terrestris M.j. Bruse them together then take Déere suet or wethers suet or both as much as suffiseth to the quantitie of the hearbes of oyle olife as much as halfe the tallow boyle all together vntill the hearbes goe to the bottome and become blacke afterward let it coole and kéepe it to thy vse This preuayleth about wounds or vlcers where the skin is chafed with heat or where ther is pustles or smal wheâ—ks first foment the place with a spoonge and hott water and after the well drying thereof anoynt it with this vnguent warme This dryeth and siccatrizeth It is good in chappes of the lippes handes féete or any other place comming eyther by winde or fier It is verye good agaynst the Hemâ—roydes Emplaistrum Nerbon Cap. 22. REt Lithargi Aâ— Cerutae PluÌ„b Al. et Ru. ana lib. ss OleuÌ„ Ros libi iiij Cerae lib.j. Aced Fortiss lib.j. Let theÌ„ be finely powdred then take it of the fier putting in your Vineger by little and little then stirre it vntill it bée colde And if you will haue it verie blacke séeth it much If thou will haue it lesse blacke séeth it lesse And when you haue done make it in rolles This is a right good plaister although it be black for any sore legge and especially if it bée enflamed with heate which I haue well prooued Of the properties of Wallworte and the making thereof Cap. 23. EBulus i. Wallworte is an hearbe commonly knowen with vs whose rootes rindes braunches flowers and leaues be profitable in medicines It hath vertue to dissolue and consume Viscous fleume It auayleth against the goute of ioyntes and contraction of sinnowes of handes or féete and it auayleth agaynst swellinges and for bruses the place being fomented with the decoction thereof It strengtheneth the sinowes and ioyntes it auayleth agaynst swelling of the bellie in colde Dropsies If the ioyse bée drunke with honye and Cumyne thou mayest prepare it as Licium to haue in redinesse for restrayning of bloud or otherwise The making of Valence of Scabiose or Matfellon Cap. 24. VAlence of Iacea Albai Stabiofe is thus made Take the ioyce of Seabiose and straine it throughs cloth then take swines greace clensed from the skinnes and beate it in a morter reasonably then put in your iuyce and albour them together vntill the greace become gréene then couer it and let it stand ix dayes then take and labour it as you did before putting foorth the thin water and so let stand for fiue dayes then take newe iuyce and labour it agayne as aforesaide which done let it stande for a fortnight then take and labour it agayne powring foorth the thinne water and this shall you doe vntill it hath purchased a verie gréene coulour then kéepe it to your vse This profiteh against Anthrax it swageth and breaketh it This may you kéepe many yéeres but it is better to renewe it yéerely This note that Iasea Alba is Scabiose but Iacea Nigra is Matfellon The making of Valence of wormewood Cap. 25. TAke the iuyce of wormewood Smallage and Plantaine and with Swynes greace worke them as is saide before which kéepe to your vse This auayleth to all bruses of the legges and shinne bones and to wouÌ„ds made in the Muscles of the armes legges with Arrow or knife and to other woundes for it kéepeth them open and mittigateth all payne and when you wyll vse thereof in woundes put into the wounde first two or thrée droppes of oyle of Roses or Violetts and anoynt all about the wounde with the same oyles then lay vpon the same Valence vpon Stuphs or Lyntes and bynde it competentlie letting it lye so for a naturall day This repelleth swelling and aking and holdeth the wound open and engendreth matter and draweth foorth venum of the wounds delayeth inflamatious with many other good vertues This medicine I loued much and did wish it many good cures which for breuity I leaue to rehearse which the practicioner in proofe shall finde Pilles or pouder of Antioche REc Consolida Ma. et Mi. Buglosse red Colewortes Strawberie leaues Sanicle Tanfie hearbe Robert Auens Rubi Tinctorum of the greater sumitery of Sommer hempe ana M.j. of Orpin red Bréere croppes red Nettles ana p.j. of Sengreene Let these bée brused and made in bales and dryed in the shadow when thou wilt vse it make it in pouder and giue it in Ale or with wine It casteth foorth all filth When you will make the drinke of Antioch take all the foresaide hearbes and séeth them in a gallon of Gascoine wine white vntill halfe be consumed then let them be strained with a strong expression adding thereto as much hony as is of the decoction then let them séeth gently vntil the skomme bée all clensed then take it from the fier and kéepe it to your vse When you will vse it giue thrée spoonefuls of it in the morning and so at night with fiue spoonefulls of luke warme water or water of Fumitorie Bales of Antioch is thus made Take Mouse eare Auence Egrimonie Daysles Veruaine Fumitorie Hempe red Coleworts Bréere croppes of ech like quantitie stampe them verie small then make them as great as an egge and drye them in the Sunne and giue the sicke to drinke thereof Ê’ j in the morning and so much in the euening with wine or cleare Ale and put vpon the wound or sore a red colewort leafe or a bréere leafe and this do vntill the paâ—… be thoroughly whole To drawe out Iron or scales of bones thornes and such like REc Magentis Galbani Serapini Hammoaci Ana. Ê’ j Misce Item Rec. Magnetis Propoleos Terebin Ana. Misce Item Succi apij li.j. Melis li. ss Séeth them together to the thicknesse of an 〈◊〉 putâ—ing therto of wheat or lye flower and pouder of sawe dust li. ss this mundifieth olde wounds and new and draweth foorth broken bones or scales and it is good for womes brests being conuaied vnto the bottom of the wouÌ„d except they be very horryble stinking Then take white wine a quart pouder of sawe dust â„¥ .iii. cropes of Madder â„¥ i. of roche Allum â„¥ ss Séeth them and wash the wounde therewith then dry it with a soft cloth laying thereon the mundificatiue and vppon that this plaister Rec. waxe â„¥ ss Tailowe per Rosin ana â„¥ .i. oyle of Cammomill as much as suffiseth make an emplaister this is one of my secrets Item sower dough and temper it with hony and put thereto misselto of the One 6 partes Hammoniaci 8. parts desolued in water of Femcriicke and a little seces of oyle this emplaister draweth foorth Scales and smal péeces out of a wound as thornes or such like Item the rootes of Ferne clensed from their rindes and stalke and â—oden in white wine and Elder leaues and the hearb Persicana soden in water and beaten with the ferne rootes and the grease of an Hare lay to the wound and the same night the paine shall cease and in the
Therefore when any such thing happeneth wheras the coniecture the iudgement thereof is very difficill Ê’ doe think this to be the surest and most wisest way that the place be opened with the Trepan For we doe feare no daunger heereof although we finde nothing hurt within the skull I say no daunger nor any delay of cure Contrarywise if this thing be not regarded then most great and most certaine daunger yea and often times death it selfe doth ensue And truely I do thinke that the most part of men which dye of any wound in the head dye for this cause For in such chaunces the Surgions haue accustomed no other thing then to scrape or shaue and to vse the Legra vntill they shall think that they are come to the ende of the Scissure and so they think they haue satisfied themselues and discharged their office And when they least feare then beginneth to appeare the signes of death whereof they haue small knowledge and by this meanes all doe perish so that none can escape these daungers neither may this séeme a thing meruailous or incredible vnto you séeing there are very few in our coasts vnto whome the vse of the Trepan is knowne Although they haue long professed the arte of Phisicke and Surgerie for I doe heare saye that the most part doe disalow this order of curing and doe condemne it as full of daunger and hasard which doe not perceiue this thing that of two sure instruments and for certaine members most fit this Trepan to be the one which is commended especially of Iohn Vigo and Guido and of other auctors for that I may vse their owne proper words the Trepan in the cures of the head and the Falx or hooke in the cure of the tayle is greatly allowed of them But what this Falxe should bée or what is the vse thereof surely I take it to be a thing vtterly vnknowen vnto our countrie Surgions and if it were at a venter and vppon the soddaine brought foorth before theÌ„ I think it would not be knowen But let vs retourne to our purpose I doe thinck therefore that when there shal be no feare of those matters which are set foorth of vs to be obserued in the wounds of the head theÌ„ there néedeth no other instrumeÌ„t besides the vse of the Legra or Rasoure instrument Now therefore this instrumeÌ„t must be of thrée sorts a greater a middle a lesse Of which this is the vse If the cut shall pierce as déepe as the former table or else déeper then we most go to work with the greater instrumeÌ„t after that with the middle then with the least But if the incision in the bone shal be something lesse not déepe it shal be sufficient to make the place smoth plain with the least Legra least there should be left some recesse or coÌ„cauitie wherevnto the corrupt matter being gathered together might pierce And when it could not be taken away should thereby putrifie the bone But when this is once performed in the second opening the Balme must be applied although the matter be not yet brought to his perfection for by this medicine the corrupcioÌ„ shal be brought to his perfection and ripenesse in very good time as we haue taught you before After this let the place be filled with lints not to hard depressed adde therevnto one of the emplaisters which we haue set foorth to you before By this meanes therefore all kindes of wouÌ„ds are most rightly sonest cured oftentimes without any losse of bones for although they are sometimes fouched with the ayre hurt the power of this medicine is so great that if the pacient be of a good constitucioÌ„ of nature all things be easily corrected restored as by experience made it shal manifestly appeare but what appertaineth to the order of diet in meats and drinks and the conuenience of the place thus it is If it shal be in the winter season let his chamber be in the vpper part of the house in some high chamber if it may conueniently be so that the roofe be wel fenced either with plaister or with Tome other lofte aboue it and not néere the tyles onely from the raine for if these thinges may not be had it shal be surer that his chamber be prepared in a lower place but in SoÌ„mer season a lower chamber