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A06400 The whole course of chirurgerie wherein is briefly set downe the causes, signes, prognostications & curations of all sorts of tumors, wounds, vlcers, fractures, dislocations & all other diseases, vsually practiced by chirurgions, according to the opinion of all our auncient doctours in chirurgerie. Compiled by Peter Lowe Scotchman, Arellian, Doctor in the Facultie of Chirurgerie in Paris, and chirurgian ordinarie to the most victorious and christian King of Fraunce and Nauarre. Whereunto is annexed the presages of diuine Hippocrates. Lowe, Peter, ca. 1550-ca. 1612.; Hippocrates. Prognostics. English. aut 1597 (1597) STC 16869.5; ESTC S109645 196,926 302

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CO. What is melancholie LO It is an humor cold and drie thick in consistence sower tasted proper to nourish the parts that are cold and dry and is compared to the earth or winter CO. How many sortes of blood are there LO Two naturall and vnnaturall CO. How many wayes degendereth the blood from the naturall Lo. Two wayes first by some alteration or transmutation of the substance as when it becometh more grosse or more subtil than it should be or else by adustion when the most subtill becommeth in choller and the most grosse in melancholie secondly through vnnaturall proportion and euill mixion with the rest of the humors and then it taketh diuers names as for example if with the blood there bee abundance of pituit such is called Phlegmaticke if the choller exceede chollerick and so forth in the rest CO. How many sorts of phlegmies are there LO Two in like manner naturall and vnnaturall CO How many kindes of pi●●ite vnnaturall are there Lo. According to Galen there are foure sorts The first called vitrea because this humor is like vnto melted glasse it is colde and proceedeth of gluttonie and Idlenesse it prouoketh to vomit causeth great paine in the partes where it falles as on the teeth and Intestines The seconde is called the sweete phlegmie because in spitting of it it seemeth sweete it prouoketh the bodye to sleepe The thirde is called acide or bitter Phlegmie because in spitting it seemeth bitter it is colde and maketh the bodye hungrye The fourth is salte Phlegmie it maketh the bodye drye and thirstie There are some who make an other kinde called gipsei because of the forme and hardnesse it hath like lyme called gipsei it is often in the ioyntes and is reckoned vnder the vitrea CO. How many sorts of choll●r are there LO Two in like māner naturall and vnnaturall CO. Howe manye wayes becommeth the chollor vnnaturall LO Two wayes firste when it spilleth rotteth and is burnt and then it is called choll●r adust by putrifaction the other is made of the mixture of the other humors CO. Into howe manye kindes is it deuyded LO In foure as sayth Galen The first is called vitellin because of the coulor and thicke substaunce it is like the yolke of an egge it is ingendered in the liuer and the vaines when by the vnnaturall heate it dissipateth and consumeth The second is called verricuse because this coulor representeth a wart called Verruca The third is called erugmous because it is like the rust of Brasse or Copper called aerugo The fourth is called the blewe choller because it is ble●e like Azure These three last humors as sayth Galen are ingendred in the stomacke by the vicious meates of euill iuice which cannot be digested and conuerted into good iuice CO. How many sortes of melancholie is there LO Two naturall and adust CO. How many kinds of adust or vnnaturall are there LO Two the first is that whereof commeth the humor melancholicke which is like the lees of blood when it is verie hot and adust or by some hot feuer that the bloode it selfe doth putrifie as sayth Auicen and differeth from the naturall melancholie as the dregs of wine burnt from the vnburnt Galen sayth that humor which is like the lees of wine whē it becommeth more hot it ingendereth an humor against nature called atra bilis of the which no beast can tast The second kinde proceedeth of an humor chollericke the which by adustion is conuerted into diuers coulors at the laste into blacke coulor which is the worst of all CO. Knowing these foure humors and their generation we must knowe in like manner that in our bodies their is concoctiō therfore tell me how many kindes of concoction there are LO There are three as sayth Iohannes Bacchanellus The first is made in the stomacke which conuerteth the meate we eate into the substance called chile in the which the foure humors are not but potentially the second is done in the lyuer which maketh of the chile the masse sanguiner ●s sayth Galen The third is made through all the body of the which are ingēdered the foure humidyties which the Arabs call humors nourishing or elementaries as sayth Auicen The firste hath