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A21157 The analysis of chyrurgery being the theorique and practique thereof. Briefly composed for the benefit of all those who desire the knoledge of this worthy profession. By the paines and industry of Ed: Edwards Doctor in Physicke. Edwards, Edward, doctor in physick. 1636 (1636) STC 7511; ESTC S118569 49,776 120

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the Bones Gristles Glandles Fat Simple flesh c. 5 Of the powers vertues or faculties being three of which proceedeth the actions being the 1 Animall whose actions generally are double i. 1 sensitive being also double as 1 Externall or outwards as 1 Seeing and are called the five senses 2 Hearing 3 Smelling 4 Tasting 5 Touching 2 Intern or inward called the vertue principal or cōmon sense as 1 imaginatiō 2 reason 3 remēbrāce 2 Motive done by the sinewes and muscles being their instruments of voluntarie motions all these proceed from the braine by the nerves 2 vitall which 1 have two motions as 1 Active to dilate the heart and Arteries as in 1 joy 2 hope 3 mirth c. 2 Passive the heart and arteries and to binde them as in 1 care 2 feare 3 sadnesse 4 sorrow 5 revenge 6 melancholy c. proceedeth from the heart by the arteries and serveth to carry the spirit vital lively heat to all the mēbers which arteries or heart pipes do spring from the heart 3 naturall 1 proceeding frō the liver sending nourishment to all parts of the body by the veins that grow out of the liver 2 hence proceed the four naturall vertues i. as those foure vertues doe their operations thus by degrees one after another i. as 1 attractive wrought by 1 heat drith 2 cold 3 heat moysture 4 cold 2 retentive 3 disgestive 4 expulsive 1 attraction is made 2 retention til the disgestive vertue have alterd it fit 3 digestion to alter the property by heat as aliment into Chyle Chyle into bloud and bloud into flesh c. 4 expulsiō to expel cast out the excr c by this faculty we doe 1 nourish our bodies 2 increase and grow 3 ingender more of the kinde c. The sixth of the operations done by the foresaid three vertues 6 The vertue 1 Animall moveth 1 Apprehension in the two former ventricles of the braine 2 Fantasie 3 Imagination 4 Opinion 5 Consent c. 1 Iudgement in the middle ventricle of the braine 2 Esteeme 3 Reason 4 Resolution 5 Disposing 6 To discerne 1 Remembrance in the hinder ventricle of the braine 2 Knowledge 3 Calling to minde 2 Vitall moveth 1 Mirth by vitall heat stirred up in us either 1 moderate 2 immoderat 2 Ioy 3 Hope 4 Trust 5 Humanity 6 Victory 7 Glory 8 Boldnesse 9 Mercy 10 Feare 11 Sadnesse 12 Despaire 13 Envy 14 Hatred 15 Anger 16 Mildnesse 17 Stubbornesse 3 Naturall moveth and 1 Altereth 1 Aliment into Chyle 2 Chyle into bloud and humours 3 Bloud and humors into flesh c. 2 joyneth 3 formeth 4 ingendreth 5 nourisheth 6 increaseth These actions proceed from the faculty or vertue being cause of the action not contrary i. the action is not cause of the faculty for the actions are certaine movings and affections as abovesaid stirred up by those three vertues or faculties i. 1 animall 2 vitall 3 naturall The seventh are Spirits proceeding from the three vertues aforesaid Spirits wherein consider these five things which are 1 An ayrie substance i. 1 subtle 2 stirring the powers to performe the office and operations 2 Bred of the most pure and thinne parts or vapours of the bloud and humours sent to each part of the body whereby each member may doe his office 3 Principally seated i. the 1 animall in the 1 brain to stir up 1 moving feeling 2 heat life 3 nourishing 2 heart 3 liver 2 vitall 3 naturall 4 sent from those foure principall members to all parts of the body i. the 1 animall by the 1 nerves 2 arteries 3 veynes 2 vitall 3 naturall 4 5 As a Prince doe move his Councell and the Councell the subjects so every one according to his vocation as it is appointed by nature so