is best least the pacieÌ„t be hurt by heate let the chamber doore be alwaies kept shutte and hang a cloth before the doore to kéepe off the aire that commeth into the chamber Furthermore let there be a Candel burning in the chamber day and night whose heate is sufficient to temper the aire that is in the circuite of the chamber But if the place doe séeme somwhat cold by reason of the winter let there be burning coles brought into the chamber sometimes for it is not good for the chamber to be ouer hot therefore we doe commonly vse to haue a candle continually burning in the chamber the dores being shut and a cloth continually hanging before the same for it happeneth oftentimes that those which commeth in and out doth neglect to shut the dores many Surgions haue accustomed to cast a cloth ouer their heads that stand by in manner of a tent and so to goe about their cure but surely I think that there is no néede of any such things if so that the place be prepared as we haue said for I thinke that oftentimes the same hurteth For the heate of the candle is reflexed by reason of the cloth stayed against them and doth not suffer the vapours fuming out of the pacients head to breath foorth and it is euident that thing to be very noy-sâ—me and hurtfull and especially in the hot countries but in colde countries it may be better borne withall It chaunceth oftentimes in the warres déepe wounds of mens heads in the open ayre to be cured and without any house where neither chamber nor shéete nor fire is therfore wée thinke those thinges to be sufficient which we haue spoken of touching preparing the place But when the time of opening is it will be much auaillable to hold two Candels aboue on both sids of the wound as néere as may be that the aire enuironing the thamber may thereby be warmed and tempered and the same two candles shall both giue light enough and shall conueniently kéepe of the colde that may hurt for there shal be no colde in a maner in the chamber that is thus prepared as we haue tolde you and if thou suspect that there is any the candles being remoued to and fro about the pacient shall remedie all that matter which thing surely verie experirnce doth teach vs. In the verie beginning of the cure we doe féede them which are diseased of any wound in the head with raysons and a little bread both at dinner and supper and with water of Anise and Barley or with that which shall séeme best to agrée with the complexion of
remedis the consumed are healed and such as haue Fistulaes déepe in the brest Annotations of the second Chapter That kinde of Fistula which the Gréekes call Surynga is so termed for resemblance it hath of certaine réeds or hollow canes as saith Aeginata a Fistula is a hollow concauite or corner which in time is inuironed with a hard callus substāce so that the parts once seperated cannot be vnited Galen in his little booke of Tumor vnnatural saith that a Fistula for the most part happeneth of an impostume not well healed it may happen in any part of the bodie which draw with them peculiar Symtoms as Celsus and Aetius do testifie in the xiiii booke This auctor setteth forth onely the cure of those Fistulaes which fall out by the ill handling bad curing of wounds in the brest Quod si nullum os If no bone The redy cure is of the simple fistulae and lately happened in the flesh otherwise if a fistula haue hurt either a bone or a gristle or a muskie or if it light in any ioynte or if it chaunce in the bladder or in the Lungs or in the orifice of the Matrix or if it happen on any principall veine or that it pearce any howell it is euer very perrilous and often times killeth the partie As Paulus saith in his vi booke and 78. Chapter Ex ligno sancto of Lignum sanctum or Guaiacum This cure is approued and writ by Tagaultius and sertenlie not without reason for this kinde of wood hath a most manifest force in drying and resisteth putrifaction of peculiar vertue and hath a singular propertie in strengthning the part All which Scopes and intentions are very requisit in a filthie rootten ulcer of long continuance as fistulaes commoulie are Ipsius fistule curatio of the cure of the same fistulae The applicable remedies are verie many Which from Galen Paulus Aetius and Celsus may bée drawen I will note vnto you the remedie that Hippocrates writeth in his booke of fistulaes That the roote of Seselis applied doth take away the callouse which vertue Paulus emputeth to the roote of splondilion Hecteca febre et ptisi of the feuer Hecticke and the Ptisicke What the differences of these are those that haue studied Phisicke can best discerne I will onely add this that an Ague is to the Ptisike alwaies associable as Marasmus that kind of consumption followeth A Trophia a difect in nourishment as Galen in his booke de Marasmo hath set downe What farther this aucthor doth promise I neyther haue séene nor red protested by any other For all men hold this generally that that fistulae that is bredde by corrosion or fretting is vncurable as Hyppocrates in his booke de Glandulis and Galen in his fifth booke de methodo medendi doth report that vnlesse this hurt receiue cure within thrée daies the estate of such are thought desperate and pitifull Of the curing of the Canker happening in womens breastes Cap. 3. CAncers doe happen most especially to women and to those aboue others that are barren eyther by nature or by election Of which sort are Noonnes others that haue chosen a continent and single life they doe happen also to men but that seldome The healing of these séemed to vs worthie to sette downe in writing in this booke because it is a great deale more easie to those that shall know it well then as the auncient writers haue set it foorth where vpon this is a common song euerie where almost among all the Phisitions of our time that the secret or hidden cancer is not healed at anis time but if it be to be cured they iudge it necessarie to vse the pallatiue cure as they call it and that it ought not to bée cut off which thing if it had béene put downe in the cancer exulcerate if had béene well spoken For to such exulcerate cancers the pallatiue cure onely profiteth For if they bée cured otherwise a more present and assured daunger is to be feared For they are woont to bée eaten away and consumed a great deale sooner by laying to medicines especially if corrosiue medicines be layd therevnto or by any meanes it happen any bloud to bée powred out of them But to cure the rest which are not erulcerate it is not so hard a matter as they thinke which doe sette foorth nor teach no cure of cancers at all nor showe how they may bée drawen foorth whereas they may notwithstanding bée drawen foorth whole without any daunger although it happen the same to be great But that cure of Cancers which is taught by writers whereas their intencion is all about resoluing the same that is altogether without effecte Which wée haue found verye often to bée in vayne although wée haue béene diligent in preparing and practising the same with diuers resolutiues Which sort of remedies are taught vs of Vigo and of Celsus Guido and others wherefore howe such manner of cancers maye without harme bée both drawen foorth and also throughlie cured I thought it good to put it in writing for the behouse of the common vtilitie and this is the bréefest order of curing which we shall teach you First of the whole curing of those cancers which are not exulcerate and scondly also of those cancers which are exulcerate we will with a verie ercellent palleatiue cure declare whereby we haue long prolonged many men and women and least they shuld for that cause perish we haue taken deligent care and inspecially a certaine man a priest we did so preserue aboue xx yéeres with this kinde of cure that before he ended his life he was thoroughlie cured And when he deceased he was more then foure score yéeres of age first at the beginning the most certaine signes of this disease are the encreasing of these cancers bigger and bigger for when the same be first bred they do not excéed the greatnes of a Chiche but in a yéere or two or somwhat more they become greater and harder in féeling There are other signes also set foorth of writers which ye may séeke for in their bookes Therefore when wée will cut foorth the Cancer we must first of all prepare the diseased body with a purgacion ministring therevnto such Sirupes for foure or fiue dayes whose nature is approued concoct blacke and adust colour For of those humours doth this euill first grow and increase After this some purgation is to be giuen which shall be iudged best to agrée with the complexion of the man The third daye after the purgation the second or third houre after dinner lette two youlkes of egges with the whites be well beaten together adding thervnto if you please a little Rose water There shal be also in a redinesse great plentie of plageants made of the most fine two of flaxe Furthermore small Cusshions or Boulsters with a roule or fillet fiue fingers broad and a good porcion also of frise or dags waine and a great roulling néedle and
