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A49891 The compleat surgeon or, the whole art of surgery explain'd in a most familiar method. Containing an exact account of its principles and several parts, viz. Of the bones, muscles, tumurs, ulcers, and wounds simple and complicated, or those by gun-shot; as also of venereal diseases, the scruvy, fractures, luxations, and all sorts of chirurgical operations; together with their proper bandages and dressings. To which is added, a chirurgical dispensatory; shewing the manner how to prepare all such medicines as are most necessary for a surgeon, and particularly the mercurial panacæa. Written in French by M. le Clerc, physician in ordinary, and privy-counsellor to the French King; and faithfully translated into English.; Chirurgie complette. English Le Clerc, M. (Charles Gabriel), b. 1644.; Le Clerc, Daniel, 1652-1728. 1696 (1696) Wing L810A; ESTC R224148 161,414 374

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Liniments to asswage and mollifie The Oils of common Wall-Nuts and Small-Nuts may be also prepar'd after the same manner as that of Sweet-Almonds The Oil of Bayes Take as much as you please of Laurel or Bay-Berries well cleans'd perfectly ripe and soundly bruis'd let 'em be put into a Kettle and boil'd with a sufficient quantity of Water during half an Hour then strain and squeez 'em strongly let the Liquor cool and scum off the Fat that swims upon the Water Afterward pound the remaining Substance in a Mortar and cause it to be boil'd again for half an Hour with some of the first Water which was left adding a little fresh then strain and squeez it as before and take off the Oil that swims on the Top. But the first Oil is better than the second and therefore ought to be kept separately The Oils of Berries of Mastick Myrtle and other oleaginous Plants may be extracted after the same manner The Oil of Bayes mollifies attenuates and ●s opening and discussive It is very good against the Palsie and the Shiverings or cold Fits of a ●eaver or Ague in anointing the Back as also against Scabs Tetters c. The Oil of Eggs by Expression Take newly laid Eggs and let 'em be har●en'd in Water then separate the Yolks and put 'em into a Frying-pan over a gentle Coal-fire stirring 'em about from time to time and a last without discontinuing till they grow reddish and begin to yield their Oil Then they are to be sprinkl'd with Spirit of Wine and ●our'd very hot into a little Linnen-Bag which ●s to be ty'd and set in a Press between two ●eated Platines so that the Oil may be squeez'd ●ut as readily as is possible This Oil mitigates the Pains of the Ears and Haemorrhoids cures Scabs and Ring-Worms or Tetters as also Chaps and Clefts in the Breast Hands Feet and Fundament and is made use of in Burns c. CHAP VI. Of Collyrium ' s. COLLYRIVM's are Medicines prepar'd for the Diseases of the Eyes The following is that of Lanfrancus Take a Pint of White-Wine three Pints of Plantain-Water three Pounds of Roses two Drams of Orpiment one Dram of Verdegrease Myrrh and Aloes of each two Scruples The Orpiment Verdegrease Myrrh and Aloes are to be beaten to a fine Powder before they are intermixt with the Liquors This Collyrium is not only good for the Eyes but is also of use to make Injections into the Privy-Parts of Men and Women but before the Injections are made it ought to be sweeten'd with three or four times the quantity in weight of Rose Plantain or morel-Morel-Water A dry Collyrium Take two Drams of Sugar-candy prepar'd Tutty Lizard's-Dung of each one Dram White Vitriol Sucotrin Aloes and Sal Saturni of each half a Dram. Let the whole Composition be reduc'd to a very fine Powder and mixt together Two or three Grains of this Powder may be blown at once into the Eye with a small Quill Pipe of Straw or Reed as long as it is necessary and the same Powder may also be steept in Ophthalmick Waters to make a liquid Collyrium A Blue Collyrium Take a Pint of Water in which unslackt Lime has been quench'd and a Dram of Sal Ammoniack pulveriz'd mingle these Ingredients together in a Brass-Bason and let 'em be insus'd during a whole Night then filtrate the Liquor and keep it for use This Collyrium is one of the best Medicines that can be prepar'd for all manner of Diseases of the Eyes CHAP. VII Of Powders A Powder against Madness or Frenzy TAKE the Leaves of Rue Vervein the lesser Sage Plantain Polypody common Wormwood Mint Mother-Wort Balm Betony St. John's-Wort and the lesser Centory of every one an equal quantity These Plants must be gather'd in the Month of June during the clear and serene Weather and ty'd up in Nose-gays or little Bundles which are to be wrap'd up in Paper and hung in the Air to be dry'd in the Shade Afterward they are to be pounded in a great Brass-Mortar and the Powder is to be sifted thro' a Silk-Sieve The Dose of this Powder is from two to three Drams mingl'd with half a Dram of the Powder of Vipers in half a Glass of good White-Wine every Morning fasting for fifty one Days successively It has an admirable effect provided the wounded Person be not bit in the Head nor Face and that the Wound has not been wash'd with Water CHAP. VIII styptick-Styptick-Water TAKE Colcothar or Red Vitriol that remains in the Retort after the Spirit has been drawn off Burnt Allom and Sugar-candy of each thirty Grains the Urine of a Young Person and rose-Rose-Water of each half an Ounce and two Ounces of Plantain-Water Let the whole Mixture be stirr'd about for a long time and then put into a Vial. But the Liquor must be pour'd off by Inclination when there shall be occasion to take any for use If a Bolster steept in this Water be laid upon an open Artery and held close with the Hand it will soon stop the Blood a small Tent may be also soakt in it and put up into the Nose for the same purpose If it be taken inwardly it stops the spitting of Blood and the Dysentery or Bloody-Flux as also the Haemorrhoidal and Menstruous Fluxes the Dose being from half a Dram to two Drams in knot-grass-Knot-Grass-Water FINIS A TABLE OF THE CHAPTERS And of the Principal Matters Which are contain'd in every Chapter CHAP. I. OF the Qualifications of a Surgeon and the Art of Surgery Page 1 CHAP. I. Of Synthesis Diaeresis Exaeresis and Prosthesis Page 2 CHAP. I. What ought to be observ'd before the undertaking of an Operation Page 3 CHAP. II. Of Chirurgical Instruments portable and not portable Page 5 CHAP. III. Of Anatomy in general and in particular of all the Parts of which the Human Body is compos'd Page 7 CHAP. IV. Of the General Division of a Human Body Page 10 CHAP. V. Of the Skeleton Page 12 CHAP. V. Of the different kinds of Articulations Page 14 CHAP. V. Of the Number of the Bones of the Human Skeleton Page 16 CHAP. VI. Of Myology or the Description and Anatomy of the Muscles of the Human Body Page 19 CHAP. VII Of the Myology or Anatomy of the Muscles of the Head Page 21 CHAP. VIII Of the Myology or Anatomy of the Muscles of the Chest or of the Breast Belly and Back Page 31 CHAP. IX Of the Myology or Anatomy of the Muscles of the lower Belly Page 34 CHAP. IX Of the Muscles of the Parts that serve for Geration in both Sexes Page 36 CHAP. X. Of the Muscles of the Shoulder-Blades Arms and Hands Page 37 CHAP. XI Of the Muscles of the Thighs Legs and Feet Page 48 CHAP. XI A List of all the Muscles of the Humane Body Page 57 CHAP. XII Of the Anatomy of the Nerves Arteries and Veins in general Page 58 CHAP. XII Of the Structure of the four Tunicks of the Arteries Page 61 CHAP.
