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A95902 The surgions directorie, for young practitioners, in anatomie, wounds, and cures, &c. shewing, the excellencie of divers secrets belonging to that noble art and mysterie. Very usefull in these times upon any sodaine accidents. And may well serve, as a noble exercise for gentle-women, and others; who desire science in medicine and surgery, for a generall good. Divided into X. parts. (Whose contents follow in the next page.) / Written by T. Vicary, Esquire, chyrurgion to Hen 8. Edw. 6. Q. Mary. Q. Eliz. Vicary, Thomas, d. 1561. 1651 (1651) Wing V335; Thomason E1265_1; ESTC R210472 135,832 352

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and darke with a blacke Skin within betokeneth a prolonging of death Urine that is the colour of water if it have a darke Sky in an Axes it betokeneth death Urine that hath dregges in the bottome medled with blood it betokeneth death Urine blacke and thicke and if the sicke loath when he goeth to the stoole and when he speaketh overthwart or that he understandeth not aright and these sicknesses goeth not from him it betokeneth death Of VVounds PART IV. A Definition of Wounds by their causes A Wound is a solution seperation and recent breach of unity of that that before was a continuity with out putrified matter which corruption giveth the name of an Ulcer to the solution and no more a Wound The causes of Wounds are duall viz. First by the violence of bodies without life as we simply call an Incised wound as when it is caused by edged Instruments Secondly we call it a Stab or puncture caused by theforce of Daggers and the like Thirdly we call those Contused wounds caused by violent use of the object being some weighty thing cast as a Stone or stroake with a Staffe or their similies against the subject receiving their forces differing in their appellations by the diversity of their causes Or secondly wounds are caused by living things as a wound that is of Biting scratching and the like and for these causes they differ in their appellatious Also the differencie of Wounds are taken eyther from their causes by which they are inflicted or from their accidents viz. the indication of the place wherein they are scituated Also the place maketh difference thus eyther they happen in the similar parts as the Flesh Artery Veyne c. or in the organicall or instrumentall parts as some intire and whole bulke truncke or fully compleat member or limbe viz. The Head Necke Brest Belly c. Wounds of the Head grow more particular because that parts belonging thereto be of more note as the Face Nose Lippes Eyes and Eares wounds of the limbes arc of the Shoulders Armes Thighes and Legs Of the similar parts also some are Sanguine as the flesh whose wounds are eyther simple deepe hollow plaine or proud with flesh The Spermaticke likewise are eyther hard or soft the soft parts as the Veynes Arteries and Sinewes being wounded we call them wounds of the hurt part the hard are the Bones a breach of which we call a wound in the Bone So Wounds derive their Nominations from the cause place and simisitudes thereof What Wounds are WOunds are these Which in Latine are called Vulnus of the vulgar Vulner and they are of two kinds that is Simple and Compound the simple are those that are onely in the Flesh the compound are those where are cut Sinewes Veynes Muscles and Bones and these are of divers and sundry kinds and the difference that is among them is by the variety of the place where they are wounded and by the difference of the weapon wherewith they were hurt For some goe right some overthwart that offend divers places of the body The simple are of small importance if they keepe them cleane and close shut Nature will heale them without any kind of medecine but those where veynes are cut had neede of some Art or Practise with the which they must stop the blood and in any wise not to suffer the wound to remaine open but to sow it up very close so that the veyne may heale and those where sinewes are hurt are of great importance and would be healed with great speed so the Sinewes may joyne with more ●ase But those where bones are hurt are of great importance for if the Bone be seperated from the other of necessity it must be taken forth before the Wound be healed So that by this meanes every one may know what Wounds are and their kinds In the Curing of greene Wounds consists a five-fold scope or intention THe first is to draw out that which is sent into the