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A67187 An experimental treatise of surgerie in four parts : 1. The first part shewing the dangerous abuses committed among the modern surgeons, 2. Of cures of all sorts of wounds in mans body ..., 3. Of the symptomes of wounds ..., 4. Treating of all kinds of balmes, salves, plaisters, ointments, oyles, bloodstenchers, potions, tents, corrosives, &c. which are used for wounds ... / by that most famous and renowned surgeon, Felix Wurtz, citie surgeon at Basell ... ; exactly perused after the authors own manuscrip, by Rodolph Wurtz, surgeon at Strasburg ; faithfully the second time translated into Neather Dutch, out of the twenty eighth copy printed in the German tongue, and now also Englished and much corrected, by Abraham Lenertzon Fox, surgeon at Zaerdam ; whereunto is added a very necessary and useful piece, by the same author, called the Childrens book, treating of all things which are necessary to be known by all those, to whose trust and overlooking, little children are committed.; Practica der Wundartzney. English Würtz, Felix, 1518-1575?; Fox, Abraham Lenertzon.; Wurtz, Rodolf.; Wurtz, Felix, 1517 or 18-1574 or 75. Childrens book of Felix Wurtz. 1656 (1656) Wing W3733; ESTC R38771 274,491 374

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several and different so their Cures also Difference in Wounds must be according Some Wounds are cured onely with outward means if timely and orderly used other Wounds require also inward Medicaments without which they are not cured Therefore vulnerary Potions which I shall teach you are not to be rejected to expel the filth from the bloud and flesh Touching the Patients diet you heard of it before which I will not repeat here onely let me tell of the Medicaments I made mention of formerly how they ought to be prepared To make Coolers To make the Cooler do thus â„ž Honey lb 2. the juice of Housleek lb ss juice of Crefishes five ounces Rose Vinegar six ounces phlegm of Vitriol five ounces mingle all these scum it well in the boyling let it be a little thinner then Honey thus is it right The juice of Crefishes is made thus â„ž Oflive Crefishes lb 1. beat them in a morter press out the sap Phlegm of Vitriol is the distilled water from Vitriol at the drawing off the spirit of it Of these in the Chapter of Cramp and Palsie c. more shall be spoken This is a good Cooler it quencheth the fire presently it must stand and go no further and the fire must separate the sooner from the sound part It is not onely good against the fire the Gun-powder left in the Wound but other burnings also caused by Wood Water Oyl Iron Tin Lead Gold c. if the burnt place be annointed with it then a stiptick Plaister applied to it will do very well This fire being quenched and the pain allayed then milder Medicines must be used which mitigate the Wound and help to expel the rest I will teach you one or two I made use of my self â„ž Wax four ounces melt it on a gentle fire add to it of fresh Butter one ounce of Lin seed oyl two ounces all these being well melted then pour it forth into a pewter dish in which be water of plantain or Roses stir it well about make it hot again consume away the Water pour it again into the dish stir it well about then set the dish on a place to warm stir it still then all the water will be gone stir among it of Bole half an ounce then is the Ointment prepared for to get out the fire let it lie as deep as it will the Wound must be often drest with it at the beginning and the Plaister before spoken of applied to it Another cooling Ointment which quencheth not onely the fire but draweth it out also but it is not so good against Another Cooler the burning caused by Gun-powder as that which is prepared with Honey Make it thus â„ž Lin seed and Hemp seed-oyl ana lb ss Oyl of Poppy seed four ounces mingle these Oyls beat them put a spoonful of Vinegar to it let it cool some feces will settle to the bottom which cleanly must be separated from the Oyls Then â„ž of Wax three ounces melt and mingle it with a quarter of an ounce of white Amber put these among the Oyls then is your Ointment prepared Thus much of cooling Ointments because it is known enough how cooling Ointments are made It happeneth sometimes that though the fire be quenched and expelled yet the Wound doth not heal and is at a stand In such a case use the following remedy In case the Wound healeth not â„ž Gray Calmy stone and Tutia Alexandrina or a Calmy cake ana one ounce grind them small put it in a Crucible let it stand in a glowing heat for an hour then pour it into good Vinegar let it cool there which being done then take it out set it again into a glowing heat and then let it cool then take the juyce of Nightshade two ounces of Litharge of Silver a quarter of an ounce oyl of Roses half a pound of Wax four ounces of Frankincense one drachm mingle all these and make an Ointment of it There are many Simples found also which take out the Simples that are good also in that case fire and are of a sanatife quality viz red and white Colewort Soladel and many more of that kind And some Animals also are good viz. Frogs Geese c. of these I speak no more here Surgery being of a greater concernment with the Manuals and Experience in it more than great prating come too An expert Surgeon according to skill and Experience will Manuals Experience is best in Surgeons find more things than conveniently may be set down in writing when where and how is to order and alter his Medicines and to make them milder or stronger This I will teach you how the aforesaid Saltpeter is to be To prepare Saltpeter for Wounds made by shot prepared for Wounds made with shot and how Tents are to be made and used because the preparation is not known to every one First touching the Saltpeter its preparation is thus its naughty humidity is to be taken from it and a better restored to it that it may safely be used for the good of the Patient it is of a good scent it quencheth thirst it allayeth heat provoketh urine and is endowed with many good qualities not known to every one It s preparation is thus â„ž Of the purest clarified Peter two ounces put it in a pot and make a circular fire about let it be melted it being melted put a little quantity of purified Sulpher to it that being flamed away then cast more into till a quarter of an ounce be burnt in it the Sulpher clarifieth the Peter and when it is purified enough cast it forth and pulverise it and put it into a Bag or Manica Hypocratis put Rose water to it and make a Lixivium this Lie boyl away half let it cool and shoot into Cristals which you keep for use boil away the moiety of the remaining water let it cool and shoot again pulverise the Cristals keep them from the air in a glass for use The Tents formerly mentioned are made thus â„ž The juyce of Speedwel rectified through Wooll two ounces Gum Tragacanth purely beaten half an ounce mingle and reduce it to a pap let it stand in a warm place it will be like dough then take lint of Silk roul it in this pap on a pewter plate and keep these Wicks for use Note these must be made of a pretty bigness because in their drying they grow less when they are dry and you have need to use them then take one cover it with your cooling Ointment ' and put it into the Wound the Wick will swell in it and the Tragacanth attracteth all the moist filth which at one time with such a Wick you may get out of the Wound The lint the Wick is made of must hang out of the Wound to be pulled out thereby else it may be lost in the Wound Use the Wicks so long till the Wounds are cleansed and the heat and anger of it be past Some
