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A02364 The Frenche chirurgerye, or all the manualle operations of chirurgerye , vvith divers, & sundrye figures, and amongst the rest, certayne nuefovvnde instrumentes, verye necessarye to all the operationes of chirurgerye. Through Iaques Guillemeau, of Orleans ordinarye chirurgiane to the Kinge, and sworen in the citye of Paris. And novv truelye translated out of Dutch into Englishe by A.M.; Oeuvres de chirurgie. English Guillemeau, Jacques, 1550?-1613.; A. M., fl. 1598. 1598 (1598) STC 12498; ESTC S122176 253,267 144

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som vvhich are extreame hott a little gentler accordinge as their operatione is tardive Amongst them are numbred the Cantharides the Tartre the common Vitrioll or the calcined the vnslissed lims the Auripigment the Arsenicvm the sublimate the Aqvafortis the Oyle of Vitriolle vvith more others the vvhich vve novvadayes doe seldome vse in such sorte as they are vvith out praeparinge or mixinge of them to make any Fontanelles because that experience hath taught vs some vvhich are farre more convenient lesse daungerouse The vse of the actuall Cauterye The actuall Cauterye is much conveniēter then the Potentiall vvhether it be vve consider on the nature substāce on the healthfullnes festinatione and certayntye in operatione for the fyer is a simple element havinge noe other forces then by the heate therof exsiccation vvithout havīge associated vnto it anye venoumousnes vvherfore the operatione therof is festivous certayne healthfull pearcing deeper therine vvhen vve please vvithout causing anye accidentes in the circumiacent partes althoughe that thervvith vve chaunce to touch them that because of the subtilenes therof and consideringe the virtues of his substance It is an enimye vnto all corruption vvherfor it freethe alsoe from all covruptione putrefactione yea it consumeth all venoumouse matter qvallityes vvhich in that parte might lye occulted and hidden consumeth also all superfluouse humidityes and correcteth alsoe all vntemperate coulde and moysture VVher on the contrarye the matter The vse of the potentiall Cauterye the matter virtues therof and vvherone vve ought to consider vvherof the Potentiall cauteryes are made are oftentimes venoumouse And hovv soever they be praepared yet ther operatione actione is vncertayne retardate and slovve and sometimes alsoe daūgerouse vvithout simplye knovvinge the vittues therofe hovve to limite his operatione Because somtimes it spreadeth it selfe broader then our meaninge is it shoulde and causeth more detriment and harme in corrosione then vvillinglye vve vvoulde it shoulde because it doth not only combure burne the place vvhereone it is applyed But beinge vnited vvith our naturalle caliditye it extendeth and pearceth alsoe deeper in the fleshe then is necessarye it shovlde vvherthroughe that parte beinge by little and little calefyed and vvarmed it imprinteth not onlye one that place his venoumouse nature but extendeth it self farther throughe the circumiacent vaynes Arteryes Synnues in the vvorthye partes spoylinge oftentimes burninge the good vvel disposed complexion of that parte out of the vvhich commonlye follovve verye badde accidentes and vlcerations vvhich therafter verye difficultlye vvilbe cured yea also some times a Gangraena Notvvithstandinge althoughe the Chyrurgians novveadayes are boulde enoughe in the application of actuall Cauteryes novvithstandinge most commōlye they vse the potentialle consideringe the feare affrightednes vvhich the Patientes conceave therofe soe that the actuall Cauteryes are allmost therthroughe relapsede into oblivione It is right true Velvet Cauteryes that the Potentiall Cauteryes vvhich novve adayes vve vse are indeede of velvet verye excellēt vvhere of I never as yet knevve anye badde accident to follovve throughe the longe vse vvherof vve have learned the certayntye hovve to make them VVe must note that in the Potentiall Cauteryes or Ruptoryes vve adde nothinge vvhich hath any venoumouse nature or qvallitye Because they cōsidering their virtues are through our naturall calliditye compelled to doe their operation vvhich by little little suscitateth the redormitinge soporiferouse forces therof soe that it is not possible but that of necessitye this venoumouse nature must imprint some