also diuers Cordiall Of Corâ—â—â—â—â— generallâ— medicines which may bee profitably administred each vpon due occasion viz. Conf. Alkermis either giuen alone or to aromatize any purgatiue or Cordiall medicine from 4. grayns to a scrupell for a dose Aqua Celestis and Cinnamon water to refresh the spirits halfe a spoonefull or one spoonefull for a dose and so of spirit of wine and also Aqua Vitae made of wine which so much as it containeth of the spirit of wine is quasi spiritus vitae Also the Surgions Chest hath against contagion Against Plague 〈…〉 of the Ayr. and the Plague Mithredate Ther. Londinensis Diatesseron Elec. de ouo as also Diascordium Conf. Alkermis and Laudanum mentioned all these being proper for Pestelentiall occasions the vses and vertues of which I would touch though but in a word And for example if the Surgions desire a Cordiall to bee made to cause rest it is made either of Laudanum to 3. graynes as it is said or Diascordium to 2. dragmes or Philonium to one dragme mentioned Note that Laudinum 〈◊〉 is best to be taken in a pill because of his vngratefull taste and Philonium in a bolus or lumpe for the like reason and so also may Diascordium be vsed well and especially in War where neither the aduise of the learned Physitian nor the helpe of the Apothecaries shop is at hand but if the Surgion be occasioned and that hee would haue Diascordium giuen in a Potion then let him take of Diascordium 2 dragmes of White Wine or faire Water 3. ounces or 4. of Sir Violarum halfe an ounce Conf. Alkermis 8. graines Oleum vitrioll gutt 4. and let the Patient incline himselfe to rest Also if a Cordiall to comfort the spirits be required then the foresaid Cinnamon water Aqua Celestis or Cordiall comfortiue Aqua vitae of wine is at hand without mixture or addition or with some addition halfe a spoonefull or a spoonefull for a dose If against malignitie of the bloud or any Pestilentiall Contagion feared then the patient may take as followeth Re. Diatessaron 2. dragmes Mithridate 1. dragme Elect. de ouo halfe a dragme desolue or mix A Cordiall Diaphoreticon them together and take it in White Wine Clarret or Sacke or in Cardus or faire water for need of any of these to the quantity of 4. ounces and sweate thereupon and if the Contagion be fierce the patient may reiterate such a sweating medicine each 4. houres safely for three times These or any of these other Cordialls may be giuen in other waters and other mixtures according to the discretion of the Surgion the time place and different occasion considered and for need in a bolus or lumpe likewise Mithridate or Andromaches Treakel a drame or 2. drams in White Wine in Cardus water or in beere or water for a neede may safely be taken for a Cordiall or in a bolus Also Theriaca Diatessaron three dragmes for a dose taken either as it is in a bolus or lumpe to bee swallowed For torsions or gripings of the stomake or bowells downe is an excellent Cordiall to prouoke sweat to remoue Torsions Stitches or gripings of the stomacke or lower belly or any paynes therein also it resisteth putrifactious and pestilentiall vapours and is the most antients Treacle of all other my selfe haue had very much true and good experience of it and would trust my life vpon it before the 2. asoresaid Alexifarmicks and the Lond. Treacle in the like manner is to be vsed and is a very good Cordiall El. de Ouo is also of it selfe a sure good Cordiall a Scruple I meane 20. graynes thereof in a bolus or in wine giuen it resisteth pestilentiall venome and refresheth the spirits and either alone or as is aforesaid mixed with other Cordiall Electuaries is also a true A Cordiall Cordiall for it comforteth the heart prouoketh sweat and by the poores of the skinne expelleth poysenous vapours Cons rosarum is vsed to resresh and strengthen the stomacke either alone or if you intend to coole and contemperate the bloud adde a few droppes of oyle A contemperatiue Cordiall of Vitrioll to a little thereof and if to warme the stomacke mixe Mithridate or Treacle one part and cons Roses 2. parts and giue it in a bolus Cons Barbar you should keepe either to mixe with Of Cooling Iulaps your cooling barley waters or Iulaps to refresh the appetite the apalled spirits in feauors or somtimes to giue a little of it in a bolus to giue a relish to the mouth to cause appetite in feauors and nautious distempers There is also in the Chest Oximell Simplex which I vse in the Surgions Chest in want of Sir Diamoron or rather being nothing inferiour for lotions in Vertue of Oximell the mouth throat orderly vsed as also for the other vertues it hath exceeding Diamoron as namely outwardly in the asswaging tumors and paynes this is a singular medicine and also in Hernia humoralis 〈…〉 tumors of the testicles it excelleth if it be mixed with a Cathaplasme of beane meale boyled in beere with a little oyle of Elders or Roses and a little wax so that the whole quantity of the Cathaplasme being by gesse 2. pound if so then put about 6. or 7. ounces of Oximell thereunto and boyle it to a body and it is an admirable good medicine for it discusseth and safely repelleth such tumors in their increase with the helpe of Phlybothomine and a vomit where the patient is strong which tumors by error of the Surgion will otherwise come to supperation proue fistulaes incurable but he that will cure such tumors must haue an artificiall sacke-trusse and bee sure that the griefe bee truely and easily borne vp at all times of the whole cure and Oximell inwardly administred purgeth the stomacke and intrals openeth obstructions and yet without any manifest signe of heate