conseruation of the corrupte member wyth the hole are not to be herde for the application of them doth brynge shame to the chirurgien hyndraūce to the patient Fynally when the escare is remoued ye shall procede as is declared in the chap. of vlcers in general thus endeth the treatyse of vlceres The .v. boke of master Ihon Vigo of Genuay of the frenche Pockes of the deade euyl and scabbe of the paynes of the ioyntes of the tethe ¶ The fyrst chapter of the cure of the frenche Pockes not confyrmed IN the yeare of our Lord. Of the frēche pockes not confermed 1494. in the monethe of December whē Charles the Frēche kynge toke hys iorney into the partes of ytaly to recouer the kyngdome of Naples there appered a certayne dysease through out al ytaly of an vnknowen nature whych sondrye nations hath called by sondry names The Frenche men call it the dysease of Naples bycause the souldyours brought it from thence into Fraunce The Neapolitanes call it the Frenche dysease for it appered fyrste whē they came to Naples so other languages call it by other names whervpon we nede not greatlye to passe but rather what the nature and cure therof is Thys dysease is contagious chiefly yf it chaūce through copulation of a mā wyth an vnclene woman for the begynnynge therof was in the secret members of men and women with lytle pushes of blewe colour otherwhyles of blacke sometyme of whytyshe wyth a certayn hardnes aboute the same whych pustules could not be healed by medicine applyed with in or wythout but that they wold enbrace the hole bodye wyth vlceration of the genitall partes euer returnyng agayne after they were healed chiefly in the ioyntes in the armes vnder the knees in the foreheade and welnye spredde through all the body yet at thys tyme they begyn euē so but it is not so contagious as it was at the begynnyng Furthermore a moneth after the sayd pustules the patient was vexed wyth great payne in the heade the shulders the armes the legges after whych payne that is to saye after a yeare more certayne hard thinges lyke bones were engendred in the patient wyth exceding paine in the nyght tyme whych seased in the daye tyme. For the swagynge wherof the chirurgiens administred anodyne medicines that apease griefe and preuayled nothinge but the ende of the payne was euer corruption of the bone as it chaūceth in the windines of the backbone for the most part the mēbres remayned croked and drawen together through the sayd paynes After a yeare a halfe there appered in thys shamefull abhominable dysease certain knobbes of grosse and flegmatyke matter rooted after the maner of a whyt chessenut lyke a chorde or a synowe halfe rottē whyche were ryped of nature wtout helpe of medicine Wherfore after theyr brekyng or openyng of them all kyndes of vlcers were sene in thē accordyng to the diuersytie of bodyes for in one bodye it is not credible For in sondry bodyes sondry accidentes are wont to be engendred with thys dysease And I dare say that al the dyseases that come of a cause antecedent wherof the chirurgiens haue made mencion maye be nombred in thys shamefull dysease accordyng to the dyuersitie of bodyes And fyrst to speake of apostemes we haue sene in thys detestable sycknes all kynde of hoote cholerike and sanguine apostemes And also we haue sene great quātitie of colde flegmatike and melācholyke apostemes in matters cōpoūde yf the bloode be ioyned wyth fleume and the bloode hauynge dominion the aposteme is called flegmon vndemiades and so of the cōiunction of other as we haue declared in the boke of apostemes in generall Furthermore we haue sene in the sayd dysease al kyndes of quyttures accordynge to the dyuersities of the .iiij. The packes haue parte of al dyseases euyll humours We haue sene deade fleshe growyng in great aboundaūce and also greate multytude of glandules scrophules apostemes called talpe ectopinarie wyth corruption of the bone in the heade And moreouer we haue sene al sortes of the apostemes called formice carbuncles and cancrenes to haue ben ioyned wyth the said dysease and al sortes of vlceres wrytten by al the doctours haue bene sene in thys dysease And yf the vlcers of the sayd dysease be diligently consydred they haue participation with corrosiue and putrefactiue vlcers with creping vlcers cancreouse and cancrenouse virulent maligne paynfull apostemed holowe fystulous vlcers wyth corruption of the bone shelly with harde lyppes briefly the said vlcers haue an euel proprietie vnknowen to vs thorough the malignitie wherof they are harde to be healed and returne shortly agayne Lykewyse in thys dysease all kyndes of paynes may be nōbred as the goute in the handes and fete and of the knees and sciatica Item al sortes of euell scabbes are founde in thys dysease that is the deade euel assaphat and as it were a leprye salte flēgme in the handes and in the fete skalles ryngwormes tetters c. Itē we haue healed sondrye dyseases of the eyes cōmynge of the pockes chyeflye the dysease called ophthalmia but it shulde be to longe a thynge to reken vp al the accidentes that come of this dysease Howebeit we wyl adde this one thynge that they that are touched therwyth are subiecte to a slowe feuer and a consumynge whyche hath brought the patiēt sometyme to death The cause of thys dysease is alwaye primitiue as by hauynge knowlege of fylthy vncleane and pocky women for thys dysease through hys venymnes and the venymnes of the pustules whych chaunce in the priuie partes is spredde aboute the hole bodye from the head to the fete and corrupteth the blod of all tht bodye and produceth pustules scabbes and croustye skalles And ye shall vnderstande that resolutiue medicines that swage
payne profyte lytle or nothynge in thys dysease yea the paynes are rather encreased more more Wherfore ther was neuer no such dysease knowen Howe be it Cornelius Celsus speaketh of a lyke dysease of the cure of a leprye called Elephancia and also Hugo de Senis in the .lv. coūcell semeth to speake of a lyke dysease Suetonius in the boke of the lyues of Emperours sayeth that Augustus had a lyke dysease for he sayeth that the sayde Augustus had greuous sondrye and peryllous dyseases all hys lyfe tyme. And he sayeth more ouer that he hadde spottes dyspersed vppon the breste and bellye in maner order and nomber of the sterres of the sygne called Vrsa maior Wherfore it was nedefull for the curation of thys dysease to serche out newe remedyes And so to saye the truth the medicines lately inuented are better in thys dysease then the medicines of olde wryters as for an exāple of payne Anodyne remedyes whych do swage payne resolue profyte nothynge in thys dysease I affirme the same of anodyne oyntmentes oyles bathes fumigations cerotes plaisters Howbeit it hath chaūced sometyme that I haue healed paynes pustules vlcerations scabbes wythin a weake anoyntynge the armes from the elbowe the legges frō the knee wyth a symple vnction fortifyed wyth a lytle quycksyluer To come to our pryncipal purpose I saye that thys dysease hath two curations accordynge to the tyme accordyng to the matter The fyrst yere we vsed one maner of curation the seconde yeare another In the fyrst curation iij. ententions are requyred The fyrst is ordinaūce of dyete that good humours may be engēdred euyl destroyed The seconde is to digeste the matter antecedēt to purge the same beyng digested the thyrde is to remoue the matter cōioynct As touchynge the first entētion we say that the patient may eate veale kyddes fleshe chyckes̄ hennes pertriches lyke as well rosted as sodden Byrdes also the lyue in woodes hylles may be permytted Cōtrarywyse porke hartes fleshe hares fleshe byrdes of the ryuer muste be forborne for they engendre grosse and troublous bloode Moreouer all kyndes of pulse and of colewortes all rootes are forbydden It shall therfore suffyce that the patient vse to eate borage lettuse whyte beetes spynache wyth a lytle perslye myntes sodden in the brothe of the forsaid meates Also a potage made wyth grated breade and wyth the forsayde brothe is conuenient Egges also wyth a lytle veriuyce may wel be permyttted And sometyme ryse sodden in some brothe Fyshe of all kyndes excepte lytle ones of redde colour and in lytle quātitie broyled vppon a gryderne are to be refused and also lekes onyons garlyke all hote salte and peperye thynges for they burne the bloode All frutes also bycause they be soone corrupted in the stomacke except ripe plommes and peaches muste be refused Sometymes also melons and sower cheries moderatly taken maye be suffered All whytmeate is hurtful But pomegranades and the wyne therof and resyns are conuenientlye permytted The seconde entention whyche is to digeste the matter antecedent and to remoue the same shal be thus accōplyshed Fyrst the strength and the age of the patient consydered yf he be sanguyne it is very good to drawe blood out of the comon veyne or out of the veyne called Basilica in the ryghte arme a clyster presupposed thē let the matter be digested the space of a weke by thys syrupe ℞ of syrupe of fumiterrie the lesse ℥ i. of the iuyce of endiue ʒ vi of water of maydenheere of fumiterrie of euery one ℥ i. then let the paciynt be purged wyth thys purgation ℞ of diacatholicon of a linitiue electuary of euery one ʒ vi of reubarbe steped in water of endiue accordīg to arte ʒ i. myngle them together and make a smal potiō with the decoction of cordiall floures and frutes adding of syrupe of violettes ℥ i. ss Howebeit in thys euyll dyspositiō I was wonte in the fyrst dayes to digeste the matter wyth a syrupe magistrale vnderwrytten ℞ of fumiterrie maydenheere buglosse endiue of euery one m̄ i. ss of gallitricū politricū ana of euery one m̄ ss of reysons of sebesten of euery one ℥ i. of damaske prunes nombre .xxv. of sowre apples somwhat broken nombre syxe of the wyne of pomegranades .li. ss of the water of endiue fumiterrie buglosse of euerye one .li. i. ss let them seth all tyll the thyrd parte be consumed then strayne them and put to the straynynge as muche suger as shall suffyce make a syrupe wyth .ij. ℥ of the iuyce of fumiterrie as muche of the iuyce of endyue with an ounce of the iuyce of hoppes wherof let the patient take in the mornyng an ounce and a halfe wyth water of maydenheere endiue and fumiterrie The mater beyng digested wythin .x. or .xij. dayes after the receyt of the said syrupe let the patient be purged with thys purgation ℞ of cassia fystula ℥ ss of diacatholicon ℥ i. of electuarye of roses ʒ ij or in the steade of the electuarye after .vi. monethes put thervnto so muche of the cōfection of Hamech and make a small potion wyth the comon decoction I vsed these two purgations the matter beynge fyrste dygested the space of a yeare and more renewynge the sayde purgations and dygestions euerye seconde moneth And sometyme betwene purgation purgation I gaue the patient the pilles vnderwrytten ℞ of the pylles of mastyke of pylles of hiera de octo rebus of the pylles of fumiterrie of euery one ℈ i. make .v. pilles therof which I was wonte to minister before supper and sometyme after supper accordynge to the necessitie of the mēbers Also I suffered scarifications to be made vpon the shulders thyghes and buttockes wyth application of ventoses chyeflye when the bodye was ful of euyl humours and scabby pustules The thyrde entention whyche is to remoue the matter conioynct is accomplyshed by the administration of locall medecines accordynge to the diuersitie of tymes and of vlceres Fyrste to come to the originall of the dysease that is to saye to pustules whyche are wonte to chaunce in the yarde bycause these pustules chaunce of a primitiue cause there is no better remedy then to vse incontinētlye a sharpe and stronge medicine to mortify theyr malignitie that it spred not thoroughe all the bodye But we ought to do otherwise yf the punules came of a cause antecedente for local medicines are not to be applyed accordynge to the rules of chirurgerie before purgation of the bodye Amonge sharpe mundifycatiue medicines whyche byte awaye fleshe wythout payne our pouder of mercurye is moste principall for besyde other hys vertues it kylleth the malignitie of vlceres and pustules and bringeth the vlcered place to dygestion purgation of the matter wyth mundifycation When the place was mundifyed we were wonte to incarne it wyth an incarnatiue of sarcocolle and myrrhe wrytten in oure antidotarye And thē I
