and Sign pag. 116 Bubonocele pag. 33 Bullets their Extraction 73. Medicines for that purpose pag. 159 Burnings and their Cure pag. 190 C. CAncer its Difference Cause and Cure 122 of the Bone pag. 212 Carbuncle its Difference Cause pag. 121 Carpus pag. 210 Cartilage what 215. Swordlike 210. of the Breast-bent pag. 216 Cataract of the Eye the cause and removing it pag. 60 Catharticks pag. 112 Cautery Actual and Potential 37. Conveniency and Inconveniency pag. 44 69 Child dead the signs 75. It s Extraction pag. 74 The Glandules of the Chyle 253. It s motion by the Intestines pag. 254 Cholerick people how known pag. 203 Chilification its History pag. 153 154 Chirurgery what it signifies and the operations thereof pag. 1 Cicatrice or skars taken away pag. 244 Circocele pag. 33 Closing the Womb pag. 46 Comminution what pag. 2 Contra-Fissure what pag. 10 11 Contraction of the Member its cause pag. 236 Convulsion the Remedies pag. 256 Corrosives pag. 112 Cubit its Bones pag. 210 D. DIairesis what 2. Its parts Diaphoreticks pag. 36 Diaphragm and its parts pag. 308 Diarthrosis what pag. 208 Dislocation pag. 17 Dortos pag. 320 Dropsie Cause and Sign pag. 103 Dura Mater E. EAr Membrane thin and strong pain soreness 46 Its Bones pag. 209 Emphyma its Signs Cure pag. 54 Enarthrosis what pag. 208 Enterocele pag. 26 33 Epedymis pag. 320 Epigastrium pag. 311 Epiglottis indurated pag. 215 Epiploica pag. 226 Epulis pag. 292 Erysipelas its Cause Cure pag. 95 Excresis what pag. 2 Extention pag. 4 Extirpation of a dead part pag. 78 Extraneous Bodies how drawn out of a Wound pag. 157 Eye its parts Lids their Substance and Vse Iris pag. 274 F. FAce what pag. 268 Falx of the Dura Mater pag. 293 Fat whether part of the Body pag. 247 Fibre its Difference and Vse pag. 220 Fibula fractur'd pag. 16 Fissure what pag. 3 Fistula its Cause Signs and Cure 186. of the Breast 302. Lachrymalis pag. 285 Flesh what 237. Fleshy Rupture its Cure pag. 80 Focil its Dislocation pag. 23 Fracture what 2. It s Cause and Cure 3. Of the Skull 10. Of the shoulder of the Hip of the Jaw-bone of the Nose 13. of the Ribs of the Breast-bone of the Back-bone 14. of the Elbow of the Fibula of the Knee-pan 16. great and little pag. 334 Froenum or Bridle pag. 321 Frons pag. 268 G. GAngrene its Difference Causes pag. 126 Ganglion pag. 336 Gibbosity its Cause and Cure c. pag. 304 Ginglymus what pag. 208 Glandes pag. 333 Glandules of the Eye 274. Of the Chyle of the Loins 253. of the Neck pag. 263 Glotis straight wrong pag. 216 Gums pag. 278 H. HAir its shedding 249. Whether parts of the Body 247. Hare-Lip its Cure pag. 87 Hand pag. 266 Head what its Figure Parts c. 268. Wounds their Cure 172. Sores pag. 194 Heart its History 306. its Wounds pag. 174 Haemmorrage of the Nose how cured pag. 231 Herps its difference cause cure pag. 109 Hip-Bones Fractur'd pag. 14 Humors of the Eyes pag. 274 Hydrocele pag. 33 Hydrocephalus its Cure pag. 281 Hypocondria pag. 311 Hypogastrium Ibid. I. JAws their Bones pag. 270 Jejunum pag. 315 Iliack Passion pag. 324 Inflammation its cause and cure pag. 90 Infundibulum pag. 294 Internal Means pag. 1 Intestines 315. Intestines or Small Guts their Wounds pag. 157 Joynts what pag. 266 Iris of the Eye pag. 274 Issues when where and how made pag. 70 K. KIdneyes and their History 313 218 their Wounds pag. 176 Kings-Evil its Cause Sign Cure pag. 113 L. LAbour Natural and Preternatural its Cause pag. 74 Larinx cannot be inflamed pag. 216 Leeches their choice and use pag. 63 Leg pag. 210 Ligaments what and how many their Wounds and Wrenches pag. 217 Ligature pag. 5 Linea Alba pag. 312 Lips and their parts pag. 278 Liver its History its Vse 255 317 its Situation 312. its Ligaments 324. its Inflammations Vlcers Gangrene 325. its Wounds pag. 175 Loosness pag. 280 Lungs and its parts 306. their Wounds Signs Cure pag. 173 Lymphatick Vessels pag. 261 M. MAnual Operations pag. 1 Marrow of the Brain Spinal 293. of the Bones pag. 207 Matrix fallen down pag. 34 Mediastinum 305. its Cavity pag. 309 Medicines discussing Wind 108. against too great encrease of flesh corroding 257. Drawing or attractive 118. for a Cancer 124. provoking Sweat Cordials 128. Against a Gangrene 129. for the Eyes 138. against a Quinsie 143. stopping a flux of Blood 154. against Convulsions 156. against proud flesh 157. to draw forth Thornes Bones Bullets c. 159. Digestives 161 179. Sarcoticks 162 179. Vulneraries 162 Epulottick 164 179. against Wounds of the Nerves 166. Defensives 179. against Worms 181. against Corruption of the Bones 183. against spreading Vlcers 184. against Fistula's 188 against Burnings 191. Purging Choler 7. Purging Phlegm 8. purging Melancholy 9. Repelling 92. Resolving or Discussing 92. Suppuratives 93. Anodins 94. Emollients 102. Purging water 104. Cosmetick water of Minsickt 243. taking away Skars pag. 244 Meliceris its Cause Sign and Cure pag. 111 Membranes what and how many pag. 219 Mesentery and its History its Tumors Corruption Vlcer pag. 316 Metacarpus pag. 336 Metatarsus pag. 338 Mouth its Inflammation Vlcer Gangrene pag. 291 Muscle what c. pag. 237 N. NAils whether parts of the Body pag. 247 Nates of the Brain pag. 294 Nerves their Difference 233. their Coutusion its Cause and Cure pag. 234 Nodes pag. 214 Nose and its parts 277. Haemorhage how cured pag. 231 Nostrils broken pag. 13 Nymphae pag. 323 O. OCciput pag. 268 Oedema or Phlegmatick humor its Cause Sign Cure pag. 98 Omphalocele Navel-Rupture pag. 33 Opthalmia its Difference Cause Signs c. pag. 284 P. PAlate pag. 278 Palsie pag. 280 Paracentesis when in what place and how performed pag. 48 Paronychia its Cause Sign Cure pag. 133 Part of the Body what it is and its division 205 parts of the Body divided pag. 266 Patella or Knee-pan its Fracture pag. 16 Pericardium its parts and Liquor pag. 306 Pericranium what from whence pag. 268 Peritonaeum pag. 314 Pia and Dura Mater 292. their Wounds and Cure 295. its History pag. 292 Phlegmatick people how known pag. 203 Pixis pag. 312 Pexus Choroides pag. 294 Pleura its divers pains pag. 308 Physick and Physicians pag. 1 Pleurisie its cause and cure pag. 58 Polipus its cause and cure pag. 289 Poâ—rigo its cause pag. 280 Porus Biliarius pag. 318 Processus vermiformis of the Brain pag. 295 Prostataes pag. 320 Pudenda Virginam if clos'd how to be opened pag. 46 Pylorus pag. 315 Q. QVinsey its Cause Difference Sign pag. 141 Quintessence of Arsenick pag. 124 R. RAdius pag. 210 Ranula its Cause pag. 291 Rete Mirabile pag. 294 Ribs and their difference 210 302. Fractur'd 14 Dislocated pag. 23 Rostra pag. 210 Ruptures their Causes 26. Cure pag. 29 S. SAnguine persons how known pag. 202 Scarf-skin and Skin pag. 243 Scirrhus its Cause Sign
c. pag. 101 Scraping 37 how it s performed on the Bones pag. 65 Scrotum its watry Tumor how cured by Paracentesis pag. 51 Secundine its extraction pag. 74 Seton where how c. to be made pag. 71 Shortness of Breath pag. 280 Shoulder-Blade Broken pag. 13 Sinchondrosis pag. 208 Sincurosis Ibid. Skull and its parts 209. its Fractures 10. its Bones and Sutures pag. 209 Sphacelus its Causes Signs Cure c. pag. 116 Sparmatocele pag. 34 Spermatick Vessels pag. 319 Spinal Marrow pag. 293 Spittle its use matter c. pag. 250 Spleen its Wound pag. 175 Sternum pag. 208 Stitching in cure of Wounds how to be performed pag. 160 Sticking-Plaister pag. 161 Stomach its History pag. 315 Stone in the Bladder cause sign c. 83. its Extraction pag. 82 Suture pag. 208 Sumphysis Ibid. Synerthosis Ibid. Synthesis what it is pag. 1 Syssarcosis pag. 208 T. TAlus pag. 338 Tarsus and its Bones pag. 211 Teeth how many c. 273. their pain its cause and cure 282. their Breeding in Children how remedied pag. 284 Temperaments of men described pag. 202 203 Temples what pag. 268 Terebration 37. How performed pag. 67 Testes of the Brain pag. 294 Testicles of men 320. in Women 321. Inflamed 326. Cancer Sphacelus pag. 327 328 Thigh 210. Broken 15. Dislocated pag. 24 Thorns things to draw them out of a Wound pag. 158 Tibia 210. It s Fracture pag. 16 Timpanum pag. 276 Tongue-tied the Cure pag. 47 Tophs pag. 214 Tumor its Causes c. 88. Flatulent its Cause Cure c. pag. 107 Tunicle conjunctiva Adnata Retina Aranea Cornea Vitrea Vvea 274. Elytroides Erithroides Albuginea pag. 320 V. VAlves of the Vena Cava 225. of Vena Pulmonalis 226 of the great Artery 228. of Arteria Pulmonalis pag. 230 Veins their difference 221. Adiposa 224. Atteriosa 230. Axillares 224. Azygos 223. Basilica 224. Cava and its distribution 222. Cephalica Cervicalis 224. Coronaria Stomachi 226. Cordis 223. Emulgens 224. Epigastrica Ibid. Gastrica minor 225. Major 226. Gastroepiloris 225. Haemorrhoidalis 226. Hypogastrica 224. Intercostalis Jugularis 223. Intestinalis Ischiatica 225. Lactea Magna 253. Lumbaris 224. Mammaria 223. Mediastina 223 Mediana 224. Mesenterica Mesocolica 226. Muscula inferior superior 223. Phrenica ibid. Poplitea Porta 225. Pulmonalis 226. Saphena 225. Spermatica Salvatella 224. Subclavia 223. Splenica 226. Thoracica 224. Vmbilicalis 314. which to be cut in particular Diseases pag. 227 Venters of the Body what and how many pag. 266 Ventricles of the Brain 294. of the Heart pag. 307 Vertebra's of the Neck 210 297. of the Loyns 312 of the Abdomen of the Back pag. 210 Vlcers their difference causes signs cure 177 178. with foul Bones their cause sign cure 182. Spreading and Malignant 184. Fistulous 186. of the Eyes 194. of the Legs 199. of the Nose 195. of the Bladder 197. of the Womb 199. Vlcerous Excrescency pag. 211 Vnition pag. 2 Vreter 319. Exulcerated pag. 325 Vrethra pag. 321 W. WAtry Passages 261. Tumor pag. 103 Wind Medicines discussing it pag. 108 Womb its History 322. inflamed c. 329. its falling down 34. Haemorrhoides 330. whether it can be taken away pag. 329 Worms in the Pericranium in the Bladder their Remedies pag. 325 Wounds their difference causes signs c. 147. their symptoms and cure 153. of the Stomach their cure 174. which are mortal 149. their Lips how to be joyned 159. of the Ears and Lips 173. of the Head and Brain 172. of Heart 174. of the Face 172. of the Guts 175. of the Liver and Spleen 175. of the Nerves their causes c. 166. of the Eyes 173. of the Lungs Ib. of the Kidneys 176. Made by Gun-shut 168. of the Tendons 166 Poysoned 170. of the Bladder pag. 176 Wrenching pag. 17 Y. YArd pag. 321 FINIS MEDICINA MILITARIS OR A BOBY OF MILITARY MEDICINES Experimented BY Raymundus Mindererus Late Chief Physician of the Electoral Court of Bavaria and of the Imperial City of Aspurg Englished out of High-Dutch LONDON Printed for Charles Shortgrave at the Turk's-Head in St. Paul's Church-Yard 1686. CISTA MILITARIS OR A Military Chest Furnished Either for SEA or LAND With Convenient MEDICINES and necessary INSTRUMENTS Amongst which is also a Description of Dr. LOWER'S LANCET for the more safe Bleeding Written in Latine By Gulielmus Fabritius Hildanus Englished for publick Benefit LONDON Printed for Charles Shortgrave at the Turk's-Head in St. Paul's Church-Yard 1686. A Description of a LANCET FOR The more secure Letting of BLOOD By Dr. LOWER FOrasmuch as it hath been thought convenient by several good Chirurgeons to contrive a safe way of Blood-letting for the benefit of young Beginners in that Profession and whereas Dr. LOWER of late in his Treatise of the Heart hath discovered a plain and secure way of Bleeding and given a figure of the Lancet which he commends for that purpose I have been advised for the publick Good to translate what he hath written and likewise give the figure of the Lancet and description of the Use of it as it is printed in the 166 page of the last and truest Edition of his Book Printed at Amsterdam 1671. in the Author 's own words HOw great Ebullition sometimes happens in the Blood in what vessels and with what swift motion it is cast about every where through the Body and if an Artery be opened how quickly and with what force it breaks out it hath been hitherto treated of in the foregoing Discourse by which it appears how necessary sometimes Blood-letting is to diminish its Quantity or to stop its Career and how dangerous the Administration of it is if it be performed by a rude and unskilful hand For it often happening either by want of skill or common practice of Bleeding which makes the Mind fearful and consequently the Hand trembling and uncertain that an Artery is opened or a Nerve or Tendon cut or prick'd whence follows Swellings Pains Inflammations Gangrenes or Convulsions which put the member in danger of being cut off or render'd useless I thought it might not be beyond the scope of my Treatise if by way of Appendix I should shew by what means and Instrument any Vein might be safely and securely opened if it swell upon a Ligature though it have an Artery Nerve or Tendon immediately under it Forasmuch therefore as never any harm happens in Blood-letting unless a Vein be prick'd through or slipping aside the Lancet be put too deep into the part the Fabrick of this Lancet is such and ought to be so put into the Vein as both may be easily prevented For the Lancet is so contrived that it is not cutting on each side unless it be near the point but is purposely blunt and made round on the lower side which is to be applied next to the skin that it may more easily slide over it as it appears by the following Table in which a the Lancet b the place where the upper edge
CHIRURGERY According to the Moderne Practice Written by PAULE BARBETTE DOCTOR of Physick Practitioner at AMSTERDAM Printed for Henry Rhodes THESAVRVS CHIRVRGIAE THE CHIRURGICAL and ANATOMICAL WORKS OF PAVL BARBETTE M. D. Practitioner at Amsterdam Composed according to the Doctrine of the Circulation of the Blood and other new Inventions of the Moderns Together with a Treatise of the PLAGUE Illustrated with Observations Translated out of Low-Dutch into English THE FOURTH EDITION To which is added the Surgeon's Chest Furnished both with Instruments and Medicines all useful Illustrated with several Copper-Plates And to make it more compleat is adioyned a Treatise of Diseases that for the most part attend Camps and Fleets Written in High-Dutch by Raymundus Minderius LONDON Printed for Henry Rhodes next door to the Swan-Tavern near Bride-Lane in Fleet-Street 1687. THE AUTHOR'S PREFACE TO THE JUDICIOUS READER WHat should be the scope of putting forth this my not sufficient Polished Treatise after so many Excellent and Learned Writings of Physicians the Title before will declare unto thee viz. That my Design was both out of the Ancient and Modern to extract the very Marrow and plainly to shew the best way of Curing Diseases belonging to Chirurgery Therefore I have purposed not to obtrude upon thee this or that Man's Fancy or Conceit for Modern Practice For who ever was so mad as to Embrace the Opinion of any one Region City or Man Who ever though most ingenious and judicious equally excelled in all the Parts of his Profession Seeing it hath not pleased the Giver of all Arts to grant this perfectness to Men But I resolve to set down that Practice which Reason and Experience after a diligent Reading of the best Authors and an exact observation of several Operations have Taught me to be the safest convenientest and easiest for prolixity I have purposely avoided and used not more words than only to express the thing it self Nevertheless I have studied to conprehend the Foundation of the Art in few Chapters Read over all diligently and let not what I purposely omitted trouble thee Great Volumns easily affright the Reader as those that are too little betrays him I have carefully endeavoured what is hardly found a mean and therefore I have rather in few words inserted my Observations in the very descriptions of the Diseases then to waste thy time with a prolix discourse To this end that I might not repeat in particular Diseases what I had once set down in generals Tumors Wounds and Vlcers which neither in Cause nor Cure differ I have reduced under one Head contrary to what most Writers use to do who only from the difference of the Part and Member affected difference the Diseases which aftewards giving them new names they without any benefit multiply and so they render that Art which is difficult enough of it self much more difficult The most diligent of Students can scarce distinguish them who unprofitably spend much labour and time in the Controversies of the Ancients concerning the Name whose Opinions they suppose they ought to follow to a Tittle if they will arrive at the degree of Doctor We are the Ministers of Nature not the Slaves of those Men that describe it We account neither them Prophets nor their Writings sacred neither unlawful to add or diminish to them without the name Heretick I have set down both few and many Medicaments for those that I have produced although few in number yet of great vertue which by vast pains and no less charges I have found out and which dayly Practice hath confirmed to me as the safest of all Other Medicines seek for amongst others Farewel kind Reader and whil'st I am imployed about other and better if I can possible Writings receive these with a grateful mind and as I study to be profitable to thee so also do thou endeavour always by these to help others The Index of Chapters to Barbetty's Chirurgery The First Part. Chap. 1. OF Manual Operations in general Pag. 1. 2. Of Unition or Conjunction 2 3. Of the Nature Difference Signs Prognosticks and Cure of Fractures in general Ibid. 4. Of particular Fractures of Bones 10 5. Of the Nature Differences Signs Causes Prognosticks and Cure of Dislocations in general 17 6. Of particular Dislocations 20 7. Of Ruptures 26 8. Of the Falling down of the Matrix 34 9. Of the Falling down of the Anus 35 10. Of the second Operation called Diaeresis or the seperation of what was united together 36 11. Of opening a Vein 37 12. Of the opening of Abscesses or Imposthumes 42 13. Of the separation of parts unnaturally joyned 46 14. Of the Paracentesis 48 15. Of the opening of the Breast 54 16. Of removing a Cataract of the Eye 60 17. Of Leeches 63 18. Of cuting in the hard parts 65 19. Of Ustion or Burning 69 20. Of Issues 70 21. Of the Seton 71 22. Of the drawing forth of Bullets 73 23. Of the Extraction of a dead Child and the Secundine 74 24. Of the extirpating of a mortified part 78 25. Of the fleshy Rupture 80 26. Of the Extraction of the Stone out of the Bladder 82 27. Of a Hare Lip 87 An Index to the Second Part. Chap. 1. OF Tumors in general 88 2. Of Inflammation 90 3. Erysipelas 95 4. Of Oedema 98 5. Of Scirrhus 101 6. De Tumore Aquoso or Watry Tumor 103 7. Of the Flatuous or Windy Tumor 107 8. De Herpete 109 9. De Atheroma Steatoma and Meliceris 111 10. Of Scrophula Struma or Kings-Evil 113 11. Of a Bubo 116 12. Of the Carbuncle 121 13. Of a Cancer 122 14. Of a Gangrene and Sphacelus 126 15. Of Paronychia 133 16. Of an Aneurism 135 17. Of Opthalmia 136 18. Of a Quinsie 141 The Index of Chapters to the the second Book Of the second Part. Chap. 1. OF the Nature Difference Causes and Signs of Wounds pag. 147 2. Of the Cure of Wounds in general 152 3. Of the preservation of the strength and native heat in the wounded parts Ibid 4. Of the Symptoms of Wounds 153 5. Of the drawing forth of extraneous Bodies out of Wounds 157 6. Of the manner of joining the Lips of Wounds together 159 7. Of Medicines necessary for the curing of Wounds 161 8. Of Wounds of the Nerves 166 9. Of Wounds by Gun-shot 168 10. Of poisoned Wounds 170 11. Of particular Wounds 172 The Index of Chapters to the third Book of the second Part. Chap. 1. OF the Nature Differences Causes and Signs of Ulcers 177 2. Of the Cure of Ulcers 178 3. Of an Ulcer with foul Bones 182 4. De Ulcere depascente 184 5. Of Fistula's 186 6. Of Burns 190 7. Of particular Ulcers 193 The Index of the third Part of Chirurgery Chap. 1. OF the Practical Anatomy 201 2. Of the parts in general 205 3. Of Bones 207 4. Of Cartilages 215 5. Of Ligaments 217 6. Of Membranes 219 7. Of Fibres 220 8. Of Veins 221 9. Of Arteries 228
