Tacamahac of each half a dram Ol. Philosophorum and Carraways distilled of each an ounce Make it into a Plaister These impediments being thus removed and the Caul or Intestines reduced to their place you must then with convenient Bands or Trusses so long keep them in until the burst Peritonaeum be so firmly grown either together again or to the Muscles of the Belly that nothing can fall out of it any more And this you will the sooner obtain if you outwardly lay on it the following Plaister and inwardly assist Nature with appropriated Medicines But here remember that in old Ruptures and aged People the edges of the burst Peritonaeum are sometimes callous that how fitly soever they are brought together yet they can never grow together and in that case Bands must do the best but in young Children they easily grow together and here Trusses are better than the best Bands Those that are not acquainted with them must confult those that are A Plaister for a Rupture Take Roots of the great Comfrey Bistort of each an ounce and half Round Birthwort two drams Galls Cypress-Nuts Pomegranate-Rinds of each one dram and half Flowers of Balaustians Red-Roses Oak-Leaves of each half a dram Aloes Dragons-Blood Acacia Earth-worms dried Frankincense Mastick Myrrhe Sarcocols Mummy of each one dram Pitch Colophony Burnt-Talch of each one dram Lytharge Bole-Armonick Lap. Hematitis prepared Steel of each one scruple Venice-Turpentine as much as is sufficient to make a Plaister An Apozem that the Patient may take five ounces two or three time a day Take Osmund-Royal Rupture wort of each one handful Roots of the great Comfrey Bistort of each one ounce and half St. Johns-wort Flowers one handful Aniseeds two drams Boyl them in Red-Wine and to a pint and half of the strained Liquor Add Of the Syrup of Comfrey of Fernelius two ounces Make it an Apozem Pills that the Patient may take five or six of mornings and evenings Take Mummy one dram Galbanum dissolved in Vinegar two drams Myrrhe Filings of Steel dried Hares-Dung of each half a dram Powder of Earth-Worms two scruples Make them into Pils about the bigness of a great Pease If by a Wound the Caul or Intestines come out you are to endeavour to put them in again before they lose their natural warmth or colour by the Air otherwise there will remain but small hopes of recovery If the Intestines be wounded then with a waxed Thread stitch the Lips together and with a gentle hand return it into the Body as also the Omentum slipt out unless it should have lost its natural colour and warmth in which case you must tie it in the place where it is sound cutting off the part that is putrid and reduce it into the Belly leaving the Thread hanging out of the Wound that after Suppuration it may be conveniently fetcht out And then you must stitch together the Wound of the Belly and the Peritonaeum which is to be done after this manner Take a Needle thred it with a Waxen Thread thrust it from without through the Skin and Muscles unto the very Peritonaeum leaving it on this side untoucht but lay hold on it on the other side pierce it through and the Muscles and the Skin also drawing the Lips together then passing over the space of an inch thrust in the Needle on the same side again on which you drew it out last through the Skin and Muscles leaving again the Peritonaeum on the same side untoucht but holding it on the other side thrust it through together with the Skin and Muscles and so on Then seeing that by reason of the continual motion of the Belly your stitches may be easily undone the rather because the haste sometimes here to be used will not permit to make them with Exactness it is always necessary to apply to the Wound a sticking-Plaister Among these Ruptures is to be reckoned the Navel-Rupture called Exomphalos or Hernia Umbilicalis which proceeds from the same cause and is cured by the same means Only you are here to observe That upon the Plaister you must put Bolsters of Leather or other hard things and this according to the bigness of the Rupture that by this means it may be sufficiently and perfectly kept in It is worthy nothing that the Peritonaeum seldom bursts in this part I have divers times found and shewed in dissected Bodies that the Navil together with the Intestine following stood out bigger than a mans Head insomuch that the right Muscles of the Belly were pressed to the side and severed from one another and yet was the Peritonaeum but stretched and no where broken These are the simple and compounded Ruptures that are commonly described but Practice shews us many others not mention'd by Writers For Experience hath taught me that the Peritonaeum may burst in the back-part and there cause a Rupture We also find that the Processus Peritonaei near to the Groins may come so to be lacerated that the Guts press not into the Scrotum but between the Skin and Muscles falls down toward the Thigh Besides we have more than once found that the Vás deferens was fallen twisted into the Scrotum and had there made a Rupture which happening it may with the Hands be easily reduced yet goes in of it self by lying backward without any further inconvenience The manner of cure had nothing peculiar in it self but that you contrive such Bands that may reduce the parts fallen out into their right place without prejudicing the sound ones Among these Ruptures are commonly reckoned divers Swellings that belong to other Chapters where also we intend to describe them But to comply with young Students I shall here enumerate those that in the modern Practice do occur Namely 1. Entero-cele Hernia Intestinalis or the falling down of the Guts into the Groin 2. Epiplo-cele Hernia Omentalis or the falling down of the Caul 3. Omphalo-cele Hernia Umbilicalis or the Rupture of the Navel 4. Pneumato-cele Hernia Ventosa or the Wind-Rupture 5. Hydro-cele Hernia Aquosa Water-Rupture 6. Bubono-cele Swelling of the Glandules in the Groin 7. Cirso-cele a swelling of the Seminal Vessels in the Scrotum 8. Hernia-Veneris an hardening of the Testicles by an impure Concuóitus 9. Hernia-Humoralis a Repletion of the Testicles with unnatural Humors 10. Hernia Carnosa a fleshy Rupture 11. Broncho-cele Hernia Gutturis a swelling in the Throat 12. Spermato-cele figuratively so called by me when the Vas deferens falls twisted into the Scrotum CHAP. VIII Of the falling down of the Matrix THe Matrix does not easily fall down by Relaxation much less by Laceration of her broad Ligaments as most Writers imagin from hard Labour or by an indiscreet drawing away of the Secundine Others with me have seen that the bottom of the Matrix hath been plainly inverted in pudendis so that the inward part shewed it self as the outward We have also found especially in those that were subject to Costiveness or
Amber Mastick of each a dram Turpentine half an ounce Euphorbium a dram Ung. Aegyptiacum half an ounce yolks of one Egg Oyl of Elders as much as is sufficient Saffron a scruple Make it into an Ointment Another more excellent than the former and which likewise resists Putrefaction Take Tar Turpentine Galbanum of each two ounces Mastick Frankincense Nitre Sal Armoniack of each an ounce Allom half a dram Verdigrease white Vitriol Camphire Powder of Worms of each a dram Oyl of Lin seed Roses of each two ounces Oyl of Worms and Turpentine of each a dram Molax them with a gentle Fire and make them into an Ointment If the Nerve hinder not in a great putrefaction there may be added some Precipitated Mercury An Anodine Plaister Take Bean-meal Crums of brown-Bread of each two drams let them be put in Milk adding to them Oyl of Roses Violets of each an ounce Yolks of Eggs No. iij. Powder of Red Roses Scordium of each an ounce and half Wax as much as sufficeth Make it into a Plaister An Anodine Cataplasm Take Roots of Marshmallows Comfrey the greater of each an ounce Flowers of Camomil Melilot St. John's wort of each half a handful Tops of Wormwood two pugils boil them in Milk adding to them of the Meal of Marshmallow-roots and Beans of each an ounce and an half Make it into a Poultice If the Wound be quite through a Tent must be put into both Orifices for a Flamula is inconvenient and hurtful At first dressing it once a day is sufficient for in Wounds made by Gun-shot there seldom appears any Matter before the third or fourth day after this the quantity or acrimony of the Matter will guide you best whether it is to be drest once twice or thrice a day CHAP. X. Of Poysoned Wounds POysoned Wounds are made sometimes by Bullets Arrows Swords and other Instruments sometimes by mad Beasts as Dogs Wolves which hurt more by their venomous quality than by wounding Signs are vehement pain a livid Colour suddenly becoming black Symptoms more grievous than for the quality of the Wound a Heat over the whole Body Trembling Delirium Fainting c. Prognosticks A poysoned Wound though little may bring death especially if near to the Heart or any other Noble Part or the Chirurgeon not call'd soon enough Cure consists chiefly in this that the Venom be drawn forth by Cupping glasses attractive Medicines Scarifications or which is safest by an actual Cautery but then it must not be in a Nervous Part the Escar to be forthwith removed and the Wound to be cured by degrees Inwardly Sudorificks and Cordials profit Bleeding and Purging hurt A Plaister that draws forth the Poyson out of the Wound and corroborates the Part. Take boiled Onions three ounces Treacle half an ounce Goats dung an ounce Angelica-Roots in Powder a dram and half Oyl of Scorpions an ounce and half Honey and Wax as much as is sufficient to make it into a Plaister That corroborates the Part extracts the Venom produceth Matter and incarns the Wound Take Gums Galbanum Sagapenum Opoponax Assa Foetida Mirtle Pepper Brimstone of each six drams Pigeons and Ducks-dung of each an ounce Mummy half an ounce the great Comfrey-Roots powdered three drams Oyl of St. John's-wort as much as sufficeth to make it into a Plaister CHAP. XI Of particular Wounds IN Wounds of the Head where the Pericranium is hurt