nept m̄ i. bran barlye lupynes ana m̄ i. ss of violettes mallowes an̄ m̄ i. ss of blacke elebore whyte ana ℥ i. ss of hony ℥ ii let them seeth all togyther wyth suffycient water tyll the thyrde part be consumed After the lotion let the scabby place be anoynted with this oyntment folowyng ℞ of oyle of mastik of laurell ana ℥ ss of fresshe butter of swynes grese melted an̄ ℥ ii ss of the iuce of fumiterrye plantayne and of the iuce of docke rootes ana ℥ i. of blacke elebore ʒ vi of mercurye sublymed ℈ i. let them seeth all togyther tyll the iuces be consumed thā streyn them and adde to the straynynge of litarge of golde and syluer an̄ ℥ ii ss of ceruse ℥ i. of quycksyluer quenched with spittle ʒ x the yolk of an egge of the iuce of limōs ʒ ii ss of brayed salt ʒ i. of clere terebentine ℥ i. ss of liquide storax ʒ i. mēgle thē togither make a liniment for it helpeth this disease all other scabbes And if the forsayde scab of malmort chaūce to be vlcered as we haue sene often that the forsayde vnction profyte not thā ye shal vse vnguē de minio or the sparadrap wrytten in the former chap. And if the vlcers be maligne the malignitye therof shal be rectified with our podre of mercury The maner of applying the same is this ye shal wete your lytle fingre with fasting spittle and touche the vlcered place with the same after ye haue put it in the sayd poudre for a lytle quantitie therof worketh moche when the malignitie is remoued ye shall procede with the forsayd cerote and water of alume Item in the stede of the sayd cerote we haue proued the herbe which Dioscorides calleth clyminō to be of great effect This herbe groweth in watry places and is ii cubites lōge hauyng a square stalke lyke a beane-stalke and leues lyke to weybred but somwhat larger and longer thycker and somwhat iagged about lyke a nettle This herbe is founde in our partes in the places about the water which is betwene the bridge yf saint Cyth at Bysamis where it is cōmenlye called alabeneratore This herbe is a greate medicine for al vlcers of the legges The leaues also of wodbynd moysted with wyne and layed vpon the vlcers of the legges is a marueilous helpe Furthermore if it chaunce that cācrena be engengred in this malmort as we haue sene often for the curation therof ye shall procede after the cure of cancrena And namelye at the begynnyng ye shal loose the belly by purgation And ye shal cut a veyne called basilica as we haue sayde before in this present cha After that ye haue cut a vein ye shal scarify the black flesh depely and all about ye shal apply bloodsuckers to drawe oute the corrupt blood last of all ye shal wash the scarifyed place with the lye of the decoction of lupines And afterward ye shall applye thereunto vngentum egiptiacū of the descryption of Auicenne or vnguē egiptiacū with addition of arsenyk ordeyned in our antidotarye layinge therupon a playster resolutiue and desiccatiue as hereafter foloweth ℞ of beane flour of the floure of lentiles and orobies an̄ l. ss with sufficient quantitie of syrupe of vynegre and a lytle lye and with ℥ i ss of the iuce of wormwoode make a styffe playster And aboue this plaister towarde the body lay a defēsiue made with vynegre and water of roses and bole armeny The rest of the curation shall be accomplysshed after the cure of cancrena and other maligne vlcers ¶ The .iiii. Chapter Of a scabbe and the cure therof BEfore we procede to the cure of this disease Of a scabbe his cause we must consydre whether it procede of a primitiue cause or an antecedente The primitiue cause is by touchyng for scabbes are cōtagious wherfore at the begynnynge it shall suffyce to wash the scabbye mēbres and thā to anoynt the same with the oyntment vnderwrytten Fyrst we wyl descrybe a bayne very profytable in all kyndes of scabbes ℞ of the leues of malowes violettes and fumiterry ana m̄ ii of clene barly and bran ana m̄ i. of nept m̄ ss of blacke elebore brayed ℥ i. ss of the rootes of enula campana li. ss of apples somewhat broken in nombre x. of lymons cut in small peces nombre .ii. let them seeth all togyther with suffycyente water tyll all be consumed washe the scabbye places wyth this lotion and drye them with a dry cloth than annoynt them and rubbe them wyth thys oyntmente ℞ of swynes grese melted of calues suete ana li. ss of oyle of mastik oyle of laurel an̄ ʒ x. oyle of roses odoriferous ℥ iiii of clere terebētine ℥ ii ss of docke rotes ℥ iii. ss of black elebore ℥ i. of celedony of fumite an̄ m̄ i. of the rotes of affodil ʒ vi beate them al togyther so suffre them to rot al the space of a weeke then seeth thē a lytle strayne them and put to the straynyng of litarge of golde and syluer ana ℥ v. of ceruse ℥ iii. ss of liquide storacie ʒ x. of quycksyluer quenched with spytle ℥ iii. and yf ye dyd put to of taracameli ℥ ii it wolde be a synguler medicyne agaynst al scabbes we haue proued this oyntment to be excellente agaynst the deed euyll and to drye the pustles of the frenche pockes But yf the scabbe come of a cause antecedēt namelye through the termination of some syknesse as it hath chaūced often in sharpe and venemous fieuers then for the curatiō therof ye shal vse gentyller medicynes wherfore the bayne hereafter folowyng is conuenient in the cure of this scabbe An other bayne ℞ of mallowes violets barly bran maydenheere of gallitricū and politricū and fumiterry ana m̄ i. ss of the rotes of enula cāpana of docke rootes ana m̄ i. of soure apples in nombre ten of the coddes of sene and of epithimum ana ℥ ss seethe them all togyther besyde the coddes of sene and epithimum with sufficiēt quantitie of water tyll the thyrde parte be cōsumed then put to the rest and let them seeth agayne a lytle and wash the scabbye place in a warme stewe and afterwarde drye the places with a lynen clothe and annoynt them with the linyment folowyng ℞ of fresh butter of swynes grese of the oyle of vyolets of calues suet kyddes suet ana ℥ vi of oyle of roses ℥ ii of oyle of swete al mādes of hennes grese an̄ ʒ x. of the strainyng of the forsayd decoctiō li. i. ss let them be soddē all togyther tyl the decoctiō be cōsumed thā strayne thē and afterwarde wash the strayninge thryse with water fyrst with water of endiue secondly with water of plātayne thyrdly with water of roses and put thereunto of litarge of golde and syluer ana ℥ iiii of ceruse ℥ ii of camphore ℈ i. And yf ye wyll
the fyer and styrre them al aboute let them seeth agayne a lytle and vse thys ordinauÌ„ce wyth a brode cloth after the maner of a cerote An other cerote â„ž of the rootes of enula campana soddeÌ„ in water stamped and strayned .li. i. of salomoÌ„s seale of the rootes of walworte of euery one â„¥ iiij of oyle myrtyne of oyle of camomill of ê‘cely of euery one â„¥ i of oyle of terrebeÌ„tyne â„¥ i. ss of colophonia of clere terrebeÌ„tyne of euery one â„¥ ij of the oyle of a foxe spike of lylies of laurell of elders of euery one Ê’ x. of whyte waxe â„¥ i. ss make a softe cerote at the fyer addyng of beanefloure and floure of cycers of euerye one â„¥ iiij ss of liquide storax Ê’ v. of frankensence Ê’ iij. vse thys cerote as it is aforesayde Some chirurgiens allowe that the place be rubbed wyth aqua vite before the application of the cerote whych thynge assuredly we haue perceyued to be of great effecte for it perceth and dryeth straunge moysture whych two thynges are necessary in thys curation Lykewyse other men in the steade of aqua vite prayse fomentacion and bathynge of the place wyth a spoÌ„ge dypped in the decoction vnderwrytteÌ„ â„ž of camomille wormewoode rosemarye sage nepte of the herbe called our ladyes bedstrawe or serpillum of organye of maioram of euery one mÌ„ i. ss of roses sticados myrtilles squinantum of euery one mÌ„ i. of yua muscata of saynt Ihons worte of euerye one mÌ„ ij of the rootes of paucedinis of dytamye of aristologia of ceÌ„taury of policaria of euery one mÌ„ ss of hony li. i. ss of the nuttes of cypresse brayed nombre twenty of cloues of nutmegges of myrrhe of euery one Ê’ v. of salt of roche alume of euery one â„¥ i. ss of branne grownde â„¥ iij seeth them all together wyth a sufficiente quantitie of barbours lye odoriferous wyne tyll the thyrde parte be consumed vse thys fomentation as it is aforesayd I haue founde moreouer that the oyle of ypericon or saint Ihons wort is of singuler efficacitie in all paynes of the huckelbones and of the knee Item the leaues of yuye bouÌ„de vpon the soore membre swageth the payne of all artetyke passions chyefly yf they be colde Nowe we muste speake somewhat of the remotion of the accidentes of the goute that is to saye the hardnes and knobbes whych remayne wythin the ioyntes for the cure wherof ye shall vse thys mollifycatiue folowynge â„ž of oyle of camomill dille roses whyt lylies of euerye one â„¥ ij of the oyle of floure de luyce â„¥ i. of oyle mastyke of oyle of spike of euerye one Ê’ vi of hennes grese and duckes grese of the oile of swete almondes of euerye one Ê’ x. of the marye of the legges of a calfe and of a cowe of freshe butter ana â„¥ vi of liquide storax Ê’ ix of calues suet â„¥ ij of the sweate of shepes woll called isopê° humida â„¥ iij. Sometyme it chauÌ„ceth that the hardnes groweth to an aposteme for the maturation digestion mundifycation and incarnation therof ye shal resorte to the chapter of the cure of flegmon c. ¶ The syxte chapter of the tothe ache The toth ache THe teethe are wont to be vexed throughe a reumatyke matter distillinge froÌ„ the brayne and thorough the faut of the stomake with sondrye passions but seynge that the teeth serue for comelynes for chewynge of meate and for pronunciation therfore they muste be cured wyth all diligence Aliabbas nombreth .vi. dyseases of the teeth payne corosion congelation dormitation fylthynes loosenes They suffer not an aposteme bycause of theyr hardnes but a thynge lyke to aposteme nether haue they felynge by themselues but by the reason of synowes whych come froÌ„ the thyrde payre of synowes of the brayne to theyr rootes and to the gommes whyche thyng Galien affyrmeth also in the boke of vtilitie of the partes thus we maye conclude that they are not apostemed nether fele but by reason of the gommes and the synowes afore sayd whyche thynge is euideÌ„t for when one lytle pece of the tothe is broken the man is not payned and therfore he addeth moreouer sayeng The payne of the teeth chaunceth of the euyll complexion of the synowes or of an hote or colde aposteme wherfore sometyme the payne is swaged when the roote is pulled vp and the matter whych causeth the payne issueth by the holownes