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A19029 A right frutefull and approoued treatise, for the artificiall cure of that malady called in Latin Struma, and in English, the evill, cured by kinges and queenes of England Very necessary for all young practizers of chyrurgery. Written by William Clowes, one of her Maiesties chyrurgions, in the yeare of our Lord. 1602. Clowes, William, ca. 1540-1604. 1602 (1602) STC 5446; ESTC S105025 43,357 77

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that I haue séene and knowne performed and done by the sacred and blessed hands of the Quéenes most Royall Maiesty whose happinesse and felicity the Lord long continue But sith the barrennesse of my learning and wit is such and that my memorie will not affoord mee héere orderlie to set downe in fewe words that which I doe conceiue and vnderstand touching this my determined purpose for the Cure of this haynous Maladie which in the Pilgrimage of my practize and contemplations I haue most diligentlie obserued not onely by mine owne selfe with such portion of knowledge as the Lord hath endued me withall But also I haue béen a diligent and a painfull obseruer of the labours and practises of others being men of great knowledge and sound iudgement in the Arte Wherefore to make héere manifest the cause which hath pricked mee héere forward to leaue my other affaires and so to drawe me from my ordinarie practises and studies being more beneficiall for my maintenances is not that I goe about héereby to impaire the credit or reputation of others being more auncient Professors It is the Lord God knoweth farre from my true meaning they are those whome I loue honour and reuerence Neyther doe I héer ambitiously goe about with the swéet impression of fayre promises greater then my abilitie is to teach and instruct or curiously to set downe a better and perfecter way of curing this haynous Malady then others more learned men before me I may not well say so Neuerthelesse he hardlie may be accompted for a good Soldier which hath learned no more then his Captaine hath taught him or a barrensconce that hath no inuentions in it But I will confesse héere the onely cause why I haue enterprized or taken vpon me to write of this forenamed Infirmitie is I protest a token of my loue and diligence towards all young Practisers of this noble Arte of Chirurgerie howsoeuer otherwise a painfull and tedious trauel vnto me Notwithstanding I could in no wise satisfie the expectation of certaine of my vnfained friends but that I must make here a true briefe rehearsall of my owne obseruations and knowledge touching the cure of the foresaid Euill which a long time I haue practised How be it being sorry to minister An Apology to answere certaine reproachfull back-biters offence to any by reason of publication héereof Notwithstanding I haue béen crediblie enformed and also it is vnto my selfe well knowne there bee some whome I litle suspected and lesse thought vpon would haue béen so wilfully bent without iust cause to giue occasion of offence and did séeme as it were to repine and mislike of this my enterprise and as it were did partly reiect my knowledge and iudgement concerning the Cure before named and in the presence of certaine persons of good sort brake out with ambitious curiosity and said I was not capable of the Theoricke of this my Subiect and so wanted knowledge of my selfe to publish these matters which I haue héere taken vpon mee in some measure to performe and thus went about not onely to discredit mee but likewise to put me to vtter silence as though I had spent all the daies of my life in the rude woodes or wilde Forrest of Ignorance Which thing as it gréeued me to heare so in maner it forced mee to answere Let these men sooth themselues I say neuer so much they are knowne to be of no such déep learning nor exquisite Literature as they would make the world beléeue Howbeit if it please these enuious men to speake iudge of me with equity right it is wel knowne to most men He that will vse Chyrurgery must needly follow the wars attend on forrain● Armies Hipo. Lib. de Medic that I haue studied practised this worthy Arte of Chirurgery sithence the 4. yeare of her Maiesties Raigne Anno Dom. 1563. Where first I serued in her Highnes wars at New-hauen vnder the commaund of the Right Honorable Ambrose Earle of Warwicke Knight of the Noble Order of the Garter then Lieuetenant of the Army Forces in those parts After with seruice being ended before I was appointed Chirurgian to serue in her Maiesties Nauy in her ships Royall also in other men of war within a smal time after I was imployed in the Hospitalles in London and there practised the said Arte of Chirurgery for certaine yéeres vntill I was sent for vnto the wars in the Low Countries by the Noble Earle of Leicester and further commaunded by her Maiesty with all spéed to repaire vnto the said Earle where I continued for the space of 9. Moneths since before I haue had conference also often practised with the best and skilfullest Chyrurgians both English and Strangers within the City of London and else where and now as it were partly ouer-worne with yeares and Seruices Nothwithstanding by her Maiesties fauour and good liking whome the Almighty long preserue now I am sworne admitted one of her Highnes Chirurgians And therefore in all reasonable He that pitch doth touch shall defiled be with such likely-hood I am not so barren or grosse witted and vnlearned in the Arte as some haue termed mee to bee And yée shall further vnderstand it was not long before it pleased some of them to say they had graced me with the good opinion they had of me and moreouer stood in the gap of my defence against other such which then were also sore troubled with the Fluxe of a fowle mouth vsed me at their pleasures for their common Table talke with scoffing fléering and deriding