a stitch either by Needle or Plaister is not convenient fat things hurt but comforting and drying profit much Take Mastick Myrrhe Aloes Sarcocols of each half a dram Dragons-blood two scruples Bole a scruple Venice-Turpentine two ounces Honey of Roses a little Make it into a Plaister Wounds of the Brain are accompanied with pain of the Meninges and a great Flux of Blood to which succeeds other Symptoms and for the most part Death it self Oyl of Roses applied warm greatly easeth pain and fresh Pigeons-blood effects the same In an Haemorage Take Myrrhe Aloes Mastick Dragons-blood Rhubarb Red Coral prepared Hares hair cut small of each a dram Make it into a very a fine Powder Wounds of the Face are not to be stitcht but always care is to be taken that the Scars may not render it deformed In Wounds of the Eyes you must abstain from all Unctious things The sound Eye is to be bound as well as the whole The Head must be placed upright if there be a Flux of Blood the following things are convenient The Blood of Turtles Pigeons Hens Mucilage of the seeds of Fleawort of Quinces Tragacanth Bloodstone Ceruse Tutty Frankincense Aloes the white of an Egg Water of Roses and Plantain Decoction of Balaustians Red Roses Galls c. Take white Troches of Rasis prepared Tutty Aloes Powdered of each half a scruple Red-wine an ounce Red Rose water and Plantain of each two ounces Mucilage of the seeds of Fleawort Tragacanth of each a dram Make a Collyrium In pain Womans-milk fresh is good or the above described Collyrium adding to it half a scruple of Opium and applying over it this Cataplasm Take of rotten Apples two ounces Flowers of Linseed half an ounce Mucilage Seeds of Flea wort two drams crude Opium half a dram Yolks of Eggs as much as is sufficient to make it into a Cataplasm A part of the Nose quite cut off never unites again although the Wound be but just made but if it adheres still to the Body 't is to be stitched to it with a Needle Wounds of the Ears and Lips find greater benefit from the Needle than from Ligature Wounds of the Lungs require comforting and drying Medicines sharp being here very hurtful though used in other Wounds Externally Take Roots of great Comfrey Tormentil Cloves of each half an ounce Flowers of Red Roses half a handful Mastick Myrrhe Aloes of each a dram boil them in Barley-water and to half a pint of the strained Liquor add Syrup of Mirtles common and strained Honey of Roses of each two ounces Make it into a Liniment Internally Take Leaves of Fluellin Strawberries Sanicle of each half a handful Lung-wort a handful Roots of Angelica two drams Liquoras a dram Jujubies No. xv Raisons half an ounce boil them in Barley-water and add to a pint and half of the strained Liquor Syrup of Diacodion three ounces Mix them let them take four ounces of it three or four times a day Half a dram of Sperma Ceti taken every day is excellent but it weakens the Brain Wounds of the Heart are always mortal and those that penetrate into the left Ventricle kill suddenly they seldom live so wounded above six twelve or twenty hours although there are examples produced for it If wounded into the right Ventricle it permits the Patient to live longer but that which terminates in the substance of the Heart grants yet longer time Wounds of the Stomach for the most part are left to be cured by Nature which here doth miracles yet in a Flux of Blood Bleeding is requisite In
it ought to be ascribed to many Nerves that are distributed through them yet the Causes in this Case are various and must be well distinguished to wit 1. a hot Distemperature 2. a cold distemperature 3. a sharp humor 4. a solution of continuity In a hot distemper Bleeding and Purging is very necessary apply Cupping-glasses to the Neck and Shoulders let the Head be purged with Errhins In the beginning this Water being held in the Mouth profits much Take the Roots of Tormentil an ounce Leaves of Vervain a handful and a half Flowers of Balaustians two Pugils Cypress Nuts two drams red-Saunders three drams Scales of Iron one dram Vitriol two scruples Rose-Vinegar two ounces Let them boil in a sufficient quantity of Red-wine to a pint and half keep it for your use The Flux being stayed we discuss the remaining with the following Decoction Take the Roots of Bistort three drams of Flower-de-luce two drams Leaves of Sage Hysop of each half a handful Galls a dram Frankincense Sandarach of each two drams Juniper-Berries an ounce Boil them in Red-Wine In a cold Distemperature the Patient must avoid all cold potable Medicaments yea the very Air it self those Medicines that purge Phlegm profit Bleeding hurt The following Medicine which is of great vertue may be held in the Mouth My Spirit for the Tooth-ach Take shavings of Guaiacum four ounces Seeds of Stavesacre Pomgranate-rinds Galls White-Frankincense of each an ounce Crude Opium red flowers of Poppy Camphore White-Ginger Cloves Long-Pepper of each half an ounce Leaves of Sage Arsmart Tobacco Horse mint of each one handful Roots of Henbane Pellitory of Spain Mandrake Hounds tongue Nettles the less of each an ounce and half Let them infuse fourteen days in a sufficient quantity of Spirit of Wine then distil it in Balneo Mariae A sharp Humor falling upon the Teeth is cured almost in the same manner as a hot distemperatur but if those Remedies are not sufficient the following Mixture is to be used in a Spoon which is not only of great virtue in this but in all the other kinds of Tooth ach Take water of Plantane an ounce and half of Roses Mint of each an handful Alexipharmick water half an ounce Cinamon-water two drams Julip of Roses or Syrup of Red Poppies an ounce Laudanum Opiatum three grains Mix them In solution of continuity and rottenness of the Teeth it is best to pull them out In the Breeding of Teeth in Children the pain may be mitigated with fresh-butter and Virgins-Honey or with a Decoction of the Brains of a Hare or Coney in Ale but in a long pain it is very convenient to cut the Gum to give passage to the Tooth 9. From the Blood and mixt Humors ariseth the Ophthalmia sometimes true sometimes spurious sometimes seizing on one Tunicle of the Eye sometimes on more that which happens only in the great corner of the Eye is call'd Aegylops the white of the Eye may be vexed with little Bladders called Phlyctenae which being broke there follows an Ulceration except stayed corrupting the whole Eye But if this Ulcer seizeth only the Caruncle that the Punctum Lachrymale afterwards grows callous it becomes a Fistula Lachrymalis If these Diseases yield not to these Remedies proposed in our Chirurgery others are to be made use of Phlectenae are soon removed by the following Powder Take white Sugar-Candy prepared Tutty of each half an ounce red Coral prepared Camphore white Vitriol Saccharum Saturni of each two scruples Mix them and make them into a Powder A beginning Ulcer of the Eye requires first mundifying afterwards consolidating Medicines A Mundifying Medicine Take Mirrhe 15. grains Aloes six grains Sugar-Candy one dram the yolk of an Egg Goats-milk three ounces Mix them A Consolidating Medicament Take red Coral prepared burnt Harts horn Sarcocol of each a scruple Dragons Blood half a scruple burnt-Lead a scruple Starch half a dram Crocus Metallorum half a scruple Gum Tragaganth dissolved in Rose-water a dram Horse-tail-water as much as sufficeth to make it into a Collyrium If the Punctüm Lachrymale in the great Glandule of the Eye be callous and from the continual Flux of Humors degenerates into a Fistula first the Callosity is to be removed before the other accidents will cease for which the following are used by us the Phlegm and Spirit of Vitriol burnt Alom blew Vitriol Verdigreece Mercury water Aqua Fortis Unguentum Aegyptiacum but the best of all is Unguentum Fuscum of Felix Wurtz boil'd to the consistence of a Suppository and put into the Fistula The Callosity being taken away the Ulcer may be cured by the following Medicine Take Roots of Flower-de-luce round Birthwort Bark of Frankincense of each dram and half Mirrhe Mastick Sarcocols Aloes Cadmia Fossilis of each a dram Honey as much as is sufficient to make it into an Ointment If the Os Lachrymale or Zygomaticum be foul the Skin being divided an actual or potential Cautery must be applied that the Caries may be removed otherwise it is impossible to cure the Fistula that not taken away 10. The pain of the Ears proceeds from a cold or hot distemperature or from a solution of continuity which oftentimes an Ulcer follows for a cold distemperature and what accompanies it the Wind besides the common and particular Medicines outwardly may be applied this with very good success Take Oyl of Rue Henbane of each half a dram of distilled Marjoram half a scruple Castor six grains Eastern-Saffron four grains Mix them The Smoke of Tobacco blown through the bole of a Pipe put into the Ear hath done good to many for the pain of the Ears and for Deafness oftentimes also a decoction of Cloves in Red Wine hath profited if two or three drops of it be instill'd warm into the Ear and the Ear afterwards be stopt with one of the boil'd Cloves Two drops of the following Spirit Morning and Evening dropt into the Ear is excellent My Spirit for the Ears Take Ants-Eggs N o 100 Castor Pulp of Coloquintida Marjoram Savin Wormwood Rue a handful Seeds of Cummin Anise Fennel Caraways of each three drams Bay-berry-husks pull'd off Juniper-berries of each half an once Pomegranate-rinds six drams Roots of black Hellebore round Cyprus Raddishes Sow-bread of each an ounce middle-siz'd Onions N o vij bitter Almonds two ounces Infuse them 14 days in a sufficient quantity of rectified Spirit of Wine then distil them in Balneo Mariae In a hot distemperature first we ought to divert the Flux of humors by Bleeding Purging Scarifications Glisters c. then the following Medicines by Cotton inbibed we may put into the Ear. Take womans-Milk two ounces Whites of Eggs well beaten half an ounce Oriental Saffron half a scruple Goose-grease dissolved two drams Crude Opium five grains Mix them Or Take Oyl of Violets sweet Almonds Rose-Vinegar of each an ounce Philonium Romanum two drams Eastern Saffron half a scruple boil them and strain them for your use Or Take
