Pruna and sygnes therof fo xxiiij Purgation howe it maye be gyuen wythout digestiue fo xxix Purgatiōs of choler fo liiij lxij xcv Purga of sanguine fo liiij l. lxij Purgation of melancholy ibidem Purgation of flegme ibidem Pur. of salt grosse flegme fo liiij Purg. of a myxte cause fo lxij Purgation of hote cause fo lxxxi Purgation of colde cause eodem Purgers of the head fo xcij Purse of the stones hardenes therein fo lxxiij Pustules carbunculous fo lxxi Pustles in the eye lyddes fo cxxxviij Putrefactiō in vlcers is knowē f. cxx R. Ragadie vulue Fo. cliiij Retifyeng of the ayre fo xxx xxxi Regiment of health fo ccxxi Rhethe mirabile fo v Reynes fo ix Reynes payne of them fo ccxxviij Repercussiues perilous in eyght cases fo xvi Repercussiues are not to be ministred in the heed fo xlvij Repercussiues how to vse thē fo xvij Repercussiues maye not be ministred in the emunctories fo lix Repercus symple cōpounde fo cxcix Resolution sygnes of it fo xiij Resolutiue with repercussiō f. lxxviij Resolutiues symple fo CC Resolutiues compounde fo cci Rybbes fo vij Rybbes brokē displaced fo clxxviij Ryftes in the fundament fo cl Rotten nayles and the cure fo lxxx Rubies in the face fo cxl Rupture and the causes fo lxxiiij Ruptorie of capitell fo ccviij S. Sanguine feuer fo ccxxx Saphati fo cxxxi Scaldynge fo ccxxxix scabbes of the heed causes f. cxxix cclv Scabbes of the eye lyddes fo cxxxiij Scabbes and hys cure fo clxv Scipions pouder fo cxlviij Sciatica and hys cure fo clxix Sclerosis fo vij Sclirotyke aposteme fo lxxviij Scourged and hys cure fo ccxxxi Scrophula glādula differ fo xxxix Scrophules fo lxxxii ccli Sebell in the eyes fo cxxxv Secundiue fo vij Sense comune sense fo iiij Sephiros fo xiij Sephiros and hys cure fo xli Sephiros cancer differ eodem Sephiros cacrous in a womans brest fo lxvi Serpigo fo cxxxix Shulders apostemes therof fo lxxvi Shulders the woūdes therof fo xcv Shulder broken fo clxxvi Shulder displaced Fol. clxxxi Syde bones Fol. iii. Signes of sharpe matter fol. lxx Signes of mortificatiō of pust f. lxxi Signes of resolution Fol. xiii Signes of maturation Fol. xxxiii Signes of hote exitures and colde eo Signes that be good in vlcers Fo. cxix Signes that be euel Eo Sight weaknes of it Fol. cxxxvij Simples folow in order Fo. clxxxiiij Sinnowe Fol. i. Sinnowes Fol. xij Sinnowes woūdes in thē F. ciiii ccxlvi Sinowes the peyn of thē F. clxvi Sirupes their properties Fo. ccxiii Skin roughnes therof Fol. ccxxxv Skynne Fol. ij Skull breakynge of it Fol. lxxxvij Skul howe to know breking of it Fo. lxxxviij Slepe Fol. ccxxix Slepynge Fol. xxxi Smellyng diminished Fol. ccxxxiij Solution of continuitie Fol. lxxxij Sowyng of a woūde Fo. xciij cxiij Sowynge two maner of it Fol. cxiii Sowynge of guttes Fol. ci Spasme and the cure fol. cviii Spasme prohibition of it fol. xciiii Spondiles Fol. vi Squinātie of four kindes Fo. lxi cclviij Stomake Fol. ix Stomake hurt the signes Fol. c. Stomake weaknes therof Fo. ccxxx Stones Fol. x. Stone for the stone Fol. cxcv Stones wounde of thē Fol. ciij. Subtiliatiue medicines why they be vsed Fol. cvi Suffumigation to resolue windines of the eares Fol. cxlv Suppositories Fol. ccxvi Swellynge in the knee Fol. lxxx Swellynge or loosenes of the eyes Fol. cxxxviij Sweate superfluous Fol. ccxxxv Syrsen Fol. iiii Siphac Fol. viij Siphac Fol. x. T. Table of medicines for a chirurgien Fol. ccxij Talpa topinaria Fo. xxxiii xxxix Talpa is cured Fol. xlviii Tela aranea Fol. vii Tela vnea Eo Tentes fol. cxiii Tenasmō fo cliii Terminus comunis Fol. xii Tertian pure Fol. ccxxviii Tertian not pure Fol. ccxxix Testudo Fol. xlviii xxxix Tessilus oyntment Fol. cclxiiii Thighes wounde in them Fol. ciii Thighes chafynge betwene the thyghes Fol. clvi thighe bone broken Fol. clxxviii Thryst Fol. ccxxix Throte Fol. v. Throte Apostemes of it fo lxiiii Tonge Fol. vi Toth ache Fol. clxx cxciii Trachea arteria Fol. v. Transuersales Fol. iii. Tremblynge of the herte Fol. xxxi Trociskes of affodilles Fol. ccvii Trociskes restrictiue Fol. Eo V. Verrices or swelling veines Fo. clvii Ventricles of the brayne Fol. iiii Vētoses application therof Fo. ccix Vētoses in thre causes Fol. lix Ventoses when they oughte not to be ministred Fol. Eo Ventoses Fol. ccxxii Vertue imaginatiue Fol. iiii Vertigo Fo. Eo Verualia Fol. vi Veyne Fol. ii Veyne the maner of byndynge it Fol. lxxxvi Vesicatorie Fol. l. Vesicatorie medicines Fo. ccviii Vlcers in generall Fol. cxvii Vlcer what it is causes and kyndes of it Fol. cxviii Vlcers in general cured Fol. cxxi Vlcers virulent corosiue Fo. cxxiii cclii Vlcers rottē filthie Fol. cxxv cclii Vlcers holow the cure Fo. Eo cclii Vlcers of the heade Fo. cxxix Vlcers of harde curation Fol. cxxvi Vlcers of the nose Fol. cxli. cclviij Vlcers of the face Fol. cxlii Vlcers of the mouth Fol. Eo Vlcers of the throte Fol. cxliii Vlcers of the backe Fol. Eo Vlcers of the brest Fol. Eo Vlcers of the arme Fol. cxliiii Vlcers of womans brestes Fol. Eo Vlcers of the eares Fol. Eo Vlcers of the bellie Fol. cxlviii Vlcers of the stanckes Fol. Eo Vlcers of the yarde Fol. Eo Vlcers of the fundamēt not percinge Fol. cl Vlcers of the matrice Fol. clv. Vlcers of the hanches Fol. clvi Vlcers virulente of the thighes legges Fol. clvii Vlcers moyst of the head Fol. cxxix Vlcers in the eyes Fol. cxxxii Vndimia Fol. xiii cclxii Vndimia and hys cure Fol. xxxv Vnguentum mixtum Fol. xv Vng. egip Fol. xv xxvii ccvi cclxiiii Vnguentum basilicū magistrale Fol. xvi ciiii cclxvii cxlvi Vnguētum magistrale for vlcers and cankers Fol. xlv Vnguentum apostolorum Fol. ccvi Vngm̄ basilicū capitale Fo. lxxxviii Vnguētū de minio Fol. cxxix cxlviii Vngula in the eyes Fol. cxxxiiii Vomitynge Fol. ccxxxii Vrine reteyned Fol. ccxxxv Vuula Fol. vi Vuula the fallynge therof Fol. lx W. wakynge Fol. xxxi wartes in the eye lyddes Fol. cxxxviii wartes growing in the eares Fol. cxlv water ryght excellent for the eyes Fol. cxxxvi waters magistral Fol. ccxx waters simple Fol. ccxxi wyndye apostemes Fol. xlv wynde places apte to receaue wynde Fol. xlvi windie the cause of windy apostemes Fol. Eo wynde medicines breakynge wynde Fol. ccii wyndines in the eares Fol. cxlvii wine of pomgranades is made Fol. cxliiii wine to a woūde fo lxxxiiii wormes called sirones in the flesh Fo. cxl wormes and other thynges in the eares Fol. cxlvii woundes Fol. lxxxii ccxlv wounde of the heade Fol. lxxxvii woundes of the face Fol. xcii wounde sowynge of a wounde Fol. Eo cxiii woundes of the nose eares Fol. Eo wounde in the eye Fol. Eo woundes of the necke fol. xciiii woundes of the shulders fol. xcv woūdes of armes ioyntes
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
â„¥ i. of chosen manna â„¥ ss make a small potion wyth the decoction of cordiall frutes and floures but in the somer yf nede be the purgation and digestioÌ„ noted in the former chapter may conuenyently be mynistred IteÌ„ it is very good to take the space of a weke a sponefull of the forsayde syrupe fastynge without waters and also to receyue .vii. houres before dyner as moche triacle as the quaÌ„titie of a chesnutte Lykewyse the pylles vnderwrytten are good to be gyuen before the application of the vnctioÌ„s and other remedyes and ye muste gyue therof at ones but Ê’ ss at mydnyght or in the mornyng Piâ—â—es for the pockes â„ž of black elebore of good turbyth ana Ê’ ii of Galenes tryacle â„¥ ss of tormentylle of genciane of dytanye ana Ê’ ss of diagridium â„¥ ss of reubarbe â„¥ i. ss of the spyces of hiera with agarik Ê’ ii mengle them togyther and make pylles with a syrupe of sticados after the maner of peason the receyte of them is froÌ„ ℈ ii to Ê’ i. Somtyme one is receiued somtyme ii and somtyme .iii. IteÌ„ let the patient receyue pylles ordeyned agaynst the frenche pockes and the accidentes therof after our description wherwith we haue healed many with this cerote Special puÌ„les for the pâ—â—kes forsayde remedyes The forme of them is this â„ž of myrobalanes embli belli indi anÌ„ Ê’ ii ss of the spices of mastik pilles â„¥ ss of sticados of the coddes of sene of epithymi of saffran ana Ê’ ss of gentiane of anise ana Ê’ i. of polipodie of blacke elebore an Ê’ ii fyne turbith Ê’ i ss of diagridiuÌ„ ℈ iiii of gynger of serapyne of cynamuÌ„ of nutmygges of lignuÌ„ aloes of tormentil of dytanye of carduus benedictus coloquintida ana ℈ ii of agaricke in trociskes of fyne reubarbe of washen aloes ana â„¥ ss of Galenes triacle Ê’ vi make pylles after the maner of peason with a syrupe of vynegre The dose is Ê’ i. SoÌ„tyme .v. pilles are receyued somtyme iii. soÌ„time one Note also that they haue great strength agaynst the pestileÌ„ce Also ye shall obserue that whan this disease is coÌ„firmed it is very seldome healed but with a cure palliatiue And as concernyng his confirmatioÌ„ it hathe no determyned tyme but by signes for in some bodyes it is coÌ„firmed in .vi. monethes which seldome chaunceth in some within a yeare in some wtin a yere an halfe And we call this desease confirmed when in processe of tyme these accidentes are founde therein namelye swellynges hardnesse pryckyng virulent and corrosyue vlcerations with corruption of the bones payne of the ioyntes and foreheed c. Thus we ende c. ¶ The .iii. Chapter Of the deed euyll or mortmale THe deed euyl as the doctoures of this tyme testify is a maligne fylthy and corrupt scabbe which begynneth for the most part in the armes thyghes legges chefly in the legges it causeth crusty pustles ful of fylthy matter This disease coÌ„meth by the way of coÌ„tagion as wytnesseth rosa anglicana soÌ„tyme of a leprous woman somtyme of a scabby somtyme of a woman which had lately the floures After that this disease is confyrmed as some men saye it is not healed but by a cure palliatiue And this disease is confirmed after a yere and an halfe or there about and therfore it is lyke to the frenche pockes in sygnes causes and cure Concernynge the forsayd medicines as well locall as vniuersall for the cure of the french pockes we toke them of theodorik in the Chapiter of mortmale and in the chapter of the cure of scabbes wherfore before the curation of thys disease we thought it coÌ„uenieÌ„t to wryte a chapter of the frenche pockes for the remedyes of the one agreeth with the other The cause antecedente of this disease for the most parte consysteth in euyll meates and drynkes whiche engendre corrupt humours and ther fore we haue seene sometymes that the forsayde pustles haue become maligne and haue bene turned into cancrenositie whereby also the pustles are somewhat raysed aboue the fleshe wyth the coloure of a mulberye halfe rype And than I scarifyed the place depely vnto the bone and the patient semed to fele nothyng wherfore this disease passeth from cancrena to aschachillos and esthiomenos This disease is engendred of grosse melancholyke and corrupte bloode a signe wherof is blaknesse of pustles Somtyme also it chaunceth that gros and salt steme is mengled with melancholie of which large pustles or scabbes are engeÌ„dred of whyte colour with some blewnesse and moche itchynge The curation of this disease hath two regimentes namely vniuersal perticuler The vniuersall is accomplysshed by losyng of the belly accordynge to the euyll humoure by cuttynge the veyne and by application of bloodesuckers vpon the veynes emorroydall Yf the pustles bene blacke whiche is a sygne of melancholye it must be digested with this syrupe folowing â„ž of the lesse syrupe of fumiterry of the syrupe of the iuce of endyue ana Ê’ v. of oximel symple Ê’ ii of the water of fumiterrye of maydenheere of endiue ana â„¥ i. when the patient hath vsed this syrupe the space of a weke let him take the purgation folowing â„ž of diacatholicon â„¥ i of the confection of hamech Ê’ x. ss make a smal potion wyth the decoction of cordyall floures and frutes addyng of polypodye of hartestonge of maydenheere coddes of sene and epithimi ana a litle and of syrupe of violettes â„¥ i. ss ☞ Here ye shal note that bicause melancholye is erthye therfore it is conuenyent to renewe the digestion and to purge it being digested wyth the forsayde purgation which purgation also ye shall vse often But yf the matter be melancolycke wyth salte fleame let it be thus digested â„ž of syrupe of fumiterrye of oxisaccaruÌ„ of oximel ana â„¥ ss of the water of fumiterrye and maydenheere ana â„¥ i. ss mengle them togyther and lette the patien vse therof the space of a weke when the matter is digested whiche is knowen by the good coloure multitude and some grosnesse of the vryne then let the patient be purged with the purgation folowyng â„ž of diacatholicon and diafinicon ana Ê’ iiii of the confection of hamech â„¥ ss make a small potion with the forsayde decoction addynge of syrupe of violettes â„¥ i. Item pylles of fumiterry and pilles aggregatiue may be somtyme conuenyentlye admynystred in stede of the forsayde purgation Also the incision of the veyne basilica is very good in this case for it purgeth gros blood Morouer bloodsuckers layed vpon the veynes emoroidall ventoses applyed in any place of the bodye hath broughte greate ease in this sycknesse The perticuler remedyes shal be accomplyshed by the admynistratioÌ„ of local medicines I wyl recite certayn remedyes whiche I haue vsed after purgation wyth worshyp and profyte Fyrst I ordeyned the bathe vnderwrytten wherew t I wasshed the scabby places twise a day â„ž dockes fumiterry anÌ„ mÌ„ ii of
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
lv Alopetia Fol. ccliiij cxxx Alexanders liniment Fol. cliij Amigdals Fol. v. Anatomie Fol. i. Anatomye the order of it eodem Anatomie .ix. thynges to be consydered therin eodem Anthrax Fol. xxviii Aposteme Fol. xiii xcl Aposteme hath foure tymes eodem Aposteme hath foure maner healynges eodem Aposteme is opened Fol. xv Aposteme simple colde Fol. xxxiiii Apostemes wyndy Fol. xlv Aposteme of the eyes Fol. xlix Aposteme of the browes and eye lyddes Fol. lv Aposteme vnder the eares Fol. lvii Apost of the iawes amigdals Fol. lx Apost of the throte necke Fol. lxiiii Apost hote in the brestes Fol. lxv Apost through flebotomye Fol. 233. Apost colde of the brestes Fol. lxvi Apost of brest rybbes c. Fol. lxvii Aposteme in the backe Fol. lxviii Aposteme of the flankes Fol. lxix Aposteme of the flanke commyng of a longe fieuer or of congeled blood in the bellye Fol. lxx Aposteme of the yarde Fol. lxxi Apost of the fundament Fol. lxxv Aposteme of the shulders eodem Aposteme of the arme Fol. lxxvii Apost of the handes fyngers eodeÌ„ Aposteme sclirotike Fol. lxxviii Aposteme of the fynger called panaritium Fol. lxxix Aposteme of the hyppes eodem Aposteme of the knees thyghes and legges eodem Aposteme of the feete Fol. lxxx Aposteme of the stomake Fol. lxxxi Aposteme of the lyuer eodem Apostemation to let it Fol. lxxxv Apoplexie Fol. iiii Armes woundes of them Fol. xcv Arme broken Fol. clxxvii Aroes the drawing out of theÌ„ Fol. cx Aroe cure of a venemed aroe eodem Arterie Fol. ii Arteria trachea Fol. v. Aschachillos Fol. xxvi Aspes his styngyng Fol. cxvii Attractyue medicines whye they be vsed Fol. ciiij. cvi Auripigmentum howe for to calcinate it Fol. ccvii Aeyre rectifieng of it Fol. xxx B Backe aposteme of the backe Fol. lxviii Backbone peine therin eodeÌ„ ccxxxix Basillare Fol. iii. Bellye Fol. viii Bellye apost of the belly Fol. lxix Belly wouÌ„des ê‘cing throgh it Fol. c. Byndyng or lygature Fol. cxi Bytynge and the cure Fol. cxvi Blader wounde therin Fol. cii Bladers the cure therof Fol. xxiiij Blood when it ought to be stopped in what cause Fol. lxxxiii Blood fluxe of blood Fol. lxxxv Blood signe of arterial blood eodem Blood staÌ„chyng of blood Fol. xciiii Blood staunchynge of blood at the nose Fol. clxxxjjjj clxxxvii Blood the abundaunce of it in vlcers Fol. cxx Blood diminutioÌ„ of it in vlcers eodeÌ„ Bociâ—â— Fol. xxxix ccxxxvij Bodyes tender moyst Fol. lxxxiij bolster Fol. cxiij Bone Fol. ij Bones are nombred Fol. xi Bones broken in generall Fol. clxxij Bones broken dysplased Fol. clxxv Bone of the nose broken eodem Bones chawbones broken eodem Bone canel bone or brest bone broken Fol. clxxvi Bones of the necke brused eodem Bone â—umpe bone broken Fol. clxxvij Bones of the haÌ„des brokeÌ„ Fo. clxxviij Bone rouÌ„d bone of the kne bro. fo clxxix Bonchines Fol. câ—xxxiij Boxynge Fol. xxix Breakynge of the skulle Fol. lxxxâ—ij Breyne panne Fol. iij Breyne Fol. iiij Breyne of the coÌ„motion of the brey fo xci brest Fol. vij Brest wouÌ„des of it Fol. xâ—vij Brest fystula therin Fol. xcix Brestes hote apostemes in bre fo lxv Brest aposteme in it Fol. lxvij Browe aposteme therin Fol. lv Bruse and cure therof Fol. xciiij Brused woundes Fol. â—xiiij Bubâ— a maturatiue for it Fol. â—xxii Burning blerednes of the eyes fo liiij Bâ—râ—ynge by fyre Fo. ccxxxâ—â—iij C Cancrena hys cure Fol. xxvi Canker the forme diuisioÌ„ of it fo xliij Canâ—â—â— Fol. vi Capsula cordis Fol. viij Carbunculus hys cure Fol. xxviij Carbâ—â—culus pustules Fol. lxxi Carolles betwene the foreskinne and heade of the yarde Fol. lxxij Catarattes in the eyes Fol xxxv Cause primitiue antecedeÌ„t Fol. xiij Causes of corruption eodem Cauteries Fol. ccviij Cerote for hardnes of the liuer fo lxxxij Cerote of minium Fol. xâ—â— Cerote for the heade Fol. cxxxvi Cerote for the goute Fol. clxviij Ceâ—â—â—es in generall Fol. ccix Chappes of the lyppes Fol. cxlij Chafynge betwene the thyghes fo clvi Chyldren of the preffynge downe of the bone in theyr heades Fol. xci ccxlvij Chylde deade howe to drawe it out of the wombe Fol. ccxxxij Chilus Fol. ix Chorde Fol. ij Chordes woundes of them Fol. ciiij Cicatrizatiues Fol. ccv Cicatrice Fol. xvi Clisters Fol. ccvi Cistis fellis Colon Fol. ix Complexion is good to be knowen Fol. lxxxiiij CoÌ„plexioÌ„ of medicines incarnati eodeÌ„ Complexions the iudgement of them in all vlcers Fol. cxx Câ—â—craua chilis Fol. ix CoÌ„fideratioÌ„s .iiij. in al cures fol. xlix Conâ—usion Fol. cxiij ccxlvi Cordial confection Fol. xxxi Coronale Fol. iij Cornea Fol. vij Cornea and coniunctiua Apostemes in them Fol. liij Corrosiues Fol. ccvi Cough short breth Fol. cxci cxcvij Crabbe lyce Fol. cxl Curynge in generall Fol. ccxxiij Enttynge of a cataratte Fol. cxxxvi D DecoctioÌ„ helpyng breathing fo xcviij Decoction pectoral Fol. xcix Decoction to breake wynde Fol. ci Deffenes is cured Fol. cxlvi Delatation of the apple of the eye Fol. cxxvii Derbia Fol. cxxxix Diâ—â—â—â—s Fol. x Dietâ— stiptike Fol. c Digestiues of choler Fol. liiij l Digestiues of sanguine eodem Digestiue of fleume and melancholye eodem Digest of salt grosse fleume Fo. liiij Digestiue of hote cause Fo. lxxxi Digestiue of colde cause eodem Digestiue must fyrst be vsed in wouÌ„des Fol. lxxxiij Disease of diuerse ê“perties must haue diuerse curations Fo. xlvi Dislocation Fol. c. lxxix Diuersion of humours Fo. li drawyng out of arowes f. cx ccxlix Dugges cold aposteme of theÌ„ Fo. lxvi Dugges hardnes of dugges not cancrous Fol. lxvij Dura mater causes of apostemation of it Fol. xc E. Eare peyne wtin the eare Fo. lviij Eare apo vnder the eares f. lvij lviij Eares peyne in them Fo. cxlv Eares wormes in them Fo. cxlvij Elbowe woundes of it Fo. xcvi Elbowe displaced Fo. clxxxij Electuary to resolue blood Fo. cxiiij Electuaries lenitiue and resolutiue theyr properties Fo. ccxiiij Electuary to purge fleume Fo. cxliij Emoroydes Fo. cli cclx Epiglotte Fo. v Epitheme coÌ„fortati of the hart F. xxxj Eschare and the cure Fo. xxv Eschare to remoue it Fo. xxij xxvij xxx xxxi xliiij Estiomenos Fo. xxvi Estiomenos the cure f xxviij ccli Excrescentes Fo. xxxix Exiture Fo. xxxiij Experience of vigo Fo. xxvij Eyes Fo. vij Eyes itchynge burnyng blerednes of them Fo. liiij cclix Eyelyddes aposteme therin Fo. lv Eye wounde in the eye Fo. xciij Eyes vlceres spottes and webbes in them Fo. x. xxxij Eyes pani cicatrizes in theÌ„ f. cxxxiij F. Face rubies in the face Fo. xxl Fantasie Fo. iiij Fatnes cured Fo. ccxxxiiij Feuers of maryners Fo. ccxxvij Feuer cureth a spasme Fo. cix Feuer flegmatyke Fo. ccxxx Flebotomy Fo. xxix ccxxij ccxliij Flegmon Fo. xij Flegmon herisipelades Fo. xiij Flegmon the cause therof eodem Flegmon of a primitiue cause fo xiiij Fleg of an antecedent cause Fo.