that every inferiour must be ready to serve his superiour Remember diligently seeke ever to preserve these seven things naturall aforesaid by the right use of the sixe things not naturall following note that we 1 preserve health by things 1 like in quality 2 contrary 2 cure diseases Note the spirit 1 Vitall is ingendred of the vapour of the vital bloud in the heart and arteries 2 Animall is ingendred of the spirit vitall carried up to the head by the arteries and there more disgested for which purpose nature hath the Rete mirabile in the braine as a manifest changeable maze 3 Naturall infuseth and breatheth its nutritive vapours and spirits to nourish the parts of the body Also in these seven things naturall consider these nine things following whether you meant to preserve health or to cure diseases Of the nine things that are to be considered in things naturall Consider these nine i. the 1 Strength of the patient if that faile medicine is used in vaine 2 Complexion which must be countergarded although it be evill as a thing of custome for custome is like another nature 3 Members whether 1 simple 1 principall or noble 2 serving to the 3 not able at all 2 compound 3 organick as 4 sensible because 1 the 5 insensible 2 whose form or figure may be unfit in 1 magnitude 1 eye cannot endure so strong a medicine as the flesh c. 2 nerve cannot endure so strong a medicine as the lygament c. 2 number 3 figure 4 situation c. 4 Habit i a body either 1 fat and fleshy 2 leane 3 delicate 4 rusticke c. 5 Age for often youth is curable when the aged cannot in the like case and the strong sooner than the weake c. 6 Sexe or kinde for 1 Eunuchs cannot endure medicines so strong as men have bodies 1 weaker then men of like temperament 2 moister 3 softer 2 Women 3 Children 7 Time of the 1 yeare for some medicines are fit in the Spring and others in other seasons in the like disease used i. A. 2 Day to observe order 3 Disease as 1 beginning every one must have medicines according to the time where the time is unknowne the cure is unknowne 2 augmentation 3 state 4 declination 8 Region 1 The order of cure must differ according to the region 2 hot cause humor 1 subtile thin their use 1 coolers to thicken it 2 heaters to make it thin 2 grosse thick 3 cold 9 Custome 1 must be observed as the proper temperature as 1 citizens must be used according to their custome 2 courtiers 3 easie livers 4 rustickes 5 carters 2 brings properties example if they eat or drinke either Ptisan either they 1 vomit 2 scowre 3 be very sicke therewith Apples Milke Cheese Partrich c. Things annexed to things naturall are foure fit to be considered These foure are 1 Ages be generally as from the 1 birth to 25 hot moist all which time the body 1 groweth is 1 sanguine 2 cholericke 3 melancholicke 2 is in perfect growth 3 beginneth to decrease 2 25 to 40. hot and dry 3 40 to 60. cold and dry 4 60 to the end of
or let of any of those eyther 1 generall 2 particular 2 kinds are either 1 generall where either 1 all the body waxeth thin weake slender and empty 2 some particular part 2 particular 3 Differences are generally two i 1 universall in all the body 2 particular in some part of 4 causes are either by 1 nature the body or member so made 2 Art so done i. by 1 purging 2 bleeding 3 sweating c. 3 accident as either by 1 obstruction either stopping the passage of by excrement c. 1 vitall heat 2 nutritive c. 2 a fluxe either 1 washing the naturall substance c. 2 exhibiting the juyce nutritive or the spirits from the place 5 Signes are Atrophia which is a 1 wasting of the body or part c. 2 consuming 6 Cure is by Removing the cause s A. 2 restoring the lost substance c. if it may bee done Of sleepe and watch 4 Sleepe and watch in it consider generally seven things i. sleepe 1 what it is 1 sleep is rest and quietnesse of the 1 vertue animall i. 1 sence and 2 motion 2 body and minde 3 spirits 2 the image of death 3 Deaths