either with hands or Bandage and mean while reduce it into its place If the Hip be forced out forward the Groin is swoln and the Buttocks fallen the Leg is neither longer nor shorter nor cannot be bent but with trouble and the Urine is suppressed Though it be not set aright yet the Patient in time will be able to go well enough upon it though sometimes it falls out that he must somewhat trail his Leg after him To restore it let the Patient lie on his sound side and strongly stretch out his Leg press it into its former place and in case the hand be too weak thrust it in with your Knee If it be dislocated backward the Patient can neither stretch out nor bend his Leg nor is he able to bring his Heel to the ground and if he should force himself to do so he would fall backward the Leg is shorter there is a hollowless in the Groins and if the Buttocks be pressed upwards you shall find an unusual swelling Though it be not put in yet the pain will in time vanish and then the Leg may be bent again but it remains shorter and straight nor is the Foot turned inward nor outward Lay the Patient on his Belly and strongly extend his Leg mean time apprehend the Thigh bone above the Knee stretch it outward from off the sound Leg press the Head into its Cavity in which yet it will not stay if thenceforth the Patient do not keep himself very quiet 10. The Dislocations of the Tibia and Fibula are cured after the same manner as those of the Cubitus and Radius 11. If the Knee pan be out of its place let the Patient stand upright and press it in again lay on the side whence it hath been forced away a hollow Splint answerable to the shape of the said Pan and below in the cavity of the Leg put one or more compressing Splints binding the whole Leg so stiff that the Knee may not bend CHAP. VII Of Ruptures HAving thus roughly handled the boney and hard parts of the Body it now follows that I treat the soft and fleshie more gently and describe their Synthesis or re-unition again Therefore I begin with the broken Peritonaeum which sometimes gives way to the Intestines at other times to the Cawl and not seldom to both to get out of their natural place into the Groins or Scrotum there causing a Rupture called Entorocele or Hernia Intestinalis if the Guts come out an Epiplocele or Hernia Omentalis if the Omentum or Cawl be out The Peritonaeum is made up of two strong but soft Membranes which do so contain whatsoever is included in the Belly or lowest Cavity that when sound nothing can fall out In Women the Os Pubis is its utmost Limit In Men its outermost Membrane reaches farther and constitutes the first proper Coat of the Testicles In the Groins it comprehends the Seminal Vessels as in a Sheath called Processus or Productio Peritonaei This being stretch'd or enlarged or coming to burst is the proximate cause to the lately mentioned Ruptures The Groins therefore are the usual places of Ruptures But do not imagine that the Peritonoeum cannot be distended or burst in other places and there to cause a Rupture It happens sometimes above the Navel yet seldom Beneath and on the side of the Navel far above the Groins I have not only seen it often with many others but seen it ordered and dressed just like an Abscess the Chirurgeon giving no other reason for his mistake than that it was not the place of Ruptures which those that love the Art and their own Honour may take notice of Most times the Ileon falls down yet sometimes the other Guts come out with it and fall into the Scrotum which cannot come to pass by a simple distention of the abovesaid process but that necessarily in all such great Ruptures it must be broken The Causes which make the Peritonaeum to burst or to dilate are Falling Leaping Blows bearing of heavy Burdens strong Vomiting or Coughing difficult going to Stool Winds retained and all vehement Motions of the Body Signs The Tumor is sometimes bigger sometimes lesser sometimes altogether vanisht but with the least Motion returning Though the Caul or Intestines should be fallen down never so much they may easily without any pain be thrust in again unless Wind or Excrement hinder it in which case the Rupture is very painful If the Intestines be full of Wind the whole belly is tense you may hear a noise and the Patient breaks Wind upwards and downwards If the Excrements be grown hard the Patient goes with difficulty to Stool and the swelling weight and hardness little by little encreaseth If the Peritonaeum be only relaxed and widened then the Tumor from little becomes bigger by degrees but if it be broken it suddenly descends Prognosticks In little Children Ruptures are easily cured in aged people slowly or not at all especially if the Peritonaeum be burst If the Intestines be filled with Wind or Excrements there follows pain and if that be not suddenly removed an Inflamation Gangrene and at last Death it self Cure Lay the Patient on his Back with his Legs on high and a little asunder by which it often comes to pass that the Caul or the Intestines return of themselves into their former place but that not happening press them in gently with your fingers And if you cannot effect this by reason of Wind or hardened Excrements then use the following Medicines Where the Excrements are indurated Take Roots of Marsh-mallows two ounces of white Lillies one ounce Leaves of Mallows Violets Pellitory of the Wall of each half a handful Flowers of Camomile and Melilot of each two pugils Bran half a handful Boil them in Water and to the Liquor Add of Barly and Bean-meal of each three ounces Lin-seed and Fenugreek of each two drams Oyl of Roses and white Lillies Ducks-Fat and Hens Fat of each an ounce Make it into Cataplasm In case this Cataplasm be not sufficient or seems not to be so then bathe the Patient two or three hours in Oyl sweet Milk or Water wherein Emollients have been boyled not forgetting in the mean time Clysters and Purges Against Wind. Take Oyl of Camomile Rue of each one ounce Oyl of Nard and Dill of each three drams Spirit of Wine two drams a little Wax Make it into an Oyntment Another Take Oyl of Wormwood one ounce Oyl of Nard and Nutmeg exprest of each half an ounce Oyl of Mace and Carraways distilled of each one dram Malmsey an ounce and half Boil it a little then add to it as much Wax as is sufficient to make it into an Ointment Inwardly use the seeds of Anise Fenel Carraways and others Medicines dispelling Wind which also are to be mixt in the peculiar Clysters requisite to this purpose Also the Cumin Plaister used by some may here do good service Or Take the Styptick Plaister of Crollius Gum-Caranna
less danger than the next foregoing and people oftner recover upon it yea Learned Writers assure us that by this Operation and the use of Injection they have cured many of Ulcers of the Lungs Concerning the Place of Opening Authors are not agreed in it the reason whereof is obvious For the Diaphragma runs higher in some persons than in others whence it comes to pass that the collected Humors in some Patients lie higher than in others Secondly the Chest is raised in some flat in others which here much alters the case Besides the Lungs do often grow so fast to the Pleura that the sanious matter cannot easily be carried into the Cavity of the Breast In which case it would be ill done to chose the place of Opening lowest in respect of the Diaphragma And in regard that in this as in other swellings the most eminent place is esteemed the most convenient for opening it cannot be otherwise but that one Chirurgeon hath made choice of this place and another useth that place as the best Upon which account Hyppocrates Guido Amatus Lusitanus c. do make the apertion between the third and fourth Rib counting from beneath upwards Fienus Riverius and many others between the fourth and fifth Paulus Aegineta Vidus Vidius Fabritius ab Aquapendente Sennertus c. between the fifth and sixth which place in my opinion is the safest for if higher the Pericardium if lower the Diaphragma may be wounded of which there have been many sad Examples But in this difference of dissenting Writers what hath been said will direct you to pass into the safest Haven All things therefore well considered chuse the place where to make your Apertion not the forepart for before the Sternum or Breast-bone will hinder your operation here nor in the back-part for the Ribs are so close to one another that without hurting some Vessels you cannot make any Apertion there but on the side four or five inches from the Sternum Neither ought the Incision to be so near to the upper Ribs as to the lower because the intercostal Vessels viz. the Vein Artery and Nerve lie in the lower part of each Rib where Nature hath assigned them a place branching themselves into the middle of the intercostal Muscles which dissemination nevertheless hinders not but that the Incision may be made in the middle between the two Ribs After you have marked the place with Ink charge the Patient to breath forth as long as possibly he can without taking it in and in the mean time make an oblique but small Orifice and put into it a Silver or Leaden Pipe and take forth four or five ounces of Matter to run out in a day In case the Matter does not come forth well place your Patient on the wounded side and make him to cough if by reason of its toughness it will not yet come forth then inject into the cavity some abstersive exsiccating and healing Medicines As Take Goats whey eighteen ounces Honey of Roses four ounces the Juice of Celandine and Smallage of each six drams Mingle it Or Take the Roots of Comfrey the greater an ounce of Sanicle half an ounce the Leaves of Betony Agrimony Periwincle Burnet of each half a handful the Cordial Flowers two pugils the Seed of St. John'swort Holy-Thistle Roman-Nettle of each half a dram Boil them in Water and Honey to a pint and half strain it and keep it for your use Of this Injection the Patient may also drink a little twice or thrice a day It is yet further to be observed that the collected Matter is often contained in a Membrane of its own and by its rising manifests it self from without and then the Latines call it Vomica Pulmonis In which case you must not stay till the Membrane breaks of its self for by delay the Matter flowing up and down is more difficulty to be got out of the Breast but open it presently taking no other place but the most raised part of the swelling Now since an Empyema for the most part follows upon a Pleurisie and 't is dayly found that ignorant Chirurgeons take all kind of pain in the Sides Belly and Breast although caused from Winds only for a Pleurisie thereupon immediately opening a Vein I thought therefore necessary to write in this place of the Pleurisie as much as is necessary for a Chirurgeon to know for the preventing such mistakes The Pleurisie then is an inflammation of the Pleura and commonly of the Lungs themselves caused from afflux of Blood accompanied with Pain Cough spitting of Blood shortness of Breath continual Feaver strong and quick Pulse The Cause is the Blood sometimes alone when a true Pleurisie sometimes mixt with other Humors then it occasions a Bastard one The Signs as may be seen in the Description are so evident that those who know not how to distinguish it from a Cholick are not worthy of any excuse The Prognosticks The sooner the matter is concocted and the whiter and easier 't is ejected the quicker and safer is the Issue If the Cough and difficulty of breathing lessen not by a copious Expectoration 't is an ill sign If the Patient come not to spit the third or fourth day then will he scarce see the seventh If upon Bleeding and other fit means the pain cease not the Patient must either die or the Pleurisie will turn to a Consumption or an Empyema The Cure In this case Bleeding is one of the most necessary and safest means of Cure and if used in time the Patient in the very Operation and before the Vein be closed will find relief and sometimes be altogether freed of the pain Nor do I know any Disease in which there may to the Patient's benefit be so much Blood taken away at once as in this There are different Opinions concerning what side the Patient is to bleed on But those have had little Experience of this sickness who have not found that Patients at least in these Countreys are relieved much more and sooner when they are bled in the Arm of the same side where the Pain is than when it is done in the opposite side The Pain not ceasing in four and twenty hours we are necessitated to bleed twice or thrice most commonly in the same Arm but here you must well observe the Patient's strength After letting Blood sometimes Purging Swearing and Expectorating Remedies are very necessary One only Medicine I cannot conceal from you because of its Excellency The Industrious Physitian Dr. Hadden in his Cure of the Pleurisie hath much commended it and I have after once Bleeding always in the beginning used it with great success viz. Take the Juice of Dandelion an ounce and half the Water of Plantane two ounces of Holy-Thistle and Scabious Syrup of Poppies Erratick of each an ounce Crabs-Eyes a scruple and half Mix it Let the Patient every half hour take down a spoonful or two of it until the Flux be stopped After which you
and if it be where there is a double Bone as in the Leg and below the Elbow the Flesh and Ligaments between them is to be divided which being performed let the Bone be separated with a very sharp Saw If the Flux of Blood be not great to apply only those Medicines that stop Blood will be sufficient but if great an actual Cautery is to be used which is only to be applied upon the great Vessels then let the Ligature be taken off and the Part be fitly bound up If either the Patient or Chirurgeon be averse to the use of a Cautery then as soon as the Member is taken off let the Skin together with the Flesh in four distinct places opposite one to the other be taken up with a Needle and waxed Thread and the Ligature being loosened above or drawn down that if possible they may meet So by this way is the Hemorage staid the Bone preserved from all danger and the Wound sooner cured But this way is painful and troublesom therefore ought it the seldomer to be used Aquapendens his way When the principal design of Art in this Operation is to put a stop to Putrefaction to cause as little pain as may be and to stay the Flux of Blood all which the above-quoted Author thinks may be done if the Member be amputated in the dead Part but near to the sound then the Bone being divided with burning-hot Irons let the remainder of the dead Part be cauterized till the Patient perceive the heat of the Fire So he writes that by this course a Flux of Blood is not to be feared less pain is caused and within the space of two or three days will appear a separation of the Mortified Part from the Sound but in my opinion we ought to consider well of the Cause For in a Spacelus sprung from an Internal Cause in a Body otherwise sound this way is the best but in a Spacelus caused from a defect of innate Heat the former is more profitable CHAP. XXV Of the Fleshy Rupture SArcocele which is a Fleshy Rupture is a Tumor besides Nature produced from impure Blood flowing in too great quantity itno the Testicles and there degenerated into Flesh In this Definition received by the best Physitians and Chirurgeons I note two things 1. The cause of this Tumor not to be impure Blood seeing the best may produce it not simply abounding in quantity because it also happens in wasted Bodies though 't is not so soon generated nor arrives to such a greatness in these as in those Bodies but the true cause is the Erosion Rupture or Dilatation of the Membranes which close the Mouths of the Capillary Vessels that the nutritious Blood may not flow too suddenly into the Part from whence more Blood flows into the Part than what is required for its nourishment and Nature changeth that Blood which otherwise would purifie into a fleshy Substance 2. This flesh sometimes grows to the