aboue manners and modesty The same being tolde mee me thought it was a strange alteration howbeit I did take their good spéeches very kindly and so would haue done still if it had pleased them to continue in the same good opinion of me or to haue bin silent But it is truly said Hanibal knew wel how to subdue the Romanes yet he knew not how to entertaine his Victories It is not enough for a man to haue begun a good worke vnlesse he stil preseuer continue in the same Wherfore I wil héere abreuiate my spéeches wishing to God that this my labor were so perfect that I néeded not to regard the curious examination censure of any aduersary neyther will I detaine you with many moe circumstances but here acknowledge my own vnworthynes And therfore I beséech thée friendly Reader in a word to suffer mee with pacience to signifie vnto you that I doe not héere peremptorily goe about to teach or instruct such persons which are already grounded in the principles and knowledge of this Arte But my onely meaning is to direct my whole course according as I haue obserued the best learned haue héeretofore done in all times and ages that is vnto the Iunior or yonger Chir●rgiens whe as it were haue made but an entrance into the practice of the said facultie whose skill peraduenture is as yet not
the Grecians as Historians make mention supposed it better to be en●yed of the malicious then to liue in Idlenes and basenes of minde without doing some good for the benefit of his Country and Common wealth wherein he was borne and bred Now to the second Intention and so in order with the rest as they doe lye and offer themselues vnto vs. The second Intention Chyrurgicall by outward meanes THe second Intention Chirurgicall is the right vse of those remedies which doe mollifye discusse and consume great abscessions which are not yet hard and inueterate And that the same is true may easily be gathered as followeth And for that I wold haue this second Intention made plaine as much as in me lyeth and also familiarly knowne vnto the studyous Reader I doe therfore say It is meete and conuenient that those Medicamentes which are to bee vsed be of the Nature and property to molifie and discusse and so to open the powers of the skinne by euaporating breathing and scattering abroad and make thinne the grosse matter and Phlegme Then for the better performance thereof without further discoursing I will héere presently set downe as it were a Store-house of diuers and sundry Montanus supposeth these Strumous Tumours somtime to proceede from Melancholy approoued Chirurgicall remedyes necessary for the curing and safe healing of the forenamed Strumacie and Phlegmaticall sicknesse The which from time to time I haue by experience the Mistris of all Aries and Sciences carefully obserued and faithfully also collected out of the famous writinges of sundry worthy Authors as also out of the fruitefull labours of diuers men famous in experience whose painful trauailes and studyes haue at this day most excellently refined this worthy Arte of Chyrurgerie from Barbarisme otherwise it is greatly to be feared a number at this day had not béen so skilfull and rich in knowledge and otherwise as they are said to be Therefore we ought not to thinke any study paines or trauaile too great wherein we hope of much benefit to our patients and also profit and commodity to our selues And héere I must néeds say according to my poore ability I haue my self béen very industrious for the common benefit and good of others truly to set downe diuers approoued remedies of mine own collection wherin to my knowledge I haue not in al this whole discourse published any superfluous and vnapprooued remedies or otherwise kept backe any worthy secret I had but as did the Euangelicall and heauenly womā mentioned in the Scriptures who presented into the Lords Treasury al the wealth substance she had Notwithstanding I haue read the men in times past did with great care diligence consecrate kéep secret as a precious treasure vnto thēselues al such chosen peculiar remedies with they had experienced approoued for the curing healing of any dangerous malady and as it is said bound themselues by oath one to another not to bewray their Secrets by their bookes or writings Howbeit I more regarding the publick vtility good of posterity did with great care diligence consider with my self what profit can there be to any mā to bury his labors in the lake of obliuion or otherwise to hide it in the denne of darkenesse And although I know the matter héer spoken of may séeme a paradox to some so of smal worth neuerthelesse although I am none of the greatest Clarks yet I know it wil be more auailable then some happily doe make account of For which cause I haue laboured with as much perspicuity plainnes as possible I could to deliuet the truth of my honest faithful good meaning so far foorth as God ha●● enabled me in knowledge skil memory Wherefore I meane héere presently to make publicke open testimony of the same though now and then I make a little digression and swarue from my matter by reason of certaine Crosbyters who haue héertofore behinde my backe and to my face also not a little abused me Howbeit I wil héere conclude this discourse concerning this Second Intention Chirurgicall doe confesse and considerately affirme that there is but few mens labors at the first made so perfect but that in processe of time further consideration they may be bettered corrected and amended Yet I cannot but much maruaile that wise men now a daies are growne to this passe that they do so seriously follow exorcismes and the Illusions of certaine Charmes of Clowtes and Rags which is very inhumane and barbarous neuer practised neither written of nor allowed by any learned Phisitiō or Chirurgian that euer I yet heard or read of Howbeit the world is as it were led in a stringe carried away to beléeue