Hydreleum made warme Also if no other thyng be let or impediment you shall vse a bathe in whiche is boyled the head féete of a shepe goate calfe or lambe Also in whiche is put Malowes Althea Violet leaues Beates and Mercurye puttynge to it the thyrde parte of oyle Some there be whyche with great profite doe vse this linement folowynge annoynting with it the ridge bone or spine of the backe and all the ioyntes The liniment Rec. Olei violarum iiij vnce Amygdalarum dulcium ana vj. drames Pinguedinis gallinae ana vj. drames Medullae crurium vituli ana vj. drames Pinguedinis vituli ana x. dragmes Haedi ana x. dragmes Boyle all these in the decoction of Malowes and rootes of Althear vnto the consumption of the sayde decoction then straine them make aliniment of them vse it as I haue aforesayd But if the conuulsion come of fulnesse you muste cure it by euacuation of the whole bodye But there be two wayes to euacuate that is to saye by lettinge bloode and by purgynge But we let bloode in those bodies in whiche there is abundaunce of bloode or elles where inflamation hath caused conuulsion althoughe there be no abundaunce of bloode But if the fulnesse be of humors then you must purge that which doeth offende whether it be fleame collor or melancholie But grosse and viscous humours are to be expelled with Hiera Picra Agaricke You muste also vse sharpe Glysters also Gargarismes Apophegmatismes and néesing that the grose fleame maye come forthe by the nose mouthe The body beyng thus purged and let bloode annoynte the necke armepittes flankes with this lynement folowing Rec. Oleorum liliacei ana ij vnces Costini ana ij vnces Spicae ana ij vnces Laurimi ana halfe a dragme Castorei ana halfe a dragme Euforbij ana halfe a dragme Mixe these together and vse as is before sayd Also Rogerius and Theodoricus doe muche in this sickenesse prayse the vnguent whose composition as in this maner Rec. Olei muscellini j. vnce Petrolei halfe an vnce Olei communis ana iiij vnce Butyri ana iiij vnce Styracis calamitae ana ij dragmes Rubrae ana ij dragmes Mastiches ana half an vnce Olibani ana half an vnce Gummi haederae ana half an vnce Cerae an vnce Make these in an vnguent accordyng to arte and with this vnguent moderatly heat anoynt the whole necke and all the spine of the backe Last of all if the conuulsion commeth by consent and societie of partes and springeth of dolour you must cure it by medicines called Anodyna of which we haue made mencion in the first Chapter of this thyrde booke and also in oure Antidotarie But if it appeare by the bytyng or sting of anye venemous beast or Serpent you shall applye boxes to the wounde and make a plaster of Triacle and laye to the place and vse the same methode of curyng that is set out in the last Chapter of the seconde booke And yf conuulsion insueth because sharpe and corrodyng humours doe byte fret the mouth of the stomacke then with all diligence you muste prouoke him to vomite after strengthen the stomacke bothe outwardlye inwardlye wyth apte conuenient medicines folowynge the counsell of some expert Phisition Furthermore in all conuulsions this is a generall rule you muste strengthen corroborate the brayne Therefore shauynge the heare you shall foment the head necke armepittes flankes spine of the backe and ioyntes wyth oyle of Lilies If these doe not take place then accordynge to Galenes doctrine you shall cutte the nerue a sundrye For sayeth he it is better to suffer hurte losse of one parte then to looke for a certayne and ineuitable death Of the the Palsey comminge of a wounde Chap. v. PAralysis whiche we in Englishe call the Palsey is the relaxation molifiynge of the nerues with losse of feelynge mouynge of one syde or parte of the bodye This accident sometyme foloweth vehemente conuulsions chiefelye after greate woundes in the head and in the spine of the backe It doeth showe forthe hys myghte The cure of the Palsey is thys wyse Fyrste you muste euacuate the bodye by purgynge of the humours euacuating the bodye Yea by letting of bloode also if necessitie requireth Further to diuerte the fluxe whiche goeth to the resolued parte vsynge also a conuenient diet in all whiche it is necessarye to consulte with the learned Phisition These thynges beynge done then let the Surgian wyth all diligence applye locall medicines amonge whyche many doe vse emplasters cataplasmes vnguents fomentations boxinge dyuers other remedyes But Guido out of Mesue hath chosen a moste precious liquour and agaynst this accident of moste wonderfull effecte wyth which he annoynteth the spine of the backe the necke and the parte resolued and surelye there is no remedye comparable to it Yea and Guido leauynge all other medycines helde hym selfe well satisfied and pleased onelye wyth thys so precious a treasure But I wyll omitte the prayse of so noble a lyquour seynge my witte is to simple and my penne to rude to do that herein is required and therefore I let that passe and wyll showe you the composition