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A49891 The compleat surgeon or, the whole art of surgery explain'd in a most familiar method. Containing an exact account of its principles and several parts, viz. Of the bones, muscles, tumurs, ulcers, and wounds simple and complicated, or those by gun-shot; as also of venereal diseases, the scruvy, fractures, luxations, and all sorts of chirurgical operations; together with their proper bandages and dressings. To which is added, a chirurgical dispensatory; shewing the manner how to prepare all such medicines as are most necessary for a surgeon, and particularly the mercurial panacæa. Written in French by M. le Clerc, physician in ordinary, and privy-counsellor to the French King; and faithfully translated into English.; Chirurgie complette. English Le Clerc, M. (Charles Gabriel), b. 1644.; Le Clerc, Daniel, 1652-1728. 1696 (1696) Wing L810A; ESTC R224148 161,414 374

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more especially take the Mucilages of the Seeds of Quinces and Psyllium and Frog's-Sperm of each an equal quantity adding to every four● Ounces twenty Grains of Saccharum S●tu●ni This Composition may be spread on the Part with a Feather and cover'd with fine Brown Paper It is an admirable and approved Receipt If the Burn hath made an Escar or Crust it may be remov'd with fresh Butter spread upon a Colewort or Cabbage Leaf and apply'd hot But in Case the Scab is too hard and doth not fall off it must be open'd to give passage to the Pus or corrupt Matter the stay of which would occasion a deep Ulcer underneath The same Method is to be observ'd in the Pustules or Blisters two Days after they are rais'd applying also the Ointment of quick Lime Oil of Roses and Yolks of Eggs. ARTICLE II. Of the Erysipelas and its Dependances WHat is an Erysipelas An Erysipelas commonly call'd St. Anthony's Fire is a small Elevation produc'd by a Flux of Choler dispers'd and running between the Skin and the Flesh It is known by its yellowish Colour great Heat and Prickings REMEDIES What are the Remedies proper for an Erysipelas An Erysipelas that ariseth in the Head and Breast is not without danger and the Cure of it ought to be undertaken with great Care in the Application as well of internal as external Remedies For it is requisite to take inwardly a Dose of the Diaphoretick Mineral Crabs-Eyes Egg-shels Powder of Vipers and other Medicines as also Potions that have the like Virtues such as the following Take four Ounces of elder-flower-Elder-Flower-Water adding thereto a Scruple of the volatile Salt of Vipers or Hart's-Horn with an Ounce of Syrrup of red Poppies Phlebotomy or Blood-letting hath no place here unless there be a great Plethory but frequent Clysters are not to be rejected viz. such as are made of Whay Chervil Succory and Violet-Plants adding a Dram of Mineral Crystal-dissolv'd with two Ounces of Honey of Violets As for outward Applications Linnen-Rags dipt in the Spirit of Wine impregnated with Camphire and Saffron are to be laid upon the Tumour and renew'd as fast as they are dry'd An equal quantity of Chalk and Myrrh beaten to Powder may also be strew'd upon a Sheet of Cap-Paper over-spread with Honey and apply'd to the Part. If the Heat and Pain grow excessive take half a Dram of Saccharum Saturni twenty Grains of Camphire as much Opium with two Drams of red Myrrh to be infus'd in a Gallon of White-Wine Let this Liquor be kept to soak the Cloaths that are laid upon the Erysipelas ond often renew'd But to dress the Face a Canvass Cloth may be us'd which hath been dipt in a Medicine prepar'd with a Gallon of Whey two Yolks of Eggs and a Dram of Saffron Moreover amidst all these Remedies it is necessary to oblige the Patient to keep to a good Diet and to prescribe for his ordinary Drink a Diet-Drink made of Hart's-Horn the Tops of the lesser Centory Pippins cut in Slices with their Skins and Liquorish A little good Wine may be also allow'd with the Advice of the Physician Of Erysipelatous Tumours or Impostumes and their Remedies What are the Tumours or Impostumes that parrake of the Nature of an Erysipelas They are the dry and moist Herpes the former being that which is call'd the Tetter or Ring-Worm and the other a kind of yellow Bladders Pustules or Wheals that cause itching and raise small corroding Ulcers in the Skin To these may be added divers sorts of Scabs and Itch. The Remedies prescrib'd for the Erysip●les may be us'd for both these kinds of Herpes as also Lotions or Bathing-Liquors made of Lime-Water and a Decoction of Wormwood and Sal Ammoniack allowing half a Dram to four Ounces of Liquor Or else take half a Dram of Sal Sa●u●●i and put it into a Glass of the Decoction of Fumitory or Chervil You may also make use of the Oil of Tartar per deliquium to make a Liniment either alone or ming'd with the above-mention'd Decoctions ARTICLE III. Of the Oedema WHat is the Oedema It is a white soft Tumour with very little sense of Pain which ariseth from the Settling of a pituitous Humour What are the Rumedies proper for an Oedema They are Fomentations Cataplasms Liniments and Pla●sters The Fomen●a●ions are made with Bundles of Wall-Wort or Dwarf-Elder thrown into a hot Oven after the Bread is bak'd and sprinkled with Wine Afterward being taken out smoaking they are unty'd open'd and wrapt about the Part putting a warm Linnen Cloth over ' em This Operation is to be re-i●erated and by this means the Humour is dissolv'd thro' Transpiration by Swear The Cataplasms are compos'd of Camomile Melilot St. John's-Wort Sage Wall-Wort Pellitory of the Wall Roots of Briony and Onions all boil'd together in White Wine with Honey adding if you please a few Cummin or Fennel Seeds beaten Cataplasms are also made of Horse-Dung and the Seeds of Cummin beaten which are boil'd in strong Vinegar and mixt with Barly-Meal to the Consistence of Pap. The Plaisters are prepar'd with an Ounce of Diapalma half an Ounce of Martiatum a Pint of Oil of Lillies half an Ounce of Cummin-Seeds powder'd half a Dram of Sal Ammoniack and an Ounce of yellow Wax to make a Consistence If any hardness remains the Plaister of Mucilages may be apply'd or that which is made of the Gums Bdellium Ammoniack and Galbanum dissolv'd in Vinegar Bu● Care must be taken not to omit the Purgatives of Jalap to the quantity of a Dram in a Glass of White-Wine or of half an Ounce of Lozenges of Diacarthamum which are effectual in drawing out the bottom of pituitous and serous Humours that nourish the Oedema's Of Oedomatous Tumours and Impostumes What are the kinds of Tumours that partake of the Nature of an Oedema They are the Phlyctaena the Emphysema the Batrachos or Ranunculus the Wen the Talpa the Bronchocele the Ganglion the Fungus the Scurf the Scrophula or King's-Evil and all sorts of Dropsies both general and particular What are Phlyctaena's They are Pustules or Blisters fill'd with a white and somewhat yellowish Humour What is an Emphysema It is a kind of flatuous Tumour wherein Wind is contain'd with a little slimy Phlegm What is a Batrachos or Ranunculus It is a Blister fill'd with slimy Water that ariseth under the Tongue near the String and in French is call'd Grenouillette or the little Frog which is the same with its Greek and Latin Names What is a Wen It is a Tumour consisting of thick plaistry Phlegm which is reckon'd among the Encysted What is a Talpa It is a soft and very broad Tumour which usually appears in the Head and Face containing a white thick and pituitous Matter What is a Bronchocele It is a bunch'd Tumour which ariseth in the Throat and causeth it to swell extremely being compos'd of thick Phlegm mix'd with a little Blood and ranked among the Encysted Tumours
a Pestilential and a Venereal Buboe They may be distinguish'd by their Situation and respective Accidents the Pestilential lying higher and the Venereal lower Besides a Fever Sickness at the Heart and an universal Faintness or Weakness are the ordinary concomitant Circumstances of the former whereas the Venereal Buboe is always the consequence of an impure Coitus and is attended with no other Symptoms than those of common Tumours viz. Pain Heat Shootings or Prickings c. As for the Remedies they may be sought for among those that have been already prescrib'd for Tumours CHAP. VI. Of the Scurvy THIS Disease is known by the Ulcers of the Mouth which are very stinking as also by excessive Salivation great Pains in the Head Dizziness frequent Epilepsies Apoplexies and Palsies The Face being of a pale red and dark Colour is sometimes puff'd up or bloated inflam'd and beset with Pustules The Teeth are loose and ●ake the Gums are swell'd itch putrifie exulcerate and are eaten with the Canker and the Jaw is almost unmoveable The Members are bow'd and cannot be extended The Patients become stupid and drowsie so that they fetch their Breath with difficulty are obnoxious to Palpitations of the Heart and Coughs and fall into Swoons The Ulcers sometimes are so malignant that their Cheeks are entirely eaten up and their Teeth seen They are also much inclin'd to Vomitting Looseness and Gripes and their Entrails are swell'd They have red and livid Pustules on their Belly and Privy-parts which sometimes break out into Ulcers their whole Body being dry'd c. This Disease may be easily cur'd in the beginning but when it is grown inveterate and invades the Bowels it becomes incurable as well as when it is the Epidemical Disease of the Country or the Persons afflicted with it are old or well advanc'd in Years In undertaking the Cure it is requisite to begin with a good Diet and to sweeten the Blood let the Patient take the Broth of boil'd Fowl eating Pullets and Eggs in the Broth may also be put divers sorts of Antiscorbutick Herbs viz. Cresses Spinage Parsly-Roots Sparagus Smallage Scorzonera Scurvy-Grass c. Let him eat nothing that is high season'd nor acid or sharp let him drink pure Claret without any adulterate Mixture let him use moderate Exercise and Rest Lastly let him keep his Mind sedate and free from all manner of violent Passion The following Remedies taken inwardly are very good for the Scurvy viz. the Tincture of Flints from ten Grains to thirty Diaphoretick Antimony from six Grains to thirty sweet Sublimate from six Grains to thirty Mars Diaphoreteus from ten Grains to twenty Crocus Martis Aperitivus from ten Grains to two Scruples prepar'd Coral from ten Grains to one Dram Volatile Spirit of Sal Ammoniack from six Drops to twenty Water of Cresses from fifteen Drops to one Dram Spirit of Scurvy-grass from ten Drops to one Dram Tincture of Antimony from four Drops to twenty Oily Volatile Sal Ammoniack from four Grains to fifteen Spirit of Guyacum from half a Dram to a Dram and a half Vitrioliz'd Tartar from ten Grains to thirty the Volatile Salt of Tartar Urine Vipers and Hart's-Horn of each from six Grains to fifteen the Spirit of Gum Ammoniack from eight Drops to sixteen White Mercury Precipitate from four to ten Grains Mercurial Panacaea from six Grains to two Scruples We shall shew the manner of compounding 'em in our Treatise of Venereal Diseases It is also expedient to give Emollient and Detersive Clysters to the Patient at Night going to bed his Body being always kept open with convenient Diet-drinks Afterward let him take gentle Sudorificks such as are made of the Decoctions of Fumitory wild Cicory Dandelion Hart's-Tongue Scabious the lesser House-Leek Germander Borage Scorzonera-Root and Polypody with Flowers of Broom Elder and Mary gold These are stronger