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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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the thick Guts is open'd when the Hurt is found in the Hypogastrium and the Excrements are voided at the Wound as it is certain that on of the thin Guts is pierc'd when the Wound appears in the Navel and the Chyle issueth forth from thence and so of the others What Method ought to be observ'd in curing Wounds in the lower Belly It is expedient at first to prevent letting in the Air and to dilate the Wound in order to sow up the perforated Gut and afterward to restore it to its place as also to bind the Caul which is let out at the opening and to cut it off lest in putrifying it should corrupt the neighbouring Parts Then these Parts may be bath'd with Lees of Wine wherein have been boil'd the Flowers of Camomile and Roses with Wormwood The Powders of Aloes Myrrh and Frankincense may be also thrown upon 'em and the Wound must be sow'd up again to dress it on the outside the Patient in the mean time being restrain'd to a regular Diet. But Clysters must be forborn on these Occasions especially when one of the thick Guts is wounded making use rather of a Suppository or laxative Diet-Drinks to avoid dilatation and straining CHAP VI. Of Wounds made by Guns or Fire-Arms THESE Wounds are always bruis'd and torn with the loss of Substance and commonly with the splitting and breaking of a Bone They are red black livid and inflam'd not being usually accompany'd with an Haemorrhage They are generally round and streighter at their Entrance than at their End at least 〈◊〉 they were not made with Cross-Bar-Shot or Quarter-Pieces Of the Prognostick of Wounds by Gun-shot When these Wounds penetrate into the Substance of the Brain or Marrow of the Back-Bone or into the Heart Pericardium great Vessels and other noble Parts Death always inevitably follows and often happens at the very Instant But one may undertake the Cure of those that are superficial and which are made in the Neck Shoulders Arms and all other parts of the Body Of the Cure of Wounds by Gun-shot For the better curing of these sorts of Wounds it is requisite to be inform'd of the Quality of the Fire-Arms by which the Wounds were made in regard that a Musquet is more dangerous than a Pistol and a Cannon much more than a Musquet as also to examine their situation and concomitant Accidents for by how much the more complicated they are so much the greater is the danger Then the Patient must be set as near as can be in the very same Situation and Posture wherein he remain'd when the Wound was receiv'd in order to discover the direct Passage of the Wound by the help of the Probe with which a search is to be made whether a Bullet or any other extraneous Bodies as Wood Flocks Linnen or Stuff as yet stick in the Wound so that Endeavours may be us'd to take 'em out thro' the same Hole where they enter'd care being more especially had to avoid making Dilacerations in drawing 'em out But if the Operator hath endeavour'd to no purpose to remove these extraneous Bodies let him make a Counter-Opening in the opposite Part where he shall perceive any hardness nevertheless without touching the Vessels thus the Incision being made he may readily draw 'em out with his Fingers or some other Instrument If the Bullet sticks so far in a Bone that it cannot be taken away without breaking the same Bone it is more expedient to let it lie therein but if the Leg or Arm-Bones are very much split or shatter'd then the Amputation of 'em becomes absolutely necessary The Pain and Inflammation of the Part may be asswag'd by letting Blood topical Anodyns cooling Clysters and Purgations but in case much Blood ha●h been already lost Phlebotomy must be omitted The Clysters may be made with Decoctions of Mercury Mallows Beets a Handful of Barley and Honey of Roses Some Surgeons are of Opinion that the Patient ought to be purg'd every other Day and even on the very same Day that he receiv'd the Wound if his Strength will permit however very gentle Purges are to be us'd upon this occasion such as Cassia Manna Tamarins Syrrup of Violets and that of White Roses In the mean while