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A21157 The analysis of chyrurgery being the theorique and practique thereof. Briefly composed for the benefit of all those who desire the knoledge of this worthy profession. By the paines and industry of Ed: Edwards Doctor in Physicke. Edwards, Edward, doctor in physick. 1636 (1636) STC 7511; ESTC S118569 49,776 120

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life 1 accidentally cold moist diminishing the strength of the body and all the powers and faculties thereof 2 naturally cold dry 2 Colour and is in two sorts observed of the 1 body caused two waies i. 1 inward i according to the humours abounding clymat for country 1 hot make 1 sallow 2 blacke 2 cold make 1 white 2 pale c. 2 outward in two sorts i. 2 here be generally 4 sorts i. 1 blacke hair signifieth 1 either abūdance of 1 choler inflamd 2 blood adusted 2 too much heat not adust 3 excesse of melancholy 4 lack of naturall heat caused of putrified flegme 2 red 3 gray 4 white 3 Figure or habitude of body as 1 good proportion of the foure humours causeth good temperature and comely proportion of body 2 thicke and tall sheweth excesse 2 heat and moisture Sanguine 3 heat drynesse Cholericke 4 cold and moist Flegmatick 3 thin and leane 4 fat and grosse 4 Diversity of kindes are generally 3. i. the 1 male is hotter then other kindes of the same complexion as the male is hotter then the female 2 female is colder Epafroditus is 1 both male and female 2 temperate in heat and cold Age must not be accounted according to the number of years but rather after the temperature of the body for some are 1 old at 40. as those 1 cold and dry soone waxe old 2 hot and moist are long yong and lusty 2 yong at 60. Now of the second part of the Theoricke called Hygiena or res non naturales i. things not naturall being sixe as followeth in order as 1 Ayre that doe inviron us in which consider sixe things i. the 1 The temperature of its owne nature is hot and moist 2 Difference is of two sorts i. 1 good and temperate to our bodies 2 evill and distemperate 3 qualitie is altered by three things i. by the 1 Region either 1 well tempered 2 evill 2 winds being foure as 1 East is hot and dry attractive 2 West cold and moist expulsive 3 South hot moist putrificative 4 North cold and dry retentive 3 wind is the body and spirits altered 4 Situation of the place as 1 stony cold and dry 2 sandy hot 3 marish cold 4 woody hot and moist 5 fatty 5 body may alter by the ayre three wayes i. by the 1 qualitie in three sorts i. by the 1 region 2 windes 3 situation of the place 2 substāce 1 grosse and thicke 1 clowdy or troubly is worst make the 1 body fat and strong 2 wit dull and slow 2 pure and cleere 1 thinne is best 2 makes men 1 lively and nimble 2 sharpe wits 3 sudden change for nature cannot away with sudden changes 6 Vtilities are these it 1 ingendereth the spirit animall 2 is the matter of our respiration 3 Author of 1 life to mortall men 2 diseases 3 death 2 Meat and drinke herein consider six things i. the 1 quantitie must be according to the 1 substance either 1 grosse and hard of digestion 2 fine and easie 2 qualitie either 1 hot moderate or immoderate 2 cold 3 dry 4 moist 3 Complexion of the eater c. 2 qualitie some 1 are either 1 hot and that either temperately in degree meanly extremely 2 cold 3 dry 4 moist 2 nourish 1 much 2 little 3 make juice either 1 grosse and thick 2 watry and thin 3 meane and temperate 4 be 1 good 2 evill 3 custome 1 in feeding must be well regarded 2 it is like another nature 3 makes bad meats by use better to some than better meats 4 of such meats and drinks as best like the eater are oft best 5 if it must needs be left doe it by little in health if it may be 4 order 1 eate 1 not that first that should be last 2 first things that 1 molifie 2nd loose the belly 1 except it be loose 2 as 1 broth 2 milke 3 reare Egges 4 all that properly loose 2 be stiptick if you will bind a loose belly 3 not 1 slippery meats first lest they hastily draw downe other meats undisgested 2 restrictives lest they let the descending of other meats 2 Drinke 1 not till some thing be eaten at meales 2 the strongest first and smallest after 3 moderately helps 1 digestion 2 to mingle the meat 3 the meat the better to passe its juyce 1 Liver 2 Veines 3 Arteries c. 4 Parts for to nourish 5 Time in it observe three things i. time of the 1 age as in my golden Key you may observe 2 yeare 3 day 6 Age 1 children should eat meat hot and moyst moderately drinke no wine it hurts them 2 young men 1 may eat 2 must 1 Sallets of coole herbs 2 Meats more drinke little Wine use all these moderately fit to the 1 colder and of grosser substance 2 moister complexion exercise custome 3 Old folks must use meats 1 hot and moist doe 1 make the humours thin 2 purge and clense the bloud by urine 2 easie to disgest 3 and drinks that Place this before Folio 17. Of Fulnesse and Emptinesse i. Repletion and Inanition 3. Repletion or fulnesse in it consider generally these eight things in the 1 substance it is either 1 aliment either 1 profitable 2 hurtfull 2 spirits being either 1 grosse and thicke 2 thin subtle and pure 3 humours either 1 good 2 bad 4 Excrements being divers 2 kinds are in 2 sorts i. in 1 quantitie and in 2 sorts i. of 1 Aliment and is also in two sorts as sacietas quoad 1 vasa 2 vires 2 humours and is in 2 sorts i. of 1 Plenitudo i. when all the humours abound equally in the 1 Veines 2 Arteries 2 Cacochyma i. when one humour alone aboundeth as 1 Choler 2 Flegme 3 Melancholy c. 2 qualitie the humours being either 1 hotter then is fit and are then called also Caerochymiall 2 colder 3 thicker 4 thinner 5 salt 6 sowre c. 3 Differences i. 1 universall possessing 1 all the body 2 some part or member 2 particular 4 Place is divers according to the matter offending be it 1 aliment 2 spirits 3 humours 4 excrements 5 cause is either 1 generall as of 1 meats being either 1 in the way of disgestion 2 utterly forsaken of naturall heat and so doe corrupt 2 humours being either 1 Plenitudo 2 Cacochymia 2 particular i. either of 1 Spirits 2 Excrements 6 Signes are according to the cause and diversitie of fulnesse 7 cure must be 1 according to the 1 matter offending 2 place offended c. 2 fit evacuation S. A. 1 either 1 generall 2 particular 2 in 1 Plenitudo by bleeding c. 2 Cacochymia by purges c. 8 accidents are divers according to the 1 cause 2 place wherein it is contained c. Now of Inanition or Emptinesse 3 Inanition i. Emptinesse in it consider these sixe things i. the 1 Definition it is 1 emptinesse and lacke either of 1 aliment 2 spirit 3 humour naturall c. 2 a diminishing
or let of any of those eyther 1 generall 2 particular 2 kinds are either 1 generall where either 1 all the body waxeth thin weake slender and empty 2 some particular part 2 particular 3 Differences are generally two i 1 universall in all the body 2 particular in some part of 4 causes are either by 1 nature the body or member so made 2 Art so done i. by 1 purging 2 bleeding 3 sweating c. 3 accident as either by 1 obstruction either stopping the passage of by excrement c. 1 vitall heat 2 nutritive c. 2 a fluxe either 1 washing the naturall substance c. 2 exhibiting the juyce nutritive or the spirits from the place 5 Signes are Atrophia which is a 1 wasting of the body or part c. 2 consuming 6 Cure is by Removing the cause s A. 2 restoring the lost substance c. if it may bee done Of sleepe and watch 4 Sleepe and watch in it consider generally seven things i. sleepe 1 what it is 1 sleep is rest and quietnesse of the 1 vertue animall i. 1 sence and 2 motion 2 body and minde 3 spirits 2 the image of death 3 Deaths eldest brother saith Galen 2 the cause is 1 a sweet vapour of nourishment sent up to the braine 2 the coldnes of the brain that turns those vapors to humour which 1 close the conduits of the nerves 2 stop the waies of the 1 sence 2 spirits 3 prohibit the spirits 3 times of