from this following taken by spoonfuls Take Fracastorius his Diascordium two drams Amber half a scruple red Coral prepared Dragons blood of each a scruple prepared Pearls half a scruple Fennel-water an ounce Plantane and Rose-water of each an ounce and half Syrup of Comfery of Fernelius an ounce Mix them Clysters of an astringent drying emollient quality given twice or thrice in a day have likewise in this case been found very necessary Take Roots of Comfrey the greater an ounce Bistort and Tormentil Roots of each three drams Oak-leaves half a handful Flowers of Balaustians Red Roses of each a pugil Aniseeds three drams boil them in Cows Milk that hath been burnt to into 8 ounces of Liquor dissolve of Venice Turpentine two drams one Yolk of an Egg white Troches of Rhasis a dram Honey of Mercury half an ounce of Roses an ounce Make a Clyster The Bathing of the Belly with the Lees of white or rather of red Wine and the applying to it afterward a warm cloth three or four times doubled have by some been found to be of singular benefit or else the Ointment and Plaister following may be made use of Take Oyl of Mastick of exprest Nutmegs of each a dram Oyl of Dill Wormwood Myrtles of each two drams old Treacle three drams Mix them Take Bolearmenick Franckincense Mastick Dragons-blood of each two drams Mummy three drams Powder of Galls a dram half Seeds of Carrots Lovage Anise Myrtles of each a scruple Oyl of Nutmegs by expression three drams Venice-Turpentine as much as sufficeth to make it into a Plaister And thus much may suffice to have been spoken concerning the inward Symptoms of the Plague the outward are three the Spots call'd Petechiae the Bubo and the Carbuncle The Spots can hardly any other way be better removed than by inward Remedies but they do usually portend some mischief The Bubo I am wont to deal with after this manner following At the first appearance of it and although the swelling hath arrived to no considerable height I draw a Blister without making use of Cupping-glasses which by reason that they cause a great deal of pain create a Fever draw unto them both the good bad Humors cause a greater alteration than was before in the Blood I do utterly lay aside After 7 or 8 hours cutting the Blister I apply unto that part a Magnetick Plaister of Arsenick the virtue whereof is so great that I know not any more excellent which will appear to whomsoever shall make use of it the account of it out of Hartman and Agricola is as followeth The Magnetick Arsenical Plaister Take Crude Antimony yellow Brimstone white Arsenick of each two ounces When you have beat them very small let them be put into a Viol covered in Sand to which you must apply fire till they are all melted appear to be of a dark red colour when it is cool it may be taken out of the Vessel and this is that which they call the Arsenical Magnet and hath not in it any thing of Poyson as it may be easily experimented upon Dogs afterwards Take Gum Sagapenum Ammoniacum Galbanum of the Arsenical Magnet of each three drams Turpentine of the Larch-tree Wax of each half an ounce Oyl of Amber two drams Dulcified Earth of Vitriol a dram Let the Gums be dissolved in the strongest Wine-Vinegar and strained through a Linnen Cloth let them after that be boiled up to their former consistence then melt the Wax and the Turpentine together by themselves when you have taken them off from the fire stir them well till you have brought them to the consistence of an Ointment then add to them the Gums beforementioned the Arsenical Magnet together with the Earth of Vitriol and Oyl of Amber you will have that plaister which is most effectual for drawing forth all sorts of Poyson I have found the virtue of this Plaister to be such that if it be applied to those parts where the Skin is somewhat hard it leaves not the least sign of a Scar and yet doth so plentifully draw forth the malignant Humor that a Bubo of the bigness of a Walnut will in the space of 5 or 6 days be utterly taken away but because it doth not always so suddenly produce this Effect it is often very necessary to raise a Blister for evacuation of the Humors And it is observable that in some strong Bodies it causeth no Escar at all unless when the Blister hath corroded not only the outward but also the inward Skin But in Children and more tender Bodies it will of it self cause an Escar although there be no Blister drawn before the application of it This Escar or Crust is the true seat of the Venom which is extracted is of that thickness especially considering that the Skin is but superficially corroded that it is well worth our while to consider it For I do believe that to be the reason why it is much sooner separated than other Crusts or Scars that are caused by Art for in the space of 24 or 36 hours if no Scarification hath preceded it may be easily taken off without any or at least with a very small pain if you make use of any Antipestilential Plaister and add unto it some Treacle or Vnguentum Basilicum or else the severing of the Escar may be very much promoted by this Ointment Take Virgins-Honey Ducks-greese of each an ounce Soot six drams Turpentine an ounce Yolks of two Eggs Treacle three drams Oyl of Scorpions as much as sufficeth to make it into an Ointment But if the Tumor is not sufficiently abated when the first Crust is taken off by the Arsenical Magnetick Plaister it is requisite that you create a second or third and then proceed as before The Ulcer may be consolidated by a Plaister of Minium of White Lead Diapompholigos or some such Remedy which drieth up the Humor and bringeth the Ulcer to a Cicatrice But we must observe this by the way that this Consolidation is not to be wrought too suddenly lest part of the poysonous Humor which still remains in the Body should cause some new Disease which may be fatal to the Patient For want of the Magnetick Plaister you may make use of this following if you take care first to raise a Blister the vertue whereof hath been found to be very great by several for the taking away of painful Scrophula's and the excellent qualities that are in it have made it famous by the name of The Divine Plaister Take Gum Galbanum an ounce Ammoniacum two drams Oppoponax three drams yellow Wax twenty ounces Oyl of Olives 24 ounces Litharge of Gold 17 ounces Olibanum two ounces Mirrhe Frankincense of each ten drams Verdigreece long Birthwort Mastick of each an ounce Bdellium Loadstone of each two ounces Make it according to Art into a Plaister If the Bubo is too protuberant or cleaves to the Tendon a Vesicatory is too weak but
to use this Landanum Opiat Take Bawm-water an ounce Holy-Thistle-water an ounce and half Alexipharmick-water an ounce Confection of Hyacinth a dram Julep of Roses ten drams Laudanum Opiat two grains Mix them Of this she took every half hour one or two spoonfuls and although it caused Sweat yet it procured no Sleep The Chirurgeon for variety made use of his Pestilential Plaister but neither was the pain hereby remitted we were therefore forced at length to apply this following to break it Take of unslack'd Lime of Black-Sope as much as sufficeth By the help whereof the Fever very much abated though the pain continued as before but yet in the space of 10 or 12 days it utterly left her but the Bubo remained open for six weeks after for the whole Glandule was consumed by the Ulcer some part of it which was corrupted was necessarily to be separated from the other In the mean while we had great cause to fear that the putrefaction had pierced deeper because the Ulcer was deep and the sides of it callous and a serous matter came from it but by the blessing of God the Cure succeeded according to our wish IV. A Bookseller in May was very much troubled with two Biles whereof one broke out on his Buttock the other on the Scrotum To remove the cause hereof and to abate the Tumor I prescribed this following Laxative Apozem to be taken two or three days together Take Tamarinds an ounce Cream of Tartar two drams Senna 6 drams Rhubarb 2 drams and an half Aniseeds a dram and half boil them in Whey and to a pint of the strained Liquor add two ounces of Syrup of Succory with Rhubarb Make it into an Apozem To the Swelling I applied the Plaister Diachilon with Gums by the means whereof they were wholly removed The same person the 26th of August at which time the Plague raged here very much was taken with a Bubo in his Groin which when after inquisition made that I might satisfie the curiosity of him and his Wife I had declared to be Pestilential it was strange to see what terrour seized upon them both but I quickly caused them to chear up again by letting them know that the Life was not at all in danger for the Man in all other respects was very well he eat drank and slept well had no Fever nor pain at his Heart nevertheless I gave him Sudorificks more than once and the Chirurgeon drew a Blister and afterwards applied Plaisters and drawing Poultices whereby in the space of four weeks the Bubo was wholly dissipated without any Suppuration V. A young Emdener of 26 years old on the 12th of Aug. fell into a continual Fever accompanied with drowsiness trembling of the Lips blackness and driness of the Tongue all malignant signs but I restored him again by the 30th of the same Month to effect which I prescribed him a Sudorifick Morning and Evening and for his ordinary Drink this Julep Take Holy-Thistle-water a pint Alexipharmick-water 2 ounces Julep of Roses 2 ounces half Spirit of Salt eight drops Mix them On the 3d day there was Spots discovered all over his Body nor was his drowsiness or the trembling of his Lips abated but he vomited not at all I gave him this Sudorifick Take Salt of Scordium of Holy-Thistle of each a scruple Antimony Diaphoretick half a scruple Crabs-Eyes brused twelve grains our Prophylactick-water Mint-water and Syrup of the juyce of Holy-Thistle