Selected quad for the lemma: death_n

Word A	Word B	Word C	Word D	Occurrence	Frequency Band	MI	MI Band	Prominent
death_n	wound_n	wound_v	year_n	70	3	4.3012	3	false

Text snippets containing the quad

ID	Title	Author	Corrected Date of Publication (TCP Date of Publication)	STC	Words	Pages
A66951	The surgeons mate or Military & domestique surgery Discouering faithfully & plainly ye method and order of ye surgeons chest, ye uses of the instruments, the vertues and operations of ye medicines, with ye exact cures of wounds made by gunshott, and otherwise as namely: wounds, apos fumes, ulcers, fistula's, fractures, dislocations, with ye most easie & safest wayes of amputation or dismembring. The cures of the scuruey, of ye fluxes of ye belly, of ye collicke and iliaca passio, of tenasmus and exitus ani, and of the calenture, with A treatise of ye cure of ye plague. Published for the service of his Ma. tie and of the com:wealth. By John Woodall Mr. in chyrurgerie.; Surgions mate, or A treatise discouering faithfully and plainely the due contents of the surgions chest	Woodall, John, 1556?-1643.; Woodall, John, 1556?-1643. Treatise faithfully and plainly declaring the way of preventing, preserving from, and curing of that most fearful and contagious disease called the plague.; Woodall, John, 1556?-1643. Treatise of gangrena, and sphacelos.	1617 (1617)	Wing W3421; ESTC R221201	349,679	432

dissolve cold tumours wennes hard kernels impostumes sores of the mother and chaps of the fundament are good for cramps burstings trembling of the members Radices raphani sylvestris RAdices Raphani sylvestris or Horse-redish roots are hot in the third degree dry in the second are good for the stomack eaten before meat cause wind and desire to vomit but after meat digest purge flegme provoke urine break the stone help the dropsie liver sicknesse old congh stopping of the reines lithargie collick and hardnesse of the spleen stay fretting and festring ulcers cause hair to grow and cleanse the face from spots Radices Pyrethri RAdices pyrethri or Pellitory roots are hot and dry in the third degree good for cold diseases of the head and brain falling sicknesse and apoplexie mitigate the tooth-ach chewed bring forth much waterish flegme help the resolution of the sinewes and cause salivation or a flux of spitting Radices Angeilcae RAdices Angelicae or Angelica roots are hot and dry in the second degree they do open attenuate digest cut and discusse grosse humours they are adversary to poyson help pestilent diseases cause the flowers comfort the heart and vital powers Radices consolidae majoris RAdix symphiti magni seu Consolidae majoris or Comfry roots are hot and dry in the second degree they do help spitting of blood the breast and lungs cure inward wounds and ruptures are glutinative mitigate hot tumours and heal fresh wounds Calx viva CAlx viva or unslak'd lime is hot and dry in the fourth degree having a fiery sharp and burning force it concocteth mollifieth dissipateth and cureth corrupt stinking ulcers very hard to be cured and bringeth them to a cicatrice or skar Album Graecum STercus caninum seu Album Graecum is hot and astringent stayeth the laske cureth the Squinancy helpeth the Dysenteria and driveth away fevers that come by course and is very good to strew the fundament fallen withall for it cureth the slipperinesse thereof and causeth it being gently put up to stay up and being mixed and boyled with sallatoyl to the thicknesse of an unguent is very good to cure the painful Hemorrhoides The Conclusion touching what hath been spoken of the vertues of Medicines Simple or Compound for the Surgeons Chest THe vertues uses and doses of all the precedent medicines here noted have been gathered from such Authors as either were the Inventors of them or formerly have taken them upon them to whose works I refer the Reader which thing if any well disposed Artist upon good ground shall question I doubt not to satisfie him The Authors I have used herein are these following Galenus Mesues Avicenna Tagaltius Vigo Paracelsus Josephus Quercitanus Renodeus Johannes Jacobus Weckerus Dodoneus Valerius Cordus Riolanus Rulandus Oswoldus Crollius Dorncrellius Augustanus Montanus Matheolus Fernelius Dioscorides Franciscus Arceus Monardus Nicolaus Alexandrinus Serapius And some others whose names sometimes I have remembred and noted sometimes for haste pretermitted wherein I confesse I have done them hard measure like him which in hast sleighteth his good friends a fault too common OF WOVNDS A Wound is a recent solution of a continuity or a division of that which was knit together without putrefaction and Definition of a wound is common as well to the soft and organick parts as also to the harder it may though seldom it doth arise from an internal cause as the malice of bad humours but more commonly it comes from an external cause namely by the violence of some instrument For which cause a wound is said to differ in his denomination for sometimes it is called a thrust or punction which is made by stabbing with any thing sharp pointed as a Dagger Rapier or the The divers appellations of wounds like sometimes it is named a Contusion when by a weighty thing offending as timber falling down or violently cast down as a stone the flesh is bruised and broken sometimes also it hath the appellation of Incision or incised wound for that it is done by an edged instrument as a knife or sword And these wounds are either simple or compound the simple are onely in the upper skin or flesh without detriment or losse of substance which also have their several species or kinds because of their divers forms some being greater or smaller profound or superficial long or little streight round or crooked of a facile cure of difficile or mortal And for the sounder judgment and better cure of all wounds which are either external or internal and penetrating there are several signes of ancient tradition with much diligence to be had in remembrance which daily practice also verifieth The several differences of all external wounds