â„¥ iiij of the iuyce of smallage of the iuyce of plantayne Ana â„¥ ss lette them boyle together vnto the consumption of the iuyce than strayne them and adde to the straynynge of barley or wheate floure Ê’ x. of bole armenie brought in to a fyne poudre â„¥ v. of Minium â„¥ ij of SaffraÌ„ ℈ i. mengle them and incorporate theÌ„ and make a plaister Note that some tymes the place canne not be well clensed wyth thys mundificatiue as we haue seen often tymes in flegmonyke Apostemes beynge great and whan the mattyer hath taried longe before it was purged and whan for faute of openynge it is waxen harde for thyes causes I haue been constrayned to vse a stroÌ„ger muÌ„dificatiue namely our poudre whyche takethe awaye superfluous flesche wythout payne or the oyntment called VnguentuÌ„ EgiptiacuÌ„ or MixtuÌ„ Vnguentum Mixtum And ye must wrappe the tente in thys oyntment whiche is made after this sorte â„ž of VnguentuÌ„ EgyptiacuÌ„ after our description â„¥ i. of VnguentuÌ„ ApostoloruÌ„ â„¥ j. ss mengle theÌ„ together This is the oyntmeÌ„t called Vnguentum Mixtum Here foloweth the discriptioÌ„ of our vngueÌ„tuÌ„ EgiptiacuÌ„ â„ž of verde griece Vnguentum Egyptiacum otherwyse called floris eris â„¥ ij of the hony of roses Ê’ ij ss of roche Alumme â„¥ ij of water of plantayne â„¥ iiij braye or grynde these forsayde thynges let theÌ„ boyle together tyl they ben thyck styrre them alwaye aboute The signe that it is perfytly sodden is when lytle bubbles of the sayd oyntment ryse vp And thys oyntment is called VngueÌ„tuÌ„ EgiptiacuÌ„ of our inuention Thys oyntment and our poudre and the oyntment called vnguentuÌ„ mixtuÌ„ applyed wyth tentes myghtely clense hollowe vlceres and correcte maligne vlcers moreouer consume vnctuous superfluous and hard fleshe After mundification Incaâ—â—tiue ye must incarnate the place after thys forme Take of hony of Roses â„¥ ij of terebentine â„¥ iiij Let them boyle a lytle then adde thervnto fraÌ„kinsence Ê’ j. and ss of mirrhe Ê’ iij. of saffran ℈ i. of aloes hepatike of sanguinis draconis ana Ê’ ij ss of barley fenugreke flour well boulted ana â„¥ ss of sarcocolle Ê’ i. ss mengle them and incorporate them The tente muste be rolled in this oyntment and the playstre muste be after thys sorte â„ž of whyte diaquilon with out guÌ„mes .li. i. of cowes and wethers tallowe ana .li. ss of terebentine â„¥ viij Vnguentum Bassâ—â—â—um magistrate of the marye of the legges of a cowe â„¥ i. and ss of the oyle of roses .li. i. and ss of swynes grece melted â„¥ x. of litarge of golde â„¥ ix of miniuÌ„ â„¥ iij. of shippe pytch Ê’ vi of the iuyce of plantayne .li. ss lette the oyle the gresse and the marye boyle wyth the iuyce of plantayne vnto the consumption of the iuyce TheÌ„ straine them and adde to the straynynge the reste and afterwarde wyth sufficiente whyte waxe by arte and fyer make a styffe cerote euer styrrynge it aboute wyth a stycke Thys oyntment is called vnguentum Basilicum magistrale of our inuention and it is of a noble operation Thys oyntment is good agaynst vlceres commynge of exitures and apostemes A sygne of true decoction of thys oyntmente is when it is thycke styffe and blacke The same oyntmeÌ„t is good for vlceres of the legges Cicatrice And fynally to make a good cicatrice washe the place with thys decoctioÌ„ â„ž of redwyne of the water of ashes .li. i. of the water of plantaine â„¥ viij of roses of the leaues of wylde oliues of mirtilles namely of the graynes and leaues therof ana mÌ„ ss of the floures of pomegranates called balaustie .v. in nombre Of roche alume â„¥ ss braye the thynges that are to be brayed grossely theÌ„ boyle theÌ„ vnto the consumption of the thyrde parte and strayne them and washe the place therwyth And when it is washed drye it wyth a cleane cloth And after that it is wyped and dryed laye to it the oyntment last wrytten puttynge linte vnder the playstre And thus thys present chapitre is fynyshed by the gyfte of God whose name be praysed ¶ The thyrde chapter treatynge of the cure of flegmon when it commeth of a cause antecedent WE haue treated here afore of flegmon coÌ„myng of a primitiue cause The cure of Flegmon In thys present chapter we wyll declare the cure of flegmoÌ„ coÌ„myng of a cause antecedeÌ„te To the cure of thys aposteme there ben requyred .v. intentions Of whych the fyrst is to ordre the lyfe or dyete The seconde to dygest the mater antecedente The thyrde is to purge the mater dygested The fourth to take awaye the mater coÌ„ioyncted The fyfth to correcte the accedens Thynges noâ— naturall The fyrste intention is accomplyshed by the administracion of .vi. thynges not naturall that is to saye of the ayer of eatynge and drynkyng slepyng wakynge of inanition and repletion and of the accidens of the mynde as sadnes ioye anger such lyke And the ordinaunce of these thynges muste enclyne to frygidite or coldnes At the begynnynge he muste vse a brothe of stamped and strayned almandes in the brothe of a chicken wyth a lytle suggre yf the pacient be weake by reason of hys dyscease or by reason of hys nature and coÌ„plection or els ye shall make hym a potage of fyne floure of barley or a broth made wyth barley stamped and strayned addynge euer strayned almandes or commune seedes and it shal be better wyth fyne suggre At the begynnynge of dynner he shall eate cicoree rootes and leaues sodden and some tymes a lytle laictuce And apples and peres rosted vnder coales ben good in the ende of dynner and supper Pomgranades prepared It is good also to vse pomegranades thus prepared Take of swete pomegranades â„¥ vi of the graynes of aygre pomegranades â„¥ i. ss of whyt suggre fynelye broken and put vpon the graynes when they shal be eaten â„¥ i. Let the patient vse thys often cheiflye when he shal be altered Neuerthelesse he muste vse it moderatlye For to greate quantitie may hurte the stomake The wyne of pomegranades is good in thys case You maye gyue whyte wyne boylled wyth water to weake and stegmatyke personnes hauynge thys Aposteme Item you maye gyue them in the fyrste dayes chyckens the fleshe of kyddes or suckynge calues Sirupe The seconde intention is to dygeste the naughtye matter wyth thys dygestiue â„ž of the syrupes of vynaygre called Acetosus of fumiterre of hoppes ana â„¥ ss of the water of endiue of hoppes of fumitterre ana â„¥ i. mengle them After that the patient hath receaued of thys syrupe three dayes twyse a daye that is to saye in the mornynge euenyng he muste take thys purgation Purgation and it is the thyrde intention â„ž of cassia of diacatholicon ana â„¥ vi of an electuarye of roses ordeyned by Mesue of diaprunis solutiue ana â„¥ i. make a
of this oyntment ye muste putte the mineralles that is to saye the Litarge of golde and syluer the Tutia and the cerusse in a mortare ofleadde and stampe them well and putte in the oyles and the Iuyce one wyth an other a droppe of oyle and a droppe of the Iuyce so that all be well incorporated and ye shall putte therevnto in the ende of Camfore ʒ i. Thys oyntment is very good for Vlceres of Formica and Herisipelas and also for virulente and venemous vlceres and harde to cure There chaunceth ofte greate and vehement payne in this Aposteme and chefely in Herisipelas Flegmonides FOr the curation we must haue recourse to the Chapter of the cure of Flegmon In whyche certayne aydes appaysynge greifes ben descrybed but to the accomplishmente of oure fourthe intention we wyll descrybe one onely succoure appaysynge griefe Alerityue of payne and it is in thys fourme ℞ of the leaues of Mallowes vyolettes and barlye Ana. m̄ .i of the seede of quynces of the seede of Psillium Ana ℥ ss seeth these thinges in suffycyent quantitie of water vnto the wastynge of the thyrd parte excepte the Psillium And whan they haue boyled well ye muste take the Psillium and lette it boyle alone a whyle Than stampe them togyther excepte the Psillium bycause of his venimnesse whiche he hath in hym whan they haue bene well beaten togyther ye must putte therevnto of Oyle of Vyolettes of Oyle of Roses of Vnguentum Rosarum Ana ℥ i. and. ss of womannes mylke ℥ ii and seeth them a whyle vpon the fyre agayne and styre them aboute tyll they be dewlye mengled and laye them vpon the paynefull place as an Epitheme This medicyne is of a ryght good operation to take awaye the payne of Herisipelas and also to take awaye the inflammation and pryckynge of the same And yf the Herisipelas waxe harde A molificatyue cerote as it chaunceth often through the application of thynges that resolue the subtyle humoure and leaue the grosse or by thynges that engros the subtyle humoure Thys hardenesse must be taken awaye with thinges mollificatyue and resolutyue togyther in layinge to this playstre ℞ of the oyle of Roses and vyolettes of hennes grece and butyre Ana ℥ ii of gootes and calues tallowe Ana ℥ i. and. ss of the mary of calues legges ℥ i. of the muscilage of psilliū of mallowes of holyhocke Ana ℥ vi Lette them boyle all vnto the consumption of the muscilage thā put to of litarge of golde ℥ iii. of whyte waxe asmoch as shall suffyce and make a softe cerote This cerote is of ryght good operation to resolue the hardenesse of this Aposteme It is here to be noted that there is a greate discorde amonge the doctours in the curation of a choleryke Aposteme Auicenne commaundeth to applye at the begynnynge thynges that coole hauynge great stipticitie so that the stipticitie surmounte the coldenesse And in the state the coldenesse must be more than the stipticitie Rasis holdeth a contrarye opynyon and sayeth that in the cure of herisipelas repercussiue medicines muste be mynystred at the begynnynge of colde and moyste complection and not of drye after Auicēne The repercussiues of a choleryke Aposteme muste be colde and moyste after the wytnesse of Rasis excepte the Aposteme be vlcerated than it is conuenyente to vse Repercussyues colde and drye And therfore we haue ordeyned in this presente Chapter The experience of Vigo herin a syngular remedye to heale Herisipelas vlcerated And we haue often proued the two opynyons abouesayde of Rasis and Auicenna and we haue founde it better to vse repercussyues colde and moyste than colde and drye wherfore in oure ordynaunce the ingredyences bene colde hauynge moystnesse and a lytle resolution And therfore we must consydre that the resolutyues of this aposteme must not be of hote and drye qualitie but contrarye wyse they muste be colde and moyste with some exiccation or dryinge qualitie as is the floure of barlye Lentyles roses mallowes oyle of Roses makynge a playster of these thynges accordynge to arte vpon the fyre A playstre of these thynges appayseth the greife resolueth the mater and taketh awaye the inflāmation of the Aposteme And we haue seen this Aposteme oftentymes to be enflamed and to become vneasye to heale onelye thorowe the application of oyle of Camomyll thoughe Auycenne call it Oleum benedictum that is blessed oyle resoluynge wythout attraction wherfore we ought wyselye to consydre the wrytynges of the elders Nota. Otherwyse we shall be disceyued as I was oftentymes whan I was a yonge student And it is to be noted that the doctours speakyng of the cure of a true and pure Herisipelas haue made no mention but of the curation of the begynnyng and of the state The cause is for that that Herisipelas is of so subtyle matter that for the resolution and Repercussyon of the same thynges colde and moyste wyth some drynesse ben suffycyent Thus moche we haue wrytten for the curation of a cholericke Aposteme called Herisipelas ¶ The .vi. Chapter of Formica WE haue sufficyentlye spoken in the former Chapiter of Herisipelas In thys Chapter we wyll brefelye treate of an Aposteme called Formica and of hys kyndes Formica is a lytle pustle Formica or many pustles that come vpon the skynne Of whyche oftentymes a pure Aposteme is engendred that is to saye inflammation or Herisipelas And there bene two kyndes namely Formica Ambulatiua and Formica Corrosiua Formica Ambulatiua is that Ambulatiua that spreadeth it selfe vpon the body wythout Corrosion or gnawynge Formica Corrosiua is that Corrrosia◠that spreadeth it selfe wyth Corrosyon Hereby it appeareth that euery Formica is ambulatiue and not euerye one Corrosyue whan the humoure causynge Formica is pure cholericke the sayde Formica spreadeth hym selfe vpon the bodye wythoute Corrosyon But whan it commeth of burnt cholere it maketh corrosyon in spreding it selfe into sondrye partes of the body whan the matter is pure and subtyle it maye be resolued without vlceracyon The signes of Formica The sygnes of suche a lytle pustle ben these the fyrste sygne is taken of the colour the seconde of the fygure the thyrde of pryckynge The fyrst sygne is of coloure declynynge to citrine or yelowe The seconde sygne is that the fygure is large and the heed sharpe as a nedle The thyrde is pryckynge and it is a sodayn bytyng as it were of an ante wherof it hath hys name And Auicenne saeyth that euerye Aposteme walkynge in the skynne not hauyng brodenesse is a Formica ¶ The .vii. Chapter of the cure of Formica 〈◊〉 Formica WE haue declared what formica is the kyndes and al the sygnes of the same Nowe we wyll treate of the cure of Formica And we saye that foure intentions ben requyred to the cure of Formica The fyrst is the gouernaunce of lyfe The seconde is the digestion of the matter antecedent The thyrde purgation of the same The fourthe remotion of
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
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
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
oyntment of miniuÌ„ And for as muche as after thys aposteme is healed communely there remayneth greate hardnes in the place where the aposteme was you must resolue it dyscretelye that the hardenes come not to a cankreous Sephirous For thys resolution ye shal administer diaquilon magistrale wrytten in oure Antidotarie whyche resolueth all hardnes wythout drawynge of matter to the place Yf thys aposteme procede of great abouÌ„daunce of humours you must vse a conuenient purgation at the begynnynge and procede wyth thynges som what repercussiue as is the oyle of roses the whyte of an egge and a lytle of the iuyce of plantayne In the augmentation ye shal procede wyth greater resolution and greater repercussion Touchynge the reste of the cure ye shal do after that that is wrytten in thys presente chap. of the curdynge of mylke Semblablye yf it come by one of the causes primitiue declared at the begynnynge of thys chapitre it muste be healed after the doctrine taughte in the chapitre of the cure of Flegmon commynge of a primitiue cause and in maner ye muste procede as we haue sayde in the fyrste cure of thys chapitre For the whyche the name of God be praysed ¶ The seconde chapitre of a colde aposteme of the mamilles or dugges THe curation of a colde aposteme chaunsynge in the mamilles the obseruation of an vniuersall purgation presupsupposed shall be accoÌ„plyshed by the remedyes vnderwrytteÌ„ The cure of a colde aposte in the dugges At the begynnynge ye shal anoynt the mamille or dugge with thys vnction â„ž of the oyle of camomill roses and dille of euery one â„¥ i. of the oyle of lillies of the oyle of lynsede and swete almandes of hennes grese Oyntment of euerye one Ê’ vi of whyte waxe Ê’ x. make a lyniment at the fyer After thys vnction it is good to laye vppon the place vnwashed woulle taken from betwene the legges of a shepe or towe wel kembed wyth the foresayde thynges For they resolue wyth some confortation Yf there be nede of greater resolution the cerote ordeyned in the chapitre of an aposteme in the necke is conuenient in thys case But yf thys aposteme canne not be resolued but semethe to come to the waye of maturation then rype it wyth a playster of holihockes and floure of lynsede and fenugreke c. After maturation it shall be conuenient to open the place accordynge to that that is aforesayde of incisyon after the dyuersite of the partes of mans bodye After incisyon for the dygestion mundifycation incarnation and sigillation ye shall procede as it is declared in the chapitre afore Lykewyse touchynge resolution and mollifycation of the hardenes that remayneth after the curynge ye shall resorte to the sayd chapytre as nede requyreth Thus we make an ende c. ¶ The thyrde chapitre of an harde aposteme in a womans breste called Cankreous Sephiros Cancrous sephiros in a womans breste IN the fyrst doctrine of apostemes we entreated of Sephiros and of all the kindes therof In this presente chapitre I haue determined to dyscrybe a Cankreous sephiros A Cankreous sephiros in a womans breste is a greate hardnes of duskyshe colour whyche can not be moued hyther and thyther It is more angrye at one tyme then at another often tymes of such malignitie as causeth Herisipelas and induceth pryckinges and inflammations so that the woman whyche is vexed wyth thys dysease can nether eate nor drinke and hath alwayes a lytle fieuer And sometymes there appeare rounde aboute certayne veynes full of melancholyke bloode The cure of thys aposteme the obseruation of dyete and of purgation as we haue appoynted in the chapitre of Sephiros presupposed shal be accomplyshed after the custome of a noble woman dwellynge at Arras called ladye Godinne Thys we tok out of the frenche boke which dayly healeth a great multitude of women hauynge thys dysease and cankreous and harde vlceres Fyrst wheÌ„ the hardnes begynneth she is wont to proue yf by the waye of resolution she maye resolue the matter And theÌ„ she applieth a cerote of oyle of roses oyle of camomill oyle of dille and whyte waxe in sufficient quaÌ„titie Somtymes she resolueth it wyth a decoction of parietarye camomill melilote layed to wyth the crommes of browne breade And when she seith that the aposteme wyll come to maturation she is wonte to applye a playster made of the oyle of swete almandes freshe buttyre lillye rootes swynes grese barley floure and fenugreke floure And when the aposteme commeth to vlceration or to a canker she procedeth wyth thynges mundifycatiue that is to saye wyth thinges that mundifye moderatelye muÌ„dificatiue and chiefelye wyth thys mundifycatiue â„ž of cleare terebentyne â„¥ ij of honie of roses strayned â„¥ iij. the yolke of an egge of myldust as muche as shall suffyce make it after the maner of a playster In greate dyfficulties of cankers and maligne vlcers as well in the mamilles as in the legges the greatest remedye that she vseth is a fomentation made wyth an herbe called clymenon of whyche mention shall be made in the chapytre of Malum mortuum After this fomeÌ„tation alwayes she applyeth a blacke playster A blacke playster made after thys forme â„ž of commune oyle .li. i. of lytarge broughte to a pouder and of burnte leade of euery one â„¥ iij. of black waxe â„¥ ij Lette them boyle three houres and euer styrre them aboute and adde in the ende of cleare terebentyne â„¥ ij of the iuyce of clymenon clarifyed â„¥ iiij styrre them well aboute and procede to perfyte curation with thys playster For the cicatrisation vse the water of alume and water of plantayne By this curation the sayde woman hath acquyred great honoure For she hath healed manye women of this disease and in a maner infynite other of maligne and corrosiue vlcers so that she is nowe called the mother of poore folke bycause she healeth them onely for the honour of God Thus endeth this Chapitre For the which God be praysed and thanked ¶ The .iiii. Chaptre Of the hardenesse of the mamilles not cankerous IN the mamilles as we haue sayde before after the cure of Apostemes Hardnesse of â—ugges not concious there remaineth a great hardnesse whyche yf it be not cured by a good Chirurgyen maye come to Sephiros In thys case thynges of moch drawyng haue no place wherfore a cerote of marche mallowes wrytten in the Chaptre of an Aposteme in the necke is conueniently admynistred which maruaylously resolueth by lytle and lytle all hardenesse with mollification Item to this intention the cerote folowynge is good A cerote â„ž of whyte diaquilon gummed â„¥ ii of hennes grese of the mary of the legges of a calfe and of a cowe ana Ê’ vi of the oyle of swete almandes of fresshe buttyre ana Ê’ v. of oyle of camomylle dylle lyllies ana â„¥ ss of Duckes grese and gose grese ana Ê’ vi and an halfe of of the muscilage of
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
