Gun-shot but if any please to looke into the particulars and well consider them he will finde that the whole scope of the Surgions Chest is of purpose contriued to that end and that there is not any one medicine therein but vpon the maine or vpon the by tendeth that way for a wound of Gun-shot at the first view representeth a A true discription of a wound with Gun-shot at the lust view wound an vlcer a fistula Yea and sometimes a fracture and a dislocation and by Accedents calleth to it a feauour an impostume a gangrenne quid non yea without Gods mercy ioyned to the great care of the discreete Surgion death followeth Iudge then if ought be in a Surgions Chest which in such a wound vpon some occasion be not fit And for an Instance the Chest containeth for the Medicines ready for the first intention curatiue of wounds by burnings of Gunpowder first intention curatiue of Burnings with Gun-powder Vng. Populeon 3. lb Album 1. lb Triapharmacon 2. lb Diaponpholigos lb ss Mellsaponis 4. lb oleum lini 4. lb Ceruse 3. lb Mell-depurat 3. lb the weight of all this amounts vnto 20. lb and a halfe being al directly fitting for the first Intention namely for taking out of the fire and yet the Chest hath diuers other helpes as a Linament made of Minium or Diacalsithios and oyle either of Linseede oyle or of Roses And for all the rest as is said of wounds of Gun-shot so I say of Vlcers made by Gun-shot the whole scope of all the Sanatiue medicines in the Chest according to their seuerall intention and times sute fitly to finish the cures and wherein the rest wanteth there is a Magazine Chest stored with the like medicines to the A Magazine Chest valew of 48. lb. to supplie each Surgions wants but saith some others the proportion is very much wanting of of restrictiue or astringent medicines to stay fluxes or to Amputate vpon occasion wherefore to satisfie the beneuolent young Surgion desirous to bee informed I answer first that there is Pulueris Restring Maius 3. pounds also Bolus 6. lb. Wine Viniger 2. lb. Myrrhae A stringent or Restringent or Restrictiue medicine 4. â„¥ Alluminis 2. lb. Vitrio Crudae 2. lb. Vitriol Combusta lb ss Mercurie precipitat 2. â„¥ Sublimat 1. â„¥ Beane and Barley meale 6 lb. Galles 1 lb. Pomgranat Rindes 4. â„¥ and whites of egges besides good ligature boulsters ready all which with Iudgement and discretion vsed I dare say are sufficient And for one instance namely that the restrictiue powder is sufficient in quantitie I can produce witnesse if need were that vpon the 24. of Iuly 1628. I tooke of 2. members whereof one aboue the knee with one 1. â„¥ ss of the powder to both and had a fourth part to spare of the made medicine There is also an astringent defensatiue powder prepared and made readie for vse as hereafter followeth And if all what is said together with the supplie in the Magazine Chest with also the helpe of Phlebottomie ligature actuall and potentiall Cauteries wil not suffice then I am I confesse mistaken Note in burnings with Gun-powder that if the face Nota. or hands be burned I haue found it best from the first Common practise to the last namely to the end of the cure to vse Vng. Album either mixed with Populeon or with Linseed oyle or Vnguentum Diapompholigos is fully as good made A note in the cure of burnings in the face into a very thinne linament and warme laid on the face with a feather no clouts at all nor ought else to couer the face this healeth excoriations or scorchings best or that the Surgion take Ceruse ground in a morter with Linseed oyle and apply it as the former I haue approued it to be very good Triaphormicon is also very good so vsed I spake but now of hony for burnings and who so Of hony shall proue it shall finde it safe to take out the fire and after to heale the griefe but it is somewhat more painfull then some other medicines are it being once or twice a day applyed vpon browne paper being first rubbed soft and the medicine spread thereon and in that manner applyed it healeth without any scarce Also Mell Saponis and all other medicines appropriate may be applied vpon paper at Sea partly for sparing Linnen Moreouer I finde a great weakenesse in young Surgions that I haue iust occasion to question in that their Masters that bred them haue not taught them the true knowledge of our vsuall weights and measures but chiefely they faile in the weights which doth euen great danger to their poore patients whose life hangeth dangerously in the ballance by a graine too much giuen when the Surgion knoweth not how many graines are in a scruple or in a dragme no nor scarce that there is a waight so called wherefore let young Surgions note as followeth the Physitians Surgions and Apothecaries haue two sorts of weights in vse namely Troy weights which likewise are the Goldsmiths weights and that containeth 12. ounces to the pound and Haberdepoys weight which containeth 16. ounces to the pound and is that common weight which the Grocers