are discerned by sight or handling The places of internall wounds Those which are termed internal and penetrating wounds are either in the head breast or inferiour venter and are discovered likewise by sight by feeling or by searching with an instrument into them The hurt or ruption of the membranes or brain is accompanied with sneesing vomitting bleeding at the nose or eares raving and the like but if the substance of the brain be hurt those signes are encreased and a bilious or sharp vomitting is seen also a fever dull understanding with alteration of favour and countenance do ensue stupidity also and dumbnesse signifie the brain contused The breast is observed to be wounded and penetrated when aire commeth forth of the wound or when the person sick hath in his mouth a sense of the things applied to his grief It appeareth that the lungs are hurt if the respiration be difficult a a ratling sound in breathing be heard and the excrement which is voided from the mouth be spumous pale and crude The Pericranium hurt hath sometimes sudden and often swounding for a sign though some neverthelesse having the Penicranium wounded or contused have no evil symptomes extraordinary to other mean wounds of other parts The Heart wounded hath the refrigeration of all the parts extinction of natural heat and death attending thereon If the great Veins and Arteries in the breast be offended and immoderate flux of blood defection of vertue in all the faculties a cold and an unsavoury sweat doth ensue and death within a few hours The solution of continuity in the sinewie parts of the Diaphragma causeth convulsion difficile respiration an acute fever raving and death but if the fleshy part onely be agrieved it is capable of remedies and suffereth not such dangerous symptomes If the recurrent Nerves be wounded there followeth losse of speech immediate motion and sense also is suppressed and that without recovery In the wounds of the Liver appear vomiting bloody dejections much pain a continual fever and if they be deep fainting resolution of the spirits cold sweat and death follow The Spleen offended is as the Liver affected save that the symptoms are in the right side the other in the left The Ventricle is demonstrated to be wounded by the voiding

of chylus frequent vomiting swounding fainting and death When the excrements are retained in the belly and issue out of the wound very unsavoury and putrefied and hot by the natural place it is plain that the intestines are hurt The sign of the Reins or Kidnies wounded is the suppression of urine which causeth a sore pain in the groine and testicles with inflation or swelling even to death The accidents of the Bladder offended are one with the reines unlesse the sinewie parts thereof be grieved and then distention of the belly pissing of blood vomiting voiding of urine at the wound suppression of the faculties doting and death follow When Spinae Medulla or the Marrow of the back bone is hurt there followeth the resolution of the sinewes which hindereth the function of the sense and motion voluntary evacuation of excrements appear and for the most part death is the immediate conclusion The solution of a Veine is known by blood of red colour and thick substance The testimony of an Artery hurt is blood somewhat yellow subtie thin hot beating and leaping or violently issuing and as it were by jumps The Tendons Membranes and Ligaments wounded or incised bring the same symptomes as the Nerves do The Cure Wherein the cure of wounds in general doth consist THe Cure of wounds is either by the help of nature or medicine if by nature the strife is at an end the Artist may save a labour if by medicine their cure consisteth both in the reduction of parts disjoyned and dislocated to union and in consolidation and true conglutination of them therefore it shall be necessary to consider that if any thing hinder consolidation it be removed that reduct on be rightly and skilfully wrought lest the parts adjoyned fall into relaps and that the substance of the part with his natural temperament be conserved and lastly that the symptoms be prevented and carefully cured as they arise The first intention in curing of wounds is to take away whatsoever is besides nature as Iron wood lead or ought else with fit instruments and that without pain if it may be to the diseased that consolidation may the better be effected In wounds of the head to take away the hair or what else might seem to hinder the good application of medicines to the grief is the first part Strive also to set well the veins and nerves displaced that the beauty and due office of the member be not diminished and that it may conglutinate the easier and being united keep them so by Ligature future and other due and artificial means It is requisite also that the natural temperament of the part be carefully preserved and that is done by a certain carefull regiment of the body which is universal or particular The universal regiment consisteth in purging medicines as Potions Glisters a sober and frugal dyet abstinence from wine venery and all kinds of meats which may move or attenuate humours and moderate use of good nourishing sustenance all which helps the poor Sea-man is not capable of in long voyages The particular Regiment is in remedies which confirm and strengthen the natural heat of the member debilitated and which hinder and avert fluxion such are Unguentum Nutritum diapalma I mean Diacalsithios dissolved in Oyl of Roses Ceratum Refrigerans Rosat Messue Ungu de minio or the like The general accidents most to be feared that affect the wounded are Haim rrea dolour tumour intemperature a fever faintnesse of the heart convulsions specially where a sinew is wounded The cure of Ha morrea Haimorrea or flux of blood is stayed by medicaments astringent fitted and applyed with convenient future or ligature and sometimes by medicines caustik either actual or potential touched in the Treatise of amputation or dismembring A Tumour is an unnatural increase exceeding the natural state in the body and inducing