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A59191 The Art of chirurgery explained in six parts part I. Of tumors, in forty six chapters, part II. Of ulcers, in nineteen chapters, part III. Of the skin, hair and nails, in two sections and nineteen chapters, part IV. Of wounds, in twenty four chapters, part V, Of fractures, in twenty two chapters, Part VI. Of luxations, in thirteen chapters : being the whole Fifth book of practical physick / by Daniel Sennertus ... R.W., Nicholas Culpepper ... Abdiah Cole ... Sennert, Daniel, 1572-1637. 1663 (1663) Wing S2531; ESTC R31190 817,116 474

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then strain it and then take Camphyre one dram dissolve it in one ounce of the Spirit of Wine and add it unto the former The stronger are these Take Plantane water and Rose water of each five ounces Mercury sublimate one dram let them boyl and then strain them through a thick Linen Cloth In the straining let the Liniments being cut into divers pieces be laid to soak or the Linen Cloth and let it be again throughly dryed and reserved for use Or Take Galls Pomegranate flowers of each one dram Dragons blood Ceruss the rust of Brass of each half a dram burnt Alum Frankincense and Myrrh of each one dram Make hereof a Pouder Chap. 8. Of an Ulcer that is wan and Callous IT sometimes so happeneth that the lips of the Ulcer are made hard wan and Callous Now this is caused by those things that dry overmuch or by the cooling of the externall Air or by the afflux of hot humors But from what cause soever it happen the Ulcer cannot be cured neither can it be closed up with a Cicatrice unless that hardness be first taken away and the exulcerated part be reduced unto its natural state And therefore if the hardness be less then Emollients and Discussives are to be made use of such as are of the Mucilage of Linseed of Fenugreek Oyl of sweet Almonds Oyl of Earth-worms the fat of a Hen and the fat of Ducks c. As Take the Mucilage of the seed of Marsh-mallows of Fenugreek of each two drams Turpentine one ounce Oyl of sweet Almonds and of white Lilies of each three drams Wax as much as wil suffice and make a soft Vnguent The simple Diachylon Emplaster is likewise here very good and of singular use But now if the hardness be greater and that it yield not neither give way unto Emollient and Discussive Medicaments after what manner such a like ulcer ought then to be cured Galen teacheth us when in the fourth Book of his Method of Physick and Chap. 2. he thus writeth When the lips of the Vlcer saith he are only somwhat discolored or made a little harder than ordinary they are then to be cut out even unto the sound flesh But whenas this Affect hath made a further progress then it falleth under deliberation whether al that which is seen to appear preternaturally be to be cut forth or else rather in time and as soon as may be to be cured And it is without doubt that in this case the wil and mind of the Patient is to be consulted and followed For some of them had rather be cured without being cut though it be a long time first Others again there be that wil be content to undergo any pain or hardship so that they may be soon and suddenly cured For such like ulcers are most speedily yea and most commodiously likewise and fitly cured if the hard and wan flesh be cut forth even unto the sound with a fit and convenient Instrument For both the pain is shorter neither is there any bad and hurrful quality introduced into the part as there is by corroding Medicaments For the hardness thereof is likewise very fitly wasted and removed by an actual Cautery But if the sick person wil endure neither incision nor burning the hard flesh is then to be wasted away and consumed by such like corroding Medicaments as we have elswhere propounded The green Water that we described in the foregoing Chapter is likewise of singular benefit and so is the Pouder also there mentioned The Oyl of Vitriol is one of the stronger Remedies Yet nevertheless we must be very cautious how we use the stronger sort of Medicaments in the Nervous parts and Defensive Medicaments are to be applied unto the neer parts lest that there be a pain excited and a new afflux of humors caused If the lips of the ulcer be leaden colored wan and black they are then to be sacrified and the vitious blood is to be drawn forth afterward a dry Spunge is to be laid theron and at length drying Medicaments as the green Water or the Pouder described in the precedent Chapter or the like Medicament Chap. 9. Of Ulcers that are hollowed and furrowed IF Pus and Sanies be long contained in the Apostem or Impostume and shal in its own nature be sharp or else shal become such by its long continuance there it then maketh as it were Conney-burroughs and formeth a hollow nook by the Greeks called Colpas But touching these nooks and furrows in regard that we have already spoken thereof above in Part 1. Chap. 6. it wil be altogether needless here to add any thing more unto what hath been there delivered Only we shal yet here acquaint you with some few things by way of Advertisement The first is this That hollow and furrowed Ulcers may not only be so bred but the sinuous and nooky ulcers may oftentimes likewise succeed wounds which especially happeneth by the negligence of the Chirurgeons and this very frequently chanceth in the Thighs For if such like places where the Muscles are larger the wound be not so ordered that the Pus may be expelled forth by the orifice of the wound it then by its weight descendeth according to the guidance of the Muscles and there raiseth furrows and Conney-burrows as the Latine Physitians term them and more especially if it hath been long detained and be thereby become sharp and corroding And in such a like ulcer since that al the Pus can hardly be expelled forth by the Ligature that is toward the upper Orifice it wil therefore be necessary to open a Sinus or nook in the lower part which being done and a way and passage made for the issuing forth of the Pus such wounds are afterward easily cured And therfore in the second place it is to be noted That we are to use such an expressive Ligature lest that whether in Wounds or in Ulcers Fistula's be generated to wit which beginneth from the very bottom of the wound or ulcer and endeth in the orifice thereof this notwithstanding alwaies provided That by how much the nearer it approacheth unto the Orifice by so much the looser ought it to be Thirdly You are to be hereof admonished That in regard such like sinuous ulcers become sordid and foul for the most part that therefore the Spirit of Wine is very fitly mingled together with other Medicaments because it hath in it an excellent property and vertue to cleanse and purifie such like ulcers as these Franciscus Valeriola hath a singular and happy way of Curing this dangerous nooked or furrowed ulcer in the fifth Book of his Observations Observ 1. and another in the same place Observ 7. where they may both be seen But yet nevertheless I hold it not amiss here to acquaint you with those Medicaments he there maketh use of for as for Section or cutting he would not for many reasons by any means allow of or appoint it First of all saith he after
presently called at the very beginning and if after the burning is quite healed there remain stil some blemishes then there is to be laid on a Vesicatory of Cantha●ides and Leven and the Bladders or Blisters that are excited are to be cut with a pair of Cizers the Powder to be taken forth and the place the like hereunto is to be done likewise at other times in such like burnings is carefully to be washed from its blackness with the Decoction of Fenugreek and Camomil flowers And afterward this or the like Linimet is to be made use of Viz. Take Gum Elemi one dram Dissolve it in the Oyl of Eggs of Roses and of white Lilies of each two drams Vnguent Basilicon three drams unsalted Butter one ounce and mingle them Gulielmus Fabricius in his Book of Burnings Chap. 6. maketh use also of the Powder of Precipitate But Paraeus doth rightly inform us that this Gun-powder doth somtimes so penetrate in the Skin and the Flesh these notwithstanding being not greatly hurt that it cannot by any Remedies be taken or drawn forth neither by Phaenigms nor by Vesicatories nor by Scarification not by Cupping glasses so that oftentimes there reman● some certain footsteps and prints thereof as experience it self testifieth But for the moderating of the pain let the parts that lie neer be anoynted over with this Unguent Take Oyl of Sweet Almonds of Roses of white Wax of each one ounce let them melt over the fire and then ad of Camphyr one scruple and a little of the Mucilage of Quince seeds Mingle them c. Burning from Lightening And hither belongs that Burning that happeneth from Lightening But now in regard that Lightening hath Joyned therewith a Malignant poysonous quality which manifestly appeareth from the stinking smel it carrieth along with it and that great power it hath to hurt the body yea oftentimes to Kill as also by this that even the Dogs wil not touch the flesh or Carkasses of those Creatures that have been destroyed by Lightening therefore when any one hath been blasted and burnt with Lightening then the Party is immeditely to be put into a Sweat by giving of him some of the Pouder of Bezoar or Treacle or Bezoar Water The Arteries also the Lips the Tongue and the Nosethrils are to be anoynted with Wine in the which Treacle hath been dissolved and unto the Hand-wrists and the Heart there ought to be applied Cordial Epithems but unto the burnt place there are to be applied Unguents made of Onions the Leaves of Rew and Treacle there are likewise to be administred Cordiall Syrup● Conserves and Pouders If there be an Eschar drawn over it it is speedily to be removed with a Penknife and then such a like Unguent as this is to be applied Take of the Pouder of the Root of Swallow-wort of Angelica of each half an ounce the Leaves of Rew and Water-Germander of each one dram Treacle two drams Treacle Spirit three drams Honey of Roses two ounces mingle c. The Ulcer being cleansed this sarcotick Pouder is to be strewed thereon for the breeding of flesh Take Roots of Angelica and Swallow-wort of each one ounce Myrrh Mastick Frankincense the Leaves of Water Germander of each half an ounce Aloes succotrine two drams make a Pouder which may be sprinkled with the Juice of the true and right Nicotian or Tobacco and Sanicle and hereof Trochisques are to be made which must be dried in the shade and when there is occasion again reduced into a Pouder But then if there be likewise any bones broken then we are not to make use of those extraordinary and common Astringent Cataplasms lest that the evaporation of the poyson should be hindered but some other of Bean meal Barly meal of Lupines of Angelica root of Swallow-wort of Rew leaves Leaves of Water Germander and Treacle and this is to be renewed day by day untill such time as the strength of the poyson be overcome and discussed And upon the place there is a Defensive to be put lest that the poysonous vapours through the vessels ascend up unto the Heart But if the Burning be so great the vehement The Cure of Burnings of the second degree that there be not only bladders or Blisters raised but that the Skin be likewise burnt overdried and drawn together then those Medicaments that only draw forth the Empyreuma wil not suffice neither are they alone to be applied but su●are likewise to be administred that mollifie and soften the Skin that is so much dried And therefore all the Pustules are forthwith to be cut and opened that so the hot and sharp humor may flow forth and then such a like Unguent is presently to be laid on upon the place affected Take of the Basilick Vnguent one ounce Oyl of Roses of Almonds of white Lilies of each tree drams Yelks of two Eggs Mingle them c. Or Take of new fresh Butter the new and fresh fat of a Hen of each one ounce new Wax and Oyl of white Lilies of each half an ounce let them melt upon the fire and then mingle therwith of Saffron one scruple Mucilage of Quince seeds one ounce Mingle them c. Or else this of Fabricius Take New fresh Butter washed in Rose-water three ounces Oyl of Violets of the Yelks of Egs of sweet Almonds of each half an ounce Barley Meal one ounce and half Saffron one scruple Mucilage of Quince seeds one ounce Wax as much as wil suffice and make an Vnguent Or else another of those things that were before mentioned Or Take Litharge Ceruss or Vermilion as much as you please let them boyl in Vinegar the Vinegar being passed through the filtring bag add of the Oyl of Violets or Oyl of Eggs a sufficient quantity and let them be carefully mingled together And afterward Take the Pulp of sweet Apples rosted under the Embers two ounces Barley Meal and Fenugreek seed of each half an ounce and with Milk make a Cataplasm unto which add of Saffron half a scruple mingle c. But upon the burnt place such a Defensive is to be laid on Take the Pouder of Bole-armenick Dragons Blood Pomegranate flowers Flowers of red Roses of each half an ounce Oyl of Roses three ounces Wax one ounce and half a little Vinegar and make an Vnguent And then the Member it self is afterward to be bound about with a Swathband that hath been wel wet in Oxycrate or else a Linen cloth throughly moistened in the said Oxycrate is to be imposed upon it that both the pain may be mitigated and the influx of the Humors hindered and prevented They commonly make use of that tart Brine or pickle in which the Cabbage is kept and preserved If lastly the Skin be not only somwhat dried Cure of Burning of the third degree but that al the Radical humidity thereof be wholly consumed and the Native heat altogether scattered yea and the very flesh it self and the Veins and the
