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

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Briefe answers to all the aforesaid questions and first to the thirteen principall points aforesaid as to know that 1 A Surgeon is natures servant to helpe nature in things pertaining to surgery 2 Surgery is both art and science 3 The subject of surgery is mans body being sore c. 4 The next way to learne this faculty is to begin at things generall and so come to particulars 5 The conditions required in the Surgion are generally 2. i. to be 1 vertuous religious 1 theoric 2 practic 2 expert in his prof both 6 his instruments 6 generally are but two i. medicinals manuals 7 ever fit to carry with him are 6. i. 1 probs 2 needles stitching quil 3 mullets with spatula 4 incision knife 5 cysors 6 launcets 7 8 Medicines ever to have in readinesse are generally 6. i. e 1 restrictives to stop 1 bloud 2 afluxiō that runs to other parts 2 Basilicon to cause matter 3 Apostolorum to cleanse 4 Aurinum to incarnate flesh 5 Album to cease dolour and heat 6 Desiccativum rubrum to dry and skin 9 The best method to observe is generally to note well the 1 disease cause and symptomes next way to cure it 1 speedily 2 surely 3 not to make false promises for mony promise no more then may be performd 10 The conditions required of the Patient are generally 3 i. e. to 1 hope with 1 assurance 2 diligence 3 patience 2 obey 3 endure 11 The contemplation of surgery do consist generally in the perfect knowledge of things 1 naturall 2 not naturall 3 against nature 12 He should observe before hee undertake any cure generally sixe things i. 1 whether lawfull before 1 God 2 Man 2 temperature of the 1 Body 2 Members 3 the sicknesse 1 and nature thereof 2 if curable or not 4 5 medicines proper for the disease 6 right way of application 13 The operations of the Surgeon are generally but three as are before mentioned The two generall parts of this art follow .i. 1 Theorica .i. the learned part by rules shewing the perfect waies to worke herein gotten by reading c. being Science and is divided generally into foure parts as things 1 natural being 7. as 1 Elements 2 Temperaments or Complexions 3 Humours 4 Members 5 Powers or vertues 6 Operations of those vertues 7 Spirits 2 not natural being 6. as 1 Ayre 2 Meat and drinke 3 Sleepe and watch 4 Fulnesse and emptinesse 5 Moving and rest 6 Affections of the minde 3 against nature being 3. as the 1 Disease 2 Cause of the disease 3 Accidents that follow the disease 4 Iudicall as to judge of diseases what 1 they be 2 nature they be of 3 cure or not and the reason why they may or may not be cured 4 medicines and method is best 2 Practica .i. practice shewing how to order prepare and to work with the hand according to the precepts of the theoricke done by these three meanes as by 1 Dyet or the right use of the 6 thing not naturall above said in 1 health to preserve with things like 2 diseases to cure with contraries medicines which is in two sorts used either 1 inwards 2 outwards 3 Manuall operation or hand-working as by 1 Incision 2 Stitching 3 Rowling 4 Reducing 5 Cauterising c. Now followeth the tract of the part Physiologia or the seven things naturall aforesaid as they lye in order 1 Elements of which consider generally four things i. as 1 what an Element is it is 1 A body most pure and simple unmixt 2 The least part not dividable into any other kinde 3 That whereof all things naturall have their originall 2 their 2 Numbers which are foure i 1 Fire 2 Ayre 3 Water 4 Earth 3 Qualities be 4. i. 1 Fire is 1 hot and dry 2 hot and moyst 3 cold and moyst 4 cold and dry 2 Ayre 3 Water 4 Earth 4 operations are generally 2. i. 1 Active i. to doe as is 1 heat and 2 cold 2 passive to suffer to be done as doth 1 drynesse and moystnesse Note that these two active qualities of heat and cold do work into the two passive qualities or drynesse and moystnesse to alter them 2 Temperaments or complexions wherin consider generally four things i. e. that they are 1 generally 2. i. 1 well tempered 2 evill 2 Particularly 9. 