on an Vmbrage for I profess I know not where else to find the Quack he is so angry with a man would suspect his own dear Worship to be the Ignorant plum'd with impudence that doth but consider the blunder of his first step and at what an incoherent though very confident rate he talks in his first Chapters but I intend no account of all his failures and innumerable aberrations that were to make a Book bigger than all his own but resolve to point at some the most considerable of them in series as they lye in his first Chapters and digest the rest into Classes for your more easy apprehending and my succinct and methodical displaying of them Page 21. Its quoth he the Chyrurgions greatest reason and prudence not to undertake such wounds as he hath no Authority or incouragement from Art to be concerned with were these much practised the art of Chyrurgery would not fall to that low degree as it appears non in A very odd advise the which if persued will bar all future improvements of art A Principle that hath done much mischeif and been the loss not only of innumerable lives but ruined the credit of that Art he saith is mischieved the other way These noble courages and bold Artisans who have acted contrary to this pernicious admonition have been Authors of the best inventions the noblest discoveries and bravest performances of Chyrurgery Where are those rules that are so infallible and on which a man may so rely as to be assured of his prognostick Look we to the Ancients there 's scarce a prediction among them which this last age hath not found fallible enquire of the Moderns they will tell you Nunquam derelinquatis aegros semper sperate salutem How many wounds c. which according to the rules of art laid down by the Ancients were mortal are now frequently cured which had never been had they regarded such an unreasonable direction nor would there be any possibility of future encrease of skill Nay so far is the consequence he suggests from being true or reasonable that art hath not been more elevated or its reputation inhaunced by any thing comparable to the succesful attempts of such brave ingenuâ—ties where aphorisms and standing prognosticks have discouraged them by contrary denouncements I. de Vigo is the only Author I remember to have matcht our Idle scribler in this pernicious dehortation non oportet desperatos attingere but the contrary is directed by almost all rational Writers and the artist perswaded to pursue by all likely methods let the case seem never so desperate dicant antiqui moderni medici quicquid sibi placuerit saith one quos Chyrurgos adhortor ne unquam de sanitate aegri quantumvis morbus magnus fuerit ac prima fronte incurabilis videatur desperent saith another and our own most agreeable inconsistent scribler forgetting what he had here and elsewhere written doth in divers places of this same Book Eccho from the Authors before him the contrary as may be seen Page 100.163 c. I pass by that nonsensical passage in the same Page Page 21. For in this doth the life of man very often consist and depend as a way of expression very peculiar to him as is also that cunning prognostick that large and great wounds bring of tentimes much danger with them as if any man were so injudicious or Ignorant not to know it before he wrote or so incredulous not to beleive it unless Galen were pedantically brought in for a voucher as Aristotle is by one to prove sheep were cloven footed Apolloneus Tyaneus by another that men commonly were greedy of Life and a train of Fathers and multitude of Texts from Scripture by a third to evince that all men are mortal At this rate he triflles in divers of his presages and errs in most of the rest having borrowed them from the first Writers who were in the dust long before the mistakes of their prognosticks were discovered by the happy experimentators of after ages or the admirable explorations of their posterity came into the World nay that less exceptionable one concerning wounds of the heart which allowing the faulty transcript is to be found the lively coal not excepted in * observ chir Page 449. P. Forestus hath been discovered to the fortunate practicers of their posterity sometimes to fail as the Authors * Skenki Glandorâ— c. to whom I find him mostly indebted could have told him and he himself confesseth Page 275. I know he had this prognostick from a wrirer before Circulation was discovered by our Harvey and because of the agreeableness in words presume it Forestus the whole train of bloud quoth he makes its speedy address thither from the veins and ARTERIES as SMALL RIVULETS to the Ocean Well said silly Corpusculum this could not be asserted by one that understood or considered the noble exploration the history of the Valves or that the Arteries in all dead persons are empty That he transcribes abruptly and represents confusedly see the firit paragraph Page 24. That he trades in Old Authors and steals obsolete notions observe the second where he calls the parenchyma of the liver grumous coagulated bloud and suggests that the heart is nourisheth thereby and Sangnification performed therein Page 25. If any wounds of the lungs be cured quoth he they commonly do prove so mischeivous as to turn into a fistula and so in length of time do spin a mans life out by a Marasm and do run him into a Consumption These are is own elegant words containing a position notoriously false by almost all new Authors and experienced * Hildan cent 2. obs 32. c. Sennert pract med lib. 2. cap. 11. lib. 5. p. 4. c 3. Forest obs chir 4. lib. 6. Falop cap. 4. de vuln gen Skenkius Page 253. Horstius obs 11. lib. 6. Miscellan Curios Vol. 3. lib. 190. Vol. 2. decur 2. obs 37. who all speak of great wounds sometimts with loss of large peices of the lungs cured practicers confuted I my self have cured two shot through the Lungs the one with Musket the other a Pistol-Bullet the former a man above fifty years old who had not been drest in nine daies before he came into my hands and but once upon his being wounded I mention not the frequency of curing those wounds when made by rapiers c. But our Author is so destitute of skill and experience in the profession he pretends to so unacquainted with Neoterick writers and discoveries and so stupidly guided by the Ancient and imperfect Authors that it s no wonder if he appear as ridiculous as a man discoursing of Geography out of Pliny or Strabo in a dress that was in mode when King James the first came into England That recent wounds are soonest healed was a saying among the Ancients and revived by our artless Ape as if it ceased not to be recent beforre it was cured or that
