Praeparata or Vena puppis may be cut sometimes the Temporal or Saphena In an Inflamation of the Eyes the Cephalica and if you desire to evacuate from the whole Body the Basilica or Mediana In a Quinsie the Ranina which must be but with a little Incision seeing we cannot scarce by any means stop the Flux of Blood and sometimes also the External Jugular In a Pleurisie the Basilica of the affected not opposite side here is requisite the greatest Circumspection for under it lies the Tendons of the Muscle Biceps and near it the Artery In anger fear or any Casualty c. the Mediana or Basilica In Chronick Diseases and quartane Fevers the Salvatella especially in the Full and New Moon In Women that lie in and in suppression of the Menses the Saphena In the Sciatica the Ischiatica CHAP. IX Of Arteries AN Artery is a Similar Spermatick Membranous round cavous Part joined every where to the Veins by the assistance of its Oscultations containing the Nutritious Blood with the Vital Spirit carrying it to all the Parts of the Body Difference is two-fold the great Artery or Aorta and Pulmoniack The great Artery comes from the left Ventricle of the Heart which except in the Brain and other softer parts every where else consists of a double Coat the outermost of which is of the thickness of the Veins but the inmost is five times thicker lest by continual pulsation about the hard and solid Parts it might incur an incurable Rupture It receives three Valves call'd Sigmoides looking outwardly Coming out of the Ventricle of the Heart with a great Orifice before it perforates the Pericardium it affords to the Heart it self the Coronary Artery when past the Pericardium it is divided into the Ascending and Descending Trunk The Ascending Trunk which is the lesser resting upon the Wind-pipe is separated into the two Subclavials from which being yet within the Breast proceeds 1. Intercostalis superior proper to the four upper Ribs 2. Mammaria to the Breasts 3. Cervicalis to the Muscles of the Neck 4. Carotis externa interna proper to the Larinx Tongue Neck Head and Brain When they have left the Thorax they are called Axillares and carry Nourishment to the outward part of the Breast 1 2. By the Thoracica superior inferior 3. By the Scapularis 4. By the Humeraria Then they approach the Arm where they accompany the Branches of Vena Cava and are call'd by the same name as they are The Descending Trunk which is the greater being yet within the Breast sends 1. The Intercostalis superior to the eight lower Ribs 2. The Phrenica to the Diaphragm and Pericardium Then having perforated the Diaphragm it communicates 1. The Coeliaca to the Stomach from which proceeds the Splenica and Gastro Epiploica dextra 2 3. Mesenterica superior inferior to the Mesentery 4. Emulgens to the Kidneys 5. Spermatica to the Testicles 6. Lumbaris to the Loins 7. Muscula superior to the Muscles of the Abdomen Then at length it is divided into the two Iliac Branches About this Division exhibiting 1. Muscula superior 2. Epigastrica 3. Hypogastrica 4. Umbilicalis 5. Pudenda Out of the Abdomen they change their names and are call'd Crurales and so they descend into the Feet and all along accompanied with the Veins from whom they borrow their Names Use is to carry the nutritious Blood with the Vital Spirit into all parts Arteria Pulmonalis which the Ancients did falsly call Vena Arteriosa seeing it hath Pulsation is made up of a double Coat and contains the Nutrious Blood issuing out of the left Ventriticle of the Heart with a double Branch enters the Lungs and is distributed through them by many little Branches carrying to them the Nutritious Blood And then what in the Blood is not sufficiently concocted into the Pulmoniack Vein by whose means 't is returned into the left Ventricle of the Heart It hath three Valves called Sigmoides which look outward lest the Blood that having entred it should slide back again into the Ventricle of the Heart It s Use is to convey the Blood out of the right Ventricle of the Heart into the Lungs by which they are nourished and what remains above then serves for their Nutriment is brought back again by the Pulmoniack Vein into the left Ventricle of the Heart Here it pleaseth the curious Observers of Anatomy to take notice of besides the eleven Valves which we have declared to be disposed in the four already named Vessels that many others are found in the Heart which as yet want any certain name Chirurgical Consideration In an Haemorrage of the Nose the Blood flows from the Arteries not Veins which not only the colour of the Blood witnesseth but also the great weakness which always follows such a Flux I use to stay it after this manner First let a Vein be opened then let there be applied in Men to the Testicles in Women to the Hypogastrium a Linnen Cloth four double wet in cold water or let the Face of the Patient be suddenly sprinkled with cold Water Internally let there be exhibited now and then a spoonful of the following Mixture Take Plantain-water two ounces and an half Alexipharmick-water half an ounce Cinamon-water three drams Confection of Hyacinth half a dram Dragons Blood Lapis Haematitis of each fifteen grains Julep of Roses an ounce Laudanum Opiat two grains Spirit of Vitriol six drops Mix them The following Water is also commended Take Lapis Prunella half an ounce Plantain-water six ounces let it be divided into three Doses The manner of opening Arteâ—ies delivered by the Ancients is so dangerous and frightful as that there is none of the Moderns but what dislike it yea Arteriotomy hath been wholly rejected had not the Diligence of their Posterity found out other ways That which I with others have found always to be the best of them I will here set down Chirurgeons were wont to tie a Bandage about the Neck but seeing when it is hard bound it is very troublesome it is better that the Ligature be made under the Arm-pits which must be so straight that the Jugular Veins and Carotide Artery may appear both by swelling and touch then let the Arteries be compressed by the Thumb a little below where you intend to make the Incision and being opened which must be done by a steddy and strong hand take forth as much Blood as is sufficient which done strew Astringent Powder upon the Wound then put over it a double Linnen Cloth with a Plate of Lead then bind it up with a convenient Bandage and within five or six days space it will be perfectly well In the Head-ach Madness Epilepsie great Inflamations of the Eyes or Ears the Arteries of the Forehead Temples or those behind the Ears are opened as also the Arteria puppis all of them being branches of the external Carotide In the Inflammations of the Liver and Diaphragm the Artery between the
be purified and in some manner concocted in which its operation that the Blood may be rendred more perfect 't is carried to the Heart especially when by reason of its continual and necessary Pulsation the Blood cannot remain long in the Heart and for this reason I judge the whole Blood must needs be moved about with a circular motion The Blood made in the Liver as is declared but now in the eighth Chapter enters the Vena Cava and from thence into the Heart And thus the Royal Liver at the same time when Kings are taken away may yet use a limited power and may remain with honour in its own Kingdom But what shall we do with the Melancholick Spleen which makes many laugh It hath many accusers and not fewer excusers 1. It was never accounted by Hippocrates the Learned Greek a receptacle of the Excrements or is it any where to be found in him that he call'd the Spleen another Liver 2. The great number of Veins and Arteries and so by consequence the abundance of Vital Spirits do not permit the Excrements to be collected here 3. It hath not any convenient Cavity wherein the Melancholy Faeculent Juice can be received 4. And if you imagine that there is no necessity here of a Cavity its Parenchyma is too thick and not porous enough therefore unfit for the reception of so thick a Humor which also is never naturally found in it 5. It is too great a Bowel to perform so vile an Office 6. In dead men where Melancholiness hath been the cause of their death upon the examination of the Internal parts there none of them less recede from its natural state than the Spleen the Heart only excepted whom the Vital Spirits do so greatly defend that it is less affected than other parts which seldom happen to the Intestines Kidneys Gall and Bladder What is therefore its Use It elaborates the Acid Humor which is very necessary but not Excrementitious and mingles it as a Ferment with the Blood by which it becomes more perfect and fitter for Circulation In my judgment the Salt of the Blood affords matter to this Humor which it greatly requires that it may not be corrupted but this Salt which proceeds from the Meat and drink is never so pure but that it hath need to be brought to a more perfect state in our Body But this is my Opinion The Supremest of the Kings is the Heart to this are two others subject the Liver and Spleen I beseech you give me leave to make use of this Similitude in favour of the Ancients the Heart makes the Blood the Liver repeats the Concoction and