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A67811 Currus triumphalis, è terebinthô, or, An account of the many admirable vertues of oleum terebinthinæ more particularly, of the good effects produced by its application to recent wounds, especially with respect to the hemorrhagies of the veins, and arteries, and the no less pernicious weepings of the nerves, and lymphaducts : wherein also, the common methods, and medicaments, used to restrain hemorrhagies, are examined, and divers of them censured : and lastly, a new way of amputation, and a speedier convenient method of curing stumps, than that commonly practised, is with divers other useful matters recommended to the military chirurgeon, in two letters : the one to his most honoured, James Pearse, Esq, chirurgeon to His Royal Highness the Duke of York, and chirurgeon general to His Majestie's Navy Royal : the other, to Mr. Thomas Hobbs, chirurgeon in London / by James Yonge. Yonge, James, 1647-1721. 1679 (1679) Wing Y39; ESTC R38786 60,268 150

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somewhat longer e're the strength of it returned perfectly It happened which I had forgot to intimate that a few days after her purging she being returned towards evening from a walk she had made to visit some Friends in Town fell into a severe Paroxysm convulst hysterical c. in which I thought she would have died I gave her a draught c. which recovered her after which it never returned I repeated the Pills c. The prick of a Tendon could scarcely have happened with more circumstances than it did here for the pain thereof attracted so powerfully the ill Juices wherewith she abounded that she was in equal hazard of Death from their causing a Gangrene as from the convulsive effects of the Puncture more severe and cruciating symptoms I never saw in my life in a body so unfit for them and so unable to brook them and certainly had I delayed making that liberal discharge by the scarifications comforting the part and discussing the matter by the Fomentation and allaying the fermentation of the bloud and humours by the Opiat but that night she had been in her winding-sheet by the next for the restoring the strength and extension of the member I own my self indebted principally to the Balsamum Galb of which I have already spoken so well Sir I will relieve your patience when I have related one Observation more of the effects of Oleum Terebinthinae in an Hemorrhage happening by a Wound to a young Gentleman Mr. A. Cock Servant to an eminent Merchant and then Mayor of this Town Mr. J. Lanyon who whetting a long Penknife on a Hone the Knife dropping out of his Hand fell towards the ground between him and the wall of the Window against which he stood he inconsiderately thrusting his belly forward to stop it and it unhappily falling with the point towards him run up into the inferiour part of the left Ilia from whence issued a great stream of Arterial bloud which in a very small space had ran a great quantity I found him bleeding in great pain and very faint I forthwith injected Oleum Terebinthinae and thrust in a large Tent dip'd in the same and bound him up administring a Clyster by the working of which I saw the Intestines were not hurt as I feared I continued my Tents armed with Linimentum Arcei and put some Oil of Turpentine with the injection I used the extravasate bloud cast into the hollow of the Abdomen digested and a Fever hapned while Nature was on that work which I endeavoured not to check by any refrigerating course but by drinking a decoction of some Vulneraries with Crocus R. Glyz c. and repeated Clysters of the same which hastning the Coction calmed the effervescence of the bloud by consequence and so securely was the hurt Artery closed that not any recent bloud appeared after the first Dress though the flagrancy of that Mass made it hazardous When I saw fair Pus I put in a Fistula Tent and discharged it and afterwards let it close I became induced to superadd this Observation because in it the Medicine restrained so obscure an Hemorrhage though not made hot for fear of injuring the Guts A new Way of Amputating large Members and a more speedy convenient Method of curing Stumps than that commonly practised Discovered in a Letter to his esteemed Friend Mr. THO. HOBS Chirurgeon in London SIR IFind by yours that you are surprized with the intimation I gave you of a way of amputating large Members so as to be able to cure them per Symphysin in three weeks and without fouling or scaling the bone It is a Paradox that I will now evince to you to be a truth after I have first taken notice of what you affirm that there is a necessity of scaling the ends of those bones left bare after the usual way of dismembring before the Stump can be soundly cured that you never yet found it otherwise but that where