and thereby helpeth much in feauours ingendred of grosse Phlegme Of Lotions generally vsed in the Surgions Chest the most common is of sanatiue herbes made in the summer with water or wine and honey but at Sea if a lauatiue or washing Lotion in need bee required faire Lotion at Sea for a need water with as much allumne therein as will make it tart so much honey as wil giue it a gratefull taste there is a Lotion Or if in the diseases of the Scurfie a Lotion be required then vse Coper as insteed of allumne or sometimes Vng. Aegyptiacum for vlcers of the mouth or throate the greeued part touched hot may suffice And to wash and coole the mouth in feauours I often take faire water 4. ounces of Rose-water halfe a spoonefull a little sirrup Sugar or mell for a need and a few drops of Wine-vinegar or Oximell a little or oyle of Vintrioll a few drops I haue beene taxed that my proportion hath not sufficient contained therein for wounds with
of biskets and I would boyle them in ship-beere and with some fat of the beefe-kettle or of the porke-kettle I would make vp a supperatiue Cathaplasme and if it had not a fit consistance or body I would deale with the Steward for a little meale or take of my owne store and according to my store inrich that with other helpes from the Chest And if I neede a discutient Cathaplasme and the Chest had not to helpe mee to my will being put to it I would as I said make my ground of the medicine to bee of crummes of bisket or of soft bread decocted in beere adding when it had well sod viniger and hony a fit quantitie these things with other rationall additions according to seuerall occasions doe much comfort the weake patient and also grace the Artist Nam frustra fit per plura quod fieri potest per pauciora And to put young Surgions in minde what other supperatiue medicines are in the Surgions Chest there are either Vnguents Oyles or Emplasticke medicaments diuers which my time will not admit me to informe you off though I confesse I should aduise young men Of Supperatiue medicines in their necessities but to bee short they shall finde Vnguentum Bazillicon spread thicke and applied to an Aposteme doth wel and the better if the place Embrocated with some Oleum Lili Lini or the like and you shall finde that Arceus Linament is good and likewise Emplastrum Mellilote and who knoweth not that shippe-pitch and a little fat mixed ripeneth a Tumor duely applyed or Pix Graeca with fat or Turpentine and diuers other the like good things may bee found where the discreet Surgion is put to his shifts but no more of that for whereas Bees may sucke hony enen there Spiders will conuert a plaine stile into poyson and gall Nonomnibus dormio A readie defensatiue powder to bee applyed where iust cause is for a defensatiue either for wounds with gunshot or other wounds which I haue long made vse of and will impart the secret to young practitioners as followeth â„ž Terra Sigillata Aluminis Vitrioli Tartarae Cerussae ana 1. Ib. Boli Armeni 2. Ib. Aque 1. Ib. ss Take a new earthen pot of almost a gallon and an halfe put the water into the pot and thereunto at the first put the Allom and the Copperas then powder the Tarter and put that in also and then haue ready the other ingrediences in powder put them in by little and little stirring them very well vntill all be incorporated and without seething keepe the medicine on the fire till it be hard and if you cannot make it hard enough in that manner so that being cold it will powder then put it into some dripping panne or the like and into an ouen when the bread is drawne and it will be hard then being cold powder it and keepe it to your vse it will not decay nor alter his vertue in many yeeres And when you would vse it for a defensatiue take of this powder about halfe an ounce of Posca I meane water and vineger mixed foure ounces put the powder therein which wil almost al melt then dippe clouts therein and apply them This medicine with moderation vsed is a true and excellent defensatiue and very Anodine Also it healeth all Itchings Smartings gaulings or any Erisiphilas or other Excoriations speedily and safely and mightily preuenteth accidents either in great wounds or fractures and being in small quantity vsed with faire water to bathe vsed with faire water to bathe vlcers it cleanseth them well and healeth them And if you haue whites of egges mixed with Posca it were the better or in fractures with yelke and whites together it is very good onely let the care of the Surgion bee that he apply it in his true nature namely as a defensatiue in fit time and so touching the rest of the vses thereof and hee may presume he hath a sure good medicine and so for this time I make my leaue FINIS
and cover the wound with an Emp of Mellilot Stipt Paracelsi Minium or any Emplasters fitting other according to art namely according to the temper of the griefe with convenient bandage I meane due legature and so proceede in Gods name as in all contused wounds is most convenient to the end of the worke I meane first to supperate and digest Order in Curing then to mundifie them then to incarne and so on to sigillate or siccatrise with due respect if occasion be to temper and fit the body by good regiment Onely in Gun-shot wounds almost in all dressings the spirit of Wine doth well with some of the afore-sayd Spirit of wâ—â—â— Balmes vntill the wound be well mundefied at the least But in wounds where great danger of Gangrena is Dressing of great wound to be feared the Surgion hath nothing more safe for the first dressing then Vng Aegiptiaticum and a little spirit of Wine somewhat to warme put in vpon soft