separates the Choler the Spleen from its own Salt by an innate vigor produceth an Acid Humor which as a Ferment by the Venal Splenic Branch it mixeth with the Blood to render it the perfecter and the more fit for Circulation if any Excrementitious part should be there separated it is all by the Caeliack Artery and the Haemorrhodal Vessels sent to the Guts If it appears to any one to be a contradictory that by Salt a Humor should be made Acid we advise that person to taste some Spirit of Salt About sixteen years since the great Anatomist Franciscus Sylvius put forth some particular things concerning the use of the Spleen he was of opinion that the Blood was not made in the Ventricles of the Heart neither that it was carried from the Heart by the Arteries to all the parts of the Body for nourishment-sake alone but that it likewise underwent some other Mutation in the rest of the Viscera's particularly that the Spleen further concocts the Arterial Blood and brings it to a higher degree yea that it more then perfects it so that the Blood in a manner in this place assumes the nature of Ferment by whose means in a short time a great quantity of Mass may become acid in the same manner he affirms that the Blood more and more concocted in the Spleen there receives strength by which it restores the returned and weakned Blood and preparing together with it the Chile that it may the sooner be turned into Blood The Reasons which he produceth for it are these 1. The Spleen receives a much greater quantity of Blood from the Heart than is necessary for its nourishment 2. That it can be returned back again to the Heart by no other way than by the Branches of the Vena Cava and Porta for what hath hitherto been delivered of the short Vessel are to be accounted but ridiculous Fictions as may most evidently be made appear in dissected Bodies 3. Seeing this Blood is continually mix'd with the returned Blood and Chile in its passage to the Heart it ought not to be an Excrement for so the Noble Parts and the whole Body would not be purged but the more injured 4. Chymistry hath long since taught us that such mutations happen daily in Nature The Remaining Part of the Blood unuseful to the Body therefore Excrementious is thrown out through the Guts Ureters and Parts of the Skin c. concerning which it is not necessary to add more here but now we are forced to describe those new watry passages which the studious in Anatomy have long and diligently inquired into The watery passages the Lymphatick Vessels have their rise both from the Liver and from the Joints and receive the liquid Juice from the Arteries with which they correspond Those which come from the Liver embrace the Vena Porta and so pass to the Misaraick Glandules of the Chile as do those also that ascend from the Feet thence they discharge their Water into the great Lacteal Vein which as we have already declared carries the Chile to the Heart Those which proceed from the Arm both lie above and under the Veins until they come to the Subclavial Vein which they enter about the same place where the great Lacteal Vein doth being furnished with a particular Valve just at their entrance and so altogether they carry the Water to the Heart This Water is Sweet not being as Urine is Salt These Vessels consist of a very thin Tunicle whence they are soon broke Use of them in my opinion is to take the superfluous Water from the Arteries and carry it to the Glandules of the Chile and Lacteal Vein by which the Chile being made more Liquid may the more conveniently be conveyed through the narrower passages thence to return the same to the Arterial Blood making it fitting to serve to the nutrition of the moist parts and to the cooling and moistening of the hot But that it may the more clearly appear in what manner I conceive how what hath already been said is perform'd in our Body observe that the Meat is converted in the Stomach into Chile to which part of the Drink is mingled this mixture is carried through the Glandules of the Chile and the great Lacteal Vein into the Heart where it is changed into Blood which is by means of
the Arteries to be conveyed through the whole Body every part of this Blood nourisheth those parts which are of the like temperament with it self the Hot part of it nourisheth the Hot the Dry the Dry the Moist the Moist c. that which is here not well concocted must be brought back again to be perfected Why we say that the Veins are not sufficient and the passages not commodious enough to perform the same whose Office we know is to bring back to the Heart the Blood not sufficiently concocted the Reason is that the Water always remaining in the Vessels rendered the Blood too thin so deprived it of its natural consistence and strength From all those so clearly and distinctly laid down it sufficiently appears what the CIRCULATION OF THE BLOOD is to wit a continual motion of the Blood out of the Arteries into the Vena Cava and Porta to the Liver and Heart that in them it may be fitted for the Nutrition and the life of the whole Body Out of the subtilest part of the Blood are the SPIRITS produced which are two-fold 1. Vital which begotten in the Heart carry life to the parts of the Body 2. Animal who out of the Vitals elaborated in the Brain impart Sense and Motion to the Body The Natural at the same time that the Circulation of the Blood was found out vanished Chirurgical Considerations 1. The Ductus Salivales when the string of the Tongue is to be cut or the Ranine Vein to be opened or any other Disease of the Tongue that is to be cured by Manual Operation warn you to have great care of those little Glandules in which they end that they might not be hurt with the Launcet lest there follow a continual spitting The great Glandule also of the Neck from whence these Ductus's take their rise when it is inflamed admits not of the use of Mercury for from hence a dangerous Salivation may very easily be raised 2. The Lacteal Veins either the greater or the lesser are oftentimes from a Contusion or Wound so greviously hurt that they cannot carry the Chile to the Heart and though the wound be cured with great diligence care and speed yet the Patient will fall into a Consumption whence follows Death inevitably This Truth will defend Chirurgeons from many Calumnies In Children and older People is often perceiv'd an induration and inflamation of the Abdomen the cause of which is the hardness of the Mesaraic Glandules which allow not passage for the Chile to the great Lecteal Vein except the very thinnest of it whence the flesh of the Muscles wasts the Body becomes heavy and weary and at length a Feaver and a wasting of the whole Body This evil I use to remedy without any great trouble with this External Liniment Take compound Oyntment of Marshmallows Ointment of Sow-bread of Martiaton of each two drams Oyl of white Lillies of Camomile of each three drams Mix it into an Ointment Inwardly the following Troches are excellent being continually used the whole time of the Cure Take prepared Steel prepared Crabs-Eyes of each a scruple Vitriolated Tartar half a dram Sal Prunella xvj grains Species Aromatici Rosati a scruple white Sugar two ounces Make them into Troches according to Art In this case Purging is not to be used but with Cassia Cream of Tartar and Laxative Syrups for the Glandules will not bear strong Purges 3. The Blood taken out upon the opening a Vein oftentimes after some few hours space appears very dry and destitute of all Serum which for the most part is ascrib'd to its too great Heat and Adustion but this Argument is very invalid for if the same day the same or another Vein be again opened there will be found a great quantity of Serum in the Blood therefore the true Cause is to be deduc'd from the Circulation of the Blood but especially in the Lymphatick Vessels which at that time draws the Serum and Humidity and so leaves the Blood dry It very often also happens that the Body becomes Tumid Turgid and Languid upon which the fearful Physitian forthwith pronounces nought but dangers When with the use of Internal and External Sudorificks the Patient in a short time may be cured The Cause of this Disease is not from the intemperature and debility of those parts the Ancients call'd Noble for it may easily be distinguished from the Dropsie which these parts occasion for although the sick persons are very dull and weary yet are they not anxious but breath free and the Belly swells not much In the Face and Joynts especially is a watry Matter collected but if the swell'd parts are compressed by the Finger we perceive much less Serum to be contained in the parts than in a true Dropsie from whence those that understand not the true Cause are wont to ascribe this Inflammation to wind But the Lymphatick Vessels when comprest broke or by any other way obstructed so that the natural motion of the Lympha is hindred occasions this evil 1. The Circulation of the Blood requires all venomous and deprav'd Humors which are thrown out either by Nature it self or that outwardly happen to the Body at the very first instant forthwith to be expelled out of the Glandules and the Skin by the means of attractive Medicines lest that