of each an ounce Mix it for a Draught By the use hereof the Fever abated very much and on the eight day I found that he had a Thrush for the separation whereof I prescribed this Mixture to be taken by spoonfuls Take the juyce of the greater Housleek half an ounce Water of Self-heal of Purslane of each an ounce and half the yolk of one Egg Syrup of Violets compound six drams Mix them This being twice or thrice reiterated and making use at the same time of a Lohoch of the Syrup of Purslane and Violets by means hereof the Thrush was removed and the Fever cured without either Purging or letting Blood VI. I was sent for on the 18th of August to a Woman great with child which was taken with a great drowsiness and had a Pestilential Bubo brake forth in her Groin but she had scarcely any Fever her Eyes looked well and her Tongue was moist and she seemed very heart-whole she had now gone seven months on the night following she was delivered which I concluded to be a certain sign of Death and found it true for on the next day about ten of the Clock she departed The Husband of this Woman fell sick the same day he was delirous his Eyes sparkled his Tongue was dry all which I noted for very ill signs his Fever was but small but the pain at his Heart very great his Urine like that of men well in health After having taken two Sudorificks he began to come to himself his Tongue was observed to be moist and a Bubo appeared in his Groin and a Carbuncle on his Back which on the next day had three or four more joyned to it These Symptoms promised good success but it happened otherwise for as soon as he saw his Wife dead he was so altered that the Bubo striking inward and the Sweat stopping the 3d day after he died An old Woman related to him had a Carbuncle without a Fever and by our usual way of proceeding was cured in nine days VII A Midwife which went trembling and unsteady gave me occasion from thence to suspect some extraordinary weakness in her or a Delirium nor was I mistaken for when I came to feel how languidly her Pulse beat I found it evident but yet I could discover no outward Symptom nevertheless the driness of the Tongue the difficulty of Breathing and such other signs did discover that some Malignity was concealed within at length upon enquiry she told us that she had a push upon her right Thigh which upon search we found to be a Carbuncle of the breadth of a Shilling She would not grant that she had any Bubo in her Groin which nevertheless I doubted not of nor suffer the Chirurgeon to search He gave her what was requisite to be applied outwardly I prescribed her a Sudorifick after two days she recovered her strength became of a right mind the 3d day seemed to be perfectly well but on the Evening of that day all was changed she became restless and almost distracted and died that night She had taken before I was sent for Manna with Cream of Tartar and after that Tamarinds all which doing no good but the Disease still encreasing upon her she conjecturing that there was some Malignity in it took an ounce of Plague-Water which though it were much weaker than the Malignity required yet she took it for two dayes by my advice but on the third whatsoever I perswaded to the contrary she changed all her Linnen
I gave him the next day a more powerful Sudorifick whereof we found very notable effects but his thirst by that means being increased made him drink a great quantity of Beer whereby the vomiting returned and because he complained of a pain in his Belly we were afraid of a Diarhaea wherefore instead of Beer we gave him this following Mixture by Spoonfuls Take Rose-water two ounces Holy-Thistle-water four ounces Mint-water an ounce Cinamon-water three drams our Prophylactick-Water an ounce and half Syrup of Myrtles two ounces Mix them And in the Evening he took this Sudorifick Take Confection of Hyacinth a scruple Treacle Diascordium of each two scruples Salt of Coral fifteen grains our Prophylactick-Water ten drams Mix it for a draught The night after passed quietly the Vomiting ceased the third day after there was a Carbuncle discovered on the inside of the left Nostril We applied to it our Divine Plaister and inwardly we gave Sudorificks and such things as might refrigerate on the 4th day his Nose was observed to be cold and to look of a purple colour the Carbuncle extending it self to the Processus Mammiformis the Pulse beat low and unequal nevertheless he took another Sudorofick but without success for about Noon many mortal signs discovered themselves and although he was all along of a sound mind yet after two hours he departed XIV The Wife of John N. Chirurgeon in September was suddenly taken with a Fever with drowsiness and anxiety of heart I prescribed this Sudorifick Take Diascordium of Fracastorius a dram Confection of Hyacinth Lapis Prunellae Salt of Scordium of each a scruple our Prophylactick Water an ounce Betony Water as much as sufficeth Syrup of the juyce of Holy-Thistle half an ounce Mix it for a draught It produced no Sweat which was an ill Omen The next day therefore she took this which is somewhat stronger Take Treacle Diascordium of each a dram half our Prophylactick Water an ounce and half Salt of Holy-Thistle a scruple Syrup of Limons six drams Mix it for a Potion And this also effected nothing For variety sake in the Evening I gave her this following Take Salt of Wormwood Scordium Prunella Antimony Diaphoretick of each a scruple Syrup of the Juice of Holy-Thistle an ounce Our Prophylactick Water two ounces Mix it for a Draught By the help whereof she began to sweat the Fever to abate together with the anxiety but the third day after the Spots appear'd which carried her off immediately Her Husband after eight days beginning to visit his Patients again came about eight in the morning to one that was sick when sitting down on a Stool he was suddenly so taken that he could not rise again about Noon by the help of his Son and his Man he went home where taking his Bed he was presently seized with a great drowsiness which I call'd a Coma because whatever I did or said to him I could not get two words from him I presently prescribed him a Clyster and this Ointment for his Head Take Oil of Marjoram a scruple Oil of Rue a dram of Amber rectified a scruple Rosemary half a scruple Mix them I advised also that they should endeavour to make him sneeze by putting Tobacco to his Nose and give him inwardly some of this Mixture Take Anti-Epileptick water of our Porphylactick water of Betony and Rosewater Syrup of Stoechas of each an ounce The Clyster came from him without any effect and Tobacco did no good he took a little of the Mixture and about evening I prescribed him another Clyster and this Sneezing-Powder following was blown up his Nostrils with a Quill Take the flower of Lillies of the Valley Leaves of Marjoram of each half a scruple white Hellebore three grains Make them into fine Powder By the help hereof he sneezed 3 or 4 times and a purulent Matter came from him at his Mouth but a greater quantity of it went down his Throat besides which there remained a great deal of it in his Mouth which we could easily squeeze forth by pressing his Cheeks These were sufficient signs of an Abscessus in the Brain and consequently of certain Death especially when we could not perceive that his Senses returned to him not that he was any other way reliev'd but on the contrary his voice quite failed him and he began to rattle in the Throat nor was I deceived in my conjecture for in a short space he died Four of his Children and a Maid-servant followed him his Man was cured of a Bubo under his Arm-pit by drawing a Blister and by applying some drawing Medicines His eldest Daughter and youngest Son still survived He had a Fever but was not very sick but she was handled more severely She had a Thrush appeared on the eighth day which took off not only the Fever but the whole Disease and thus of ten in Family but three escaped You have here an account of the true Signs and Effects of Malignity which none but such as are possess'd with the Spirit of contradiction can deny to be Contagious POST-SCRIPT I Intended to have published at least forty of these Observations but being taken up with giving an account of other things which will conduce very much to the illustrating of our Art which in their due time may be made publick I could make no further progress in this Make use of these for the benefit of your Friends and if you desire to see them put us in mind of the other FINIS An Index of Things and Words A. ABdomen or the lower Belly pag. 266. Hardened and Inflamed pag. 263 Abscesses or Imposthumes their manner of opening pag. 42 Acetabulum or Pixis pag. 312 Achor see Porrigo Aegylops pag. 284 Alae Anaplerosis what it is pag. 2 Aneurism its Cause and Sign pag. 135 Anodins pag. 94 Antrophy pag. 238 Anus fallen down 35. Imperforated and Cure pag. 46 Aperientes what pag. 277 Armilla the Hand Arsnick its Quintessence pag. 124 Artery its difference c. Aorta Pulmoniack 228. Humeraria Axillares Carotis Cervicalis Coeliaca Emulgens Gastro Epiploica Intercostalis superior Lumbaris Phrenica Scapularis Spermatica Splenica Subclavialis Thoracica 229. Cruralis Epigastrica Hypogastrica Iliaca Pudenda Vmbilicalis 230 Venosa 226 How to be opened pag. 231 Arthrodia what pag. 208 Articulation what Ibid. Astragalus pag. 211 Atheroma its Cause and Cure pag. 111 Atlas pag. 210 Auricles pag. 307 B. BAsis of the Tongue pag. 279 Batrachios pag. 291 Beensuyger pag. 211 Beenureeter pag. 212 Bleeding on whom and how to be performed pag. 37 Bones what their Nutriment 207. Their Connection Number Vse 208. Of the Arm 210. Hammer of the Ear 210 276. Of the Heel 211. Of the Hip Coccygis Ilium Innominatum Iscium of the Breast of the Temples 210. Ethmoides Forehead of the Head pag. 209 Bone of the Breast its Fracture 14. Of the Collar pag. 210 Breast what 266. Hardned Inflam'd Apostemated pag. 303 Bronchole pag. 34 Bubo its Cause