Rec. Myrrhae electae ana ij dragmes Aloes hepaticae ana ij dragmes Spicae nardi ana ij dragmes Sangui draconis ana ij dragmes Thuris ana ij dragmes Mumiae ana ij dragmes Opopanacis ana ij dragmes Bdellij ana ij dragmes Carpobalsami ana ij dragmes Ammoniaci ana ij dragmes Sarcocollae ana ij dragmes Croci ana ij dragmes Mastiches ana ij dragmes Gummi arabici ana ij dragmes Styracis liquidae ana ij dragmes Ladani electi ana ij dragmes sc Succi castorei ana ij dragmes sc Musci halfe a dragme Terebinthinae optimae ad pondus omnium Beate all those to pouder that are to bee broughte to pouder and mixe all these wyth the Turpentyne and put them in a vessell of distillation and with a softe and gentle fyre drawe oute this moste precious liquour and if to this composition you dyd adde suche Herbes as are vsed in curynge the Palsey you shoulde make youre medicine so muche the moore precious Of Syncope or swouding through cause of the wounde Chap. vi GAlene in the twelfeth booke of his Therapeutike methode sayeth that Syncope is a sodayne decaye of strengthe commynge through imoderate euacuation vehement dolour continuall watchynge intemperatenesse of the principall partes or vehement pertubations of the mynde But Syncope whiche foloweth in woundes spryngeth for the moore parte of greate effusion of bloode or elles of vehement dolour And you maye easelye coniecture the commynge of it by the weakenesse pulse palenesse of face colde sweates aboute hys necke and temples And this accident is not lyghtlye to be regarded because it so sondenlye commmeth and is as it were the image of death Therfore comfort the wounded man by all meanes possible Suffer no great company to be where he is and before this accident
of a member wythout hote yrons And this medicyne I haue founde to be most sure of al other not only in taking of of meÌ„bers But in manye other grefes cured by the art of Surgerie and I haue named it in al my Bookes Puluerem secretum And before you make your Insicion take .iiij. vnces of this pouder and incorporate it wyth whytes of egges then make a stufe of towe as large as the ende of the member that you wyll take of And dyppe it in Veneigre and presse it out agayne Then spreade your medicine made wyth the pouder and the whyte of Egges open the same towe after strowe a lytle of thys drye pouder vpon that so makinge many lytle bolsters of towe to lay vpon this great stufe as nede doth requyre for the better restraynyng the fluxe of bloude Now when you haue all thynges prepared wyth bolsters and rollers and other things thereto pertayning you shall go to the pacient and comfort him as I haue sayd before couering his eyes and setting him in some place conuenient hauing certayne persons méete for the same purpose to holde hys bodye and hys armes that he let not your operation and other apte personnes to holde the member that you wil take away You shall then quickly and rely with a sharpe insition knife cut the fleshe round about to the bone wythin halfe an ynch of the defensiue that was before layd on And one thynge you must take héede of there lyeth an nerue betwyxte the two bones of the legge beneth the knee which you must cutte a sunder wyth your insicion kinfe lest that in sawing of the bones thys beyng not cut a sonder with you Insicion knyfe as I sayde before it might be so plucked and torne with the saw prouoking great accidents as sincope spasmus dolour yea and deth also which I my self haue often times sene Then when you haue made your insicion perfite with a fine sawe you shall cut a sunder the bones spedely and with as litle shaking of the member as you maye then lay vpon the endes of the bones a lytle lint dypped in oile of Roses and so wrong out again the oyle beyng first made warme And next lay on your stufe prepared as I haue said before which your pouder the whit of egges laying vpoÌ„ that other stufes bolsters to restrain blood as you se cause then must you roll it accordyng to art to kepe on the stufe very close that it may the better restrayne bloud Prouided alwayes that ye laye a defensiue aboue the knée to defend that no humors fall done to the sore place which defensiue you shall euery day kepe wette with Veneger and water So that you shall not neede often to remoue it In lyke maner you muste wette your fyrste defensiue that was layde vnder the knee and so keepe it wette for the space of syxe or seuen dayes before you remoue it And for as much as we cannot come a to finger or a tooe to take it of with a sawe as we may do a legge or an arme therefore I haue deuised pinsons to nyppe the bone a sunder after that you haue cut the fleshe round about to the bone wyth your inficion knyfe vsynge your pouder wyth the whyte of an egge for the restraining of bloude and other defensyues to defende humours as I haue before aleged Now for the reste of the cure fyrst we must procede with medicines to cause the asker to fall of and I haue found none better then thys Rec. Terebinthinae ij