a good strong thrid and that doubled Let the pacient be laid bolt vpright either vppon cushions or else vpon a matris Let there be vppon both sides two other men which maye holde his armes strongely least by strength and striuing he be a hinderance to himself whiles he is in euring Let the Surgion sit ouer the man with his thighes hold in the paciēts thighes his owne knées being fixed and surely pitched vpon the matris whereon the man is laid and let the man be naked from the girdle vpward and a linen cloth redie on both sides vpon which the bloud may runne downe but the Cancer it selfe hold fast with thy hands which if it be against the nipple of the brest it is to be turned aside warely least the paps should perish when it is cut off but if it be toward the armepit it is to be diuerted also least any of those muscles which rise from the arme-holes should be perished or hurt but when the Cancer shall be thus ordered and caught fast with the left hande let so much of the skin be opened with a verie fine Rasor as the Cancer is let the opening of the skinne be made in length after that vpon the other side of the Cancer let the flesh be cut away and seperated but so the Cancer be not striken But if the bloud doe burst out the place is to be stopped with a little round ball of silke which if it be néedefull to be done let the one of them which holdeth his armes kéepe downe with his finger and parte the flesh from the Cancer on the other side But this péece of worke requireth most spéedie dispatch of the Surgion yet notwithstanding ioyned with great diligence and héede taking and materite least he should offend in any thing vnaduisedly But when the Cancer is detected on both sides and parted from the flesh let him be thrust through with a néedle and thred let it be committed to one of them that standeth by of whome it must be holden streite lifting vp his hande and to bée turned both on the one side and the other against that part which the Surgion cutteth But when the Cancer shal be well seperated on both sides from the other flesh it is vtterlie to be cutte off from the nether parte and that with the most expedicion that may bée putting to our fingers that the whole Cancer may be perceiued to bée cutte off and nothing to bée left behynde And that may be done verie well with that kynde of knife which the Italian Surgions vse to open Apostumations the fashion whereof is like the scarifying knife but it hath a sharpe edge on both sides but we must vse the edge that is bowed in and hauing a most sharpe point for that part doth more commodiously cut of those things which are beneath and that is done with no hurt either of breaking out of the bloud or any other thing and we will that the operation be so swift that there be more delaye in thrusting the cancer through and in knitting the thrid then in plucking out of the same When the cancer is vtterly cut off and drawen away we must search diligently that there be nothing left behinde in the body thereof but it is so hard that that thing is seldome to be feared when all things are dispatched let all the bloud which was in the wound be diligently wipte away and foorthwith put in Pleageants dipt in the white of an egge but yet so that they be not to hard pressed together to augment the griefe of the pacient neither is the place within wholely to be stopped with ouer thicke thrusting in of pleageants then is the place artificially to be boūd vp with conuenient rowling and boulsters The next daye after at the same time he is to be opened to be dressed with a digestiue or with that our balme whose effect is great to concocte mundifie and to enduce fleshe which is done by anointing the place with a fether gently adding there vnto dried lints yet not to hard pressed together that the flesh may by little and little grow together and close vppe But aboute the wound it selfe and on the pappe there must bée added a defenciue confected of Rose water waxe and Bole Armoniacke but with the vse of that Balme which wée haue tolde you off the wound will most spedilie be cured and the flesh brought ouer and healed but vppon the Balme wée put the plaister Basilicon spred vppon linnen cloth At the last when the flesh shal be sufficientlie enduced the place is to bée dressed with drie lints and Basilicon layed thereon or the plaister called Leoninum or of the plaister compounded of Gummi Elemij but whatsoeur plaister it be it is to be wiped and made cleane oftentimes euerie day but for the vlcered Cancers there is no other cure but the pallatiue for whatsoeuer thou shalt laye there vnto it will hurt greatlie but in this kinde of Cancer this is the order of curing let him which is troubled with this disease at certaine times in the yéere when it shall séeme good be purged After that euerie moneth let him vse two or thrée pilles purging blacke choler in the night about that season that hée goeth to rest But those Pillula are best de fumarie vel de Heleboro vel de Lapides lazuli vel Epithimi vel Fetidae or those which are de nitro set forth by Alexander Tralianus for by these the body is kept pure and the humour is rather deminished then increased but in the wounde it selfe wée put vnguentum Pompholiogos or that which is set foorth of Iohn Vigo in his Antidotary we vse that with out lints spred vppon a linnen cloth for we do find that the little thrides of the lint doe hurt for if they cleaue somewhat to the wound they make it bléede the same bloud doth hurt Finally this vnguent chieflie is that which we haue alwaies founde most auailable for this purpose Rec Olei Rosati olei Omphacini Ana. lib. ss Sepi hircini et vitulini Vnguenti Rosati et populionis Ana. ʒ ij.ss Succi acetosie Ana. ℥ j.ss Vini Granatorum ℥ ij.ss Lette them all boyle with a soft fier euen to the consuming of the ioyces and wine then lette them be strained adding thereto Ceruse ℥ .ij. ss Lythargyri ℥ .v. Plumbi vsti Antimonij ana ʒ x Tutiae Alexandrinj ℥ .j. ss Camphorae puluerizati ʒ j Cerae Albae q.s. And let there be made a soft plaister that is to say the waxe being molten with the oyles and let the minerals be put in a cullender driuing the substance of the vnguent two houres with a pestle in a leaden morter And this is the best medicine of all others in this kinde of cure Annotations of the third Chapter That disease which is called the Leprosie corrupting or infecting the whole body if the same light in any one part of the body it is termed a Canker
farther out somewhat and vpon that part as it is equall with the skinne of the bellie it is to be bounde fast with a sure thred with that knot that is called Suillus or the swines knot or the chifterling knot for it is a very sure knot the which doth not slip at any time but aboue the knot let the zerbe be out off halfe a singers bredth and let the section be cauterized with a hot iron vntill it almost touch the knot and let it be put in againe straight waies and some parte of the string be left hanging foorth but if the Orifice of the wound be somewhat great let it be artifically stitched vp leauing an orifice whereby the ligature may come foorth and the cure finished But of the foure waies whereby writers doe teach how those parts called Mirach Sipach ought to be sowed vp all that is most allowed of vs and by daylye practise and vtilitie most commended that is to say that first Mirach and Siphach being thrust through with the néedle on th one part Mirach onely be thrust through on tother part and let these thrée be fastened with a knot and then let the thrid be cut and of that part where their worke is begun let Mirach onely be thrust through Siphach being left but on the other part Mirach and Siphach being thrust through let the second knot be made and the third stitch and then the fourth and so foorth vntill the worke be finished And so by this meanes Mirach and Siphach are ioyned best together so that neuer afterward the bowells can start foorth any moore vpon that part which thing oftentimes hath bene founde to happen except the cure be done as we haue toulde you When these thinges are thus dulie done the white of eggs well beaten together is to be put thereto neither shall it be néedefull to vse any tent the place whereoff that Ligature wherewith Zirbus is bounde vp together doth supply But the next daye after the wound is to be dressed with a Flammula dipt in that our balme whose force is to concoct to munditie and to bring ouer the flesh Laying thereon the emplaister Basilicon Macistrale or Minium for both those are very good But this is to be confidered both in great wounds and also in small for those that are somewhat narrow must be concocted and digested also as well within as without But it shall not be néedefull to vse either oyle of Roses or any other oyle The third day after or at the farthest the fourth day the Ligature doth slake of his owne accord And if then the corrupcion doe not abound it shal be sufficient to vse one of those emplaisters if there shal be any matter it is to be wiped away oftentimes in the daye and by this meanes the cure shal be dispatched within the xv day but in the very first beginning of the cure it shal be conuenient to let bloud according to the disposition or state of the pacient and to giue him Sirupi Rosarum ex infusione cum Aqua Plantaginis let the order of his diet be sleÌ„der with a little bred but not very much water is to be giuen him the same to be decocted with an hot glowing iron But if besides the wound of the bellie if shall happen any of the bowells to be broken and the same of the smaller forte which are on the right side aboue the nauill all those things which soeuer they be are iudged of all auctors deadly and so for the most parte we must beleue of the which sorâ—e it happened â—ée to haue one onely he therto in â—ure whose small guttes were broken but he dyed the fourth daye but of ohters to whome it happened the greater guts to be perished we haue cured thrée being wounded in the gut called Colon. And the fourth the gut Longanon being hurt Of these one had the gut Colon broken in thrée places yet all of them by Gods help were restored before the tweneith day All these bowells we did soâ—e vp with a needle and thriâ— with that kinde of stiâ—ch which the glouers doe vse I did vse also towards them all that kinde of curing which is deliuered vnto vs by Iohn Vigo which we doe iudge best of all others if a man vse it well and with a pleasant delicate hand We haue therefore folowed all his precepts this onely thing excepted that wee haue giuen no meate and haue vsed the Pocion onely â—este foorth by him for that wée did consider those whome we hadde in cure to be somewhat strong and of a more â—ustie nature and able enough to abide from meate For out of Spaine we would not enterprise to vse so thinne a dyet where both the meates are weaker a great deale and their bodies more delicate And lesse apt either to take much meate or to take none at all But the decoction is of this sort Rec. Pomor citonior muÌ„datoruÌ„ et subtilite incisoruÌ„ N. iiij Caudae equâ—nae lumach myrtillorum Ana. M.iij Rosarum p.ij. Baulastiarum â„¥ ss Lette them be boyled in sixtéene pounde of Raine water to the consuming of a third parte then sette be added therevnto Thuris Masticis Sarcacollae Ana. Ê’ iij Croci ℈ .ij. Then lette them be strained with a strong expression adding thereto Mellis Rosati colati et sirupi Rosati Ana. â„¥ .vj. Tragaganti puluerizati â„¥ ss Sirupi Mirtillorum â„¥ .iiij. Fiat decoctio S.A. This Pocion wée vsed for meate and drinke and also for medicine to consoldiate the inward parts On certaine of those men wheras he nothing else for the space of twelue dayes did notwithstanding easily beare it After these things we did giue the broth of a bird boyled in the same water many times we did alow also to the broth a little cromme or porcion of bread the Italians call it Panatella when we did perceiue it to be néedefull by this meanes we did cure a certaine priest also whiles he was in the Church recaued a wound with a Lance méeting by chaunce certaine men which sought another being their enimie and lying hid in the temple and thought the priest to be the same But the wound was made in the bellie in the vppeer parte on the right side Wée cured two also one hauing his Liuer broken the other his Spléene and a third hauing his bladder broken which dyed the third daye All the rest by Gods help were saued who himselfe is the author and helper of medicine But there séemed to vs a certaine thing worthie which wée should not passe ouer with silence For it maye minister argument and matter to sette foorth the wisedome and mercie of God as all other things doe which haue so great force of nature and so great efficacie to be in his creatures There happened a thing at Guadalupa I my selfe being preseÌ„t in the yéere of our Lord God 1516. And thus it was There came a certaine foolish desire vppon one of the seruants