Body whether by Bullet Wood Bone or Stone or Arrowes Darts and such like The second is a Conjunction and united of parts divided The third is a retaining of those parts united in their proper seate The fourth is a Conservation of the parts of the substance The fifth is a Prohibition and mitigation of accidents For the first intention it is performed eyther with fit and convenient Instruments or with attractive Medicines whereby things that are infixed are drawne out Which Medicines are these Radix Aristolochiae Ammoniacum Arundis Saga Poenum Anagallis Dictamnum Thapsia Ranae combustae Or Emplastrum Avicennae so much commended by Guyd● The second and third intention is performed by binding and Ligature if the Wound be simple and small and in a place where it may fitly be performed yea although it be large so it may be easily bound as in the Muscles of the Arme and such like but if it happen that Ligatute will not serve then must be added the helpe of the Needle being very carefull to handle the party gently and to place it in his due seate The fourth intention is performed and accomplished by appointing of a fit and convenient Dyet according to the strength of the Patient and greatnesse of the affect and disposition of the whole body for a thin Dyet and cold doth very much availe in resisting of Symptoms we also adde Blood-letting and Purging of humors to avoide accidents also the part is to be contained in his due place and a Cataplasme framed with the whites of Egges and other cooling things are to be applyed and sometimes to be fomented with astringed Wine The fifth intention is the correcting of accidents which is Flux of blood Dolour Tumor Paralysis Convulsion Fever Syncope Delerium and Itching But this is to observed in the Fluxe of blood whether it hath flowne sufficiently or no if otherwise the Fluxe is to be suffered for after a sufficient Fluxe the wound doth remaine dry and is so much the neerer cured and the lesse Symptomes follow as Phlegmon and such like and if the wound bleed not sufficient we must open a veyne for revulsion according to the greatnesse of the affect and the nature of the wound especially when through paine or other cause wee feare inflamation or a Feaver How a sicke man should Dyet himselfe being Wounded A Wounded man or a man sore beaten being sicke must be kept from Milke Butter Cheese Hearbes Fruites Fish except fre●h-water Fish Women Garlicke Onions Leekes Peason c. Also divers sorts of meats must he not eate as fresh Beefe water Fowles Goose or Duck nor drinke too much strong Wine But he may eate Porke Mutton Chicken Henne or Capon Of Wounds and their Cures happening in severall places of the Body And first of infirmities incident to Souldiers in a Campe. COmmonly there are three Infirmities that offend Souldiers in a Campe above all the rest the which are these Feavers Wounds and Fluxes of the body the which thou mayst helpe
THE SURGIONS DIRECTORIE 〈◊〉 Young Practitioners 〈…〉 SHEWING 〈◊〉 Excellencie of divers 〈◊〉 belonging to that noble Art and 〈◊〉 Very usefull in these Times upon any sodaine Accidents And may well serve As a noble 〈…〉 for Gentle women and others who desire Science in Medicine and Surgery for a generall Good 〈…〉 Whose Contents follow in the next Page Written by 〈…〉 Esquire Chyrurgion to Hen. 8. Edw. 6. Q. Mary Q. Eliz. LONDON Printed by 〈…〉 dwelling in Shoo-Lane at the Signe of the Dolphin 1651. And are to be sold by J. Nuthall at his Shop in 〈…〉 at the signe of 〈…〉 Pillers THE CONTENTS OF THIS Booke with its severall Parts viz. PART I. Of Chyrurgerie and Anatomy of Mans body c. By T. Vicary Esquire And published by W. Clowes W. Beton Rich. Story and Ed. Baily Chyrurgions to St. Bartholmewes Hospitall London II. Of the Theorick and Practicke parts and observations for letting of Blood III. Of the Judgement of divers Urines c. IV. The Definition of Wounds in severall parts of the Body and their Cures V. Of the making of severall Emplaisters VI. The making of divers Unguents VII Distilling and making of Waters with their severall vertues and uses VIII The Excellency of our English Bathes and the use of them Written by D. Turner Doct. of Physicke and Published by W. Bremer Practitioner in Physick and Surgery for the benefit of the poorer sort of people c. IX For perbreaking and Flux As also the g●eat operation and vertue of severall Herbes Plants and Drugs c. for divers uses in Physick and Surgery c. X. Of Medicines Remedies and Cures belonging to severall Diseases