of the sayde augmentation thynges mollifycatiue and resolutiue ought to surmounte the vertue of repercussiues after thys ordinaunce folowynge A resolutiue wyth repercussion ℞ of Roses of mallowes Ana. m̄ j. Seethe them all in fatte brothe stāpe them and strayne them and in the decoction wyth the floure of barley and wheate make a styffe playster addynge of oyle of Roses of Camomyll Ana ℥ ij the yolkes of two Egges of Saffran ℈ j. Thys playster hathe mollifycatiue and resolutiue vertue wyth some repercussion whyche intentions ben necessarye in thys curation cheifely in the tyme of augmentation Resolutiue In the state whan the Aposteme inclyneth to the waye of resolution ye maye wel vse thys playster ℞ of the cromes of breade sodden wyth a decoction of Camomill Melilote Holyhocke vntyl the decoction be thycke addyng of oyle of Camomyll and dyl Ana ℥ j. and. ss of the oyle of whyte Lillyes ʒ vj. of Saffran ℈ j. mengle them In the declination vse this cerote Cerote ℞ of whyte diaquilon ℥ iij. of gotes tallowe of oyle of Lillies and Camomyll Ana ʒ vj. of cleare terebentyne ʒ iij. make a cerote at the fyere wyth sufficient whyte waxe addynge of Saffran ʒ ss of beane floure ʒ x. Whan thies Apostemes canne not be resolued and will comme to maturation ye shall applie a playster of the leaues of mallowes and vyolettes made wyth floure of barley as we haue declared in manye chapi Whan the sayde Aposteme is comme to maturation ye shall open the place after the lengthe of the synnowes After incisyon ye shall fylle the place wyth the whyte and the yolke of an Egge beaten together and a lytle Saffran The nexte daye you must procure digestion with a digestiue of terebentyne laiyng on this playster three or foure dayes after incisyon Playster ℞ of barley floure .li. ss asmuch beane floure Seethe them in a decoction of mallowes violettes Camomyll and a lytle Holyhocke vnto styffe thycknes addynge in the ende of the decoction of oyle of Camomyll and roses Ana ℥ ij the yolkes of two Egges a lytle Saffran Finally yf in the sayd parties there chaūce some colde Aposteme saniouse or not saniouse for the cure thereof ye shall resorte to the chap. of the cure of colde Apostemes as in the shulders Elbowe necke c. Thus endeth c. ¶ The fourthe chapytre of Apostemes sclerotyke of the fyngers and toes ¶ Aposteme sclirotyke in the Fyngers and toes IN the ioyntes of the hādes and of the fete flegmatyke and Melancholyke Apostemes are often engendred cheifely in yonge chyldren frome foure yeres of age vnto .xiiij. c. The subtile humours whereof turne some tymes in to venime so that that venime corrupteth the bones the ligamētes and the flesshe The cure of thies Apostemes is accomplished by the obseruation of thre intentions The fyrst is dyete The seconde purgation of euyll humours communely called causes antecedente The thyrde is administration of sondrye remedies vpon the sayde Apostemes Diete For the fyrste lette the patient eate fleshe that engendreth good and pure bloode as capons hennes pertriche veale rosted kydde He must auoyde foules of the ryuer and grosse fleshe of beefe and swynes flesshe and all other that engendre grosse and melācholyke bloode He muste rather eate the foresayde fleshe rosted thā boyled Purgation The seconde intention whiche is to purge the mattier antecedēt shal be accōplysshed by thys ordinaunce ℞ of diacatholicon Syrupe ʒ ss of diafini ʒ ij mēgle them and make morselles wyth suggre But before ye administer this purgation ye must gyue the patient thys syrupe the space of syxe dayes ℞ of syrupe of vinaygre de duabus radicibus de sticados of honye of roses strayned Ana ʒ iiij of waters of fumyterre of maydenherre Ana ℥ j. mengle them Item thys confection is verye profytable to the same intention Electuarium whyche purgethe humours by lytle and lytle ℞ of syrupe of sticados of syrupe of violettes Ana .li. ss of honye of Roses ℥ ij of turbith preparate ʒ iij. agaryke in trocisques ʒ x. of polypodie of the oke ʒ vj. of the coddes of sene ʒ j. poudre them all fynely and wyth whyte suggre make an electuarie vpon the fyer addynge of longe pepper and rounde of cynamome Ana. ℈ j. of anise ʒ j. and. ss Note that the receite muste be accordynge to the strengthe ☜ and age of the patient in the quantitie of halfe a sponeful vnto a sponeful And it must be taken in the breake of the daye and the patient must fast .vj. houres after The thyrde intention whiche is to administer sondrye remedyes vpon the Aposteme shal be accomplysshed after the doctryne folowynge Fyrste you shall applie thynges mollifycatiue and resolutiue For we haue seen thys Aposteme for the most parte to comme to saniositie mattier or fylthe The resolutiue shal be thys Resolutiue cerote ℞ of the rootes of Holyhock ℥ iiij of the rootes of floure delis ℥ j. Seethe them all in water stampe them and strayne thē and wyth the thynges vndre wrytten make a cerote ℞ of whyte diaquilon gummed ℥ iiij of hennes gresse of duckes gresse Ana ℥ ss of oyle of Camomyll oyle of Lillies Ana ʒ vj. of oyle of dille and spike Ana ʒ v. of Galenes cerote ʒ x. mengle them and melte them all at the fyer and wyth the foresayde straynynge and newe waxe make a cerote sufferynge it to boyle a lytle Thys cerote is a synguler remedie in thys case Also the application of a sponge dypped in thys decoction folowynge is verye good ℞ of redde wyne Decoction li. ss of barbers lye .li. iiij of vinegre ℥ ij of the rootes of Holyhocke ℥ iiij of floure delis ℥ j. and. ss of Camomill Melilote dil Ana. M. ss of branne of roche alume Ana ℥ ss of honye ʒ x. of gotes dunge ℥ j. lette them boyle all together vntyl the thyrde parte be cōsumed than strayne them And yf thys Aposteme can not be resolued by these foresayde remedies and wyll come to maturation lette it be ryped wyth maturatiues wrytten in the chapiters of colde Apostemes afore rehersed And thā open it wyth a cantery actuall or potētial or wyth some sharpe instrumēt Howbeit cold yron is not so cōuenient as cauteries bycause of the colde mattier Afterwarde lette the vlcere be cured as other burnte vlcers by thynges mollificatyue If the bone be corrupted ye shall procede after the doctrine gyuen in the chapiter of the corruption of bones whā the corruption of the bone is remoued for incarnation mundification and sigillation ye shall procede after the doctrine often declared in the former chapiters Neuerthelesse in thys case Vnguentum egyptiacum mengled wyth Vnguentum Apostolorū is a right good mundificatyue Also the incarnatiue of sarcocolle is conuenient in the purpose of incarnynge For sigillation vse oure poudre cicatrisatyue wyth Vnguentum de Minio wasshynge the place wyth water of Alume Thus
and of the medicines that cause rotten nayles to falle and of the superfluous flesh growyng in the lyfte and the right syde of the nayles and of the incision of the same THe cure of the apostemes of the fete Apostemes of the fete differreth not from the cure of other apostemes aswell hotte as colde declared in the chap. of the handes of the fete wherfore ye shall resorte to the sayd cha It chaunceth ofte that the nayles of the handes Corruption of the nayles and of the fete come to corrupcyon cheffye in the lower partes and cause great payne wherfore it is necessary to gyue some remedye For if it be in the toes it hyndreth the goynge And yf it be in the fyngers it distroyeth handye workyng wherfore yf the nayle be greatly corrupted in the croune or in the sydes wyth olde vlceration ther is no surer ayde than to attenuate or make thinne the nayle with raspatories And than ye muste pearce it in sondrye places wyth a sharpe instrumente Afterwarde let the place be softened wyth thys mollificatyue the space of three dayes Plaister mollificatiue R. of the leaues of Violettes and Mallowes an̄ m̄ i. Seeth them in water stampe them and strayne them in the decoction wyth wheate floure and the foresayde straynynge make a styffe playster at the fyre addynge of the substaunce of rosted apples ℥ iii. of hennes grese and duckes grese of oyle of violettes of buttyre ana ʒ vi mengle them Thys plaister mollifieth the nayle and prepareth it to falle Afterwarde ye shall applye thys playster Plaister R. of Apium risus fynelye brayed ℥ i. of cantarydes theyr heades and winges beyng taken away ʒ i. of wheate leauen ℥ ii mengle thē and braye them together and make them after the manere of a playster Applye thys playster vpon the nayle vntyl ye perceaue the fleshe vnder the nayle to be corrupted Than procure the nayle to fal with playsters of Mallowes ordeyned before or wyth hotte buttyre whan the nayle is remoued lette the place be wasshed wyth water of barley and Sugre and applye a playster of miniū the space of four dayes Thā a lytle new waxe and oyle of roses with a lytle terebentyne after the bygnesse of the nayle maye conuenientlye be layed on to make the nayle to growe agayne But yf the nayle be corrupted only in one syde or in bothe wyth superfluouse fleshe ye shall cutte it awaye or roote it oute wyth a caustyke medicyne or wyth oure poudre of mercury or wyth a spōge somwhat burnt And yf these bene not sufficiente ye maye vse a ruptorye of Capitell or a trocyske of minium after oure discription After that the deede flesshe is cutten away or remoued cutte the nayle also vnto the hole parte wyth lytle cizars sharpelye poynted After incision ye shall wasshe the place wyth a decoction of roses Myrtyles Alume and stiptyke wyne and seale vp the place with oure poudre cicatrisatiue and a playster of Minium whyche thynges we haue proued often with worshyppe Thus. c ¶ The .v. chappi of an Aposteme colde and hotte in the stomake aswell in the outwarde parte as in the inner THe Apostemes of the stomake bene verye daungerous Aposteme in the stomake chieflye those that bene engendred in the inner part but they that are in the outwarde parte bene not so daungerous Ye shall knowe whan the Apoemes of the stomake are colde or hote by the sygnes declared in the chap. of apostemes vniuersally The cure shal be accomplyshed as it foloweth If the aposteme be hote and in the outwarde parte the obseruation of the vniuersall rules of purgation and diete presupposed it is conueniente to procede wyth resolutyues hauynge somme vertue to conforte the place as is this description R. of oyle of Camomylle ℥ i. and ss of oyle of roses cōplete odoriferous of oyle of Quynces ana ℥ vi Mengle them and at the fyre make a liniment wyth whyte waxe adding of all the Coralles ana ʒ i. and ss of Alabastre of Saunders whyte and redde ana ʒ i. mengle them Thys linimente is of greate efficacitie in thys case for it cōfortethe the stomake and resolueth gentelye Note that in thys place medicines muche repercussyue are not to be applyed bycause of the nobylytye of the stomake and of the lyuer Thys composition folowynge is good also and more resolutyue R. of Camomylle of Dylle ana ℥ i. of oyle of Roses complete of oyle of wormoode ana ʒ vi make a lynymente at the fyre wyth sufficient whyte waxe addyng of saffranne ℈ i. of Cynnamome ℈ ss Annoynte the Aposteme herewyth And yf you wyl that it be more resolutyue with some mollification ye shall adde to the foresayde thynges of the rootes of holihocke sodden and stamped ℥ ii of raisines brused ℥ i. If the sayde aposteme can not be resolued Maturatiue wyth the foresayd thinges than ye shal vse thys maturatyue R. of the leaues of mallowes and violettes ana m̄ i. of the meate of wardens or greate peris or of swete apples or of quynces rosted ℥ iii. of raysynes ℥ ii of wormwoode m̄ ss Seeth the thynges that bene to be sodden in water than stampe them and strayne them and with barley floure make a styffe playster in the decoction at the fyre addynge of oyle of violettes ℥ i. of oyle of swete Almandes of hennes grese ana ʒ vi the yolkes of two egges of saffranne ℈ i. of buttyre ʒ x. make a playster wyth the foresayde straynynge the substaūce of apples menglyng thē al together whan the Aposteme is rype cutte it after the length and neuer after the bredth Incision Than digeste the place wyth a digestyue of terebentyne the yolke of an egge and a lytle saffranne And yf the place be paynful bycause of the sensibilytye therof ye shal adde to the sayd digestyue oyle of roses omphacyne hotte for it digesteth and appayseth griefe mūdificatiue After digestion lette the place be mundifyed wyth thys mūdifycatiue R. of syrupe of Roses of honye of roses ana ʒ vi of cleare Terebentyne ℥ ii and ss of the iuyce of Smalage wormwoode playntayne horsetaile ana ʒ ii boile them a lytle with a soft fyre than adde the yolke of an egge of barley floure well cersed ʒ x. of saffran ℈ i. of sarcocolle ʒ iii. Lette this mundificatyue be applyed wyth a tente and yf ye putte too of frankencense drammes thre of myrre of mastyke ana ʒ ii it wyll be a good incarnatyue Finallye lette the vlcere be sealed vp wyth Vnguentum de Minio of oure description wasshynge it wyth water of alume or vse oure poudre cicatrisatyue If thys Aposteme be ingendred in the inner parte the cure differeth not The cure of an aposteme in the inner parte from the cure of the outwarde Aposteme touchyng resolution maturation and cōfortation of the place but the inner Aposteme can not suffer so stronge a laxatyue medicyne as
the milt An other Here foloweth an other cerote good for the same purpose ℞ of the rootes of holyhocke ℥ iiii of the rootes of whyte lyllyes ℥ ii of the rotes of langedebefe ℥ i. and. ss Seethe thē all in fatte brothe of capons hēnes or other flesh than stampe them and strayne them and adde to the straynynge of oyle of camomyll of dyl an̄ ℥ ii ss of oyle of cappares ʒ vi of hēnes grese of duckes grese ana ʒ x. of calues grese ℥ ii ss of the mary of calues legges ℥ i. of buttyre ℥ iiii of the leaues of Rue m̄ ss of the floures of rosemarye of smalage leaues of euery one the thyrd parte of an handful of vynegre one cyath of the foresayd decoction li. ii Let the grese oyles marye boyle agayne vnto the consūption of the decoction and vynegre than with suffycyent whyte waxe and the foresayde straynynge and diaquilō make a cerote at the fyre in good forme addynge of saffran ℥ i. ss vse it vpon the milte after the maner of a playstre Thus endeth c. ¶ The .vii chaptre Of scrofules and fugilles which bene engendred vnder the arme holes and in the flankes Of scrophules fugils SCruphules and fugilles ben often engendred vnder the arme holes .c. For the curation whereof the remedyes wryttē in the Chaptre of scrophules are sufcyent Neuerthelesse for a more ample doctryne The cure of a fugill we wyll brefely declare the maner of curyng a fugille Fyrste ye shal make a depe hole in the myddest and put in it two graines of arsnyke For it mortifieth the carnositie with the thynne skynne that contayneth it yf it be applyed ones or twyse Also quycksyluer sublimed is of the same vertue whan the place is mortifyed ye must procure the fall of the escare and so procede as in the cure of scrophules The cause of fugylles Fugilles are engendred of grosse and flegmatike matters and they bē lytle depe swellynges of red coloure vnmouable in toutchynge and of lytle payne Sometymes they come to fylth or corruption we haue healed them often after theyr vlceration separatynge the good flesshe from them rounde aboute Incision with a sharpe instrument and putting into the incision of our poudre of mercurie euery daye a lytle vntyll we se the botome Afterwarde we were wonte to plucke vp the fugyle wyth lytle sharpe tenacles hauynge some hollownesse lyke a spone Yf any thynge remayned afterwarde we mundifyed it or rather rooted it vp with a trocisque of minium after oure description or wyth our poudre of mercurie or with a ruptorie of capitel Thus we ende this present chaptre for which the name of God be praysed ¶ Here begynneth the thyrde booke ¶ The fyrst treatyse is of woundes from the heed to the feete ¶ The fyrste Chaptre Of flesshye woundes and of the commune disputation of woundes in generall and of the cure of the same A woūde as aūcient and later doctours testify is a solutiō of continuitye fresh A wounde and blodye and wyth out putrifaction chesti made in softe partes Solution of continuitie is a passyon cōmune to mēbres symple Solution of continuitie and membres compounde neuerthelesse more proprelye to membres symple than compounde as Auerrois testifyeth The other partes of the diffinition that is to saye fresh or newe blody and without putrefactiō ar put for a dyfferēce of vlcers with putrefactiō And we added in softe partes for a dyfferēce of breakynges or brusinges in harde membres wherfore Iohannitius sayth in the diffinition of chyrurgerie that chirurgerie is double one worketh in soft partes the other in harde The kyndes of solutiō of continuitie take theyr dyfferēces of thre thinges The fyrste taketh his dyfference of the nature of the membre in which it is as Galene testifyeth sayinge Some woundes are in sēblable partes some in instrumentall Of those that are in semblable partes some are in soft partes some in harde som in meane where as he sayde in softe partes he vnderstode in the flesshe and in the fatte And by harde partes he vnderstode the bones and the ioyntes and grystles by the meane partes he vnderstode the sinnowes ligamentes arteries and veynes And of woundes that chaunce in instrumentall membres some are in the principal membres as in the hert the liuer the brayne some in mēbres seruyng to the same as trachea arteria meri the blader Some in instrumentall membres not seruynge to the principall membres as in the eares the nose the eyes Causes of 〈◊〉 solution of continuitie The causes of euery solution of cōtinuitie as Haliabas witnesseth are thynges sensible or insensible Thinges insensible are these staues swerdes stones c. Thynges sensible are the bytynges of serpentes or other venimous beastes or of men c. Seing that we haue suffycyentlye spoken of the kyndes and causes of solution of cōtinuitie in mēbres simple cōpounde it is conuenient that we declare the deuysion of the sayde solution of continuitie Solution of continuitie is double namely simple and compound The symple is that that is without losse of the substaunce of the parte where it is For the cure whereof one onely intention is requyred that is to saye vnition or conioynyng of the partes seperated or sondred Compounde is that that is with the losse of the substaunce of the parte where it is To whose cure there are necessarily two thynges requyred One is generatiō of the lost substaunce The other is to ioyne the partes that bene sondred whan the lost substaunce is restored by conuenient medicines Lykewyse we saye generally that euerye wounde is compounde Woundes compounde that hath any thyng ioyned vnto it without remotion whereof the wounde can not be healed as woundes caused by brusynge whiche are apostemous and be with solution of continuitie and therfore for theyr curatiō you must not procede by the waye of the fyrst intention at the begynning bycause of the bruse For Galene sayeth that euery brused wounde must be putrifyed A digestyue 〈…〉 woundes and turned into quytture or mattier For the curation of these woundes at the begynnynge ye shall vse a dygestiue For that swageth payne and seperateth the matter altered through contusion or brusynge from the hole partes After the same maner a wounde that is altered by the ayre must be handled Furthermore there are woundes cōpounde that ben payneful apostemous altered through the ayre all other in which any thīg not naturall is conneyted as a pece of yron a pece of wode or a stone which can not be in the wounde without hurt thereof And of these flesshye woundes some are superficiall some depe The superficial are easely healed for they requyre onely conuenyent byndinge The depe are eyther accordynge to the length of the place or accordynge to the bredth They that are made accordynge to the length are more easelye cured thā the other bē caused by cuttyng thynges as