with water of Plâ—…eine and if the case shall so require purge let hun vse a thinne diet all those dayâ—… as Raisâ—ns Almonds and a little bred costed Apples or the Apples called Pepins which thou mayest giue him raw 〈◊〉 and other meates 〈◊〉 like sortes but giue him water decoct with Barly and put in the decoction Anise and let him drinke after dinner and after supper onely But if the man shal be of a weaker nature he may eate once a day of a Cockrell or a Pullet But the curing of the wound is of this sort First of all Dry stitching let there bée laide thereto plaisters which the next day after they shal be drie and cleaue fast let them be sowed together and at the second you shall vse your flaâ—…a dipt in that our Buâ—…e liquified and put into the orifice which is leâ—t for the purging of the wound laying theron the plaister Basâ—licon 〈…〉 being spred vpon a linen cloth or that plaiâ—ter which is called Gracia Dei. And so let the cure procéede vntill the seuenth or eight day For in this time the concoction clensing and bringing together of the flesh is woont to de finished But when the flesh is brought ouer and the brimmes of the woundes doe conioyne on both sides we remooue the plaisters that which remayneth in the cure wee finish with a plaister of Sinople or the blacke plaister or of Leonine coulour so called or which is best in this kind with like portions of blacke and Leonine mingled together And ye must clense the wound ond plaister tenne or twelue times euerie day according to the quantitie of the matter that is made but the skarre is to bée couered as it is accustomed with the pouder of burnt Atome and dry lintes And when the skinne is nowe perfecte and the skarre abated it shall bée conuenient to comforte the place with the plaister called comfortatiue which is described of Iohn Vigo in hiâ— Autiâ—…rie 〈…〉 doth 〈…〉 this behalfe which thing 〈…〉 in 〈…〉 them all doth not perfoâ—me Therefore in that 〈◊〉 which was haue taught you all woundes as well the small 〈◊〉 also the greâ—… are most casiliâ— cured without much inflamation of the member Neyther is it â—…efull to anoynt the member with oyle of Roses or with any other oyle at all For as I haue sayd there is no cause to feare any ouermuch inflamation But in the beginning ot the cure it shal be expedient to lay therevnto a defensiue of Bâ—…e Aâ—…cke or 〈◊〉 linen cloth wet in vineger adding thereunto a double quantitie of water and when that in dried vp it must be wet agayne If the wound bée made in the sâ—nowie places as are the handes the féete the ioyntes vs the heades of the muskles then is it to be cured in this 〈◊〉 â—ssoone as the gréene wound shall come to â—our 〈◊〉 and ye shall finde that there is too much bloud issue 〈◊〉 of the wounde let bée spred a linen cloch vpon the wines and 〈…〉 your finger let restâ—…nt of the bloud be made so loâ—… vntill it be stayed But if vs perceiue that it hath blâ—d as yet but a little it is profitable that ye let it issue a little more We haue learned that as well by experience as also by c authoritie of 〈…〉 saith he the course of bloud in moderate quantitie is or peâ—ient in vlcers 〈◊〉 by this meanes the member is not inflamed 〈◊〉 Let the woundes after this be set together with néedle and thred but yet so that the néedle â—ée not thrust in déeper then is suffiâ—ient nor yet in much of the shinne taken vp but let them so agrée to that the coâ—…issures may little bée conioyned But if any of the sinewes be cut let theÌ„ be iâ—yned aptly set together but so that they be not fouâ—hed of any neâ—… For ther is danger of most certain grief in the part and also a convulsioÌ„ especally to be feared he shal neuerthelesse be cured nay the member therefore shall lesse escape if the sinewes be sowed And some small orifice is to be left beneth wher you may vse your â—lamula dipt in the white of an egge but vpon the verie stitches let there be layd péeces of linnen cloth dipt in the whites of egges and so bound vp But if it be the hand or the finger some flat thing is to be made fit in such wise that the member it selfe may be left stretched foorth notwithstanding the wound being made in the lower part nedeth not any flat thing or table but the member is so to be ordred that it be suffered to be a little pluckt in the hand halfe closed together For by this meanes the sinewes which are beneath shall more easely ioyne one to another for the hand being stretched on t they neither can be ioyned nor yet made agréeable one with another Furthermore the letting of bloud which shall séeme necessarie is to be procured and the member it selfe because it is subâ—ect to fretting and suffering of griefe bicause the place is full of sinewes is to be prepared with this defensiue Rec. Olei Rosati et Myrthini Ana. â„¥ .ij. Olei Camomillini â„¥ .j. Boli Armoniaci â„¥ .ij. ss et cum cera q. s fiat Em This is to be laide to that it be distant from the wound foure fingers but beneath there is none to be laide too For they which shall lay any to beneth shall erre greatly After this the wound is to be bound vp as we haue taught you That oyntment of Balme shall addresse the second cure a little linnen cloth dipt in the same and put in by the orifice and the whole wound anoâ—…ed with a â—ether with the same Balme liquified And vppon all this a cerote to be put being spred vppon somewhat a broder porcion of linnen cloth in which kinde and also in others we finde this of all others to be a most present remedie Rec. Olei Rosati Violati et Cammomillini Ana. â„¥ .ij. Axungiei Galinaâ—…i Medulle Crunâ—m Vituli Ana. â„¥ .j. Vermium TerestriuÌ„ Vinu Nigro Lotorum â„¥ .ij. Butiri Recentis â„¥ j.ss Mucilaginis Althec lib.j. Let them all boyle together to the consuming of the mucilage then let them be strained adding therevnto Lythargirij Subtiliter Triturati â„¥ .v. Minij â„¥ .vj. et cuma cere alâ—e fiat Eempl cum Terebinthinae â„¥ ij.ss Mastiâ—is â„¥ .j. fiâ—t It is very profitable for all gréene woundes And by this meanes the corrupt matter is best concocted and drawen foorth and the flesh at length agiane without any daunger or displeasure of violent pangs and without all ranckling also of those parts where the wound is made When the wound shal be now sufficientlie mundified and the fleshe well brought againe let there be put to the blacke plaister or the Leonine plaister or both comâ—…ed together which is to be made cleane oftentimes euery daye And by this meanes the skinne is conioyned most easily and also most spéedely
the thicknesse of one finger comming foorth a little vnder the bone of the back the pan or left wing of the lungs was thrust through not farre from the heart as the sight of the place sheweth But he was cured in that order which is set foorth of vs in the first chapter of the second booke and whiles the cure proceded the tenth day after he was wounded a great abundance of bloud did issue out of the wound of the lungs by reason of the continuall mocion of the same Which conflowing within the brest was congeled The next dressing great porcions of congeled bloud together with corrupt matter made of the wound came foorth not without meruaile of the standers by because they were greater porcions then should be beléeued that they might be receaued as they came foorth or sent foorth of the bodie These accidents considered when I saw the pacient power out euery day twise too great abundance of corrupcion I determined to change my purpose meaning to proue that waye as I taught you how Fistulaes should be cured and foorthwith I began And when two daies together I hadde giuen him that water to drink which is there set foorth at length all the congeled bloud together with the corrupted matter came foorth in two other daies the corrupted matter consumed away also and by and by he was deliuered of his ague and being in most short time made whole he became so very fat that great matter was offered to thē that knew the man to praise God An example of a certaine familier friend of Lodouike Zapata Cap. 16. THis man being a familier friend of maisher Lewis Zapata was wounded with a broade dagger foure times behinde his back and striken on the left side but of those wounds one was receaued the breadth of sixe fingers vnder the shoulder bone the dagger yelding back went downe betwene the flesh and the bone as much as I haue oftentimes measured to be seuen fingers breadth vntill the dagger passing through all the shoulder thrust betwéene the spaces of the ribbes came to the verie holownesse of the bodie Before that I came thether after I was sent for I did coniecture by those things that happened after great abundance of bloud gushing out of all partes of the wound to haue runne into the holownesse of the bodie But that bloud could not come foorth because the wound being couered with the skinne and the flesh did penetrate downward which way it is very like that the fluxes did also tend For the first opening of the dagger was déeper thē that the blood might well breake foorth So I when I had begun my first cure nor could finde no direct going downe would haue thought that it had penetrate no more then the rest After I had serched the place more diligently and thrust in my finger I perceiued that the wound did go downe farther then I could follow with my finger Therefore when I had perceiued that the wound did penetrate to the concauite I opened the place ouer against the ribbes cutting the skinne and the flesh directly against it so that putting in my finger I might easely come to the innermore parts and touch also the lights which is nert the back bone But he was cured in that order as I haue shewed you in the penetrating wounds of the breast and at the first dressing there was no corrupcion or matter made but a certaine small humiditie did issue foorth but the fourth day water of a sanguine coulour flowed out as that is in the which flesh is washed and dayly as his dressings dyd follow it came out more abūdantly so that euerie dressing it did fill a vessell which they call a saucer and that it might issue out the