and Infirmities incident to all parts of the body of Man c. As also Remedies for the French P. otherwise called Morbus Galicus And Preservatives to bee used against the Plague in the time of divers Visitation c. TO ALL THE VERTUOUS LADYES and GENTLEVVOMEN of this Common-wealth of England whose Goodnesse surpassing greatnesse and desires to Exercise themselves as nursing Mothers in the Art of Medicine and Surgery especially in the remote parts of this Kingdome w ere is neyther Physitian nor Surgion to bee had when ●od●ine Accidents happen whereby the poorer sort of People many times perish for want of Advice Courteous Ladyes and Gentlewomen AS this little Treatise is a Messelin of divers hidden Secrets So likewise you must observe the use of them in Practice As first the use and knowledge of the severall Parts of Anatomie so likewise doe of the rest as Physicke Surgerie Medicine Waters Vnguents Emplaisters Remedies c. The rare vertue of our English Bathes the Iudgement of divers Vrines the vertue and operation of divers Herbes Plants and Drugs c. All tending to the benefit and use of man yet various and different in their effects and workings according to the severall humours and dispositions of men in their Cures For as St. Paul doth say The guift of Healing is the guift of the Holy Spirit Which thing may partly satisfie any rationall judgement from despising of all for the failings of some it being the gleanings of divers who made tryall of them for good and hath left them to Posterity Thus leaving you Ladies and Gentlewomen to your charitable acting and doing good when need shall require the Lord no doubt will requite you or yours with a blessing Farewell T. F. A TABLE TO FIND the severall Contents of this Booke PART 1. COntaining the Anatomy of Mans body c. Chap Folio 1 The Anatomy of the simple Members Folio 9 The Anatomy of the compound Members c. Folio 17 Of five things contained within the Head Folio 22 The Anatomy of the Face Folio 27 The Anatomy of the Necke Folio 44 The Anatomy of the Shoulders and Armes Folio 48 The Anatomy of the Lungs Folio 60 The Anatomy of the Haunches and their Parts Folio 75 The Ana●omy of the Thighes Legs and Feet Folio 8● Part 2 OF severall things belong ng to yong Practitioners in Surgery to have in a readinesse c. Folio 96 97 Times convenient for ●etting of B lood Folio 101 Dyet after Blee●ing Folio 104 Of the Nine Tastes Folio 105 Signes of Sicknesse by Egestion Folio 108 Signes of Life or Death by the Pulses Folio 109 Of the foure Humours Folio 111 1. Signes of Sicknesse by Blood Folio ibid 2. Signes of Melancholy sicknesses Folio 112 3. Signes of Cholerick diseases Folio ibid 4. Signes of Flegmatick diseases Folio 113 Cer●aine Observations for Women c. Folio 114 Part 3. OF Vrines A briefe Treatise of Vrines aswell of Mans vrine as of Womans and to judge by the Colour which betokeneth Health and which betokeneth Weaknesse and also Death Folio 115 Part. 4. Definition of Wounds by their causes Folio 121 An the Curing of greene Wounds consists a five-fold scope o● intention Folio 124 How man should Dyet himselfe being Wounded Folio 126 O● Wounds and their Cures happening in severall places of the Body Folio 127 Of infirmities incident to Souldiers in a Campe Folio ibid. A rare 〈◊〉 the which this Author did send to a very friend of his being in the Warres the which helpeth all wounds eyther by Cut Thrust galling with Arrowes or Hargubush shot or otherwise Folio 129 Of Wounds in the Head with fracture of the Bone Folio 130 Wounds in the Head where the Bone is not offended Of Concussions or Bruises as well in the Head as any other place Folio 132 Of Wounds in the Necke and the order to be used in curing ●hem Folio 133 Of Wounds in the Armes and their importances and Medicines Folio 134 Of Wounnds in the Legs and their parts Folio 135 A Discourse upon old Wounds which are not thorowly healed with their Remedies Folio 136 A rare secre●●o heale Wounds of Gunshot c. Folio 137 To heale a Wound quickly Folio ibid. To Heale a Wound quickly that is in danger of any Accidents Folio ibid. To stay the fluxe of Bloud in Wounds Folio 138 A defence to be laid upon Wounds Folio 140 A secret Powder for wounds Folio ibid. A Composition of great vertue against all Vlcers and Sores Folio ibid. A Note of a certaine Spanyard wounded in the head at Naples Folio 141 For to heale Hurts and Wounds Folio 141 To stanch the Blood of a Cut Folio 142 For to staunch the blood of a Wound Folio ibid. A healing Salve for any greene Wound Folio ibid. The Lord Capel salve for Cuts or Rancklings comming of Rubbings c. Folio 143 For to draw and heale a Cut Folio ibid A Salve for fresh Wounds Folio 144 A Salve that cleanseth a Wound and healeth it Folio ibid. To kill dead Flesh Folio ibid. A Playster for old Sores Folio ibid. For a Canker Fistula or Wounds new or old Folio 145 A Salve for any Wound Folio ibid. To helpe the Ach of a Wound Folio 146 To heale Wounds without Plaister Tent or Oyntment except it be in the Head
