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A59999 A short compendium of chirurgery containing its grounds & principles : more particularly treating of imposthumes, wounds, ulcers, fractures & dislocations : also a discourse of the generation and birth of man, very necessary to be understood by all midwives and child-bearing women : with the several methods of curing the French pox, the cure of baldness, inflammation of the eyes, and toothach, and an account of blood-letting, cup-setting, and blooding with leeches / by J.S., M.D. J. S. (John Shirley), M.D.; Shirley, John, 1648-1679. 1678 (1678) Wing S3496; ESTC R38236 39,001 140

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difficult and being deem'd against Nature But if the Birth succeedeth happily the Chirurgeon ought to leave the delivering of the party to the Midwife who ought to proceed in this manner The Child being brought forth she ought presently to let follow the Secundine but if they do not instantly succeed she must gently thrust her Hand anointed with Oyl or the following Oyntment along the Navel in the Womb and draw them out The said Ointment is composed in this manner Take Oyl of Lin-seeds one Ounce Oyl of Castor half an Ounce Nutinge three Drams Laudanum one Dram and make a Liniment thereof And then free the Child of them to that end the Midwife must bind the Navel with a double thred two thumbs breadth from the Belly neither too strait nor too loose for fear of Accidents The knot being fitly made the Navil must be cut two fingers breadth beneath the knot and a linnen cloth dipt in Oyl of Roses or of Almonds wrapped about it with another linnen yet over least its coldness till the time of its falling off might cause the Child some pain and inconveniency And thus far ought to be proceeded in the Birth when it happeneth without extraordinary difficulty But because a Chirurgeon is seldom called unless the Birth be difficult here followeth the Method which he ought to observe therein The Birth is rendred difficult chiefly by two Reasons First When the Waters which ought immediately to precede it are evacuated too long before whereby the Womb groweth dry and intractable which is to be remedied by the following Liniment wherewith the Midwife ought often to anoint the Natural Parts Take fresh Butter without Salt washed in water of Mugwort Mucilagines of Figgs of Lin. Oyl and of Althea extracted with Water of Sabina of each half an Ounce Oyl of Flower de Luce an Ounce make a Liniment The following Powder is also esteemed for hastening Child-birth Take Cinnamon Cassia fistula's burk and Dictamel of each a Dram and a half and as much as the whole of white Sugar make a subtil Powder thereof and let the labouring Woman take half an Ounce of it at a time in a decoction of Lin-seed or White-wine The following Drink is also much esteemed for the same purpose Take broken bark of Cassia fistula two Ounces Red Pease half a handful Boyl them with as much white Wine and Water as needs add in the end two Drams of Sabina and make a decoction In the Colature add for each dose a Dram of Cinnamon and six grains of Saffron which being taken provoke the party to sneeze putting in her Nostrils a little pulverized Pepper or white Hellebore and causing her as aforesaid to stop her mouth and Nostrils The Second and chiefest reason rendering the Birth difficult is the discommodious Figure of the Child coming forth otherwise than the Head or Feet foremost which being perceived the Chirurgeon ought to settle the Patient in a convenient manner as before and then gently bind her with a broad and soft fillet Fascia in this manner The said fillet must first be applied to the Neck and thence brought cross-wise before over the Shoulders to the two feet where being again crossed and in many folds about the Leggs and Thighs it ought to be conveyed thence again to the Neck and there be firmly bound so that the party can in no wise stir and to procure it the better she may set the plants of her Feet against the Beadstead a couple of honest Servants keeping her Knees as much from one another as may easily be this being so disposed to keep out the Ambient Air and to perform the Operation more modestly a warm double linnen cloth may cover the Natural parts and Thighs of the Labouring Woman and the Chirurgeon having first cut his Nails and anointed his Hand and Arm with the abovesaid Liniment must by degrees gently as may be thrust it into the Womb where having explored the position of the Child and whether it be alone or with another or a Mole he ought to turn it so that he may come out the Head or Feet foremost as aforesaid But