for cold Constitutions viz. Decoctions of Scurvy-Grass Lepidium Arse-smart the lesser Celandine Wormwood little House-Leek Trifolium Febrinum Angelico Juniper-Berries c. Convenient Decoctions to wash the Mouth may be made with Sage Rosemary Hyssop Oak-Leaves Scurvy-Grass Cresses Tobacco Roots of Bistort Aristolochy or Birth-Wort Tormentil Flower-de-Luce Balaustia or Pomegranate-Flowers Red Roses c. To corroborate the Gums Gargarisms are made of Anti-Scorbutick Plants as of Spirit of Scurvy-Grass two Drams one Scruple of Spirit of Vitriol one Scruple of common Salt four Ounces of rose-Rose-Water and plantane-Plantane-Water But if the Gums are putrefy'd they are to be rubb'd with Honey of Roses and some Drops of Spirit of Salt To asswage the Pains of the Members Bathings and Fomentations are to be us'd and a Decoction of Saxifrage taken inwardly with some Grains of Laudanum is good for that Purpose To allay the Gripes Clysters may be given with Whey Sugar Yolks of Eggs Syrrop of Poppies and Oils of Earth-Worms Scurvy-Grass Camomile c. Against the Scorbutick Dropsy take the Essence of Trifolium Febrinum and Elicampane from twenty four Drops to thirty and continue the use thereof Milk taken inwardly hinders Vomitting and a Broth or Gelly of Crabs sweetens the Blood The Looseness may be stopt with the Essence of Wormwood and Spirit of Mastick as also the Fever with Febrifuges and Anti-scorbuticks The Spots may be fomented with Decoctions of Aromatick and Anti-Scorbutick Herbs and Nitre For the Ulcers of the Legs pulverize an equal quantity of Saccharum Saturni Crocus Martis Myrrh and Mercurius Dulcis and lay it upon the Bolsters that are to be apply'd to the Sores To mollifie the sharpness of Acid Humours this is a good Remedy Prepare half an Ounce of Spirit of Scurvy-Grass two Drams of tartariz'd Spirit Ammoniack a Dram of the Tincture of Worms Take thrice a Day fifteen or twenty Drops of this Liquor in a Decoction of the Tops of Firr Against the Tubercles take two Handfuls of the Flowers of Camomile and Elder three Drams of Briony-Root and an Handful of White-Bread Crum Boil the whole Composition in Milk and make Cataplasms thereof To mitigate the Pains in the Head take twenty or thirty five Drops of the Tincture of Amber in Anti-scorbutick Spirits or Waters The difficulty of Respiration may be remov'd by a Medicinal Composition made of two Drams of an Anti-scorbutick Water two Drams of the Essence of Elicampane and half a Dram of the Spirit of Gum Ammoniack take three or four Spoonfuls thereof several times in a Day To prevent the putrefaction of the Gums take one Dram of the Tincture of Gum Lacca three Drams of the Spirit of Scurvy-Grass with fifteen or twenty Drops of Oil of Tartar made per Deliquium and rub the Gums with this Composition many times in a Day Brandy in which Camphire is infus'd or Spirit of Wine is likewise a most excellent Remedy as also all Lotions or Washes made with the Waters or Decoctions of Anti-scorbutick Plants For Leanness Goat's-Milk with the Spirit of Scurvy-Grass may be us'd and other Waters drawn from Anti-scorbutick Plants The
Pain Hardness and sometimes a Feaver What is a Carbuncle A Carbuncle is a hard Swelling red burning and inseparable from a Fever It is cover'd with a black Crust or Scab that afterward falls off at the Suppuration leaving a deep and dangerous Ulcer and which sometimes doth not suppurate at all What is an Anthrax The Anthrax is very near the same thing as the Carbuncle only with this difference that the latter always appears in the Glandulous Parts and the Anthrax every where else What is a Furunculus It is a kind of Boil or benign Carbuncle which somewhat resembles the Head of a Nail and is on that Account call'd Clou by the French causing Pains as if a Nail were driven into the Flesh What is a Phygeton The Phygeton is a small red and inflam'd Extuberance situated in the Miliary Glandules of the Skin where it causeth a pricking Pain without Suppuration What is a Phyma The Phyma appears after the same manner as the Phygeton and suppurates What are the Remedies proper for all these sorts of phlegmonous Tumours and Impostumes They are Cataplasms and Plaisters Anodyn Emollient Resolvent and Suppurative which are us'd proportionably as in the Phlegmons What is a Gangrene Sphacelus or Esthiomenus The Gangrene and Sphacelus signifie the same thing nevertheless are commonly distinguish'd the former being a Mortification begun and the Sphacelus an entire or perfect Mortification call'd also Nec●●is and Si●●ratio An Est●●om●nus is a Disposition to M●●●●●●on discover'd by the sof●ness of th●●art and a Gangrene is defin'd to be a Mortification of a Part occasion'd by the Interception of the Spirits and the Privation of the Natural Heat What are the causes of a Gangrene in general Every thing that can hinder the Natural Heat from exerting it self in a Part as strong Ligatures astringent or resolvent Medicines not conveniently us'd in great Inflammations a violent Haemorrhage or Old Age whereby the Spirits are exhausted the bitings of Mad Dogs excessive Cold c. By what Signs is the Gangrene known It is discover'd by the livid Colour of the Skin which departs from the Flesh the softness coldness and insensibility of the part and sometimes by its dryness and blackness from whence exhales a cadaverous Stench with Sanies issuing forth after Punctures or Scarifications made therein Lastly a Gangrene is perceiv'd by the cold Sweats Swoonings Syncope's and Delirium's that invade the Patient and which are all the Fore-runners of approaching Death Is a Gangrene only found in the Flesh and soft Parts of the Body It happens also in the Bones and is then call'd Caries How is this Caries or Gangrene of the Bone discover'd when it lies hid under the Flesh It is known by the black Colour of the Neighbouring Flesh the Stink of the Sanies that comes forth the intolerable Pains felt thereabouts which are six'd and continual before the Impostume and Ulcer appear but when the Ulcer is made a kind of roughness may be perceiv'd in the Bone REMEDIES What are the Remedies proper for a Gangrene They are those that take away the morrify'd and corrupt Parts and recall the Natural Heat both which Indications are exactly answer'd in the Extirpation of what is already corrupted with the Incision-Knife and the Restauration of the Natural Heat by the following Remedies Take an Ounce of good Vinegar steeping therein a Dram of White Vitriol with as much Sal Ammoniack Let it be us'd in bathing the Part and apply thereto Bolsters well seak'd in the same Liquor This remedy is convenient in the first Disposition toward a Gangrene Or if you please you may make use of the Yellow Water which is made with Corrosive Sublimate and Lime-Water taking for Example half a Dram of Corrosive Sublimate to be infus'd in a Pint of Lime-Water But a Tincture of Myrrh and Aloes is more efficacious wherein Vnguentum Aegyptiacum is steep'd or else Lime-Water kept for that purpose in which have been boil'd two Ounces of Sulphur or Brimstone with two Drams of Mercurius Dulcis adding four Ounces of Spirit of Wine to make an excellent Phegedaenick Water with which the Part may be bathed and the Bolsters soak'd If the Gangrene passeth to the Bone the Ulcer must be immediately cleans'd with Brandy and Euphorbium afterward put into it laying also some upon the Bolsters and abstaining from all sorts of Oils and Greases But if these Remedies prove unprositable recourse is then to be had to the Incision-Knife Fire or Amputation the manner of performing which several Operations is explain'd hereafter What are Kibes or Chilblains They are painful Tumours which are often accompany'd with Inflammation they happen more especially in the nervous and outward Parts as the Heel and are so much the more sensibly selt as the Air and Cold are more sharp and Ve●ement What is to be done in order to cure these Kibes or Chilblains The Heel or affected Part must be wash'd and dipt in Wine boil'd with Allum and Salt whereof a Cataplasm may be afterward made by adding Meal of Rye Honey and Brimstone The Juice of a hot Turnep apply'd with Vnguentum Rosatum is also very good or Petroleum alone What is a Panaritium Panaritium or Paronychia is a Tumour which generally ariseth in the Extremity of the Fingers at the Root of the Nails It is red and accompany'd with very great Pain even so exquisite that the whole Arm is sensible thereof insomuch that a Fever sometimes ensues and a Gangrene the Humour being contain'd between the Bone and the Periosteum or that little Membrane with which it is immediately invested What Remedies are convenient for the curing a Panaritium Anodyn Cataplasms are to be first apply'd that is to say such as serve to asswage excessive Pain as that which is compos'd of Milk Line-seeds beaten large Figs the Yolk of an Egg Saffron Honey and Oleum Lumbricorum with the Crum of white Bread Afterward you may endeavour to dissolve it by applying Oil of Almonds Saccharum Saturni and Ear-Wax or else Balsam of Sulphur The Plaister of Mucilages and that of Sulphur or Brimstone dissolv'd in Wine is also a most excellent Resolvent and Anodyn If it be requisite to bring this Tumour to Suppuration white Lillies roasted under Embers may be added to the preceeding Cataplasm or else a new Cataplasm may be made with Sorrel boil'd fresh Butter and a little Leaven What is a Burn A Burn is an Impression of Fire made upon a Part wherein remains a great deal of Heat with Blisters full of serous Particles or Scabs accordingly as the Fire hath taken more or less effect What are the Remedies proper for a Burn A Burn is cur'd by the speedy Application of fresh Mud re-iterated many times successively by that of peel'd Onions Vnguentum Rosatum and Populeon mixt with the Yolk of an Egg and unslack'd-Lime Cray-Fishes or Crabs pounded alive in a Leaden-Mortar and a great Number of other things If the Burn be in the Face you may