the Evacuation of the blood and the preparation and purgation of the vitious humors ought to be enjoyned according to the Nature of the peccant humors This in the general is to be pre-cautioned that regard be had unto the Heart that it be wel and safe guarded against al the malignant vapors that exhale from the putrifying part And therefore we must here administer for the comforting and strengthening of the Heart Medicaments of Borrage Bugloss Carduus Benedictus the smallest Sorrel Bole-armenick Terra sigillata Bezoar stone Citrons Treacle Mithridate Species of Diamargarit frigid Electuarium de Gemmis Confection of Hyacinth Alkermes and the like Or Take the Water of Scabious Sorrel Borrage Roses and Carduus Benedictus of e●●h one ounce and half Syrup of Sorrel Citrons and Pomegranates of each one ounce the species of Diamargarit frigid Bole armenick and Terra sigillata of each one scruple Mingle them and make a Potion Or Take Conserve of Roses two ounces of Sorrel of Borrage and of Gilliflower of each one ounce Citron rind candied Rob de Ribes of each half an ounce prepared Margarites Bole-armenick Terra sigillata the temperate Cordial Species of each one scruple Syrup of Sorrel and of Citrons as much as wil suffice and mingle them Let the Heart be likewise guarded externally with Topicks As Take the Water of Roses two ounces of Borrage and Sorrel one ounce and half of Carduus Benedictus one ounce Vinegar of Water-Germander six drams Spirit of Roses one scruple Mace Lign-aloes Rinds of the Citron of each half a dram Saffron half a scruple Camphire six grains Mingle them and make an Epithem which must be applied unto the Region of the Heart for its defence and preservation In a Gangrene likewise for the most part the sound part ought to be fenced and guarded and we must be alwaies doing our endeavor that the said part receive none of the putridness And for this end the above mentioned Defensives of Bole-armenick and Terra sigillata must be administred unto which by reason of the malignity Water Germander may be added and mingled therewith As Take Bole-armenick one ounce Terra sigillata half an ounce Harts-horn burnt and prepared one dram Camphire half a dram Wax six drams Oyl of Roses four ounces Rose Vinegar one ounce the juyce of Water Germander half an ounce the white of one Egg mingle them and make an Vnguent As Take Bole-armenick and Terra sigillata or sealed Earth of Lemnos of each half an ounce Mingle them with Vinegar of Water Germander Gulielmus Fabricius frequently made use of this that followeth Take Barley meal four ounces Bolearmenick two drams Galls Cypress Nuts Pomegranate rinds of each one dram and half with a sufficient quantity of Oxymel simplex make a Cataplasm A Gangrene from overmuch cooling But now that we may come unto the more special Cure we will in the first place declare unto you in what manner the Gangrene that hath its originall from an overgreat cooling ought to he Cured But now that it may be wel known how and in what manner al those are to be dealt withal that have been over cooled whether it be so that the Gangrene be already present and in being or that it be only neer at hand we wil from the very begi●●ing briefly pursue and declare the truth of the thing The Cure of such as are over-cooled If therefore there be any one over cooled yet notwithstanding that as yet there is no Gangrene present neither is the part as yet become wan pale and cold but that there is rather a redness in the part together with a vehement and burning pain then in this case the man is not instantly to be moved neer unto the Fire but he is rather to be placed somewhat more remote from it that so by degrees the heat may recover and recollect it self But if it be so that the part be not altogether stiff and stifled with cold so that there be no longer any blood left therein then it is forthwith to be welchafed and rubbed with Snow or the overcooled members are likewise to be throughly washed with cold water upon which they wil begin by little and little to wax warm and to recover their former heat Which the Inhabitants of the Northern Climates have much in use who are wont when any Travellers are overcold stiff and almost dead therewith first of all to plunge them deep into cold water and before ever they give them any entertainment to wash and rub their Hands Feet Noses and other Members with Snow And that from the inward parts the heat may the more strongly diffuse it self unto the external parts and that all the cold may be expelled it wil be requisite to administer suppings made of Wine and to drink Wine and Treacle mingled together The aforesaid People of the Seprentrional Regions use to give their Guests when they are almost dead with cold Hydromel with the Pouder of Cinamom Cloves and Ginger and the like Spices after which they put them to bed and cause them there to Sweat For which purpose there be some that outwardly apply likewise unto the body Flagons or Stone Pots ful of hot water Afterward when the pain and the coldness are something mitigated gentle rubbings with the hands anoynted with the Oyl of Camomile sweet Almonds and Dil are to be administred and the parts are to be fomented with sweet Milk in the which there may also be boyled the Leaves and Berries of the Lawrel Rosemary Camomile Sage Organy French Lavender and the like The Decoction of Rape roots is likewise singularly useful and commonly unto those members that are pained with overcoldness they use to apply the Decoction of Rape roots that have been first frozen with cold After this we must betake our selves unto those things that are hotter such as the Oyl of Lilies of Turpentine of Wax Nettle seed Cresses But if there be not only a fear of a Gangrene but that there also be one already present and that the Member already begin to die we must then use our utmost endeavor that the heat may be preserved in the part and that from other parts it may be again called back unto it and therefore here is little or no benefit to be expected from Defensives but Scarifications are rather to be administred and the parts to be fomented with those hot Medicaments that were but even now mentioned unto which we may add Scabious water Germander the Root of Asclepias or Swallow-wort and the like Unto the parts there may be administred Treacle Mithridate Trochisques of the Viper the Ley in which Water Germander hath been boyled and Treacle Waters Secondly A Gangrene from the afflux of Malignant humors If the Gangrene hath its original from the afflux of Malignant humors or a malignant quality then by appointing a Cooling and drying Diet and by administring of Meats sauced and seasoned with Citrons Lemmons and Pomegranates and
and depraved humor by Nature her self thrust unto some Member should be able suddenly to mortifie and deaden it Certain it is that a potential Cautery of Lye out of which Sope is made doth within the space of an hour or at the utmost in two hours time mortifie that part upon which it is imposed whenas notwithstanding it is made only out of the Salt of Woods and of unslaked Lime What wonder is it therefore that some humor of the same Nature salt sharp and malignant being now separated acting a part by it self from the rest by the which it was tempered and qualified as Hippocrates tels us in his Book of the Ancient Physick should effect somewhat like unto the former Of all those that have been affected with the Scorbutick Gangrene of whom I made mention before no one ever recovered besides that Citizen that was taken with a Gangrene in the little Finger of his left Hand he himself being as I saw good cause to judg of him a Scorbutick person Now the Medicaments by which he was cured are these that follow Take of the Apoplectick Water and the Spirit of Juniper berries of each two ounces the Spirit of Wormwood and of Cherries of each half an ounce Sage water and Lavender water of each one ounce Mingle them This Water was oftentimes prepared with the which the affected part was washed or else Linen Cloaths moistened therein were laid upon the part Take Conserve Cochlear two ounces and half of Betony and Sage of each one ounce and half of the temperate Cordial Species and pleres archont of each one scruple Rob. of Juniper two drams Syrup of Betony one ounce Make an Electuary Take Conser Cochlear three ounces of Sage two ounces Species Dyaxyloaloes one dram the Candid Rinds of Citron half an ounce Rob. Juniper two drams with the Syrup of Betony make an Electuary Take Oyl of Juniper berries one ounce Oyl of Earthworms two ounces Oyl of Flowerdeluce one ounce Mingle them Take the Essence of Carduus Benedictus and of Wormwood of each two drams Cochlear half an ounce the Elixir of propriety one dram the Spirit of Water Cresses one scruple mingle them Take of Fennel root and Asparagus root of each half an ounce Pimpernel two drams the Herb Harts Tongue one handful Germander and Groundpine or Herb Ivy and Dodder of each half a handful Anise and Fennel seeds of each two drams Juniper berries two drams and half the Flowers of Bugloss and Liverwort of each one pugil Raisins cut small one ounce boyl them in Spring Water unto seven or eight ounces unto the straining ad of Sugar two ounces and half And then again let it boyl once or twice unto the Consistence of a liquid Syrup and then add of Cinnamom water half an ounce and mingle them Take Asparagus Roots and Fennel Roots of each half an ounce Pimpernel and Succory of each two drams and half the Herb Maiden-hair Agrimony Harts Tongues Germander of each half a handful Anise seed Columbines of each two drams Borrage and Bugloss flowers of each half a pugil boyl them in a sufficient quantity of Water unto half a pint unto the straining add of the whitest Sugar two ounces and again let them boyl up once or twice and make hereof a liquid Syrup unto which ad of Cinamom water half an ounce and mingle them Take the Trochisques of Capars and of Rheubarb of each one scruple and half Extract of Womwood and Gentian of each one scruple Oyl of Cinnamom two d●ops make Pils Take Trochisques of Rheubarb Capars Lacca of each two scruples Extract of Wormwood and Gentian of each one scruple of Spleen-wort as much as wil suffice and make Pills hereof Take Pills of Tartar with Scammony and of Rheubarb of each one scruple Extract of the Pils Aggregative half a scruple Oyl of CloveS one drop with Betony water make Pils Take the Elixir of propriety with the Juyce one dram Essent Cochlear two drams of Germander Spleenwort and Wormwood of each one dram and mingle c. Take Lawrel leaves Betony Sage and Marjoram of each two handfuls to wash the Hand withall Take Trochisques of Rheubarb and Capars of each one scruple Extract of Succory half a dram Centaury the less and Carauus Benedictus of each half a scruple Make Pills forty five Take Leaves of Betony Bay leaves Marjoram Sage Rosemary of each two handfuls Flowers of Elder and Lavender of each one handful Staechados of A●abi● half an ounce boyl them in Wine to foment the Hand therewith Take of the Nerve Emplaster three ounces destilled Oyl of Sage one scruple of Marjoram half a scruple Mingle them and make an Emplaster Take the Elixir of propriety two scruples Essent Cochlear and of Germander of each two drams of Elecampane and Lign Aloes of each half a scruple Mingle them c. Take the Leaves of Lawrel and Betony of each two handfuls Marjoram Sage Organy of each one handful Flowers of the Arabian Staechados half an ounce boyl them in Wine for a fomentation of the Hand Take the opening Roots half an ounce Agrimony half a handful Leaves of the choycest Sene one ounce Mechoacan half an ounce Ginger one dram and half boyl them in Spring water in four ounces of the straining dissolve half an ounce of Manna and then strain it again adding thereto one ounce of Sugar and make a Syrup This Cataplasm was likewise made use of Take Bean meal one ounce Pouder of Water-Germander Rue Sage Wormwood of each half an ounce and make a Cataplasm The little Finger with that next unto it the Ring-finger was oftentimes anoynted with the Oyl of Earthworms which is made by putting the said Earthworms washed into a Glass then enclosing the Glass in a Mass of Dough bake it in an Oven and the Liquor that cometh from these baked Worms gather it together and filtrate it But for the Curing of the Ulcer in the little Finger after the Gangrene we used this Unguent Take Oyl of Bays Honey Turpentine of each two drams May Butter Gum Elemi one dram Mingle c. Another Cure A certain Noble Person having had his Foot wrung with his shoe in that very place where the hurt had bin there arose a black Pustule in the sole of the right Foot Which he not much regarding there instantly followed a Gangrene which in that place seized upon the Flesh Which so soon as it was observed the affected flesh was presently scarified and the Pustule being cut with a pair of Cizers the Aegyptiack Unguent was imposed upon the part affected After this the Defensive of Vigo was applied unto the Foot which is in this manner prepared Take Oyl of Roses Omphacine and Myrtles of each three ounces the Juyce of Plantane and Nightshade of each two ounces boyl them to the Consumption of the Juyces and then strain them Add of white Wax one ounce and half Meal of Lentiles Bean meal and Barley meal of each half an ounce
each two ounces and half Mastick one ounce Saffron one dram Wax half a pound Common Oyl one pound and half Make hereof an unguent according to Art Or Take the Juice new drawn of Ladies Mantle of Sanicle of Saracen Consound of each alike as much as you think good set them to the fire and then add of old Swines fat and May Butter of each alike as much as wil suffice and make an Vnguent Or Take White Rosin three ounces May Butter six ounces Juice of Ladies Mantile one ounce Sanicle Wintergreen of each an ounce and half Goats beard Oyl of Olive of each two ounces Let the Juices be first boyled with the Oyl until the moisture be consumed then add the Rosin and after that the Butter then let them be strained and stirred well together until they be cold Or. Take the Herb Wintergreen Adders tongue Sanicle Speedwell of each one ounce flowers of St. Johns Wort and Centaury the less of each six drams let them be cut very smal and shut up in a Glass bottle Add Oyl Olive one ounce the fat of a Hog three ounces unsalted Butter four ounces let them stand in a hot place or in Balneo Mariae for eight days afterwards boyl them till the humidity be consumed and then strain them after this add Turpentine one ounce Mastick Frankincense Myrrh of each half an ounce Aloes Hepatick one ounce and make an unguent The Unguent likewise of Caesar Magatus is very useful As Take our Oyl of St. Johns Wort one pound Wax washed in Balsam water three ounces Let them melt together in a narrow mouthed Glass vessell when they are melted ad unto them of our Balsam one pound Gum Elemi three ounces Balsam of Peru Tacamahaca Caranna of each two ounces all these Gums are to be dissolved severally and apart with our oyl of St. Johns Wort Ammoniacum and Galbanum in like manner dissolved of each half an ounce Myrrh Frankincense Aloes Gum hedera of each two drams the Roots of Consound Birthwort Bistort and Tormentil of each one dram and half Cretan Dittany three drams Water Germander two drams Mans fat prepared two ounces Swans fat one ounce mingle them and make an Vnguent and keep it carefully in a narrow mouthed vessel of Glass or Silver Oyls and Balsams natural as the Balsam of Tolu Balsams of Peru and the like and Artificial as Take Oyl of Bayes two ounces Mastick Olibanum Goats sewet of each one ounce and Mingle them or Take the yellow that is in the middle of red and white Roses and white Lilyes of each as much as wil suffice pour in unto them Oyl Olive a sufficient quantity and then set them in the Sun in a Glass close stopped for fourteen daies or Take Turpentine and Oyl of Bayes of each four ounces the Oyl of the yelks of Eggs two ounces Oyl of Roses half a pound mingle them and set them in the Sun until they shall have gotten a yellowish colour or Take Turpentine one pound Galbanum