these vanities which make a shadow or shew of verity for the safe curing of diuers maladies sildome they say misse not But I know the contrary is true for I haue cured both old young persons when these Charmers of clowtes rags with their incredible operations haue failed them prooued flat foolery absurdities But to leaue this new Leach craft with their doting inuentions I wil here speake of diuers remedies very respectiue appropriate for the cure of the before named infirmity as a president and example for young practizers of Chirurgery to follow Now vnto the said Second Intention which is first to set downe those special remedies whose properties are to open the pooers of the skin to soften the hard parts by inse●cible transspiration A choyse and speciall mollyfying and resoluing plasster and serueth well for the curing of this gréeuance As my selfe haue many times approoued Iacobus Ruffus ℞ Serapini ℥ iiii Ammoniaci ℥ iii. Bdeilij ℥ i. Galbani ℥ i. Euphorbij ℥ ii Let these be dissolued in good Malmesey and then adde thereunto Ol. Lilior An. ℥ i. Ol. Amigdalar Propoleos ℥ iiii ss Mise fiat Implastrum Another Clowes ℞ Galbani An. ℥ iii.   Ammoniaci   Picis Albae   Cerae Citrinae ℥ iiii   Ol. pedis Vaccini q. s. Misce I doe many times instéed of the Dyle take the Marow Then what profit doth ensue time will approue the same Another Haly the Abbot ℞ Farinae fabar An. ℥ v. Farinae Hord. Liqueritiae An. ʒ x Rad. Althaeae Picis Cerae Albae An. ℥ x. Adipis Anserini Let there be added the Vrine of a Boy and of olde Oyle q s. And so boyle it to the forme of a Plaister Another Banister ℞ Gum. Ammoniaci lb ss   Rad. Brioniae in pul ℥ i.   Turp Mineralis ℥ i.   Cinnabrij ℥ x.   Cerae ℥ ii Let the Gumme Armoniacke bee dissolued in Vineger according to Art● and a●ter made vp in rowles Among a number of his memorable déedes which hee hath left vnto the minde and memory of posterity this his Plaister deserueth great commendations Another Mercurialis Mercurialis commendeth a Playster made of Lyme and Salt-Petre of each
of these outward incisions this scope ought chiefly to be regarded that is to be very circumspect in your handy operations attempted done cōcerning the cure of this great Malady That is the apertion or opening by launcing or Incision of those glandulous Tumors For as it is said bloud is the treasure of life and habitation of the soule Moreouer it is surely very hard and difficult especially when there is in the affected place eyther Nerue great Vaine or Artery c. Therefore such persons as are to endure this painfull action ought to haue much patience and to be of a good courage Then it may bee the better attempted and done by a cunning and skilfull Chyrurgian which there is no doubt but he will be so prouident that nothing shall offend How best it is not necessary or sufferable ouer curiously to search and attempt the cutting them out by Incision For that many of them are subiect to violent and inordinate bloudy Fluxes and other euill accidents which doubtlesse will much amaze you and hinder your handy operation I meane when these Tumors bee désply planted and secretly lodged amongst the great vaines and Arteries called Carotides or otherwise néere the Nerui recurrentes which is often times the cause that some bee come spéechlesse there by And it cannot be iustly denyed but that these Incisions haue often times béen attempted with a launce by our Ancestors Fore-fathers But amongst a number of those worthy men Wickar being a man of good knowledge skill in the Cure of the foresaid Euill his counsaile is that before we doe attempt the said action by Inscision the Patient be first layde vpon his Bed and so both his féet must be strongly iyed vnto the bed poasts his head both his hands must also be fast held by men of strength and skilfull in holding In such sort as we doe in cutting those which haue the crooked or wrye neckes And he that is chosen to be the Operator of the said action must prudently and wisely saith Vigo and other learned men cōsider the greatnes smalnes of the said Tumor which must be incised cut frō one length of the Tumor to an other Then by litle litle seperate diuide vndermine the whole Cistis round about to the very bottome roots therof not rashly nor by violence but orderly by degrées seperate with your fingers other seruiceable instrumēts as you vse to diuide the forenamed Wennes called Steatoma Atheroma and Meliceris And confessed it is for a certa●●●● that if any portion or part of the said Cistis or bagge chaunce to remaine behinde and not cléere taken away by the rootes it will doubtlesse bréed and increase againe But to preuent such gréeuances me thinkes I cannot speake too sufficiētly therof wherfore if any part remain behinde then lay vpon it the powder of Mercury precipitate or if that bee too weake adde to it of Alumen Combust or Vitriolum Album combust of each equall portions notwithstanding I beléeue confidently hold that the worke of your hands is the best instruments you haue to trust to and to relieue you in this distresse Moreouer Mercurialis he further sayth these words Mercurialis for the curing and effecting of this matter First saith he choose some light place let the Patient lye on his bed for in sitting he wil soone sound therfore binde his legges together and after binde them to the Bedside and let one holde his head fast and then the Chirurgean taking the swelling in his left hand let him make an Incision eyther right or straight or somewhat crooked on the necke vnder the Jaw-bones vntill he come to the matter inclosed in the Bladder which is sometimes one and single as in the lesser swellinges and sometimes double like the Mirtle leafe in the greater swellinges So that conueniently eyther by the fingers or other Instrumentes the Bladder may bee by little and little separated and drawne from the next partes together with the matter