of the place where the tothe was and also the synowe is not extended or strayned out where the place is enlarged Fynallye it is a cause why the medicine maye enter in more easelye and ease the paynefull place wherfore Galien sayeth that yf medicines preuayle not for the swagynge of the tothe ache we must descende to the laste remedye that is to saye we must drawe them out by the rootes Corrosion Corrosion chaunceth in the great teeth through roteÌ„nes sharpe and euyll moysture whyche groweth and byteth them ye maye remoue the sayd corrosion wyth trepanes fyles and other conuenient instrumentes fyllynge the concauities afterwarde wyth leaues of golde to preserue the place from putrefaction Congelation Congelation chaunceth to the teeth of outward or inwarde thynges Of outwarde when a man eateth soure thynges of inwarde wheÌ„ sower vapours asceÌ„de from the stomacke Also ther is yelow fylthe styckynge to the teeth and the rootes therof whych cometh of grosse vapours ascendynge from the stomacke and maye be remoued by scrapynge and rubbynge wyth conuenient instrumentes Here foloweth the description of a pouder whych mundifyeth the teeth preserueth the gommes maketh the teeth whyt Pouder for tethe remedyeth the stynkyng of the mouth â„ž roche alume brent Ê’ ij of sarcocolle of terra sigillata of mirabolaÌ„ citrine ana Ê’ i. ss myngle them together make a pouder and rubbe the teeth therwyth in the mornynge fastynge thryse a weeke Sometyme there chaunceth a certeyn dormitatioÌ„ in the teeth by holding cold thinges in the mouth stupefacti medicines in the mouth for the remotion wherof ye shal vse the medicine vnder wrytten coÌ„maundyng it to be holdeÌ„ in the mouth warme â„ž of odoriferous wyne .li. ss of aqua vite â„¥ i. of rosemarye sage camomill ana mÌ„ ss of cloues of nutmegges ana ℈ i. of sandrake Ê’ i. ss let them seeth all together tyl the thyrde part be consumed then straine them vse them as is aforesayd Item aqua vite applyed to the teathe with cotton taketh away the dormytation and congelation of the same Looâ—enes Laxation or loosenes of the teath chauÌ„ceth through the loosenes of the gommes or through debilitation or weakenynge of the rootes or partes that bynde the tethe al which thynges happen throughe rewmes humours descedyng from the brayne and sometyme by corrupte vapours mountynge froÌ„ the stomacke For the curatioÌ„ wherof ye shal vse the medicine folowynge â„ž of syrupe of liciuÌ„ Ê’ x. of roche alume Ê’ iij. of the water of
vpon the fracture than in the extremities or endes Then leye on the splentes accordynge to the lengthe of the member than bynde theim wyth conuenyente stringes leuing the space of .iii. fingers or there aboute betwene euery splent And note that the bandes and the splentes ought not to be so loose that the boone maye go oute of hys place nether so strayte that payne and apostemes ben caused therby For ther is nothyng that causeth greater payn or that dothe more hynder the restauratyon of boones than to strayte bindynge and vncomelye settynge of the member Wherfore it is better to erre in to loose byndynge than to strayte After splentynge ye wrappe in bothe the endes a handefull of chaffe After that ye haue layed to the splentes the nexte daye ye muste looke to the member and yf it be to straytelye bounde you muste lose it and yf it be to slacke you muste binde it strayter And you muste often anoynt the restored member wyth oyle myrtine actually hoote layinge it on wyth an hennes fether And to auoyde apostemation it is expedyente to applye the defensyue folowynge in the ouer parte of the brokeÌ„ member â„ž of oyle of roses of oyle myrtine ana â„¥ iii. of whyte waxe â„¥ i. ss whan the waxe and oyles are melted take them frome the fyre and put thereunto of bole armenie â„¥ i. of al the sauÌ„ders Ê’ i. of beane floure Ê’ x. of barly floure â„¥ i. ss mengle them and make as it were a ceroote Thys defensyue suffereth not matter to come to the soore place and yt comforteth the member wyth familiare resolution of the mater conioynct Item oyle of rooses and cammomylle wyth the decoction of earthe wormes and melted wyth a lytle waxe may be coÌ„uenieÌ„tly administred vppon the knee and vppon the synnowye partes lyinge aboute the same in all tymes to aduoyde the payne of a spasme And yf the fracture be in the thygh ye shall leye it vppon the flancke or vppoÌ„ the huckle bone and ye shal proced tyll the seuenth daye wyth suche a medicine so that no euell accydentes chaunce as payne aposteme c. After the seuenth daye good practicioners are wounte to vyset the fracture and to thaunge the former apparell for many causes and chefely to se whether the bone be gone oute of his place yf he be Kyndes of fractures the master may coÌ„uey it in agayne wyth lytle extencyon and payne whyche thynge he coulde not do yf he dyd not vyset the place in manye dayes for aboute the eyghte or ix daye the pore called sarcoydes begynneth to be engendred of nature in the boones wherfore that pore beyng engendred sondrye euell accydentes maye chaunce through the stretchyng of the boones Another reason why they vyset the place is thys namelye that yf the boone be in hys due place a fresshe medicine helpeth the generation of the poore sarcoydes whych thynge is very necessarye For the accomplyshemente of the thyrde entention whyche is to conserue the boone beynge reduced into hys place throughe due byndynge of the same pore sarcoydes ye shall procede as hereafter foloweth Fyrste when ye haue remoued the fyrste aparell ye muste visite the member wyth a cloute dypped in the foresayde oyles and stretche it vppon the fracture as is a foresayde Aâ—â—erward ye shall vse stoupes wâ—â—te in water and odoriferous wyne and leye them vppon the member as is a foresayde and than ye shall vse thys playster folowynge â„ž the whytes of .iiii. egges of moste clere terbentyne â„¥ ii of myldust Ê’ x. of the pouder of the graynes and leues of myrtilles of beane floure ana Ê’ vi of red pouder â„¥ i. of saffron Ê’ ss of mumia of dragagantum brayed ana Ê’ ii mingle theÌ„ and procede with thys playster and the foresayde vnctions ten dayes yf no accydente let you After whyche tenne dayes ye shall vyset the member and take awaye the foresayde medicine and afterwarde ye shal vse thys lotion the space of the viii parte of an houre â„ž of rooses of the leaues and graynes of myrtylles of woodbinde of yarowe ana mÌ„ i. rotes leaues of ashe tree ana mÌ„ ii of the nuttes of cypresse somwhat brayd in nomber vi of the rotes of holyhock somewhat stamped â„¥ iii. of comomyll melilote wormewoode ana mÌ„ ss of hony â„¥ iiii of licium â„¥ ii of sarcocolle of myrrhe of frankensence ana â„¥ ss let them seethe all to gether wyth suffycyente water and good redde wyne tyll the thyrde parte be consumed and let the member be epythymed as is aforsayde and after the epythimation ye shall vse the foresayde medicine of the whytes of egges and redde pouder the other aforesayde other tenne dayes and afterwarde ye maye thuâ— do euerye forth day for the epithymie fortyfieth the member and draweth noryshemente by the whyche the boone is bound together and the pore sarcoides is engendred And after that the .xx. dayes are passed ye muste apply the cerote wrytten in oure antidotarie whyche is appointed for broken boones For the accomplyshemente of the iiij entention whyche is to correcte the accydentes yf payne ensue ye shal procede wyth thinges that swage the payne descrybed in oure antidotarye And semblablye yf aposteme or gangrena happeneth ye shall resorte to the proper chapters Fynallye yf there be anye ytchyng ye shall anoynte the member with the linimente folowinge a linimente so itching â„ž of oyle myrtyne of oyle of rooses omphacine ana â„¥ iii. of the iuce of plantayne Ê’ vi of lytarge of golde and siluer ana Ê’ i. and ss of bolearmenie of terra sigillata ana â„¥ i. of tucia .x. ii the iuce of amylon Ê’ v. of camphore ℈ i. myngle them and make a lynimente in a morter of lead and leye it vpon the broken member and bynde the same wyth abande weted in roosewater and wyne of pomegranades For ytche hyndereth the workynge of nature and of medicines that shuld ioyne the boones to gether Wherefore it muste be remedyed wyth al dylygence Albucrasys commaundeth that yf the fracture be in a great member we vse not splentes vnto the .vii. daye Howebeit the reuerence of so greate a manne premised I affyrme that we oughte to vse splentes frome the fyrste daye vnto perfecte restauration of the member But yf the fracture came by a greate bruse or wounde and is verye paynefull in a bodye full of euell humoures than we oughte not to splent the member but it shal suffyce to bynde it with two or three bandes hauynge certayholes ouer the bruse or wounde that the superfluytes of the wounde maye issue oute We haue proued thys cure in fractures accompanyed wyth wouÌ„des and thus we healed a noble man Leonarde de Paciis The cure of Leonarde de Paciis whyche as he roode aboute the towne felle into a pytte and brake the bones of his lyfte legge called focilia so that manye peces of bones issued there withall and the wounde became cancrenous
softe rere egges for throughe the mouynge of the iawes he myghte fall into hys olde dysease If the pacyente hathe no feuer he maye dryncke delayed wyne and yf he hathe a feuer he shall dryncke water sodden wyth honye ⸫ The thyrde chapiter of the dislocation of the spondiles of the necke HAliabas sayth that a complete dislocation of the spōdiles of the necke Dislocation of the necke bryngeth the pacyent with oute fayle to death by reasō of the wrestynge and breking of the sinowes and hurting the nuke for as Galiene sayth the accydentes of the nuke and of the brayne are like Wherefore in the dyslocation of the spondiles of the necke the pacyent is choked incontinently with the quince his breth is stopped and so he dieth sodenlye And lyke wyse through the dislocation of the spondyles of the brest by reason of the lacertes that moue it bicause the longes sease frō theyr natural action And of the dislocation of the spondiles of the necke and of the backe boone there is one whyche enclyneth towarde the inwarde parte the restauration whereof is impossible thoughe some men commaunde to applye ventoses vppon the necke and to prouoke neysynge in tyme of restauratyon whyche thing is reproued of Hypocrates There is another dislocation whyche enclyneth toward the outwarde parte and maye be restored as it foloweth The pacyent must lye vppon a bedde and ye muste bynde two bandes one vnder the chynne and an nother in the insteppes of the feete ye muste haue three mynisters which must draw together and than the master must addresse the dysplaced spondile thrustynge and pressynge harde vppon the dislocation howebeit he had nede to be a discret and an expert man But yf the dislocations of the spōdile be lower then the neck it is better to tye the bandes vnder the arme holes crossewayes There is another dislocation of the backe boone called of Haliabas arcuatio spine and that is whan some spondile is enclyned towarde the ryght or lefte syde and it maye be restored by the foresayde stretchynge and thrustyng of the spondile into hys naturall place Furthermore it is to be noted that in all dislocation of spondyles commynge aswel by a cause primytiue as bi a cause antecedente there is daunger leste a bunch happen in the place cheyfelye in yonge children but of the cure therof we wyll speke in our boke of addicions The sygnes