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A77712 Vade mecum or, a companion for a chyrurgion: fitted for times of peace or war. Compendiously shewing the yong artist the use of every severall instrument belonging to a chyrurgion; and the vertues and qualities of all such medicines as are needfull and necessary, with the maner of compounding them, according to the most approved authors. As also the perfect cure of green wounds, either incised or contused, ulcers, fistulaes, fractures, and dislocations. To which is added the maner of making reports before a judge of assize, of any one that hath come to an untimely end. By Tho. Brugis Doctor in Physick. Brugis, Thomas, fl. 1640?; Cross, Thomas, fl. 1632-1682, engraver. 1651 (1651) Wing B5225; Thomason E1357_2; ESTC R209491 89,747 252

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the body if the ayr come forth at the wound making a certain whizzing noise if the Patient breath with great difficulty if he feel a great heavinesse or weight on or about the midriffe whereby it may be gatherered that a great quantity of bloud lyeth on the place or midriffe and so causeth him to f●el a weight or heavinesse which by little and little will be cast up by vomiting But a little after a Feaver commeth and the breath is unsavoury and stinking by reason that the putrifying bloud is turned into sanies the Patient cannot lye but on his back and he hath an often desire to vomit but if he escape death his wound will degenerate into a Fistula and at length will consume him by little and little We may know that the lungs are wounded by foming and spumous bloud comming out both at the wound and cast up by vomiting he is vexed with a shortnesse of breath and a pain in his sides We may perceive the heart to be wounded by the abundance of bloud that commeth out at the wound by the trembling of all the whole body by the faint and small pulse palenesse of the face cold sweat with often swounding coldnesse of the ex●●eam parts and sudden death When the Midriffe which the Latines call Diaphragma is wounded the Patient feeleth a great weight in that place he raveth and talketh idely he is troubled with shortnesse of wind a cough and fit of grievous paine and drawing of the entralls upwards Wherefore when all these accidents appear we may certainly pronounce that death is at hand Death appeareth suddenly by a wound of the hollow veyne or the great Artery by reason of the great and violent evacuation of bloud and spirits whereby the functions of the heart and lungs are stopped and hindred The marrow of the backbone being pierced the Patient is assaulted with a Palsie or Convulsion very suddenly and sense and motion faileth in the parts beneath it the excrements are either evacuated against the Patients will or altogether stopped the intestines putrifie and rot and death suddenly follows When the Liver is wounded much bloud commeth out at the wound and pricking pain disperseth it selfe even unto the sword like gristle which hath its scituation at the lower end of the breast bone called Sternon the bloud that falleth from thence downe into the intestines doth oftentimes infer most maligne accidents yea and most commonly death When the stomach is wounded the meat and drink come out at the wound there followeth a vomiting of pure choler then commeth sweating and coldnesse of the extreame parts and therefore we ought to prognosticate death to follow When the Milt or Spleen is wounded black and gross bloud cometh out at the woūd the patient wil be very thirsty with pain on the left side and the bloud breaks forth into the belly and there putrifying causeth most maligne and grievous accidents and oftentimes death to follow When the guts are wounded the whole body is griped and pained the excrements come out at the wound whereat also oftentimes the guts break forth with great violence When the reins or kidneys are wounded the patient will have great pain in making his urine and the bloud commeth out together therewith the pain commmeth down even unto the groyn yard and lesticles When the bladder and Ureters are wounded the pain goeth even unto the entrails the parts all about and belonging to the groyne are distended the urine is bloudy that is made and the same also oftentimes commeth out at the wound When the womb is wounded the bloud commeth out at the privities and all other accidents appeare like as when the bladder is wounded When the sinews are pricked or cut halfe asunder there is great pain in the affected place and there followeth a sudden