which is cold be pursued by things hot and taking away all cold Oh preposterous Hysteron Proteron punctured Nerves can endure the hottest Oils which the finger cannot whence I collect that a Nerve hath not the most exquisite sense thus you see erranti nullus terminus Page 273. The heart cannot long be corrupted with injuries neither doth it spin out its grievous punishments * This absurd passage was stoln from Crook Anat. page 419. where he saith of the heart onely this of all the bowels is not wearied with Diseases neither endureth it the grievous punishments of this life Crook was as great a Plagiary as this his Ape and sometimes as unhappy at a Translation this is a quotation from Pliny in Laurentius Anat. page 368. to which refer of life Page 234. he bids his Reader take these one or two Histories and then relates only one blind story which he fathers on Glandorp of a Scholar who FALLING upon a Door †Perhaps it was a stone Door FELL upon a Stone which broke two of his Teeth which were afterward reduced This musâ— be a new and extraordinarâ— Art to reduce broken teetâ— I hope when it is publicâ— the Bone-setters will no usurp upon us and claim iâ— as their Province Page 270 he saith Fallopius writes that he hatâ— seen Inflations of the Lungs cured anâ— others to have died of the same This piece of nonsense Sckenkius led him to by misquoting and misciting that Author as I shall shew anon till when I reserve my reflections on this passage For more concise and succinct Patterns of his absurdity and nonsense see cap. 18. where he calls gun-shot wounds WHOLLY the employ of the Sea-Chirurgion and yet adviseth Milk in the first dresses perhaps he thought the Chirurgion General allowed a barrel or two among the necessaries Page 141. The head-saw is used to remove away the distance of the Cranium left after the use of a Trepan Page 246. Vinegar wonderfully dissolves and discusseth concrete Blood 251. The heart is circumscribed by the Clavicles Sternon c. 246. Boiling Honey makes it more rancid 240. Cartilages of the Wind-pipe are in continual motion 213. The Spleen â—s an Organical Bowel 234. In Wounds of the Spinal Marrow although all sense and motion is destroyed yet Seed Vrine and Excrements are VOLUNTARILY avoided 216. Spigell Laurentius and Bauhine although they wrote in this Century he calls Antient Writers the Eye is framed of six Muscles 214. The Eye-lids are appointed as Draw-bridges to lift the Eye up and down 231. The Ears he must mean the outward flap for he professeth not to meddle with the inward Organ are created for understanding If it were true a great deal of that faculty would come to his share 257. Blood in the Cavity of the Thorax must necessarily and speedily be suppurated being consentaneous in a cutt where the great Veins or Arteries are untoucht 266. The Lungs are the Instruments of Voice made as it were of frothy Blood 271. The Pericardium is so much softer than a Bone as it is softer than the Lungs 274. The Heart in its passive qualities is more moist than the Cutis 255. It distributes to but receives not from any part giving MOTION to others diffusing its proper vertues as it pleaseth it self disposing its sorrows as it thinks fit 277. Is the Chapter of Wounds of the Arteries and Veins and next page Wounds of the Veins and Arteries 278. A Wound of the great Artery is followed with a Feaver Inflamation c. put out the fire and the house will scorch 287. Wounds of the Abdomen may be seen to penetrate with or without hurt 290. An Incarnative Fomentation to expel Wind. 299. He directs to supplemental Noses the Phantastical Ridiculous way of Taliacotus These and abundance more of self-evident pieces of nonsense absurdity you have scattered here and there in this Compleat Book of Wounds sometimes single passages otherwhiles whole pages often entire periods that may justly come under this censure which I will only point at to save the trouble of numerous Recitals See 2 3 Paragraph of the 33th Chapter p. 172. from the 18th to the 22th line p. 176. the first seven lines page 222. almost all the first Paragraph especially the later end concerning the excellency of the Skin of the Face page 227. 1 Parag. See also f. 240 251 257 266 275 277 303 308 c. beside many absurd Phrases and Allusions without sense which are frequent in this Book of a new Method as steering by a Microscope page 111. alluding a Caution page 5. Instruments are Figures page 143. and regulating non-naturals Engines to work with every thing that putrifieth is affected with a hot and moist humour 72. storming by Catharticks 199. sailing on the Coast of Wounds 210. steering a course on the Bloody Main 349. dismantling the parts of the body 285. swimming on the bottom of the Stomach 293. small Rivulets 23. with many more As to his Contradictions and Inconsistencies they are thicker than I have met in ten times the number of pages demonstrating his Memory to be as shallow as his Judgment for he often opposeth himself in the same page sometimes in the same or next line his Method and Observations frequently confute and contradict his Prognosticks for what in the one he affirms to be absolutely mortal and incurable in the other he not only directs to a Method for Cure but relates Proofs and Examples that they have been healed I know little Contradictions and small Inconsistencies may insensibly and unawares slip from the Pen of any man that writeâ— much but it 's very unusual to have so many so palpable obvious so thick and numerous and opposite averments so near one another as they are in so small a Book as this before us Page 77. He positively and without exception saith an Ecchymosis must be suppurated and soon after directs to a method for resolving them Page 21 169 245 304. and elsewhere he dehorts the Chirurgion from medling with such cures as he hath no Authority or encouragement from Art to be concerned with But Page 100 132 138 163 305 c. being in a better humor adviseth to the contrary and persuades him not to forsake any Patient or be discouraged in the most desperate cases Page 113. He forbids the use of moist things to parts without the Scull And soon upon it directs to Wine which is actually such and Oil of St. Johns Wort Yelks of Eggs which are both actually and potentially such Page 129. Hot and moist Constitutions are not so apt for admittance of Putrifaction Yet Page 72 73. he affirms that those Medicines which procure it are all of that temper Page 28. When the Skin is broken he decryeth the use of Oiles And yet in many places directs the use of them in Wounds so Page 36. He is at it again dissuading from the use of unctuous Salves especially where Consolidation is to