parcell of her venoumousnes in that parte if soe be at the least ther be any venoumousnes mixed thervvith vvherfore most commonlye one this sorte vve praepare it that immediatlye it might shevve forth his operatione VVe make novve adayes Cauteryes in form of Trociskes of divers kīdes of Ashes Saultes The matter of the potentiall Cauteries vvhich novv adayes are in vse limes The ashes are made of Oackē vvood of Figgetreevvoode of VineBranches of Beanestravve of Cabbage stalkes and of Titimallo The saultes are Alcali Salpeter Armoniac Sault of glasse Vitrioll Tartare or Pottashes vvherof vve ether of anye partes of the same make lye out of the vvhich vve extracte a Corrosive sault vvhich may be made strong debile or extreame stronge and acute accordinge vvith all that vvhich commeth in the foresayed lye Mr. Pare Amōgst all Cauteryes vvhich are made that is one of the best vvhich Mr. Paré calleth the Cauterye of Velvet vvhen it is only sodden made as it reqvireth to be done notvvithstandinge it seemed convenient vnto me heere to discribe certayn other Cauteryes vvherof I my selfe have seene divers goode operations Receipte of the Velvet Cauterye Take sault of glasse Potashes vnflist lime of each a povvnde ashes vvhich are burned of the inveterate sydes of a vvynepipe tvvo povvnde Put all these together in a great earthen pott infuse theron 18 or 20 povvnd of cleere vvater and let it so stande soackinge 8. or 10 dayes or as longe till one your tunge you feele the lye to be verye sharpe and tarte or vntill that ther may drive an egge theron vvith a sticke daylye stirringe of the same and then vve must lett it to clarifye sincke vvherof you must defuse the vppermost therof and ether straygne it throughe a thicke close cloute or els throughe a Felt vvithout stirringe of the bottom or foeces therof of vvhich aeqvall parte you must make Trociskes as heer after vve vvill demonstrate An other Cauterye of the disceased Mons r. Cheval Chyrurgiane Of Mons r Cheval Take sault of glasse halfe a povvnd Sal gemmae six ovvnces Sublimate vvhich is smally perfricated halfe an ovvnce Ashes of Vinebranches halfe a povvnde 10 povvnde of common vvater let all this stande and soacke as is above sayed and therof make trociskes addinge in the end thervnto tvvo dragmes of Opiū vvhich is liqvefacted in Aqvavitae An other of Mons r. Rasse Desneux An other of Rasse desneux Take tvvo povvnde of potashes Saul●●f glass and Sal alcali of each halfe a povvnd● 〈◊〉 povvnde of common vvater heerof make a Lixivye as is above rehearsed and alsoe make therof Trociskes An other of Mr. Iaqves de Vile neufve a great practisioner at Mompeliers as I have in the same cittye seene him make An other of Iaqves de Villeneufve Take Sopemakers lye tvvo pounde Vitriol three ovvnces Sublimate one ovvnce make heerof Trociskes addinge in the end thervnto tvvo dragmes of Opium An other of Mons r. de Iovine VVe may also make goode Lixivye onlye of Oackē ashes or of Ashes of Vinebranches vvhē as the same is vvel soddē vvith potashes and of Beanestravve addinge thervnto a little vnslissed lime vvherof vve may make verye excellent goode Cauteryes An other vvhich qvicklye can be made VVe may in one day make verye goode Cauteries taking therto a povvnde of vnslissed lime halfe a
conglutinateth vvith the guttes or entralles is a cause of the bloody flixe vvith payn vvith corrosiō you must thē vvith discretiō vse the urine expulsors or vrine provokīg remedyes because through the vse therof it expelleth the aaquosity throgh the vvhich othervvyse the forsayed viscouse tough Pituita might by chaūce have binne driven out so that thervvith it is made more viscouse and tougher then before for by hovv much the lesse any thick viscouse matter hath adioyned vnto it anye thinne humiditye by soe much it is the vvorse VVe permit some consideringe the imbicillitye of their stomackes to vse drincke a little astringent vvyne Medicamentes vvhich vve must eschevve Farthermore vve must bevvare and take heede of all sharpe mordicant medicamentes as Arsenicum Auripigmentum Antimonium Sal Gemmae manie other such like thinges that because of their to great suddayne evacuationes because they irritate provoacke the dissease Thirdlye vve must consider on the Liver especiallye on the stomacke because all those vvhich are afflicted vvith the bloodye flixe can digest noe viandes The