inflammation flux abscesse Feaver Convulsion and oftentimes a gangrene or mortification of the part whereof commeth death unlesse it be speedily prevented If a Nurse through drowsinesse or negligence lies upon her infant being in bed with her and so stifles or smothers it to death which we call overlaying if the judgement and opinion of the artist be required whether it dyed by default of the Nurse or by some violent disease lurking in the body these rules following shall shew the truth of the matter If the infant were in good health before if he were not froward nor crying if his mouth and nosthrils now being dead be moystned or bedewed with a certain foame or froath if his face be not pale but of a violet or purple colour if when the body is opened the lungs be found swoln and puffed up as it were with a certain vaporous foam and all the other intrails sound it is a token that the infant was stifled smothered or strangled by some outward violence If the body or dead corps of a man be found lying in the field or house alone and it be questioned whether he were slaine by lightning or some other violent death these signes following will shew the certainty thereof For every body that is blasted or stricken with lightning doth cast forth or breath out an unwholsome stinking or sulphureous smell so that the Birds or Fowls of the aire nor dogs will not once touch it much lesse prey or feed on it the part that was stricken oftentimes sound and without any wound but if you search it well you shall find the bones under the skin to be bruised broken or shivered in pieces But if the lightning hath pierced into the body which making a wound therein according to the judgement of PLINY the wounded part is far colder than all the rest of the body For lightning driveth the most thin and fiery ayre before it and striketh it into the body with great violence by the force whereof the heat that was in the part is soon dispersed wasted and consumed Lightning doth alwayes leave some impression signe of some fire either by ustion or blacknesse for no lightning is without fire Moreover whereas all other living creatures when they are stricken with lightning fall on the contrary side only man falleth on the affected side if he be not turned with violence toward the coast or region from whence the lightning came If a man be stricken with lightning while he is asleep he will be found with eyes open contrariwise if he be stricken while he is awake his eyes will be closed as PLINNY writes Also it may be inquired in judgement whether any that is dead and wounded received these wounds alive or dead Truly the wounds that are made on a living man if he dye of them after his death will appeare red and bloudy with the sides or edges swoln or pale round about contrariwise those that are made in a dead man will be neither red bloudy swollne nor puffed up for all the faculties and functions of life in the body do cease and fall together by death so that thenceforth no spirits nor bloud
For Dorycnium take Mandrake contra For Fir-leaves take the leaves of Poplar For leaves of Muncks Rubarb take leaves of Docks For Spurge take Tythimal For White-water-lillies use the Yellow contra For leaves of petty spurge take Tythimal For Female fearn use the Male. For Smyrnium use Smallage or Parsely For Garden-nightshade use Winter-cherry For Acacia use juyce of Sloes For opium use juyce of wild-lettice or tame but in a greater quantity For Opobalsome use liquid Styrax or oyl of Myrrhe For licorice use the juyce or decoction or the juyce of Raisons of the Sun For juyce of Citrons take juyce of Limons For Thymelaea take Chamaelaea For Sowbread take Orris For Aloe take juyce of Wormwood For Rain-water use rather River-water then Well-water For Carpobalsome use seed of Lentisk or Turpentine or Cubebs in a lesser dose For the licour of the Cedar tree use the oyl of Juniper bows or gum of Juniper For Xylobalsome use the tendrels of Lentisk For Galbanum use Sagapenum For Sagapenum use Oppoponax half the quantity For Ammoniacum use Beeglew For Oppoponax use Ammoniacum Bdellium or Galbanum For Frankinsence use Mastich or Rosin of the pine dry For liquid Pitch use Pitch dissolved in oyl For Pissasphaltum use Pitch and Bitumen For Mummie take Pissasphaltum For Lacca take Myrrhe For Bears-grease take Fox-grease For Goose-grease take Ducks or Hens-grease For Capons-grease take Hens-greas For Antimony take burnt lead contra For Lithargy take burnt-lead For lead take Pewter For spodium take burnt Harts horn The manner how to make Reports FOrasmuch