The seconde chapytre of the fluxe of bloode and of the cure thereof IT is euydent after the doctrine of auncient writers Of the fluxe of bloode that blood floweth out of the veynes thorough two causes The fyrste issuynge commethe by cause primytiue the seconde by cause antecedent The fluxe of blood called Hemoragia proceding thoroughe a cause antecedent Hemoragia maye chaūce thre maner of wayes First by resudatiō or swetynge out of veynes Secondly by openyng of the mouthes of the same Thyrdly by corruption of the veynes caused by some sharpe venimous and bytyng matter But bycause we wyll treate only in this present chapy of the fluxe of bloode that chauncethe in woundes and vlceres we wyll declare the cure thereof as briefely as we canne Fyrst ye shall note that the fluxe of bloode which chaunceth in awounde is great lytle or meane Whan it is lytle or meane it is sone restrayned And it is a sygne that the veynes ben not verie greate If bloode flowe out of the wounde abundauntlye and yf ye perceaue that the wounde is in a place of greate veynes or Arteries than incontinentlye wyth all diligēce ye shall remedye it For as the Philosophers saye bloode is the treasure of lyfe A sygne that the bloode issueth out of an Arterie is thys Signe of arterial bloode the colour is purple and it commethe out by leapes The bloode that commethe out of the veynes is grosser and redder than the bloode of the Arteries and therefore leapeth not Furthere it is to be noted that yf the fluxe of bloode be wyth putrefaction of the wounde and continuethe manye dayes than there is daunger of deathe as we haue seen in lytle fluxes of bloode in the handes fete or armes And Auicenne sayth that yoxyng the crāpe and perturbation of rayson foloweth thys fluxe of bloode As touchynge the bloode fluxe of the inner membres as of the lyuer the lunges the reynes and the blader we wyll not treate of them in thys present chapytre but hereafter particulerly The curation of the fluxe of bloode hathe a double intentyon namelye a particuler and vniuersall The intention vniuersall is accomplisshed by purgation of the bodye and regiment of lyfe whyche maye engrosse blood And more ouer by rubbynges The cure of Hemoragia and dyuersions in the contrarye syde The patyente in thys case shall eate Lentiles Rise Quynces Layctuce Purcelayne breyfely all stiptyke frutes as aygre Pomegranades ce For hys dryncke he shall vse colde water wyth a iuleb of Vyolettes and Roses whyche in thys case is verye good For it engrosseth bloode and altereth humours and quencheth thirst Also water of symple barley is not to be discommended The bodye is dewly emptied in thys case by flebotomie in the contrarye syde hauynge a lytle orifyce or mouthe and made by a diametre as from the ryghthande to the lyfte Phlebotomie But yf the wounde be in the lyfte syde of the head ye shall cutte a veyne of the fote in the same syde And yf it be in the ryght syde ye shall cutte a veyne in the ryght fote after the sentence of Galene and Hypocrates Item thys digestiue is souerayne to alterre Digestiue and engrosse bloode ℞ of syrupe of vyolettes ℥ j. of syrupe of roses ℥ ss of the water of violettes sorell and purcelane Ana ℥ j. mengle them Moreouer cōserua of roses and vyolettes maye be conueniently permytted Dyuersyōs by rubbynges vētosations wythout scarification some tyme wyth scarification muste be practysed in the contrarye syde And incontinently plonge those contrarye partes in hote water and weete the sore membre wyth water and vynegre Lykewyse it is good to laye a ventose vpon the lyuer wythout scarifycation It is profytable also to laye vpō the stones the whyte of an egge Rose water and vynegre wyth a cloute so that it be actually colde The particuler intention of hemoragia of woūdes and vlcers is accōplyshed by the administration of sondrye locale medicynes accordynge to the sondrye intentiōs required in thys case Cōsideratiōs in hemoragia Fyrste you muste consydre whether the wounde out of whyche the bloode runneth be wyth putrefactiō or wtout putrefactiō And yf the woūde be depe wythout putrefaction losse of substaunce than it is expedient to sewe the woūd depely that the sydes maye be ioyned together prouided euer that no congeled blood remayne wythin the wounde Aterwarde immediatly ye shall laye thys poudre vpon it wyth the whyte of an egge ℞ of the floure of beanes and lentyles and of mylle dust Ana ʒ iij. of Sanguinis draconis of frankencense Ana ʒ ij and. Pouder ss of Myrrhe of Aloes Ana ʒ ij of terra sigillata of bole armenie of gypsum Ana ʒ j. ss of hares heare cutte in as small pieces as maye be ʒ vj. of a cobwebbe cutte in pieces ʒ iiij of spong of the see somewhat dryed at the fyer or burnt and brayed ʒ iij. and ss of coralles of all the saunders ana ʒ j. and. ss of the iuyce of the herbe called lingua passerina or knot grasse of the iuyce of conferie Ana ʒ v. of dragagantum braied ʒ iij. the whytes of two newe layed Egges Note that to the sayde whytes of Egges it is sufficient to putte of the fore rehersed poudre ℥ j. of burnt cotton ʒ x. The maner of appliyng thys poudre is thys You muste mengle the sayde poudre wyth the whyte of an Egge and putte thereof wythin and wythout the wounde After thys ye shall fylle the wounde wyth lyntes and stowpes or towe dypped in water and vinegre than lette the woūde be bounde wyth a conuenient maner of byndynge and boulsters whyche thynge is requisite in this case Furtheremore it is a synguler remedie to laye the sayde poudre so prepared vpon the mouthe of the veyne wyth the toppe of the fynger holdyng it a good space vpon the veyne and pressynge it downe by lytle and lytle so that the patiēt be not payned there wyth and incontenently afterwarde lette it be bounde as we haue shewed before For thys thynge is profytable for two purposes Fyrste it kepethe the bloode frome runnynge Secondelye it causethe the bloode that flowethe out of the veyne to congele vpon the mouthe of the same by reason whereof it stoppethe the waye of bloode cheyfely whan the veynes ben smalle Furtheremore sometymes it is necessarye to cutte the veynes and the Arteries that their orifices or mouthes maye be in the depthe of the membre and couered wyth fleshe and by thys meane it is restrayned wythout the mother of bloode The maner of byndyng a veyne Sometymes also it is necessarye to tye the veyne and cheyfely the arterye For whan it is tyed the place is sone incarned The maner to tye it is as it foloweth You muste putte a nedle vndre the veyne wyth a cered threede and drawe it together softly or els ye shall bynde the veyne aboue and tye
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
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
there be any bledyng in the body ye must geue the patiēt thinges that haue vertue to staūche blood and whych defende apostemation To staunche bloode vnto the .vij. day In whych case we haue often vsed thys ordinaunce ℞ of bole armenie terre sigillate of mūmie ana ʒ i. of reubarbe of mader ana ℈ ij the recepte is ʒ ss with water of plantayne nyght shade a litle wyne of pomegranades Here foloweth an other ordinaunce to resolue bloode mēgled wyth in the bodye An electuary to resolue bloode it muste be administred iij. or .iiij. dayes after the hurte ℞ of reubarbe of madder of coste of centaury of sarcocoll ana ʒ i. of auence hēpe stabiose ana ʒ ij of the syrupe de duabus radicibus ℥ ij of annys of coriander of saffran ana ʒ ss mengle them together make thē in maner of an electuarye The receyt of thys electuarye is the quātitie of a sponeful euery mornynge ye muste vse therof the space of ten dayes To thys entention the potion of gariofilatum wryttē in the chap. of woūdes of the brest is cōmendable Seynge that we haue spoken of medicines conuenient for the inwarde partes it is tyme to come to remedyes for the outwarde partes Fyrst at the begynnynge of the cure yf ye perceyue that the guttes or nutritiue mēbres ben hurte ther is no surer remedye then to rubbe the patientes body with oyle of roses wyth oyle of myrte hote from the brestes to the thighes after the vnction ye shall incōtinently applye vpon the annoynted partes the pouder of roses of myrtilles Also immediatlye after the sayd vnction ye muste wrappe the sore places of the bodye from the canel bone to the flankes in a shepes skynne newly flayne let it be as hote as is possible for we haue oftē proued thys thyng to our worshyp profyte to the patientes And for asmuche as in fallyng stōblyng ther chaūceth oft brusyng of muscules attritiō of lacertes we wyl declare certen remedies for the same To heale cōtusion caused in the lacertes the ioītes Playster we haue proued this playster to be of good operatiō ℞ of the rotes leues of holihoc ana m̄ i. of salomōs seale lyllie rotes ana ℥ ij seth them al in water stāpe them streyne them adde thervnto of oyle of camomil roses dil ana ℥ ss of whyte waxe ℥ ij ss of saffrā ʒ i. mēgle them make a cerote It chaūceth somtyme that the brusynge can not be resolued but cōmeth to maturation to a cācreus dysposition then for the cure therof ye shal resorte to the chap. of cācrena phlegmō Furthermore there chaunceth sometymes hardnes vneasy mouynge of the muscules lacertes chiefly in thextremitie of the ioyntes the cause is that the subtyle matter is resolued and the grosse remayneth For the cure where of ye shal resorte to the cure of the hardnes of ioyntes and thus we make an ende c. ¶ The seconde chap. of woundes caused by brusynge and altered throughe the ayer of the attrition of the lacertes wyth the cure therof ALbeit that in the former chap. we haue sufficiētly treated The cure of of brused woundes by what meane brused woūdes altered by the ayer ought to be cured Neuertheles that we may haue a more certayne doctrine of the same it semed good to make a speciall chapter therof And to come briefly to our purpose ther ben .iiij. intentions necessarely requyred there vnto As touchynge the fyrst the seconde ye shall procede after the doctrine wrytten in the former chap. in the chapter of a brokē skulle The thyrde entētion is accōplyshed by the administratiō of cōueniēt locall medicines fyrst we must with al diligēs procure digestion for otherwyse the contusion or attrition maye quykly growe to a cancrenous qualitie for euery brused wound as Galene saith must nedes rotte and be turned into quytture And bycause this wounde can not be healed by the waye of the firste intention therfore it is nombred amōg compounde woundes for therein is payne and apostemation wherfore let the brused woūd be digested with a digestyue of terebentine with the yolkes of egges Playster leying on this plaister ℞ of the leaues of mallowes violettes ana m̄ i. of holyhocke rootes li. ss seeth them all in the broth of fresh flesh stampe them and strayne them and in the decoction thereof with sufficient floure of barly and wheat and with the foresayde straynynge make a thyck plaistre adding of butter and of cōmune oyle ana ℥ iii. the yolkes of .ii. egges and a lytle saffrā This playster swageth grefe meruelously resolueth humours whiche bene about the wound and sondreth the hole partes from the corrupted which might cause putrefaction and therfore digestion duly administred in brused woundes causeth putrefaction to ceasse for Rasis sayeth that a wounde and a sore come not to perfyte generation of flesh but after putrefaction that is to say after perfyt digestion But yf the sayde woundes can not be brought to perfyte digestion by the forsaid meane but grow to corruption which thynge maye be knowen by the darke colour thereof than ye shall applye vnguentum egiptiacum wryttē in the chaptre of the cure of cancrena Lykewyse a playster of meales with sodden wyne ordeyned in the same place is conueniently permitted in this case For it cōserueth the hole parte and remoueth the deed and rotten flesh And when the sayd woūdes ben digested brynge forth good quitture thā ye must leue the digestiues vse thinges mūdificatiue And for the mūdification of the same woundes altered by the ayre lykewyse for incarnation sigillation ye shal procede accordynge to the doctryne wrytten in the Chapter of hurted synnowes Item yf the wounde be with attrition of the lacertes besyde the intentions aforesayd it is expedient to apply vpon about the wound thinges that apease grefe chefely this plaister which we haue oftē proued to be good ℞ of the rotes of holyhocke li. i of the herbe called Salomōs seale ℥ A playster mitigatiue ii Let them seeth in sufficient water thā cut them stampe thē and strayne them and make a playster at the fyre with sufficient whyte waxe addyng these thynges folowyng ℞ of oyles of camomyl dyl and roses an̄ ℥ ii of erth wormes wasshed with wyne ℥ i. ss thā let thē seeth with a lytle wyne of good odour vntil the wine be cōsumed than strayne thē and with the forsayde strayning waxe make a playster at the fyre as we sayde afore addynge of cleare terebentine ℥ ss of saffran ʒ i. The fourth intentiō which is to correct the accidentes to defēde thē shal be accōplished by the doctrine folowīg First the accidentes Accidentes that may happē in a woūd with attrition ben iii namely payn aposteme corruptiō of the mēbre And
these .iii. thīges bē kept of by conuenient diete by laxatiue medicynes by fleb on the cōtrary part Flebotomie by the aplicatiō of a defēsiue about the woūde as that which is written in the cha of woūdes in fleshy places And if it chaūce that the brusing grow to corruptiō of the mēbre thā ye shal resort to the cha of the cure of cancrena of askakyllos in which there bene many doctrines declared expedient in this case And for swaging of payne remouing of an aposteme ye shall peruse the chapiter of flegmon procedyng of a primitiue cause And if the aposteme be colerik ye shall resorte to the chaptre of Herisipelas And lykewyse to take awaye the payne ye may procede to that that is wrytten in the fore alleged chap. An thus we ende c. ¶ The .iii. Chaptre of woundes made by hacquebutes woundes made with gonnes gūnes and lyke instrumentes ALbeit that the auncient and later doctours haue written nothyng of woundes caused by gūnes other instrumētes of fire neuerthelesse we haue cōsydred that it is profytable to declare such remedyes as we haue proued to be good in this case And before we come to the principall cure it is necessary to declare the nature of suche a wounde And fyrst we saye by the auctoritie of Galen that he is in dede a phisiciō or chirurgiē which cā hādle thynges that hath not bē handled afore can also rightly vse such thīges as bē taught of aūcient doctours wherfore we affirme that those woūdes are cōpoūd of iii. kyndes Firste it is called a brused woūde bycause of the roundnes of the ston Secōdly it is called a brēt woūde bycause of the fyre Thirdly it is called a venymous woūd by resō of the poudre And forasmoch as these kyndes bē cōtrary dyuers they cause the woūd to be of hard curatiō For brusing burnyng nede moysture venemnes nedeth desiccation or drying To com to the tru cure we say by the auctoritie of Galen that whē .ii. or mo diseases bē ioyned togyther the intention of the chirurgiē must be to he le the more daūgerous not vtterly forsaking also the other But seing the most daūgerous thinge herin is venym caused by the poudre the pryncypall intention shal be to cure the same The cure The cure of the sayd woūdes is accomplysshed by .iiii. intentions The fyrst is ordinaūce of diete The .ii. euacuation the thyrde administration of local medycynes accordyng to the cōposition of the woūd The fourth is correctiō of accidētes Fyrst whā the chirurgien is called to thys cure he must cōsydre whether the woūde be made with a great instrumente or with a small or a meane And forthermore he must cōsidre the place that is hurt that is to say whether it be vpō synowes or no whether the bones be hurt or no also whether the stone remayneth wtin the body or other mēbres for tru iugemēt is takē of the hurted place As touchyng the fyrst .ii. intentiō he shal procede accordynge to the doctrine wtin the Cha. of fleshy woūdes And it is to be noted that though thys wound haue parte of venym neuerthelesse cutting of a veyne is cōueniēt at the begynning chefely diuersiue that is to saye which turneth awaye humours that they be not deryued to the sore place For the venenositie proceding of poudre is not so daūgerous as the venenositie of a carbuncle The third intention which concerneth the administration of local medicines according to the tyme of the hurt done shal be accōplished as it foloweth First there is no better remedy than to vse in the sayd woūde an actual cauterie which may touch all the partes of the wound or to apply vnguen egip after the description of Auicen Also in the stede therof a mā may vse a cauterization of oyle of elders boylyng hote for cauterization kepeth the woūd frō putrefyīg which might come through the bruse of the stone After the sayd cauterisation the chirur shal procede with thinges mollificatiue leinge aboute the wounde a defensyue wrytten in the Chapter of the cure of flesshye woundes Itē yf the wounde be depe ye must vse depe cauterisatiō And yf it be not depe ye must aply therin a digestyue which is vnderwrytten Also ye must after cauterization put in the botom of the wound melted butter hote with a syryng vntyll the escare be remoued the deed flesh be sōdred from the good and yf the sayd woūd be in a very synnowy place after cauterisation ye shal put into the same water of barly sodden with erthwormes a lytle holyhocke and redsugre with the foresayde butter and without it Lykewyse in this case a digestyue of terebentine made with oyle of roses and the yolkes of egges And this plaister mollificatiue folowinge whiche swageth payne may be conueniently applyed Playster ℞ of the decoction of vyol mal holyhock li. iii. and with the flour of barly beanes make a styffe plaistre at the fyre addynge of oyle of camomyl ℥ ii of butter of oyle of roses of hēnes grese an̄ ℥ i. the yolkes of .ii. egges This playstre is of excellēt operatiō for besyde that it swageth payn it procureth good digestiō of the woūd and prepareth the mater to issue out whan the woūd is come to good digestion it is cōuenient to apply thinges mūdificatiue a mundificatyue as is this plaistre folowyng ℞ of hony of roses ℥ ii of clere terebentine ℥ iiii let thē seeth all at the fyre one boylyng afterwarde adde therevnto the yolke of .i. egge of saffran ℈ i. of the floure of wheat wel bulted of barly floure ana ʒ v. mēgle them This emplaistre is mūdificatiue An other chefely whan the woūde is in a flesshye place Here foloweth an other cōuenient mūdificatiue whan the sinnowes ligamentes bē hurt and whan the wound is in a place full of muscles ℞ of clere terebentin ℥ ii of hony of roses ℥ i. of the iuce of plantayne of the iuce of smalage ana ℥ ss Let them seeth a lytle adde thervnto of the floure of lupines of the floure of barly an̄ ʒ iii. of sarcocol ʒ i. of safrā ℈ i. mēgle thē This plaistre is of excellent operation to mūdify the sayd woundes in synnowye places After mundification ye muste incarne and seale vp the place accordyng to that we shal declar in the cha folowynge Furthermore if the stone be within the mēbre ye must wysely behold the place remoue it making incision with a rasour or some other cōuenient instrument takyng hede that ye touch not the sinowes afterward ye shal heale the place according to the doctrine declared before we haue sene some that haue caryed the stone a great whyle which thought them selues to be heled and also the chirurgyens had closed vp the wounde but manye haue dyed therby For the membre wherin the stone is cōmeth to
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