keep his Bed in a warm Room and never rise till it shall be thought fit to stop the Salivation which continues twenty or twenty five Days or rather till it becomes Laudable that is to say till it be no longer stinking nor colour'd but clear and fluid If a Looseness shou'd happen during the Salivation it wou'd cease so that to renew it the Looseness may be stay'd with Clysters made of Milk and the Yolks of Eggs and in case the Salivation shou'd not begin afresh it must be excited with a slight Friction But if it shoul'd be too violent it may be diminish'd by some gentle Purge or with four or five Grains of Aurum Fulminans taken in Conserve of Roses Three or four Pints of Rheum are commonly salivated every Day in a Bason made for that purpose which the Patient holds in his Bed near his Mouth so as the Spittle may run into it But if the Fluxing shou'd not cease of it self at the time when it ought he must be purg'd to put a stop thereto If any Ulcers remain in his Mouth to dry 'em up Gargarisms are to be often us'd which are made of Barley-Water Honey of Roses or luke-warm Wine The Warts are cur'd by binding 'em if a Ligature be possible or else they may be consum'd with Causticks such as the Powder of Savine or Aqua-fortis by corroding the neighbouring Parts sometimes they are cut left to bleed for a while and bath'd with warm Wine When the Patient begins to rise he must be purg'd his Linnen Bed and Chamber being chang'd and afterward his Strength is to be recruited with good Victuals and generous Wine If he were too much weaken'd let him take Cow's-Milk with Saccharum Rosatum If the Pox were not inveterate the Fluxing might be excited by the Panacaea alone without any Frictions For after the Phlebotomy Purgations and Bathings duly administer'd the Patient might take ten Grains of the Mercurial Panacaea in the Morning and as many at Night on the next Day fifteen Grains might be given and the like quantity at Night on the third Day twenty Grains might be given both Morning and Evening on the fourth Day twenty five Grains in the Morning and as many at Night and on the fifth Day thirty Grains in the Morning and the very same quantity in the Evening continuing thus to augment the Dose till the Fluxing comes in abundance and it may be maintain'd by giving every two or every three Days twelve Grains of the Panacaea This Course must be continually follow'd till the Salivation becomes Laudable and the Symptoms cease The manner of making the Mercurial Panacaea To prepare this Panacaea it is requisite to take Mercury reviv'd from Cinnabar because it is more pure than Mercury which is immediately dug out of the Mine The Mercury is reviv'd with Cinnabar after this manner Take a Pound of artificial Cinnabar pulveriz'd and mighled exactly with three Pounds of unslack'd Lime in like manner beaten to Powder Let this Mixture be put into a Retort of Stone or Glass luted the third part of which at least remains empty Let it be plac'd in a reverberating Furnace and after having fitted a Recipient fill'd with Water let the whole be left during twenty four Hours at least then let the Fire be put under it by degrees and at length let the Heat be very much augmented whereupon the Mercury will run Drop by Drop into the Recipient Let the Fire be continu'd till nothing comes forth and the Operation will be perform'd generally in six or seven Hours Then pour the Water out of the Recipient and having wash'd the Mercury to cleanse it from some small quantity of Earth that may stick thereto let it be dry'd with Cloaths or else with the Crum of Bread Thus thirteen Ounces of Mercury may be drawn off from every Pound of artificial Cinnabar The Panacaea is made of sweet Sublimate and the later of corrosive Sublimate To make the corrosive Sublimate put sixteen Ounces of Mercury reviv'd from Cinnabar into a Matrass pour upon it eighteen Ounces of Spirit of Nitre place the Matras upon the Sand which must be somewhat hot and leave it there till the Dissolution be effected Then pour off this dissol●ed Liquor which will be as clear as Water into a Glass Vial or into a S●one-Jug and let its Moisture evaporate gently over the Sand-Fire till a white Mass remains which you may pulverize in a Glass Mortar mingling it with sixteen Ounces of Vitriol calcin'd and as much decrepited Salt Put this Mixture into a Matras two third parts of which remain empty and the Neck of which hath been cut in the middle of its height then fix the Matras in the Sand and begin to kindle a gentle Fire underneath which may be continu'd for three Hours afterwards let Coals be thrown upon it till the Fire burn very vehemently and a Sublimate will arise on the top of the Matras so that the Operation may be perform'd within the space of six or seven Hours Let the Matras be cool'd and afterward broken avoiding a kind of Flower or light Powder which flyes up into the Air as soon as this Matter is remov'd whereupon you 'll find nineteen Ounces of very good corrosive Sublimate but the red Scoria or Dross which settleth at the bottom must be cast away as unprofitable This Sublimate being a powerful Escarotick eats away proud Flesh and is of singular use in cleansing old Ulcers if half a Dram thereof be dissolv'd in a Pint of Lime-Water it gives a yellow Tincture and this is that which is call'd the phagaedonick-Phagaedonick-Water The sweet Sublimate of which the Panacaea is immediately compos'd is made with sixteen Ounces of corrosive Sublimate pulveriz'd in a Marble or Glass-Mortar intermixing with it by little and little twelve Ounces of Mercury reviv'd from Cinnabar Let this Mixture be stirr'd about with a Wooden Pestle till the Quick-silver become imperceptible then put the Powder which will be of a grey Colour into divers Glass-Vials or into a Matras of which two third parts remain empty place your Vessel on the Sand and kindle a small Fire in the beginning the Heat of which may be afterward encreas'd to the third Degree Let it continue in this Condition till the Sublimate be made and the Operation will be generally consummated in four or five Hours whereupon you may break your Vial and throw away as useless a little light Earth that lies at the bottom You must also separate that which sticks to the Neck of the Vials or of the Matras and keep it for Ointments against the Itch but carefully gather together the white Matter which lies in the middle and having pulveriz'd it cause it to be sublimated in the Vials or Matras as before This Matter must also be separated again as we have already shown and put into other Vials to be sublimated a third time Lastly the terrestrial parts in the bottom and the fuliginous in
