make a cerote in good forme This oyntmēt is excellēt for the woundes in whych the synnowes ben hurt Finallye the remedies that shal be wrytten in the nexte chapiter maye be administred in this case Thus. c. ¶ The .xv. cha of solution of continuite of synnowes and chordes THe woūdes of the synnowes as the doctours testifye cause euyll accidentes woundes of sinnowes and chordes and daūgerous diseases bycause of their great sensibitie or feling and bicause of the greate coniunction whyche they haue wyth the brayne wherfore they must be diligentlye cured and by a discrete chirurgien The accidentes and diseases that ensue thereby are these spasmes the palsy vehement payne colde fieuers apostemations perturbatiō of reasō watchynges greate alterations and great loethsomnesse of meate And oftentymes the woundes of the synnowes are apostemed by the way of deriuation of matteir and do cause of spasme without greate payne goyng before as Auicenne teacheth The cause of solution of continuite of sinnowes maye chaūce sōdry waies namely by brusynge thinges as by a stone a staffe c. or by cuttynge thynges as by a swerde a kniffe c. And likewise by poītedthīges as by a dagger a nedle a nayle an arow c. And some ben after the breadth with a totale incision of the sinnow Some with the incision of halfe the synnowe The woūdes that ben made after the lēgth of the membre sinnowes are not so daungerous as they that ben made after the breadth But whā the sinnowes ben halfe cut the woūd is more daungerous than whan the sinnowes ben holy cut For Auicēne sayeth that the hole parte of the synnow is hurt by the sore parte thorow the vehement payne there often ensueth spasmes palsies other accidētes And therfore it is necessary sōtimes for the auoydaunce of the sayd accidētes holly to cutte the hurted synnow For Auicenne so teacheth by the auctoritie of Galene The hurtyng of sinnowes of contusiō or brusinge is harder to be healed thā the other aforesayde The reason is bycause the maturation digestion resolution can not be finished in short tyme by reasō of the quitture which cometh of the contusion Ye shal cure solution of continuitie caused by incision or cuttyng by thinges desiccatyue In that that is caused by contusion ye shal procede with cōuenient digestyues that ye may seperate and sondre the quitture frō the hole partes that is to say the part of the hurt sinnow frō that that is not hurt Further we say that solution of cōtinuitie of the sinowes caused by pūction prickynge or foynynge is more daūgerous thā the other caused of a cuttynge thynge But amonge other the punction which breatheth not out that is to saye in whych the wounde is closed that the hurt mēbre can not digest the humours deriued to the sore place is moost daungerous whyche thing Mesue testifieth by the auctoritie of Galene sayenge a spasme foloweth the punction of the sinnowes chordes chiefly whā it breatheth not out And of the same punction oftentymes there is produced a venomous aposteme which by reasō of the cōtinuitie of the synnowe is conueyed to the brayn causeth a spasme epilepsia Somtymes in the place of the pūction there is engendred a rotten aposteme For the auoydaunce of the said accidentes Galene comaundeth to open the sayde aposteme and to administer a medicine attractiue of subtile substaunce and desiccatyue whereof we wyll speake more playnly in thys present chapiter To conclude touchynge pronostication we say that al woūdes about the ioynctures brynge greate daunger of deathe For bycause that the synnowie chordes ben made bare vpon the ioyntes they cause the foresayd accidentes And they are sone made bare bycause they ben in the ouerparte of the ioynctures whyche thynge maye be proued by Galene and Auicenne saynge the synnowe is a single membre and a right precious instrument procreated of nature from the brayne and the nuke the braynes vicarye to giue felyng and mouyng to the other partes of the hole bodye To come to the cure of thys solution of continuite of synnowes The cure we say that there are foure intentions required therunto The fyrst apperteyneth to diete The seconde to euacuation of humours The thyrde to prohibition remotion of accidentes which empesche the true cure The fourth shal be accomplished by the administratiō of diuerse remedyes accordyng to the diuersitie of accidentes whych cōmunely chaunce whan the synnowes bene hurte Concernyng the first intention we say that the diete must be subtile and slender at the begynnynge bycause of the sayd accidentes For it is the doctrine of Auicenne sayenge Dieta c. Furthermore bycause of the accidentes the disease maye be called Peracuta passio that is to say a sharpe disease And yf the disease be sharpe the diete must be slender wherfore it sufficeth at the beginning to giue the patient breade sodden in water or almādes with a litle sugre His drincke maye be a simple ptisane or water boyled wyth fyne sugre or wyth a iuleb of violettes And whan the daunger of apostemation is passed that is to say seuen daies after the hurte ye may giue the patient more nourishinge meates as chickynnes soddē with Laictuce and other conueniente herbes Also for hys dryncke ye maye gyue him wyne of good odoure with sufficient quantitie of sodden water Thys diete is cōuenient to make good incarnation of the hurt sinnowes And in processe of tyme by lytle and lytle the patient maye come to his accustomed maner of eatynge and drynckynge Concerning the seconde intention whyche is conuenient purgation after the disposition of the body we haue sufficiently treated in the chap. of the cure of flegmon by the ayde of god we wil speake more largely therof in the .ix. boke in a cha appoynted for laxatyue medicines wherunto ye shall resorte But the sayd intētion is moreouer accōplished by flebotomye diuersiue whan the age and strength consente therunto and whan the patient is of sanguine cōplexion and also by rubbynges ventoses In the meane season it is good to kepe the bellye loose with clisters we haue founde it profitable also to plūge the patientes legges in a decoctiō of thinges anodine that is to saye whyche take awaye payne chiefly whan the hurt is in the superiour partes whan the said hurt is in the nether part namely in the legge it is conuenient to washe the armes wyth that decoctiō wherof we haue spokē in the cha of the quynce For the sayde decoction turneth away mattier and resolueth gentlely The thyrde intention shal be accomplished as it foloweth Firste ye shall note that the accidētes which happē by pūction or hurt of the sinnowes bene thre namelye vehement payne a spasme and perturbatiō of reason And with these many other ensue as fieuers c To auoyde the sayde accidentes it is necessarye to begynne by medicines that swage payne and kepe of putrefaction wyth gentle attraction as we
the administration of locall medicines Fyrst yf the wound be made after the length of the membre ye muste ioyne together the soÌ„dred partes with a coÌ„uenient seame procede wyth thynges moderately desiccatyue Also you must digest the wounde with a digestyue made wyth oyle of Roses yolkes of egges the space of two or thre dayes layeng about the same a digestyue magistral ordeyned in the chap. of the cure of the woundes of the adiutorye whaÌ„ the digestion is ended ye shal mundifie the wounde wyth a mundificatyue of syrupe of roses of our description And yf nede be ye may put a tent in the lower parte that the mattier may be purged the better After mundification ye must incarne it adding to the sayd muÌ„dificatiue a lytle aloes hepatike and a litle sarcocolle And for the sigillation you maye coÌ„ueniently vse VnguentuÌ„ de minio described in the cha of the fracture or breaking of the sculle Ye shal procede lykewise whan the wounde is made after the breadth of the membre whan the wounde is caused by coÌ„tusion or brusyng it is coÌ„uenient that the wound be digested a longer time bycause that euerye wounde that is made by coÌ„tusion necessarely cometh to putrefaction As Galene sayeth oeÌ„ vnlnus c. For the other intentions ye shal procede after the doctrine written in the former chapiters Thus. c. The .xiiii. chap. of the woundes of the thyghes and of the legges of theyr partes with the cure of the same woundes of the thighes legges and their partes THe wouÌ„des of the thighes and legges muste be cured as the woundes of the armes of the bones called adiutoria But the pronostications ben diuerse For the woundes of the thighes and the legges are more daungerous than the other bycause of the multitude of the great synnowes veynes muscles chordes and ligamentes whych bynde together the ioynctures And in the former parte of the knee there bene two synnowes verye sensible whyche descende from the brayne and whan they chaunce to be hurt great payne and euyll accidentes ensue as a spasme a fieuer aposteme ê‘turbatioÌ„ of reason c. whiche oftentimes bryng the patient to deth because of the comunion coniunctioÌ„ that they haue wyth the brayne wherfore AuiceÌ„ne sayth in the cha of wouÌ„des that induce a spasme ther ben vlcers in the nuke vlcers in the higher part of the knee And the lacertes of those partes beÌ„ very sinnowie therfore the wouÌ„des induce a spasme sodayne deth Lykewyse within the legge and without they ben very dauÌ„gerous bicause of the gret veines which beyng cut issewe of blood foloweth For the stauÌ„chyng wherof you muste resort to the cha of the fluxe of bloude For the blood of those partes can not be easely restrayned Moreouer they are more daungerous than thother bicause they bene lower the higher meÌ„bres sende humours to the lower that is to say to the thyghes and legges cause ofteÌ„ apostemation in the said places which thing chaunceth not in the armes And therfore it is profitable to hold the meÌ„bre eleuate lyfted vp with the rest of the body wherin the comune prouerbe of ItaliaÌ„s is verified namelye Lamano al pecto la gamba al lecto that is to say the hande on the brest the fote in the bedde Likekewyse whaÌ„ the wouÌ„de is vndre the knee that the dauÌ„ger of apostematioÌ„ is passed it is expedieÌ„t to bynd the legge from the foote to the knee For Guydo sayeth that the diseases of the legges haue nothynge propre by them selues and deferynge from other diseases of the bodye but byndyng that the antecedent mattier be not deryued to the sore place To the cure of the forsayde woundes the intention alleged in the former chaptres are requisyte Concernyng the fyrst and seconde intention ye shall so procede as it hath ben ofteÌ„ sayde in the former Chaptre The thyrde shal be accomplysshed by the application of conuenient medicines vpon the sore place wherfore obseruation of conuenyent dyete vniuersall purgatyon presupposed there is nothyng better to defende apostemation than to admynistre thiÌ„ges that swage payne For as Galen sayeth payne in woundes draweth humours to the place as a veÌ„tose wherfore we wyl declare certayne remedyes to ease payne and those onely which we haue proued Fyrste this liniment is good to be layed aboute the sore ioynctures A liniment whiche is of our description â„ž of