1 1 simple as 1 hot 2 cold 3 moist 4 dry 2 compound as hot and 1 dry 2 moist cold 3 dry 4 moist 2 3 4 1 four 2 3 4 2 one temperate by Equalitie of all these in perfect proportion rara Avis as hard to finde as a blacke Swan 3 Either 1 simple qualities of some or all the foure Elements either 1 hot 2 cold 3 moyst 4 dry 2 compound 4 To no end knowne by the differences of temperatures if wee know them not by their signes also for the which reade and consider well those rules which are set downe by Levine Lemnie written in his booke called the Touchstone of Complexions where you may be sufficiently instructed which in this place is too tedious to relate at this time 3 Humours be generally two i. 1 Naturall being 4. as 1 Bloud Naturall and profitable 2 Choler 3 Flegme 4 Melancholy 1 Bloud being either too 1 thinne by 1 heat 2 cold 2 thicke 2 adust so the 1 subtile parts 1 choler 2 melācholy become 2 grosse 3 distempered by mixing of other humors as of 1 choler 2 flegme 3 melancholy c. 2 Choler eyther 1 Vitiline like yolks of egges 2 Eruginous like verdegresse 3 Prassyne like juyce of hearbs 4 Azure or blew 2 Vnnaturall and are of divers sorts as 3 Flegme eyther 1 Vitria like melted glasse 2 Acide sowre like vineger 3 Salt like brine 4 Gypsum like white morter 4 Melancholy being of two sorts eyther of brent 1 blood 2 choler and is the worst Note that of these three things aforesaid i. as 1 Elements all the members of the body are made 2 Temperaments and 3 humours 4 Members are generally two i. 1 Simple being 11. as 1 Bones 2 Cartilages or gristles 3 Ligaments 4 Veines 5 Arteries or heart pypes 6 Nerves or synewes 7 Cords or tendons 8 Panicles or felmes 9 Simple flesh 1 substance 2 use or office 3 temperatures 4 utilities 10 Fat 11 Skinne in all these consider these foure things i. their 2 Compound as are the 1 Head 2 Heart 3 Liver 4 Lungs 5 Legs 6 Armes 1 Braine 2 Heart 3 Liver 4 Testicles or stones 7 Hands c. Whos 's other diversities are generally five whereof some are 1 Principals being 4. as the 2 serving the principals are 4. as the 1 veines to carry the spirit 1 naturall 2 vitall 3 animall 4 sperme or seede 2 arteries 3 nerves 4 spermatick vessels 3 Proper of themselves and others as the 1 Belly 2 Kidneyes 3 Matrix c. 4 Excrementall and not proper as 1 Hayre 2 Nayles 5 Neither governed nor doe governe others as are
fourth part called Semotica i. the judging part or judiciall part i. the Prognosticke part This fourth part how to judge of diseases 1 What 1 they be 1 hot 2 cold 3 simple 4 compound 5 infectious or not acute or coronicke 2 nature they be of either 3 danger or none like to follow 4 cure 5 time of cure long or short 6 the cause is and to prove that it is either 1 to be cured and by what meanes 2 not to bee cured and the reason why 7 medicines in quality operation are fit to be used 2 whose judgements are taken generally of foure things i. of the 1 Disease it selfe 2 Nature of the part 3 Symptomes or accidents 4 Excrements voyded by nature Note that these foure parts aforesaid are the contemplative parts of this thrice worthy faculty of curing which ought to be first exactly knowne of any professor herein before hee enter into the practicke part for upon these foure pillars was this worthy art built and is as necessary to the Artist as the head to the body for as the body that hath all other members and wanteth the head can doe nothing for want of knowledge so it is with the Artist that wanteth these foure Theoricke parts which in him are required for he is ever ready to mayme kill or spoyle his unfortunate Patient that enters under his hands sooner than to help or cure him for lacke of the knowledge of these foure parts afore mentioned Of the Therapeuticke i. the practicke part being the second generall part of Chirurgery of some called the fifth or curatiue part 2 Part Theraputica or Practica i. practise 1 sheweth the 1 method of curing diseases 2 manner