no name is thought to be the humor which droppeth from the mouth of the veines The second is called Ros the which after it is drunken into the substance of the bodie it maketh it humide whereof it taketh the name The thirde is called Cambium The fourth is called Gluten and is the proper humiditie of the similar partes CO. Haue not these humors certaine time in the which they raigne more then other in mans bodie LO Yes indeed for the blood raigneth in the morning from three hours vntill nine in like manner in the spring time The choller from nine in the morning vntill three in the afternoone as in Sommer the phlegme from three afternoone vntill nine at night as in autume the melancholie from nine at night vntill three in the morning like as in winter and this is the opinion of Hipocrates and Galen as touching the humors The seuenth Chapter of members partes CO. What call you members or partes LO Auicen speaking of members saith they are bodies ingendred of the first commixtion of humors CO. How many sortes of members are there LO Fiue of the which the first is called principalles the second are members that serue the principall members the third are members that neither gouerne nor are gouerned of others but by their owne proper vertues the fourth are members which haue proper vertues of themselues and also of others the fift is called members excrementals not proper members as others CO. Howe many principall members are there LO Foure to witte the braines the heart the liuer the testicles the first three are called principalles because by them all the bodie is gouerned and without them men can not liue the fourth which are the testicles is called principall because without them men can not be procreated as saith Galen CO. Which are those which serue the principall members LO The nerues serueth the braines the arters the heart the veines the liuer the instrumentes spermatickes the testicles by the nerues the spirit animall is carried through all the bodie the spirit vitall is carried by the arters the veines serue to carrie the bloud through all the bodie as also to bring the chiles to the liuer the instrumentes spermaticke for the bringing and casting foorth of the seede CO. Which are the members which neither gouerne nor are gouerned of others LO The bones the cartilages membranes glandes tendons ligamentes fattee simple flesh and so forth CO. Which are those which haue proper vertue of themselues and also of others LO The bellie the kidneis and the matrix CO. Which are the members called excrementous LO The nayles and the hayre CO. Are the members no otherwise deuided LO They
are deuided into parts similars and dissimilars CO. Which are the partes similars LO The bones nerues arters flesh and so forth and are so called because the lesse part of them hath the same name that the whole hath CO. Which are the partes dissimilars LO The eare the eye the legge hand foote c. CO. Why are they called dissimilars LO Because when they are deuided they loose the name of the whole as the membranes of the braines are not called the braines nor the membranes of the eye the eye and so forth in other dissimilar partes The eight Chapter of Vertues CO. What call you Vertues LO They are the cause whereof proceedeth the actions or powers as sayth Galen CO. Howe many vertues or faculties are there LO Three to witte animall vitall and naturall and those vertues haue a certayne simpathie one with another for if one be hurt all the rest suffer with it CO What is animall vertue LO It is that which commeth from the braines and sendeth the sense and moouing through all the bodye by the nerues CO. How many sortes of vertues animalles are there LO Three to witte motiue sensitiue and principall CO. Wherein consisteth the vertue motiue LO In the instrumentes that moue voluntarily as the muscles and nerues CO. Wherein consisteth the vertue sensitiue LO In the senses externe interne CO. Into how many is the vertue sensitiue externe deuided LO Into fiue seeing hearing tasting smelling feeling CO. What is the vertue sensitiue interior LO It is a vertue that correspondeth to the fiue externall vertues by one organe onely and therefore is called sense common CO. Wherein consisteth the vertue principall LO In imagination reasoning and remembring CO. May these three vertues be deuided seuerally one from another LO Yes because one may be offended without another which sheweth them to haue diuers seates in the braines particularly CO. What is the vertue vitall LO It is that which carrieth life through all the bodie CO. How many sorts of vitall vertues are there LO Two to witte vertue vitall actiue that is in doing operations and vertue vitall passiue in suffering operations CO What is the vertue actiue LO They are those vertues which dilateth the heart and arters as chaunceth in mirth and loue CO. What is vertue passiue