the oyle of camomyll of the oyle of roses ana â„¥ ii of hennes grese Ê’ x. of erthwormes washed with wyne â„¥ i. ss of saffran ℈ i. of calves suete â„¥ i. Let the forsayd thynges be boyled togyther a lytle than put to of whyte waxe â„¥ i. Lette them boyle agayne a lytle strayne theÌ„ IteÌ„ we are wont to put this oile to the wounde whiche is of merueylous operation in wouÌ„des of the ioynctures â„ž oyle of terebeÌ„tin of oyle of roses oÌ„phacine anÌ„ â„¥ ii of moste clere terebeÌ„tine Ê’ x. of erthwormes â„¥ i. ss of mastike Ê’ vi of guÌ„me elimi armoniake dissolued with wyne Ê’ i. ss of saffraÌ„ ℈ i. of the floures of s iohns wort mÌ„ i. ss of ceÌ„taurie the greter mÌ„ i. of oyle of lineseed Ê’ vi let these thinges be boiled together a litle afterward strayne them through a cloth thaÌ„ set them a suÌ„nyng in a glasse the space of a moneth and putte into the vessell a fewe floures of saint IohaÌ„nes wort chaunge them euerye seuenth daye Thys oyle as it maye appeare by the simples is of great excellentie in the wouÌ„des of the synnowes ioynctures For it easeth payne it draweth gentlely dryeth moderately which intentions are requisite to the cure of the said wouÌ„des Likewyse you may apply vpon the wound plaisters that swage griefe wrytten in the former chapiters Item thys vnguent folowynge is good to be applyed in all times vpon the sayd woundes Vnguentum basilicuÌ„ magistrate which is of our description and is called vnguentuÌ„ basilicuÌ„ magistrale R. of the oyle of camomylle and roses anÌ„ â„¥ iii. of the oyle of linsede â„¥ ii ss of the oyle of swete almandes â„¥ i. of hennes grese calues suet anÌ„ â„¥ ii of cleare terebentyne â„¥ iiii of mastyke Ê’ x. of wethers suet â„¥ i. ss of erth wormes washed wyth wyne â„¥ ii ss of saffran ℈ i. of the muscilage of holihocke li. ss Let them all boyle together besyde the terebeÌ„tyne vnto the consuÌ„ption of the muscilage than strayne them adde to the straynynge of litarge of golde siluer anÌ„ â„¥ i. ss of miniuÌ„ Ê’ x. lette them boile agayne wyth a softe fyre stirre them about And then encrease the fire let theÌ„ boyle agayn til they become black of colour than adde the foresaid terebentine of rosyne of the pine tree Ê’ vi of shippe pitche Ê’ ss of white diaquiloÌ„ wyth guÌ„mes â„¥ iii. Let them boyle agayne a lytle wyth sufficiente whyte waxe
of the arme holes fete c. some doctours prayse a lotion with wyne of the decoction of myrtilles rooses wormewoode rosemary squinantū sticados swete fenell coriander and alume For the same intenciō ye may vse the decoctiō folowyng ℞ of sage wormewoode and rosemarye ana m̄ ss of maiorū nepte mugworte roses mirtilles an̄ m̄ ss of squinantum sticados of eche a lytle of the nuttes of cipresse braied in nombre ten of corianders of swete fenel of euery one ℥ j. of galla muscata of calamus aromaticus of euerye one ʒ x. of honye .li. ss of roche alume ℥ iij. of salt ℥ ij lette them seeth all together wyth sufficient water odoriferous wyne and a lytell vynegre tyll the thyrde part be consumed than streyne them and vse the decoction After a bathe ye shall anoynte the foresayde places wyth thys liniment ℞ of oyle of rooses omphacyne of oyle mirtyne of euery one ℥ ij of oyle of mastyke ℥ ss of liquide storax ʒ ij of litarge of golde and syluer of euery one ʒ x. of sarcocolle ʒ iij of roche alume brent ʒ vj. of whyte saunders ℥ ss of calamus aromaticus ʒ j. ss myngle them and make a linimente wyth suffycient whyte waxe ¶ A Chapter of vryne reteyned SOmetymes vryne is so reteyned in mē and women that yf it be not remedyed by thynges that open it wyll induce euyll accidentes as a spasme Aposteme and sometymes death The stoppynge of the wayes of the vryne is sometymes caused thoroughe greate coldnes of the feete and genitalle partes and sometymes thorough grosse and slymye wyndynes or thoroughe flegmatyke humours whyche stoppe the necke of the blader Lykewyse the vryne is restrayned by some vlceration of the necke of the bladder or by a wart or congeled bloude And whā it is reteyned by these laste reherced thynges baynes and oyles that prouoke vryne are sometyme of good effect and sometymes not The reason is that whan the necke of the bladder is vlcered the two partes of the conduyt of the vryne cleaue and are incarned together And than whan the incarnation is newe or whan the warte is newe and small the sayd remedyes maye haue good effecte But whan the consolidation is stronge or the warte greate and olde the remedies are of none effecte and than ye must procede with handye operation wherof we wyll speake in the next chapter Howebeit Gentilis and other expositors holde a contrary opynyon expounde that the sayde vlceration is in the substaunce of the bladder and not in the necke of it Whyche thynge neuertheles is not true for puttynge an instrumēt into the yarde called argalia whyche serueth to cause vryne to issue out vnto the vlcered place that is to saye into the necke we foūd at the entrynge of the instrument into the bladder notable separation of the incarned partes of the sayde vlceration And after that by the sayd instrumēt ther issued out a lytle vryne there came forthe also a greate quantitie of bloode whyche proceded thorough the percynge of the instrument and separatiō of the incarned partes Sometymes retencion of vryne commeth of the stone lienge in the necke of the bladder and sometyme by multitude of grauell stoppynge the comune conduytes The cure of thys retencion shall be accomplysshed by embrocations bathes vnctions playsters lenitiue and openynge applyed vpon the yard vpon the bone called pecten and vpō the skynne called peritoneum Moreouer it shal be accomplysshed by the ministration of thynges diuretyke receyued by the mouthe as is thys ordenaunce folowynge ℞ of the water of fenell asparage bruscus smallage sorell ana ℥ iiij of the wyne of sower pomegranates ℥ ij of syrupe de duabus radicibus ℥ vi of liquyrice stamped ℥ ss of the comune seedes stamped ℥ ij of whyte suggre ℥ ij ss sethe them all together in a glasse tyll the thyrde parte be consumed thā strayne them and lette the patiente take thereof one ciathe in the mornynge and euenynge Item for the same intention the decoction folowyng is commendable ℞ of the water of Eringium ℥ vi of the water of endiue sorell and smallage of euery one ℥ viij of water of asparage and bruscus of euerye one ℥ ij water of maydenheare ℥ iij. of the comune seedes of the .iij. lesse seedes of euerye one ʒ vi of the rootes of liquirice clensed ʒ x. of the seede of Alcakengi ℥ j. of raysons ℥ j. ss of damaske prunes of iniubes of euery one ℥ ij of swete fenell ʒ v. of swete sugger of syrupe de duabus radicibus wythout vynegre ana ʒ vij sethe them all together tyll the thyrde parte be consumed thā strayne them and vse the straynynge Galene and some othere doctours prayse to put cantarides wyth thynges diuretyke howebeit it can not be done wythout daunger of deriuation of much matter from the reynes to the bladder Ye may haue lyke iudgemēt of the stone called Lapis Iudaicus As towchynge symple locall medecynes the doctours praise to laye a conyes skynne vpon the bone called pecten and to anoynt the skynne peritoneum wyth the fatte of a conye Lyke wyse peritarie wyth the leaues of radishe and blackcoolewortes and cressones fried in a panne wyth butter oyle of elders a lytle cumyne hathe greate vertue to prouoke vryne Item a lowce put in to the yarde prouoketh vryne and styrreth vp the vertue expulsyue Also oyle of scorpions the oyle called Petroleum caste into the yard or yf ye anoynt the foresayd places therwyth prouoketh vryne Lyke wyse the leaues of leekes dried soddē with a lytle whyte wyne parietary hony applied vpō the bone pectē after the maner of cataplasma bē of lyke effect And the playster vnderwrittē hath greate vertue also to prouoke vryne applied vpon the foresayde place ℞ of the rootes of holyhockes ℥ iiij of radyshe rootes .li. ss of the leaues of colewortes and parietarie of wylde fenell southistles of cressones ana m̄ j. ss sethe them al in water than stampe them and make a styffe playster in the decoction wyth floure of cycers and fenugreke addyng of the fatte of a conye of oyle of Camomille dille ana ℥ ij of butter ℥ iij. mengle them and vse them as is aforesayde We haue proued also this bath folowyng to be of good efficacitie in prouokyng vryne ℞ of the rootes of holyhocke and radyshe ana .li. j. of the rootes of bruscus percelye and asparage ana m̄ ss of cumyn swete fenell ameos ana ℥ j. of honye li. j. ss of leeke seede fenugreke seede ana ℥ iij. of camomyl mellilote dylle horehoūde ana m̄ j. ss of parietarie of black coolewortes an̄ m̄ j. ss sethe thē al together in sufficiēt water wyth a sufficient quantitie of wyne tyll the thyrde parte be consumed and bathe wyth thys decoction the bone called pecten Fynallye a clyster made wyth the decoction oyles and butter aforesaid wyth a lytle salt the yolkes of two egges two ounces of honye of
wormes rubbynge the nuke wyth the sayde thynges mengled together The wounde of the nuke is cured by thē administration of the liquoure folowing The cure of the nuke the wound beyng left somwhat open R. of oyle of roses omphacine ℥ i. oyle of terebētine ℥ ss of cleare terebentine ʒ x. Oleum magistrate of erth wormes wasshed wyth wyne ℥ i. ss of Mastyke ʒ iii. of the floures of rosmarie m̄ ii of the sede of saint Iohānes worte m̄ i. greater centaury and the lesse of mylfoyle of houndes tonge an̄ the thyrd parte of an handful of plantayne m̄ ss of saffran ʒ ss of odoriferous wyne on cyathe Lette them boyle all together vnto the consūpsion of the wyne than strayne thē wyth a thycke cloth and adde of oyle of hipericon ℥ i. ss Note that yf these sayde thynges were sette in the sunne the space of a monethe wyth the seede of saynte Iohānes wurte called hipericon renuynge from weke to weke the sayde sede it wolde be a good medicine for all woundes of the synnowes Also it is cōmendable to applye vpon the wounde of the nuke vnguentum basilicū wyth the foresayd vnction Diete Touchynge diete we saye that it muste be subtyle and slender tyll you be sure that the place wyll not come to an aposteme The patient must be content at the begynnynge wyth grated bread made of almandes wyth sugre or with a dyshe made with barley or fyne wheate floure or cromes of bread made after the same maner And he muste drynke a ptisane wyth sugre or wyth a iuleb of violettes chiefly whan he hath a fieuer Also it is good before dinner supper to binde the extreme partes and to rubbe thē Item ye maye cause flebotomye to be made and ventoses to be applyed vpon the shulders with scarification If it chaūce that the throte be hurt trachea arteria that ther be some veine cutte than incontinently ye shall sewe the wound with a conuenient seame and depe to restrayne the bloode administrynge the foresayde remedyes in tyme and place as it is afore declared whan blood floweth out abūdaūtlye Staunchyng of bloode ye shall restrayne it by thys ordinaunce folowynge presupposed that ye putte a tente in the wounde rolled in the oyle of hypericon R. the whytes of two