sleep are generally 2. i. sleep in the 1 day chiefly after noon is hurtfull to health and utterly to be disliked for the most part 2 night it fit to sleep 7 or 8 houres as cause requireth 4 the manner of it is either 1 long according to the 1 temperature of the body 2 disease and time of it 3 custome 2 short 3 meane 5 the differences are generally two i. the 1 moderate whose effects are shewed in my golden key 2 immoderate 6 and watch the utilities these two being 1 fitly used comfort much 2 moderately used they 1 refresh 1 the memory and al the sences 2 chiefly the 1 spirits 2 animall faculty 2 quicken and refresh the spirits 3 helpe digestion expell excrements c. 7 or watch the Hurts of either of these abused as immoderate 1 watch 1 makes giddy braines 2 ingenders rheume 3 postmes 4 troubles the spirits 5 causes rawnesse and crudities 6 idle braines and idiots c. 2 sleep 1 dulleth the sences 2 cause much superfluous excrements 3 makes grosse spirits in 1 old folkes 2 children 4 it retaines excrements 5 it fils the braines with crudities Looke more of these in my Golden Key Of Exercise and Idlenesse i. moving and rest 5 Moving and rest 1 Exercise i. moving 1 is eyther of the 1 body or both 2 minde 2 in it consider generally these two i. the 1 Differences being generally two i. 1 moderate i neither too 1 much 2 little 2 immoderate i. 1 vehement 2 excessively 2 effects i. the 1 moderate doe 1 stir up naturall heat 2 quicken the spirits 3 open the pores 4 wast excrements of the third digestion 5 make the 1 body strong 2 spirits 3 sences 6 comfort all the members 7 profit nature much 2 immoderate doe 1 hurt the body and parts 2 wast the body and spirits 3 dry 4 consume 5 weary 6 overthrow natures actions 2 Idlenesse and rest the 1 Differences be two i. 1 moderate not excesse 2 immoderate and excesse 2 Effects i. the 1 moderat doe 1 comfort nature 2 refresh 3 maintaine health 1 sences 2 body and parts 4 fortifie strengthen al the 2 excesse 1 dulleth the 1 minde 2 sences 3 principall instruments 2 causeth 1 great 1 cruditi 1 humors 2 excrem 2 plenty of evil 3 and cold sicknesses 2 infinite infirmities 3 hasteneth old age 4 causeth deformity Affections of the minde are generally of two sorts 6 Affections of the minde are generally two i. 1 Content 1 as in 1 hope 1 effects these 1 dilate the heart arteries 2 bring out the 1 vitall spirits 2 naturall heat 3 doe comfort and strengthen all the parts of the body and minde in all their actions 2 differences are generally two i. 1 moderate which doe 1 comfort 2 hurt 2 imoderate body and minde 2 joy 3 love 4 mirth c. 2 wherein consider their 2 Discontent 1 as in 1 anger 2 hatred 3 feare for things to come 4 care for things past 5 sorrow 6 griefe of minde c. 2 whose effects are i. 1 that diverteth the vitall heat and spirits into the center of the heart and thereby consumeth and dryeth the 1 vitall spirits 2 body causeth leanenesse 2 these are the 1 fore runners of body and minde 2 destroyers 3 overthrowers 4 murtherers 3 hastners of old age death by extinguishing and drying or consuming vitall heat and moysture 4 observe more of these sixe things called res non naturales in my book called the Golden Key consider how to use these sixe things not naturall before said both to 1 preserve health which is done by like quality and nature for every thing is maintained by its like so must the 7 things natural aforesaid be preserv'd maintaind 2 cure diseases which is done by things of contrary quality for every disease being a thing against nature must be cured by its contrary Of the third part called Pathologia i. res contra natura i. things against nature being generally three as followeth 3 Part. Things against nature are generally 3. i. the 1 disease being of three sorts i. intempary of the similar parts in 1 quātity being eyther too 1 much 2 little 2 quality being either too 1 hot 2 cold 3 dry 4 moist 2 evill confirmation this hurts organicks in 1 figure 2 number 3 magnitude 4 situation 3 solution of unitie in both 1 simple and organick parts 2 Cause being three i. 1 primative i. 1 outwards as 1 wounds 2 contusions 3 fractures 4 dislocations c. 2 or by some outward hurt or meanes 2 Antecedent i. of evill humors c. being either 1 hereditaries i. bred in the mothers womb by some infection c. from the parents or weaknesse or ill forme of some part or member 2 after the birth by 1 evil dyet disorder c 2 accident or abuse c. 3 Conjunct which appeareth after the collection of the matter offensive in some part or member never else is ever present in the body or part offended 3 Accidents or symptomes 1 are called Insulsum i. a bragge or reproach of the whole body or part saith Jerimeus Thriverius 2 doe follow the disease as the shadow doth the body 3 doe offend 3 waies wherein the actiō is either 1 abolished 1 hurting the quality either by vehement 1 heat 2 cold 2 any accident or cause 2 changing 1 the natural heat into inflāmation 2 scabs into lepra c. 2 diminished 3 depraved or wholly lost Of the
most in use 4 the places commonly of their application are generally foure i. the 1 neck behinde between the first and second vertibers to divert draw 1 fluxion 1 head 2 eyes 3 gummes 4 jawes 5 loynes 6 backe 7 hanches 8 joynts 2 cattars c. from the 3 rheums that fal from the head to the 1 stomacke 2 lungs c. 2 Navell swolne with watry humours c. 3 cods or scrotum for 1 watry humours 2 Hernia aquosa c. 4 wounds 1 through the 1 legges 2 thighes 3 armes c. 2 the better to purge the matter 5 the utilities are to 1 revell or turne a fluxe to the contrary part 2 derive or draw from the place conjunct 3 evacuate 4 intercept prevent or stop a fluxe that it fall not to a place to hurt 6 the order to governe him after it is done i. 1 first dresse it presently with a disgestive two or three daies and so proceed s A. to other intentiōs 2 secondly put in a new Ceton when need is 3 thirdly after the Ceton is taken away purge the Patient and so doe before you apply any Of Cauteries in generall with their use c. Cauteries in generall are of two sorts i. 1 Actuall done by metall in instruments in the applying of which consider generally three things i. what to doe 1 before in which consider 1 the differences 2 which sort is best for your purpose 3 their effects 4 how they further your intent 5 who is fit thereto the 6 complexion of the body 7 nature of the part 8 disease and how it may benefit 9 time of application 10 places usuall thereto 2 at the time present i. to 1 to comfort the Patient with good words 2 know how to apply the cauteries 3 prepare the place f. A. 4 to be carefull in doing it and doe it with good consideration 5 doe it boldly and effectually not regarding the clamour or cry of the Patient but doe what must be done yet be not butcherly 6 binde him fast if need be 3 after it is done consider how to 1 Dresse the place 2 continue the issue and how long 3 remove the accidents and what they bee that usually happeneth thereby 2 Potentiall done by burning medicines applyed Of the actuall Cauteries In actuall cauteries consider these five things in generall i. 1 it is very profitable in many diseases 2 it s made 1 either of 1 gold 2 silver 3 iron 4 steele 5 lead c. 2 in divers formes as the worke and place requires 3 places to apply them are divers i. 1 to the coronal future 1 at the end of the sagitall future 2 for 1 megrim 2 other paines of the head 3 to draw grose vapours from the braine 4 Epilepsia to breath out venemous vapours at the part 2 as cause is to 1 revell 2 derive 3 intercept 4 evacuate 4 the utilities it is 1 without venemous quality more 1 healthful 2 sodainly done 3 sure operation 2 enemy to all 1 venime 2 corruption 3 free from causing any accident 4 to preserve the part from putrifaction 5 wonderfull to consume a maligne quality hid in the body or member applyed to the place grieved 6 excellent to 6 correct a cold weake distemper 7 consume dry superfluous moisture 8 good in 1 