LO They are those vertues which constraineth and bindeth the heart and arters as happeneth in melancholie sadnesse and reuenge CO. What is the vertue naturall LO It is that which commeth from the lyuer and sendeth the nourishment throughout all the body CO. Into how many is it deuided LO Into foure the first in attraction of thinges proper the second in retayning that which is drawne the thirde in digesting that which is retayned the fourth in expelling that which is hurtfull and offendeth CO. Doe all these foure vertues their operations at once LO No for first attraction is made then retayned vntill perfect digestion be made lastly vertue expulsiue casteth forth all thinges hurtfull to nature The ninth Chapter of actions and operations of vertues CO. What call you actions of vertues LO They are certaine affections or mouinges actiues proceeding of vertues CO. Howe many sortes are there LO Three like as of vertues animall naturall and vitall CO. Seeing the difference is not great betwixt vertues and operations of vertues it is superfluous for the present to insist further in that matter The tenth Chapter of spirites CO. What are spirites LO They are a substance subtill and aerious of our bodie bredde of the part most pure and thinne of the bloud sent through all the bodie to the effect the members may doe their proper actions CO. In what partes of our bodie abound they most LO As sayth Andreas de Lorraine they abound in the heart and arters in the braines and nerues CO. How many sorts of spirits are there LO Three animall vitall naturall CO. What is the spirit animall LO It is that which remaineth in the braines of the which a great parte is sent to the eyes by the nerues optickes some to the eares and diuers other partes but most to the eyes therefore those who haue lost their sight haue the other vertues more strong the which caused Democritus other Philosophers put out their eyes to the end their vnderstanding might be more cleare CO. Is the spirit animal brought through all the nerues substantially LO No but onely by the nerues optickes because they haue manifest hollownesse and not the rest CO. What is the spirit vitall LO It is that which is in the heart and arters and is made of the euaporation of the bloud and of the ayre laboured in the lights by the force of vitall heat and thereafter is diffused through the members for the conseruation of the naturall heate CO What is the spirite naturall LO It is that which is ingendred in the liuer and veines and there remaineth while the liuer maketh the bloud and other operations naturall the vse of it is to helpe the concoction The eleuenth Chapter of thinges annexed to naturall thinges CO. Seeing we haue amply discoursed of natural things and the number thereof it shall be needfull in this place to know how many things are annexed to naturall things LO Foure to wit age colour figure kinde CO. What is age LO It is aspes or parte of our life in the which our bodies are subiect to diuers many mutations CO. Thou knowest that all things which are created if they be materiall should haue an ende that there is nothing vnder the heauens except the soule of man but is subiect to corruption and chaunge as all philosophers doe graunt as Aristotle Hippocrates and Galen doe testifie and it is certaine that we from our birth are subiect to diuers alterations therefore tell me into how many diuers apparant mutations haue our auncients deuided the life of man LO In that there is found great controuersie for the Aegiptians and Pithagoreans were of the opinion that there were so many ages as there are signes in an hundreth yeeres thinking a man to liue onely a hundreth yeeres euery seuenth yeere we may perceaue some notable chaunge besides the particular chaunge in euery signe both in temperature of the bodie and manners of the minde The most part of our late writers are of the opion that the naturall course of our life endureth fine speciall mutations which they callages to wit Infancie adolescencie young age mans estate and olde age The infancie is hot and humide but the humiditie surpasseth the heate and lasteth from the houre of our birth till thirteene yeeres and is gouerned by the Moone as sayth Ptolomeus In this time a man is subiect to many griefes and diseases as feuer the flux Wormes in the bellie the stone aposthumes and such like The adolescencie is hot humide likewise but the heate beginneth to surpasse the humiditie the voice beginneth to growe great in men and the