the whole Blood in a very short time be infected and the Heart it self opprest and suffer under it The which doth sufficiently declare how dangerous it is to open a Vein and to purge in a Venereal and Pestilential Bubo nay in all venomous Wounds as on the contrary how necessary it is to cast forth the offending matter by the use of Sudorifick and Attracting Medicines As moreover how that the invention of the Circulation of the Blood is of very great use in the Art of Physick CHAP. XV. The Division of the Body MAn's Body is most conveniently divided into the Venters or Regions and Joynts There are three Venters 1. The Head or the supream Region or Cavity to it is joined the Neck which is its prop. 2. The Thorax Breast or middle Region 3. The Abdomen lower Belly or lower Region The Joynts are the two Arms and the two Legs Chirurgical Considerations We divide the Body after this manner that it may be known what place each part of the Body ought to keep to those that read the following every thing will become more manifest But there is so great consent of all the Parts so great concord that no part may be by it self consider'd without a consideration of the whole therefore I think it necessary that in a few words the foundation of this mutual consent be here declar'd 1. In every part is required a natural temper for the Liver being too hot the Stomach too cold the Brain too dry c. the whole Body must be out of order 2. A sufficient number for in the Hand if the least Bone Tendon or Artery c. be wanting forthwith its
Medicines thou canst be Master of to drive out the poyson if thou wilt save thy life I never found any thing that was considerable done in the Plague by means of Purging and Bleeding but rather on the contrary all those that had Spots if they were Purged or let Blood soon after died However I will prescribe nothing magisterially to any man let every one endeavour to do what he can give a good account of I have together with my Collegues treated many hundreds in our Hospitals infected with the Plague without ever opening a Vein and yet we have by Gods blessing recovered near 600 persons besides those that by the same mercy we have cured in their several Houses Now to procure sweat in the very beginning take the quantity of two Hasel-nuts of Treacle dissolve it in common Vinegar but if thou canst have a cordial Acetum made of Rosemary Lavender Elder-blossoms Rue Roses or Elder-berries use it much rather and give it the Patient to sweat Or take the roots of Celondine boyl them in Vinegar and dissolve some Treacle in it Or take Carduus benedictus Rue Petasites or Butter-burr a little Angelica Zedoaria or Saxifrage-roots boyl them together in half White-wine and half Vinegar or only Water dissolve a little Treacle or Mithridate in it and let the Patient take it warm to make him sweat Mithridate hath the like virtue with Treacle yet neither of them are safe to take for Women with Child old Persons and young Children You may also make use to good purpose of the Saxon-powder taking of it the weight of a Ducat in Caduus benedictus Scabius or Sorrel-water which Powder is thus to be prepared Take Valerian half an ounce Celondine or Nettel-roots of each one ounce Polypody Althaea or Marchmallow wild Angelica of each two ounces of garden Angelica four ounces of the rind of Laureola or Lowry an ounce and an half These roots are to be dug up in their best strength viz. between the middle of August and the middle of September and being cleansed they are to be cut small and then put in a glazed pot pouring a sharp Vinegar upon it so as to cover it two inches high Then lute on the cover with a lute made of whites of Eggs and Flower let all be boiled upon a gentle fire then pour off the liquor and dry the roots and reduce them to powder mixing with it some 26 berries of Herbe Paris or One-Berrie which look like Pepper-corns very good against poison and thus the powder is made This herb grows in shadowed and moderately moist places I have found of it several times in Koshinger-wood near Ingolstad It hath four leaves on one stalk and one berry on the top An herb belonging to the family of Solanum's or Night shades whence the leaves of it do very much cool Inflammations especially those of the Eyes when laid upon them Take notice of Sorrel bruise some of it and pour Vinegar on 't the Rue acetum is the best and strain the juice through a cloth put into it a little powder of Angelica about the weight of half a Ducat or of the root of Dictam or of Butter-burr or a little Treacle or Mithridate and give it to sweat On this occasion of mentioning Dictam I must add that in our Countrey there grows only the white Dictam which is among others an excellent Antidote but you must take of it the double quantity and weight to that of Creta You may boil of the root of half an ounce in half White-wine and half Vinegar or instead of the Wine in Carduus benedictus water and drink of the Decoction warm and put your self to sweat or take of the powder of it a drachm and an half in warm broth with a little Vinegar for the same purpose The Dictam of Creta hath hairy leaves and purpureous blossoms and is used in the prepation of Treacle This herb by its odour drives away Serpents The wild Goats being hurt by any Arrows eat this herb and 't is said that by this means the Arrows fall out of the wound This perhaps hath no other ground than that of the Poet Virgil affirming that Venus with this herb healed her Son Aeneas when wounded in the War His words are Aeneid 12. Hic Venus indigno nati concussa dolore Dictamnum genitrix Cretaea carpit ab Ida Puberibus caulem foliis flore comantem Purpureo non illa feris incognita Capris Gramina cum tergo volucres haesere sagittae About this time came in the Hungarian Infection which was a Disease that bred such a a putrefaction in the bodies of Men that even when they were near death they fell a vomiting but that with such a stench that no body could endure it Here those Medicines do well that preserve the body from putrefaction for the Plague Spotted Fevers and the Hungarian Distemper proceed all from inward corruption And of them the Plague attacks the Spirits residing in the Heart and so killeth very quickly whereas Spotted Fevers have their seat in the Blood and therefore do last twelve fourteen and sometimes twenty days before they kill But the Hungarian Disease is seated chiefly in the putrified Phlegm of the Head and Brains whence those that labour under it are tormented with great and maniacal head-ach But though these three Diseases have their rise from one and the same cause Putrefaction and are to be cured by the same remedies yet is therein required the discretion of a prudent Physitian for the ordering and prescribing of Medicines according to circumstances Take a drachm of Zedoary give it pulverised to the Patient in Acetum of Rue or Elder or Marrigold flowers or even in common Vinegar Let him sweat upon it 'T is good against all sorts of venom and causeth a sweet breath as resisting inward corruption In the Apothecary Shops you find an Electuary called Diascordium found by that famous Physician Hieronymus Fracastorius It is like to Treacle and Mithridate only 't is red from some Ingredients giving it that colour This may be used with safety by Women with Child young Children and all sorts of Persons whereas as was said above Treacle and Mithridate may not It is made chiefly of Scordium or Water-Germander which hath the smell of Leek when bruised Galen in his first Book De Antidotis Chap. 12. writeth that when in a great Battel some slain Bodies chanced to fall upon this Herb they rotted not as far as they were touched by this Herb. The said Fracastorius did compound this his Diascordium out of this Herb Scordium Tormentil Serpentaria Gentian Bole Armeniac and Terra Sigillata and such like Ingredients It is chiefly to be used in the hot Diseases of the Head which I have done many a hundred times Take of it the weight of about two ducats in common Vinegar or in Elder-water or rather in the expressed Juyce of fresh Sorrel and sweat upon it 'T is very good especially in the