member be corrupted rottē ye must cut it way yf the putrefaction begin only ye shal resyste the same Yf the vlceres be ambulatiue ye shal remoue the euyll qualitie of the same resolue the straūge moisture whych is the cause of their ambulation or walkyng Thys doctrine sufficeth for the accōplyshmēt of thys presēt chap which we haue comprehēded as briefly as we coulde possible haue declared howe accidētes that let and hynder curation in euery vlcer may be conuenientlye remoued Wherfore the name of God be honoured magnifyed and praysed ¶ The thyrde chapter of the generall curation of vlceres WE haue sene in the former chapter sondrye kyndes of vlceres the causes therof and also the causes that hynder the curation of the same Nowe we wyll shortlye set forth Cure of vlceres the vniuersall curation of vlceres and to begynne we saye wyth Auicenne that all vlceres nede desiccation excepte in some cases whyche we wil declare in this chapter as ben vlceres caused by brusynge and by attrition of the muscules in whyche we muste procede wyth mollifycatiue dygestiue remedyes For these vlceres nede no desiccation in theyr cure For euerye brused vlcere or wounde as Galene sayeth muste nedes rotte and be turned to corruption ☞ And note that Auicēne sayeth wel that all vlceres nede desiccation how be it it is necessarye to make degrees of that desiccation for one maner of desiccation is conueniente to heale some vlceres and an other to heale other and therfore ye shall obserue touchynge the vniuersall curation of vlceres sondrye rules Rules to be obserued The fyrste is that the wounde be not caused by brusynge The seconde that it be not altered by the eyre The thyrde that it be not verye paynfull The fourth that it be not ioined with an aposteme The fyfth that it procedeth not of some hote exiture The syxte that it be not euell complexioned by hote and drye matter In these forsayde vlceres as ye maye se by the nature of the sayde vlceres we muste not procede wyth medicines desiccatiue but rather wyth thynges mollifycatiue and dygestiue and therfore Rasis sayeth that euerye one of these vlceres commeth not to perfyte generation of fleshe but after rottynge and it is the sentence also of Auicenne whyche sayeth that we oughte to prepare the vlceres to curation that is to saye in the begynnynge by dygestion afterwarde by mundifycation and incarnation and fynallye by sigillation To come to the principall matter we saye that foure ententions are requyred to the cure of vlceres The fyrste is dygestion The seconde mundifycation The thyrde incarnation The fourthe consolidation After that good and laudable quytture is engendred in vlceres ye muste procede no lenger wyth dygestiue medicynes as some ygnoraunt chirurgiens do and cause thereby putrefaction and so hynder the mundifycation and incarnation The vniuersall cure of vlceres shal be accomplyshed by the administration of sondrye locall medicines accordyng to the dyuersitie of vlceres and accordyng to the dyuersitie of the tymes therof an vniuersall purgation also and obseruation of good dyete presupposed For sometymes the vlceres bene rotten and fylthye sometyme corrosiue virulente and maligne some ben depe and holowe paynfull apostemous some cleane some vncleane besyde other vlceres of moste harde curation wyth proprieties vnknowen to vs These thynges done as concernynge digestion we saye wyth Galene that in a maner in all tymes conuenient medicines for the cure of vlceres ought to haue desiccatiue vertue wyth abstertion or scouryng bycause there growe in the sayde vlceres two superfluities one subtyle an other grosse wherfore suche remedies must be applyed as haue double vertue that is to saye vertue desiccatiue to remoue the subtylnes and vertue abstersiue to take away the grosse superfluitie We sayde in the former chapter that when the vlceres be ioyned with some causes whyche hynder ther consolidation the sayd causes muste nedes be taken awaye before we come to the cure For it is not possible that the vlceres shulde be wel cured except those thynges be remoued The profyte of the medicines applyed in vlceres is knowen by theyr effecte therfore Auicenne sayeth that some medicine is conuenient and some not conuenient A conuenient medicine hurteth not the vlcered place thoughe it can not sometymes produce his effect bycause of the euyll dysposition of the vlceres A medicine not conuenient is when it is to weake touchyng hys vertue actiuitie wherfore it is nedefull sometymes to strengthen it addynge thervnto thynges mundifycatiue and desiccatiue when ye perceaue that it mūdifyeth not sufficiently nother dryeth ynough Furthermore yf ye perceaue that the medicine inflameth the member whych thynge maye be easely knowē by the straunge heate by the rednes of the place then ye shal diminishe the strength of the medicine and quenche the sayd inflāmation Yf ye perceaue that by the application of colde thynges the place becometh blacke or darke or blewe then ye shall adde to the medicine thynges that do heate and haue some mollifycatiō Yf ye perceiue that the medicine is to mollifycatiue then ye muste administre thynges hauynge stiptyke and desiccatiue vertue And for as much as the same medicine is sometyme incarnatiue in one body and abstersiue and corrosiue in an other it is sometymes necessarye to diminysh the corrosiue vertue of the medicine or the desiccatiue vertue accordynge to the nature or disposition of the vlceres and accordynge to the cōplexion of the bodye And thoughe we haue sufficientlye declared thys doctrine in the chapter of medicines incarnatiue neuertheles it is necessarye to obserue one rule touchynge the administratiō of incarnatiue medicines it is to say that the medicines be not to abstersiue for through theyr abstertion they wold take away the new fleshe produce moisture and therfore in this case the chirurgiēs are oftē deceaued thynkynge that the great moysture of the vlcers cometh of theyr nature and not of to greate abstertion and they applye thynges more abstersiue then afore and cause that the sayd vlceres become depe and lyke to apostemous vlceres and therfore the patient whē a stronge abstersiue medicine is administred feleth notable bytynge Furthermore it is necessarye in the administration of remedyes as Auicenne sayeth that ye procede wyth your medicine the space of thre dayes and yf it worke not well then ye may iudge that the medicine was not conuenient and ye muste chaunge it And yf the vlceres be rotten and full of corruption for the cure ther of ye shall procede after the doctrine before wrytten in the chapitre of rotten and matterye vlceres and and yf they be corrosiue malygne and venemous ye shall resorte to theyr proper chapters Lykewyse yf they be those vlcers that be called Formicosa ye shal resort to the chapiter of formica Corrosiua and yf they be paynfull ye shall cure them accordynge to that that is wrytten in
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 minium ʒ x. of bole armenye terra sigillata ana ℥ i. Let them seeth wyth a softe fyre and styrre them the space of two houres thē encrease the fyre and lette them seeth agayne tyll they become verye blacke in coloure addynge in the ende as muche white waxe as shal suffice Thys oyntment is of greate efficacitie in all Vlcers of harde curation An other of greater dryenge R. of oyle omphacyne oyle Myrtyne ana ℥ ii ss of shepes talowe calues talowe and goates talowe an̄ ℥ ii of swynes grese melted ℥ iii. of the iuyce of Plantayne Nyghtshade and housleke ana ℥ i. ss of Roche alume of Lyme thre tymes quenched in water and washed ana ʒ vi of floures ryndes of pomegranades of Myrobalanes citryne ana ʒ vii Verdegrese ʒ v. synders of yron ʒ x. of Sarcocolle ʒ ii stampe these foresayde thynges and leaue them so together the space of a daye and then boyle them in water of plantayne and afterwarde strayne them and take that that is strayned and sette it on the fyre and putte therunto a sufficient quātity of white waxe and make a softe oyntment addynge of litarge of golde and syluer ana ʒ x. of cerusa ʒ vi of burned leade of synders of yron ana ʒ v. ss of antimoniū ℥ i. of quycksyluer quenched ℥ i. when these thynges are added therunto ye shall putte them in a mortar of marble and styrre them aboute the space of an houre addynge in the ende of Camphore brayed ℈ i. Thys oyntmente is desiccatyue and of great efficacitie in venomous maligne and corosyue vlcers whyche bene harde to be healed for it dryeth the straung moysture whyche hyndreth consolidation and generally these two oyntmentes bene good in all kyndes of vlcers before wrytten After that ye haue administred our poudre which remoueth euyll fleshe it is good also to wash the place somtymes wyth water of Alume with colde and stiptyke thynges as bene roses wyth the floures of pomegranades and plantayne we haue onely declared those remedyes whyche we haue proued Thus we ende this chapiter c. ¶ The .viii. chapiter of fistules and of the cure thereof A Fistule after the doctrine of Auicenne is a holowe vlcere A fistule hauing a lytle mouthe depe in the botome wyth harde fleshe compassyng the sam And there be four kindes therof The fyrst is called fleshy and groweth in fleshye places Kyndes of fistules the seconde is called a synnowy fistule and groweth in synnowye places the third is that whyche is engēdred in a place ful of arteries and veynes the fourth is called boony which beginneth in a boone Of these some growe in the region of the spiritual members as in the breaste and some in the heade there is ioyned to them the corruptiō of the boone and they be called talpe Some are engendred in the iawes some in the bellye and some in the corner of the eye and some in the fundamēt and some in the ioynctes which bē of most hard curatiō as Salicete witnesseth sayeng the fistula that goeth to some of the rybbes or spondilles or to some ioyncte is euer suspected of euil termination The fistules that growe in fleshye places though they haue manye holes be not so harde to be healed Howebeit they be of the worse curatiō bicause they are hidde and depe Item the fistule whyche is in noble mēbers or nye to them and pearceth vnto the inwarde parte as in the brest in the belly or in the bladder is daungerous and bryngeth oft the patient to death The cure of fistules is accomplyshed by foure intentions of whyche the fyrst is ordenaunce of diete the seconde vniuersal euacuation The cure the third is confortation of the members the fourth is administration of conuenient medicines accordynge to the tymes and places of the fistule The fyrste shal be accomplished by the administration of suche meates as in substance or qualitie are contrary to the causes whyche hynder consolidation whereof we haue spoken in the former chapiters The seconde shal be accomplished by the administration of a laxatiue medicine accordyng to the euyl humours a digestion of the sayd humours presupposed wherof we haue spoken in the chapiter of venomous and corosyue vlcers and in the boke of apostemes The thyrde entention whiche concerneth confortynge of the inner membres shall be accomplyshed by administration of certeine potions in thys case conuenient whych we haue ordeined in the chapiter of woundes that perce into the breste in the chapiter of a fal or stomblyng whereunto ye shall resorte The fourthe intention whych concerneth the administratiō of local medicines shal be accomplyshed by thinges that haue vertue to enlarge the mouthe of the fistula vnto the botom of the same And after that the mouthe is enlarged ye muste mortifye the place and remoue the hardnes whiche is in the botome and in the lyppes whyche when it is remoued ye shal procede wyth a mundificatyue medicine and after mundification ye muste incarnate and seale vp the vlcere and make a good cicatrice Touchynge the enlargynge of the mouth of fistules there is no better remedy then to cauterise the place or to cutte awaye the corruption vnto the botome so that it maye be done with out hurte of the veynes and arteries Ye maye also enlarge the place wyth trociske de minio of oure description or wyth vnguentū egiptiacū wyth a lytle arsenycke of oure description or wyth our poudre of mercury or some other sharpe lotion whereof we wyl speake in oure Antidotarye more at large Some commaunde to enlarge the mouth of the fistule wyth a tente of gentiane of ditanye of bryonye or of dragons or with a tent of a spōge leauyng thē wythin the mouth halfe a day and after that the place is mortifyed and enlarged ye shall mundify it wyth thys mundificatyue mūdificatiue R. of terbentine washed wyth aqua vite ℥ iii. of honye of roses strayned ℥ i. ss of aristologia rotunda ʒ ii of the floure of lupines ℥ ss of the iuyce of smalage of the iuyce of houndes tongue an̄ ʒ vi seeth the terebētine and the iuyces wyth the hony of roses tyl halfe be cōsumed and afterward put therto the other thinges and apply them wythin the fistula And note that if ye adde vnto this mundificatyue a lytle of mirre of sarcocol of paucedinis of flouredelice it shal be very expedient for incarnation of fistules puttynge onely some of the sayde incarnatiue vpon the tente lykemaner to incarne fistules with a lytle desiccation and cōfortyng of the place we haue founde thys collirye most auaylable R. aqua vite ℥ ii of malueseye Collitie ℥ i. of hony of roses ʒ x. of myrre and paucedīs braied an̄ ʒ ii of sarcocolle of aloes epatyke an̄ ʒ i. ss Mēgle them all together and let thē seeth a lytle Oyntmentes conuenient for this intention which may be applied in
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
beholdynge thynges afarre of Wherfore ye may coÌ„clud that a good syght procedeth of spirites meane in quantitie qualitie clerenes wheÌ„ the spirites be very cleare in greate quantitie a man may se in the nyght better theÌ„ in the daye tyme as owles cattes also c. And yf the spirites be grosse a man seeth not but in the day tyme bycause the spirites be made thicke in the night and thynne in the daye tyme. The cure of the weakenes of syght procedyng of outwarde thynges Cure of dyâ—â—nes of syght shal be accoÌ„plyshed as it is sayd in proper chapters therof as yf vngula be in the cause let it be healed by the curation of vngula so of other For the causes beyng remoued the effect also is remoued WheÌ„ the weaknes of sight coÌ„meth of inward causes the cure shal be accoÌ„plyshed by .iij. intentions The fyrst is ordinauÌ„ce of dyete the seconde purgatioÌ„ of the matter antecedeÌ„t the thyrd remotion of the matter conioynct by local medicines comfortation of the meÌ„bre froÌ„ whych the matter is deriued Touchyng the fyrst seconde inteÌ„tion the ordinauÌ„ce declared in the chapter of cataractes shal be sufficieÌ„t And as concernynge the thyrde we saye that the colliries wrytten in the sayd chapter are coÌ„uenieÌ„t in thys case for they clarifye the syght comforte the vertue of seyng Neuertheles for a more certayne doctrine we wyll declare certayne sygnes or remedyes for the same purpose and fyrst a water whiche hath the forsayde vertues it is thus made A wonderfull water â„ž of the iuice of fenel of the iuice of celidony rue eufrage ana â„¥ ij of hony Ê’ x. of sarcocoll of antimoniuÌ„ of tutia of aloes ana â„¥ ss of the galle of capoÌ„s cockes heÌ„nes ana Ê’ ij of nutmegges saffran cloues ana Ê’ i. of suger candy of syrupe of roses Ê’ vi of a hole goates lyuer â„¥ ij ss of rosemarye floures of bosomus ana mÌ„ ss braye the harde thynges fynely cut the lyuer in peces theÌ„ put them al in a leÌ„byke of glasse styll them twyse applye them wythin the eye for it is of maruelous operation to clarifye coÌ„serue syght Another An other water â„ž of the gal of byrdes that lyue of praye of cranes galle ana Ê’ ij of the galles of pertryches fesauÌ„tes cockes ana Ê’ iij. of honye â„¥ i. of the iuyce of fenel of eufrage ana â„¥ i. ss of wyne of both the kyndes of pomegranades ana Ê’ x. of aloes epatyke of sarcocolle ana Ê’ ij cubibes loÌ„ge peper rouÌ„de ana ℈ i. of sumach ℈ i. ss of nutmegges cloues ana Ê’ i. of suger candy of syrupe of roses Ê’ vi of antimony of tutia ana Ê’ ij ss of a goates liuer â„¥ iij. of the floures of rose mary mÌ„ i. and then put them in a lem byke of glasse to stille and put them in the eye for thys water comforteth the weake eye and clarifyeth the syght Item to thys same intention an vniuersall purgation presupposed it is good to washe the eye wyth those thynges that open and comforte the syght whych ben declared in the chapter of cataractes Also it is good to bynde the heere backwarde as it is said in the forsaid chapter And in lyke maner purgations digestioÌ„s of humours washyng of the extreme partes may be administred in thys case Item to thys intention An electuary â„ž of the seede of fenel anys seed of ameos of siler mouÌ„taine of ginger of cloues of cubebes of loÌ„ge peper of nutmeges of the rootes of celedony eufrage of rue betonye of cynamoÌ„ of swete fenel stronge of corianders ana equal portion make a dredge wyth suger Yf ye wyll haue it in the forme of an electuarye stampe them al together wich a past of quynces wyth a sufficiente quantitie of suger let the patieÌ„t take herof in the breke of the daye a sponful namely that daye when he receyueth no other medicine as much at night Thys dredge is The dredge of Thadeus florentinus of the description of Thaddeus florentine hath the foresayd properties The solutiues conuenieÌ„t in this case are pillule lucis pillule sine quibus esse nolo pillule assagegereth wyth agaryke pillule de hiera cuÌ„ agarico hiera galeni hiera constantini also it is good in this case to take triacle Ê’ i. of constantyns hiera Ê’ ij ss vi houres before meate ¶ The .x. chapter of heere 's that curle inwarde toward the eyes in the eye lyddes IT chaunceth often Of heere 's curlynge inwarde in the eye lyddes that in the eye liddes ther are engendred certeyne heere 's which bowe inward towarde the eyes prycke the eyes and trouble the syghte the other parte of the heere 's go out of the eyes more then reason is make the eye yuel fauoured Wherfore it is necessary to remoue them to defende theyr generation And bycause the sayde heere 's are engendred of a sharpe flegmatike humour sent to the extremitie of the eye lyddes whyche looseth the sayde eye lyddes kepeth them moyst ye muste chiefly purge the humour wyth pylles of hiera cuÌ„ agarico takynge sometymes a sponefull of hony of roses in the mornynge fastynge after the sayd purgation ye muste foment the eye lyddes mollifye them with a decoction of holihocke dockes of fenugreke of fumiterrie And after that they ben wel fomented ye muste take away the forsayd heere 's with small pynsons wythout wauerynge A good water and afterward rubbe the place often wyth thys decoction â„ž of the wyne of pomegranades of water of roses ana â„¥ i. ss of roche alume ℈ i. of stamped dockes Ê’ x. of licium â„¥ ss seth them al together tyl the thyrd part be consumed then strayne them and put thervnto of verdegrece Ê’ ss of tucia of of antimonium ana Ê’ i. ss meÌ„gle them together Thys decoction dryeth the moystnes whych is in the rootes of the heere 's and draweth together the lytell holes whych remayned after the remouynge of the heere 's and so they can growe nomore c. ¶ The .xi. chapter of swellynge or loosenes of the eye lyddes Of loosenes of the eye lyddes THe eye lyddes are oftentymes loosed through flegmatyk reumatyk grosse wyndy matters for curation wherof ye muste purge the humours of the head wyth pylles of hiera cum agarico with other thinges that purge the humours of the heade And after purgation yf the place be paynful enflaÌ„med ye shall applye thys playster folowynge â„ž of rosted apples â„¥ iij. of beane floure â„¥ iiij of water of roses of wine of pomgranades of water of fenel of euery one asmuch as shal suffice thys playster resolueth all swellyng inflaÌ„mation and reduceth the eye lyddes into theyr place Item ye may conuenieÌ„tly applye the cromes of bread lythed in the broth of a
the yolkes of egges laboured in a mortar of leade a great whyle is a singuler remedy in thys case as Auenzoar testifyeth for it mundifieth and swageth payne prepareth the mattier to issue out easely Item it is a singuler remedy to applye vpon newe vlcers the wyne of a swete pomegranade wyth the iuyce of the herbe called centinodia some called it weygras or knotgrasse or lingua passerina and the iuyce of wylde tasyll soddē wyth a lytle of the roote of lyllies tyl it be thycke Lykewyse a siefe of memyte wyth licium and a lytle frankensence sarcocolle and honye is conueniente in thys case for it mundifyeth and incarneth parfytlye and dryeth a lytle Yf the said vlceres ben olde rotten or venemous then it is conuenient to applye vnguentum egiptiacū of oure description whych remoueth the putrefaction and the quytture of the sayd vlceres And in lyke maner thys oyntment ℞ of honye ℥ .i. of verdegrece ʒ iij. of roche alume ℥ ss of the iuyce of smallage of the iuyce of knotgrasse of the wyne of swete and sower pomegranades of euerye one ℥ i.ss strayne fyrste the iuyces and thē seth all the forsayd thynges at a soft fyer vnto the thycknes of honye Thys oyntment mundifyeth the vlceres of the eares that ben rotten and mattry wythout great payne and yf it be to bytynge ye may put thervnto asmuch of vnguentum apostolorum or ceraseos as of thys forsayd oyntment After mundifycation it is conuenient to applye an oyntment made of the refuse of yron washed thre tymes in the wyne of pomegranades after well poudred and laboured in a morter wyth a lytle aloes and sarcocolle and incense Thys playster is desyccatiue and incarnatiue and healeth perfytlye the sayd vlceres Yf the vlceres be virulent and venemous and corrosiue ye shall vse vnguentum egiptiacum Item it is a good operation in thys case to vse our pouder of mercurye myngled wyth vnguentum albū camphoratum And when the malignitie is remoued ye shall applye vnguentum album camphoratum with so muche of the forsayde oyntmente made of the refuse of yron Item if the matter be hote lotiōs made wyth the decoction of roses lentilles barlye knotgrasse and suger conueyed in with a syrynge auayleth verye muche And yf the matter be colde grosse ye may vse a lotion made wyth the decoction of honye and of wyne and of lye and of sarcocolle And for as muche as whē stiptyke or bytyng thynges are applyed great paynes and apostemation ensue therfore to swage the payne ye shall vse thys suffumigation folowynge ℞ of the leaues of mallowes and violettes of camomill mellilote and dille of euery one m̄ i. of redde wormes ℥ .i. ss of redde suger ℥ ss clene licorice of reysons of euerye one ℥ .i. myngle these thynges together and sethe them in sufficient quantitie of hennes brothe wythout salt tyll halfe be consumed ℞ the smoke all hote wythin the eares and after suffumigation put into the eares oyle of the yolkes of egges wyth butter ¶ The .vi. chapter of wartes growynge in the eares THe superfluous fleshe and wartes that groweth in the eares let the healynge For the cure wherof ye shall rote them out and to that entente ye shall procede after the doctrine wrytten in the chapter of polipus not cancrouse in whych the maner is declared of rotyng vp wartes before they growe to the producynge of a canker Wherfore ye shall resorte to the sayd chapter ¶ The .vij. chapter of the soūde and wyndynes in the eares Soundynge in the eares THys dysposition is engendred of grosse and slymye matter wherof wyndynes procedeth and causeth soundyng For the cure therof ye shall purge the matter antecedent gyuynge the patient pilles of hiera with agaryke or pylles cochie And after purgation we founde good to vse a suffumigation made of maioram sodden in water and wyne wyth camomill dille and a lytle honye after suffumigation ye muste applye oyle of bytter almans and oyle of dille and hony of roses To the same entention the suffumigation folowynge is conuenient A suffumigation to resolue wyndynes in the eares ℞ of the leaues of horehoūd of camomil and dille of euery one m̄ i. of maiorum of organye of eche a lytell let them sethe wyth wyne and see water tyll the thyrde parte be consumed and then put thervnto of honye ℥ .iiij. of castorie ℈ .i. let thē seth agayne a lytle After thys suffumigation ye shall put into the eare oyle of elders warme wyth oyle of bytter almans and oyle of nardus wyth a lytle oyle of rue or of radyshe whych Auicenne prayseth syngulerly Item to thys entention after suffumigation we haue founde it good to put into the eares this oyle folowynge whyche taketh awaye all wyndynes of the eares ℞ of oyle of dille of oyle of elders oyle of bytter almans Ana ℥ .i. of the iuyce of horehounde of the iuyce of radyshe ana ʒ ss of the leaues of rue of cumyn maioram of cynamon of euery one a lytle of castorium graynes .ij. of vynegre ʒ ss seth these forsayde thinges a lytle together tyll the vynegre be consumed and then strayne it through a clothe put therof warme into the eares for it taketh away wyndynes maruelouslye and restoreth the hearynge Some men saye that goates galle or calues galle sodden wyth the iuyce of horehounde and radyshe and oyle of dille taketh awaye the hyssynge of the eares wonderfully ¶ The .viij. chapter of the payne of the eares THe payne of the eares Payne of the eares procede sometyme of a colde cause and sometyme of a hote Fyrste for the cure therof a purgatiō of the heade according to the humours presupposed yf the matter be caused of heate oyle of roses omphacyne boyled in an apple wyth a lytle saffran swageth payne maruelouslye Also goates mylke cowes mylke or womans mylke serueth for the same purpose Item oyle of violettes swete almans sodden wyth wyne of sower pomegranades and a lytle saffran wyth chestwormes nombre .xxx. in .ij. ℥ of the forsayde oyles vntyll the wyne be consumed is a synguler remedye in thys case Furthermore a rosted apple stamped and strayned and myngled wyth oyle of roses and oyle of violettes a lytle saffran and the yolkes of two egges sodden together a lytle layed vpon the eares lyke a playster easeth payne greatly Also soddē wyne with barlye floure and beane floure oyle of roses camomill a lytell stāped branne is a good remedye to swage the payne of the eares it resolueth somewhat Yf the matter be colde The cure in a colde cause auncient wryters say that oyle of dille soddē wyth butter the iuyce of affodilles tyll the iuyce be cōsumed thē poured warme into the eares hath vertue to swage griefe caused of a cold matter Furthermore oyle of the yolks egges as Auensoer sayeth is a synguler remedye to appease any grefe of the eares Item oyle