Anodyns may be compounded to mitigate the Pain as Cataplasms or Pultisses made with the Crum of white Bread Milk Saffron the Yolk of an Egg and Oil of Roses us'd hot which last Ingredient is of it self a very good Anodyn But to asswage great Inflammations Oil of Roses the White of an Egg and Vinegar beaten all together may be laid on the neighbouring Parts At first it is necessary to apply spirituous Medicines to the Wound and Pledgets steep'd in camphirated Brandy are admirable for that purpose but if there be a Flux of Blood styptick Waters or other astringent Remedies may be us'd still remembring that all these medicaments must be apply'd hot To promote the Suppuration of these contused Wounds a Digestive may be made of Oleum Rosatum the Yolk of an Egg and Venice Turpentine If the Wound be in the Nerves Tendons or other Nervous Parts it is requisite to use spirituous and drying Medicines never applying any Ointments which will not fail to cause Putrefaction in those Parts But a Cataplasm may be made with Barley-Meal Orobus I upins and Lentils boil'd in Claret adding some Oil of St. John's-Wort The Balsam of Peru Oil of Turpentine destill'd Oil of Wax destill'd Oil of Lavender Oleum Phil●sophorum Oil of Bays destill'd Balsam of St. John's-Wort Spirit of Wine and Gum Elemi are excelient Medicaments for the Nerves Or else Take four Ounces of Vnguentum Althaeae with a Dram and a half of destill'd Bays mingle the whole Composition and apply it Or else Take an Ounce of destill'd Oil of Turpentine a Dram of Spirit of Wine and half an Ounce of Camphire let all be intermixt and dropt into the Wound Or else Take a Scruple of Euphorbium half an Ounce of Colophonia and a little Wax let 'em be mingl'd together and apply'd very hot to the Nervous Parts If the Wounds are deep Injections may be made with this Vulnerary Water which is very good for all sorts of Contusions as also for the Gangrene and U●cers Take the lesser Sage the greater Comfrey and Mugwort of each four Handfuls Plantane Tobacco Meadowsweet Betony Agrimony Vervein St. John's-Wort and Wormwood of each three Handfuls Fennel Pilewort Bugle Sanicle Mouse-Ear the lesser Dazy the lesser Centory and All-heal of each three Handfuls three Ounces of round Birth-Wort and two Ounces of long Let the whole Composition be digested during thirty Hours in two Gallons of good White-Wine and afterward destill'd in Balneo Mariae till one third part be consum'd If a Gangrene happens in the Part Spirit of Mother-Wort may be put into it which is compounded with two Drams of Mastick Myrrh Olibanum and Amber and a Quart of rectify'd Wine the whole being destill'd This Fomentation may
be apply'd very hot to very good purpose viz. an equal quantity of Camphirated Wine and Lime-Water with three Drams of Camphire This is also an excellent Cataplasm Take a Pint of Lye and as much Spirit of Wine half an Handful of Rue Sage Scordium and Wormwood a Dram of each of the Roots of both sorts of Birth-Wort and two Drams of Sal Ammoniack Let the whole Composition be boil'd till a third Part be consum'd adding half a Dram of Myrrh and Aloes and a little Brandy Of a Burn made by Gun-Powder If the Burn be recent and the Skin not exulcerated Spirit of Wine or Brandy is to be immediately apply'd or else an Ointment may be made with Oil of Olives or bitter Almonds Salt the Juice of Onions and Verjuice If the Skin be ulcerated and little Bladders or Pustules arise an Ointment may be compounded with the second Bark of Elder boil'd in Oil of Olives After it hath been strain'd add two parts of Ceruse or White-Lead and one of Burnt Lead with as much Litharge stirr'd about in a Leaden-Mortar to make a Liniment But it is not convenient to take out the Grains of Powder that remain in the Skin because they are apt to break and to be more confounded or spread abroad so that they must be left to come forth in the Suppuration When the Wound is supersicial and the Skin as yet whole peel'd Onions with common Honey are an excellent Remedy but if the Skin be torn it is not to be us'd by reason that the Pain wou'd be too great in which case Oil of Tartar per diliquium hath a very good effect If the Burn be accompany'd with a Fever it may be allay'd