keep his Bed in a warm Room and never rise till it shall be thought fit to stop the Salivation which continues twenty or twenty five Days or rather till it becomes Laudable that is to say till it be no longer stinking nor colour'd but clear and fluid If a Looseness shou'd happen during the Salivation it wou'd cease so that to renew it the Looseness may be stay'd with Clysters made of Milk and the Yolks of Eggs and in case the Salivation shou'd not begin afresh it must be excited with a slight Friction But if it shoul'd be too violent it may be diminish'd by some gentle Purge or with four or five Grains of Aurum Fulminans taken in Conserve of Roses Three or four Pints of Rheum are commonly salivated every Day in a Bason made for that purpose which the Patient holds in his Bed near his Mouth so as the Spittle may run into it But if the Fluxing shou'd not cease of it self at the time when it ought he must be purg'd to put a stop thereto If any Ulcers remain in his Mouth to dry 'em up Gargarisms are to be often us'd which are made of Barley-Water Honey of Roses or luke-warm Wine The Warts are cur'd by binding 'em if a Ligature be possible or else they may be consum'd with Causticks such as the Powder of Savine or Aqua-fortis by corroding the neighbouring Parts sometimes they are cut left to bleed for a while and bath'd with warm Wine When the Patient begins to rise he must be purg'd his Linnen Bed and Chamber being chang'd and afterward his Strength is to be recruited with good Victuals and generous Wine If he were too much weaken'd let him take Cow's-Milk with Saccharum Rosatum If the Pox were not inveterate the Fluxing might be excited by the Panacaea alone without any Frictions For after the Phlebotomy Purgations and Bathings duly administer'd the Patient might take ten Grains of the Mercurial Panacaea in the Morning and as many at Night on the next Day fifteen Grains might be given and the like quantity at Night on the third Day twenty Grains might be given both Morning and Evening on the fourth Day twenty five Grains in the Morning and as many at Night and on the fifth Day thirty Grains in the Morning and the very same quantity in the Evening continuing thus to augment the Dose till the Fluxing comes in abundance and it may be maintain'd by giving every two or every three Days twelve Grains of the Panacaea This Course must be continually follow'd till the Salivation becomes Laudable and the Symptoms cease The manner of making the Mercurial Panacaea To prepare this Panacaea it is requisite to take Mercury reviv'd from Cinnabar because it is more pure than Mercury which is immediately dug out of the Mine The Mercury is reviv'd with Cinnabar after this manner Take a Pound of artificial Cinnabar pulveriz'd and mighled exactly with three Pounds of unslack'd Lime in like manner beaten to Powder Let this Mixture be put into a Retort of Stone or Glass luted the third part of which at least remains empty Let it be plac'd in a reverberating Furnace and after having fitted a Recipient fill'd with Water let the whole be left during twenty four Hours at least then let the Fire be put under it by degrees and at length let the Heat be very much augmented whereupon the Mercury will run Drop by Drop into the Recipient Let the Fire be continu'd till nothing comes forth and the Operation will be perform'd generally in six or seven Hours Then pour the Water out of the Recipient and having wash'd the Mercury to cleanse it from some small quantity of Earth that may stick thereto let it be dry'd with Cloaths or else with the Crum of Bread Thus thirteen Ounces of Mercury may be drawn off from every Pound of artificial Cinnabar The Panacaea is made of sweet Sublimate and the later of corrosive Sublimate To make the corrosive Sublimate put sixteen Ounces of Mercury reviv'd from Cinnabar into a Matrass pour upon it eighteen Ounces of Spirit of Nitre place the Matras upon the Sand which must be somewhat hot and leave it there till the Dissolution be effected Then pour off this dissol●ed Liquor which will be as clear as Water into a Glass Vial or into a S●one-Jug and let its Moisture evaporate gently over the Sand-Fire till a white Mass remains which you may pulverize in a Glass Mortar mingling it with sixteen Ounces of Vitriol calcin'd and as much decrepited Salt Put this Mixture into a Matras two third parts of which remain empty and the Neck of which hath been cut in the middle of its height then fix the Matras in the Sand and begin to kindle a gentle Fire underneath which may be continu'd for three Hours afterwards let Coals be thrown upon it till the Fire burn very vehemently and a Sublimate will arise on the top of the Matras so that the Operation may be perform'd within the space of six or seven Hours Let the Matras be cool'd and afterward broken avoiding a kind of Flower or light Powder which flyes up into the Air as soon as this Matter is remov'd whereupon you 'll find nineteen Ounces of very good corrosive Sublimate but the red Scoria or Dross which settleth at the bottom must be cast away as unprofitable This Sublimate being a powerful Escarotick eats away proud Flesh and is of singular use in cleansing old Ulcers if half a Dram thereof be dissolv'd in a Pint of Lime-Water it gives a yellow Tincture and this is that which is call'd the Phagaedonick-Water The sweet Sublimate of which the Panacaea is immediately compos'd is made with sixteen Ounces of corrosive Sublimate pulveriz'd in a Marble or Glass-Mortar intermixing with it by little and little twelve Ounces of Mercury reviv'd from Cinnabar Let this Mixture be stirr'd about with a Wooden Pestle till the Quick-silver become imperceptible then put the Powder which will be of a grey Colour into divers Glass-Vials or into a Matras of which two third parts remain empty place your Vessel on the Sand and kindle a small Fire in the beginning the Heat of which may be afterward encreas'd to the third Degree Let it continue in this Condition till the Sublimate be made and the Operation will be generally consummated in four or five Hours whereupon you may break your Vial and throw away as useless a little light Earth that lies at the bottom You must also separate that which sticks to the Neck of the Vials or of the Matras and keep it for Ointments against the Itch but carefully gather together the white Matter which lies in the middle and having pulveriz'd it cause it to be sublimated in the Vials or Matras as before This Matter must also be separated again as we have already shown and put into other Vials to be sublimated a third time Lastly the terrestrial parts in the bottom and the fuliginous in
Liniments to asswage and mollifie The Oils of common Wall-Nuts and Small-Nuts may be also prepar'd after the same manner as that of Sweet-Almonds The Oil of Bayes Take as much as you please of Laurel or Bay-Berries well cleans'd perfectly ripe and soundly bruis'd let 'em be put into a Kettle and boil'd with a sufficient quantity of Water during half an Hour then strain and squeez 'em strongly let the Liquor cool and scum off the Fat that swims upon the Water Afterward pound the remaining Substance in a Mortar and cause it to be boil'd again for half an Hour with some of the first Water which was left adding a little fresh then strain and squeez it as before and take off the Oil that swims on the Top. But the first Oil is better than the second and therefore ought to be kept separately The Oils of Berries of Mastick Myrtle and other oleaginous Plants may be extracted after the same manner The Oil of Bayes mollifies attenuates and ●s opening and discussive It is very good against the Palsie and the Shiverings or cold Fits of a ●eaver or Ague in anointing the Back as also against Scabs Tetters c. The Oil of Eggs by Expression Take newly laid Eggs and let 'em be har●en'd in Water then separate the Yolks and put 'em into a Frying-pan over a gentle Coal-fire stirring 'em about from time to time and a last without discontinuing till they grow reddish and begin to yield their Oil Then they are to be sprinkl'd with Spirit of Wine and ●our'd very hot into a little Linnen-Bag which ●s to be ty'd and set in a Press between two ●eated Platines so that the Oil may be squeez'd ●ut as readily as is possible This Oil mitigates the Pains of the Ears and Haemorrhoids cures Scabs and Ring-Worms or Tetters as also Chaps and Clefts in the Breast Hands Feet and Fundament and is made use of in Burns c. CHAP VI. Of Collyrium ' s. COLLYRIVM's are Medicines prepar'd for the Diseases of the Eyes The following is that of Lanfrancus Take a Pint of White-Wine three Pints of Plantain-Water three Pounds of Roses two Drams of Orpiment one Dram of Verdegrease Myrrh and Aloes of each two Scruples The Orpiment Verdegrease Myrrh and Aloes are to be beaten to a fine Powder before they are intermixt with the Liquors This Collyrium is not only good for the Eyes but is also of use to make Injections into the Privy-Parts of Men and Women but before the Injections are made it ought to be sweeten'd with three or four times the quantity in weight of Rose Plantain or Morel-Water A dry Collyrium Take two Drams of Sugar-candy prepar'd Tutty Lizard's-Dung of each one Dram White Vitriol Sucotrin Aloes and Sal Saturni of each half a Dram. Let the whole Composition be reduc'd to a very fine Powder and mixt together Two or three Grains of this Powder may be blown at once into the Eye with a small Quill Pipe of Straw or Reed as long as it is necessary and the same Powder may also be steept in Ophthalmick Waters to make a liquid Collyrium A Blue Collyrium Take a Pint of Water in which unslackt Lime has been quench'd and a Dram of Sal Ammoniack pulveriz'd mingle these Ingredients together in a Brass-Bason and let 'em be insus'd during a whole Night then filtrate the Liquor and keep it for use This Collyrium is one of the best Medicines that can be prepar'd for all manner of Diseases of the Eyes CHAP. VII Of Powders A Powder against Madness or Frenzy TAKE the Leaves of Rue Vervein the lesser Sage Plantain Polypody common Wormwood Mint Mother-Wort Balm Betony St. John's-Wort and the lesser Centory of every one an equal quantity These Plants must be gather'd in the Month of June during the clear and serene Weather and ty'd up in Nose-gays or little Bundles which are to be wrap'd up in Paper and hung in the Air to be dry'd in the Shade Afterward they are to be pounded in a great Brass-Mortar and the Powder is to be sifted thro' a Silk-Sieve The Dose of this Powder is from two to three Drams mingl'd with half a Dram of the Powder of Vipers in half a Glass of good White-Wine every Morning fasting for fifty one Days successively It has an admirable effect provided the wounded Person be not bit in the Head nor Face and that the Wound has not been wash'd with Water CHAP. VIII Styptick-Water TAKE Colcothar or Red Vitriol that remains in the Retort after the Spirit has been drawn off Burnt Allom and Sugar-candy of each thirty Grains the Urine of a Young Person and rose-Rose-Water of each half an Ounce and two Ounces of plantain-Plantain-Water Let the whole Mixture be stirr'd about for a long time and then put into a Vial. But the Liquor must be pour'd off by Inclination when there shall be occasion to take any for use If a Bolster steept in this Water be laid upon an open Artery and held close with the Hand it will soon stop the Blood a small Tent may be also soakt in it and put up into the Nose for the same purpose If it be taken inwardly it stops the spitting of Blood and the Dysentery or Bloody-Flux as also the Haemorrhoidal and Menstruous Fluxes the Dose being from half a Dram to two Drams in Knot-Grass-Water FINIS A TABLE OF THE CHAPTERS And of the Principal Matters Which are contain'd in every Chapter CHAP. I. OF the Qualifications of a Surgeon and the Art of Surgery Page 1 CHAP. I. Of Synthesis Diaeresis Exaeresis and Prosthesis Page 2 CHAP. I. What ought to be observ'd before the undertaking of an Operation Page 3 CHAP. II. Of Chirurgical Instruments portable and not portable Page 5 CHAP. III. Of Anatomy in general and in particular of all the Parts of which the Human Body is compos'd Page 7 CHAP. IV. Of the General Division of a Human Body Page 10 CHAP. V. Of the Skeleton Page 12 CHAP. V. Of the different kinds of Articulations Page 14 CHAP. V. Of the Number of the Bones of the Human Skeleton Page 16 CHAP. VI. Of Myology or the Description and Anatomy of the Muscles of the Human Body Page 19 CHAP. VII Of the Myology or Anatomy of the Muscles of the Head Page 21 CHAP. VIII Of the Myology or Anatomy of the Muscles of the Chest or of the Breast Belly and Back Page 31 CHAP. IX Of the Myology or Anatomy of the Muscles of the lower Belly Page 34 CHAP. IX Of the Muscles of the Parts that serve for Geration in both Sexes Page 36 CHAP. X. Of the Muscles of the Shoulder-Blades Arms and Hands Page 37 CHAP. XI Of the Muscles of the Thighs Legs and Feet Page 48 CHAP. XI A List of all the Muscles of the Humane Body Page 57 CHAP. XII Of the Anatomy of the Nerves Arteries and Veins in general Page 58 CHAP. XII Of the Structure of the four Tunicks of the Arteries Page 61 CHAP.