it is conuenyente to wasshe the place wyth redde wyne and water of plantayne and decoction of rooses of the floures of pomegranates of mirtilles with a litle alume for it causeth good cycratrizacion Lyke wyse it is good to vse the poudre cycatrisatyue of bole armeny after oure descrypcyon As touchynge the chafyng and excoryacion of the yarde we haue spoken therof in a peculyer chapter in the booke of apostemes c. ¶ Here foloweth the fyfte treatise of the fourth booke The first chapiter of a fystule of the fundamente The fistule of the fundament Festule of the fundamente is engendred often tymes of some rotten aposteme chefelye when the matter is retained within a longe time for the place is redy to receaue corruption and corrosion of the quitture Some times it begynneth of pustles or lytle apostemes lefte vnhealed Lykewyse it is often engendred by the payne of the emoroides by reason of the aliaunce of those partes and throughe the reteynynge of matter accustomed to be purged by the veynes emorroydalle once or twyse in a yere And alto somtimes it is engendred throughe vlceracyon of the gutte talled intestinum rectum Of these vlceres some perce in and some perce not kyndes of fistules Of those that perce vnto the muskle of the gutte called intestinum rectum some perce aboue the sayde gutte Item some of them are holowe whyche stretche them selfes into sondrye places some go downewarde depelye that is to saye towearde the bladder or towarde the back bone or towarde the haunches somtyme towarde the skynne called perytonium as we haue sene in our tyme. Ye may haue knowledge of the percynge of the sayde vlceres partelye by the lytle profytynge of medycynes and partely by the long contynuaunce of the same and when throughe the mouth therof there issueth out dyrtye matter Also ye may knowe them by puttynge into the vlcered place a provete of syluer guydyng it with the lyft hande towarde the fundemente and puttynge in the lytle fynger of youre ryght hande annoynted with oyle of roses For yf it perce vnto the gut ye shall feale the prouet with youre fynger The cure of a fistula that percehe within the muscule of the gutte ☞ a purgation of the bodye and conueniente diete presupposed hath one kind of healynge besydes the common intentions in the proper chapiters of fistules where it is declared that the narowe place muste be enlarged and mortified as ye maye there see The maner of the sayde cure is this Ye muste anoynte youre formoste fynger of your ryght or lefte hand as it shall seme good with oyle of roses and ye must put the sayd fynger into the fundamente accordynge to the situation of the fistula and therwithal ye must conducte a croked sharpe instrument called Phalac or Gamaut by the mouthe of the fistula towardes the fundamente tyll ye feale the poynte of the seyde instrumente vnder your fynger whiche done drawe out your fynger and make incision from one mouth to an other directly drawing the poynte of the instrumente by the fundamente that the emeroidal veynes be not hurte And before the sayde incision be sure of the trewe percynge by puttyng in of a prouet of syluer or a leden nedle yf nede be After incision ye shall dygeste the place with a dygestyue of terrebentyne and of the yolckes of egges with a lytle saffron And yf there remayne anye harde flesshe ye shall remoue it with vnguentum egiptiacum or with oure pouder of Mercurye And after the admynystation of sharpe thynges it is good to puryfye the place and to prepare the incarnacyon wyth a mundyfycatiue of smalle ge wrytten in oure antidotarie in the chapter of abserstyue medecynes Whan the place is mundyfyed ye shall incarne it wyth sarcocolle aloes epatyke clere terebentyne and a lytle honye of rooses myngled therewyth Also vnguentum de minio maye well he admynistred in all tymes of thys fystula Lykewyse to make a good cycatrize ye shal washe the place wyth water of plantayne soden wyth rooses and myrtilles and mirabolans cytrynes and a lytle alume and honye of rooses The doctoures haue wrytten manye other remedyes whyche cannot be vsed wythoute greate payne and daunger of apostemacion One is by a syngle lace whyche is reproued by dyscrete chirurgiens the seconde is by a threede anoynted wyth a sharpe and stronge medecyne conductynge the same frome one mouth to the other and some commauÌ„d to cauterise the place wyth an hote yron frome the conduit of the fundamente vnto the mouthe of the fystule And fyrste they put in a threde wyth a ledyn nedle and after the cauterisation they drawe out the threde frome one mouth to another ☜ Here ye shall note thys one thynge that yf the fistule perce vppon the gut thre or foure ynches vnto the muscule ye muste vse no incision for after incision the pacyente shulde haue no power to retayne hys excrymentes for as Rases saythe in the ende of thys gutte there is a muscle bindyng keping in the excremeÌ„tes according to the wyll of the pacyente Wherfore it shall suffyce in thys case to receaue a palliatiue curation I saye also that yf the fystule go towarde the bladder or the boones of the haunches or the tayle of the backebone ye muste not procede butte wyth a pallyatyue cure for ye shal get nothyng thereby but dishonoure and hurte .c. The seconde chapter of the cure of holowe and fystulous vlceres of the fundamente that perce not Vlceres of the fundamente â— not perâ—ynge THe vlceres of the fundament that perce not are engendred of the same causes that percynge vlceres are The cure wherof conuenyente purgacyon and ordinaunce of dyet presupposed is the selfe same with the other vlceres declared set forth in the vniuersall chapyter of vlceres Howebeit I will describe the maner that I haue vsed in suche vlcers wherfore in the curation of holowe vlceres for moste commonly they be holowe I was wount to mundyfye the holowenes with vnguentum egiptiacum dissolued with lye casting it into the vlcere with a siringe or in the stede therof I conueyd in our pouder with a litle lye after the maner aforesayd And when the mouthe was verye streyte I dyd enlarge it and remoued the hardnes therof with a trosciske of minium or with a caustike of capitelle with a cautele or prouision described in the chapiter of fleshye knobbes in the booke of apostemes And whan I coude not roote oute suche a fystula by this meane I vsed incisyon and afterwarde mundefied the place with oure pouder or with vnguentum egiptiacum aloone or myngled asmuche wyth vnguentum apostolorum tyll the place was parfytelye mundyfied of all euell fleshe and matter Fynallye for incarnacyon and sygillacion I vsed the remedyes wrytten in the former chapyter And for as muche as these places are wont to be enflamed throughe sharpe medycines or to
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
that it shal be of greter exiccation or drying put to the forsayd oyntment of lyme thryse washed with rayne water ℥ i. ss of liquide storax ℥ ss and so vse thē Forthermore all meates that engendre grosse brente and colerycke bloode muste be auoyded as grosse flesh pepered and salted meates garlyke mustarde drye fygges c. Somtyme yf the age and strength of the patient wolde suffre it is conuenient to draw blood out of the veyne basilica most often in this case ventoses are to be vsed vpon the shulders armes buttockes and thyghes chefely whā the scab is spred through oute all the body And therefore Auicen aloweth wel the application of ventoses vpō the thighes with scarificatiōs we haue proued moreouer that laying of blood-suckers vpon the emorroidal veines is verye profytable to drawe oute gros melancholy and burned blood Pylles also in this case are greatlye praysed of Auicenne so that one onelye be taken at one tyme. But I was wonte to admynistre the pylles vnderwrytten ℞ of wasshed aloes ℥ i. of pylles of mastik ℥ ii make pylles lyke peason with the iuce of celydonye The receyte of them in hole parsōs is ʒ ss vnto .iii. ℈ Yf ye wyll haue it of a stronger purgation put therunto of pylles of fumiterry ℈ .i. c. ¶ The .v. Chapter Of the paynes of the ioyntes that is of artetik goute in the handes and feete and kneees ¶ To the moost reuerende lorde my lorde Sixtus prest of the Romayne church vicechaunceler of the titule of saynt Peter ad vincula A Passion arthetyke as the aunciente and later wrytters declare is an outwarde payne of the ioynctes caused of abūdaunce of fleume Of the peyne in the ioynctes and sometymes of colerike humours rennyng to the sayd ioynctes And according to the places wherunto the mattier floweth it receyueth sondrye names wherfore when it floweth to the fete it is called podagra when it floweth to the handes it is called chiragra and when it renneth to the knees it is called genugra and when the sayd humours be arriued into the hyppes it causeth the gout called sciatica The payne wherof is extended from the hippe to the lytle too In the goute called Podagra the peyne begynneth about the great too In chiragra about the fore finger or thōbe they whyche haue thys disease lyue in reste and pleasure a riotous lyfe wtout excersice of the body whiche also eate grosse and melancholike meates and pulses as beanes peason Cycers c. wherfore Ypocrates sayeth that the grecians called Helenes were troubled wyth the gout bycause they vsed to eate beanes and peason and other pulse Thys passion moreouer is founde in prelates of the churche in those whych were poore men and afterwarde came to some hye dignitie wherefore they gaue them selfe to slouthfulnes delicate lyuyng wherwyth the ioynctes are wont to be troubled wyth grosse slymye humours thorow euyl digestion wherfore moderate excercise is verye good to auoide this disease idelnes doth the cōtrarye For as yron cankreth when it is not exercised so mannes body thorowe rest is corrupted with euyl humours Neuerthelesse immoderate exercise chiefly vehement walkynge prouoketh the goute in the fete as Arnolde de noua villa doth witnesse sayeng of muche drynkynge of wyne of greate walkynge of often vse of women and by forbearynge of accustomed purgatiōs innumerable persōs become goutie And thys passion cometh by inheritaunce and it is merueylouse peynful chiefly yf it be engendred of a hote cause so that it bryngeth the patiente in despiratiō to a palsy to apoplexia to difficultie of breathyng perturbation of the sences and sodeyne death But the peynes of a goute caused of a colde grosse and slymye mattier be not very greate Howbeit they contynewe longe and therfore Hipocrates sayth that sometyme they are not ended in .xl. dayes But when the mattier is hote they ende in .xiiii. dayes as I haue sene in Iulio secundo I haue often sene that this disease hath proceded of a grosse slymye and chalkye mattier so that the mēbers haue euer remayned croked and knobbye And this kind of the gout receyueth no cure but a palliatyue cure as Ouide sayth Soluere nodosam nescit medicina podagram that is no medicyne can heale the knobbie gout And marueale not yf the peynes of ioynctes procedyng of a hote cause ben greate for as Galene sayeth that humours whyche cause peyne in the handes fete knees or haunches fyl the concauitie or holownes whych is betwene the ioynctes and stretche out the ligamētes muscules and synnowes and thorow that stretchyng a great peyn is caused and no crampe which peynes chaunce for the moost part in the spryng of the yere and in the heruest chiefly in the ioynctes of the fyngers and the toes Cornelius Celsus sayth to thys purpose that the peynes of ioynctes come soner to the toes and fyngers thā to other partes And the thys disease chaunceth not to gelded men nether to yong mē that haue not had copulation with womē nether to women that haue not theyr accustomed purgations reteyned To come to our purpose we ought to consider the cause and the accedentes of the disease And we must know that one kynde of the goute cometh of a colde cause an other of hote And of those the procede of hote mattier some are with great peyne as those which come of pure choler and some ar not of so great peyne they come of choler mēgled with fleume The peynes of the ioynctes procedyng of cold mattier are small moderate but they are hard to heale and dure longer as we haue said and the place where the peyne is is swollen and whyte But if the mattier be hote the place is red and in thys passion there chaunceth often a lytle fieuer whych is wont to ende whē the mattier leaueth his sinnowie places and cometh to the outwarde partes And therfore Galene sayth that in the peynes of the teeth and of the ioynctes it is a good signe For when swellyng chaunceth in the outwarde partes it is a greate token that the mattier hath left his synnewe and is come to the fleshye particule Further we saye that thys disease maye be nombred amonge colde and hote apostemes and therfore there be thre causes therof as antecedent primityue and conioyncte as we haue declared in the treatyse of apostemes The members from whence the mattier of the said peynes procede are diuers for when the mattier is flegma tyke and slymye it cometh from the stomake or from the brayne And yf the mattier be hote that is to say choleryke or sanguine those humours procede alwaye from the lyuer And so sayeth Anicenne declarynge that thys disease procedeth of the superfluitie of the seconde and thyrde digestion And the mēbers that receiue this mattier are the ioynctes But Anicēne deuideth these causes .iii. maner waies Fyrste into a cause efficient which hath humours Secōdly into a cause instrumētall and
the matter is hote Here foloweth the ordinauÌ„ce of Rasis when the matter is myxt â„ž of the sede of purslane of corrianders of sumach of leÌ„tilles husked of yelowe sandres of roses of piretruÌ„ of camphore of all equall partes and make trosiskes with the iuyce of nyght shade laye a trosciske vpoÌ„ the tothe dissolued in wyne rose water good Mesue prayseth thys medicine Now that we haue declared the medicines of the tothe ache caused of an hote and myxt matter we wyl speake of medicines that swage the payne of the tethe Haue viâ—e in colde matter in a cold mattier Fyrst aquavite myngled with the decoction of rosemary piretrum and organy and leyd vpon the tothe warme spedely easeth payne caused of a colde matter and so doth aqua vite also wyth Galiens triacle Item armonyake dyssolued with aqua vite and a lytle sandrake and a lytle myrrhe applyed to the teeth wyth the fynger after the maner of a lynement appeaseth payne without fayle Item to thys intention the coÌ„position folowynge is ryght profytable layed wtin the rotes of the teeth â„ž of peper of assasetida of opiuÌ„ of myrthe of castorium ana ℈ i. incorporate them altogether with hony the wyne of pomegranades Item it is good to washe the mouthe with thys decoction folowyng whych we haue often proued â„ž of odoriferous wyne .li. ij of the water of the floures of camomill .li. i. of the water of sage rosemary ana .li. ss of myrrhe Ê’ ij of armoniake Ê’ ij ss of nutmegges of fraÌ„kensence of mastyke of cloues ana Ê’ ss of sandrake Ê’ i. ss of yua muscata of sauyne of rosemary of squinaÌ„tuÌ„ of organy of serpilluÌ„ anÌ„ a lytle of licorice Ê’ vi of reysoÌ„s Ê’ x. of hony Ê’ ij of vynegre Ê’ i. seth theÌ„ al together tyl the halfe be consumed then strayne them vse them Mesue sayeth also Garlyke that garlyke stamped and bouÌ„de to the palme of the hande healeth the tothe ache Item Alexander sayeth the garlyke soddeÌ„ with wyne and wyth Ê’ i. ss of olibanuÌ„ Ê’ i. of myrrhe tyll they be as thycke as honye swageth the payne of the tethe beyng robbed therwythall IteÌ„ to the same enteÌ„tion it is good to washe the mouthe wyth thys decoction â„ž good wyne sethe it with redde roses piretruÌ„ rosemary sage honye the skynne of an addre a lytle vynegre Item piretrum lythed in vyneegre of the decoction of opium henbane deteyned betwene the teth swageth payn kylleth wormes IteÌ„ the iuce of wormood sothernwood taketh away the payn caused of wormes if the teth be anoiÌ„ted therwithal the same thing doth triacle also with vinegre Furthermore ther chauÌ„ceth payne to the teeth through the corrosion holownes of the same for therby venymous fylth is deteyned wtin theÌ„ is spred to the rootes of the sayd teeth so the synowes lygameÌ„tes cleuyng to the same are greatlye hurted We haue healed thys corrosion cauterisyng the place wyth hoote oyle putte into the holowenes with cotton or with a prouet garnyshed wyth cotton and sometyme wyth an whote yron or with vnguentum egyptiacum of oure dyscryption And sometymes also in steade of a cautery we haue putte into the holownes of the toothe one grayne of a ruptorye of capytelle wythe a lytle cotton Item oyle of vitrioll putte into the concauitie with cotton is a sure and a proued medecine Whan thes remedyes cannot preuayle we must come to handye operation to drawe out the teethe whereunto an experte man is requisite wherefore the chirurgiens do remytte this cure to barbours and to vacabounde toothdraweers Howbeit it is good to haue sene and to marke the workynge of such and thus we conclude thys presente chapter Here beginneth the .vi. booke of master Iohn de Vygo of breakynge of bones of the dislocation of bones and ioyntes of the hole bodye ⸫ The fyrste chapter of the generall curation of broken boones ⸫ THE breakyng of bones as auncyente latter wryters affirme may be put in the nombre of solution of coÌ„tinuitie caused of a brusiÌ„g thing for it is wont to chaunce for the most parte of a fall or of a strooke Concernynge the breakynge of the boones of the heade and of the cuttynge of the same we wyll speake nothynge here but referre the reder to the booke of woundes Kyndes of fractures Of fractures and brekyngges as saythe Galene some bene symple and some compounde Of symple som ben after the bredth orouerthwart the boone some alonge and are called fyxurale And of those as Lanfranck sayeth some are complete and some are not complete These that are complete in whyche the boone is broken cyrcle wyse are of harde curation because the two endes of the bone can not easlye be ioyned to gether Those that be not complete in whyche one onelye parte of the boone is broken bene easye to be cured Lykewyse the curation of the boones called focilia bene of easye curation so that they bene not bothe broken for yf they bene bothe broken cyrclewyse than it muste nedes be harde to restore them The breakynge that is accordynge to the lengthe of the boone is of easye curacion but yf the breakynge be after bredth and the boones be in lytle peces they are dauÌ„gerous because the peces prycke the senewy muscules and flesshye places And we haue sene often that through the pryckynge of the said peces a spasme and other euil accideÌ„tes haue chaunced whiche haue broughte the pacyente to death Furthermore we haue sene the sayde fractures to haue chaunced in one of the bones called focilia and sometyme in bothe A fracture compounde is that whych is accompanyed wyth a wounde or payne or aposteme or whan one bone rydeth vpon a nother throughe euell restauration and accordynge to these dyfferences we muste order our cures The causes of fractures or brekynges are all thynges whych maye bruse or breke as a fall a strooke c. The sygnes are easely knowen as Aliabbas sayeth yf ye beholde hys felowe that is not hurt for they are not equall Also ye may knowe it by towching the fracture with your finger for ye shall perceaue the sondrynge of the bones whan the fracture is complete the pacient can not sustayne hym selfe vppon the broken member In a fracture longitudinall or accordynge to length ye shall not feele seperation of the boones but ye shall fele a certayne vnnaturall grossenes vppon the broken boone and furthermore the member is payneful and vnapte to do any thynge And note that euery fracture which is nye the ioyntes is of harde curatyon because the remedyes administred by the chirurgines can not conuenientlye be bounde and splented And more ouer because that thoroughe the nyghnes of muscles that bynde the ioyntes the pacyente abydeth vehement payne and consequentlye an aposteme is engendred in the place Wherefore it is necessarye to anoynt the broken members with such thynges as haue vertue to