with fixt Nitre Nitre prepar'd with Antimony and Gun-Powder taken inwardly which are very effectual in their Operation Crab's-Eyes prepar'd and even some of 'em unprepar'd are in like manner admirable Remedies As for external Medicaments when the Burn is only superficial take Onions and unslack'd Lime quench'd in a Decoction of Rapes and apply this Liquor very hot with double Bolsters dipt therein Or else take what quantity you please of quick Lime well wash'd and pound it throughtly in a Leaden-Mortar with May-Butter without Salt to make an Ointment which may be be laid altogether liquid upon the affected Part Or else Take as much quick Lime as you can get up between your Fingers at two several times Milk-Cream and clarify'd Honey of each about half the like quantity let the whole be intermix'd to the Consistence of an Ointment and apply'd It is an approv'd Remedy as also is the following Take unslack'd Lime and put it into common Water so as the Water may appear four or five Finger's breadth above it After the Effervescence pour in Oil of Roses whereupon the whole Mass will be coagulated in form of Butter and may be apply'd A good Lotion or Washing-Liquor may be prepar'd with the Juice of Garlick and Onions in recent Burns otherwise make use of this Ointment Take an Ounce and an half of raw Onions Salt and Venice Soap of each half an Ounce mingle the whole Composition in a Mortar pouring upon it a sufficient quantity of Oil of Roses to make a very good Ointment Or else Dissolve Minium or Litharge in Venegar filtrate this Liquor and add thereto a quantity of Rape-Oil newly drawn off sufficient to give it the Consistence of a liquid Liniment then stir it about in a Leaden-Mortar till it become of a grey Colour and keep it for Use as an excellent Liniment Or else Pound Crey-Fishes or Crabs alive in a Mortar to get their Blood and foment the Part with it hot it is a good Remedy Otherwise intermix the pounded Crabs with May-Butter without Salt and let 'em be boil'd up together and scumm'd till a red Ointment be made which may be drawn off or strain'd for Use And indeed all manner of Ointments and other Medicinal Compositions wherein Crabs are an Ingredient are true specificks against Burns made by Gun-Powder The Mucilages of the Seeds of Psyllium or rather those of Quince-Seeds prepar'd with Frog's Sperm and a little Saccharum Saturni spread with a Feather upon the affected Part have a wonderful Operation in Burns A Medicament compounded with one third part of the Oil of Olives and two of the Whites of Eggs well beaten and mixt together is a very simple and singular Remedy Otherwise take half an Ounce of Line-seed-Oil infus'd in rose-Rose-Water with four Yolks of Eggs beat 'em together and let the whole be apply'd to the burnt Part. If the Burn be very violent and hath many Pustules Etmullerus is of Opinion that they ought to be open'd and that an Ointment shou'd be apply'd which is made of Hen's-Dung boil'd in fresh Butter Otherwise Take a handful of fresh Sage-Leaves two handfuls of Plantane six Ounces of fresh Butter without Salt three Ounces of Pullet's-Dung newly voided and the whitest that can be found then fry the whole Composition for a quarter of an Hour squeeze it out and keep it for use Otherwise Take two Ounces of sweet Apples roasted under Embers Barly-Meal and Fenugreek of each half an Ounce and half a Scruple of Saffron let the whole Mass be mingled to make a Liniment or soft Cataplasm which may serve to asswage Pain and mollifie the Skin If the Wound be yet larger and hath a Scab open all the Pustules and endeavour the two first Days to cause the Escar to fall off by the Application of a Liniment made of the Mucilages of Quince-Seeds steept in Frog's-Sperm with fresh Butter the Oil of White Lillies and the Yolk of an Egg Otherwise Make a Liniment with fresh Butter well beaten in a Leaden-Mortar with a Decoction of Mallows which being spread upon hot Colewort-Leaves and apply'd to the Escar it will fall off But if the Escar be too hard and obstinate it is requisite to proceed to Incisions to make way for the Sanies lest a deep and putrid Ulcer shou'd be engender'd Underneath As soon as the Humour is evacuated the above-mention'd