neither is there any occasion to advise with others the parties wounded must lye till the skirmish is over let the Wounds be what they will There is great distinction to be observed touching such cures and those which to such accidents are not subject The cures I shall speak of here were not found out in mine own practice but I have seen and learned them of experienced Surgeons which afterward I took into careful consideration and in my dayly practice endeavoured so farre that at last I got to the true fundamentals of them And that which I have learned and seen and made experiments of them I will impart it faithfully whereby you may see my intentions to be side and reall Touching these Wounds which are spoyled and exiccated bp the Suns heat you are to note if the suns rayes strike directly into the wound or they fall onely on the patient and do not come near the wound then it may fall out that the wound is dryed out in a short time the lips of the wound grow as hard as a stick in the inside the wound groweth brown red like half roasted meat yet there is some moisture in it with a little swelling about beating and panting very much great head-ach is joined with it and the patient is saint by reason of the great heat which possest his body To apply pertinent remedies for such Symptomes do thus Curs for exiccated wounds ℞ of Salmiac water ℥ 1 Rose vinegar ℥ 3 white Amber ℥ ¼ hony Roses or mel Rosatum ℥ 6. Boyle these like an Egyptiacum wet linnen ravelings in it and tye it to the Wound If the wound be deep made by stabbing then the Ointment may be conveyed into with a syringe and apply a Plaister to it Then take good Rose vinegar in which you dissolve a little of prepared Saltpeter make it luke warm dip a cloth into apply it four double about the Wound covering the wound every way that vinegar being grown cold warm it once more and apply it again Beware you use no greasie things of oyles ponltesses c. because such wounds receive no greasie things for they are not onely not good but hurtful Moist ointments of a waterish nature without greasiness allay heats and are sharpish to eat away the heat the skin panicle c. thereby to open the obstructions of the wound that they may the better admit of healing such things you are to use here if so be you intend to do the party good such wounds must not be stitched by no means for these wounds that are thus exiccated by the Suns heat admit of no healing unless they have thrust forth that which the Suns heat hath spoyled Outward means thus applyed will not do it alone inward Internal medicines medicines must be used also For a Wound spoiled in this manner doubtless the whole body suffereth also especially when other Symptomes are coincident as a Wound sickness a Feaver an Inflamation c. Therefore in the first place phlebotomize the party on the opposite side to the Wound The best way for head wounds is to open a vein under the tongue if the patient be able to endure it for thereby the heat in the head will be much allayed When phlebotomie is used in this case then be provided with a Vulnerarie potion which must be made thus ℞ Stellaria or Wound hearb Bistorta Pyrola white Roses Vulnerar● potion or Rose water ana ℥ 1 boile all these in a quart of water for an hour or two in a closed kan being boiled strain it dissolve in it of prepared Saltpeter ℥ 1 put to it of pulverised Oculi cancrorum ʒ 1 of these let the patient drink four times a day ℥ 1 ss This drink will come to the Wound and will expell the heat not onely out of the Wound but out of the whole body and will quench the patties extream thirst The patient must be kept in a cool temper and eat of meats which are of easie digestion let him not be opprest with thirst which would be hurtful unto him His drink Dyet must be made of Barly water of Plantain roots and of winter Cherries he must use also conserves of Violets Roses c. Go on with this process so long till the Wound separateth from that which is spoiled then you may use other means as they are proper for wounds and proceed with the rest as you heard above of other wounds One thing more is necessary if so be that the patient is able to endure that he be put into a sweat be it with Treacle Metridate c. For such wounds must be dealt Diaphoreticks withal as if there had been any poyson therein If the patient can endure sweating his condition will be the better Touching the Wound diseases or the Wound gall which by some are judged to be a kind of the plague the patients condition is the worse if these are at hand if the patient cannot endure to sweat then is he in a worse condition and is in great danger Further Symptomes he is not able to undergoe and therefore I leave to speak of any more These things you heare do befall wounds exiccated by the Suns heat the like befals other wounds by the Ayre and Wind whereby they are exiccated also insomuch that they are left bloudless The occasion and condition whereof may be learned of the patient Viz. how long it is since the vvind and the air Signs of exiccated wounds got into the Wound if not then the follovving signes must be regarded the vvound is dry and doth not bleed unless being toucht it vveepeth a little the skin of it being shrunk and its lips turned if an anger is in it then it gapeth vvide and that is accompanied vvith smarting pains it gapeth sometimes so wide as if it were ready to split in two If in such a Wound the great muscle of an utter joint be hurt and a sinew cut in tw● and the joint also be much hurt or the scull of the head is cut then the condition of the wound is the worse because many simptoms are like to meet Viz. the Wound Inflamation on which the Cold fire attendeth the Wound disease and Wound feavers Gout and Cramp c. The cure of such a Wound is this Viz. ℞ well scummed Honey ℥ 4 Aeris viridis ℥ ss Vinegar ℥ 3 raw liquor of Ointment for exiccated wounds Vitriol ℥ ¼ mingle these boil it like an unguentum Aegyptiacum to a spissitude spread it on a long fine linnen thrust it down to the bottom of the Wound provided it be not a head Wound for that must not be dealt so withal the one end of that linnen must hang out of the Wound for the easier puling of it out when occasion serveth The wound must be filled up with that ointment then a stiptick plaister to be applyed upon Then take of the oyl of white Turpentine or spirit of Terpentine one part
are dressed And if there any bone be loose then take it out but in case it hangeth yet and sticketh inward then raise it outward again with an Instrument into his former place Let it stand so use convenient means and let Nature provide for the rest I know she will not be wanting unto her self CHAP. VIII Of the Head-ach after the Cure and how that is to be helped How to make the subtile Head ointment with remarkable examples of Head-wounds cured Head-ach after the cure of a Head-wound IT happeneth sometimes after that a Wound hath been fully cured that the Patient after two three or more dayes or after so many weeks feeleth pains in his head and the same pains do increase more and more and many die of it for all Surgeons do not understand the cause thereof and how the same were to be helped of the which I will inform you here First when a Head-wound is healed and riseth after the When a Wound doth swell after healing healing and swelleth and is very painful then lance the Wound presently for it signifieth that some splinter would fain be out and if you do not open it then the matter would make a mighty great hole and break out in another place which would cause many simptoms and troubles and the blow would come on a fresh therefore look you give vent to that matter and when such things are opened then the plaister will draw out the splinter together with the matter bloud and water and if you think it good you may let him use an expulsive vulnerary potion then the Wound will be cleansed and cured Secondly look well to these following signes if the Patient complaineth of great pains feels great prickings in the head and these smarting pains increase more and more and cannot endure to be toucht in that place where the Wound formerly was yet no swelling nor rising of the skin appeareth as you heard formerly then is it a sign that within the scull there is a splinter which hangeth inward and causeth these prickings in this case that place must be lanced instantly and the splinter must be taken out as hath been said Thirdly In case the Patient complaineth more and more after the Cure not onely of the place where he was cured but all his head is panting and broyling accompanied with extream pains This is a sign that congealed bloud is gathered under the scull and is turned to an Imposthume And if his eyes be swelled and some bloud and matter runs out of his nostrils then is it a more sign of it This infirmity may with Gods help be cured easily as hath been said already Viz. Cut off the hairs in the place where the pains are lance the skin cross way to the scull in the breadth of half a Crown and put back the four pieces that the scull be naked then cut with a Raisor or other Knife a Wound into the scull open it that you may look into it then the matter will start out against ye and the Patient will be eased and if there be any splinter at hand you may easily see it and take it out as you have heard before This is the onely way to help such a Patient Such Wounds now made are soon healed again onely govern the Patient well as is fitting and as I have informed you before You must lay nothing to his brains as I told you afore for the brains will expel the things of their own accord when they have a vent for it without any further help and suffer not any strange matter to stay or abide there Touching the cutting up of the scull note that there is Note the cutting up of the scull no difficulty in it and is done easily and quickly For the scull gapeth and openeth if there be any splinters or little bones there therefore with a little help those small bones may be taken out onely look narrowly to it whether there be any fracture at hand for you may easily discern whether a splinter within goeth down and inwards or whether there be any more of congealed bloud there But if you find after the opening of the skin neither fracture nor scissure a hundred to one but there