Germander Sage St. John's-Wort Plantain Milfoil or Yarrow Perewinkle the greater Comfrey the lesser Comfrey Betony Honey-suckle Fluellin Vervein Knot-Grass Adders-Tongue and Burnet of every one of these Plants two handfuls a Gallon of common Oil white Pitch Mutton-Suet yellow Wax and Turpentine of each two Pounds Bruise all these Herbs in a Marble-Mortar let the Wax white Pitch and Mutton-Suet cut into pieces as also the Turpentine be melted in the Oil in a Copper-Pan lin'd with Tin over a moderate Fire put the bruis'd Herbs in it and cause the whole Mass to simmer together very slowly stirring it about from time to time with a Wooden Spatula As soon as it shall be perceiv'd that the Oil of the Herbs is almost quite consum'd the whole Composition is to be strain'd and strongly squeez'd Then after having let the Ointment cool to draw off all the Dregs and Moisture it is to be dissolv'd over a very gentle Fire and after having left it a little while to cool again and thicken you may add thereto Myrrh Aloes Florence Orris and round Birth-Wort pulveriz'd very fine When all these Ingredients are by this means well incorporated the Ointment will be brought to perfection This Ointment is of singular Use to cleanse Ulcers as also to mundifie cicatrize and consolidate all sorts of Wounds The black or suppurative Ointment Take a Quart of common Oil white and yellow Wax Mutton-Suet that lies near the Kidneys pure Rosin Ship-Pitch Venice Turpentine of each half a Pound and of Mastick beaten to fine Powder two Ounces let all that is capable of being dissolv'd be liquify'd in the Oil and add the Powder of Mastick to make in Ointment This Ointment searches and opens all sorts of Impostumes as well as Carbuncles and Pestilential and Venereal Bubo's The use of the same Ointment is also to be continu'd after the opening of the Abcesses till their perfect Cure be compleated Unguentum Rosatum Take Bore's-Grease well purify'd and often wash'd and Red Roses newly pickt of each four Pounds with the like quantity of White Roses The thin Membrane or Skin which lies upon the Bores-Grease being taken away it is to be cut into small pieces well wash'd in fair Water and melted in a glaz'd Earthen-Pot over a very gentle Fire the first Grease that is dissolv'd is to be strain'd thro' a Cloth well wash'd and mixt with the same quantity of thick Rose-Buds well bruis'd Then the whole Mass is to be put into a glaz'd Earthen-Pot with a narrow Mouth the Pot is to be well stopt and set during six Hours in Water which is between luke-warm and boiling hot Afterward it is to be boil'd an Hour strain'd and strongly squeez'd In the mean while four Pounds of White Roses newly blown are to be taken well bruis'd and mingl'd with the former Composition the Pot being cover'd which is likewise set for the space of fix Hours in Water between luke-warm and boiling hot Then the Liquor is to be strain'd and strongly squeez'd Lastly after the Ointment hath been cool'd and separated from its Faeces or Dregs it may be kept for use If it be desir'd to give a Rose-Colour to this Ointment it wou'd be requisite a quarter of an Hour before it be strain'd the last time to throw into it two or three Ounces of Orcanet which is to be stirr'd into the Ointment If it be thought fit to retain the White Colour and to produce the smell of Roses it may be done with Damask-Roses without Orcanet If you are desirous to give it the Consistence of a Liniment you may add Oil of sweet Almonds to the quantity of a sixth part of its weight This Ointment is a very good Remedy against all manner of external Inflammations particularly against Phlegmons Erysipelas's and Tetters as also against the Head-ach and Haemorrhoids or Piles Unguentum Album aut de Cerussa Take three Pints of Oil of Roses nine Ounces of white Wax one Pound of Venice Ceruse or white Lead and a Dram and a half of Camphire The Ceruse being pulveriz'd by rubbing the pieces upon the Cloath of a Hair-Sieve turn'd upside-down the Powder is to be receiv'd on 〈◊〉 Sheet of Paper laid underneath and to be often wash'd with Water in a great Earthen-Pan stirring it about with a Wooden Spatula and pouring off the Water by Inclination as soon as the Powder is sunk to the Bottom When the Water of these Washings grows insipid the last Lotion is to be made with Rose-Water leaving it for the space of five or six Hours which being expir'd it is to be pour'd off by Inclination and the Ceruse must be dry'd in the Shade cover'd with Paper Then the broken Wax and prepar'd Oil is to put into a glaz'd Earthen-Pot and the Pot into the boiling Bath As soon as the Wax is melted the Pot may be taker out of the Bath and the dissolv'd Liquor stirr'd with a Wooden Pestle till it begins to grow thick Afterward the pulveriz'd Ceruse is to be infus'd and the Ointment stirr'd about till it be almost cold If you shall think fit to add Camphire let it be dissolv'd in a little Oil and incorporated with the Ointment when it is cold The Whites of Eggs may be also well mixt with the Ointment by stirring it about to make an exact union of the several Ingredients This Ointment is good for Burns Erysipelas's the Itch and many Distempers of the Skin it allayes the Itchings and intemperature of Ulcers it dissipates the Chasings and Redness that happen in the Bodies of Infants It is of great efficacy in the ●ealing of Contusions and it serves to consolidate and cool light Wounds Unguentum Aegyptiacum Take eleven Ounces of Verdegrease fourteen Ounces of strong Vinegar and twenty eight Ounces of good Honey Let the Verdegrease be put into a Copper-Pan or Skillet over a very gentle Fire then bruise it with a Wooden Pestle work it well in the Vinegar and strain the whole thro' a Hair-Sieve If a little Verdegrease remains on the Sieve it is to be put again into the Skillet bruis'd and beaten small therein as before with a Portion of the same Vinegar straining it thro' the Sieve till the unprofitable drossy parts of the Copper be only left Afterward this Liquor is to be boil'd over a gentle Fire with the Honey stirring it about from time to time till it hath acquir'd the Consistence of a softish Ointment and a very red Colour This Ointment consumes putrify'd Flesh and the Superfluities of Ulcers and Wounds Unguentum Basilicon or Royal Ointment Take yellow Wax Mutton-Suet Rosin Ship-Pitch and Venice Turpentine one Pound of each with five Pints of common Oil. Cut the Suet Rosin and black Pitch into small Pieces and let 'em be melted together with the Oil in a Copper-Pan over a very moderate Fire then after having strain'd the Liquor thro' a thick Cloth let it be incorporated with the Turpentine and the Ointment will be made It