vnces Butnri recentis iiij vnces Cerae j. vnce and a halfe Vnguenti populeon viij vnces Make hereof an vnguent according to arte Thys vnguent doth not onelye louse the asker but it ceaseth the great payne and kepeth the member from euyll accidentes which is requisyte in thys maner of cure I haue not knowen twoo die that hath had there legges or armes taken of with this pouder aforesayd and vsyng the methode or waye that I haue here before declared And for the reste of the cure you maye vse medicynes incarnatyue and desiccatyue as you do vse in other woundes and as is required in the arte of Chirurgerye Nowe my brethren for as muche as that the taking of of members is one of the principall thinges that you haue desired of me and to doe it wyth oute actual cateriseng yrons which sore â—eâ—red the people with the error of cauterization or burning as we call it that many of them rather would die wyth the member on then to abyd the tirreble fyre by meanes whereof manye people peryshed And other some that put themselues to surgerie and had their legges or armes taken of with whote yrons many of them perished as you your selues knoweth right wel And speciallye you that be of the Hospitalles of London wherefore I haue deuised and compilled by the mercyfull helpe of god thys maner and waye to cure those meserable afflicted people wythout anye whote yrons or great perill of death as you your selues haue had experience nowe of late tyme by the dismembrynge and taken of of manye members to the great relefe and comforte of the poore people and to the greate honour of the noble art of Chirurgerie And I trust also beynge thus mayntained it shal be highly to the glorye of God to the commendacions of this noble Citie where as these Chiritably dedes are done vnto the poore afflicted members of Iesus Christ in the Hospitalles of London where as daylye these workes oâ— mercye are done Now brethren I haue opened vnto you this noble Pouder whych I haue inuented to your honour and profite but chefely for the commoditye of the poore Requiring you for as much as it hath bene your owne desyre to haue the making of it to take it in good part and gyue God the chefe maker thereof thankes therfore and vse it well For I haue hard saye of a late tyme that there is some that sayth they haue the same Pouder and maketh a mocke and a gaude at it goyng about to deface me the authour thereof for my good wyll and paynefull diligence But I warne thee what so euer thou art that so sayeth to holde thy tounge wyth shame for neyther thou nor I had it but nowe of a late time Inuented by me and one Maister Peirponte and fyrste put in vse and practise by the Surgians in Sainct Thomas Hospitall in southworke And sence that time put in vse of many moe both yonge and olde not onely in takyng of members but in restayning of bloud both in vaynes and arteries whiche coulde not be done wyth whote yrons and manye other thynges hathe beene doone wyth thys pouder whych is more to be merueled at then to be beleued And I for my part haue redde no smal number of authours and that of the beste and yet I neuer coulde finde thys pouder in anye of them all And yf anye other man be able to showe it me in anye other authour then
ther seuerall vse and office as more largelye appeareth in the booke of Galen intituled de vsu pâ—rtium Iohn Yates And howe manye sondrye woundes are ther in the similer partes Iohn Feild Ther be three whiche are taken of the substaunce of the similer partes for it maye be in the similer parte whyche is softe as woundes made in the fleeshe and fattenes or elles in the harde symiler parte as woundes in the bones or fynally it maye happen to the meane similer parte whyche is neyther harde nor yet softe suche be those woundes in the vaynes arteries neruys tendons ligamentes Iohn Yates And what difference is there of the woundes in the organike or instrumentall partes Tho. Gale There is a threefoulde difference of those woundes accordyng to the parte affected For eyther the wounde is made in the principall partes as in the harte lyuer or bryane or els in those partes whych serue theis principal partes as woundes in Aspera arteria the throte and bladder Or it is in the organike partes which are not seruisable to anye of the principall as woundes happenynge in the nose eye eare hand foote and such like Iohn Yates Then there be syxe differences of woundes taken of the nature of the parte three in the simyler and three lykewyse in the instrumentall partes Nowe lette me vnderstande the difference of woundes taken of the essence of the solution of continuitie Iohn Feilde There is a twofoulde difference for eyther it is a symple wounde or elles it is a compounde wounde Iohn Yates What is a simple wounde Iohn Feilde A symple wounde is solution of continuitie newlye made beynge voyde of accydentes or other affectes wyth it complycated and ioyned Iohn Yates And what is a compounde wounde Tho. Gale The contrarye to a simple wounde For it is solution