ceruse â„¥ i. of lytarge of golde syluer ana â„¥ i. myngell them and make a linimente in a mortar of leade anoynt the ytchyng place therwyth ¶ A chapter of the cure of a bruse without a wounde wherin the bones of the heade are depressed chiefly in chyldren REsolutiue medicines that remoue blood caused by coÌ„tusion in childreÌ„s heades are of .iij. sortes wherof the fyrste is thys â„ž the whytes and yolkes of .iij. egges of oyle of roses and myrte ana â„¥ ij of the floure of beanes barlye ana â„¥ i. ss Incorporat them altogether Thys remedye must be applyed vpon the bruse the .iij. fyrst dayes and ye muste chaunge it ones a daye And ye shall laye it on wyth stoupes moysted in the wyne of pomegranades or in vinegre and water and afterwarde presse them and dyppe them in the sayd myxture The secoÌ„de whych muste be applyed from the .iiij. daye vnto the tenthe is in thys fourme The frenche sayeth brâ—â—â— â„ž of beanfloure â„¥ iiij of barly floure â„¥ ij of brymstone ✚ brayed .li. ss of camomil mellilote stamped or the graynes â–ª leaues of myrte of roses and wormewood ana mÌ„ i. of corianders cumyne swete fenell ana Ê’ vi of calamus aromaticus Ê’ iij. braye the thynges that are to be brayed and seeth them al together wyth sufficient sapa tyll they be thycke and styffe addynge of oyle of myrte roses and camomill ana â„¥ i. ss of whyte waxe â„¥ ij myngle them together and styrre them aboute when ye take them fro the fyer tyll they be luke warme and procede herewith vnto the thyrde daye The thyrde is the application of a sponge dypped in the decoction folowynge â„ž of camomill mellilote roses wormewood mirtilles of the graynes and leaues therof of euery one mÌ„ i. calamynt nepte of euery one mÌ„ ss of coryanders cumyne fenell ana Ê’ vi nuttes of cipres brayed nÌ„ x. of honye â„¥ iii. of salte of roche alume ana Ê’ x. seeth them all togyther with a quarte of redde wyne and as much lye tylle the thyrde parte be consumed thenne streyne them all and vse this decoction with a sponge well bound pressed vnder which sponge ye shall laye thinne plates of lead bored thorough in sundrye places by this meane I haue healed many at rome whan the bones were depressed withoute openynge the place ¶ A chapiter of compound woundes A Wound compound is that wherin ther is losse of substaunce and therfore the good practicioners say that in the cure therof two ententions are requyred wherof one consisteth in the restauration of the lost substaunce the others offyce is to cicatrise the substaunce beyng restored Wherefore in this case ye must procede with dygestiues and not with incarnatiues as ignoraunt chyrurgiens doo for Rasys sayeth a depe wounde or vlcere commeth not to regeneration of flesshe but after rotennes that is to say after digestion An other reason is why dygestion is conueniente in this case at the begynnyng bycause in these woundes ther is alwayes alteration of the ayer Howebeit all digestiues are not conuenient but such as are small for the long digestiues are daungerous except the wound be vpon a great ioint with great losse of substance A conuenieÌ„t digestiue in this case must be made after this fourme â„ž of clere terrebentyne â„¥ ii the yolke of an egge of saffron ℈ i. fyll the wound with lynt weted in this digestiue And afterwarde laye vppon the wounde a leaffe of blacke colewoortes And aboute the partes of the wounde ye shal lay the remedies wrytten in the chapyter of flesshye woundes too defende theym from apostemation and peyn When good quitture shal appere ye shal apply no more digestiues as ignorante chirurgiens do putryfyeng the meÌ„ber with long digestions But ye shal apply this mundificatyue folowyng â„ž of clere terbentyne â„¥ iii. hony of roses sirupe of roses ana Ê’ vi seeth them al togyther whan ye take them from the fyer adde there vnto the yolke of an egge of saffron ℈ i. of barly floure ℈ x. After mundification whiche is knowen by good flesshe for incarnation ye shal put to this mundificatiue of sarcocolle myrre aloes ana â„¥ i. ss myngle theym The second intention is accomplysshed by thinges cicatrisatiue wherfore ye shall washe the place with water of alum and ye shal applye the pouder of mirobalane citrine and vnguentum de minio Altered woundes are lyke vnto theym whiche are withe losse of substance therfore theyr cure differeth not excepte the altered woundes be with great contusion for then ye shal procede withe vnguentum egiptiatuÌ„ to remoue the putrefaction For the other intentions ye shall procede no otherwyse then is aforesayde ¶ A chapter of great contusion and attrition of lacertes without a wounde THe vniuersal rules noted in the chapter of hurted synowes presupposed ye shall vse at the begynning that whites and yolkes of three egges beaten wyth oyle of myrre and oyle of roses to stoppe the course of the mattyer to the sore place After the fourthe daye ye shalle applye a playster of beanes husked sodden in water with malowes roses wormwood bran croÌ„mes of broun bred wherw t afterward ye shall make a stiffe playster with as moch oyle of roses camomyll myrte and barlye floure as shal suffyce and for this purpose the playster foloweyng is of singuler efficacitie â„ž mallowes wormewood branne husked beanes ana mÌ„ ij of mugwort weybread roses ana mÌ„ i. sethe them all together with the broth of a wethers head tylle the barlye be perfectly sodden than stampe them well and put to that that is stamped of barlye floure .li. i. ss of fenugreke floure â„¥ ij of camomyl mellilot and dyll stamped a na mÌ„ i. of the graines of myrt wel brayed â„¥ iij. of beaten cumyn Ê’ ii ss of hony â„¥ iiij seeth them all togyther with sufficient sapa a litle odoriferous wyne tyl they be thicke stiffe and than putte thervnto of oyle of camomille roses dille myrte and of whyte waxe ana â„¥ ij of saffron Ê’ iij. This playster is of gret efficacitie in al brufynges of lacertes and falles vppon the dely for it resolueth the blod whiche is wythout the veynes swageth peyne and comforteth the members ¶ A chapter of the accidentes of woundes and synowes THe accidentes of woundes as are a spasme peyn and aposteme hinder the cure of wouÌ„des And therfore thei must be diligently remoued and whan they be distempered in heate and dryenesse they engender heriâ—â—pelas Matter hote and moyst causeth phlegmon matter colde moyst engendreth vndâ—â—ia The remedies that swage peyne in a hote and drye cause are of .iii. kyndes whereof the fyrst is in this forme â„ž the whytes yolkes of .iij. egges of the iuce of lettuce and plantayne ana â„¥ ss of oyle of roses odoriferous â„¥ iii. beate them all togyther and vse them with cloutes vpon the member infected with heriuÌ„pelas The forme of the seconde is
endeth c. ¶ The .v. chapiter of an Aposteme of the fyngers called Panaritium PAnaritium is an Aposteme of a very hote nature Apostemes of the finger called Panaritium it is venomous so that thorow his veninositie heate it corrupteth the synnowes and sometimes the bones causynge greate and sharpe payne Also somtymes it engendreth a sharpe fieuer And sometymes as wyllyam Placentinus sayeth it bryngethe the patient to deathe whyche thynge we haue sene also It is a rule in thys cure that we vse at the begynnynge styptyke thynges the cuttynge of the veyne called basilica in the cōtrary syde and a purgation with the iuyce of roses or cassia or Diacatholicon presupposed The fyrste playster muste be in thys forme Playster R. the two kyndes of hole pomegranades sodden in a decoction of barley Roses balaustyes and sumach than stampe them and strayne them and wyth the floure of lentiles barley and beanes wyth a lytle quantitie of the foresaid decoction and the sayde straynynge make a styffe playster addynge of oyle of roses omphacine and oyle myrtyne ana ℥ i. ss of saffran ℈ i. or make it thus R. of the floure of Lentiles barley and beanes ana ℥ i. of myrobalane citrine ʒ i. of diers gaules ℥ ss lette them all be boyled with the wyne of granades a lytle vinegre of roses vnto styffe thycknes addynge of oyle of roses of oyle omphacine ℥ ii Note that if these two plaisters swage paine ye may procede with them but yf after the applicatiō of the same the payne dayly encrease than ye shal vse a maturatyue of mallowes violettes the floure of barley soddē in the foresayde decoction made wyth buttire and yolkes of egges This must be applied the space of two dayes Afterward there is no greater remedy than to open the place wyth an hote yron in the toppe of the fynger This cauterizatiō though it be done before perfecte maturation saueth the fynger from corruption of the bones and sinowes oftentimes appaiseth griefe But bicause many wyl not suffre cauterization it is necessarye to vse a stronger maturatyue And whan it is rype you muste open the place wyth a sharpe instrumente or wyth a caustyke of capitell whan the mattier is aboute the skynne Than afterwarde lette the place be mundifyed with Vnguentum egyptiacum mengled wyth Vnguentū apostolorum or wyth oure poudre of mercurye or wyth a trocisque of minium And than lette the place be purified wyth honie of roses and wyth a mūdificatyue of Smalage and incarned wyth oure poudre incarnatyue Poudre incarnatiue the description wherof is after thys sorte R. of Aloes Hepatike ʒ iii. of myrrhe of frankencense of Sarcocolle ana ʒ i. mengle them And yf you adde of cleare Terebentyne ʒ v. of honye of roses strayned ʒ ii it shall be verye profitable Lette the place be sealed vp and cicatrised wyth our poudre cicatrisatyue and wyth water of Alume wyth vnguentum of miniū whyche ben written in our antidotarie whervnto resorte ¶ The .viii. treatise speaketh of the apostemes of the hyppes thighes legges And of the apostemes of the liuer and scrophules and fugilles whyche chaunce vnder the arme holes ¶ The fyrst cha treateth of apostemes of the hyppes hote and colde saniouse and not saniouse Apostemes of the flanckes c. OF Apostemes of these partes som are engendred in the outward partes as in the stones the flanckes the fondement of whyche we haue spoken we wyl here speake of an Aposteme that is engendred in the inner partes The curation of thys aposteme differeth not frō the comune cure of other Apostemes wherof we haue spokē in the former chapiters wherefore yf it be a colde aposteme for the resolution and mollificatiō and other intentions ye shal procede as in the cure of colde apostemes And likewise if it be hote come to maturatiō let it be opened mūdified incarned and sigilled c. as is declared in the former chapitres Neuertheles thys is to be noted the it requireth a discret chirurgien whā there is mattier or corruption in the place or not bycause of the thycknesse of the muscles and of the fleshe wherfore good wylliam Placentine in his tyme resisting chirurgiens that said that this aposteme was not sanious obtayned greate worshyppe and profite For he made incision in the presence of chirurgiens and found great quantitie of mattier or corruption in the aposteme Thus endeth c. ¶ The .ii. chapi of hotte and colde Apostemes of the knees thyghes and legges THe Apostemes of the thyghes Apostemes 〈◊〉 the thyghe◠knees and legges knees legges haue no differēce touchynge the curation from apostemes of the shulders elbowe of the bone of the arme called adiutoriū wherfore for all the intentions of the cure of the same ye shal resorte to the former chapitres Neuertheles they differre in one thing that is that the patientes must not excercise them selues in going cominge as muche as shal be possible Thus. c. ¶ The .iii. cha of the swellyng of the knee THere ben often Apostemes engendred in the knees Swelling of the knee hote and colde sanious and not saniouse wyndy humorall or full of water If the aposteme be hote it must be cured after the curation of an Aposteme of the elbowe hotte or colde wherefore ye shall peruse that chapiter Of the curation of this Aposteme whan it is colde we wyll here speake accordynge to the truth Fyrste a conuenient purgation presupposed if the swellyng be olde and not very harde it is profitable Playster of gotes dunge to applye a playster of gotes dunge made wyth new grape shales or huskes water and barley floure The auctoure of the pandectes merueyleth in the chapiter de stercore caprino how he healed a mā so quyckly with thys playster which had longe tyme bene vexed with the swellynge of the knee Howebeit we haue founde a more excellente remedye in thys playster folowynge for an olde swellynge of the knee Plaister for an olde swellynge R. of beane floure and barley floure ana ℥ iiii of branne well grounde ana m̄ ii of goates dunge brayed li. ss of Camomylle Melilote stamped ana m̄ .i. make a styffe playster wyth lye and sufficiente sodden wyne addynge of oyle of Camomyl and dylle ana ℥ ii Thys playster resolueth easelye al wyndie swyllynge wyth resolution of the humoral mattier and mitigation of the payne And yf thys swellynge be caused by colde humorall mattier with commixtion of hotte mattier it is verye profitable to vse in the stede of lye the muscilage of Holihocke Also a sponge dypped in a decoction resolutyue and breakynge of wynde layed and bounden vpon the knee hathe a merueylous vertue And yf this aposteme be watry for the cure therof ye shall resorte to the chap. of the cure of hernia aquosa Thus. c. ¶ The .iiii. chapi of apostemes of the fete hote and colde
the outwarde wherfore we wyll ordre the purgation accordynge to the euyl humours Fyrste after that we perceaued what mattier it was Digestiue of hote cause we were wonte to vse thys digestyue whan the mattier was hotte R. of syrupe of roses by infution syrupe of Violettes syrupe of hoppes ana ℥ ss of the water of buglosse of hoppes ℥ i. and ss mengle them whan the patiente hathe vsed this syrupe the space of thre dayes Purgation twyse a daye he shal take thys purgation R. of chosen manna of Diacatholicon an̄ ʒ v. make a small potion wyth the decoction of cordiall floures and frutes addynge of syrupe of Violettes ℥ i. and. ss If the Aposteme be colde that is to saye Digestiue of a colde cause yf it be engendredde of colde mattier lette the sayd mattier be digested wythe thys syrupe Take syrupe de duabus radicibus syrupe of the iuyce of endyue of honye of roses an̄ ʒ iiii of the water of maidē heare of buglosse of worwood an̄ ℥ i. mengle them whan the patient hathe vsed thys syrupe a weke Purgation lette him be purged with thys purgation R. of cassia of diacatholicō ana ʒ vi of Diafinicō ʒ i. ss Make a small potion wyth decoctiō of cordiall floures frutes addynge of syrupe of violettes ℥ i. It is expedient to applie vpon the outwarde part vnctions and linimētes confortinge the place Oyntment as these folowyng R. of oyle of camomille and dylle ana ℥ i. of spike oyle of oyle of quinces of laudanum an̄ ʒ iii. of oyle of terebentyne ʒ i. make a Linimente wyth sufficient whyte waxe addyng of saffran ℈ i. of frankencense of mastyke an̄ ʒ i. Item to the same intention thys linimente folowynge is good wyth more resolutiō A nother more resolutiue and mollification R. of oyle of camomyll of oyle of wormwoode of oyle of nardus or spike an̄ ʒ x. of oyle of quynces and roses ana ʒ vi of hennes grese of duckes grese of oyle of lillyes ana ℥ ss of muggewurt m̄ ss of the floures of rosmarie of squinātum of eche a lytle Of calamus aromaticus of cinnamome an̄ ʒ i. of romayne myntes a litle Let thē seeth all wyth a cyathe of odoryferous wyne vnto the consumption of the wyne than strayne them wyth sufficient white waxe make a cerote addynge of saffran ʒ ss Annoynte the stomake wyth thys oyntmente for it conforteth and resolueth colde mattier of the stomake swageth payne But for asmuche as these Apostemes for the most parte haue not their termination by the waye of resolution Maturatiue and wyl come to maturation ye shall further the maturation wyth thys plaister R. of the rootes of holihocke of whyte Lyllyes ana li. ss of cleane raisines ℥ iiii of muggewurt of wormwoode ana m̄ ss of squinantum a lytle Seeth them all in the brothe of fatte flesshe stampe them and strayne them and than in the decoction wyth wheate floure make a styffe playster addynge of buttyre ℥ ii of hennes grese ℥ i. the yolkes of two egges of saffran ℈ i. Thys plaister is maturatiue and confortatiue bycause of squynantum wurmwood and mugworte whan the sayde Aposteme is come to maturation Incision ye shall make incision accordynge to that that is sayde afore in the chapiter of hotte Apostemes And for the other intentions namely digestion mundification c. Ye shall vse the remedyes of the alleged cha Thus. c. ¶ The .vi. cha of Apostemes of the liuer bothe hote and colde and of the hardnesse therof THe liuer is a principal mēbre whiche nature hathe produced Of the liuer hote and colde for the necessity of al the bodie wherfore the diseases therof muste be diligently and discretlye cured For euery disease of the lyuer is to be feared bycause of hys necessarye office of digestion The sygnes of apostemes of the lyuer bene knowen to be hotte or colde as the sygnes of other Apostemes in the vniuersall chap. Howbeit somtymes there chaūceth in the liuer a singuler aposteme that is to say an aposteme engendred of one onlye humour but for the most part they are all engendred of mengled humours The cure of this Aposteme differeth not from the cure of other declared in the former Chaptre of apostemes in the stomake wherfore let it be cured after the same Neuertheles I wyll speake somewhat of purgation and diete Flebotomie Lette the veyne of the liuer be cutte in the contrarye syde yf the strengthe and age of the patient wyll suffre it and let the patient be purged with conuenyent purgatiōs accordyng to the qualitie of humoures Diete As touchynge diete yf the patient haue a fieuer he muste forbeare wyne and flesshe and must eate a sup or shewe made with grated breed almandes and a lytle sugre and cōmune seedes Yf he be weake he must eate of a broth of a chickyn sodden with laictuce and confyte raysines with cleane barlye Also ye may gyue hym a brothe of redde cicers sodden wyth raisines and mengled with the brothe of a chyckyn hauyng added suffyciēt quantitie of sugre The sayde brothe boyled with laicture spynache and hoppes is verye profytable in thys case As concernynge locall medicines we wyll make no longe oration bycause the remedies declared in the former Chaptres be conuenient in this present cure Some doctours saye that this composition folowynge is very good whiche we also haue proued to be true Oyntment ℞ of oyle of roses omphacin◠of oyle of camomyll of quinces mirtilles wormewod ana ℥ i. let them all boyle with the iuce of nightshade alkekengi and laictuce tyll the iuyce be consumed than adde of red saunders and white ℥ i. a lytle saffrā and with suffyciēt whyte wax make a liniment And bycause the liuer and the milt oftentymes weaxe verye harde we wyll declare conuenyent remedyes for the mollification and resolution of the same Fyrst to mollifye and resolue the hardnesse of the liuer it is a synguler remedye to apply this cerot vpon the place ℞ of the rootes of holyhocke sodden in water and strayned li. ss of raisines sodden in the broth of a chyckyn and strayned A cerote for the natiues of the liuer ℥ iii. of the substaunce of quynces rosted or in the stede therof of wardens and peres ℥ iiii of oyle of camomyll and dyll ℥ ii of oyle of wormewood of quynces of swete almādes ana ʒ vi of oyle of roses of vyolettes of duckes grese of hennes grese ana ℥ i. Lette them boyle all togyther in a decoction of camomylle melilote mugworte holyhocke vnto the consumption of the decoction than strayne them adde to the straynyng of diaquilon gummed ℥ iii. and ss of Galenes cerote of ysope ℥ i. ss mengle them togyther and make a cerote wyth suffycyente whyte waxe addynge of saffran ℈ i. of white and red Saunders ana ʒ i. This cerote mollifyeth and resolueth the hardenesse of