the nearer a man were to his Journeys end the farther he had to go Page 28. He saith wounds do ONLY then inflame when they do not suppurate which is another proof of his skill and reading it being manifest in Books and practice as himself Page 49. confesseth that as digestion is procured by things more or less hot so while Nature or Art are on that work there occurreth heat pain pulsation c. dum pus conficitur dolores ac febres magis accidunt saith †Aph. 17. lib. 2. Hypocrates Pulsus dolor color aucti signant pus fieri saith * instil chir lib. 1. c. 3. Tagaultius see Galen in his comment on the aforesaid Aphorism and on Hypocrates Predict lib. 1. c. 13. Dr. Read Lect. 5. Of Tumors Mr. Woodal Page 141. with many more As wisely doth he assert Page 29. That the main spring of the bloud is given the heart from the Arteries which is quite contrary to truth the spring of the bloud being from the heart to them all that comes into that noble entral being by the veins especially the Cave as every boy that understood the common notion of Harvey's discovery can inform him but he cannot forget the tone of his great Grand-Fathers the Authors he trades with nor forbear that Shiboleth by which he discovers from what magazine he furnisheth himself thus he insinuates as if the pulsifying wheels of the heart do give life and motion which is a corrupt and exploded opinion of Aristotle so far from truth that it s now discovered Th. Barth Anat. Reform lib. 2. cap. 6. not only that all the Organs of motion are from the brain but that this inspontaneous one of the heart is made by particular Nerves from the Cerebel as Dr. Willis hath hath evinced and that some palpitations and all the unequal motions of that noble Bowel as in Malignant Fevers c. are from the impediment of the Spirits conveyed in those Nerves His eight waies of restraining the Hemorrhagies of wounds are taken exactly from Dr. Read lect 3. of wounds a little dishapen and sullyed by passing through his hands Page 32. Begins his Chapter of removing extraneous bodies which he affirms to be the next duty or Intention of a Chyrurgeon if he mean next in order of practice he is wrechedly out and makes work for Penelopes Loom as experienced writers and rational practisers will tell him I know some have led him into this way of writing and he leads on as he is led to use restrictives while extraneous bodies are in a wound unless in very unusual and extraordinary cases will by hardning the flesh contracting the wound and exasperating the sense of the part make the extraction more difficult and when atchieved leave a flux more impetuous than what its intrusion provoked The first and second paragraph of this his sixth Chapter is litle other than a vain repetition of what he had faultily enough said Page 6.21 His insignificant picture of a wounded Gladiator the few and not all the best Instruments for extracting shot c. abundantly exceeded by Fab. ab aq pendente Scultetus Pareus Clowes Lowe Woodal c. His absolute directions to purge in great wounds and three insipid reasons for it his irrespective dehorting from unctuous Medicines and saying that they make wounds sordid and rotten his affirming that Ichor issueth either from the veins or wounded part without mentioning the Nerves Lympha-ducts Arteries Tendons Muscular fibres articulations c. his calling the skin the Instrument of touching as Doctor Read doth together with other such phrases and positions in the seventh Chapter are additional evidence of the skill of our Author who concludes as he began saying over again in his last Paragraph what he had from Guido delivered concerning Sutures in the end of the next proceeding Page In his eighth Chapter he delivereth that Sarcoticks should be of a cold quality giveth a Catalogue of them very little varyed from those in Pary Barbet c. as is his lift of epâ—loticks he directeth to have TENTS c. armed with such medicines as have an AGGLUTINATIVE quality in them which can stop pain asswage inflamation and repel the humors of which sort saith he may be reckoned this â„ž terebinth lot in aq plantag one Ounce a half mel optim depurati one Ounce ung Basilic two Ounces Vitel. ovor no. 2. M. ad ignem fine addendo pulv Myrrhae Aloes ana one Dram croci a scrup M. pro linimento or this â„ž ol hyperic c. 9. ol Catellorum ana two Ounces G. Etemni half an Ounce pulv Veronicae Salviae Myrrhae ana one Dram. tereb ven one Ounce and a half and these in the margent are called Digestives of our Authors a whole sheet of Paper cannot afford Room enough to display the faults of this passage Agglutinative Anodine asswage inflamation repel humors and yet be a Digestive is to assert a great contradiction all Digestives heating and so far from being agglutinative and repellent that they perform the contrary by relaxing and attracting and maturation when doing by unassisted nature is alway accompanyed with pain perturbation c. as I have shewn Page 43. Begins his ninth Chapter of removing Symptomes and accidents which he accounts to be pain Inflammation Hemorrhage again fainting delirium Fever Palsey and Convulsion but to make his discourse compleat leaves out Erysipelas Gangreen â—nd some others reckoned by Fallopius and divers Authentick writers Pain he defines from Galen to be a sad and heavy sense of change following a disease as a shadow doth a substance so he interprets Tristis sensatio and had as good have said pain is pain Algema sive dolor aut tristis sensatio a molest a nervosarum partium irritatione cerebro impressa oritur ex continui solutione sensibili vel insensibili saith Blancard Fibras convellens corrugans Spiritus ab invicem distrabit ac dissipat Anim. Brut. p. 1. c. 11. saith Wallis Inflammation saith our Author Page 44. hapning by a puncture of a nerve divide it wholy because its better let a member lose its use than the whole body its life He is in the right were it an unavoidable dilemma in such accidents though perhaps our novice never saw it there are innumerable instances of severer Symptomes than Inflammations attending punctured Nerves which yet have been cuted without the ultimate pernicious refuge of our skilless Author who takes his measures from the first writter in this and most things else so much hath Mr. Gadburies Astrology mistaken in affirming that if Hypocrates were alive he would borrow from our Plagiary With his usual Ingenuity in representing things from other hands he defines from Galen a Syncope to be a principal lapse of all the Spirits for so he understands praeceps omnium virium lapsus which are the words of that Author * de morb cur lib. 12. as our Country-man Linacrus interprets them and for this quotes the 15th