of continuitie hauynge one or more affectes and accidentes complicated and Ioyned with it Iohn Yates You haue nowe showed two kyndes of woundes the one taken of the nature of the wounded parte the other of the essence of the solution of continuitye there yet remayneth to set oute such as springe of the proper difference of solution of continuitie Tho. Gale There doth so as you saye And the proper differences are taken of twoo thynges That is to weete of the quantity and of the fygure Iohn Yates And howe be the woundes named whyche haue there dyfference of quantitye Tho. Gale They are called by these names a great or litle wounde a long or shorte wounde a brode or narrowe wounde a deape or shalowe wounde and an equall or els an inequall wounde Iohn Yates And how be those woundes named whiche are taken of the figure of the wounde Iohn Feilde They be thus termed a right wounde an obliquike or croked wounde and a retorte wounde There are besides theis three principall differences of woundes other woundes althoughe they be not proper as a wounde disrupted or broken a wounde whiche is cutte a wounde partlye broken and partlye cutte also a wounde in the begynnyng middes or ende of a muscle and suche like but theis differences alredye numbred shall suffice as touchynge the Institution of a Chirurgian in this parte Iohn Yates I suppose no lesse but what vtilitie springeth by knowing theis differences of woundes Tho. Gale Right great for you shall not rightlye and methodicallye cure them excepte you knowe ther differences For of them is taken the prognostications the intentions curatiue the inuention of medicines and maner of curation for you wyll not a like prognosticate lyfe death to the pacientes of a simple and wounde made in the fleshe and of a greate wounde made in the ventricules of the brayne Iohn Yates That is verelye so for the one is with out perill and danger and the other euer mortall and deadlye Althoughe Galen affirmeth that his maister Pelops yet beynge a lyue he sawe a younge man wounded in one of the former ventricles of the braine and that he was restored to helthe Iohn Feild In dede those woundes for the more parte are deadlye and wher as Galen in his .viij. booke de vsu partium reherseth that historie he maketh it miraculous and that the yonge man came to helth rather by the goodnes of God then helpe of art But let vs retorne from whense we are digressed A grene and shalow wounde voyde of accidentes haue not the same curatiue intentions that a deape and holowe wounde hath with whiche is also annixed inflamation flux dolour and payne Iohn Yates That is more clearer then sonne at myd day as the sayng goeth Tho. Gale And touchinge the inuention of medicynes howe saye you wyll you inuent like for woundes in the nerues and ligamentes that you wyll for those in the fleshe or in woundes of the brayne that you wyll in woundes of the handes Iohn Yates No verelye nor I thynke none so rude that will so offende Iohn Feilde I pray God ther be not but to the right vse of medicines taken of the difference of wouÌ„des wolde you in a wounde in whiche is inflammation and deperdition and losse of fleshe aplye incarnatiues to cease inflammation or contrarye wyse Iohn Yates That ware a pointe of extreme demency and madnes Tho. Gale Well then this last vtilitie springing of the difference of woundes showeth you howe to aply your medicynes and whan also whiche must be first and whiche nexte Iohn Yates No man can that denye Wherefore seinge that we haue passed ouer the differences of woundes it foloweth nexte in order that we doe procede to vlcers Iohn Feilde And that you may the better vnderstande those thynges whiche hereafter shall folowe it is requisite to lerne firste what an vlcer is Iohn Yates Then I praye you define what an vlcer is Iohn Feild An vlcer is defyned to be the solution of vnitie in the fleshye partes hauyng more dispositions lettynge and hindringe the adglutination of the same of whiche cometh matter and other lyke fylthines Tho. Gale You may also brieflye define it folowyng Auicen in this maner an vlcer is the solution of continuitie made in the fleshe conteynyng matter and pus Iohn Yates And whereof are vlcers ingendred Tho. Gale They spring of woundes yl handled of pustules and apostumes comyng to vlceration Iohn Yates And doeth vlcers spryng of woundes Iohn Feild They doe for whan as a wounde doeth ons conteyne matter it is no more called a wounde but an vlcer Iohn Yates How many kynde of vlcers be theyr Thomas Gale Ther be two kyndes a simple vlcer and a compound Iohn Yates And what is a simple vlcer Tho. Gale A simple vlcer is a solution of continuitie wyth matter voyde of accidents and complication with other affectes and here you must note accordynge to our supposition that whan I saye a simple vlcer I meane not one simple infirmitie or sycknes for I am not ignorant that euery vlcer doth consist of intemperatnes solution of continuitie and somtyme also of yll composition