Emollient Medicines may be us'd till the separation of the Escar then the Ulcer may be consolidated with Digestives and Mundificatives such as the Ointment of quick Lime with Oil of Roses and the Yolks of Eggs. The white camphirated Ointments and that of Alabaster are also good for the same Purpose If a Gangrene ensueth Sudorificks must be taken inwardly such are camphirated Spirit of Treacle the Essence and Spirit of Elder-Berries the Spirit of Hart's-Horn with its own proper Salt Treacle impregnated with the Spirit of camphirated Wine Scorpion-Water Hart's-Horn Citron with Camphire c. As for external Remedies in the beginning of the Gangrene the Spirit of Wine apply'd hot is excellent and yet better if Aloes Frankincense and Myrrh be intermixt therein It ought also to be observ'd that Camphire must always be mingled in the topical Medicines for the Cure of the Gangrene A Decoction of unslack'd
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
being a Finger's breadth wide and long enough to be roll'd about the whole Dressing It must be pierc'd at one of its ends and cut the length of three Fingers at the other so that the two Heads may pass thro' the Hole to surround the Finger with small Rollers CHAP. XXXI Of the Reduction of the falling of the Anus TO reduce the Anus to its proper place when it is fallen the Patient being laid upon his Belly with his Buttocks higher than his Head the Operator gently thrusts back the Roll that forms the Anus with his Fingers dipt in the Oil of Roses Then he applies the Bolsters steept in some Astringent Liquor and causeth 'em to be supported with a sort of Bandage the Nature of which we shall shew in treating of the Fracture of the Coccyx that is to say the T. the double T. or else the Sling with four Heads CHAP. XXXII Of the Reduction of the falling of the Matrix IN this Operation the Patient being laid upon her Back with her Buttocks rais'd up somentations are to be apply'd to the Part 〈◊〉 Linnen Cloth is to be laid upon the Neck of the fallen Matrix and it is to be thrust ●ery gently with the Fingers without using ●uch force If the Matrix shou'd fall out a●●in it wou'd be requisite to convey a Pessa●● into it after it hath been reduc'd and to ●njoyn the Patient to lie on her Back with her legs a-cross CHAP. XXXIII Of the Application of the Cautery THE Cautery is an Ulcer which is made in the Skin by applying Causticks to it ●●er this manner The Surgeon having moisten'd the Skin 〈◊〉 a while with Spittle or else having caus'd 〈◊〉 light Friction to be made with a warm ●●oth applies a perforated Plaister to the Part ●●d breaks the Cautery-Stone to be laid in the little Hole leaving it for a longer or shorter time accordingly as he knows its Efficacy or as the Skin is more or less Fine Afterward he scarifieth the Burn with his Lancet and puts a Suppurative or piece of fresh Butter into the Part till the Escar be fallen off The Dressing and Bandage After the Application of the Lapis Infernalis or any other Cautery-Stone it is necessary to lay over it a Plaister a Bolster and a Circular Bandage which ought to be kept sufficiently close to press the Stone after a Pea or little Piece of Orrice-Root hath been put into the Ulcer to keep it open Then the Patient is to make use of this Bandage with which he may dress it himself Take a piece of very strong Cloth large enough to roll up the Part without crossing above it And let three or four Holes be made in one of its sides as many small Ribbans or Pieces of Tape being sow'd to the other which may be let into the Holes as occasion serves to close the Band. CHAP. XXXIV Of the Application of Leeches IT is requisite that the Leeches be taken in clear running Waters and that they be long and slender having a little Head the Back green with yellow Streaks and the Belly somewhat reddish Before they are apply'd it is also expedient to let 'em purge during some Days in fair Water fast half a Day in a Box without Water Afterward the Part being rubb'd or chaf'd with warm Water Milk 〈◊〉 the Blood of some Fowl the Opening of the Box is to be set to the Part or the Leethes themselves laid upon a Cloth for they will not fasten when taken up with the Fingers The end