better and more spéedelie I had the pacient to cough and holde in his breath hée was dressed of me foure times a day and beside that which ranne out at euery dressing the issue stayed not day nor night so that his bed was like a sinke or ditch Therfore at the fourth day when I perceiued such fluxe of water to continue without any token of matter I did determine to giue the patient that water set forth by vs in the last example And by and by assoone as he began to drinke thereof by the continuall space of twelue daies a greater abundance of water or mattrie substance came foorth without any hurt of the man or any great féeling but so that the second day it came foorth somewhat white and liquid But the thirde day a great deale whiter vntill it came foorth so white and thicke cleauing fast to the vessell wherin it was receaued that it would skantly runne out being turned downe but it ranne foorth euerie day lesse and lesse vntill the xii day in the which at length it stinted and the entrance of the wound did sodenly close vppe in the vtter parte thereof which although I did oftentimes open with my instrumentes yet did it send foorth neither matter or any such humor neither came the breath foorth there as before and so the cure procéeded the pacient being yet possessed with a continuall feuer Wherefore thrée daies together I added to that water of whole barly and Raisons brused with their kirnells and of Tamarinds ℥ .ij. And by this meanes the feuer ware away The tenth day after I found the man troubled with great paine in the brest and with a feuer And when I found that great abundance of water or watrie substance came out of the brest without matter after I had put in a tente there came foorth as yet more watrie or filthie corruption And so it was sixe dayes after casting foorth of the wound lesse matter euerie day After this the flaxe stinted and the wound healed And the man as yet by the helpe of God liueth and is verie well A generall rule for the Phisition and the Surgion THose which will take vpon them to make any confection or to minister Phisicke ought most especially to vnderstand the commodities comming of medicines and the same may be read in Auicene and other writers the qualities of simple medicines are to bée knowen also And what partes of the body they doe respect For there are medicines which do corroborate some peculiar part of the body as Mentha doth heate all the bodie but especially the stomacke which commeth to passe through a certaine sympathie that is to say a mutuall combinacion in naturall operacion of that hearbe and the stomacke as in an other place we haue spoken of Betonica Melissa Cucurbita Chamapithi Nux Muscala Camedri Lauro Centauria which respect the head ye must consider also in prescribing your decoctions that the thinges which be of a groser substance be put in the first place for rootes are to be decocted first and of longer time in the seconde place hearbes in the thirde séedes in the fourth fruites in the fifth flowers in the sixt spices And this is to bée noted also
besides that also with his verie waight it presseth them and causeth them some thing to stoope and shrinke in The flesh may chaunce to be so hard and rebellious that a leaden instrument shall not be able to master it neither and then in that case you must vse a siluer or a golden Catheter or Siring And yet before we doe vse any such either of siluer or golde my councell is that you doe make tryall againe and againe by the fore-named meanes For the vse of this Siring hath this discomoditie it being nothing pliant and flexible and hitting vppon those most tender and sensible parts it causeth oftentimes great and terrible fluxes of bloud which doth discomfort both pacient Chirurgion and the Phisition also How to stay the flux of bloud But if any such notable flux doe chaunce it may be stopt well with this medicine folowing Rec. Aquarum Plantaginis Rosarum Albuminis Ouorum N.j. Being wel mingled together iniect it with your syring and about the very yard it selfe and all the other priuie partes requisite put this Cataplasme folowing Rec. Aquarum Plantaginis vel Succi ieusdem Rosarum Ana. â„¥ .iiij. Acetum Rosarum â„¥ .ij. Albuminis ouorum N. ij Boli Armeni ana Ê’ â—… Sanguis Dra. ana Ê’ â—… Corallae ana Ê’ â—… Terra sigigll ana Ê’ â—… Rosarum ana Ê’ â—… Mirtillorum ana Ê’ â—… Cortix Grana ana Ê’ â—… the leÌ„gth of the siring or catheter Make thereof a Cataplasme and vse it as is aforesade Because there is great diuersitie of bodies and all are not a like it is expedient to haue diuers Catheters méete and conuenient for euerie age as also for euerie sex For that women also sometimes are troubled with the same disease For men therefore it will be expedient to haue thrée in a redinesse and for women two And of those that bée for men the greatest would be of xv inches of length the meane of xii inches and the shortest of ix inches For women the longest would vs ix inches and the shortest vi inches Those for women would be something bowing or bending but those for men more bending for the necke of mens bladders is shaped more crooked and writhing then womens be The patient while he is to bée searched is to bée placed in some conuenient place his face being vpright and the Chiurgian standing on the right side and holding his yarde in his left hand let him put in and direct the instrument with his right hande and when he is come to the necke of the bladder then something bending downe both yarde and instrument let him faire and softlie force it foreward into the bladder Chirurgians are woont to tye a sponge with a wier or the like thrid and so thrust it to the verie ende of the instrument or Catheter and then pulling it backewarde imediatly vrine is wonted to follow by the reason of the avoyding of emptines which is grounded vppon the Philosophers principle called Vacuum When ye haue thus past the Caruncles or got beyond them all a longe the vrinary condits euen to the bladder then that instrument wherewith you haue done the feate whether it be a candell or the leaden searcher or catheter must remaine and be left within for one whole daye and the pacient must be enforced so to make his water if the paine be not to to intollerable For by that meanes partly by the reason of the coorse of the vrine partly by the instrument it selfe the water passage wil be enlarged and amplified Your catheter or searcher of leade being drawen foorth after the long tarrying ther if by them your worke be perfected so farre foorth then must your candell be put in last of all and suffered there to remaine till such time as it doth receaue some print or marke by the compression of the Caruncle and that wil be a good help to apply the medicine withall to worke the cure The candle being drawen out it must be curiously looked vppon and vewed t espy in what part it séemeth to be printed in or compressed For vppon that verye parte of the candle must the emplaister called Emplastrum Philippi be put which in troth is of a wonderfull facultie For it defendeth the whole parts kéepeth them sound as for those which are ouergrowen by the reason of the vlcer it consumeth and eateth awaye without any great paine And this is his descripcion folowing Emplastrum Philippi Rec. Aeruginis Ana. â„¥ .ij Auripigmenti Ana. â„¥ .ij Chalcitidis Ana. â„¥ .ij Alluminis Ro. Ana. â„¥ .ij and being well moistened with very excellent strong veniger let them be very well labored and grounde betwéene two Marble stones or Alabaster stones and being brought in to most fine pouder let it then be fet in the sunne in the dogge daies or about that time of the yéere and when that fine pouder is dried well let it then againe be well labered and ground a fresh putting thereto viniger as before and then againe in manner set it a sunning and thus shal you doe for the space of viii or ix daies so long till it become passing fine and smoth and haue lost all his acrimony and bytting qualitie For this is a most true and certaine rule that strong medicines and sharpe being ground in veniger for certaine dayes deminish and abote their byting and sharpnes yet thereby doe encrease their strength and operacion Which rule is also obserued in Mettals Combusted Albeit in troth those which be Combusted doe participat and get some kinde of byting quality by the meanes of the fire whereas contrarywise they being washed by washing doe léese their byting and smarting qualytie and therefore in soft and tender partes and such as be very sencible and also in such bodyes as abounde with ill humors we ought to vse medicines prepared by washing When the pouder is thus prepared then take the froth or scunnue of Siluer which is called Litharge â„¥ .iij. of oyle of Roses â„¥ .iiij. and when they are boyled to a reasonable consistence of an emplaister then mingle â„¥ ij of the foresaide pouder with it and incorporate it so that it may become something an hard Emplaister that when it is put vppon the candle or the leade it may cleaue therevnto and not remoue from the place no though it be pressed But since there be many complexions and constitutions of bodies and therefore one medicine cannot agrée with all persons indifferently but the more tender and sensible they be the more gentill medicines they must haue And the harder and ruder bodies must require the sharper and quicker remediss Therefore it wil be good to haue alwaies in a readinesse two compositions of the said Emplasters One very gentle and milde and that to be vsed to very tender delicate and sâ—ncible bodies The other sharper and stronger to corrode and consume flesh and that is to be applyed to the stronger constitutions and so tempering them together as occasion shall serue