Pain Hardness and sometimes a Feaver What is a Carbuncle A Carbuncle is a hard Swelling red burning and inseparable from a Fever It is cover'd with a black Crust or Scab that afterward falls off at the Suppuration leaving a deep and dangerous Ulcer and which sometimes doth not suppurate at all What is an Anthrax The Anthrax is very near the same thing as the Carbuncle only with this difference that the latter always appears in the Glandulous Parts and the Anthrax every where else What is a Furunculus It is a kind of Boil or benign Carbuncle which somewhat resembles the Head of a Nail and is on that Account call'd Clou by the French causing Pains as if a Nail were driven into the Flesh What is a Phygeton The Phygeton is a small red and inflam'd Extuberance situated in the Miliary Glandules of the Skin where it causeth a pricking Pain without Suppuration What is a Phyma The Phyma appears after the same manner as the Phygeton and suppurates What are the Remedies proper for all these sorts of phlegmonous Tumours and Impostumes They are Cataplasms and Plaisters Anodyn Emollient Resolvent and Suppurative which are us'd proportionably as in the Phlegmons What is a Gangrene Sphacelus or Esthiomenus The Gangrene and Sphacelus signifie the same thing nevertheless are commonly distinguish'd the former being a Mortification begun and the Sphacelus an entire or perfect Mortification call'd also Nec●●is and Si●●ratio An Est●●om●nus is a Disposition to M●●●●●●on discover'd by the sof●ness of th●●art and a Gangrene is defin'd to be a Mortification of a Part occasion'd by the Interception of the Spirits and the Privation of the Natural Heat What are the causes of a Gangrene in general Every thing that can hinder the Natural Heat from exerting it self in a Part as strong Ligatures astringent or resolvent Medicines not conveniently us'd in great Inflammations a violent Haemorrhage or Old Age whereby the Spirits are exhausted the bitings of Mad Dogs excessive Cold c. By what Signs is the Gangrene known It is discover'd by the livid Colour of the Skin which departs from the Flesh the softness coldness and insensibility of the part and sometimes by its dryness and blackness from whence exhales a cadaverous Stench with Sanies issuing forth after Punctures or Scarifications made therein Lastly a Gangrene is perceiv'd by the cold Sweats Swoonings Syncope's and Delirium's that invade the Patient and which are all the Fore-runners of approaching Death Is a Gangrene only found in the Flesh and soft Parts of the Body It happens also in the Bones and is then call'd Caries How is this Caries or Gangrene of the Bone discover'd when it lies hid under the Flesh It is known by the black Colour of the Neighbouring Flesh the Stink of the Sanies that comes forth the intolerable Pains felt thereabouts which are six'd and continual before the Impostume and Ulcer appear but when the Ulcer is made a kind of roughness may be perceiv'd in the Bone REMEDIES What are the Remedies proper for a Gangrene They are those that take away the morrify'd and corrupt Parts and recall the Natural Heat both which Indications are exactly answer'd in the Extirpation of what is already corrupted with the Incision-Knife and the Restauration of the Natural Heat by the following Remedies Take an Ounce of good Vinegar steeping therein a Dram of White Vitriol with as much Sal Ammoniack Let it be us'd in bathing the Part and apply thereto Bolsters well seak'd in the same Liquor This remedy is convenient in the first Disposition toward a Gangrene Or if you please you may make use of the Yellow Water which is made with Corrosive Sublimate and Lime-Water taking for Example half a Dram of Corrosive Sublimate to be infus'd in a Pint of Lime-Water But a Tincture of Myrrh and Aloes is more efficacious wherein Vnguentum Aegyptiacum is steep'd or else Lime-Water kept for that purpose in which have been boil'd two Ounces of Sulphur or Brimstone with two Drams of Mercurius Dulcis adding four Ounces of Spirit of Wine to make an excellent Phegedaenick Water with which the Part may be bathed and the Bolsters soak'd If the Gangrene passeth to the Bone the Ulcer must be immediately cleans'd with Brandy and Euphorbium afterward put into it laying also some upon the Bolsters and abstaining from all sorts of Oils and Greases But if these Remedies prove unprositable recourse is then to be had to the Incision-Knife Fire or Amputation the manner of performing which several Operations is explain'd hereafter What are Kibes or Chilblains They are painful Tumours which are often accompany'd with Inflammation they happen more especially in the nervous and outward Parts as the Heel and are so much the more sensibly selt as the Air and Cold are more sharp and Ve●ement What is to be done in order to cure these Kibes or Chilblains The Heel or affected Part must be wash'd and dipt in Wine boil'd with Allum and Salt whereof a Cataplasm may be afterward made by adding Meal of Rye Honey and Brimstone The Juice of a hot Turnep apply'd with Vnguentum Rosatum is also very good or Petroleum alone What is a Panaritium Panaritium or Paronychia is a Tumour which generally ariseth in the Extremity of the Fingers at the Root of the Nails It is red and accompany'd with very great Pain even so exquisite that the whole Arm is sensible thereof insomuch that a Fever sometimes ensues and a Gangrene the Humour being contain'd between the Bone and the Periosteum or that little Membrane with which it is immediately invested What Remedies are convenient for the curing a Panaritium Anodyn Cataplasms are to be first apply'd that is to say such as serve to asswage excessive Pain as that which is compos'd of Milk Line-seeds beaten large Figs the Yolk of an Egg Saffron Honey and Oleum Lumbricorum with the Crum of white Bread Afterward you may endeavour to dissolve it by applying Oil of Almonds Saccharum Saturni and Ear-Wax or else Balsam of Sulphur The Plaister of Mucilages and that of Sulphur or Brimstone dissolv'd in Wine is also a most excellent Resolvent and Anodyn If it be requisite to bring this Tumour to Suppuration white Lillies roasted under Embers may be added to the preceeding Cataplasm or else a new Cataplasm may be made with Sorrel boil'd fresh Butter and a little Leaven What is a Burn A Burn is an Impression of Fire made upon a Part wherein remains a great deal of Heat with Blisters full of serous Particles or Scabs accordingly as the Fire hath taken more or less effect What are the Remedies proper for a Burn A Burn is cur'd by the speedy Application of fresh Mud re-iterated many times successively by that of peel'd Onions Vnguentum Rosatum and Populeon mixt with the Yolk of an Egg and unslack'd-Lime Cray-Fishes or Crabs pounded alive in a Leaden-Mortar and a great Number of other things If the Burn be in the Face you may