inclosed in it But take good héede that the Bladder be not cut because it is hardly drawne away and much hindreth the Cure and the euill will come againe But if any such thing chaunce it were good to consume it with eating Medicines Great care must also be had that neyther the Arteries vaines nor notable Nerues be hurt but by little and little gently put it aside Yet it in the cutting some vessell be diuided and the issue of bloud trouble and hinder the worke then apply some méete thing to stay the bloud and so come againe to your worke For if the lippes of the I●●●sion he inflamed and the swelling or Stru●a bee not safely dissolued away then lay on a Stupa beaten with the White of an Egge and such things as be good for stopping of bloud After apply Medicines that wil a little concoct and then vse abstersiues and next such as causeth fleshe to growe and heale vp the scarre The fifth Intention Chyrurgicall by outward meanes THe fifth Intention is those which are vnmooueable and déepely rooted within Corrode them about and clense them throughly I graunt it tollerable and very conuenient to vse in this Cure the due applycation of Potential Cauteries such as whose propertye and seruice is to corrode the flesh the skin and may with very good circumspection very safely be attempted being administred vpon a body that is of a reasonable constitution in such sort that his strength is able to holde and endure the same A 〈…〉 re I will make further demonstration thereof that is tosay that your Cautery benot applyed vpon any Sinnewy part neither vpon the great Vaines nor Arteries for that these bee accompted indéede principall and chiefe vessels Also you must consider the quallity and quantity of the Causticke you doe administer for that some are more violent and stronger then other and some wil run and spread more then another Iaques Guill●mean Chyrurgian vnto the now French King which now is saith truely it is not necessary nor allowable to apply the Caustick vpon the endes or beginnings of Muscles for if your Patient that is to bee Cauterized haue an vnsound and sickly body you must first of all bee sure before you administer the sayd Cautery to Phlebotomize purge him The reason is least in the Cauterized parts there chaunce to come concursion or gathering together of humours Also it is further sayd that a small part of your potentiall Cauteryes doth and will worke as forcibly on a soft and tender bodye as a great quantity thereof will doe vpon a stronge and grosse obdurate person Ouer and besides the greater abcessions are to bee Cauterized one way and the lesser an other way and that with good consideration And héere to put you in memory that you must bee very carefull and circumspect in defending the partes round about the sayd Tumors for feare as I haue said that your Cautery doe run and spread too
farre abroad for the which cause you shall strengthen fortifye defend the foresaid affected parts that is to say by inuironing and compassing it round about with some repercussiue Medicamentes lest the grieued part which by long infirmity is become thereby sore weakned enféebled and may so bring with it great swe●●●●g other euill accidents And therfore it is not with 〈…〉 od cause that the parts gréeued be rightly ordred defended whereby you shall be sure the better to effect your intended purpose without the said perrill or daunger but with the highest commendation in preuenting the euil that otherwise might ensue which reasons alwaies enduced mee to laye round about the Cauterized parts some speciall defensiue as is this or the like héereafter following A good defensatiue Reci Emplastrum Diachalcithios dissolued in Ol. papaueris et Ol. ros wherunto is added Ouorum albumin et Aceti ros An. q. Et fiat Emplastrum This done then presently goe about with your Causticke to roote out all the whole Schrophulous and hard kernelly substances either with the common Kuptory or Causticke which in this case best contenteth my minde the making héereof I doe not héere set downe because it is so commonly knowne Howbeit there is an other Causticke which as it is reported vnto me by a skilful Chirurgian doth work without any paine or very litle at al. The reputed Author therof is said to bee a famous practizer in Chirurgery dwelling at Mountpelier in France I must néedes thinke reuerently of the Author of this Caustick hoping his minde was not such to delight himselfe with publishing of vntruth But if it doe indéede worke without paine the mistery thereof is farre aboue my reach A good potential Cautery Rec. Lixiuij Saponarij lib ij   Vitriolj Romanj ℥ iij.   Mercurij sublimatj ℥ j. Made into very fine powder in the end of the boyling put in of Opium 2. drams Misce et fiat Trochiscj You shall further note that if at any time your Causticke doe happen not to worke so well and sufficiently to your minde as happily you would wish it should do then apply the same Cautery againe but you must first make Incision alongst wise vpon the middle of the foresaid Escharre Then put in some small quantity that is so much as you suppose will penetrate into the profundity very rootes therof for it doth behooue a prouident wise Artist to preuent sée all eminent danger in the doing therof thē by Gods help ye may safely in a short time roote out these hard Strophulous Tumors For as I haue said vnlesse the roote be cleane takē out this Malady will growe and increase againe But if there chaunce to approach any painefull accidentes as I haue knowne and seene to follow in sundry persons then with spéed remooue and take away the same which done yée shall procure the fall of the Eschar with Vnguentū Populeum or els with Vnguentum Rosarum or swéete Butter And to apply vpon it Emplastrum Diacalcitheos or Emplastrum Deminio So after all the Escharres be remooued then if there be required mundifying and clensing these following are vulgarly vsed as Vnguentum Apostolorū called of some also Vnguentum Christianorū which Vnguent in this effect cannot be bettered and Vnguentum Egiptiacum and sometimes to mixe two parts of Vnguentum Apostolorum and one part of Vnguentum Egiptiacum Also Vnguentum Apij is auaileable in this Cure viz. Vnguentū ex Apio Recipe Succi Apijet Plantaginis An. ℥ ii   Farinae hordej et Orobj An ℥ j. ss   Terebinthinae ℥ j.   