Gum Elemi Gum Hedera Frankincense Mastick Myrrh of each two ounces Aloes Xyloaloes Galangal Cloves Cinamom Nutmeg Cubebs of each one ounce Aqua vitae three ounces Let them be macerated together for a day and a night and afterward let them be twice destilled and keep that destilled oyl as a pretious Balsam Or Take the Liquor of the bladders of the Elm defecated and prepared one pint the best hony purified three ounces Juice of Tormentil of the greater Consound and of the mean Consound of each four ounces mingle them boyl them over a gentle fire to the consumption of the Juices and then ad the following powders Take Dragons Blood Oriental Bole-armenick Manna thuris Horse Tayl Mastick of each two drams Mingle them and make a very fine pouder and ad it unto those things above mentioned The preparation of the liquor of the Elm-bladders is thus in the moneth of May these kind of bladders are to be gathered before there breed any Worms in them and with this liquor a glass vial is to be filled up and stopt with a linen cloth after this a hole is to be made in the earth two or three hand breadths in heigth and in the bottom of the hole we are to put common salt three fingers high upon which the vial is to be placed and then the hole to be filled up with earth so that the vial appear not and so it is to stand for twenty five daies then the dreggs are to be separated from the cleer substance and that which is cleer is to be kept for use which if you put of it self alone unto the disjoyned parts it agglutinateth them Another Balsam Take Frankincense Myrrh Sarcocol Gum Junip Gum Arabick Gum hedera Gum Elemi Mastick Dragons blood Balsam of Peru Tacamahaca Caranna of each one ounce and half The tears or sweat of the Fir tree the liquor of the little leaves of the Elm of each one pinte Rosin of the pine half a pound Tormentil roots Roots of Bistort of Orace Birthwort Consound white Dittany of each half an ounce Juniper berries and Bay berries of each six drams spirit of the best wine three pints mingle them together and destill them and receive the water the spirit and the oyl severally and apart All of them are excellent good for the agglutinating of any Wound Another Balsam Take the oldest oyl you can get four ounces Venice Turpentine ten ounces and half whol Wheat two ounces St. Johns Wort two ounces and half the roots of Carduus Benedict and valerian of each ten drams the finest smal dust or pouder of Frankincense two ounces Hypocistis or the excrescence of Cystus half a dram Bolearmenick and Dragons blood of each half an ounce the ponder of Earth-Worms two drams the greater Consound one handful Horse Tail half a handful let the roots and herbs be bruised after a gross manner and then put up into a vessel and then pour in white Wine unto them and after they shall for a while be thus infused let the oyl and the wheat be added and all boyled unto the consumption of the Wine After this pressing and squeezing forth the Liquor with al your strength ad the powders and the Turpentine and then suffer it again to boyl a little and so keep it in a Glass vessel for your use Or Take Turpentine two pound Common oyl three pints Oyl of Bayes six ounces Oyl of Cinnamom two ounces Oyl of Euphorbium oyl of Cloves and oyl of Bay berryes Gum hedera Ammoniacum Sagapenum Opopanax Galbanum of each one ounce Frankincense Mastick of each two drams Let them be together destilled and make a Balsam for the Wounds of Nerves or Take Clear Turpentine two pound oyl of Linseed one pint Rosin of the Pine six ounces Frankincense Myrrh Aloes Mastick Sarcocol of each three ounces Mace Ligne Aloes of each two ounces Saffron half an ounce put al these into a Re●ort and first of al let them be
in the first place Scarification is to be administred or likewise if need so require Cupping-glasses are to be applied that so the corrupt blood may be evacuated After this the part is to be fomented with warm Vinegar or the Decoction made of the Reddish Root of Serpentaria or Vipers Grass Cuckowpint Solomons Seal and Wine as much as wil suffice For such like Remedies dissolve the clotted blood and draw it forth from the very bottom unto the outmost part of the Skin And after let there be applied the Diachylon-Flower-de-luce Emplaster Or Take Southernwood Cumin Seed Camomilo Flowers of each one dram the Juyce of Wake-robbin or Cuckowpint as much as will suffice make hereof a Cataplasm Or Take Oylan ounce and half Wax an ounce the Juyce of Marjoram an ounce and half let them dissolve together at the Fire and then add of the Spirit of Wine one ounce And to conclude that which Paraeus adviseth is to be taken notice of to wit that in the contusion of the Muscles and especially those about the Ribs the Flesh a little swelleth up and becometh as it were snotty and purulent insomuch that if it be pressed down and squeezed together is sendeth forth a flatulent Air with a certain kind of low noyse and gentle hissing and withall the print and impression of the Fingers remaineth and is to be seen for some while after And therupon in that void space that the Flesh separating it self from the Bones hath lest there is a purulent and rotten filth gathered together by which there is caused a syderation and putrefaction If therfore this shal happen the Malady is speedily to be taken in hand the best means used and the part most strictly and closely to be drawn together and furthermore Oxycroceum or Ireat Diachylon or the like Digestives are to be administred And thus much shall suffice to have been spoken touching Tumors arising from the Blood there now follow those Tumors that arise and proceed from Choler Chap. 17. Of the Tumor Herpes HAving hitherto treated of and explained the Tumors arising from the blood it now remaineth in the next place that we likewise explain and declare those Tumors that proceed from Choler Among the which the Erysipelas is commonly wont to be first propounded and reckoned up But since that as we conceive the Erysipelas as it is now adaies with us or as it hath been by the Ancients vulgarly termed Rosa may more fitly be recounted among the Tumors arising from the blood we have therefore treated thereof above among the Tumors proceeding from blood in the seventh Chapter wher we handle the Erysipelas But now Herpes is truly and properly a Tumor proceeding and taking its original from Choler And it is termed Herpes from its creeping to wit because it seemeth to creep like unto a Snake and for this reason because that no sooner doth one part seem to be healed and wel but the Disease instantly creepeth unto the next adjoyning parts And although to speak truly there are very many Maladies that Creep along yet in special that Tumor is by Physitians termed Herpes that is excited in the superficies of any part from yellow choler sincere or simple that is severed from all other humors and from thence creepeth along unto the parts next adjoyning For as the Erysipelas ariseth from blood very than and choletick so the Herpes proceedeth from excrementitious Choler Celsus seemeth to propound and mention Herpes under the name and notion of Ignis Sacer or the Sacred Fire whereas other Latine Physitians understand an Erysipelas under this appellation of Ignis Sacer. The Causes The conteining Cause of Herpes being sincere pure and sharp Choler severed and separated from the rest of the humors which by its implanted thinness penetrateth and pierceth even unto the outward or Scarf-skin and is by and through it diffused it hence appeareth and by consequence followeth that the Tumor or swelling in it is yet less than in an Erysipelas For as in an Erysipelas the Swelling is less than in a Phlegmone by reason of the smal store and thinness of the matter that is found in the one more in the other less so again in the Herpes the swelling is less than in the Erysipelas for the very same cause But as for the Antecedent and Procatartick Causes they are almost the very same as in an Erysipelas yet notwithstanding somwhat more disposed to the generating of an excrementitious yellow choler then to the breeding of a cholerick Blood The Differences The Differences of Herpes are taken from the diversity of the conteining Cause and the humor For although every Herpes hath its original from Choler and a thin humor yet notwithstanding since there are certain degrees of its tenuity thinness and purity if that humor or choler be simple and of a thin substance then the Affect that reteineth the general name is termed a simple or single Herpes But then if there be any portion of Flegm mingled therewith there is produced an Herpes that causeth and raiseth little Bladders in the Skin like unto the Millet whereupon it is called Herpes Miliaris And lastly if the Choler be more sharp and biting so that it eat through the skin unto which it adhereth it is then termed Herpes Esthiomenos that is the eating Herpes and this same by Galen in his 14. Book of the Method of Physick Chap. 17. is called absolutely and only Herpes and is almost of the same nature with an exulcerated Erysipelas from which notwithstanding it differeth in the thinness of the humor For so saith Galen in the place before alleadged It is saith he an exceeding thin humor that exciteth the Herpes even so thin that it doth not only pass through all the interior parts which likewise are of a fleshy substance but also the very Skin it self even unto the utmost part of the Scarf-skin the which alone in regard that it is kept in and reteined by it it both gnaweth and likewise eateth through whenas if it could also in like manner pass through it by sweating it would not then excite and produce any Vlcer But now the exulcerated Erysipelas and the Herpes Esthiomenos differ likewise in this regard that the exulcerated Erysipelas doth not only seiz upon the Skin but also upon some part of the Flesh that is underneath it but the Herpes exulcerateth only the Skin Signs Diagnostick In regard that the Herpes is apparent and manifest unto the Senses it is therefore easily known For it is a broad Tumor that hath little or no heighth in it so that the part is scarcely lifted up at al but may seem rather to be exasperated then to swel up unto any heighth There is moreover present to accompany it a certain kind of hardness and a pain and as it were a certain sense and feeling of an heat and burning But the Herpes Miliaris hath divers smal Pustules like unto Millet in the very top and outside of the Skin of the
is but seldom that it happeneth in these parts The Causes That it hath its original from a blow or from hard labor Paulus and Aetius teach us which is indeed to be understood of the evident cause But how these evident causes come to produce those Tumors is not so evident and manifest Vulgarly the greater part determine that they arise from a dull sluggish thick flegm or else from Melancholy But others assert and that more rightly that by means of some fal by reason of extension or of some extraordinary hard labor and over working by al or any of which either a Nerve or a Tendon is too far extended or likewise according to the Membrane even as is were broken the nutriment of the Nervous part doth as it were sweat forth and adhere neer about the Fibres and the substance of the same Nervous part and so becometh changed into this substance by reason of the formative faculty of the said parts and then covered with a peculiar Membrane After which manner if the Periostium be opened even in the Bones their nutriment is turned into a boney knot as Platerus giveth us to understand For look as it is in Trees if their Rind or Bark be wounded or in any other manner opened Nature sweating forth the aliment suffereth it not rashly to diffuse it self al abroad but changeth it into a knot so in like manner albeit the Membranes that wrap about the Bones or Nervous parts may be broken yet Nature permits not the aliment rashly to flow abroad through the open passages but from thence under the Skin formeth a Tumor included and shut up in a peculiar Membrane But now that Ganglion that Platerus describeth happeneth not from the default of one only Nerve or Tendon but chiefly in those places where there is a concourse of Tendons Ligaments and Nerves and especially about the knee either when those parts by reason of their overgreat motion are very much exercised or else while Wounds are in curing For if the juyce of these parts to wit of the Tendons Nerves Membranes and Ligaments shal chance upon the occasion of the aforesaid Causes to flow forth abroad out of the said parts and shal withal begin to be luxuriant and to abound and shal likewise adhere unto the Fibres of the same parts it is then changed into such a like fungous or Mushrom-like matter which oftentimes overspreadeth the whol joynt and is thereupon by the Germans called Der Gliedshevva And yet notwithstanding it may likewise so chance that a vitious humor abounding in the body may flow in into such a like weak part and may be mingled together with the said thick juyce that nourisheth these parts and may through that open passage flow together with it unto the aforesaid parts and may there augment the Tumor Signs Diagnostick This Tumor is bred in those parts that are not covered with much flesh but only by the Skin and therefore it lieth not hid very deep and it is now hard now soft now greater now less and somtimes it is in bigness equal unto and many times greater than an Egg it is void of al pain and yet notwithstanding if it be forcibly pressed together it then manifesteth a certain kind of dul and stupid sense it may be thrust and moved unto the sides but neither forward nor backward That Ganglium which Platerus describeth is a Tumor for the most part arising in the Knee soft without pain and of a different color from smal beginnings somtimes encreasing to so great a bulk and magnitude that it comprehendeth the whol joynt from whence it chanceth that the sick person can neither stand upright no go straight neither is he able in going to tread upon the ground or at least as it were only on tiptoe Prognosticks 1. This Disease is of long continuance and oftentimes lasteth for many yeers and accompaninieth the sick parties even unto their dying day 2. Those of them that are in the very junctures of the joynts impede and hinder the motion of the whol Member 3. The Ganglium likewise that is neer about the Joynt unless it may be taken away by Medicaments is altogether incurable For it admitteth not of Section or cutting in regard that it may easily happen that by Section a Nerve Tendon or Ligament may be hurt The Cure Universal or general Remedies having been first premised it is requisite that the Tumor be mollified and discussed or if this cannot wel be done that it be suppurated or cut out Therefore if Ganglium or Nodus the Knot be recent and new and the little Bladder within which it is included be yet tender we must then in the first place do our endeavor that the said bladder may be broken And therefore the Tumor is to be rubbed with the hand so long until it wax hot and become softer and afterward let it be close pressed together with some thin plate or some other solid thing so long that the bladder may be broken and that the matter therein included may be thereby dispersed And therefore let a thin plate of Lead be imposed upon the place affected and bound close upon it with a Swathe which is not to be removed until after ten daies Others there are that first of al anoint the Tumor with Ammoniacum dissolved in the form of an Emplaster and then after they apply a thin plate of Lead Oribasius made use of this that followeth Take Ceruss Pitchy Rosin old Oyl Ammoniacum Galbanum of each one ounce Wax four ounces mingle them c. Or Take Aloes and Myrrh of each six drams Litharge of Gold one ounce Ladanum half an ounce Ammoniacum the Fat of a Calf and of a Fox of each six drams Oyl of white Lillies two ounces Wax as much as wil suffice make an Emplaster Or Take of unslaked Lime the Fat of a Goose of each one ounce Ammoniacum half an ounce Turpentine one ounce mingle them c. Or Take of the Emplaster Oxycroceum one ounce the Mucilage of Marsh-mallow seed and Fenugreek seed of each half an ounce Galbanum Sagapenum and Ammoniacum dissolved in Vinegar of each three drams Rosin six drams white Wax half an ounce Mingle them and make an Emplaster Or Take Gum Ammoniacum Bdellium Galbanum dissolved in Vinegar of each one ounce and half Oyl of white Lillies of Camomile of Bays the Spirit of Wine of each half an ounce the pouder of the Flowerdeluce Root and live Sulphur of each half a dram mingle them and make an Emplaster If the Ganglia give not way unto these Medicaments we must then betake our selves unto those Remedies that cause suppuration As for Example Take the Roots of white Lillies and Marsh-mallow Roots of each an ounce and half the Root of Fern one ounce fat dried Figs in number ten the Root of Squils or the Sea Onion one ounce the Flowers of Melilote and Elder flowers of each one smal handful boyl them in the Broth of a