a Pestilential and a Venereal Buboe They may be distinguish'd by their Situation and respective Accidents the Pestilential lying higher and the Venereal lower Besides a Fever Sickness at the Heart and an universal Faintness or Weakness are the ordinary concomitant Circumstances of the former whereas the Venereal Buboe is always the consequence of an impure Coitus and is attended with no other Symptoms than those of common Tumours viz. Pain Heat Shootings or Prickings c. As for the Remedies they may be sought for among those that have been already prescrib'd for Tumours CHAP. VI. Of the Scurvy THIS Disease is known by the Ulcers of the Mouth which are very stinking as also by excessive Salivation great Pains in the Head Dizziness frequent Epilepsies Apoplexies and Palsies The Face being of a pale red and dark Colour is sometimes puff'd up or bloated inflam'd and beset with Pustules The Teeth are loose and ●ake the Gums are swell'd itch putrifie exulcerate and are eaten with the Canker and the Jaw is almost unmoveable The Members are bow'd and cannot be extended The Patients become stupid and drowsie so that they fetch their Breath with difficulty are obnoxious to Palpitations of the Heart and Coughs and fall into Swoons The Ulcers sometimes are so malignant that their Cheeks are entirely eaten up and their Teeth seen They are also much inclin'd to Vomitting Looseness and Gripes and their Entrails are swell'd They have red and livid Pustules on their Belly and Privy-parts which sometimes break out into Ulcers their whole Body being dry'd c. This Disease may be easily cur'd in the beginning but when it is grown inveterate and invades the Bowels it becomes incurable as well as when it is the Epidemical Disease of the Country or the Persons afflicted with it are old or well advanc'd in Years In undertaking the Cure it is requisite to begin with a good Diet and to sweeten the Blood let the Patient take the Broth of boil'd Fowl eating Pullets and Eggs in the Broth may also be put divers sorts of Antiscorbutick Herbs viz. Cresses Spinage Parsly-Roots Sparagus Smallage Scorzonera Scurvy-Grass c. Let him eat nothing that is high season'd nor acid or sharp let him drink pure Claret without any adulterate Mixture let him use moderate Exercise and Rest Lastly let him keep his Mind sedate and free from all manner of violent Passion The following Remedies taken inwardly are very good for the Scurvy viz. the Tincture of Flints from ten Grains to thirty Diaphoretick Antimony from six Grains to thirty sweet Sublimate from six Grains to thirty Mars Diaphoreteus from ten Grains to twenty Crocus Martis Aperitivus from ten Grains to two Scruples prepar'd Coral from ten Grains to one Dram Volatile Spirit of Sal Ammoniack from six Drops to twenty Water of Cresses from fifteen Drops to one Dram Spirit of Scurvy-grass from ten Drops to one Dram Tincture of Antimony from four Drops to twenty Oily Volatile Sal Ammoniack from four Grains to fifteen Spirit of Guyacum from half a Dram to a Dram and a half Vitrioliz'd Tartar from ten Grains to thirty the Volatile Salt of Tartar Urine Vipers and Hart's-Horn of each from six Grains to fifteen the Spirit of Gum Ammoniack from eight Drops to sixteen White Mercury Precipitate from four to ten Grains Mercurial Panacaea from six Grains to two Scruples We shall shew the manner of compounding 'em in our Treatise of Venereal Diseases It is also expedient to give Emollient and Detersive Clysters to the Patient at Night going to bed his Body being always kept open with convenient Diet-drinks Afterward let him take gentle Sudorificks such as are made of the Decoctions of Fumitory wild Cicory Dandelion Hart's-Tongue Scabious the lesser House-Leek Germander Borage Scorzonera-Root and Polypody with Flowers of Broom Elder and Mary gold These are stronger for cold Constitutions viz. Decoctions of Scurvy-Grass Lepidium Arse-smart the lesser Celandine Wormwood little House-Leek Trifolium Febrinum Angelico Juniper-Berries c. Convenient Decoctions to wash the Mouth may be made with Sage Rosemary Hyssop Oak-Leaves Scurvy-Grass Cresses Tobacco Roots of Bistort Aristolochy or Birth-Wort Tormentil Flower-de-Luce Balaustia or Pomegranate-Flowers Red Roses c. To corroborate the Gums Gargarisms are made of Anti-Scorbutick Plants as of Spirit of Scurvy-Grass two Drams one Scruple of Spirit of Vitriol one Scruple of common Salt four Ounces of Rose-Water and Plantane-Water But if the Gums are putrefy'd they are to be rubb'd with Honey of Roses and some Drops of Spirit of Salt To asswage the Pains of the Members Bathings and Fomentations are to be us'd and a Decoction of Saxifrage taken inwardly with some Grains of Laudanum is good for that Purpose To allay the Gripes Clysters may be given with Whey Sugar Yolks of Eggs Syrrop of Poppies and Oils of Earth-Worms Scurvy-Grass Camomile c. Against the Scorbutick Dropsy take the Essence of Trifolium Febrinum and Elicampane from twenty four Drops to thirty and continue the use thereof Milk taken inwardly hinders Vomitting and a Broth or Gelly of Crabs sweetens the Blood The Looseness may be stopt with the Essence of Wormwood and Spirit of Mastick as also the Fever with Febrifuges and Anti-scorbuticks The Spots may be fomented with Decoctions of Aromatick and Anti-Scorbutick Herbs and Nitre For the Ulcers of the Legs pulverize an equal quantity of Saccharum Saturni Crocus Martis Myrrh and Mercurius Dulcis and lay it upon the Bolsters that are to be apply'd to the Sores To mollifie the sharpness of Acid Humours this is a good Remedy Prepare half an Ounce of Spirit of Scurvy-Grass two Drams of tartariz'd Spirit Ammoniack a Dram of the Tincture of Worms Take thrice a Day fifteen or twenty Drops of this Liquor in a Decoction of the Tops of Firr Against the Tubercles take two Handfuls of the Flowers of Camomile and Elder three Drams of Briony-Root and an Handful of White-Bread Crum Boil the whole Composition in Milk and make Cataplasms thereof To mitigate the Pains in the Head take twenty or thirty five Drops of the Tincture of Amber in Anti-scorbutick Spirits or Waters The difficulty of Respiration may be remov'd by a Medicinal Composition made of two Drams of an Anti-scorbutick Water two Drams of the Essence of Elicampane and half a Dram of the Spirit of Gum Ammoniack take three or four Spoonfuls thereof several times in a Day To prevent the putrefaction of the Gums take one Dram of the Tincture of Gum Lacca three Drams of the Spirit of Scurvy-Grass with fifteen or twenty Drops of Oil of Tartar made per Deliquium and rub the Gums with this Composition many times in a Day Brandy in which Camphire is infus'd or Spirit of Wine is likewise a most excellent Remedy as also all Lotions or Washes made with the Waters or Decoctions of Anti-scorbutick Plants For Leanness Goat's-Milk with the Spirit of Scurvy-Grass may be us'd and other Waters drawn from Anti-scorbutick Plants The
