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A20850 A most excellent and compendious method of curing woundes in the head, and in other partes of the body with other precepts of the same arte, practised and written by that famous man Franciscus Arceus, Doctor in phisicke & chirurgery: and translated into English by Iohn Read, chirurgion. Whereunto is added the exact cure of the caruncle, neuer before set foorth in the English toung. With a treatise of the fistulae in the fundament, and other places of the body, translated out of Iohannes Ardern. And also the description of the emplaister called dia chalciteos, with his vse and vertues. With an apt table for the better finding of the perticular matters, contayned in this present worke.; De recta curandorum vulnerum ratione. English Arcaeus, Franciscus, 1493-1573?; Read, John, surgeon.; Arderne, John, fl. 1307-1370.; Galen. 1588 (1588) STC 723; ESTC S100216 164,574 268

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the patient is sometime vexed in the head and stomacke When you haue thus conferred with the patient and that he desireth to be cured first it behoueth you to haue a sight of his griefe but beware you put not your finger into his fundament or shew any priuie instrument whereby the patient is put in feare or peraduenture the patient haue brought in some other Chirurgion to espie your dealing But consider diligently the manner of the fistulae and whether it be curable or not Yet you ought to foreshew vnto the pacient the hardnesse of the cure in that the sickenesse asketh long time of curing For that the medicines applied thereto may not hide long for purging of the belly and for much moisture going out of ano and for many other causes as the place being straight and the buttockes too great or hard or the pacient is weake or disobedient in his cure or in his diet and many thinges you ought to instruct him of Which if he bée conformable vnto you may procéede in gods name vnto your cure with this caueat to take for your cure as much as you can with good assurance for your mony when you haue done Which being done you must haue in a redines these necessaries First two or thrée Sponges a lance or a sha●pe 〈◊〉 knife with other instruments before rehearsed as Sequere me A●ū rost Tendiculum and silke thrids Linnen clothes with apt roulers haue also restrictiues with water warmed with all other necessaries Taking great héede that the signe be neither in Libra Scorpio or Sagittario neither the Mone in 9 or 8 of the Sunne Of the definition of a Fistulae and the places that it is bred in and whether it is curable or not Cap. 2. NOw let vs procéede to the curing of a Fistulae and after aucthors in Chirurgery a Fistulae is a déepe impostume hauing one orifice or more breding in ech member of the body of an Apostame or a w●…m● ill he aled casting out matters of diuers colour and of diuers substance as now white and thinne now waterie sometime as the washing of flesh now clotted and sometime little sometime closing it selfe and after a fortnight or a moneth with a paine going before in the place openeth it selfe againe And when such maner of Fistulae is bred in the armes or ney the brest or in the knées or in the thighes or leggs or féets or head or in the ioyntes then it corrupteth the bones of tentimes and they are thrust out by the holes of the Fistulae But a Fistulae of the ioynts not procéeding of outward ca●ses is called the festred g●ut such Fistulaes are cominited vnturable especially in women young men for it vexeth them by long processe of time if Nature be not shewed benificial The Fistula in the legges and in the féete may be cured in the .7 14. or 22. yéeres For after Hippocrates all sticknes is ●ermined after the mouing of the Moone or of the Sunne If it be after the mouing of the Moone then it is ended in the 14 day which is the ending of the sharper ●…knes and beginning of a lingering disease If it be after the mouing of the Sunne then the 〈◊〉 shall be in the .7 moneth or 7. yeere and ●…ending vpward by 7. And know well that all young men hauing the foresaide Fistulae if they be in feuers and leane of body full seldom abide .14 yéere That which a noyeth them most is the vsing of milke fruiet leche●y and such like If the Fistulae be in a fleshie place of the body onely it is possible to be cured And therfore the Fistulae in ano or breding nigh may well be cured whiles it is not ouer olde or déepe which may be knowen by the hardnes of the place and discoulouring of the skin and much going out of the egestions and féeblenes of the pacient or whe●ether it pearceth the condictes of vrine and therefore let not ●…etousnesse blinde your