perceiue by the authorities of Arist who saith the motion and perturbations of the minde bringeth great motions and mutations to the naturall heate In like maner Hipocrates and Galen shew that many die by the motions and perturbations of the minde for the perturbations of the minde either d●lateth or comprimeth the hart for the which the vitall spirites are either cast foorth by the dilatation of the heart or else contained by the great compression hereof among the which ioy hope loue bringeth the spirites outwardly sadnes and feare bringeth inwardly to the center in diuers maners as ye shal heare CO. How many such passions are there LO There are manye but here I will reckon those which are most common like as mirth sadnes feare anger shamefastnes enuie hatred hope loue CO. What is mirth LO It is an affection of the mind conceiued of a thing good and pleasant by the which the blood and spirits are sweetely spread for the present goodnes by the dilatation of the heart if it be great and last any space there often commeth death because the heart is destitute altogether of blood Arist reporteth of a woman named Policri●a that shee dyed for ioy also● Phillippides a writer of comedies being contending with an other and ouercomming his neighbour beyond his expectation dyed for ioy Valerius Maximus wr●teth of two women one Chilo● a Lacidemonian and Diagore a Rhodian that they dyed for ioy for the returne of their sonnes as also because they had ouercome their enemies in the warrs Gellius telleth of one Diagoras who when hee saw his three Sonnes Crowned at Olympus for their vertue dyed for ioy embracing them in the presence of the whole people These accidents happen oftner to women then to men because naturally they haue the hart more cold and fewer vitall spirites therefore the few spirits dissipateth soone and so dye In like manner faintharted men yet ioy moderatly vsed doth many good thinges in vs fi●st it refussitateth the spirit it helpeth the concoction and all the habitude of the bodie it fortifieth the vertues animall much laughing is hurtfull to young children CO. What is sadnesse LO It is an affection that reuoketh the naturall heat inwardly toward the center of the body but at great leisure it presseth the heart and drieth vp the bodie that hardly the spirit vitall can gouerne as before or if any be it is so feeble that it can not goe with the blood through the rest of the body so consumeth the body it becommeth atrophie and leane and causeth death Cicero writeth saying it were great good among men to liue without eating or drinking but it were a greater good if men could liue without melancholie because the meate we eate doth but corrupt the humors of our bodie but sadnesse and melancholie doth consume both flesh bones also gnaweth the entrailes of the which diuers die Plinie saith that one Petrus Rutillius after he knewe that his father had a repulse of his petitions died for sadnesse Also Marcus Lepidus after his wife was diuorced from him dyed In like manner Hely high Priest of the Iewes and diuers other which were too long to repeate Also Antonius Boneuenus de abditis morborum caus●s sayeth of a boy that dyed for feare by seeing of two men cladde in blacke in going to the stoole and so dyed 8. dayes after about the same houre as doe the most part CO. What is feare LO It is a motion that reuoketh the spirite to the center to the heart by the arters suddenly which suffocateth the naturall vitall heat it causeth trembling sometime the bellie looseth and death ensueth so I finde that feare maketh the same accidents that melancholie doth but grreater in short time it draweth the bloud and spirits to the heart the visage groweth pale the extremities cold with vniuersall trembling the voice is intercepted with great palpitation of the heart it being suffocated by the great aboundance of the bloud and spirites that it can not moue liberally Galen saith this passion hapneth oft to women and people of colde temperature Zenophon assureth that the great torments of feare is more vehement thē all present aduersities Diuers learned men haue affirmed that men haue growen white in 25. yeeres onely by the apprehensiō feare of death CO. What is anger LO It is a suddaine reuocation of the spirits to the externall parts with an appetite of reuenge or it is an ardent heat or ebul●sion of bloud done in the heart with desire of vengeance whereof come euill accidentes this inflameth the whole habitude of the body causeth feuer because by the inflamation of the heart the spirit and bloud are troubled likewise the braines and nerues of the which commeth Frenzie and diuers other accidents it bindeth the heart lightes CO. What is shamefastnesse LO It is a mouement of our body next to anger by the which one knowing and suspecting his owne fault would be angrie with himselfe seeing the iudgement of others in this passion the bloud returneth in suddeinly out so the cheekes become redsome dye Plinie saith that one Diodorus professor of Dialecticke hauing propounded to him a question and not answering it as he should dyed for shame Valerius maximus reporteth of Homere that he died for shame because he coulde not resolue a question propounded to him by fishers CO. What