specialle end must be the fluxione or the dissease it selfe The Scopus of the fluxione is to stoppe to diverte the concurrent humors but vve must in the first gentlely easilye reserate the same vvith such consideration as before vve have sayed least that in reseratinge of the same you increase the ague the vvhich vvith reason and experience may chaunce Remedyes vvhich may be taken out of the reason The remedyes vvhich may be taken out of the reason are ether externall or internalle The internall are ether simple or cōpovvnde Simple as Covvemilcke nue Egges vvith Masticke or vvith Ambergreece Poulder of sovver Mulberryes flovvers of Peatches fine Bolus Terra sigillata confited Nuttes Nuttmegges beinge thervvith intermixed Rhabarbarum so acked in Plātine-vvater is alsoe hadde in greate estimatione or in the decoctione of Mirobalanes Syrope of dryed Roses Iulep of Roses Amongst the compounde Remedyes are the Trociskes of Diacorallum Dialectrum De Spodio vvith the iuyce of Endive of Cicorye more other VVe must alsoe content our selves in this dissease vvith sudoriferouse medicaments and vvith easye vomites because throughe diversityes vve may reserate retayne the fluxione This subseqvent poulder is oftentimes vvith great successe administred vsed the vvayght of a Crovvne vvith the yolcke of an Egge rum Boli Armeni terrae sigillatae lapidis Haematites ana drachmas duas picis navalis vnciam semis Coralli rub Margaritarum elect cornu Cervi vsti loti in aqva Plantaginis ana scrup duas Sacchari rosati vncias duas fiat omniū pulvis subtilis capiat drachmam semis vel scrupulos duos mane Admonitione But to commit noe error at all vve must before the reseratione or before the vse of this poulder administer an ounce of Cassie by it selfe or vvith halfe a dragme of Rabarber or vvith an ovvnce of the double Catholicon vvith a decoctione of Plantine of Agrimonye Flovvers of Nenufarre Infusiō of Rubarbe vvith Tamariscus to the refrenatione or bridlinge of this furiouse humoure Or els vve must take a gentle infusione or expressione of Rubarbe made vvith rose-Rosevvater addinge thervnto sixe dragmes or an ounce of Catholicon But besydes all this vve may not reserate restraygne this laske at the first as the common poeple suppose But amongst the externall remedyes Phlebotomye is verye commodiouse for the same but must alvvayes be effected vvith Knovvledge of the cause for that sometimes is more necessarye then all the other remedyes especilye vvhen as the intemperature beinge caused out of the Liver vrgeth vs thervnto but not heerby to debilitate the forces strēgth of the Patient vvhich in this dissease reqvire to be firmed cōforted Phlebotomye must be done vvith discretione the sayed phlebotomye must vvith all discretione be done because the Patient throughe the deprivatione of to greate a qvantitye of Bloode at one time might chaūce to be vvholye superated overcome and fall dovvne deade vnder his packe or burthen For it is knovvn vnto all men that the blood is the treasure of lyfe or the domicille habitatione of the soule Secondly vve may not in Phlebotomizatione be to timorouse fearfull for in place of Phlebotomye yeeldinge ayre to the Vaynes the ague chaunceth sometimes to cōtinue increase alsoe the bloode also gettinge noe ayre is thē polluted vvith some sharpenes or venoumousnes vvhich therafter corrodeth consumeth the entralles The Patient is praeserved by his strengthe throughe goode nouriture feedinge vvhich is easye of digestione throughe the Cordialle corroboratinge medicamentes Amongst the astringent Medicamētes Astringētia ther are the oyles of Quinces of Roses of Masticke oyle of Mirtles beinge intermingled vvith a little astringent poulder in like sorte ther are also confortative Playsters amongst the rest is the cōfortative Plaster of Vigo vvhich vvith cōsideratione must be vsed as before vve have sayed VVe may in this dissease alsoe vse some certayne fumigationes exsiccating Lavamētes Those thinges vvhich are most belonginge to the dissease are the mundificationes and the cōsolidationes of the vlcerationes For the mūdifyinge of all vlcerationes is nothinge els thē to cure to exsic●te to cōsolidate thē VVher fore first of all vve must elavate the vlceratione vvith a clisterye and if the same be profovvnde deepe a little absterge the same mixinge thervnder some confortative thinges to fortifye