as upon divers occasions the Artist maybe called to deliver his opinion either of the death of any person or of the weaknesse and deprivation of any member in the function or execution of its proper office and duty and to give his testimony and report to a Magistrate or Coroners Enquest which may be a matter of great concernment I have for the benefit of young Artists and the good of the Commonwealth taken out of Ambrosius Paraus these following rules to which I have added what I have found by mine own practice I shall therefore wish the Artist to observe that exhortation which he gives that is That he have an honest minde and a carefull regard of true piety the fear of God and love to his neighbour before his eyes that he be not carried away with favour or affection nor corrupted with money or rewards but to declare the truth wholly and without partiality Let the Artist be carefull in the searching of such wounds as are brought to him that he be not deceived in making his probation but let the Patient be placed in the same posture he was in when he received the hurt otherwise a wound may seem by the probe to bee small when indeed it is mortal If therefore he be doubtful then let him suspend his judgement from the first day to the ninth by which time the accidents and symptomes will manifest the condition of the wound The general signes whereby we judge of diseases are four for they are drawn either from the nature and essence of the disease or from the cause or effects thereof or else from the similitude proportion and comparison of those diseases with the season or present constitution of the times Therefore if we are called to the cure of a green wound whose nature and danger is no other but a simple solution of continuity in the musculous flesh we may presently pronounce that wound to be of no danger and that it will soon be cured But if it have an Ulcer annexed to it that is if it be sanious then we may say it will be more difficult and long in curing and so we may pronounce of all diseases taking a signe of their essence and nature But of the signes that are taken of the causes let this be an example A wound that is made with a sharp pointed and heavy weapon as with an Halberd being stricken with great violence must be accounted great and also mortal if the accidents be correspondent But if the Patient fall to the ground through the violence of the stroke if a cholerick vomiting follow thereon if his sight fail him together with a giddinesse if bloud come forth at his eyes and nostrils if distraction follow with losse of memory and sense of feeling we may say That all the hope of life remaineth in one small signe which is to be deduced from the effects of the wound But by the comparing it unto the season that then is and diseases that assault mans body we may say That all those that are wounded with Gunshot are in danger of death as it happened in the Castle and Town of Wallingford in Berk● a Garrison of the late King which being infected with the Plague by those that fled from Abingdon which was fore visited the ayre became so disturbed that very few wounds made by Gunshot but proved mortal If the Patient fall down with the stroke if he lye senselesse as it were asleep if he void his excrements unwittingly if he be taken with a giddinesse if bloud come out of his ears mouth and nose and if he vomit choller you may understand that the scull is fractured or pierced through by the defect in his understanding or discourse You may also know when the scull is fractured by the judgement of your externall senses as if by feeling it with your finger you finde it elevated or depressed beyond the naturall limits if by striking it with the end of a probe when the pericranium or nervous filme that investeth the scull is cut crosse-wise and so divided there from it yeeld a base and unperfect sound like unto a potsherd that is broken or like an earthen pitcher that hath a crack or by a thred holden betwixt the teeth and the other end in your fingers and strike upon it as upon a Fiddle-string But we may say that death is at hand if his reason and understanding faile if he be speechlesse if his sight forsake him if he would tumble headlong out of his bed being not at all able to move the other parts of his body if he have a continuall feaver if his tongue be black with drinesse if the edges of the wound be black or dry and cast forth no sanious matter if they resemble the colour of salted flesh if he have an Apoplexie Phrensie Convulsion or Palsie with an involuntary excretion or absolute suppression of the urine and excrements You may know that a man hath his throat that is his weason and windpipe cut first by the sight of his wound and next by the abolishment of the function or office thereof both wayes for the Patient can neither speak nor swallow any meat or drink and the parts that are cut asunder divide themselves by retraction upwards or downwards one from another whereof commeth sudden or present death You may know that a wound hath pierced into the breast or concavity of