dreadful Symptoms or concomitant Circumstances The Degenerate Cancer is that which succeeds an obstinate and ill-dress'd Tumour or Impostume and which becomes an Ulcerated Cancer without assuming the Nature of a blind or occult one What Remedies are requisite to be apply'd to a blind Cancer In regard that it cannot be known in this Condition without difficulty it is often neglected nevertheless it is a Matter of great Moment to prevent its Consequences more especially by a good Diet and by general Remedies which may gently rectifie the intemperature of the Bowels Afterwards Baths may be prescrib'd together with the use of Whey Asses-Milk and Specificks in general as Powders of Crab's-Eyes Vipers Adders and others As for Topical Remedies none are to be administer'd except it be judg'd convenient to apply to the Tumour a Piece of Lead rubb'd with Quick-silver all others serving only to make the Skin tender and apt to break The Patient may also take for his Drink Water of Scorzonera and Hart's-Horn with the Flowers of Bugloss or Borage and Liquorice Or else Quick-silver-Water alone boiling an Ounce of it in a Quart of Water every time the Quick-silver always remaining at the bottom of the Vessel What are the Remedies for an ulcerated Cancer Besides the general ones that are the same with those of the blind Cancer there are also Topical which may take place here The Powders of Toads Moles Frogs and Crabs calcin'd cleanse the Ulcers perfectly well A Decoction of Vipers and Crabs may serve to bath 'em and some of it may be taken inwardly Detersives made of Lime-Water or Whey clarify'd and boil'd with Chervil are very good and if you please you may add Camphire or Saccharum Saturni If the Pains grow violent recourse is to be had to Laudanum one or two Grains whereof may be given in a little Conserve of Roses When the Cancer is situated in the Glandules or Flesh the Extirpation of it may also be undertaken with good Success As for the manner of handling Degenerate Cancers respect must be always had to the kind of Tumour from whence it deriv'd its Original CHAP. IV. Of Bastard or Encysted Tumours WHAT is an Encysted or Bastard Tumour or Impostume It is that which is made of a Setling of mixt and corrupt Humours the Matter whereof is contain'd in certain proper Cystes or Membranous Bags What are the kinds of these Tumours They are the Steatoma the Atheroma the Meliceris the Wen the Bronchocele and the Scrophula or King's-Evil How is the difference between these Tumours discern'd The Steatomá is known by its Matter resembling Suet as that of the Atheroma resembleth Pap and that of the Meliceris is like Honey These three Tumours cannot be well distinguish'd on the outside in regard that they do not change the natural Colour of the Skin which equally retains in all three the print of the Fingers that press it But the Bronchocele is discover'd by the Place and Part which it possesseth that is to say the Throat as also by its somewhat hard consistence without the Alteration of the Skin The Scrophulae or King's-Evil Swellings are known by their unequal Hardness and their situation in the Glandules either in the Neck Arm-pits or elsewhere without alteration likewise of the Skin REMEDIES What is the Method to be observ'd in curing these sorts of Tumours An Attempt is to be made to dissolve 'em as in all the others nevertheless the safest way is to bring 'em to Suppuration and to extirpate the Cystes which are apt to be sill'd again after the Dissipation of the Humour What are the Medicines proper to dissolve these Tumours They are all such as may be us'd for the Oedema and Scirrhus but the Specificks or particular Remedies are these Take Rosemary Sage Wormwood Elder great Celandine Camomile Melilot St. John's Wort and Tobacco boil 'em in White-Wine with Soot and Mercurial Honey adding thereto Cummin-seeds beaten and Olcum Lumbricorum to make a Cataplasm which is to be renew'd twice a Day Afterward if the Tumour be not dispers'd you may apply the following Plaister which hath an admirable Effect Take an equal Portion of the Plaister of Diachylon Devigo and four times as much Mercury and Emplastrum Divinum let 'em be dissolv'd together then intermix Saffron and Oil of Tobacco to make a Plaister with the whole Mass which may be spread upon thin Leather and apply'd to the Tumour without taking it off only once every eighth Day to cool it so that it must be laid on again after having wash'd and bath'd the Part with warm Urine or Brine But it is to be always remember'd that external Remedies take effect only imperfectly unless they are assisted by internal such as in this case are reirerated Purgations join'd with a regular Diet. What are the Remedies proper to excite Suppuration To this purpose those may be us'd that serve in other kinds of Tumours But as for the extirpation of the Cystis it is done by dividing the Tumour into four Parts by procuring Suppuration and by consuming the Bag by little and little The Bronchocele alone will not admit this Extirpation by reason of the great Number of Nerves Veins and neighbouring Arteries amidst which the Tumour is settl'd However Bronchotomy or opening the Throat may be perform'd which is an Operation peculiar to this Tumour CHAP. V. Of Critical Malignant Pestilential and Venereal Tumours and Impostumes WHAT difference is there between Critical Malignant Pestilential and Venereal Tumours It consists in these particular circumstances viz. that Critical Tumours or Impostumes are indifferently all such as are form'd at the End or Termination of Diseases in whatsoever Place or Part they appear Malignant Impostumes or Tumours are those that are obstinate and do not easily yield to the most efficacious Remedies Pestilential Impostumes or Tumours are those that are accompany'd with a Fever Swooning Head-ach and Faintness They usually arise in the time of a Plague or Pestilence and are contagious Venereal Tumours or Impostumes are those that appear only at the bottom of the Groin and are the product of an impure Coitus However the Critical Impostume may be Malignant Pestilential and Venereal the Malignant Impostume may be neither Critical nor Pestilential nor Venereal But the Pestilential and Venereal Tumours are always Malignant What are the ordinary kinds of Critical Tumours or Impostumes They are the Anthrax the Boil the Phlegmon and the Parotides or Swellings in the Almonds of the Ears What are the kinds of Malignant Tumours or Impostumes They are the Cancer the Scrophula or King's-Evil and others of the like Nature What are the kinds of Pestilential Tumours or Impostumes They are Carbuncles that break out every where a sort of Authrax which appears under the Arm-pits and Bubo's in the Groin What are the kinds of Venereal Tumours or Impostumes They are Botches or Bubo's and Cancers that arise in the Yard as also Wens and Condyloma's in the Fundament What is the difference between
or Ox adding only thereto the White of an Egg. Besides these Remedies there are also actual and potential Cauteries or simple Ligatures which are infallible Indeed the actual Cautery is not always sure because when the Escar made by the Fire falls off the Haemorrhage breaks out again as before but the porential Cautery is almost always successful such as the following Take about an equal Quantity of Vitriol and Powder of Mushrooms apply 'em upon a little Lint to the Place where the Blood issueth forth and you 'll see it stop immediately But Care must be taken to avoid touching a Nerve or Tendon by reason that the Vitriol is apt to excite Convulsions How is the Inflammation and Mortification of a Wound suppress'd If the Inflammation proceeds from the Presence of an Extraneous Body it must be taken away as soon as possible with a Pair of Forceps and if from the Quantity of Pus or corrupt Matter it must be let out But in case the Inflammation ariseth from extreme Pains they are to be asswaged with Cataplasms or Pultises and anodyn Liniments such as those that have ●●en already prescribed in the Cure of the Phlegmon or else the Part may be bath'd with Camphirated Spirit of Wine mixt with as much Water Saccharum Saturni infus'd in Lime-water persorms the same Effect and the Water of Crabs alone is admirable in its Operation Against the Esthiomenus or Mortification make use of Wine boil'd with Wormwood St. John's Wort Rosemary and Aloes or else take the Tincture of Aloes and Myrrh or Spirit of Wine alone impregnated with Camphire and Saffron What is to be done in Case a Convulsin happens by reason of a wounded Nerve or Tendon If the Convulsion be caus'd by the Presence of an Extraneous Body that bruiseth the Part it must be taken away and if from the wounding of a Nerve pour into the Wound some Drops of the Oil of Lavender distill'd which in that Case is of singular Use this Oyl may be also taken inwardly in an appropriated Liquour such as a Decoction of Wormweod and the Tops of the lesser Centory Balsam of Peru us'd in the same Manner is an excellent Remedy and the Oyls of Worms Snails St. John's-Wort and Turpentine are frequently apply'd with good Success If the Convulsion proceeds from the Biting of some venomous Creature Cupping-Glasses or Leeches are to be immediately applied putting into the Wound Treacle with the Spirit of Wine or even Fire it self and leaving to the Physician 's Care the Prescription of other vulnerary Remedies proper to be taken inwardly What is to be done to draw the Extraneous Bodies out of a Wound When they cannot be taken away with the Fingers or Forceps the Patient must be set in the same Station or Posture wherein he was when he receiv'd the Wound in order to get some farther Light to discover 'em or else such Plaisters may be us'd as are endu'd with an Attractive Quality Particularly this Take an Ounce of Treacle half a Dram of Gum Ammoniack one Dram of Baellium and two Drams of Bore's Grease adding a Quarter of a Pound of Wax to make 'em up into the Form of a. Plaister It is reported that Hare's Grease alone hath the same Effect and that it goes for a Secret among the Surgeons but you may if you please mix it with Ointment of Betony However it hath been observed that Leaden Bullets may sometimes remain