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A80034 The poor-mans physician and chyrurgion, containing above three hundred rare and choice receipts, for the cure of all distempers, both inward and outward: together with necessary considerations before purgation; easie rules for the opening of a vein, and the manner of bleeding by horse-leeches, with a method for drawing teeth. All being of great worth, and now published for the publique good: / by Lancelot Coelson student in Physick and Astrology. Coelson, Lancelot, 1627-ca 1687. 1656 (1656) Wing C4884; Thomason E1666_2; ESTC R208391 66,632 176

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much like unto a little lamprell wherein are to be beheld and seen three stings or acuities proceeding out of three corners which so violently and strongly prick that therewith they can pierce the skins of all creatures and thereon they will hang fast untill such time as they have sucked themselves round and full of blood of their own accord They live and are ingendred in the water especially in standing waters because they delight and are solaced in all filthy and muddy places I suppose there is no Chyrurgion but doth well know them because of all men they are known but every man doth not know which are venomous and which are not venomous which is very necessary to be known by reason of the many accidents and mischances which might happen thereof As for example great tumors inflammations and venomous ulcerations through their venomous momorsions and bitings yea also and death it self doth insue As for example one was bitten on his knee by one that was venomous and died thereof You shall know them by their greatness and colour and by the place where they are caught For those which are thick and have a head thicker then the rest of their whole body shining like unto glistering worms and are greenish and have on their back blew or black strokes or lines and were caught in standing pools where all manner of stinking carions and other filthiness is thrown they are all venomous therefore in no case use them But those which are small round and have a little head and are of colour much like unto a liver a round belly and the back stroaked with gold yellow strokes and live in clean running water they are not venomous but you may safely use them yet not so soon as they are caught but first of all keep them two or three weeks in a glass of fair water because therein they may void the viscosity and impureness And be sure to refresh the aforesaid water every three daies and wash the said horse-leeches with your hand from all their filth and sliminess Galen doth counsell the first day to keep them in blood and then put them in fresh water and thus we may preserve them a whole year or longer if we please to use them when need requireth The use of them was invented in stead of scarifying we may apply them on such places of the body where we cannot set any boxes at all As for example in the privities on the gums on the lips and sometime on the raw flesh of any wound or on the nose or above on the hand or fingers or on the legs or thighes also And when the Patient feareth boxing or else when we desire to draw and extract any venom out of a thrust or bite of any venomous creature before we apply them and because they might be hungry and not to retain any thing in their bodies and because they should the sooner lay hold we must take them out of the water three or four daies before we use them and put them in a little new box of wood and keep them so till we use them We must first wash that place where we intend to apply them very clean and if the place by reason of salve or plaister be faulty you must wash it off clean also because they are enemies unto all pinguedity and fatness this being done we must take them one after the other in their middles with a white clean cloth for if we touch them with our bare fingers it will hinder their biting or placing their heads to that place where we would have them suck if they will not at the first lay hold we must then anoint the place with pigeons or hens blood or cause the place either with the point of a Lancet or with the point of a pin to bleed and then immediatly she will begin to suck And if she do not suck so violently as we do desire or if we would have her suck more then she is able to hold we must then with a pair of cisers clip her asunder above the third part of the body whereby she will begin to suck farre stronger and with more violence and as fast as she sucketh the blood departeth from her through the hindermost parts which is cut away If they be not cut when they have sucked themselves full they will fall off and when one is fallen off you may apply another on the same place for when they are satisfied they will of themselves fall off And if we would have them fall off before they are satisfied we may then strew a little salt or ashes of wood and they will immediatly fall off If when they are fallen off blood doth drop from the bite it is a sign that they have drawn blood from farre which blood we must not on the sudden stop because that part may be the better purged and purified from all venomous humours if any be at hand For which cause some do apply small boxes upon the place sucked or else they wash that place with hot water being salted and so cause it to bleed somewhat longer if cause require and the Patient be able to suffer it And if the blood runne out too long and will hardly be restrained through comprese we must then apply thereon a little adusted or burned linnen with his finger or a cloven bean retaining the same with his finger so long thereon till he can come to lay on a small comprese and binde the same thereon if possibly it may be done And so I have been as good as my word to give you the method of bleeding with Horse-leeches Here follows a Catalogue of such Medicines as are good to Cure all or most Diseases incident to Mans body from the Head to the Foot as well Inwardly as Outwardly An excellent Medicine for that Grief we call an Ach in the Bones TAke Aqua vitae Neats-foot oyl Oxe gall and oyl of Camomill it self and boyl them all together and stirre it well untill it be well boyled and consumed to a pint then strain it and when you will use it anoint the place grieved therewith and this will asswage the pain immediatly Probatum est Another for the same TAke a good quantity of Scurvy-grass and put thereto a good quantity of Barrows-grease and stamp them together and then boyl them together and when it is well boyled then strain forth the liquor into some Gallipot and stop it close and when you have an occasion to use it anoint the place grieved often therewith before a good fire and this will cure the Ach in a short time Prob. est Another for the same TAke a pint or somewhat more of good malmsie one pint of Capons grease and one penyworth of Frankincense finely beaten to powder and sifted very fine boyl all these together till one half be consumed and then strain it and so keep it close for your use in some gallipot and anoint the place grieved often therewith and