be performed because Page 40. Oils do hinder Agglutination Yet in Page 42. He directs â„ž ol Hyperic catellor ana â„¥ ij G. elemni pulv veronicae salviae ana â„¥ i. Tereb Venet. â„¥ iss as a Salve Agglutinative and repelling humors Page 28. He saith wounds do only then inflame when they do not suppurate yet Page 49. He saith pain and heat do attend the part while digestion is performing and inflammation encreaseth while matter is making Page 136. He reflects on those who divide the Art into many parts When he himself is not only guilty of all the superfluous mincing extant but exceeded them in giving two Chapters for one subject tho' the Title be somewhat diversifyed See Chap. 60 61. Page 134. He saith if a Feaver happen on Wounds of the Head before the fourteenth day it s a deadly sign And in the very next period makes the like danger to attend such to which a Feaver supervenes after that time Page 129. He saith Childrens Heads wounded are not so apt for Putrifaction and Page 137. A more speedy purulency of matter happens in them than in Persons of age and to strengthen the contradiction beyond all excuse he gives the same reason for the one that he doth for the other viz. Heat and moisture making it in the one the cause why Putrifaction and digestion is tedious and in the other more speedy and quick Page 160. His Doctrine and advise in the first paragraph is not only very inartificial and absurd but contradicted in the next and the subsequent story Page 273 275 c. He calls the Heart the principle of Life the Prince of the Bowels the chief Engine and yet Page 178. He saith that the Brain is the principal Part. Page 186. He absurdly affirms That Putrifaction and Sphacelus of the Brain are deadly Symptomes not to be found out by the opening of the Scull after the Party be dead and immediately gainsaith it by an instance from Volch Coiterus stoln from Skenckius Page 24 of many dissections where more than half the Brain was putrifyed the Ventricles full of foetid green matter and in the cerebellum very putrid Aposthumes Page 188. He forbids the use of cooling astringent things to the Head in concussions of the Brain Not only contrary to almost all Authors but his immediate direction of a Cataplasm of that temper and quality he saith the same Page restringents are not to be used because they hinder the exhalation of the fuliginous Vapors through the sutures And in the very Page not only directs to the use of Repulsives and to have them continued the first four days but a Fomentation and a Plaister stoln from A Pary lib. 10 cap. 22. which are both of them binding or restrictive as you may see by the Ingredients Orris Lalam Aromaticus Red-Roses Frankincense Mastick Red Wine Myrtils Cypres-nuts c. Page 200. He Apologizeth for the use of Oil in wounds of the Nerves because a moist Medicine And immediately urgeth with the same Zeal and heat of Argument that use of dry things for the same purpose Page 254. He reckons very erroneously extrusion of the airthrough wounds of the Breast as a constant sign of Penetration And in the same Chapter gives a story to the contrary Page 256. He directs to the use of Vinegar to discuss and dissolve Blood cast into the Breast from a Wound so as it may be expectorated And yet in the next Page saith such Blood must necessarily and speedily be suppurated Page 257 258. After he had discoursed of three wayes compleatly omitting a * See Fallopius cap. 13. de vuln pocul fourth viz. Paracentesis to fetch off the Blood extravasate in Wounds in the Breast of which two were Expectoration and pissung he persists in the use of Tents to discharge it that way Page 25 266 267. He denounceth lingring death at least to Wounds of the Lungs And yet not only directs to their cure but reports two stories from Glandorp and several stoln from Skenckius of prodigious Wounds there cured Page 271. He makes Wounds of the Pericardium easily curable and in the same Chapter saith that they generally bring Consumptions hectick Fever ard death Page 273. He Prognosticates present death to Wounds of the Heart And confesseth in the same Chapter not only that a man may survive such a Wound two or three days but that superficial ones may be cured Page 278. The great Arterie wounded the Body grows chill Although in that very Chapter he delivers that a Feaver and Inflammation are symptoms of that Wound He saith page 279. The Veins carry Blood to the Heart and page 275 he affirms that it doth not receive from any part that its disputable whether the Veins have their Original from the Heart or Liver and on the contrary affirms in divers places that they have their Original in the Liver Page 297. he saith The Gut Jejunum is exsanguial and in the same breath saith page 298. they are full of Vessels and that the plenitude of Meseraick Veins doth contradistinguish it from the great Guts Pagr 304. He denounceth absolute death to large Wounds of the Liver and in the same Chapter relates from Glandorp the Cure of one who lost great part thereof and another from Forestus of one who lost a less piece and was cured Page 309. Death quoth he soon followeth if the Stomach be cut although in the same Chapter he not only confesseth such Wounds are curable but gives a borrowed story from Glandorp and two stoln from Sckenkius of most prodigious ones healed Page 24. He represents the substance of the Liver as grumous coagulated Blood and yet page 302. he saith once and again that the same whole substance is a composition of Glandules and Ramifications Again in the same page he suggests as he doth in many other places Sanguification is performed by the Liver and again saith the contrary Page 237. He saith If the Tongue be wounded transversly it 's altogether incurable and delivers in the same page that it 's to be accounted curable if it be not wholly cut off as he exemplifieth by a borrowed though falsly quoted story from Hildanus Page 233. He relates the story of a Souldier shot through the middle of the Ear but presently forgetting himself saith the Cartilage was not hurt Page 140. He saith Incision cannot ought not to be made through the temporal Muscle and page 225. directs to it as a thing necessary and feasible To conclude this Topick look into his 215 page and you will find a sufficient proof of his skill agreeableness sense c. which I will give you verbatim To CONCLUDE this Chapter I shall END with THIS observable History the FIRST whereof shall be of a young man who looking upward had a small Stone fall down upon the upper Eye-lid the which did both hurt it and its CARTILAGE suture being made and the parts enclosed by a Needle the Cartilage remaining unhurt c.
