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B09557 Abstractum chirurgiae marinae., or, An abstract of sea chirurgery: designed for the use of such chirurgeons who desire to serve at sea, yet are unacquainted with sea practice : in order to their restoring to health of sick or wounded sea-men; but may all fitly serve for most chirurgeons. In three compendious books. The first containeth certain directions necessary to be observed by the sea-chirurgeon in his fitting out. The second teacheth how he should perform his chirurgical duty being at sea, both in an ingagement and at other times. The third instructeth how he must execute the phisical office imposed on him / by John Moyle. Moyle, John, d. 1714. 1686 (1686) Wing M3028; ESTC R224381 49,825 154

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salis Tartari gr x. Magisterium salis gr viij Mix these in Rhenish Wine or Sack and let him drink it in the morning fasting not only once but often Let his Drink be as followeth ℞ Sarsaper Guaic. an ℥ viij Gum. Guaic. ℥ j. Succ. Liquoriciae ℥ iiij Rectified Spirit of Wine lb viij mix digest twenty dayes decant and keep it for use Let him drink of this two spoonfuls in a glass of Wine at night when he turns in and a spoonful at other times this is the best drying dyet Drink in the World not only for this but the Pox or Plague or Scurvy 'T is called Liquor alexipharmicus seu scorbuticus To the part it self apply a hot fomentation or Lixivium strong Spirit of Wine applyed on with warm stuphs is excellent Then ℞ Emplast de galbano Crocato ad Tophos ana part equal To make it into a Cataplasmick consistence add unguent de althaea 'T is the most excellent as yet known for this purpose If it was an Ulcer before you saw it together with these means apply into the Ulcer ℞ Liquor vulnerarium schroderi or Liquor Salutis Let the Ulcers be well washed with these or either of them either by Syringe or otherwise Then arm your Dorsels or Tents with Balsam Vulner Salmon and dip them in one of these Liquors and put them in hot and on them the above-named Emplaister and so make decent rouling which last is a great help in the Cure of these Ulcers CHAP. XXIX Of Cancers Schirrhous Tumors Phagadenick Vlcers and Fistulaes HEre you must use the same dyet drink as in the former Chapter And either to dissolve or ripen these Tumours to the other Emplasters there mentioned add Emplastrum schirrhosum Salmonis Then have you the best resolvent or maturative of malignant and rebellious Tumours that ever was invented And if they be Ulcers Aqua Phagadaenica either of it self or mixt with Spiritus Vini is the chiefest Medicine to bathe and stuff the Ulcers with Then Balsamum Vulnerarium Salmon with Quintessence of Cloves applyed hot on Dorsels with the Emplaister over it is a powerful Medicine If the bone be foul you have Pulvis Turbith miner to apply next it to scale it But you must purge this sullen humour out of the Body or never expect the Tumours or Ulcers to heal To do this there 's no nobler a Medicine under the Sun than ℞ Panchymagogum Mineralae Quercitani gr x. in pil ex duobus gr x. misce fiant pil Give this every other Morning fasting till the body be rectified of this stubborn and poysonous humour for this will powerfully bring forth all vitious and poysonous humours But if he cannot take Pills let a spoonful or two of decoctum Colocynthidos Salmonis in a glass of wine every other morning be the medicine and look after him as is requisite in Purges You must also see to oppose powerfully all venemous quality of the humours and besides the dyet-drink give sometimes this ℞ Either Thriac Lond. nova ʒ i or Bezoarticum solare Comp. Salmon gr viij in a glass of Sack and let him sweat upon it Cancers are usually extirpated and then the place brought to digestion and healed You extirpate a Cancer with your Catling but if a Finger or Toe you extirpate it with your Chizel and Mallet CHAP. XXX Of Gravel and Strangury SOmetimes Men happen to be cruelly tormented with this disease at Sea and although they do not expect you perfectly to cure it yet they would be glad of a little ease and it would make any man pity them to see them so excruciated If it be about the Reins then do this ℞ Sal vitriolium emeticum ʒ ss Spiritum Salis gut xx in a glass of White-wine or Rhenish this certainly removes and dissolves it If in the neck of the bladder then ℞ Spiritum Nephriticum Clossei gut viij or x in syrup of Marsh-Mallowes and aqua persicaria This if you can have it is