or way 2 is triple that is 1 dyet i. the right use of the 6 things not naturall 2 Pharmacopia i. the use of medicine eyther 1 inwards 2 outwards 3 manuall operation i. hand working Note ever where one of these three will serve use no other All operations agreeable to the rules of the Theoricke part aforesaid which the skilfull Artist must follow effectually in his practise These unfortunate people that seeke to the unskilfull for cure of their infirmities may wel be compared to a foolish man who having a garment to make will not put it to a Taylor to do it but to a Smith or a Carpenter to make it and though it be not his profession yet peradventure for lucre of gaine he will undertake to doe it but how well every man of judgement may conjecture but now commonly most people in these our dayes seeme to have more care of making their garments than the cure of their maladies To make a garment they will looke out the best workman but to cure their infirmities though it stand on life or limme to be lost they as soone chuse a sillie woman or an ignorant fellow chiefly if they have gotten a little applause of the vulgar before the learned and skilfull Artist and why because those idle brained wretches that neither feare the wrath of God nor make conscience of their waies will not onely adventure but make sure promises to cure any that they take in hand though it be unpossihle to be cured by the art or skill of man for how can they foreshew the danger that know it not but to get money and some thinking to get praise of others for their worke will undertake any cure so bold and impudent are they yet neither know the disease nor any perfect way to cure it but as the blinde man shot the Crow but the more unwise those that employ them as woful experience daily sheweth too much and were perfect knowledge herein gotten so lightly as these Ignorants seeme then vainly were all those great volumes made and so great study employed thereon The end of this worthy art or faculty promise no more than you may with a good conscience performe and consider 1 That health lyeth not in thy hands to give therefore promise and performe onely thy painefull diligence and industry 2 There belongeth to every cure generally these foure things i. the 1 Determination of God 2 Good industry and skill of the Artist 3 Honest act of the Apothecarie 4 Obedience and good usage of the Patient 3 Of these foure parts abovesaid there is but one in thy hands to use or two at the most 4 The end of this worthy art is eyther to 1 preserve so farre forth as art and nature may afford 2 cure Foure speciall things to be considered of every man that will practise this famous worthy art of medicine These are the foure things to consider i. 1 First let your honest manners be equall to your excellent knowledge therefore be 1 faithfull to your diseased Patient 2 true 3 trusty 4 honest of life and conversation 5 sober 6 comfortable in words 7 not deceiveable in deeds 8 ever serving of God love and pray unto him daily for his grace and assistance and consider the end wherefore thou art called to use this worthy faculty it is not onely for thine own gaine as too too many do now abuse it but you ought with all diligence to search out the secrets of nature and endeavour chiefly hereby to stir up Gods glory shewing his great goodnesse towards us by comforting and curing the sore sicke and diseased people 2 Before you take charge foresee these six things i. whether it be 1 honest before God and man 2 profitable to the Patient 3 easie to be done and the reasons how and why it may or may not bee done 4 hard 5 possible 6 impossible 3 to admonish and urge the Patient to observe the three conditions of a Patient i. to 1 hope with assurance 2 obey with diligence 3 endure with patience consider also that medicine was not ordained for disorderly persons saith Hippocrates 4 There be three causes why you should refuse the cure i. where the 1 disease is uncurable by its own nature or the party so weak that he cannot