Respiration Difference 'T is divided into three species the first is called Cynanthe when the Muscles of the Larinx are inflamed the Symptoms here are very dangerous although neither internally nor externally appear any Tumor the Patient puts forth his Tongue like a tired Dog to fetch his breath Second is Synanche when the Tumor shews it self within the Jaws the Symptoms are likewise here great but much less than in Cynanthe Third is Parasynanche when the Tumor appears more Externally than Internally and in this the Symptomes are least of all Cause is Blood for the most part mixt with Serum or Choler seldom with Phlegm or Melancholy Signs of an approaching Quinsie are a stiffness of the Neck swallowing and breathing somewhat hindred an unusual heat and pain in the Jaws especially when Quinsies are Epidemick Signs of a present are a suffocating Asthma swallowing hindred which often increaseth to so great a heighth that Drink taken in at the Mouth comes forth again through the Nostrils Pain Redness Tumor for the most part also a continual Fever the Tongue likewise swell'd and the Voice altered Prognostick A perfect Quinsie never wants danger but sometimes suffocates the Patient the first day generally before the fourth If the Matter be not suddenly concocted and thrown forth it is desperate if the Vertebraes be laxated death is near at hand foaming at mouth is a sign of present death if the Patient be taken with a pain of the Head a Delirium raving and death it self suddenly follows Cure Bleeding in this case effects much both by taking away of the Inflammation and by hindering its increase which is to be performed at first sight therefore let the Median or Cephalick Vein of the side most affected be opened though in Women with Child then the Vein under the Tongue Cupping Glasses with Scarification may also be applied to the Neck about the second Verrebra Shoulders and Breast Leeches Cauteries and Blisters do much good especially in them that are Subject to Quinsie In the mean time if the Patient can swallow let some purging Medicines be given him if not let a Clister be cast in with Bleeding which must be often reiterated as occasion requires Gargarisms then and other External Medicines are to be used which in the beginning are to be more Repelling afterwards more Discussing for Experience and best Authors have taught 1. Repellents never are to be used alone except in the beginning and in a light Quinsie 2. That Repellents ought always to be mixt with Resolvents for Repellents destroy the heat of the Part Resolvents cause Fluxion Medicines in a Quinsie Roots of Marsh-mallows Liquoras Herbs Comfrey Myrtle Prunella Dandelion Scabious Plantain Housleek the greater Sage Alehoof Violets Flowers of Balaustians Red Roses Saffron the four cold Seeds Poppy the Rinds and Juice of Pomegranates Figs Album Graecum Burnt-Swallows Burnt-Allom Swallows Nests Syrups of Maidenhair Violets Purslane Jujubies Scabious Lungwort Honey of Roses Rob. Diamori A Repellent Gargarism Take Flowers of Red-Roses Balaustians of each two pugils Pomegranate-Rinds half an ounce Oak-leaves a handful Burnt-Allom half a dram Boil them in Smith's Water and add to a pint of the Liquor two ounces of Rob. Diamori Mix them Another very convenient in the beginning of the Disease Take leaves of Dandelion two handfuls Alehoof Violets of each half an handful boil them in Barley-water and to a point of the strained Liquor add of common Honey of Roses and strained of each an ounce and half Spirit of Vitriol 15 drops Mix them A Repellent and somewhat Discussive Gargarism Take Liquoras Pomegranate-Rinds of each two drams Balaustia Flowers a pugil Jujubies No. xij Figs No. iij. Raisins six drams boil them in Barley-water To a pint of the Decoction add of common and strained Honey of Roses Syrup of Maiden-hair of each an ounce Mix them A Gargarism greatly Repelling but strongly Discussing Take the Roots of Dwarf Elder Orrise of each two drams Flowers of Camomil a pugil Red-Roses Hysop of each two pugils Dates No. iij. Figs No. vj. Fenugreek-seeds two drams Album Graecum one dram Boil them in Turnep-Broth Add to it Syrup of Maiden-hair and Jujubies of each an ounce Mix them If the pain be very great boil them in new Milk chiefly in Goats External Medecines for a Quinsie Oyl of Nuts White-Lillies Almonds Camomile Dill Capons-grease Hoggs-grease Ointment of Marsh-mallows Plaister of Musilages Dogs and Pigeons-Dung Swallows-Nests Take Roots of Marsh-Mallows White-Lillies of each an ounce one Swallows Nest Figs Dates of each No. iij. Album Graecum half an ounce Boil'd Onions half an ounce Boil them in Barley-water and to a point of the strained Liquor add of Wheat-meal and the Powder of Lin-seed of each an ounce Fenugreek and Marsh-mallows powdered of each two ounces and a half Yolks of two Eggs Eastern Saffron two drams Oyl of Camomile two ounces and a half Make it into a Cataplasm Take Juice of Onions two ounces Oyl of white-Lillies Orise of each an ounce and half boil them a little adding to them of Swallows-Nest a dram Pitch and Wax as much as sufficeth to make it into a Plaister But if the Tumor tends to Suppuration 't is to be forwarded and then to be opened either by Medicines or Launcet A Suppurating Cataplasm Take Roots of Briony white-Lillies Orrise of each three drams Leaves of Pellitory of the Wall a handful Camomile-Flowers half a handful Onions an ounce Figs No. xij Boil them and bruise them adding of the Powder of Fenugreek-seed and Lin-seed of each two ounces Hens grease an ounce Oyl of Camomile two ounces Mix them A Suppurating Gargarism Take Roots of white-Lillies and Liquoras of each three drams Onions half an ounce Raisins stoned an ounce Figs No. vj. Lin-seed and Fenugreek of each two drams Leaves of Mallows and Coleworts of each half a handful boil them in Barley-water and to a pint of the strained Liquor add of Syrup of Maiden-hair two ounces Mix them And to make the Abscess break add to this Gargarism Take Mustard-seed two drams Roots of Pollitory of Spain powdered one dram Saffron a scruple Oximel simple an ounce Mix them But if it doth not forthwith break by these Medicines 't is to be opened by a Launcet or some other Instrument afterwards using Emollient Gargarismes and somewhat abstersive The end of the first Book of the second Part. BARBETTY'S CHIRURGERY The Second Book of the Second Part Of CHIRURGERY Of Wounds CHAP. I. Of the Nature Differences Causes and Signs of Wounds A Wound is a Solution of continuity in the soft parts of the Body from a hard Instrument causing an Abolition or Immination of Action Differences are taken 1. From the Form some are long others oblique some are little others great some are deep others superficial 2. From the wounded Part as the Head Lungs Heart Stomach Liver Spleen Guts Nerve Tendon Vein or Muscle sometimes the Skin is only penetrated then 't is a simple Wound sometimes a Part
Amber Mastick of each a dram Turpentine half an ounce Euphorbium a dram Ung. Aegyptiacum half an ounce yolks of one Egg Oyl of Elders as much as is sufficient Saffron a scruple Make it into an Ointment Another more excellent than the former and which likewise resists Putrefaction Take Tar Turpentine Galbanum of each two ounces Mastick Frankincense Nitre Sal Armoniack of each an ounce Allom half a dram Verdigrease white Vitriol Camphire Powder of Worms of each a dram Oyl of Lin seed Roses of each two ounces Oyl of Worms and Turpentine of each a dram Molax them with a gentle Fire and make them into an Ointment If the Nerve hinder not in a great putrefaction there may be added some Precipitated Mercury An Anodine Plaister Take Bean-meal Crums of brown-Bread of each two drams let them be put in Milk adding to them Oyl of Roses Violets of each an ounce Yolks of Eggs No. iij. Powder of Red Roses Scordium of each an ounce and half Wax as much as sufficeth Make it into a Plaister An Anodine Cataplasm Take Roots of Marshmallows Comfrey the greater of each an ounce Flowers of Camomil Melilot St. John's wort of each half a handful Tops of Wormwood two pugils boil them in Milk adding to them of the Meal of Marshmallow-roots and Beans of each an ounce and an half Make it into a Poultice If the Wound be quite through a Tent must be put into both Orifices for a Flamula is inconvenient and hurtful At first dressing it once a day is sufficient for in Wounds made by Gun-shot there seldom appears any Matter before the third or fourth day after this the quantity or acrimony of the Matter will guide you best whether it is to be drest once twice or thrice a day CHAP. X. Of Poysoned Wounds POysoned Wounds are made sometimes by Bullets Arrows Swords and other Instruments sometimes by mad Beasts as Dogs Wolves which hurt more by their venomous quality than by wounding Signs are vehement pain a livid Colour suddenly becoming black Symptoms more grievous than for the quality of the Wound a Heat over the whole Body Trembling Delirium Fainting c. Prognosticks A poysoned Wound though little may bring death especially if near to the Heart or any other Noble Part or the Chirurgeon not call'd soon enough Cure consists chiefly in this that the Venom be drawn forth by Cupping glasses attractive Medicines Scarifications or which is safest by an actual Cautery but then it must not be in a Nervous Part the Escar to be forthwith removed and the Wound to be cured by degrees Inwardly Sudorificks and Cordials profit Bleeding and Purging hurt A Plaister that draws forth the Poyson out of the Wound and corroborates the Part. Take boiled Onions three ounces Treacle half an ounce Goats dung an ounce Angelica-Roots in Powder a dram and half Oyl of Scorpions an ounce and half Honey and Wax as much as is sufficient to make it into a Plaister That corroborates the Part extracts the Venom produceth Matter and incarns the Wound Take Gums Galbanum Sagapenum Opoponax Assa Foetida Mirtle Pepper Brimstone of each six drams Pigeons and Ducks-dung of each an ounce Mummy half an ounce the great Comfrey-Roots powdered three drams Oyl of St. John's-wort as much as sufficeth to make it into a Plaister CHAP. XI Of particular Wounds IN Wounds of the Head where the Pericranium is hurt a stitch either by Needle or Plaister is not convenient fat things hurt but comforting and