eldest brother saith Galen 2 the cause is 1 a sweet vapour of nourishment sent up to the braine 2 the coldnes of the brain that turns those vapors to humour which 1 close the conduits of the nerves 2 stop the waies of the 1 sence 2 spirits 3 prohibit the spirits 3 times of sleep are generally 2. i. sleep in the 1 day chiefly after noon is hurtfull to health and utterly to be disliked for the most part 2 night it fit to sleep 7 or 8 houres as cause requireth 4 the manner of it is either 1 long according to the 1 temperature of the body 2 disease and time of it 3 custome 2 short 3 meane 5 the differences are generally two i. the 1 moderate whose effects are shewed in my golden key 2 immoderate 6 and watch the utilities these two being 1 fitly used comfort much 2 moderately used they 1 refresh 1 the memory and al the sences 2 chiefly the 1 spirits 2 animall faculty 2 quicken and refresh the spirits 3 helpe digestion expell excrements c. 7 or watch the Hurts of either of these abused as immoderate 1 watch 1 makes giddy braines 2 ingenders rheume 3 postmes 4 troubles the spirits 5 causes rawnesse and crudities 6 idle braines and idiots c. 2 sleep 1 dulleth the sences 2 cause much superfluous excrements 3 makes grosse spirits in 1 old folkes 2 children 4 it retaines excrements 5 it fils the braines with crudities Looke more of these in my Golden Key Of Exercise and Idlenesse i. moving and rest 5 Moving and rest 1 Exercise i. moving 1 is eyther of the 1 body or both 2 minde 2 in it consider generally these two i. the 1 Differences being generally two i. 1 moderate i neither too 1 much 2 little 2 immoderate i. 1 vehement 2 excessively 2 effects i. the 1 moderate doe 1 stir up naturall heat 2 quicken the spirits 3 open the pores 4 wast excrements of the third digestion 5 make the 1 body strong 2 spirits 3 sences 6 comfort all the members 7 profit nature much 2 immoderate doe 1 hurt the body and parts 2 wast the body and spirits 3 dry 4 consume 5 weary 6 overthrow natures actions 2 Idlenesse and rest the 1 Differences be two i. 1 moderate not excesse 2 immoderate and excesse 2 Effects i. the 1 moderat doe 1 comfort nature 2 refresh 3 maintaine health 1 sences 2 body and parts 4 fortifie strengthen al the 2 excesse 1 dulleth the 1 minde 2 sences 3 principall instruments 2 causeth 1 great 1 cruditi 1 humors 2 excrem 2 plenty of evil 3 and cold sicknesses 2 infinite infirmities 3 hasteneth old age 4 causeth deformity Affections of the minde are generally of two sorts 6 Affections of the minde are generally two i. 1 Content 1 as in 1 hope 1 effects these 1 dilate the heart arteries 2 bring out the 1 vitall spirits 2 naturall heat 3 doe comfort and strengthen all the parts of the body and minde in all their actions 2 differences are generally two i. 1 moderate which doe 1 comfort 2 hurt 2 imoderate body and minde 2 joy 3 love 4 mirth c. 2 wherein consider their 2 Discontent 1 as in 1 anger 2 hatred 3 feare for things to come 4 care for things past 5 sorrow 6 griefe of minde c. 2 whose effects are i. 1 that diverteth the vitall heat and spirits into the center of the heart and thereby consumeth and dryeth the 1 vitall spirits 2 body causeth leanenesse 2 these are the 1 fore runners of body and minde 2 destroyers 3 overthrowers 4 murtherers 3 hastners of old age death by extinguishing and drying or consuming vitall heat and moysture 4 observe more of these sixe things called res non naturales in my book called the Golden Key consider how to use these sixe things not naturall before said both to 1 preserve health which is done by like quality and nature for every thing is maintained by its like so must the 7 things natural aforesaid be preserv'd maintaind 2 cure diseases which is done by things of contrary quality for every disease being a thing against nature must be cured by its contrary Of the third part called Pathologia i. res contra natura i. things against nature