of their Tail may be cut with 〈◊〉 Pair of Sizzers to see the Blood run and to determine its quantity as also to facilitate their sucking When you wou'd take 'em away put Ashes Salt or any other sharp thing upon their Head and they will suddenly desist from their Work but they are not to be pull'd off by force lest they shou'd leave their Head or St●ing in the Wound which wou'd be of very dangerous consequence When they are remov'd let a little Blood run out and wash the Part with salt Water Is made with a Bolster soakt in some Styptick Water if the Blood will not otherwise stop or in Brandy or aqua-Vitae if there be an Inflammation and it is to be supported with a Bandage proper for the Part. CHAP. XXXV Of the Application of the Seton TO perform this Operation a Cotton or Silk Thread is to be taken after it hath been dipt in Oil of Roses and let into a kind of Pack-Needle then the Patient sitting in a Chair is to hold up his Head backward whilst the Surgeon gripes the Skin transversely in the Nape of the Neck with his Fingers or else takes it up with a Pair of Forceps and passeth the Needle thro' the Holes of the Forceps leaving the String in the Skin As often as the Bolster that covers the Seton is taken off that part of the String which lies in the Wound is to be drawn out and cut off CHAP. XXXVI Of Scarifications SCARIFICATIONS are to be made more or less deep accordingly as necessity ●●quires beginning at the bottom and carrying 〈◊〉 on upward to avoid being hinder'd by ●●e Haemorrhage They must also be let one to another that Strings may not be left in ●●e Skin CHAP. XXXVII Of the Application of Vesicatories VESICATORIES are compounded with the Powder of Cantharides or Spanish ●●es mixt with very sower Leaven or else ●●th Turpentine Before they are apply'd a light ●●●tion is to be made on the Part with a wram ●eth and a greater or lesser quantity is to be ●●d on accordingly as the Skin is more or ●s fine leaving 'em on the Part about seven or 〈◊〉 Hours then they are to be taken away ●●d the Blisters are to be open'd applying there●●me sort of Spirituous Liquor CHAP. XXXVIII Of the Application of Cupping-Glasses A Good Friction being first made with warm Clothes lighted Toe is to be put into the Cupping-Glass or else a Wax-Candle fasten'd to a Counter and then it is to be apply'd to the Part till the Fire be extinguish'd and the Skin swell'd re-iterating the Operation as often as it is necessary and afterward laying on a Bolster steept in Spirit of Wine These are call'd dry Cupping-Glasses But if you wou'd draw Blood every thing is to be observ'd that we have now mention'd besides that Scarifications are to be made according to the 〈◊〉 manner and the Cupping-Glass is to be set upon the Scarifications But when the Cupping-Glass is half full of Blood it must be taken off to be emptied and the Application thereof is to be re-iterated as often as it is requisite to take away any Blood Lastly the Incision● are to be wash'd with some Spirituous Liquor and a Bandage is to be made convenien● for the Part. CHAP. XXXIX Of the opening of Abcesses or Impostumes AN Abcess or Impostume ought to be open'd in its most mature part and in the Bias of the Humours endeavouring to
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
promotes Suppuration and cicatrizes Wounds when the purulent Matter is drawn forth It is often laid alone upon the Bolsters and sometimes mixt with the Yolks of Eggs Turpentine and other Ointments or with Oils and Plaisters A cooling Cerate Take a Pint of Oil of Roses and three Ounces of white Wax Let the whole Composition be put into a glaz'd Earthen-Pot and the Pot set in Balneo Mariae till the Wax be well dissolv'd in the Oil Then take the Vessel out of the Bath and stir the Ointment with a Wooden Pestle till it be cool'd add two Ounces of Water and stir it about with the Pestle till it be imbib'd by the Cerate let as much more Water be infus'd and again the same quantity till the Cerate becomes very white and hath been well soakt with fresh Water Afterward all the Water is to be pour'd off by Inclination and separated as much as is possible from the Cerate which may then be kept for use but some Surgeons cause an Ounce of