strengthen the intestines VVhervnto as thē vve may vse mellifyed or Honyed-vvater Barlye-vvater vvith the yolkes of Egges Suger Honye of Roses vvith many other such like thinges beinge mixed thervnder and if soe be vve as yet desire more to mundifye the same vve must then vse the decoctione of vvheaten branne of Vetches and if soe be ther be calidity adioyned therūto vve must thē adde thervnto Sap of Roses of Plantine or iuyce of Night shade or Solatri Remedyes to consolidate the vlceratiōs Touchinge the cōsolidatione that is effected throughe the providence of nature or vvith any incarnatinge medicamētes vvhich vve call Sarcotica Vnto cōsolidatione are foure thinges necessarye to vvitt the clisteryes of Plantine of Hogges grasse and of VVillovvleaves vnto the vvhich vve adde Goates suet Butter oyle of Roses or oyle of svveet Almondes vvhervvith the vlceratiōs be internally annoyneted the punctione acuitye of the vlceration is somvvhat diminished vvhich cōtinually soacketh therī VVe may also verye fitlye mixe theramōgst the sealed earth Franckinsence Sangvis Draconis amongst manye other this one incarnateth very much to vvitt the Lachrima Thuris but vve must note that all these Poulders be verye diminutlye pulverisated least that in the vlcerationes of the entralles they chaunce to corrode bite Clisteryes made on divers fashones As touchinge the Clisteryes vve must at the first vse payne assvvaginge clisteryes as ther are those
Such a humor excrescēce encreseth by little little till at last it increaseth as bigge as a hennes egge soe that sometimes the teeth there throughe fall out and the patient not able to open his mouthe We may not provoacke the Canckerouse If soe be these excrescences be blacke and Canckerouse vve must not applye there one any sharpe or corrodent medicamentes nether vvith byndinge separate roote them oute but must entreate handle them in such sorte as before vve have spoken of the Cancker and like all palliative cures If soe be this excrescence be tender soft The manner to cure Epoulis tractable vve must vvhilest it is smalle descyde cut it avvay if soe be it be great vve must thē bynde it of vvith a stronge threde vvhich vve must alligate and tye vnder at the roote therof and by degrees knitt it closer till that in thus doinge the roote by the threde be cutt throughe and the excrescence fall out of the mouthe Such a ligature is more certayne thē inscisione Such a ligature or byndinge is farre surer thē the discidinge or cuttinge of the same because that therthroughe vve neede feare noe superfluous bleedinge the roote better one this manner be taken out allsoe the patient have lesse payne and feare to expecte then of the inscisione or cuttinge and cauterisatione vvhich after the inscisione cōseqvētlye follovvethe VVhen as therfore througe byndinge Hovve vve ought to handle the Epoulis that returneth vve have discided this carnositye or excrescens that she reverteth cometh agayne as often times chaunceth vve muste as then religate binde agayne the same or cut it and cauterize the roote therof it be ether vvith a little actuall Cauterium or vvith a little oyle of Vitroll vvith Aqvafortis or vvith anye other liqvefacted corrosive vvhich vve finde thervnto most convenient A parte of the aunciente professors vveare vvōte to applye therone some or other corrosive poulder on the same vvhere of the excrescence might clean be corroded avvaye vvhich in mye opinione is verye incōveniente especiallye in these partes There is as yet an other kinde of vlceration Paroulis and the meanes hovv to cure it or tumefactione incident vnto the gummes vvhich of our praedicessors vvas called Paroulis vvhich perseavīge it to be come to his full maturation ripnes vve must immediatlye make therin an apertione inscisione vvith the crooked lancett vvhich must be of an indiffeferent latitude because it might not agayne chaunce to cause a revlceratiō or svvellinge soe chaunce to chaunge it selfe into a fistle beinge aperte and open the patient must vvashe his mouth vvith some grosse redde vvyne vvhich must be sōvvhat vvarme to exsiccate drye to confort to repelle drive backe if neede soe reqvire to stoppe and restayne bloode the next day follovvīge he must vvashe his mouth vvithhonye vvater to the purginge and purifyinge of the dissease This vlceration must immediatlye be openede because the matter