an offence of the actions of the same the cure whereof is touched elsewhere Intemperature is either over much heat or cold his remedy is by opposites as namely to too hot imtemperature apply a cold medicament c. The intemperature of the Liver chiefly consisteth in oppilation or debility of the faculties thereof and is helped chiefly by wholsome nutriment the lamentable want whereof at Sea is the cause of many the grievous obstructions and other evil effects in Seamens bodies so that oft-times a good Artist shall not be able to heal a mean excoriation The Accidents common to the wounded heart as is said are swounding palpitation thereof a hot burning fever and many other Syncope is a solution of the spirits which forsake the heart whose remedy is Cordials if God have appointed life A Fever is a heat in the heart more then natural infused and dispersed through the whole body whose cure is by purging bleeding and good government A convulsion is a dangerous disease of the brain which often-times is a fore-runner or a messenger of death The diseases in the brain are either in the membranes substance or ventricles and passages thereof whose species and symptoms are many and for the most part very dangerous and of difficult cure For if the substance of the brain be offended the functions thereof are impedited whence proceedeth doting melancholly foolishnesse slothfulnesse Lithargie frenzie madnesse losse of memory deadish sleep giddinesse apoplexie Paralysis and divers other like accidents formerly recited And if the ventricles of the brain be wounded then the motions and senses thereof be grieved Wherefore for the better cure of these wounds in the brain desiccation and cicatrization in due time is needful either by simple medicaments as Spiritus vini b●l●s Armeniae Terra sigillata Lithargirum Cerusa Tutia Adust lead Burnt paper Allom water Burnt Vitriol or by compound medicines as Vng desiccans rub Diapompholigos Diapalma Divers Accidents will have divers medicaments And as you see the accidents of the wounded are divers so the remedies are not all alike but some are general others more peculiar Those that are onely in the skin or flesh have no difficile cure for oft-times Nature with some easie remedy or a Ligature onely doth help them but those that are compound offending many parts need a methodical and convenient order of curation which is divers as is said according to the diversity of the parts affected for if contusion or ruption be onely of the flesh under the skin there is required consolidation by easie comfortation and desiccation and no suppuration which is effected onely by nourishing and preserving the natural heat or humidity of the member as in other wounds But a contused wound if it be be great requireth purging Glisters potions or pils phelbotomie a wholsome dyet perfect evacuation of the humour that commeth from the veins and suppuration of the contused and livid flesh which two last are affected at the first by mean remedies as oyl of roses and mirtles sometimes by a Paracelsus plaister It will desire also suppurating medicines

but shew my readie heart To sound dear friend thy high deserved praise In these few Pan-like plain Poeticke layes And therein to the world to demonstrate What too long silence once did inhumate And burie in Oblivions gloomy grave Thy parts I mean in Arts and valour brave Who fortie eight years since or there about In those renowned battels bravely fought By Francis Fourth King Henry Surgeon went Vnder Lord Willowbies stout Regiment Forty yeares since lived in Polonia A Traveller his practice to display After that liv'd at Stoad in Germany In the English Merchants sweet society And by them highly honoured for his Art And well experienced stout heroisk heart Employed also whiles he abroad abode By some Ambassadours sent o●e to Stoad By Queen Elisabeth then to assist As their interpreter acute linguist I' th' Germane language And return'd again After that blest Queens death And in the r●ign Of late King James was to Polonia sent There to negotiate business of moment Touching the Common-wealth And for the space Of foure and twenty yeares enjoy'd the place Of Surgeon Generall to the East Indies And Hospitall of Bartholmew likewise Was also Master of his Company And lastly to his datelesse dignity Hath learnedly composed and set forth This his Chyrurgeons Mate a work of worth And high esteem Of which I well may say He hath so skilfully shown the right way To all young Tyro's of this noble Art And so exactly doth to them impart The proper use of our Chyrurgeons Chest How all their Patients must be duly drest With Instruments of curious variations Plasters and plat-formes for fit applications Of potions medicines for each maladie For each health hindring known infirmiti● As ulcers wounds fractures the fistula Apostumes fluxes passio-lliaca Exitus Ani and the Calenture Tenasmus and the Scorbue's carefull cure The Collick and all various dislocations The e●siest safest wayes of amputations Or joynt dismembring yea the Pestilence All these with such approv'd experience That he deserves Practitioners high praise And to be Crown'd with never-withering bayes And since the heavens have so much honoured him With all these fore-recited Trophies trim Of dign tie at home in forraigne parts I could not chuse hut sound thy high deserts Faire friend and brother and thine honour brave On this my plaine Pyramidis engrave And thus to leave unto posteritie This Monument of the sirme amitie Yours G Dunn Eodem Amico HE that a long-lived streight-limb'd work intends to frame Must live-long first Must have a judgement sound not lame Our lasting solid Perman's Autumn's fruit VVe see That Summers early Birth 's soon ripe soon rotten be There where Experience with a settled judgement greets With these a happy Third Perfection ever meets A rare Concurrence 't is yet with all Three you 'r blest As they know well and doe know most and know You's best O thus who view your leaves and taste your pleasing fruit Must say the Tree is good that Good is