if this do not succeed or that the Child be dead which is judged when neither the Chirurgeons Hand nor the Mother can perceive it to move and most sure if the Waters are flowed out and the Secundines are come forth Then he ought to proceed in this manner having found one of the Feet he ought to draw it out and having bound it about with a soft and broad fillet put it in again then seek the other which having found draw it also out with his hand and together with it by the fillet that which was bound before then having drawn the Child out to the Flank one of the Arms must be retruded along the Neck over the Head the other being along the side and so must be endeavoured to be drawn out It happeneth sometimes that one of the Hands doth appear and is thrust out which must instantly be throst in again and the Child turned to a more commodious figure but if the Womb's Orifice be so swelled that this cannot be done chiefly if the Child be dead the most convenient is to cut it the Bones as deep in the Flesh as may be least it might hurt the said Orisice of the Womb and then so turn the Foster that it may come out as aforesaid But if the dead Child be so swelled either by Tumor or Winds that it cannot possibly come out then a Hook must be struck if the Head be swelled under the Chin in the Mouth in the hollow of the Eyes or best of all in the Pole if the Breast under the Claviculis and if in the Belly in the False Ribbs or in the Bowels above the Navel Pubis specially if the Child cometh with the Feet foremost Others do endeavour to cut the Foster in pieces in the Womb with a crooked Knife and then extract it by pieces apart in doing which or the other operation if it should happen that the Head alone should remain in the Womb a double Hook or an Instrument called by Pareus a Gryphins Foot must be thrust in with a hollow Hand and struck into some part of the Head as aforesaid drawing it gently forth and thus far can Art be extended in the Birth After the Birth ought to come in consideration what must be done first to the Mother and then to the Child For the first she must be exactly kept from all cold and ambient Air which to obtain more surely it will not be amiss to keep her Leggs some time a Cross for so the divided parts will besides be the sooner conjoyned else ought she to be wrapped with a broad Fascia over the Epigaster to the excluding of Air and Blood remaining in the womb and then take the Broth of a Capon or a piece of roasted Bread dipped in good Aromatic● Wine besides specially in Winter the Secundines may be applied to
the Region of the Womb and in Summer the Skin of a Sheep newly flaid to the whole Belly and about the Loynes which must be taken away about six hours after the Patient having rested that time and the Hipp●gaster must be anointed with the following Oyntment Take Sperma Ceti two Ounces Oyl of sweet Almonds and Hypericon of each an Ounce and half Goats Suet an Ounce Oyl of Mirrhe an Ounce and Virgin Wax as much as needs Make an Ointment to be used twice a day About the Navel may be applyed a Plaister of Galbanum with some grains of Zibet Muscus in the middle and about the whole belly Gaulbiers Cloth described by Ambrose Parry But if the Patient be much tormented with Wind the following Power is esteemed excellent Take preserved Anniseed two Drams Nutmeg and burnt Harts-horn of each one Dram and a half Dates-stones three Drams Aloes Wood and Cinamon of each two Drams make a subtil Powder whereof give her one Dram in a Cup of warm White-Wine As for the Child as soon as the same is brought forth it ought to be cleansed from all impurity With Oyl of Roses or of Myrtle Which some do with warm Water and some astringent Wine and then anoint the Child with the said Oyls taking special care whether the Child be not infected with a Chalky Matter in the Mouth which is called the White Canker for then it must be carefully cleansed with a little clout fastned to a stick and dipped in a composition of Oyl of Sweet Almonds Honey and Sugar then having explored whether there be no vice in the conformation or construction of the bodies parts for if there be any it must be maturely corrected the Child must be gently swadled and laid in his Cradle If the Mother or a Nurse will have her Milk stancht Take Oyl of Roses and of Myrtle of each three Ounces Rose-Vinegar one Ounce mix them together and anoint therewith her Breasts four times a day and after the anointing spread them over with Powder of Myrtles applying thereupon the following Plaster Take Powder of Mastick and Nutmeg of each two Drams of Cypress-Nut three Drams of Myrtle and VVild Granate Flowers of each one