chaūce to make noe more concavitye and the cheecke bone therthroughe chaūce to be polluted If soe be ther chaunce any corruptinge and rottenes in the gummes vve must then annoynte them vvith a littie Aqvafortis A remedye agaynst the corruptinge of the gūmes but vvith due consideratione and discretione And because that oftentimes immediatlye after the disseases Paroulis or Epoulis there commonlye engendreth and commeth a fistle in the gummes vvhich penetrateth pearceth vnto the cheeckebon vve must note if the root of the tooth be not rotten corrupt or altered for if so be it vveare soe as oftētimes it happeneth vve must dravve forth the toothe and correcte the place vvherin the tooth hath stoode ether vvith a cauterye or vvith oyle of Vitriolle and if soe be ther be any parte of the cheecke bone corrupt by this meanes nature vvill expell and drive from her the corrupted peece of bone vvithout vvith violence to dravve forth the same ❧ Of the retentione of the tūge which of the Greeckes was called Anciloglossum and we nowe call it tungetyed And of the vlceration vnder the tunge which of the Greeckes is called Batrachos of our moderne Physicions Ranula Chap. 4. The dissease of a hortened tunge THe tunge in some persons or children is shorter then shee ought to be vvhervvith they are borne and by the vvhich occasiō they must vvith difficulty vtter the vvordes vvhich they vvoulde speake the tunge beinge intercepted and hindred by a certayne ligament vvhich vve call the spāned vayn vvherthroughe the tōge is restrayned as it vveare seemeth to be brydeled or throughe any membrane thervnder situated vvheron the tunge resteth because shee can not soe move her selfe and turne as it vveare convenient shee shoulde The children are verye longe time before they beginne to speake vvhē as they beginne they as thē speake verye festivouslye hastilye vvithout any hinderance excepte in vtteringe of those vvordes vvhich are difficulte to pronounce as are those in the vvhich manye R. R R. and L. L. L. come This dissease is alsoe sometimes accidētalle vnto a man The dissease of the tunge after a callouse vlceratione vvhen as after anye vlceratione vnder the tunge there remayneth a harde callousnes anguste cicatrice vvherof the tūge sometimes inspeaking must dubble redubble her selfe they vvhich are troubled vvith this imperfection doe speake vvith great paynes difficultye vvherfore the auncient professors of foretimes have called thē Mogilaous The fore sayed dissease must be cured onlye throughe the manualle operatiō To vvhich ende purpose vve must situate place the patiente as the matter is reqviringe Hovv vve ought to cure the tunge tyinge the servāt of the Chyrurgiane havinge both his fingers vvounde vvith fine linnē to vvitt the thumbe the first finger vvherevvith he must take the foresayde tūge by the end lift her vp tovvardes the roofe of the mouth vvhich beinge done if soe be the membranes vvherone the tunge is fastenede be cause of the difficultye of speech thē must the Chyrurgian vvitth a smalle hooke as is before describede houlde the same thervvith fast vvith his left hande vvhen indiffierentlye he shall have stretched out the same he must as then ether vvith the poyncte of his scissors or els vvith his crooked lancet cutt and discide it of If soe be the shortnes be caused because the ligament of the tunge is to shorte stretcheth it selfe more then is needefull tovvarde the middle of the tunge or els because of anye cicatrice vve must then alsoe in like sorte take houlde on all that vvith the hooke plucke or dravve it cut it of vvhich is obdurated harde alsoe all that vvhich vvith the naturall fleshe of the tunge is not moved or stirred This operatione then beinge effected the patiēt must vvas he his mouthe vvith a little vvater vineger dilligentlye stirre the tunge often times