is and however you are sure that the scull must be opened be it either by reason of the congealed bloud or by reason of an Imposthume take a well turn'd sharp borer and bore thorough the scull at the place where the pain is then the matter will startle out and when the place is almost thorough bored then work gently and look well to it that you cause no small bones with the boring to fall into the hollow of the head for if so then you will find somewhat to do and not without danger In this case some will have though I never had need Another way to open the scull of that when the matter at the first opening doth not appear then another hole a fingers bredth from the first is to be bored and then to cut both these holes into one and so to make a Wound into the scull into that made hole you may see with a lighted candle in a dark place and understand the cause if you find then either congealed bloud or a swelling then touch it onely a little with an Instrument as soon as it feeleth vent it will soon come forth at the Wound I should like this way well enough in case any splinter or loose bones be there But it is your duty to study in what manner it may be done most fitly and conveniently as the condition of the case requireth and to regulate your self accordingly For it is impossible to set all down in writing onely be mindful of the vulnerary potion as you shall hereafter hear of Before the close of this matter I will tell you how you shall prepare the Head-plaisters and the thin ointment so To make Head-plaisters often mentioned hitherto Make the Head plaister thus â„ž Of Wax â„¥ 8. of washed Turpentine Ê’ 4. of oyl of Roses â„¥ 2. of the juyce of Bettony â„¥ 6. put all these into a pan let it boil let all the joyce boil away when the other are melted then take it off the fire and put thereto pulverized Colophonium â„¥ ss Mastix Frankincense Myrrh of each half a drachm this must be continually stirred till it be so cold that you may touch it with your hands then work among it Oleum Storacis CalamitaeÊ’ ss make it up into rouls and keep it clean for use This plaister cleanseth Wounds leaves no unclean thing in them and is pleasant and proper for the brains and the whole head Therefore use it as it ought it will not deceive you and doth better than Oyls Aqua vitae Waters Salves as you heard above I will teach you another Head plaister which is yet better â„ž Wax lb 1 Turpentine â„¥ 6. melt these together being well heated pour it into Rose water let it
at a little piece But if a Nose or Ear is altogether grown cold at the stitching be not amazed but stitch it on and warm it with warmed Wine in which is laid Sanicle or Housleek and being well heated then apply it afterward dress it like a soft Wound and being healed to a skin then let a scurfe grow upon it will heal the Nose finely Wounds on Chins heal easily and freely if they be not cut downward and need no stitching but if a flap hangs Chin-wounds down then set two stitches But as was said by the Nose and Ear-wounds to prevent ugly scarrs which stitches usually leave behind let them be ripped up again Plaisters which cling hard ought not to be laid to Chin-wounds whereby the tender and young healing would be broken again at the taking off the plaister No great advantage to be used at the healing of such Wounds being they are of a free healing Wound-waters made of Honey and Wine are of good use for such Wounds In case the jaw bone be displaced by a blow it ought first of all to be put in the right place such Wounds by reason Cheek-wounds of the jaws constant motion do heal very hardly not so easie as those in the Cheeks Use no greasie things to these Wounds which would cause naughty flesh if not quite a fistulo the manual herein is to let the cure rest on a good strong Wound-plaister which will do it Apply that Plaister warm and well covered and let the Patient gargarize twice or thrice a day as occasion serveth With this ℞ Of Wine lb 1. of Water lb 4. of Oak leaves ℥ 1. burnt Allom 31 white Vitriol 3 ss Mingle these let it have a strong walm This Gurgarisme if the sooner used keeps off proud flesh and suffers no thing to grow in the Wound This following Wound-water is to be used also ℞ Of Cousolida major Oak leaves ana M 2. boyl these in two quarts of Water boyl some part of it away let it cool let the Patient wash his mouth with it luke-warm and he will be healed quickly No Coolers are used to Eye-wounds made of the white of Eggs as usually they do neither is Turnip water good Eye-wounds which would make the Eyes sore which abuse is very common I have known some which held themselves great Surgeons who held it for a great Master-piece to outrun the Eye in a short time and kill the heat therein But this is a horrible skill to spoil folks eye sight these men little think upon Nature and how little do they regard her help Better wayes are to be considered of for the Eye-wounds are very dangerous To use cooling things and to apply them outwardly is adviseable some way and I intend to describe something also For the Eyes are slimy and love slimy things If you have an Eye-wound in cure use this Collyrium though metalline things are more pleasant and proper ℞ Oyle of white Lillies oyle of Roses Honey water Verdigreice or rather take the oyle of Ceruse which is better I say the oyle of Ceruse is an approved thing in Eye-wounds if you have not this then make use of the other These things outhgt to be had in readiness for they are vertuous and effectual in such cases I knew a Citizen at Strasburg whose apple and stars of his Eye was wounded his sight was recovered though not so perfectly as he had it before the Wound even by that oyle of Ceruse Vnguentum Mucilaginis put into the wounded Eye with a spattle will clear the sight ℞ Foenugreek Althea Consolida major steeped in Oak-leave water or Celendine water as also a red sour Apple boyled in Wine and Water ana Item Apply the Collyrium luke-warm But in case there be a great heat therein then cooling things are to be used viz. whites of Eggs Rose water Bole on linnen the following things are good also Whites of Eggs spawn of Frogs Nightshade water Rose water Lastly if great pains be in them then use this following Albumen ovi Succus hyosiami Opium Coquantur s a. If a party hath received a Wound in the Eye apple or the Eye hath received some other Wound then in the first place note that wounded Eyes must have drying things and so the Medicaments must be made accordingly The metalline ones of whom hereafter I hold to be the best Courteous Reader I will conceal nothing but faithfully impart that which I found experimentally If an Eye be wounded this is the Secret I know and is of A Secret for wounded Eyes great use in many other cases ℞ Virgins Honey which of its own accord is fair and clear and need not to be more clarified lb ss mingle with it the juyce of fresh red Roses ℥ 4. pulverised white Vitriol ℥ ss Verdigreice ℥ ¼ put all these in a glass body distill it in Balneo Mariae you receive two waters the first and the last this last is the better of the two of these waters you may safely drop two drops into the Eye Afterward take one part of this water and the mucilage of Foenugreek ana break to it the yolk of an Egg beat these well together warm it a little spread it on a doubled cloth apply it to the Eye all pains will be gone at the third or fourth application and will come to healing The mucilage of Foenugreek is made thus ℞ Foenugreek purely beaten ℥ ss pour on it of Rose water ℥ 2. you may add to it Fennel Celendine and Eye-bright Eye-plaste● or Collyrium water let these stand a while in a heat it turneth to a mucilage which must be prest through a cloth and used as you heard Some use also Gum Tragant and Gum Arabick with Henbane Dayly experience will produce more and better things than may now be written if you apply this slimy plaister first moisten the wounded place with oyle of Roses and blew Violets that the plaister may not stick to the skin that afterward you need not to take it off forcibly especially when great anger is therein Take heed that of this plaister nothing come into the Eye though it be no hurt but onely biteth The heat and anger being removed then the next and best that I know is the red oyle of Ceruse drop two or three drops into the eye and round about the outside annoint the place with the white oyl of Ceruse it is a marvellous healer and true metalline cooler clarifying the eyes and preventing other simptoms This is generally used for the eyes and found never a better And with these onely by Gods help I undertake to heal swelled beaten and wounded Eyes and eye-lids though they be never so much bloudshed and full of congealed bloud How is the oil of Ceruse made With distilled Vinegar The red oil which I commend so much is made thus ℞ Ceruse lb 1. well grinded pour on it distilled Vinegartwice drawn the first running is put by and the last
