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A59999 A short compendium of chirurgery containing its grounds & principles : more particularly treating of imposthumes, wounds, ulcers, fractures & dislocations : also a discourse of the generation and birth of man, very necessary to be understood by all midwives and child-bearing women : with the several methods of curing the French pox, the cure of baldness, inflammation of the eyes, and toothach, and an account of blood-letting, cup-setting, and blooding with leeches / by J.S., M.D. J. S. (John Shirley), M.D.; Shirley, John, 1648-1679. 1678 (1678) Wing S3496; ESTC R38236 39,001 140

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