néedle vntill the incision be made 4 The fourth instrument is a Syring holow in the middeste and it ought to bée made of the shape as it is pictured which instrument is common FINIS Prologi Of Aâ—stumes in ano causing Fistulae and of the Cure of them Cap. j THough our prâ—…pall intent was to treat of the fistulae in ano neuerthelesse it is necessarie first to touch somewhat of apostumes bréeding therein or nigh fith oftentimes apostumes bréeding there do cuase fistulaes For when an apostume bréedeth in any place of the body if it bée not healed within thrée or foure monethes it is turned to a Fistulae or cancer therefore when there happeneth apostume in the fundament or nigh you shal know it by these signes by swelling payne pricking and burning And the patient for the payne and anguish may neyther sit lye nor sléepe Which once appearing first labor to ease the foresaid paines and other accidentes without repercussures for in that place ought none to be vsed because it is one of the Emunctories for in these places ought no repercussiue to be ministred And after the opinion of Gilbertine that apostume being within ano is cured with the infusion of Oleum Rosarum in which is Ceruse mixed or burnt leade or Litharge or all these together or with the yolke of an egge But euer take héede that your patient be not costiue If he be ye shal mollify his belly with an emplaister of Mallowes and Swines grease or with the decoction of Mallowes and branne with oyle of new fresh butter put it in a glister Therefore take oyle of Roses with the yolke of an egge by euen portion minister it in the forme of a glister this swageth the payne of pricking and aking comforteth the place in causes both hot and colde for after all aucthors oyle of Roses cooleth a hot member and heateth a colde and it hath many other properties both there and in all other partes of the body and therefore a good Surgion ought not to be without it sith it is so necessarie for diuers purposes for to euerie payne hot oyle of Roses is a mittigatiue and to euerie apostume outwarde it is good to vse a maturatiue of Diachylon dissolued with oyle of Roses or Lillies or Camomilâ— or Deâ—lthae or coÌ„mon oyle oliue or swines greace Malards or Hennes greace for Diachylon thus ordered and applied resolueth and mollifieth hard tumors or this vnguent take of Mallowes M.i. and bruse them in a morter and put thereto a â—uart of oyle Olife and infuse them eight or niene daies after séeth them verie well then straine it This mittigates the payne of the Apostume greatly and it mollisteth being applied with Lana Succida it openeth and consumeth The oyle openeth draweth and swageth payne if you haue no Lana Succida take a linnen cloth and applie it thereon warme binding it decently that it fall not away and a plaister of Mallowes is a good maturatiue and mittigateth payne of the Appstumes in ano and of womens brestes and other Apostumes it bringeth to supperation and is thus made EmplastruÌ„ maluarum Take of Mallowes M.i. séeth them in water vntill they be tender then straine them and cut them small then fry theÌ„ in common oyle butter or Swines greace or if you will with the foresaid oyles applied with cleane stuphes warm also wormewood preuaileth greatly therein if it be made in some emplaister for it mittigateth paine of the brestes and comforteth the place and maketh the matter to euaporate by the pores And for certaine it auaileth in all apostumes in euerie place of the body also for contusions For with this emplaister in the cure of the brestes I haue gotten much credit for it is verie Soueraigne as writers witnes and I haue proued it by experience And this note that Apostumes bréeding néere ano ought not to abide vntill they breake off them selues but the Chirurgion ought diligently to féele with his finger the place of the empostume and where is found any softnes there he ought artificially to open the place that the corrupt blood be let out least Intesti num rectuÌ„ that desendeth to ano in the meane time grow to putrifaction before the Apostume breake which when it happeneth it dringeth a hard cure vnlesse there be an expert Chirurgion For then it may be called the first daies Fistulae Sith a Fistulae is nothing else but an vlcer which cannot be dryed vp for that cause it is vncurable For no wouÌ„d nor vlcer except they may be dried are not to be cured Sometime it happeneth some men haue an drifice appearing only outward pearcing through the longacion within ano by the space of an ynch or two and beside that another hole without not percing the longacion within And I haue féene some to haue eight or niene holes on the one buttocke and fiue or sixe on the other Of which none pearred the longacion but one And I haue féene some haue two or thrée holes on the one buttocke and two or thrée going down to the coddes And some haue one hole or more in the one buttocke and one or two in the other part of the yarde percing as well the longacion as the yarde And in this case as I thinke it is vncurable The Fistulae in the yarde may be knowen for that sometimes the séedepasseth by the orifice and sometime vrine sometime both together neuerthelesse of these I cured a Priest at Lincolne in the house of M. Geffrey Scroope that had an Apostume in his yard of which as wel vrine as matter came downe to his codde and sometime bloud went by the passage of the yarde Fistulated and his testicles were swollen excéedingly Therefore first I put vpon the codde a ruptorie and made an orifice where through came foorth both vrine and matter whome I cured perfectly God be thanked for his ano and longacion were not hurt But yet note that this cute is hard therefore let the Chirurgion be verie circumspecte to enquire diligently of the pacient if he féele at any time eyther wyndinesse or excrementes to passe by the orifice of the Fistulae or if hée féele anye payne or heauinesse in his heade or if he haue Vertigo or can scarse forbeare from falling or if he féele payne and heauinesse in his lungs and féeblenesse in his stomacke Also tell you the patient that this kinde of fistulae is such that sometime it is opened of it selfe and auoideth matter sometime thicke sometime thiâ—…e sometime watrie sometime bloodie sometime closed that it runneth not at all And eftsoone it beginneth to ake and to cast out matter and is opened of it selfe and runneth as is saide before And by these prognostications and tokens shewed vnto the patient he will iudge you the more expert in your cure For this note after the opinion of Barnard or Gordon that the nerue in ano hath affinitie with the stomacke brayne and for this cause
the side of it which done put your finger into the fundament and with your hand thrust first the. Tendiculum with the snowt toward your finger and when you sée opportunitie turne the wrest about that Frenum Cesaris hold first the Tendiculum that it goes not out and so labour vntill you bring out the poynt of the snowt by the middest of the fundament and that ye straine the flesh fastened in the Frenum with the wrest and the Frenum Cesaris Which done take the in strument called Cochleatia or a spoone of which the hollow head must be put in t he fundâ—ment against the poynt of the snowt to that the point of the snowt stand in the hole that is in the spoone mouth through perced and that to be holden of some standing by This shall defend the fundement that it be not hurt through the 〈◊〉 mouing or striuing of the pacient Which done put the point of the Rasour or Lance in the hollownes of the snowt that is in the spoone and as soone as you may boldly cut the flesh fastened in the Frenum aboue the snowt euen by the middes And when it is cut by the middes the snowt with the Frenum shall ye kéepe awaie out by it selfe If there be many holes that ought to be cut ye shall do as is aforesaide Or you may â—efor them vntill another time For in some case the other may be healed without cutting or freting with thrid as shal be spoken of afterward Then must you labour to restraine the blood First applying a sponge wette in warme water and well wrong out againe into the insition Holding it fast to restraine the blood And when it is full remoue it if néede be and put in another And then raise the pacient and let him sit on it in a conuenient place Afterward remoue it whether the blood be staied or not put into the place some one or more of these restrictiues following Sanguis Draconis Aloes Hepatice pouder of Hens fethers burnt linnen cloth burnt heares of an hare burnt Puluis Ebuli appyed with the white of an egge vppon stuphes with apt and conuenieÌ„t boulsters and bindinges for in this case it profiteth very much And when the blood is restrained on the second or third day then take the yolke of an egge with oyle of Roses or Camomil or Sanguis veneris or in stéede of these take common oyle and conuey it into the fundament in the maner of a glifter so that the wound be filled therewith then binde it vp conueniently this order shall ye vse for eight or niene dayes which done ye shall procéede to the cure as followeth First ye shall put into the incision Puluis sine pari vpon that apply lintes and so make it vp and let it continue for two naturall daies without mouing except it be that the necessitie of going to the stoole cause it But let the patient refraine as much as possible he may or els it will hinder the operation of the pouder but when he hath béene at the stoole let the place bée clensed with warme water and a sponge and verie well dryed agayne then apply your pouder againe orderly warning your pacient to abstaine in all that he may Let this bée repeated the third time and afterwarde it is not materiall whether he abstayne or no. The place being well clensed and dried let the fundament be anoynted within and rounde about with thy finger dipt in vnguentum Viride well molten in all places where you sée the skinne excoriate For this oyntment taketh away all smarting and payne and excortacion of the skinne this vnguent is called Salus Poluli then shall you conuey into the fundament the yolke of an egge and oyle of Roses and in this order shall ye continue at the least About the xx day or xxiiij or xxvi or sooner if néede bée you shall put within the fundament of our pouder Sine pari and fill the place of the Fistulae within and without the place before being well dryed and when ye moue it let the place be well washed and dried and anoynted with Salus Poluli and after to be conuaied in by a pipe the yolke of an egge and oyle And if the partie can refrayne from stoole let it not be remoued in two daies or else when it is néede and consider diligently if the place be well mundified and be without hardnesse or euill coulour and that the flux of matter doe deminish which being perceiued you may procéede to inâ—arnatiues and after to cicatrize of the which shall be spoken in their proper places And this shal be a token of the perfect cure when the clothes are taken off and that the emplaisters appeare or y and the more drier they bée the better signe And this iustifith of the cutting of the fistulae and câ—…ing of it Thus by diligent meanes and wise industry you by Gods assistance shall finish your cure Another manner of working in the same Fistulae and the cure with diuers examples Cap. 4. IF it happen that the Fistulae be déepe and that there be distance betwéene the hole of the Fistulae and the fundament or if the pacient be fearefull to abide cutting or for some notable cause beyng there then mayest thou with a thred drawen through the middest of the hole of the. Fistulae and the fundament cut the flesh And it auaileth as well as by cutting with a knife but that it asketh longer time For though ye binde it right straightly in the beginning yet it will bée a moneth or thrée wéekes at the least or the fretting be complete If the patient bée delicate féeble or weake of heart let the thred by which the Fistulae is knitte bée so bounde that if néede bée it may bée lyghtly loosed without cutting Let the pacient haue some pleasant companie or exercise to driue away or mittigate his payne then let there bée conuaied into the fundament the yolke of an egge and oyle warme and let the partie be anoynted with the same without putting any other thing thereto When hée goeth to the stoole put into the fundament some â—yle what you thinke best whereby hée may bée the better eased and when you apply the yolke of an egge and oyle you must mixe them together and when you haue put them in a bladder let the bladder soke in warme water vntill it bée warme and then minister it For those thinges that bée warme ease the payne best and thus as the tâ—eed looseth let it be made orderly straighter and straighter vntill it be thereby fretted through the flesh and when the patient hath gone to the stoole let him bée layde vpon a bedde and his fundament well clensed and wiped with a sponge and warme water afterward let him bée anoynted betwéene his buttockes and rounde about the fundament with Salus Populie made warme and euerie day put into the fundament the yolke of an egge and oyle and after vpon that let there