in a Man's Body during his whole Life-time without doing any Harm How are Excrescences to be taken away They may be consum'd with Powder of Allom Vnguentum Aegyptiacum or Lapis infernalis After having remov'd every thing that hinders the reuniting of the Lips of a Wound what is to be done to attain thereto The Re-Union in Wounds is properly the Work of Nature but it may be promoted by putting into 'em a little Balsam of Peru and drawing together their Lips with the Fingers Afterwards the Lips must be kept closed with a Bandage a Glutinous Plaister or a dry Stitch provided the Wound be only superficial hindring the Air from penetrating into it For Want of Balsam of Peru an excellent one may be made with the Flowers here specified Take the Flowers of Henbane St. John's-Wort and Comfry and let 'em be digested in the Sun during the whole Summer-Season in the Oyl of Hmp-seed which Oyl the longer it is kept proves so much the better if it be set forth in the Sun every Summer the Vessel that contains it being well stop'd There is also the Balsam of Balsams or the Balsam of Paracelsus call'd Samech To avoid the exposing of Wounds to the Air it is requisite to cover 'em over the Dressings with some sort of Plaister which is usually termed the Surgeon's Plaister such is that which is effectual in Dissolving corroborating and allaying Pain or Inflammation Take the Mucilages of the Roots of great Comfrey and Fenegreek half a Pound of Ceruse or white Lead two Drams of Crude Opium one Dram of Camphire as much of Saffron two Drams of Sandarack one of the Oyl of Bays one half Pound of Rosin and as much Turpentine and Wax Boil all these Ingredients together in a sufficient Quantity of Lin-seed-Oyl and make a Plaister according to Art In great Wounds it is expedient to lay over the Dressings a Cataplasm or Pultiss such as this Take the Leaves and Flowers of Camomile and Melilot the Tops of Wormwood common Mallows and Marsh-Mallows with the Seeds of Line and Cummin powder'd Then boyl the whole Composition in Wine and add thereto Barly-Meal to give it a due Consistence If there be any Cause to fear a Gangrene you may also intermix Saffron Myrrh and Aloes with Spirit of Wine Is it necessary to put Tents into all Wounds and to make use of Digestives and Suppuratives No It is sufficient to procure the Re-uniting of the Parts simply by the Means of Balsam in small Wounds because they ought not to be brought to Suppuration so that Digestives and Suppuratives are only necessary in great Wounds and those that are accompanied with Contusion avoiding the ill Custom of some Country-Surgeons that stuff up their Wounds too much with Tents and Pledgets whereas they might well be content with simple Bolsters or Dossels which shou'd be dipt in the ordinary Digestive composed of Turpentine and the Yolks of Eggs with a little Brandy or else with the Tincture of Myrrh and Aloes Suppuration may also be promoted by mundifying and quickening the Wound especially if the Bolsters be steep'd in the following Composition Take half an Ounce of Aloes and Myrth powder'd two Drams of Sal Saturni twenty Grains of Sal Ammoniack the same quantity of beaten Cloves a Dram of Queen of Hungary Water and half an Ounce of Vnguentum Bas●●con and let the whole Mass be mingled together In fine the whole Mystery consists in well clearsing the Wounds with a Linnen Cloth or with the Injections of the Tinctures of Myrrh and
the thick Guts is open'd when the Hurt is found in the Hypogastrium and the Excrements are voided at the Wound as it is certain that on of the thin Guts is pierc'd when the Wound appears in the Navel and the Chyle issueth forth from thence and so of the others What Method ought to be observ'd in curing Wounds in the lower Belly It is expedient at first to prevent letting in the Air and to dilate the Wound in order to sow up the perforated Gut and afterward to restore it to its place as also to bind the Caul which is let out at the opening and to cut it off lest in putrifying it should corrupt the neighbouring Parts Then these Parts may be bath'd with Lees of Wine wherein have been boil'd the Flowers of Camomile and Roses with Wormwood The Powders of Aloes Myrrh and Frankincense may be also thrown upon 'em and the Wound must be sow'd up again to dress it on the outside the Patient in the mean time being restrain'd to a regular Diet. But Clysters must be forborn on these Occasions especially when one of the thick Guts is wounded making use rather of a Suppository or laxative Diet-Drinks to avoid dilatation and straining CHAP VI. Of Wounds made by Guns or Fire-Arms THESE Wounds are always bruis'd and torn with the loss of Substance and commonly with the splitting and breaking of a Bone They are red black livid and inflam'd not being usually accompany'd with an Haemorrhage They are generally round and streighter at their Entrance than at their End at least 〈◊〉 they were not made with Cross-Bar-Shot or Quarter-Pieces Of the Prognostick of Wounds by Gun-shot When these Wounds penetrate into the Substance of the Brain or Marrow of the Back-Bone or into the Heart Pericardium great Vessels and other noble Parts Death always inevitably follows and often happens at the very Instant But one may undertake the Cure of those that are superficial and which are made in the Neck Shoulders Arms and all other parts of the Body Of the Cure of Wounds by Gun-shot For the better curing of these sorts of Wounds it is requisite to be inform'd of the Quality of the Fire-Arms by which the Wounds were made in regard that a Musquet is more dangerous than a Pistol and a Cannon much more than a Musquet as also to examine their situation and concomitant Accidents for by how much the more complicated they are so much the greater is the danger Then the Patient must be set as near as can be in the very same Situation and Posture wherein he remain'd when the Wound was receiv'd in order to discover the direct Passage of the Wound by the help of the Probe with which a search is to be made whether a Bullet or any other extraneous Bodies as Wood Flocks Linnen or Stuff as yet stick in the Wound so that Endeavours may be us'd to take 'em out thro' the same Hole where they enter'd care being more especially had to avoid making Dilacerations in drawing 'em out But if the Operator hath endeavour'd to no purpose to remove these extraneous Bodies let him make a Counter-Opening in the opposite Part where he shall perceive any hardness nevertheless without touching the Vessels thus the Incision being made he may readily draw 'em out with his Fingers or some other Instrument If the Bullet sticks so far in a Bone that it cannot be taken away without breaking the same Bone it is more expedient to let it lie therein but if the Leg or Arm-Bones are very much split or shatter'd then the Amputation of 'em becomes absolutely necessary The Pain and Inflammation of the Part may be asswag'd by letting Blood topical Anodyns cooling Clysters and Purgations but in case much Blood ha●h been already lost Phlebotomy must be omitted The Clysters may be made with Decoctions of Mercury Mallows Beets a Handful of Barley and Honey of Roses Some Surgeons are of Opinion that the Patient ought to be purg'd every other Day and even on the very same Day that he receiv'd the Wound if his Strength will permit however very gentle Purges are to be us'd upon this occasion such as Cassia Manna Tamarins Syrrup of Violets and that of White Roses In the mean while Anodyns may be compounded to mitigate the Pain as Cataplasms or Pultisses made with the Crum of white Bread Milk Saffron the Yolk of an Egg and Oil of Roses us'd hot which last Ingredient is of it self a very good Anodyn But to asswage great Inflammations Oil of Roses the White of an Egg and Vinegar beaten all together may be laid on the neighbouring Parts At first it is necessary to apply spirituous Medicines to the Wound and Pledgets steep'd in camphirated Brandy are admirable for that purpose but if there be a Flux of Blood styptick Waters or other astringent Remedies may be us'd still remembring that all these medicaments must be apply'd hot To promote the Suppuration of these contused Wounds a Digestive may be made of Oleum Rosatum the Yolk of an Egg and Venice Turpentine If the Wound be in the Nerves Tendons or other Nervous Parts it is requisite to use spirituous and drying Medicines never applying any Ointments which will not fail to cause Putrefaction in those Parts But a Cataplasm may be made with Barley-Meal Orobus I upins and Lentils boil'd in Claret adding some Oil of St. John's-Wort The Balsam of Peru Oil of Turpentine destill'd Oil of Wax destill'd Oil of Lavender Oleum Phil●sophorum Oil of Bays destill'd Balsam of St. John's-Wort Spirit of Wine and Gum Elemi are excelient Medicaments for the Nerves Or else Take four Ounces of Vnguentum Althaeae with a Dram and a half of destill'd Bays mingle the whole Composition and apply it Or else Take an Ounce of destill'd Oil of Turpentine a Dram of Spirit of Wine and half an Ounce of Camphire let all be intermixt and dropt into the Wound Or else Take a Scruple of Euphorbium half an Ounce of Colophonia and a little Wax let 'em be mingl'd together and apply'd very hot to the Nervous Parts If the Wounds are deep Injections may be made with this Vulnerary Water which is very good for all sorts of Contusions as also for the Gangrene and U●cers Take the lesser Sage the greater Comfrey and Mugwort of each four Handfuls Plantane Tobacco Meadowsweet Betony Agrimony Vervein St. John's-Wort and Wormwood of each three Handfuls Fennel Pilewort Bugle Sanicle Mouse-Ear the lesser Dazy the lesser Centory and All-heal of each three Handfuls three Ounces of round Birth-Wort and two Ounces of long Let the whole Composition be digested during thirty Hours in two Gallons of good White-Wine and afterward destill'd in Balneo Mariae till one third part be consum'd If a Gangrene happens in the Part Spirit of Mother-Wort may be put into it which is compounded with two Drams of Mastick Myrrh Olibanum and Amber and a Quart of rectify'd Wine the whole being destill'd This Fomentation may