or Ox adding only thereto the White of an Egg. Besides these Remedies there are also actual and potential Cauteries or simple Ligatures which are infallible Indeed the actual Cautery is not always sure because when the Escar made by the Fire falls off the Haemorrhage breaks out again as before but the porential Cautery is almost always successful such as the following Take about an equal Quantity of Vitriol and Powder of Mushrooms apply 'em upon a little Lint to the Place where the Blood issueth forth and you 'll see it stop immediately But Care must be taken to avoid touching a Nerve or Tendon by reason that the Vitriol is apt to excite Convulsions How is the Inflammation and Mortification of a Wound suppress'd If the Inflammation proceeds from the Presence of an Extraneous Body it must be taken away as soon as possible with a Pair of Forceps and if from the Quantity of Pus or corrupt Matter it must be let out But in case the Inflammation ariseth from extreme Pains they are to be asswaged with Cataplasms or Pultises and anodyn Liniments such as those that have ●●en already prescribed in the Cure of the Phlegmon or else the Part may be bath'd with Camphirated Spirit of Wine mixt with as much Water Saccharum Saturni infus'd in Lime-water persorms the same Effect and the Water of Crabs alone is admirable in its Operation Against the Esthiomenus or Mortification make use of Wine boil'd with Wormwood St. John's Wort Rosemary and Aloes or else take the Tincture of Aloes and Myrrh or Spirit of Wine alone impregnated with Camphire and Saffron What is to be done in Case a Convulsin happens by reason of a wounded Nerve or Tendon If the Convulsion be caus'd by the Presence of an Extraneous Body that bruiseth the Part it must be taken away and if from the wounding of a Nerve pour into the Wound some Drops of the Oil of Lavender distill'd which in that Case is of singular Use this Oyl may be also taken inwardly in an appropriated Liquour such as a Decoction of Wormweod and the Tops of the lesser Centory Balsam of Peru us'd in the same Manner is an excellent Remedy and the Oyls of Worms Snails St. John's-Wort and Turpentine are frequently apply'd with good Success If the Convulsion proceeds from the Biting of some venomous Creature Cupping-Glasses or Leeches are to be immediately applied putting into the Wound Treacle with the Spirit of Wine or even Fire it self and leaving to the Physician 's Care the Prescription of other vulnerary Remedies proper to be taken inwardly What is to be done to draw the Extraneous Bodies out of a Wound When they cannot be taken away with the Fingers or Forceps the Patient must be set in the same Station or Posture wherein he was when he receiv'd the Wound in order to get some farther Light to discover 'em or else such Plaisters may be us'd as are endu'd with an Attractive Quality Particularly this Take an Ounce of Treacle half a Dram of Gum Ammoniack one Dram of Baellium and two Drams of Bore's Grease adding a Quarter of a Pound of Wax to make 'em up into the Form of a. Plaister It is reported that Hare's Grease alone hath the same Effect and that it goes for a Secret among the Surgeons but you may if you please mix it with Ointment of Betony However it hath been observed that Leaden Bullets may sometimes remain in a Man's Body during his whole Life-time without doing any Harm How are Excrescences to be taken away They may be consum'd with Powder of Allom Vnguentum Aegyptiacum or Lapis infernalis After having remov'd every thing that hinders the reuniting of the Lips of a Wound what is to be done to attain thereto The Re-Union in Wounds is properly the Work of Nature but it may be promoted by putting into 'em a little Balsam of Peru and drawing together their Lips with the Fingers Afterwards the Lips must be kept closed with a Bandage a Glutinous Plaister or a dry Stitch provided the Wound be only superficial hindring the Air from penetrating into it For Want of Balsam of Peru an excellent one may be made with the Flowers here specified Take the Flowers of Henbane St. John's-Wort and Comfry and let 'em be digested in the Sun during the whole Summer-Season in the Oyl of Hmp-seed which Oyl the longer it is kept proves so much the better if it be set forth in the Sun every Summer the Vessel that contains it being well stop'd There is also the Balsam of Balsams or the Balsam of Paracelsus call'd Samech To avoid the exposing of Wounds to the Air it is requisite to cover 'em over the Dressings with some sort of Plaister which is usually termed the Surgeon's Plaister such is that which is effectual in Dissolving corroborating and allaying Pain or Inflammation Take the Mucilages of the Roots of great Comfrey and Fenegreek half a Pound of Ceruse or white Lead two Drams of Crude Opium one Dram of Camphire as much of Saffron two Drams of Sandarack one of the Oyl of Bays one half Pound of Rosin and as much Turpentine and Wax Boil all these Ingredients together in a sufficient Quantity of Lin-seed-Oyl and make a Plaister according to Art In great Wounds it is expedient to lay over the Dressings a Cataplasm or Pultiss such as this Take the Leaves and Flowers of Camomile and Melilot the Tops of Wormwood common Mallows and Marsh-Mallows with the Seeds of Line and Cummin powder'd Then boyl the whole Composition in Wine and add thereto Barly-Meal to give it a due Consistence If there be any Cause to fear a Gangrene you may also intermix Saffron Myrrh and Aloes with Spirit of Wine Is it necessary to put Tents into all Wounds and to make use of Digestives and Suppuratives No It is sufficient to procure the Re-uniting of the Parts simply by the Means of Balsam in small Wounds because they ought not to be brought to Suppuration so that Digestives and Suppuratives are only necessary in great Wounds and those that are accompanied with Contusion avoiding the ill Custom of some Country-Surgeons that stuff up their Wounds too much with Tents and Pledgets whereas they might well be content with simple Bolsters or Dossels which shou'd be dipt in the ordinary Digestive composed of Turpentine and the Yolks of Eggs with a little Brandy or else with the Tincture of Myrrh and Aloes Suppuration may also be promoted by mundifying and quickening the Wound especially if the Bolsters be steep'd in the following Composition Take half an Ounce of Aloes and Myrth powder'd two Drams of Sal Saturni twenty Grains of Sal Ammoniack the same quantity of beaten Cloves a Dram of Queen of Hungary Water and half an Ounce of Vnguentum Bas●●con and let the whole Mass be mingled together In fine the whole Mystery consists in well clearsing the Wounds with a Linnen Cloth or with the Injections of the Tinctures of Myrrh and