Commandements of God of whom commeth all cunning and grace and that his body be not quaking and his hands stedfast his fingers long and small and not trembling and that his left hand be as ready as his right with all his limmes able to fulfill the good work●s of the soule Now as here is a man meete to be made a Chirurgion and though he have all those good qualities before rehearsed yet is he no good Chirurgion but a man very fit and meete for the practice Now then to know what Properties and conditions this man must have before he be a perfect Chirurgion J doe note foure things most specially that every Chirurgion ought for to have The first that he be Learned The second that he be Expert The third that he be Ingenious The fourth that he be well mannered The first J said he ought to be learned and that he know his principles not onely in Chirurgery but also in Physicke that he may the better defend his Chirurgery also hee ought to be seene in naturall Philosophy and in Grammar that he speake congruity in Logicke that teacheth him to prove his proportions with good reason In Rhetoricke that teacheth him to speake seemely and eloquently also in Theoricke that teacheth him to know things naturall and not naturall and things against Nature Also he must know the Anatomie for all Authors write against those Chirurgions that worke in mans body not knowing the Anatomy For they be likened to a blind man that cutteth in a Vine tree for he taketh more or lesse then he ought to doe And here note well the sayings of Galen the Prince of Philosophers in his Estoris That it is as possible for a Chyrurgion not knowing the Anatomy to worke in mans body without error as it is for a blind man to carve an Jmage and make it perfect The second J said he must be expert For Rasus saith He ought to know and to see other men worke and after to have use and exercise The third that he be ingenious and witty for all things belonging to Chirurgery may not be written nor with letters set forth The fourth J said that he must be well mannered and that he have all these good conditions here following First that he be no Spouse-breaker nor no Drunkard For the Philosophers say amongst all other things beware of those persons that follow Drunkennesse for they be accounted for no men because they live a life bestiall wherefore amongst all other sorts of people they ought to bee sequestred from the ministring of Medicine Likewise a Chirurgion must take heed that he deceive no man with his vaine promises for to make of a small matter a great because he would be accounted the more famous And amongst other things they may neither be Flatterers nor Mockers nor privie Back-biters of other men Likewise they must not be Proud nor presumptuous nor detracters of other men Likewise they ought not to be Covetous nor no niggard and namely amongst their friends or men of Worship but let them be honest courteous and free both in word and deed Likewise they shall give no counsell except they be asked and then give their advice by good deliberation and that they be well advised before they speake chiefly in the presence of wise men Likewise they must be as privie and as secret as any Confessor of all things that they shall either heare or see in the house of their Patient They shall not ta ke into their Cure any manner of person except hee will be obedient vnto their precepts for he cannot be called a Patient unlesse he be a sufferer Also that they doe their diligence as well to the poore as to the rich They shall never discomfort their Patient and shall command all that be about him that they doe the same but to his friends speake truth as the case standeth They must also be bold in those things whereof they be certaine and as dreadfull in all perils They may not chide with the Sicke but be alwayes pleasant and merry They must not covet any W oman by way of villany and specially in the house of their Patient They shall not for covetousnesse of money taken in hand those