and all other trades-men vse and indeed which wee most vse for though my selfe sometimes buy Muske Ciuet or Ambergreese Drugges by Troy weight yet I dispense and administer all by Haberdepoys weight which is 16. ounces to the pound so I will onely for breuity speake thereof A pound Haberdepoys hath 16. ounces an ounce hath 8. dragmes A dragme hath 3. scruples A scruple hath 20. graines and by that account a dragme hath 60. graines and a full graine of barley is a reasonable graine and a pepper Corne or a wheate Corne may bee vsed And our Measures agreeing with our weights most Of Measures vsuall are as followeth a wine gallon of water containeth 8. pound a pottle foure pound a quarte 2. pound a pinte 1. pound c. and of ordinarie sallet oyles 7. pound and a halfe is accounted a gallon Of Cathaplasmes OF all other necessaries in the Surgions Chest I confesse my deficiencie therein for I ought to haue had dryed hearbs of all sorts sitting some store but I pray you accept of my excuse I had Surgions Chests and parts of Chests 40. at once and had but ten dayes respit to make and to fit them all and yet the said Chests containe hearbs of diuers sorts as also beane and barley meale Lineseeds Foenigreeke Camomill-flowers Cummen-seeds Fennell-seeds and diuers other things that are helpes that way but what shall I say to some contentious persons my best things fall too short for them but to beneuolent vnderstanding Artists they can many wayes make vse of fitting helpes in a ship and not alwayes charge the Surgions Chest viz. If my selfe were at sea and put to If a Surgion be put to it it I would find waste crummes
an old received error of vnwise Obserue at old errour Practitioners whose vse is to cramme the wound full of Bole or restringent powder or some other stuffe and then thrust in Plegeants or Dorsells into each corner of the wound yea sometimes forgetting to take all out yet thinking they haue done all workemenlike not considering the harme that often ensueth thereby I dare say that in contused wounds of Gun-shott they force and draw a Gangrena if not death thereby by but thening nature by obstructing the parts and grieving the patient It is a safe and faire way at the first dressing ever to striue to ioyne together the parts of all incised wounds and vnite the wounded parts if it may be with this cuation to order that fit breathing be left to evacuate the peccant humours then to apply apt and fit astringent medicaments outwardly over all together with apt and due ligature and by that course to stay a Fluxe But in contused and lacerated wounds of Gun-shott the Surgion hath nto that benefit but must trust to other helpes not so readie namely as is said in the lesser wounds to very warme Balmes astringent defensatiues and good ligature and in greater wounds to Causticke Medicaments Cauteries and forcible helpes But in the Surgion his carefull desire to restraine A Caveat Fluxes let him ever beware of hard binding as much as is possible which is also a common dangerous error and certainely draweth on evill accidents as Flegmon Gangrena c. Also on the other side over-slacke binding is as bade due comely and smooth ligature with the due composing the parts wounded with soft and smooth boulstering greatly honoureth the Artist and cureth the Patient almost as much as the medicine Obserue also that you put never one Causticke or Eskaroticke Medicine after another too sonne namely not vntill the first Eskar hath beene gone at the least three dayes If in a contused wound of Gun-shott any slough or putrified part as of the head of the Muscle and Artery or Veine or the like appeare in the wound which needeth an Eskaroticke Medicine And the Surgion doe desire to clense that part striue to vse your Causticke Medicine namely your hott Egiptiacum or a Cautery if you can apply it onely on that place and not all over the wound For you are to consider that as too much gleeting Over-drying Medicines dangerous weeping or expence of humiditie from wounds of Gun-shott is dangerous many wayes so too much vse of drying Medicaments in wounds made with Gun-shott is no lesse dangerous by stopping the pores repelling the peccant humors by reason of the contusion collected being choaked in the wound aptly indanger a Gangrena and all other deadly accidents incident therevnto Now a word or two in want of the graue Phisition Aduice touâ—â—ing the genâ—rall regimenâ— of wounded men how the young Surgion may in part demeane himselfe being put to it for the more happy performance of the cures made with Gun-shot which are very much regulated by the gouerment of the Patient touching his Diet as also in the carefull keeping his body Diet. in temper from much costiuenesse and also to stay inordinate fluxes thereby to preuent accidents as feauors c. And further also to meete with an helpe to cure euill accidents when they happen to the effecting whereof good diet and other fitting helpes are to be wished