again but if great not so easily yielding to the touch not so strong a Pulsation but there is a noise observed as of boiling Water yet in the Head and Jaw I have found after death an Aneurism which while the man was alive there could be no Pulse perceived In the hard parts is greater Circumspection to be used than in the soft and fleshy Prognosticks It is difficultly cured if great not at all except with the taking off the Member for the most part it is a long Disease although I have seen it kill without any other accidental Cause within two years If Incision be made Death suddenly follows Cure In the beginning there may be some Hopes Astringents and Repellents and convenient Ligatures by which we do not seldom administer something of Remedy to the Patient as also the applying a piece of Lead straightly bound on have sometimes cured little Aneurisms But where the Tumor is encreased there are some would have the Skin divided and the Artery tied both above and below and cut out the middle with the Tumor and loosen not the Ligatures till the Wound is perfectly cured and there is no fear of an Hemorrage but this Operation is dangerous painful and troublesome and oft-times of little Benefit But to preserve Life I would take off the Member CHAP. XVII Of Opthalmia OPthalmia is an Inflammation of the Membranes of the Eye from Blood with Redness Pain and shedding of Tears Difference A light Inflammation and which depends from external Causes is called a Bastard Opthalmia Taraxis or Epiphora but a great Inflammation accompanied with pain and tears a true Opthalmia And if it be so great that the Eye-lids are so inflamed and as it were turned inward 't is called Chemosis Causes are two 1. Internal as Blood oft-times mixt with Serum or Choler seldom with Phlegm or Melancholy 2. External as Smoak Dust c. Signs vary according to the variety of Causes If it proceed from too great a quantity of Blood the Face looks red and the Vessels of the Eyes are extended If either from more of Serum or Choler the Redness of the Face is less but the Tears are more sharp and the pain greater if from more of Phlegm the reddish pain Heat and Acrimony of Tears are more remiss and the Eye-lids at night are as it were glewed together If from any thing of Melancholy there are but few Tears and the Eye-lids are not closed together the Inflammation is not great but stubborn Prognosticks An Opthalmia is flower cured in Children than in old people Continual pain menaceth Blindness by how much greater the Inflammation is so much the more dangerous it is Cure The Diet must be the same as in a Phlegmon all sharp things are carefully to be avoided as Garlick Radishes Mustard c. little or no Suppers profit Purging the use of Glisters Bleeding ought to be oft-times re-iterated as also Cupping-Glasses Leeches Blisters sometimes also Seatons Issues and Artereotomy it self which is not to be done by any but an expert Chirurgeon Sneezing is hurtful Provoking of Sweat is sometimes necessary sometimes not which the Physician must distinguish Dieureticks are of great use provided they are not too hot External Remedies vary according to the variety of Causes if from Smoke or Fire let them be extinguished If from Dust or any thing got into the Eyes 't is to be taken forth which is often performed by blowing or by the spurting in of Rose-water If from the inversion of the Eye-lids the Hairs are to be cut off or wholly to be pull'd out If the Eye-lids are glew'd together they are to be separated with Butter Beer or Cream the Rheum is gently to be wiped and let the Patient have a Care lest by the rubbing of his Eyes he increaseth his Disease Fat things are here hurtful Repellent Medicines except in the very beginning are not to be used or in a very slight Opthalmia Medicines good for the Eyes Roots of Valerian Solomons-Seal Orrise Vervain Herbs Betony Celandine the great Eyebright Fennel Fumitory Plantain Flowers of Roses Violets Anni-seeds Quince-seeds Linseeds Pippins boil'd or rotten Camphire Mussilage of Lin-seeds Tragacanth Fresh Veal Whites of Eggs all sorts of Milk especially Womans Tutty white and green Vitriol Saccharum Saturni Glass of Antimony White Troches of Rhasis fresh Cheese not salted Ung. Saturni A Water for the Eyes Take Waters of Eyebright and Celandine the greater of each an ounce and half White-wine six drams Glass of Antimony eight grains prepared Tutty fifteen grains White-Vitriol two grains Sugar-Candy two drams Camphire four grains Make it into a Collirium Another excellent one Take Wheat three handfuls Bruised Ginger three drams Common Salt a handful and half White-wine Water of Roses of Fennel Plantain of each ten ounces Infuse them in a Copper Vessel the space of forty days strain them and reserve the Liquor for your use Another very much esteemed Take a whole Egg boil it hard then the shell and Yolk being taking away put into the Cavity Sugar of Saturn six grains Camphire two grains White-Vitriol three Grains Honey of Roses half an ounce then press it very hard and let the prest out Liquor be dropt into the Eyes twice or thrice a day Another second to none Take Waters of Fennel and Eyebright of each a pint Common Salt six drams prepared Tutty white Vitriol of each half an ounce Let them boil a little and reserve for use Let not the great quantity of Vitriol afright any it causeth only a slight pain which suddenly vanisheth but 't is of so great virtue that it cannot sufficiently be extoll'd but its use will prove it true A Powder for the Eyes Take Dulcified Vitriol half a dram prepar'd Tutty fifteen grains Sugar-candy a scruple Make it into a fine Powder Unctious Medicines seldom are applied to the Eyes or else this Ointment is much commended Take Verdigrease twelve grains Camphire Lapis Calaminaris of each half an ounce prepared Tutty half a dram fresh-Butter washed in Rose-water two ounces Make it into an Ointment An Anodine Cataplasm Take Camomile and Melilot Flowers of each a pugil rotten Apples two ounces Fenugreek-seed an ounce Crums of Brown Bread three ounces two yolks of Eggs Saffron half a dram Boil them in Cows-milk to the consistence of a Poultice An Anodine Collirium Take the Juice of Housleek two drams Whites of Eggs half an ounce Womens-Milk two ounces Rose-water an ounce white Troches of Rhasis one scruple Opium three grains Mix them Another which I have often found excellent in the greatest pain Take Gum Tragacanth two drams Mussilage of the seeds of Fleawort three drams Rose-water and Plantain-water of each as much as sufficeth Make it into a Collyrium of an indifferent Consistence and let it be instilled by drops into the Eyes and Linnen-Cloaths wet in it outwardly applied CHAP. XVIII Of a Quinsie A Quinsie is a Tumor of the Jaws from Blood hindring Deglutition and
pint and half Dissolve the Gums in Vinegar and let the rest be powdered mingle them according to Art and boil them into the form of a Plaister Epulotick or drying Medicines Roots of Comfry Tormentil Herbs St. Johns-wort Plantain Sanicle Fluellin Betony Flowers of Balaustians Red Roses Saunders Aloes Myrrhe Mastick Sarcocols Lapis Calaminaris Red Lead Lead Litharge Tutty Ointments of Diapompholigos Album Camphoratum Plaisters Gryseum de plumbo Opâ—deldoch de Minio Barbarum Take Oyl of Roses of unripe Olives of each three ounces of Myrtles Ointment of Poplars of each an ounce and half Leaves of Plantain and Night-shade of each an handful let them steep together eight days afterwards add to the strain'd Liquor Wax two ounces mingle them over the fire adding Litharge of Gold three ounces Ceruse an ounce Tutty a dram Burnt Lead three drams Burnt Brass a dram and an half Camphire a dram let them be rubb'd in a Leaden Mortar into the form of an Ointment Take Roots of Tormentil Bistort round Birth-wort burnt Egg-shels Frankincense Dragons-blood of each half an ounce Lapis Calaminaris a dram Litharge two drams Make it into a Powder Take Ung. Pompholigos Diapalmae Grisei of each an ounce Gum Elemny two drams Saccharum Saturni half a dram Wax as much as sufficeth to make it into a Plaister I never knew any better Medicine if applied in a fitting time to bring to a Cicatrice than an Amalgama of Mercury of which this is the description Take two ounces of Lead melt it then add to it two ounces of Quick silver pour it upon Paper dried and powdered it may be mixt with the Plaister of Lead or Diapompholigos To these External Remedies we join also Internal Medicines which have been observed to profit much at all times in the Cure of Wounds Vulneraries Wintergreen Sanicle Ladies-Mantle Comfry Mugwort Saxifrage Tormentil Agrimony Milfoil Horse-tail Hounds-tongue Betony Periwincle Mouse Ear Golden rod Birthwort Bistort Dictany Centory the less Gentain A Wound Dring Take Roots of Comfrey the greater half an ounce of Wintergreen two handfuls of Sanicle two pugils Straw-berries Ladies-Mantle Sage of each an handful boil them in red Wine and to a pint and half of the strained Liquor add of the whitest Sugar as much as is sufficient Dose three ounces Another very effectual even when the Bone is hurt Take Roots of round Birthwort an ounce and half Sowbread an ounce Self-heal Crane-bill of each an handful Savin three drams Mummy two drams Crabs-eyes half an ounce Galangal two drams powdered and cut boil them in red-Wine and to three pints of the strained Liquor add of the Syrup of Comfry of Fernelius four ounces mingle them Dose two ounces If any desires an Ointment that many boast is able to cure the wound though the Patient be absent this is its best description A Sympathetick Ointment Take Moss two ounces Mummy half an ounce Mans fat two ounces Mans-blood half an ounce Oyl of Linseed two drams Oyl of Roses Bole of each an ounce Mix it and make an Ointment Some use only Vitriol calcin'd in the Sun but whosoever shall use them without Superstition shall find many things attributed to Medicines that are due to Nature therefore 't is safest to proceed in the beaten way CHAP. VIII Of Wounds of the Nerves IN Treating of the Wounds of the Nerves we also comprehend those of the Tendons because there is scarce any difference in the Cure it self 'T