egges of Hares heares fynely cutte ʒ iiii of redde poudre restrictiue ʒ vi of frankencense myrrhe aloes sarcocolle terra sigillata ana ʒ ii of beane floure ʒ vi of brayed dragagātum of sanguinis draconis an̄ ʒ ii ss These sayd thynges muste be mengled together wherof you muste make a confection after the maner of aplayster and applye it with stoupes moysted in water and vinaygre of roses And let it be bounde straitly if no accident lette it Note that yf ye tarye two or thre dayes before ye take awaye the medicine it shal be verye profitable so that no bledyng appeare For all the other intentions that is to saye mundification incarnation and sigillation ye shall procede after the doctrine declared before in this present cha Furthermore if the wounde be caused by a foyne purgations premised The cure of a foyne you muste enlarge it takynge hede that ye cutte not the veynes nor arteryes And after thys ampliation or enlargynge cauterize the place wyth oyle of elders or in the stede therof wyth comune oyle and the decoction of erth wormes And so ye must procede vnto the seuenth daye layenge vpon the wound vnguentum basilicum magistrale For the mundification incarnation and other intentions ye shall do after the doctrine declared before The wound of the necke caused by cōtution or brusynge The cure of a bruse muste be cured at the beginning wyth a digestiue made of terebentyne the yolke of an egge a lytle saffran And for the other intētions vse the foresayd doctrine The wound of the gulle and wesande ben cured as we haue taught before that is to saye by sewyng the sondred partes together and by incarnation Neuertheles we wyl describe two remedies conueniente in thys case One wythout another wythin bycause of the difficultie of breathyng or swalowynge The fyrste muste be applyed after that the seame is made It digesteth mundifieth swageth payne and aydeth breathinge the fourme therof is this R. of the rootes of holihocke sodden in water wyne and well strayned li. ss of hēnes grese melted of oyle of roses oyle of camomylle an̄ ℥ ii of calues tallowe of wethers tallowe melted an̄ ℥ iii. of most cleare terebentyne ℥ iii. ss of barley floure cersed ℥ ii ss of saffran ʒ i. make it at the fyre after the maner of a playster according to arte Gargarisme The remedye to be receaued within is this gargarisme folowynge R. of cleane barley m̄ ii of roses m̄ ss of rasines iuiubes an̄ ℥ i. ss of cleane liquirice ʒ x. Lette them boyle al together wyth sufficiente water vnto the consumption of the thyrde parte and adde of honye of roses ℥ iii. of syrupe of roses ℥ iiii Let them boyle agayne a lytle and put to of penidies ℥ ii thā strayne them The patient must oftē gargaryse thys decoction for it swageth payn and clenseth the place and aydeth respiration or breathing and openeth the way of meate Thus. c. ¶ The .viii. cha of the woundes of the shulders and cure of the same Of woundes of the shulders THe woūdes of the shulders are suspected to bryng death bycause of the coniunction or lynckyng together of the synnowes procedinge from the brayne and the nuke lykewise the woundes of the ioynctures of the armes The sayd woundes receaue often apostemation bycause of the greate sensibility of the place For great payne draweth to the said places great quātitie of mattier which whan it cā not be rectifyed or brought to perfite digestion by the aide of medicines engendreth necessarelye reumes and spasmes causynge colde vpon the synnowye partes To resiste these accidentes the beste thynge that ye can do is to defende the sore place from apostemation studiynge wyth all diligence to swage the payne For as Galene sayth paine is as a ventose drawing mattier to the place The curation of woundes of the shulders hathe foure intentions The fyrst cōsisteth in the ordinaunce of diete The cure The seconde in purgation aswell by laxatyue medicine as by flebotomy The thyrd in the administration of sōdrye remedies vpō the sore place The fourthe in the correction and remotion of accidentes The fyrste is accomplyshed by the doctrine wrytten in the former chap. The second by flebotomy of the arme contrary to that that is hurte More ouer lette the patient be purged accordynge to his complexion wyth a gentle laxatiue as wyth cassia wyth diacathol or electua de dactyles It is good also to vse thys syrupe vnder wrytten bycause of a fieuer whyche chaunceth often by reason of the boylynge and cōmotion of the humours R. syrupe ros by
in the hynder They that are in the hynder parte ben more daungerous then the other for many causes namely bycause of the multitude of greate veynes and arteries that passe by the lengthe of the backe and also for the multitude of the synnowes whyche descende from the nuke and moreouer bycause of the lygamentes whych haue coniunction wyth the harte and bycause also that the pannicle called Mediastinum and the mydryffe ben nyghe to that parte Sometyme a wounde in the sayde parte thoughe it be not penetraunte or persynge is deadlye But it is not mortall or deadlye in the former parte yf it perse not wythin the breste The sygnes of the penetration or persynge of suche a wounde wythout the hurte of the inner membres bene these Ayer cōmeth out of the wounde the patiente hathe greate payne to breathe and felethe griefe in the sore place wyth ponderositie or heuynes chyefelye aboute the small rybbes You maye moreouer knowe whether the wounde persethe by the applycation of coton well toosed vpon the orifyce of the wounde and by the holdynge of a lytle candell burnynge nyghe to the wounde for the flame thereof shal be moued and lykewyse the coton yf the patiente holde hys breathe stoppynge hys mouthe and nostrelles The sygnes also by whyche you shal knowe whether the harte be hurte ben these there issueth oute of the wounde blacke bloode the extreme partes bene colde and death foloweth incontinently after For Auicēne sayth that the harte can not endure solution of continuitie without the approchynge of death Sygnes of the woūdyng of lunges The sygnes that chaunce when the lunges bene hurte are these effusion of bloode full of fome continuall coughe dyfficultie of breathynge and payne of the rybbes Midriffe The sygnes that declare the midryffe to be hurte Mediastinū or the pannicle called Mediastinum bene these dyfficultie to fetche breathe continuall coughynge sharpe pryckynges in the sore place heuynes of the sayd place and perturbation of reason whych can be restored by no medicine and moreouer the patiente fyndethe hym selfe worse and worse euerye daye and wyth fieuers Also you maye knowe the putrefaction of the bloode in the inner parte Sygnes of putrifyed bloode by the stynckynge of the patientes breathe by the continual inquietnesse of the patient and by the increasynge of the fieuer and other euyll accidentes afore rehersed Galene sayeth yf bloode be shedde in to the belly besyde nature it commeth necessarely to putrefaction When it is putrefyed it is wonte to engendre greate paynes fieuers and heuynes of the place wherfore we affyrme that the sayd accidentes chaunce accordynge to the quantitie of rotten bloode in the inner parte Nowe that we haue knowlege of woundes percynge and of the hurte of the inner membres it remayneth that we come to the curation of the same whether they bene persynge or not But before we speake of the curation we wyll declare the dyscorde that is betwene the doctours of thys tyme concernynge the same There ben many that commaunde to shutte incontinently the penetraunt wounde and to procede wyth desiccatiue thynges aswell wythin as wyth out to cause incarnation sayenge that yf the sayd wounde be not shutte the ayer wol entre in vnto the harte more ouer that the vitall spirites woll issue out by the wounde whyche thynge myghte hurte the patient Agayne many ben of a contrary opinion and commaunde to kepe the wounde open And yf the wounde be not large they saye it must be enlarged that the blood maye issue out affyrmynge that yf the bloode whyche is in the inner parte yssue not out by the orifyce of the woūd it maye engendre many euyll accidentes and corrupte the inner membres Wherfore to auoyde suche accidentes they commaunde to kepe the wounde open Vigo hys iugement In my iudgement they whyche cōmaūde to kepe the woūde open maynteyne a surer opinion then the other for many reasons Fyrste bycause of the commune bruyte For yf the patient shulde dye the people wolde say that the retaynynge of bloode caused hys deathe whyche is true Lykewyse bycause the bloode beynge retayned causeth some fistula and other accidētes whych brynge the patient to death To come to the curation we saye that the curation of a wounde penitraunt is accomplyshed by foure intentions The cure The fyrst is ordinaunce of diete The seconde euacuation of matter antecedent The thyrde purgation of the blood whych is entred in to the inner parte The fourth mundifycation of quytture cause by the sayde bloode and after mundification incarnation of the place Touchynge the fyrste and the seconde intention ye shall procede as it is declared in the former chapitres excepte that yf the patiēt be very weake and hath euel accidentes as soūdyng in such case you may gyue hym wyne and other thynges that comforte nature Furthermore bycause that difficultie of breathynge happeneth to the patiente ye shall gyue hym meates sodden with rootes of perseley and fenell And for the comfortation of hys harte and stomake ye maye mengle wyth the meates of the patient a lytle cinnamome and saffran Item it is very profytable to vse often at the begynnynge A decoction that helpeth breathynge thys decoction whyche helpeth respiration or breathynge and kepeth of catarrhous matter whyche happeneth in the sore places ℞ of cleane barley m̄ i. of the rootes of langdebeefe ℥ ij of cleane liquerice somewhat stamped ʒ x. of the commune seedes ℥ i. of iuiubes and rasines ana ʒ x. of penidies ℥ ij ss of suggre cādy of syrupe de duabus radicibus ʒ x. of fyne suggre ℥ iij. Let them boyle altogether wyth suffycient rayne water vntyll the barley breake thē strayne them Let the patiēt vse here of as we haue sayd for it is merueylous good Prouided alwayes that the patiente haue conuenient digestiues and purgations accordynge to the qualitie of the humour as is afore declared Item seuen or eyght dayes after the woūde besyde the meates declared ye may gyue the patient fleshe and wyne of good odour mengled wyth sodden water of the decoctiō of cinnamome and coriandre Yf the patient haue a fieuer he must eate the fleshe of chyckens and hennes kyddes flesh and veale boyled wyth perseley and altered wyth the foresayde thynges Lykewyse you shall procede when you wyll purge the quytture of the inner parte Also you maye gyue the patient potage made of the brothe of the foresayd fleshe with perseley buglosse borage laictuce and beetes It is good for the wounde for the breath and for the taste and engendreth good bloode When you wyll mundifye the wounde and drye vp the quytture thē the sayde fleshe is better rosted thē boyled Also byrdes that lyue in woodes and meddowes maye well be suffered but not waterfoule Item there bene some whyche commende that the patient vse stiptike meates but not at the begynnynge but when the bloode and quytture are purged For yf you gyue them at