tooth ach 2 eares payned 3 squinsie 1 almonds 2 columella 4 inflammation of the 5 rheums 6 polipus 7 aegilops 8 ulcers corosive maling all these following in 9 sciatica 10 gangrens 11 great fluxe of bloud 12 mortification 13 carbuncles maligne 14 bubons 15 corrupt bones to sep 16 venimous bitings c 5 after removing of them apply a fit disgestive to remove the asker and then use other things s A. Of the potentiall Cauteries The potentiall Cauterie is 1 Medicines which by extreme heat doe burne the part like fire 2 of these be divers kinds both 1 simple 2 compound 3 naturall 4 attificiall 2 Carefully to be considered the nature temperature of the 1 person that its applyed to if 1 strong and rude use strong 2 delicate and tender use weaker medicines 3 lean 4 nervous 5 tendous 6 to the heads of Muscles 2 great 1 Veines 2 Arteries 3 body repleat then first bleed purge c. 2 place 3 Applyed to divers parts for divers causes i. 1 chiefly to the 1 Head 2 Armes 3 Legs c. 2 To the head in 4 places the haire first shaven 1 oftenest to the forehead where the sagital and coronal Isutures meet it must penitrate to the bone good for Flux of the Eyes Megrum Head-ach Epilence Difficult breathing Obthalmia Red face Tooth ach Eares Squinsie Vuula falne Almons 2 also 2 behind the eares on each side of the head 3 above 3 at the end of the Suture Lamdoyd not on the Muscle Cratophit to be sure hold your finger on the place and cause him to open and shut his mouth to and fro so may you perceive the Muscles end 4 to the neck 1 betweene the first and second vertiber 2 for 1 inveterate flux of the eyes 2 catters to stop them from falling to the brest 3 distillations 3 Item in the inside of the armes about the midst of it neere the 1 Veins but touch them not 2 Arteries 4 on the legge three inches from the knee either in the 1 outside betweene the two bones 2 inside neere the Veines 4 Applyed to divers other parts 1 of the body to issue out matter contained 2 as in 1 vehement dolour 2 humours maligne 3 vaporous fumes 4 Emunctories 1 to expell 1 vapours 2 humours 2 doe it before perfit suppuration Of Baths Baths are either universall or particularly used and are generally of two sorts i. 1 Naturall in the use of which consider generally five things i. their 1 Qualities either 1 hot 2 cold 2 Effects as to 1 bind 2 loose 3 open the pores 4 restraine 5 make thin 6 heat 7 coole 8 dry 9 moisten 10 clense 11 evacuate 12 resolve 13 appease dolour c. 3 Vtilities i. as to 1 preserve health 2 cure diseases 4 Order i. the 1 Preparation of the body before 2 Manner 1 of bathing 2 to hot 1 closeth the pores 2 stops excrements 3 heats the bloud 3 Time 1 to bathe is either 1 in the morning fasting 2 at 4. after-noon 2 stay 1 in it the 1 day halfe an houre 2 next one houre or two 2 ing into long hurts 5 Hurts being ill used i. 1 immoderately 1 dryeth the body 2 weakens 2 goe not in with a full stomack it hurts much 3 also not to dry the head well after a Bath doth very much hurt 2 Artificiall Of Frications or Frictions Frictions in it consider these six things i. their 1 Definition it is a rubing or friction of the vtter parts of the body or part either 1 generall on all the body 2 a particular part as 1 Head 2 Arme 3 Legge c. 2 Kinds are three i. 1 hard 2 soft 3 mean 3
and of thin substance 2 Purge a double excrement i. 1 thick i. sordes drawes from the bottome of ulcers 2 thin and watry i. sanies done by drying Medicines 3 so every ulcer must be clensed and dried S. A. 3 Are some 1 simple are either 1 sweet as Licoris Hony Sugar c. 2 sower as Vineger Tender tops of Vines All sower things c. 3 bitter as 1 Alloes 2 Absinth 3 Scabeos 2 Compound as 1 Lixivium 2 Apostolorum 3 Praecipitate c. 3 Weake 4 Strong 4 Seperate and draw excrements from ulcers c. 5 Are used 1 to clense ulcers c. before the use of incarnatives 2 But first consider these 4. i. the 1 Whole body whether it be 1 Healthy 2 Plethoric 3 Cacochimiall 2 Part which is 1 Moister 2 Dryer 3 More 1 Exquisite 2 Dull or sencelesse 3 Accidents 1 Callus 2 Dolour 3 Induration 4 Flux of humours as 1 Hot. 2 Maligne c. 4 Vlcers whether 1 New 2 Old 3 In which consider in 1 all the foresaid medicines they must differ in 1 Quality As the cause requireth 2 Quantity 2 an ulcer 1 Dry and painfull none will agree but a moist abstersive c. 2 moist none wil agree but dry powders c. Of Incarnatives These 1 By moderate drying 1 get flesh in hollow Vleers 2 helps Nature to remove superfluities 2 Differ 1 According to the 1 Temperature of 1 Body 2 Part affected 2 Quality of the bloud 3 Quantity 2 For 1 Nature is the efficient cause of this worke 2 Good bloud is the materiall cause 3 The Medicine 1 The assisting cause by consuming the Excrements 2 Without which it cannot be done 3 Removes the cause that hinders nature 3 Must be mixt according to the affects which passeth the Vlcer 4 Have double vertue to 1 Scoure and dry without byting or corosion 2 Dry the thin Sanies lest it cause 1 Sordes 2 The Vlcer to be more filthy 5 Must dry in the first degree 1 Saith Galen 2 Forbearing to dry it consumes the moysture of the bloud that causeth the flesh 3 I meane a degree dryer then the body or part if it be 1 More dry it causeth either 1 Inflamation 2 Dolour 3 Asker c. 2 To moyst it breeds 1 Matter of filth 2 Hollownes for want of drying 4 For 1 It is 1 on thing to 1 adde that which lacketh which is done with things like 2 diminish done by cōtraries 2 another 2 Every thing is 1 Maintained by its like 2 Destroyed by its contrary 6 Are some 1 Weake 2 Strong Simple as 1 Thus 2 Arabic 3 Sarcocole 2 Compound as 1 Vnguentum aurum Emplaysters Powders c. fit thereto 7 To speake truly no Medicine can properly be called Incarnative 8 Ought to be more liquid in deep Vlcers or Wounds 9 Not to be used before the ulcer be 1 cleansed 2 free from 1 Paine 2 Inflamation 3 Fluxion 4 Hardnesse 5 Distemper or any accident that may hinder the cure 10 Drying to 1 little cause filthy ulcers because the 1 Dryeth not enough 2 Its Acrimony doe cause fluxion c. 2 much Also consider some parts be lesse dry by nature and so require a Medicine 1 More drying then other that are more dry as the Glandels must be more dried then the proportion though the Glandell be lesse dry 2 Stronger Incarnative These must be diligently examined and very well considered Of Conglutinatives These 1 Are betweene Incarnatives and Cicatrizatives 2 Dry 1 lesse then Cicatrizatives Incarnatives 2 more 3 in the second degree 3 Let the Flux by its astringent faculty being free from detertion and so joyneth the parts divided 4 Doe conglutinate some by 1 their proper nature as 1 All the 1 Consolidaes 2 Plantaines c. 2 Saincle 3 Elder 4 Sopewoort 5 Balsome 6 Aquavitae 7 Turpentine 8 Clownes wound-woort 9 All things acerba c. 2 Accident as 1 stitching 2 rolling 3 binding 4 rest 5 all that hinder fluxion and bind the parts c. 5 Ioyneth parts distant and helps nature who is the chiefe agent in this worke 6 Herein consider whether the 1 Bodie be either 1 hard that is how 1 robust 2 tender 2 soft 2 Vlcer be 1 New Hence take your Indications what the 1 qualitie of the Medicine ought to be 2 quantitie 2 Old 3 Great 4 Little 7 Herein consider before you apply them 1 Whether the skin be 1 but divided 2 cleane gone 2 That all knit difficulties if the skin be gone by any meanes 8 Are used to 1 New Wounds Because they let and hinder the fluxe of humours from flowing to the place c. 2 Greene 3 Bloudy 4 Fistuloes 5 Vlcers old maligne Of Cicatrizatives i. to procure skin of sores These 1 Dry without Mordication 2 Astringe bind thicken harden the flesh into a skinny substance called a Cicatrize or skarre 3 Are also the worke of Nature except something hinder it which Art must amend 4 Consume superfluous moisture 5 Thicken and bind the next adjoyning flesh and must dry more then Incarnatives 6 Assist Nature to cause a skarre in stead of skin 7 Are of three sorts the 1 Only dryes and binds and be true Cicatrizes 