absolute A Tree of Knowledge Wood-all of Life and yet more Whose very Leaves doe Cures so farre as Sea or shore Y 'ave made your Chest an Arke of Preservation Both to your own and to each forraine Nation Both th' Englands Old and New both th' Indies East and VVest Both World's hoth seeke and finde Health flowing from your Chest VVithout that Chest of Yours VVhat ship so strong to hold Exotick VVares Sacke Sugar Silke Pearle Silver Gold All these and more to you Great Britain's Iland ow'th Then say How greats their debt who weare this Kingdomes Cloath Truth 't is both we and they and this whole Globe did want Your Surgeons matchlesse Mate 'T is said ' I le not recant If man whil'st that he stood intire stood need ou's Mate Need's must the World want Yours in Falne and Broken state VVell Sir Y 'ave Done And I ther 's but oue line remains He that dares Check your Mate wants either Brow or Brains G. Dun An exact maker of this Instrument is one Iohn Watson dwelling at the south dore of S t Bartholmes Hospitall Electuariū Diatrion piperion Pulvis restring minus Ung. contra ignem Unguentum Martiatum Theriaca Diatess Vnguentum Dialtheae Axungia Cervi Vnguentum Aegyptiacum Theriaca Lond. Vnguentum Album Axungia Porcina Vnguentum Potabile Terebinth Venetiae Vnguentum Populeon Vnguentum Arragon Vnguentum Pectorale Vng. Diapompholigos Elect. Diascordium Mel Dupuratum ● Vng. Aureum Conser Rosarum Rhabarb elect Linum Arcei Conser Barbar Conser Prunellorum Oleum Lauri Conser Cidonio Pulpa Tamarindorum Mel Saponis Confect Hamech Acatiae Caustik 〈◊〉 The lowest part of the Chest The present appearance of the Chest with the order of every Medicine as they are placed is here demonstrated Aqu●c●● 〈◊〉 Lapis infernalis Ag. Rosar Damas Pul. A●●hr●ticu● Ol. A●igdalama● Pul Alchymistions Ol. Amidal●dule Lapis m●dicament Oleum vitriol Cocus Marti● Oleum spica Lixivium capitale Syrupus Rosarum Balsamum artific Oleum Liliorum Oleum Limoni Mel Rosarum Acetum Rosarum Oleum Terebint Ol. Lumbricorum Oleum Scorpio Syrupus Absinthii Diamoron Oleum Petreoli Oleumi Vitrioli Oleum Succini Oximel Acetum Rosarum Aqua Absinthii Aqua Rosaerum rub Oleum chamonili Oleum Rosarum Aqua Angelica Aqua Plantagina Oleum ambuci Oleum Anethi Aqua Lymoniorum Aqua Cardui bened Oleum Absinthii Aqua Cinamomi Succus Lymoniorum Aqua Menthae Vnguentum Basilicon Vnguentum Apostolorū Vnguentum Aureum Vnguentum Al. Camph Vnguentum nutritum Vnguentum Dialtheae Vnguentum Populeon Vnguentum cont ignem Vnguentum Pectorale Vnguentum Potabile Vnguentum Arragon Vnguentum Martiatum Linamentum Arcei Mel Saponis Vnguen●um Aegyptaci Syr. Rosarum Syr. Violarum Mel Rosarum Mithridat Diascordium Conf. Hamech Crocus Mart. Pilulae Cochiae Pilulae cambogiae Note that the particulars mentioned on each side this place are usually to be found in the upper part of the Chest The middle part which cannot be here expressed I leave to the Surgeons experimentall ordering and view Rhabarba Agaricum Mum mia Aloes Myr rha Mastich Camphora Troch Alhandal Hul. Liqueritiae Vuguentum Diapompholigos Axungia Porci Syr. Papaveris Syr. Liqueritiae Mel Rosarum Theriaca Ven. Theriaca Londi Diaphenicon Conf. Alkermes Pilulae Agreg Pilulae Ruffi Cambogia Scamonium Sperma Coeti Terra Sigillata Merc. Sublimat Praecipit Eu phorbium Pul. Benedictus Argentum vivum   Axungia cervi Syr. Limonum Syr. Prunel Syr. Diam Elect. de ovo Laud. opiat Prac. Diacatholicon Elect. Diatr Pipe Pillu Eupho Pilulae Aureae Stibium Opium Crocus Bolus verus Cinabrium Hierapicra Sal Nitri Sal Absinthii Tutia T. T. Vng. cont scorbutum Species Diarion Piperion Species Diatesseron Terebinth Clara. Conserva Rosarum Conserva Anthos Conserva Barberorum Conserva Prunellorum Conserv Cidoniorum Pul. Restrin gens major Pulvis arthreticus Pulpa Tamarind Succus Liqueritiae Mithridat Loving Reader this explanation is more for putting the Artist in memory of what may be then of what must be in his

from the foot and one hand breadth over the knee which should be wound and wrapped in canvasse and bound to each side of the leg artificially with four long tapes and at Sea you may take for a shift two billets bumbasted with a little Ocum wrapt in an old piece of a sail Further in Fractures with a wound if you use unctions and liquid things as oyles you hazard putrifaction of the bone and apostumation herein also great care must be had that the legge must be kept steddy for disquiet therein will bring apostumation and mortification and death also beware likewise of over hard binding for it bringeth astonishment and hazard of a sudden Gangrene and death it is a generall fault of divers young Chirurgions for many think they have never bound hard enough and yet too loose is a fault but easily may be amended and I advise thee to look to thy Patient often that his splints gale him not for that bringeth want of rest and divers evill accidents depending thereupon I speak this of my own experience not to my praise let him have no wine except he be weak let him once in two daies by Nature and Art have a stoole holding these rules with little trouble it is hard for him that will be careful to cure any Fracture for indeed as is mentioned the bone restored rest is the chiefest medicine to cure a Fracture yea it will effect it almost without medicine the member being onely artificially bound and splinted orderly the inward medicines for Fractures I say need not to be many onely give him in beere dayly in wine or water as thy discretion shall move thee the mentioned Lapis Zabulosusʒj for tenne or fourteen dayes if you have it sometimes if need so require a lenitive glyster may be given Also the best locall medicine to wounds with Fractures in my opinion is good Basilicum or Arceus Liniment being warm applied thereto sometimes as you see cause Also you may use an Abstersive or Corroding medicine as Allumen Combustum Aegyptiaeum Vng. mixtum or the like but in these things reason must instruct the Artist more then precepts but beware of the over-use of A special Ca●tion sharp medicines neer the bone for thereby often a bone