Mellis ℥ iij.   Mirrhae ʒ iij. Misce et fiat Vnguentum If you adde to this Vnguent the yolkes of Egges and Mercury Praecipit it doth worke much better Also the powder of Mercury praecipit is good of it selfe and if you will haue it worke more forcibly adde vnto it of Allum combust according to discretion With these foresaid remedyes you may continue vntill there appeare pure and quicke flesh then it followeth to vse Incarnatiues Agglutinatiues with other medicamtēs fit for consolidation Thus hauing sufficiently intreated of the fifth Intention now it remaineth for a full conclusion to present in order last of all the sixt Intention as followeth The sixth Intention Chyrurgicall by outward meanes THe sixt Intention Chirurgicall is that in those Strumas that are fastened but to a thinne and flender roote you shall binde them about and plucke them out This last action as it appeareth is verie easily performed by a skilfull Operator or cunning Chirurgian neyther doth it require any great curiosity but a decent and artificiall strong binding méete for the plucking of them out as it is said by the rootes In which action you néede not feare any great perrill of Fluxe of bloud but that it may easily bee restrained with my restringent powder published in my last booke of Obseruations which hath of a number of good Artistes a friendlye acceptation If it chaunce through the ill disposition of the body any dolorous accidentes doe happen to follow then mitigate the same sayth Wicker with stupes wet in the white of an Egge and oyle of Roses and afterwards if there growe filthynes let it be clensed with those remedyes before rehearsed then no fault being committed through negligence or want of skill you shall no doubt with good successe finish this last Intention But amongst a number of excellent remedyes for the curing of this euill after the partes bee throughly clensed from all annoyances this Playster following hath all the properties that is prescribed in these kindes of remedyes before named Which noble Playster I obtained of one Isack a stranger borne a famous Incisioner and Licentiate Chirurgian of London who for his excellent knowledge in his Arte was called beyond the Seas The golden Master or Doctor M. Isackes Playster ℞ Bdellii et Ammoniaci An. ℥ i. ss   Lapidis Sanguinalis lapidis Magnetis An. ℥ i. ss   Aristolochiae rotundae aloes Hepaticae An. ʒ iii.   Olibanj et Masticis An. ℥ i.   Lithargirij argēt et lapidis calaminaris An. ℥ iii   Corallj Rubjet albi An. ℥ ii   Lumbricorum in pul ℥ j.   Succj scrophulariae ℥ vj.   Colophoniae lb ss   Terebynthiae Venetae ℥ iiij   Cerae Albae ℥ xii   Olej Hispanicj An. ℥ iii   Olej Hipericj cum gummis   Olej Laurini   Camphor ℥ ss Misce et fiat Implastrum With this Playster onely I cured a Bricklayers Daughter néere London of diuers bad Scrophulous Vlcers in her necke and throate Howbeit there be some who are as it were so nose-wise that forsooth they can not abide to read any medicine that is of a long composition be it neuer so precious Contrariwise there be others againe that will not endure to read a short composition bee it neuer so well approoued for they plainely
to the consistence of a Syrope Afterwardes poure them in a broad earthen glased pan and on warme Ashes by evaporation bring them to the consistence and body of a Pill which Malax with 2. drams of the oyle of Cloues let the masse be kept in a cleane glasse The Dose is from thrée graines to fiue to procure sleepe to aswage the paines of those that are troubled with the Collicke with the Plurisie with the Stone and with the Goute to stay the Cough the Fluxe of the Belly spitting of bloud and Defluxions of humours c. It is said it were as good for a Chirurgian that followeth the warres eyther by Sea or Land to bee without his right hand as to bee without these remedyes last rehearsed My selfe haue knowne cured Diuers cured of Dysenteria or the bloudy Flixe and other Fluxes of the belly of Dysenteria or the bloudy Flix and other Fluxes of the belly in a Shippe being vpon the coaste of Indyes forty Marriners and Soldiers at one time and not one of them all perished by the discréet administration of the said remedyes by seruantes of mine Within the Citty of London also there be aliue at this present day which were cured of the Fluxe of the belly by the forenamed remedyes when they were supposed of many to be past all recouery by reason also of the long continuance and their extreame weakenes withall And here I wish the like good successe vnto others which I my selfe haue had héereby that is the onely cause I haue héere made so large mention thereof A most miraculous Cure healed onely by the Queenes most excellent Maiesty when neither Phisicke nor Chirurgery could take place or preuaile AMongst an infinite nūber which I haue knowne dayly cured by her Highnes of the foresaid euill this cure following is worthy of great admiratiō there came into my handes not many yeares past a certayne Stranger borne as he said in the Land of Gulicke neere vnto Cleaueland This Stranger had béen in Cure a long time before he came vnto me with diuers skilfull Chirurgians both English and Strangers being then greatly molested and sore troubled with diuers pernitious Cancerous Fistulous Vicers in certaine places of his body likewise he had many knotty swellings or abscessions gathered together vpon heapes in the fore part of his necke néere vnto the Winde-pipe and some in the binder part of the