Cures that be uncurable nor never set any certaine day of the sicke mans health for it lyeth not in their power following the distinct conusell of Galen in the Aphorisme of Hypocrat●s saying Oporter seipsum non solum By this Galen meaneth that to the Cure of every sore there belongeth foure things of which the first and principall belongeth to God the second to the Surgion the third to the Medicine and the fourth to the Patient Of the which foure if any one doe faile the Pa●ient cannot be healed then they to whom belongeth but the fou●th part shall not promise the whole but be first well advised They must al●o be gracious and good to the Poore and of the rich take liberally for both And see they never praise themselves for that redoundeth more to their shame and discredit then to their fame and worship For a cunning and skilfull Chirurgion need not vaunt of his doings for his works will ever get credit enough Likewise that they dispi●e no other Chirurgion without a great cause for it is meete that one Chirurgion should love another as Christ loveth vs all And in thus doing they shall increase both in vertue and cunning to the honor of God and worldly fame Thus farre for his Parts Of the Anatomie CHAP. II. The Anatomie of the simple Members ANd if it bee asked you how many simple Members there be it is to be answered Eleven and two that be but superfluities of Members and these be they Bones Cartilages Nerves Pannicles Ligaments Cordes Arteirs Veynes Fatnesse Flesh and Skinne and the superfluities bee the Haires and Nailes J shall begin at the Bone because it is the Foundation and the hardest Member of all th● Body The Bone is a consimile Member simple and spermaticke and cold and dry of Complexion insensible and inflexible and hath divers formes in Mans body for the diversity of helpings The cause why there be many Bones in mans body is this Sometime it is needfull that one member or one limbe should move without another another cause is that some defend the principall Members as both the Bone of the Brest and of the Head and some to bee the Foundation of divers parts of the Body as the Bones of the ridge and of the Legges and some to fulfill the hollow places as in the Hands and Feet c. The Gristle is a member simple and Spermaticke next in hardnesse to the Bone and is of complexion cold and dry and insensible The Gristle was ordained for sixe causes or profits that J find in it The first is that the continuall moving of the hard Bone might not be done in a juncture but that the Gristle should be a meane betweene the Ligament and him The second is
a swolne Face that is hurt by reason of some strange Scorching TAke the Juyce of Barba Jovis in English Singreene and rub your face with it twice or thrice a day You may doe the like with ●he Juyce of Purflaine but if your Face 〈…〉 ●oo much marred or hurt take forty or 〈◊〉 yolks of Egges and put them in a frying 〈…〉 upon a great fire and get some Oyle out of them wherewith you shall annoynt your ●●●e To make an aking Tooth fall out of himselfe TAke wheate flower and mixe it with the milke of the hearb called in Latine Herba Lactaria in French Tintamaille or Herbe Alerte in English Spurge that hath milke in it in Greeke Tithimales which is an Hearbe well enough knowne and thereof make as it were a paste or dow with the which you shall fill the hole of the Tooth and leave it in a certaine time and the tooth will fall out of it selfe And if you wash your mouth every moneth once with Wine wherein the roote of the said hearbe hath beene sodden you shall never have paine in your Teeth Also the decoction or powder of the flowers of a Pomegranate Tree being put in your mouth and betweene your Gums fasteneth Teeth To kill Lice and Nits in the Head TAke the powder or scraping of Harts horne and make the Patient to drinke it and there will no Lice nor Nits breed in his head but if you will straw the said powder upon his head all the Lice and Nits will dye To remedy or to helpe Blood-shotten eyes comming by any Rheume Fluxion or such other like cause TAke the tops or ends of Worme-wood which is an hearb well enough knowne and stampe it mixing it with the w●ite of an Egge and Rose-water and make thereof as it were a Plaister and spred it upon a linnen cloth which you may lay upon the eye w●ere the blood is or else upon both and doe this at night when you goe to bed and the next morning take it off and you shall see that t●is Plaister shall have drawne to it selfe all the bloud and all