is made foul which before was clear this errour is too frequent both in young yea and many old Surgions also who apply sharp medicines often without true judgement not onely in Fractures but also otherwise and as for simple Fractures I have cured them often with onely a seare cloth made of waxe ℥ iij. rosin and sheeps suet of each ℥ j. dipping a course canvas therein in forme of a sparrowdrope and so have wrapped it warm and close about the limme that it might reach at the least three fingers above and as much below the Fracture with apt Ligature as I have recited in the manner of the application of the Cataplasme This in Fractures of the armes is as good as any and A uec●sarie Rule for best or exco●iation of the member fractured from the first to the last this searecloth may be used Remember also in any Fracture that if either by the galling of the splints or heat or other distemperature of any medicine or itching humour excoriation or heat appear that you apply next the grief for one dressing ung Triapharmacon spred upon paper and your other usuall medicine thereon and it will become well with one onely dressing being taken ere it grow too farre Thus much concerning Fractures not writ from any mans authoritie but truely and plainly as I have done the like in my practise for which let God be praised Amen Concerning the Cure of Dislocations ALthough I have seen divers skilfull men perform good works in Dislocations and reade somewhat and for many yeares practised my self yet know I not in this part of Chirurgerie by words to describe ought to the purpose which might serve at all assayes or upon all occasions for the help of young men for as much as so many unexpected observations and strange occurrents happen in and by Dislocations as would aske much time to explaine or but to touch all yet in a word or two I hold it not unfit to advise them somewhat concerning Luxations or Dislocations First therefore it is a generall rule that you must use extention almost to every Dislocation especially in the shoulder in the huckle bone in the knee and in the ankle for I may boldly say where the Artist findeth a member longer then his due form he shall hardly do good on it namely if it proceed by evill disposition of nature or that by the abundance of vicious or viscous humors it have extended it self or that it have been over much extended and thereby is longer Extention is therefore to be carefully made Imean as I have said in the Cure of Fractures not on the suddain nor too forcible but yet with strong and steddy hands for in the extention is exceeding great respect to be taken and it is the principall work yea and much Charitie is to be used therein for too farre extending weakneth much if not overthroweth the true use of the member even so too little extended produceth not the effect intended I mean it serveth not to restore the bone Dislocated even so the extenders raising their hands too high or putting them down too low hinder the comming of the bone into his due place and cause greater pain to the partie furthermore it Certain Rules for the cure of Dislocations were good when the Artist taketh view of a member Dislocated that the other side were also uncovered that thereby the true forme and situation of the diseased limme being well regarded and compared together with the whole joynt the better judgement and truer indication might be taken I mean if one shoulder or elbow be out of joynt let the Artist make bare the other side also for that there is often great difference in the naturall proportion or situation of mens joynts having therefore first viewed and then also sufficiently extended and the form of the other side also as is said seen and kept in remembrance t then seek to reduce or place the bone by those means which in thy own reason seem fittest considering and well weighing the natural form and true situation of the Dislocated bone as is said which in truth is unpossible in my opinion by letters to explain this done for the most part yea and in very great Dislocations the work thou maist account is done and the fear at an end My self have set divers strong mens bones I mean the shoulder bones chiefly which have done labour the same day neverthelesse I denie not but it is good and very necessarie to apply to the place things discussing anodine and mollificative as reason shall induce the Artist unto you may therefore anoint the place with oyle of Roses Camomill Dill or Earth-worms as you shall see fittest and apply thereon

and pleasing to your Patients as much as in true Art may be and cram not the wound too full at any time especially Wounds incised for hindring unition of parts Also if you can conveniently come to the work inlarge not especially Inlarging of Wounds in contused wounds where danger may be feared otherwise doe it warily observing that you doe it not to thwart any member neither any Veine Artery Nerve or Muscle as neare as you can possible Gun-shot wounds over compound No wound of Gun-shot can be said to be a simple wound neither ever was there any Artist that could truely say that he healed any gun-shot wound by the first intention of Vnition without due suppuration no nor any contused wound whatsoever for the composition of Gun-shot wounds are ever real and very substantial witnesse the poore patient where Fibres Nerves Membranes Veines Arteries Bones quid non suffer together so that such wounds in their recency they resemble Vlcers rather then wounds and the differences of these from other contused wounds is That other contused Difference of contused wounds Wounds for the most part suffer but by way of contusion onely and these by contusion and dilaceration if not fraction of bones c. whereby all the whole member suffereth together and also the parts adjacent and that in a high degree If discolouring blistering or other apparent shewes of a Gangrena appeare give the patient a Diaphoreticke cordial then scarify gently at the first and deeply afterwards as cause shall urge and have ready a Lixivium made of water and ashes to the