is Enuie LO It is a triste oppression of the heart angrie at the felicitie of some other man CO. What is hatred LO It is an old habitude malicious bredde of anger by the which the heart would reuenge the iniurie CO. What is hope LO It is a motion by the which the heart desireth the good future it openeth and dilateth it like as ioy for the present good CO. What is loue LO It is a feruent motion by the which the heart desireth ardently endeuoureth to draw to it a good assured and apparent not much different frō hope except the loue is more ardent The third Treatise of things altogether contrary to our nature which containeth three Chapters CO. Wee haue discoursed sufficiently of naturall things whereof our body is composed as also of vnnaturall things which may alter our bodies not being duely vsed here we intend to speake of thinge which are altogether contrarie to our nature and destroy it for the which cause Galen calleth them thinges contrarie to nature therefore let me know what things those are which are altogether contrarie to our nature how many they are in number LO They are three Maladie Cause of maladie and Accidents of maladie The first Chapter of Maladie CO. Seeing thou sayest that the first of the three thinges contrarie to nature is Maladie then tell me the definition thereof LO It is a disposition against nature that hurteth manifestly the operations of the bodie CO. Then tell mee what is health LO It is a constitution
to the partes as if it come in the face it is called noli me tangere if in the thighes or legges it is called lupus if in any other part it is called cancer The cure of this shal bee in the beginning to stay the melancholidke humor frō setling in the place and growing which must be done by fitte remedies to purge the melancholicke humor and by bleeding if the age and time permit then abstayne from all meates that ingender this humor and heate the bloud such as olde haires salt flesh harts goats spices mustard pottage cheese fishe and such like walke not much abstaine from great trauell sadnesse and anger vse meates that breede good bloud as mutton veale kiddes capons all sortes of fowles sauing water fowles drinke whay corroborate the liuer and milte As for locall remedies first if it waxe great and in fitte places some counsell to cut it in such sort that there remaine no roote but my opinion is not to doe such thinges but rather followe the counsell of Paul which is to take the iuice of morrell plantaine lettice and sorrell centorie shepheardes purse wette a cloth in these iuices and lay on it Also I haue often vsed the vrine of a young maid in the same fashion and oyle of roses veri●ce litage cerusse burnt leade diapalma of these ye may make fit remedies to keepe it in one estate correct gently the acrimonie of the humor If these things let not the augmentation of it we must goe to the cure of cankred vlcers in the treatise of vlcers and thus we ende the Treatise of tumors in generall THE FIFT TREATISE of Tumors in particular HAuing discoursed in the former Treatise of the causes signes and cure of Tumors most generall nowe in like māner we shal intreat of the Particular which happen in the most partes of our bodie beginning at the head which is the seat of reason memorie vnderstanding is subiect to many sorts of tumors whereof we will shew at length in this Treatise but specially of those which oftnest do happen beginning first with Hydrocephalie Physocephalie which occupieth the whole head thereafter with those Tumors which occupie certaine partes thereof as the eyes eares mouth nose and cheekes and so descend to other partes of the bodie in like māner to the feet extremities of the hands as ye shall heare which contayneth thirtie eight Chapters Chapter 1 Of Hydrocephalie and Physocephalie Chapter 2 Of the Tumor called Nodus or Ganglion Chapter 3 Of the Tumor in the eye called Lippitudo Chapter 4 Of the tumor in the eares Chapter 5 Of the Tumor called Parotidis Chapter 6 Of Tumors in the nose called Ozena Sac●oma Polypus Chapter 7 Of the Tumor in the mouth called Vula or Columella Chapter 8 Of the Tumors in the amigdalles called Tonsillae Chapter 9 Of the Tumor called Angina or Strangulatio Chapter 10 Of the Tumors in the teeth called Epulides Chapter 11 Of the Tumor vnder the toungue called Batrachos Chapter 12 Of the tumors in the necke called Struma Chapter 13 Of the Tumor in the throat called Bruncoseli Chapter 14 Of the tumor called Ane●●risma Chapter 15 Of the tumor in the Pappes Chapter 16 Of Pluresie Chapter 17 Of the tumor in thae Nauell called axunfalon Chapter 18 Of the tumor in the bellie called Hydropsie Chapter 19 Of the tumor in the fūdamēt called cōdiloma Chapter 20 Of the swelling of the veines in fundamēt called Hemorrhoides Chapter 21 Of the tumor in the intestinie called Exitus Longanonis Chapter 22 Of the tumor in the Coddes