it hath been attempted the Stumps have apostumated and the Caries come off thereby Sir I do assure you I have been so happy to have seen the contrary in an Amputation made between the Cubitus and the Carpus where though the Wound was almost nine weeks in curing and at Sea too yet the bones never scaled and the stump remained to my knowledg many months without the least tendency to eruption the person then principally concerned was an old Practitioner and one that had long served in the Northern Wars he did assure me he frequently neglected the scaling of the bone and healed most of the Amputations he made in the Army and in Scotland without it I acquaint you of this for its rarity not that I ever but once practised it when I made Amputations the usual way and I think it not prudent because there is no necessity to imitate it in such stumps for that in curing them we have time enough for the disquamation which is also atchieved without any great trouble whereas should we neglect it and sind when the stumps come to be almost cicatrized as once I did in designing to imitate the said Artist and which made me resolve for ever to decline it that there were necessity of doing it by reason of a Caries then contracted or but then discovering it self it 's manifest what trouble it would beget and how greatly impede the desiccation there are those that think they ought to scale all bones that have though but by a recent Wound been bare and others I have met with who on the other hand too much slight the Caries of bones pretending they moulder off with the matter how equally unreasonable and vain both are I need not discourse to so competent a Judg as your self Wherefore passing these matters I shall now entertain you with an account of the manner of this Operation I would recommend to you after I have told you that it was from a very ingenious Brother of ours Mr. C. Lowdham of Exceter that I had the first hints thereof The Ligatures and Gripe being made after the common manner you are with your Catling or some long incision-Knife to rase suppose it the Leg a flap of the membraneous flesh covering the muscles of the Calf beginning below the place where you intend to make excision and rasing it thitherward of length enough to cover the stump having so done turn it back under the hand of him that gripes and as soon as you have severed the member bring this slap of Cutaneous flesh over the stump and fasten it to the edges thereof by four of five strong stitches having so done clap a Dossil into the inferiour part that one passage may be open for any bloud or matter may lodg between but of that there seldom occurreth any then lay on a common Defensative Ex Bole. Sang. Dracon Mastich Terrae-sigil c. cum alb ovor Aceto and thereto girt it close with your cross bandage and other Compresses after their usual manner
bounds both of my brains and Letter to discourse either of the Controversies Against which Isbrandus Demerbrocus Anatom oorp human l. 10. disputeth at large whether there be a Liquor and of what use both it and the Lympha is let it suffice to suggest that a great and famous Physician of our own namely the ever memorable Dr. Glisson affirms the former to nourish and all agree that it 's the Vehicle in which the sensitive spirits are conveyed to furnish the parts with motion and sense or as one ingeniously calleth it The Chariot of the sensitive Soul and that the Lymphatick * Idem in lib. 1. Juice humects contemperates c. Now being of uses so essential to the subsistence of life these consequences do naturally flow that the expence thereof doth privatively dis-spirit consume debilitate dry inflame c. and therefore that the securing it from so exorbitant a profluence is as necessary and beneficial as the restraining the Hemorrhagies of the Veins and Arteries and this I will presume to aver is a faculty in Oil of Turpentine transcendently above any other known Medicine as is more especially evident in punctures of the Nerves where the weeping of that Juice as that of a Vine when wounded or Trees when tapped in the Spring is very obvious and plain For the cure of which it is become the infallible Arcanum A. Pareus l. 10. c. 38. Fr. Sylvius de le Boe nova Idea part 1. cap. 42. parag 38. when as before the discovery of that Vertue the remedy of Punctures was no better than either dividing the Nerve or tendon or severing the member from the body both which were not seldom prevented by Death Secondly It most excellently digests a faculty to which no other restrainer of bleeding can pretend and if both those intentions can be performed at once by one single Medicine as they are evidently by this how much time pains c. is saved to the Practitioner and Patient and consequently what value it is of there needs no Argument to confirm this Position it 's so easie an