second of the common Tunicles of the Scrotum and not to the Testicles in which case it may be taken aways without either hurting or cutting of them out Signs are the hardness and slow encrease of the Tumor which is rather more troublesome than painful except accompanied with sharp Humors no appearance of any Tumor in the Groin Prognosticks A Sarcocele is hardly cured by the help of Medicines and seldom by manual Operation without taking off the Testicle if it extends it self into the Groins for the most part incurable Cure In the beginning when the Membranes of the Vessels being eroded broke or dilated do give leave for too much leave to issue forth Bleeding and the use of Repelling and Restringent Medicines profit much but when it hath begun to augment then we may use these following means Let there be made a little Orifice into the Scrotum rather in its Superior then Inferior Part through which by the help of Plegets let Suppurating Medicines be applied so that if possible to waste the Flesh every dressing diligently wiping away the Matter but not at all that the remaining Flesh may be the better consumed If these things succeed not draw forth the Testicle and by Incision take off as much Flesh as may be done without injury to it then restore it again into its place and the remainder of the Flesh endeavor to consume by Suppuration But if there be no hope of curing this Rupture by the recited means draw forth the Hernious Testicle as far as you may then pass once or twice a Silken Thred above the Tumor by the Process of the Peritonaeum then pass both ends of the Silk through the Orifice it self so that which was on the right side may be on the left and that of the left on the right and having ordered that the process of the Peritonaeum may be tied with a knot then cut off the Testicle letting both the ends of the Silk hang out of the Scrotum and so cure it as another Wound I cannot here but friendly advise 1. The Chirurgeon ought to consider well of the Cause before he comes to the Operation it self for sometimes the Parastates are so swell'd especially the Testicles being Scirrhous that they may easily deceive a very curious Examiner 2. The Ligature ought to be made as near to the Tumor as possible for by how much the higher part of the Process of the Peritonaeum be perforated it is observed to be so much the thicker which thing will retard the Suppuration and the falling of the Thread in the mean time Convulsions coming on denounce death 3. The Spermatick Vessels detain'd in the Scrotum oftentimes by Natures variety exceed the Testicles themselves in greatness which causes no other inconvenience but only Fear which I have observed to be true in more than one CHAP. XXVI The Extraction of the Stone out of the Bladder THe Stone is a hard Body concreted from Slimy Salt or Earthy Matter by a peculiar Lapidifying quality causing Pain Obstruction and other Symptoms in the place where it is detained The Cause is a Pituitous Salt or Earthy Matter which neither by heat nor cold by a peculiar lapidifying quality is changed into a Stone Signs The Urine is white slimy crude and troubled suddenly adhering to the Urinal sometimes it is bloody sometimes sandy or gravelly sometimes full of little Threads and not seldom supprest a great thirst a frequent making of Urine but with pain and by drops The Patients place themselves with their Thighs across always holding their Privy-Parts in their hands pressing the bottom of their Belly the Privy-Part is always erected very painful to go or walk in the Region of the Belly a weight perceived the Patient seldom making Water without going to Stool the Intestine commonly falls out especially in young People Although all these Signs seem plain yet they may sometimes deceive a Phisician it was formerly the Custom with a Catheter passed through the Ureter into the Bladder then
set down to the which I refer the Reader The End of the first Part. BARBETTY'S CHIRURGERY The Second Part. Which treats of Tumors Wounds and Ulcers In three Books The First Book of the Second Part of Chirurgery Of Tumors CHAP. I. Of Tumors in general A Tumor besides Nature is a Disease in which the Parts of the Body are indecently inlarlarged and extended so that they are rendred unfit to perform its Actions The Differences of Tumors are taken 1. From the Part affected as an Inflammation of the Eyes Jaws c. 2. From the Causes The Causes are 1. The Parts of the Body removed out of their Natural place 2. The Four Humors as well Natural as Preternatural viz Blood Choler Phlegm Melancholy to which likewise we add Serum and Wind. Tumors for the most part are generated from the Humors and that either by Congestion or Fluxion They come by Congestion when the Natural heat of the Part being diminished the good Humors are ill concocted or the vicious are not sufficiently evacuated By Fluxion from a two-fold Cause External viz. a Fall Blow External Heat too great Motion c. Internal viz. Pain Superabundancy Thinness Acrimony of Humors c. The Signs of Tumors are an Extention of the Part Pain Redness Heat Hardness c. But these are better explained in particular Tumors than in general The times of Tumors for all curable Tumors have four are as followeth Beginning when the Part begins to swell Increase the swelling pain and other Symptoms are augmented State the Symptoms stand at a stay and grow not worser Declination when the Symptoms are diminished Prognostick Tumors produced from Phlegm or Melancholy are hard of Cure Those are dangerous which are generated from corrupt Blood or Choler which seizeth the Internal Parts which shew themselves about the greater Vessels Joynts Nerves and the Membranous or Noble Parts Those that are of great bigness and that happen in Cacochymick Bodies They are Terminated four ways 1. By Dissipation which the lessening of the Symptoms do declare 2. By Suppuration wherein the Pain and Pulsation is increased together with a Fever 3. By Induration which the too often and immoderate use of Repelling and Dissipating Medicines hath caused 4. Degenerating into a Gangrene from the defect of Natural Heat The Cure is performed two ways 1. By hindering any further Flux to the Part. 2. In removing that which is already gathered in the Part. We stay the Flux of Humors 1. By Intercepting 2. By Repelling 3. By Revelling 4. By Derivation 5. By Corroborating the Part it self The Matter already gathered is taken away 1. By Astringing and Repelling Medicines to wit when 't is thin and sticks not too firm to the Parts 2. By Resolvents when it is thick and adheres more firmly to the Part. 3. By Suppuratives when the other are too weak 4. By Fire and Cutting when other means effect nothing CHAP. II. Of Inflammation A Phlegmon or Inflammation is a Tumor besides Nature from Blood thrown forth into the Skin or Subjacent Muscles causing Heat Redness Pain Pulsation and Tension Difference 'T is Perfect when from Blood alone Imperfect when Choler Phlegm or Melancholy is mix'd with the Blood and then 't is called Phlegmone Erysipelatodes Oedematodes Schirrhodes The Cause is sometimes Blood alone sometimes mixt with other Humors Signs are Heat Redness Pain Pulsation Shining Tension Hardness Renitency Prognosticks An Inflammation of the External Parts frees the Internal from many Diseases always wholesome except from its too great Extention it produceth a Gangrene dangerous and of hard cure is that which seizeth on the Eyes Jaws Penis Pudendum Muliebre and Joynts In a young Person and in Summer soon cured longer of Cure in a fat than a lean Body The Cure hath four Indications The first of these respects a good Diet let him chuse a clear Air his Meat and Drink little and that cooling all hot sweet and fat things as Pepper and Ginger are hurtful as also the motion of the Body especially of the Part affected Sleep is very convenient All Costivenefs Anger and Venery are noxious Second that stops the further Flux of the Humor which may be performed by Revulsion Derivation Repelling and Interception therefore let a Vein be opened as soon as possible it being most necessary Revulsion is made in the Opposite and most Remote part Derivation in the nearest If you may not open a Vein you must use Leeches and Scarifications Whilst these things are done seeing the Body is seldom clean but that always there are ill Humors mixt with the Blood by Purging rightly used and often repeated as also Bleeding we effect much In the mean time the Part affected requires Repelling Medicines from which we must abstain Where 1. The Noble Parts send the Humors to convenient places and to the Glandules 2. Where the Humors are Malignant 3. When Critical 4. When the Body is very impure 5. When the part affected is very weak or painful 6. Where the Inflammation is about some Noble Part. Repelling Medicines The Roots of Bistort Tormentil the Leaves of Cyprus Mirtles Plantain and Oak the Flowers of Balaustians and Roses Quince-seeds Red Sanders Galls Acacia Dragons Blood Whites of Eggs Vinegar Red Wine Allum Bole Oyl of Roses Myrtles Empl. de Spermate Ranarum Take Rose-Vinegar two ounces Whites of Eggs beat together No. 2. Bole-Armenick three drams Lap. Hematitis a dram Mix them Take the Juice of Housleek Purslane and Plantane of each an ounce Rose-Vinegar sowr Red Wine of each an ounce and half Oyl of Myrtles an ounce Stir them together in a Leaden Morter adding to them of the Powder of Pomegranate Rinds and Bistort of each a dram Make it into a Linament 3. Indication requires the taking away the Humor already in the Part. Here Resolvents are first to be used but they not effectual then Suppuratives Resolvents or Discussives Roots of Galangal Orrise Dill Southernwood Rue Savin Flowers of Camomil Melilot Elder 2 Aniseeds Carraways and Cummin Ammoniacum Bdellium Sagapenum Tacamahac Oyl of Dill Nard Rue Bays Ointment of Agrippa Martiatum Emplaisters of Betony Oxicroceum Diachilon Leaven the Dung of Beasts Spirit and Lees of Wine Take Roots of Orrise Marsh-Mallows of each an ounce and half the tops of Wormwood Flowers of Camomile Melilot of each one Pugil Herbs of Pellitory of the Wall Mullein of each one handful Meal of Barley and Fenugreek as much as is sufficient Boil them in White Wine then being beaten together add of Oyl of Orrise and Camomile of each an ounce Make it into a Cataplasm Or Take Cows-dung three ounces Juice of Hemlock one ounce Oyl of Camomile half an ounce Castor two drams Bole-Armonick half a dram Red Myrrhe two drams Saffron one dram Meal of Lupines as much as sufficeth to make it into a Poultice Suppuratives Marsh-Mallow Roots Mallows Camomile-Flowers Figs Galbanum Bdellium Sagapenum Ammoniacum Fat of Hogs Geese Ducks Hens Oyl of White-Lillies Ointment of Marsh-Mallows both
Discussives exceed afterwards we use only Discussives though sometimes stronger sometimes weaker according to the condition of the Disease Take Aloes three drams Bole-armenick half an ounce Acacia Dragons blood Cyprus Roots powdered of each two drams Saffron half a dram Rose-Vinegar an ounce and half Oyl of Mirtle and Earth-worms of each an ounce Wax as much as is sufficient to make it into a Linament Another stronger Take Crude Brimstone Ashes of Vine Branches Sal-Gemme of each two drams Bean-meal two ounces Vinegar an ounce Oyl of Nuts a dram Turpentine and Wax as much as sufficeth either to make it into the Consistence of an Ointment or Cerat Another yet stronger Take Laudanum an ounce and half Frankincense an ounce Styrax-Camitis half an ounce Brimstone six drams Alom Salt-peter Ashes of each two drams Cows-dung half an ounce Oyl of Rue an ounce Turpentine and Pitch as much as sufficeth to make a Plaister An Excellent Cataplasm Take Roots of Marsh-mallows three ounces Bryony Dwarf-Elder of each 2 ounces Leaves of Sage and Rue of each a handful Savin half a handful Boil them in equal parts of Wine and Water in the end adding of Vinegar three ounces then being well beat together add Bean-meal two ounces and a half Ashes half an ounce Cows-dung one ounce Salt half an ounce Leaven an ounce and half Oyl of Camomil four ounces Hoggs-grease two ounces Make it into a Cataplasm If it comes to an Abscess which rarely happens this Poultice is Excellent especially if the Vinegar be omitted and in its room Onions and a quantity of Unguentum Basilicon be added If an Oedema proceed from a Consumption Dropsie or ill habit of Body till those Diseases be cured that cannot I have used often to Cure an Oedema with this Wine or Purging Conserve and exactly rowling the Arms or Legs with Rowlers of 12 or 15 yards long beginning from below upwards and so allowing no liberty for the Humor to descend By this way the Noble Parts are Corroborated the Preternatural Humors Evacuated and the External Members in a few days space restored to their former Condition Take Roots of Orrise Floren. an ounce Sea-holly and Parsley of each half an ounce Rhubarb Agarick Trochis of each three drams Senna six drams Cinamon two drams Cloves half a dram Sem. Siler Mont. two drams tye them in a Cloth and let them infuse in two pints of old White-Wine then take every Morning four or five ounces for a Dose Or Take of Electuary of Juice of Roses an ounce Jalap a dram Spirit of Salt a scruple Mix it in an Electuary Let the Patient take the quantity of a Bean or Hazel-Nut every third or fourth day CHAP. V. Of Scirrhus SCirrhus is a Tumor besides Nature sometimes generated of Tough Viscous Phlegm sometimes of Melancholy hard not yielding to the touch nor painful Differences It is perfect when sprung from Melancholy or Phlegm alone Imperfect when other Humors are unnaturally mixt with it Cause is Melancholy or tough Phlegm Signs great hardness void of pain of a white colour if from Phlegm if from Melancholy Livid Prognostick A Scirrhus where there is no pain and upon which the hair grows is altogether incurable and if Livid it is very dangerous and often degenerates into a Cancer An imperfect small and painful one by means sometimes although very rare may be cured Cure If the Scirrhus be produced from Phlegm the same manner of Diet is to be observed as in an Oedema but if from Melancholy you must chuse a clear Air moderately hot and moist the Meat of the saxe quality and of easie Digestion all sharp things and those that are hot in the third or fourth degree hurt Let the Drink be neither thick nor strong but warming Sadness Anger Cares Venery much Sleep hurtful but moderate Exercises very necessary Bleeding is scarce ever administred with any success but Sweating and Purging with great Amongst the External Remedies are Discussives and Emollients but yet the whole course of the Cure must be mixt now increasing the quantity of the one then of the other The use of Suppuratives in the Cure of Schirrhus hath seldom any good event There are those which try cutting out and burning which must be attributed to their rash ignorance except contained in a proper Tunicle and then the name of Schirrhus is ill attributed to that Tumor Emollient Medicines Butter the fat of Hens Geese Ducks Hogs Foxes Bears Mans Mallows Marsh-mallows Orrach Gums Ammoniacum Galbanum Bdellium Styrax Liquida Ointment of Marsh-mallows Plaisters of Diachilon of Mussilages and Mellilot Resolvents are set down in the Chapter of a Phlegmon Take Gum Galbanum Ammoniacum Oppoponax of each an ounce Flower of Brimstone Red Myrrhe of each half an ounce Camphire a dram Oyl of White-Lillies Ducks-grease of each six drams Wax as much as is sufficient to make it into a Plaister Take Roots of Marsh-mallows three ounces Orrise an ounce Leaves of Colworts Pellitory of the Wall Mallows Flowers of Camomile and Mellilot of each a handful Linseed two ounces boil them in Water and being well beat together add to them Horse-dung two ounces Hoggs-Grease Oil of Camomil of each an Ounce boil'd Onions half an Ounce Make a Cataplasm CHAP. VI. De Tumore Aquoso or Watry Tumor TUmor Aquosus is a Collection of a Watry Humor in the whole body or in some one part soft and without pain yielding to the Fingers but suddenly returning Difference Sometimes the whole body is swell'd with water which Tumor is call'd Anasarca sometimes the lower Belly only or with the Legs and then it is called Ascites if Wind mixing with the water extends the Belly like to a Drum it is call'd Tympanites These are three kinds of Dropsies whose Cure rather appertains to the Physician than Chirurgion Water collected in the Head is call'd Hydrocephalos in the Breast a Dropsie of the Lungs in the Navel a Hydromphalos in the Cods Hydrocele Cause is Serum to wit Salt-water produced from the lost heat of the parts that serv'd to Sanguification and Chylification Signs This Tumor is softer then Oedema and more yielding to the Fingers without pain with some itching and if you look on it by Candle-light very shining Prognosticks Watry Tumors are not dangerous if the principle parts that feed it are not too much debilitated yet all are of difficult Cure especially those in and about the Joynts Cure Diet is here the same as in Oedema All Salt things indurated with Smoak and too great a quantity of Drink are very hurtful as also Spirit of Wine and Pepper otherwise hot and dry Aliments are best Purging is very necessary provided it be not too great lest the parts already weak are more weakned provoking Sweat and Urine here are very profitable Bleeding by experience I know it to be hurtful to all Hydropick People Medicines Purging Water Roots of Asarum Dwarf-Elder Jalap white Mechoacans Leaves and Bark of Elder Euphorbium Turbith Gum Gutta Syrup