Chapter 23 Of Hernes in generall Chapter 24 Of the tumor inguinall called bubono●●el● Chapter 25 Of the herne called ●nterocele Chapter 36 Of the herne called Epipocele or Zeirbale Chapter 27 Of the herne called Hydrocele Chapter 28 Of the herne called Ventosa Chapter 29 Of the herne called Sarcoceli Chapter 30 Of the herne varicus called Cirsocele Chapter 31 Of the herne Humerall Chapter 32 Of the tumor in the Flancke called bubonecele Chapter 33 Of the tumor in the knees Chapter 34 Of the tumor in the legges called varicus Chapter 35 Of the tumor in the legges called dra●●culus Chapter 36 Of the tumor tn the legges or handes called Elephansiasis particularis Chapter 37 Of the tumor in the fingers called panaris or paren●chia Chapter 38 Of the tumor or hardues in the toes called Cornes The first Chapter of Hydrocephalie and physocephalie HYdrocephalie is a waterie humor which occupyeth the whole head and Physocephalie is a windie humor which doth the like these tumors are contained eythet betweene the pericrane and skin or betwixt the muscles or betwixt the pericran and crane or betwixt the crane mēbranes which couer the braines called dura mater pia mater but the tumor in this case is not great The cause is eyther internall or externall the internall commeth from the matrix and of the Mothers milke which is too waterie and such like foode as breede waterie humors The externall cause commeth of cold presently after the birth it hapeneth also through vnskilfulnes of Midwife as I haue sometimes seene which draweth presseth the childs head so much at the deliuerie that the veines and arters breake not being as yet strong so the blood sheddeth through the rest of the head and degendreth into water The signes are great tumor with deformitie of the head the eies face swelled as doth appeare in the Hydropicks The iudgementes are these such as are within the crane are incurable those that are betwixt the crane and pericrane or betwixt the pericrane and muscles may be cured As for the curation of the curable they are healed partly by diet and by vsing of things drying and abstayning from things humide also by externall remedies applied to the part that drie with some astriction and comfort the head which shal be done by liniments fomentations vnguentes made of calamint origan betonie camomill me●●ot anthos red roses also ye may make lessiues of the vine ashes also shaue the head and applie this emplaster following Rec olibani vnc 1. sarcacoll● drag 1. gummi arabici seminis raphani anethian 1. vnc di ole de spica parum cerae quantum sufficit fiat emplastrum If the humor be in great abundance or that the crane or membraines are offended we must vse incision and perforation of the crane thē eauc●ate the humor heale the woūd as in others There is yet a kinde of this called Macrocephalie which is a supernaturall greatnes of the Pan and flesh not properly tumor and receiueth no curatiō but is si●ldome seene one of this sort I saw in Paris of the quātity of a pot of 3. quarts The second Chapter of the tumors called Nodus or Ganglion which commeth in the head THese tumors are sometime hard otherwhiles soft alwayes round which chanceth for the
Those which are in the flesh not touching veines nerues nor arters in bodies well composed and where there are no great accidents nor in partes dangerous CO. Which are dangerous LO All those which are interne also in the membranes of the braines in the heart lightes lyuer Diaphragma and great intestins and those that are within three fingers to the iointes also woundes in the nerues which cause conuulsion for their communication with the braines those in the Esophag vines Ingulare in the flanck thighes betwixt the fingers and all those yet are without tumor all woundes in the head both great smal woūds that are depe made ouerthwart also some are difficill for the excellencie of the part being necessarie to all the bodie and life it selfe CO. Which are mortall LO All those in the substance of the braines heart lyuer midst of the lightes chist of the gall midst of the Diaphragme stomack milt kidneis small intestines bladder matrix trachearter and spinall medull Also those at the rootes of the emunctoires and noble partes in like manner in the veine ca●e descending or ascending the veine part great arter or in the back cause present death be reason of the great euacuatiō of the bloode and spirrits CO. Which aere the particuler signes whereby you know those partes to be mortall LO Euerie one hath a perticuler signe as if the braines or membrane thereof be hurt the blood commeth foorth by the nose by the eares with vomiting of choller voiding of the excrementes vnawares to the partie the face vgly to the sight the feeling dull and vnderstanding hurt the patient falleth into rauing convulsion within 3 or 4 daies We know the heart to be hurt when there cometh out