is altogether mundifyed then ye maye conuenientlye administer stiptike lotions A stiptike lotion as thys that foloweth ℞ of roses of the floures of pomegranades called balaustie of the croppes of brambles called cyme rubi of myrtilles of sumach of euery one m̄ i. of hypoquistidos of myrobalane cytrine ana ʒ ij of hony of roses ℥ ij let them boyle wyth water of plantayne wyne of pomegranades in sufficient quantitie vnto the consumption of the thyrde parte Let thys decoction be spouted into the wounde that perseth wyth a syrynge For so Auicenne teacheth Item in the same tyme yf the patient be not troubled wyth the coughe and the quytture dryed or mundifyed consoundyng and stiptike thynges are permitted to be receaued by the mouth in a liquide forme or in meates as terra sigillata wyth the iuyce of quinces sumach hypoquistidos roses floures of granades c. Galene affyrmeth the same wyth lyke wordes Furthermore we wyll descrybe a playster abstersiue and mundifycatiue whyche shal serue for those intentions when nede shall requyre ℞ of hony of roses strayned Playster ℥ ij of cleare terebentyne ℥ iiij of the iuyce of smalage ℥ i. Let them boyle altogether a lytle and take them from the fyer and forthwith adde the yolkes of two egges of wheate floure well cersed ℥ ij of the floure of fenugreke and barley of euery one ʒ ij of saffran ℈ .i. For the same intention ye maye applye our cerote wrytten in the chapitre of the cure of the sculle beynge brused It is more attractiue thē this plaister When the intention is to consoūde and to drye you may vse a cerote of minium descrybed in the foresayde chapitre Item yf the sayde wounde resyst greatlye true curation and endureth longe tyme ye maye knowe that the sayde wounde is turned to a fistula whyche receaueth seldome trewe curation howe be it we haue healed many whyche hadde fistules and dydde caste out quytture longe tyme by the orifyce of the wounde after thys sorte The cure of a fystle in the breste Fyrst we washed the wounde with thys decoction Decoction ℞ of honye of roses strayned ℥ iiij of the croppes of brambles of the leaues of wylde olyues of euery one m̄ i. of balausties of the ryndes of granades of euery one m̄ ss of lentyles asmuche of the herbe called horsetayle in latine cauda equina m̄ i. of saffran ℈ .i. Let these forsayd thynges be boyled in the lye of vynebraunches and fygge tre braunches and a lytle wyne of granades vnto the consumption of the thyrde parte then strayne the sayde decoction and applye it often wythin the wounde After the sayde lotion I vsed vnguentum de minio and I caused the patiente to vse drynkes that drye and purge quytture as is the potion descrybed by Mesue destinctione eleuen where he makethe mention of playsters and oyntmentes and the sayd potiō is called a mixture to heale woūdes The forme there of is thys A potion of Mesue hys description ℞ of cloues of the rootes of motherwurte of pimpernell of camomill of synckfoyle of the herbe of violettes of the herbe of redde coalewurtes of hempe of euerye one m̄ i. of madder to the quantitie of all Let these forsayde thynges be boyled in sufficient quantitie of wyne tyl halfe be consumed then strayne them and adde vnto them as muche of cleare and cleane honye as the thyrde parte of the sayde decoction shall be The dose of it is in the mornynge ℥ iiij wyth water of mayden heere and scabiouse Here ye shall note that yf in the stede of wyne the sayde potion were made wyth water of maydē heere and scabiouse and wyne of granades it myght conueniently be gyuē to the patient in a fieuer And briefely to fynyshe thys chapitre we wyll gyue two doctrines profytable in thys case The fyrste is that when the chirurgien is called he must dresse it as quyckelye as maye be And the chāber muste be very warme and manye hote clothes aboute the wounde lest the ayre enter in and yf it enter that it be hote and not colde The seconde is the chirurgien muste pronosticate accordynge to the signes that he shal see that he maye saue his name Neuertheles the Chirurgien shall not refuse to cure anye hurte of the membres contayned in the inner parte excepte the harte For nature by the Chirurgiens ayde workethe so well that oftentymes it bryngethe that to passe that semed impossyble Thus. c. ¶ The .xj. chapytre of penetraunt or persynge woundes of the bellie Of woundes persyng thorow the bellie THe woundes of the bellie as the Doctours affyrme ben daungerous cheyfely those that persewyth the hurte of the membres cōteyned The woundes of the bellie communely are caused of cuttynge thynges as by a swerde or poynted thynges as wyth a darte c. Whan the Chirurgien is called to the cure he must consyder the place of the wounde and whether the conteyned membres ben hurte or no which thynge maye be knowen by the sygnes that folowe signes of stomake hurte The sygnes that declare the stomake to be hurt are thies the patient spettethe bloode and hys meate commethe out by the wounde That the guttes ben hurte it is knowen by the great payne Of the guttes and torsyon or grypynge of the bellie and whan the superfluites of the meate commeforthe by the mouthe of the wounde Of the small guttes The sygnes that the small guttes ben hurte are knowen by the place where the wounde is namelye whan the wounde is aboue the nauell If the wounde be benethe the nauel it is in greate guttes we haue declared in oure Anatomie howe that there ben three greate guttes and three small of whyche the three greate are vndre the nauell the three smalle aboue the nauell Wherefore by the place of the wounde ye maye knowe what guttes are hurte You maye knowe whan the lyuer is hurte by thys Of the lyuer that the wounde is aboute the false rybbes of the ryght syde and the bloode that issuethe out of the wounde is redde and the patient hathe greate payne frome the sayd rybbes vnto the flanke by cause the bloode is deryued frome the liuer all a longe vnto the grynde Whan the mylte is hurte it is knowen by thys Of the milte that the wounde is betwene the false rybbes of the lyfte syde and the bloode that issuethe out of the wounde is grosse Of kydnes and verye blacke The hurte of the kydnees is knowen by the place whan the wounde is somewhat lower than the nauell and the bloode also that issuethe oute is cleare and watrishe It is to be noted that sometymes the woundes of the bellie not penetrant or persynge ben not wythout daunger of deathe namelye whan they are aboute the nauell wythin three or foure fyngers bycause of the great muscles that are knytte to the nauell Furtheremore the woundes whiche are in the hyndre
wounde Afterwarde you muste reduce the sayde fore membre in to his place and than sewe vp the wounde incarne it and leaue the cure to nature For communely nature sendeth the blood to the grynde and produceth an Aposteme whych commethe oft to maturation or els nature resoluethe it insensibly It is tyme now to coÌ„me to the cure of the guttes The cure of the guttes which shal be accoÌ„plished by the doctryne folowyng Fyrst if the guttes be comme out of theyr propre place you must washe theÌ„ with redde wyne of the decoction of Camomyll melilote dille roses wormmode muggewurte of euerye one a lytle And after that they ben wasshed ye shall reduce them in to their own places And forasmuche as the sayd guttes ben often fylled wyth wynde ye shall sometymes vse thynges that breake wynde as this decoction folowyng A decoctyon breakynge wynde â„ž of cumine â„¥ ss of coriaÌ„dres of anise Ana Ê’ iij. of honie â„¥ iij. lette thies thynges be boyled with sufficieÌ„t quantitie of redde wyne vnto the consumption of the thyrd parte let the place be fomented wyth a sponge And yf ye canne not easely reduce the guttes in to theyr place you must enlarge the wounde wyth a rasore so reduce them But ye must note that yf the smal guttes ben hurt A wounde in the smal guttes is mortall the wouÌ„de is mortall bycause they are tendre and canne not suffre a seame and for the multitude of lytle veynes whyche ben in them cheifely in the gutte called Ieiunum intestinum Moreouer bycause they ben synnowie and full of cholere by reason of the nyghnes of the Liuer The greate guttes as Auicenne sayth touchyng theyr substaunce are flesshie A wounde in the great guttes curable and therefore they are often hurt without dauÌ„ger of death Wherfore as we haue sayd whan the great guttes are hurt after they beÌ„ washed wyth the sayd decoction ye shal sewe theÌ„ with a cered and wrethed threde after the glouers or skynners seame Also ye may attempte to sewe the smal guttes for though they are seldome coÌ„sounded yet the chirurgieÌ„ must not forsake the cure Some coÌ„maunde to ioyne together the sondred partes with the heades of antes or pismares which thyng is reproued of all doctours After that ye haue made the seame you must washe the same with the foresayde decoctioÌ„ and reduce the guttes in to theyr places And immediatly afterwarde you muste sewe vp the wounde of the bellye The auncient doctours saye that there ben foure maners of sewyng vp the pannicle called mirach and other pannicles of the bellie but we wyll speake onely of two principall two maners of sewynge and most vsed One is that ye take only Mirach of one parte and leaue the pannicle Siphach and of the other parte you muste take bothe Siphach and myrach successiuely one after another vntyll the seame be ended Thys maner is wrytteÌ„ by Auicenne in the chapitre of the cure of the wouÌ„des of the guttes The seconde is that ye take fyrste only myrach and secondlye myrach and siphach of bothe partes and so finyshe the seame Thyes two seames are vsed of the later doctours and they ben more sure than the other bycause myrach and siphach are easely incarned and ioyned together and thaÌ„ the pannicle zirbus canne not go out of the wounde whyche is a profytable thynge For whan zirbus commethe out of the wounde putrefaction must nedes ensue though it remayne out but a lytle whyle Hypocrates affyrmethe the same thynge The lyuer and the guttes putrefye not so quiclye though they remayne a whyle wythout the wounde And whan they are conueyed in to theyr owne place they ben easely reduced in to theyr nature Wherefore a wyse Chirurgien whan he seethe the pannicle zirbus to comme out of the wounde shal cutte it incontinentlye The maner of cuttyng of zirbus The maner to cutte it whaÌ„ it is altered or rotten is thys You muste bynde it in the hole and vncorrupte parte than cutte it within a fynger of the place that is bounde and incontineÌ„tly cauterize it welnygh to the sayd knotte than with hote cloutes coÌ„ueye it in softly leauynge the threede hangyng without the wounde that whaÌ„ the eschare shal be remoued you maye drawe it out After that the sayde seame is made betwene Myrach and Siphach the wounde muste be cured by thynges that drye and conserue frome putrefaction as is our poudre coÌ„seruatiue of seames Item vnguentum de Minio