might attend valiant men which fight for their countreys defence which failing much with Souldiers there the Surgions must take it as they can haue it and make vse in necessity of what the Surgions Chest affordeth viz. if the Patient before his wound had not a loose body let the Surgion giue him a Suppository or Glister if he seeme disposed to a feauor Suppository or Glist though he hath bleed by his wound yet if his strength be answerable open a veine on the contrary side of his griefe but purge him not being wounded without very iust cause rather keepe him by gentle meanes to haue the benefit of nature either by Glister or Suppository If he be distempered with heate make him a Barley-water viz. water two gallons Barley six ounces Liquirise one ounce or iuyce of Liquirise two dragmes boyle it gently a little then cast away the first waters if water be plentifull else not and boyle it in fresh waters till one third part bee spent and being boyled and clarified to the said decoction adde some few droppes of oyle of Vitrioll to make it somewhat sowre in taste but not too much but if to this six grains of Confectio Alkermis with one spoonefull of Rosewater were added the drinke would bee much the more gratefull in taste and more prefitable I conceiue it will bee needlesse to vrge a course for a sparing diet for I feare gluttony will not be their sinne But if fullnesse of body be a hinderance the Surgion hath meanes to euacuate as for a vomit by Stibium the A vomite infusion of six or eight graines if such be fitting in able bodies by laxatiues as Conf. Hamech six dragmes for a dose Diaphenicon or Diacatholicon the dose to an able body is a full ounce The pills in the inuoyce of this pill Chest vpon their seuerall occasions one dragme is a dose of any one sort of them of Pull Sanctus may be giuen two dragmes of Pull Artheticus one dragme If Cordialls be required the Surgion hath in his Chest to prouoke rest in feauors seuerall ones as more particular there is Diascordium which hee may giue to the full of two dragmes for a dose to a strong body either in wine or water as hee please or in a bolus or lumpe of it selfe Also he hath Laudanum which hee may safely giue Vse of Laudanum three or foure graines to asswage paine in painefull wounds to giue rest in feauors to stay fluxes and in diuers other cases being vsed with iudgement and prouided that the partie which taketh it bee not costiue Likewise in fluxes of the belly often accompanied with crude nautiousnesse of the Stomake as also against venemous or pestelentiall infection of the bloud there is in the Chest PhyloniuÌ„ Persicum of which the patient may take from one scruple to halfe a dragme to one dragme safely in a reasonable body this is a safe medicine which causeth rest and corroborateth the stomake and mightily preuaileth to stay a fluxe of the belly and doth also correct venemous and maligne humors and is therefore very fit to bee vsed in fluxes that bee contagious or pestelentiall after some fitting euacuation if occasion so be What I here write it is of mine owne practice you may take it on my word for truth for you shall find it to be so if with due caution you make right vse of them These there cordials swage paine viz. Diascordium Laudanum 〈…〉 and Phylonium or either coole or contemporate the blood The Surgions Chest containeth
also diuers Cordiall Of Corâ—â—â—â—â— generallâ— medicines which may bee profitably administred each vpon due occasion viz. Conf. Alkermis either giuen alone or to aromatize any purgatiue or Cordiall medicine from 4. grayns to a scrupell for a dose Aqua Celestis and Cinnamon water to refresh the spirits halfe a spoonefull or one spoonefull for a dose and so of spirit of wine and also Aqua Vitae made of wine which so much as it containeth of the spirit of wine is quasi spiritus vitae Also the Surgions Chest hath against contagion Against Plague 〈…〉 of the Ayr. and the Plague Mithredate Ther. Londinensis Diatesseron Elec. de ouo as also Diascordium Conf. Alkermis and Laudanum mentioned all these being proper for Pestelentiall occasions the vses and vertues of which I would touch though but in a word And for example if the Surgions desire a Cordiall to bee made to cause rest it is made either of Laudanum to 3. graynes as it is said or Diascordium to 2. dragmes or Philonium to one dragme mentioned Note that Laudinum 〈◊〉 is best to be taken in a pill because of his vngratefull taste and Philonium in a bolus or lumpe for the like reason and so also may Diascordium be vsed well and especially in War where neither the aduise of the learned Physitian nor the helpe of the Apothecaries shop is at hand but if the Surgion be occasioned and that hee would haue Diascordium giuen in a Potion then let him take of Diascordium 2 dragmes of White Wine or faire Water 3. ounces or 4. of Sir Violarum halfe an ounce Conf. Alkermis 8. graines Oleum vitrioll gutt 4. and let the Patient incline himselfe to rest