be apply'd very hot to very good purpose viz. an equal quantity of Camphirated Wine and Lime-Water with three Drams of Camphire This is also an excellent Cataplasm Take a Pint of Lye and as much Spirit of Wine half an Handful of Rue Sage Scordium and Wormwood a Dram of each of the Roots of both sorts of Birth-Wort and two Drams of Sal Ammoniack Let the whole Composition be boil'd till a third Part be consum'd adding half a Dram of Myrrh and Aloes and a little Brandy Of a Burn made by Gun-Powder If the Burn be recent and the Skin not exulcerated Spirit of Wine or Brandy is to be immediately apply'd or else an Ointment may be made with Oil of Olives or bitter Almonds Salt the Juice of Onions and Verjuice If the Skin be ulcerated and little Bladders or Pustules arise an Ointment may be compounded with the second Bark of Elder boil'd in Oil of Olives After it hath been strain'd add two parts of Ceruse or White-Lead and one of Burnt Lead with as much Litharge stirr'd about in a Leaden-Mortar to make a Liniment But it is not convenient to take out the Grains of Powder that remain in the Skin because they are apt to break and to be more confounded or spread abroad so that they must be left to come forth in the Suppuration When the Wound is supersicial and the Skin as yet whole peel'd Onions with common Honey are an excellent Remedy but if the Skin be torn it is not to be us'd by reason that the Pain wou'd be too great in which case Oil of Tartar per diliquium hath a very good effect If the Burn be accompany'd with a Fever it may be allay'd with fixt Nitre Nitre prepar'd with Antimony and Gun-Powder taken inwardly which are very effectual in their Operation Crab's-Eyes prepar'd and even some of 'em unprepar'd are in like manner admirable Remedies As for external Medicaments when the Burn is only superficial take Onions and unslack'd Lime quench'd in a Decoction of Rapes and apply this Liquor very hot with double Bolsters dipt therein Or else take what quantity you please of quick Lime well wash'd and pound it throughtly in a Leaden-Mortar with May-Butter without Salt to make an Ointment which may be be laid altogether liquid upon the affected Part Or else Take as much quick Lime as you can get up between your Fingers at two several times Milk-Cream and clarify'd Honey of each about half the like quantity let the whole be intermix'd to the Consistence of an Ointment and apply'd It is an approv'd Remedy as also is the following Take unslack'd Lime and put it into common Water so as the Water may appear four or five Finger's breadth above it After the Effervescence pour in Oil of Roses whereupon the whole Mass will be coagulated in form of Butter and may be apply'd A good Lotion or Washing-Liquor may be prepar'd with the Juice of Garlick and Onions in recent Burns otherwise make use of this Ointment Take an Ounce and an half of raw Onions Salt and Venice Soap of each half an Ounce mingle the whole Composition in a Mortar pouring upon it a sufficient quantity of Oil of Roses to make a very good Ointment Or else Dissolve Minium or Litharge in Venegar filtrate this Liquor and add thereto a quantity of Rape-Oil newly drawn off sufficient to give it the Consistence of a liquid Liniment then stir it about in a Leaden-Mortar till it become of a grey Colour and keep it for Use as an excellent Liniment Or else Pound Crey-Fishes or Crabs alive in a Mortar to get their Blood and foment the Part with it hot it is a good Remedy Otherwise intermix the pounded Crabs with May-Butter without Salt and let 'em be boil'd up together and scumm'd till a red Ointment be made which may be drawn off or strain'd for Use And indeed all manner of Ointments and other Medicinal Compositions wherein Crabs are an Ingredient are true specificks against Burns made by Gun-Powder The Mucilages of the Seeds of Psyllium or rather those of Quince-Seeds prepar'd with Frog's Sperm and a little Saccharum Saturni spread with a Feather upon the affected Part have a wonderful Operation in Burns A Medicament compounded with one third part of the Oil of Olives and two of the Whites of Eggs well beaten and mixt together is a very simple and singular Remedy Otherwise take half an Ounce of Line-seed-Oil infus'd in rose-Rose-Water with four Yolks of Eggs beat 'em together and let the whole be apply'd to the burnt Part. If the Burn be very violent and hath many Pustules Etmullerus is of Opinion that they ought to be open'd and that an Ointment shou'd be apply'd which is made of Hen's-Dung boil'd in fresh Butter Otherwise Take a handful of fresh Sage-Leaves two handfuls of Plantane six Ounces of fresh Butter without Salt three Ounces of Pullet's-Dung newly voided and the whitest that can be found then fry the whole Composition for a quarter of an Hour squeeze it out and keep it for use Otherwise Take two Ounces of sweet Apples roasted under Embers Barly-Meal and Fenugreek of each half an Ounce and half a Scruple of Saffron let the whole Mass be mingled to make a Liniment or soft Cataplasm which may serve to asswage Pain and mollifie the Skin If the Wound be yet larger and hath a Scab open all the Pustules and endeavour the two first Days to cause the Escar to fall off by the Application of a Liniment made of the Mucilages of Quince-Seeds steept in Frog's-Sperm with fresh Butter the Oil of White Lillies and the Yolk of an Egg Otherwise Make a Liniment with fresh Butter well beaten in a Leaden-Mortar with a Decoction of Mallows which being spread upon hot Colewort-Leaves and apply'd to the Escar it will fall off But if the Escar be too hard and obstinate it is requisite to proceed to Incisions to make way for the Sanies lest a deep and putrid Ulcer shou'd be engender'd Underneath As soon as the Humour is evacuated the above-mention'd Emollient Medicines may be us'd till the separation of the Escar then the Ulcer may be consolidated with Digestives and Mundificatives such as the Ointment of quick Lime with Oil of Roses and the Yolks of Eggs. The white camphirated Ointments and that of Alabaster are also good for the same Purpose If a Gangrene ensueth Sudorificks must be taken inwardly such are camphirated Spirit of Treacle the Essence and Spirit of Elder-Berries the Spirit of Hart's-Horn with its own proper Salt Treacle impregnated with the Spirit of camphirated Wine Scorpion-Water Hart's-Horn Citron with Camphire c. As for external Remedies in the beginning of the Gangrene the Spirit of Wine apply'd hot is excellent and yet better if Aloes Frankincense and Myrrh be intermixt therein It ought also to be observ'd that Camphire must always be mingled in the topical Medicines for the Cure of the Gangrene A Decoction of unslack'd
Cassia and as much Manna infus'd in two Glasses of Whey which are to be taken one or two Hours one after another Afterward the Patient must be often purg'd with twelve Grains of Scammony and fifteen Grains of Mercurius Dulcis and these Purgations must be continu'd till it appears that the Fluxes are neither yellowish nor greenish nor of any other bad Colour When they are become White and grown Thready they may be stopt with Astringents Amber and dry'd Bones beaten to Powder eighteen Grains of each with one Grain of Laudanum the whole Composition being taken in Conserve of Roses are very good for this Purpose Crocus Martis Astringens or else its Extract taken from half a Dram to a whole Dram in like manner performs the same Operation As soon as the Gonorrhaea is stopt to be certain of a perfect Cure a Dram of the Mercurial Panacaea is to be taken from fifteen to twenty Grains at a time in Conserve of Roses In the mean while if a small Salivation shou'd happen it must be let alone for the present since it may be stopt at pleasure by the Purgations When it is requisite to restrain the Gonorrhaea Mercury must not be given any longer in regard that it is a Dissolvent which is only good when the Glandules of the Groin or Testicles are swell'd or else when it is expedient to set the Chaudepisse a running after it hath been too suddenly stopt At the same time that the Astringents are taken with the Mouth Injections also are to be made into the Yard such as are prepar'd with Lapis Medicamentosus of which one Dram is put into eight Ounces of plantane-Plantane-Water All Astringents that are not Causticks are proper for the Syringe Of Shankers They are round Ulcers and hollow in the middle which appear upon the Glans and the Praeputium To cure 'em they must be touch'd with the Lapis Infernalis and brought to Suppuration by the means of red Precipitate mixt with the Ointment of Andreas Crucius Oleum Mercurii laid on a Pledget or Bolster is very efficacious to open Skankers and consume their Flesh The Patient must be well purg'd with Mercurius Dulcis and Scammony taking twelve or fifteen Grains of each in Conserve of Roses and after these Purgations are sufficiently reiterated he may take the Mercurial Panacaea's It is an excellent Remedy for all sorts of Pocky Distempers not yet consummated or arriv'd at the greatest height of Malignity Of Bubo ' s. Bubo's are gross Tumours or Abcesses that arise in the Groin the perfect Maturity of which is not to be waited for in order to open 'em because it is to be fear'd lest the corrupt Matter remaining therein too long might be convey'd into the Blood by the Circulation and so produce the grand Pox Therefore it is necessary to open 'em betimes with a Lancet or else with a Train of potential Cauteries if they are too hard They ought to be Suppurated for a considerable time The Patient must be well purg'd with Scammony and Mercurius Dulcis He must also take the Mercurial Panacaea's Of the Pox. This loathsome Disease begins sometimes with a virulent Gonorrhaea and a weariness or faintness at the same time seizeth on all the Members of the Body It is usually accompany'd with Salivation and the Head-ach which grows more violent at Night Pricking Pains are also felt in the Arms and Legs the Palate of the Mouth being sometimes ulcerated If it be an inveterate Pox the Bones are corrupted and Exostoses happen therein divers Spots with dry round and red Pustules appear in the Skin and the Cartilages or Gristles of the Nose are sometimes eaten up But when this Disease is come to its greatest height of Malignity the Hair falls