2 Be sharpe byting to wast proud flesh use such sparingly and that only in hard and rustick bodies chiefly to dry and consume superfluous moysture 3 Only dries moderately without astriction 8 Are used when the ulcer is neer filled with flesh equall with the skin 9 Herein consider 1 The body if 1 Tender Here such things as Cicatrize in rusticks will prove corosives in these tender bodies Soft Delicate 2 Rusticks and hard to these use Cicatrizes more drying 3 Plethoric such doe not easily admit Cicatrizes 4 Cacochymiall i. of ill juice these hinder Cicatrizes untill the body be freed from that evill disposition brought to a good habit by the help of phisick c. 2 Well 1 To remove all such lets as hinder your intent and then proceeed S. A. 2 Whether the ulcer be fed by the present defect of any part evill affected As the 1 Liver 2 Lungs 3 Spleene 4 Varicks finding it c. 2 For that must be first cured before it be Cicatrized 3 If hard typs of an ulcer doe let then scarifie or soften the hardnesse else it will not Cicatrize 4 Too 1 much drying leveth the skar too 1 hollow or low 2 high raised up 2 little Now of simple Medicines with their qualities and effects All simple Medicines have one or many of these foure Elementall qualities videlicet either to 1 Heat 2 Coole 3 Dry. 4 Moisten Heat 1 Moderate 1 Heats 2 Attracts 3 Rarifies 4 Opens the passages and conduits 5 Digesteth 6 Suppurats 2 Immoderate 1 Dryeth 1 Violent attraction 2 Rubification 3 Consumption 4 Pining of the parts 5 Askers 6 Mortification 2 Inflameth 3 Burneth 4 Biteth whereof ensueth Cold. 1 Moderate 1 Cooleth 2 Stoppeth 3 Restraineth 2 Immoderate 1 Congealeth 2 Stupifieth 3 Mortifieth
Moist 1 Moderate 1 Moisteth 2 Lubrifieth i. makes slippery 3 Mittigateth and sweetneth 4 Makes smooth 5 Glueth 2 Immoderate 1 stops or obstructeth 2 lifts up 3 breeds flatuous chiefly if the moisture be vaporous Drieth 1 Moderate 1 Dryeth 2 Rarifieth 3 Attenuateth 2 Immoderate 1 Binds 2 Contracts and shrinks 3 Causeth chaps or fissures 4 Causeth dry scales dandruffe furfuration c. The effects of these qualities be set in certaine order called degrees because they should be applyed by a certaine measure or proportion Example A disease hot in the second degree the Medicine must be cold in the like degree or little exceeding and for your better instruction consider That all simple Medicines be either hot cold dry or moyst either in the 1 beginning either of first degree second third fourth 2 middle 3 end The heat cold drith or moisture of the first degree is 1 obscure and insensible 2 manifest and apparent 3 vehement or violent 4 very immederate or excesse second third fourth Example Water only Warme is temperate 1 A little horter is hot in the first degree second third fourth 2 Manifestly hot 3 Vehemently hot Scalding hot Iudge the like of all other qualities as of cold drith and moysture How to deale in all diseases of every Complexion for either the disease and the cōmplexion agree in quality or be contrary to each other Example These agree when both the complexion and the disease be either 1 Hot Such require more gentle and weake remedies or Medicine 2 Cold 3 Dry 4 Moyst Examples of these similies If the Complexion and the disease be both 1 hot there use things 1 Mild and least cooling is best 2 Meanly hot not extreme brings rest 3 Least moystning best please 4 That d●y least bring best ease 2 cold 3 dry and hard 4 moyst soft Remember still to countergard the Complexion Example of Contraries If the complexion the disease bee contrary as the complexion 1 hot with 1 cold disease the 1 hottest remedies or medicines are best it must surmount the temperature of the Complexion otherwise the Complexion it selfe would effect it 2 coldest 3 dryest 4 moistest 2 hot 3 Moist 4 dry 2 cold 3 dry hard 4 moyst and soft Observe due regard of all the above said things otherwise you hurt or destroy and not preserve or cure for want of the true considerations hereof great errours are daily committed as well in many Professors of Physick as in Surgery a very common fault in many fit to be redressed How to worke with contraries by accident and their effects Divers have shewed the 1 proper nature of Medicines drawne by their true effects 2 qualities 3 effects 4 operations Yet have they other operations which be 1 not by Elementall qualitie 2 done by accident Example Heat extern 1 cooleth the inner part by accident by opening the pores and so the heat evaporates out with the spirits and so diminisheth both appetite and disgestion 2 Invironing us moisteneth by accident by lubryfying or moistning scattering and spreading the humours congealed and setled with cold so is Venery thought to moisten Cold extern 1 heateth 1 the bodies inwards 1 not by it proper nature 2 by accident 2 by accident example of cold in Winter with outward cold closeth the pores le ts the expiration of vapours and issues of naturall heat and repels that heat to the inner parts 2 Doubleth the inward heat as they that handle snow feele after very great heat by like reason 3 furthers concoction 4 strengtheneth the appetite and for that cause the appetite is greater in Winter then in Summer 5 Dryes by accident by repelling the moist matter that was ready to flow downe to any part Example By immoderate use of repercussives by repelling matter 1 flegmatick They harden the matter collected turns it into Scirrnes hardnesse from a grosse viscous flegme 2 grosse 3 viscous Drinesse because they be qualities passive shew not their operations as heat and cold doe in their force Moistnesse Of the second faculty of Medicines it s that which ensueth the effect of the first elementall qualitie and is as followeth Heat doe 1 rarifie Cold do 1 stop 2 repell 3 confirme or shut up 4 congeale or thicken 5 heape together 6 restraine fluxes 2 attenuate 3 open 4 attract 5 mittigate 6 clense Moist doe 1 soften Drith do 1 harden 2 stiffen and withhold 2 relax These Medicines following have their names from their Effects We call those 1 anodines Which doe 1 appease or mittigate paine 2 repell or dry backe 3 resolve rarifie open the pores 4 mollifie soften hardnesse 5 draw out 6 turn tumors c. to pus or sanies 7 clense filthy sores c. 8 increase flesh in sores 9 glue together new wounds 10 cover a raw sore with skin 11 gnaw or eat the flesh 2 repercussives 3 resolutives 4 mollificatives 5 attractives 6 suppuratives 7 Mundificatives 8 Incarnatives 9 Conglutinatives 10 Cicatrizatives 11 Corosives Of the third facultie of Medicines These for the most part are drawne from first and second faculty sometimes by 1 joyning 2 separating 3 coupling two qualities together 4 on qualitie only of the first facultie proceeds the 1 anoidine proper of it selfe by a moderate heating faculty to ease paine 2 anodine to evacuate the matter causing paine 3 anodine by narcotticks to 1 Astonish the sence by cold simply cause rest 3 Provoke sleepe by cold moisture 5 Neither of these faculties but by an occult property as the Loadstone draweth Iron for which no reason can be shewed Also when by touching the Needle of a Diall it shall make that end to stand to the North alwayes is by occult propertie 2 the effects and operations of the said faculties as some be 1 Anodines 2 Repercussives 3 Incarnatives done by two faculties as by moderate 1 drying 2 clensing 4 Cicatrizatives dry and astringe 4 more then 1 coglutinates 2 Cicatrizes 5 lesse 5 Conglutinatives 6 To move or stay 1 Vrine 2 Sweat 3 Vomit 4 Milke 5 Stoole 6 Menstrua 7 Hemoraids c. 3 A hot and attenuating faculty such 1 move 1 Sweat 2 Vrine 3 Menses c. 2 cause Milke c. 4 The contrary facultties keepe backe and stop the same 5 Occult cause as vomit comes neither from the first faculty but second from an occult or hidden propertie naturally planted in any vomitory Medicine c. Of the fourth faculty of Medicine In these consider their 1 Dependencie i. they worke only by an occult propertie found out by experience and no reason to be shewed why it doth so 2 Difference is 1 It works not by Elementall qualities of 1 Heat 2 Cold. 3 Drith 3 Moisture 2 Also this we see that divers being hot cold dry or moist in on and the same degree yet produce not the like effects 3 Manner of working their effects is 1 More in on part then in another 2 Such that they purge humour more then another