drying profit much Take Mastick Myrrhe Aloes Sarcocols of each half a dram Dragons-blood two scruples Bole a scruple Venice-Turpentine two ounces Honey of Roses a little Make it into a Plaister Wounds of the Brain are accompanied with pain of the Meninges and a great Flux of Blood to which succeeds other Symptoms and for the most part Death it self Oyl of Roses applied warm greatly easeth pain and fresh Pigeons-blood effects the same In an Haemorage Take Myrrhe Aloes Mastick Dragons-blood Rhubarb Red Coral prepared Hares hair cut small of each a dram Make it into a very a fine Powder Wounds of the Face are not to be stitcht but always care is to be taken that the Scars may not render it deformed In Wounds of the Eyes you must abstain from all Unctious things The sound Eye is to be bound as well as the whole The Head must be placed upright if there be a Flux of Blood the following things are convenient The Blood of Turtles Pigeons Hens Mucilage of the seeds of Fleawort of Quinces Tragacanth Bloodstone Ceruse Tutty Frankincense Aloes the white of an Egg Water of Roses and Plantain Decoction of Balaustians Red Roses Galls c. Take white Troches of Rasis prepared Tutty Aloes Powdered of each half a scruple Red-wine an ounce Red Rose water and Plantain of each two ounces Mucilage of the seeds of Fleawort Tragacanth of each a dram Make a Collyrium In pain Womans-milk fresh is good or the above described Collyrium adding to it half a scruple of Opium and applying over it this Cataplasm Take of rotten Apples two ounces Flowers of Linseed half an ounce Mucilage Seeds of Flea wort two drams crude Opium half a dram Yolks of Eggs as much as is sufficient to make it into a Cataplasm A part of the Nose quite cut off never unites again although the Wound be but just made but if it adheres still to the Body 't is to be stitched to it with a Needle Wounds of the Ears and Lips find greater benefit from the Needle than from Ligature Wounds of the Lungs require comforting and drying Medicines sharp being here very hurtful though used in other Wounds Externally Take Roots of great Comfrey Tormentil Cloves of each half an ounce Flowers of Red Roses half a handful Mastick Myrrhe Aloes of each a dram boil them in Barley-water and to half a pint of the strained Liquor add Syrup of Mirtles common and strained Honey of Roses of each two ounces Make it into a Liniment Internally Take Leaves of Fluellin Strawberries Sanicle of each half a handful Lung-wort a handful Roots of Angelica two drams Liquoras a dram Jujubies No. xv Raisons half an ounce boil them in Barley-water and add to a pint and half of the strained Liquor Syrup of Diacodion three ounces Mix them let them take four ounces of it three or four times a day Half a dram of Sperma Ceti taken every day is excellent but it weakens the Brain Wounds of the Heart are always mortal and those that penetrate into the left Ventricle kill suddenly they seldom live so wounded above six twelve or twenty hours although there are examples produced for it If wounded into the right Ventricle it permits the Patient to live longer but that which terminates in the substance of the Heart grants yet longer time Wounds of the Stomach for the most part are left to be cured by Nature which here doth miracles yet in a Flux of Blood Bleeding is requisite In
of others if thou dilligently require of what parts the Fabrick of thy Body consists to this end first we will shew the simple parts and their use then after the division of the whole Body the compounded Parts The Chirurgical use Seeing 't is very necessary even at first sight that thou shouldst know the nature and temperaments of Men because they give the Rules of what is to be done in the curing of each Disease we have thought it convenient in the very beginning of this Treatise to describe their Signs The Sanguine abound with Hair but lank and yellowish in process of time declining into blackish handsom red cheek'd freshy strong When young addicted to Venery not enduring â—â—â—ours easily sweating phthisical affable in their Conversation and Discourse not suspicious equally prone to laughter and tears they sleep soundly their dreams are pleasant Pulse is great and strong Urine yellowish and in great quantity soluble They hate Women and except in their company seldom think of them They bear Bleeding provided it be at a fitting time and in a convenient quantity otherwise they easily fall into a Dropsie Strong Purges to wit Euphorbium Scammony Colloquintida and those that are compounded of them they cannot bear though gentle Medicines easily as Cream of Tartar Manna Tamarinds Pruines Syrup of Roses with Senna Syrup of Succory with Rhubarb Pulp of Cassia Electuaries of Diacatholicum Lenitive c. As they easily fall into a Disease so they quickly again recover The Cholerick have black Hair and for the most part curled lean but very strong Coition profitable they are judicious and swift in action avoiding idleness they trust neither the words or gestures of Men soon subject to Laughter if the thing require it otherwise grave When irritated addicted to strike more inclined to Drink and Watching than to Eating and Sleep their dreams are of Fire Thunder Quarrels Battels Pulse strong quick and great Urine high-coloured as also their Excrements Choler requires not Bleeding yet permits it if there be a quantity of Blood joined with it but it must neither be excessive nor oftner repeated than just necessity requires lest the Choler shews its Malignity gentle Purges relieve it but strong irritate it it produceth vehement and dangerous Diseases and for the most part short Phlegmatick have long Flaxen Hair which easily falls off and as easily grows again Pale-fac'd cold and weak Body long ere they desire Marriage and soon debilitated by it sloathful unfit for Conversation not sollicitous about publick Affairs difficulty brought to Laughter or Anger which then lasts not long They eat and drink little prone to sleep Dreams are of Fish of the Water and Rain Pulse small and slow Urine pale and sometimes thin but generally thick and darkish the Belly soluble they bear not Bleeding except upon necessity they endure strong Purging their Diseases are long but not dangerous The Melancholick are almost destitute of Hair which is lank and black of a grim Countenance the whole skin livid lean slow and addicted to Venery prudent morose in conversation readier to give counsel to others than to themselves not subject to Laughter or Anger but long before appeased they eat and sleep much Urine copious Excrements little grievous Dreams Pulse small slow and hard Bleeding is hurtful Purging profitable the Diseases which it begets are stubborn and tedious and oftentimes more dangerous in the end than in the beginning Let these general Signs suffice in this place But 't is to be observed that the Temperaments are mixt and then the Signs are also Yea many Mutations Vices and Dissimulations as also Virtues and Ingenuity may be attributed to them which is your part judiciously to distinguish but we assent not to Galen who held that the dispositions of the Mind relie upon the Temperaments CHAP. II. Of the Parts in general· A Part properly so call'd is a firm limited Body which is nourished by other living Parts but doth not nourish having a peculiar use and operation for the advantage of the whole It is distinguished 1. Into the Principal Parts or or those not so Principal are those that perform some Noble Operation common to the whole Body as the Heart Liver Brain Testicles Those not so are those that serve the Principal and whence they are call'd their Servants as the Eye Ear Hands c. This distinction pleased some Anatomists many years since whom I much esteem yet not me For if the Liver and Heart are numbred amongst the Principal Parts because they elaborate the Blood for the advantage of the whole Body why is not the Tongue accounted a Principal Part also which is not only an Instrument of Speech by which we are distinguished from Beasts but also of Tastes by whose assistance we chuse those Aliments which are best which if wanting how the Heart and Liver could supply the Body with good Nutriment I see not The Brain governs all but how I beseech you If the Intestines did not perform their Orifice aright what would it effect How should we be esteem'd if like an Oister we should want Eyes and Ears How despised are the Feet and Hands yet in how many conditions do they serve For those not stirring both Chilification would be impaired and the Blood and the Spirits rendred thicker and the Brain made unfit for all actions In how short a time would the Limpha of our Body be corrupted if besides its own motion it was not also moved with the whole Body All things in our Body are joyned together as in a Clock one cannot be without the other neither is the most despicable Wheel less necessary than the Hand of the Clock itself without which it cannot be accounted a Clock 2. Into similar Parts and dissimilar A similar which divided into many parts yet whose single parts be of the same Nature with the whole Dissimilar are made up of more or less similars as the Hand Fingers Feet There are ten Similars found in the Body a Bone Cartilage Ligament Membrane Fibre Nerve Vein Artery Flesh Skin the eight former are made of Seed Flesh of Blood alone the Skin of both This Division is subject to greater difficulties than the former but seeing it is not convenient to reject it without the greatest confusion in the practice of Physick let us consider the thing it self committing the Disputes concerning the Name to the Schools Chirurgical Considerations 1. A Principal Part being affected or wounded renders the whole Cure dangerous therefore Prognosticks are not to be given here but with limitation lest the sudden alteration be rather ascribed to thee than to the Disease 2. Wounds of the similar Parts are less dangerous than of the dissimilar yea oftentimes they are sooner cured by simple Medicines than by compound the consent of the Parts by reason of the Vital and Animal Spirits is so great that scarce a Joint of the Finger being hurt can be cured without regard had to the whole Body In deed by the