endure fit remedies 2 cure of one disease causeth a worse 3 Patient is disobedient and wil not observe fit order in all things as is requisite for the cure for medicine saith Hyppocrates in his Aphorisme was not ordained for disorderly and disobedient persons Briefe instructions for the Artist to consider being called to a Patient both generally and particularly First when thou seest the Patient consider well 1 generally two things i. what is 1 done 2 to be done 2 particularly these eight things i. to know perfectly the 1 disease whether it be eyther a 1 tumour against nature 2 wound 3 ulcer 4 fracture 5 dislocation c. 2 kinde i. whether 1 simple 2 compound 3 Differences wherein they differ the one from the other 4 causes i. whether 1 primitive 2 antecedent 3 conjunct 5 Signes 1 generall 2 particular 6 Prognostication what is like to follow i. 7 Accidents that follow the disease as the shadow doth the body 8 cure in which consider the
the Bones Gristles Glandles Fat Simple flesh c. 5 Of the powers vertues or faculties being three of which proceedeth the actions being the 1 Animall whose actions generally are double i. 1 sensitive being also double as 1 Externall or outwards as 1 Seeing and are called the five senses 2 Hearing 3 Smelling 4 Tasting 5 Touching 2 Intern or inward called the vertue principal or cōmon sense as 1 imaginatiō 2 reason 3 remēbrāce 2 Motive done by the sinewes and muscles being their instruments of voluntarie motions all these proceed from the braine by the nerves 2 vitall which 1 have two motions as 1 Active to dilate the heart and Arteries as in 1 joy 2 hope 3 mirth c. 2 Passive the heart and arteries and to binde them as in 1 care 2 feare 3 sadnesse 4 sorrow 5 revenge 6 melancholy c. proceedeth from the heart by the arteries and serveth to carry the spirit vital lively heat to all the mēbers which arteries or heart pipes do spring from the heart 3 naturall 1 proceeding frō the liver sending nourishment to all parts of the body by the veins that grow out of the liver 2 hence proceed the four naturall vertues i. as those foure vertues doe their operations thus by degrees one after another i. as 1 attractive wrought by 1 heat drith 2 cold 3 heat moysture 4 cold 2 retentive 3 disgestive 4 expulsive 1 attraction is made 2 retention til the disgestive vertue have alterd it fit 3 digestion to alter the property by heat as aliment into Chyle Chyle into bloud and bloud into flesh c. 4 expulsiō to expel cast out the excr c by this faculty we doe 1 nourish our bodies 2 increase and grow 3 ingender more of the kinde c. The sixth of the operations done by the foresaid three vertues 6 The vertue 1 Animall moveth 1 Apprehension in the two former ventricles of the braine 2 Fantasie 3 Imagination 4 Opinion 5 Consent c. 1 Iudgement in the middle ventricle of the braine 2 Esteeme 3 Reason 4 Resolution 5 Disposing 6 To discerne 1 Remembrance in the hinder ventricle of the braine 2 Knowledge 3 Calling to minde 2 Vitall moveth 1 Mirth by vitall heat stirred up in us either 1 moderate 2 immoderat 2 Ioy 3 Hope 4 Trust 5 Humanity 6 Victory 7 Glory 8 Boldnesse 9 Mercy 10 Feare 11 Sadnesse 12 Despaire 13 Envy 14 Hatred 15 Anger 16 Mildnesse 17 Stubbornesse 3 Naturall moveth and 1 Altereth 1 Aliment into Chyle 2 Chyle into bloud and humours 3 Bloud and humors into flesh c. 2 joyneth 3 formeth 4 ingendreth 5 nourisheth 6 increaseth These actions proceed from the faculty or vertue being cause of the action not contrary i. the action is not cause of the faculty for the actions are certaine movings and affections as abovesaid stirred up by those three vertues or faculties i. 1 animall 2 vitall 3 naturall The seventh are Spirits proceeding from the three vertues aforesaid Spirits wherein consider these five things which are 1 An ayrie substance i. 1 subtle 2 stirring the powers to performe the office and operations 2 Bred of the most pure and thinne parts or vapours of the bloud and humours sent to each part of the body whereby each member