and Species of Diacarthamum Cream of Tartar Take Syrup of Roses solutive with Senna Diacarthamum of each an ounce Jalap eight grains Cream of Tartar two scruples Parsley-water as much as is sufficient to make it into a Potion A Purging Wine which cures the Dropsie it self Take Roots of Orrise Gentian Succhory Fennel Masterwort of each an Ounce the middle Bark of Elder an Ounce and half Leaves of Ground-pine a handful Rosemary two Pugils Flowers of Centaury the less one Pugil Seeds of Smallage Coriander Carraway Roman-Nettle Fennel of each a Dram Senna two ounces Agarick three Drams Jalap half an ounce Turbith a Dram and half Let them be cut and infused in six Pints of Rhenish-wine Dose four ounces Medicines consuming Water outwardly used Roots of Orrise Bryony Birthwort Flowers of Elder Camomil leaves of Celandine Centaury Calamint Rue Dill wild Majoram Sulphur vivum Salt Allum Bay-berries Ammoniacum Bdellium Take Cows-dung half an ounce Pidgeons dung two drams Sulphur vivum half an ounce Nitre two drams Honey Vinegar of each an ounce and half Bean meal two ounces Bay-berries Cummin-seeds of each half an ounce Oyl of Dill Nard of each an ounce White-wine as much as is sufficient to make it into a Poultice Or Take Frankincense Mastick Myrrhe of each half an ounce Camphire half a Dram Goats-dung an ounce and half Brimstone Salt Cummin-seeds of each three drams Turpentine and Wax as much as sufficeth According to Art make it into a Plaister Hydrocephalus is always of difficult Cure Water contained in the Ventricles of the Brain or between the Brain and Meninges is very dangerous but less dangerous when collected between the Dura and Pia Mater or between the Dura Mater and the Skull For the Dura Mater may be divided into a Lancet if you can come at it but least danger of all when detained without the Skull Purging Sudorificks and Diureticks seldom do any good here but Cauteries Blisters Issues Setons are more profitable but sometimes we are forc'd to come to Incision or Ustion which Remedies although dangerous have cured several Some Chyrurgeons use with an actual Cautery to burn the Skin of the Head in five six or more places but not together and at once but at several times lest the Patients strength should be too much spent continually choosing that place which the watry Humor makes to appear most convenient Some with a Lancet open the Skin near to the Sagital Suture Which of these Remedies are best cannot absolutely be declared I must esteem an Actual Cautery when the Water is between the Skin and the Skull but if under the Skull between the Meninges I do not see how this operation can be performed without a Lancet But which of them soever you chuse have a care of discharging all the Water at once for in the very Operation it self the Patient dies or at least is very much debilitated for till the end of the Cure all the Water is not to be taken away lest the debilitated Parts be deprived of that heat which the Water possest do corrupt but rather what remains must be consumed by Internal and External Discussives and this is to be observed in all Watry Tumors that are Cured by a Paracenthesis In the same manner the Watry Tumor in the Navel and Cod ought to be handled after other Medicines have been applied in vain Dropsie of the Breast belongs not to Chirurgery except where a Paracenthesis is convenient concerning which Read the 15 th Chapter of the first Part. CHAP. VII Of the Flatuous or Windy Tumor THe Flatuous Tumor is a Disease produced of Wind not yielding without resistance to the Fingers Difference Some are without pain others with it in the one the wind is in motion in the other quiet Causes of Wind are Phlegm especially when mingled with Choler which as Ferment doth froth so it proceedeth wind it always happens upon a debility of the Parts by reason of which although endeavoring to concoct the Humors yet are notable Signs are Inflation with a resistance yielding to the Fingers a rumbling noise especially if shaken Prognosticks It seldom comes is fleshy parts in other parts it brings many inconveniencies in weak and Cacochymick bodies it 's of difficult and tedious Cure Cure The same Diet in here to be observed as in an Oedema Pease Beans Turnips Chestnuts and all Crude Fruit do extreamly hurt On the contrary Wine and other things moderately warming profit as also Spices and those things which disperse Wind as Nutmegs Mace Anise Carraways Lovage The Stomach and the whole Body require purging and corroborating Medicines always mixing with them those that disperse Wind and sometimes also where Corroboratives are used Anodines Laudanum Opiatum cautiously used that is half a grain or a grain for a Dose is here excellent For besides that it ceaseth pain it also by its Diaphoretick quality removes the Cause of the Disease To cause Sweat is as necessary as Bleeding is unnecessary Outward Medicines discussing Wind. Roots of Galangale Lovage Herbs Dill Mint Marjoram Peniroyal Rosemary Rue Chervil Flowers of Elder Mellilot Camomil Seeds Anise Carraways Cummin Fennel Nutmegs Cardamum Castor Oyl of Rue Nard Spike Dill Carraway distill'd Mace Nucista exprest and distill'd Mellilot-plaister Take Oyl of Wormwood Rue of each two Drams Oyl of Nucistae exprest one Dram of Mace distilled half a Dram Castor dissolved in Aqua vitae two Scruples Make it into a Linament Or Take the Leaves of Rue Calamint of each half an handful Bean-meal two Ounces Seeds of Cummin and Anise of each half an Ounce Bay-berries Salt of each three Drams Nitre Brimstone of each a Dram Goats dung six Ounces White-wine as much as is sufficient Mix them and boyl them into the Consistence of a Cataplasm Or Take the Roots of Pelitory of Spain half a Dram Venice-Sope three Drams Castor dissolved in Aqua vitae one dram Seeds of Cummin Carraways of each two drams Ashes of Earth-worms half a dram Oil of Spike half an ounce Mastick three drams Wax and Turpentine as much as sufficeth Make it into a Plaister according to Art CHAP. VIII De Herpete HErpes is a Tumor besides Nature sprung from yellow Choler disfiguring the Skin with corroding and spreading Pustules Difference Where Choler solely predominates it produceth Herpes exedens but where Phlegm is mixt with Choler a Herpes Miliaris Cause is sometimes Choler alone sometimes mixt with Phlegm and I see not why the serum of the Blood may not often be here taken as a Cause For the Lymphaeducts being out of order do produce Mutations in mans body heretofore unknown Signs Are little Pustules like to Millet-seed a heat itching and after rubbing a moistness and little Ulcers Prognosticks Herpes is of difficult Cure but of little danger unless so rendred by the immoderate use of Repellents Cure The same Diet is here required as in an Erysipelas Moreover Purging is here very necessary Bleeding not to be allowed of the use
of Baths is excellent and their Waters taken at fit times safely Cure this Disease The Decoctions of China Salsa c. also benefit much Outwardly Fasting-Spittle oftentimes doth good because if it should be repelled to the Internal parts it causeth a Feaver and other ill Symptoms With great success many times have I seen applyed the Powder of Lapis Scisilis mixt with Vinegar some used Mustard boyl'd in Butter to which they add some Gunpowder Lye also and Urine have helpt many Unguent Fuscum of Felix Wurtz is excellent here as also the following Plaister Take Sarcocols Crude Brimstone of each two drrms Mastick Frankincense Lapis Calaminaris of each half an ounce white Troches of Rhasis Litharge of Gold Myrrhe of each three drams Goats Suit half an ounce Wax and Turpentine so much as is sufficient to make it into a Plaister according to Art Take the Powder of Chalk mixt with Cream and anoint the part fomenting it before with the hot Lees of White-wine In a Rebellious Herpes Take the brown Oyntment of Felix Wurtz three drams white Ointment with Camphire one dram and half Cerase Brimstone Myrrhe of each a dram Litharge a dram and half Mercurius dulcis Verdigrease of each a scruple and half Oyl of Roses as much as sufficeth Make it into an Oyntment Or Take Lapis Prunella one dram Flower of Brimstone half an ounce Salt of Saturn a dram and half old Oyl of Rape as much as sufficeth to make it into a Linament CHAP. IX Of Atheroma Steatoma and Meliceris A Theroma is a Tumor besides Nature contained in a proper Cist caused from a Humor like to the Pap of a sodden Barley without pain of the colour of the skin not yeilding to the singers nor when they are removed suddenly swelling out again Steatoma is a Tumor besides Nature contained in its own proper Tunicle caused from a Matter like to Suet and of the same colour soft from a small beginning by degrees increasing difficulty yielding to to the Fingers but they being removed returning again to its former greatness Meliceris is a Tumor besides Nature included in its proper Tunicle engendered from a Humor like to Hony without pain round easily yeilding to the Fingers which being removed returns again to its first Figure Differences This Matter like to Honey Suet or Pap if gathered about the Joynts is call'd a Ganglion if about the Glandules of the Neck a Glandula Scrophula or Struma if in the Arms Legs or Head Turberculum if from the Pox Tophus Cause of these Tumors is Phlegm in the one more in the other less receding from its Natural Constitution and sometimes but very seldom mixt with Melancholy Signs are declared in their Definition Prognosticks They are scarce ever cured but by Manual Operation If the Vesicle be broken or not all taken out there remains a Fistula or a foul Ulcer The Cure of which will be both difficult and tedious Cure They are sometimes but very rare removed by strong Resolvents I have Cured some with Balsom of Peru some use Oxicroceum Plaister or the following Take Laudanum an ounce Red Myrrhe three drams Camphire a dram Mix them and make it into a Plaister according to Art Another Take Gum Sagapenum Ammoniacum of each half an ounce Roots of Pellitory Euphorbium of each a scruple and half Brimstone three drams Oyl of Amber a dram Make it into a Plaister If it break and the Matter discharge out of the Tunicle then must you use Corrosives for other Medicines are too weak Corrosives and Cathereticks Roots of the black Hellebore burnt Galls burnt Date-stones Verdigrease burnt Alum Quick Lime Vitriol Mercury Sublimate and Precipitate Spirit and Oyl of Vitriol Spirit of Salt the Liquor of Tartar Oyntments of Aegyptiacum Fuscum of Felix Wurtz Ashes of Oak and Vine branches Some use Arsnick and Orpment but they are not used but with the greatest danger in those places known by Anatomy under which the Nerves lye to the Skin and Carnous Excrescencies they may be applyed with the less danger The following Ointment will suffice Take Vitriol well sweetned a dram Verdigrease a scruple Ointment of Aegyptiacum half an ounce Make it into an Oyntment If they tend to Suppuration which is very seldom let the Surgeon assist Nature with Maturatives but the safest Method of taking away these Tumors we have shewn in the twelfth Chapter of the first Part. CHAP. X. Of Scrophula Struma or King's-Evil STruma or Scrophula are Tumors besides Nature contained in a proper Tunicle of their own from a Melancholick or Pituitous Humor shewing themselves in manner of Tubercles in the Neck and adjoyning Parts Difference They are sometimes noveable sometimes fixt sometimes but one sometimes many Cause is Melancholy or Phlegm or both mixt together Signs Are Hardness Inequality and seldom painful Prognosticks These Tumors are of long and difficult Cure especially if many or fixt they are dangerous when they grow painful and threaten to become cancerous or if fixt to any great Nerve or Vein sometimes they are Hereditary and sometimes peculiar to a Region or City when cured they for the most part leave behind them great Skars where the recurrent Nerve is divided the Speech is lost and oftentimes Life it self Cure Diet must be here the same as in a Oedema or Scirrhus Purging is necessary but not Bleeding provoking Sweat by the same way and means as in the French-Pox effects much yea it alone cures the King's-Evil Sometimes they are consumed by Internal Remedies that have appropriated Qualities of curing Scrophulas Such are these Roots of round Birthwort Briony Sow-Bread Dropwort Devil's-bit Orrise Pimpernel Pellitory of Spain Squills Vervain Figwort Leaves of Cypress Bawm Rue Savory Flowers of Broom burnt Crabs burnt Egg-shells Sal Gemmae Spunges New Spunges are much commended if boiled in Ale drinking thereof three or four times a day or calcined and taking half a dram of the Powder Morning and Evening The following Powder is likewise very much praised Take the Ashes of Sea-Spunges Os Sepiae Long Pepper Cinamon Sal Gemmae Pellitory of Spain Cypress-Nuts Galls Red-Rose Leaves of each half an ounce Make a Powder Dose two Scruples or a Dram. Or Take of Spunge-stone three drams Sal Gemmae two drams Salt of Tartar a dram Make a Powder Dose two scruples or a dram Outwardly Resolving and Emollient Medicines are applied which if they effect it not then use Suppuratives when 't is suppurated it is to be cured as a malignant Ulcer But if the above-named Medicines signifie nothing then we come to corrosive Medicines and to the Incision-Knife An excellent Resolving Emollient Plaister Take Gum Galbanum Ammoniacum Bdellium of each half an ounce Bay-berries Stavesacre Pellitory of Spain Cummin of each six drams Pigeon's dung a dram Goat's-dung three drams Hog's-grease an Ounce and half Oyl of Camomile an ounce Wax and Pitch as much as is sufficient to make it into a Plaister A Liniment that stops the Flux of Humors and
is to be powred upon it and mixt with it but first it ought to he seven times rectified You must make this Conjunction in a Matrace a Glass-Vessel so called by reason of its roundness in the bottom and long neck and in a warm Balneum till the Calx hath imbibed its Spirit then in a Glass-Alembick you shall separate by Balneum whatsoever of waterish Humidity can be separated and there will remain in the bottom the Buttery Calx of Arsenick of great virtue which must be kept in a Glass-Vessel well stopt Take some of this Powder mix it with Basilicon or a Digestive and thus mixt apply to the ulcerated Cancer CHAP. XIV Of a Gangrene and Sphacelus A Gangrene is a beginning Mortification of the the soft Parts of the Body most commonly following a great Inflammation or ill cured Sphacelus Necrosis Syderatio is a perfect Mortification not only of the soft but of the hard parts also Differences In a Sphacelus the parts are altogether dead but in a Gangrene they begin but to die and the sense is not perfectly abolished there the Skin is first pallid suddenly livid then black here in a manner red greater stink in that than in this The Causes of both are six 1. The External Cold of the Air or Repelling Medicines 2. External Heat from burning or use of Corrosive Medicines 3. A Defect of Nutriment as in an Atrophia either by the compression or obstruction of the Vessels by reason of which straightness the Blood cannot pass to the Part. 4. The stopping of the Pores or Perspiration hindred from whence comes a Suffocation of the Natural Heat 5. Malign Humor either begotten in the Body or contractee from venomous Beasts or Medicines 6. The Scurvy which by a peculiar property causeth the Parts sometimes to mortifie Signs A Sphacelus is easily to be known the Part looks black Spungy Flesh Sense Heat and Pulsation abolish'd But the Signs of a Gangrene vary according to the variety of the Causes If contracted from Cold a great pricking Pain is felt in the affected Part First 't is red then pale at length black The Natural heat by degrees is extinguished and there happens a shaking not unlike that in a Quartane Ague If caused from an External Heat or stopping of the Pores the Redness is changed into White then into Black Pulsation and Pain cease the Senses lessened and at last there appear some Pustules from whence issue a gleety Humor If from defect of Aliment there is neither Pain Inflammation or Tumor the Body waxeth cold and for the most part seizeth upon the Joynts If from a venomous Creature or Humor great Pain and Fever always accompany it frequent Faintings and oftentimes Deliriums Here ariseth a Pustule under which appears a black Spot which spreads it self over the whole part If from the Scurvy it for the most part begins at the Toes it shews it self outwardly with blackish spots and lines which degenerates into a dry Crust upon which follows a Numness of the Part and at length a Mortification it self without any Stink Sometimes without pain other times very great especially in them that are given to Passion or Sadness Prognosticks Except a Gangrene be suddenly stopt it degenerates into a Sphacelus easilier cured in young than old People The Humors continually flowing to the part affected bring danger with them and that very great if they are Malignant In the Cavities of the Body to wit in the Mouth Privy Parts and Fundament c. a Gangrene is always difficult of Cure as also that which happens among the Nerves and Tendons in Hydropicks always mortal That which happens from the Scurvy may be spun out from many Months but seldom cured A Sphacelus is not cured but by the Knife and Fire Cure Diet must be good the Air Meat and Drink generally cooling and drying But seeing the Causes are various we leave it to the Physitian to prescribe what is convenient who also must well distinguish concerning Bleeding and Purging when to be used with advantage or disadvantage Sudorisicks and Cordials are of great use here and because that in this and other Diseases they are often used I thought it convenient to set them down in this Place Diaphoreticks or Sudorisicks Roots of Angelica Scorzonera Lovage Contrayerva Herbs Holy-Thistle Fumitory Scordium Harts Horn Unicorns-Horn Bezoar the Stone of an Indian Hog called Pedro Porco Waters of Threacle Alexipharmick Diascordium Threacle Mithridate Species Liberantis Antimony Diaphoretick Salts of Wormwood Prunella Holy-Thistle Rob. Sambuct Take Diascordium Farcastorii one dram Alexipharmick-Water two drams Holy-Thistle water as much as is sufficient Syrup of Limons half an ounce Make a Potion Cordials Waters of Roses Borage Bugloss Conserves of Rosemary-flowers of Roses Violets Borage Bezoar Harts horn Unicorns horn Confections of Alchermes Hiacynthus Rob. of Red Currans of Barberries of Scorzonera Roots Candied Citron and Orange-peels Candied Saccharum Perlatum Salt of Coral Take Water of Borage Bugloss of each two ounces and an half Alexipharmick-water three Drams Cinnamon-water two Drams Saccharum Perlatum half an ounce Confection of Hiacinth half a Dram prepared Crabs eyes two Scruples Spirit of Salt four Drops Mix them Let the Patient now and then take one or two Spoonfuls Externally Cupping glasses and Leeches but chiefly Scarification must be used although there are some of our Chirurgeons which altogether reject Scarification nevertheless happily curing their Patients by the following Medicines which resist Putrefaction External Medicaments against a Gangrene Roots of Angelica round Birthwort Herbs of Wormwood Holy-Thistle Tobacco Rue Colewort Germander Flowers of Elder St. John's Wort Mellilot Camomil Lye Brine Ink Urine Spirit of Wine Treacle Ung. Aegyptiacum Fuscum of Felix Wortz Horse-dung Some mix Hemlock in Plaisters or Poultices and use it with success Or Take the Tops of Wormwood Camomil and Elder flowers of each half a handful Leaves of Germander a handful and half Rue half a handful Crums of brown Bread seven ounces Horse-dung three ounces Boyl them in Brine in the end adding to them Ink two ounces Spirit of Wine three ounces Make it into a Cataplasm The sound part ought also to be preserved partly by keeping the Humors from flowing and partly by keeping the Gangrene from spreading For this purpose the Red defensive Plaister or the Cerot of Virgo is good as also this following Cataplasm Take Bolearmonick half an ounce Powder of Galls Cypress-nuts Pomegranate-rinds of each three Drams Barley-meal six Ounces Oxymel simplex as much as is sufficient to make it into a Cataplasm Or Take Seal'd Earth Bolearmenick of each half an ounce prepared Harts-horn a dram Camphire a Scruple Rose-vinegar an Ounce Oyl of Mirtles three ounces white of an Egg Make it into a Linament Cure of a Gangrene caused from Cold. The part gangren'd if not grown black but as yet appears very red with pain the Patient is to be placed at the Fire but not too near but at a distance