in their bathings and these Asiaticks place almost al their whol delight in their Baths imitating the magnificence of the Ancients in their stately structures for this very purpose and with emulation endeavoring to exceed them in this their luxury and prodigality For there in their Baths are al things to be had that may possibly be desired either for health or pleasure touching which see further in Prosper Alpinus his third Book of the Egyptian Medicam Chap. 15 16. and so the following even unto the end of that Book But now as for the Cure of a particular Atrophy The Cure of a particular Atrophy Galen in his Book of the Office of a Physician Chap. 3. Text 32. and in his fourteenth Book of the Method of Physick Chap. 16. hath taken great pains to shew us in what manner it is to be performed For whenas the private parts do wither away and are extenuated by reason of the hinderance of the afflux of the Aliment and the languishing heat of the part the Physitian ought then to use his utmost endeavor that so strength and heat may again be restored unto the part and that the afflux of blood unto the part may again be procured Those means that restore strength and heat unto the part are a gentle and moderate rubbing of the Member Motion and the suppling of it with warm water the same means do likewise draw and allure the blood unto the part Now this friction and suppling with warm water ought so long and no longer to be continued until the part be made somwhat red and be as it were a little swoln but not so long until it be again asswaged and fallen The parts may likewise be fomented or if their condition wil bear it even soaked and bathed in baths made of Sage the tops of Juniper Lovage Lavender Mallows and Marsh-mallows with which when the part is sufficiently fomented it may afterwards he anointed with Oyls or convenient Unguents Vnguents There are many such like Unguents and Emplasters to be had as for instance TakeVnguent Dialthaea Aragon and Martiatum of each one ounce and half Oyl of Lawrel of Spike and of Castoreum of each two drams Mingle them and make an Vnguent Or Take Mans Fat the Yew Tree of each as much as you wil the Pouder of Savine as much as will suffice and make an Vnguent Or Take Bdellium Opopanax of each one ounce Dissolve them in Wine and strain them Then add of Hogs fat three ounces Goose fat and Hens fat of each one ounce Oyl of old Olives four ounces Turpentine and Wax of each one ounce mingle them over the fire and boyl them until the Wine be consumed and at length add of the Pouder of Mastick Frankincense and Fenugreek of each one ounce and make an Vnguent Emplasters There may likewise such a like Emplaster be imposed Viz. Take Wax Rosin Turpentine of each one pound mingle them upon the fire and afterwards add of Mastick Frankincense Galbanum Saffron long Pepper Cinnamom Nutmeg Mace Cloves Zedoary Galangal Ginger Grains of Paradise and Nettle seed of each half an ounce and make an Emplaster Or Take the Leaves of Lovage fresh and new the tops of Savine and Juniper of each two handfuls Camomile flowers half a handful Juniper Berries half an ounce when you have sliced and bruised them wel then pour upon them the Oyl of Bayes and Lillies as much as wil serve to cover them all of Hogs Grease three ounces of Wine two ounces boyl them until all the moisture be wasted and then add Oyl of Spike and Juniper Berries of each one dram Mustard seed poudered one ounce the Root of Pellitory three drams Mustard two drams Wax as much as will suffice and so make a Liniment A Fomentation For those that are offended by Remedies that are fat they may have a Fomentation made of the Water following wherewith the Member may be bathed Viz. Take Castoreum one dram long Pepper Pellitory Grains of Paradise of each two drams the Berries of Spurge-Olive by the Greeks called Coccognidia or of Nettle half an ounce Rocket one dram and half Juniper Berries one handful Sage Mint Organy Mother of Thyme St. Johns wort of each one handful Spirit of Wine three pints destil them or at least let them stand infusing a long while to wit for some certain daies time and afterwards let them be strained Dropax After this the Ancients did also on the fourth day administer those Remedies that were vulgarly called Pications Now a Dropax or Pication was a Medicament that they made of Pitch dissolved in Oyl with which blood-warm they made a Liniment for the extenuated part and there they kept it on until it was cold then they removed it and applied a fresh one and this was often repeated until at length the part became red and turgid or puffed up Then after this the Pication being removed they anoynted the Member with the Oyl of sweet Almonds or some kind of fat and in the Evening the same was repeated as before and in this manner they handled the part so long until it again waxed thicker Epicrusis and Catacrusis Which if they could not effect by the said pication the Ancient Greek Physitians then made use of a Remedy that was by them termed Epicrusis and Catacrusis i. e. a Percussion For they smote the lean part with certain Fetula's provided purposely for this use untill such time as the part became turgid swoln and red and then immediately thereupon they anoynted it with some fat Medicament or other but our Physitians for these Percussions do make use of those Nettles that are Green and Stinging THE FIFTH BOOK THE SECOND PART Of Vlcers Chap. 1. Of the Nature and Differences of an Ulcer ALthough the word Helcas Vlcus an Ulcer be in general taken for every solution of Continuity in a soft part as we may see in Galen his thirteenth Book of the Method of Physick Chap. ult where he under the same signification comprehendeth likewise a Wound that is properly so called in which manner Celsus in his fifth Book and Chap. 6. doth oftentimes without any difference at all take both a Wound and an Ulcer yet notwithstanding properly in special the solution of Continuity with magnitude diminished in a soft part having its original from a corroding matter is called an Ulcer To wit a Wound and an Ulcer differ in this An Vlcer what it is properly that in a Wound there is only a solution of Unity but there is not any thing of the part necessarily lost but in an Ulcer there is somthing diminished and lost from the part affected and if nothing else yet at least the Scarf-skin For seeing that an Ulcer is alwaies from a corroding Cause it cannot possibly be but that something must be taken away from the part For although in an Ulcer there be somtimes some kind of superfluous flesh growing forth yet notwithstanding there is nevertheless the Skin yea
from some other place or else they become such in the very part it self by reason of some distemper or debility in the said part or by reason of the unseasonable use of moist and unctuous and Emplastick Medicaments or by reason of the administring thereto those Medicaments that were too weak in drying and omitting those Dryers that were required And on the contrary likewise the same ulcers are made sordid by reason of overstrong Abstersives that even melt and dissolve the sound flesh And somtimes the humor acquireth so great an acrimony that it corrodeth not only the exulcerated part but likewise the sound part lying neer unto it and from day to day creepeth wider and broader and these ulcers are termed Corrosive Creeping and Devouring Ulcers Signs Diagnostick Sordid ulcers are easily known by the sight when there appear in them in great abundance certain Impurities that are viscid and clammy when the flesh is become flaggy and soft and oftentimes groweth forth too far If also there be added a putridness and if there be perceived a grievous stinking smel and such as is like unto that of a dead Carkass If the ulcer be corrosive and creeping if an itching and pain be felt and if the ulcer doth continually grow greater As for what belongeth unto the signs of the Causes if the humors flow either from the whol body or from any one part thereof this wil appear by those signs that we have already propounded in the precedent Chapter If the part be weak and distempered this may likewise be known by signs of its own and there wil then be no appearance at al of any fresh and lively color in the part It the Ulcer hath been made sordid and foul by the weakness of any Medicament then the ulcer appeareth whitish and that whiteness encompasseth about the whol ulcer like unto a kind of Web. On the contrary if the ulcer hath been made sordid by a too strong abstersive Medicament then the ulcer is made hollow and afterward from day to day it becometh more red and there floweth forth a subtile Pus that is not much in quantity but very hot Prognosticks 1. If by reason of the great store and the thickness of these Sordes or impurities the transpiration be hindered then there followeth the corruption of the part and so of a sordid ulcer it afterward becometh a putrid and depascent or devouring ulcer 2. If putridness be encreased in the ulcer at the length a Gangrene and a Sphacelus follow The Cure In sordid and putrid ulcers there is first of al great care to be had in the course of Diet and the body is to be purged from al bad and vitious humors But upon them there is to be put Abstersive and cleansing Medicaments such as are Mulsa Salt Water and those things that are made of the juyce of Smallage of Wormwood Barley meal of the bitter Vetch Orobus Myrrh and Honey of Roses But more especially the Spirit of Wine doth exceedingly benefit in the purging and cleansing of al putrid ulcers which is therefore to be mingled together with the other Medicaments As Take Lignum Guajacum and the Rinds of the same of each one ounce the Root of long Aristolochy the lesser Centaury Wormwood and Agrimony of each one handful the Rind of the Frankincense tree Myrrh of each half an ounce boyl them al in a sufficient quantity of Wine unto the straining add of Honey scummed four ounces the Spirit of Wine one ounce mingle them c. Or Take the Root of long Aristolochy one ounce Wormwood Centaury the less Agrimony of each half a handful boyl them in Wine Vnto the straining add the flour of the bitter Vetch Orobus half an ounce the pouder of Mirrh two drams Honey of Roses two ounces Spirit of Wine one ounce Turpentine as much as wil suffice to make a Liniment If the ulcer be become sordid by the alone use of Unctuous and Oyly Medicaments and if that there be no other more grievous cause of the foulness and nastiness thereof then the milder and gentler sort of Abstersive Medicaments may suffice for the drier sort of Medicaments being administred the ulcer is easily cleansed But if the ulcer be become sordid and soul from the use of Medicaments that were overstrong then the milder are to be imposed such as are the unguent Diapompholyx the stronger sort of them are unguent Apostolorum and the Aegyptiack unguent Or Take the Decoction of Barley one pint Honey of Roses two ounces mingle c. Or Take Turpentine and Honey of Roses of each half an ounce Meal of Barley and of the bitter Vetch Orobus and Mirrh of each one dram Pouder of Flowerdeluce root half a dram Or Take the Juyce of Smallage and Wormwood of each one ounce of the meal of Barley of the bitter Vetch Orobus of each one dram Turpentine one ounce Mirrh two drams Honey one ounce and mingle them c. Or Take Agrimony Centaury the less of each half a handful boyl them in Wine unto the straining add the juyce of Smallage two ounces Honey of Roses one ounce the meal of Barley and of the bitter Vetch Orobus of each one dram and half Turpentine washed in the Spirit of Wine two ounces mingle them and make a Liniment If the ulcer be putrid it is to be washed with Oxycrate Ley Brine and upon them there are to be imposed Medicaments made of the meal of the bitter Vetch Orobus the root of long Aristolochy Squils boyled in Wine and mingled with Honey But the hollow Ulcer that is sordid and putrid is to be anoynted with the Unguent of Bolearmenick or some other Cooler lest that there be an afflux of humors excited from the use and biting quality of hot Medicaments If the putridness be greater so that there be cause to fear lest that the part it self may be corrupted then we are to make use of the stronger sort of them which shall be hereafter declared and set down in the Chapter of the Gangrene and a Sphacelus And lastly if the Ulcer be Corrosive and that the sound parts be likewise corroded then that that is corrupted ought to be taken quite away either by incision or by Cautery whether actual or potential it matters not much until that at length we come to the sound flesh and that the sound and quick flesh be separated from that which is corrupt and dead But as touching these things we shal speak further hereafter in that that followeth touching Phagedaena and a Gangrene and Sphacelus Chap. 6. Of an Ulcer with Tumors FRom the afflux of humors unto the ulcerated part there is not only a Distemper generated but there oftentimes likewise happen Tumors The Causes Now the truth it that there is no other Cause of these Tumors then what hath been before expressed and explained touching an Vlcer with the afflux of humors and above in the first part of Tumors But now according to the diversity of