height of an ordinary Lee that women use to drive bucks with and put a reasonable quantity of common Salt into it and when it is cleared if you have hearbs as Scordium wormewood Centaury Hypericon Camomil Melilot or the like or Lupnies make use of them according to Art it will be much the better if not use it without and apply it very warme with stupes often shifted and wrung out and if that cannot be had use salt water for a fomentation very warm rather then want a medicine Aqua vitae is also precious in all Lixiviums against Gangrens but you must boyle the Aqua vitae without errour for the spirits will evaporate and the vertue resteth in them Observe in great lacerated wounds as followeth viz. If you find by the wound the one halfe of the member to be taken away there is no hope to save on the rest but you are rather to make present Amputation Iust cause of amputation especially if the patient upon information of his danger be willing for that the rest is contused and must therefore admit by consequent some losse of substance by suppuration ever in a contused wound and then the remaining part can doe no service to the body but will much indanger the life of the patient by the expence of blood and spirits in the striving to save it and be but a hindrance and I dare say that if but halfe any member be taken away with the fracture of the bone it is impossible to save the rest of it on to do any service If you have haemorrage I mean bleeding or furtive bleeding or weeping of veines or arteries in your worke search for the vein or artery that bleedeth or gleeteth and try if you can make ligature on it if you cannot make ligature which seldome or never you can in Gunshot wounds then apply to the end of the veine that weepeth an actual cautery a small one will serve but apply it like it selfe very hot and apply it not all over the wound onely to that veine if you can that bleedeth you may if the flux be not great use burning hot Egyptiacum upon a button of lint dipt and quickly and neatly brought to the place whilst it is hot and then well boulstred Actual Cautery But a small actual cautery is the safer and maketh better worke or the Surgeon may use restrictive powder adding thereto burnt Vitriol Restrictive Powder a little or burnt allum and precipitate mixed which maketh a strong eskar and often restraineth a great Flux being applied thereon artificially onely precipitate will surely make bones soul in contused wounds for which cause I affect it not To take heed of an old error But ever take heed to avoid the old received error of unwise practitioners whose use is to cram the wounds be they incised wounds or contused wounds as is said ful of bole or restringent powder or some other stuffe and then thrust in pledgents or dorsels into each corner of the wound yea sometimes forgetting to take all out at the next dressing yet think they have done all workman like and very artificially not considering the harm that often ensueth thereby I dare say that in contused wounds of Gunshot by such errors they force and draw a Gangrena if not death thereby by hindering natural unition by obstructing the parts and grieving the patient in keeping the woundded parts from healing It is a safe and fair way at the first dressing ever to strive to joyn together the parts of all recent wounds and unite the wounded parts if it may be with this caution to order that fit breathing be left to evacuate the peccant humours whereof there is small feare in lacerated wounds and then to apply apt and fitting astringent medicaments outwardly over all together with apt and due ligature and by that course to stay a fluxe but in contused and lacerated wounds of Gunshot the Surgion hath not that benefit but must trust to other helps not so ready namely as is said in the lesser wounds to very warme Balmes astringent defensatives and good ligature and in greater wounds to caustick medicaments Cauteries and forcible helps to repel fluxes c. But in the Surgeon his careful desire to restraine fluxes let him ever A Caveat beware of over hard ligature as much as is possible which is also a common dangerous error and certainely draweth on evill accidents as Plegmon Gangrena c. as daily experience telleth Likewise one the other side over-slack binding is also bad due comly and smooth ligature with the due composing the parts wounded with soft and smooth boulstring greatly honoreth the Artist and cureth the patient almost as much as the medicines doe Observe also that you put never one Caustick or Escarotick medicine after another too soone namely not until the first eskarre hath beene gone at the least three daies If in a contused wound of Gunshot any slough or putrid part as proceeding from the heads of the muskets arteries veines or the like appeare in a contused wound which needeth an Escaroticke medicine and the Surgeon doe desire to cleanse that part let him use an artificial Caustick medicine namely hot Egyptiacum or an actual Cautery if you can apply it onely in that place and not all over the wound for in truth the use of them is very good in

If against the malignity of the blood or any pestilential contagion be feared then in such a case the Patient may take as followeth R. Diatessar two drams Mithrid one dram Elect. de ovo one scruple dissolve or mixe them together and take it in white wine claret or sack or in Carduus or fair water for need of any the aforesaid to the quantity of foure ounces and sweat thereupon and if the contagion be fierce the Patient may reiterate such sweating medicine each eight houres safely for three times or Aurum vitae gr 8 These or any of these other Cordials may be given in other waters and other mixtures according to the discretion of the Surgeon the time place and different occasion considered and for need the aforesaid Cordials or any of them may be taken in a Bolus or lumpe Likewise Mithridate or Audromaches Treacle a dram or two drams of either of them in white wine in Carduus water or in beere or water for a need may safely be taken for a Cordial or in a Bolus