may doe his office 3 Principally seated i. the 1 animall in the 1 brain to stir up 1 moving feeling 2 heat life 3 nourishing 2 heart 3 liver 2 vitall 3 naturall 4 sent from those foure principall members to all parts of the body i. the 1 animall by the 1 nerves 2 arteries 3 veynes 2 vitall 3 naturall 4 5 As a Prince doe move his Councell and the Councell the subjects so every one according to his vocation as it is appointed by nature so that every inferiour must be ready to serve his superiour Remember diligently seeke ever to preserve these seven things naturall aforesaid by the right use of the sixe things not naturall following note that we 1 preserve health by things 1 like in quality 2 contrary 2 cure diseases Note the spirit 1 Vitall is ingendred of the vapour of the vital bloud in the heart and arteries 2 Animall is ingendred of the spirit vitall carried up to the head by the arteries and there more disgested for which purpose nature hath the Rete mirabile in the braine as a manifest changeable maze 3 Naturall infuseth and breatheth its nutritive vapours and spirits to nourish the parts of the body Also in these seven things naturall consider these nine things following whether you meant to preserve health or to cure diseases Of the nine things that are to be considered in things naturall Consider these nine i. the 1 Strength of the patient if that faile medicine is used in vaine 2 Complexion which must be countergarded although it be evill as a thing of custome for custome is like another nature 3 Members whether 1 simple 1 principall or noble 2 serving to the 3 not able at all 2 compound 3 organick as 4 sensible because 1 the 5 insensible 2 whose form or figure may be unfit in 1 magnitude 1 eye cannot endure so strong a medicine as the flesh c. 2 nerve cannot endure so strong a medicine as the lygament c. 2 number 3 figure 4 situation c. 4 Habit i a body either 1 fat and fleshy 2 leane 3 delicate 4 rusticke c. 5 Age for often youth is curable when the aged cannot in the like case and the strong sooner than the weake c. 6 Sexe or kinde for 1 Eunuchs cannot endure medicines so strong as men have bodies 1 weaker then men of like temperament 2 moister 3 softer 2 Women 3 Children 7 Time of the 1 yeare for some medicines are fit in the Spring and others in other seasons in the like disease used i. A. 2 Day to observe order 3 Disease as 1 beginning every one must have medicines according to the time where the time is unknowne the cure is unknowne 2 augmentation 3 state 4 declination 8 Region 1 The order of cure must differ according to the region 2 hot cause humor 1 subtile thin their use 1 coolers to thicken it 2 heaters to make it thin 2 grosse thick 3 cold 9 Custome 1 must be observed as the proper temperature as 1 citizens must be used according to their custome 2 courtiers 3 easie livers 4 rustickes 5 carters 2 brings properties example if they eat or drinke either Ptisan either they 1 vomit 2 scowre 3 be very sicke therewith Apples Milke Cheese Partrich c. Things annexed to things naturall are foure fit to be considered These foure are 1 Ages be generally as from the 1 birth to 25 hot moist all which time the body 1 groweth is 1 sanguine 2 cholericke 3 melancholicke 2 is in perfect growth 3 beginneth to decrease 2 25 to 40. hot and dry 3 40 to 60. cold and dry 4 60 to the end of
or let of any of those eyther 1 generall 2 particular 2 kinds are either 1 generall where either 1 all the body waxeth thin weake slender and empty 2 some particular part 2 particular 3 Differences are generally two i 1 universall in all the body 2 particular in some part of 4 causes are either by 1 nature the body or member so made 2 Art so done i. by 1 purging 2 bleeding 3 sweating c. 3 accident as either by 1 obstruction either stopping the passage of by excrement c. 1 vitall heat 2 nutritive c. 2 a fluxe either 1 washing the naturall substance c. 2 exhibiting the juyce nutritive or the spirits from the place 5 Signes are Atrophia which is a 1 wasting