the flowing humors such is likewise the diversity and variety of the Tumors that are excited to wit an Inflammation an Erysipelas Oedema and Cancer But what humors they are that excite those Tumors hath been above declared where we spake of Tumors Signs What kind of Tumor this is and what danger it produceth and threateneth appeareth likewise sufficiently from the places alleadged neither is there any need at all that we repeat any thing here of what was there said The Cure The way Means and Method of Curing it was there likewise declared which is yet nevertheless here in such manner to be instituted that the Ulcer may not in the least be neglected If therefore either the Blood offend in its quantity and overgreat abundance or else if vitious humors abound in the body these are first of all to be evacuated In the next place regard is to be had to the very part affected After this Medicaments are to be applied unto the place affected which may either discuss the humor that is the Cause of the Tumor or else convert it into Pus And therefore in an Inflammations there ought to be applied a Cataplasm made of Quinces boyled with the Pouder of Myrtle or of boyled Lentiles with the Meal or flour of Barly Pomegranate rinds and red Roses In the augmentation of the Ulcer there must be added Camomile flowers and Bean meal In the State Mallows Marshmallows the meal of Linseed and of Fenugreek As Take Barley meal two ounces the pouder of Camomile flowers one ounce the meal of Linseed and of Fenugreek of each six drams and make a Cataplasm If the Tumor tend toward a Suppuration the Suppuration is then to be holpen on with a Cataplasm of Mallows Mashmallows Linseed Fenugreek and Wheat and other such like Ripeners As Take Mallows Marshmallows of each one handful boyl them in Water until they be soft and then bruise them well When they are bruised then add of the flour of Linseed and Fenugreek of each one ounce Wheat flour half an ounce Swines fat and Oyl of Roses of each one ounce and Mingle them If an Erysipelas be joyned together therewith externally and in the neer adjacent places those Medicaments are to be imposed that we have above propounded in the first Part and Chap. 7. touching an Erysipelas There is here very usefully imposed upon the external parts the water of Elder flowers and Night shade We add this only that somtimes it so happened that as in an Erysipelas if it be not rightly Cured and if such things shal be rashly and unadvisedly administred that obstruct the Pores so that the humor can by no means pass forth nor be dissipated or that there be caused an over great asslux of humors Pustules oftentimes yea and greater blisters and bladders are excited in the affected part out of which when they are broken there issueth forth a warry Sanies and the part is afterward exulcerated and unless it be rightly handled the Affect soon degenerateth into long continuing and malignant Ulcers especially in the Thighs yea and oftentimes into a very Gangrene it self Which if it should change so to happen it wil then be very requisite to make use of Coolers Driers and Astringents together As Take Platane Leaves one handful flowers of red Roses half a handful boyl them to a softness and then let them be bruised when they are bruised and passed through a Hair-sieve add of Barley meal one ounce and half the pouder of Pomegranate flowers half an ounce with the oyl of Roses make a Cataplasm That that is here especially useful and profitable is the Unguent Diapompholyx unto which if you please you may yet further add some Sugar of Saturn If the Tumor be cold then such a like Cataplasm as this may be imposed Take the Leaves of Mallows Marshmallows of each one handful and boyl them in Ley unto a softness and then bruise them wel then add the pouder of Marshmallow root one ounce and half Camomile flowers ten drams Oyl of white Lillies as much as wil suffice and so make a Cataplasm If a Cancer be joyned with the Ulcer there can then be no other Cure more fit and proper then that we have already propounded touching an ulcerated Cancer The rest of what might here be spoken touching these may be seen if they be sought for in the first part touching Tumors Chap. 7. Of proud flesh growing forth in Ulcers IT happeneth oftentimes that in Ulcers there is found proud flesh and such as groweth forth further then what is fitting which Malady the Greeks term Hypersarcosis which whensoever it happeneth it hindere●h that the Ulcer cannot possibly be shut up with a Cicatrice The Causes Now this happeneth either from the abundance of blood that floweth unto the part affected or else by reason that the Sarcotick Medicaments that had been administred were overweak and less drying then what was fit If the former of these be the Cause then the flesh it self wil be in a right temper only there wil be too much thereof If overmuch flesh proceed from the latter of the two Causes then the flesh wil not be sound and solid but loose and Spungy The Cure As for what concerneth the Cure if the first happen fasting and spareness of Diet is then to be enjoyned unto the sick Person and dry Medicaments are to be imposed But if the flesh begin to grow proud by reason of the use of Sarcotick and detersive Medicaments that were in their own Nature overweak then we ought to make use of the stronger sort of Detersives and such as produce a Cicatrice and if there be occasion even septick Medicaments likewise And such are a Spunge burnt dry Liniments imposed the rind of Frankincense Galls Aloes Tutty and burnt Alum And indeed in the Toes when by reason of the compression of the excrescent Nails the flesh beginneth to be luxuriant so that a man can neither put on his Shoes not go without pain then burnt Alum alone sprinkled thereon wil take away the said flesh The stronger Medicaments are the rust and scouring of Brass Chalcitis Mercury precipitate Mercury sublimate And therefore whensoever there is need but of litttle drying then let there be imposed dry Liniments or else such as have been soaked and wel wet in this following Decoction Take Galls the rinds of Frankincense and Mastick of each one dram Flowers of red Roses Pomegranate flowers and Rue of each half a handful Alum two drams boyl them al in Wine Or Take Galls Pomegranate rinds a Spunge burnt of each alike and make a Pounder to be strewed thereon There is more especially useful this green water following which being besprinkled upon the luxuriant flesh or else imposed thereon by Liniments it taketh away the said flesh without any pain at all and generateth a Cicatrice The Green Water Take Alum Crude and Green of each two drams boyl them in eighteen ounces of Wine until a fourth part be wasted
and that they may likewise dry even the very bone that is found that so the Expulsive faculty may separate from it that that is vicious in it and that the ossifique or bone-breeding faculty may generate a bone or at least a Callus that may thrust forth the bone that is corrupted The milder sort of Remedies for this purpose are the Root of Sow-fennel Medicaments in case the Bone be corrupted white Briony or white wild Vine Flowerdeluce Myrrh Aloes Alum The stronger sort are the Root of round Aristolochy of Water-dragons the Rind of Allheal of the Pine Tree the Pumice stone burnt the dross and refuse of Brass the Mineral Chrysocol and the Spirit of Wine The strongest of al Euphorbium than which Fallopius writeth that he himself never found any more excellent and that would sooner take away the corrupted bone burnt Copperas the ashes of the Fig-tree Lime Aqua fortis the Oyl of Vitriol and the Oyl of Sulphur Of those Medicaments there are Compounds to be made which are to be applied either in the form of a Pouder or else mingled with Honey Rosin Wax Unguent Aegyptiack or some other such like Unguent and so applied in the form of an Unguent This following Pouder is very efficacious Viz. Take Root of round Aristolochy Flowerdeluce Myrrh Aloes the Rind of Alheal the refuse of Brass the rinds of the Pine-tree equal parts of al let them be al mingled together and made up with Honey into the form of an Unguent This Pouder following is likewise very much approved of Take Mummy and Sarcocol of each half a dram Euphorbium one dram and make a Pouder Or Take the Root of round Aristolochy of Sow-fennel of each half an ounce the rinds of the Pine-tree two drams white Agarick Earthworms prepared of each one dram and half Euphorbium one dram make a Pouder or an Unguent with Honey of Roses as likewise this Oyl Take Citrine Sulphur one pound put it neer unto a gentle fire that it may melt unto which add of burnt Tartar made into Pouder half a pound mingle them with continual stirring until they are cold Afterward let them be pulverised and set in a moist place upon a stone until they melt and with this Oyl let the corroded bones be anointed Or Take the Root of long Aristolochy Briony Sow-fennel Flowerdeluce of Florence of each one dram Euphorbium one scruple make a Pouder and strew it upon the bone Or Take Pouder of the Root of Sow-fennel of round Aristolochy of Opoponax and Euphorbium of each half a dram Turpentine an ounce and half Wax half an ounce boyl them to the consistence of a Cerote Or Take the Roots of both Aristolochies of Briony of Sow-fennel of Florentine Flowerdeluce of each half an ounce Centaury the less the Rind of the Pine-tree of each three drams Aloes two drams flour of Brass a dram and half unto al the aforesaid pour of the Spirit of Wine as much as wil suffice and extract the Tincture But if the corruption of the Bone be so great that it cannot be wholly taken away by Medicaments then there wil be need of Chirurgery and the corrupted bone is to be taken away either by shaving and paring off or else by burning Now for the abrasion or paring it away there are here two Instruments that are made use of the scraping Iron Instrument and the Wimble or Anger The former of there taketh place when the bone is not so deeply corrupted but the Wimble is to be used when the rottenness hath penetrated very deep into the bone Of shaving or paring Celsus in his eighth Book and Chap. 2. thus writeth He that shaveth these rotten Bones saith he must with al boldness and courage make an impression with his Iron Instrument that so he may do somwhat and may the sooner make an end The end is then when we come either unto a bone that is white or unto a bone that is solid for it is manifest by the whiteness of the bone that the fault in regard of the blackness is cured and by that same solidity it is likewise manifest that what was amiss in the bone in regard of the rottenness is in like manner ended We also told you before that unto the sound and whol bone there wil be some smal access of Rosie fresh-colored blood But if at any time it descend deeper we may wel question both of them as very doubtful as for the rottenness our knowledg is indeed therein somwhat quicker A smal and slender Probe is put down into the hole which by its entering more or less sheweth unto us whether the rottenness lie in the top or whether it be descended deeper The blackness may likewise indeed be guessed at if not certainly known from the pain and from the Feaver which if they be mild and moderate then we may conclude that the said blackness is not descended very deep but yet nevertheless it is made more manifest when we come to make use of the wimble for there is then an end of what was amiss when there ceaseth to come forth any black dust And therefore if the rottenness hath descended deep we ought then to make many holes with the wimble as deep as that that is amiss in the bone and then into those holes burning hot Irons are to be let down until at length by this means the bone be wholly dried For withal after this both whatsoever is vitiated and corrupted wil be loosened from the lower bone and that hollow nook wil be filled up with flesh and the humor that afterward issueth forth wil be either none at al or certainly very little But if there be any blackness or if the rotteness be likewise passed over unto some other part of the bone it then ought to be cut out and this same may likewise be done in the rottenness penetrating into some other part of the bone but that which is altogether vitiated must be wholly taken forth if the inferior part be whol and sound then only so far as there is any corrupted it ought to be cut forth And also whether the Breast-bone or whether it be a Rib that is rotten it is rendered by this fault unuseful and therefore there is a necessity of cutting it forth Thus Celsus By al which it appeareth That the Ancients after the paring and shaving of the bone were wont likewise to burn it this burning being the chiefest remedy for the consuming of al the excrementitious humidity But then notwithstanding in the applying of a Cautery we must alwaies beware lest that the flesh that lieth neer be likewise burnt together with the corrupted bone and therefore the Cauteries are to be applied through Iron pipes by which the flesh is to be defended and safeguarded of which Iron pipes we ought to have many in readiness that so after one is grown hot another that is cold may be applied or if we think good to make use of one only then as