of euel pronostication are these reteynynge of vryne Eyell sygnes and issuynge of excrementes agaynste the pacyentes wyll by reason that the synowes bene hurted and coldenes of the extreme partes and some tyme there chaunceth therewyth all dyslocation of the rompe and that is thus knowen as Auycenne sayethe namelye whan the pacyente can not bowe hys knee nor lyfte vp hys heele towarde hys rompe and whan there is greate payne and deformytie of the place for the restauration hereof the pacyent must lye vpon the bedde and hys belly downward and the master muste put hys thombe or hys myddle finger anointed with oyle of roses in to the foundament and he muste lyfte vp the boone as strongly as he canne and therewythall presse downe wyth hys tother hande the boone that standeth oute and so bryng it into hys naturall place After restauration ye muste applye vpon the place a plaister made of myl duste the whyte of an egge and oyle of roses and myrtine vnto the fourth day and for the rest of the cure ye may aply a playster of mylduste made with the iuce of plantayne and comferye wrytten in the vnyuersall chapter of dislocations And ye must bynd vpon the place a splente of woode or lether And thus we make an ende The .iiij. chapter of the dislocation of the shulder or of the toppe of the boone called adiutorium ⸫ DIslocation of the boone called adiutorium chaūceth not often but in the nether parte by reson of the thyckenes of the muscles whych are in the sayde places and because that the shulder is well couered and there chaunceth not often dislocation towarde the hynder parte as Auycenne sayth because the shulder defendeth it Lykewyse it chaunceth not towarde the breaste for there is a greate lacert whyche hath two heddes and kepeth the bone of the adiutorie that it be not dysplaced on that syde Howebeit Albucrasis saith that the toppe of the adiutorie maye be dysplaced on euerye syde whyche opynion is approued of very fewe wryters whan ye haue perceaued the dyslocation by the holownes vpon the shoulder and by swellynge vnder the arme hooles and by comparynge the one wyth the other ye muste go about the restauration wyth all spede yf thys dyslocation be in yonge chyldren ye maye restore it by puttyng your thōbe vnder the arme holes lyftynge vp the boone and drawyng downe the arme wyth the other hand And yf thys dislocation be in a stronge and harde bodye than ye muste putte a round pece of woode vnder the arme hooles and thrust the boone to his place after the maner as is aforesayd Howebeit we wyl declare .iiij. wayes to restore the boone into hys place The fyrste is to putte a wedge of woode vnder the arme viii fyngers or ynches longe and foure fyngers brode hauynge a rounde ende whych ende muste be compassed wyth stoupes and set iustly vnder the arme Then the master muste laye the pacyente vpon a benche or vpon a bedde and set hys heele vpon the tother ende of the wedge of woode and therwith all he muste drawe downe the arme wyth both hys handes as strōgly as he maye Thys is the moost certayne waye of restauration that is and it is of oure inuention There is a nother waye wyth a longe barre hauynge in the myddle a roundenes somewhat bigger than an egge made wyth stoupes and cloutes whyche barre muste be holden by two stronge mynysters vppon theyr shulders standynge in a hygh place that whan the pacyente hangethe on the barre settynge hys arme hoole vppon thys roundnes hys feet may not touche the grounde Than let one mynyster pul downe the arme of the pacyente and another hys feete to the grounde warde softely let there be a thyrde mynyster whych may thrust the shulder wyth hys handes beneth an other maner The pacyent must be hanged vppon the steppe of a ladder wrapped aboute wyth cloutes wyth some emynence or standynge oute after the maner of an egge and let hys arme be drawen downe myghtelye wherein ye shall marke that in the tyme of restauration the roundnes of the sayd steppe be vnder the armehole leste parchaunce the boone called adiutorium shulde be broken We haue another waye of restauration whyche is accomplysshed onelye by handes Ye must haue a lynnen band .iii. or .iiii. times doubled and ye muste tye it to a beame of a celler and set the pacyentes arme hole vpon the band fyrsteleying vnder as it were a great ball of cloutes and than vse the maner declared in the vse of the lader Furthermore
therefore they are colde and drye very hurtful to the sinnowes Ripe apples rosted swage the peyne of the eyes and of the fundament whē they ben mengled with mylke and yolkes of egges and so applyed in the fourme of a playster Matrisilua is hote and drye and it cutteth and thynneth as Galene sayeth and is conuenientlye administred in oyntmētes of the legges and the leaues of it healeth the vlcers of the legges Margaryte or perles are temperate and when they be poudred and mengled wyth honye of Roses they are good for passions of the hert Manna is hote and moyst temperatlye it hathe vertue to mundifye choleryke bloode and it quencheth the boylynge heate of cholere Millium is a grayne colde in the fyrste and drye in the seconde and it is conuenientlye putte into lytle bagges and applyed in sondrye partes of the bodye to drye And when it is dried in a brasse panne wyth branne and well stamped it apeaseth the peyne of the ioynctes If ye rubbe the heade therwyth the heere beinge shauen of it stoppeth reumes hauynge added a lytle of calamus aromaticus and a lytle sandrake Mastyke is hote and drye in the seconde and hys vertue is to conforte synnowye places wyth incarnation and stypticitie and yf mastyke be chewed wyth a lytle of staphisagre they prouoke humours from the brayne to the mouth Myrrhe is hote and drye in the seconde it hath vertu to cōfort defend putrefaction it cōsoundeth and therfore it is vsed in freshe woundes to glew them together it is also good in rotten vlcers Mespiles or meddlers are colde drye in the third be very restrictyue the vnrype are more byndynge then the rype NVttes are hote and dry of euyl nouryshmēt of hard digestiō they cause heed ache whē they ben mēgled with hony figges salte a litle triacle they heale the byting of men dogges serpentes other venomous beastes Auicenne sayth that hasyll nuttes encrease the brayne Nutmygges cōforte by the aromatike nature dissolue Sōtime theyr vertue is necessarye for the dymnes weaknes of the eyes Nuttes of cypresse are hoote drye temperately they cōfort and dry with notable stipticitie Nasturcium or cresses are hote dry in the thirde haue vertue to rype colde apostemes The sede of it soddē wyth vinegre brayed dissolue scrophules Nigella is hote dry in the thyrde whē it is stāped with hony oxe gal aloes caballine and applied vpon the nauell in the fourme of a playster it kylleth wormes in chyldren Nenupher is cold moist in the seconde the flour soddē with oyle of violettes oyle of roses omphacine and a litle wine of pomegranades vnto the cōsumption of the wine quēcheth the inflamation of herisipelas and phlegmon OYle made of rype Olyues is hote moyst wyth temperate heate and it hath vertue to receyue into it selfe al the vertues of simples Yf it be made of vnripe oliues it is cold and dry and therfore it is stiptike is called oyle omphacine And whē it is made according to art wyth roses it quencheth al hote mattiers conforteth the cōplexion of the mēber Oua gallinarū or hēnes egges are tēperat Their yolkes ben moderatly hote and moyste the oile therof as Auenzoar saith is an excellent remedye to swage the peyne of the eares The whyte is colde and moyst Organy is hote dry in the thyrd it hath vertue to dissolue and to consume with attraction whē it is mengled with camomyll mellilote dylle mugwort and put in a bagge it swageth peyn of the belly coming of a colde cause chieflye if it be first heated vpon a tile sprincled with wine Itē whē the arsegutte issueth out of the fundament stāped organy with roses calomus aromaticus and wormewoode and layed hote therunto reduceth the gutte vnto hys place Opoponax is a gūme of hoote and drye complexion and it is resolutyue wyth mollification Opiū is colde drye in the fourth and therfore it is stupefactyue Os sepie that is the bone of a fyshe called a cuttle is colde and drye and mundifieth gentlye Ordeum or barlye is colde and dry in the seconde and dryueth backe hote apostemes and when it is mengled wyth thynges resolutyue it resolueth the sayde apostemes And when it is sodden in the decoction of malowes the yolkes of egges oyle of violettes and a litle buttyre it ripeth cholerike and sāguine apostemes beynge applyed after the maner of a playster and hauynge added a lytle saffran Orobus is hote in the fyrste and drye in the seconde and beynge chewed with almondes of a fastyng stomake and layed vpon tetters ryngwormes and morphewes it helpeth the sayde diseases And yf ye rubbe youre handes and face therewyth it clarifieth the skynne It scoureth and purgeth fylthye and rooten vlceres beynge mengled wyth floure of lupines honye of roses and terebentine And it is of lyke efficacitie in woundes of synnowes after that the daunger of apostemation is paste Item the floure of orobus put in playsters is good for synnowye woundes and apostemes Olyues vnrype are colde and dry and therfore theyr oyle is stiptyke And whē they be seasoned wyth salt Fenell water or veriuce and eaten in small quantitie they confort the stomake and prouoke appetite Rype olyues be temperatelye hote and moyst but they ben of euyl digestion and nouryshment Oleum muscelinum is hote hath vertue to resolue Guydo sayeth it is drawen out of a certeyne grayne as oyle is drawen out of behen PEares are of sondrye kyndes and their substaunce is watrye and earthye some of them be swete some harryshe some sower The swete are lesse colde than the sower howebeit they haue all some stipticitie but beynge rosted they are of lesse stipticitie than whē they be raw Peares and apples rosted are conuenientlye vsed in playsters for hote apostemes at the begynnynge And some saye that the iuyce of them incarneth and consoundeth woundes and vlceres But it shall be better and surer yf ye put to a dramme of the sayd iuyce two drammes of syrupe of roses and ʒ x. of clere terebentyne ʒ i. of frankinsence and ℥ ss of beane floure Lette them seeth together besyde the floure and the frankynsence and thā incorporate the reste and vse them after the maner of an oyntment Porrum or a leke is hote and drye in the thyrde degre wherfore the water therof dronken wyth honye and water or meth is a presente remedye for venomous styngynges If ye rost leekes and make a playster of them wyth a lytle triacle terebentyne and oyle of rue they heale the wound that cometh by bytynge Item yf ye mengle the iuyce of a rosted leeke wyth a lytle olibane oyle of roses and a litle womans mylke and a litle oyle of the yolkes of egges it hath vertue to take awaye the payne and sowndynge of the eares comynge of a colde cause Pix naualis or shyp pytche is hote and drye it hath vertue to consume