6 Iawes 8 Nose 9 Cheekes 10 Mouth also the 11 Chin. Things of note of the parts of the neck are these 15 following i. the 1 Spondels 2 Legaments 3 Tendons 4 Nerves 5 Veines 6 Arteries 7 Nucha 8 Paxwax 9 Muscles 10 Almonds 11 Epiglot 12 Isophagus 13 Ismon 14 Thachia Arteria 15 Gula. Things of note of the 4 shoulder and great arme are 14. i. the 1 Bones 2 Cartilages 3 Ligaments 4 Marrow 5 Tendons 6 Muscles 7 Nerues 8 Veines 9 Arteries 10 Panicles 11 Flesh 12 Skin 13 Haire 14 Nailes 5 Breast are generally two i. the things contay 1 ning be 12. i. the 1 Utter skin 2 Flesh 3 Muscles 4 Panicles 5 Bones 6 Cartilages 7 Nucha 8 Paxwax 9 Ligaments 10 Nerves 11 Paps 12 Plura 2 ned be 6 i. the 1 Trachia arteria 2 Oesophagus 3 Heart 4 Panicles 5 Lungs 6 Midriffe Things of note of the 6 Region of the belly are in generall two i. the things contay 1 ning be 8. i. the 1 Myrac 2 Syphac 3 Bones 4 Nucha 5 Nerves 6 Ueines 7 Arteries 8 Muscles 2 ned be 12. i. the 1 Cale 2 Liver 3 Gall. 4 Spleene 5 Stomack 6 Intestines 7 Mesenterium 8 Reines 9 Bladder 10 Spermatick vessels 11 Matrix 12 parts below without froth be three i. the 1 Groyne 2 Yard 3 Cods 7 Great legge it is 1 divided into three parts i. the 1 Thigh 2 Shank 3 Foot 2 As in the great arme the Nucha excepted and so but 13 particulars A briefe Anatomie of the parts of the bodie in generall and first of the simple Members Simple members are a 11. besides Haire and Nailes as 1 Bones 2 Cartalages or gristles 3 Legaments 4 Nerves or sinewes 5 Cords or tendons 6 Veines 7 Arteries or heart pipes 8 Panicles or Felmes 9 Flesh 10 Fat 11 Skin 1 Haire these two be excrementall parts 2 Nailes 1 Bones are 1 Simple 2 Spermatick 3 Cold. 4 Dry. 5 Insensible i. without feeling 6 Inflexible i. without bowing 7 The bearers up of the body 8 Many for divers causes 9 248 in number after Avicen 10 307. after some other 2 Cartalages are 1 Simple 2 Spermatick 3 Cold. 4 Dry. 5 Insensible 6 Partly flexible 7 Ordained for five causes 8 Next to the bones in hardnesse Legaments are 1 simple 2 spermatick 3 cold 4 dry 5 insensible 6 flexible 7 to bind the bones together 8 resting places to divers sinewes 9 to hold up divers members 10 harder then Nerves Gristles 11 softer a substance that springeth out of the bones and gristles Nerves are 1 called sinewes 2 simple 3 spermatick 4 cold 5 dry 6 sensible 7 flexible 8 strong 9 tough 10 of two sorts i. 1 sensatives 2 motives the things that give voluntary motion to the cords c the instruments to convay the Animall spirits Cords are 1 called tendons 2 simple in qualitie but compound in substance 3 spermatick 4 cold 5 dry 1 strong 2 tough 6 very 7 partly sensible 9 made of nerves and legaments for three causes 10 mean between legaments and nerves 6 Veins are 1 simple 2 spermatick 3 cold 4 dry 5 the vessels to carry the bloud nutritive 6 all begun in the Liver 7 with on only coat or covering 8 hollow of a nervous substance 9 divers whereof two are most principall i. vena porta in that hollow part of the Liver cava in the bunchy 10 said to be 365 of note beside the Capillar Veines 7 Arteries are 1 simple 2 spermatick 3 cold 4 dry 5 hollow and nervous 6 all begun at the heart 7 All with two coats except Arteria venalis 8 divers whereof two are principals as Arteria 1 magna 2 venalis 9 the Pulse 10 vessels to carry abroad the vitall bloud and spirits 8 Panicles are 1 some 1 simple as 1 periostea i. the felmes that cover the bones 2 mediastinae c. 2 compound as Diaphragma c. 2 spermatick 3 cold 4 dry 5 made some to 1 cover divers members 2 divide parts on from another 9 flesh is 1 some 1 simple 2 compound 2 sanguine not spermatick 3 hot 4 moist 5 caused of bloud 1 simple and pure 2 musculous or brawny 3 Glandulous or kernelly 6 of three kinds as flesh 10 fat is 1 simple 2 not spermatick 3 cold 4 moist 5 insensible 6 made of the subtle parts of the bloud 7 without sinewes in it 8 of three kinds i. 1 Adeps i. is that next under the Skin 2 Pinguedo i. is that mixt with the flesh 3 Auxungia i. that about the Kidneyes and Intrailes 11 skin is 1 simple 2 partly spermatick 3 temperate 4 strong 5 tough 6 flexible 7 sensible 8 of two sorts i. 1 Epiderims i. is that true thin utter Skin 2 Panniculus carnosus i. the inner fleshy Skin 9 made 1 temperate the better to judge 2 of 1 Veines 2 Arteries 3 Nerves 10 of divers properties in certaine places and varieth according to the place whereon it groweth for some you may cannot flay Of the Excrementall parts aforesaid 1 Haires are 1 Excrementall parts and no members 2 made of grosse fumosities 3 cold 4 dry 5 made to 1 to cause comelinesse 2 evacuate fumosities of the third digestion 3 shew by their colour c. the temperature of the brain 6 Superfluities 2 Nailes are 1 Excrementall parts and no members 2 superfluities 3 cold 4 dry 5 softer then bones 6 Tough like horne 7 Engendred of earthy vapours 8 made 1 the better to hold 2 to 1 claw and scratch 2 divide things the better A briefe Anathomy of the compound members the better to helpe the memory for the attaining thereof with Expedition Things of note concerning the head are generally these two i. the parts contay 1 ning are in particular 5. i. the 1 Haire 2 Skin 3 Flesh 4 Panicle Pericranium 5 Scull 2 ned are these 5. i. the 1 Dura Mater 2 Pia 3 Retemirabile 4 Vermiformis 5 Braines A further relation of those ten parts what they are with their proper places c. 1. The 5 parts cōtaining i. the 1 Haire crinis is sufficiently spoken of in the tract of simple members 2 Skin i. cutis is that in which the haire groweth 3 Membrana carnosa is the hard flesh on the head growing betweene the utter Skin and Pericranium 4 Pericranium is the Panicle that covereth the Scull without froth between the membrana carnosa and the bones of the Scull 5 Craina the scul have 1. 7. bones i. 1. 1. os coronale i. the bone of the forehead 2 3. 2. ossa later alia i. the side bones of the head 4. 5. 2. ossa petrosa i. the hard stony bones of the eares whereon they grow 6. 1. os Basilare 1 called Paxilla 2 i. the foundation bone of the head 7. occiput 1 called lauda or occipitiall bone 2 is the bone wherein the hole afore the Nucha passeth 3 true 1 Coronale i. it goeth crosse over the mould of the head 2 Sagittales
Briefe answers to all the aforesaid questions and first to the thirteen principall points aforesaid as to know that 1 A Surgeon is natures servant to helpe nature in things pertaining to surgery 2 Surgery is both art and science 3 The subject of surgery is mans body being sore c. 4 The next way to learne this faculty is to begin at things generall and so come to particulars 5 The conditions required in the Surgion are generally 2. i. to be 1 vertuous religious 1 theoric 2 practic 2 expert in his prof both 6 his instruments 6 generally are but two i. medicinals manuals 7 ever fit to carry with him are 6. i. 1 probs 2 needles stitching quil 3 mullets with spatula 4 incision knife 5 cysors 6 launcets 7 8 Medicines ever to have in readinesse are generally 6. i. e 1 restrictives to stop 1 bloud 2 afluxiō that runs to other parts 2 Basilicon to cause matter 3 Apostolorum to cleanse 4 Aurinum to incarnate flesh 5 Album to cease dolour and heat 6 Desiccativum rubrum to dry and skin 9 The best method to observe is generally to note well the 1 disease cause and symptomes next way to cure it 1 speedily 2 surely 3 not to make false promises for mony promise no more then may be performd 10 The conditions required of the Patient are generally 3 i. e. to 1 hope with 1 assurance 2 diligence 3 patience 2 obey 3 endure 11 The contemplation of surgery do consist