be cured by takinge avvay that vvhich in the pallate is oppugnant vnto nature ether throughe dissectione or throughe cauterizinge or els throughe bindinge of the same If soe be vve feare anye superfluous bleedinge it is then the surest shortest easiest vvaye to discide it because the patiēt ther throughe might be freede from manye more miseries calamityes mischaūces vvherine othervvyse he might in time chaunce to fall as is the cough through the cōtinuallirritatiō of the forefayed longe hangīge pallate omissione losse of sleepe somtimes alsoe the choackinge soe that vve notinge observinge all these thinges are of tē times compelled for the succoure of the patient to effect our extreame The first vvay to cure the sinckinge of the pallate and laste remedye to preserve and keepe him from greater daunger ensvinge And aptlye to bringe this to passe vve must cause the patient to sit in a verye lucent and lightsome place and alsoe to set apert vvide open his mouth and depresse his tunge vvith the Speculum oris then take houlde one the foresayed pallate vvith a litte instrument or tōges made onlye for that purpose leavinge as much hanginge of the pallate vnder the foresayed tonges or instrumente as is to longe nought as must be cutt of pluckinge of the same a little tovvardes him because that vvith the poynct of the scissors he may convenientlye cutt of that vvhich hangeth vnder the foresayed instrument or tonges but not that vvhich is above the foresayed instrument as easylye it may be done for vven as this pallate is tender spongious and covered vvith a mēbrane Accidētes vvhich may insue through cuttinge to highe of the pallate vve as thē easylye take houlde theron vvhen as vve vvoulde plucke him vvherfore some Chyrurgians have oftentimes binne deceaved supposinge him to be much longer vvherfore they have cutt him to shorte allmost cleane avvay vvhere throughe allsoe verye troublesome and difficulte accidentes have follovved because this beīge happened al the pectorall partes are haynouslye merveylouslye therthrough offended vvith greate difficultye of vvel speakinge yea sometimes allsoe vvith vvant of speech or dumnes vvherfore vve ought not onlye to leave the roote vvheron that this dugge or this pallate is fastened but somvvhat more and onlye cut of that vvhich above his naturall constitutione seemeth to be toe longe Others there are vvhich take houlde on this pallate An instrument or tonge called Staphilagres vvith an instrument called Staphilagres vvhervvith they vvringe it rovvnde about havinge vvrunge it rovvnde it vvaxeth crooked purple coloured and in the sectione therof issveth little bloode therout Beinge novv descided cutt of if soe be there follovved a greate effluxione of bloode vve must as thē cause the patient to gargrise his mouth vvith vvater and vineger and then vvith some constringent decoctione vvhich hath bī boyled vvith grosse redde vvyne or els touch the place Remedye agayst the bleeding of the descided pallate orvvype it vvith some stronge cauterisinge vvater vvhervvith the opened vaynes might be seared together The seconde manner of effectinge this same is done vvith an actuall The secōde māner to cure the sinekinge of the pallate throug cauterisatione or a potēciall cauterye as concerninge the actuall cauterye vve must therevnto have in a readines and praepared a sylver or copper pipe vvhich in the one end therof must have a little apertione in sorme of a little vvindovve to receave there in that parte of the pallate vvhich you resolve to cauterize then you shall put into the pipe your glovvinge actuall cauterye vvhich vvith his end vvill abolishe and take avvay that vvhich shall hāge there in as if it vveare vvith a little cheesell strokē of and one this manner vve must cauterize and cutt of the pallate evē and smothe Touchinge the potentiall cauterye or corrosive vve must first receave into the apertiō or vvindovve of the foresayed pipe that parte of the pallate vvhich vve desire to corrosive and then vvith a privett or searchīge irō thrust into the foresayed pipe a peece of corrosive aganst the foresayed peece of pallate of the mouth and continue the same therone a certayne time dilligentlye consideringe that not anye parte of the corrosive fall one the tunge or the throte vvhen as throughe the humiditye of the pallate it beginneth to liqvefye This corrosive is discribed before amonge the instrumentes And vvhē vve desire to take avvay the foresayed pipe vve must thē first of all lay the Speculum oris one the tunge because as thē noe parte of the foresayed corrosive chaunce to light or fall one any of the subteriacēt partes nether touch any parte but the pallate onlye because therby they might be indammaged and hurte Thus havinge brought this to passe vve must annoynt the pallate vvith a little oyle of roses vvith a little cotten or linnen there in beinge madefied and made fatt then shall the