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A80034 The poor-mans physician and chyrurgion, containing above three hundred rare and choice receipts, for the cure of all distempers, both inward and outward: together with necessary considerations before purgation; easie rules for the opening of a vein, and the manner of bleeding by horse-leeches, with a method for drawing teeth. All being of great worth, and now published for the publique good: / by Lancelot Coelson student in Physick and Astrology. Coelson, Lancelot, 1627-ca 1687. 1656 (1656) Wing C4884; Thomason E1666_2; ESTC R208391 66,632 176

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the substance of the body is made and expelling the adverse humours yet some part thereof remaineth in the body wherefore people ought to take heed and be carefull what Medicines they receive that in them there be no venenosity malice or corruption least for the expelling of a superfluous humour they receive a Medicine which shall ingender any venomous humour and inevitable destruction into all the whole body And note also that after any purgation is taken and hath wrought to full perfection then thirsting and sound sleeping are good signs and tokens that the body is sufficiently purged Having sufficiently treated concerning the use of Blood-letting and of Purgations and the benefit coming thereby I shall now in brief treat of the great necessity some people have to have their teeth drawn and the benefit which comes thereby and the manner how a Chyrurgion shall behave himself to draw a tooth best for the ease of the patient Of drawing Teeth SOmetime it happeneth that there is great pain incident to Teeth and such torment that the party grieved is as Phrensie that no remedy can be found but drawing forth the Tooth Whenas therefore we would draw forth a Tooth we must cause the Patient to sit down in such a place or sort as is convenient and then make choice of the corrupted or rotten Tooth that we may not mistake that from another which we must make loose from the gums and fill up the concavity or hollowness of the Tooth with a little piece of lead or a little lint or cotten filling it full so as the pelicane chance not to break thorow the hard shutting of the same Having hold of it we must easily and gently crush the instrument together lest the Tooth chance to break and then drawing the foresaid Tooth a little aside pluck it out because that if too rigorously we waggle the Tooth up or down that part of the cheek bone wherein the Tooth stood might easily be broken therefore it must not with too much violence be drawn Another reason is If it should with violence be drawn out it might disjoyn and pluck out of place the nethermost cheek-bone and so cause great perturbation in the uppermost jaw even to the eyes The Tooth being drawn we must with out finger joyn and shut together again the gums and cause the Patient to wash his mouth with a little excecrate wherein we must put in a little salt for if there be any efluxion of blood it ought not to be esteemed a small thing for I have known some to bleed even to death and therefore the surest way that ever I have known to be used is this to thrust therein some cotton which hath been madified in juice of Lemons into that place from whence the Tooth was drawn Now having sufficiently treated of that I do next purpose to discourse of the manner how to open a Vein or Phlebotomize Of Phlebotomy MY purpose and meaning is not now to describe unto you what Disease or Sickness requireth Phlebotomy or what age in what time or season of the year in what Countrey in what constitution of the body it must be done or of any particular occasion But my purpose is only to shew you how you ought to open a Vein and whereon we must diligently consider before we make the apertion therein after we have opened it and also whereon we ought not when the blood issueth forth out of the same For it is difficult and dangerous and therefore is he praise-worthy that can bleed aright It is dangerous because the Veins are situated sometimes close to the Arteries as are the sinews and Tendons that if we chance to hurt a Tendon with the Lancet thereafter most commonly issueth a Spasmus or a Gangrene and mortification and with great torment endeth his life If there be any Artery touched or opened there will be great difficulty in curing of it whereby the Patient may bleed to death and whenas we descide a Vein quite asunder both the ends thereof are immediatly retracted and drawn inward the one end one way and the other end the other way so that under the flesh both the ends are left and no blood can possibly issue thereout If it be then with too great timerousness and fear pricked and the skin only wherewith it is covered is as then inscided and the Vein not opened or else if it be only pricked with the point of the Lancet the blood as then issueth out droping-wise and the subtlest blood only cometh out where consequently thereafter it exulcerateth Sometime again the Vein lieth occultated so deep in the flesh that we cannot with the Lancet finde it without great pains Yea also and although we espy them yet through perpusillity and rotundity they avoid and eschew the point of the Lancet how acute and subtle soever the same be so that there are divers occasions wherefore Phlebotomy is difficult which to one that hath never used it it seemeth to be very easie But before the Chyrurgion maketh his apertion in the Vein if so be the Patient be restringed and bound in his belly and have not in a long time been at stool We must first of all cause him to use a Clyster because through the Phlebotomy the Veins being evacuated and emptied do not atract and draw unto them out of the guts or entrails any corrupted or rotten humours whereby any of the worthiest parts might be offended and hindered Consider whereon we ought to be well advised before we Phlebotomize PHlebotomy is not expedient when as the stomack is burthened either with any crudity of undigested meat or drink or with any other viscosity whatsoever and also it is wholly disswaded to be done after any great evacuation or any other occasion whereby the Patient might be debilitated as is the superfluous breaking a great lask great abstinence continuall vigilation and great conversation of women and when all these things are considered then proceed If any person shall desire to be Phlebotomiz'd to prevent any Disease he must then cause it to be done when he is best of courage as being freed from sorrow And beside we must not Phlebotomize any person which is fearfull and timorous to bleed because then the fear causeth the blood to withdraw it self toward the internall parts of the body Consider also how we should conveniently Phlebotomize THe Patient being lusty and strong we must then cause him to sit in a stool but if he be feeble and subject unto faintness and swouning as those be which are of a hot nature then we must first let him sip in a soft-dressed egg or a morsell of bread sopped in wine and then cause him to lie on a bed half setting upright and stuff him under with cushions as if he sate And above all note that the light of the candle or of the air do rightly shine on the Vein because that through the shadow thereof the knowledge of the Vein and of the place whereon