or els bycause the member is depriued of naturall heate other bycause it is weake For these causes I saye it is necessarye to put to the maturatiue medicine an oynyon the roote of cyclamyn garlyke rosted vnder cooles Maturatiue medicines are these that folowe whyte lyllie rootes the rotes and leues of marche malowes branca vrsina the rootes of bryony passenep rootes drye fygges barlye floure resyns dates rosted apples fenugreke lynseede crommes of bread wheate floure beane floure the rotes of langdebeefe c. wherof .iij. kyndes of playsters shal be ordeyned hereafter The fyrst shal be of weake operation and it shal be to rype hote matter The seconde shal be also of moderate maturation and it shal be to rype myxte matter The last shal be of stronge maturation Here foloweth an example of the fyrst ℞ of the leaues of malowes and violettes ana m̄ i. of the rotes of langdebeefe ℥ iiij sethe them all in water stampe them straine them and make a styffe playster in the decoction wyth barlye floure and the foresayd straynynge addynge of oyle of violettes ℥ iij. of butter ℥ i. the yolkes of .iij. egges myngle them ℞ of the leaues of malowes and violettes ana m̄ i. ss of the leaues of lettuse m̄ i. of the seede of quynces ʒ ij of cleane barlye m̄ ij sethe them all together wyth the brothe of fleshe tyll the barlye breake then stampe them and strayne them and put to the straynynge sufficient quantitie of barlye floure and make a styffe playster wyth the forsayd straynynge and adde of oyle of violetes ℥ iiij of cumyn oyle of swete freshe butter ana ℥ i. and the yolkes of .ij. egges Another ℞ of the meate of rosted apples of the leaues of malowes violettes ana m̄ ij of barly floure of crōmes of whyte bread steped in the broth of a henne a chycken or of veale .li. ss roste the leaues of malowes and violettes in weted cloutes vnder hote ymbers then stampe them all together wyth the forsayd thynges and make a styffe playster wyth butter and oyle of violettes addyng the yolkes of .iiij. egges in the ende of the decoction Maturatiue medicines of the secōd order are these ℞ of the rootes of holihockes of whyte lillies ana .li. ss of the leaues of malowes and violettes an̄ m̄ i. sethe them altogether in fleshe brothe stampe them and streine them and make a styffe playster addynge of butter ℥ ij of swynes grese ℥ iij. the yolkes of two egges Another ℞ of the rootes of whyte lyllies and holihock ana ℥ viij of drye fatte fygges in nōbre ten seeth them al in sufficient water and make a styffe playster at the fyer wyth the floure of wheate lynseed and fenugreke stamped wyth the reste of the ingredience addynge of freshe swynes grese .li. ss of butter ℥ ii the yolkes of two egges myngle them and yf ye wyll haue it stronger wyth subtiliation and attraction put to the forsayd playster of newe leuen ℥ iiij of snayles stamped wyth theyr shelles ℥ i. ss Maturatiue medicines of the thyrde order ben these ℞ of the rootes of holihock of lillies of beres breche ana one parte of the rootes of cyclamyne of passeneppes of rapes yf they maye be gotten ana part halfe of drye fygges in nombre ten seeth them al in sufficient watter stampe them strayne them and make a sufficient playster in the decoction with the floure of wheate fenugreke and lynseede addyng of swynes grese .li. ss of butter ℥ iij. Another ℞ of rosted oyniōs and garlyke nombre .iiij. stampe and make a styffe playster wyth the floure of fenugreke and lynseede and wyth the decoction of holihocke addynge of swynes grese .li. ss Yf ye wyll that the playster shal be more mollifycatiue put thervnto of the rootes of holihock ℥ viij and yf ye wyll that it shall haue more attraction maturation and subtiliation adde of drye fygges nombre .viij. of leuen ℥ ij of snayles nombre .x. and thys is the last maturatiue ¶ The .vij. Chapter of embrocations to rype apostemes FYrste for hote apostemes ℞ of the decoction of malowes violettes barlye of the seede of quynces of langdebiefe li. iij. of barly floure ℥ i. ss of oyle of violettes ℥ iii. of butter ʒ i. ss let thē seeth together make a iuyce lyke the brothe of an henne addynge in the ende the yolkes of .iij. egges and leye the lycour vpon the apostemes wyth hote cloutes chaungyng them often for thys embrocation helpeth resolution and maturatiō of hote apostemes swagynge payne and bryngynge the matter to the skynne Afterwarde ye muste applye a maturatiue in the fyrst order of hote matters Another embrocation to rype myxte matter ℞ of the rootes of holihocke and lillies of euery one .li. i. of drye fygges in nombre ten of malowes of violettes of euerye one m̄ i. of hole fenugreke and lynseed of euery one ℥ i. seth them in sufficient water and make a iuyce at the fyer in the decoction wyth a lytle wheate floure and butter and oyle of swete almandes whyche ye shall laye on as is aforesayde wyth cloutes and afterwarde vse a playster ordeyned for thys purpose ¶ The .viij. Chapter of medicines that mollifye all hardnes of synowes and hard apostemes fractures of bones and ioyntes euell restored ALbeit that we haue sufficiētlye spoken of mollifycatiue medicines in the chapter of harde apostemes neuerthelesse for a more ample doctrine we wyll speake some what of them in thys place for a mollifycatiue medicyne is necessarye for sondrye causes Fyrste to mollifye the hardnes whyche remayne ofte in apostemes after the vse of resolutiues Secondlye to mollifye a ioynt whych hath taryed long wythout restauration Thyrdlye to mollifye a dyslocation or fracture euyl restored that afterwarde it maye be brought into his place more easely by handye operation Fynally to mollifye the hardenes of synowes and ioyntes whych is caused by a wounde or by bruse Fyrste we wyll declare a fomentacion to mollifye al hardnes A bathe ℞ the heade of a wether somewhat cutte and brused and the feete of the same and the rootes of holihocke .li. ij of camomille mellilote and dille of euery one m̄ ij of hole fenugreke and lynseede of euery one .li. ss sethe them altogether wyth sufficiēt water tyll the fleshe be separate from the bones then remoue the bones and bathe and suffumygate the place greued and washe and rubbe it therwyth Afterwarde laye the playster folowyng vppon the harde place the space of a weeke ℞ of the floure of fenugreke lynseede of euerye one .li. ss of wheate floure ℥ iiii make a styffe playster in the foresayd decoction and wyth a roote of holihock stamped and strained addynge of butter of swynes grese melted of euerye one ℥ iiij of hēnes grese duckes grese and gose grese of euerye one ℥ i. ss myngle them When the ioynt and broken bones bene mollifyed the mayster muste reduce the same into theyr
odoriferous ℥ iij. of calues suet melted ℥ ij of oyle of myrt of oyle of roses omphacine ℥ i. ss of the iuyce of plantayne and knot grasse of euery one ℥ one seth them al together tyll the iuyces be consumed thē streyne them and put to the streynynge of lytarge of golde and syluer of euerye one ℥ i. ss of minium of tutia of euery one ʒ ii of ceruse ʒ x. sethe thē agayne in a brasse panne tyl they be blacke addynge in the ende of clere terebentyne ℥ i. ss make a softe oyntmēt wyth sufficient whyte waxe Pouders and lotions incarnatyue Nowe we wyll descrybe incarnatiue lotions and pouders of whyche thys is one ℞ of aloes epatyke of myrrhe of euery one ʒ i. of sarcocolle ʒ i. ss of frākensence of myldust of euery one ʒ ij of sanguis draconis of terra sigillata of euery one ʒ ij ss of tucia of targe of dragagant of euery one ℥ i. ss myngle them and make a pouder Yf ye put to an ounce of thys pouder .vi. ʒ of leuerettes heere fine cutte and the whyte of an egge it shal be a synguler remedye to staunche bloode Here foloweth a lotion to incarne holowe vlceres ℞ of whyte wyne odoriferous ℥ vij of fyne aqua vite ʒ iij. of myrrhe and aloes epatyke of sarcocolle of euery one ʒ ij of frankynsence ʒ iij. of the seede of saynt Iohns worte of centaurye the greater and the lesse of yarow of veruene of knotgrasse of consilida the greater and the lesse of euery a lytell Fyrste stampe them al a lytle and sethe them tyll the thyrde parte be consumed then streyne them and vse thē in freshe woundes strowyng the pouder of aloes vpon the wounde wyth mirrhe frankynsence wyne c. Another lotion to incarne woundes ℞ of whyte odoriferous wyne ℥ viij of water of plantayne ℥ vi of aqua vite ℥ ij of frankynsence of myrrhe of aloes of euery one ʒ i. ss of sarcocolle ʒ iij. of honye of roses ʒ x. of the floure of lupynes and orobus of euerye one ʒ iij. of the iuyce of centaurye the greater and the lesse or in steade of it of the herbe of euery one a handfull of the iuyces ʒ v. sethe them al together to the consumption of the thyrde parte and so vse them The .xi. Chapter ¶ Of medicines cicatrisatiue sygillatyue or conglutinatiue AS al autours testify a medicine conglutinatiue and cicatrisatiue is that whyche throughe hys heate as is burnte alume or colde as ceruse with his stipticitie hath vertue to dry vp superfluous humyditie tylle newe skynne be engendred The symples that engendre skynne in vlcers are these Burnte alume lyme ten tymes wasshed floures of pomegranades litarge burnt leade ceruse ypoquistidos myrte terra sigillata bole armenye Roses Plantayne tutia mirobalanes galles coralles Here folowe compoundes Vnguētum album camphoratum vnguentum de cerusa coctum vnguentum pomphilicos vnguentum de minio waters of alume of myrtylles of plātayne of roses styptyke wyne of the decoction of roses of floures of pomegranades of myrtiles and of alume The poudre folowynge is of meruelous cicatrisation ℞ of burnte roche alume of redde corall ana ℥ ss of terra sigillata of bole armenye ana ʒ ii of the floures of Pomegranades of myrabolane cytryne ana ʒ ii ss of tutia ʒ i. mengle them An other ℞ of wasshed lyme of burnte roche alume ana ʒ ii of myrabolane cytryne of terra sigillata ana ʒ i. mengle them and make a pouder ¶ The .xii. Chapter Of medycynes that swage payne PAyne as the auncient doctoures saye Medicines to swage payne maye be swaged .iij. maner of wayes Fyrste with anodyne resolutyues which vapour out the matter that causeth peyne and do cōforte the naturall heate of the membre and destroye straunge heate as camomylle dylle mellilote holyhok lynseede duckes grese hēnes grese goose grese oyle of camomyl dyl yolkes of egges of all these or of part of them with crommes of breade yolkes of egges and saffrane ye maye make playsters resolutyue mollificatyue and that shall swage peyne drawyng the matter fro the deper partes to the outewarde partes all aboute and vaporyng it out by the poores Secondly peyne maye be swaged by alteryng the euyll complexion wyth his contrarye Thyrdlye by mortifieng naturall heate of the membre takyng away the felyng therof whiche is done by medicines of oppium Here ye shall note that peyne is the felyng of a thyng ☜ contrary to his nature and thoughe it maye be caused as Galene sayth by fraction extention corrosion brusynge solution of contynuitie neuerthelesse by it self it is caused of contrarye quallyties and by accidentes it is caused of solution of continuytie And the most certeyne medicine too swage peyne as Gallien sayth is that whiche is like to the complexion of the membre excedynge a lytle in heate that it maye encrease the sayde heate and prepare humours to dygestion by the operation of nature It is manyfeste then that as peyne is the fealynge of a contrarye thynge so swagyng of peyne is the application of some pleasaunt thynge agreyng to nature There ben .xv. kyndes of paynes as Auicenne sayeth namely an ytchynge payne smertyng pryckynge compressyue extensyue or stretching strykynge Causes of paynes breakynge loosynge percynge actuall stupefactyue beatyng greuous or heauye bytynge and tyrynge Nowe we wyll brefely declare the causes of al these Ytchyng payne commeth of a tarte and salte matter Smartynge of an eger humoure Pryckynge of a sharpe humour Extentiue of wyndinesse that stretcheth out the synnowes and muscules beyonde nature Compressyue cōmeth of a matter or wyndynesse that constrayneth and maketh narowe the membre or place Concussyue or shakynge procedeth of matter that is resolued betwene the muscle and the pannicle whiche by stretchynge the pannycle maketh resolution of continuitie werying payne is caused of an humour or wyndynesse enclosed betwene the pannicle and the bone called almocatim or of colde drawynge the sayde pannicle togyther Loosing paine is caused of a matter stretching the flesh and the muscles and not the chordes Percyng payne is caused of humours or grosse wyndynesse reteyned betwene the tunecles of an harde and grosse membre as in the gutte called colon which without ceasyng pearceth and as it were boreth thorough with a wymble Actual payne is caused of humoure retayned in a membre when solucyon of continuitie is made Stupefactyue payne is caused of stronge colde or by oppilation of the pores reteynynge the sensible spyrites as by stronge bynding and replecyon of the receptacles Beatynge payne commeth of an hote aposteme for a colde aposteme neuer causeth payne excepte it turn to hete Neyther thys bytynge payne is in hote apostemes but whē it procedeth from theyr inflammation and sensybylitye of the membre and multitude of beatynge veynes Grauatyue or heuy payne is caused of an aposteme in a membre not sensyble as is the longes the kydneyes and the mylte Tyrynge payne commeth of