if the Patient like it so For tortions or gripings of the stomach or bowels Also Therica Diatessaro● three drams for a dose may be taken either as it is in a Bolus or lump to be swallowed down and even so taken it is an excellent Cordial to provoke sweat to remove tortions stitches or gripings of the stomach or lower belly or against any paines therein also it resisteth all putrefactions and pestilential vapors and is the most antient Treacle of all others my selfe have had very much true and good experience of it and would trust my life upon it though not before the two aforesaid Alexifarmiks and London Treacle in like manner is to be used and is a very good Cordiall Elect. de Ovo is also of it selfe a sure good Cordial a scruple I meane twenty graines thereof in a Bolus or lump or in wine given it resisteth pestilential venome and refresheth the spirits and either A Cordial alone or as a foresaid mixed with other Cordials Aurum vitae as also a true Cordial for it comforteth the heart provoketh sweat and by the pores of the skin expelleth poysonous vapors I have had good proof thereof upon my one body when I was strucken with the Plague Conser Rosarum is used to refresh and strengthen the stomach either alone or if you intend to coole and contemperate the blood A contemperative Cordial to purpose adde a few drops of oyle of Vitriol to a little thereof and i● to warme the stomach mixe a little Methridate or Treacle one part and Conserve of Roses two parts and give it so in a Bolus Of cooling Juleps Conser Barberies may be profitably kept either to mixe with cooling Barley waters or Juleps to refresh the appetite and the feebled spirits in feavers or sometimes to give little of it in a Bolus or lumpe or to give a relish to the mouth to cause appetite in Feavers and to expel nauseous distempers There is also in the chest Oxymel simplex which I use in the Surgeons chest in want of sirrop Diamor as being nothing inferior thereunto for Lotions in the mouth and throat orderly used it ceaseth inflamations as also for the other vertues it hath exceded Diameron as namely in the swaging of tumours and paines this is a singular medicine and Cure of Hernia humeralis also in Hernia humeralis being tumours of the testicles and scrotum it excelleth them if it be mixt with a Cataplasme of Beane-meale boyled in beere with a little oyle of Elders or Roses and a little wax so that the whole quantity of the Cataplasme being by guesse two pound if so then put about six or seven or eight ounces of Oximel thereunto and boyl it to a body and it is an admirable good medicine for it discusseth and safely repelleth such tumours in their increase with the helpe of Phlebotomy and a vomit where the patient is strong which tumours by the patient his delaying of time or by ●rrour of the Surgeon will otherwise come to suppuration and prove fistulaes incurable but hee that will cure such tumours must have an artificial sacke-trusse and be sure that the griefe be truely and easily borne up at all times of the whole cure and Oximel inwardly administred purgeth the stomach and intrals openeth obstructions and yet without any manifest signe of heat and thereby helpeth much in feavers ingendred of grosse phlegme Of Lotions generally used in the Surgeons Chest the most common is of Sanative hearbs made in the Summer with water or wine or both and honey but at Sea if a laxative or washing lotion in need be Lotion at Sea for a need required faire water with as much Allum therein as will make it tart and so much honey as will give it a grateful tast and there is a lotion for a shift or if in the diseases of the Scurvy a lotion be required then use Copperas instead of Allum or sometimes Vnguent Egyptiacum which is a most fit medicine for Ulcers of the mouth or throat the grieved part being touched very hot therewith and being applied with a Probe armed with Lint And to wash and cool the mouth in feavers I often take fair water foure ounces of Rose water halfe a spoonefull a little sirrup of Violets or Mel for a need and a few drops of Wine Vinegar or Oximel or Oyle of Vitriol a few drops onely to make the Medicine tart I mean the Lotion I have bin taxed that my proportion hath not sufficient medicines contained therein for wounds of Gunshot but if any please to look into the particulars and well consider them he will find that the whole scope of the Surgeons Chest is of purpose contrived to that end and that there is not any one Medicine therein A true Idescription of a wound with Gun shot at the first view but upon the main or upon the by tendeth that way for a wound of Gunshot at the first view representeth a wound an ulcer a Fistula yea and sometimes a fracture and a dislocation and by accidents calleth unto it a feaver an Apostume a Gangren quid non yea without Gods Mercy joyned and the great care of the discreet Surgeon death followeth Judge then if ought be in the Surgeons Chest which in such a wound upon some occasion may not be found useful And for an instance the Chest containeth for the first intention curative of burnings with Gun-powder Vng. populeon Album triapharm●c Dipomphol Mel. Saponis Oleum Lini Cerusa Meldep●ra● being all directly fitting for the first intention namely for taking out of the fire and yet the Chest hath divers other helps as for an example a linament may be made of Minium Diacal●itheos and Oyles either of Linseed or Roses very profitable for that use And for all the rest as is said of wounds of Gun-shot so I say of Ulcers made by Gun-shot the whole scope of