off the Gums are ulcerated the Teeth are loose and drop out the whole Body is dry'd up the Eyes are livid the Ears tingle the Nose becomes stinking the Almonds of the Ears swell the Vvula or Palate is down Ulcers break out in the Privy-Parts Bubo's arise in the Groin as also Warts in the Glans and Praeputium and Condyloma's in the Anus Indeed the Pox may be easily cur'd in the beginning but when it hath taken deep Root by a long Continuance it is not extirpated without much difficulty more especially if it be accompany'd with Ulcers Caries and Exostoses the Person afflicted with it being of an ill Constitution and his Voice grown hoarse The Spring and Summer are the proper Seasons of the Year for undertaking the Cure of this Disease In order to which it is necessary that the Patient begin with a regular Diet lodging in a warm place and taking such Aliments as yield a good Juice as Jelly-broath made with boil'd Fowl Let him drink Sudorifick Decoctions prepar'd with the Wood of Guayacum China-Root and Sarsaparella and let him abstain from eating any thing that is high season'd Let him take Clysters to keep his Body open sometimes also he may be let Blood and purg'd with half a Dram of Jalap and fifteen Grains of Mercurius Dulcis The Purgations may be re-iterated as often as it shall be judg'd convenient and then the Patient may be bath'd for nine or ten Days every Morning and Evening during which time he may take volatile Salt of Vipers the Dose being from six to sixteen Grains or else Viper's-Grease from half a Dram to a whole Dram in Conserve of Roses Afterward it will be necessary to proceed to Fluxing which is caus'd by the means of Frictions with Vuguentum Mercurii which is made of crude Mercury stirr'd about in a Mortar with Turpentine and then the whole mingled with Hog's-Grease one part of Mercury being usually put into two parts of Hog's-Grease The Rubbing is begun at the Sole of the Feet ascending to the Legs and the inside of the Thighs but the Back-Bone must not be rubb'd at all When the Persons are tender or of a weak Constitution a single Friction may be sometimes sufficient Thus the Patient must be rubb'd at the Fire after he hath taken a good Mess of Broath but I would not advise it to be done with more than one or two Drams of Mercury at a time without reckoning the Grease Then the Patient must be dress'd with a Pair of Linnen-Drawers or Pantaloons and laid in his Bed where his Mouth may be lookt into from time to time to see whether the Mercury hath taken effect which may be easily known by reason that his Tongue Gums and Palate swell and grow thick his Head akes his Breath is strong his Face red and he can scarce swallow his Spittle or else he begins to Salivate If none of these Signs appear the Rubbing must be begun again in the Morning and Evening then if no Salivation be perceiv'd for sometimes four or five Frictions are made successively a little Mercurial Panacaea may be taken inwardly to promote it During the Frictions the Patient is to be nourish'd with Eggs Broaths and Gellies he must also
the Knee If the Perone or Fibula be remov'd from the Tibia the sides of the Foot are to be press'd to draw it back again and it may be kept close with the Bandage which is appropriated to the Fractures of the Tarsus The Astragalus may be also luxated in the fore-part so that the Operator ought to thrust it back into its place and to make use of the Bandage which we have prepar'd for the Fracture of the Foot The Calcaneum sometimes flies off from the Astragalus both in the inside and without and the Bones of the Tarsus Metatarsus and Toes are likewise apt to be luxated But a little Circumspection is only requisite to reduce all these Dislocations A TREATISE OF Medicinal Compositions Necessary for a SURGEON CHAP. I. Of Balsams The Balsam of Arcaeus TAKE two Pounds of the Suet of a He-Goat Venice Turpentine and Gum Elemi a Pound and a half of each and of Hogs-Lard one Pound After the Gum Elemi being cut into shall Pieces ●ath been melted over a very gentle Fire and to it the Turpentine Goats-Suet and Swines-Grease Grease and when all these Ingredients are wel● dissolv'd strain the Liquor thro' a new Linnen-Cloth to separate the Scum and Dregs from it then let the whole Mass cool and the Balsam is made This Balsam serves to incarnate and consolidate all sorts of Wounds and Ulcers It is likewise us'd in Fractures and Dislocations of the Bones as also to cure the Contusions and Wounds of the Nerves The Balsam of Spain Take pure Wheat the Roots of Valerian and Carduus Benedictus of each one Ounce and beat 'em well in a Mortar with a Pint of White-Wine strain the whole Composition into an Earthen Vessel Leaded having a narrow Mouth stop up the Vessel and set it upon hot Embers during twenty four Hours Then add six Ounces of St. John's-Wort set the whole Mass in Balneo Mariae till the Wine be consum'd and let it be strain'd and queez'd Afterward add two Ounces of Frankincense well pulveriz'd with eight Ounces of Venice Turpentine mixing 'em together over a gentle Fire and the Balsam will be made This is the Balsam which was always us'd by Hieronymus Fabritius ab Aquapendente and noted Italian Surgeon and is excellent for all kinds of Wounds even for the Nervous which as it is avouch'd by some Persons may be cur'd by it within the the space of twenty four Hours But the Wound must be at first wash'd with good Wite-Wine cold and afterward anointed ●ith this Balsam well heated If the Wound ●●e deep it may be syringed with the same Balsam very hot and the sides of it anointed ●hen drawn together Then a Bolster steep'd 〈◊〉 the Balsam is to be apply'd to the Part and ●●on that another Bolster soakt in the Lees of ●ine as also over this last another drie Bolster The Green Balsam Take Linseed-Oil and that of Olives of each ●●e Pint one Ounce of Oil of Bays two Ounces of Venice Turpentine half an Ounce of ●●e destill'd Oil of Juniper-Berries three Drams ●f Verdegrease two Drams of Sucotrin Aloes ●●o Drams and a half of White Vitriol and ●ne of the Oil of Cloves Having made choice of the best Olive and ●inseed-Oil well purify'd and mingl'd together ●n a Skillet or Pan over a very gentle Fire ●●s the Turpentine and Oil of Bays be incor●orated in it then having taken off the Pan from ●●e Fire and left the Liquor to be well cool'd 〈◊〉 it be intermixt by little and little with the ●erdegrease the White Vitriol and the Sucotrin ●●oes beaten to fine Powder Afterward the ●estill'd Oils of Cloves and Juniper-Berries be●●g added and the whole Composition well ●ingl'd together the Balsam will be entirely compounded according to Art This is the Balsam that hath been so much ●●lkt of at Paris and which many Quack-Sal●ers pretending to the Art of Physick and Sur●ery keep as a great Secret Indeed it is very ●ood for all sorts of Wounds whether they be made by the Sword or other Iron Weapons or by Gun-shot But it wou'd be requisite at first to wash the Wound with warm Wine then to anoint it with this Balsam very hot and to apply Bolsters that have been steept in it as also a large Bolster over the other dipt in some Styptick Liquor This Balsam mundifies incarnates and cicatrizes Wounds being likewise good against the Bitings of venomous Beasts and fistulous and malignant Ulcers Samaritan Balsam Take an equal quantity of common Oil and good Wine boil 'em together in a glaz'd Earthen Vessel till the Wine be wholly consum'd and the Balsam will be made I have produc'd this Balsam in particular by reason of its simplicity and in regard that it may be readily prepar'd at all times It serves to mundifie and consolidate simple Wounds more especially those that are recent CHAP. II. Of Ointments Unguentum Althaeae TAKE of the Roots of Althaea or Marsh-Mallows six Ounces the Seeds of Line and Fenugreek and Squills of each four Ounces of yellow Wax one Pound Colophony and Rosin of each one Pound Venice Turpentine Galbanum and Gum Hederae pulveriz'd two Ounces of each The Marsh-Mallow-Roots being newly gather'd are to be well wash'd and slic'd as well as the Squills After they have been put into a Copper-Pan or Skillet tinn'd over on the inside together with the Seeds of Line and Fenugreek and a Gallon of fair Water pour'd upon 'em the whole Mass is to be macerated during twenty four Hours over a very gentle Fire stirring the Ingredients from time to time with a Wooden Spatula Thus they are to be boil'd slowly often reiterating the stirring till the Mucilages are sufficiently thicken'd then after having well squeez'd and strain'd 'em thro' a strong and very close Cloth and mingl'd 'em with the prepar'd Oil they are to be boil'd together again over a very gentle Fire till the Superfluous Moisture of the Mucilages be wholly consum'd Afterward having strain'd the Oil again the yellow Wax Colophony and Rosin cut into small pieces are to be melted in it and if any Dregs appear at the bottom of the Pan when the whole Mass is dissolv'd it is to be strain'd a-new or at least the pure Liquor must be separated from the gross or impure by Inclination whilst it is as yet very hot The Ointment is to be stirr'd about with a Wooden Pestle and when it begins to grow thick you may add the Turpentine the Galbanum purify'd and thicken'd and the Gum Hederae beaten to fine Powder all which Ingredients were before incorporated together Then the Ointment is to be continually stirr'd till it be altogether grown cold This Ointment serves to moisten mollifie and heat gently it also allayes the Pains of the Side and softens Tumours particularly the Parotides It may be us'd either alone or with other Ointments or Oils The mundificative Ointment of Smallage Take three handfuls of Smallage-Leaves with Ground-Ivy great Wormwood great Centory
