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A59999 A short compendium of chirurgery containing its grounds & principles : more particularly treating of imposthumes, wounds, ulcers, fractures & dislocations : also a discourse of the generation and birth of man, very necessary to be understood by all midwives and child-bearing women : with the several methods of curing the French pox, the cure of baldness, inflammation of the eyes, and toothach, and an account of blood-letting, cup-setting, and blooding with leeches / by J.S., M.D. J. S. (John Shirley), M.D.; Shirley, John, 1648-1679. 1678 (1678) Wing S3496; ESTC R38236 39,001 140

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aaren sender Inarings meening Shy hun den til blod forvender Ocs giffuer det igieu naar saften ny yder At samme ferske blod til alle Lemmer flyder Ued aarr gangr krum c. That is Thou Stomack gallant Cook thy meat so well dost dress That of it in a trice thou canst a juic● express Full of craft which is then sent by the middle Vein To th' Liver that it may the dye of blood obtain Whence it is given out when th' other sap is wanting And is seen through our Limbs a free passage attempting By crooked Channel-Veins c. This was the Antients meaning but the Moderns have found that the aliments being well chewed in the Mouth are by the Oesophagus transported into the stomack where by the virtue of some acid liquors proceeding from the reliques of the former Concoction and the Vapours of the Pancreatical juice together with the sub●il descending from the Maxillar Glandules they are fermented agitated and calified almost in the same manner as mettals are dissolved by Aqua fortis In the mean time the aliments helped by the warmth of the neighbouring parts do often contract a spontaneous heat as we see sometimes hay too freshly brought in whereby they are digested which being done the stomack straightning it self and opening its lower orifice called the Pilorus they are thrust down to the Duodenum where by an effervescency arising from the mixture of Choler descending thither by the biliary conduit together with the pancreatical juice and Phlegm sticking to the Bowels they are segregated and their grossest parts precipitated down to be expelled at the seat whilst the subtilest called Chylus are transported by the milky Veins to the common receptacle where being diluted by the Lymphatick humor the Chylus is carried by the Thoracick conduits to the subclavicular branch of the Vena cava where it is mixt with the Blood descending from the Head and other superiour parts of whose Nature and Colour it begins then to partake without coming to the Liver which therefore can neither be the seat nor organ of Sanguification The Chylus thus mixt with the descending Blood being come into the trunck of the Vena cava is mingled with the Blood which ascends by the same Vein from the inferiour parts and is transmitted into the right Ventricle of the Heart where it suffers an effervescency arising from the mixture of the Lymphatick spirit and the lixivious salt of Choler communicated to the Blood out of the Gall by the Hepatick conduit whereby the fiery parts of each being freed of their hindrance do insinuate themselves in the oily parts of the blood which they rarify whereby the Valvules of the Vena cava are shut up and the Blood thus rarified craving a larger room than before the Heart is compell'd to its expulsion which it effects by the collected fibres as another muscle and the Valvules of the Arterial Vein being opened it is transported into the Lungs cooled by Respiration whereby the Heart and the said Vein is unswell'd and the Blood is conveigh'd by the usual Artery whose Valvules are then open into the left Ventricle of the Heart where it is again heated and rarified and being carried by the Aortal Artery whose Valvules then give passage into the greatest Arteries and from thence into the smaller the Heart and the said Arteries leave swelling and the Bl●od is thence received by the Anastomoses in the Veins from whence it proceeds through the vena cava into the right Ventricle of the heart repeating so a continual circulation a perpetuum mobile during our Life Blood is temperate of a mean thickness Red in colour and of a sweet taste it serves instead of fuel to the vital heat which it conveys to the several parts to whose nutrition and increase it alone contributes The Antients did divide it into Venal and Arterial though the place of their flowing be their chief difference Phlegm is of a watry nature liquid whitish and unsavoury it serveth to the ●●fervescency in the duodenum tempers the Blood and renders the Joynts slippery Choler is of a fiery nature a thin consistence a yellow colour and a bitter taste it causeth an Effervescency in the duodenum and another in the Heart as aforesaid it provokes the expelling faculty and thins all Phlegm sticking to the inward parts The Lymphatick humour is of a pure watry substance without any colour and of a subacid taste Its uses are manifold but the chief are to promote an easier slowing of the Chylus and to convey the blood through the thoracick conduit to the Heart and there contribute to its Effervescency it tempers the Blood and perhaps together with phlegm moistens the