languages which divers understand not and my desire being to fit my book as near as I can to the title of Vade mecum I will out of the said Authors and mine own practise set down both the vertues and composition of this truly Laudanum And first in all sharp pains whatsoever hot or cold within or without the body yea even when through extremity of pain the parties are at deaths door or almost mad with the vehemency of the same this precious Medicine giveth ease presently yea and quiet sleep and that safely but much better the body being first soluble either by nature or art I mean by suppository or clyster which is better In the Cholick with Mint-water it easeth the griping pains thereof In the pains and gravel of the Kidnies it giveth present ease and likewise in the Plurisie In pains of the joynts it is very good It is good to stay umes as tooth-ache and other like defluxions in the beginnings as namely in the tooth-ache dissolve four grains thereof in Plantine-water and put it into the ear of the aking side and take three grains into the body and lye to rest it is a sure help In all fluxes of the belly whether they proceed of sharp and slippery humors or whatsoever else offending cause taken with Mastick terra sagillata fine bole or with any other appropriate good medicine it is exceeding sure for it fortifieth the other medicine and doubleth their forces adding his own also thereto In extream watchings and want of rest either inwardly or outwardly taken it is profitable if outwardly you would use it take four or six grains with three drops of oyl of Nutmegs made by expression mix them together and binde them in two little clouts and put it into the nostrils it will marvailously asswage pains in the head and cause quiet rest In the extream bleeding of the nose called haemorragis it is an approved secret that sixteen grains thereof divided into two pills and thrust up into the nostrils into each nostrill one part helpeth the same In all kinde of Feavers it is good to be given with water of Wormwood or pill-wise alone and if the heat remain after six hours you may give it the second time and after that again in like time safely not exceeding the dose yet let your own experience lead you that where you see three grains will not cause rest in the next potion you may give one grain more and so encrease paulatim but encrease not but upon good deliberation In burning Feavers it asswageth thirst and provoketh sleep chiefly in those Feavers in which the party seemeth to have some shew of rest with tedious dreams and slumbers mixed In the disease called Asthma and in the Ptisick if it be used in water of hysop it will preserve the diseased Patient a long time It conserveth the naturall heat strengthneth the spirits repaireth strength lost It is also effectuall to be given to melancholy people which are void of reason and are troubled with the passions of the heart It is likewise used with good effect against vomiting and the hickeck proceeding of wind faintness or debility of the ventricle In the superfluous defluxions of the excremental or menstrual blood it is an excellent remedy with crocus martis or red corral In phrensies and madness both inwardly and outwardly it is good mixed with Aqua vitae and the temples anointed therewith In the falling-sickness with Spirit of Vitriol or the quintessence of Camphire with alo oyl of Almond it is usually taken but beware you use not this medicine to any which are feeble through a great cough being oppressed with tough phlegme and shortness of breath for there it is not good The dose is two three or four grains if there be loosness of the belly as is rehearsed it worketh much better It is best given in any occasion accompanied with waters or other medicines which are most appropriate to the diseases and parts diseased and yet may very well be given alone in a Pill which I willingly do for that the Patient then is least troubled with the taste thereof the composition is as followeth ℞ Opii Thebaici Succi Hyoscyami debito tempore one ounce and half Collecti