again but if great not so easily yielding to the touch not so strong a Pulsation but there is a noise observed as of boiling Water yet in the Head and Jaw I have found after death an Aneurism which while the man was alive there could be no Pulse perceived In the hard parts is greater Circumspection to be used than in the soft and fleshy Prognosticks It is difficultly cured if great not at all except with the taking off the Member for the most part it is a long Disease although I have seen it kill without any other accidental Cause within two years If Incision be made Death suddenly follows Cure In the beginning there may be some Hopes Astringents and Repellents and convenient Ligatures by which we do not seldom administer something of Remedy to the Patient as also the applying a piece of Lead straightly bound on have sometimes cured little Aneurisms But where the Tumor is encreased there are some would have the Skin divided and the Artery tied both above and below and cut out the middle with the Tumor and loosen not the Ligatures till the Wound is perfectly cured and there is no fear of an Hemorrage but this Operation is dangerous painful and troublesome and oft-times of little Benefit But to preserve Life I would take off the Member CHAP. XVII Of Opthalmia OPthalmia is an Inflammation of the Membranes of the Eye from Blood with Redness Pain and shedding of Tears Difference A light Inflammation and which depends from external Causes is called a Bastard Opthalmia Taraxis or Epiphora but a great Inflammation accompanied with pain and tears a true Opthalmia And if it be so great that the Eye-lids are so inflamed and as it were turned inward 't is called Chemosis Causes are two 1. Internal as Blood oft-times mixt with Serum or Choler seldom with Phlegm or Melancholy 2. External as Smoak Dust c. Signs vary according to the variety of Causes If it proceed from too great a quantity of Blood the Face looks red and the Vessels of the Eyes are extended If either from more of Serum or Choler the Redness of the Face is less but the Tears are more sharp and the pain greater if from more of Phlegm the reddish pain Heat and Acrimony of Tears are more remiss and the Eye-lids at night are as it were glewed together If from any thing of Melancholy there are but few Tears and the Eye-lids are not closed together the Inflammation is not great but stubborn Prognosticks An Opthalmia is flower cured in Children than in old people Continual pain menaceth Blindness by how much greater the Inflammation is so much the more dangerous it is Cure The Diet must be the same as in a Phlegmon all sharp things are carefully to be avoided as Garlick Radishes Mustard c. little or no Suppers profit Purging the use of Glisters Bleeding ought to be oft-times re-iterated as also Cupping-Glasses Leeches Blisters sometimes also Seatons Issues and Artereotomy it self which is not to be done by any but an expert Chirurgeon Sneezing is hurtful Provoking of Sweat is sometimes necessary sometimes not which the Physician must distinguish Dieureticks are of great use provided they are not too hot External Remedies vary according to the variety of Causes if from Smoke or Fire let them be extinguished If from Dust or any thing got into the Eyes 't is to be taken forth which is often performed by blowing or by the spurting in of Rose-water If from the inversion of the Eye-lids the Hairs are to be cut off or wholly to be pull'd out If the Eye-lids are glew'd together they are to be separated with Butter Beer or Cream the Rheum is gently to be wiped and let the Patient have a Care lest by the rubbing of his Eyes he increaseth his Disease Fat things are here hurtful Repellent Medicines except in the very beginning are not to be used or in a very slight Opthalmia Medicines good for the Eyes Roots of Valerian Solomons-Seal Orrise Vervain Herbs Betony Celandine the great Eyebright Fennel Fumitory Plantain Flowers of Roses Violets Anni-seeds Quince-seeds Linseeds Pippins boil'd or rotten Camphire Mussilage of Lin-seeds Tragacanth Fresh Veal Whites of Eggs all sorts of Milk especially Womans Tutty white and green Vitriol Saccharum Saturni Glass of Antimony White Troches of Rhasis fresh Cheese not salted Ung. Saturni A Water for the Eyes Take Waters of Eyebright and Celandine the greater of each an ounce and half White-wine six drams Glass of Antimony eight grains prepared Tutty fifteen grains White-Vitriol two grains Sugar-Candy two drams Camphire four grains Make it into a Collirium Another excellent one Take Wheat three handfuls Bruised Ginger three drams Common Salt a handful and half White-wine Water of Roses of Fennel Plantain of each ten ounces Infuse them in a Copper Vessel the space of forty days strain them and reserve the Liquor for your use Another very much esteemed Take a whole Egg boil it hard then the shell and Yolk being taking away put into the Cavity Sugar of Saturn six grains Camphire two grains White-Vitriol three Grains Honey of Roses half an ounce then press it very hard and let the prest out Liquor be dropt into the Eyes twice or thrice a day Another second to none Take Waters of Fennel and Eyebright of each a pint Common Salt six drams prepared Tutty white Vitriol of each half an ounce Let them boil a little and reserve for use Let not the great quantity of Vitriol afright any it causeth only a slight pain which suddenly vanisheth but 't is of so great virtue that it cannot sufficiently be extoll'd but its use will prove it true A Powder for the Eyes Take Dulcified Vitriol half a dram prepar'd Tutty fifteen grains Sugar-candy a scruple Make it into a fine Powder Unctious Medicines seldom are applied to the Eyes or else this Ointment is much commended Take Verdigrease twelve grains Camphire Lapis Calaminaris of each half an ounce prepared Tutty half a dram fresh-Butter washed in Rose-water two ounces Make it into an Ointment An Anodine Cataplasm Take Camomile and Melilot Flowers of each a pugil rotten Apples two ounces Fenugreek-seed an ounce Crums of Brown Bread three ounces two yolks of Eggs Saffron half a dram Boil them in Cows-milk to the consistence of a Poultice An Anodine Collirium Take the Juice of Housleek two drams Whites of Eggs half an ounce Womens-Milk two ounces Rose-water an ounce white Troches of Rhasis one scruple Opium three grains Mix them Another which I have often found excellent in the greatest pain Take Gum Tragacanth two drams Mussilage of the seeds of Fleawort three drams Rose-water and Plantain-water of each as much as sufficeth Make it into a Collyrium of an indifferent Consistence and let it be instilled by drops into the Eyes and Linnen-Cloaths wet in it outwardly applied CHAP. XVIII Of a Quinsie A Quinsie is a Tumor of the Jaws from Blood hindring Deglutition and
Respiration Difference 'T is divided into three species the first is called Cynanthe when the Muscles of the Larinx are inflamed the Symptoms here are very dangerous although neither internally nor externally appear any Tumor the Patient puts forth his Tongue like a tired Dog to fetch his breath Second is Synanche when the Tumor shews it self within the Jaws the Symptoms are likewise here great but much less than in Cynanthe Third is Parasynanche when the Tumor appears more Externally than Internally and in this the Symptomes are least of all Cause is Blood for the most part mixt with Serum or Choler seldom with Phlegm or Melancholy Signs of an approaching Quinsie are a stiffness of the Neck swallowing and breathing somewhat hindred an unusual heat and pain in the Jaws especially when Quinsies are Epidemick Signs of a present are a suffocating Asthma swallowing hindred which often increaseth to so great a heighth that Drink taken in at the Mouth comes forth again through the Nostrils Pain Redness Tumor for the most part also a continual Fever the Tongue likewise swell'd and the Voice altered Prognostick A perfect Quinsie never wants danger but sometimes suffocates the Patient the first day generally before the fourth If the Matter be not suddenly concocted and thrown forth it is desperate if the Vertebraes be laxated death is near at hand foaming at mouth is a sign of present death if the Patient be taken with a pain of the Head a Delirium raving and death it self suddenly follows Cure Bleeding in this case effects much both by taking away of the Inflammation and by hindering its increase which is to be performed at first sight therefore let the Median or Cephalick Vein of the side most affected be opened though in Women with Child then the Vein under the Tongue Cupping Glasses with Scarification may also be applied to the Neck about the second Verrebra Shoulders and Breast Leeches Cauteries and Blisters do much good especially in them that are Subject to Quinsie In the mean time if the Patient can swallow let some purging Medicines be given him if not let a Clister be cast in with Bleeding which must be often reiterated as occasion requires Gargarisms then and other External Medicines are to be used which in the beginning are to be more Repelling afterwards more Discussing for Experience and best Authors have taught 1. Repellents never are to be used alone except in the beginning and in a light Quinsie 2. That Repellents ought always to be mixt with Resolvents for Repellents destroy the heat of the Part Resolvents cause Fluxion Medicines in a Quinsie Roots of Marsh-mallows Liquoras Herbs Comfrey Myrtle Prunella Dandelion Scabious Plantain Housleek the greater Sage Alehoof Violets Flowers of Balaustians Red Roses Saffron the four cold Seeds Poppy the Rinds and Juice of Pomegranates Figs Album Graecum Burnt-Swallows Burnt-Allom Swallows Nests Syrups of Maidenhair Violets Purslane Jujubies Scabious Lungwort Honey of Roses Rob. Diamori A Repellent Gargarism Take Flowers of Red-Roses Balaustians of each two pugils Pomegranate-Rinds half an ounce Oak-leaves a handful Burnt-Allom half a dram Boil them in Smith's Water and add to a pint of the Liquor two ounces of Rob. Diamori Mix them Another very convenient in the beginning of the Disease Take leaves of Dandelion two handfuls Alehoof Violets of each half an handful boil them in Barley-water and to a point of the strained Liquor add of common Honey of Roses and strained of each an ounce and half Spirit of Vitriol 15 drops Mix them A Repellent and somewhat Discussive Gargarism Take Liquoras Pomegranate-Rinds of each two drams Balaustia Flowers a pugil Jujubies No. xij Figs No. iij. Raisins six drams boil them in Barley-water To a pint of the Decoction add of common and strained Honey of Roses Syrup of Maiden-hair of each an ounce Mix them A Gargarism greatly Repelling but strongly Discussing Take the Roots of Dwarf Elder Orrise of each two drams Flowers of Camomil a pugil Red-Roses Hysop of each two pugils Dates No. iij. Figs No. vj. Fenugreek-seeds two drams Album Graecum one dram Boil them in Turnep-Broth Add to it Syrup of Maiden-hair and Jujubies of each an ounce Mix them If the pain be very great boil them in new Milk chiefly in Goats External Medecines for a Quinsie Oyl of Nuts White-Lillies Almonds Camomile Dill Capons-grease Hoggs-grease Ointment of Marsh-mallows Plaister of Musilages Dogs and Pigeons-Dung Swallows-Nests Take Roots of Marsh-Mallows White-Lillies of each an ounce one Swallows Nest Figs Dates of each No. iij. Album Graecum half an ounce Boil'd Onions half an ounce Boil them in Barley-water and to a point of the strained Liquor add of Wheat-meal and the Powder of Lin-seed of each an ounce Fenugreek and Marsh-mallows powdered of each two ounces and a half Yolks of two Eggs Eastern Saffron two drams Oyl of Camomile two ounces and a half Make it into a Cataplasm Take Juice of Onions two ounces Oyl of white-Lillies Orise of each an ounce and half boil them a little adding to them of Swallows-Nest a dram Pitch and Wax as much as sufficeth to make it into a Plaister But if the Tumor tends to Suppuration 't is to be forwarded and then to be opened either by Medicines or Launcet A Suppurating Cataplasm Take Roots of Briony white-Lillies Orrise of each three drams Leaves of Pellitory of the Wall a handful Camomile-Flowers half a handful Onions an ounce Figs No. xij Boil them and bruise them adding of the Powder of Fenugreek-seed and Lin-seed of each two ounces Hens grease an ounce Oyl of Camomile two ounces Mix them A Suppurating Gargarism Take Roots of white-Lillies and Liquoras of each three drams Onions half an ounce Raisins stoned an ounce Figs No. vj. Lin-seed and Fenugreek of each two drams Leaves of Mallows and Coleworts of each half a handful boil them in Barley-water and to a pint of the strained Liquor add of Syrup of Maiden-hair two ounces Mix them And to make the Abscess break add to this Gargarism Take Mustard-seed two drams Roots of Pollitory of Spain powdered one dram Saffron a scruple Oximel simple an ounce Mix them But if it doth not forthwith break by these Medicines 't is to be opened by a Launcet or some other Instrument afterwards using Emollient Gargarismes and somewhat abstersive The end of the first Book of the second Part. BARBETTY'S CHIRURGERY The Second Book of the Second Part Of CHIRURGERY Of Wounds CHAP. I. Of the Nature Differences Causes and Signs of Wounds A Wound is a Solution of continuity in the soft parts of the Body from a hard Instrument causing an Abolition or Immination of Action Differences are taken 1. From the Form some are long others oblique some are little others great some are deep others superficial 2. From the wounded Part as the Head Lungs Heart Stomach Liver Spleen Guts Nerve Tendon Vein or Muscle sometimes the Skin is only penetrated then 't is a simple Wound sometimes a Part