articulations of the Joynts According to the Antients Phlegm predominates from Midnight till Sun-rising Blood from that time till Noon thence Choler obtains the superiority till Sun-setting and they gave the remaining time till Midnight to Melancholy which we have said to be nothing but grosse Blood Phlegm is also more copious in Autumn Blood in the Spring Choller in Summer and Melancholy or thick blood in Winter They esteemed also Phlegm to be moved every day Choler every third day and Melancholy every fourth supposing the Quotidian Ague to be caused by Phlegm the Tertian by Choler and the Quartan by Melancholy which De Graff attributes to the various Obstructions of the lateral branches of the Pancreas In his Treatise De succo pancreatico The signs of a Bloody Complexion are a red colour in the Face a moist heat through the whole Body sleshy Muscles great Veins and a chearful Heart Cholericks are of a yellowish colour a light disposition and a lean Body they are witty and liberal but wrathful and revengeful Phlegmaticks are pale of a soft flesh sometimes fat lazy sleepy and dull Melancholick or thick blooded men have a blackish face and a sad look they are sorrowful obstinate fearful and covetous but withall very capable of doctrine The Arabs instituted four secundary Humours whereof they called the first Innominate or Implanted which they supposed to be conteined in the extremities of the little Veins where it begun to take some alteration of the several parts They called the same Daw when as it were it bedewed them Gluten when it stuck fast to them and Cambium when it was wholy converted into their substance but the nutrition and increase of the several parts is better expressed by the Moderns as will be said when we speak of Functions When the Primary humors exceed the bounds of their due qualities they are deemed against nature and they may be corrupted in the Veins or out of them Phlegm corrupted in the Veins is of a sower or salt taste and of no colour but out of the Veins it is distinguished in muscous watry plastry and glazy whereunto the Lymphatick humour the salive and the Pancreatical juice may be conveniently referred when they are vitiated Choler corrupted in the Veins is called vitellin or like the yolk
A Short Compendium OF CHIRURGERY CONTAINING ITS GROUNDS PRINCIPLES More particularly Treating of IMPOSTHUMES WOUNDS ULCERS FRACTURES DISLOCATIONS ALSO A DISCOURSE of the Generation and Birth of MAN very necessary to be understood by all Midwives and Child-bearing women WITH The Several METHODS of Curing the FRENCH POX The Cure of Baldness Inflammation of the Eyes and Tooth-ach And an Account of Blood-letting Cup-setting and Blooding with Leeches By I. S. M. D. LONDON Printed by W. G. and are to be sold by Charles Blount at the Black Raven in the Strand near Worcester-House 1678. Academiae Cantabrigiensis Liber The Preface Courteous Reader MY Parents having ever destined me to be a Practical Physitian thought fit to make me begin the Studies thereof by learning Chirurgery probably thinking I might thereby acquire a better knowledge of Mans Body and its several parts together with their Functions as also its outward at least Indispositions and Cures than by only reading such Treatises of Physiologie as were then extant which Modern Anatomists and other Authors have since found defective But in the performance of their just desires I found no small inconveniency for want of some short and compendious Principles that might give me the Grounds and an Idea of that Art proportionable to my then mean Capacity almost frighted with the bulk of large and ill digested Volumes but there being no Remedy I was fain to compile out of them this small Treatise which I have since reviewed altering some obsolete Theorems into new ones and adding some small agreements to render its Reading less tedious And all for my own use without any thoughts of ever troubling the Press therewith These late years having brought forth several short Treatises of Chirurgery specially the excellent Principles of Barbetty and Hornius the former whereof is lately made English but finding in mine some things which are purposely omitted in theirs as few dislike their own Productions I have resolved to make this short Compendium Publick wishing that it may be to the advantage of young Beginners in Chirurgery and to the Health and Welfare of their Patients Thine I. S. The CONTENTS CHAP. I. CHirurgery defin'd pag. 2. It s Operations 3. Of Temper or Complexion 7. Of the Humours of the Body 10. The Soul defin'd 25. Of Diet 37. Of Sleep and Dreams 40. Of the Passions 42. A Disease d●fin'd 45. CHAP. II. Of Imposthumes THeir Causes and Matter pag. 53 54. Their Prognosticks 56. A Cataplasm to discuss an Imposthume 57. To resolve an Imposthume 60. To bring an Imposthume to S●ppuration ibid. To mitigate the intense pain of an Imposthume ibid. CHAP. III. Of Wounds SIgns of a wound that has pierc'd the Skul 65. whether a wound has penetrated the Thorax ibid. when the Lungs are hurt ibid. when the Heart Diaphragm Great Artery or Vena-Cava Medulla-Spinalis Liver Stomach Guts Kidneys Bladder and Ureters 66 67. When the womb and Nerves 67 68. Of wounds that are mortal ibid. To help the Extraction of Bullets Darts c. a Receipt 69. Of