decoction of branne and Mallowes without oyle or butter for all fatty and oylie thinges doe nourish the Cancer Besides those that haue Bubo they eate and drinke and goe reasonable well and sléepe and they bée meanely hungrie and thirstie but in meate they must abstaine from the stoole and often times they dye about Autum And when they bée nigh their ende they beginne to haue lyngering Feuers and beginne to loose their appetite they forsake all and couet wine they eate little and couet euerie day lesse and lesse they sléepe but little and vnquietly they are heauie as well in minde as in body and as they waxe weaker and weaker they couet their bedde and aboue all thinges to drinke water neuerthelesse they can speake and moue themselues to the last breath From these I say wash your handes if you haue care of your credit vnlesse it be in glisterse as aforesaide to ease him but this note that in putting your finger into the fundament of him that hath the Dissenterie thou shalt féele nothing in the longacion but as in other mens But in him that hath Bubo you shall féele an induration as bigge as a Hens egge or a Goose egge but the filth that goeth out of both are much like that is matter of the couloure of citrine yellow blewe or wan mixt with watrie bloud and stincke and it goeth out to the quantitie of a spoonefull or two without mixing with egestion and sometime with egestion but in Dissenterie he shall féele pricking about his Nauell and in his flankes But in Bubo not so but aking pricking and tenasmon I sawe one of North-hampton shire whose fundament was so eaten on euerie side that he could not hold this excrementes he was constrained alwaies to stoppe it with a Towell yet neuerthelesse the thinnest of his ordure went out alwaies so that his clothes about his buttockes were alwaies wette and the Towell being drawen foorth his fundament was so eaten that a good egge might easily passe in whereby ye might verie well sée farre into it but he dyed in short space afterwarde because the Muscles of retention were eaten away whereby he became vncurable I haue séene some to haue great heate and burning without the fundament and great smarting with rankelyng skin about it closed to the manner of a purse in suche sort that they coulde not well sitte lye nor stande nor finde rest in any place but euermore mouing and stirring as it were in a frensie and there issued from the place superfluous water which filled many linen clothes to the which griefe colde thinges auaileth much as vineger by it selfe or auxt with the ioyce of Planten or Virga Pastorjs and suche like If these cannot bée had take the yolke of an eggs and mingle it with Bole Armonicke or Ceruse or both and anoynt the place So it auayleth much to foment the place with vineger and water mixt together and after the fomenting let the place be well dryed and then dressed as aforesaide when the foresaide water beginneth to cease the patient shall féele itchyng then applye this oyntment Take of blacke Sope Bole Arm. Brimstone Olibanum make it an oyntment This will drie and make skales to fall off Also to anoynt the place within and without with Vnguentum Album mingled with Bole and Argentum Viuum This also ceaseth heate and maketh a cicatrize if it bée anoynted with Salus Populi it profiteth muche Burnt Allome with Tapsimell and Vitrioll kylleth itchyng or clarified hony with the foresaide pouder is méete or hony and the ioyce of Celandine with the foresaide pouder is verie good Also the iuyce mixed with Vineger and warmed at the fier easeth all inflamations and itchinges Also Oleum Sidoniorum doth the like The ioyce of Celidonium inbibed into a sponge or linen clothes doubled and applied vnto the head luke warme to the forehead or to the templs it ceaseth the aking and payne thereof which I haue ofter prooued There came a man from Burdeux in Gasconie vnto Newarke that had great gobbets or péeces of flesh hanging downe to the length of an inch and they couered both his buttockes the bredth of thrée fingers and there issued out much waterie substance and sometime bloud with greate heate and stinking so that his buttockes were as it were cauterized and they grewe like to the bellie of a fish that is called a Lopster when he spauneth And these superfluities grewe partly in the whole skin which when they were mortified euen to the rootes there appeared holes from whence they went out I mortified these superfluities with Puluis Grecus and for the issuyng foorth of the water I tooke of the most still Alphita i. Barlie flower and aboue I put Puluis Gracus which mortified the superfluities in thrée or foure times so that they beganne to dye and fall away this Puluis Grec is verie â—…ecatiue and well cleaning and it restraineth all watrie humors and blood and it mortifieth the Cancer curable and the bloodie figge in all places There was a man had vpon his buttocke a bloodie figge casting foorth sometime bloud and sometime matter and it was like a Mulberie to the which I put Pulueris Grec a whole night and in the morning I tooke off the gréefe halfe mortified which being come blacke blood followed and after a little effusion of bloud I put to Puluis Gre. And the bloud was presently restrained and vpon the pouder lint and then aboue that Emplastrum Narbo to kéepe the pouder it should not fall off and thus the cure was finished in a short time Of the Fistulae in the fingers and hardnesse of the cure of it Cap. 6. I Haue séene oftentimes the Fistulae in the fingers and in the Thombes of diuers men and women as well young as olde the cure of which is to many vnknowen for whie it bréedeth in some in the formost endes of the fingers mortifiyng all the overmost ioynts both the flesh and bones sometimes it bréedeth in the middest of the ioyntes and that is more peryll and sometime in the lower ioyntes next the hand and that is most of all neuerthelesse the fistulae bréeding in the endes of the fingers deceaueth the patient sooner then in other places for vnskilfull men terme it a white flaw which thou shalt know thus If there happen to any man in the endes of his fingers aking with inflamation when it breaketh there appeare a little hole out of the which there commeth a little péece of putrified 〈◊〉 to the bignesse of a wheate câ—rue and there foâ—…th little matter oâ— none then iudge it to be a Fistulae and 〈◊〉 if this he not cured within a moneth there is 〈…〉 the ouer ioynt with the bone and paradâ—…ture of the whole finger I haue healed some that saide they féelt â—… paine in a fortenight and when I sawe the foresaide token of the Fistulaie then I seperated as much as I might the skin being very foulle with a Rasour
the woundes putting into the wound a péece of linnen cloth wette in cold water I applied the VngueÌ„t of Diuelâ—ne in the circuit of the wound about the whole skin so that it touch not the wound within and couer it with a linnen cloth wet And thus euery day swise remouing the oyntment and mundifying the wound and filling them with linnen cloth wet the Vnguent is this Rec. Copenâ— Salt peâ—… the ashes of brome the ashes of blacke Snayles of 〈◊〉 a â—…ttle Verchgreece dubble he quarititie of one of these of quicksiluer of Bores grease cleane as much as suffiseth theÌ„ mingle the ashes with the grease and when they be well incorporated reserue it vnto your vse it will be a blacke Vnguent With this Vnguent I cured the great wounds of the legges in the manner as is saide before and the lesse woundes I cured with Vng. Viride of Laufranks discriptioÌ„ for ther was dead flesh of a blew â—…tour to the breadth of a penny and that flesh I cut awaie a little of the vpper part of it then I put to Larde and so with Larde and cutting I toke away the flesh with Vnguent Diuelin and the cloth wetâ—e in water I healed the wound to the bredth of a penny Then estsoones there brake out small holes about the sides and they began to be large vntill the bignes almost they were before which séene I put the pouder of Litarge foure times and annoint it with Vngueto Albo and put in the wounde a cloth wette in the ioyse of herbe Robart Which cure séemed to me more profitable and sounded better the extremities and ioyned them more perfectly If the Mermolex be euen vpon the shin bone they are sooner cured And the best waie is to cut the dead flesh away if the pacient will abyd it if it be rutte after theÌ„ cutting laye to a cloth dippt in the white of an Egge a whole night afterward put into the wound the ouder of white glasse Succarine Allum white Leade and if you sée the bone be mortified the cure is very heard or vncurable And in this case it shal be good to vse blood letting in places conuenient Of the properies of Vitrioll j. Attramentum Cap. 14. OF Attrament j. Vitrioll ther be many kinds and that is best that is most gréenest and that is found in Greece or Cipres and is commonly called Dragante but not Dragagante also there is a kinde of Vitrioll called Vitriolum Romanum and it is yeloish in coulour and there is one kinde of white Vitrioll but not shining and that is profitable for eyes Vitrioll is CA. sic in 4. Gradu after Platearius and ther be 4. kindes therof Indicum is found in Indi and that is white Arabicum is found in Arabyque and that