the matter Objections answered Let not that trouble you it is consumed and expelled through the Opodeldoch and further removed by stool with the help of Medicaments Where you may note also that the Breast-wound being healed loosen and thrust off the stitches and leave a passage whereby the matter can pass and run out And before that is done the Wound is well set and healed and the fear is the less in that particular provided that the Patient be still kept as he should as you heard above Why do you not stitch other Wounds also Objection Marvel not at it These Wounds have room enough to yeeld their matter which other Wounds in outward joynts and members have not CHAP. XII Of some particular simptems which are incident unto Breast-wounds how Surgeons ought to behave themselves here BReast-wounds have simptoms incident to them more than other Wounds have which in this place I will mention Breast-wounds have many simptoms in particular For touching other common simptoms of Wounds of them in its place you find sufficient instruction In the antecedent Chapter I have told you that you ought How to do when a tent is gotten into the wound or body not to use any Tents in Breast-wounds nor any other ravelings and the like rags for a reason alledged There are some Surgeons found who use their tents in an ignorant way and gross mistake and put such like things into Wounds which afterward are sucked in by the breath of the Patient into the Breast and the Patient is thereby brought into extream danger I have seen such Patients who having drawn and suck'd such tents into the body dyed of it Therefore have a care that you use no flat and round tents untied unless you guard them well nor make any such tents as if you would heal therewith another hole There is no need of any tent but onely of a Salve and Plaister and by a nimble and quick dressing keep out the wind air and cold Others that use Cataplasmes or linnen dipt in warm Wine I leave them to their old custom for many Surgeons that are experienced use them and my Writings are not for them but onely for Novices If any such Wounds comes to be cured by you then stitch it closely that it have no vent for the Wound will get vent before you shall be pleased with it Be diligent and quick in healing which if you do it not quickly you will hardly do it afterward And let the Patient have a vulnerary potion over and above for these are such Wounds where the bones are hewed and cut thorough and help Nature that way Wounds that are before are more dangerous than those behind Use no tents nor searchings in the Wounds for you will meet with difficulties enough make you all the haste with the healing make use of the green Salve and Wound-plaister these are sufficient bind and dress it well I have never made use of warm Wine nor of any Cataplasm because I know it will keep not long warm though it be applied so In case some mischief should happen by the falling in of something into the Breast or Back-wound and you are sure that something is fallen in then look whether you can see it and set the Patient into a very dark place light a great candle being of Wax hold it directly at or over the Wound then you may see better into the Wound then when the Sun shineth feel not and search not into the Wound if you never felt into the Wound then you may if it be fit if not then this is the best advise viz. Make a Lavament of Liquorice let it run gently into the Wound through a Sirenge that the in-fallen thing be not stirred the patient must keep in his breath and then let it go gently Or take Water and Wine ana dry Rose leaves a few Cammomils and Mallows boyl these together pour it out being settled cant it off use the clear make it luke-warm wash the Wound with it several times though some of it comes into the body it doth no hurt and is consumed and cometh forth when you let the rest run out of the Wound Having used this Water to the Wound then let the Patient suddenly cough then the water will partly run out of the Wound and bring forth that also which is fallen in which you can take hold on and draw it out fully if that will not do it then place the Patient with the Wound downward that the water may run out then look to it whether there be not a partition at hand before you set the Patient upright This water you may use safely for it will not hurt the body at all This is the onely remedy which I know in this particular is used which if it will not help and the ravelings stay in the body then nothing else is expected but a miserable chronical disease which will produce nothing but death of the which I told you also formerly You see the reason why such dangerous abused attempts upon wicks and tents should be shunned Patients in this case are commonly plagued with a cough A Cough is hurtful to breast-wounds The remedy for it which is extreamly dangerous and chiefly in Breast-wounds Therefore great care ought to be had to resist it with convenient means either before or after purposely prepared which are to be given to the Patient either in a Potion or otherwise Some Apothe caries shops afford the like as Morsali iri●s morsali diatrag acauthi frigidi and such like Item Lohooh sanum made of Foxes lungs item Sirrups of Hysop and Liquorice c. every Surgeon should know what is to bedone herein Some Surgeons use pectoral Potions which are good Pectoral potions and not to be rejected but thus much I say distinction is here to be used because these are not good to all Wounds indifferently therefore I will set down some which are good in this particular A Patient being troubled with a Cough and is put thereby True pectoral potions into some danger then ℞ Liquorice ℥ 1. Annise seed ●●isius Hysop and ℥ ss Speed wel Lungwort and ℥ ● 4 Water lb 7 ss Boyl all these together so that there remain lb 3. strain it through a cloth put to it of Honey lb ss boil it a little more scumming it well let the Patient drink of it mornings and evenings it will do him good Another which is good also ℞ Liquorice ℥ 2. Mallows Another ℥ 1. Walwort ℥ ¼ Water lb 8. boyl these to lb 5. strain it through a cloth fling away the rootand hearbs put to this water of Raisins ℥ 3. Sobesten ℥ ¼ Jujuben ℥ ¼ Lungwort Maidenhair ana ℥ 1. Annise seed ℥ 2. boyl these to lb 3. strain it and dulcifie it with Honey and Sugar and minister it as you heard Note these Breast-potions must be thus prepared that urine thereby be provoked being the Lungs or other parts are
the mindlemost I made the first knot then I could see how it would fit whether there be too many of the splinters or two few and placed them as I saw it fitting then I laid the uppermost band where I could see the better whether it would be too much or too little that knot I pulled hard together because it will still yeild and slacken at last I laid the lowermost band then commonly the middlemost was tied too slack which I opened and pulled it as hard as I thought it would hold the Fracture without hurting the Joynt and the Fracture be kept from stirring These three bands hold the Fracture and if dressed and bound otherwise it doth no good Thus much of splinters A Surgeon ought to have two roulers or at least one Of the Roulers though there be no need of them yet they must be had in store and great pieces of spread plaisters seven or eight and a number of all sorts of splinters short long crooked and plain ones for to flap-Wounds you must have several sorts according as they are made Roulers must be made not too broad and must run with the threed or Wool and cut with the threed or tear them after the threed which is best and cut off the ravelings for some of them have hindered me much in the same manner you must cut even the plaisters and the splinters all the sides along for the smoother and plainer a thing is the better is it handled nor let the linnen be wrinkled or plated nor the plaisters neither and apply them plain and smooth and apply the plaisters straight for they will slacken fast enough when the splinters are pulled together wet your finger either with Water or with a little of the Ointment then the Plaister will not cling to your finger Then have a long Rouler at hand with two other ordinary Roulers as also five smal pieces cut from one end of the piece to the other and have your Surgeons box filled with necessaries viz. Raisor Spatule Sheers keep the box clean that you may in nothing be hindered have in readiness also a good piece of plaister in a box of Tin or Copper which being hard you may fling it into hot Water to soften it Have a good Knife also about you in case you have need to cut the splinters to a fitness also a Sponge and a threeded Needle and a piece of lint Besides the great Plaister which must be spread broad and thick you must have many smaller pieces whereby you may fill up places if need Therefore spread alwayes more Plaisters than you think you shall have use for Item Be provided with Stitch-plaisters bolsters or bags filled with chaffe Provide also Fracture plaisters of the which hereafter is spoken and