patient vvashe his mouth vvith a little roosevvater A sorte ther are vvhich doe not vse the foresayed pipe but they dippe moysten a little cotten or linnen vvhich is tyed to the privet or searchinge iron in oyle of vitriol or Aqua-fortis vvith the vvhich they touche the pallate and cauterize it the tunge before beinge layed dovvne vvith the Speculo oris thē a little season follovvinge they vvashe it vvith Plātine-vvater Others take a little kinde of spoone Staplulocauston a certayne kinde of spoone soe called vvhich of our praedecessors vvas called Staphilocaustō full implete vvith poulder of corrosive full Aquafortis or oyle of Vitriolle vvherin they cause the end of the pallate to depēde allvvay before havinge layed dovvne the tunge vvithe the Speculo oris and by this meanes they cauterize consume the pallate vvhich before vvas to longe it is right true that some of this corrosive in the spoone might chaūce to fall one the tunge vvherfore I vvoulde rather councell to vse that corrosive vvhich is thicke and of some crassitude as that is vvhich may be pulverisated beaken to poulder because vvithout beinge pulverizated it can not shevve his forces one the pallate VVhen as therfore throughe the applicatione of anye of the fore sayed corrosives or cauteryes the place of the pallate beginneth to be blacke it is then a signe that it is sufficiētlye cauterised and if soe be the coloure therof be not as yet chaunged vve must then yet once agayne applye the corrosive thervnto then cause the patient to gargrise his mouth vvith Oxicrate or vvith vvarme redd vvyne A tryed remedye I have knovvne the suncken pallate to be lifted vp agayne vvith a little povvnded pepper saulte by a spoone beinge therone fastened others vse there to some astringēt poulders The thirde meanes to cure this dissease is effected by ligature because of the timorousnes vvhich the patient conceaveth of the cuttinge of or cauterizinge the same or effluxion of bloode The
figure of the inscisione it is effected in three sundrye sortes and fashons vvherof the first is made overthvvarte the secōd accordinge vnto the length of the vayne vvherthroughe the vayne is cleft or splitted not pricked the thirde is the meane betvveene them both vvhich vve may vvell call the contradictorye apertione because cōtradictorilye shee is made Three formes of inscisions in phlebotomye VVe make the apertione overthvvarte vvhen as vve are not minded to reiterate the phlebotomy for vvhē vve bende the ellbovve thē both the endes of the vayne ioyne together agayne This figure or forme is necessarye vvhen as vve desire to make a large apertione VVe must make the apertione sydelonge or contradictorye vvhen vve purpose to iterate the phlebotomye and vve makinge the apertione in this manner verye seldome or never misse the vayne and vvhich is more it is better for the circumstantes and standers by vvhen the bloode in this manner issueth therout That inscisione vvhich is made accordinge to the lēgth of the vayne is verye expedient vvhen vve intende to renue the bloode lettinge that not onlye the same day but one the next day alsoe because that vvhen vve bende the elbovve both the labia or lippes of the vayn do separate devide themselves But in vvhat forme soever vve make the inscisione The vayne must be inscided in her middle yet notvvithstādinge the vayne must be pearced in the middle vvithout vvholye cuttinge a sunder of the same Because her lippes might chaunce to be inverted invvardes and the bloode could not resulte out of the apertione but runne dovvn a longe by the arme or both the endes of the vayne are dravvē invvardes vvithout deliverāce of anye blood from her or at the least in the first very little ❧ Wheron we ought to marke after the thruste apertione of the vayne and when the bloode issueth therout Chap. 3. Although the vayne be vvel opened yet shee droppeth throughe the afrightednes of the patiēt WE may knovve that the vayne most commōlye is vvell opened as easily vve may perceave by the bloode vvhen as in the firste it rousheth and as it vveare leapeth out in great haste but immediatly altereth vnto droppinge vvhich throughe the afrightinge of the patient is caused for vvhich reason the bloode is dravven invvardes VVhich vvhen it chaunceth vnto vs vve must vvith patiēce abyde and vnbinde it somvvhat and incourage the patient causinge him to move