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A58009 New practical observations in surgery containing divers remarkable cases and cures. By Hugh Ryder surgeon in ordinary to His Majesty. Ryder, Hugh. 1685 (1685) Wing R2418; ESTC R221583 19,730 112

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no fear of her death if she would be but governed for she was in a Feaver wherefore I at first bled her and kept her low taking care she had every other day a Glyster the Wound healed as well as one could wish and in less than three Weeks she recovered CHAP. XIX A Wound in the Belly A Shoomakers Wife her Husband not presently granting her unreasonable demand took one of his sharpest Knives wherewith he used to work and stabb'd her self obliquely into the Epigastrium the Wound was small and so was the Knife which I saw was Bloody about two Inches or more and it bled but little wherefore I took Blood from her to prevent inward bleeding which I feared I drest the Wound with a short Tent with a Digestive There hapned after 2. days a large tumour round about the wounded place of which she complained very much and proved to be only from wind for upon the use of warm Fomentations it was wholly discuss'd and she in seven or eight days became well CHAP. XX. A mortification of both Feet A Master of a Ship bound for the West-Indies whereof a young Man belonging to me was Surgeon had a Servant who by extremity of cold Weather got a Mortification of both his Feet being desired I went down to Limehouse to see him and feeling on his Feet several of his Toes came off in my hand I made divers deep Incisions on both Feet till I came to the parts sensible then with a broad Carpenters Chissel and Mallet I cut off both Feet near the upper part of the Metatarsus the ends of the Bones I covered with dry Lint to the Mouths of the Vessels I applied Chalcanthum over all Bole Whites of Eggs and Oxycrate and so rould him up I came every other day to see him for three Weeks in which time the Bones were covered with flesh so the Ship being bound to Sea and he to go in her I left him to the care of my Man who gave me account by Letter that before the Ship went out of the Downs both his Feet were Cicatrized and well I have often aboard made use of the Carpenters broad Chissel in Mortifications of the Hands and Feet occasioned by Gun-shot Wounds and therefore borrow room for it in the Armamentarium Chirurgicum CHAP. XXI A Dislocation of the Inner Ancle with a Lacerated Wound ONe belonging to an Inn on Snow-Hill Aged about threescore and ten being very corpulent and weighty by a fall suffered a Dislocation of the Foot the inner and lower head of the Tibia the Ligaments being by the violence of the fall broken asunder coming through at the Wound which was above four Inches in length I bled him largely and kept him to an extraordinary spare Diet to take off his too great Plenitude having also an ill habit of Body and much ado I had to keep off a Mortification which twice or thrice had like to have hapened but that he was rescued from it by Scarifications a strong Lixivium and Theriacal Applications The Medicine with which I drest the wounded part was of Ol. Therebinth Tinctura Traumat and Syr. de Ros Sicc and in two Months time I healed up the wound but because the dislocation remained which could not be remedy'd the Ligaments which should have kept the head of the Bone in its place being torn asunder I made use of an Instrument of Steel riveted to the Shoe below and coming up the outside of the Leg with a Leather Brace at the gartering place and another below to Lace on the out-side of the outer Ancle by which means the head of the Bone was firmly kept in his place and he went indifferently well till some years after growing still fat and unweldy and wanting exercise he fell into a Dropsie whereof he died this being the only cure I ever heard of this nature I thought good here to insert it CHAP. XXII A large Wound on the Head ONe going down a pair of stone steps it being Winter time and very slippery had the ill fortune to fall down with his Head upon the edge of one of the steps whereby he received a Wound from a little above the Eye-brow fetching a circumference round the side of the Head to the hindmost part thereof insomuch that the Scalp hung down upon the Neck the Wound in length being eight Inches Having taken off the Hair and cleansed the Wound I joyned the Lips by six Equi-distant stitches and left both ends of the Wound open with two short Tents the better to make discharge of the great quantity of Sanies and matter which continually slid down The application after the two first days being Pledgets dipt in Balsam Lucatell with Tinctur Traumat making use always of a warm Fomentation before dressing by which means in five Weeks time he was made well CHAP. XXIII Two Wounds of the Head ANother being a little Boy lately received such a Wound by a Cart-wheel going over the side of his Head tearing away the Scalp and leaving the Cranium bare in some places the Wound was about six Inches long there being another Wound likewise on the other side of the Head about three Inches in length the Head was very much tumefied from the greater Wound came such an excessive quantity of Sanies that I was compell'd to dress it twice a day This Wound was handled much after the same manner as that above mentioned and in near the same space of time was perfectly cured CHAP. XXIV A Compound Fracture of the Leg. ONe by a fall from a Scaffold being about eighteen Foot high received a Compound Fracture of the Leg with 2 Wounds at the Wound above came forth a part of the Tibia at the lower Wound on the out-side a part of the Fibula I bled him kept him low and wrapt the whole Leg in a Sear-cloth cutting out two pieces one above and the other below for convenience in dressing I also contrived a Case of Tin to contain the Leg in which were two little doors to open and shut for the opportunity of making applications to the wounded parts The Medicine to the ends of the Bones was of Tinctur Traumatica Mel Rosar and Pulv. Irid. Florentiae for they had received prejudice from the dirt he fell into Wherefore it was somewhat long before they cast off however within the space of three Months he became well CHAP. XXV Divers Wounds by small Shot Cured BEing in a Merchant-man we were attact by two Turks-Men of War of good force and by them at length taken they did so gaul us with their small Shot that a Man could scarce appear upon the Deck where several of our Company received very untoward Wounds viz. one of our Men halling at a Tackle to run out a Gun was shot with a Musquet Bullet through both Arms near the middle and hinder parts of the Brachia about the beginning of the Brachiaeus externus I at first drew Flammulaes of Tow through