spread it on a strong cloath broad and long according to the bigness of the Fracture and you must be provided also with ordinary Plaisters made of two parts of Wax one part of Turpentine and one part of Suet and spread them thick and broad as the first Plaisters are lastly you must have in readiness also broad linnen as you shall hear all these things named are necessary for to dress a Fracture The above-mentioned Fracture-plaisters make thus How to make Fracture-plaisters â„ž Clear white Resine no hard glass Resine lb 2. Cyprus Turpentine lb ss melt these together gently and not boil it put to it of Barba hirci four ounces which Hearb must be pulverised stir it so long together till it be almost cold Thus is the Salve made if you will spread it on a cloath then pour on it boyling hot Water then is it plyable to be spread I like this Plaister better than the before-named ordinary The vertue of this plaister Cataplasmes or Drier For it sticketh close to the skin stirs not in haste even as splinters also applied to the Fracture must not stir This Plaister draweth forth the moisture from broken bones and ligaments and maketh their gluten stiffe and strong through the vertue of the Resine which is the true external Balsam unto bones and ligaments For this Resine draweth forth the superfluous moisture which the bones cast up and coagulateth the on-growing the sooner and maketh it come together and then the said Hearb Barbahirci is an extraordinary healer far beyond other Wound-hearbs Indeed Comfrey Walwort Sanicle Bistorta have their vertues also in the joyning the bones together but not comparable to this Resine true they draw forth the filth from flesh and bloud but to get out the matter out of the bones they are not strong enough much less is Terra sigillata and Bolus of that vertue true all these are great driers but have no power to extract things that lie deep To heal with greasie things is nought I will say nothing here of those which use to broken bones several fat and greasie things there is no reason to defend what they do whose actions I reject as nought for many reasons Oyls Waters Lies c. are not to be used For no man that is swelled ought to be wetted drying things are good for him I disswade here the use of Oyls and Ointments though they be more pleasant to Mans body than Lies or Waters Before I come to the handling of the Fracture I will first inform the courteous Reader how many sorts of Fractures there may happen unto Mans body then will I speak of them in particular where you shall faithfully be informed in things that I have found in my practise to the good and comfort of poor Patients and Surgeons It happeneth many times that the foremost part of the Arms bones are broken sometimes the uppermost great bone or Shin and sometimes the lesser bone and sometimes both these are broken and sometimes the upper part of the Shin hath a Scissure and sometimes the Arm or Hand is bowed or dislocated and may be set right again even as a stick bowed may be made straight sometime their Fracture breaks through the skin at the end of it and are apparent to the eye In brief there are several sorts of Fractures in these places all which are known by the practise as that part above the Elbow and those below the Knee and who can remember all such accidents sometimes a bone in the Finger is broken and another in the Shoulder or the Shoulder blade or the Neck bone or a Toe or the Knee-pan which sometime is split and broken I have had Patients whose Knee-pan was thorough cloven sometimes the Elbows-knockle is broken sometimes the gibbous part of the Hip as it befell mine own Child and grew halting of it sometimes the Ankles is off from the bone sometimes the bone of the Foot 's wrist is broken or that upon the Hand and sometimes the bones go asunder or raise yet are unbroken sometimes the Skull is broken and the bones and crissels of the Nose c. If the Patient hath a bowed Arm or Bone then
the increase of the Moon it signifieth that a wound simptom is come or any other bad accident which is so if the aforesaid signs appear also else it hath another meaning however it signifieth but little good These signs spoken of Surgeons ought to observe diligently and learn thereby to discern a coming wound simptom that they may oppugne and repell or keep them off before they be quite come the preventing of them is easier then their expelling after they are come It is time now to tell how this simptom is to be oppugned Cure of wound simptom I will speak of it as I found it experimentally I do not hold my process forth in that manner as if it were unparraleled only this I say I found it to be the safest and best Note I comprehend all into one cure whether a simptom be coming or be come already You must consider that if a wound disease be discerned in its signs before its coming then is it needless that strong medicines be applied as when a paroxisme had been over For this cure I applied not when an inflamation was already in the wound disease for then it must be ordered otherwise as you shall here in its due place The foresaid signs of the wound disease having appeared then have a care to remove pictures out of the Chamber where the patient lyeth for patients being very weak and beholding such pictures causeth in their fancies strange imaginations whereby they are frightned and amazed which maketh simptoms to be cured with more difficulty Touching the cure it self as I have learned in my practice I ordered for the wound disease where the paroxisme was gone which being done then minister unto the patient of this following Aquavitae from one to two and a half ounce according to the condition of the patient and let him sweat upon them very well In case the party cannot sweat which usually hapneth then heat Tiles or Brick stones moisten them with Vinegar To cause sweat wrap them into a cloth and apply them to his feet in the bed or to any other place where you think it fit and so let him sweat as much as he is able to endure Seeing the party is to sweat thus notwithstanding he is hot already then take of Goats milk lb 1 of distilled To expel heat caused by sweating water of Nightshade â„¥ 1 dryed or fresh Alkekengj â„¥ ss pulverised Fenegreek â„¥ 3 of Rose water â„¥ 1 ss boil these to a spisse Cataplasme spread it on a cloth apply it warm to the right side to the region of the liver then that heat caused by sweating will not prejudice him This must be applied to the right side where the liver lyeth that it be not too much inflamed that must lye there whilest he is sweating To the pulses both on hands and feet must be applied a four doubled cloth dipped in Rose water where Saltpeter was dissolved in doubtless the patient will find himself well after his sweating His dyet must be of easie digesting meat it would not be amisse to put among his meat some sirup of Nenupharine after the sweat other medicaments may operate which ought to be noted If the party be costive then make a glister of flesh broth prepared of Mallowes Camomils Rose oyl you may if you please or you see it fitting mingle with it two three or five drams of Electuarium de succo Rosarum which will cool the body within gently and do more good than other purges this may be iterated if need be c. This cure is ordered for a wound disease when it is already come But when it is but coming and you intend to prevent its coming which will be the best way then the medicaments ought not to be so strong therefore a dose of the foresaid Aquavitae will be enough of â„¥ 1 ss in the rest you proceed as you were told Touching the wounds it is the safest way to use to it the brown ointment and apply on it a stiptick Plaister If Cure of the wounds there be any heat in it then use round about the wound unguentum dialthaeae or oleum Rosatum I love not to have the wounds too cool because coolers are not very good in these wayes At last apply to it a good defensive Plaister and look to the healing which doubtless will soon appear assoon as sweating is over All these being done the patient and the wound being in a better condition then go on with that cure secundum Artem till to the end of it In case the patient is not yet settled for to have his sleep quietly then use that precious Pill Anodynum The Aquavitae which I made mention of in this Chapter is prepated thus Take the best Aquavitae without any phlegme in it called Aquavitae for wound frost or ague Alcool lb 1 put it in a glass body put to it of rasp'd Harts horn â„¥ 6 mingle with it pulverised Myrrh â„¥ 2 lute the glass carefully that nothing vapour away let it stand thus infused for eight dayes then distil gently off the Aquavitae in Balneo so that the feces may stay dry behind this abstracted Aquavitae pour on the feces again distill again very gently iterate it a third time put this Aquavitae in a wide glasse of a narrow mouth then put into it well pulverised Myrrh â„¥ 1 filed Harts horn â„¥ 2. Mithridate â„¥ ss Camphor Ê’ 2 close the