Dram and a half Ireos of Florence half an Ounce Oyl of Myrtle three Ounces of Venice Treacle two Ounces and Virgins VVax as much as sufficeth Some take a Spong dip'd in the dec●ction of Cumin Seed or Coriander laid in very strong Vinegar and apply it to the Breasts as a secret Both may be much furthered by applying setting Cups between the Thighs and on the Sides of the Umbilick As for the Rest which is but little accessary to the Doctrine of the Generation of Man the Reader is remitted to those that have treated specially thereof as Capuraeins Pareus c. CHAP. VII Of the Venerean Disease THE just punishment of God upon our sins hath for some hundred years since produced a Disease unknown as some think to Antiquity called the Venerian or French Pox which may be defined An Indisposition composed of all other Diseases and their Accidents engendred by a contagious touch but most commonly by impure Copulation whence the Seed of several Men Fermenting ariseth a Venenous either fixt or volatile acid Salt having usually its seat in gross and viscid Flegm whence it procceds to the Invasion of the other Humours It is divided according to its time and progress in Particular and Universal The first degree of the former being when there appeaes Venerean Ulcers and Cancers The second when there is a Virulent Running of the Reins The Universal is when the Virulent Salt spreads it self through the whole Body and infects most of the parts thereof Its Signes are an intense and vehement Pain of the Ioynts Ulcers in the hidden Parts An Inflammation of the Mouth Pustles over the whole Body and specially on the Forehead Lastly Knobs and roughness of the Bones and a falling off of the Hair with other Accidents If the Disease be Recent and the Body in Youth or young Age the season of the Year being favourable the Cure is easily performed but if the Disease be Inveterate and complicated with many accidents If the Patient hath in vain been under Cure and begins to be extenuated by a Consumptive leanness proceeding from a Dissipation of the Natural Moisture the Disease must be esteemed incurable and only tried to be palliated The Cure of it is performed in four manners Namely 1. By the Decoction of Guaiack wood Sarsaparilla China Root and Sassafras which is the gentlest way and fittest for the first degrees 2. By Unction 3. By Plaisters 4. By Suffumigation rejecting that 〈◊〉 taking Mercury inwardly as noxious The first is thus reduced in Act A pound of Guaiac being cut in small pieces is decocted in Balneo Mariae with eight pounds of Conduit Water to the dissipation of the third part and in the end some Cinnamon being added to it the Patient must take of it something warmed five or six Ounces at his usual Meals keeping himself afterwards very warm to provoke sweat which must be instantly wiped off And thus using a very spare Diet the same method must be continued as long as the Patients forces can with facility suffer it The second manner is more effectual if the Disease be Recent The Body being well disposed and prepared the Patient is shut up in a warm Chamber and Closet and the Friction being begun proceed from those parts which pain less to those that are more painful and having a special care to the quantity of Medicaments whereof the Indication is drawn from the ●emper and Srength of the Patient the ●●oynts and Emunctories of the noble parts are usually anointed with the following Liniment Take prepared Quicksilver six Ounces Sublimate half a Dram quick Brimstone half an Ounce fresh Porks grease one pound the yolks of three Eggs Oyl of Laurel and Turpentine of each two Ounces Old Treacle ●nd Mithridate of each half an Ounce let ● Liniment be made according to Art But I rather approve Mercury alone mixt with Hogs grease since it doth not expel the Material Cause of this Disease by any occult or specifick virtue ●eeding Correctives but only by its mo●ion joyning naturally it self with all acid moisture and as Mercury dissolved in the Spirit of Nitre or Aqua Fortis cor●oding the mouth and opening the 〈◊〉 whence the Humors flow till their acidity be evacuated But before the Friction the Body must be judiciously prepared for if dry subjects be not sufficiently humected the heat of the Stomack sublimates the Mercury whence proceeds a Dia●hae● with Gripings of the Gutts and if it be stopt there follows a Constipation a Feaver Inflammation of the Throat or a Phrens● with Convulsions and sometimes the party becomes Deaf Blind c. Contrariwise if Moist Bodies be not well exsiccated by Sudorisick Decoctions the Mercury draweth with him to the Throat a great quantity of Humours with swelling of the