insuperable in forcing away the Gravel and Urine but if you have it not then ℞ Aqua Comminuens Calculum Horstii ʒ ij or ℥ t s at a time is excellent as to the intention If a large Gravel-stone stick in the Yard force it back with your Catheter If in the fit of the Strangury you give something to make the Body soluble and carry away the hard feces that oppress the neck of the bladder you will do well as thus ℞ Tincturam solutivam ℥ i Elix Juniperi a spoonful in a glass of Malago And in the extremity of misery that worthy Anodine Ens veneris gr x drank in a glass of Canary when the man turns in does not only give immediate ease and comfort but likewise dissolves the Tartarous Muscleage or concreted substance CHAP. XXXI How to Cure a Clap. THere is yet another Distemper which Seamen meet sometimes with by going a shore and that is a Clap. Now for as much as this is not got by the Ships work so it is not cured on the Ships account but the Man pays you for it But it is a Chyrurgical Cure and you are desired by the Man to cure him We commonly call that a Clap and not the Pox although a chip of the same block when the venemous humour lyeth about the Genitals or Seed-Vessels and hath not yet infected the mass of blood nor got into the bones A Clap appears either in a Gonorrhea Tumour of the Yard Shankers pricking in the Urinary passage or Bubo in the Groin Whatever way it appears bleed not at all for that were the way to bring it into the body The first thing you must do is to purge out the Poysonous Vapour The accustomary way and indeed a very good way is this ℞ Pil rudii ℈ j resina Jalupi Calomelos ana gr x f. pilulae If he cannot take Pills then ℞ Electu pro morb Gal. Salmon ℈ ij Or if a Bolus will not down with him then ℞ Decoctum Colocynthidos Salmon two spoonfuls in a glass of Wine If he can take any of these you may interchange them as you see fit because the too often taking of the same thing cloys the patient They must be taken in the Morning fasting and he must be ordered as to purge when he has purged sufficiently for four or five days the running will cease only some small gleeting 't is possible will remain To Cure which ℞ Tereb Cypr. ℥ j open it with the Vitel. ovorum mix it with aqua plantag strain it and let him drink it every night for three or four times Or ℞ Icthyocolla decocted either in water if you are on board or in Milk if a shoar an Ounce at a time and drank whilst it is warm Either of these will effectually stop the gleeting If there is a pricking in the Yard when the Man makes water Inject Troches alba enassis mixt in aqua plantag And if little Ulcers Shankers Pustules c. be on the Glans or between
way is to let his Clothes be immediately ript off and seeing how the Case stands give him immediately a Cordial dram to revive his Spirits and then make way to reduce the dislocated Joynt after embrocate about it with Oleum Rosarum and clap about it a good Warm Searcloth of Oxycroceum Let there be a good Bolster placed under the Arm-pit and firm and decent rouling Next go in hand with your compound Fracture which will be the more difficult to reduce because of the new Located Joint Now all dislocations and fractures are reduced either by a slight and sudden Motion or by a more strong Extension The joynt of the Shoulder might 't is like be done by the former but this kind of Fracture will require the latter There must be a powerful extension of this Fracture because the Ends of the Bones are one over the other Therefore he that holds the upper part had need of a good Machine or Bandage to hold fast by against him that extends the other way that he may succour the Shoulder-joynt 'T is like too that the Wound may not be wide enough to let the head of the Bone easily return then you must make incision but have a care of the Vessels When the ends of the Bones are evenly placed embrocate about the part with Oleum Rosar and into the Wound apply a small dorcel of Tincture of Myrrh next the Bone and on that your digestive on another dorcel and over all a large Restrictive of â„ž Bolus verus Sang. Drac Mastich and Oliban ana parts equal alb Ovor. acetum vini q. s misce f. Cataplasm Let it be spread thick on a double cloth and applyed all about except on the wound but on the wound leave a spare place cut out that it may be come at to be drest Place on this another bolster wrung out of Acetum but a spare place likewise in it that the wound may be come at then a soft Rouler to come several turns about it and every valve as it