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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
till the Wine be consumed a strong expression being made add Galbanum Bdelium Euphorbium Myrrhe Castoreum Bear Duck and Storks Grease of each two ounces Make a Salve in the Form of a Liniment whereunto a little Wax if needs be may be added Exercise and Frictions are also very powerful to awake the part affected and cause the motive Spirits to flow in There is another accident when the Patient either by weakness proceeding from the loss of Blood poysonous Vapours or the sight of dreadful Objects falls into frequent Swounds It is discerned 1. When Paleness invades the Face with a Cold Sweat 2. If a Coldness of the whole Body be perceived 3. And if the Party do suddenly Fall when it is in the Paroxysme It is prevented by casting cold Water in the Diseased's Face but if it proceeds from too great Evacuation the Patient must be softly collected on the Ground or on his Bed and a little Bread dipped in VVine given him to taste whereat the Spirits may return But if it proceeds from Poysonous Vapours Let the Patient drink out of a Spoon a little Treacle and Mithridate dissolved in VVine That which comes of Fear is easily cured the Object being removed with encouraging and comfortable Admonitions The loss of Blood Pain and Feaver whereunto Wounds are subject do often distract the Patient in a temporary Phrensy called Delirium which is defined A tempor ary perturbation of the Phansy and other mental Functions Besides the Causes above mentioned poysonous Vapours and a Lesion of the Diaphragme do not seldom effect its Production this last having a plain communication with the Brain by the Nerves of the sixth Conjugation If it proceeds from an Obstruction of the Spirits the same Remedies must be used as when the Body is subject to Swounding but if it coms from an Inslammation of the Brain Diet and Purgation must be instituted and the Hair being shaved the Head being bathed over with Exorodine applying upon it the Plaister of Diacalcitheos dissolved in Rose-water and Vinegar and Sleep provoked by the use of Broths wherein you must boyl refreshing Herbs and a knot of VVhite-poppy Seed and pleasant Company diverting the Patient from other sad thoughts and representations of mournful things may also be very conducible to his health and recovery Of Wounds made by Fire Armes THE Industry of men ever clear sighted to their own destruction having for about 200 yeares since found out a very speedy way to it namely Gun-powder and fire-armes Whose hurts being often waited on by other accidents it obligeth us to treat especially of their Curation They are either simple or composed with dilaceration distemper and tumor Their signs are commonly a round Figure little effusion of Blood a swelling of the part and a greenish livid colour In the first apparel the wound ought to be dilated if the wounded parts conformation can permit it that unnatural Bodies if there be any may be sought out and expelled with the matter In doing which if it be possible the patient must be scituated as he was when he received the wound After the extraction of strange Bodies we must prevent pain and fluxion The first by the repelling and lenitive Remedies above described and the Cataplasme appointed for its sedation The last by Diet and Purgation whereunto Clysters are commonly used lest Catharicks might cause too great an agitation of Humours Thence we must proceed to Suppuration as in all other contused Wounds whereunto that which is called digestive and the following Oyl are most conveniently used Recipe Oyl of Violets four pound wherein boyl two young Cats new brought forth till the bones be loosed off adding Earth-worms duly prepared one pound Let them boyl together on a slow fire adding Turpentine of Venice and strong-water three Ounces To be kept in a Glass till there be occasion to make use of it But if there be any danger of Gangrene we use profitably of Egyptiacum dissolved in Wine c. When the wound is brought to Suppuration detersive Medicaments must be applyed such as is the following Recipe Water of boyled Barley the juice of Plantain Parsley Agrimony and of the lesser Centory of each an Ounce let them all boyl together and in the end of the Decoction add Turpentine of Venice three Ounces Hony of Roses two Ounces flower of Barley three Ounces Saffron one Scruple Mix all together and make a cleansing Oyntment Lastly having care to prevent other accidents according to Art the Wound must be brought to a perfect Cure and Sanation Of Gangrenes BUT since Gangrene is often a concomitant of Wounds made by Fire-Armes and other Contusions it will not be amiss here to expound its Nature Signs and Curation It is defined The mortification of a part affected with inflammation And is only distinguished from a Sphacelus by the more or less this last being only when the part is quite mortified and dead The onely Remedy being then its Amputation The general Cause of Gangrene is a corruption of the parts natural Heat by Cold external Heat want of Nourishment stopping of Transpiration or by the dreadful effects of some poysonous substance Its proceeding is two-sold either with some humours in flowing or without it We have deduced the signes of it in the Chapter of Impostumes And for its Curation since that which hath its origin from the second cause is the most general and may in some measure be a Rule for Curing the rest Take these following Precepts If the Body be in the least Plethorical Phlebotomy and Purgation being celebrated the Air by Nature or Art ought to be cold and dry and the Patients diet of the same temper Amongst Topical Remedies Egyptiacum boyled with some Aloes in salted Water adding a little Strong Water in the end is deservedly much esteemed as also the Phadagenick water or the Gray Salve which is made by adding a Drachm of corroding Sublimate to an Ounce of Basilicon in the mean time to defend the Body from the Influxion of Morbisical Humors and putrid Vapours the following defensive may be applyed on the diseased part and often renewed Recipe Oyl of Roses and Myrtle of each four Ounces the juice of Plantain Solanum and Housleek of each two Ounces the whites of Eggs five Bole Armeny and Sealed Earth reduced in a subtil powder of each an Ounce with as much Oxycraton as is needful If it be too Intense and yeilds not to Catharticks and Topical Remedies we are obliged to use actual Causticks And lastly if that will not serve we must proceed to the part 's Amputation which is the only approved Remedy in a Sphacelus wherein observe that to stop the effusion of Blood actual Causticks are almost out of Use the binding of the Vessels being found more commodious Of that Operation see Fab. ab Aqua ●endente in his Chirurgical Operations but now the Stiptick Elixir of Doctor Williams overcomes all other Remedies Where Bones are discovered they use the