Patient hath not been long out of my hands who had a large Rima reaching from the Sagital suture to the Squamosa by a fall from a very high place and the Skin not broken nor any Tumor appeared Page 157. He gives us another instance of his Falshood in a misrepresenting what he steals or borrows from others for altho' that be his Trade his own Stock being beggarly and empty affording nothing yet the constancy of the practice hath not made him a Proficient therein the story is from A. Pary * Lib. 10. c. 7. who saith the os coronale was cut off the length and bredth of three Fingers The Plagiary saith the bredth only of three Fingers in the original it is said to be done by a sharp Sword in the transcript by along and a strong Sword the Author doth not say as the Bathyllus that he fell with his Face to the ground that the Dura mater was hurt or out of its place upon the cutis of his Face that he was compelled by necessity to take away any of the pericranie or Scull used Tents or Dossils nor that the Body was stab'd through in divers places Thus he shews himself so great a stranger to truth and sense that he is no less able to copy them fairly and truly relate them from others than produce any of his own to say the Dura mater fell on the cutis of a mans Face was never spoke like a man of truth or Surgery He fetcheth almost all his Prognosticks from the Ancient Writers who were Strangers to the cure of those Wounds and diseases that are now frequent this is one cause why he falls into so many errors when he comes to Presages as I shall have occasion elsewhere to observe At present I will single out only one and that the most likely to be true as having much reason and agreeing with the common Phaenomna the sense of former Ages and opinion of most men in this viz. That Wounds of the Heart are absolutely mortal and incurable This noble Intral seems the only part of the Body which being hurt brings inevitable death for reasons which our Author hath stolen from Fallopius and Read it s in his 60th Chapter that he treats on this subject and he doth it with his wonted preface of Anatomy and usual absurd incoherent way of expression the errors of the former are too manifest and obvious the fantastical chimera's and whimseys which nor he or any other man can make intelligible the false notions and descriptions are no less plain having been long since refelled by many accurate Anatomists the Position how strong soever backt which I shall refute stands thus Page 273 The Heart being once hurt brings present death I will not take hurt in the largest sense but strictly as I believe he meant viz. Wounded the same Prognostick is almost in the same words and with the like assurance delivered by Hippocrates Aristotle Pliny Aegineta and the many Ancient Writers both of Physick and Philosophy Cor nullam fert continuitatis separationem Or for the sake of a little Poetry take it in verse Afferat ipse licet sacras Epidaurius herbas Sanabit nullá vulnera cordis ope Ovid. 1. de Pont. 4. Galen Falloâ—ius Forestus and some others express themselves less confidently but divers do affirm that People have survived such Wounds though large many days and some say such harts have been cured That Wounds of the Heart do not alway bring sudden death Many of the Commentators on Hippocrates's Aphorisms have reported Galen lib. 5. loc Aff. cap. 1. and in other places writeth that Beasts have bellowed cryed and walkt after their Hearts have been cut out 1 Hist câ—â—t â— 1. obs 77. Tho. Bartholine saith a youth was deeply wounded in the Heart with a Knife that he walkt alone afterward into the City and lived five daies that he saw a Stagg shot through both Ventricles and walkt fifty paces before he fell 2 Lib. 9. 〈◊〉 30. Pareus reports that one in a Duel was wounded so deeply that his finger could lodge therein and yet he not only fought afterward but pursued his Enemy two hundred paces Mâ— 3 Zodiaâ— Med. Vâ—l. 2. pag. 97.132 Nic. Blegny saith he knew one so wounded who lived five daies and another seven 4 Obs 39. â— cent 2. J. Rhodius faith one wounded into the Cavity of the heart lived nine daies and another six N. 1 Lib. 2. obs 18. Tulpius of one who was wounded into the Liver Stomach Lungs Midriff Mediastinum and Heart that lived two daies D. 2 P. Med. lib. 5. part 2. cap 3. Sennertus of one deeply wounded in the heart who lived sixteen daies See more in the second Book part 4. cap. 3. and the like in Schenkius page 254 262. Bartholini Anat. Reform Ed. ult c. 6. Gualterus Sylva Medica page 406. Moronus Index page 85. Amat Lusitanus cent 6. obs 38. Crook Anatom page 420. Fennelius 3 Observ Chiro 38. Meckeren who knew one survive the wound of his heart six daies We have frequent Instance of hearts * Fab. Hildanus cent 2. obserâ— 27. saith he found a heart prodigiously rotten rotten ulcerate aposthumate tumified having sordid sores of long continuance †Theod. Kirkring Spicil Anatom obs 78 3. stones excrescencies tabid torrified and some have been found without any heart at all Vide Tillesias rerum nat lib. 5. cap. 28. Schenkius and Bartholine ubi supra 4 Li b. 1. obs 31. Dominic Panarolus and Schenkius from Jordan write of a Torrified heart 5 Obs Med. 87. Riverius of an Ulcer eroding a great part thereof which was spit up the Patient enduring it forty daies 6 Prax admir b. 1. obs 14. lib. 20bs 41. Zacutus of a Rotten heart and another Schirrust 7 Obs Chiro Job Meckeren of an Ulcer under one of the Auricles of long continuance Sennertus ubi supra writes of one who wanted the left Ventricle another was indurated And. 1 Anat. q. 18 lib. 9. Laurentius of one whose heart was half rotted away of a Deer in whose heart an old piece of a Dart was found of many Stones and Aposthumes in the heart of a Woman and that a Florentine Ambassador at the Court of France being dissected inventum * You have the like in Theod. Kirkring Spic Anat. obs 16. miscel curios vol. 1. obs 70. cor prodigii instar in eam molem excrevisse ut Thoracem fere totum contineret and that in its Ventricles was near four pounds of blood See more Barthol Hist cent obs 32 45 54 50. That wounds of the heart are curable is the Opinion and dixit of Job Meckeren cap. 36. Blogny Zod. Med. Vol. 2. page 139. Gualterus Sylva M. page 106. Caspar Schottus Physica Medica cur lib. 3. mirab Hom. cap. 34. Moronus Index page 86. Beniven cap. 65. Zacut. Lusitan P. Mirand obs 9. fol. 251. saith that Leeches stuck to