is to be distinguished here where the Nerve or Tendon be divided or only prick'd This Wound is known 1. By considering the wounded place and by Anatomy which teacheth in what Members the Nerves are inserted but the Tendons seeing they terminate near the Joynts the Hands and Feet having many if a Wound should be inflicted in these parts who would not fear them to be so hurt especially if it be with a transverse wound 2. From the great Pain which causes Pulsation Inflamation Convulsion and Delirium c. except the Nerves be wholly transversly divided and then the Symptoms are altogether not so grievous Prognosticks All the wounds of the Nerves are dangerous a Puncture more dangerous than an Incision Wounds of Tendons are less dangerous than Nerves Convulsion is an ill sign Nerves and Tendons wounded do easily putrifie Cure In all Wounds of Nerves or Tendons seeing pain greatly molests occasioning many Symptoms care is to be taken that it be alleviated as soon as possible Outward cold things do here hugely injure not only the Air but Medicines themselves For Experience hath taught us that cold moist and astringent Medicines do nought but hurt therefore 't is best to use Medicines moderately hot and drying but void of any sharpness The Wound also is to be kept open till the Cure be absolutely performed that the Matter may flow freely forth which if kept in may increase the pain and cause the putrefaction of the Nerve which if it should happen the corrupt Part is to be cut off or removed by an actual Cautery Moreover it is to be observed whether the Nerve or Tendon lies bare or not if bare warm Medicines are convenient but if covered hotter Medicines are required in the mean time Purging and Bleeding are not to be neglected External Medicines in Wounds of the Nerves and Tendons Old Oyl of Olives of Earth-worms of Dill Rue Rosemary Costmary white-Lillies St. John's wort Castore of Turpentine Wax Lavender Balsom of Peru Gums Elemi Tacamahac Caranna Opobalsamum Capayvae Spirit of Wine Take Venice-Turpentine Tears of the Fir-tree of each an ounce Gum Tacamahac half an ounce of Caranna two drams Balsom of Peru three drams Propoleos six drams Oyl of St. John's wort an ounce Make it into an Ointment Oyl of Wax Lime water and the brown Ointment of Faelix Wurtz are here excellent if rightly used CHAP. IX Of Wounds by Gun-shot ALthough daily practice teaches us that Bullets may be poison'd yet they are not so of their own nature for the pain in part and the other Symptoms arise from the solution of the continuity and the contusion Here first the Bullet and any thing else that accompanies it is to be drawn forth lest pain and inflamation coming upon it may hinder and care is to be had that neither of them increase and the contused Part by the following Medicines be brought to suppuration Take Oyl of white Lillies of Violets of each two pints two Puppies newly whelp'd boil them till their Bones be almost dissolv'd then add Oyl of Earth-worms a pint and boil them again strain them and add of Venice-Turpentine three ounces Spirit of Wine an ounce Make it into a Liniment A Wound-Ointment Take Venice-Turpentine an ounce Galbanum two drams Calfs-marrow half an ounce Powder of Scorzonera and Scordium Roots of each two scruples Oyl of St. John's-wort half an ounce the Yolk of an Egg Threacle a dram Make it into an Ointment Another more effectual Take Roots of Birthwort powdred a scruple and an half Mummy
and Bleeding it be perfectly cured The true Cure is performed in this manner good Diet Purging Bleeding and Wound-Drinks effect here very much but the Haemorrhoids flowing more Natural Baths do oftentimes cure the greatest Fistula's in defect of them may be prepared Artificial of Brimstone Alom Salt and Tartar boil'd in Water afterwards let the Fistula be drest according to Art Externally the Part is to be corroborated the Humor contained in the Sinus to be dried but especially the Callosity of the edges is to be taken away therefore are Medicines for this purpose to be us'd by whose help many Fistulas have been cured but these not being sufficient an actual Cautery is to be applied having first divided the edges for which purpose the Syringotomon of Fabritius Aquapendents is a most useful Instrument Medicines for a Fistula Roots of Hellebore Cuckospittle Gentain Birthwort Euphorbium Juice of Celandine Smallage Dragons Spunge Flax strong Vinegar Lye Lime Alom Vitriol Verdigrease Orpine Mercury-precipitate and sublimate the Phlegm and Spirit of Vitriol Ung. Egyptiacum Fuscum A Corroborating and drying Plaister Take Mastick Frankincense Pomegranat-rinds of each two drams Dust of a rotten oaken Posts finely searc'd three drams Red-Roses Myrtle-berries of each a dram Yellow Wax Rosin of the Pine Oyl of St. John's-wort of each an ounce Make it into a Plaister An Oyntment Take the Juice of Smallage two ounces of Celandine two drams of Onions one dram Honey of Roses three ounces Turpentine as much as is sufficient to make it into an Ointment Another Take Juice of Flower-de-luce an ounce of Celandine half an ounce Red-Wine six drams Honey four ounces Let them boil a little then add of Aloes Mirrhe of each half a dram White-Vitriol a scruple Litharge two drams Turpentine a little Make it into an Ointment Another more Excellent Take Powder of Briony-roots a dram Frankincense Mirrhe of each two drams Verdigreace half a dram Sal-Armoniac a scruple Hogs-grease Oyl of Olives of each as much as sufficeth to make it into an Ointment Another of greater Vertue Take White Vitriol four ounces Alom Verdigreace of each half an ounce Strong Vinegar six ounces Calcine them in a luted Vessel and powder it Mixt it with Ung. Aegyptiacum and arm the Tent with it The brown Ointment of Felix Wurtz is a most excellent Medicine in this case if it be reduced by boiling into the form of a Suppository and so put into the Fistula You will do well to prepare it your self for 't is not rightly made by every one The following Suppositories are excellent especially in Fistulas of the Fundament and other soft Parts Take Agrimony half a handful Scordium a pugil Flowers of St. John's-wort two pugils French-Barley an ounce boil them in White-Wine and strain them adding of Virgins-Honey four ounces Boil them to a thickness then add of Male Frankincense choice Mastick of each two drams Red Myrrhe a dram and half Sarcocols three drams white Vitriol a dram Make them into Suppositories CHAP. VI. Of Burns BUrning is a Solution of Continuity caused by an External burning-Matter always hurting the Scarf-skin for the most part the Skin and sometimes also the Muscles Veins Nerves and Tendons Difference It admits of three sorts 1. Sometimes there is a Heat and Pain at least in the Part affected caused from burning and except Remedies are presently applied the Scarf-skin is separated and divided from the Skin and Blisters are raised which contains in them clear Water 2. Sometimes the Skin it self is burnt then presently a Blister is raised but no Escar made 3. Sometimes also the subjacent flesh is burnt here the Skin is black and void of sense and after the Escar falls off leaves a deep Ulcer The Differences spring from the Causes for Lead Tin Iron Powder Lightning do vehemently burn Oyl Vernice Pitch and Wax less Straw Water Flax and the like least of all Signs by what hath been spoken are manifest enough Prognostick A deep and great Burn very seldom but leaves ugly Scars behind it Burning from Lightning is for the most part Mortal That which penetrates to the great Vessels generally occasions a Gangrene if to the Intestines incurable Burns of the Eyes and Groins very dangerous If a hairy part be burnt it remains bald never hair grows there again Cure The chief care must be to draw out the fire by which in a light burning you preserve from Blisters and Ulcers in a great one you free from all danger therefore what Medicine soever is at hand is presently to be used let the hurt Part be held to the Fire and fomented with warm Water Ink Lye or let there be applied Soot or an Onion beaten with Salt or any the following Medicines in Burning Roots of White Lillies Liquoras Leaves of Bete Coleworts Hemp Onions Garlick Henbane Tabacco Leeks St. John's-wort Flowers of Camomile Melilot Elders Seeds of Quinces of Line Camphire Myrrhe Olibanum Soot Whites of Eggs Hogs-fat Pigeons-dung Sheeps-dung Hens-dung Nitre Ceruse Ink Brine Lye Oyl of Nuts Rape white Ointment with Camphire Plaister of Red-Lead An Ointment Take Juice of Oniâ—ns two ounces Venice-Sope three ounces common Salt two drams Hogs-grease two ounces Washt Lime three drams Oyl of Rape Mussilage of Quince-seeds of each an ounce Turpentine as much as is sufficient to make it into a Liniment Another by whose means a poor Souldier became rich Take Leaves of new gathered Sage a handful of Plantain two handfuls Fresh Butter without Salt six ounces New Hens-dung and the whitest as you can three ounces fry them together for the space of a quarter of an hour press them hard out and reserve the prest-out Liquor for your use This Ointment is excellent in Burning of all sorts even in the greatest it being melted let the hurt Part be often anointed with it in a day then lay over it a fresh Leaf of Colewort Bete or Plantain If any Pustules are raised and yet the Burnt not great open them the third day and let not the opening be prolonged further lest there follow a Corrosion If the Skin be wrinkled and dried all the Pustules are presently to be cut then let the precedent Ointment or this following be applied Take Oyl of Violets white Lillies sweet Almonds Butter without Salt of each an ounce Mussilage of Fleawort-seed Meal of Marshmallows of each an ounce and half Saffron half a Dram Soot Ung. Basilicon of each an ounce Make it into an Ointment If there be an Escar let its Separation be endeavoured the first or second day for which the last above-prescribed Ointment is exceeding good but if it separates not then Incision is to be made into the sound Flesh When 't is separated it is to be cured as a common Ulcer If there be danger of a Gangrene or already present it requires its Cure which is already treated of in its place Where the Eye brows Lips Fingers or Toes are burnt a clean Linnen Cloth or Plate of Lead is to be put