glass exactly serva ad usum Having stood a moneth and none of it used then cant it off put away the feces and put fresh materials formerly named into it let it stand well closed it is precious hath great vertues to purifie the blood and to expell all venome Camphor by reason of its penetrative spirit and harmless hot quality is one of the chiefest things in it In case such Aquavitae cannot be had then you may use Treacle or Mithridate c. but that will not do so well as the said Aquavitae for reasons known needless to be related here And thus much of the first Wound disease CHAP. XVIII Of the second sort of the Wound disease called the Shaking or Wound gall how that is to be discerned and cured THis also is one of the worst simptoms which may befal A wound gall is dangerous a wound whereof many dyed and are like to dye hereafter because it is hardly well known and its cure neither known nor used All which is occasioned by reason of the foresaid distinction which ought to have been observed about the Wound disease but they comprehend all under one cure which should not be as you may judge by that which ensueth As dangerous this simptom is and as suddenly it may be a danger of death to the patient so easie and suddenly is it cured also provided the thing be well understood not else This simptom I heard it called the Wound gall by reason Why called a wound gall why a shaking of its form
that a wound is very dry yeilds no matter but onely a little water its lipps are hard and turned outward are thick and red round about disformed and indisposed and a slyme in it no great heat and pain the patient feeleth Further note if the wound be in an outer part for that about the bodies bulk is of another nature and the party feeleth panting and pulling pains in that joint or part it is a sign of the cold fire which usually hath its cause from the Prunella if it be not timely opposed Touching the cure of such wounds note If Prunella be Cure discerned and known in a wound by some of the said signs then the patient in the first place must be phlebotomized as you shall see occasion It would be well if it could conveniently be that a vein were opened under the tongue for if a party be troubled with Prunella it is soonest discerned by the throat and so it will soon shew it self in the wound also if it was in the mouth or throat at which some Surgeons are estranged and others do slight it but no sport for the poor patient After phlebotomizing take water of Salarmoniack mingle it with half as much of Rose Vinegar make it warm siringe the wound with it if it may be done conveniently afterward use this following Ointment to the wound or stab Take of well scummed Honey ℥ 4 Vinegar of Roses and of Juniper ana ℥ 1 phlegme of Vitriol ℥ ss mingle these make an Unguent of and use it and apply a defensive plaister without about the wound but on the wound you are to put a stiptick plaister But if the wound be very angry then the following Lavament is to be used Take of Rose vinegar lb 3 of Myrrh ℥ 2 mingle these and let it boil together for an hour then ad to it of Camphore ʒ 1 of Saltpeter ℥ ¼ these must be well beaten dip cloths in it wring them out lay them four doubled and warm to the wound let them be big and broad enough but the wound must be covered first with a good plaister before the cloths be applied if these grow cold then apply other warm ones and this must be iterated so long till the wound be well warmed then apply a stiptick plaister If a wound by these be brought to a good pass and Signs wherby is known a wound to return right sheweth a true and good sign then go no further on with these medicines then you are to take good wound Ointments and stiptick plaisters But how you shall know that a wound returns to a right tune it is thus The patient as well as the wound altereth and the best sign whereby to know it is when there is no more pain in the wound and looks ruddy and is soft and tender The patient must take heed of drinking of wine as much as of poison and to shun all meats seasoned with spisces arumatical Let him drink Barley water wherein must be dissolved prepared Saltpeter of which hath been spoken above to five pound of water you are to take half a dram of the said Saltpeter it will allay his heat as well that in the wound as that in his body About the dressing of his wound and the applying of the medicines you are to do it in that manner as you heard above about wounds which were exiccated by the Suns heat Out of these in my judgement may be enough discerned that it is of great concernment that a simptom in a wound be well known then it will fall the easier to cure such wounds It is most certain that these simytoms in wounds will by no means admit of any greasie medicines Now those that do not know it and go on in their old waies applying their wound ointments and plaisters these will do little good nay rather do mischief There ignorance is in fault why so many wounded parties loose their lives especially if the wound be in the head or any other perrilous part and when such Surgeons have done their best it is at the least God blesse patients to the losse of the wounded member For your better instruction I wi●l set down here how this water of Salarmonick is prepared Take of Salarmonick one part of white calcined Tartar one part mingle To prepare water of Salm●ack these together sublime them to a powder according to art Let this Salmoniack sublimed be dissolved to a water in a celler or other cool place In case you are to go into the Country with it then is it better to keep this sublimate in a powder and carry it not dissolved And coming to your patient you may dissolve it in Rose water and in case you cannot have neither Rose water nor Aqua Nenupharina then take fresh Well water which for a need may serve the turn especially in a Campe where Prunella usually is brief among Souldiers One rare thing more I must relate viz. the phlegme of Verdigriece is dangerous here Vitriol or Vitriol it self is very good for such wounds whereas Verdigriece is very hurtful to them though both are made of Copper The wounds and the medicines differ here in their conditions the one affecteth wounds the other dissafects them or the one is a friend and the other an enemy unto them c. Therefore I say this that Alchymie is worth to be praised whereby medicines are prepared in that manner as occasion doth require CHAP. XXII Of the Cramp Palsie Apoplexie c. how these Symptomes befalling Wounds must be cured CRamp is a dangerous simptome especially in Head wounds in the neck throat c. where wounds are in dangerous places there the Cramp is the most hurtfull Cold causeth the Cramp in a wound either by that cold Cause of wound Cramps which from the raw ayr is come into or else the patient was kept too cold It is most certain assoon as the arteries and white veins have felt but the least cold presently shrink upward and cause the Cramp Therefore the Surgeon ought to have a care that when he is about to dresse the party to let the wound not be open too long but dresse and bind it presently go not beyond the allowed time of dressing and the patient must be looked to that he commit no fault in fretting and vexing at one thing or other There are other causes of the Cramp which we now pass by Touching the cure of the Cramp note if you discern Cure in head wounds the Cramp in a Head wound then alwaies annoint the patients back and neck with proper oiles of which in the description of Head wounds I made so often mention of viz. you are alwaies to annoint his back and neck with the oyle of Cammomil of the oyl of Lumbrici terrestres c. And it were not amiss to annoint him well with Petroleum The best oyl for such is the oyl of Amber but is not fitting to be used per se or