in sole prius inspissati one ounce and half Spec. diambrae diamoschi fideliter Dispensatorum of each two ounces and half Mummiae transmarinae selectae half an ounce Salis perlarum Corallorum of each three drams Liquoris succini albi per alcohol vini Extracti Ossis de corde cervi of each one dram Lapidis bezoartici Unicorni animalis vel mineralis of each one dram Moschi Ambrae of each one scruple In want want of right potable gold not sophisticated you shall adde these things Oleorum Anisi Carvi Arautiorum Citriorum Muistae Caryophillorum Cinamomi Succini of each twelve drops Make of all these a masse or extract according to Chymistry out of which you may form your pils as hereafter shall be shewn As first ℞ The roots and rinds of the younger hemlock casting away the inward woody part thereof the time of the gathering thereof is in Summer the Moon being in the sign Aries or Libra and before the full of the Moon and if it might be done it were best to be gathered in the very hour the Moon enters into one of the said signs this observed let the juice thereof be pressed out and filtred and coagulated then set in the Sun to harden which done extract the tincture thereof with Spirit of wine the opium must be purged in some distilled water as of hysop or the like as you would wash aloes and then extract the tincture thereof with Spirit of wine as also the tincture of the species of Diambrae must be extracted with Spirit of wine The juyce of henbane with the extract of opium mingled together with the Spirit of wine whereinto they are extract before is to be evaporated from them ere that they be mixed with the rest of the ingredients also the opium and juyce of henbane must be digested in chymical manner for a month at least that thereby their sulphurous venemous and dangerous vapours they have may be well corrected which vapours have a yellowish froth or scum seen in the superficiall parts of them and are very obnoxious and dangerous which I thought not amisse to advise the studious and industrious Chymist of let all the extractions be done in the true spirit of wine well rectified and then the longer the extract remaineth in the digestion the better will by your medicine He that intendeth any part of this composition for women must forbeare the Musk and Ambergreece and use with it rather foure grains of good Caster●um I mean in that one dose he intends to give the women the Faeces of the Opium Henbane species of Amber c. after their tinctures are extracted from them are to be calcined and brought into salt namely by infusion in some fitting Liquor after
hath killed a childe perfectly shaped and made in all the members that is he which hath killed a live chide then he which hath destroyed an Embryon that is a certaine concretion of the spermatick body for Moses punisheth the former with death as that he should give life for life but the other with a pecuniary mulct I. A. B. Chyrurgion of London being called this tenth of August instant to visit T. W. I found him in his bed wounded on his head with a wound on the left temple piercing the bone with a fracture and depression of the bone into the menings and substance of the brain by means whereof his pulse was weak he was troubled with raving convulsion cold sweat and his appetite was dejected whereby may be gathered that certain and speedy death is at hand In witnesse whereof I have hereunto set my hand I. A. B. Chyrurgion of London entring the house of J. R. this twentieth of March found him hurt with three wounds one on the hinder part of his head crosse the future Lambdoides the other overthwart his right hand cutting the veins arteries and nerves the third in the leg from the juncture down by the minor facile to the breadth of four fingers all the danger I can report is That he will be lame of his hand though never so diligently dressed and healed In witnesse whereof I have hereunto set my hand A direction to know by the dayly judgement of the Moone the danger of falling sick upon any of those dayes 1. HEE that happeneth to fall sick on this day of the Moone if his sicknesse be fierce or tedious shall quickly dye 2. He shal be cured though sore sick 3. With good care and physick he may be cured 4. He shal soon be restored to health 5. He shal be restored after 10. dayes sicknesse 6. He shal not be in danger 7. He will hardly live above 3 months 8. His sicknesse and languishing will continue a long time 9. After 9 dayes he shall have health 10. After 10 dayes he shall amend 11. Hee shall at last recover though he be long sick 12. After 