wrytten in the chapytre of a broken sculle is verye conuenient in thys case and lykewyse terebentine mengled wyth oure redde poudre Also a playster of sodden wyne and thynges anodyne that is to say which remoue payne ordened in the chapytre of the woundes of the breste is very confortatiue and swageth griefe Furtheremore to rubbe the bellie with an vnction made of oyle of Camomill dille and a lytle whyte waxe swagethe payne merueylouslye Besydes thys it chaunceth that the flancke is hurte by poynted instrumentes The cure of a wounde of a â—inied thing in the flanche as by darte or dagger ce Than you muste consyder whether the wounde be penetrante and yf the blader or the neeke thereof be hurte or the matrice or the gutte called intestinum rectum for thyes three haue greate adherence together so that sometymes they ben all hurte at one stroke The blader pâ—sed is dâ—th Than I saye whan ye knowe that the bladder is hurte that you muste pronosticate deathe by the auctorytie of Hypocrates Neuertheles yf the hurte be but small ye shall not omitte to succurre the patyente Wherfore obseruation of diete presupposed we saye that ye muste procede in the outwarde part with desiccatiue thynges Moreouer it is good to haue a croked syrynge suche a one as seruethe to make the vryne issue out and to spoute in to the bladder twyse a daye wyth thys syrynge of the decoction folowynge and ye muste putte it in warme and in sufficient quantitie so that it entre in to the concauitie of the same and remayne wythin a certaine space The ordinaunce of the decoction is thys â„ž of the water of Roses â„¥ iiij of water of plantayne A decoction li. ss of the herbe called horse tayle .li. ij of cleane barley of lentiles of Roses Ana. M. ss of myrobalanes citryne of Hypoquistidos of balausties of myrtilles Ana Ê’ j. of sumach of the croppes of branbles of the leaues of the wylde Olyue of conferie Ana. M. ss of cleane liquerice Ê’ x. of redde Suggre â„¥ ij of Aloes Hepatyke sanguinis Draconis of bole armenye of terra Sigillata Ana Ê’ ij lette the foresayde thynges be boyled together vnto the consumption of the thyrde parte and strayne them Note here that in thys case you muste not gyue the patiente thynges diuretyke that is to say whych cause pissynge and doe open for they wolde brynge doune humours to the blader but it shall suffyce to gyue hym
Syrupe of Roses wyth water of the herbe called horsetaile and water of barley For it engrosseth the mattyere and conforteth the membres and so they kepe the mattyer that it bee not deryued to the blader If the hurte be onlye in the necke of the blader The cure of a wounde in the necke of the blader ye maye haue confydence that it is not mortall as the experience of them declareth whyche cutte stones out of the blader And thys hathe ben proued in the cure of an Almayne whych was a familiare frynde of Iulie the seconde and was hurte in the lyfte flancke with a mauryse pyke so that the blader was hurte And the space of vij dayes hys vryne issued not after his natural course but onlye by the wounde We seyng the blader to be perced and that the vryne issued out by the wounde made answere that the man was in greate daunger of deathe neuertheles that we wolde not omitte the reasonable cure whiche we haue declared in this present chapytre And by the helpe of God the sayde Almayn became as hole as yf he had neuer ben hurte Howebeit the wounde was onely in the necke of the blader and not in the substaūce of it otherwyse seyng that the wounde was great he coulde neuer haue escaped deathe Eyght dayes after the wounde there came out of the wounde a piece of a pannicle as large as the patientes hande whych we iudged to haue been cutte frome the pannicle called Siphac wherfore yf suche woundes ben wyth incision of the pannicle Siphac it is necessarye to ioyne together the sondred partes wyth a conuenient seame lest the guttes falle in to the purse of the stones called osseum The cure of the matrice And whan the matrice is hurte ye shall procede as we haue sayde of the bladder excepte that two or three dayes after the wounde you must gyue the patiente more abstersiue thynges as honie and the water thereof and honie of roses Moreouer ye shall applie vpon the bellie whan the bladder or matrice is hurte the foresayd playster of sodden wyne and make an vnction as is sayde afore For the playster and vnction are verye profytable to ease payne and the grypynges of the bellye to resolue also and disperse ventositees It remaynethe The cure of a wounde persyng thorow the bodye that for the accomplyshement of thys present chapytre we speake breyfelye of the woundes whych perce thorough the body First whan the Chirurgien seeth that the bodye is perced thoroughe wyth an arowe maurise pyke c. He muste cōsyder whether the inner membres bē hurte or not before he drawe the instrument out of the wounde whyche may be knowē by the strength of the patient and the poulses and other euyll accidentes that communely happen as soundynge spasme tremblynge of the harte and by the pale or blackysshe colour of the face If these accidentes ensue the patient is nygh deathe But yf they ensue not nether the patient is weake it is a sygne that the inner membres are not hurt And than you muste anoynte the instrumente with oyle of roses beyng hote and procede wyth tentes moysted with hote oyle of Roses and a digestion of terebentyne vntyll digestion be accōplysshed For other intentions that is to saye mundification incarnation and sigillation ye shal procede as is afore sayde And for asmuche as nature cōmunelye sendethe the bloode that remaynethe wythin the bodye to the emunctories of the flanckes and an Aposteme thereby is engendred which muste be cured as flegmon therefore I saye ye shall resorte to the chapytre of the cure of Apostemes in the flanckes Thus. c. ¶ The .xij. Chapitre of the woundes of the hyppes THe woūdes of the hyppes muste be cured as the woūdes of the shulders woundes of the hippes For the hyppes ben synnowie and full of ligamentes great muscles as the shulders wherfore ye shal resorte to the cha of the same Neuerthelesse that ye maye haue a certayne doctrine for the cure of the said woūdes we say the therunto thre intētions are required The fyrst is regiment of diete The seconde euacuation of the body The thyrde consisteth in the application of conuenient thinges vpon the sayd woundes As concernynge the fyrste and second intentions ye shall procede as it hath ben often declared in the former chapiters The patient must abstaine from wyne and flesh tyl the daunger of apostemation be passed Also ye must cutte the veine called basilica or the comune veyn in the opposite syde Item it is conuenient to kepe the belly alwaye soluble or loose by lenitiue clysters For most comunely the sayd woundes cause greate paynes the mattier that is deriued to the hyppes engendreth apostemations Moreouer at the begynnynge ye maye gyue the patient a medicine minoratyue de cassia diacatholicon and de electuario lenitiuo or of other accordynge to the complextion strength of the patientes The thyrde intention shall be accōplished by the administration of local medicines Fyrst the chirurgien must cōsyder whether the wounde be depe or not large or strayte For whan it is depe strayte it must be wisely enlarged that the veynes sinnowes ligamentes and muscles be not hurte And afterward let the wound be healed with oyle of roses hote a conuenient digestyue And laye aboute the woūde a defensiue magistral whych is wrytten in the cha of the woundes of the shulders And yf the wounde cause greate payne ye shalle put in to the wounde oyle magistral of Hipericō wherof we haue spoken in the former chapiters Itē to swage paine we haue foūde it good to vse an embrocation made of oyle of roses oyle of camomylle dylle wyth the decoction of erth wormes Lykewise in this case a plaister made wyth the cromes of breade and with mylke written in our antidotary is profitable And a plaister of sodden wyne wrytten in the chap. of the woūdes of the breste is of the same operation After digestion for incarnation other intentions ye shal procede after the doctrine wrytten in the sayd cha If the wound be to large you shall sew it cōueniētly layēg a large orifice in the nether part Note that these woundes muste be diligently cured and by a wyse chirurgien for we se it often cometh to passe that through the faute of the chirurgien the patientes halte al theyr lyfe longe Thus. c. ¶ The .xiii. cha of the woūdes of the stones and of the yarde THe woūdes of the stones the yard ben not mortal woundes of the stones and the yarde if it be not through the errour of the chirurgien Neuertheles bycause they are necessarye to generation they must be healed with al diligence To come nere to our purpose there are required to the cure of the sayde woundes thre intentions And concernyng the fyrst seconde intention ye shal procede accordyng to the doctrine of the former cha The third shal be accōplished by
putrefaction to an aposteme called Estiomenos Lykewyse we haue sene some by the helpe of chirurgyens to obteyne perfyte curation after that they had caryed the stone a greate whyle The fourth intention which cōcerneth the curatiō of accidētes is accōplisshed after the doctrine written in the cha of the cure of woūdes caused by brusing And ye shal note touchīg the pronostication that ye must iuge of health or death accordynge to the hurt place Also yf the wounde be very strayte ye shall open it with a sharpe instrument that the superfluities of the sayde wounde maye more easely issue out And so the wounde shall be the soner healed Thus we ende c. ¶ The .iiii. chaptre of woūdes made by the bytynge of foure foted beastes as dogges cattes horses and other lyke beastes THe cure of woundes The cure made by the bytynge of beastes shall be accomplysshed by thre intentions The fyrst consysteth in the ordinaunce of diete the seconde in purgation the thyrde in the admynystration of locall medicynes The first is accōplyshed after the doctrine declared in the cha of the cure of a carbūcle this woūde is of the nature of venim for the teeth clawes of cattes dogges haue euer som venenositie in thē As touching purgatiō ye shal procede as in the cha afore rehersed is shewed sauing ye shal note this one thinge that if the woūd hapned by a mad beast cutting of a veyne is not cōueniēt as Auicen saith in the ca. of the bytīg of a mad dog Cutting of a veine sayth he in this case draweth blood frō al partes of the bodye to the middes of the same therfore flebotomie might draw venim to the harte Moreouer the nature of all venemes is fyrst to assaute the hert as the kyng of the other membres As touchyng the thirde intention we say that in the biting of beastes ther is no better remedy thā at the begynnyng to cauterise the place with oyle of elders burnyng hote the sayd cauterisation may be vsed to the .iii. day And afterward ye must put into the woūde this vnction folowing ℞ an egge an vnction bete it with oyle of violets with butter and with a lytle saffrā This vnction apeaseth grefe causeth the