synnowes or cordes properly whā the foyne or prycking hath no respiration for sōtimes ther is caused vpō the foine a venimous reume whiche throughe the venemous fume ascendynge to the brayne causeth a spasme or epilepsia And some tyme there chaūceth a rottē aposteme in the place of the foyne and thā Galene comaundeth to open the place of the foine and to cut the sinnow throughly a sondre for the auoydaunce of the euyl accidētes wherfore to cōclude we may vnderstande by the auctoctoritie of Galene that in a maner al wayes a spasme is caused throughe repletion and therefore the cure of a spasme is lyke to the cure of a palsie that is to saye with sharpe clystres with bathes of warme water and wyth drye bathes made with thynges that comfort the brayne and the nuke and that whiche dryeth vp the moysture that causeth the spasme Item the linimentes written in the Chaptre of the cure of the palsye are conuenyent in this case and also the regiment of diete Furthermore it is expedyente to vse thys bathe folowynge ℞ of camomylle melylote dylle elders rue sticados mugwort nept organy rosemarye sage ana m̄ iii. herbe saynte marye saynt Iohns-wort sothernwood sauery of the floures of elders ana m̄ i. of the rootes of holyhocke of enula campana ana li. ii of squinantū of honye ana li. iii. of castoreum ℥ i. of erth wormes ℥ ii of nutmigges of cinamome ana ℥ i. of cubebes of clowes somwhat brayed ana ʒ ss Let all these thynges be boyled togyther with a quycke foxe in suffycyent quantitie of water and wyne and wyth swete oyle oliue vntyll two partes of thre be consumed Than let the patientes bodye be suffumigated and bathed with that decoction for it is of a maruelous operation to ease the crampe Note that yf you make a cerote of the rootes of holyhocke and enula cāpana sodden and strayned and with sufficient whyte waxe it shulde be a good medicine to be applyed vpon al the backe bone For the same intentiō you may vse this liniment ℞ of the oyle of a foxe of camomyl of lyllies of spike an̄ li. ss of agryppa of dialthea of oile of iuniper terebentine castoreū mastike ana ʒ i. ss of rosemarye sauge saynt Iohns worte sticados nepte maioram gentle mintes muggeworte wormewoode ana m̄ i. of squinantum m̄ ss of earth wormes wasshed wyth wyne ℥ iii. Cutte the herbes and stampe them and let them seeth wyth the oyles and a cyathe of malueseye tyll the wyne be consumed than strayne them and putte to the straynynge of cleare terebentine ℥ ii of rasyne of the pynetree ℥ i. and. ss of waxe as moche as shall suffyce Make a lynyment and annoynte the synnowye places and chefely the backe bone Item the description of this oyle folowyng is of the same vertue Oyle agaynst the crampe and is more resolutiue and desiccatiue ℞ of oyle of spike of oyle of Camomyll Ana ℥ ij of foxe oyle of oyle of Iuniper of Castoreum of Laurell Ana ℥ j. of oyle of terebētyne ʒ x. of sticados of Squinantū of thyme of maiorā of rosmarye sage nepte mugwurte wormoode sothernwoode of the sede of saynte Iohannes wurte Ana. M. ss of agrippa and dialthea Ana ℥ iij. of rue ℥ ij and. ss of nuttemygges cubebes cloues cynamome Ana ʒ ij of frankēcense ʒ iij. of rasine of the pyne tree of cleare terebentyne Ana ℥ j. and ss of the rootes of enula Cāpana of the rootes of walwurte somwhat cutte stamped Ana ℥ iij. of erthe wormes washed with wyne ℥ v. let the thynges that ben to be stamped be stāped grossely than seethe them all wyth a pounde and an halfe of odoriferous wyne vnto the consumption of the wyne and than strayne them and occupye them Thys oyle applyed actually hote vpon the Nuke and backebone and vpon synnowie places is ryght profytable to ease a spasme procedynge thoroughe the hurte of the synnowes For it resoluethe and dryethe and cōforteth the hurte partes Item after thys vnction of membres it is good to wrappe the patient in a shepes skynne newely fleede or in a foxes skynne newely fleed kepynge it vpon the hurte partes the space of a daye Item in thys case the oyle called Oleum Benedictum whiche is written in our antidotarye is verye excellent You must anoynte wyth the said oyle the heade and the Nuke The patientes chambre muste be hote and drye moderatly wyth aromatyke thynges as sage rosmarye tyme Laurell Iuniper c. The diete must enclyne to hotenes and dryenes at the begynnynge Diete and muste be slender cheyfelye whan the spasme is vniuersall thorough out all the body And he must dryncke Hydromel or meth wyth the decoction of sage a lytle of horehoūde and synamome Also grated bread in the broth of a woodquyste wyth rue and sage cutte in small pyeces and sprynkled on after the maner of spyces is of greate effycacitie in thys case Egges also wyth the foresayde herbes maye be well permytted You maye moreouer gyue the patiente wyne delayed wyth Hydromell that is sodden wyth the forerehersed herbes For it helpethe to resolue the straunge humiditie that causeth the spasme Lykewyse a brothe of cycers sodden wyth sage Calaminte Organie wyth the herbe called Serpillum or oure ladyes bedstrawe and rue are commendable Item it is profytable to applye vpon the heade and the Nuke Cerotum Eugenij whyche confortethe the synnowes and the brayne and is wrytten in oure Antidotarye And ye shall note that it must be applyed vpō the coronall and sagittall cōmissure and vpon the Nuke And forasmuche as in a spasme dyuers euyll accidentes ensue as diminution of fetchynge breathe Accidentes of a spasme retention of vryne costyfnes we wyll speake thereof more largely Fyrste yf the patient be costyfe ye shall loose hys bellye wyth clysters mollificatiue and lenitiue whereof we wyll speake in our Antidotarie If the patiente canne not pysse ye shall prouoke vryne wyth conuenient medicynes whyche we wyll declare in a peculiare chapter and in the boke of symples If he can not fetche hys breath he shall holde in his mouth a loch ordeyned in our antidotarie in the chapy of syrupes It is conuenient also to anoynte the brest wyth oyle of Camomyll and of swete almandes wyth hennes gresse And bycause that thys disease is of a colde and moyste nature whan the spasme is wtout a fieuer A fieuer somtymes cureth a spasme a wyse Chirurgien shall induce some small fieuer vpon the spasme for thoroughe the heate thereof the spasme is sometymes cured Wherefore Hypocrates saythe that it is better that a fyeuer shulde be in a spasme than a spasme in a fyeuer Further it is good that the patient holde in the houre of his paroxysme or accesse a willowe stycke betwene his teeth that hys tonge be not hurte Here you must note that the cure of a spasme caused by inanicion is cōtrary
all tymes ben these Oyntmentes godd for fistules Vngm̄ basilicū magistrale of oure description Vngm̄ de minio noted in the chapiter of a broken skulle likewise diaquilon magistrale in our antidotary mentioned Item we haue founde cōuenient for the dryenge of fistules a plaister made of goates donge wyth beane floure soddē wyne called sapa other wyne and barbers lye Item lotions conuenient in thys case are these that folow R. lye made with asshes of vine or figge tree braūches Lotions for fistules or of barbers lye with a sufficient quantitie of hony of roses roch alume let them seeth a litle Item R. of the sayd decoction ℥ ii of poudre of mercury of our descriptiō ℥ ss mengle thē together This lotion must be cōueyed in with a sirupe that it may worke in the botome of the fistule for it purgeth the superfluitie eateth awaye euyll fleshe in short time causeth not gret payn And we haue oftē sondred rotten synnowes frō the hole partes with this lotion applied vpō the yarde A lotion for olde vlcers Item this lotion folowyng is good to mūdify olde hard vlcers R. Vngm̄ egiptiacū ℥ ss of mercury sublimate ʒ ss of lye ℥ iiii of water of roses ℥ ii of arsenike ℈ i. of water of plantayne ℥ iiii seeth these thynges together tyl the thyrde part be cōsumed apply it with a syryng for it mortifieth al fistules applied .ii. or .iii. times in the vlcers Itē trosciscus de minio aforesayd these that folowe are of greate efficacity R. of sublimate well pounded A trociske very good for fistules ℥ ss of the myddes of breade vnbaken and wel leuened ℥ iiii of Minium ʒ x. mengle the sayd thynges together wyth a lytle Rose water make trociskes accordynge to the fashion and fourme of tentes and drye them vpō a tyle and kepe them to your vse For sigillation ye shall procede with stiptike and dryenge thynges as we haue often sayd we could wryte many other remedies but oure custome is onely to wryte those that we haue proued to be true c. Here beginneth the fyrst treatyse of the .iiii. boke whyche treateth of vlcers perticulerly ¶ The fyrst chapiter of the vlcers of the heade Vlcers of the heade THe Vlcers of the head differ not in cure frō other vlcers For yf they be corosiue they must be cured after the cure of corosiue vlcers Yf they ben rotten ye shal resort to the chapiter of rottē vlcers if they be holow ye shal turne to the chapiter of holow vlcers c. If the bone be corrupt thorow aposteme called topinaria or talpa resort to the chapiter of those apostemes The doctours haue manye other remedies wherin we haue foūde litle profit and therfore we ouerpasse them for as Celsus sayeth one medicine sufficeth not to diuers and sondry diseases ¶ The second chapiter is of moyst vlcers of the heade Of moyst vlcers of the heade SOmtymes there ben engēdred in the heade moyst vlcers which are harde to be cured The moost conuenient thyng in this case is to purge the humours of the heade than to procede wyth the remedies folowyng Fyrst ye shal mundify the place with our poudre of mercury and after that the place is mundified ye shal applye an abstersiue made with the iuyce of smallage of the syrupe of roses of the iuyce of plantayne for sigillation water of alume is cōmendable or vngm̄ de minio of this description R. of oyle mirtine of oyle of roses omphacine Vnguētū de minio an̄ ℥ iii. of goates and calues talow an̄ ℥ i. ss of the iuyce of plātaine nyghtshade an̄ ℥ i. of the herbe called horsetaile of the leaues of myrtilles of the tēder partes of brambles of the leaues of wylde olyues an̄ m̄ ss of the floures of pomegranades of galles an̄ ʒ vi an hole sower pomegranate of the water of plātayn li. ss braye al those thinges that be to be braied and lette them boyle tyl the iuyce water be consumed then strayne thē and adde to the straynyng of litarge of syluer ℥ i. of miniū ʒ vi of bole armeny ℥ ss Let them seeth againe and stirre thē about tyll they be blacke in coloure with sufficient white waxe make a soft cerote addyng in th ende of cleare terebentyne ℥ i. ss of mastike ʒ iii. Itē in this case water of alume water of alume made as it foloweth is cōuenient R. of water of plantayne of lye made with the ashes of vyne tree and figge tree an̄ li. ss of the beries of mirtilles and floures of pomegranades an̄ ℥ i. of a myrobalane citryne of Hipoquistidos of laudanum an̄ ʒ iii. of roche alume ʒ vi of hony of roses ℥ i. ss Lette them seeth all tyll the thyrde parte be consumed then strayne them and vse them After that the place is washed wyth thys decoction ye shall applye thys poudre R. of roche alume brent of bole armenye an̄ ʒ iii. of a myrobalane citrine of the floures of pogranades ʒ i. ss Mengle them and poudre them fynely And yf ye can not drye nor mundifye wyth these sayde remedyes then ye shal vse Vnguentum egiptiacum or Vnguentum mixtum Concerning the rest of the cure it shall suffice to applye the foresayde mundificatyues for the fleshynes of the heade is but smal therfore the vlceres are not holowe nether haue we described incarnatyue medicines for the medicines mundificatiue do partly incarne also c. ¶ The thirde chapter of vlcers of the heade proceding of drie skalles of exitures called vlcera fauina et mellina Oftentymes there are vlcers engēdred in the heed procedyng of hard knobbes Of dry skalles of the heade whych ben of hard curation and also of dry skalles Here we wyll only treate of the vlcere that is called mellinū procedynge of harde knobbes whych is that the place be mundifyed wyth a trociske of miniū or with our poudre of mercury or with vnguentū egiptiacū from al euyl fleshe whiche thing is knowen by the growynge of good fleshe Let the heade be purged also wyth pilles of hiera picra wyth agarike or pilles called cochie or aggregatiue c. for the other intentions ye shall procede as it is sayde in the former chapiter ¶ The .iiii. chapiter of the skalles of the heede AFter the doctrine of aūcient writters ther be sondry kindes of skalles of the heade Of the skalles of the head one is called Fabina for the semblans of beanes an other furfurea like brāne another viscose slimy another lupinosa for semblaunce of a husked lupine some dry some moist some vlcerous some without vlcers Howbeit the names are not to be regarded so that we haue the ryght curation for the cure of one differeth not frō the cure of an other but in the greater or smaller mordication or bytyng of local medicines The
causes of these skalles are grosse and corrupt and slymy humours Causes of skalles hauynge begynnynge sometyme of the mothers wōbe or of euyl diete This euyl disposition we haue also sene to haue chaunced of the negligence of the parentes The curation hereof maye be reduced to two kyndes as wilhelmus Placentinus sayeth that is to say to a moyst and a drye skall That whyche is moyst is alwaies vlcered and that whyche is drye is alwayes skaly whyte wyth superfluitie lyke meale The cure shal be accōplyshed wyth thre ententions the fyrst ordenaunce of diete the seconde purgation of the mattier antecedēt the thyrde is to take awaye the mattier conioynct and accidens whyche ensue after the application of bytynge medicines For the fyrste and seconde entention ye shall resorte to the cure of vndimia and zephiros But for a more certayne doctrine we wyll wryte some conuenient purgations Fyrst ye shal vse pilles of fumiterre pylles cochie pilles de Hiera cū Agarico pilles aggregatyue for they draw the humours from the heade Also ye maye vse an electuary of Roses confection of hamech electuary of dates geuen with a sufficient quantitie of Cassia The thyrde entention is thus accomplyshed fyrst yf the place be drie ye shall moysten it thre or foure dayes wyth thys lotion A good lotion ℞ of fumiterry of dockes of the rotes of holyhocke ana m̄ ii of branne of camomyll ana m̄ i. of lyneseed ℥ i. of beanes ℥ iiii of lupynes li. ss seeth these thynges in suffycient quantitie of lye made with asshes of vine braūches and wash he heed with thys decoction twyse or thryse a daye as hote as the patient can endure and after the lotion ye must annoynt the place wyth thys linnnent ℞ of swynes grese l. i. of fumiterrie of dockrootes ana m̄ i. of yuy leues oyle of laurel an̄ ℥ ii of terebentine ℥ i. ss of oyle mastike ℥ i. of the iuce of black colewortes ℥ iiii stāpe these thynges togyther and so leaue them the space of a daye and afterwarde seeth them tyll the iuce be consumed than strayne them and anoynte the heed concernynge the same with the leaues of blacke colewortes after it is anoynted And when ye haue vsed these thynges the space of .iii. or .iiii. dayes ye must scarify the sore places with a depe scarificatiō that the matter conioinct and the euyl blood may be purged and after scarification ye shall vse agayne the forsayde lotion and often shaue the heed And yf ye perceyue that the place be mundifyed by the forsayd thinges which is knowen by the clerenesse of the skyn and remouyng of the brannye and cruste ye matter than ye shall wash thrise a weke the heed with the forsayde decoction applying this liniment folowing which mundifieth the skynne and healeth the rawnesse and vlceration of the heed ℞ of oyle of the yolkes of egges ʒ x. of the oyle of lyneseed ℥ i. ss of oyle of mastike of oyle of laurel an̄ ℥ ss of swynes larde melted of calues tallowe ana ℥ iii. of clere terebentine ℥ i. ss of the leaues of plantayne of the leaues of wylde olyues of fumiterie of dockes of sour pōgranades of horsetayle an̄ m̄ i. of the leaues of ydye m̄ ss stampe that shulde be stamped with the forsayde oyles and fatte and seethe them tyll the iuces be consumed than strayne them and put to the straynyng of litarge of golde and syluer ana ℥ ii of ceruse ʒ x. of tyme ten tymes washed of roche alum burned an̄ ʒ vi of quik syluer quenched with fastyng spittel ʒ v. mengle them togyther and make a liniment with sufficyēt white wax This forsayde liniment is very commendable in al kyndes of scalles and of great efficacitie Note here that in all kyndes of scalles wherin the rootes of the heere 's ben corrupt it is a synguler remedye after ye haue washed the heed with the forsayde lotion to make a cap of fustian couered with pytche to draw oute the rootes of the heere that be roten or in the stede therof vse small tenacles or pynsones and than procede with the forsayd vnction tyl the flesh be hole and clensed from all crustye and brannye scurffe But yf the place can not be mundifyed wyth the forsayd remedyes thē ye shall vse stronger mundificatiues with corrosion as is this ordinaūce folowyng Take of white elebore ℥ ss of apiū risus ℥ vi of dockes ℥ i. ss of cātarides takyng away the hedes and the winges ʒ v. of honye of terebentine ana ℥ i. of orpyment ʒ iii. of verdigrese ʒ iii. ss of larde ℥ i. ss of butter ʒ x. of alume zuccaryne ʒ v. of leuen ℥ iiii of branne ʒ vi ss poudre the cantarides the orpyment and the verdigrese and the alume and mengle thē all togyther and applye them in the sore places for through theyr blysterynge and corrosion they purge the watrye and superfluous humours And ye must apply them so long tyll ye perceyue that the place is cleane and nette whiche thyng is knowen by that that the euyl cruste and super fluitie is remoued by the growyng of good flesh and good skynne Afterwarde ye shall mundifye the place with butter and the yolkes of egges and terebentine makyng a digestyue of them all whiche done annoynt the heed therwith and than couer the same with the leaues of black colewortes for this medicyne deuideth the euyl flesh from the good and swageth payne for the incarnation and cicatrization ye shal vse the lyniment vnderwrytten into the whych the oyle of yolkes of egges entreth And for asmoch as after the application of the sayd blystryng medicyne there remayneth in the vlcered place great inflāmation and payne for the remouyng thereof we haue ordeined this remedye ℞ of oyle of roses omphacine ℥ iii. of oyle of roses cōplete of oyle mirtine ana ℥ ii of litarge of of golde and syluer ana ℥ i. ss of tutia ʒ i. ss of ceruse ʒ x. of the iuce of amidūʒ vi of the iuce of nyghtshade plantayne and lettues ana ʒ ss stampe the sayde thynges in a mortare of leade puttyng in now a droppe of oyle and now a droppe of the iuces tyl they be consumed and perfectly mengled togyther and vse them afeer the maner of a liniment The cure of a moyst scalle For the accomplysshmente of thys cure we wyll declare certayne remedyes conuenyent for a moyste skalle though the forsayde remedyes maye conuenyently be adminystred in this case also Fyrst vnguentū egiptiacū is good to mundify vlcers proceding of moyste skalles and in lyke maner our poudre of mercurye and vnguen de minio causeth good sigillation in this case A cappe of pitche And bycause we made mention afore of the vse of a pitched cappe to pull oute the rotten heere 's we wil declare the maner of applyinge the same Fyrst set pitche on the fyre and take peces of fustian after the bredth