necke and also amongst the principall and notable vessels viz. the great Sinewes Vaines and Arteryes and therefore could not without great perill and danger be safely taken away eyther by Launce or Causticke remedies by reason of their néere knitting together were also very vnfit to be brought to suppuration The cause was they were for the most part ingendred of dull and slowe or tough slimie matter for the which I craued now and then the aduyce and counsasle of diuerse learned and expert Phisitians and Chirurgians onely to preuent and auoide those pernitious daungers that oftentimes doe follow Howbeit in conclusion notwithstanding all our turmoiling much care industry and diligence with the application of most excellent medicines very remediable and appropriat for that cure yet was his griefe rather the worse then better For looke what way soeuer we tooke with approoued medicines some milde some vehement and some stronger which by naturall reason and common sense were very good and commendable yea and which brought oftentimes all his Vlcers to bee very néere whole Yet vpon a sodaine without any iust cause to vs knowne his sores did putrifye and breake foorth againe with much loathsome filthinesse so that I feared his Vlcers would gangreniz● by reason of the concursion and vigour of the vnexpected accidents so that his disease wearied vs all In the end after hee had béen twelue or thirtéene monethes in my cure perceiuing we all mist of our expected hope and purpose for the curing of this Infirmity And likewise himself being ouertyred with extreame paines and griefe so that oftentimes hee be wailed his owne great misery and wretchednes for which cause hee went his waies and came no more vnto mee for any cure but by the counsaile of some of his owne countrimen and friends made meanes vnknowne to me vnto other of my fellowes the Quéenes Maiesties Chirurgians which are in place of preferment before mée Who pitying his miserable estate vpon a time amongst many others he was then presented vnto our most Sacred and renowmed Prince the Quéenes most excellent Maiesty for the cure of the said Euill which through the gift and power of Almightie God by her Graces onely meanes laying of her blessed and happie handes vpon him shee cured him safely within the space of sixe monthes Heereby it appeareth it is a more diuine then humane worke so afterwards vpon a time I did meete with him by chaunce in London but I did not wel-know him his Colour complexion was so greatly altered amended And being in very comely maner attired otherwise then before I had séene him and he tolde me who he was Then I asked him how he did with his griefe he answered me I thank God and the Queene of England I am by her Maiesty perfectly cured and healed and after her Grace had touched me I neuer applyed any Medicine at all but kept it cleane with swéet and fresh cleane cloathes and nowe and then washed the sore with white Wine and thus all my griefes did consume and waste cleane away And that I should credit him the more be shewed mée the Angell of golde which her Maiesty did put about his neck truely a cure as I haue said requireth diuine honour and reuerence And héere I doe confidently affirme and stéedfastly beléeue that for the certaine cure of this most miserable Malady when all Artes and Sciences doe faile her Highnesse is the onely Day-starre péerelesse and without comparison for whose long life much happines peace and tranquillity let vs all according to our bounden dutyes continually pray vnto the Almighty God that he will blesse kéepe and defend her Sacred person from the malice of all her knowne and vnknowne enemies so that shee may for euer raigne ouer vs if it please the Lord God euen vnto the ende of the world still to cure and heale many thousands moe then euer she hath yet done Amen An History and obseruation of a Gentleman which sent for me to cure him of the foresaid Euill but it prooued otherwise VPon a time I was sent for to a Gentleman lying in a Marchantes house at Broken-wharfe in London after I was brought into his presence he did foorth with giue me to vnderstand that he was greatly polluted molested with much impurity of corrupt rotten matter with great exulceration in his throate being of a filthy and carrionish sauour also the Almond of his throate was gréenous and painful vnto him meruailously swolne for the which cause he said he entertained a litle before one D. Simonds a very learned
followeth The incredible operation of this simple Causticke now following is aboue beliefe being indéed made but onely of the powder of new quick burnt Lime-stones as they come out of the Kyll and of Sope well mixed together An. q. s. Héere some peraduenture wil say it is a great vanity in mée to commend a remedie which is well knowne already it will doe that it is prescribed for but I will leaue to answere such obiections and will procéede with matter of more importance that is to wit After I had well defended the partes about then I applyed vpon these swellinges the aforesaid Cansticke which she reasonable well endured for the space of thrée houres and then I remooued it and in place thereof I applyed other medicaments onely to mollifye and loose the Askers which was made by the said Causticke and also I gaue with her of the same remedy home to her house to dresse her selfe with all where shee remained for the space of fiue daies in the end yée shall note she returned againe to me being very faint pale and ill coloured thereat I much maruailed to sée so sodaine an alteration then I demaunded the reason of her shee answered and said it was by reason of the bad sent and ill sauours of the Askers and of the filthy corrupt matter which did run from the foresaid Cauterized Strumous swellings that greatly offended her stomacke and by reason of the sensibilitie of the grieued partes which were sharpe mordant and