daūgerous fume of the woūd to breth out kepeth the mouth of the same open To the same intentiō this plaistre folowing is also profitable ℞ of the leues of malowes vio an̄ m̄ ii of wormwod m̄ i. of roses of the leues of holihock an̄ ʒ i. ss of bran wel groūd m̄ iii. seeth thē all togyther with sufficient water and thā stāpe thē in the decoc with beneflour barliflour make a stif plaistre adding of oyle mirtine of camomyl roses an̄ ℥ iii. the yolkes of .iii egges of saffrā ʒ i. of cūmī ʒ i. ss this plaistre is cōueniēt vnto the .vii. day after the .vii. day ye shall apply thys oyntment folowyng ℞ of the rotes of holyhocke li. ss of scabiouse m̄ ss of diptanie ʒ ii See the these thynges in water vntyl they be perfectly soddē thā stāpe thē strayne them and afterwarde take as moche waxe as shall suffyce and of oyle of roses and mastike an̄ ℥ iii. and set al on the fyre agayne addyng of clere terebentine ℥ iii. of gootes suete ʒ ss of saffran ʒ ii For mūdification ye shall put into the wounde a mundificatyue of sarcocol after this sorte ℞ of clere terebentine ℥ iii. of honye of roses ℥ i. ss of the iuce of smalage ʒ vi lette them seeth a lytle and put to of barlyflour wel sifted ℥ ss of sarcocol ʒ i. and. ss of saffrā ʒ ss This oyntment is mūdificatiue and incarnatiue and of good operation in this case After mundification ye must apply vnguentū de minio written in the cha of a broken scul Itē ye shal note that at the begynnynge some defensyue must be layed about the wound to auoyd deriuatiō of humours scarificaton And if ye perceyue that the sayd bytyng groweth to cancrenositie ye muste scarifye the place rounde about and after scarification ye shall procede The cure of the bytinge of a madde dogge after the doctryne wrttē in the cha of a cācrena Lykewyse yf it be the bytynge of a mad dog ye must procede accordyng to that we haue written in this present cha Howbeit ye shall note thys one thyng namely that incontinētly after the bytīg of a mad dog ye must scarifye the place and applye vētoses and afterwarde cauterise the byting with an actuall cauterye and bynde the place about straytely vntyl the cauterization be ended And whan it is ended ye shal remoue the said bynding ¶ The .v. Chapter Of the styngynge of Aspis and other serpentes and of the cure of the same Of the styngynge of aspes GOd our glorious Lorde which created mā to hys owne semblaunce hathe gyuen vnto the same dominion vpon all other creatures Howebeit there are some which naturally desyre to hurt hym as serpentes and euyll spyrites Notwythstandyng he hath receyued wysdome to kepe hym selfe from them and sondrye remedyes to the ease of theyr malycyous crueltie wherein hys deuyne power is declared and therfore man ought to haue recourse vnto hym in all thynges as to his defender and protectour The cure Now to our purpose The cure of a serpentes styngynge is accomplysshed by one onely intention that is to saye by admynistryng thynges vniuersall and perticuler as soone as it is possible And fyrste the chirurgien must incontinently gyue the patient a medicine that resisteth venim and it is preseruatiue as the triacle of Galene or the triacle of the description of Haliabas in the quantitie of ℥ ss with wyne of good odour Likewyse ye must immediatly scarify the place with a depe scarification and afterwarde applye ventoses to drawe out the venemous bloude Item it is right expediēt to vse an actuall cauterie or in the stede therof to vse hote oile of elders And after the cauterisatiō ye must lay vpō the place Playstre a plaistre of rosted onyons with a lytle triacle and buttur a lytle scabious diptanie and gentian stamped togyther with a lytle terebētine for this plaistre hath vertue to mortify venym is retractiue with some digestion of the escared place aswel by an actual cauterie as by oyle Howbeit some later doctours saye that it is not good to apply triacle in the outward partes bycause it dryueth backe venim neuertheles it is not to be discōmēded as Hugo senensis witnesseth saying that gret triacle applyed vpō the hart and vpon a byting is good for .ii. causes The fyrst is bycause it kylleth venim the second is bycause the vertu of the triacle is drawen in by the veynes and arteries insēsibly toward the hart And he sayth moreouer that the accidētes proceding of the stingynge of aspis and other serpētes ben more horyble than any other diseases which thing
vlceres Fyrst bycause we haue often spoken of the accidentes of all euyll vlceres we wil now onely speake of paynfulnes for in some vlceres ther is vehement gryefe so that it causethe euyll accidentes and sometymes bryngeth the patiente to deathe wherfore yf there be vehement gryef than ye shall applye thynges aboute the vlcere that be stupefactiue as a playster made of the leaues of whyte popie and of henbane wrapped in wete cloutes and putte vnder hote ymbres Playster stupefactiue and afterwarde stampe them and strayne them and adde oyle of Roses Omphacyne and vnguentum Populeon and make a playstere wyth a lytle waxe Item to thys intentioÌ„ vse the oyntmente folowynge â„ž the leaues of mallowes and of henbane Ana. mÌ„ ij sethe them in water and afterwarde stampe them and strayne them and adde vnto them of oyle of Nenuphar oyle of popye as muche as shall suffyce set them on the fyer agayne and make an oyntmente addynge of Philonium Persicum Ê’ vj. Item vse this recepte â„ž oyle of Popie oyle of Camomylle oyle of Violettes Ana â„¥ j. of whyte waxe Ê’ vj. make a lyniment at the fyere addynge of womans mylke â„¥ ss of opium ℈ j. of Saffran Ê’ j. the yolke of an Egge and styrre them aboute in a morter of leade the space of an houre If the dyfficultie of healynge seame to procede thoroughe the euyll complexion of the vlcered parte ye muste consyder whether the sayde complexion be hote or colde materiall or ymateriall yf it be hote lette it be cured wyth local mediâ—ynes and that haue vertue to cole as vnguetuÌ„ de cerusa A colliry made with water of roses plaÌ„tayne and with whyte sief wythoute opium is of good operation Further the difficultie of healynge chaunceth of the quantitie or qualitie of bloode if it be in quantitie it is other superfluous or diminished yf it be in qualitie it is in complexion hote or colde moist or drye c. If the bloode be superfluous the cure is accomplyshed with slender diete and wyth cuttyng of a veyne by administration of bloodsuckers If the bloode be diminished ye shall remedye it wyth grosse diete of good iuyce and by drawyng nouryshment to the vlcered place by rubbynges vnctions and fomentations and suche fomentations that swage payne so continuynge tyll the member waxe redde and begynne to swelle If the blood be of an yl qualitie as of a hote materiall coÌ„plexion let the hote mattier be purged yf it be thinne with rubarbe Myrobalanes Tamarindes pulpe cassie wyth water or wyne of pomegranades made after the maner of iuleb c. And yf nede be let the mattier be purged wyth the iuyce of roses psilio or sebesteÌ„ c. Yf the mattier be grosse throughe adustion let it be purged with a lectuary lenitiue of hamech diasene cassia strengthened with sene pillulis indis c. Note that hote mattier beyng subtile must be digested before purgation with sirupe of roses endyue vinaygre simple occisaccaruÌ„ syrupe of violets with the waters of endyue violets sorell or other like If the mattier be grosse through adustion it must be digested wyth a sirupe of apples of buglosse of hoppes with a iulep of violettes of fumiterre or other suche Here ye shal note thys one thing that in eating drinkinge in other thynges not naturall ye kepe a proportioÌ„ according to the defaut in these other coÌ„plexions which are found with an vlcere If there chaunce a fieuer in the vlcers so much more ye shal encrease the forsayde thinges in the degre of coldnes or diminish the same as the fieuer shal seme stronger or weaker If the blood be of a hote coÌ„plexioÌ„ simple or coÌ„pounde wtout mattier theÌ„ the foresayde digestiues shal onely suffice wtout purgation If it be of a colde complexion material theÌ„ let the mattier be purged If it be flegmatike with aloes agarike polipody turbith electuary de dactilis pillule de hiera pillule cochie or other like alway directyng the mattier with syrupe de bisantiis with oximel sirupe of vinaygre coÌ„pouÌ„de with hony of roses with waters of fenell borage smallage maioruÌ„ mint worwood or other such These thynges one after another are good in an euel colde coÌ„plexion not material wythout purgation Lyke curation shal be in colde mattier moyste materiall but if the coÌ„plexion be moyst wtout mattier onelye digestyues are conuenient but if the coÌ„plexioÌ„ be drie material the mattier muste be purged the meÌ„bers that engendre the same rectified If it be not materiall the cure shal be wyth hote moyst thinges Hitherto we haue spokeÌ„ of the cure of euil blood Furthermore we saide that the roundnes of vlcers hindreth curatioÌ„ wherefore the chirurgien shal reduce it froÌ„ a rouÌ„de vlcere to alonge vlcere with an hote yron or with a caustike medicine briefly it is a generall rule in the cure of these vlcers that if the difficultie of their curation do coÌ„sist in yl blood that then ye minister meate whiche engendreth good bloode contrary to that that hyndreth the cure If the cause be in slender nouryshmente the bloode shall be multiplyed by dilatynge the waye wyth good meates But yf the cause be mollifitation thorowe fylthye mattier than it shall be healed wyth the cure of a fylthye and softe vlcere If superfluous dryeng be the cause so that it be not a fistulous vlcere it shall be cured wyth moyst thynges and herin it auayleth muche as AuiceÌ„ne sayeth to perfume the vlcered place wyth some thynge of gentle moysture and by administrynge medicines of lytle exiccation or drieng and therfore AuiceÌ„ne saith perchaunce it is good to administer cloutes dypped in warme water If some cankerouse corruptioÌ„ be the cause of difficultie then cure that accidente as it is sayde in the cure of a canker Lykewyse yf a fistula be the cause resorte to the cure of a fistula For the remouynge of other causes that letteth the curation of vlcers resort to the second chapiter of thys presente boke Nowe I wyll begynne to declare certayne remedyes as I promised afore Oyntment And to speake generally of oyntmentes whyche helpe vlcers that ben harde to cure these ben they Fyrst R. of oyle myrtyne oyle of roses omphacine anÌ„ â„¥ iii. of goates suet of calues suet anÌ„ â„¥ ii of Plantayne leaues of woodbynde of the tender partes of bramles of the leaues and graynes of myrtilles of the leaues of wylde olyues of the herbe called Horsetayle ana mÌ„ i. of Hypocistidos Ê’ x. two sower pomegranades of the herbe called alleluya of sorell anÌ„ mÌ„ i. ss of vnguentum populeon oyle of roses complete ana li. ss stampe all these foresayde thynges together and let them seeth wyth a cyathe of water of plantayne and as muche of water of Roses tyll the waters be consumed theÌ„ strayn them set the liquor vpon the fyre agayne put thervnto of ceruse â„¥ ii of Litarge of gold and syluer anÌ„ â„¥ i.