Experiment that every one may confirm it to his own sense nor doth it digest Wounds at the ill rate most other Digestives do which besides that faculty do also powerfully attract such are Crocus Terebinth Vitel. ovor Liniment Arcei Basilicon c. whereby great expence of bloud and radical moisture is occasioned to the wasting the body impairing the strength hindring the healing influences of the Medicine macerating the wounded flesh begetting Fungus's c. whereas this excellent Oil hinders the deflux of humors digesting the contused or extravasate bloud without drawing or permitting the efflux of much more Here Sir I must take notice of two Objections to which this seems liable That if Oleum Terebinthinae close the mouths of the Vessels how can it digest it being a Faculty inconsistent with that of Constringents or what should it digest since by its application little or no matter extravasates for that faculty to work on To this I reply That though there be not such large digestion as is usually produced by the aforesaid applications yet it doth maturate in a lesser degree what part of the bloud Lympha c. may be shed before application can be made it being impossible to imagine that the most quick and diligent application thereof can so prevent the efflux but that some will get between the Dressings and the Wound which coagulating about the mouths of the Vessels by capping secures them or it may be supplied with matter for the digestive faculty to work on from the lacerated and frequently mortified Fibres or from what even in sound members and a healthful body is by transcolation extravasate and always lodging in the interstices of the Muscles and their Fibres and also of those in the other Carneous parts Moreover It cannot be imagined nor is it by me asserted that the Vessels are all of them even the minutest so wholly occluded as that thin matter cannot extravasate but so sufficiently done and to that degree as to secure a too liberal and extravagant effusion of their several Liquors and ferous Juices to which may be added that its restringency is not by any manifest or strong Stypticity but by the way and accidents already explicated by the foregoing Experiments But to proceed Thirdly It is incomparably the best Balsam to heal Wounds of the Nerves to which it seemeth so particularly adapted that as it seldom faileth of doing it so nothing else hath been hitherto found to come near it in that quality saving as they have more or less thereof commixed Every one is so much an Anatomist as to know that it 's difficult if not impossible to make a Wound great enough to deserve the name without hurting some branches of the Nerves they being so thickly divaricated into all the parts of the body the Lungs excepted some being of a belief that the skin is a fine woof of Capillary Nerves I.B. Hamelus de corpore animato lib. 4. Veins and Arteries receiving into it the ends of the excretory Vessels arising from an infinite number of little Glandules Now the whole Genus Nervosum being the conveyers of sense and motion are vehemently aggrieved when wounded distorted contused c. the former of which especially this Balsam pacifieth and healeth no less wonderfully than evidently by which Convulsions Palseys and other effects thereof are prevented and remedied especially those direful ones which follow their being punctured as I have already intimated Fourthly After Amputations it hath one singular good effect above most other Applications that is the contraction of the Stump keeping also the lips of large wounds from expanding to that degree which more lax and soft applications admit whereby the intention of cross stitches is in part prevented this is done partly by hardening the lips of the Wound at which I would advise him that finds it after the application of this Medicine not to be concerned but partly by the edges of the Pledgets adhering to the lips of the Wound when the spirits expiring contract them according to the Second and Third Experiments Hereby is prevented those ghastly and unseemly swellings of Wounds and spreading of Stumps not that they stick so firmly as to be obnoxious to the objections made against the like accident of glutinous Applications Page 14. Fifthly It solely and perfectly healeth Punctures and incised Wounds by Symphysis where neither of them are very large and that maugre its digestive Faculty I know the same is performed by the application of moderate Astringents that have no Acids in them but as such cannot secure the Hemorrhagies that are large and deep neither can they reach effectually to the bottom of deep Punctures Now that it may not seem strange I shall attribute a Power Consolidative to a digestive Medicine I suggest first That Consolidation is naturally performed I mean that Medicines do not actually unite Wounds but by