through the Belly The Venae Lacteae consist of one very thin Tunicle but are endowed with several Valves extended from the Liver towards the Glandules they are distributed through all the Mesentery and so are carried for the most part to the small Guts especially the Jejunum but yet the great Guts are not altogether destitute of them that none of the Nutriment may be lost From the Intestine both these Vessels and the Chile contain'd in them go to the three Glandules of the Chile the greatest of which is in the middle of the Mesentery called by Asellius Pancreas the two lesser are call'd the Lumbar Glandules situate near the left Kidney Each of these Glandules send forth a Branch which joining above the left Kidney constitutes a Vessel called Vena Lactea about the bigness of a great quill This great Lactean Vein lying between the Arteria aorta and the Vertebra's of the Loins cover'd with Fat runs upwards and above the Heart ascends by the Gullet and so hastens to the left Subclavial Vein where it ends in one two or three branches here a most thin valve occurs at the very end of the Vein looking inwardly that the Chyle might not return back again or run further into the Arm out of this Subclavial they descend by the ascending Trunk of Vena Cava into the right Ventricle of the Heart that there by the help of the heat and natural quality it may be changed into Blood Being converted into Blood it passeth by the Pulmoniack Artery to the Lungs which are by part of it nourished and the rest of it goes through the Pulmoniack Vein to the left Ventricle of the Heart that it may be more perfectly elaborated thence by the great Artery is carried to all the parts of the Body communicating to them nourishment for the preservation of Life These ways of Conveyance is displeasing to some who would rather retain that by the Mesaraick veins known and so greatly cried up by the Ancients than admit of a new Truth therefore they say that the Chile together with the Blood may by this way be most conveniently carryed to the Liver seeing that the Venal Blood is carried not from the Liver to the Guts which was the false Opinion of the Ancients but from the Guts to the Liver and so not here to be allowed a contrary motion of each Liquor already sufficiently known But in truth these Opinions they defend rather by a probable Ratiocination out of their old affection to the Liver than that they can make it out by natural or demonstrative Arguments or answer these Queries following 1. What is the use of the Lacteal Veins 2. Why is their rise in the Guts 3. Why the Valves are so placed that they may hinder the regress of the Chile into the Guts 4. Why do they all go together with the Chile to the Glandule of the Chile and none of them to the Liver 5. Why are the great Lacteal Veins joyned together 6. For what end doth the Chile pass into the Subclavial Veins All which can be made appear in the Body to the sight That part of the Blood which is not altogether useless yet not fit for Nutrition passeth out of the Arteries ever joyned together by Inosculations with the Veins into the Vena Cava and Porta and so by their means is brought again into the Liver and Heart that it may be amended and again concocted I do not only say that the Blood is carried by the Vena Cava into the Heart but also by the Vena Porta into the Liver which I prove by these Reasons 1. The Liver is the biggest of all the Viscera not that I would infer its pre-eminence from its greatness see Chap. 2. but I suppose Nature would never have created so great a Body but for the performing of some extraordinary operation 2. It s greatest Vein coming out with a large Orifice forthwith goes to and enters the Heart What necessity is there for the Vena Cava to be distributed with such numerous Branches through the Liver and so presently to ascend into the Heart for indeed it ought to convey back the Blood not amended It s Trunk likewise and that of the Arteria Aorta might ascend directly up the Body to the Heart without concerning it self with the Liver especially when the Vena Porta near the Liver may also yield sufficient ways for freeing all the Blood from Choler It ought to receive the Blood concocted in the Liver and convey the same to the Heart 3. It s colour is red I well know that it is sometimes observed to be white pallid yellow green but this colour is to be ascribed to the Disease not to its natural Constitution for in all Bodies perfectly sound it is found red What wonder is it that the Liver being red in weakness should contract a whiteness doth not a red face grow pale when the Body is affected with sickness How easily likewise that the Liver separating the Choler should be died with a yellow or green colour 'T is also observed in the first xx or xxx days after conception it is naturally white neither becomes red before the maternal Blood concerning which some of the Moderns have far otherwise ascribed comes to the nourishment of the already formed parts which is the same in all Spermatick parts even in the Heart it self But will you conclude from hence that this red colour only happens to the Liver and is not more proper to it than it is to the Muscles which yet therefore do not make Blood To this I answer that the affluent Blood is so necessary here and so appropriated to the Liver that without it it cannot be called a perfect Liver but both the colour substance and number of Vessels are so difierent in a Muscle and in the Liver that in no wise the parts deserve to be said to be like one another and what absurdity is it to say that a Muscle sanguifies when even the Heart it self by the principal Anatomists and Philosophers is acknowledged a Muscle 4. The Maternal Blood comes first up the Umbilical Vein to the Liver ere it goes to the Heart of the Infant And the Valves and Ligatures evidently demonstrate that the Arterial Blood is carried by the Umbilick Arteries from the Child to the Womb but the Venal by the Umbilick Vein from the Womb to the Child but whether the Infant is nourished by the Maternal Blood or by an External Humor like as a Chicken in the Egg is to me all one when 't is evident the Blood which either coming from the Mother or Infant passeth first to the Liver before it enters the Heart 5. The Choler is separated from the Blood in the Liver for every one knows that there can no separation be made without there be first a Concoction From all these Arguments I cannot gather any thing but that the returning Blood is carried by the Vena Porta to the Liver that it may there
in one days space with compound Ointment of Marshmallows the watry matter being suckt out by a Woman or Whelp but this discharge being neglected or delayed every day the Breast grows harder and harder nay becomes enflamed then Bleeding Purging Sweating is requisite Outwardly this Cataplasm may be applied Take meal of Marshmallows of Fenugreek of each an ounce Flowers of Elders Camomile of each an handful red Roses two pugils Crums of course Bread an ounce and half Boil them in Ale adding to them of Rose-Vinegar an ounce Make a Cataplasm The Flux of Humors and Pain being ceased the remaining may be discussed by the following Cataplasm Take Meal of Beans of Linseed and Fenugreek-seed of each an ounce Cummin-seed three drams boil them in Wine adding to it compound Ointment of Marshmallows Oyl of Camomile of each half an ounce Make it into a Cataplasm When it begins to apostumate Maturatives are to be used Take Leaves of Mallows Marshmallows of each a handful Powder of Linseed an ounce of Fenugreek-seed an ounce and half Leaven half an ounce boil them in Milk adding to them Vnguentum Basilicon an ounce Saffron a scruple Make it into a Cataplasm The Tumor being suppurated must be opened with a Caustick or what is better with a Launcet and put a Tent into it dipt in common Balsom of Brimstone until the end of the Cure laying upon the Breast Emplastrum Diasulphuris Bulandi 3. A Gibbosity ariseth from the spine of the Back when the Vertebra's are removed outwardly or of one side from their natural place which is occasioned sometimes by an External Cause some by an Internal especially when some pituitous Humor is collected about them this Humor must be taken away by