byting and that 〈…〉 and further the confessed in the end that He was 〈…〉 with o●ilde which troubled her greatly all which ●onses being considered I very much 〈◊〉 an vn●●●ely birth but I tolde her she was much to a blame that she did not acquaint me there with before I tooke her in cure Howbeit God did so open my knowledge and vnderstanding that all thinges fell happily out better then we looked for So after I appointed her to bee drest twise a day with conuenient remedies and then by the vse of some metalline instruments onely to apprehend and to pull out part of the foresaid Strumous swellings So according as I haue said before those which are Masters and Professors chosen to performe the like operation ought indéede to haue a Lyons heart a Ladies hand and a Haukes eye for that it is a worke of no smal importance Then by the applycation of these two noble compositions being irreprooueable and most iudicially penned and of great truth and probability in this cure that is Vnguentū Apostolorū mesuae Vnguentum Aegiptiacum with other worthy Agglutinatiues and drying medicaments often times before named and thus she was perfectly cured within the space of 10. wéeks Friendly Reader the cause chiefly which hath mooued mee to publish this obseruation amongst the rest is partly as I haue before said to render some fruites of my labours studies and time spent which as it may héere appeare is no afternoone mans worke as some rake-shames belly Gods haue falsly and slaunderously so reported but the troth is I haue carefully laboured héere also to admonish euery young practiser of Chirurgery which is rightly called filius Artis that hee in no wise attempt the like cure vpon any woman with childe without some sage aduise for great was the troubles and daungers that was like to haue followed but happily were they preuented through the helpe of Almighty God c. Now héere I will forbeare any further to discourse héerein but I will set downe certaine Prescriptions worthy of obseruing which I haue gathered out of Plinie a most worthy writer for the cure of the fore named Euill the which I wil heere set downe word for word as followeth The cure of the King or Queenes Euill after Plinius Secundus description THe bloud of a Weizell is good for the Wennes called the King or Quéenes Euill when they be exulcerate and doe run so is the Weysell it selfe s●d in Wine and applyed Prouided alwaies that they run not by the occasion of any launcing or Incision made by the Chirurgians hand and it is commonly said that to eate the flesh of a Weizell is as effectuall for the cure so are the Ashes of a Weizell calcined vpon the fire made of Vinetwigs if they be incorporated with Hogs grease Item take a gréene Lyzard and binde it to the sore but after thirtie daies you must doe so with another and this wil heale them Some make no more a doe but in a little boxe of siluer kéepe the heart of a Weizell and weare it about them If a Woman or a Maide bee troubled with the Kings or Quéenes Euill it were good to make a Plaister or Linament of old shell Snailes and let them be stamped shelles 〈…〉 lly such as be sticking to the rootes of shr●●●●es of bushes The Ashes of a Serpent Aspis calcyned are likewise very good for this disease if they be incorporated with Buls Tallow and so applyed Some vse Snakes grease and Oyle together also a Linament made of the ashes of Snakes burnt tempered with Oyle and Waxe Moreouer it is thought that the middle part of a Snake after the head and tayle bee both cut away is very wholesome meate for those that haue the Kinges Euill or to drinke the Ashes being in the same maner prepared burnt in a new Earthen pot neuer occupyed Marry if the said Snakes chaunce to be killed betwéene two Cart trackes where the whéele went the Medicine will worke much more effectuall Some giue counsell to apply vnto the affected place Crickets digged out of the earth with the moulde and all that commeth vp also to apply Pigeons dung onely without any thing else or at the most tempered with Barly meale or Ote-meale in Vineger likewise to make a Linament of Mouldwarpes ashes incorporate with Hony Some there be that take the Liuer of a Moule crushed and bruised betwéene their hands working it to a Linament and lay the same to the sore and there let it dry vpon the place and wash it not in thrée dayes And they affirme that the foote of a Moulde is a singuler good remedy for this disease others catch some of them and cut off their heads stampe them with the moulde that they haue wrought and cast vp aboue ground and reduce them into certayne trochesces which kéepe in a boxe or potte of Tinne and vse them by way of applycation to all Tumours and Impostumes which the Gréekes call Aposthemata and especiallie those that ryse in the Necke but then they forbid the Patient to eate Porke or any Swine during the Cure Moreouer there is a kinde of earth Béetles called Tauri or bulles which name they took of the little Hornets that they carry for otherwise in colour they resemble Tickes some terme them Pediculos terrarum or earth Lice these worke also vnder the ground like Wantes and cast vp moulde which serueth in a Linament for the Kings Euill and such like swellings also for the