of the body or part c. 2 consuming 6 Cure is by Removing the cause s A. 2 restoring the lost substance c. if it may bee done Of sleepe and watch 4 Sleepe and watch in it consider generally seven things i. sleepe 1 what it is 1 sleep is rest and quietnesse of the 1 vertue animall i. 1 sence and 2 motion 2 body and minde 3 spirits 2 the image of death 3 Deaths eldest brother saith Galen 2 the cause is 1 a sweet vapour of nourishment sent up to the braine 2 the coldnes of the brain that turns those vapors to humour which 1 close the conduits of the nerves 2 stop the waies of the 1 sence 2 spirits 3 prohibit the spirits 3 times of sleep are generally 2. i. sleep in the 1 day chiefly after noon is hurtfull to health and utterly to be disliked for the most part 2 night it fit to sleep 7 or 8 houres as cause requireth 4 the manner of it is either 1 long according to the 1 temperature of the body 2 disease and time of it 3 custome 2 short 3 meane 5 the differences are generally two i. the 1 moderate whose effects are shewed in my golden key 2 immoderate 6 and watch the utilities these two being 1 fitly used comfort much 2 moderately used they 1 refresh 1 the memory and al the sences 2 chiefly the 1 spirits 2 animall faculty 2 quicken and refresh the spirits 3 helpe digestion expell excrements c. 7 or watch the Hurts of either of these abused as immoderate 1 watch 1 makes giddy braines 2 ingenders rheume 3 postmes 4 troubles the spirits 5 causes rawnesse and crudities 6 idle braines and idiots c. 2 sleep 1 dulleth the sences 2 cause much superfluous excrements 3 makes grosse spirits in 1 old folkes 2 children 4 it retaines excrements 5 it fils the braines with crudities Looke more of these in my Golden Key Of Exercise and Idlenesse i. moving and rest 5 Moving and rest 1 Exercise i. moving 1 is eyther of the 1 body or both 2 minde 2 in it consider generally these two i. the 1 Differences being generally two i. 1 moderate i neither too 1 much 2 little 2 immoderate i. 1 vehement 2 excessively 2 effects i. the 1 moderate doe 1 stir up naturall heat 2 quicken the spirits 3 open the pores 4 wast excrements of the third digestion 5 make the 1 body strong 2 spirits 3 sences 6 comfort all the members 7 profit nature much 2 immoderate doe 1 hurt the body and parts 2 wast the body and spirits 3 dry 4 consume 5 weary 6 overthrow natures actions 2 Idlenesse and rest the 1 Differences be two i. 1 moderate not excesse 2 immoderate and excesse 2 Effects i. the 1 moderat doe 1 comfort nature 2 refresh 3 maintaine health 1 sences 2 body and parts 4 fortifie strengthen al the 2 excesse 1 dulleth the 1 minde 2 sences 3 principall instruments 2 causeth 1 great 1 cruditi 1 humors 2 excrem 2 plenty of evil 3 and cold sicknesses 2 infinite infirmities 3 hasteneth old age 4 causeth deformity Affections of the minde are generally of two sorts 6 Affections of the minde are generally two i. 1 Content 1 as in 1 hope 1 effects these 1 dilate the heart arteries 2 bring out the 1 vitall spirits 2 naturall heat 3 doe comfort and strengthen all the parts of the body and minde in all their actions 2 differences are generally two i. 1 moderate which doe 1 comfort 2 hurt 2 imoderate body and minde 2 joy 3 love 4 mirth c. 2 wherein consider their 2 Discontent 1 as in 1 anger 2 hatred 3 feare for things to come 4 care for things past 5 sorrow 6 griefe of minde c. 2 whose effects are i. 1 that diverteth the vitall heat and spirits into the center of the heart and thereby consumeth and dryeth the 1 vitall spirits 2 body causeth leanenesse 2 these are the 1 fore runners of body and minde 2 destroyers 3 overthrowers 4 murtherers 3 hastners of old age death by extinguishing and drying or consuming vitall heat and moysture 4 observe more of these sixe things called res non naturales in my book called the Golden Key consider how to use these sixe things not naturall before said both to 1 preserve health which is done by like quality and nature for every thing is maintained by its like so must