by it self but should be mixed with oyl of Olives or oyl of Majoram it allayeth the Cramp keeps off the Palsie caused by the Cramp usually But if the Cramp be in a wound of an outer joint or part Cure of the outer parts where you suspect some sinewes be hurt then mix your wound ointment with some of the red oyl of Turpentine and apply upon a thin stiptick plaister Annoint round about the wound with Tile oyl or with distilled oyl of Bayes and bind him warm And in case the Cramp will not yeild to these means and is on an outer part as hand or foot then foment the wound with warm Lye made of Beech or Oak ashes wherein are boiled Cammomil flowers or Saint Johns-wort Being thus bathed or fomented for half an hour and is well warmed then presently dresse it doubtless the Cramp will cease But take heed you do not cause the Cramp to return and let the patient also be warned of it hereby In such cases I have seen Piony root to be often used for the Palsie wherewith indeed some good may be done if Pionie is good if digged seasonably seasonably digged if not then I found that these roots did no good It must be digged in Aprill when Soll is in Aries and at a plenilunium before the rising of the Sun It must be dryed in the Ayr not in the Sun shine then they are right and proper to be ●●●nged about the party you may make of this green root either a sirup or a conserve it will be the more effectual Touching Palsie Apoplexie c my intent is not to write much of it being it concerneth Physitians more than Surgeons But whereas the Cramp is commonly a cause and forerunner of the Gout Palsie and such like simptoms there seems a necessity to lye upon a Surgeon to have some judgement of it that the better he may oppose and cure it therefore I could not chuse but to give an hint of it I know nothing better to allay this simptom than a well Cure rectified spirit of Vitriol I must confess there are several pretious waters powders c. good against the Palsie I I reject none of these but this I hold to be none of the least Spirit of Vitriol is made thus Take crude Vitriol which is pure and green put it in a coated glass body set it in an To make Spirit of Vitriol Oven into the open fire apply a Receiver and lute it well let your first fire be gentle encrease the fire by degrees get over all the phlegme when the retort hath been red hot a good while and no more water comes over then let the fire go out and let it be cold That phlegme which is come into the Receiver containeth that body in which is the spirit of Vitriol for he is not in the Colcotar as some suppose because in that there is no more spirit but a meer oyl for if you take that spirit of Vitriol which is made of the said Colcotar and you abstract all its spirits in a glass body then on the bottom you will find nothing but a corrosive oyl of Vitriol whereby we see that no small fault is committed herein for the one is not comparable to the other in its vertue That spirit of Vitriol is pure and clear like rock water is acide and not heavy and it is made thus Take that phlegme you have received in the Receiver let it evaporate in Balneo Mariae on the bottom you will find the spirit of Vitriol abstract it in sand a second and third time in an Alembick the oftner the better if any phlegme stayed with it the same you may separate at any time And if you will have it yet better then put to it half as much of spirit of Wine put it into a doubled glass body lute it well set it in Sand for a moneth into digestion This is the true Spirit of Vitriol which hath no corroding quality and may safely be used and specially it is a soveraigne thing for the Head when an Apoplexie Palsie c. is feared and if this Spirit be mingled with Magistene of Pearles and Corals then nothing comparable unto it for the said diseases That Spirit thus mingled may be given to those that are The use of this Spirit troubled with a wound disease or with a Prunella It refresheth and corobrateth the inward parts principally the head and heart It serveth also for a pretious vulnerary Potion The use of it is to be taken fasting four five or six drops in one ounce of distilled water of Stellaria but the soveraignest is that grass green oyl of Vitriol which being it cannot be had every where I forbear to speak any more of it CHAP. XXIII Of consumed withered or updryed Wounds and Members how Surgeons ought to deal with them A Withering is a Symptom which is incident to joints wounded commonly to armes or leggs as much as my experimental knowledge will afford I shall faithfully communicate it This withering or consuming is easily discerned because From whence this withering comes the skin on the outer member looks blacker than that on the found member the causes thereof are several either when muscles sinews joints are wounded by a fall blow thurst c. there may be an external cause of it though not any wound hapned to that part as a cold humor falling into or other diseases be it in the shoulder hip knee c. An Ariditie comes thus also a parry being wounded and by the Surgeons neglect the joint water did run too Exiccation Adridum Membrum long this expert Surgeons call Membrum aridum or an exiccation For the joint water is a food whereby all joints and members are susteined Now if that joint water did run too long then thereby that part was bereaved of its natural humor without which it cannot subsist it being so how can it chuse but to decrease and consume The condition of this joint water is like a tree which is Comparison opend at the prack in the spring whose sap runneth out where it is cut and so the tree withereth and dryeth up and cannot be recovered So if the joint water be run thus long whereby that member is dryed up and grown hard stiff and inflexible then Surgeons bestow their pains in vain about such cures can do no more to it but to allay the pains that are still in it But if it be not gone too farre then be not affraid to fall on the cure and be helpful unto nature There are several causes of this witheredness all of them Cause of this Ariditie I shall not relate one in general I will name touching the occasion of the up-drying That updrying for the most part comes from an oppilation of that member be that caused from what it will either from pains diseases or woundings For where there are great pains in a member which have held a
with less pains than five ounces of others CHAP. II. Of Plaisters in generall and in particular of Opodeldoch stiptick and defensive Plaisters AS there is a variety of wound Unguents so there is a variety also of wound Plaisters according to the experience in Surgery I cannot dislike that every one sticketh unto that what he hath learned and I know that some Surgeons use things which they do not understand and care not for better experimental knowledge To speak my opinion about wound Plaisters it is meerly a cover over for a wound as many do count it no other but they are of as great concernment as wound Unguents which run into the wound for if these Plaisters be well prepared then they preserve wounds from many simptoms and are to be highly esteemed And do not approve at all of that when Surgeons apply Plaisters to wounds on dangerous places made of Wax Suet Turpentine Oyl c. In some place they hold it a great skill in Surgery if they can prepare Emplastrum Diachylon and apply it to the wound it helpeth such wounds which hardly deserve the name of a wound but in dangerous wounds where more care and vigilancie is required it doth no good to say nothing of a worse matter But as I said afore it is a great matter to have good Compositions in Plaisters for an unclean wound is affected with Gum Amoniack and such like but to running wounds such Gumms are clean contrary for that reason is it requisite that Surgeons ought to know the nature and condition of wounds and to be sure with what each wound doth agree therefore as in former Chapters I have imparted unto you faithfully the Compositions of wound Unguents and of wound Oyls so will I do now also and teach you the composing preparing and using of wound Plaisters and will begin with the Plaister Opodeldoch Description of the Plaister called Opodeldoch This Plaister deserveth the prerogative among the rest being a Catholick Plaister used for all wounds and stab● and preventeth many simptoms by reason of its quick healing though it asketh no great toyle in the preparation of it yet this ought to be considered in it that half an ounce of it effecteth more than five ounces of stiptick Plaisters and these also according to my receipt are good however they cannot be compared with the other He that will have or make it must be informed and expert in many things and he that cannot make it let him keep to his stiptick Plaisters and be more vigilant and carefull then he will have good success in his cures Take of Virgins Wax lb 2 of the darkish Turpentine lb 1 of Sallade Oyl ℥ 3 note I speak of the darkish Turpentine because some base shop-keepers sell Kintrigt Rasom which is soft and running for Turpentine whose vertue is not comparable unto that of Turpentine Melt these together and put to it the juice of Celondine the juice of Oak leaves the juice of Starwort and Speedwell ana ℥ 1 ss boil these and let all the moisture thereof be consumed then put these Gums to it Ammoniack Galbanum Opopanax clarified with Vinegar ana ℥ ¼ of Colophone ℥ 1 ss of Amber ℥ ss of Mastick Myrrh Frankincense Sarcocolla anaʒ 3 when these are a little cool then stir among it of pulverised and prepared Magnet ℥ 1 ss of Crocus Martis ℥ 2 of Crocus Veneris ℥ 1 all this must be stirred into the Plaister and when it is almost cold then stirr amonst it the red sweet earth of Vitriol as before you put in also of prepared Tutia ℥ 3 and of prepared Calmy ℥ 10. as much as will make the Emplastrum brown red then take it out work it with your hands into rouls roul them on a board greased with Rose oyl make the rouls of the bigness of a knifes back and keep them for use you must cook it so that at the use of it being warmed a little it grow soft and not so that when it is cold it is not flexible breaks at the bowing like glass in this manner keep it for your use