I observe by their method that they were rather narrators one from anothe then truly actors but be it as it will this one comfort the Surgeon shall be Comfort to the patient in ubscissing in the mortified part sure to find thereby he shall no way endanger his patient in that course either by losse of blood or spirits nor shall the Patient endure any pain at all in the act of amputation after that way and the practice is good and warrantable in divers yea in most cases as hereafter I shall explain and as my self of many yeares experience may boldly affirm and it is likewise beneficial for the Common-wealth and for a true instance of the truth thereof I have many of my Patients so dismembred at the writing hereof living and in perfect health I mean which were dismembred in the putrid part and that upon some Patients on both the legges at one instant performed amongst which tryals I made of one legge was in Anno Domini 1617. Secondly I had one Thomas Brown about Anno 1619. a Sayler who had received a great wound by Gun-shot at Sea upon the right legge the greater Fossels A bislory for an example thereof being broken in sunder so that the shot had carried away two inches of the said bone in length together with the lacerating the muscles nerves Artcries Veines c. whereby it was so contused lacerated and torn asunder with also so much losse of substance that nature could not bear to heat that member to be any way serviceable for ought besides there had followed upon the wound so great and intolerable hemorrage or expence of blood and spirits that the member mort fied by reason of the former great evacuations and contusions neither could nature in that Patient possibly have born a dismembring Losse of blood causeth Gangrena in a whole part without eminent danger of present death and so was the estate and case of this Patient before he came by me to be cured in Saint Bartholomews Hospital wherefore considering well his most desperate estate I resolved to make a second experience of him and did take off the wounded legge in the lacerated dead part wherein I conceive as afore-said all men of judgment will easily be of opinion that the Patient by that work was without danger of death or pain and without losse of any drop of blood and I healed this patient by Gods mercy in five moneths and he had been by the half sooner whole had not he lost so exceeding much blood and spirits by his wounds as afore-said and this Patient was living at the writing hereof being many yeares after the amputation the method of which cure with the manner of amputating thereof shall God assisting me hereafter be set down Another example The next I took off in the mortified place was one Thomas Hog a shippe-Carpenter a Scotchman who also was living at the writing hereof this man at his labour aboard the shippe standing stoutly at his work at the straining of a Cable as it was running out of the bits of the ship as the Sea-men terme it the Cable tooke hold of his legge close by the ankle and forceably bruised in peices not onely the veines arteries and nerves with the softer parts but brake also the bones in sunder with extream violence insomuch as by reason of the want of a Surgeon present to dresse him by great effusion of blood and spirits the legge mortified the next day and he after that fell unto my part in the Hospital to be cured the which being emboldened by the good successe of the two former I took off his legge also in the mortified part as I did the other and made a perfect cure thereof in three moneths and he followed the trade of a ship-Carpenter at the writing hereof Another example Also two yeares after I cured an Apprentice of one Master Goddard an Upholster at the sign of the Crown in the Poultry in London named John Harding in his Masters house who after a fierce pestilential Feavour had his right legge mortified in bed as he lay and I took it off in the mortified part at or near the gartering place which by the ancient use of Art of our times must have been taken off in a sound place notwithstanding the great feeblenesse of the Patient at that time and his eminent danger of death he being extream feeble and at the point of death in which case to have taken it off in the sound part he doubtlesse would have dyed under my hand but by Gods mercy he lived divers yeares after and went most neatly on an Artificial legge not easily discovered Another history Remarkable A history or a relation of a remarkable example of an amputation by me performed upon a woman in Saint Bartholomews Hospital of both her legges and part of seven of her fingers in one morning together all taken off in the mortified part without pain The amputation of both the legs and part of seven fingers of a woman in one morning or losse of blood or spirits at all and the woman was living at the writing hereof and the Patient was a certain poor maid or woman servant in London named Ellin French of whom there were made Bookes and Ballads that were sung about the streets of her namely that whereas the said maid or servant was given to pilfering and being accused thereof by her M●ster and Mistresse used to curse and swear and with words of execration to wish that if she had committed the crime she stood accused of that then her legges and hands might rot off the which thing accordingly no doubt by the providence of God came to passe as a judgement upon her namely that both her legges almost to the gartering place with parts of seven of her fingers did rot off the which wretched woman neverthelesse being referred to me in Saint Bartholomews Hospital to be cured by Gods mercy and permission I healed her perfectly by cutting off both the Sphacelated legges in the mortified parts with also part of her seven fingers as is said all in one morning without pain terrour or of any losse of blood unto her in the taking them off and made her perfectly whole in a very short time namely within three moneths so merciful is our God unto us vile creatures when we are most unworthy of such his mercies she is at the instant writing hereof also living Now with your friendly patience onely one example more I will trouble you with namely of the cure of a mortification proceeding of a Carbuncle in a Feavour Pestilential by me performed and I A his●●ry will therein conclude my shewing of instances although I could declare many more of living persons and I will haste to shew forth the manner of my acting of such amputations The work was of a certain Stationer then dwelling in Pauls Church-yard whose name I conceal for that at the writing hereof