the substance of the body is made and expelling the adverse humours yet some part thereof remaineth in the body wherefore people ought to take heed and be carefull what Medicines they receive that in them there be no venenosity malice or corruption least for the expelling of a superfluous humour they receive a Medicine which shall ingender any venomous humour and inevitable destruction into all the whole body And note also that after any purgation is taken and hath wrought to full perfection then thirsting and sound sleeping are good signs and tokens that the body is sufficiently purged Having sufficiently treated concerning the use of Blood-letting and of Purgations and the benefit coming thereby I shall now in brief treat of the great necessity some people have to have their teeth drawn and the benefit which comes thereby and the manner how a Chyrurgion shall behave himself to draw a tooth best for the ease of the patient Of drawing Teeth SOmetime it happeneth that there is great pain incident to Teeth and such torment that the party grieved is as Phrensie that no remedy can be found but drawing forth the Tooth Whenas therefore we would draw forth a Tooth we must cause the Patient to sit down in such a place or sort as is convenient and then make choice of the corrupted or rotten Tooth that we may not mistake that from another which we must make loose from the gums and fill up the concavity or hollowness of the Tooth with a little piece of lead or a little lint or cotten filling it full so as the pelicane chance not to break thorow the hard shutting of the same Having hold of it we must easily and gently crush the instrument together lest the Tooth chance to break and then drawing the foresaid Tooth a little aside pluck it out because that if too rigorously we waggle the Tooth up or down that part of the cheek bone wherein the Tooth stood might easily be broken therefore it must not with too much violence be drawn Another reason is If it should with violence be drawn out it might disjoyn and pluck out of place the nethermost cheek-bone and so cause great perturbation in the uppermost jaw even to the eyes The Tooth being drawn we must with out finger joyn and shut together again the gums and cause the Patient to wash his mouth with a little excecrate wherein we must put in a little salt for if there be any efluxion of blood it ought not to be esteemed a small thing for I have known some to bleed even to death and therefore the surest way that ever I have known to be used is this to thrust therein some cotton which hath been madified in juice of Lemons into that place from whence the Tooth was drawn Now having sufficiently treated of that I do next purpose to discourse of the manner how to open a Vein or Phlebotomize Of Phlebotomy MY purpose and meaning is not now to describe unto you what Disease or Sickness requireth Phlebotomy or what age in what time or season of the year in what Countrey in what constitution of the body it must be done or of any particular occasion But my purpose is only to shew you how you ought to open a Vein and whereon we must diligently consider before we make the apertion therein after we have opened it and also whereon we ought not when the blood issueth forth out of the same For it is difficult and dangerous and therefore is he praise-worthy that can bleed aright It is dangerous because the Veins are situated sometimes close to the Arteries as are the sinews and Tendons that if we chance to hurt a Tendon with the Lancet thereafter most commonly issueth a Spasmus or a Gangrene and mortification and with great torment endeth his life If there be any Artery touched or opened there will be great difficulty in curing of it whereby the Patient may bleed to death and whenas we descide a Vein quite asunder both the ends thereof are immediatly retracted and drawn inward the one end one way and the other end the other way so that under the flesh both the ends are left and no blood can possibly issue thereout If it be then with too great timerousness and fear pricked and the skin only wherewith it is covered is as then inscided and the Vein not opened or else if it be only pricked with the point of the Lancet the blood as then issueth out droping-wise and the subtlest blood only cometh out where consequently thereafter it exulcerateth Sometime again the Vein lieth occultated so deep in the flesh that we cannot with the Lancet finde it without great pains Yea also and although we espy them yet through perpusillity and rotundity they avoid and eschew the point of the Lancet how acute and subtle soever the same be so that there are divers occasions wherefore Phlebotomy is difficult which to one that hath never used it it seemeth to be very easie But before the Chyrurgion maketh his apertion in the Vein if so be the Patient be restringed and bound in his belly and have not in a long time been at stool We must first of all cause him to use a Clyster because through the Phlebotomy the Veins being evacuated and emptied do not atract and draw unto them out of the guts or entrails any corrupted or rotten humours whereby any of the worthiest parts might be offended and hindered Consider whereon we ought to be well advised before we Phlebotomize PHlebotomy is not expedient when as the stomack is burthened either with any crudity of undigested meat or drink or with any other viscosity whatsoever and also it is wholly disswaded to be done after any great evacuation or any other occasion whereby the Patient might be debilitated as is the superfluous breaking a great lask great abstinence continuall vigilation and great conversation of women and when all these things are considered then proceed If any person shall desire to be Phlebotomiz'd to prevent any Disease he must then cause it to be done when he is best of courage as being freed from sorrow And beside we must not Phlebotomize any person which is fearfull and timorous to bleed because then the fear causeth the blood to withdraw it self toward the internall parts of the body Consider also how we should conveniently Phlebotomize THe Patient being lusty and strong we must then cause him to sit in a stool but if he be feeble and subject unto faintness and swouning as those be which are of a hot nature then we must first let him sip in a soft-dressed egg or a morsell of bread sopped in wine and then cause him to lie on a bed half setting upright and stuff him under with cushions as if he sate And above all note that the light of the candle or of the air do rightly shine on the Vein because that through the shadow thereof the knowledge of the Vein and of the place whereon