the 7 things natural aforesaid be preserv'd maintaind 2 cure diseases which is done by things of contrary quality for every disease being a thing against nature must be cured by its contrary Of the third part called Pathologia i. res contra natura i. things against nature being generally three as followeth 3 Part. Things against nature are generally 3. i. the 1 disease being of three sorts i. intempary of the similar parts in 1 quātity being eyther too 1 much 2 little 2 quality being either too 1 hot 2 cold 3 dry 4 moist 2 evill confirmation this hurts organicks in 1 figure 2 number 3 magnitude 4 situation 3 solution of unitie in both 1 simple and organick parts 2 Cause being three i. 1 primative i. 1 outwards as 1 wounds 2 contusions 3 fractures 4 dislocations c. 2 or by some outward hurt or meanes 2 Antecedent i. of evill humors c. being either 1 hereditaries i. bred in the mothers womb by some infection c. from the parents or weaknesse or ill forme of some part or member 2 after the birth by 1 evil dyet disorder c 2 accident or abuse c. 3 Conjunct which appeareth after the collection of the matter offensive in some part or member never else is ever present in the body or part offended 3 Accidents or symptomes 1 are called Insulsum i. a bragge or reproach of the whole body or part saith Jerimeus Thriverius 2 doe follow the disease as the shadow doth the body 3 doe offend 3 waies wherein the actiō is either 1 abolished 1 hurting the quality either by vehement 1 heat 2 cold 2 any accident or cause 2 changing 1 the natural heat into inflāmation 2 scabs into lepra c. 2 diminished 3 depraved or wholly lost Of the
1 perspectation i. 1 what must be done first and so to proceed s A. 2 to foresee what may crosse your cure how to prevent it 2 intentions fit to use in 1 dyet 2 preperation of the matter 3 evacuation 4 corroboration 5 preventing or removing of accidents 6 cure at all times 7 manuall operation Of Tumors in generall being but three Tumors in generall be three i. 1 according to nature as the 1 balles of the cheeke 2 brawnes of the 1 armes 2 legges c. 3 muscles c. 2 Aboue nature which 1 causeth deformity onely 2 hurteth not the action use nor office of the member but can doe things without let or hinderance 3 against nature are generally three i. 1 Humoralis being generally two i. 1 simple be generally two i. 1 hot being two 1 Phlegmon of bloud 2 Erisypilas of choler 2 cold being 2 1 Oedema of flegme 2 Scirrus of melancholy 2 Compound of many humors mixt together being generally two 1 equall when 1 when all foure humors be equally mixt 2 two are equally mixt 2 unequall as two parts of one and but one part of another 2 Flatuosus i. a windy tumor of spirits or vapours as are 1 Timpanites 2 Priapismus 3 Hernia Ventosa c. 3 Varicosus is sometimes of 1 Spirits 2 humours 3 both spirits and humours Now of the severall branches that spring of the tumors aforesaid From 1 Phlegmon springeth these ten branches following i. 1 Phygithlon i. Emunctory tumors inflamed 2 Bubo tumor of the groyne inflamed 3 Phyma a hot push as a Fungus 4 Fornuculus a felon or whitflowe 5 Antrax a Carbuncle 6 Gargareon uvula inflamed 7 Paristhma Tonsilla inflamed 8 Anurisma an artery delated 9 Gangrena an inflammation not mortified 10 Sphacelus mortification confirmed 2 Erisypelas springeth these 5 branches following i. 1 Herps 1 Miliaris i. pustles that eat 2 Excedence 3 Formica 2 Phlictene blisters 3 Epinyctides blew pustles 4 Hydrea pustles i. night galls 5 Dracunculus crimson veynes 3 Oedema whose branches are nine as followeth i. 1 Atheroma a soft tumor of the head c. with matter like oatmeale or pap without paine 2 Steatoma with matter like grease with hardnes i. Napta 3 Meliceris i. great softned with gravelly hard matter 4 Hydrocele Hernia aquosa or humoralis 5 Ascites a hot dropsie 6 Leucophlegmata a cold dropsie 7 Chyradis Serophulus the Kings evill 8 Bronchocele i. Bocium a great tumor about the throat 9 Hydrocephalea a watry tumor in a childes head 4 