quantitie of blood thick black chiefly if the right side be hurt if the left it is more red and subtill the pulse becometh weake variable the colour pale with vniuersall trembling casting a cold ill sauoured sweat the extremities wax cold often sounding and dieth shortly We knowe the Lights to be hurt when the sicke doth breath with difficultie voyding a spumous blood at the mouth and wound lying on the wounded side speaketh and not on the other side some raue the red colour and heate goeth to the visage in the end issueth quantitie of matter at the wound The Diaphragme being hurt the flancks retire close there is great weight on the part dolor in the rig back cough difficultie of breath with issue of a spumous blood at the wound as in the Lightes If the Liuer be hurt there cometh out great abundance of blood the flanckes retire towards the back the colour like death the eyes sinke in the head want of rest the vrine is bloody the excrements purulent the sick cometh to lie on the belly the dolor is pricking extending to the breast bone and ribbes in respiring he draweth in his shoulders and vomiteth choller Paulus Aegineta reporteth that one lobe of the Liuer may be hurt and yet death not follow of necessitie If the Milt be hurt the blood cometh forth black thick at the wound or left flanck which with the stomack waxeth hard there is great drought dolor in the furcilles as in the Liuer If the Kidneys be hurt the dolor descendeth to the roote of the thigh testicles there is difficultie of vrine pissing of blood sometime blood staieth within the sicke dieth all swollen If the Orifice of the stomack be hurt there ensueth vomiting of choller as also of that which is eaten presently the pulse is weake sweating the extremities cold The stomack and intestine ieiunū being hurt haue the same signes with the meat drinke issuing forth at the wound the flancks dolorous and hard the Patient voydeth choller at the mouth spitteth blood with great cold in the ext●mities The Spinall medull hurt the sicke becometh paraliticke in a conuulsion and looseth the feeling the inferior conduites are relaxed so voydeth the seed vrine or excrements If the Bladder be hurt there is great dolor aboue the yarde pissing of blood voyding of vrine at the wound vomiting of choller cold in the extremities If the Matrix be hurt the dolor doth communicate to the liskes haunches thighes the blood cometh forth partly by the wound partly by the nature some lose sence and reason and some speach haue the same accidents with those that are hurt in the heart If the Intestines be hurt there is great dolor with continuall voyding of the fecall matter at the wound CO. What is to be considered of the Chirurgian touching the Iudgement of wounbs LO First to know what part is hurt the nature thereof whether there be any or no hope of health knowing the parts that are easie to heale difficile mortall also the vsage actiō substance situation of the same likewise the figure of the wound actions that happen the temperature age sex region season constitution of the time Wounds in the nerues tēdons ioints bones without apparence of tumor are euil signes shew the humor to be brought to the noble part Wounds with fracture behinde are in danger of spa●me such being before are in danger of ra●ing frēsie I● convulsion happen in a wound chiefly after some great inflāmation it is for the most part mortall sheweth the parts neruous to be hurt Wounds in the head if after x. daies symptons do happen signifie abscesse in the liuer and likewise great desire of drinke signifieth the same Wounds that haue bled much if conuulsion ensue are dangerous as also all thrusts in nerues tendons the vnuoluntarie vomiting of choller whē the sick is hurt or the inflāmatiō lasteth is an euill signe CO. Vntill what time should we stay our Iudgement of woundes in the heade LO Vntill Fortie daies and some late writers till fifteene and twentie daies dayes after which time commeth often feuer and other euill accidents which chaunce often at full Moone and dyeth as I haue sometime noted CO. What time of the yeare is most expedient for curation of woundes LO The spring time when the weather is neither hot nor cold the Autume is euill for the moystnes of the ayte as also the cold winter which is enimie to vlcers and woundes in the membranes and bone as sayth Hyppocrates CO. Howe many pointes are there to bee obserued in curing of woundes LO Fiue first in ordring of vniuersall remedies regimēt of life aire which must bee hot and temperate the sicke must be nourished with litle meate and of light digestion some-what refrigeratiue if there be feare of feuer or inflamation which danger is most to be feared afore the 7. day abstayne from wine and all strong drinke except through losse of much blood the hart be faint supp lightly abstayn from women and all vehement passions of