of Spoonwort Betony Sage Succory Germander Ground-pine Citron Rinds Candied the Root of Vipers Grass Candied Rob. Juniperi Confect Alcherm Syrup of Borrage Gilliflower Acetos Citri He made use also of the Wine of Spoonwort which is made if some handfuls of Spoonwort while it is yet green be bruised very smal and a few pints of Rhenish Wine poured thereto and then let them stand in a Cellar in a Glass Vessel for three daies and then afterward strain them And this also Take Wormwood three pugils Conserve of Spoonwort three ounces Green Water-Cresses bruised one handful the dry Rinds of Citron six drams pour thereunto of Rhenish Wine two quarts Let them stand in a Glass for some daies and after this pour out that which is cleer And at length when I had once gotten the Spirit of Spoonwort from that most industrious Apothecary of Gorlicum Johan Buttnerus which like as he doth also out of most other Plants he artificially prepareth by fermentation and distillation that so it may stil retain both the smel and the taste of the Plant when our Patient was tired out with and even loathed the taking down of any other Medicaments he then most frequently and with very much benefit made use of this Spirit And likewise that we might provide for the safety of the Spleen which at this time was very far amiss we caused an Emplaster to be put upon the Spleen The pains of the Belly and the Joynts took place as it were by turns and reciprocally so that when the pains of the belly remitted then the pains of the Joynts began and so on the contrary when the pain of the Joynts ceased then those of the Belly began to disquiet the Patient and both of them were for the most part much moderated when he plentifully which very often so happened cast forth the tart salt and bitter humor in an almost incredible abundance For the mitigation of the pains of his Belly there were prescribed Clysters of Marsh-mallows Camomile Fenugreek seed Dil seed Lin-seed Oyl of sweet Almonds Oyl of Dil Oyl of Camomile Honey of Roses Oyl of Bayberries and unto the Belly there were laid both Fomentations and Cataplasms of the same and the like Medicaments and the Emplaster of Lawrel Berries He used likewise the Decoction of the flowers of Camomile with Manna and the Oyl of sweet Almonds For the pains of the Joynts in the Hands and Feet there were used Fomentations and Cataplasms of the Roots of Marsh-mallows the flowers of Camomile and St. Johns wort Wormwood Betony Water-Cresses flour of Lin-seed and Fenugreek seed Earthworms Oyl of Elder Oyl of Camomile and the Unguent Dialthaea The Wife of this Noble Lord told us that in her Country for the moderating of such like pains as these they had in use Cataplasms made of the Horse Raddish bruised and boyled and this being grounded upon Reason there were therefore such like Cataplasms imposed now and then with very good success There were likewise used Fomentations of Elecampane Roots Marsh-mallow Roots Bryony Roots Lawrel Leave Sage Leaves Rosemary Leaves Herb Ivy Leaves Wal-flowers Lavender flowers Prim-roses Arabian Stoechados and Juniper Berries As also Inunctions of Marsh-mallow Roots and Bryony Roots and Earth-worms boyled unto a softness adding thereto the Juyce of Spoonwort and Water-Cresses Unguent of Bdellium and of Turpentine Oyl of white Lilies Oyl of Camomile as also of the Unguent Valeriola which we may find in the fourth Book of his Observations And so likewise this Take the juyce of Brooklime Water-Cresses of each one ounce and half Oyl of white Lilies two ounces boyl them til the Juyces be consumed and then add Oyl of Turpentine half an ounce Oyl destilled out of Juniper Berries and the Unguent of Bdellium of each one ounce Gum Elemi and Gum Hederae of each three drams Mans Fat half an ounce Mingle them Also the Unguent that is made of the Root of the Florentine Orrace the Leaves of Sage Primrose Tansey Mugwort Betony Bayberries Juniper Berries Rocket seed Lavender flowers and Spike flowers boyled in Wine and the Oyl of Earthworms the Oyl of Foxes the Oyl of Rue the juyce of Water-Cresses and then strained adding thereto the destilled Oyl of Juniper Sagapenum Bdellium Styrax Calamit Gum Elemi the Fat of a Fox and Mans Fat and Wax My own Emplaster likewise for the Nerves was added of which this is the Description Take Leaves of Lawrel Betony Rosemary Ground-pine or Herb Ivy and Prim-rose of each one handful flowers of Lavender half a handful the tops of St. Johns wort one handful Earth-worms washed in Wine three ounces boyl them in good Wine and being strained add thereto Oyl of Camomile three ounces Oyl of Orrace an ounce and half boyl them until the Wine be consumed and then add of cleer Turpentine three ounces Goats Suet an ounce and half Gum Elemi two ounces Tacamahaca dissolved Ship-pitch Rosin of each one ounce boyl them again and then add Litharge three ounces Wax as much as wil serve the turn and make an Emplaster unto which in the end add Oyl of Turpentine and of Juniper Berries of each an ounce and half of Rosemary and Sage destilled of each one dram and mingle them For the Palsie of the Tongue there were made use of Mouth-Washings of Sage Water Rosemary Water Extract of Calamus Aromaticus Oxymel Scillitick the destilled Oyl of Nutmeg and likewise Inunctions of the Tongue of Treacle Extract of Castoreum of Calamus Aromaticus Oyl of Nutmeg or Sage and Mustard seed There were also Trochisques made of the same For the Vices of the Gums and the loosness of the Teeth there were prescribed Unguents of the Leaves of Columbines of Sage Mints Nutmeg flowers of red Roses Allum Honey Collutions or washings for his mouth there were made of the Decoction of Fern Root and Bistort or Snake-weed the Leaves of Water-Cresses while they are yet green Sage Leaves Mints Columbines Frankincense the Water of Sage and Mints Alum and Honey Rosat And by these Medicaments indeed although as we told you before that the Disease of the Scurvy was for the greatest part removed and cured excepting that the Palsey of the Feet remained stil firmly sixt and immovable yet notwithstanding the Plica held on its old course stil only there was one Nail on one of his Toes that returned unto somwhat a better state and condition Chap. 10. Of the Vices of the Nails FIrst of al if the Nails have their own Natural Constitution like as other parts of the body they are then smooth and plain and they have a color white and red and a due and meet hardness and thickness if this their Natural Constitution be changed it fals then under the Nature of a Disease Nails unequal thick and rugged And first of al indeed the Nails are somtimes unequal and become thick and rugged Which happeneth from the juyce by which the Nails are nourished abundantly flowing thereunto For then they are not only
more deep or broad or in their figure that one should be straight and another full of turnings of this or that figure but most especially they differ in the manner of their scituation and position because that kind of difference doth not a little vary the Cure For that which tends upwards affords us a better hope and surer expectation of cure seeing that by its orifice the Pus may the more readily flow forth and be evacuated But that which tendeth downwards doth longer retein the said Pus which being kept in doth further corrupt and corrode the parts Wherefore such a Sinus is not to be cured unless you open it on the adverse or opposite part that so the Pus may freely come forth out of it Now that the Physitian may not be ignorant of these Differences but that he may know and well understand whither the Sinus reacheth and how great it is an exact and strict search must be made thereinto by Tents or otherwise with those Silver Instruments we cal them Probes wherewith Chirurgeons are wont to search unto the bottom of deep Wounds as likewise by Wax Candles or the like gently conveyed down into the very deepest part of the Sinus And withall we must do our utmost endeavor that the Sinus may be speedily cured for unless it be spedily cured it contracts to it self a certain callous or brawny superficies and in process of time it becomes exceeding hard neither will it afterward be cured without much difficulty and danger Notwithstanding what hopes there may be the qualities of the part it self that is affected do evidently demonstrate and chiefly the matter which flows forth out of the Sinus For if it be much not digested if there be pain sensibly felt in the Sinus or if a Tumor or Swelling appear as yet there is but small hopes of its Cure but then if the Pus be but little in quantity if it be good white if there be present no pain and all the whole place be equal it is a great and strong Argument that the Sinus is already filled with Flesh The Cure As for what concerns the Cure since that hollowness solution of Unity are the Causes of the Sinus the solution of Unity points us out to the procurement of an uniting but the Cavity instructs us that repletion ought to be endeavored But now those things that stand at a distance cannot be united unless first that which is hollow be filled up whereupon the Cavity must in the first place be replenished But the Cavity can by no means be filled with flesh unless the temper of the part be right as it ought and that the said Sinus be free and clean from al its impurities And therefore we must primarily provide by a sedulous endeavor that if there be any distemper present it may be removed and that the Sinus may be wel and throughly purged And moreover unless that either the Orifice of the said Sinus look downward or that the Member may be so placed that the matter may freely flow out of it before any thing else be done a way must be opened and a passage forth made for the Pus or filthy corruption If the Orifice of the Impostume lie open toward the inferior parts the filth hath then a free passage forth and such a like Sinus by the application of Cleansers is easily cured But then if the Orifice be in the superior place there is a necessity that we forthwith assay to open a free vent and passage forth for the corruption And this may be done in a twofold manner either by dissecting the whol Cavity or at least by opening the Orifice in the inferior part Now of a truth it is the more convenient of the two that we open al the whol Sinus since that by so doing the Ulcer may the more easily be purged and healed But because we are not evermore allowed to put this in practice to wit when the Sinus is great and that the whol part may not be dissected without danger therefore sometimes we only ●p●n the Sinus in the bottom thereof Which being done and the Sinus opened it is carefully and throughly to be cleansed and dried lest that there be any of the Pus left remaining For if there be any of it left behind from thence Fistula's and recidivations o● Relapses are wont to take their Original And although the parts may seem to be conglutinated yet notwithstanding they do not rightly cohere or stick together but afterwards they do again part asunder But now to the furthering of the evacuation of the said Pus the use of Swathbands Pillows doth very much conduce if with them we streightly compress and strictly keep down the part affected from the higher part of the Sinus towards its Orifice Now the Medicaments fitted for this use and purpose are the Water of the Decoction of Barley Melicrate that is Water and Honey sodden together which is of it self sufficiently purgative so that alone it is able to render that Sinus whose orifice is in the inferior place apt and fit for glutination or cementing together Mulsum that is Wine and Honey sodden together which both corroborate and together withal purgeth Rozin Turpentine Honey of Roses Barley meal Bean meal the flour of Orobus or bitter Vetch of Lupines Lee Spirit of Wine Bath-Water Allum Water Oxymel Unguent Aegyptiack which are the stronger sort of them and to be administred only or at least chiefly in the most impure and nasty Ulcers Out of those before mentioned divers others may be made and compounded As for example Take Honey of Roses strained six drams Barley meal a sufficient quantity to give it a thick Body Or Take Honey of Roses strained six drams cleer Turpentine one ounce the juyce of Smallage and Wormwood of each half an ounce let them boyl together and afterward add of Bean Barley and Lupine Meal of each alike as much at will suffice and then mingle them throughly But when as now and then it happens the Sinus are manifold or otherwise when they are of an extraordinary depth so that to open them is altogether impossible neither also can the Unguents possibly penetrate throughout their whol Cavity then in this case especially liquid abstersives are chiefly approved of as such which can insinuate and convey themselves into al parts of the Sinus And such kind of Medicaments ought to be injected by a Tunnel or by a pipe and so soon as the Medicament is cast in the Orifice ought somtimes to be stopt up with a Linnen cloth or Napkin or else with a piece of Silk to prevent the immediate flowing back again of the Medicament As Take of whol Barley three pugils or smal bandfuls Centaury the lesser and Wormwood of each alike two pugils boyl them in Melicrate and make an injection Or Take of the Water of decocted Barley Melicrate of each two ounces Vnguent Aegyptiack half an ounce mingle and inject them And thereupon if by
Barley Lentiles Beans of each one handful Arnogloss or Lambs Tongue two handsuls Pomegranate flowers Roses the grains of Myrtle Sumach of each half an ounce Let all except the Barley be grossly poudered and then boyl them in Wine until the Barley be soft and make hereof a Cataplasm Or Take the Rinds of the Pine tree burnt and washed a dram and half Ceruss three drams Frankincense one dram Goats fat six drams Oyl of Myrtle two ounces Wax at much as wil suffice make herewith an Vnguent But if we have a mind to dry more than ordinarily we may ad the prepared file-dust of Iron the flower of Brass and Lime washed This is likewise commended Take the spume or froth of Silver half an ounce the juyce of Leeks and Beets of each sive ounces Mingle them c. Hieronymus Fabricius writeth that with very good success he made use of this following Remedy Take the juyce of Tobacco three ounces green or Citron-coloured Wax two ounces Rosin of the Pine tree an ounce and half Turpentine one ounce Oyl of Myrtles as much as wil suffice for the making and forming of a soft Seoer-cloth But if the Ulcer be already putresied we must then betake our selves to the Remedies that are stronger and more forcible such as are the little sweet Bals of Andro Musa and Polyidas a for example Take Litharge and Ceruss of each two ounces the Rinds of Pomegranates half an ounce Myrrh one dram Frankincense a dram and half the flower of Brass and Allum of each a dram and with the Oyl of Myrtle and Waie a sufficient quantity of each make an Vnguent But if these wil not serve the turn and that the Ulcer and putrefaction creep further and become broader we must then have recourse unto the stronger sort of Remedies They refer likewise unto choletick Tumors those that we cal Phlyctaenae Impetigines Lichenes Sudamina and Epinyctides But because that these little risings or swellings proceed not from pure Choler but from Choler mingled with serous and salt Humors we wil therefore treat of them below with the rest of the Tumors of this kind Chap. 18. Of the Tumor Oedema LIke as those Tumors that we have already hitherto handled have their original from hot Humours so there are likewise some certain peculiar Tumors that arise from cold Humors and in the first place Oedema that hath its original from Flegm For although Hippocrates and other ancient Physitians under the name of Oedema understand al other Tumors whatsoever in general yet notwithstanding those of latter times by Oedema do understand some one certain kind of Tumor only and this they specially term Oedema being a Tumor that is lax or loose soft without pain yielding unto the touch and compression of the singers having its original from thin flegm or else from the more cold and moist part of the Mass of blood The Causes The containing Cause of this Tumor is that flegm that is contained in the blood to wit if it be so increased that it irritate and stir up the Expulsive Faculty For then Nature being stirred up and provoked thrusteth forth the matter out of the greater