eyes that you may rightly discerne betwéene a Fistulae curable and vncurable Of the cure of the Fistulae in ano Capter 3. WHen thou séest that he that hath the Fistulae in the fundament or nigh is strong and the place well couloured and all thinges 〈◊〉 ●ingly conuenient haue your pacient to a conuenient place hauing with you one or two to the helping of your busines and all thinges prepared as before let procéed to your cure in manner following Let the pacient be decently layde vppon a bed against a faire light window and if the hole be on the right side laye him on the left and if on the left side lay him on the right If on the right bone or other place laye him as you may most decently come to your worke Which done let the chirurgian put the fore finger of the left hand into his fundament and with his other hand put the head of the instrument ●…lled Sequere me into the hole of the Fistulae that is next to the fundament If there be many holes proue with your instrument diligently in euery hole your finger remaning in the fundament If you féele the instrument to penetrats vnto your finger it is a manifest signe that the longcion is perforated And know ye for certaine that this cure is not to be done without insicion or freting with a thrid strongly fastened if the hole be not from the fundament aboue the space of an inch then is it done in this order Take the instrument called Acus Restratum and put that ende which hath the eye into the hole of the Fistulae next the fundament your finger of the left hand being in the fundament and when you féele the needle against your finger labour diligently to bring out the end of it at the fundament by bending it gently Which done put into the eye of the néedle a strong silke thrid folure or sixe fould which we call Frenum Cefaris and draw it through the fundamēt into the hole of the Fistula with another spare single thrid that if the Frenum Cesaris happen to be cat or breake then with the same space thrid ye may draw in another with great ease Which being done you may chuse whether you will cut it or fret it out If you will cut it then shall ye take Acum Rostratum and put it through the middes of the instrument that is called Tendiculum beginning at the greater end after take the Fren●… Crsaris ●awen through the middest of the sundament and the hole of the Fistulae and through the hole of the instrument called Vertile That is a wrest Let them be drawen through be fast knit in proporcion of the lenght of Frenum Cesaris as it behoueth after the distance of the hole of the Tendiculum And put the snowte of the néedle in the hole of the Fistulke strongly afterward of take the wrest with Frenum Cesaris and put it in the hole of the Tendiculum that is in
remedis the consumed are healed and such as haue Fistulaes déepe in the brest Annotations of the second Chapter That kinde of Fistula which the Gréekes call Surynga is so termed for resemblance it hath of certaine réeds or hollow canes as saith Aeginata a Fistula is a hollow concauite or corner which in time is inuironed with a hard callus substāce so that the parts once seperated cannot be vnited Galen in his little booke of Tumor vnnatural saith that a Fistula for the most part happeneth of an impostume not well healed it may happen in any part of the bodie which draw with them peculiar Symtoms as Celsus and Aetius do testifie in the xiiii booke This auctor setteth forth onely the cure of those Fistulaes which fall out by the ill handling bad curing of wounds in the brest Quod si nullum os If no bone The redy cure is of the simple fistulae and lately happened in the flesh otherwise if a fistula haue hurt either a bone or a gristle or a muskie or if it light in any ioynte or if it chaunce in the bladder or in the Lungs or in the orifice of the Matrix or if it happen on any principall veine or that it pearce any howell it is euer very perrilous and often times killeth the partie As Paulus saith in his vi booke and 78. Chapter Ex ligno sancto of Lignum sanctum or Guaiacum This cure is approued and writ by Tagaultius and sertenlie not without reason for this kinde of wood hath a most manifest force in drying and resisteth putrifaction of peculiar vertue and hath a singular propertie in strengthning the part All which Scopes and intentions are very requisit in a filthie rootten ulcer of long continuance as fistulaes commoulie are Ipsius fistule curatio of the cure of the same fistulae The applicable remedies are verie many Which from Galen Paulus Aetius and Celsus may bée drawen I will note vnto you the remedie that Hippocrates writeth in his booke of fistulaes That the roote of Seselis applied doth take away the callouse