Sutures 71. A Receipt to prevent a too great Flux of Blood 72. A Receipt to remove pain from the wounded part 73. An excellent Narcotick for the same 74. For Convulsions in the wounded 75. A Palsy defin'd and cur'd 77. Of the Cure of wounds made by Fire-Arms 80. A Receipt to bring them to Suppuration 81. The Definition of a Gangrene 82. It s Cause and Cure 83. CHAP. IV. Of Ulcers VVHat they are 86. Of the several sorts of Ulcers 88 89. Of the Cure of Ulcers 90 91. CHAP. V. Of Fractures and Dislocations VVHat a Fracture is 92. The Cure how perform'd 95. CHAP. VI. Of the Generation and Production of Man OF the Matter of Generation 98. Of the Place 99. The chiefest and surest Signs of Conception 100. To know whether the Child be Male or Female 101. The Signs of approaching Child-birth ibid. Directions to be observed before the Birth 102. Directions to be observed in the Birth 103. A Liniment to be used 104. An excellent Powder to hasten Child-birth 105. Directions to be observ'd when the Child is dead in the Womb 108. An Ointment for the Hypogaster 110. For the Expulsion of Wind an excellent Powder 111. To stanch Milk an infallible Receipt 112. CHAP. VII Of the French Pox. IT s Definition and Signs 114 115. Of its Cure 1. By Decoction 116. To make that Decoction ibid. 2. By Plaisters ibid. 3. By Unction 117. To make the Unction ibid. 4. By Suffumigation 121. The Method to be used in it ibid. CHAP. VIII Of several other Indispositions cured by Chirurgery OF Baldness and its Cure 123. Inslammation of the Eyes 124. Tooth-ach ibid. Phlebotomy 125. Cup-setting 126. Leeches 127. A SHORT Compendium OF CHIRURGERY CHAP. 1. THAT part of Physick which is called in Greek Therapeutick is divided into three others namely Diet Chirurgery and Pharmacy Yet although this division be needful these three Sisters as the Graces are so connexed and linked together that it is almost impossible for any of them to perform the least operation without the help of the two others but when they conspire and are together carefully reduced in act a most advantagious harmony for the preserving and restoring of health doth result of their mixture Amongst these parts of Physick Chirurgery is the needfullest and is therefore by some esteemed the noblest as being the most ancient and profitable It is defined An Art consisting in a methodical application of the Hand on the Body of Man for the preserving of its present Health or the restoring of it being lost It s Subject is the same Body and its End the Health of it The words Etymologie is composed of the Greek word Cheir that signifieth ● and and Ergia Operation which being joyned together make as it were a Handy or Manual Operation The whole Art is divided into the Theoretical and Practical part the First whereof is described the seconds Guide and Leader because it contains the The●rems Demonstrations and Precepts of it which the Practical part only reduceth in act and nevertheless hath been so much esteemed that the Heroes and Demy-gods of Antiquity did not disdain to learn it for it is as Vincianus saith Quod Natum Phoebus docuit quod Chyron Achillem Quod didicere olim Podalirius atque Machaon What Phoebus taught his Son Chyron Achilles What learned Machaon and Podalirius The operations of it are three Synthesis Diairesis and Exeresis whereof the first joynes what is separated The second separates what is joyned And the third takes away what is superfluous And these Operations are to be soon surely and pleasantly performed with Manual or Medicinal Instruments according to certain Indications drawn from the things 1. Natural 2. Not-natural 3. And against Nature Chirurgery is soon performed when no occasion of doing the sick person good is neglected Surely if using of known Remedies we prevent a relapse and avoid all worse diseases than the former And
Saffron make a Cataplasme Note that though this be the general Cure of Impostumes they have nevertheless a more proper and particular one according to their several differences but this is as 't were a Rule whereby to proceed in it CHAP. III. Of Wounds THE General Practice of Impostumes being sufficiently treated of in the former Chapter this shall be adapted to expound such Notions as belong to the Cure of Wounds whereof this is the Definition A Wound is a Solution of Continuity caused by an external Instrument in any part of the Body but the Bones Their Causes are all such things as may violate the outward circumference of the Body and unnaturally enter in it and they are either animated as the biting and stinging of Beasts or inanimated as Swords Darts Bullets c. The difference of Wounds is manifold and as Samoicus saith Tam varia humanae sunt vulnera conditionis Ut nequeant proprias cunctis adscribere curas The Wounds of Men are seen so manifold The proper Cure of each cannot be told Nevertheless I have endeavoured to include the most General in the following Paragraphs The Differences of Wounds are drawn either I. From the nature of the wounded part which is First Similary and that 1. Soft as the Glandules and Flesh. 