discussive Oyl and Plaisters before what is started out can by a Steel-compress fitted to the Body of the Patient be reduced This reduction is not so much performed by the Compress as it is by the Emollient quality of the Iron For this reason it is necessary that the Patient though cured for a year or more after use another Bandage that the soft Bones may not again start out It is here likewise to be observed that in the middle of the Back about the seventh Vertebra with great success may an Issue be made to intercept Rheums flowing to the Hip Kidneys Feet c. CHAP. II. Of the Internal Parts of the Thorax THe Breast now comes to be opened that we may view the Fountain of Life which the Celestial Truth affirms to consist in the Blood for what reason is it therefore that the Sovereign Sanguification is not attributed to the Heart where every where and by all it is call'd the Original of Life Within the Breast is invested by the Pleura which is afterward doubled and at length quadrupled extending it self from the Vertebra's to the Sternum and then it is called Mediastinum dividing the Lungs and Thorax Near to the Throat there adheres to the Mediastinum a Glandulous Body call'd Thymus The Lungs drawing in the Air so cooling the Heart is furnished to this purpose with a Trachea Aspera Arteria or Wind-pipe this lies upon the Gullet and consists of Cartilaginous Rings and a double Membrane The outermost of these Membranes which is the thinner ariseth from the Pleura the innermost which is the thicker from the Dura Mater The annulary Cartilages are joyned together with Ligaments and make not a perfect Circle as being destitute of a fourth part that lies upon the Gullet The Wind-pipe distributes Branches through the whole Lungs which are strong enough but not at all Cartaliginous The Lungs themselves covered with a thin porous Tunicle consist of a soft red spongy substance In the fore-part they adhere to the Sternum in the back-part to the Vertebra's filling the greatest part of the Breast It hath seven lesser Vessels of which we shall speak in their places The Heart the Work-house of the Blood the Fountain and Origin of Life as the Sacred Writ it self also witnesseth is included in a certain Case call'd by Anatomists Pericardium It consists of two Membranes the outermost comes from the Mediastinum the innermost from the Vessels of the Heart it contains a clear watry Liquor void of all Acrimony which we no longer doubt of to be brought from the Ductus's of the Limpha The Heart it self consists of a fleshy serene and hard substance which is invested with a proper Tunicle furnished with Fibres of all sorts and like a Muscle is continually moved It is placed in the middle of the Breast but the point of it inclines sometimes to the left side In Figure it is like to a Pine-Apple having in its upper part two Auricles or little Ears which alwayes beat before the Heart it self In old people the right Auricle is bigger than the left which in Infants is the contrary in the throwing forth of the Blood the Auricles as well as the Heart it self are purst together and dilated as often as they take in the Blood and this Constriction and Dilation makes the Pulse For the concoction reception and throwing forth of the Blood it hath two Cavities and four Vessels The Cavities are distinguished by a fleshy Division in which I could not yet find any way appointed for the motion of the Blood out of the right Ventricle into the left although many Anatomists do certainly affirm it These Cavities are divided into the right and left the right which is the greater receives the Vena Cava and Arteria pulmonalis or Vena Arteriosa the left which is the least receives the Arteria aorta or great Artery and Vena pulmonalis or Arteria venosa Of these Vessels as also of the Nerves and Chylous passages or the Thoracick lacteal Veins we have treated of in the first Book Under the Wind-pipe in the Cavity of the Breast lies the Oesophagus or Gullet resting upon the Vertebra's About the fifth Vertebra of the Back it inclines a little to the right side that it may give way to the Arteria aorta unto the eleventh Vertebra thence with a straight Ductus it passeth the Diaphragm into the lower Belly It consists of a double Membrane the outermost is fleshy having streight and round Fibres the innermost transverse and oblique Many add to these a third from the Peritonaeum and rightly in my opinion The Diaphragm in nature of a Fan serving to respiration divides the Thorax from the Abdomen and adheres to all the Bastard-Ribs to the Cartilage of the Breast-bone about the Vertebra's sending two fleshy Processes to the lower parts Its edges round about are fleshy variously movable like a Muscle but its Center Membranous and very sensible It hath three perforations 1. In the middle of it through which the Vena Cava passeth 2. In the left side through which the Gullet with the adjacent Nerves 3. About the Vertebra's for the passage of the Arteria aorta with the Vena azygos It receives more Nerves than any other part of
and Sign pag. 116 Bubonocele pag. 33 Bullets their Extraction 73. Medicines for that purpose pag. 159 Burnings and their Cure pag. 190 C. CAncer its Difference Cause and Cure 122 of the Bone pag. 212 Carbuncle its Difference Cause pag. 121 Carpus pag. 210 Cartilage what 215. Swordlike 210. of the Breast-bent pag. 216 Cataract of the Eye the cause and removing it pag. 60 Catharticks pag. 112 Cautery Actual and Potential 37. Conveniency and Inconveniency pag. 44 69 Child dead the signs 75. It s Extraction pag. 74 The Glandules of the Chyle 253. It s motion by the Intestines pag. 254 Cholerick people how known pag. 203 Chilification its History pag. 153 154 Chirurgery what it signifies and the operations thereof pag. 1 Cicatrice or skars taken away pag. 244 Circocele pag. 33 Closing the Womb pag. 46 Comminution what pag. 2 Contra-Fissure what pag. 10 11 Contraction of the Member its cause pag. 236 Convulsion the Remedies pag. 256 Corrosives pag. 112 Cubit its Bones pag. 210 D. DIairesis what 2. Its parts Diaphoreticks pag. 36 Diaphragm and its parts pag. 308 Diarthrosis what pag. 208 Dislocation pag. 17 Dortos pag. 320 Dropsie Cause and Sign pag. 103 Dura Mater E. EAr Membrane thin and strong pain soreness 46 Its Bones pag. 209 Emphyma its Signs Cure pag. 54 Enarthrosis what pag. 208 Enterocele pag. 26 33 Epedymis pag. 320 Epigastrium pag. 311 Epiglottis indurated pag. 215 Epiploica pag. 226 Epulis pag. 292 Erysipelas its Cause Cure pag. 95 Excresis what pag. 2 Extention pag. 4 Extirpation of a dead part pag. 78 Extraneous Bodies how drawn out of a Wound pag. 157 Eye its parts Lids their Substance and Vse Iris pag. 274 F. FAce what pag. 268 Falx of the Dura Mater pag. 293 Fat whether part of the Body pag. 247 Fibre its Difference and Vse pag. 220 Fibula fractur'd pag. 16 Fissure what pag. 3 Fistula its Cause Signs and Cure 186. of the Breast 302. Lachrymalis pag. 285 Flesh what 237. Fleshy Rupture its Cure pag. 80 Focil its Dislocation pag. 23 Fracture what 2. It s Cause and Cure 3. Of the Skull 10. Of the shoulder of the Hip of the Jaw-bone of the Nose 13. of the Ribs of the Breast-bone of the Back-bone 14. of the Elbow of the Fibula of the Knee-pan 16. great and little pag. 334 Froenum or Bridle pag. 321 Frons pag. 268 G. GAngrene its Difference Causes pag. 126 Ganglion pag. 336 Gibbosity its Cause and Cure c. pag. 304 Ginglymus what pag. 208 Glandes pag. 333 Glandules of the Eye 274. Of the Chyle of the Loins 253. of the Neck pag. 263 Glotis straight wrong pag. 216 Gums pag. 278 H. HAir its shedding 249. Whether parts of the Body 247. Hare-Lip its Cure pag. 87 Hand pag. 266 Head what its Figure Parts c. 268. Wounds their Cure 172. Sores pag. 194 Heart its History 306. its Wounds pag. 174 Haemmorrage of the Nose how cured pag. 231 Herps its difference cause cure pag. 109 Hip-Bones Fractur'd pag. 14 Humors of the Eyes pag. 274 Hydrocele pag. 33 Hydrocephalus its Cure pag. 281 Hypocondria pag. 311 Hypogastrium Ibid. I. JAws their Bones pag. 270 Jejunum pag. 315 Iliack Passion pag. 324 Inflammation its cause and cure pag. 90 Infundibulum pag. 294 Internal Means pag. 1 Intestines 315. Intestines or Small Guts their Wounds pag. 157 Joynts what pag. 266 Iris of the Eye pag. 274 Issues when where and how made pag. 70 K. KIdneyes and their History 313 218 their Wounds pag. 176 Kings-Evil its Cause Sign Cure pag. 113 L. LAbour Natural and Preternatural its Cause pag. 74 Larinx cannot be inflamed pag. 216 Leeches their choice and use pag. 63 Leg pag. 210 Ligaments what and how many their Wounds and Wrenches pag. 217 Ligature pag. 5 Linea Alba pag. 312 Lips and their parts pag. 278 Liver its History its Vse 255 317 its Situation 312. its Ligaments 324. its Inflammations Vlcers Gangrene 325. its Wounds pag. 175 Loosness pag. 280 Lungs and its parts 306. their Wounds Signs Cure pag. 173 Lymphatick Vessels pag. 261 M. MAnual Operations pag. 1 Marrow of the Brain Spinal 293. of the Bones pag. 207 Matrix fallen down pag. 34 Mediastinum 305. its Cavity pag. 309 Medicines discussing Wind 108. against too great encrease of flesh corroding 257. Drawing or attractive 118. for a Cancer 124. provoking Sweat