somwhate the fleshe frome the bone in the ouer parte of the member And afterwarde cutte the rotten fleshe frome the boone by pece mele and couer the bourders wyth warme cloutes that they be not hurte by the ayre Than ye muste compasse about the ouer parte wyth youre handes and reduce the fleshe cyrclewyse and sawe the bone as hye as ye can wyth a sawe of sharpe teethe Whyche done ye muste cauteryse the cutte place vnto the hole parte and afterwarde ye muste cauteryse the boone and than cure the wounde as other burned woundes bene cured And because that some commaund to astoyne the member before incisyon by applycation of a medycyn wherin opium entreth or by the smelling of a spunge wherein opium is that the hole bodye maye be broughte a slepe Ye shall vnderstande the reuerence saued they enterpryse a daungerouse busynes for thys dysease somtymes chaunseth of a medycine made wyth opium as wrytters affyrme Neuerthelesse the member may be bound afore incision in the vpper parte because of the course of the bloode Furthermore they that prayse the applycacion of a certayn sparadrap for the conseruation of the corrupte member wyth the hole are not to be herde for the application of them doth brynge shame to the chirurgien hyndraūce to the patient Fynally when the escare is remoued ye shall procede as is declared in the chap. of vlcers in general thus endeth the treatyse of vlceres The .v. boke of master Ihon Vigo of Genuay of the frenche Pockes of the deade euyl and scabbe of the paynes of the ioyntes of the tethe ¶ The fyrst chapter of the cure of the frenche Pockes not confyrmed IN the yeare of our Lord. Of the frēche pockes not confermed 1494. in the monethe of December whē Charles the Frēche kynge toke hys iorney into the partes of ytaly to recouer the kyngdome of Naples there appered a certayne dysease through out al ytaly of an vnknowen nature whych sondrye nations hath called by sondry names The Frenche men call it the dysease of Naples bycause the souldyours brought it from thence into Fraunce The Neapolitanes call it the Frenche dysease for it appered fyrste whē they came to Naples so other languages call it by other names whervpon we nede not greatlye to passe but rather what the nature and cure therof is Thys dysease is contagious chiefly yf it chaūce through copulation of a mā wyth an vnclene woman for the begynnynge therof was in the secret members of men and women with lytle pushes of blewe colour otherwhyles of blacke sometyme of whytyshe wyth a certayn hardnes aboute the same whych pustules could not be healed by medicine applyed with in or wythout but that they wold enbrace the hole bodye wyth vlceration of the genitall partes euer returnyng agayne after they were healed chiefly in the ioyntes in the armes vnder the knees in the foreheade and welnye spredde through all the body yet at thys tyme they begyn euē so but it is not so contagious as it was at the begynnyng Furthermore a moneth after the sayd pustules the patient was vexed wyth great payne in the heade the shulders the armes the legges after whych payne that is to saye after a yeare more certayne hard thinges lyke bones were engendred in the patient wyth exceding paine in the nyght tyme whych seased in the daye tyme. For the swagynge wherof the chirurgiens administred anodyne medicines that apease griefe and preuayled nothinge but the ende of the payne was euer corruption of the bone as it chaūceth in the windines of the backbone for the most part the mēbres remayned croked and drawen together through the sayd paynes After a yeare a halfe there appered in thys shamefull abhominable dysease certain knobbes of grosse and flegmatyke matter rooted after the maner of a whyt chessenut lyke a chorde or a synowe halfe rottē whyche were ryped of nature wtout helpe of medicine Wherfore after theyr brekyng or openyng of them all kyndes of vlcers were sene in thē accordyng to the diuersytie of bodyes for in one bodye it is not credible For in sondry bodyes sondry accidentes are wont to be engendred with thys dysease And I dare say that al the dyseases that come of a cause antecedent wherof the chirurgiens haue made mencion maye be nombred in thys shamefull dysease accordyng to the dyuersitie of bodyes And fyrst to speake of apostemes we haue sene in thys detestable sycknes all kynde of hoote cholerike and sanguine apostemes And also we haue sene great quātitie of colde flegmatike and melācholyke apostemes in matters cōpoūde yf the bloode be ioyned wyth fleume and the bloode hauynge dominion the aposteme is called flegmon vndemiades and so of the cōiunction of other as we haue declared in the boke of apostemes in generall Furthermore we haue sene in the sayd dysease al kyndes of quyttures accordynge to the dyuersities of the .iiij. The packes haue parte of al dyseases euyll humours We haue sene deade fleshe growyng in great aboundaūce and also greate multytude of glandules scrophules apostemes called talpe ectopinarie wyth corruption of the bone in the heade And moreouer we haue sene al sortes of the apostemes called formice carbuncles and cancrenes to haue ben ioyned wyth the said dysease and al sortes of vlceres wrytten by al the doctours haue bene sene in thys dysease And yf the vlcers of the sayd dysease be diligently consydred they haue participation with corrosiue and putrefactiue vlcers with creping vlcers cancreouse and cancrenouse virulent maligne paynfull apostemed holowe fystulous vlcers wyth corruption of the bone shelly with harde lyppes briefly the said vlcers haue an euel proprietie vnknowen to vs thorough the malignitie wherof they are harde to be healed and returne shortly agayne Lykewyse in thys dysease all kyndes of paynes may be nōbred as the goute in the handes and fete and of the knees and sciatica Item al sortes of euell scabbes are founde in thys dysease that is the deade euel assaphat and as it were a leprye salte flēgme in the handes and in the fete skalles ryngwormes tetters c. Itē we haue healed sondrye dyseases of the eyes cōmynge of the pockes chyeflye the dysease called ophthalmia but it shulde be to longe a thynge to reken vp al the accidentes that come of this dysease Howebeit we wyl adde this one thynge that they that are touched therwyth are subiecte to a slowe feuer and a consumynge whyche hath brought the patiēt sometyme to death The cause of thys dysease is alwaye primitiue as by hauynge knowlege of fylthy vncleane and pocky women for thys dysease through hys venymnes and the venymnes of the pustules whych chaunce in the priuie partes is spredde aboute the hole bodye from the head to the fete and corrupteth the blod of all tht bodye and produceth pustules scabbes and croustye skalles And ye shall vnderstande that resolutiue medicines that swage
that it shal be of greter exiccation or drying put to the forsayd oyntment of lyme thryse washed with rayne water ℥ i. ss of liquide storax ℥ ss and so vse thē Forthermore all meates that engendre grosse brente and colerycke bloode muste be auoyded as grosse flesh pepered and salted meates garlyke mustarde drye fygges c. Somtyme yf the age and strength of the patient wolde suffre it is conuenient to draw blood out of the veyne basilica most often in this case ventoses are to be vsed vpon the shulders armes buttockes and thyghes chefely whā the scab is spred through oute all the body And therefore Auicen aloweth wel the application of ventoses vpō the thighes with scarificatiōs we haue proued moreouer that laying of blood-suckers vpon the emorroidal veines is verye profytable to drawe oute gros melancholy and burned blood Pylles also in this case are greatlye praysed of Auicenne so that one onelye be taken at one tyme. But I was wonte to admynistre the pylles vnderwrytten ℞ of wasshed aloes ℥ i. of pylles of mastik ℥ ii make pylles lyke peason with the iuce of celydonye The receyte of them in hole parsōs is ʒ ss vnto .iii. ℈ Yf ye wyll haue it of a stronger purgation put therunto of pylles of fumiterry ℈ .i. c. ¶ The .v. Chapter Of the paynes of the ioyntes that is of artetik goute in the handes and feete and kneees ¶ To the moost reuerende lorde my lorde Sixtus prest of the Romayne church vicechaunceler of the titule of saynt Peter ad vincula A Passion arthetyke as the aunciente and later wrytters declare is an outwarde payne of the ioynctes caused of abūdaunce of fleume Of the peyne in the ioynctes and sometymes of colerike humours rennyng to the sayd ioynctes And according to the places wherunto the mattier floweth it receyueth sondrye names wherfore when it floweth to the fete it is called podagra when it floweth to the handes it is called chiragra and when it renneth to the knees it is called genugra and when the sayd humours be arriued into the hyppes it causeth the gout called sciatica The payne wherof is extended from the hippe to the lytle too In the goute called Podagra the peyne begynneth about the great too In chiragra about the fore finger or thōbe they whyche haue thys disease lyue in reste and pleasure a riotous lyfe wtout excersice of the body whiche also eate grosse and melancholike meates and pulses as beanes peason Cycers c. wherfore Ypocrates sayeth that the grecians called Helenes were troubled wyth the gout bycause they vsed to eate beanes and peason and other pulse Thys passion moreouer is founde in prelates of the churche in those whych were poore men and afterwarde came to some hye dignitie wherefore they gaue them selfe to slouthfulnes delicate lyuyng wherwyth the ioynctes are wont to be troubled wyth grosse slymye humours thorow euyl digestion wherfore moderate excercise is verye good to auoide this disease idelnes doth the cōtrarye For as yron cankreth when it is not exercised so mannes body thorowe rest is corrupted with euyl humours Neuerthelesse immoderate exercise chiefly vehement walkynge prouoketh the goute in the fete as Arnolde de noua villa doth witnesse sayeng of muche drynkynge of wyne of greate walkynge of often vse of women and by forbearynge of accustomed purgatiōs innumerable persōs become goutie And thys passion cometh by inheritaunce and it is merueylouse peynful chiefly yf it be engendred of a hote cause so that it bryngeth the patiente in despiratiō to a palsy to apoplexia to difficultie of breathyng perturbation of the sences and sodeyne death But the peynes of a goute caused of a colde grosse and slymye mattier be not very greate Howbeit they contynewe longe and therfore Hipocrates sayth that sometyme they are not ended in .xl. dayes But when the mattier is hote they ende in .xiiii. dayes as I haue sene in Iulio secundo I haue often sene that this disease hath proceded of a grosse slymye and chalkye mattier so that the mēbers haue euer remayned croked and knobbye And this kind of the gout receyueth no cure but a palliatyue cure as Ouide sayth Soluere nodosam nescit medicina podagram that is no medicyne can heale the knobbie gout And marueale not yf the peynes of ioynctes procedyng of a hote cause ben greate for as Galene sayeth that humours whyche cause peyne in the handes fete knees or haunches fyl the concauitie or holownes whych is betwene the ioynctes and stretche out the ligamētes muscules and synnowes and thorow that stretchyng a great peyn is caused and no crampe which peynes chaunce for the moost part in the spryng of the yere and in the heruest chiefly in the ioynctes of the fyngers and the toes Cornelius Celsus sayth to thys purpose that the peynes of ioynctes come soner to the toes and fyngers thā to other partes And the thys disease chaunceth not to gelded men nether to yong mē that haue not had copulation with womē nether to women that haue not theyr accustomed purgations reteyned To come to our purpose we ought to consider the cause and the accedentes of the disease And we must know that one kynde of the goute cometh of a colde cause an other of hote And of those the procede of hote mattier some are with great peyne as those which come of pure choler and some ar not of so great peyne they come of choler mēgled with fleume The peynes of the ioynctes procedyng of cold mattier are small moderate but they are hard to heale and dure longer as we haue said and the place where the peyne is is swollen and whyte But if the mattier be hote the place is red and in thys passion there chaunceth often a lytle fieuer whych is wont to ende whē the mattier leaueth his sinnowie places and cometh to the outwarde partes And therfore Galene sayth that in the peynes of the teeth and of the ioynctes it is a good signe For when swellyng chaunceth in the outwarde partes it is a greate token that the mattier hath left his synnewe and is come to the fleshye particule Further we saye that thys disease maye be nombred amonge colde and hote apostemes and therfore there be thre causes therof as antecedent primityue and conioyncte as we haue declared in the treatyse of apostemes The members from whence the mattier of the said peynes procede are diuers for when the mattier is flegma tyke and slymye it cometh from the stomake or from the brayne And yf the mattier be hote that is to say choleryke or sanguine those humours procede alwaye from the lyuer And so sayeth Anicenne declarynge that thys disease procedeth of the superfluitie of the seconde and thyrde digestion And the mēbers that receiue this mattier are the ioynctes But Anicēne deuideth these causes .iii. maner waies Fyrste into a cause efficient which hath humours Secōdly into a cause instrumētall and