Vinegar to be mingl'd with it This Cerate is usually laid outwardly upon all Parts that stand in need of cooling and asswages the Pains of the Haemorrhoids or Piles It is also good for Chaps sore Nipples and other ill Accidents that happen in the Breast and is us'd for Burns either alone or mixt with other Ointments Whensoever it is necessary to apply Desiccatives and Astringents to any Part this Cerate may be mingl'd with Vnguentum de Cerussa An Ointment for Burns Take a Pound of Bores-Grease two Pints of White-Wine the Leaves of the greater Sage Ground and Wall-Ivy Sweet Marjoram or the Greater House-Leek of each two handfuls Let the whole Mass be boil'd over a gentle Fire and having afterward strain'd and squeez'd it let the Ointment so made be kept for use CHAP. III. Of Plaisters The Plaister of Diapalma TAKE three Pounds of prepar'd Litharge of Gold three Pints of common Oil two Pounds of Hogs-Lard a Quart of the Decoction of Palm-Tree or Oak-Tops four Ounces of Vitriol calcin'd till it become red and steept in the said Decoction Having bruis'd or cut very small two handfuls of Palm-Tree or Oak-Tops let 'em be boil'd slowly in three Quarts of Water till about half be consum'd and after the whole Mass hath been well squeez'd the strain'd Decoction is to be preserv'd In the mean time the Litharge is to be pounded in a great Brass Mortar and diluted with two or three Quarts of clear Water but it will be requisite readily to pour out into another Vessel the muddly Water which is impregnated with the more subtil part of the Litharge whilst the thicker remains at the bottom of the Mortar whereupon this part of the Litharge will sink to the bottom of the Water and the Litharge remaining in the Mortar is to be pounded again Then having diluted it in the Water of the first Lotion or in some other fresh Water the muddy Liquor is to be pour'd by Inclination upon the subtil Litharge that remain'd in the bottom of the Vessel Afterward you may continue to pound the Litharge to bruise it in the Water to pour it off by Inclination and to let the Powder settle till there by left only at the bottom a certain impure part of the Litharge capable of being pulveriz'd and rais'd amidst the Water As soon as the Lotions are well settl'd and care hath been taken to separate by Inclination the Water which swims over the Powder of Litharge this Powder is to be dry'd and having weigh'd out the appointed Quantity it is to be put as yet cold into a Copper-Pan lin'd with Tin and stirr'd about to mingle it with the Oil Lard and Decoction of Palm-Tree-Tops When these Ingredients have been well incorporated together a good Charcoal Fire must be kindl'd in a Furnace over which they are to be boil'd stirring 'em continually with a great Wooden Spatula and constantly maintaining an equal Degree of Heat during the whole time of their boiling At last you may add the rubify'd Vitriol dissolv'd in a Portion of the Liquor that hath been reserv'd if you wou'd have the Plaister tinctur'd with a red Colour or else white Vitriol melted in the same Decoction if it shall be thought fit to retain the Whiteness of the Plaister which may be form'd into Rolls and wrapt up with Paper This Plaister is us'd for the cure of Wounds Ulcers Tumours Burns Contusions Fractures and Chilblains and is also laid upon the Cauteris If you mingle with it the third or fourth part of its weight of some convenient Oil it will attain to the Consistence of a Cerate and this is that which is call'd Dissolved Diapalma or Cerate of Diapalma The Plaister of simple Diachylum Take of Marsh-Mallow-Roots peel'd three Drams the Seeds of Line and Fenugreek of each four Ounces three Quarts of Spring-Water two Quarts of common Oil and two Pounds of Litharge of Gold Let the Mucilages of Marsh-Mallow-Roots and of the Seeds of Line and Fenugreek be taken as hath been shewn in the making of Vnguentum Althaeae and let the Litharge be prepar'd after the same manner as for the Plaister of Diapalma Having at first well mixt the Oil with the Litharge in a large Copper-Vessel or Pan Tinn'd on the inside being wide at the top and tapering like a Cone toward the bottom as also having afterward added and well incorporated the