generally in the perfect knowledge of things 1 naturall 2 not naturall 3 against nature 12 He should observe before hee undertake any cure generally sixe things i. 1 whether lawfull before 1 God 2 Man 2 temperature of the 1 Body 2 Members 3 the sicknesse 1 and nature thereof 2 if curable or not 4 5 medicines proper for the disease 6 right way of application 13 The operations of the Surgeon are generally but three as are before mentioned The two generall parts of this art follow .i. 1 Theorica .i. the learned part by rules shewing the perfect waies to worke herein gotten by reading c. being Science and is divided generally into foure parts as things 1 natural being 7. as 1 Elements 2 Temperaments or Complexions 3 Humours 4 Members 5 Powers or vertues 6 Operations of those vertues 7 Spirits 2 not natural being 6. as 1 Ayre 2 Meat and drinke 3 Sleepe and watch 4 Fulnesse and emptinesse 5 Moving and rest 6 Affections of the minde 3 against nature being 3. as the 1 Disease 2 Cause of the disease 3 Accidents that follow the disease 4 Iudicall as to judge of diseases what 1 they be 2 nature they be of 3 cure or not and the reason why they may or may not be cured 4 medicines and method is best 2 Practica .i. practice shewing how to order prepare and to work with the hand according to the precepts of the theoricke done by these three meanes as by 1 Dyet or the right use of the 6 thing not naturall above said in 1 health to preserve with things like 2 diseases to cure with contraries medicines which is in two sorts used either 1 inwards 2 outwards 3 Manuall operation or hand-working as by 1 Incision 2 Stitching 3 Rowling 4 Reducing 5 Cauterising c. Now followeth the tract of the part Physiologia or the seven things naturall aforesaid as they lye in order 1 Elements of which consider generally four things i. as 1 what an Element is it is 1 A body most pure and simple unmixt 2 The least part not dividable into any other kinde 3 That whereof all things naturall have their originall 2 their 2 Numbers which are foure i 1 Fire 2 Ayre 3 Water 4 Earth 3 Qualities be 4. i. 1 Fire is 1 hot and dry 2 hot and moyst 3 cold and moyst 4 cold and dry 2 Ayre 3 Water 4 Earth 4 operations are generally 2. i. 1 Active i. to doe as is 1 heat and 2 cold 2 passive to suffer to be done as doth 1 drynesse and moystnesse Note that these two active qualities of heat and cold do work into the two passive qualities or drynesse and moystnesse to alter them 2 Temperaments or complexions wherin consider generally four things i. e. that they are 1 generally 2. i. 1 well tempered 2 evill 2 Particularly 9. 1 1 simple as 1 hot 2 cold 3 moist 4 dry 2 compound as hot and 1 dry 2 moist cold 3 dry 4 moist 2 3 4 1 four 2 3 4 2 one temperate by Equalitie of all these in perfect proportion rara Avis as hard to finde as a blacke Swan 3 Either 1 simple qualities of some or all the foure Elements either 1 hot 2 cold 3 moyst 4 dry 2 compound 4 To no end knowne by the differences of temperatures if wee know them not by their signes also for the which reade and consider well those rules which are set downe by Levine Lemnie written in his booke called the Touchstone of Complexions where you may be sufficiently instructed which in this place is too tedious to relate at this time 3 Humours be generally two i. 1 Naturall being 4. as 1 Bloud Naturall and profitable 2 Choler 3 Flegme 4 Melancholy 1 Bloud being either too 1 thinne by 1 heat 2 cold 2 thicke 2 adust so the 1 subtile parts 1 choler 2 melācholy become 2 grosse 3 distempered by mixing of other humors as of 1 choler 2 flegme 3 melancholy c. 2 Choler eyther 1 Vitiline like yolks of egges 2 Eruginous like verdegresse 3 Prassyne like juyce of hearbs 4 Azure or blew 2 Vnnaturall and are of divers sorts as 3 Flegme eyther 1 Vitria like melted glasse 2 Acide sowre like vineger 3 Salt like brine 4 Gypsum like white morter 4 Melancholy being of two sorts eyther of brent 1 blood 2 choler and is the worst Note that of these three things aforesaid i. as 1 Elements all the members of the body are made 2 Temperaments and 3 humours 4 Members are generally two i. 1 Simple being 11. as 1 Bones 2 Cartilages or gristles 3 Ligaments 4 Veines 5 Arteries or heart pypes 6 Nerves or synewes 7 Cords or tendons 8 Panicles or felmes 9 Simple flesh 1 substance 2 use or office 3 temperatures 4 utilities 10 Fat 11 Skinne in all these consider these foure things i. their 2 Compound as are the 1 Head 2 Heart 3 Liver 4 Lungs 5 Legs 6 Armes 1 Braine 2 Heart 3 Liver 4 Testicles or stones 7 Hands c. Whos 's other diversities are generally five whereof some are 1 Principals being 4. as the 2 serving the principals are 4. as the 1 veines to carry the spirit 1 naturall 2 vitall 3 animall 4 sperme or seede 2 arteries 3 nerves 4 spermatick vessels 3 Proper of themselves and others as the 1 Belly 2 Kidneyes 3 Matrix c. 4 Excrementall and not proper as 1 Hayre 2 Nayles 5 Neither governed nor doe governe others as are
and done by little at once to vent the vapours 3 Revulsion to divert or plucke backe or opposite the humour to the opposite part in full bodies c. 4 Derivation derive the matter from one part to another flowing before it bee fully setled or congealed as in Plurisie c. Of Phlebotomy with divers observations to it belonging it is an artificiall incision of veynes The Artist that must be admitted to let bloud must 1 1 sharpe sighted 2 steady strong and nimble handed 1 good 1 launcets 2 flemes c. 3 ligatures 2 bands 3 cotton i. lint 4 bolsters 5 restrictives to stop bloud c. 3 much used to this operation 4 furnished with things necessary as 2 3 be 4 5 5 number of veines usually opened which are thirty nine i. in the 1 head 15 2 armes 6 3 hands 6 4 fundament 4 5 legs 8 6 true place of the veynes that he mistake not 7 right way to open them which differ according to the 1 place 1 little 2 great 3 deep or aparent 2 veynes either 3 bloud eyther 8 manner how to doe it i. 1 first to make 1 frication 2 ligature 2 secondly 3 thirdly the vein being found stirre it with your thumb or finger that it slip not then open it s A. 4 fourthly after the evacuation 1 remove your ligature 2 close with wound 3 apply your lint bolst 4 then binde it up s Ar. 2 know perfectly the 6 7 8 9 never let bloud without the counsell of the learned Physitian and doe it as he appointeth i. 1 open the right veine 2 draw the just quantity of bloud if possible 10 observe these three orders very diligently what is to be done 1 before bleeding 2 at the present time of 3 after Of him that giveth counsell to let bloud The Artist that giveth counsell to let bloud must consider that it is done with an intent 1 generally eyther to 1 preserve health in which hee must consider in all persons these eight things following i. as 2 remove diseases 2 particularly eyther to 1 Evacuate 2 Draw out 3 Restraine 4 Alter 5 Disburthen nature The 1 Age if to 1 preserve doe it not to 1 children before fourteen yeares old 2 old folks after seventy 2 remove diseases doe it to all ages s A. 2 Strength if 1 strong bleed largely 2 weake bleed more sparingly 3 Habitude if 1 good with great veines bleed largely 2 ill bleed lesse 4 Country if 1 hot bleed the 1 more 2 lesse 2 cold 5 time if to 1 preserve doe it in the Spring chiefly in the morning 2 cure sicknesse doe it at all times when need is s A. 6 Custome being done either to 1 prevent some disease 2 avoyd excrements that hinder health as 1 menstrua 2 Hemoroyds c. 7 Signes and rules of astronomy are of some 1 observed 2 omitted chiefly of the most learned 3 nay of all in extremity neglected 8 orders to be observed are generally three as how to use the Patient 1 before bleeding followeth 2 at the present time 3 after What to doe before bleeding Before bleeding consider generally these eight things i. 1 first who may 1 bleed 2 not bleed 2 why we bleed it is for two causes either to 1 preserve health prevent sicknes 2 cure diseases 3 foure waies to bleed it is