is yelow And Ciprinum is found in Cipres and that is gréene And Romanum that is more competent in medicine It hath power to desolue consume and to corrode And it may be kéept sen yéeres in effect Vitroll combust by it selfe or with salte put vppon a venimed wouÌ„d it draweth the venâ—m to the vpper part of the wound Also burnt Vitrioll in pouder ressraineth blood by it selfe or with the ioyse of some henbe for the purpose Also it auaileth against Polipus in the nose if it be put into the nose with a tent of cotton and Mellis Ros cum Vitello oui it fretteth away the lumpe of superfluous flesh And put it into a Fistulae and it mortifieth it Also mingle it with Diaculum or Apostolicon and put vppon frudulent vlcers in dry bodies it cureth them merueilouflye in drawing and mortifiyng them And being burnt it is lesse byting and his vertue nothing deminished All kindes of Vitrioll be sharpe either lesse or more And being burned they be siccatiue and so in daying they in geder flesh and especiallie in dâ—y members for Vitrioll put to diuers meÌ„bers worketh diueres effects in diuers bodies an in colerick melancholiek And also put in daie members for when it findeth strong members resisting his strength then doth he drie superfluous moisture found in the wounds or vlcerâ— which being dried nature engendreth flesh in moist bodies as in flegmaticke complections in Children women and in moist places of the body the members be féeble and may not withstand the strength of vitriall and so they suffer Liquefaction of it and so putrifaction is augmented in the wound and as it worketh thus in diuers bodyes so it worketh in diuers complections and diuets members It hath not this contrarietie in it selfe of nature but from contrarietie of complections to which it is put Example As fire doth diuersly in diuers thinges For all mettalls put in the fire are molten contrarywise all tilestones brickes earthen pots such like put into the fire are hardned And this is not contrariâ—tie in the fire but in the bodies put into the fire And so of vitriall The order to burne vitriall is as foloweth Take of Vitriall as much as thou wilt and put it in an earhen pot the mouth well slopped with claye and horse dung let it drye then sette the pot in a fire of coles making at the first a soft fire by the space of an houre then encrease your fire and in the ende very strong for the space of two houres then let it toole and the Vitriall wil be of a red coulour then kéepe it to thy vse in a lether bagge By this combustion his naturall heate is altered and cooled and his byting dulled wherefore it may restraine blood in the nose in woundes and other places It auaileth againgst the cancer and against venemus matter of Apostumes and to téeth gumes fretted mingled with hony or Mell Rosarum or Licium when it is made with claryfied hony also Vitrioll mixed with hony and Licium put therein helpeth the vlcers of the eares Also Vitrioll combust mingleld with the pouder of Hermodactiles and put vnder the tongue helpeth Ranulae An Vngent auaileth to canâ—…duâ— vlcers wounds Appostumes blouddy and euill car buncles pestilenciall and roten Apostumes Take Swines greace ounce iij. Vitrioll ounce iiij Let the greace bée molten ouer the fier a good while in the meane time labour your Vitrioll with oyle in a brasen Morter well together after mixe it with the greace and make an vnguent If thou wilt make thereof an emplaister put thereto Pitch and waxe for Pitch agréeth well with the properties of the Vitrioll Of the properties of Allumen Cap. 15. A Alluni zuccarine is commonlye called Allome glasse it is hotte and dry in the fourth degrée it is a veine of the earth wel knowen but the clarer the better It coÌ„sumeth grealy and dryeth it auaileth with hot viniger against inflamation of the Gummes and in medicine against skabbes The pouder burnt eyther by it selfe or with hony mundifieth light cures and in that it is Stipticke it is comfortable to members for all Stipticke thinges represse humors There is another kinde of
Allome called Allumen Scissium commonly Allome plome and it hath threds and it may be deuided or clouen a sunder and hath the like vertue to the other and it is burnt thus Take a little stone and sette it on the coles so that the coles touch it not and thereon put the Allom and let it boyle vntill it be dry and waxe verie white then kéepe it in a lether bagge The water of Alom is thus made Take of Allome one part of vineger eight partes séeth them together to the one halfe This auayleth against itching skabbes salt flume c. Of the properties of Verdigrece Cap. 16. VErdigrece est Ca. et sic Hot and dry it is penetratiue and dissolutiue and it pricketh burneth melteth and represseth putrifactioÌ„ therefore an vnguent of waxe oyle Verdigrece is penetratiue dissolutiue vnctiue and liquifactiue and all these repressed and doubled of the wax and oyle added to it For waxe and oyle moysteth much and engendreth putrifaction So they hynder the sharpenesse of the Verdigrece and the Verdigrece doth represse theyr putrifaction and humectation wherefore of those a temperate vnguent is made Of the properties of Arsnicke and Auripigmentum Cap. 17. ARsnicke and Auripigmentum be both one but Arsnicke is not so fayre as Auripigmentum is neuerthelesse both be yellowe but Auripigmentum is greate more shyning and vneasier to grinde but Arsnicke is as it were pouder in respect of the other and is more lighter broken and when it is broken it is like Vermillion within of redde colour which some men take to bée Realger and that is false for Realger is an artificiall confection as Arsnicke sublimed and for certayyne they are not deceaued for they are one in operation but Reagler is redde of coulour and Arsnicke sublimed is white but there is no difference so that we vnderstand them Auripigmentum est ca. fic in iiij Gradu of the which there bée two kyndes yellow and redde Yellowe is dissoluatiue attractiue and mundificatiue and hath in it a vertue putrifactiue by which he putrifieth strong humors comming to a wound or an vlcer that ingender proude or deade fleshe It auayleth in medicines agaynst skabbes tetters white Morphew mingled with blacke sope and because we make mention of Arsnicke sublimed I aduise that no Chirurgion vnlesse he bée expert presume to woorke with Reagler or Arsnicke sublimed for of them are bredde many inconueniences by meanes of theyr violence for they cauterize more woorse then fier If any presume to vse it let it bée in verie small quantitie Auripigmentum is dissiccatiue consumptiue euaporatiue erradicatiue putrifactiue ruptiue and cauteratiue And this lesson learne of me In the beginning of my practise when I knew not the violence of them I put in the pouder of them both in the legges of two men which being done they were almost madde for the payne they sustayned two dayes together and their legges swolne out of measure The thirde day the place where the pouder was put was verie blacke and the patientes were so féeble they were almost deade Then I anoynted their legges with oyle of Roses and Popilion And I fomented the legges with hotte water to euaporate the huâ—…ors contayned in the members and vpon the sore I put rawe Larde cutte thinne with oyle of Roses Vpon hat I put the yolkes of egges spred vpon a cloth to holde on the other thinges and about the fourth daye after the place combust beganne to dissolue in the circumference and to cast foorth matter and the place was vndressed from thrée dayes to thrée dayes Thus I continued the cure in the sayde manner vntill all the mortified shesh fell out Which being remooued the bone of the shinne was bare and the woude most horrible which when I sawe I filled the wounde full of Stuphes cutte small and I put vpon the bare bone the yolke of an egge mingled with Sanguis Veneris and I filled all the wound therewith And so euerye daye repayring it vntill the matter began to cease the sides of the wound beganne to incarnate And when the sides of the wound came to the place of the bone mortified they would goe no further which I séeing I shaued the bone daylie with an instrument thinking to haue engendred flesh vpon the bone and put regeneratiues to it as Licium with Mell RosaruÌ„ Aloes Masticke Myrrhe Sarcacolle Sang. Drac And they profited nothing but neuerthelesse in my ignoraunce still shauing the bone vnder the instrument I perceyued the bone mooued by and downe wherat I meruayled But I perceaud the shauing did no good The I ceased putting nothing in the wound but Licium with Mell Rosarum and the yolke of a raw egge mingled iwth Carpit And so continued from day to day vntill the bone was raised aboue the wound and was more loose When I saw it I put vnder the poynt of a knife and raysed it a little and all the bone start out and redflesh growen vnder if the bone was in length foure inches and in bredth two and verie thicke After the seperation f the bone I cured the wounds with Licium and Mell Rosarum and the yolke of an egge and Puluis sine parie And the patient recouered his going verie well he was a young man and as it fell to the one so was it with the other And this note I put not of Arsnicke so much as the quantitie of a fich pease and the wound that Arsnick made was the bough and bredth of a mans hand Therefore beware of the vsing of Realger and Arsnicke sublimed and especially in the face and legges and sinowie places and bonye and in a mans yarde and in the fundament For vnlesse they haue great resistance they woorke in great extremitie Of the properties of Licinm Cap. 18. LIcium is the ioyce of Caprifolium Mell Pulueris vitae Alb. Ana Misceantur Et. fiat VnguetuÌ„ This â—ureth cancer in the matrix in other inwardmeÌ„bers For it hath vertue to mundifie consolidat comfort and regenerate flesh on bare bones and generally it auaileth in all fretting griefes As Cancer Lupus Fistulae and Nolimetangere And against the Cancer in the mouth it is a present remedy The ioyse of Caprifolium dried in the Sunne poudred auaileth in darke eyes if it be put in them it is called Oculus Lucidus Bright eyes j. But it may be made profitable auailing in chirurgira in this wise Take the ioyse of Caprifolium pressed out by it selfe boyled with as much clarified hony vnto the consuming of the ioyce and kéepe it to your vse This auaileth against the Cancer in the mouth and in the fundament in the matrix and to all cancrouse and fradulent vlcers of the legges If the ioyse for his thicknesse will not easily come foorth as oftâ— it happeneth infuse the leaues in white wine and it may be lightly gotten foorth For ye ought not to wash Caprifolium before the straining and inspecially when ye make Licium for the eyes