Lime in which Brimstone hath been boil'd with Mercurius Dulcis and the Spirit of Wine is a very efficacious Remedy In a considerable Gangrene after having made deep Scarifications let Horse-Dung be boil'd in Wine and laid upon the Part in form of a Cataplasm This is an approved Remedy If a Sphacelus be begun scarifie the Part and apply thereto abundance of Vnguentum Aegyptiacum over and above the Ointments and Cataplasms already describ'd remembring always that when the Gangrene degenerates into a Sphacelus all the mortify'd Parts must be incontinently separated or cut off from the sound CHAP. VII Of Vlcers in general WHAT is an Vlcer An Ulcer is a Rupture of the Natural Union of the Parts made a long while ago which is maintain'd by the Sanies that runs out of its Cavity or an Ulcer takes its Rise from a Wound that cou'd not be well cur'd in its proper time by reason of the ill quality of its Pus or corrupt Matter What difference is there between a Wound and 〈◊〉 Vlcer It is this that a Wound always proceeds from an external Cause and an Ulcer from an internal such as Humours that fall upon a Part or else a Wound in growing inveterate degenerates into an Ulcer Whence is the difference of Vlcers deriv'd It is taken from the Causes that produce 'em and the Symptoms or Accidents with which they are accompany'd Thus upon Account of their Causes they are call'd Ben●gn or Malignant Great Little Dangerous or Mortal and by reason of their Accidents they are term'd Putrid Corrosive Cavernous Fistulous Cancerous c. Do Vlcers always proceed from external Causes or from an outward Wound degenerated No they sometimes also derive their Origine from internal Causes as the Acrimony of Humours or their Malignant Quality the Retention of a Splint of a Bone and other things of the like Nature These Ulcers are commonly call'd Primitive and the others Degenerate What are Putrid Corrosive Cavernous Fistulous and Cancerous Vlcers The Putrid Ulcer is that wherein the Flesh is soft and scabby the Pus and Ichor being viscous stinking and of a cadaverous smell The Corrosive Ulcer is that which by the Acrimony and Malignity of its Sanies corrodes makes hollow corrupts and mortifies the Flesh The Cavernous Ulcer is that the Entrance of which is streight and the bottom broad wherein there are many Holes fill'd with malignant Sanies without any callosity or hardness in its sides The Fistulous Ulcer is that which hath long streight and deep Holes with much hardness in its sides the Sanies whereof is sometimes virulent and sometimes not The Cancerous Ulcer is large having its Lips bloated hard and knotty of a brown Colour with thick Veins round about full of a livid and blackish sort of Blood In the bottom a●● divers round Cavities which stink extremely by reason of the ill Quality of the Sanies that runs out from thence Are there no other kinds of Vleers Yes there are also Verminous Chironian Telephian Pocky Scorbutick and others which have much affinity with and may well be reckon'd among the five Kinds already specify'd What are the means to be us'd in the curing of Vcers Ulcers ought to be well mundify'd dry'd and cicatriz'd but with respect to the several Causes and Accidents that render 'em obstinate and difficult to be cur'd it is also requisite to make use of internal Medicines which may restrain and consume ' em If their sides grow callous they are to be scarify'd in order to bring 'em to Suppuration and if there be any Excrescences they must be eaten away with corroding Powders such as that of Allom or by the Infernal Cautery What are the Remedies proper to cleanse and dry up Vlcers To this Purpose divers sorts of Liquors may be us'd as also Powders and Plaisters The Liquors are usually made of Briony-Roots the greater Celandine Lime and Yellow Water a Tincture of Myrrh Aloes and Saffron and Whey whereto is added Saccharum Saturni so that the Ulcers may be wash'd or bath'd with these Liquors and very good Injections may be compounded of ' em The Powders are those of Worm-eaten-Oak Allom and Cinoper the last of these being us'd by burning it to cause the Fume to be convey'd to the Ulcer thro' a Funnel The Country People often make use of Potter's-Earth to dry up their Ulcers with good Success but then they must not be of a Malignant Nature The Plaisters are Emplastrum de Betonica Diasulphuris Dessiccativum Rubrum and others and the Ointments are such as these Take three Yolks of Eggs half an Ounce of Honey and a Glass of Wine and make thereof a mundifying Ointment according to Art Otherwise Take Lime well wash'd and dry'd several times let it be mingled with the Oil of Line and Bolus and it will make an excellent Ointment to mundifie and dry a little Mercury Precipitate may be intermixt if you please to augment the drying Quality and Mercurius Dulcis may be added in the Injections For Ulcers in the Legs and Cancerous Ulcers take Plantain-Water and Allom-Water or else Spirit of Wine Vnguentum Aegyptiacum and Treacle or else an Extract of the Roots of round Birth-Wort made in the Spirit of Wine Gun-Powder alone dissolv'd in Wine is of singular Use to wash the Ulcers and afterwards to wet the Pledgets which are to be apply'd to ' em But here are two particular and specifick Medicines to mollifie a Cancer Take Saccharum Saturni Camphire and Soot let 'em be incorporated with the Juice of House-Leek and Plantain in a Leaden-Mortar then make a Liniment thereof and cover the Part affected as lightly as is possible to be done as with a simple Canvass-Cloth or a Sheet of Cap-Paper Or else Take the destill'd Water of rotten Apples and mingle it with the Extract of the Roots of round Birth-Wort made in Spirit of Wine reserving this Liquor to wash the Part and to make Injections CHAP. VIII Of Venereal Diseases Of the Chaude-pisse or Gonorrhaea THE Signs of this Disease are a painful Distention of the Penis or Yard and a scalding Pain in making Water the Urine being pale whitish and full of Filaments or little Threads Sometimes the Testicles are swell'd as well as the Glans and Praeputium and sometimes there is a Flux of a kind of Matter yellowish Greenish c. If there be a great Inflammation in the Yard endeavours must be us'd to allay it by letting Blood and afterward the Patient may take a cooling and diuretick Diet-Drink as also Emulsions made with cold Seeds in Whey A very good Decoction may be prepar'd in all places and without any trouble by putting a Dram of Sal Prun●ll● into every Quart of Water whereof the Patient is to drink as often as he can This Decoction is very cooling and diuretick and the use of it ought to be continu'd till the Inflammation be asswag'd Then some gentle Purges are to be prescrib'd in the beginning such as an Ounce of