2. Hard as the Gristles 3. Mean as the Membranes and Ligaments Secondly Diss●milary which is either 1. Principal as 1. The Brains 2. The Heart 3. The Liver 2. Ministring to the principal as 1. Aspera Arteria 2. The Lungs 3. Neither of the foresaid as 1. The Eyes 2. The Hands 3. The Feet II. From their own Essence whereby they are termed First Simple when there is no Complication of other Diseases or Accidents Secondly Composed when there is some other Disease or Accident indicating a peculiar Curation III. From their Quantity by which they are termed First Great that is 1. Long 2. Broad 3. Deep Secondly Mean in all Dimensions Thirdly Little that is 1. Short 2. Narrow 3. Superficious IV. From their Figure whence we call them 1. Strait 2. Round 3. Crooked c. When a Wound doth pierce the Skul ●s known by these following Signs The wounded party doth presently ●all lying without sense as if he were a sleep the Ex●rements are not retain●ed and surely if the blood floweth by the Ears Nostrils or the Mouth and if ●he Vomits Choler c. Whether the Wound penetrates into the Thorax is known if the Air com●eth forth at the Wound with a difficulty of Respiration if there be a gravative ●ain on the Diaphragme which is caused by much Blood lying on that part that must afterward be rejected by coughing A little after cometh a Feaver and stinking breath the Patient can lye but on the Back and hath a perpetual desire of Vomiting it often degenerates in a Fistula When the Lungs are hurt there issueth a Spumous Blood at the Wound with Co●ghing there is a great difficulty of Respiration and pain of the 〈◊〉 We know the Heart to be Wounded by the great quantity of Blood that cometh out at the Wound by a trembling of the whole Body a little Pulse a Paleness of the Face and a cold Sweat and ●requent Swounings a coldness of the Extremities and a hasty Death When the Diaphragme is hurt there is a gravati● pain in that part with Phrensie difficulty of Breath Cough with a sharp pain and a contraction of the flanks upwards These signs appearing one may pronounce Death to be near The Vena Cava or great Artery being hurt Death speedily followeth because of the great loss of Blood and Spirits whence the Function of the Heart and Lungs do cease When the Medulla Spinalis is wounded a Paralysis or Conv●lsion presently hapneth the motion of the lower part is abolished the Excrements of the Belly and Bladder either flow unwittingly or are wholly suppressed The Liver being wounded there cometh a great deal of Blood out at the Wound and a Pungitive pain is felt as far as the Cartilage Xiphoides which Death often followeth When the Stomach is wounded the meat and drink cometh out at the Wound then come Sweats and Cold of the extremities fore-runners of Death If the Spleen be wounded there floweth a blackish blood at the Wound Thirst troubleth the Patient with a pain of the left side and the blood flowing into the Belly causeth many accidents and often Death The Gutts being wounded a great pain torments the Bowels the Excrements issue out at the Wound and sometimes the Gutts out of the Abdomen which afterwards pain and swell When the Kidneys are hurt there is a great pain in making Water the Blood coming out therewith and the pain stretching it self to the Yard and Testicles The Bladder and Ureters being wounded the pain reacheth to the Flanks the parts of the Nombril are extended the Urine cometh out bloody and sometimes out at the wound When the Womb is hurt the Blood cometh out at the Privities the same accidents appearing as when the Bladder is wounded The Nerves being prickt or half cut a sharp pain is felt in the wounded part with a sudden inflammation fluxion tumor feaver and convulsion often with gangrene and death unless it be remedied in time Those Wounds are esteemed dangerous which do affect some principal Sinew Vein or Artery Whereunto are added those that are in●licted in the Privities of Man or Woman or in their parts dedicated to natural excretion as also those that hurt either end of any muscle but such as are in the fleshy parts according to the length of the fibres are esteemed the least considerable If a Bone Sinew Tendrel or a portion of the Face or Prepuce be cut off it cannot be repaired All Wounds in the Bladder Brain Heart Liver Lungs Stomach and smal● Guts are deemed mortal The general indication in the Cure of Wounds is the adjunction of what is separated wherein the Chirurgeon ought to be furnished with five Intentions The first whereof is to extract all strange Bodies as Bullets Darts Arrows Splinters c. if any do hinder the Wounds agglutination The second to bring the divided extremities together The third to keep them so The fourth to preserve the wounded parts temperature The fifth to correct such accidents as may fall out The first of these intentions is performed either with the Fingers or some material Instrument at the first dressing unless the extraction of the foresaid things might occasion an Hemoragy or some other dreadful accident for then the safest is to leave their expulsion to Nature but since it may sometimes not little be advanced by Medicaments take this following description Recipe The Root of Iris of Florence of Panacis and Capers of each three Drachms round Aristaloch Manna and Frankincense of each one Drachm beat them to a powder and incorporate them with Honey of Roses and Turpentine of Venice of each two Ounces Make a Salve thereof The second and third intention in the Cure