being generally three as followeth 3 Part. Things against nature are generally 3. i. the 1 disease being of three sorts i. intempary of the similar parts in 1 quātity being eyther too 1 much 2 little 2 quality being either too 1 hot 2 cold 3 dry 4 moist 2 evill confirmation this hurts organicks in 1 figure 2 number 3 magnitude 4 situation 3 solution of unitie in both 1 simple and organick parts 2 Cause being three i. 1 primative i. 1 outwards as 1 wounds 2 contusions 3 fractures 4 dislocations c. 2 or by some outward hurt or meanes 2 Antecedent i. of evill humors c. being either 1 hereditaries i. bred in the mothers womb by some infection c. from the parents or weaknesse or ill forme of some part or member 2 after the birth by 1 evil dyet disorder c 2 accident or abuse c. 3 Conjunct which appeareth after the collection of the matter offensive in some part or member never else is ever present in the body or part offended 3 Accidents or symptomes 1 are called Insulsum i. a bragge or reproach of the whole body or part saith Jerimeus Thriverius 2 doe follow the disease as the shadow doth the body 3 doe offend 3 waies wherein the actiō is either 1 abolished 1 hurting the quality either by vehement 1 heat 2 cold 2 any accident or cause 2 changing 1 the natural heat into inflāmation 2 scabs into lepra c. 2 diminished 3 depraved or wholly lost Of the
Times 1 it may be done at all times chiefly in the mornings 2 are either 1 long 2 short 3 mean 4 Effects it 1 hard and 1 long it 1 fasteneth constraineth makes the flesh hard 2 extenuateth dissolves makes revulsion 2 short it 1 makes the skin red for a time 2 leaveth the flesh moist and very little hard 3 mean increaseth and filleth with flesh but hard 2 soft and 1 long 1 evaporateth and breatheth out 2 diminisheth the flesh 3 openeth the pores of the skin 4 leaveth the flesh soft and moistneth 2 short makes little alteration 3 mean 1 makes thick 1 soft 2 foggie 3 moistish 2 agments and filleth with flesh yet 3 mean and 1 long diminisheth and leaveth the flesh neither 1 hard 2 soft 2 short 1 warmeth a little 2 leaveth the flesh in a mean 3 bring so in 1 quality agments the flesh neither to 1 hard 2 soft 2 quantity 5 māner of doing it 1 either with a 1 warme hand 2 sponge 3 course linnen cloth warme c. 2 in this order 1 soft and easie till the place become red 2 begin below and so ascend upwards 6 utilities it 1 disperseth 1 humours 2 spirits 3 excrements 2 warmeth and exciteth naturall heat 3 looseth and openeth the pores of the skin 4 mollifieth or hardneth used accordingly 5 diverts Fluxes Rheumes c. 6 canseth free passage of bloud and humours in the fleshy parts 7 prevents or removeth 1 Scabs 2 Itch. 3 Tumours 4 Cramps 5 Cold. 6 Dolour of divers parts 7 Discusseth winds and crudities c. All the Applicative Medicines which the Chyrurgion useth their operations are generally but eleven as followeth These are those eleven as 1 Anodines to appease paine are of three sorts done either by 1 Attractives 2 Evacuatives 3 Narcotticks 3 Repercussives be three sorts done either with things either by 1 cold and moist 2 cold and dry 3 hot and astringent to corroborate 3 Resolutives are of two sorts i. 1 Rarificatives 2 Disgestives 4 Mollificatives done by strong heat and little 1 Drynesse 2 Moisture 5 Attractives three sorts done either 1 elementall quality i. heat and thin substance 2 hidden propertie as Purges worke 3 accident 6 Suppuratives i. two sorts done by 1 things hot and moist 2 accident 7 Mundificatives they 1 separate out excrements by hidden property 2 draw 3 scoure 8 Incarnatives scowre and dry moderately to increase flesh 9 Conglutinatives be 1 dryer then 1 Incarnatives 2 Cicatrizatives 2 lesse dry 10 Cicatrizatives be hot and astringent some 1 proper by nature 2 Artificiall 11 Corosives are of three sorts i. 1 Vesicatories 2 Causticks or ●uptories 3 Corosives More of all these shall follow in order to shew