them there remains nothing but the bare ragg The Emplastrum Basilicon or the common yellow drawing Plaister is here the most useful You must also surround the Anthrax with good defensives for if it invade the neighbouring part never so little it will soon make a large halo or circle which will at length separate from the sound and fall away like an Escarre For such defensives make use of Album Camphoratum or the Vnguentum de Liquiritia known by our people under the name of Dr. Mindererus his Licorish ointment Item the Vnguentum de Lithargyro or the Vnguentum Jovis prepared of fresh Butter with Thlaspi minus or Bowyers Mustard otherwise narrow-leav'd wild Cresses Cranes-bill Elder Poppy Vervain and some shaved Licorish Some take nothing but Vervain and the fresh leaves of Henbane beaten together and the Juyce strained and so used Of this Ointment you may make much with confidence for it will do you very good service in Inflammations especially in the case of the swelling of the Groins Amongst the approved Medicines for this purpose may deservedly be reckoned the Plaister made of Soot which is thus to be prepared Take of the finest Chimney-soot one ounce and a quarter of Leaven Turpentine and fresh Butter ana one ounce of Venetian Soap an ounce and a half two Yolks of Eggs of Treacle and Mithridate ana a quarter of an ounce Beat all these together in a Mortar and so reduce it to a paste and then use it Plaister-wise When the Anthrax or the Carbuncle is broken you must then handle it very gently and discreetly using only the above-described Egg-salve putting it into the opening and covering the Sore only with the common yellow drawing Plaister or the Plaister prepared of Oyl Wax and Rosin or Turpentine Let the matter work out well and when you are sure that 't is very clean and have a mind to consolidate it make only use of Triapharmacon vulgarly call'd the brown Diachylon you may besides put into it some of the Vnguentum de Tutia and that of the Diapompholox and one of the Plaisters of them upon it The Vlme-plaister also made of Oyl and Ceruse heals also very well But be very careful lest any of the matter remain lurking in the Ulcer If here and there any should be found yet remaining as often happens then make use of the Emplastrum Apostolorum But if you can prepare the Diapalma otherwise called Diacalcithros make use of that I am wont to call it the Fistula-plaister because it doth not easily suffer Fistula's to stink but keeps them clean and sweet Such a Plaister is also that which is called Isis to be found in Galen and performing the same thing They are both to be found in the Augustan Dispensatory together with the way of preparing them Now what concerns Old Sores which many are troubled with in their Leggs especially because the humors of the body usually settle there you must above all things be careful to keep them clean and to that end wash them at least once a day with your own Urine Or boil Carduus benedictus Egrimony Plantain and Roots of Tormentil in half small Meath and half Wine and wash the Ulcer with it as often as you dress it Among the common Plaisters for such evils is the brawn Diachylum one of the best Else you may prepare this Ointment which follows Take the middle rind of Elder and St. Johns-wort boil them in Oyl putting a little Wine to it and so let it boil up till the Wine be boiled away then take it off from the fire and let it cool this done stir a little Turpentine amongst it and a Yolk or two of Eggs according as you make a greater or lesser quantity mixing with it a little Allum and Vitriol the white is the best stir all well together and apply it to the Ulcer and make a bandage and cover it as usually For a good Drawing-plaister take Rosin Bees-wax and Oyl-Olive the quantity of the Rosin must be but the half of the Wax Let them melt together and stir amongst it some Tartar exquisitely powder'd Use not much of fatty things to such Ulcers I have had under my care such Ulcers that were to be healed with only dry things as with strewing in of Crocus Martis and the red Earth of Vitriol of which hereafter For this reason the antient Physicians and Chirurgeons invented a dry Stone which they kept so secret that they called it Lapis Philosophorum which is easily made as followeth Take Allum Hungarian Vitriol of each one pound beat them to powder and mix them well together then put all into a glased earthen pot and pour upon it two quarts of Water boil them together and stir them continually with a Spatula taking off the scum When 't is boiled in put to it an ounce of Bolus Armenus an ounce and a half of Ceruse a quarter of an ounce of Camphir all finely powder'd stirring it well about lastly put it to a quart of sharp Vinegar and boil all together to a stony consistence which reduce to powder and of it strew a little into the Ulcer or let some of it dissolve in a convenient Liquor and wash the Ulcer therewith or dip some Linnen raggs in it and lay it over the place 'T is also prepared this way Take green and white Vitriol of each a drachm of Lapis Calaminaris Ceruse Bol-Armeniack of each two ounces and a half of Sal-Armoniack an ounce Beat them all to powder put them in an earthen pot mingle and stir them together in Vinegar to be a thick pulse then put your pot upon a hot Charcoal-fire to let it grow red hot so as that the matter be reduced to a stony consistence of which dissolve about half an ounce in half a pint of Water dip Linnen raggs into it and put it twice a day upon the Ulcer 'T is also very good for purulent Breasts I was speaking above of Lavements These you may prepare of all sorts of Wound-herbs by boiling Consound Bugle Fluellin Ground-Ivy Yarrow Snake-weed Avens Arsmart you may also against putrefaction and the settling of purulent matter mix sometimes a little Myrrh or Aloes Epatica Frankincense Mastick quick Brimstone Camphir Niter Allum Vitriol or the like Nor is it needful to bind your self to this or that precisely but you may take such of them as you can get I have a peculiar Ulcer-salve which I call Vnguentum Decameron being made of ten sorts of Juices Of these the principal is the Juice of Persicaria Arsmart to which are added the Juices of Groundsel Tobacco Yarrow sharp-pointed Dock Cranes-bill broad and pointed Plantain Centory St. Johns-wort and Celondine These Juices must be well strained and then kept for some days in glasses or glased Vessels to settle and then very gently pour off the clear from the sediment Which done boil them with fresh Butter and some good Licorish newly scraped as also some Tormentil and Cumfrey adding a
consistence which you may try by casting a drop or two of it into cold water this Balsom being to be thinner than an Unguent and yet thicker than Oyl This Balsom heals very speedily especially when used in wounds freshly inflicted on fine pledgets and only with a yellow Tractif bound over it Be also provided with good Plaister for wounds made by Thrusting such as are the Opodeldoch of Theophrastus or the good black Thrust-plaister thus to be prepared Take of Oyl of Roses seven ounces of Colophonium black Pitch white Wax Roman Vitriol Ceruse Frankincense Myrrh ana eight ounces of Mastic one ounce of the Oyl of Eggs two ounces of Spike-oyl one ounce of the Oyl of Juniper-berries three ounces of Mumia two ounces of white Vitriol and red Corals ana two ounces of Heron-suet one ounce of Magnet two ounces of well cleansed Earth-worms pulverised and of Camphir ana one ounce Of all this make a powder secundum artem My Opodeldoch that I make use of is almost like this but that I mix with it the red Earth of the Oyl of Vitriol above spoken of in the matter of Blood-staunching and add also to it Turpentine and Gumm Elemi with some Tutia Aloes epatica well prepared Lapis Calaminaris and Crocus Martis And thus the Plaister becomes red and hard like Spanish Sealing-wax I take also Gummi Ammoniac Galbanum and Opoponax the Oyl of St. Johns-wort and Myrrh This Plaister draws from the bottom and reaches deep A Souldier having this about him and upon occasion working it only to some flatness there being no need of laying it on a cloth may thus put it on the wound taking it off mornings and evenings to wipe it clean and then working it through again lay it on as before And so he may heal himself which when done let him clean the Plaister and role it up in a bladder for another occasion I have seen considerable opperations of Gumm Elemi used alone laid on leather and put upon the thrust but this wound is then to be kept from falling together To prevent incidental heat and inflammation of the wounds make use of the Oyl of Roses Bol Armeniac Whites of Eggs and Camphir But to avoid trouble you may find ready in the Apothecary-shops the Vnguentum album Vnguentum de Minlo Camphoratum de Liguiritia de Lithargyro Santilinum and the like to be put about the wound when dressed You may with great benefit and you ought also especially in the wounds of the Head provided there be no danger of bleeding lay over the bandage some fine raggs moisten'd in wine and well dried again This allays the pain and withall prevents swelling And in case the wound be swelled you may also to good purpose make use of Fomentations made of the herb and flowers of Mullein Betony Egrimony Cowslips Camomil Melilot Ground-Ivy red Roses Bugle and the like But beware of all hot things whatever they be Boil the aforesaid herbs or the like in half wine and water but if the wound be not inflamed take two parts of wine and one of water With such fomentations I have done much good among others upon a Fencing-Master of Nurenberg called Cameysen who in the publick Fencing-school received thrusts in both his Eyes insomuch that by reason of the great swelling that ensued thereupon he lost all his sight but by the use of such fomentations God blessing the means