Mucilages a moderate Charcoal Fire t s to be kindl'd in a Furnace upon which the Vessel is to be set and the whole Mass is to be stirr'd about incessantly with a Wooden Spatula and as fast as is possible A gentle Fire is to be maintain'd and the Boiling and Agitation to be continu'd till it be perceiv'd that the Plaister begins to sink in the Pan then the Heat of the Fire must be diminish'd one half at the least and it will be requisite only to cause an Evaporation by little and little of the Superfluous Moisture that might remain in the Plaister which being consum'd it will be sufficiently boil'd having attain'd to its due Consistence and Whiteness This Plaister softens and dissolves hard Swellings and even the Scirrhous Tumours of the Liver and Bowels such are the Scrophulous or King's-Evil Tumours the old remains of Abcesses c. The Plaister of Andreas Crucius Take two Ounces of Rosin four Ounces of Gum Elemi Venice Turpentine and Oil of Bays of each two Ounces After having beat in pieces the Rosin and Gum Elemi they are to be melted together over a very gentle Fire and then may be added the Turpentine and Oil of Bays When the whole Mass hath been by this means well incorporated it must be strain'd thro' a Cloth to separate it from the Dregs The Plaister being afterward cool'd is to be made up in Rolls and kept for use This Plaister is proper for Wounds of the Breast It also mundifies and consolidates all sorts of Wounds and Ulcers dissipates Contusions strengthens the Parts in
Fractures and Dislocations and causeth the Serous Humours to pass away by Transpiration Emplastrum Divinum Take of Litharge of Gold prepar'd one Pound and an half three Pints of common Oil one Quart of spring-Spring-Water six Ounces of prepar'd Load-Stone Gum Ammoniack Galbanum Opoponax and Bdellium of each three Ounces Myrrh Olibanum Mastick Verdegrease and round Birth-Wort of every one of these an Ounce and an half eight Ounces of Yellow Wax and four Ounces of Turpentine Let the Gum Ammoniack Galbanum Bdellium and Opoponax be dissolv'd in Vinegar in a little Earthen Pipkin strain 'em thro' a course Cloth and let 'em be thicken'd by Evaporation according to the Method before observ'd in other Plaisters Then prepare the Load-Stone upon a Porphyry or Marble-Stone and take care to bruise separately the Olibanum the Mastick the Myrrh the round Birth-Wort and the Verdegrease which is to be kept to be added at last In the mean while having incorporated cold the Oil with the Litharge and mingl'd the Water with 'em they are to be boil'd together over a very good Fire stirring 'em incessantly till the whole Composition hath acquir'd the Consistence of a somewhat solid Plaister in which is to be dissolv'd the yellow Wax cut into small pieces Afterward having taken off the Pan from the Fire and left the Ingredients to be half cool'd intermix the Gums which have been already thicken'd and incorporated with the Turpentine then the Load-Stone mingl'd with the Birth-Wort Myrrh Mastick and Olibanum and last of all the Verdegrease Thus when all these Ingredients are well stirr'd and mixt together the Plaister will be entirely compounded so that it may be made up into Rolls and preserv'd to be us'd upon necessary Occasions This Plaister is efficacious in curing of all kinds of Wounds Ulcers Tumours and Contusions for it mollifies digestes and brings to Suppuration such Matter as ought to be carry'd off this way It also mundifies cicatrizes and entirely consolidates Wounds c. CHAP. IV. Of Cataplasms or Pultisses CATAPLASMS are usually prepar'd to asswage Pain as also to dissolve and dissipate recent Tumours and are made thus Take four Ounces and a half of white Bread one Pint of new Milk three Yolks of Eggs one Ounce of Oil of Roses one Dram of Saffron and two Drams of the Extract of Opium The Crum is to be taken out of the inside of a white Loaf newly drawn out of the Oven and to be boil'd with the Milk in a Skillet over a little Fire stirring it from time to time with a Spatula till it be reduc'd to a thick Pap. After having taken the Vessel off from the Fire the three Yolks of Eggs beaten are to be put into it and the Dram of Saffron pulveriz'd to these Ingredients may be added two