Also if a Cordiall to comfort the spirits be required then the foresaid Cinnamon water Aqua Celestis or Cordiall comfortiue Aqua vitae of wine is at hand without mixture or addition or with some addition halfe a spoonefull or a spoonefull for a dose If against malignitie of the bloud or any Pestilentiall Contagion feared then the patient may take as followeth Re. Diatessaron 2. dragmes Mithridate 1. dragme Elect. de ouo halfe a dragme desolue or mix A Cordiall Diaphoreticon them together and take it in White Wine Clarret or Sacke or in Cardus or faire water for need of any of these to the quantity of 4. ounces and sweate thereupon and if the Contagion be fierce the patient may reiterate such a sweating medicine each 4. houres safely for three times These or any of these other Cordialls may be giuen in other waters and other mixtures according to the discretion of the Surgion the time place and different occasion considered and for need in a bolus or lumpe likewise Mithridate or Andromaches Treakel a drame or 2. drams in White Wine in Cardus water or in beere or water for a neede may safely be taken for a Cordiall or in a bolus Also Theriaca Diatessaron three dragmes for a dose taken either as it is in a bolus or lumpe to bee swallowed For torsions or gripings of the stomake or bowells downe is an excellent Cordiall to prouoke sweat to remoue Torsions Stitches or gripings of the stomacke or lower belly or any paynes therein also it resisteth putrifactious and pestilentiall vapours and is the most antients Treacle of all other my selfe haue had very much true and good experience of it and would trust my life vpon it before the 2. asoresaid Alexifarmicks and the Lond. Treacle in the like manner is to be vsed and is a very good Cordiall El. de Ouo is also of it selfe a sure good Cordiall a Scruple I meane 20. graynes thereof in a bolus or in wine giuen it resisteth pestilentiall venome and refresheth the spirits and either alone or as is aforesaid mixed with other Cordiall Electuaries is also a true A Cordiall Cordiall for it comforteth the heart prouoketh sweat and by the poores of the skinne expelleth poysenous vapours Cons rosarum is vsed to resresh and strengthen the stomacke either alone or if you intend to coole and contemperate the bloud adde a few droppes of oyle A contemperatiue Cordiall of Vitrioll to a little thereof and if to warme the stomacke mixe Mithridate or Treacle one part and cons Roses 2. parts and giue it in a bolus Cons Barbar you should keepe either to mixe with Of Cooling Iulaps your cooling barley waters or Iulaps to refresh the appetite the apalled spirits in feauors or somtimes to giue a little of it in a bolus to giue a relish to the mouth to cause appetite in feauors and nautious distempers There is also in the Chest Oximell Simplex which I vse in the Surgions Chest in want of Sir Diamoron or rather being nothing inferiour for lotions in Vertue of Oximell the mouth throat orderly vsed as also for the other vertues it hath exceeding Diamoron as namely outwardly in the asswaging tumors and paynes this is a singular medicine and also in Hernia humoralis 〈…〉 tumors of the testicles it excelleth if it be mixed with a Cathaplasme of beane meale boyled in beere with a little oyle of Elders or Roses and a little wax so that the whole quantity of the Cathaplasme being by gesse 2. pound if so then put about 6. or 7. ounces of Oximell thereunto and boyle it to a body and it is an admirable good medicine for it discusseth and safely repelleth such tumors in their increase with the helpe of Phlybothomine and a vomit where the patient is strong which tumors by error of the Surgion will otherwise come to supperation proue fistulaes incurable but he that will cure such tumors must haue an artificiall sacke-trusse and bee sure that the griefe bee truely and easily borne vp at all times of the whole cure and Oximell inwardly administred purgeth the stomacke and intrals openeth obstructions and yet without any manifest signe of heate and thereby helpeth much in feauours ingendred of grosse Phlegme Of Lotions generally vsed in the Surgions Chest the most common is of sanatiue herbes made in the summer with water or wine and honey but at Sea if a lauatiue or washing Lotion in need bee required faire Lotion at Sea for a need water with as much allumne therein as will make it tart so much honey as wil giue it a gratefull taste there is a Lotion Or if in the diseases of the Scurfie a Lotion be required then vse Coper as insteed of allumne or sometimes Vng. Aegyptiacum for vlcers of the mouth or throate the greeued part touched hot may suffice And to wash and coole the mouth in feauours I often take faire water 4. ounces of Rose-water halfe a spoonefull a little sirrup Sugar or mell for a need and a few drops of Wine-vinegar or Oximell a little or oyle of Vintrioll a few drops I haue beene taxed that my proportion hath not sufficient contained therein for wounds with