12 dayes sicknesse he shal recover 13. He shal be vexed with a long and tedious sicknesse 14. No doubt of his recovery 15. No feare but easily to escape death 16. Keep him from open ayre and he shal be in the lesse danger 17 No Physick will do him any good 18 19 20. Good dayes 21. Mortall and incurable 22. After three months he shall escape 23. In few dayes he shall dye 24. He shall remain sick a long time 25 26 27 28 29 All good dayes 30. The sick shall hardly escape though he use many good medicines Invideunt alij non imitentur idem Soli Deo Gloria Finis Libri A Table of the Contents of severall things contained in this Booke A APostumes pag. 11 Aloe Rosat pag. 121 Aloe ibid. Anniseeds pag. 125 Alome pag. 131 Album Graecum pag. 132 Artery or Vein hurt pag. 163 Astringent Powder pag. 166 Astringents pag. 170 Abstersives ibid. Aperitives pag. 181 Attractives pag. 184 Adustives pag. 185 B BAsilicon pag. 11 Burnings and scaldings pag. 13. 12 Balsome of Lukatully pag. 14 Bladderings of the skin pag. 16 Basilicon magnum pag. 34 Benedicta Laxativa pag. 119 Bole-armony pag. 131 Burnt Coperas pag. 135 Bean meale ibid. Barley meale pag. 136 Blood Porringers pag. 153 Brain wounded pag 163 Breast wounded ibid. Bladder hurt pag. 165 C COnserves to be in readinesse pag. 4 Corrosives pag. 9 Camphoratum album pag. 37 Conserve of red Roses pag. 89 Conserve of Rosemary Flowers ibid. Conserve of Borage Flowers pag. 90 Conserve of Berberries ibid. Conserve of Quinces ibid. Conserve of Wood Sorrell pag. 91 Conserve of Sloes ibid. Confection of Alkerns pag. 97 Confection Hamech pag. 118 Chyna pag. 123 Carraway seeds pag. 126 Cummin seeds ibid. Canthaides pag. 131 Crow-hills Catch bullets and Terebellum pag. 137 Cauterizing irons pag. 144 Ca●h●●●r pag. 149 ●●●…ng-grasses pag. 152 〈◊〉 of Fractures and dislocations pag 175 Consolidatives pag. 182 Conglutinatives pag. 183 Corrosives pag. 185 D DIrector pag. 10 Diapompholigos pag. 15 Desiccativum rubrum pag. 16 Diacalciteos pag. 22 Diachilon parvum pag. 26 Diachilon magnum pag. 27 Diamoron pag. 87 Diaphaenicon pag. 101 Diacatholicon pag. 102 Dioscordium pag. 103 Dragons bloud pag. 131 Dismembring knife pag. 138 Diet pot pag. 155 A Direction to know by the dayly judgement of the Moone the danger of falling sick uppon any of those dayes pag. 207 E EMplaisters pag. 3 Electuaries to have in readinesse pag. 5 Erisepela the cure pag. 16 Excoriations ibid. Emplaister of Bettony pag. 23 Emplaister Griseum ibid. Emplaister Mellilot pag. 24 Emplaistrum Ceroneum pag. 31 Emplaistrum Diasulphuris pag. 33 Emplaistrum Necotiani pag. 34 Emplaistrum Sir PHILIP PARIS pag. 35 Emplaistrum Oxicrocium pag. 44 Emplaistrum de Minio pag. 45 Electuary of the Egge pag. 98 Euphorbium pag. 123 F FOrceps pag. 10 Fleme the use pag. 11 Fistula's pag. 14. 13 Flesh spongeous abated ibid. French Barley pag. 125 Fennell seeds ibid. Fenugreek pag. 126 Forceps for teeth pag. 145 Forehead veine pag. 161 G GUiacum pag. 124 Guts wounded pag. 164 H HOney pag. 9 Humours stopped pag. 16 Honey of Roses pag. 88 Harts horne rasped pag. 122 Harts Suet. pag. 130 Hogs Suet. ibid. Honey pag. 135 Head-Saw pag. 142 Head-veine pag. 161 Hamme-veine pag. 161 Heart wounded pag. 163 I INstruments p. 1. 2. Incision knife p. 7 Itching p. 16 Joleb p. 121 Incision sheeres p. 137 K Kidneys wounded p. 164 L LAxatives to be in readinesse p. 5 Levatory the use p. 9 Liniment of Arcaeus p. 12 Lotion the common p. 79 Lie strong p. 80 Lungs hurt p. 163 Laudanum Paracelsi p. 104 Licorice p. 124 Juice of Licorice ibid. Powder of Licorice p. 125 Linseed p. 126 Lapis medicamentosus p. 133 Of the Lancet p. 156 Liver veine p. 160 Liver hurt p. 164 M MEl saponis p. 40 Mithridate p. 99 Myrrhe p. 128 Mastick ibid. Mill dust p. 136 Middle veine p. 160 Midriffe wounded p. 164 Mundificatives p. 180 Maturatives p. 181 N NEedles the use p. 9 Noli me tangere p. 15 Nutritum Unguent p. 16 Nutmegs p. 127 Nerves hurt p. 164 O OIles p. 3 Opiates to be in readinesse p. 5 Golden Oyntment p. 13 Oile of Roses p. 47 Oile of Dill. p. 48 Oile of Camomile ibid. Oile of Wormes p. 49 Oile of Lillies ibid. Oile of Rue p. 50 Oile of Pepper ibid. Oile of Fox p. 51 Oile of Castoreum p. 52 Oile of Euphorbium p. 53 Oile of Amber p. 54 Oile of Nutmegs p. 56 Oile of Costus p. 57 Oile of Wax ibid. Oile of St. Johns Wort. p. 58 Oile of Elders p. 59 Oile of Linseed p. 60 Oile of Egges ibid. Oile of Whelps p. 61 Oyle of Bayes p. 62 Oile of sweet Almonds ibid. Oile of bitter Almonds p. 63 Oyle of Vitriol ibid. Oile of Sulphur p. 66 Oile of Brickbats or Tilestones p.