Cordials 128. Against a Gangrene 129. for the Eyes 138. against a Quinsie 143. stopping a flux of Blood 154. against Convulsions 156. against proud flesh 157. to draw forth Thornes Bones Bullets c. 159. Digestives 161 179. Sarcoticks 162 179. Vulneraries 162 Epulottick 164 179. against Wounds of the Nerves 166. Defensives 179. against Worms 181. against Corruption of the Bones 183. against spreading Vlcers 184. against Fistula's 188 against Burnings 191. Purging Choler 7. Purging Phlegm 8. purging Melancholy 9. Repelling 92. Resolving or Discussing 92. Suppuratives 93. Anodins 94. Emollients 102. Purging water 104. Cosmetick water of Minsickt 243. taking away Skars pag. 244 Meliceris its Cause Sign and Cure pag. 111 Membranes what and how many pag. 219 Mesentery and its History its Tumors Corruption Vlcer pag. 316 Metacarpus pag. 336 Metatarsus pag. 338 Mouth its Inflammation Vlcer Gangrene pag. 291 Muscle what c. pag. 237 N. NAils whether parts of the Body pag. 247 Nates of the Brain pag. 294 Nerves their Difference 233. their Coutusion its Cause and Cure pag. 234 Nodes pag. 214 Nose and its parts 277. Haemorhage how cured pag. 231 Nostrils broken pag. 13 Nymphae pag. 323 O. OCciput pag. 268 Oedema or Phlegmatick humor its Cause Sign Cure pag. 98 Omphalocele Navel-Rupture pag. 33 Opthalmia its Difference Cause Signs c. pag. 284 P. PAlate pag. 278 Palsie pag. 280 Paracentesis when in what place and how performed pag. 48 Paronychia its Cause Sign Cure pag. 133 Part of the Body what it is and its division 205 parts of the Body divided pag. 266 Patella or Knee-pan its Fracture pag. 16 Pericardium its parts and Liquor pag. 306 Pericranium what from whence pag. 268 Peritonaeum pag. 314 Pia and Dura Mater 292. their Wounds and Cure 295. its History pag. 292 Phlegmatick people how known pag. 203 Pixis pag. 312 Pexus Choroides pag. 294 Pleura its divers pains pag. 308 Physick and Physicians pag. 1 Pleurisie its cause and cure pag. 58 Polipus its cause and cure pag. 289 Poâ—rigo its cause pag. 280 Porus Biliarius pag. 318 Processus vermiformis of the Brain pag. 295 Prostataes pag. 320 Pudenda Virginam if clos'd how to be opened pag. 46 Pylorus pag. 315 Q. QVinsey its Cause Difference Sign pag. 141 Quintessence of Arsenick pag. 124 R. RAdius pag. 210 Ranula its Cause pag. 291 Rete Mirabile pag. 294 Ribs and their difference 210 302. Fractur'd 14 Dislocated pag. 23 Rostra pag. 210 Ruptures their Causes 26. Cure pag. 29 S. SAnguine persons how known pag. 202 Scarf-skin and Skin pag. 243 Scirrhus its Cause Sign
c. pag. 101 Scraping 37 how it s performed on the Bones pag. 65 Scrotum its watry Tumor how cured by Paracentesis pag. 51 Secundine its extraction pag. 74 Seton where how c. to be made pag. 71 Shortness of Breath pag. 280 Shoulder-Blade Broken pag. 13 Sinchondrosis pag. 208 Sincurosis Ibid. Skull and its parts 209. its Fractures 10. its Bones and Sutures pag. 209 Sphacelus its Causes Signs Cure c. pag. 116 Sparmatocele pag. 34 Spermatick Vessels pag. 319 Spinal Marrow pag. 293 Spittle its use matter c. pag. 250 Spleen its Wound pag. 175 Sternum pag. 208 Stitching in cure of Wounds how to be performed pag. 160 Sticking-Plaister pag. 161 Stomach its History pag. 315 Stone in the Bladder cause sign c. 83. its Extraction pag. 82 Suture pag. 208 Sumphysis Ibid. Synerthosis Ibid. Synthesis what it is pag. 1 Syssarcosis pag. 208 T. TAlus pag. 338 Tarsus and its Bones pag. 211 Teeth how many c. 273. their pain its cause and cure 282. their Breeding in Children how remedied pag. 284 Temperaments of men described pag. 202 203 Temples what pag. 268 Terebration 37. How performed pag. 67 Testes of the Brain pag. 294 Testicles of men 320. in Women 321. Inflamed 326. Cancer Sphacelus pag. 327 328 Thigh 210. Broken 15. Dislocated pag. 24 Thorns things to draw them out of a Wound pag. 158 Tibia 210. It s Fracture pag. 16 Timpanum pag. 276 Tongue-tied the Cure pag. 47 Tophs pag. 214 Tumor its Causes c. 88. Flatulent its Cause Cure c. pag. 107 Tunicle conjunctiva Adnata Retina Aranea Cornea Vitrea Vvea 274. Elytroides Erithroides Albuginea pag. 320 V. VAlves of the Vena Cava 225. of Vena Pulmonalis 226 of the great Artery 228. of Arteria Pulmonalis pag. 230 Veins their difference 221. Adiposa 224. Atteriosa 230. Axillares 224. Azygos 223. Basilica 224. Cava and its distribution 222. Cephalica Cervicalis 224. Coronaria Stomachi 226. Cordis 223. Emulgens 224. Epigastrica Ibid. Gastrica minor 225. Major 226. Gastroepiloris 225. Haemorrhoidalis 226. Hypogastrica 224. Intercostalis Jugularis 223. Intestinalis Ischiatica 225. Lactea Magna 253. Lumbaris 224. Mammaria 223. Mediastina 223 Mediana 224. Mesenterica Mesocolica 226. Muscula inferior superior 223. Phrenica ibid. Poplitea Porta 225. Pulmonalis 226. Saphena 225. Spermatica Salvatella 224. Subclavia 223. Splenica 226. Thoracica 224. Vmbilicalis 314. which to be cut in particular Diseases pag. 227 Venters of the Body what and how many pag. 266 Ventricles of the Brain 294. of the Heart pag. 307 Vertebra's of the Neck 210 297. of the Loyns 312 of the Abdomen of the Back pag. 210 Vlcers their difference causes signs cure 177 178. with foul Bones their cause sign cure 182. Spreading and Malignant 184. Fistulous 186. of the Eyes 194. of the Legs 199. of the Nose 195. of the Bladder 197. of the Womb 199. Vlcerous Excrescency pag. 211 Vnition pag. 2 Vreter 319. Exulcerated pag. 325 Vrethra pag. 321 W. WAtry Passages 261. Tumor pag. 103 Wind Medicines discussing it pag. 108 Womb its History 322. inflamed c. 329. its falling down 34. Haemorrhoides 330. whether it can be taken away pag. 329 Worms in the Pericranium in the Bladder their Remedies pag. 325 Wounds their difference causes signs c. 147. their symptoms and cure 153. of the Stomach their cure 174. which are mortal 149. their Lips how to be joyned 159. of the Ears and Lips 173. of the Head and Brain 172. of Heart 174. of the Face 172. of the Guts 175. of the Liver and Spleen 175. of the Nerves their causes c. 166. of the Eyes 173. of the Lungs Ib. of the Kidneys 176. Made by Gun-shut 168. of the Tendons 166 Poysoned 170. of the Bladder pag. 176 Wrenching pag. 17 Y. YArd pag. 321 FINIS MEDICINA MILITARIS OR A BOBY OF MILITARY MEDICINES Experimented BY Raymundus Mindererus Late Chief Physician of the Electoral Court of Bavaria and of the Imperial City of Aspurg Englished out of High-Dutch LONDON Printed for Charles Shortgrave at the Turk's-Head in St. Paul's Church-Yard 1686. CISTA MILITARIS OR A Military Chest Furnished Either for SEA or LAND With Convenient MEDICINES and necessary INSTRUMENTS Amongst which is also a Description of Dr. LOWER'S LANCET for the more safe Bleeding Written in Latine By Gulielmus Fabritius Hildanus Englished for publick Benefit LONDON Printed for Charles Shortgrave at the Turk's-Head in St. Paul's Church-Yard 1686. A Description of a LANCET FOR The more secure Letting of BLOOD By Dr. LOWER FOrasmuch as it hath been thought convenient by several good Chirurgeons to contrive a safe way of Blood-letting for the benefit of young Beginners in that Profession and whereas Dr. LOWER of late in his Treatise of the Heart hath discovered a plain and secure way of Bleeding and given a figure of the Lancet which he commends for that purpose I have been advised for the publick Good to translate what he hath written and likewise give the figure of the Lancet and description of the Use of it as it is printed in the 166 page of the last and truest Edition of his Book Printed at Amsterdam 1671. in the Author 's own words HOw great Ebullition sometimes happens in the Blood in what vessels and with what swift motion it is cast about every where through the Body and if an Artery be opened how quickly and with what force it breaks out it hath been hitherto treated of in the foregoing Discourse by which it appears how necessary sometimes Blood-letting is to diminish its Quantity or to stop its Career and how dangerous the Administration of it is if it be performed by a rude and unskilful hand For it often happening either by want of skill or common practice of Bleeding which makes the Mind fearful and consequently the Hand trembling and uncertain that an Artery is opened or a Nerve or Tendon cut or prick'd whence follows Swellings Pains Inflammations Gangrenes or Convulsions which put the member in danger of being cut off or render'd useless I thought it might not be beyond the scope of my Treatise if by way of Appendix I should shew by what means and Instrument any Vein might be safely and securely opened if it swell upon a Ligature though it have an Artery Nerve or Tendon immediately under it Forasmuch therefore as never any harm happens in Blood-letting unless a Vein be prick'd through or slipping aside the Lancet be put too deep into the part the Fabrick of this Lancet is such and ought to be so put into the Vein as both may be easily prevented For the Lancet is so contrived that it is not cutting on each side unless it be near the point but is purposely blunt and made round on the lower side which is to be applied next to the skin that it may more easily slide over it as it appears by the following Table in which a the Lancet b the place where the upper edge