a Wound penetrating into the Cavity it self all the Tunicles being divided the Wound of the Abdomen ought to be united by a Stitch a little Orifice being left through which a Tent is to be put which must not enter the Wound of the Stomach but only outwardly touch it let it be armed with this or the like Take Oyl of Mastick of Fir-tree of each an ounce Manna of Frankincense two drams Powder of the Roots of Tormentil of the greater Comfrey of each a dram Saffron a Scruple Earth-worms half a dram White-Wine two ounces boil them to the Consumption of the Wine and make a Liniment Take Turpentine half an ounce Yolk of an Egg Oyl of St. John's-wort an ounce Mix it and make a Liniment Wounds of the Small-Guts sometimes though seldom may be cured this I can prove by a notable Example Those of the Great-Guts are more easie Where the Small-Guts are hurt the Chyle and sometimes the Meat Drink comes forth through the Wound there is great pain with a Fever and Nauseousness Where the Great-Guts the Excrements come out at the Wound or at least the scent the Body is bound the Wound is forthwith to be stitcht together and the Gut to be restored into its natural place well cleansed with warm Water and this following Powder sprinkl'd upon it Take Aloes Mastick Frankincense Mummy Dragons-blood of each a dram Make it into a Powder Wounds of the Liver and Spleen require bleeding and if the Belly be bound Clisters are daily to be injected to the Wound it self are to be applied Astringent and Drying Medicines Wounds of the Kidneys are difficultly and slowly cured If made into the Cavity it self the Blood that comes forth is Serous otherwise more pure This Liniment is of great esteem to be used outwardly Take Rosin of the Pine six ounces Oyl of Bays and Turpentine of each an ounce Gum Elemny four ounces and an half Mingle them Inwardly are to be given the Troches of Alkakingi Gordonius de Carabe or Sealed-Earth Bole Turpentine and Wound-Drinks Wounds of the Bladder are generally cured after the same manner but it is very seldom that they leave not behind them a Fistula The following Pills are of great use in Wounds and Ulcers in the Kidneys and Bladder Take Mans Bones calcin'd three drams Chalk Burnt Talk of each a dram Troches of Winter Cherries three drams Venice-Turpentine a little boil'd as much as is sufficient Make them into Pills about the bigness of little Pease rowling them in the Liquoras-powder let the Patient take morning and evening six of these The End of the Second Part of the Second Book BARBETTY'S CHIRURGERY The Third Book of the Second Part Of CHIRURGERY Of Vlcers CHAP. I. Of the Nature Differences Causes and Signs of Vlcers AN Ulcer is a Solution of continuity with Diminution of Magnitude in the soft Parts from a Corroding Matter Differences are taken .1 From the Form of the Ulcer so 't is great little long short broad narrow right transverse equal unequal deep superficial 2. From the Part affected which sometimes is the Skin and Flesh only sometimes the Tendons Nerves and Vessels that carry the Blood 3. From the Causes which shall be presently spoken of 4. From the Symptoms so 't is painful itching obstinate verminous carious Cause is a sharp and corrosive Humor and that is twofold 1. Internal as Choler Melancholy Serum Salt Phlegm and other Malignant Humors 2. External as Burning and Corrosive Medicines the Sweat of Man infected with the Itch Leprosie or Pox. Signs of Ulcers in general are manifest enough the particulars you shall have in their places Prognostick By how much deeper the Ulcer is so much the longer 't is in Curing Ulcers in Parts that are subject to much Humidity are difficultly cured If an Ulcer cannot be cured in a long time or when Cicatriz'd breaks out again the Cause is the Bone being foul under it Ulcers near to the Nerves Veins or Tendons are dangerous In Cacochimick Bodies their Cure is tedious If the Matter which comes from them be good it gives hope of an easie Cure Good Matter is of a middle consistence between thin and thick white light equal and not at all stinking That which is ill is thin and fluid pale livid and of ill smell Old and inveterate Ulcers are not cured without danger except the Body be well purged and a good order of Diet observed otherwise some Diseases will ensue CHAP. II. Of the Cure of Vlcers PUrging and Bleeding are here often necessary but a good ordered Diet always Hot Meats and Drinks hurt as also all Sweet and Salt things Outwardly the Humor ought to be concocted and turned into Matter the lost flesh ought to be repaired and then to be skinn'd Remedies necessary to perform these are Digestives Sarcoticks and Epuloticks which are set down in the seventh Chapter of the second Book of the second Part. We will add some Compounds A Defensive Take Guaiacum-Wood long Birthwort-Roots of each an ounce Centaury the less Wormwood Agrimony of each a handful Boil them in white Wine and to two ounces and an half of the strained Liquor add of the Meal of Orobus half an ounce Myrrhe powdered two drams of honey of Roses two ounces Spirit of Wine an ounce Venice-Turpentine as much as is sufficient to make it into a Liniment A Sarcotick Take the Brown Ointment of Foelix Wurtz three drams Basilicon half an ounce Gum Elemni two drams Turpentine six drams Colophony Mirrhe Aloes Mastick of each half an ounce Litharge of Gold three drams Oyl of Roses as much as sufficeth to make it into an Ointment An Epulotick Take Sacchar Saturn Litharge of each two drams Lapis Calaminaris one dram Roots of Tormentil Bistort round Birthwort Dragons-Blood burnt Egg-shels of each half an ounce Make them into a Powder Let it be sprinkled upon the Ulcer or mingled Gall half an ounce Honey as much as sufficeth to make it into a Linament CHAP. III. Of an Vlcer with foul Bones IT falls out sometimes that the Bone which lies underneath the Ulcer to be foul Bones are corrupted and contract a rottenness either from the long Flux of Humors or from the Acrimony and Malignity of them or from an Occult quality or from a Contusion in some manner injuring the bone it self or from sharp Medicines Signs of Corruptions are many Where the Bone lies open to the sight at first it appears of the colour of fat then yellow afterwards black and unequal but where it cannot be seen Chirurgeons may judge that there it is a Corruption 1. If a Fistula preceded or the Ulcer hath been of long continuance 2. If the Ulcer being skinn'd break out again 3. If the flesh above it becomes loose spungy pale or livid 4. If with the Probe you find no resistance but an Inequality 5. If the Matter be much thin and stinking Prognostick If the Caries be near the Nervous parts or in the Joynts or about
and Bleeding it be perfectly cured The true Cure is performed in this manner good Diet Purging Bleeding and Wound-Drinks effect here very much but the Haemorrhoids flowing more Natural Baths do oftentimes cure the greatest Fistula's in defect of them may be prepared Artificial of Brimstone Alom Salt and Tartar boil'd in Water afterwards let the Fistula be drest according to Art Externally the Part is to be corroborated the Humor contained in the Sinus to be dried but especially the Callosity of the edges is to be taken away therefore are Medicines for this purpose to be us'd by whose help many Fistulas have been cured but these not being sufficient an actual Cautery is to be applied having first divided the edges for which purpose the Syringotomon of Fabritius Aquapendents is a most useful Instrument Medicines for a Fistula Roots of Hellebore Cuckospittle Gentain Birthwort Euphorbium Juice of Celandine Smallage Dragons Spunge Flax strong Vinegar Lye Lime Alom Vitriol Verdigrease Orpine Mercury-precipitate and sublimate the Phlegm and Spirit of Vitriol Ung. Egyptiacum Fuscum A Corroborating and drying Plaister Take Mastick Frankincense Pomegranat-rinds of each two drams Dust of a rotten oaken Posts finely searc'd three drams Red-Roses Myrtle-berries of each a dram Yellow Wax Rosin of the Pine Oyl of St. John's-wort of each an ounce Make it into a Plaister An Oyntment Take the Juice of Smallage two ounces of Celandine two drams of Onions one dram Honey of Roses three ounces Turpentine as much as is sufficient to make it into an Ointment Another Take Juice of Flower-de-luce an ounce of Celandine half an ounce Red-Wine six drams Honey four ounces Let them boil a little then add of Aloes Mirrhe of each half a dram White-Vitriol a scruple Litharge two drams Turpentine a little Make it into an Ointment Another more Excellent Take Powder of Briony-roots a dram Frankincense Mirrhe of each two drams Verdigreace half a dram Sal-Armoniac a scruple Hogs-grease Oyl of Olives of each as much as sufficeth to make it into an Ointment Another of greater Vertue Take White Vitriol four ounces Alom Verdigreace of each half an ounce Strong Vinegar six ounces Calcine them in a luted Vessel and powder it Mixt it with Ung. Aegyptiacum and arm the Tent with it The brown Ointment of Felix Wurtz is a most excellent Medicine in this case if it be reduced by boiling into the form of a Suppository and so put into the Fistula You will do well to prepare it your self for 't is not rightly made by every one The following Suppositories are excellent especially in Fistulas of the Fundament and other soft Parts Take Agrimony half a handful Scordium a pugil Flowers of St. John's-wort two pugils French-Barley an ounce boil them in White-Wine and strain them adding of Virgins-Honey four ounces Boil them to a thickness then add of Male Frankincense choice Mastick of each two drams Red Myrrhe a dram and half Sarcocols three drams white Vitriol a dram Make them into Suppositories CHAP. VI. Of Burns BUrning is a Solution of Continuity caused by an External burning-Matter always hurting the Scarf-skin for the most part the Skin and sometimes also the Muscles Veins Nerves and Tendons Difference It admits of three sorts 1. Sometimes there is a Heat and Pain at least in the Part affected caused from burning and except Remedies are presently applied the Scarf-skin is separated and divided from the Skin and Blisters are raised which contains in them clear Water 2. Sometimes the Skin it self is burnt then presently a Blister is raised but no Escar made 3. Sometimes also the subjacent flesh is burnt here the Skin is black and void of sense and after the Escar falls off leaves a deep Ulcer The Differences spring from the Causes for Lead Tin Iron Powder Lightning do vehemently burn Oyl Vernice Pitch and Wax less Straw Water Flax and the like least of all Signs by what hath been spoken are manifest enough Prognostick A deep and great Burn very seldom but leaves ugly Scars behind it Burning from Lightning is for the most part Mortal That which penetrates to the great Vessels generally occasions a Gangrene if to the Intestines incurable Burns of the Eyes and Groins very dangerous If a hairy part be burnt it remains bald never hair grows there again Cure The chief care must be to draw out the fire by which in a light burning you preserve from Blisters and Ulcers in a great one you free from all danger therefore what Medicine soever is at hand is presently to be used let the hurt Part be held to the Fire and fomented with warm Water Ink Lye or let there be applied Soot or an Onion beaten with Salt or any the following Medicines in Burning Roots of White Lillies Liquoras Leaves of Bete Coleworts Hemp Onions Garlick Henbane Tabacco Leeks St. John's-wort Flowers of Camomile Melilot Elders Seeds of Quinces of Line Camphire Myrrhe Olibanum Soot Whites of Eggs Hogs-fat Pigeons-dung Sheeps-dung Hens-dung Nitre Ceruse Ink Brine Lye Oyl of Nuts Rape white Ointment with Camphire Plaister of Red-Lead An Ointment Take Juice of Oniâ—ns two ounces Venice-Sope three ounces common Salt two drams Hogs-grease two ounces Washt Lime three drams Oyl of Rape Mussilage of Quince-seeds of each an ounce Turpentine as much as is sufficient to make it into a Liniment Another by whose means a poor Souldier became rich Take Leaves of new gathered Sage a handful of Plantain two handfuls Fresh Butter without Salt six ounces New Hens-dung and the whitest as you can three ounces fry them together for the space of a quarter of an hour press them hard out and reserve the prest-out Liquor for your use This Ointment is excellent in Burning of all sorts even in the greatest it being melted let the hurt Part be often anointed with it in a day then lay over it a fresh Leaf of Colewort Bete or Plantain If any Pustules are raised and yet the Burnt not great open them the third day and let not the opening be prolonged further lest there follow a Corrosion If the Skin be wrinkled and dried all the Pustules are presently to be cut then let the precedent Ointment or this following be applied Take Oyl of Violets white Lillies sweet Almonds Butter without Salt of each an ounce Mussilage of Fleawort-seed Meal of Marshmallows of each an ounce and half Saffron half a Dram Soot Ung. Basilicon of each an ounce Make it into an Ointment If there be an Escar let its Separation be endeavoured the first or second day for which the last above-prescribed Ointment is exceeding good but if it separates not then Incision is to be made into the sound Flesh When 't is separated it is to be cured as a common Ulcer If there be danger of a Gangrene or already present it requires its Cure which is already treated of in its place Where the Eye brows Lips Fingers or Toes are burnt a clean Linnen Cloth or Plate of Lead is to be put
it comes to pass that the Fat when it is any obstruction in the Cure of an external Disease may be cut off without any pain or other inconvenience 2. The Nails are oftentimes subject to clefts to be rough and of ill colour the Cause is a vicious Humor or some External Accident these may be cured by the often paring of the superfluities and the applying the following Plaister Take Rosin half an ounce Turpentine Frankincense Mastick of each two drams Goats-Suet Green-Wax of each five drams Make it into a Plaister accoâ—ding to Art Blood sometimes remains coagulated under the Nails which may be discussed by this Plaister Take Roots of Crow-foot of Solomons Seal red Mirrhe of each a dram Gum Sagapenum an ounce Oyl of Nuts a dram Make it into a Plaister For the falling off of the Nails a Finger-stall may be prepared of Green Wax Laudanum and Amoniacum c. 3. The shedding of the Hair is a frequent evil the causes of it are Burning Fevers old Head-aches the Leprosie and the French Pox and there is not to be expected any new in its room before the Cause for some time hath been taken away which being done the following external Applications may be made use of Take Southern-wood Maiden-hair Mallows Marjoram of each one handful Cummin roots of Parsley of Radishes Storax Calamit and liquid red Mirrhe of each five drams Euphorbium Cantharides of each a dram Gum Laudanum three ounces Oyl of white-Lillies an ounce Roman Nettle-seeds half an ounce Infuse them 36 hours in three quarts of fair Water then distil them in Balneo Mariae Or Take Aloes a dram Agarick Coloquintida of each two drams Rocket-seeds half an ounce Salt of Camomile two scruples infuse them twenty four Hours in fifteen ounces of White-Wine and keep the strained Liquor for your use CHAP. XIV Of the Generation of the Blood and its Circulation WE have hitherto treated of the Similar Parts properly and improperly so call'd from whom are the Dissimilars compounded The Blood serves to their Conservation as doth the Spirits to the Actions from thence proceeding but how the Blood is generated in our Body and how many Spirits are there found is not as yet sufficiently understood by us In this thing Writers differ among themselves so that the very Truth seems to lie hid in the profoundest darkness yet the love and desire of searching out the Truth exactly gives me freedom to declare my Opinion yet still giving place to a better Sanguification I conceive to be performed after this manner The harder Meat received in by the Mouth chawed by the Teeth and by the Spittle moistened is in some manner prepared to be made Chyle This Spittle from whence it hath its beginning no man as I know of hath rightly demonstrated Those that derived it from the Veins and Arteries it is upon this reason because they communicate several Branches to the Maxillerary Glandules through which the late invented Ductus Salivales pass and moreover a Salivation raised by Art seems to confirm this Opinion But how the Arteries and Nerves can separate so great a quantity of Spittle as we have often known to have been thrown forth in so short a time seems not possible to me I do rather derive it from the Stomach and Limphaducts which I suppose to adhere to the Salivals upon the following Reasons 1. As often as voluntary swallowing is designed we observe the Spittle to ascend as it were from the Stomach into the Mouth it self especially if the Meat be moistened by Drink 2. The Tongue Mouth and the whole Stomach have inwardly a common Tunicle 3. The Meat in the Mouth as in like manner in the Ventricle ought to be mixt with Spittle 4. It would be very troublesome continually to drink in eating for it is very easie for some time to keep the devoured Liquor in the Stomach and then sensibly to communicate some part of it to the Mouth 5. The Limphaducts are dispersed through the whole Body and they go both unto the Stomach and Tongue 6. I judge no Humor to be thrown out of our Body except by peculiar passages and so for several reasons I think the Tears also to be shed though particular Channels which a more accurate hand whether mine or others may sometimes find out Yea the most Noble Lewis Bills the great Anatomist attests to have already discover'd them and promiseth to demonstrate them in the Body and in Figures to the Favourers of Truth If you enquire of me of what nature Spittle is I answer that it is Salt yet 't is not always necessary that this saltness be perceived by the Tongue which those that Understand the Nature of Artificial Salts sufficiently know It is certain that there is some natural Salt in all Meats and Drinks 't is also certain that Salt not only helps the commixing and concoction of the Meat but also contributes much to the fermentation of the Humors The Ductus Salivales which we have now made mention of have but one strong Tunicle not unlike the Ureters but that they are lesser Of each side one They take their Original endued with many Roots from a certain great Glandule lying under the Tendon of the Musculus Digastricus not far from the upper Part of the Jaw then they run under the Tongue above the great Nerve of our eighth Pare to the more inward parts of the mouth where in the two ranine Glandules near the bridle of the Tongue they terminate from whom being variously perforated issues out the Spittle into the Mouth of which the enquiring Reader may more largely satisfie his curiosity out of the Writings of Glisson and Van-Horn The Meat thus chewed by the Teeth and prepared by the Mouth through the Gullet by the assistance of proper Muscles is carried into the Stomach which that it may the better keep it it presently purseth it self together so that the upper Orifice is close shut but the lower not so straight that though very lightly pressed may there find passage The Meat received by the Stomach and moistened by Spittle Drink and its own humidity forthwith by the heat of the Stomach begins to be concocted the Order is not observed here which was in the eating of the Meat yet in the beginning I have observed the Meat to be disposed in the same order as it was devoured by the Animal that was dissected but afterwards the Stomack continually digesting first sends away that Meat which is of easiest Digestion to the Guts and it doth not detain it whilst the other is also concocted which Loosnesses and Vomiting evidently enough declare if you look into the Excrements The Meat being concocted assumes a whiteness like to Cream and this is called Chile The Chile out of the stomach through the Pylorus enters the Intestines in which passage there is a notable Peristaltick motion Out of this the Venae Lacteae suck what is useful to nourish the parts and the unuseful is cast out