which vertue Paulus emputeth to the roote of splondilion Hecteca febre et ptisi of the feuer Hecticke and the Ptisicke What the differences of these are those that haue studied Phisicke can best discerne I will onely add this that an Ague is to the Ptisike alwaies associable as Marasmus that kind of consumption followeth A Trophia a difect in nourishment as Galen in his booke de Marasmo hath set downe What farther this aucthor doth promise I neyther haue séene nor red protested by any other For all men hold this generally that that fistulae that is bredde by corrosion or fretting is vncurable as Hyppocrates in his booke de Glandulis and Galen in his fifth booke de methodo medendi doth report that vnlesse this hurt receiue cure within thrée daies the estate of such are thought desperate and pitifull Of the curing of the Canker happening in womens breastes Cap. 3. CAncers doe happen most especially to women and to those aboue others that are barren eyther by nature or by election Of which sort are Noonnes others that haue chosen a continent and single life they doe happen also to men but that seldome The healing of these séemed to vs worthie to sette downe in writing in this booke because it is a great deale more easie to those that shall know it well then as the auncient writers haue set it foorth where vpon this is a common song euerie where almost among all the Phisitions of our time that the secret or hidden cancer is not healed at anis time but if it be to be cured they iudge it necessarie to vse the pallatiue cure as they call it and that it ought not to bée cut off which thing if it had béene put downe in the cancer exulcerate if had béene well spoken For to such exulcerate cancers the pallatiue cure onely profiteth For if they bée cured otherwise a more present and assured daunger is to be feared For they are woont to bée eaten away and consumed a great deale sooner by laying to medicines especially if corrosiue medicines be layd therevnto or by any meanes it happen any bloud to bée powred out of them But to cure the rest which are not erulcerate it is not so hard a matter as they thinke which doe sette foorth nor teach no cure of cancers at all nor showe how they may bée drawen foorth whereas they may notwithstanding bée drawen foorth whole without any daunger although it happen the same to be great But that cure of Cancers which is taught by writers whereas their intencion is all about resoluing the same that is altogether without effecte Which wée haue found verye often to bée in vayne although wée haue béene diligent in preparing and practising the same with diuers resolutiues Which sort of remedies are taught vs of Vigo and of Celsus Guido and others wherefore howe such manner of cancers maye without harme bée both drawen foorth and also throughlie cured I thought it good to put it in writing for the behouse of the common vtilitie and this is the bréefest order of curing which we shall teach you First of the whole curing of those cancers which are not exulcerate and scondly also of those cancers which are exulcerate we will with a verie ercellent palleatiue cure declare whereby we haue long prolonged many men and women and least they shuld for that cause perish we haue taken deligent care and inspecially a certaine man a priest we did so preserue aboue xx yéeres with this kinde of cure that before he ended his life he was thoroughlie cured And when he deceased he was more then foure score yéeres of age first at the beginning the most certaine signes of this disease are the encreasing of these cancers bigger and bigger for when the same be first bred they do not excéed the greatnes of a Chiche but in a yéere or two or somwhat more they become greater and harder in féeling There are other signes also set foorth of writers which ye may séeke for in their bookes Therefore when wée will cut foorth the Cancer we must first of all prepare the diseased body with a purgacion ministring therevnto such Sirupes for foure or fiue dayes whose nature is approued concoct blacke and adust colour For of those humours doth this euill first grow and increase After this some purgation is to be giuen which shall be iudged best to agrée with the complexion of the man The third daye after the purgation the second or third houre after dinner lette two youlkes of egges with the whites be well beaten together adding thervnto if you please a little Rose water There shal be also in a redinesse great plentie of plageants made of the most fine two of flaxe Furthermore small Cusshions or Boulsters with a roule or fillet fiue fingers broad and a good porcion also of frise or dags waine and a great roulling néedle and