the heart of a person that survived it Matth. Glandorp Spec. Chirurg cap. 33. relates that Rabbits lived many months after they were run through the heart Page 254 261. Skenâ—kius saith the like of a Stagg and of one in whose heart a piece of an Arrow was found that had long stuck there that a Boy was cured cui os pectoris excisum cor aliquandiu nudum apparuit nam involucrum ejus computruerit the History page 254. which he calls a wound of the Tunicle of the heart was undoubtedly as his Author first thought of the heart it self Page 256. He reports that some have been found without * Miscell curios Vol. 5. obs 25. hearts as doth also Hildanus cent 4. obs 51. Moronus Index page 85. Tillesius rer nat ubi supra my Lord Bacon Mr. Boyle vide Bart holin †Lib. 2. cap. 6. Anat. Reform Editio ultima Rhodius obs 39. cent 2. relates the cure of a large wound of the Pericardium he supposeth that wounds of the heart it self are incurable and saith there was a Stagg who had a small piece of Dart sticking in his heart sine vitae noxa that a Boy was dissected without a Pericardium But what need I say any more when our most agreeable Scribler is his own Confuter for after all his positive Prognosticks page 23 273 c. he very fairly confesseth that superficial wounds here hapning may be câ—â—red I have taken unusual pains and been very particular on this point partly to refute our Confident partly to shew the incertainty and fallacy of many presages delivered by the first Writers and the vanity of relying on them but cheifly to perswade my Brethren of the Plaister-box that no wound is incurable and beat them out of the contrary discouraging and mischeivous opinion The vital flame in the heart and the airs ingress then and mixing its nitrous particle with the bloud are things much controverted among learned men though positively affirmed by our Author I will say only this that I am sure he understands not that controversy and that many very eminent Anatomists are against the later Hypothesis vide Dr. Harveys Proem to his book de Corde circulatione Dr. Walter Needham format foetu cap. 6. where he declares it the Opinion of Dr. Highmore also Dr. Henshaw Aero chalinos page 62. beside Demerbrook Cornelius c. Page 281. He defines with most of the Ancients an Aneurisma to be a breach of the inner coat of an Artery the blood distending the outer which I know hath been the common Opinion but the absurdity thereof you will find well discovered by Van Horn Microtecne sect 1. paragr 15. page 215. Wiseman lib. 1. cap. 16. Pareus calls it the Rupture of an Artery the Blood extravasating among the Muscles and he himself varieth from his definition in the Histories he gives page 380. of his Book of Tumors where he hath a particular Chapter of this Disease which is of an Aneurism from a wound and saith in that Chapter that the common cause is puncturing an Artery But to be short in this Topick because in all the rest I shall have occasion to evince abundance of his Errours take those brief Instances which I shall but name page 23 29 44 45 273 and many other places he makes the heart the fountain of motion page 309. he calls the stomach a cold Intral and in reckoning the coats omits the crusta * See willis Pharm Rat. part 1. cap. 2. sect 1. villosa page 287. 297. he affirms the meseraick Veins convey the Aliment to the gate of the Liver and suck up the nourishment from the small guts page 227. he reckons the ascent and descent of the Cava from the Liver page 194. he suggests that the Heart and Liver are not only the Original of the Veins and Arteries but the Oceans from whence they fetch both their vital and natural blood and spirits page 179. that the Brain is made of sperm and maternal blood that it 's of a cold and moist temper page 198. the chief seat of cold and glutinous moisture that the Nerves are cold in nature and cold in substance Thus as I have said by his Ignorance in the improvement of our Art and injudicious sucking the fallible Principles and Opinions of the Ancients men to whom we are infinitely indebted and from whom it 's no detraction to say they knew not as much as is now known he runs himself into many gross errours and mistakes chiefly in Anatomy Prognosticks and Dogma's of which I shall superadd a few instances more and conclude this Head Page 316. He pronounceth Wounds of the Kidneys in general Mortal and inevitably so if the Pelvis be hurt though Pareus relates the story of an Archer condemned to be hanged and upon Solicitation by some great men who had been troubled with the Stone he submitted to have those Parts opened survived the operation was cured and pardoned We have also a Tradition that our Famous Harvey cut out a Stone from a mans Kidney But his old Friend and constant supplier Schenkius tells him Page 451. Three stories of Wounds of that Part cured and himself notwithstanding his Prognostick subjoins to this Chapter the History of another stoln from Glandorp See also P. Foresius obs Chir. 5. lib. 6. He discovers many errors in his discourse Page 266. of the Lungs and respiration positively presumes to determine the dispute as yet undecided among the best Philosophers and * Thruston Diatribe Mayow de respicar Willis Phar. Ration F. Burtis Epist Barthol Swammardam de Re spir Malpighius Casp Barthoy Dinphr struct Dr. Gibsons Epitom Dr. Needham de foe tu c. Anatomists of the Age viz. What 〈◊〉 the cause and use of Pulmonary respirâ—tion He saith Page 255 from Galeâ— that matter heaped up in the Breast paâ—ing into the vena sine pari is through tâ—â— vena ava carryed to the right Ventriclâ— of the Heart and passing thence DOWNWARD by the descending Trunk of the Cava to the Liver prâ—mark how he contradicts what 〈◊〉 said Page 277 that the ascent and descent of this Vein was from the Liver It s carryed to the Emulgents Page 254. He delivers that Wounds penetrating the Breast are known by Wind coming through the Orifice Which is a fallible Diagnostick especially when the Wound is made by a small Rapier and the Body deflexed when it s received so that upon returning to a right posture the parts alter and cover one another in discoursing concerning Wounds of the Gullet he commits many mistakes Page 244 he saith that Pipe marcheth on the right side of the Spondyls that Deglutition is helped by the Muscles of the Larinx * Willis Pharm Rat. part 1. cap. 2. attributes nothing thereof to the Gullet whose Anatomy he doth not understand and accounts the Muscles of the Phariax among those of the Larinx He directs to Nutritive Glisters Page 246. Which I doubt do signifie little