comes over the wound cut not to the sides because they may hold fast but in the middle on this place a small but thick bolster on the wound that may answer the wanting valves This done make the smallest part equal to the biggest with soft bolsters so place thereon broad and hollow splints opposite to the wound and on each side it but not on it the which let be decently bound on with Tape from joynt to joynt yet not to touch the Joynt so as to hurt it nor yet so hard as to cause ill accidents to the wound and fracture So let his Clothes be put about him and open a vein in the other Arm because of his inward contusion that it may hinder the coagulation of the blood Lay this by the rest for this time and when you see occasion give him of the wound drink as you do the others You must note if this had been but a simple fracture you must on the single Rouler and over all have made use of two Roulers more the one must have begun with two or three turns about the fracture and you must then have rouled upwards with the valves something close to anticipate a defluxion of humours and the other after two or three turns about the fracture must have been lead downwards with the valves more open and after turn'd a cross at the lower Joynt and so rouled up again to the other there to end and see the Arm made even with Bolsters and the Splints applyed this should not be removed under 6 or 7 dayes unless accidents urged and if heat or pain should then it were but undoing it carefully and bathing it with warm water and then aplying an Oxicrocium Sear-cloth about it and so roul it up again and let it remain But this Compound Fracture admits of no such rouling but there must be much more care and trouble about it The next dressing of your Compound wound which must not be under two if not three dayes time You must take off all to the single Rouler but let it and all under it remain longer unless some accidents have hapned Take off the small bolster of the wound and take out the Dorcels Let all be done with great care and gentleness least you displace what you before reduced Cleanse the wound with hot Tincture of Myrrhae then drop into it hot Balsam of Terebenth and apply dorcels into it dipt in the same on these a bolster and so make it up again as it was before Use this manner of dressing till accidents or time cause you to take off the restrictive When you take it off bathe it and stuph it well with your hot Fomentation but have a care of displacing the Fracture then apply an Oxicrocium Plaster warm all over only on the wound let it be cut as the restrictive before was and this will help on a Callous and the Bone to cement and is an approved thing for Fractures and very Anodine then let it be made up in every respect as it was before and continue this manner of dressing to the end And when you can with safety you may take off the Sear-cloth from the Shoulder and bathe and stuph that well and hot to strengthen it and so apply another Oxicrocium Sear-cloth to it again Be sure in such cures as these to keep a cool and open Body and breathe a Vein not only once but oftner CHAP. VII How to cure a wound of the Head with a Fracture of the Scul ANother comes down with his Head wounded and Scul fractured which often happens in time of Fight by a small Shot or Splinter I met with several such in the last Holland Wars Some the Cutis Muscula not only much wounded but the Scul fractured so as the Dura mater hath been bare Others again have had but a slight wound of the outer part but the Scul hath had a small Fracture or Fissure and this latter is worser than the former The former you see fairly and by dilating a little with your Incision Knife of the Scalp wider than the Wound you easily take out any loose Splinters that might prick the Meninges But the latter When you have laid bare the Scul the which it is not safe to neglect upon the least symptoms you will scarcely see at this time if there be a Fracture or no For indeed some have not immediately their Speech taken away nor yet Vomit nor Bleed at the Ears or Mouth nor whilst they are hot have such signs of a Fracture as other some have However the best way is If you have but any suspition to lay the Bone bare and the worst that can fall by that is but healing it again if there be not a Fracture but if there should be one the neglect thereof were dangerous Shave the Head at least waies a convenient breadth about the wound that nothing may hinder your Applications but that you may decently dress it Whether it