This Plaister separateth all impurities from wounds taketh away the proud and superfluous flesh causeth the growth of good flesh preserveth from bad simptoms and bringeth on healing in a short time this is the operation of it Preparations of some of the Ingrediences which come to the said Plaister and first of the Magnet Magnet is prepared thus Take and pulverise the Magnet Preparation of the Magnet make it red hot in a melting pot put into this red hot Magnet of well dulcified oyl of Mars a like quantity set it on a gentle heat let it be dry then is it prepared half an ounce of it effecteth more than one pound of other stuff That Oyl of Mars which is used to it is made thus Take of Allom lb 1 of common Salt ℥ 4 distill a water from it and with that water imbibe iron filings several times a day a rust will stick to it which must be washed off cleanly let the water evaporate from it to an oyliness which must be dulcified with another distilling and it is thus put fresh water to it let it evaporate then is this Oyl of Mars which is fit for that purpose prepared The Calmy is thus prepared Pulverise Calmy very subtilly put it in a pot and make it red hot pour it thus hot into good Vinegar cover that Calmyes preparation pot quickly after that Calmy is quenched then cant off that Vinegar and put the Calmy into a Crucible make it red hot again put it into the same Vinegar iterate it a third time Preparation of Tutia The preparation of Tutia is the same with the Calmy only Tutia prepared at the quenching of it you take water of Fennel or the water of Celondine instead of Vinegar Tutia is nothing else but the fume of Copper which sticketh to the iron barrs of the furnace Preparation of Crocus Veneris Take thin Copper lamins lay them in a melting pot Preparation of Crocus Veneris make Stratum super stratum with Kitchin Salt let these together be nealed then cast the lamins with the salt into cold water wash the lamins clean from their blackness then make again with Salt stratum super stratum neale it again cast it after into cold water as formerly and wash the lamins clean iterate it as often as you please to that water you wash the lamins in pour a good deal of warm water then cant it off that Crocus Veneris you will find red as blood on the bottom which you must wash well to take off all the sharpness of the Salt dry it carefully with a linnen cloth and keep it for use Crocus Martis is prepared thus Some make Crocus Martis with Salt others make it with Crocus Martis Urine others with Vinegar c. to consume the Iron to rust out of which rust they make Crocus Martis thus the Iron being consumed unto rust
cool take it Another Head-plaister out and melt it again and look that the Rose water come all away afterward take of pulverized Sanicle ℥ 1. and stray it into the melted Wax and then all these following pieces Frankincense Mastix Myrrh ana ℈ 1. prepared Calmystone ℥ 2. Terra sigillata or prepared Bole armoniack ℥ ss all which must be purely beaten and strayed into take it off the fire and stir it continually till it be cold then take it out of the pan and work it with Cammomil oyle make it into roules and then into cakes and keep them for use Touching the thin Head salve make it thus ℞ Hart Suet ℥ ss purely skimm'd Honey ℥ ss Aloes hepatick Head-ointment or salve purely beaten ʒ 1. melt the Suet stir the Honey and Aloes among it till it be cold then you have a pure subtile Salve for the head at the using of it spread a little of it on a linnen and apply it to the Wound take heed that nothing of it fall on the brain which can endure nothing at all These are the Receipts I impart unto you Let it not be strange unto you that I set down no more Many Receipts cause errors Receipts which I could easily do But to what end are pluralities of Receipts good for but to confound him that is to make use of them insomuch that he knoweth not which to chuse or which to trust most unto A Receipt which is approved is better than a thousand which prove false He that is well grounded in Surgery will find Receipts enough in his daily practise For the Art consisteth as well in the knowledge of Simptoms as in the knowledge of Simples He that well knoweth these two will soon compose Receipts either to weaken or to strengthen them in their vertue and all according to the condition of the Wound Thus much be said of the Head-wounds Touching the Cramp and other accidents in Head-wounds the same shall be shewed unto the Reader in its due place Now I will set down some examples of Head-wounds which through Gods help have been strangely cured as I have copied them out of my Fathers writing after his death I have saith he had occasion to dress one by night in all haste because he did bleed so much that I was afraid he would die under my hands before I could dress him For from his scull was cut off a great part hair skin bone and all clean away and then on the left side by the temple a great piece was cut off skin bone and all was gone this Wound looked so ghastly that I was amazed at it for it did bleed so vehemently and it was so great that I could not cover it with my hand I dressed it in haste thus I covered the Wound with Mullipuffs and bound it with broad Swathing-bands and did no more to it for I thought no other but the Patient would die under my hands I was forced to make all the haste I could and had no time to cut the hair away about the Wound The next day taking off the uppermost rouler there I found the lint mullipuff stick close to the Wound which I let alone and poured round about warmed oyl of Roses with some of that oyl also I annointed the Patient his neck and back bone and so I dressed him again At the next dressing I took off no more of that Wool but that which easily came off and daily I annointed his back with Cammomil oyl warm'd I dressed him still in a dark still chamber where no air should fall on his brain and I had a care also that none of my breath came into the Wound and the things I intended to use to the Wound I had in readiness that he in the dressing might not be delayed The Patient was well governed in his diet and quiet according to order The lint together with the bloud came purely off from the Wound but the brain began to swell and in the outside the scull opened where the brain pressed thorough all along which a knife might have taken off and it did pant and work as if it would come forth and change his place which it did more in the neather Wound than in the upper where the brain was not touched To all which I did nothing but dressed the Wound with the wound-plaister three doubled so that no air might come to it At the tenth day the upper Wound inclined to healing and the brains began to settle by little and little and grew so little that I could have laid a finger betwixt the scull and the brain thus empty grew the head And the brain sinking thus I spied a little thing lying on the brain which was not quite separated in the rest it was wholly pure on the Pia mater there began to grow flesh which grew bigger and bigger I wondered that in few dayes there could grow so much flesh but where that said impure splinter did lie there it stunk extreamly and would not come to any healing at last the said splinter began to stir to and fro in the Wound with a subtile linnen I took off nimbly as much as would stick to the cloth the rest which clung not to the cloth I left there for I still was afraid that he would die under my hands though the twenty eight day was past already At last I thrust that little splinter away also so that I could see what was beneath it There I found there were present many honourable persons that the brain was hurt very little of the breadth of half a fingers joynt in that place there was alwayes a moisture as often as it was wiped away presently another came into the place and the flesh in it round about looked no other than like a raw Wound in which there lieth a splinter which hinders the healing of it it grew thicker and thicker and soft that I marvelled at it yet it would never cover that place where the brain was hurt At last when the flesh encreased in one night it covered that place wholly so that I saw no more moistness onely some matter lay there And thus the whole head grew up with flesh and I suffered the flesh above the scull to grow out and hindered it not for here his scull could not be metled withal Now suffering this flesh to overgrow then I straid in that flesh round about burnt Allum but none into the middle for there he could endure none Afterward the flesh pressed forth at the Wound and scul so fast that it drove out some little bones that were loose in the Wound at which I wondered not a little that so many small bones should come forth out at the Wound At last he was cured of this dangerous Wound and the flesh was good and sound and not soft as commonly it is for the which he owed thanks to God without whose gracious help such remarkable cures cannot be performed and not