like much being mixed with Barrowes greace q. s. But such remedyes are too stronge for Children least it cause Agnes and hurt the soft and tender flesh of their bodies chiefly about the Necke it is to be auoyded Moreouer I read that to make a Playster of Nitrum and Lyme of each a like quantity and of Cardamonium Fenygreeke 4. times so to much and with Hony make héeroof a Plaister Aetius saith when Struma beginneth in children they must be molifyed and dispersed And for mollifying in children is approoued this remedy following ℞ Diachylon ℥ iiii   Oesypi ℥ i.   Radicum Ireos ℥ iiii   Pulueriset Misce Another Recipe The Lées of white or red wine of stronge Vineger of each a quart Mallowe leaues 4. good handful Boile them till the leaues bee tender then stampe the leaues put them againe into the said licour with halfe a pound of swéet butter of barley meale of beane meale of each a good handfull Of Linséede Fenigrek of each 4. ounces Of the powder of red Rose leaues one good handfull Of yolkes of Egges 3. or 4. an of Saffron the waight of 3. d fiat cat ap las I might easily bring in a confused number of other remedies to the same end purpose out of diuers learned mens writings which héer to repeate were néedles and to no great vse sith I know these may suffice Wherefore I thinke it good to pretermit the nominating of the rest c. The third Intention Chyrurgicall by outward meanes THe third Intention is to ripen open and clense such Phlegmaticall Corruptions and Vlcerous Apostumes which do pertaine to Suppuration This néedeth no long discourse sith it plainely appeareth that these troublesome hard kernelly swellings be found so rebellious that they doe resist all emollientes and Diaphoreticall remedies before named by meanes wherof it can not be dissolued consumed as we happily would or do desire For which causes we are further constrained to alter our course with due consideration that is to wit Not to leaue the Patient helples but to vse stronger Medicamentes I meane Suppuratiues as is before said such as whose property is to bring superfluous humours to maturity and ripenes by these and such like Emplasticke remedies which as it is said doe by the closing of the pooers of the skin augment the naturall heate whereby the matter so enclosed causeth the generatiō of matter or Pus But I must confesse I haue not often times séene these hard Phlegmaticall abcessions easily brought to suppuration The matter being once colde dull Clammy hard and knotty and déeply seated and of a long continuance in a body whose skin is grosse and thicke the matter hardly compact These kindes I haue found do sildome come to maturity and ripenes vnlesse as Cornelius Celsus saith the said Tumours bee mixed and made of matter and bloud And Trincauel reporteth that some of these Nota. Tumours that haue ●eate in them doe ripen and come to matter suppuration But there be others that be more hard and doe resist suppuration and then they come néerer vnto the nature of a Scirrhus Now it followeth that I set downe those approoued remedies being in vulgar vse seruing for suppuration which are long agoe ratifyed and well allowed of by a vniforme consent both of olde late writers which were men of an industrious capacity of a most rare exquisite knowledge in the Arte. And first I wil begin with Iohannes de Vigo one of the chief Fathers true Patrones of al good learning knowledge in the Arte of Chirurgery As it in some sort may appeare by Master Bartholmew Traheron which first Translated Vigo in the English tongue In his Epistle Dedicatory whose iudgement therein I doe acknowledge hee sayth that although Nota. Vigo were not brought vp in the knowledge of the Tongues yet through his singular wit long experience and diligent study hee hath inuented and set foorth more notable things in the Arte of Chirurgerie then any other héeretofore and I thinke sayth he nothing can better testifye the cunning of this man then that he continued so long in Rome in such a company of pocky Curtezans neither Priests Bishops nor Cardinals excepted as it appeareth in his Booke for where such cariones béen the best Egles will resort c. A Maturatiue Playster Vigö ℞ Radices Althaeae Ana. lb. ss   Capit. Liliorum Let these boyle in a sufficient quantity of Water and after being stamped put vnto them of Garlicke and white Onions roasted vnder the coales of each ℥ iij. Ol. Liliorum An. ℥ ii Butyri Pinguedinis porcini An. ℥ ii ss Anserinae Farinae Tritici An. q. s. Fenigreci Make a Playster at the fire adding in the ende the yolkes of two Egges There bee some I know do● little prize or value this Playster but I doe acknowledge it to be an infallible remedy Another D. F. ℞ Radices Bryoniae lb. ss   Ceparum No. ii   Rad. Althaeae recentiū ℥ iiii   Fol. Maluarum siccarum p. i.   Hidropiperis M. i.   Ficuum An. ℥ j.   Passularum Enucleatarum Boyle them well then adde vnto them Fermenti An. ℥ ii Axungiae suillae Insulsae Euphorbij pul ℥ i. Misce et fiat Emplastrum secundum artem This playster worketh miraculous effectes in this Cure Another Playster Paulus Aegineta ℞ Mirrhae ℥ x.   Ammoniaci Thymiamatis ℥ vii   Visci Quercini ℥ viii   Galbani ℥ iiii   Propolis ℥ i. Misce et fiat Emplastrum secundum Artem. A Maturatiue Cataplasme Recipe Rye-bread lib. i. White Onions of Lilly Rootes roasted vnder the Ashes of each 4. Ounces A Bryony Roote and Figges boyled in Malmesey of each 6. Ounc Fenygreke Lynséede of each 3. Oun. Barlye meale and Beane meale of each 4. Oun. Oyle of Roses Camomill and Wormewood of each 3. Oun. Hony 4. Oun. The yolkes of 4. Egges hard roasted Saffron the waight of 4. d. Boyle all these together to a laudable consistence and apply it thicke vnto the gréeued partes morning and euening warme Also I read in Iohannes Libaulty his Booke Intituled This medicine Mercurialis alloweth likewise cap. de Struma Le Meson Rustick and also in other Learned Writers that the dung of a Cow heated vnder the Ashes betwixt Vine or Colwort leaues mingled with vineger hath the property to bring Scrophulous swellings to ripenes c. Nothwithstanding if all these chaunce to faile then haue recourse to that which followeth in the Fourth Intention which is perfomed by Section or Incision when wee finde the matter before rehearsed vnfit to yéeld eyther to Resolution or Suppuration c. The fourth Intention Chyrurgicall by outward meanes THe fourth Intention of these Strumous Tumors which are not cured by former remedies yet are gentle obedient and tractable is to cut them off and then to pull them out In the vse