done eyther by 1 evacuation to empty 1 much 2 little 3 and draw backe 4 neere hand 2 eventation 3 revultion 4 derivation 4 foure things put backe bleeding for a time till they be remedied 1 cruditie in the 1 stomacke 2 veynes 2 Compaction of filthy humours hurtfull in any part 3 Costivenesse with dryed excrements 4 weakenesse of the mouth of the stomacke 5 that Egestion be voyded before bleeding 6 The strength 1 of the party either 1 strong 2 weake 2 to consider thereby the quantity fit to draw 7 The veynes if it 1 appeare not how to helpe it 2 be small bleed after meat s A. 1 Also have all needfull things for your use ready in place before you begin What is required at the present time of bleeding there is required in the Artist and Patient generally two things At the present time of bleeding there is required in the 1 Artist in generall these sixe things i. to 1 have cleare and perfect 1 sight 1 day 2 candle 2 light either by 2 prepare the member 1 first by friction 2 secondly by ligature 3 thirdly to stay the veyne that it slip not 4 fourthly to open it s A. 3 consider which is the best way of the three to open it eyther 1 long wise 2 overthwart 3 oblique 4 know 4 when to make the orifice 1 large or 2 small 5 6 how to 5 govern the patient in time of bleeding 6 redresse any accidents 5 6 2 Patient in generall these three things as 1 quietnesse both of 1 body and 2 minde 2 willing obedience 3 bold and stout of courage voyd of feare After bleeding After bleeding there is required in the 1 Artist these five things i. to 1 remove the ligature 2 close the wound and binde it up s A. 3 place the member fittest from bleeding c. 4 Instruct the Patient how to governe himselfe in 1 Dyet 2 Exercise 3 Sleepe 4 Venus acts c. 5 discerne and judge of the bloud what and how it is by the 1 colour 2 substance 3 contents 4 taste c. 2 Patient diligently to obey and not to omit the precepts of the cunning Artist lest hee repent his folly too late saying had I wist Of Arteriatomia or opening of an Arterie This is an artificiall opening of the artery used chiefly but in two places i. 1 on the temples whose 1 manner of opening is 1 first shave the place 2 secondly rub the place with a napkin c. 3 thirdly make small incision 4 fourthly having drawne sufficient stop it 5 apply either 1 a plaister of Masticke 2 halfe a Beane slit in two 6 then binde it fast 7 some cut 1 the artery throgh 2 not the artery 2 utilities are for 1 great fluxe of Catars to the 1 eyes 2 breast c. 2 sicknesse of the head caused of 1 hot flux inveterate 2 vaporous spirits cōtained in those arteries 3 long dolour of the sides 4 all dolours that proceed of a hot pituitous substance 5 swimming of the head 6 giddinesse 7 long fluxion of the eyes Of Ventosing or Boxing Ventoses are applyed in two sorts either with 1 scarification in these consider these eight things i. 1 what it is 2 for what intent you doe it 3 which sort is best to use for your purpose either with scarification or without 5 what places are fittest to apply them both generall and particular 6 requisite 6 before the application 7 the manner how to apply them 8 after the application 7 8 2 out scarification Of the differences betweene 1 Phlebotomy draweth bloud deeper than 1 boxing 2 bloudsuckers 2 Ventoses purge more the
1 thin bloud than the thicke 2 utter parts than the inner parts 3 Leaches or bloud-suckers draw deeper then Ventoses we apply Ventoses with 1 scarification 1 to the 1 necke behinde neere the head for diseases of the 1 face 2 head 3 eyes 4 palsie c. 2 mids of the shoulders in 1 coughes 2 difficulty of breath 3 sides of the necke and chin in defects of the 1 mouth 2 gummes 3 teeth c. 4 shoulders for the 1 breast 2 shoulders 3 plurifie c. 5 reines for apostoms of the 1 reines 2 liver c. 6 armes 1 pained 1 stead of bloud-letting 2 yong and old 2 used in 7 Os sacrum for 1 fistulaes 2 Hemoroydes 8 thighes good in 1 strangurie 1 matrixe 2 reines 3 bladder c. 2 ache of the 9 legges 10 ancles 2 it is 1 somewhat painefull 1 divert 2 evacuate 2 done either to 2 out scarification to the 1 mould of the head to 1 stay rheumes 2 draw up the uvula 2 Hypoconders to divert bleeding at the nose if the right nostrill bleed apply it on the liver if the left on the spleene so in all other parts Galen 3 beginning of the nerves in the poule for Palsie 4 parts under the Paps to divert 1 menstrua 2 livers ventositie 5 ribbes to reduce them 6 Navell for the 1 matrix falne 2 winde collicke 3 dolour after purgation 7 Flankes for ventositie of the spleene 8 Vritories to draw downe the stone and gravell into the bladder 9 Eares to draw out 1 a thing contained therein 2 venim or poyson 3 matter c. 10 orifice of ulcers 11 tumors to draw matter that lyeth deep to the utter parts c. 12 necke in squinsie c. 13 biting of venemous 1 beasts 2 wormes c. Things to be considered before you apply Ventoses Before you apply them consider these sixe things i. 1 the time of the 1 Moone doe it 1 in the full 2 not in the wane 2 day is best about 2 or 3 after noone 3 being of the glasses c. on the place is halfe an houre 2 in plethoric bodies doe it with scarification 3 if the bloud be 1 thick 1 scarifie the deeper 2 and grosse foment the place with hot water and rubbe it well with a hot cloath 2 thin 1 scarifie lightly 2 rub the place with the hand first 4 If you will scarifie then apply first ever a dry Ventose and then scarifie and then set on the Ventose againe s A. 5 Rub well the place first all about with your hand very well to disperse the bloud and humours before you apply your Ventose 6 Apply your Ventose an houre or two after the bath and never in the bath The manner of applying Ventoses If they be of 1 Horne c. to sucke prepare the place and apply them without scarification then sucke them with your mouth 2 Glasse c. put waxe or some sticking plaister within in the bottome then put in your tow that it sticke fast to it then fire the tow with a candle and clap the mouth of the glasse close on the place s A. 3 any sort 1 draw sufficient 2 remove them often if need be and new scarifie it and wipe it dry and then apply it againe 3 if it bleed not well after the first scarification then rub the place with the mouth of the glasse or thryp it with your naile and garse it anew and set on the glasse againe 4 Let it remaine a reasonable time to draw out sufficient if not at one time reiterate it two or three times and ever scarifie it new If winde or evill bloud grosse and thicke doe it after that dry the place scarified with a soft cloath and then anoynt the place after the use of the Ventose with oyle of Roses fresh Butter c. After the ventosing is finished After ventosing consider these four things 1 dry the place eyther with a soft 1 cloath 2 spunge 2 next anoynt the place eyther with 1 oyle of roses 2 fresh butter c. 3 he may sleepe within an houre after it 4 if done with scarification governe them as those let bloud Ventoses 1 must not be set on 1 womens breasts lest they enter too deepe 2 other soft places 2 if they will sticke fast being applyed foment the place 3 must not be kept on long chiefly 1 about the principall parts or members 2 behinde the 1 necke 2 shoulders on the right Hypoconder c. Of application of Horseleaches In the use of these consider 1 make good choice of your wormes some be 1 good and are 1 found in 1 cleare waters 2 ponds with sandy ground or gravell 2 with little heads and small bodies 3 round red bellied 4 rayed on the backe like threeds of gold 5 kept a day or two in cleane water to 1 cleanse them 2 draw the better 6 by some kept a yeare in a glasse and change the water once in 10 daies with crums of bread 2 maligne or venemous i. 1 bred in filthy pooles with carrion c. 2 with great heads 3 greenish colour with blew raies on the backe with blacke bodies 4 these cause 1 tumors venemous 2 inflammations 3 ulcers 5 Messalinus dyed by putting one on his knee 2 these are used where ventoses cannot as on