nor doth B. E. and H. what doth H. demonstrate of a contusion E. of depression F. of cancameration H. of contrafissure They cannot possibly advantage the understanding they may indeed make the Book vendible to Boys but no way useful to them His 36 Chap is concerning Abscesses of the Brain how fit to be place in a Treatise of Wounds let the World judge or what the stoln story of Arceus is to the purpose he might have had more pertinent proof of the possiblity of such Apostumations and instances more suitable to the case in hand than those he produceth if he had consulted Sennertus Zacutus Tulpius and divers others who relate that the whole Brain hath been rotten and become matter Under the Imputation of this Topick may be reckoned these darling words and phrases which he so sillily affects and impertinently drags in by the ears such are ALLOWED AS TOUCHING AND HERE ALSO HERE MAY WE SEE PROPER ENGINES LIVELY REPRESENTATIONS CORREPTED ABRADED SHELVES AND ROCKS OF FEAR c. some of which he useth above ten times in a page the Brain and its substance dryeth of its self and of its own natural quality dryeth page 287. A probe or wax-Candle going directly a great way into the Belly in wounds thereof is a sign the wound penetrates Thus he trifles and by Tautologies and Impertinent Verbosity spends his Pages abuseth his Reader and exposeth himself To conclude the later part of his Book the Chapter of Jointwounds only excepted is nothing but impertinence and trifling giving superfluous Chapters for Wounds of the Shoulders Elbow Wrists Armes Hands Fingers Thighs Legs and Feet I call them superfluous and needless because that for Wounds of the Joints was enough for the first three and where he discourseth of the rest is constrained to repeat or refer to the same Method and Medicaments he had directed before in general and after all those many distinctions and divisions beyond any I have met he not only omits many more needful to be taken notice of than some of which he hath written such are Wounds of the Womb Meseentry Buttocks Knees Ancles c. And neglected some of the usual accidents of great Wounds viz. Erisypelas Gangrene c. But hath plainly shewn himself to be the Fool he rails at for dividing the Art into more parts than God intended and that his compleat discourse of Wounds is not only erroneous absurd trifling and contradictory but defective and incompleat and written by a man of LITTLE EXPERIENCE or SKILL in the Art he pretends to to evince which was the last part of my undertaking and alâ— tho' it hath been abundantly manifested already under the foregoinâ— Topicks I will superadd a few morâ— to make it a charge indisputably truâ— and to prove that none but a verâ— unskilful Person could write as he doth in ANATOMY AND CHIRURGERY in general and particularly of definitions Diagnosticks Prognosticks curatory method and medicaments observations and some other things promiscuously occurring in this Book That he is ignorant in the improved modern Anatomy is manifest to every Boy that hath read Blasius anatomia contracta P. Barbet or Dr. Gibsons Epitomy The cause whereof is his taking upon trust and for want of skill blindly delivering what he hath stoln from Bauhinus Crooke Read and men that writ egregiously wrong in most parts of that Art in his discourse of Nerves c. though he hath mixed a little of Dr. Willis and other Novel Authors perhaps as much as he could understand with the old notions and opinions yet he cites few or none of them but â—eems fond of calling on Galen Hipâ—ocrates Avicen Aetius AEginata â—â—verhois and Albucasis As if there â—ere some glory or charm in the â—ames Though he understands not nor probably ever saw their Books but from Crook and other common Plagiaries in English furnisheth himself with those smatterings he hath of their Doctrines Hence is it that he falls into so many errours and evidenceth so great weakness and want of skill he might as cheaply have furnished himself and his Reader with the truest and most accurate accounts from Willis Bartholine Blasius Diemerbrook Malpighius c. With whom in some places especially in his Catalogue he pretends acquaintance Sometimes he writes as if he had never heard or were unacquainted with the circulation the Valves c. For he delivers contrary to those Doctrines from Galen lib. 5. de loc Affect That matteâ— lodged in the Thorax is carried off bâ—Vrine being first carried to the Branches of the Vena Azygos thence into thâ— vena cava Page 255. to the right ventricle of thâ— Heart passing thence DOWN WARD from the descending Trunâ—â— of the cava to the Liver to come 〈◊〉 the emulgents again page 275. Thâ— Heart is the Radix or Ocean both 〈◊〉 Veins and Arteries the best of all Bowels distributing to but not receiving from any part giving life and motion unto others As ignorant doth he appear in the Doctrine of Aliture and the Lacteal Vessels when he affirms page 297. and 287. that the Meseraick Veins suck up the chyle and convey the Alimentary Juice to the gate of the Liver his ignorance in the true Anatomy of the Brain which he calls a Glandules substance Heart Liver Lungs Gullet Stomach Spleen which he calls an Organical Bowel will be very manifest to any man that can compare his accounts of them with those of Malpighius Glisson Willis Lower Tilingius and other modern Anatomists as to smaller parts he â—s not a whit wiser when he affirms the Eye is made of six Muscles Page 214. And that the Eye-lids draw â—hem up and down that the Piamaâ—er is made of the first scatterings of the Sperm and composed chiefly of Veins and Arteries Page 174. Page 124. He giveth imperfect and false Figures of the Scull the easiest part of Anatomy and affirmeth Page 118. that the outer Lamina is thicker and harder than the innermost Page 233. That the Ear was shot thorough in the middle and the Cartilage not hurt He seems ignorant of the valve in the Colon by directing to Nutritious Glysters and knows not the true Anatomy of the Oesephagus when he gives that odd description thereof Page 244. And attributes Diglution to the Muscles of the Larynx He saith Page 198 The Nerves are cold and dry replenisht with a thick and viscous humor and altho' he hath written two large Books of Muscles I doubt he will come off as Lame and defectively there as in other parts of Anatomy unless he have learnt better than he hath here delivered for cap 71. inreckoning the Muscles of the Scapula he mentions not the Serratus major Anticus cap. 72. in the Muscles of the Arm which he accounts to be but eight he leaves out the Coracoidens and chap. 76. computes the gluteous minimus among the extenders of the Thigh Some other mistakes in Anatomy arguing his ignorance therein being too many to refute in this place I