lynt or fine towe pledgents or by a Serringe to be carried in at first into the bottom of the wound which done with some good astringent defensatiue medicine and fit bandage let it be bound vp And if the Surgion be not forced thereunto let not the wound be opened againe vntill forty-eight houres be past Then at the next dressing if Fluxes hinder not Second dressing haue ready if it may be white Wine and Hony for a fomentation or faire water and mell for necessitie if better cannot be had and with a little Aqua vitae added if you thinke fit and with the Stupes very warme foment the wounded part a prettie space Then apply vnto the wound if the Flux be stayed one of the forenamed Balmes warme or with the ordinary digestiue of Terebinth Vitallorum Ovorum c. And cover it with an Emp and embrocate the part about which Ol Rosarum Camom Anethi or the like and binde it vp and after dresse the wound but once a day without vrgent necessitie But faile not to Time of dressing dresse it once every day and more if the Surgion see cause But I hold it fit that the Surgion leaue off Ol hipericon cum gummis for that it hath Oleum Terebinth therein and may be too quicke And rathor vse Arteus Linament Oleum Catullorum or some digestiue of your owne practice vntill perfect digestion And if accidents chance not the Surgions methode may be to proceede as in all contused wounds Onely let the Surgion make vse of pure Aqua vitae or rather spirit of Wine as is said with the Egiptiaticum where he findeth not a iust cause to the contrary Cautions Advises and Instructions for the younger sort of Surgions in wounds of Gun-shott COnceale from the Patient the great danger of the wound except iust cause vrge to acquaint him with it Fomentations are very good medicines in wounds Fomentation with Gun-shott but foment not at any time except you can haue fire at hand and let ever your fomentation be very warme applyed Foment not too long at any one time neither vse it but vpon vrgent occasions Embrocate often if no Gangrena be at hand whether Embracation you haue fire or not Let all your Vehickes for your Medicines as Tents Dorsells Plegents c. be soft and pleasing to your patient as much as may be and cramme not the wound too full If you can come to the worke inlarge not otherwise Inlarging of wounds doe it warily observing that you doe it not to thwart any member neither any Veine Artery Nerue or Muscle No wound of Gun-shott can be said to be a simple Gun-shott wounds ever compound wound neither ever was there any Artist that could truely say that he healed any Gun-shott-wound by the first intension of vnition without due supperation For the composition of Gun-shott-wounds are ever reall and very substantiall witnesse the poore patient where Fibres Nerues Membrances Veines Arteries et quid non suffer together so that such wounds in their recency resemble Vlcers rather then wounds And the difference of these from other contused Differonce 〈◊〉 contused wounds wounds is that other contused wounds for the most part suffer but by way of contusion onely and these by contusion and delaceration if not fraction of bones c. and thereby all the whole member suffereth together and the parts adiacent in the highest degree If discolouring blistering or other apparant shewes Beware a Gangrena of a Gangrena appeare giue the patient a Diaphoreticke Cordiall then scarifie gently at the first and deeply afterwards as cause shall vrge and haue ready a Lixiuims made of water and ashes to the height of an ordinary ley that Women vse to driue Bucks with And put a reasonable quantitie of common Salt into it and when it is cleered if you haue hearbes as Scordium Wormewood Centaney Hipericon Camomill Mellilot or the like or Lupines make vse of them according to Art it will be much the better if not vse it without apply it very warme with Stupes often shifted and wrong out and if that cannot be had vse Salt water rather then want a medicine Aqua vitae is also pretious in all Lixiuims against Gangreanes But you may not boyle the Aqua vitae but put it in when you will vse your medicine You may never in any case boyle Aqua vitae without error For the spirits will evaporate and the vertue resteth in them Obserue in great lacerated wounds as followeth viz. If you finde by the wound that the one halfe of the member be taken away there is no hope to saue on the rest But you are rather to make present Amputation for that the rest is contused and must therefore Iust cause of Amputation admit by consagument some losse of substance by supperation and then the remaining part can doe no seruice to the bodie but will indanger the life of the patient and be a hinderance Nay I dare say if but halfe of any member be taken away with the fracture of the bone it is impossible to saue it on to doe service If you haue Hemoragie I meane bleeding or weeping of Veines or Arteries in your worke search for that Veine or that Artery that bleedeth If you cannot make legature which seldome or never you can in Gun-shott-wounds then apply to the end of the Veine an actuall Cautery a small one will serue but apply it very hott and not all over the wound onely to that Veine if you can which bleedeth you may if the Fluxe be not great vse burning hott Egiptiaoum vpon Lynt dipt and neately brought to the place and then well boulstered But a small actuall Cautery is safer Or the Surgion may vse strong restrictiue Actuall Cautery Restrictiue powder powder adding thereunto burnt Vitrioll a little or burnt Allum and Precipitate mixed maketh a strong Esker and often restraineth a great Fluxe applyed thereon But take heede of