Drams of the Extract of Opium somewhat liquid if the Pain be great Here is another Cataplasm proper to mollifie and to bring to Suppuration when it is necessary Take White-Lilly-Roots and Marsh-Mallow-Roots of each four Ounces the Leaves of common Mallows Marsh-Mallows Groundsel Violet-Plants Brank-Ursin of every one of these Herbs one handful the Meal of Line Fenugreek and Oil of Lillies of each three Ounces The Roots when wash'd and slic'd are to be boil'd in Water and the Leaves being added some time after the Boiling is to be continu'd till the whole Mass becomes perfectly tender and soft at which time having strain'd the Decoction beat the remaining gross Substance in a Stone-Mortar with a Wooden Pestle and pass the Pulp thro' a Hair-Sieve turn'd upside-down Then let the Decoction and Pulp so strain'd be put into a Skillet and having intermixt the Meal of Line Fenugreek and Oil of Lillies let 'em be boil'd together over a gentle Fire stirring about the Ingredients from time to time till they be all sufficiently thicken'd These two Cataplasms may serve as a Model for the making of many others CHAP. V. Of Oils OILS are made either by Infusion or Expression Simple Oil of Roses made by Infusion Take two Pounds of Roses newly gather'd and bruis'd in a Mortar half a Pint of the Juice of Roses and five Pints of common Oil Let the whole Composition be put into a Earthen-Vessel Leaded and well stopt and then let it be expos'd to the Sun during forty Days Afterward let it be boil'd in Balneo Mariae and having strain'd and squeez'd the Roses let the Oil be kept for use Compound Oil of Roses made by Infusion Take a Pound of Red Roses newly gather'd and pound 'em in a Mortar as also four Ounces of the Juice of Red Roses and two Quarts of common Oil. Let the whole Composition be put into an Earthen-Vessel Leaded the Mouth of which is narrow and well stopt and then having expos'd it to the Sun during four Days let it be set in Balneo Mariae for an Hour and then strain'd and squeez'd Afterward let this Liquor be put into the same Vessel adding to it the Juice of Roses and Roses themselves in the same quantity as before Let the Vessel be stopt let the Maceration Boiling Straining and Expression be made in like manner as before and let the same Operation be once more re-iterated Then let your Oil be depurated and preserv'd for use These Oils qualifie and disperse Defluctions of Humours suppress Inflammations mitigate the Head-ach and Deliriums and provoke to sleep They must be warm'd before the Parts are anointed with 'em and they may be given inwardly against the Bloody-flux and Worms the Dose being from half an Ounce to a whole Ounce The Parts are also anointed with 'em in Fractures and Dislocations of the Bones and Oxyrodins are made of 'em with an equal quantity of Vinegar of Roses Oil of Sweet Almonds made by Expression Take new Almonds that are fat and very dry without their Snells and having shaken 'em in a somewhat thick Sieve to cause the Dust to fall off let 'em be put into hot Water till their Skins become tender so that they may be separated by squeezing 'em with the Fingers Afterward having taken off the Skin they must be wip'd with a white Linnen-Cloth and spread upon it to be dry'd Then they are to be put into a Stone-Mortar and pounded with a Wooden-Pestle till the Paste grows very thin and begins to give Oil This Paste is to be put into a little Linnen-Bag new and strong the Mouth of which hath been well ty'd and the Bag is to be plac'd between two Platines of Tin or of Wood lin'd on the inside with a Leaf of Tin squeezing the whole Mass gently at first but afterward very strongly and leaving it for a long while in the Press that the Oil may have time to run out This Oil mitigates the Nephritick Colicks remedies the Retension of Urine facilitates Child-birth allayes the After-Pains in Women after their delivery and the Gripes in young Infants It is taken inwardly fasting from half an Ounce to two Ounces and it is us'd in
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-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-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-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.