Scirrhus whose branches are ten as followeth i. 1 Cancer i. an unequall 1 Occultus with 1 out ulceration 2 an 2 Vlceratus 2 Elephantiasis lepra i. an universall Cancer 3 Psora dry scabs itch and is not lepra 4 Enchymoma contusions i. blacke and blew 5 Varices swolne veynes 6 Sarcocele Hernia Carnosa flesh growing to the testicle 7 Polypus spungy flesh growing in the nose 8 Verruca warts 1 Acrochordonis hangs by a threed 2 Myrmeciae broad alow sharpe above 9 Cornua Corus and hard 1 feet with labour 2 hands Callus on 10 Calbo 5 Flatus as is before mentioned with many more 6 Varicosus whose branches are fourteen i. as 1 Vitilig i. morphew 2 Exanthemata i small poxe or measels 3 Parotides tumors behind the eares 4 Mentagra i. scabs on the chin 5 the 5 rupturs 5 Entercole omentum i. the carle fals down into Serotum 6 Epilocele the testicle 7 Enteroepiplocele when both 8 Bubonocele a tumor of the flanke 9 Exomphalos a tumor of the navell 6 7 8 9 10 Arthritis all gouts 11 Chiragra hand gout 12 Sciatica huckel bone gout 13 Genugra knee gout 14 Podagra feet gout c. Of Wounds A wound is solution of unitie new bloudy without matter or putrifaction whose difference is generally taken of three things i of the 1 nature of the parthurt being either 1 simple i. in parts 1 soft in the 1 flesh 2 fat c. 2 hard i. in 1 bones 2 joynts c. 3 meane as 1 veynes 2 arteries 3 tendons c. 2 organicks which are three i. 1 principals i. the 1 braine 2 heart 3 liver 4 testicles 2 servants to these principals are 1 veines 2 arteries 3 nerves 4 vessels spermaticke 3 proper to themselves as 1 belly 2 kidneys 3 matrix c. 2 the wound it selfe is eyther 1 simple without healed by the first intentiō i. cōglutination 1 losse of substance 2 accident 2 compound 1 with accidents as 1 lost substance 2 contusion 3 dolour 4 tumor 5 inflammation 6 convulsion c. 2 requires intentions to cure it 3 differences are divers some are 1 great 2 little 3 easie to cure 4 dangerous 5 mortall c. the utilities by the perfect knowledge of these above said things we have foure speciall utilities for thereof is taken the 1 Prognostication 2 intentions curative 3 invention of fit medicine 4 perfect manner of applying of medicines most fit Of Vlcers An Vlcer is solution of unity with matter differing in substance and every Vlcer is eyther 1 simple without accidēts whose names and differences are taken of five things generally either of the 1 disease being either 1 simple 2 compound 2 cause being either 1 primitive 2 antecedent 3 conjunct 3 kindes which are divers as 1 plaine 2 hollow 3 fistulous 4 filthy 5 sanious 6 virulent 7 cancrous 8 corrosive 9 putrifactive c. 4 Sanies eyther 1 good 2 evill 5 accidents as with 1 dolour 2 tumour 3 inflammation 4 induration 5 Callus 6 evill flesh 7 hard lippes 8 distemper 9 varices 10 wormes 11 bones corrupted c. 2 compound without accidēts Of Fractures Every Fracture of the bone is eyther 1 simple without any other malady and are generally three eyther it is 1 rift that cleaveth the bone long wise 2 overthwart broken short off 3 oblique whose sharpe ends hurts the flesh and causeth dolour c. 2 compound either with 1 a disease as with 1 a wound 2 contusion 3 gangrena 4 a mortifying tumor c. 2 accidents as with 1 dolour 2 itch 3 inflammation 4 tumor 5 hard legature c. 1 old folkes because they be 1 hard and 2 dry 2 cholericke persons 3 the ribs with 1 inflammation 2 spitting of bloud 4 joynts and heads of the bones 5 the scull how little soever be dangerous 6 which 6 be many broken pieces 7 is a wound because of the binding 7 8 bones with much marrow 1 hard to cure are these in 2 easier and lesse dangerous to cure are all simple fractures of the 1 ribs 1 armes 2 legges 3 fingers c. 2 middle of the bones of the 3 yonger soft and moist persons 3 joyne in 1 head in 35 dayes 45 40 16 20 2 thigh in 3 legs in 1 the 3 arms 4 nose in 5 ribbes in 6 jawes 7 shoulder 8 cannell 9 hands 10 feet 11 hanch and point of the shoulders in forty daies 2 al according to the nature of the 1