Vessels unto the less and expelleth it from the more noble parts unto the weaker until at length it be received and retained by the most weak and infirm part The cold and heavy Humor it self likewise very often by its own weight tendeth downwards and also unto the extream parts And thereupon it it that although the Oedema may be excited in al parts whatsoever of the body yet notwithstanding it chiefly and more especially ariseth in the Hands and the feet as it evidently appeareth in Persons that are Hydropical Cachectical and Phthisical in regard that those parts are more remote from the fountain of heat But now this Oedema is not suddenly generated but by degrees and by little and little For why the Humor is thick and therefore altogether unfit for any speedy and sudden motion Galen in his second Book to Glauco and third Chapter determineth that the Oedema is caused by a Pituitous or flegmy substance or else by the Spirits when they are ful of vapors and such a like Tumor or swelling happeneth in dead Carkasses From which place as likewise from the 14. of his Method of Physick Chap. 4 Johannes Philippus Ingrassias in his Book of Tumors the first Tome page 113. endeavoreth to prove a twofold kind of Oedema the one from thin flegm the other from a vaporous spirit and that to wit the former he asserteth to be a Disease and the latter a Symptom only that followeth upon Phthisis and the water betwixt the Skin one species of the Dropsie and the Cachexy But yet although it be not to be denied that Carkasses in the very first beginning of there putrefying and as it were a certain kind of fermentation swel up in some sort yet that in the Cachexy or Phthisis the Oedematose swellings of the Feet should in this same manner be caused I cannot easily beleeve in regard that such a like putridness doth not then happen but it is far more credible that such like Tumors are caused from a serous wheyish Humor abounding in the body and descending unto the Feet and there abiding and sticking fast as in a part more cold than the other parts of the Body And be it indeed granted and admitted that in the similar parts there may be some kind of slatulent Spirit collected and that it may lift up the part into a Tumor yet notwithstanding this Tumor is not properly Oedema but is rather to be termed Empneumatosis or Emphysema And albeit such a like Tumor is by Galen in his 14. Book of the Method of Physick Chap. 4. called a Symptom yet we say that Galen then useth the name of a Symptom in the general for every Affect preternatural that followeth another But if we wel weigh and consider what this Tumor properly is we affirm that it is altogether and in al respects a Disease in regard that it is magnitude augmented and for the most part an impediment and hindrance unto men in their walking And although such an Oedema doth not indeed requite a peculiar Cure yet notwithstanding it is not for al that to be razed out of the number of Diseases and placed among the Symptoms For those Diseases that simply depend upon other Diseases require not any proper and peculiar kind of Cure but those being removed these likewise are taken away But now that very Humor that is the cause of Oedema is generated by an error and default in the sangnification touching which we have spoken in the third Book of our Practice third Part second Section and first Chapter The Signs Diagnostick Oedema is known in this manner The Tumor is soft and loose and if it be pressed down with the singer it easily yieldeth and giveth way by sinking and so there is a little pit and print of the singer left behind For the moist
a wollen Cloth be wee therein and so imposed upon the place affected it hath likewise been happily and successfully administred in the Gangrene of the Cods of which we have spoken above Take Vitriol one ounce the tops of the Oake one handful Frankincense half an ounce Camphyre two drams Vrine two pints and half boyl them to the Consumption of a third part and then strain them But the Aegypriack Unguent is not alone to be applied but upon the Unguent that Cataplasm is also to be imposed which resolveth drieth and hindreth putrefaction such an one as Johannes de Vigo in his second Book first Tract and seventh Chapter describeth and commendeth and which many other Physitians and Chirurgeons now a daies likewise make use of And all these are to be applied blood-warm and they are so long to be continued untill the putridness be removed But if the Malady wil not yield unto these Remedies then we are to have recourse unto those that are stronger to wit Causticks such as those Trochisques of Andro Polyidas Musa and Pafio which dissolved in Vinegar and Wine may be imposed upon the part Many indeed do here commend and prefer Arsenick before all other Remedies but Gulielmus Fabricius doth and not without good Cause reject and altogether disallow of it in the Cure of a Gangrene as that that not only hath in it a Septick and putrefying faculty and a quality of melting the flesh as it were but that likewise produceth very great and grievous Symptoms vehement pain Dotings Syncope's and the like the malignant vapours being communicated unto the principal part It is therefore more safe to make use of an actuall Cautery as that which hindereth and preventeth putridness drieth and corroborateth the part This is also much commended Take Mercury dissolve it in Aqua fortis when it is dissolved precipitate it the Oyl of Tartar after it is precipitated wash it Or Mercury alone dissolved and mingled with the Water of the Trinity Flowers and wollen Cloaths wet in this Liquor may be imposed on the part The Crust in what manner soever it be produced is to be taken away by those Medicaments that have been above declared in the first Part and Chap. 13. touching a Carbuncle Neither are we to wait so long til Nature shal altogether have separated the Corrupt from the Sound but the highest part of the Crust is with the edge of a Knife or a Penknife to be cut even unto the sound part that so there may be a way made for the Medicaments unto the deeper parts and the rest that are corrupted For if we expect until the Crust shal be freed of its own accord it may possibly happen that under the Crust a new putridness may be contracted The rest of the Cure is in the same order to be proceeded in as is fit to be done in Ulcers Fourthly If the Gangrene happen from overmuch heat A Gangrene from too much heat then a Cold Diet being prescribed and the hot humors being duly qualified and evacuated if the Malady take its original from an internal Cause the Member affected is to be scarified and then washed with such a Decoction as this Take the Water of Endive Sorrel Lettice Nightshade and Vinegar of each one pint Syrup of Sorrel two pound of Lupines half an ounce Water Germander half a handful Salt three ounces boyl them till a third part be consumed After this the Aegyptiack Unguent and the Cataplasm but even now mentioned is to be imposed and the rest which were before prescribed are speedily to follow Where notwithstanding this is to be observed that unless in case of urgent necessity we must not have recourse unto the actual C●utery lest that hereby to wit by the power and force of the fire the extraneous heat which is the Cause of the Gangrene be augmented Fifthly and lastly If the Gangrene arise from the defect of Aliment and Blood and Spirits A Gangrene by reason of an Atrophy in the part and chiefly in truth if it be by reason of a Driness and an Atrophy necessa●ry Nutriment being denied unto the part then meats that are hot and moist easie of Digestion and such as generate much and good blood are to be given unto the sick Person and outwardly the body is likewise to be moistened with Oyntment● of sweet Oyl or with Oyl of sweet Almonds and all things are carefully to be avoided that exsiccate and dry the body And unto the part it self that is already affected with the Gangrene the Aliment is by all manner of means to be attracted And therefore here there is no place left for Defensives in regard that they shut and stop up all passage of the blood and Spirits unto the part affected And therefore we are not only to anoynt the part affected and the other members with the Juyce of Earth-worms which is made of the said Earth-worms first washed in Water and then in Wine so put into a great Vessel with good store of the Oyl of sweet Almonds Violets and melted by a gentle and moderate heat over hot Embers and afterwards strained which is a sprecial and soveraign Remedy in the Atrophy and extenuation of the parts but the part affected is therwith likewise gently to be rubbed and chafed unto which also Cupping-glasses not scarified are to be applied But it wil be most fit and requisite if there be already present a putridness to administer those things that do alike both attract and resist putridness such as are Salt Water boyled with Water-Germander Liquid Pitch with the meal of Lupines of the bitter Vetch Orobus Myrrh and the like But if the Gangrene hath already made any progress the part is then to be scarified and the Aegyptiack Unguent and that likewise that is compounded of Pitch and those other things a little before mentioned are to be laid thereon A Gangrene from the interception of the blood spirits Moreover If the Gangrene happen from the interception of the Blood and the Spirits likewise whatsoever the Cause then be that thus intercepteth the blood and the spirits it is immediately to be taken away as if the said interception be from the binding of the part it is forthwith to be loosened and withal those Medicaments that resist putridness as likewise those that discuss that that is corrupted such as are those that are made of the Meal of Beans of the bitter Vetch Orobus of Lupines Aloes Water-Germander and the like are to be imposed And if the Gangrene hath already gotten unto any heighth the place is to be scarified and those other things that are required in al Gangrenes are to be done If an astringent and repelling Medicament be the Cause the said Medicament being removed the heat is to be recalled by Frictions Lotions and Anointings And so we must also proceed in the Gangrene that hath its original from other Causes that intercept the Spirits For the Cure of the Gangrene
Rice one pound let it be steeped in the Water of Bean flowers untill it break afterwards add of choyce Mastick six drams Borax two drams and then destil them Or Take the Pith or Crumb of White Bread one pound Root of Solomons Seal half a pound Goats Milk as much as wil suffice and let them be destilled Or Take Flowers of the Elder and of Bean flowers of each a like proportion pour hereunto Goats Milk and strain it let them stand in a cold place for eight daies and then destill them When you use the Water Take of Beans hulled beat them into a very fine Pouder and cast the same into the said Water and after this let the Face be washed with this Water and permitted to dry leisurely of it self In the end dissolve Camphyre in the Spirit of Wine and mingle it with Eldern Water and let the Face be washed with this Water Or Take Whites of Eggs in number twenty four Cinamom two drams Asses Milk or Goats milk two Quarts and destill them Emulsions likewise made of the four greater Cold Seeds bitter Almonds and Pines are here very useful There are also Decoctions made with which the Face is to be washed of Beans Cicers Lupines Rice Or Take Roots of white Lilies Solomons Seal Borrage of each one ounce Mallows Sope-wort Parietary or Pellitory of the Wall and Violets of each two pugils Beans hulled one handfull Flowers of Mallows half a handful make a Decoction with which let the Face be washed Liniments moreover and Unguents are made use of among which are the Pomacea or Pomata as they are commonly called The Oyl of Talck is now adaies much in the mouths of many and very much used in the Nurseries of great Women But this last seemeth rather to belong unto the Face-fucusses then unto the true Cosmeticks unless it be administred only to cleanse and after the use thereof when they go abroad in publick washed off from the Face Medicaments that whiten the Hand But now the more Choice and delicate Women that are unaccustomed to labor do not only administer certain Medicaments unto their Faces but unto their Hands likewise that so they may become soft and white and these Medicaments are made of the Crumb of White Bread the Meal of Barley of Cicers of Lupines and Honey all which being wel wrought together with Water or else mingled with soft Sope and Honey they wash their Hands therewith Or Take Meal of Cicers of Beans of sweet Almonds of each two ounces the Roots of Flowerdeluce of Florence two drams Honey and Rosewater of each as much as wil suffice and Mingle them And here likewise the Pomatum Unguent is of much use Or else such a Sope may be made Take of Venice Sope one pound let it be dissolved in Rose-water add thereunto the Pouder of Flowerdeluce of Florence one ounce the Meal of Cicers one ounce and half and mingle them There are likewise many other Medicaments which we mentioned a little above for the making of the Face fair and clear and they are here also very useful Many other things there are of this Nature that we may see in Rondeletius in his Tract of Fucusses Of Mending and Beautifying foul and deformed Cicatrices What things they be that amend the deformed Cicatrice The rectifying and amending of deformed Cicatrices is not unfitly referred unto the Cosmetick or Beautifying Medicaments For when as upon the Solution of continuity either by reason of a Wound or an Ulcer there is from the Juyce nourishing the Skin for the uniting of the part something generated that is like unto the Skin and stiled by the name of a Cicatrice this said Cicatrice is indeed like unto the whole skin and yet it is oftentimes differenced from it in colour and many times likewise in figure because that somtimes it becometh more high and raised and otherwhiles it is depressed kept low and leaveth as it were a pit and so consequently a certain inequality or unevenness and thereby breedeth a deformity which in the progress of time is wont to be somewhat changed whilest that the Cicatrice is rendered day by day more like stil unto the Skin Which if yet nevertheless we have a desire that it may be speedily effected it may then be done by some certain Medicaments such as are first the Oyl of Myrrh which is made if the Yelk be taken out of an Egg hard boyled and then the Egg filled up with Myrrh and put into a moist place until it be all dissolved into a Liquor and this likewise may be wrought by the destilled Oyl of Myrrh The moisture also that sweateth forth of Eggs whiles they are in rosting is very useful for this purpose The Oyl likewise of the Yelks of Eggs the Fat of the Thymallus Fish which they commonly call Ascia the Oyl that is pressed forth of the Kernels of Peaches Oyl of bitter Almonds and Oyl of Been Or else an Unguent may be made of Borax Camphyre and Mans fat or of Litharge and the Oyl of Roses and the Oyl of bitter Almonds mingled with Honey or else an Unguent may be made of the Juyce or Root of wild Cucumber and Honey and with this the Cicatrice may be anointed for one day but the day following with Milk and this by turns from day to day must for a while be continued Or Take the Mucilage of Fenugreek seed and of Fleawort of each two drams Oyl of Tartar by straining half an ounce Oyl of Roses one ounce Ceruss and Borax of each one dram and mingle them Or Take the Root of Dragon-wort of Solomons Seal of each two drams Bitter Almonds Peach Kernels of each one dram Egg-shels burnt half a dram Frankincense and choyce Myrrh of each one dram Sugar Candy three drams the Mucilage of Fenugreek seed one ounce Oyl of the Yelks of Eggs and Mans fat of each as much as wil suffice Mingle and make a Liniment But if the Cicatrice be deep it is not so to be amended by Medicaments that it may be made equal and even with the rest of the Skin but the Cicatrice is by Section or else by some corroding Medicament to be taken away and the Cavity as much as is requisite is to be filled up with flesh and afterwards a new Cicatrice is to be brought al over the part Cicatrices after the smal Pox and Measles But most of al after the smal pox and Meazles there are oftentimes very frequently left behind in the Face unsightly and deformed Cicatrices that cause an exceeding great eye-sore and il-favoredness and thereupon that they may be amended the help and assistance of the Physitians is oftentimes implored But for the taking away of these Cicatrices those Medicaments that we a little before mentioned are very useful and so are those likewise that have been prescribed before in this present Chapter for the making of the Face more fair and clear And for this out of al these there