more at large particularly Of Anodines to appease paines These be generally of two sorts i. 1 Proper and are all that contrary the cause of pain which is either 1 distemper of 1 heat for heat or cold cause sharpe pains cause sodain change 2 cold 3 dry do cause mean pains 4 moist cause little dolour 2 solution of unitie 2 all that 1 open of matter either thick viscous windy vaporous sharpe cold c. 2 purge 3 rarifie disburthen nature 4 disgest 5 attenuate 6 evacuate 3 done so that it exceed not above one degree of temperature of the distemper that causeth the pain in either 1 heat doe all S. A. 2 cold 3 drith 4 moisture 4 used 1 first to contrary the disease 1 inflamation 2 fluxion 3 tumour c. 2 in pains that be not very stubborne or rebellious to resist either in 2 Improper and are 1 Narcotticks stupifactive i. to astonish the sence of the part 2 Seldome used before purging in weak parts or neere noble part 3 Most commonly cold in the fourth degree 4 Such 1 as stop the passages of the Animall spirit from the part and so deprive the sence thereof 2 as neither removes the 1 cause doe stupifie and be numme the part 2 paine 5 Done by accident as by 1 hard legature 2 compression 6 Vsed in bitter paines 1 that resist all other Medicines 2 sometimes first lest the patient perish 7 Seldome used 1 without addition of 1 Castorium 2 Mirrh 3 Saffron c. 2 without those correctives for feare lest they 1 extinguish the naturall heat 2 cause 1 mortification 2 blacknes of the part c. Herein consider the 1 cause of pain also consider some Medicines remove the cause paine and not the cause neither 1 cause but stupifie 2 paine 2 paine it selfe 3 part pained Note intolerable pains by 1 inflammation are sooner mitigated by 1 bleeding then by other 1 Anodines 2 Narcotticks 2 purging 3 scarifying the part Dolorsit medicina doloris 2 gāgrena Of Repercussives Repercussiues bee generally of 2 sorts either by 2 Nature being also of two sorts either 1 watry cold and moist without any astriction and 1 therefore weak as 1 Purslane 2 Lettice 3 Melons 4 Housleeke 5 All Narcotticks c. 2 Doe expell and drive back by cold c. 2 Earthy and astringent of which some be 1 cold 1 grosse 1 and of earthy parts 2 be truly Repercussives 2 and more effectuall mixt with 1 lenitive things 2 Vineger in cold grosse matter 2 Hot and corroborative and keepe backe Fluxes Simple 1 legiture 2 compression 3 rolling 1 bleeding opposite 2 friction 4 revultion by 5 ventoses c. Compound 2 Accident without quality as Consider 1 Well to remove your Medicine before 1 the part wax black 2 it extinguisheth naturall heat 2 To respect herein the 1 Complexion of the 1 body 2 part pained 2 Medicine to be made fit to the 1 griefe 2 part offended 3 Nature of the part grieved for all parts may not endure liker● percussion 3 By no means apply repercussives 1 to the 1 Groynes 2 Arme pits 2 Glandles behind the Eares 2 strong to 1 Women 2 Children 3 Eunuches 3 on 1 bodies 1 plethorick before purging 2 full of ill humours 2 make 1 grosse but use rather attractives 2 sharpe 3 venemous 4 criticall 4 Weak repercussives in great 1 inflamations as Lettice c. availe little 2 disease 5 Put no strong repercussive on a small defluxion for it 1 straightens the skin 2 stops the passages 3 increaseth the inflamation 4 often causeth 1 Scirrus 2 Induration c. 6 To repell carefully according to the 1 magnitude of the disease 2 strength of the patient 3 nature of the 1 flux 2 member offended Of Resolutives Resolutives are of two sorts i. 1 Rarifactives 1 worke by heat and thin substance they doe 1 dry little 2 open the pores of the Skin 3 relax 4 attenuate humours 5 dissipate by evaporation things shut up under the Skin and doe case the paine as Anodines doe 6 discus are 1 simple as 1 Sage 2 Ebulus 3 Melilot 2 compound as 1 Dill 2 Camomill 3 Lillies c. 2 called weak resolutives used in the 1 increase of superficiall humours 2 state 2 matter 1 windy