the 1 lips 6 legges 10 old ulcers 11 apost 11 venemous 12 emunctory 12 13 places bare of flesh 7 fundament 8 matrix mouth 9 parts empty of flesh 2 nose 3 groyne 4 fingers 5 toes 3 Diseases wherein they are most used i. 1 morphew 2 ring wormes 3 great itch in any part it s fitter then scarification 4 set to the hemeroyds they evacuate from all the members and excellent for melancholy 4 how to apply them 1 first let the place be very cleane else they will not bite 2 then rub the part till it waxe red 3 then apply them hold it neere the head with a cloth then pricke the place that it bleed or put a drop of bloud on the place and then put the head of the Leach to it 5 how to 1 make him draw 1 much 1 cut off his tayle 2 or strip out the bloud with your fingers 2 little leave him whole and being full will fall of himselfe 2 remove him put on his head either 1 salt 2 vineger 3 sinders or ashes separate him with a hayre 6 being fallen if he bleed too much apply either 1 lynt 2 brent cloath 3 a cloth wet in cold water and vineger 4 Hysop stampt c. Of Cetous and the use of them c. Cetons in it consider in generall sixe things i. 1 Quid it is usually a little cord eyther of 1 hayre 2 threed 3 silke 4 cloath 5 woollen yarne c. 2 the intent why we use them is eyther to 1 divert fluxes 2 draw out humours c. 3 manner of applying is 1 with fit Instruments 2 eyther with 1 fire much used in old time 2 out fire now
fourth part called Semotica i. the judging part or judiciall part i. the Prognosticke part This fourth part how to judge of diseases 1 What 1 they be 1 hot 2 cold 3 simple 4 compound 5 infectious or not acute or coronicke 2 nature they be of either 3 danger or none like to follow 4 cure 5 time of cure long or short 6 the cause is and to prove that it is either 1 to be cured and by what meanes 2 not to bee cured and the reason why 7 medicines in quality operation are fit to be used 2 whose judgements are taken generally of foure things i. of the 1 Disease it selfe 2 Nature of the part 3 Symptomes or accidents 4 Excrements voyded by nature Note that these foure parts aforesaid are the contemplative parts of this thrice worthy faculty of curing which ought to be first exactly knowne of any professor herein before hee enter into the practicke part for upon these foure pillars was this worthy art built and is as necessary to the Artist as the head to the body for as the body that hath all other members and wanteth the head can doe nothing for want of knowledge so it is with the Artist that wanteth these foure Theoricke parts which in him are required for he is ever ready to mayme kill or spoyle his unfortunate Patient that enters under his hands sooner than to help or cure him for lacke of the knowledge of these foure parts afore mentioned Of the Therapeuticke i. the practicke part being the second generall part of Chirurgery of some called the fifth or curatiue part 2 Part Theraputica or Practica i. practise 1 sheweth the 1 method of curing diseases 2 manner or way 2 is triple that is 1 dyet i. the right use of the 6 things not naturall 2 Pharmacopia i. the use of medicine eyther 1 inwards 2 outwards 3 manuall operation i. hand working Note ever where one of these three will serve use no other All operations agreeable to the rules of the Theoricke part aforesaid which the skilfull Artist must follow effectually in his practise These unfortunate people that seeke to the unskilfull for cure of their infirmities may wel be compared to a foolish man who having a garment to make will not put it to a Taylor to do it but to a Smith or a Carpenter to make it and though it be not his profession yet peradventure for lucre of gaine he will undertake to doe it but how well every man of judgement may conjecture but now commonly most people in these our dayes seeme to have more care of making their garments than the cure of their maladies To make a garment they will looke out the best workman but to cure their infirmities though it stand on life or limme to be lost they as soone chuse a sillie woman or an ignorant fellow chiefly if they have gotten a little applause of the vulgar before the learned and skilfull Artist and why because those idle brained wretches that neither feare the wrath of God nor make conscience of their waies will not onely adventure but make sure promises to cure any that they take in hand though it be unpossihle to be cured by the art or skill of man for how can they foreshew the danger that know it not but to get money and some thinking to get praise of others for their worke will undertake any cure so bold and impudent are they yet neither know the disease nor any perfect way to cure it but as the blinde man shot the Crow but the more unwise those that employ them as woful experience daily sheweth too much and were perfect knowledge herein gotten so lightly as these Ignorants seeme then vainly were all those great volumes made and so great study employed thereon The end of this worthy art or faculty promise no more than you may with a good conscience performe and consider 1 That health lyeth not in thy hands to give therefore promise and performe onely thy painefull diligence and industry 2 There belongeth to every cure generally these foure things i. the 1 Determination of God 2 Good industry and skill of the Artist 3 Honest act of the Apothecarie 4 Obedience and good usage of the Patient 3 Of these foure parts abovesaid there is but one in thy hands to use or two at the most 4 The end of this worthy art is eyther to 1 preserve so farre forth as art and nature may afford 2 cure Foure speciall things to be considered of every man that will practise this famous worthy art of medicine These are the foure things to consider i. 1 First let your honest manners be equall to your excellent knowledge therefore be 1 faithfull to your diseased Patient 2 true 3 trusty 4 honest of life and conversation 5 sober 6 comfortable in words 7 not deceiveable in deeds 8 ever serving of God love and pray unto him daily for his grace and assistance and consider the end wherefore thou art called to use this worthy faculty it is not onely for thine own gaine as too too many do now abuse it but you ought with all diligence to search out the secrets of nature and endeavour chiefly hereby to stir up Gods glory shewing his great goodnesse towards us by comforting and curing the sore sicke and diseased people 2 Before you take charge foresee these six things i. whether it be 1 honest before God and man 2 profitable to the Patient 3 easie to be done and the reasons how and why it may or may not bee done 4 hard 5 possible 6 impossible 3 to admonish and urge the Patient to observe the three conditions of a Patient i. to 1 hope with assurance 2 obey with diligence 3 endure with patience consider also that medicine was not ordained for disorderly persons saith Hippocrates 4 There be three causes why you should refuse the cure i. where the 1 disease is uncurable by its own nature or the party so weak that he cannot endure fit remedies 2 cure of one disease causeth a worse 3 Patient is disobedient and wil not observe fit order in all things as is requisite for the cure for medicine saith Hyppocrates in his Aphorisme was not ordained for disorderly and disobedient persons Briefe instructions for the Artist to consider being called to a Patient both generally and particularly First when thou seest the Patient consider well 1 generally two things i. what is 1 done 2 to be done 2 particularly these eight things i. to know perfectly the 1 disease whether it be eyther a 1 tumour against nature 2 wound 3 ulcer 4 fracture 5 dislocation c. 2 kinde i. whether 1 simple 2 compound 3 Differences wherein they differ the one from the other 4 causes i. whether 1 primitive 2 antecedent 3 conjunct 5 Signes 1 generall 2 particular 6 Prognostication what is like to follow i. 7 Accidents that follow the disease as the shadow doth the body 8 cure in which consider the