that is in the blood the virtue of the Medicament is carried and conveyed unto the wound For if all that whol blood were resolved into Atomes it would not be sufficient to fil up all that so great a space Neither have they as yet proved that the blood can send forth out of it self any such species And if by the benefit of the blood the virtue of the Medicament may be carried unto the wound why should it not then likewise carry to the wound the virtues of other things into the which out of wounded persons the blood is oftentimes abundantly poured out which yet we see that it doth not But now as for those things that they alleadg in special touching the Secundines and the first menstruous blood of Virgins and as for their asserting that if this blood be not rightly handled there is much hurt and damage brought unto those maydens these things are to be imputed unto the superstition of these young Women And if in woman kind the Secundines being cast forth into some unclean places bring damage unto these women from whom they came why is not the like done in bruit Creatures whose Secundines or after births being cast forth and buried in dung do oftentimes putrefy And in what place soever you dig and bury these secundines they yet notwithstanding rot and putrefy And why also do not the Molae or false conceptions which women use to burn bring any hurt and damage unto the Woman from whom it proceeded And why should the first menstruous blood if it be burnt bring damage unto the virgin and none of the rest These things being as we have said and the case thus standing there is no need of any further tedious dispute touching those virtues that this unguent is said to have in curing the Wound seeing that it is hitherto sufficiently proved that there cometh no virtue at all from this Unguent unto the Wound And if this Unguent had indeed any virtue at all in it either of preserving and cherishing the temperament or the innate heat of the part they commonly cal it the Balsam or of drying up the Excrements it would better and more commodiously exercise and put forth this virtue being anoynted upon the wounded part it self then upon the Weapon And besides all this if as some will have it the virtue and strength of this Medicament consist in the Blood and fat of Man why then do some of them likewise apply it unto the Wounds of other living Creatures to wit of Horses c. For how great is the Difference between a Man and a Horse But that Crollius and some others that I may not here altogether omit the mentioning of this also derive the vertue of this Medicament from the Heaven and therefore command the preparing of it in such a certain position of the Heavens Neither will that at al patronize this Cause For they have not as yet proved that there is in the Heavens or any of the Stars any virtue at all to heal Wounds or that if there were any such virtue in these that it doth so mingle it self with this Unguent that as if it were in a manner bound and shut up it may be carried up and down about with us and drawn forth into use and Act when we please And so likewise as touching the manner of using this Medicament this also hath no Foundation to uphold it neither doth it want for superstition For first of al seeing that they place the whole Cause of the Cure in this that the virtue of the Medicament is derived unto the Wound by the benefit of the natural Balsam that is in the Blood why then do they anoynt only the Weapon with the which the man was wounded or some other Weapon or a piece of Wood bloodied with the Blood of the Wound and why do they not as well anoynt his shirt or the other Garments of the wounded party or a Stone or any thing else what ever it be upon which the Blood hath been spilt or poured out and if not there is then some implicite underhand compact with the Devil to be suspected And moreover why if the wound be made with the pricking of a Sword do they anoynt the Sword in the point therof towards the hilt but if the wound be made by the Cut of a Sword then they anoynt it from the edge towards the back and if it appear how far and deep the Sword penetrated into the wound so far they anoynt it and no farther but if it doth not appear how far it pierced they then anoynt the Sword all over all which are no better then Superstitious Ceremonies and of which no Reason can be rendered For if the power and faculty of the Medicament be Natural what doth this or that manner of using it in the anoynting make to the thing it self and whether or no doth it add any new virtue and quality thereto If the vertues be Natural there is no need of any such Ceremonies as it plainly appeareth in all Natural things whatsoever The Load-stone draweth the Iron and the Iron being touched with the Load-stone is moved unto the North-pole without any of the aforesaid Ceremonies And furthermore some there are that anoynt the Weapon once every day others every Second or Third day and some content themselves with once only anoynting And some there are who that so they may not Erre in the anoynting wholly dip and plunge the Weapon or Sallow Wood that now and then serves in stead thereof into the Unguent kept in along Box or little Chest until the Wound be perfectly healed but they altogether neglect the Weapon it self that dip the Arms or that they make use of in their stead all over in the Unguent But others there are that keep the anoynted Weapon in any temperate place what ever it be and others likewise shut it up in a little Chest But al of them generally are exceeding Cautious in this that the Weapon be never kept in any place that is over hot or over cold and that it be not polluted with filth and impurities for if this should happen the Cure will by this means be hindered and a most grievous pain in the Wound procured unto the sick person All which are meerly frivolous and superstitious For seeing that as it is before sufficiently proved there cannot possibly be any action of the Weapon-Salve upon the wound at a far distance and interval of place from the Wound so likewise we say that it cannot possibly excite any pain And therefore we conclude that if this at any time happen it is then caused and procured by the help and assistance of some evil spirit And most certain it is that the Blood of wounded persons is not alwaies poured forth into clean places but oftentimes into places very noysom and unclean and that in the Winter time it is frozen and that the Bloody Linen Clothes are washed with warm Water and the wood be sprinkled
communicated unto the spittle and by it may as easily be imparted unto the Wound and this happeneth much the rather if so be the Man be Frantick And if there were altogether nothing of virulency in the Wound that is inflicted by the biting of one of these living creatures yet notwithstanding the very contusion it self which rendereth all wounds whatsoever the more dangerous and the more difficult to be cured maketh those wounds the more grievous For since that the teeth of the said Animals are not so sharp as a sword or some other kind of Weapon while they wound they do withal likewise bruise and cause a Confusion in the part they fasten upon Prognosticks But now how dangerous these wounds also may be that are caused by one mans biting of another Guihelm Fabricius teacheth us by three Examples and instances that he giveth thus in his 2 Century Observat 84. and 85. The first whereof is of a certain Merchant who a midst his Cups by anothers biting was wounded in the very tip of the right forefinger whose whole right hand upon the same biting became inflamed and a Gangrene soon after began to follow with Convulsions an extreme burning feaver a Syncope and continual restlesness The second instance is of a Physitian who rashly and inconsideratly putting his finger into the mouth of a Phrantick woman to the end he might feel her tongue had it bitten by this mad woman and upon this biting he became extremly afflicted with a vehement pain not only in the said finger but in the whol Arm also The last example is of a man that being by another furious and enraged person sorely bitten even unto the first Articulation of his Thumb he likewise was in stantly taken with a vehement pain al that Arm throughout and soon after there followed a feaver and a Syncope Matthias Glandorpius in Specul Observat Chirurgic Observ 49. relateth the like History of a certain person who by another mans teeth the man being much enraged was wounded in his thumb about the first Joynt from whence there arose a most extreme pain an Inflammation of the whol hand a Continual fever a restlesness of the body frequent faintings and swoundings and a very intense pain of the head And evermore the wounds are dangerous both in themselves by reason of the contusion as also because that the spittle of the furious and enraged Animals hath somwhat of malignity Joyned with it and they are so much the more dangerous if any of the Nervous parts such as are the fingers shal chance to be bitten The Cure In regard that as we have said in every wound that is inflicted by the biting of any living Creature there is present a Contusion and this somtimes greater and somtimes less according as the teeth of those Creatures are more sharp such as are the teeth of a Dog Ape and Squirrel or else less sharp as those of a Man Horse Ass c. and that from this Contusion the pain is caused therefore there ought a regard to be had both unto the Contusion and the pain And therefore in the first place the blood is carefully to be pressed and squeezed forth of the wound and opening of a vein or purgation according as need shal require is to be instituted and to prevent the greater afflux of the humors and the Malady from being communicated unto the superiour parts some Defensive of Oxycrate or some o● her the like is to be imposed upon the superior part but unto the Wound it self for the asswaging of its pain the promoting of the suppuration and the keeping of the Wound open such a like Medicament as this that followeth is to be applyed Take One Egge butter half an ounce Saffron one scruple Oyl of Violets and Roses of each two drams and mingle them or Take Marshmallow Roots one ounce and half the leaves of Mallows flowers of Camomile and Melilote of each half a handful Wormwood two pugils boyl them to a softness and let them be wel bruised and mashed together when they are wel bruised add unto them the yelk of one Egge oyl of Roses and Camomil of each as much wil suffice and make a Cataplasm If there be any fear that there is some kind of virulency in the Wound then we may ad Scordium as also Treacle and therefore such an unguent is to be provided Take The Basilick Vnguent and fresh butter of each half an ounce Treacle one dram oyl of Roses one ounce the yelk of one Egg and mingle them And moreover that what is bruised may be wholly converted into Pus we are to use Honey of Roses Rosin Turpentine with the yelk of an Egge or the Basilik Vnguent or if any Malignity be feared this that followeth Take Pounder of Myrrh Root of Round Aristolochy Orrace of Florence and Aloes of each one dram Angelica half a dram Treacle dissolved in the spirit of Wine two drams with hony of Roses make a Liniment And at length the Wound being wel wiped and cleansed it is to be filled up with flesh and so shut up with a cicatrice as in other cases is wont to be done If a Gangrene be feared as nigh at hand then the Cure is so to be ordered as we sayd before touching the Gangrene Glandorpius his father in the case before alleadged besides general and internal remedies was wont to administer these Topicks First of all with this Unguent he anoynted the filaments and then he imposed them hot upon the Wound with the Citrine Emplaster As Take Venice Tu●pentine often washed one ounce the powder of Earthworms two scruples Frankincense half a dram the yelk of one Egge and mingle them The hand even unto the wrist was anoynted with the Oyl of Roses The pain increasing he applyed warm this following Cataplasm Take Scordium or Water Germander the herb Sauce alone or Jack by the hedg of each four pugills or smal handfuls Wormwood the tops of St. Johns wort Sage Marjoram of each two pugills Red Roses three pugils flowers of Camomil and Melilote of each one pugil the pith of Rie bread three ounces bran one ounce the meal of Lupines one ounce and half with a sufficient quantity of Wine make a Cataplasm adding in the conclusion oyl of Rue six drams oyl of Roses with Earthworms an ounce and half the yelk of one Egge Saffron one scruple and mingle them The pain yet for all this little or nothing remitting about the hand wrist and the Elbow he applyed this Defensive Take The Vnguent of Roses Champhorated or with Camphyre and the Santaline Oyl or the oyl of Saunders of each half an ounce oyl of Roses with the Juice of Night-shade three drams Bole Armenick two drams powder of red Roses one dram Rose vinegar as much as wil suffice and mingle them The pain somwhat abating there was then discovered a Nerve or rather a black Tendon and upon this he strewed the following powder Take Roots of round Aristolochy