that suche thynges as be nedefull maye be purged for by it selfe reste foloweth after suche euacuation by accident harme maye ensue As when a rawe humour is purged good humour is purged good humour maye be emptyed therwythall and many spirites are resolued And moreouer whē the humour is hard to be purged or is farre from the condyttes of purgacion or when the bodye is euyl dysposed as hote and drye bodyes and readye to receyue inflāmacion whych do sone passe to a cotidian feuer The syxth canon is that ye muste not gyue a stronge laxatiue medicine before flebothomye for it myghte cause euyll accidentes Wherfore yf the dysease chaunce thorough rawnes of humours lette the humours be digested diligentlye wyth thynges conuenient to digeste grosse and rawe matter But yf the dysease come of ebullition or boylynge out of cholere or of hote humours ye muste procede wyth dygestiues conuenient for that purpose where of we haue spoken in our antidotarye But yf bothe flebothomye and purgacion be necessary in any dysease then thys order is cōmonlye kepte Fyrste a lyghte purgation goeth before phlebotomye and after phlebothomye foloweth a stronge potion Yf the humours bene myngled wyth bloode or not muche varyenge from the nature of bloode then in thys case flebotomye goeth before purgation The .vij. canon is that in somer it is more conuenient to vse vomyte and in wynter clysters and purgacions by the bellye But yf the matter be furiose and myngled wyth blood let it be purged incontinentlye by flebothomye as wel in somer as in wynter But yf the matter be wythout the vaynes then it is necessarye to purge the bodye wyth a competent laxe no dygestion goynge before The .viij. canon consysteth in preseruatiue purgation of the bodye that it fall in no dysease And here ye shall consyder that there be two preseruacions that is to saye a proper and a comune That is called comune whyche preserueth the bodye from dyseases procedynge of repletion and for thys purgacion all the practicioners vse the remedyes wherof Hypocrates speaketh sayenge In who so euer it is conuenient to let bloode it muste be done in the sprynge tyme for in the sprynge tyme there is more thynnes in the humours wherof replecion is wonte to ensue Item Mesue cōmaundeth that for the conseruation of healthe no medicines be receyued but in the sprynge tyme and in the harueste The proper preseruacion of the bodye is that whyche preserueth from some determinate dysease as from the goutes and other dyseases to come and for thys cause purgacion maye be vsed in other tymes then sprynge and haruest as yf a man be complexioned to haue a goute in the haruest in thys case let hym vse purgacion in the somer The .ix. canon consysteth aboute the cure of the dysease and bycause that at all tymes dyseases chaunce ye maye gyue medicines at all tymes to heale them Yf a dysease chaunce in the coldnes of the wynter or heate of the sommer ye muste chose conuenient places that is to say hote in the wynter and colde in the somer And good practicioners gyue medicines in the somer before day in the wynter in the daye tyme. The tenthe canon consysteth also in chosynge of the tyme of a disease when the medicine shal be gyuen to the pacient Wherfore a conuenient tyme to receyue medicine is the begynnynge of a dysease the matter beynge fyrste dygested and lykewyse in declination The augmentation and the state are not conuenient for then the accidentes be stronge Howe be it yf necessitie requyre we maye ministre some gentle and linytiue medicine in those tymes Lykewyse sometyme we vse in the begynnynge lenitiue medicines before dygestion of the matter when we entende to dyminyshe the matter and here in also clysters some tymes do supplye the rowme of minoratyue medicines The eleuenth canon that they whyche haue apostemes in the guttes or in membrs nye to the harte ought not to be purged wyth a strōge medicine For medicines wherin scamonye is putte can not be so corrected but that they hurte the princypall membres And therfore Gentilis an exellent phisition sayeth that in thys case we muste procede wyth gentyll lenitiues chyeflye when costyfenes is ioyned wyth an aposteme or when the matter is vndigested lykewyse when the matter is verye furious and aboundaunte for it is harde to be purged thoughe some saye that in suche case we may vse stronge medicines whose oppinion Auicenne confuteth The .xii. Canon is that before purgacion we make the places slyppery by whych the medicine must passe by lenitiue clysters or moyst meates Wherfore yf we wyl pourge colde humours let the pacient be fedde wyth fatte meate sodden wyth percelye fenell c. For the purgation of hote humours let the paciēt eate beates mercuriall lettuce arrage soden also with fatte fleshe to mollifye the bellye But yf the pacientes bellye be loose ye shal not make the waye slypperye but rather gyue hym some medicine to prouoke vomyte The .xiij. canon that yf the pacient abhorre the medicine in the steede therof ye muste gyue hym lyghte pylles wyth some conuenient decoction accordynge to the humour Yf ye entende to purge cholere lette the decoction be fumyterrye endyue hoppes sorell and suche other Yf ye wyll purge flemme lette the decoction be accordynge to that humour and so forth of other The .xiiij. canon is that the pacient receyue the medicine fastynge that he abstayne from muche salte in hys meate Yf the pacient be of hote complexion or yf he haue a weake stomacke then it is good before the exhibicion of the medicine that he take somewhat as water of barlye or wyne of pomegranades or some other subtyle thynge Yf hys stomacke and feete be colde let them be heated with hote cloutes Yf the medicine be weake he muste slepe but a lytle vpon it but yf it be stronge he maye slepe the space of an houre The .xv. canon is that they whyche haue colde stomackes maye vse after the medicine some confortatiue thynge but not in suche quantitie that it hynder the action of the medicine And after that the abhorrynge of the medicine is taken awaye the paciente muste moue hym selfe and not reste The .xvi. canon is that he that receyueth a medicine muste dyffer to eate tyll the medicine hath wroughte perfytlye vpon hym and he muste auoyde meates of euyll noryshment Yea it is a generall rule that the pacient fede vpon one meate The .xvii. canon is that the pacient slepe not whyle the medicine worketh except he wyll restrayne the operation of it For slepe letteth stronge euacuations The .xviij. canon is that yf the stomacke hathe muche cholere and hath suffred longe honger so that ye thynke he can not suffer a complete euacuation then ye muste gyue hym a lytle breade dypped in wyne after that he hathe taken the medicine For it shall helpe the operation therof And yf the pacient be feble euen durynge the operation of the medicine
℥ .ij. pouder them all except the sponge and palea marina whyche must be burned and their ashes must be myngled with the foresayde thynges and tersed and he commaundeth to holde this poudre in the mouthe daye and nyght He thynketh it good also to take thys poudre after digestion before daye and to vse it in hys meates Furtheremore it is good sometymes to take a dramme of pylles cochie Thys is the cure of Arnolde whyche muste be begonne the next thursdaye to the reuolutiō of the moone and so ye must procede to the ende of the moone folowynge And than ye muste cutte the veynes vnder the tonge to dymynyshe the mattier conioynt As towchynge the thyrde intentiō sondrye doctours haue wrytten sondrye resolutiues howebeit they are of small effecte Neuerthelesse ye may applie thys that foloweth ℞ of the rotes of dockes and radyshe of a wylde gourde of saxifrage of the rootes of holyhock ana ℥ .iiij seth them al with wyne and lye and applye them after the maner of a plaister We haue written manye resolutyues whyche are conuenyent in thys case And forasmuch as this swellyng cometh sometyme to maturation for that intentiō ye shal procede with the maturatiues wryttē in the chapter of colde Apostemes And ye may make incisyō according to the lēgth of the neck takyng head that ye cutte not the veynes synnowes For the reste of the cure that is to saye for mundifycation and incarnation sigillation ye shal procede as is declared in the fore alleged place c. ¶ A chapter to remoue a superfluous synger in the hande and the cure of a hande cut of for some euyll facte IT chaūceth sometyme that through aboūdaūt matter in generation a chylde is borne wyth a superfluous fynger for the remotion wherof ye shall procede as it foloweth Fyrste ye shall cut it as nyghe the hande as is possyble with a rasour And afterwarde ye muste cauteryse the place with oyle of elders or oyle of roses brennynge hote Thys cauterisation is good for two causes Fyrst to restrayne fluxe of bloode and to remoue a spasme and payne After cauterisation ye muste playster the place wyth the whyte and yolke of an egge beatē wyth oyle of roses omphacyne and butter and so the payne may be swaged and it dygesteth the escare Yf ther chaūce great bleedyng whych yet happeneth but seldome ye shal cauteryse the place and afterward leye vpon it our redde pouder restrictiue with the whyte of an egge and afterwarde ye shall procure the fall of the escare wyth a dygestiue of yolkes of egges and terrebentyne and ye shall mundifye the place wyth a mundificatiue of a syrupe of roses of smallage or of sarcocoll For the reste of the cure ye shal procede wyth vnguentū de minio or Basilicū other remedyes which are wryttē in the generall chapter of woūdes How be it ye shall note thys one thinge that is to saye that after the tyme of incisyon ye muste leye vpon the arme a defensyue ordeyned in the chapter of hurted synowes vnto the .vij. daye And ye muste anoynt the hande wyth oyle of roses and camomill wherin a lytle saynt Iohns worte and saffran and an ounce of erth wormes washed wyth wyne hath ben sodden A hande or fote beynge cutte muste lykewyse be vsed and in no wyse ye muste cauteryse the place with fyre as some ignoraunt men do