Cassia and as much Manna infus'd in two Glasses of Whey which are to be taken one or two Hours one after another Afterward the Patient must be often purg'd with twelve Grains of Scammony and fifteen Grains of Mercurius Dulcis and these Purgations must be continu'd till it appears that the Fluxes are neither yellowish nor greenish nor of any other bad Colour When they are become White and grown Thready they may be stopt with Astringents Amber and dry'd Bones beaten to Powder eighteen Grains of each with one Grain of Laudanum the whole Composition being taken in Conserve of Roses are very good for this Purpose Crocus Martis Astringens or else its Extract taken from half a Dram to a whole Dram in like manner performs the same Operation As soon as the Gonorrhaea is stopt to be certain of a perfect Cure a Dram of the Mercurial Panacaea is to be taken from fifteen to twenty Grains at a time in Conserve of Roses In the mean while if a small Salivation shou'd happen it must be let alone for the present since it may be stopt at pleasure by the Purgations When it is requisite to restrain the Gonorrhaea Mercury must not be given any longer in regard that it is a Dissolvent which is only good when the Glandules of the Groin or Testicles are swell'd or else when it is expedient to set the Chaudepisse a running after it hath been too suddenly stopt At the same time that the Astringents are taken with the Mouth Injections also are to be made into the Yard such as are prepar'd with Lapis Medicamentosus of which one Dram is put into eight Ounces of plantane-Plantane-Water All Astringents that are not Causticks are proper for the Syringe Of Shankers They are round Ulcers and hollow in the middle which appear upon the Glans and the Praeputium To cure 'em they must be touch'd with the Lapis Infernalis and brought to Suppuration by the means of red Precipitate mixt with the Ointment of Andreas Crucius Oleum Mercurii laid on a Pledget or Bolster is very efficacious to open Skankers and consume their Flesh The Patient must be well purg'd with Mercurius Dulcis and Scammony taking twelve or fifteen Grains of each in Conserve of Roses and after these Purgations are sufficiently reiterated he may take the Mercurial Panacaea's It is an excellent Remedy for all sorts of Pocky Distempers not yet consummated or arriv'd at the greatest height of Malignity Of Bubo ' s. Bubo's are gross Tumours or Abcesses that arise in the Groin the perfect Maturity of which is not to be waited for in order to open 'em because it is to be fear'd lest the corrupt Matter remaining therein too long might be convey'd into the Blood by the Circulation and so produce the grand Pox Therefore it is necessary to open 'em betimes with a Lancet or else with a Train of potential Cauteries if they are too hard They ought to be Suppurated for a considerable time The Patient must be well purg'd with Scammony and Mercurius Dulcis He must also take the Mercurial Panacaea's Of the Pox. This loathsome Disease begins sometimes with a virulent Gonorrhaea and a weariness or faintness at the same time seizeth on all the Members of the Body It is usually accompany'd with Salivation and the Head-ach which grows more violent at Night Pricking Pains are also felt in the Arms and Legs the Palate of the Mouth being sometimes ulcerated If it be an inveterate Pox the Bones are corrupted and Exostoses happen therein divers Spots with dry round and red Pustules appear in the Skin and the Cartilages or Gristles of the Nose are sometimes eaten up But when this Disease is come to its greatest height of Malignity the Hair falls off the Gums are ulcerated the Teeth are loose and drop out the whole Body is dry'd up the Eyes are livid the Ears tingle the Nose becomes stinking the Almonds of the Ears swell the Vvula or Palate is down Ulcers break out in the Privy-Parts Bubo's arise in the Groin as also Warts in the Glans and Praeputium and Condyloma's in the Anus Indeed the Pox may be easily cur'd in the beginning but when it hath taken deep Root by a long Continuance it is not extirpated without much difficulty more especially if it be accompany'd with Ulcers Caries and Exostoses the Person afflicted with it being of an ill Constitution and his Voice grown hoarse The Spring and Summer are the proper Seasons of the Year for undertaking the Cure of this Disease In order to which it is necessary that the Patient begin with a regular Diet lodging in a warm place and taking such Aliments as yield a good Juice as Jelly-broath made with boil'd Fowl Let him drink Sudorifick Decoctions prepar'd with the Wood of Guayacum China-Root and Sarsaparella and let him abstain from eating any thing that is high season'd Let him take Clysters to keep his Body open sometimes also he may be let Blood and purg'd with half a Dram of Jalap and fifteen Grains of Mercurius Dulcis The Purgations may be re-iterated as often as it shall be judg'd convenient and then the Patient may be bath'd for nine or ten Days every Morning and Evening during which time he may take volatile Salt of Vipers the Dose being from six to sixteen Grains or else Viper's-Grease from half a Dram to a whole Dram in Conserve of Roses Afterward it will be necessary to proceed to Fluxing which is caus'd by the means of Frictions with Vuguentum Mercurii which is made of crude Mercury stirr'd about in a Mortar with Turpentine and then the whole mingled with Hog's-Grease one part of Mercury being usually put into two parts of Hog's-Grease The Rubbing is begun at the Sole of the Feet ascending to the Legs and the inside of the Thighs but the Back-Bone must not be rubb'd at all When the Persons are tender or of a weak Constitution a single Friction may be sometimes sufficient Thus the Patient must be rubb'd at the Fire after he hath taken a good Mess of Broath but I would not advise it to be done with more than one or two Drams of Mercury at a time without reckoning the Grease Then the Patient must be dress'd with a Pair of Linnen-Drawers or Pantaloons and laid in his Bed where his Mouth may be lookt into from time to time to see whether the Mercury hath taken effect which may be easily known by reason that his Tongue Gums and Palate swell and grow thick his Head akes his Breath is strong his Face red and he can scarce swallow his Spittle or else he begins to Salivate If none of these Signs appear the Rubbing must be begun again in the Morning and Evening then if no Salivation be perceiv'd for sometimes four or five Frictions are made successively a little Mercurial Panacaea may be taken inwardly to promote it During the Frictions the Patient is to be nourish'd with Eggs Broaths and Gellies he must also