the rednesse that was in your Eyes and so you shall be quit of it For the Tooth-ache TAke the Rootes and Leaves of Chickweede and boyle them in water with the which you shall wash your mouth well and hold it in your mouth a certaine space and it will take away your paine To take away the Tooth-ache TAke Hysope and make thereof a decoction with Vineger and it being hot wash your mouth withall and the paine of the Teeth shall goe away The Hysope also being stampt and incorporated with Honey and a little Nitrina killeth the Wormes in a mans body Against the Crampe TAke and beat Brimstone and Vervine together and so binde it to your Arme or other place grieved and it shall helpe it for having the paine againe A Medicine to purge the Head TAke Masticke Peritory of Spaine tame Cressis Seede Cockle-seede Stavisacre both the kindes of neesing powder white and blacke Ginger Sinamond of each halfe a dram in fine-powder and mixed together and put it in a little bagge of fine linnen cloth and let the Patient hold one of these bagges in his mouth a good space but these bagges must first lye in Fuse a pretty while in Vineger and it will draw out Rheumes from the head wonderfully and when he hath done he must wash his mouth well with Wine or Ale A Medicine for a scald Head TAke Daysie Rootes and Ale and stampe them with as much May-butter as needs and annoynt the sore head therewith For the Head-Ache TAke a good handfull of Red-Rose leaves dryed and a good quantity of Cummin grossely bruised and a good handfull of Camomill grossely shred and a quantity of browne leavened Bread then mixe them and put it into a Linnen cloth then quilt it and set it into a hot Dish upon a Chafingdish and sprinckle the bagge with Rose-water and Vineger and turne it in the dish till it be as hot as may be suffered to be laid to the noddle of the Necke and let it be cold and so use another and keepe his head so hot as he may sweate For paine of the Head TAke Marjorom and presse out the Juyce of it and let the Patient take of it in his Nose For deafenesse in the Eares TAke the Juyce of Coleworts and mixe it with warme water and droppe it into thine Eares and it will helpe To make Honey of Roses called Mel Rosarum TAke foure pound foure ounces of Honey clarified and two pound of the Juyce of Red Roses and let them boyle together till it be like a Sirrope Another making thereof TAke a pottle and halfe a pinte of Honey well clarified with a pottle of white or red Wine two pound of Red-Rose leaves Boyle the Rose Leaves and Wine till halfe be wasted and then put in your Hony and let it boyle till it bee somewhat thicke and in colour like a Syrrope For the Pockes TAke the Juyce of Peny-Roiall and young Tansie and give the sicke party to drinke A true Medicine for the Jaundies TAke a handfull of Chery Leaves seeth them in a pinte of Milke and let them boyle well Then straine it and drinke a good draught thereof to Bedwards and in the morning fasting and the Jandies shall avoyd from you by siege or else drinke in the morning this following Take the wood of Bayberries pill the upper shell with the leaves from it and take the second shell that is yellow put thereof as much as a Walnut into a cloth and seeth it with a pinte of water let it be well boyled and let it coole and then driuke it this hath beene experimented For the Liver that is corrupted and wasted TAke a good quantity of Liverwort and bruise it a little and then seethe it in good strong Wort with a quantity of Ruberb and use this medicine and thou shalt be whole For heate in the Liver TAke the Juyce of sower Apples and sweet Apples of each a pound or more as much as you thinke best and two pounds of Sugar mingle these things together and let them boyle on a simple fire till it be thicke as a Syrrope and vse this course every day fasting with luke-warme water Remedies for the Collicke TAke Parcely Water-cresses Pellitory of the Wall unset Time of each a handfull a dish of sweet Butter let the Herbes be cleane washed and seethe them in a quart of running water let your water bee taken up against the streame and let them seethe till you make a Plaister thereof then temper them together with a handfull of Wheat branne and let the plaister bee layd to the Patients belly beneath the Navill and let him put in his pottage some Pellatory of the wall and when the Patient makes water straine it thorow a faire cloath and thereby ye shall know and perceive whether it doth him good or not and let him use this three or