for euell accidentes maye ensue c. ¶ A chapter of the preseruacion of a deade bodye that it rotte not A Deade body may thus be preserued from rottynge as Rasis sayth Fyrst ye muste purge the carkas with sharpe clysters as are clysters made wyth wyne vynegre and salte water where in myrre coloquintida salt and alume hath ben sodden Thē ye muste hāge vp the bodye and presse the bellye wyth your handes that the decoction and excrementes may yssue out And ye shal renewe the clyster tyl ye perceiue that the guttes are wel clēsed whych done ye shall put into the bellye a good quātitie of thys description folowynge whyche is of the description of Rasis ℞ of aloes myrre accatia galla muscata nuttes of cypresse saunders lignū aloes cumyne alume of roche myngle them all together after they be poudred wyth vynegre and rose water and put them into the belly and stoppe the condyte with bolsters and bynde it wyth bandes that the lycour runne not oute and afterwarde ye shall caste into the eares mouth and nosethrilles spyced wyne And then ye shall anoynt all the bodye wyth blacke pytche and wrappe it in thys sparadrap folowyng ℞ of black pytche rosen of the pyne colophonia frankynsence mastycke storax gūme arabyke dragagantum melte them al together at the fyer and make a sparadrap wyth the sayd pouder wrappe the legges armes and al the body therwith and bynde them fast Thys is the meane to preserue a leane bodye The meane to preserue a fleshlye grosse bodye is thys Ye muste open the bodye from the pytte of the brest to the bone called pecten aboute the priuye mēbres and ye muste take out al the intrayles then ye must washe the place wyth vynegre and wyth the salte called Baurach and afterwarde wyth aqua vite then ye muste rubbe the partes of the bodye wyth thys pouder ℞ of brayed salt of alume of eche thre partes of cloues nutmegges cynamome al the saūders frankinsence myrre terra sigillata of euery of thē one parte of nepte serpillum rosemary coriander wormewood roses myrtylles of euery one m̄ ss stampe them all together as is aforesayd rubbe the bodye wythin and wythout And afterwarde ye muste fyll the bellye with the flockes or shauinges of cloth dyed with grayne or some other cloth wyth asmuche of the forsayd pouder Then ye muste sowe vp the belly and wrappe all the body in a sparadrap as is aforesayd and laye it in a chest of odoriferous woode yf it may be gottē remembrynge that ye stoppe the seames well wyth hourdes and pytche And ye shall putte into the chest the leaues of rosemary laurell nept wormewood myrte Thus may bodyes be preserued and caryed from one region to another ¶ A chapter of burnynge by fyer boylynge water or oyle SOmetyme the burnyng of fyer is lyght and in the ouermoste parte of the skynne produceth only lytle blysters Sometime it is depe hurteth the muscules The cure of thys scaldynge whether it be wyth water or oyle dyffereth not but in the smaller or greater burnynge Yf the scaldynge be small it suffyceth to mynistre incontinently the whyte of an egge beaten wyth oyle of roses omphacine a lytel iuice of plātaine nightshade house leke cymolea These thynges muste be layd on oftē for they swage payne stoppe the blysters that might aryse afterwarde wyne of pomegranades wyth a lytle rose water plantayne water is of lyke effecte After that the payne is swaged ye muste cut the toppes of the bladders wyth cysers
ʒ iii. the whyte of iii. newe layed egges labour them al in a mortare of marble the space of an houre These two later remedyes are good for two causes that is to saye to defende a spasme or to defēd straunge matter that it descende not to the sore place Further from the begynnynge vnto the seuenth daye ye maye conuenyently vse this linimēt ℞ of oyle of ipericon and terebentine an̄ ℥ vii of erth wormes washed with wyne ℥ ii seethe them all togyther with a lytle wyne and after put of saffran ℈ i. of fyne grayne of madder ana ʒ ii when they haue sodden tylle the wyne be consumed strayne them Applye this liniment with tentes or lynte Semblably ye may conuenyently laye vpon the wounde vnguentum basilicum maius or the oyntment called gracia dei of our descriptyon Here ye shal note that yf the wound be in a bodye of stronge complexion and in a synnowy place then ye must vse aqua vite with the forsayd remedies and lykewyse with the sayde poudre incarnatiue for we haue healed many herewyth and namely Simon de Iohanna a panormitane which had a great and wyde wound in his necke with a swoorde whan there chaunceth in the sayde woundes vnctuous fleshe ye shall applye therupon our poudre of mercurye And yf nede be of mundification ye shall vse this mundificatiue ℞ of honye of roses ℥ iii. of the iuyce of plantaine ℥ i. of clere terebentine ℥ v. seeth them togyther a lytle and put therunto floure of barly ʒ x. of sarococolle of myrrhe ana ʒ ii of the floure of beanes and lupynes ana ʒ iii. of saffran ℈ i. After the application of this mundificatiue ye shall vse this oyntment called vnguentum basilicum maius Vnguentū basilicu maius Take of oyle of roses odoriferous li. i. ss of oyle of camomyl and lyneseed of hennes grese ana ℥ iii. of cowes talowe and wethers tallowe ana ℥ iiii of yarowe of veruayne floures of rosemary woodbynde centaurie the greater plantayne ana m̄ i. of earth woormes ℥ ii of grayne of madder ana ℥ i. ss of shyppe pytche of rasyne of the pyne tree ana ℥ v. of colophonye of mastike ana ℥ ii ss beate them all togyther and seeth them wyth a cyathe of odoriferous wyne than strayne them and putte to the straynynge of minium of litarge of syluer ana ℥ iii. seeth thē agayne and styrre them about tyll they be of blacke colour whyche done put vnto them of clere terebentyne ℥ viii of whyte wax as moch as shal suffyce make a styffe cerote The operation of this oyntemente is merueylous in drawynge pleasauntly and comfortynge the synowye places To cicatrise the woūd ye shall wasshe it with wyne of the decoction of roses and roche alume Also the poudre of myrobalanes layed vpon the wounde is good for the same purpose Itē a sponge or stoupe dypped in the decoction folowynge and layed hoote vpon the wounde and well bounde thereunto causeth cicatrisation spedely This is the decoction ℞ of redde wyne one quart of barbours lye as moche of Roses floures of pomegranades mirtilles wormewoode ana m̄ ss of the nuttes of cypresse nombre tenne of roche alume ℥ ii of honye ℥ i. ss seeth them al brayinge fyrste the thynges that are to be brayed tylle the thyrde parte be sumed and vse it ¶ A Chapter of the pryckynge of synnowes and cure thereof FOr the Cure of the pryckynge of the synnowes besyde the intentions declared in the former Chapiter touchynge flebothomye purgation and dyete c. It is conuenyent to enlarge the prycke at the begynnynge wyth a colde yron and afterwarde to cauteryse the place with hoote oyle of Elders or with the cōmune oyle where in earth wormes wyth water of the decoction of camomylle and brymstone haue bene sodden tylle the decoction of the sayd camomil The frēch boke hath brāne for brimstone and ✚ brimstone be consumed and this muste be done vnto the thyrde daye But if the pryckynge of the synnowes be caused through an instrument of a small heed it is necessarye to open the place wyth an hoote yron for mitigation of payne whyche myghte enduce a spasme And ye shall laye vpon the sayd place this oyntmente folowing ℞ of the rootes of holyhockes sodden in water and barbours lye and stamped and strayned ℥ iiii of cleare terebentyne ℥ ii of fresh hennes grese ʒ vi of whyte diaquilon gummed ʒ ii ss of the foresayde oyle with the decoction of wormes one ounce and an halfe seeth them all togyther a lytle and when ye take them fro the fyre labour them about tyll they be luke warme and vse this ordynaunce after the maner of a cerote puttynge a tente into the wounde vntylle the seuenth daye and ye shal laye vpon the hole membre the same tyme this plaister vnderwrytten whiche is conuenyent for the woundes of synowes ℞ of husked beanes sodden in the brothe of a wethers heed wyth barbours lye foure pounde of branne well brayed m̄ ii of barlye floure l. ss let them seeth with suffyciente sapa and a lytle of the forfayde decoction tyll they bene thycke thā adde of oyle of camomyl roses and dyll of white waxe ana ℥ ss seeth them agayne a lytle and adde moreouer of saffran ʒ i. ss Item it is good for mittigation of payne to embroke the hole membre with the oyle vnderwrytten actually hote which also defendeth a spasme ℞ of oyle of camomylle of oyle of roses odoriferous ana li. ss of wormewood squinantum camomyl an̄ m̄ i. of earth wormes The frēch boke hath brāne for brimstone ℥ ii of ♠brymstoone brayed ℥ i. ss of odoriferous wine two cyathes seeth them all togyther tyll halfe the wyne be consumed than strayne them and let them seeth agayne tyll the wyne be consumed Here ye shall note that this oyle layed hote vpon a prycke beinge closed maye be in the stede of a newe incision whan there is anye spasme it is a synguler remedy to cutte the synnowe with an actuall cauterie as Auicenne teacheth Fynallye it is cōuenyent to rubbe the bone wyth oyle of camomylle dylle with oyle of costus and with oyle of a foxe To defende a spasme and to swage the payne of a spasme when it happeneth and for the cure of a spasme ye shall resorte to the former boke ¶ A Chapter of wrestynges that chaunce in the insteppes and ioyntures of the handes and in the knee THe wrestyng of ligamentes caused thorough a fal or a stroke shal be cured by obseruacion of .ii. intentiōs that is to saye by dycte and general purgation For yf the wrestyng be in the kne or in the right fote of the same parte than ye shall cutte the veyne basilica on the same side yf the age and strength of the patient can suffre Ye shal also purge the patient with cassia manna reuberbe diacatholicon and suche lyke both afore digestion and after A digestiue