the matter is hote Here foloweth the ordinauÌ„ce of Rasis when the matter is myxt â„ž of the sede of purslane of corrianders of sumach of leÌ„tilles husked of yelowe sandres of roses of piretruÌ„ of camphore of all equall partes and make trosiskes with the iuyce of nyght shade laye a trosciske vpoÌ„ the tothe dissolued in wyne rose water good Mesue prayseth thys medicine Now that we haue declared the medicines of the tothe ache caused of an hote and myxt matter we wyl speake of medicines that swage the payne of the tethe Haue viâ—e in colde matter in a cold mattier Fyrst aquavite myngled with the decoction of rosemary piretrum and organy and leyd vpon the tothe warme spedely easeth payne caused of a colde matter and so doth aqua vite also wyth Galiens triacle Item armonyake dyssolued with aqua vite and a lytle sandrake and a lytle myrrhe applyed to the teeth wyth the fynger after the maner of a lynement appeaseth payne without fayle Item to thys intention the coÌ„position folowynge is ryght profytable layed wtin the rotes of the teeth â„ž of peper of assasetida of opiuÌ„ of myrthe of castorium ana ℈ i. incorporate them altogether with hony the wyne of pomegranades Item it is good to washe the mouthe with thys decoction folowyng whych we haue often proued â„ž of odoriferous wyne .li. ij of the water of the floures of camomill .li. i. of the water of sage rosemary ana .li. ss of myrrhe Ê’ ij of armoniake Ê’ ij ss of nutmegges of fraÌ„kensence of mastyke of cloues ana Ê’ ss of sandrake Ê’ i. ss of yua muscata of sauyne of rosemary of squinaÌ„tuÌ„ of organy of serpilluÌ„ anÌ„ a lytle of licorice Ê’ vi of reysoÌ„s Ê’ x. of hony Ê’ ij of vynegre Ê’ i. seth theÌ„ al together tyl the halfe be consumed then strayne them vse them Mesue sayeth also Garlyke that garlyke stamped and bouÌ„de to the palme of the hande healeth the tothe ache Item Alexander sayeth the garlyke soddeÌ„ with wyne and wyth Ê’ i. ss of olibanuÌ„ Ê’ i. of myrrhe tyll they be as thycke as honye swageth the payne of the tethe beyng robbed therwythall IteÌ„ to the same enteÌ„tion it is good to washe the mouthe wyth thys decoction â„ž good wyne sethe it with redde roses piretruÌ„ rosemary sage honye the skynne of an addre a lytle vynegre Item piretrum lythed in vyneegre of the decoction of opium henbane deteyned betwene the teth swageth payn kylleth wormes IteÌ„ the iuce of wormood sothernwood taketh away the payn caused of wormes if the teth be anoiÌ„ted therwithal the same thing doth triacle also with vinegre Furthermore ther chauÌ„ceth payne to the teeth through the corrosion holownes of the same for therby venymous fylth is deteyned wtin theÌ„ is spred to the rootes of the sayd teeth so the synowes lygameÌ„tes cleuyng to the same are greatlye hurted We haue healed thys corrosion cauterisyng the place wyth hoote oyle putte into the holowenes with cotton or with a prouet garnyshed wyth cotton and sometyme wyth an whote yron or with vnguentum egyptiacum of oure dyscryption And sometymes also in steade of a cautery we haue putte into the holownes of the toothe one grayne of a ruptorye of capytelle wythe a lytle cotton Item oyle of vitrioll putte into the concauitie with cotton is a sure and a proued medecine Whan thes remedyes cannot preuayle we must come to handye operation to drawe out the teethe whereunto an experte man is requisite wherefore the chirurgiens do remytte this cure to barbours and to vacabounde toothdraweers Howbeit it is good to haue sene and to marke the workynge of such and thus we conclude thys presente chapter Here beginneth the .vi. booke of master Iohn de Vygo of breakynge of bones of the dislocation of bones and ioyntes of the hole bodye ⸫ The fyrste chapter of the generall curation of broken boones ⸫ THE breakyng of bones as auncyente latter wryters affirme may be put in the nombre of solution of coÌ„tinuitie caused of a brusiÌ„g thing for it is wont to chaunce for the most parte of a fall or of a strooke Concernynge the breakynge of the boones of the heade and of the cuttynge of the same we wyll speake nothynge here but referre the reder to the booke of woundes Kyndes of fractures Of fractures and brekyngges as saythe Galene some bene symple and some compounde Of symple som ben after the bredth orouerthwart the boone some alonge and are called fyxurale And of those as Lanfranck sayeth some are complete and some are not complete These that are complete in whyche the boone is broken cyrcle wyse are of harde curation because the two endes of the bone can not easlye be ioyned to gether Those that be not complete in whyche one onelye parte of the boone is broken bene easye to be cured Lykewyse the curation of the boones called focilia bene of easye curation so that they bene not bothe broken for yf they bene bothe broken cyrclewyse than it muste nedes be harde to restore them The breakynge that is accordynge to the lengthe of the boone is of easye curacion but yf the breakynge be after bredth and the boones be in lytle peces they are dauÌ„gerous because the peces prycke the senewy muscules and flesshye places And we haue sene often that through the pryckynge of the said peces a spasme and other euil accideÌ„tes haue chaunced whiche haue broughte the pacyente to death Furthermore we haue sene the sayde fractures to haue chaunced in one of the bones called focilia and sometyme in bothe A fracture compounde is that whych is accompanyed wyth a wounde or payne or aposteme or whan one bone rydeth vpon a nother throughe euell restauration and accordynge to these dyfferences we muste order our cures The causes of fractures or brekynges are all thynges whych maye bruse or breke as a fall a strooke c. The sygnes are easely knowen as Aliabbas sayeth yf ye beholde hys felowe that is not hurt for they are not equall Also ye may knowe it by towching the fracture with your finger for ye shall perceaue the sondrynge of the bones whan the fracture is complete the pacient can not sustayne hym selfe vppon the broken member In a fracture longitudinall or accordynge to length ye shall not feele seperation of the boones but ye shall fele a certayne vnnaturall grossenes vppon the broken boone and furthermore the member is payneful and vnapte to do any thynge And note that euery fracture which is nye the ioyntes is of harde curatyon because the remedyes administred by the chirurgines can not conuenientlye be bounde and splented And more ouer because that thoroughe the nyghnes of muscles that bynde the ioyntes the pacyente abydeth vehement payne and consequentlye an aposteme is engendred in the place Wherefore it is necessarye to anoynt the broken members with such thynges as haue vertue to
iij. ss of an electuarye of Psillium Ê’ j. make a small potion wyth the decoction of Gallitricum Politricum mayden-heare Polipodie hertestonge of the coddes of seny and Epithymye addynge of syrupe of Violettes â„¥ j. or make it thus â„ž of Diamanna Diacatholicon ana Ê’ vi Diafinicon Ê’ ij of electuarye called Elect. indum of electuarie of rooses after Mesue ana Ê’ j. make a small potion with the sayd decoction and additioÌ„ of the strength of myrobalanes kebul addynge of syrupe of violettes â„¥ i. but concernynge purgacions and digestions we haue spoken more plainlye in oure Antidotary wherunto ye shall resort ¶ A treatyse of the feuers of them that saile vpon the see or of maryners THe seuers of maryners and those that continue longe vpoÌ„ the see are of the kynde of pestilential feuers or that vexe meÌ„ wythout order called inordinate vagantes or of the kynde of tercians whyche thynge we maye knowe by their kynde of lyfe and excercise for they eate nothynge but grosse and salted fleshe as bacon beefe c. Lykewyse they eate salt fishe euyll dressyd and all kyndes of poulses sodden wyth the foresayde fleshe Their breede is wormeateÌ„ and foysty ostentymes their wyne eger mengled manytymes wyth roten water and they labour daye and nyght in rayne and in wynde whyche thynges prepare their bodyes to the generation of euyll humours and euyll diseases Signes of feuers pestilentiall The sygnes of a pestilentiall feuer are whan the pacient felyth no greate heate in the outwarde partes of hys bodye at the begynnynge but wythin and chieflye about the harte the pacient thynketh that he burneth The vryne also in the fyrste seconde and thyrde daye is lytle chaunged froÌ„ hys naturall disposition but some tymes it appeareth watry pale and melaÌ„cholyke In the ende of the thyrd or fourth daye the vryne begynneth to waxe redde or yelowe and afterwarde it becometh troublous as the vryne of an asse and it signifieth madnes and that deth is nye at hande Moreouer whan the vryne semeth to be of good disposition ye muste not trust therunto for sometymes it is an euyll sygne as Auicenne witnesseth saieng many tymes the pacient is not muche altered thorough the heate of feuers neyther in poulse nor in vrine and yet dyeth quycklye The reson is that venemous matter assayleth fyrst the hart as the prince of the body and cleueth therunto than whan nature seeth that the hart is grened with venemous matter she dareth not assaulte the same but gooth about to mainteyne other membres and therefore sometyme the pulse and vryne be good and yet the pacient is nye deathe Furthermore the pulse in thys ague is busyer in the nyght than in the daye for thaÌ„ the feuer is greater and the paciente is shorte wynded and breatheth peyn fully and is very thirstye for the pipe of the longes and the mouth ben drie The pacientes tongue is white or yelowyshe in the ouer part and is black in the toppe therof somewhat swollen and he can not speake directlye as he was wont and all naturall strengthes are weakned and also the taste Item there happeneth in thys ague vehement perbrakynge sowndynge and cold sweate crampe and perturbacion of reason wyth other euyll accidentes And sometymes the bely of the pacient is swollen as in the dropsye and sometymes is loose And for the moste parte botches and carbuncles appeare in the emunctories whiche whan they happen by the waye of terminacion ad crisim are mortall as we haue declared in the chapter of the pestilence for as Galene saythe euerye crisis is a token of healthe rather than of dethe sauynge in a feuer pestilentiall Nowe whan ye haue knowlege of the feuer Cure pronostication of the daunger premysed ye shall procede to the cure whyche consysteth in thre intentions The fyrst is administracion of the syxe thynges naturall The seconde is the purgacion of the euyll matter The thyrde comfortacion of the harte and mayntenaunce of the strength As concernyng the fyrst intention we wyll fyrst speake of the ayer whiche muste inclyne to coldnes and therfore it muste be rectified with water of roses and vynegre and in the winter wyth vynegre and odoriferous wyne Also ye must strowe the chamber wyth the leaues of willowes of vines of myrt and lyke Item ye may rectifie the ayer in the wynter and haruest by burning of ienuper and other sweate woode for as reyne and vapoures corrupt the ayer and make it apt for pestilencis so fyer of hys nature resolueth and purifieth euyll vapoures and therfore it is not good to haue a house or chamber wyth wyndowes towarde the southe for the southwynde is pestiferous but the northwynde amendethe the Pestilence As towching slepe and watchyng at the begynnynge they must be very moderate let the pacient slepe aboute the breake of the daye but the must auoyde long slepyng at the beginnyng for long slepe draweth the venemous matter to the harte Furtheremore ye shall procure to comfort the paciente wyth pleasaunt wordes promisynge hym healthe As concernyng etyng drynkyng the paciente muste eate often for the feuer vexeth contynuallye Howebeit it muste be in small quantitie and he must enforce hym selfe to eate for as Auicenne saythe they that eate manly are delyuered frome the disease Ye shall gyue the paciente to eate accordynge to hys strength Whan he is stronge ye shall gyue hym cromes of breade washed ones or twyse in colde water and after sodden in the brothe of a chickyn wyth lettuse barley endyâ—e purslan and a lytle veriuyce or the iuyce of lymons or wyne of pome granates Item ye maye gyue hym a gourde sodden in the same brothe wyth veriuyce and a lytle saffran or grated brede sodden in the brothe of fleshe wyth sharpe thynges or alman mylke wyth the comune seedes If the pacient be weake and haue euyll accidentes ye shall gyue hym the coleys of a yonge capon or a rostyd pertriche wyth a lytle iuyce of lymones For hys dryncke ye shall gyue hym whyte wyne of good odour well delayed wyth sodden water and also ye maye gyue hym the wyne of pomegranates Item he may eate lettuse whyte endiue the rootes of succorie sodden wyth veriuyce and vynegre and also borage buglosse whyte beetes sodden wyth capons chickyns or other good fleshe The seconde intention whyche is to purge the matter is accomplisshed by cuttynge the veyne called basilica or the comune veyne and by administratioÌ„ of a laxatiue medecyne Wherfore yf the pacientes streÌ„gth be able to endure flebothomy ye may vse it hardly in small quaÌ„titie for it is better to multiplye the noÌ„bre thaÌ„ the quaÌ„titie And it is requisite before flebothomy to purge the pacient wyth a lynityue clyster Item it is good to scarifie the shulders and the buttockes in them that canne not abyde flebotomy Howebeit some holde opinion that yf they haue a veyne cutte they shal be delyuered of the disease some commaunde to purge the matter