in one days space with compound Ointment of Marshmallows the watry matter being suckt out by a Woman or Whelp but this discharge being neglected or delayed every day the Breast grows harder and harder nay becomes enflamed then Bleeding Purging Sweating is requisite Outwardly this Cataplasm may be applied Take meal of Marshmallows of Fenugreek of each an ounce Flowers of Elders Camomile of each an handful red Roses two pugils Crums of course Bread an ounce and half Boil them in Ale adding to them of Rose-Vinegar an ounce Make a Cataplasm The Flux of Humors and Pain being ceased the remaining may be discussed by the following Cataplasm Take Meal of Beans of Linseed and Fenugreek-seed of each an ounce Cummin-seed three drams boil them in Wine adding to it compound Ointment of Marshmallows Oyl of Camomile of each half an ounce Make it into a Cataplasm When it begins to apostumate Maturatives are to be used Take Leaves of Mallows Marshmallows of each a handful Powder of Linseed an ounce of Fenugreek-seed an ounce and half Leaven half an ounce boil them in Milk adding to them Vnguentum Basilicon an ounce Saffron a scruple Make it into a Cataplasm The Tumor being suppurated must be opened with a Caustick or what is better with a Launcet and put a Tent into it dipt in common Balsom of Brimstone until the end of the Cure laying upon the Breast Emplastrum Diasulphuris Bulandi 3. A Gibbosity ariseth from the spine of the Back when the Vertebra's are removed outwardly or of one side from their natural place which is occasioned sometimes by an External Cause some by an Internal especially when some pituitous Humor is collected about them this Humor must be taken away by discussive Oyl and Plaisters before what is started out can by a Steel-compress fitted to the Body of the Patient be reduced This reduction is not so much performed by the Compress as it is by the Emollient quality of the Iron For this reason it is necessary that the Patient though cured for a year or more after use another Bandage that the soft Bones may not again start out It is here likewise to be observed that in the middle of the Back about the seventh Vertebra with great success may an Issue be made to intercept Rheums flowing to the Hip Kidneys Feet c. CHAP. II. Of the Internal Parts of the Thorax THe Breast now comes to be opened that we may view the Fountain of Life which the Celestial Truth affirms to consist in the Blood for what reason is it therefore that the Sovereign Sanguification is not attributed to the Heart where every where and by all it is call'd the Original of Life Within the Breast is invested by the Pleura which is afterward doubled and at length quadrupled extending it self from the Vertebra's to the Sternum and then it is called Mediastinum dividing the Lungs and Thorax Near to the Throat there adheres to the Mediastinum a Glandulous Body call'd Thymus The Lungs drawing in the Air so cooling the Heart is furnished to this purpose with a Trachea Aspera Arteria or Wind-pipe this lies upon the Gullet and consists of Cartilaginous Rings and a double Membrane The outermost of these Membranes which is the thinner ariseth from the Pleura the innermost which is the thicker from the Dura Mater The annulary Cartilages are joyned together with Ligaments and make not a perfect Circle as being destitute of a fourth part that lies upon the Gullet The Wind-pipe distributes Branches through the whole Lungs which are strong enough but not at all Cartaliginous The Lungs themselves covered with a thin porous Tunicle consist of a soft red spongy substance In the fore-part they adhere to the Sternum in the back-part to the Vertebra's filling the greatest part of the Breast It hath seven lesser Vessels of which we shall speak in their places The Heart the Work-house of the Blood the Fountain and Origin of Life as the Sacred Writ it self also witnesseth is included in a certain Case call'd by Anatomists Pericardium It consists of two Membranes the outermost comes from the Mediastinum the innermost from the Vessels of the Heart it contains a clear watry Liquor void of all Acrimony which we no longer doubt of to be brought from the Ductus's of the Limpha The Heart it self consists of a fleshy serene and hard substance which is invested with a proper Tunicle furnished with Fibres of all sorts and like a Muscle is continually moved It is placed in the middle of the Breast but the point of it inclines sometimes to the left side In Figure it is like to a Pine-Apple having in its upper part two Auricles or little Ears which alwayes beat before the Heart it self In old people the right Auricle is bigger than the left which in Infants is the contrary in the throwing forth of the Blood the Auricles as well as the Heart it self are purst together and dilated as often as they take in the Blood and this Constriction and Dilation makes the Pulse For the concoction reception and throwing forth of the Blood it hath two Cavities and four Vessels The Cavities are distinguished by a fleshy Division in which I could not yet find any way appointed for the motion of the Blood out of the right Ventricle into the left although many Anatomists do certainly affirm it These Cavities are divided into the right and left the right which is the greater receives the Vena Cava and Arteria pulmonalis or Vena Arteriosa the left which is the least receives the Arteria aorta or great Artery and Vena pulmonalis or Arteria venosa Of these Vessels as also of the Nerves and Chylous passages or the Thoracick lacteal Veins we have treated of in the first Book Under the Wind-pipe in the Cavity of the Breast lies the Oesophagus or Gullet resting upon the Vertebra's About the fifth Vertebra of the Back it inclines a little to the right side that it may give way to the Arteria aorta unto the eleventh Vertebra thence with a straight Ductus it passeth the Diaphragm into the lower Belly It consists of a double Membrane the outermost is fleshy having streight and round Fibres the innermost transverse and oblique Many add to these a third from the Peritonaeum and rightly in my opinion The Diaphragm in nature of a Fan serving to respiration divides the Thorax from the Abdomen and adheres to all the Bastard-Ribs to the Cartilage of the Breast-bone about the Vertebra's sending two fleshy Processes to the lower parts Its edges round about are fleshy variously movable like a Muscle but its Center Membranous and very sensible It hath three perforations 1. In the middle of it through which the Vena Cava passeth 2. In the left side through which the Gullet with the adjacent Nerves 3. About the Vertebra's for the passage of the Arteria aorta with the Vena azygos It receives more Nerves than any other part of
of some Humor which renders the Cure very difficult For this I commend the often praised Restorative Powder 3. A great Tendon is inserted in the Calcaneus or Bone of the Heel which being wounded or much contused brings Convulsions and death it self About this place comes Kibes whose cause is intense cold or heat with driness Here first are observed Fissures in the Skin then follows an Ulceration All fat things and Plaisters profit here especially the following Take Powder of Galls of round Birthwort of each half a dram red Lead a dram Mercury sublimate six grains Litharge Mirrhe of each a dram and half Camphire a scruple Franckincense two drams green Wax as much as sufficeth to make it into a Plaister In the room of green Wax you may take the Fat of Deer or of Rams 4. The Fingers or Toes being frozen must be rubb'd with Snow or with a bruised frozen Turnep then this following Plaister is much commended Take Hogs-grease fresh Oyl of Olives of each an ounce white Wax two ounces boil them a little and make a Plaister 5. Issues are often made in the Joynts we have formerly declared the place In the Arms between the Muscle Deltois and Biceps in the Thigh two fingers breadth above the Knee in the inside in the Leg the uppermost two fingers breadth below the Knee the lowermost two fingers or three above the Ankle That you may make these Issues without pain instead of a Conclusion take this Caustick which works without pain which is also very much to be commended in sordid and cancerous Ulcers and in Excrescencies Take Crude Brimstone white Arsnick Crude Antimony of each two ounces the Brimstone being melted by a gentle fire and stirred about with a Spatula add the Arsnick and Antimony powdred and mix them whilst they are incorporated with the Brimstone and look red Afterwards Take of this Mixture an ounce Caput mortuum of Vitriol half an ounce Mix them and make a Powder let it be washt six times in Spirit of wine and dried for your use A TREATISE OF THE PLAGUE THE Plague is a Disease whose nature is not to be comprehended by us the Cause thereof seems to proceed from a Spirituous and Infectious Vapour which is powerful enough to make a sudden dissolution of the consistence of the Blood by which means the Heart is deprived both of strength and life I do assert that the Nature of it is not to be comprehended by us as well because it is a Punishment inflicted on us by the immediate hand of Almighty God who vouchsafes not that his Incomprehensible Wisdom and Essence which is sometimes faintly described to us should be narrowly pryed into by his creatures as also that it is in it self so mutable that if we should seriously recollect our selves and recount the several Pestilences wherewith all former Ages have been visited we shall not thereby be able to instance in two of that whole number which have agreed with each other in all circumstances From whence we may easily infer that in the Cure of this Disease an Experienced Physician may much more safely follow the Dictates of his own Reason than adhire strictly to the Method Prescriptions of others For although it doth sometimes by the more remarkable symptoms sufficiently evidence it self yet we cannot likely discover its Nature and Essence although we should the most industriously attempt it But that we may cautiously enquire into it we must know that it is sometimes not accompanied by any Fever And it is necessary that what Physician soever is ignorant of this should either by perusing good Authors or his own Experience acquaint himself throughly with it I have been sent for to several Patients my self who although they appeared otherwise in good health not refusing their meat nor disturb'd in their sleep have nevertheless had Buboes arising in their Groin on their Neck under their Arm-pits or behind their Ears which have apparently discovered a greater Malignity than could be discerned in those Buboes which in other persons have been attended by a violent Fever And many hereupon who have been incredulous and lightly regarded the cautions which I have given them upon this account have with great danger to themselves experimented that as soon as those Buboes have sunk down the Pestilential Symptoms which have appear'd have been very dreadful and much more dangerous than in those that have carefully used the means prescribed to them who have been also much more easily and speedily cured than the other Sometimes the Plague is accompanied with a Fever and again there are some Pestilent Fevers without the Plague To distinguish this Fever from the Plague I used to observe that they that are seized with it complain of pain in their Head and Stomach which sometimes is dispersed over the whole Body sometimes it confines it self to the Arm-pits the Neck the Parts behind the Ears or to the Groin To outward appearance there is not the least swelling If the Patient by such means as is requisite be provoked to sweat at the beginning of the Disease the pain utterly ceaseth and in a few dayes he will be perfectly restored to his health the Disease not having at all discovered it self by any outward Symptoms Why such a Fever should be accounted a Species of the Plague I see no reason But there is no one but will confess it to have seized on that Body on which Buboes Carbuncles and Spots do outwardly appear The cause of the Plague is either Internal or External but unto which soever we impute it it is necessary to conclude that there is in it a power of dissolving the natural Consistence of the Blood and depriving the whole Body of its strength As to the Inward Cause which is Meat and Drink it is evident to all that it cannot produce in any Body whatsoever so great sudden a change but it is most certain that by a long continued course of bad Diet the Blood may by degrees be after such a manner dissolved weakned and corrupted that some part of it assuming to it self a malignant quality a man may be surprized by a sudden Disease sometimes be deprived of life it self which hath been observed in sick persons at several times when there hath been no contagion in the place nor any suspected who have been troubled with perfect Buboes and other Symptoms of the Plague much more intolerable than others have been at any time when the Air hath been infected As to the outward Causes every one confesseth that there are such but their Nature is known but to few The Chymists who are able by the force of Fire distinctly to separate the Parts of simple Drugs endeavour to find the Original of the Contagion in a Volatile Salt which suddenly dissolves the fixed Salt of the Blood which hath indeed some appearance of truth though it will not be relished by all men If you enquire into the Cause hereof from others their
to use this Landanum Opiat Take Bawm-water an ounce Holy-Thistle-water an ounce and half Alexipharmick-water an ounce Confection of Hyacinth a dram Julep of Roses ten drams Laudanum Opiat two grains Mix them Of this she took every half hour one or two spoonfuls and although it caused Sweat yet it procured no Sleep The Chirurgeon for variety made use of his Pestilential Plaister but neither was the pain hereby remitted we were therefore forced at length to apply this following to break it Take of unslack'd Lime of Black-Sope as much as sufficeth By the help whereof the Fever very much abated though the pain continued as before but yet in the space of 10 or 12 days it utterly left her but the Bubo remained open for six weeks after for the whole Glandule was consumed by the Ulcer some part of it which was corrupted was necessarily to be separated from the other In the mean while we had great cause to fear that the putrefaction had pierced deeper because the Ulcer was deep and the sides of it callous and a serous matter came from it but by the blessing of God the Cure succeeded according to our wish IV. A Bookseller in May was very much troubled with two Biles whereof one broke out on his Buttock the other on the Scrotum To remove the cause hereof and to abate the Tumor I prescribed this following Laxative Apozem to be taken two or three days together Take Tamarinds an ounce Cream of Tartar two drams Senna 6 drams Rhubarb 2 drams and an half Aniseeds a dram and half boil them in Whey and to a pint of the strained Liquor add two ounces of Syrup of Succory with Rhubarb Make it into an Apozem To the Swelling I applied the Plaister Diachilon with Gums by the means whereof they were wholly removed The same person the 26th of August at which time the Plague raged here very much was taken with a Bubo in his Groin which when after inquisition made that I might satisfie the curiosity of him and his Wife I had declared to be Pestilential it was strange to see what terrour seized upon them both but I quickly caused them to chear up again by letting them know that the Life was not at all in danger for the Man in all other respects was very well he eat drank and slept well had no Fever nor pain at his Heart nevertheless I gave him Sudorificks more than once and the Chirurgeon drew a Blister and afterwards applied Plaisters and drawing Poultices whereby in the space of four weeks the Bubo was wholly dissipated without any Suppuration V. A young Emdener of 26 years old on the 12th of Aug. fell into a continual Fever accompanied with drowsiness trembling of the Lips blackness and driness of the Tongue all malignant signs but I restored him again by the 30th of the same Month to effect which I prescribed him a Sudorifick Morning and Evening and for his ordinary Drink this Julep Take Holy-Thistle-water a pint Alexipharmick-water 2 ounces Julep of Roses 2 ounces half Spirit of Salt eight drops Mix them On the 3d day there was Spots discovered all over his Body nor was his drowsiness or the trembling of his Lips abated but he vomited not at all I gave him this Sudorifick Take Salt of Scordium of Holy-Thistle of each a scruple Antimony Diaphoretick half a scruple Crabs-Eyes brused twelve grains our Prophylactick-water Mint-water and Syrup of the juyce of Holy-Thistle of each an ounce Mix it for a Draught By the use hereof the Fever abated very much and on the eight day I found that he had a Thrush for the separation whereof I prescribed this Mixture to be taken by spoonfuls Take the juyce of the greater Housleek half an ounce Water of Self-heal of Purslane of each an ounce and half the yolk of one Egg Syrup of Violets compound six drams Mix them This being twice or thrice reiterated and making use at the same time of a Lohoch of the Syrup of Purslane and Violets by means hereof the Thrush was removed and the Fever cured without either Purging or letting Blood VI. I was sent for on the 18th of August to a Woman great with child which was taken with a great drowsiness and had a Pestilential Bubo brake forth in her Groin but she had scarcely any Fever her Eyes looked well and her Tongue was moist and she seemed very heart-whole she had now gone seven months on the night following she was delivered which I concluded to be a certain sign of Death and found it true for on the next day about ten of the Clock she departed The Husband of this Woman fell sick the same day he was delirous his Eyes sparkled his Tongue was dry all which I noted for very ill signs his Fever was but small but the pain at his Heart very great his Urine like that of men well in health After having taken two Sudorificks he began to come to himself his Tongue was observed to be moist and a Bubo appeared in his Groin and a Carbuncle on his Back which on the next day had three or four more joyned to it These Symptoms promised good success but it happened otherwise for as soon as he saw his Wife dead he was so altered that the Bubo striking inward and the Sweat stopping the 3d day after he died An old Woman related to him had a Carbuncle without a Fever and by our usual way of proceeding was cured in nine days VII A Midwife which went trembling and unsteady gave me occasion from thence to suspect some extraordinary weakness in her or a Delirium nor was I mistaken for when I came to feel how languidly her Pulse beat I found it evident but yet I could discover no outward Symptom nevertheless the driness of the Tongue the difficulty of Breathing and such other signs did discover that some Malignity was concealed within at length upon enquiry she told us that she had a push upon her right Thigh which upon search we found to be a Carbuncle of the breadth of a Shilling She would not grant that she had any Bubo in her Groin which nevertheless I doubted not of nor suffer the Chirurgeon to search He gave her what was requisite to be applied outwardly I prescribed her a Sudorifick after two days she recovered her strength became of a right mind the 3d day seemed to be perfectly well but on the Evening of that day all was changed she became restless and almost distracted and died that night She had taken before I was sent for Manna with Cream of Tartar and after that Tamarinds all which doing no good but the Disease still encreasing upon her she conjecturing that there was some Malignity in it took an ounce of Plague-Water which though it were much weaker than the Malignity required yet she took it for two dayes by my advice but on the third whatsoever I perswaded to the contrary she changed all her Linnen