vryne ye shall vse the forsayde waters and lotions but yf they be olde and confyrmed ye shall caste in wyth a syrynge oure pouder of mercury dissolued wyth water of barley and a lytle hony of rooses procedyng afterward wyth gentler lotions afore reherced If the yarde come to maturacion ye shall rype it wyth the remedyes declared in the Apostemes of the flankes ¶ A letter of master Iohn Vigo sent to the lorde Thomas chyef attourney of the courte of Rome in causes of benefices COnsyderyng youre manyfolde benefytes towarde me I thought it conuenient to wryte vnto you a peculier chapter of remedyes to preserue mannes body from the stone And to come inmediatlye to that purpose there ben thre thynges that ingender the stone in the said place that is to saye greate heate of the reynes the streitnes of the conduyte of vryne and the aboundās of flegmatyke matter the remedyes whereof we wyll briefly destribe Fyrste to purge the reynes ye shall vse in the wynter and in the caniculer dayes an ounce and a halfe of cassia wyth sugger and at other tymes ye shall eate cassia oute of the cane to kepe the bodye moyst Itē it is good in the mornynge to take a glasse of thys decoctiō ℞ of the broth of a chycken .li. ij of the seede of mellons somewhat broken ℥ j. of the rootes of parcely ʒ vj. of damaske prunes sebesten of euery one in nombre syxe of resons ℥ j. of cleane licorice ʒ x. water of borage endiue hoppes ana ʒ iij. seth them al with sufficiēt whyte suger tyll the thyrde part be cōstumed than strayne them and whan ye haue dronken thys brothe ye maye slepe a lytle after it A brothe of redde cycers with a lytle suger openeth the wayes of the vrine Lykewyse a decoction of felde mallowes sodden wyth honye buter and water causeth the stone to issue out souplynge the wayes therof And some adde to thys decoction a lytle seed of Holyhocke alkekengi This sirupe folowynge is of lyke effect ℞ of water of endyue hoppes borage ana .li. j. of water of mayden-heare ℥ iij of the thre lesse sedes of the comune seedes of euerye one ℥ ss of lycorice ʒ x. of damaske prunes of sebesten ana nombre eyght of the seed of alchekengi ʒ v. of the seede of Holyhocke ʒ ij of reysons ℥ j. of syrupe de duabus radicibus without vynegre ℥ ij ss make a longe iulep wyth suffycient whyte sugger The receyt is one ciathe in the mornynge Here folowethe an electuarye for the same intention ℞ of water of endyue borage buglosse of euery one ℥ iiij of water of fenell asparage mayden heare ana ℥ ij of the comune greater seedes of the thre lesse seedes ana ℥ j. of the seed of alchekengi of cleane liquyrice ana ʒ x. of damaske prunes of sebesten ana nombre xx of reysons ℥ ij of anys ʒ vi sethe thē all together tylle the thyrde parte of the waters be consumed than strayne them stampynge and straynynge the rest whyche done make an electuary wyth sufficient sugger and wyth the forsayde decoction and straynyng addynge of good reubarbe ʒ ij of cassia ℥ ij thys electuarye mundifiethe the reynes and prouoketh vryne And the receyt of it is a sponefull in the mornynge or thre houres before supper For vlceratiō of the yarde And forasmuche as the yarde is often vlcered within thorough the burnynge of the vryne for the ease thereof ye maye vse good lotions as thys collyrie folowynge ℞ of water of plantayne ℥ iiij of water of rooses ℥ ij of water of barley ℥ iij. of myrobalane citryne ʒ i. of syrupe of roses ℥ j. sethe them all together tylle the thyrde parte be cōsumed than strayne them and putte to the straynynge of whyte sief wythout opium ʒ iij. make a collyrie The decoction folowyng serueth for the same purpose ℞ of the leaues of plantayne of clene barley of euery one m̄ j. of licoryce ʒ v. of sugger ℥ ij sethe them all together tyll the thyrde part be consumed than strayne them and conueye in the lycour wyth a syrynge It is good also to cast in goates mylke wherin peces of yron haue ben quenched And bycause that liquide medicynes can nottary longe vpon the vlcered place we haue considered that it is good to applye thys liniment folowynge ℞ of oyle of rooses omphacyne ℥ ij of the iuyce of plantayne ℥ ss of vnguentū Album Camphoratum ℥ j. ss of litarge of gold and syluer of euery one ʒ vj. of Tucia preparate ʒ iij. myngle them and laboure them in a mortar of leade the space of two houres The maner to applye it is thys Ye muste haue a pype of syluer eyght ynches longe and ye must put in to the pype a syrynge and conducte the linimente to the chafed place and ye muste put a syrynge in to the pype and guide it to the chafed place And thus it maye tarye the longer As towchynge diete ye muste auoyde all swete and grosse wynes all pulse all grosse flesshe all frutes except prunes Of herbes ye maye vse borage percelye lettuce langedebeef and in the brothe of flesshe All salt peppered hote and sharpe thynges must be auoyded But rere egges are verye conuenient and meates that engender good fleshe Wherof we haue spoken in manye places ¶ A Chapter of the remedies of the stones FIrste to heale herniaventosa Hernia ventosa ye shall vse thys playster ℞ of the floure of beanes and cycers of euerye one li. ss of Camomylle mellylote dylle branne ana m̄ ss of cumyne ℥ ss of oyle of Camomyl dylle ana ℥ ij seth thē wyth sapa and barbours lye tyll they be thycke For hernia humoralis proceding of a hote cause from the begynnyng to augmētation thys playster is of good effect ℞ of the leaues of henbane m̄ j. of cleane barley m̄ j. seth them with water or the brothe of fleshe tyll the barley breake thā stampe them strayne them and make a styffe playster with beane floure and the foresayde straynynge addyng of oyle of roses odoriferous ℥ ij of oyle myrtine ℥ j. the yolke of an egge Lette them sethe agayne a lytle In the state declination ye maye vse thys resolutiue ℞ of blacke coole wortes m̄ j. of Camomylle mellilote ana m̄ ss of fenugreke ℥ iij. seth them all together wyth sufficiente brothe tylle halfe be consumed and make a styffe playstere wyth beane floure and the foresayd decoction and a lytle floure of cycers addyng of oyle of roses and Camomylle ana ℥ ss of saffran graynes .ij. Here ye shall note that the remedies whych cure the Apostemes of the stones cure the same of the dugges And lykewyse the maturatiues of the yarde serue for the stones dugges and stankes And bycause the Apostemes of the stones come often to hardnes ye shall vse thynges mollificatiue and resolutiue as oure diaquilon magistrale Item for the same intention thys
ordynaunce of dyete is taught in the same place Also we haue proued that the application of leches vpoÌ„ the veynes called emorroidall and vpon the eares is profytable in thys case and cuttynge of the veyne cephalita and basilica is to be coÌ„mended Item this purgation folowynge a digestion of humours presupposed is expedyeut in this case Purgation â„ž of polipodye Ê’ ss epithimuÌ„ of the cods of senye ana ℈ i. of the confection of hamech Ê’ i. ss of diacatholicon Ê’ iii. of anise ℈ i. of a syrupe of vyolettes â„¥ i. ss mengle them and gyue them in the mornynge This medicyne purgeth fleame that is grosse and melancholye burned The regyment perticuler is accomplysshed by the administration of locall medicynes Perticuler regimeÌ„t Fyrste after an vniuersall purgation ye shall annoynt the pustle with thys liniment â„ž oyle of Lauryne â„¥ ii of swynes grese â„¥ i. of litarge of golde Ê’ v. of auripigmentuÌ„ of roche alume burned of lyme wasshed ana Ê’ i. ss of quyckesyluer Ê’ iii. ss of oyle of roses omphacine Ê’ x. as moche whyte waxe as shall suffyce make a liniment Item this decoction folowynge is good for the same intent â„ž of sublimate Ê’ i. of salgemme of sal armoniake of alume zuccatrine A good water ana Ê’ i. ss of water of roses and plantayne ana â„¥ iiii of barbours lye â„¥ ii Seeth these foresayde thynges tygyther tyll the thyrde parte be consumed and put in the ende a lytle verdigrese and apply it with cotten moysted in the sayde decoction An other liniment â„ž the whyte of .ii. egges of water of roses â„¥ iii. of sublymate Ê’ ss mengle them togither and sturre them about a good whyle Note here that the remedyes wrytten of skalles and alopecia and of gutta rosacea may be adminynistred in this case Lykewyse ye shall fynde many remedyes for this purpose in the treatise of the frenche pockes c. ¶ The seconde treatise of the fourth boke which speaketh of the diseases of the eyes ¶ The fyrst Chapter Of vlcers of the eyes called macule and pani Of vlcers in the eyes spotus webbes THe vlcers called macule or spottes and pani or webbes of the eyes are engendred of causes prymytyues after the doctryne of Gordon proceding of an hote aposteme called flegmon and also of the disease called ophthalmia For as Galene saith yf the disease ophthalmia be not wel cured it wyll leaue many euyll accidentes in the eyes as vlceration of the apple of the eye and of the pannicle called cornea The cure of the greues of the eyes macule or spottes and pani of harde curation The cure of these vlcers spottes and webâ—es is accomplysshed by the obseruacyon of double regiment vniuersall and perticuler The vniuersall regyment consysteth in the ordinaunce of an vniuersall purgation and a dyete Touchynge vniuersall purgation yf the bodye be full of humours ye shal cut the veyne called cephalica on the contrarye syde And yf ye wyll so cut the veyne that it maye purge the patient ye shall cut the sayd veyne in the same syde Item ye maye profytably applye bloodsuckers vnder the eares to drawe out the grosse blood Also ye may applye ventoses vpon the shulders after scarification and lyke wyse a bladderynge medycyne vpon the necke to turne awaye the matter Touchyng purgation by laxatyue medicines it must be done according to the qualitie of the euyl humours And yf the matter be hote whyche thinge maye be knowen by the rednesse and inflammation of the place ye shall gyue the patient this purgation â„ž of chosen manna Ê’ i. of diacatholicon of an electuary of roses deuysed by Mesue of the iuce of roses ana Ê’ ii make a small potion with the decoction of cordyal floures and frutes addyng of syrupe of violettes â„¥ i. An other soluble medycyne â„ž of a lectuary lenitiue or in stede thereof diaprunis not solutiue Ê’ x. of an electuary of roses deuysed by Mesue Ê’ ii of rubarbe steped in the water of endiue Ê’ ss make a small potion with the coÌ„mune decoction addyng of syrupe of vyolettes â„¥ i. ss An other â„ž of pilles asageret pilles of fumiterry the lesse pylles of rubarbe ana ℈ i. Mengle them togyther and make iii pylles with syrupe of roses These pylles must be gyuen .ii. houres afore supper and the more grosse they be the better they are in operation bycause they tarye longer in the stomake Yf the matter be colde grosse these medicines folowynge are conuenyente Fyrste â„ž of diacatholicon Ê’ vi of diafinicon of electuary of roses ana Ê’ ii make a smal potion with the decoction of cordiall floures and frutes An other â„ž of pylles of fumiterrie the greater of pylles aggregatiue of hiera with agarike ana ℈ i mengle them togyther and make .iii. pylles with water of fenel An other â„ž of pylles called cochie et sine quibus esse nolo ana Ê’ ss make pylles as is aforesade But for as moche as laxatiue medicines are not of good operation exept digestioÌ„ goeth before ye must ordeine digestiues according to the matter wherof ye may haue a specyall doctryne in the chap. of ophthalmia and lykewyse of the diete Perticuler regiment is accomplisshed by the administration of remedyes vnderwrytten Fyrst whan the matter is hote and the eye not verye paynfull ye shall applye this colerye within the eye â„ž of rose water of the water of the floures of mirtill of the water of horsetayle ana â„¥ iiii of suger candye of syrupe of Roses â„¥ ii of whyte sieffe wythoute opium of syef of leade ana Ê’ i. of syef of frankeÌ„sente Ê’ ss of aloes epatik ℈ ss of myrobalane citrine Ê’ i. ss the whytes of iii. egges braye the thynges that are to be brayed and shake them togyther and distyll them in a glassen vessell well luted This colerye is of our description and is of good operacyon in all wouÌ„des and vlcers of the eyes For it mundifyeth all other vlceracioÌ„s caused of hote matter And moreouer it hath vertue incarnatiue and sigillatiue colde matter Yf ye perceyue that the vlceration is caused of colde matter ye shal apply this colirie within the eye â„ž water of roses â„¥ ii of water of horstayle â„¥ i. ss of syef of frankensence Ê’ ss of tutia preparate ℈ ii of sugre candye of syrupe of roses Ê’ iii. of aloes epatike Ê’ ss seethe these thynges togyther a lytle excepte the syef and make a colyrie accordynge to arte addynge of odoriferous wyne â„¥ ss Item the syef of frankensence ordeyned as it foloweth healeth the vlcers of the eyes â„ž of the syef of frankensence â„¥ i. of the syef of leade Ê’ i. ss of myrobalane cytrine Ê’ ii of tutia of antimoniuÌ„ ana Ê’ i. ss of water of roses and plaÌ„tayne anÌ„ â„¥ i. ss of myrhe ℈ ss of sarcocolle of aloes epatik ana Ê’ i. braye the thynges that are to be brayed and let theÌ„ be distylled in a