his fingers turne Grosse bloode doth nothinge but droppe and crush the same in his hande The apertione in the vayne is sometimes ample enoughe but because the bloode is grosse it can not issue out therat to the vvhich end vve must put a little oyle therine vvhich to that purpose is verye profitable If soe be therfore the Chyrurgyane in absence of the physitione findeth the patiēt verye feeble and yet notvvithstandinge follovvinge the rule ordinance of the physitione is verye necessarye to be vvell phlebotomized vve must them doe it providentlye that althoughe at the first vve have not dravvne soe much blood as the sicknes or dissease reqvireth vve must then some certayne hovvres therafter agayn renue the phlebotomye for the seconde time and if it be needfull yet once agayne for the thirde time vvithout over charginge of the patient vvith to great phlebotomye at one time It might alsoe chaūce that before vve could detracte such a qvantitye of the patiēt as vvas ordayned and reqvired the patient might chaunce to be debilitated and in daunger to fall in great fayntnes sovvndinge vvheron the Chyrurgiane must dilligentlye consider as he may easyly perceave it vvhen the patiēt vvaxeth pale and oppressed at his harte his puls diminishinge vvhen the bloode runneth dovvne by his arme What vve ought to doe vvhē vve perceave the fayntinge to approch the patient VVhich vvhen it chaunceth the Chyrurgian must then immediatlye sease the bleedinge layinge his thumbe one the apertione of the vayne lay the patiente on his backe vvith his heade one a cushen sprincklinge could vvater in his face and give him a little vvyne in his mouth and cause him to smell at some vineger and then have a little patience vntill that agayne he reviveth comme to himselfe for as soone as he shal be come to his former strength agayne vve may as thē finishe the phlebotomye The patiēt lying fiat on his backe cā verye vvel suffer phlebotomye Some ther are vvhich in anye sorte can not indure phlebotomye hovv lovve soever they sitt althoughe it vveare on the bed or althoughe vve cōtinually helde vineger before ther nose or gave them vvyne to drincke yet notvvithstandinge they lyinge prostrate on the bedd vvith ther heade reasonable highe they can as thē verye vvell suffer and abyde the foresayed phlebotomye althoughe vve dravve a goode qvantitye of blood from them As of late I my selfe have knovvne to happen in an honorable and coragious gentleman After that vve have detractede a reasonable qvantitye of blood out vve must then dissolve and make loose the ligature and crush out the bloode of the vayne least that the bloode chaunce to congeale therine and coagulate and soe exulcerate and if soe be ther appeerede anye little parcell of pingvedity or fat vve must thē gentlye thrust it in agayne vvith the heade of a pinne and not cutt it of and then vvipe of the blood vvhich cleaveth is dryed or exciccated to the arme lay a little cōpresse one the apertion vvhich is madefyed in coulde vvater and vvinde the ligature tvvice or thrice aboute the elbovve like a borgondian crosse vvithout tyinge both the endes fast before you have caused the patient to bende his arme to laye the ligature therafter The Ligatione of the elbovve after phlebotomye This ligatione may not be to stiflye bovvnde because the cicatrice by this meanes may qvicklye be sitvatede on the apertione of the vayne The arme beinge thus fouldede together if so be the patiente be able to vvalke he must vveare his arme before on his breste in a scarfe if so be he lye on his bedde he must gently lay the same besyde him vvith out much movinge of the foresayed arme nether must he lye therone for ther have binne some vvhich in ther sleepe have hadde ther armes violentlye to bleede vvith great daunger of ther lives Hovv vve may stopp restraygne blood The bloode issueth sometimes vvith such violence out of some partes of our bodye that vvith noe cōpresses or ligatures vve can restraygne the same vvhich happeninge vve are thē constrayned to lay above one the toppe of the apertione the one halfe of a greate beane and the compresse therone and in this sort bind it together Ther remayneth somtimes a nigreditye or blacknes Daunger that happeneth to phlebotomye viriditye or greenes about the apertione but therof ensueth noe evell vnles anye other accident chaunced thervnto VVhen as therfore vve