I gave him the next day a more powerful Sudorifick whereof we found very notable effects but his thirst by that means being increased made him drink a great quantity of Beer whereby the vomiting returned and because he complained of a pain in his Belly we were afraid of a Diarhaea wherefore instead of Beer we gave him this following Mixture by Spoonfuls Take Rose-water two ounces Holy-Thistle-water four ounces Mint-water an ounce Cinamon-water three drams our Prophylactick-Water an ounce and half Syrup of Myrtles two ounces Mix them And in the Evening he took this Sudorifick Take Confection of Hyacinth a scruple Treacle Diascordium of each two scruples Salt of Coral fifteen grains our Prophylactick-Water ten drams Mix it for a draught The night after passed quietly the Vomiting ceased the third day after there was a Carbuncle discovered on the inside of the left Nostril We applied to it our Divine Plaister and inwardly we gave Sudorificks and such things as might refrigerate on the 4th day his Nose was observed to be cold and to look of a purple colour the Carbuncle extending it self to the Processus Mammiformis the Pulse beat low and unequal nevertheless he took another Sudorofick but without success for about Noon many mortal signs discovered themselves and although he was all along of a sound mind yet after two hours he departed XIV The Wife of John N. Chirurgeon in September was suddenly taken with a Fever with drowsiness and anxiety of heart I prescribed this Sudorifick Take Diascordium of Fracastorius a dram Confection of Hyacinth Lapis Prunellae Salt of Scordium of each a scruple our Prophylactick Water an ounce Betony Water as much as sufficeth Syrup of the juyce of Holy-Thistle half an ounce Mix it for a draught It produced no Sweat which was an ill Omen The next day therefore she took this which is somewhat stronger Take Treacle Diascordium of each a dram half our Prophylactick Water an ounce and half Salt of Holy-Thistle a scruple Syrup of Limons six drams Mix it for a Potion And this also effected nothing For variety sake in the Evening I gave her this following Take Salt of Wormwood Scordium Prunella Antimony Diaphoretick of each a scruple Syrup of the Juice of Holy-Thistle an ounce Our Prophylactick Water two ounces Mix it for a Draught By the help whereof she began to sweat the Fever to abate together with the anxiety but the third day after the Spots appear'd which carried her off immediately Her Husband after eight days beginning to visit his Patients again came about eight in the morning to one that was sick when sitting down on a Stool he was suddenly so taken that he could not rise again about Noon by the help of his Son and his Man he went home where taking his Bed he was presently seized with a great drowsiness which I call'd a Coma because whatever I did or said to him I could not get two words from him I presently prescribed him a Clyster and this Ointment for his Head Take Oil of Marjoram a scruple Oil of Rue a dram of Amber rectified a scruple Rosemary half a scruple Mix them I advised also that they should endeavour to make him sneeze by putting Tobacco to his Nose and give him inwardly some of this Mixture Take Anti-Epileptick water of our Porphylactick water of Betony and Rosewater Syrup of Stoechas of each an ounce The Clyster came from him without any effect and Tobacco did no good he took a little of the Mixture and about evening I prescribed him another Clyster and this Sneezing-Powder following was blown up his Nostrils with a Quill Take the flower of Lillies of the Valley Leaves of Marjoram of each half a scruple white Hellebore three grains Make them into fine Powder By the help hereof he sneezed 3 or 4 times and a purulent Matter came from him at his Mouth but a greater quantity of it went down his Throat besides which there remained a great deal of it in his Mouth which we could easily squeeze forth by pressing his Cheeks These were sufficient signs of an Abscessus in the Brain and consequently of certain Death especially when we could not perceive that his Senses returned to him not that he was any other way reliev'd but on the contrary his voice quite failed him and he began to rattle in the Throat nor was I deceived in my conjecture for in a short space he died Four of his Children and a Maid-servant followed him his Man was cured of a Bubo under his Arm-pit by drawing a Blister and by applying some drawing Medicines His eldest Daughter and youngest Son still survived He had a Fever but was not very sick but she was handled more severely She had a Thrush appeared on the eighth day which took off not only the Fever but the whole Disease and thus of ten in Family but three escaped You have here an account of the true Signs and Effects of Malignity which none but such as are possess'd with the Spirit of contradiction can deny to be Contagious POST-SCRIPT I Intended to have published at least forty of these Observations but being taken up with giving an account of other things which will conduce very much to the illustrating of our Art which in their due time may be made publick I could make no further progress in this Make use of these for the benefit of your Friends and if you desire to see them put us in mind of the other FINIS An Index of Things and Words A. ABdomen or the lower Belly pag. 266. Hardened and Inflamed pag. 263 Abscesses or Imposthumes their manner of opening pag. 42 Acetabulum or Pixis pag. 312 Achor see Porrigo Aegylops pag. 284 Alae Anaplerosis what it is pag. 2 Aneurism its Cause and Sign pag. 135 Anodins pag. 94 Antrophy pag. 238 Anus fallen down 35. Imperforated and Cure pag. 46 Aperientes what pag. 277 Armilla the Hand Arsnick its Quintessence pag. 124 Artery its difference c. Aorta Pulmoniack 228. Humeraria Axillares Carotis Cervicalis Coeliaca Emulgens Gastro Epiploica Intercostalis superior Lumbaris Phrenica Scapularis Spermatica Splenica Subclavialis Thoracica 229. Cruralis Epigastrica Hypogastrica Iliaca Pudenda Vmbilicalis 230 Venosa 226 How to be opened pag. 231 Arthrodia what pag. 208 Articulation what Ibid. Astragalus pag. 211 Atheroma its Cause and Cure pag. 111 Atlas pag. 210 Auricles pag. 307 B. BAsis of the Tongue pag. 279 Batrachios pag. 291 Beensuyger pag. 211 Beenureeter pag. 212 Bleeding on whom and how to be performed pag. 37 Bones what their Nutriment 207. Their Connection Number Vse 208. Of the Arm 210. Hammer of the Ear 210 276. Of the Heel 211. Of the Hip Coccygis Ilium Innominatum Iscium of the Breast of the Temples 210. Ethmoides Forehead of the Head pag. 209 Bone of the Breast its Fracture 14. Of the Collar pag. 210 Breast what 266. Hardned Inflam'd Apostemated pag. 303 Bronchole pag. 34 Bubo its Cause
on Horse-tail in Latin Equisetum heals the wounds in the urinary parts the powder of it being taken in broath or Speedwel-water or the Decoction thereof being drank Gummi Ammoniac is a good discutient of hard Tumors and Knobs Tacamahaca appeaseth pain proceeding from cold being laid on the part affected To make the pellets used to be put in wounds that are to be kept open which here in Germany we call Quellmaissel take a Spunge of the finest sort put it in Whites of Eggs well beaten and mixed with Rose-water to make the said Spunge imbibe this moisture Which done bind it close together with thred and let it well dry in the Air and so convey of it into the wound that is to be kept open where it will swell again and so distend the wound If you be troubled with the Gonorrhaea take House-leek growing on old walls call'd by the Latins Semper viâ—…ninus put it into your shoes and go bare-foot upon it anoint your loyns and privy parts with Henbane-oyl and take mornings the quantity of two big hasel-nuts of well washed Turpentine for some days together avoiding all aromatic hard and salt meat An old Experimenter hath noted That whosoever shall wash his head twice a week with a Lixivium made of Juniper-ashes his sight shall never fail him but remain good to his end nor shall that person be troubled with any vermin upon his head nor with any head-ach nor suffer any change of his hair For my part I never tryed it but it being a very plain and safe thing I thought good here to insert it Against the biting of a Mad-dog lay Assa foetida with Garlick upon the bite it will draw out the venom To free your self from the Gravel make a Decoction of Ash-wood in wine and drink of it warm once or twice a day upon an empty stomach using withal good baths Vervin also the leaves and roots beaten together and drank is very good in this case If you have a strong breath proceeding from a foul stomach infuse Wormwood and Carduus benedictus together with some Citron-peels in in wine and let them boil a little therein and then drink a good draught of it mornings Chew also and swallow sometimes a little Myrrh and take now and then three or four Aloes-pills I could add many other things if my leisure would permit These which I have set down you will take in good part and though I have not tryed them all my self yet you may rest assured that such as have not been experimented by my self have been tryed by my honoured Collegues and other honest persons and approv'd FINIS INDEX A AIR what to be observed of it in the Camp 28. Preservatives against the corruption of the Air. 36 c. Animals their blood of what efficacy 51 Antonies fire how to be allayed 112 B BElly the cure of the Aches and Tumors and Gripings thereof 64 65 Beer new Beer causes the Strangury 30 Blood how to cure casting up of Blood 57. And the bleeding of the Nose Ibid. Blood coagulated how to be helped 107 115 Boyls Pestilential and their cure 81 seq Brick well burnt good against a Tenasmus 78 Brimstone a good Medicine in infectious cases 48 Bread Wheaten-bread coming hot out of the Oven and dipt in red Wine very good against Fluxes 70. The same duely prepared good in pestilential Sores 82 Bones broken how to be order'd 10â— Bran good for wrenching of Limbs ib. Burning how to healed 110 C CArbuncles pestilential and their cure 81 Carlina good against faintness 26 Chirurgeons of an Army and their qualities 32 Cold Nights how to provide against 28 Corns of the Feet how to be cured 25 Cough and its cure 57 Crafishes burnt alive good against the Bloody-flux 74 Crafishes after a certain way prepared of great use for drawing out of the body Thorns Small-shot c. 108. The same fried in fresh Butter allays burning 112 Crocus Martis a high Remedy against the Bloody-flux 74 Clysters and their use in the field 75 Chearfulness good in Pestilential times 42 D DAisie and its excellency 31 Diseases in an Army and their cure 34 Diet to be well observed in the Camp 35 Drinks how to provide in the field 27. The excess of it to be avoided 30. The danger of drinking whilst one is hot and the care to be taken in that case 30 31. Drinks in cold weather 39 Drawing out of Thorns Splinters c. how to be effected 115 Dropsie and its cure 69 Drought how to be remedied 77 E EGg-oyl good for Burnings 112 Elder-flowers good in the plague 38 39 Elder-vinegar good to apply to the Heart in the plague 53 Elder-roots the Juyce of them purgeth hydropical persons exceedingly 69. But to be used with great caution ibid. Boiled Elder-buds have the like vertue ibid. Emollients in pestilential Boils 82 Excrement of a Gander is powerful in drawing Iron out of the body 109 F FAintness how to prevent .26 27 Feet sweaty how to remedy 26. Feet frozen how to recover 113 Fevers of all sorts how to be managed and cured in an Army 34 64 Fluxes their several sorts and cures 70. Of the Bloody-flux in particular and its cure 72 Frankincense dryes and clears the Air. 37 Fundament the cure of its falling down 78 G GAngrene how to cure 113 115 Galling how to cure 26 Garlick useful in Fluxes by way of decoction 79 Goat good for men to rub at them when the Air is corrupted 67 36 Groin swelled how to cure 70 Guts the Griping of them how to be cured 69 Granat-wine cures the Bloody flux 75 Gun-powder purifies the Air. 37 Gum Elemi of considerable use in wounds 105 Gonorrhoea how to be order'd 118 Gravel how to be removed 119 H HAwes oure Fluxes 71 Harts-horn good against Fluxes 70 Hearing how to be recovered 65 Heart the cure of this Inflammation 62 Haemorrhoid-vein the use of its bleeding 80 Horses how to be made vigorous 27. Ointment for Horses 28 Hunger and Thirst to be prevented by certain herbs 26 I IAundise the cause and cure of it 66 Imperatoria good against faintness 26 Infection its preservatives and cures both for the Poor and Rich. 35.46 The Hungarian Infection and its cure 46. â—â—â— Inflammation its several sorts and cures 58 64 Juniper-wood burnt good in times of the plague 37 Itch how to be cured 11â— L LArd when fresh very good against the Inflammation of the Mouth 62 Lard good against Burnings 112 Lead a considerable cooler 62 Leggs the cure of their swelling 70 Liver the cure of the Obstructions thereof 66 Lillies the Juyce of the Roots of blew Lillies have great virtue of purging hydropical persons but to be used with great discretion 69 Lapis sabulosus good to heal broken Bones 106 Luxations how to be order'd ib. M MArisca's and the cure of them 79 Mastick drys and clears the Air. 38 Mesaraick-veins and the effects of their being obstructed 66 Milk duly prepared good against the Bloody-flux 72 Moss of wild Rose-shrubs an approved Remedy in Bloody-fluxes 73 Mouth how to remedy the falling down of the Palate of the Mouth 56 N NIter excellent to allay Inflammations 61. The way how to prepare it for that use 62 Nose how to remedy the bleeding of it 57 O OBstructions of the Liver and the cure 66 Oyl of Scorpions very good to anonit the Heart with in the Plague 53. A good Succedaneum to it described 54 Oyl of Vitriol good in Fevers 55 Oaken-leaves do cure common Fluxes 70 P PEstilential Diseases and cure 38. seq 81. seq Physicians of an Army and their qualities 32 Pear-trees the Rinds of them cure common Fluxes 71 Preservatives fit for Souldiers 25 26 c. Purgatives fit for Souldiers 25 Putrefaction the cause of grievous Diseases 47 64. Putrefaction of the Mouth how to be cured 115 Q QUinces-wine good against the Bloody-flux 75. The same extinguishes marvellously the burning of any shot 111 R RIngworm how to be cured 116 Rust of Arms how to prevent 26 Rye-biscuit duly prepar'd good against the Bloody-flux 73 S SCarification and its use 82 Souldiers Morals 23 Souldiers care of his Body 24 Souldiers Diseases in the field through the whole Book Sores pestilential and their cure 81. seq Spotted Fevers and their cures 34. seq Squinancy and its cure 57 Strangury and its cure 11 Sufeits and their cures 34 Swellings of the Throat and Almonds how to be cured 56.64 Swelling of the Leggs how to cure 70 Sweat and the ways of procuring it 44. seq See also 51. seq Swallows burnt to powder good to those that have been shot 109 Synovia how to be order'd 110 T TEnasmus and its cure 77 Tench fried good for Burnings 110 Thirst how to quench in case of want of drink 26. Thirst how to quench in Fluxes 77 Throat swoln how to cure 56 Tooth-ach its cure 114 Tongue the cure of the Inflammations of it 58 Turnips after a certain way prepared or rotten cure frozen feet 113 V VErmin how to remove 25 Vein the use of the bleeding of the Hemorrhoid-vein 80 Vesicatories and their use 82 Ulcers and their cure 81 Vinegar good to wash the Temples with in times of the Plague 38 Venae-section not easily to be admitted in pestilential Diseases 43 55 Vulnerary Herbs for several sorts of Wounds 107 W WAter its differences and choice 29 Wheel-grease a good Ointment for Horses 28 Wind in the Guts requires keeping the Body soluble 67 Worms Earth-worms good against the Dropsie together with the way of preparing them 70 Wounds their Inflammation how to be prevented 104. Their swelling how to be helped ib. Wound-drinks of several sorts 107 Wounds mortal how to order 117 Worms in fingers how to be cured 115 Wounds how to be cured see chap. 10. FINIS