pass over only must tell you that he calls the Stomach a cold Entral Page 309. and saith that the Air is drawn in by the Ears Instances of his great Skill in Chirurgery are too obvious to need so much as to be pointed at much less remarked on In definitions he alway follows the Antients or marrieth those of the Moderns bewraying his ignorance in the improvements and discoveries of latter ingenuities Indiagnosticks which he accounts the chief part of Chirurgery he is the same skilful man affirming that a solution of continuity must be over fractures of the Scull only contrafissures excepted Page 274. That Wounds of the Heart are made under the Breasts that in penetrating Wounds the Air rusheth out 254. That wounds of the liver happen alway on the right side page 304 and under the short Ribs and that blood and purulent matter is voided by stool that Wounds of the Stomach are made under the sternon 309. without considering that those parts may be wounded other waies as backward upward downward from within c. So that a Chirurgion confiding in those signs that he gives may be many times deceived In Prognosticks he not only errs most notoriously but contradicts himself and so confounds them and signs together as if he were as Ignorant in their distinctions as he is of their natures Page 55.266 He pronounceth wounds of the Lungs mortal if not suddenly or speedily yet after a tedious marasm or Tabes so he seems absolutely to presage of the liver page 304. Stomach page 309. Heart Bladder Small-Guts Diaphragma c. though examples to the contrary are frequently annexed and very common in the Authors he pretends to Write by Fallopius Writes of 〈◊〉 Woman shot through the Stomacâ— and cured and that he hath seeâ— abundance of the Lungs of whicâ— Schenkius also page 253. giveth a prodigious * See miscel curios decur 2. vol. 2. obs 37. Idem vol. 3. obs 189. Horstius obs 11. lib. 3. instance So of the Liver there are many wonderful Histories from the same Author page 397. Hildanus page 108.109 Sennertus pract lib. 5. part 4. cap. 3. And himself quotes a monstrous one from P. Forestus where he doubles the quantity of Rhubarb prescribed by that Author Page 132. He repeats what he had delivered in the preceding Chapter that wounds in the hinder part of the head are less dangerous than those in the forepart It s what Fallopius makes a very doubtful question its true the Temporal muscles are seated forward and hurts of them are very dangerous but within the Scull the occiput hath no advantage if it be true as some affirm that all meerly natural actions or motions as that of the Heart Lungs c. be performed by Nerves proceeding from the Cerebellum and what Bapt. Hamel hath written that upon dissecting living animals he found the motion not to cease upon cutting the brain but as soon as he hurted the Cerebellum all motion and life immediately vanished Page 180. He avoweth Hippocrates to be his cheifest guide and recommends him to his reader as the safest a great argument of his little experience ev'n in the case then before him for immediately he saith from him that in wounds of the brain there is a fever vomiting of choler loss of speech foaming at the mouth cloudiness in the sight delirium Convulsion Feaver vomiting of choler twice Palsey and lastly he correpted with an Apoplexy Mr. S. Wiseman relates that sometimes in those wounds the persons have remained long free from any such Symptom I had once a patient that was wounded a considerable depth into the brain and yet rowed above two Miles afterward in a Boat and was divers daies under cure before any of those accidents did appear But Sennertus gives an account of a Carpenter that by a wound lost as much brain as a walnut shell would contain and yet Toto morbi decursu nec de dolore capitis nec de ullo Symptomate conquestus est ambulare sine ullo impedimento potuit this is an aditional instance of our Authors skill in Diagnosticks as of his implicit and blind adhering to the opinions and Doctrines of the Ancients and the mistakes they lead him into as also of his being a stranger to this sort of practice I do not wonder at either of those but that he could not find this in any of the Authors he quotes nor ever heard of it is to me very strange since this and the like are in several of the Books listed in the beginning of his Can he be supposed a man of skill or experience that in so large a Book and a subject of such common practice is not able to produce one medicine or notion that 's his own or that 's uncommon nor the best or choice of those that are in every mans hand neither an observation putting aside that ridculous one of his arm for which he was allowed from the Chest at Catham that he hath not stoln or borrowed his Judgment and skill in Therapenticks and application of remedies you have already seen in his directing to an opiate pill for a purge and to melt sanguis draconis and other dry gumes for a plaister here he multiplyeth instances of the like nature directing to suppurate Ecchymosis speedily Page 75. 77. and giving a strange fomentation for that purpose made of Wormwood Sage Rhue Scordium Century Hypericon Scabios Speedwell Chammamel Cummin c. Boyled in Wine which are far from suppuratives and hinder that intention all of them resisting maturation rarify and discuss the homor or bloud extravasate which are faculties contrary to digestives or suppuratives Page 70. 103. And in many other places he mixeth large quantities of Myrrh Thus which resist maturation sang draconis myrtils and things which bind with digestives for a Wound page 73. he calls Chamamel Flowers hot and moist page 36. 101. he gives a very defective parcel of Instruments as the needful to extract extraneous bodies infinitely short not only of the variety many former Authors had given but are now used and in the hand of every understanding Artist page 112. the Scull being bare must be scaled or Raspt 113. moist things must not be used to Wounds of the Scull Page 142. He directs the teeth of the Trepan to be oyled when used which I know where he stole but I cannot omit to note it as a sign of his unskilfulness for the Scull in living persons is softer than they Imagine and apt to make that disturbing noise they would prevent thereby Moreover oyl is an enemy to the bones especially where revently divided begets caries fungus and the operation is made more tedious by rendring the teeth of the Instrument apt to slip over and make less and superficial Rasures of the Scull In his discourse of opening the Calvaria he makes no mention of excision so much better than Cruciats or any other manner and become the common way of laying â—are fractures of