I recover'd his sight A Bone being broken set it carefully and bind it up strongly having laid upon it Oxycroceum or Emplastrum de pelle Arietina You may also comfort such wounds with the like fomentations as before described On the bank of the Rhine is found a Stone in the gravel call'd Lapis sabulosus which is easily reducible to powder Of this if you can get it give to the Patient whose bone is broken a drachm to be taken in broath mornings of which he will find a very good effect In the case of a Limb wrenched clap to it Bran boiled in wine sometimes according to occasion mixing with it a little Salt and Marshmallows or red Hounds-tongue-salve If it have happened long ago then make a pulse of Wheaten-flower Milk and the Oyl of Camomil or Mullein mixing a little Saffron with it and clap it on hot If there be any collection or coagulation of blood the Unguent of Hounds-tongue will do well together with a linnen compress moistened in warm wine You must also be provided with good Wound-drinks but they must be prepared diversly according to the several places wounded Thus in the wounds of the Head Betony challenges the pre-eminence and the greatest quantity of all the Vulnerary Herbs In the wounds of the Sides Carduus Benedictus claims that right in the wounds of the Breast Veronica or Speedwell ought to have it in those about the Kidneys the Herb Strawberry must be preferred in those near the Liver Agrimony will have the precedency and so forth Mean time the Vulnerary Herbs to be used in such occasions are these Sanicle Winter-green Ladies-mantle Speedwell Orpine Mugwort Ground-Ivy Straw-berry-leaves Agrimony St. Johns-wort Cinquefoil Bugle Tormentil Snakeweed Avens Woodrooff c. You may make an excellent Wound-drink of these four Ingredients viz. Winter-green Orpine Mugwort and Snakeweed boiled in half Wine and Water but in case there be an Inflammation Wine is to be forborn or very little of it to be employed If any Bone be broken into splinters do not pull them out with any violence but loosen them with a good Ointment of Eggs keeping the wound open the longer Nature her self will not suffer any splinter to remain behind Now you must be ready with some good thing for Blood coagulated in case any person should have been flung down squeezed beaten or fallen from a high place The right powder for this purpose is thus made Take of Terra Sagillata or Bol-Armeniack Sanguis Draconis and Mumia ana half an ounce of Sperma Ceti and Rhubarb ana half a drachm reduce it to a powder of which give the Patient the weight of about a ducat in Wine or Chervil-water Or take a good quantity of Chervil boil it in Meath or Flesh-broath and let the Patient drink a good draught of it warm three times a day Or let him drink a Thimble-full of Sperma Ceti in Beer adding a little Butter to it Or take of Mumia half an ounce or Sperma Ceti two drachms of Oculi Cancrorum of which the blew ones which sometimes fall from Crafishes whilst alive are the best three drachms adding to it a little Licorish and Cinnamon and some Tormentil Roots Of this pulverised give every day to the Patient mornings and evenings the weight of about half a ducat and by this means you will expel purulent matter and blood and bony splinters and sometimes even bullets lurking in the flesh not omitting other good Wound-drinks and vulnerary Balsoms Plaisters Ointments and Fomentations Again take of the red Hounds-tongue
less danger than the next foregoing and people oftner recover upon it yea Learned Writers assure us that by this Operation and the use of Injection they have cured many of Ulcers of the Lungs Concerning the Place of Opening Authors are not agreed in it the reason whereof is obvious For the Diaphragma runs higher in some persons than in others whence it comes to pass that the collected Humors in some Patients lie higher than in others Secondly the Chest is raised in some flat in others which here much alters the case Besides the Lungs do often grow so fast to the Pleura that the sanious matter cannot easily be carried into the Cavity of the Breast In which case it would be ill done to chose the place of Opening lowest in respect of the Diaphragma And in regard that in this as in other swellings the most eminent place is esteemed the most convenient for opening it cannot be otherwise but that one Chirurgeon hath made choice of this place and another useth that place as the best Upon which account Hyppocrates Guido Amatus Lusitanus c. do make the apertion between the third and fourth Rib counting from beneath upwards Fienus Riverius and many others between the fourth and fifth Paulus Aegineta Vidus Vidius Fabritius ab Aquapendente Sennertus c. between the fifth and sixth which place in my opinion is the safest for if higher the Pericardium if lower the Diaphragma may be wounded of which there have been many sad Examples But in this difference of dissenting Writers what hath been said will direct you to pass into the safest Haven All things therefore well considered chuse the place where to make your Apertion not the forepart for before the Sternum or Breast-bone will hinder your operation here nor in the back-part for the Ribs are so close to one another that without hurting some Vessels you cannot make any Apertion there but on the side four or five inches from the Sternum Neither ought the Incision to be so near to the upper Ribs as to the lower because the intercostal Vessels viz. the Vein Artery and Nerve lie in the lower part of each Rib where Nature hath assigned them a place branching themselves into the middle of the intercostal Muscles which dissemination nevertheless hinders not but that the Incision may be made in the middle between the two Ribs After you have marked the place with Ink charge the Patient to breath forth as long as possibly he can without taking it in and in the mean time make an oblique but small Orifice and put into it a Silver or Leaden Pipe and take forth four or five ounces of Matter to run out in a day In case the Matter does not come forth well place your Patient on the wounded side and make him to cough if by reason of its toughness it will not yet come forth then inject into the cavity some abstersive exsiccating and healing Medicines As Take Goats whey eighteen ounces Honey of Roses four ounces the Juice of Celandine and Smallage of each six drams Mingle it Or Take the Roots of Comfrey the greater an ounce of Sanicle half an ounce the Leaves of Betony Agrimony Periwincle Burnet of each half a handful the Cordial Flowers two pugils the Seed of St. John'swort Holy-Thistle Roman-Nettle of each half a dram Boil them in Water and Honey to a pint and half strain it and keep it for your use Of this Injection the Patient may also drink a little twice or thrice a day It is yet further to be observed that the collected Matter is often contained in a Membrane of its own and by its rising manifests it self from without and then the Latines call it Vomica Pulmonis In which case you must not stay till the Membrane breaks of its self for by delay the Matter flowing up and down is more difficulty to be got out of the Breast but open it presently taking no other place but the most raised part of the swelling Now since an Empyema for the most part follows upon a Pleurisie and 't is dayly found that ignorant Chirurgeons take all kind of pain in the Sides Belly and Breast although caused from Winds only for a Pleurisie thereupon immediately opening a Vein I thought therefore necessary to write in this place of the Pleurisie as much as is necessary for a Chirurgeon to know for the preventing such mistakes The Pleurisie then is an inflammation of the Pleura and commonly of the Lungs themselves caused from afflux of Blood accompanied with Pain Cough spitting of Blood shortness of Breath continual Feaver strong and quick Pulse The Cause is the Blood sometimes alone when a true Pleurisie sometimes mixt with other Humors then it occasions a Bastard one The Signs as may be seen in the Description are so evident that those who know not how to distinguish it from a Cholick are not worthy of any excuse The Prognosticks The sooner the matter is concocted and the whiter and easier 't is ejected the quicker and safer is the Issue If the Cough and difficulty of breathing lessen not by a copious Expectoration 't is an ill sign If the Patient come not to spit the third or fourth day then will he scarce see the seventh If upon Bleeding and other fit means the pain cease not the Patient must either die or the Pleurisie will turn to a Consumption or an Empyema The Cure In this case Bleeding is one of the most necessary and safest means of Cure and if used in time the Patient in the very Operation and before the Vein be closed will find relief and sometimes be altogether freed of the pain Nor do I know any Disease in which there may to the Patient's benefit be so much Blood taken away at once as in this There are different Opinions concerning what side the Patient is to bleed on But those have had little Experience of this sickness who have not found that Patients at least in these Countreys are relieved much more and sooner when they are bled in the Arm of the same side where the Pain is than when it is done in the opposite side The Pain not ceasing in four and twenty hours we are necessitated to bleed twice or thrice most commonly in the same Arm but here you must well observe the Patient's strength After letting Blood sometimes Purging Swearing and Expectorating Remedies are very necessary One only Medicine I cannot conceal from you because of its Excellency The Industrious Physitian Dr. Hadden in his Cure of the Pleurisie hath much commended it and I have after once Bleeding always in the beginning used it with great success viz. Take the Juice of Dandelion an ounce and half the Water of Plantane two ounces of Holy-Thistle and Scabious Syrup of Poppies Erratick of each an ounce Crabs-Eyes a scruple and half Mix it Let the Patient every half hour take down a spoonful or two of it until the Flux be stopped After which you