promotes Suppuration and cicatrizes Wounds when the purulent Matter is drawn forth It is often laid alone upon the Bolsters and sometimes mixt with the Yolks of Eggs Turpentine and other Ointments or with Oils and Plaisters A cooling Cerate Take a Pint of Oil of Roses and three Ounces of white Wax Let the whole Composition be put into a glaz'd Earthen-Pot and the Pot set in Balneo Mariae till the Wax be well dissolv'd in the Oil Then take the Vessel out of the Bath and stir the Ointment with a Wooden Pestle till it be cool'd add two Ounces of Water and stir it about with the Pestle till it be imbib'd by the Cerate let as much more Water be infus'd and again the same quantity till the Cerate becomes very white and hath been well soakt with fresh Water Afterward all the Water is to be pour'd off by Inclination and separated as much as is possible from the Cerate which may then be kept for use but some Surgeons cause an Ounce of Vinegar to be mingl'd with it This Cerate is usually laid outwardly upon all Parts that stand in need of cooling and asswages the Pains of the Haemorrhoids or Piles It is also good for Chaps sore Nipples and other ill Accidents that happen in the Breast and is us'd for Burns either alone or mixt with other Ointments Whensoever it is necessary to apply Desiccatives and Astringents to any Part this Cerate may be mingl'd with Vnguentum de Cerussa An Ointment for Burns Take a Pound of Bores-Grease two Pints of White-Wine the Leaves of the greater Sage Ground and Wall-Ivy Sweet Marjoram or the Greater House-Leek of each two handfuls Let the whole Mass be boil'd over a gentle Fire and having afterward strain'd and squeez'd it let the Ointment so made be kept for use CHAP. III. Of Plaisters The Plaister of Diapalma TAKE three Pounds of prepar'd Litharge of Gold three Pints of common Oil two Pounds of Hogs-Lard a Quart of the Decoction of Palm-Tree or Oak-Tops four Ounces of Vitriol calcin'd till it become red and steept in the said Decoction Having bruis'd or cut very small two handfuls of Palm-Tree or Oak-Tops let 'em be boil'd slowly in three Quarts of Water till about half be consum'd and after the whole Mass hath been well squeez'd the strain'd Decoction is to be preserv'd In the mean time the Litharge is to be pounded in a great Brass Mortar and diluted with two or three Quarts of clear Water but it will be requisite readily to pour out into another Vessel the muddly Water which is impregnated with the more subtil part of the Litharge whilst the thicker remains at the bottom of the Mortar whereupon this part of the Litharge will sink to the bottom of the Water and the Litharge remaining in the Mortar is to be pounded again Then having diluted it in the Water of the first Lotion or in some other fresh Water the muddy Liquor is to be pour'd by Inclination upon the subtil Litharge that remain'd in the bottom of the Vessel Afterward you may continue to pound the Litharge to bruise it in the Water to pour it off by Inclination and to let the Powder settle till there by left only at the bottom a certain impure part of the Litharge capable of being pulveriz'd and rais'd amidst the Water As soon as the Lotions are well settl'd and care hath been taken to separate by Inclination the Water which swims over the Powder of Litharge this Powder is to be dry'd and having weigh'd out the appointed Quantity it is to be put as yet cold into a Copper-Pan lin'd with Tin and stirr'd about to mingle it with the Oil Lard and Decoction of Palm-Tree-Tops When these Ingredients have been well incorporated together a good Charcoal Fire must be kindl'd in a Furnace over which they are to be boil'd stirring 'em continually with a great Wooden Spatula and constantly maintaining an equal Degree of Heat during the whole time of their boiling At last you may add the rubify'd Vitriol dissolv'd in a Portion of the Liquor that hath been reserv'd if you wou'd have the Plaister tinctur'd with a red Colour or else white Vitriol melted in the same Decoction if it shall be thought fit to retain the Whiteness of the Plaister which may be form'd into Rolls and wrapt up with Paper This Plaister is us'd for the cure of Wounds Ulcers Tumours Burns Contusions Fractures and Chilblains and is also laid upon the Cauteris If you mingle with it the third or fourth part of its weight of some convenient Oil it will attain to the Consistence of a Cerate and this is that which is call'd Dissolved Diapalma or Cerate of Diapalma The Plaister of simple Diachylum Take of Marsh-Mallow-Roots peel'd three Drams the Seeds of Line and Fenugreek of each four Ounces three Quarts of spring-Spring-Water two Quarts of common Oil and two Pounds of Litharge of Gold Let the Mucilages of Marsh-Mallow-Roots and of the Seeds of Line and Fenugreek be taken as hath been shewn in the making of Vnguentum Althaeae and let the Litharge be prepar'd after the same manner as for the Plaister of Diapalma Having at first well mixt the Oil with the Litharge in a large Copper-Vessel or Pan Tinn'd on the inside being wide at the top and tapering like a Cone toward the bottom as also having afterward added and well incorporated the Mucilages a moderate Charcoal Fire t s to be kindl'd in a Furnace upon which the Vessel is to be set and the whole Mass is to be stirr'd about incessantly with a Wooden Spatula and as fast as is possible A gentle Fire is to be maintain'd and the Boiling and Agitation to be continu'd till it be perceiv'd that the Plaister begins to sink in the Pan then the Heat of the Fire must be diminish'd one half at the least and it will be requisite only to cause an Evaporation by little and little of the Superfluous Moisture that might remain in the Plaister which being consum'd it will be sufficiently boil'd having attain'd to its due Consistence and Whiteness This Plaister softens and dissolves hard Swellings and even the Scirrhous Tumours of the Liver and Bowels such are the Scrophulous or King's-Evil Tumours the old remains of Abcesses c. The Plaister of Andreas Crucius Take two Ounces of Rosin four Ounces of Gum Elemi Venice Turpentine and Oil of Bays of each two Ounces After having beat in pieces the Rosin and Gum Elemi they are to be melted together over a very gentle Fire and then may be added the Turpentine and Oil of Bays When the whole Mass hath been by this means well incorporated it must be strain'd thro' a Cloth to separate it from the Dregs The Plaister being afterward cool'd is to be made up in Rolls and kept for use This Plaister is proper for Wounds of the Breast It also mundifies and consolidates all sorts of Wounds and Ulcers dissipates Contusions strengthens the Parts in
Fractures and Dislocations and causeth the Serous Humours to pass away by Transpiration Emplastrum Divinum Take of Litharge of Gold prepar'd one Pound and an half three Pints of common Oil one Quart of Spring-Water six Ounces of prepar'd Load-Stone Gum Ammoniack Galbanum Opoponax and Bdellium of each three Ounces Myrrh Olibanum Mastick Verdegrease and round Birth-Wort of every one of these an Ounce and an half eight Ounces of Yellow Wax and four Ounces of Turpentine Let the Gum Ammoniack Galbanum Bdellium and Opoponax be dissolv'd in Vinegar in a little Earthen Pipkin strain 'em thro' a course Cloth and let 'em be thicken'd by Evaporation according to the Method before observ'd in other Plaisters Then prepare the Load-Stone upon a Porphyry or Marble-Stone and take care to bruise separately the Olibanum the Mastick the Myrrh the round Birth-Wort and the Verdegrease which is to be kept to be added at last In the mean while having incorporated cold the Oil with the Litharge and mingl'd the Water with 'em they are to be boil'd together over a very good Fire stirring 'em incessantly till the whole Composition hath acquir'd the Consistence of a somewhat solid Plaister in which is to be dissolv'd the yellow Wax cut into small pieces Afterward having taken off the Pan from the Fire and left the Ingredients to be half cool'd intermix the Gums which have been already thicken'd and incorporated with the Turpentine then the Load-Stone mingl'd with the Birth-Wort Myrrh Mastick and Olibanum and last of all the Verdegrease Thus when all these Ingredients are well stirr'd and mixt together the Plaister will be entirely compounded so that it may be made up into Rolls and preserv'd to be us'd upon necessary Occasions This Plaister is efficacious in curing of all kinds of Wounds Ulcers Tumours and Contusions for it mollifies digestes and brings to Suppuration such Matter as ought to be carry'd off this way It also mundifies cicatrizes and entirely consolidates Wounds c. CHAP. IV. Of Cataplasms or Pultisses CATAPLASMS are usually prepar'd to asswage Pain as also to dissolve and dissipate recent Tumours and are made thus Take four Ounces and a half of white Bread one Pint of new Milk three Yolks of Eggs one Ounce of Oil of Roses one Dram of Saffron and two Drams of the Extract of Opium The Crum is to be taken out of the inside of a white Loaf newly drawn out of the Oven and to be boil'd with the Milk in a Skillet over a little Fire stirring it from time to time with a Spatula till it be reduc'd to a thick Pap. After having taken the Vessel off from the Fire the three Yolks of Eggs beaten are to be put into it and the Dram of Saffron pulveriz'd to these Ingredients may be added two Drams of the Extract of Opium somewhat liquid if the Pain be great Here is another Cataplasm proper to mollifie and to bring to Suppuration when it is necessary Take White-Lilly-Roots and Marsh-Mallow-Roots of each four Ounces the Leaves of common Mallows Marsh-Mallows Groundsel Violet-Plants Brank-Ursin of every one of these Herbs one handful the Meal of Line Fenugreek and Oil of Lillies of each three Ounces The Roots when wash'd and slic'd are to be boil'd in Water and the Leaves being added some time after the Boiling is to be continu'd till the whole Mass becomes perfectly tender and soft at which time having strain'd the Decoction beat the remaining gross Substance in a Stone-Mortar with a Wooden Pestle and pass the Pulp thro' a Hair-Sieve turn'd upside-down Then let the Decoction and Pulp so strain'd be put into a Skillet and having intermixt the Meal of Line Fenugreek and Oil of Lillies let 'em be boil'd together over a gentle Fire stirring about the Ingredients from time to time till they be all sufficiently thicken'd These two Cataplasms may serve as a Model for the making of many others CHAP. V. Of Oils OILS are made either by Infusion or Expression Simple Oil of Roses made by Infusion Take two Pounds of Roses newly gather'd and bruis'd in a Mortar half a Pint of the Juice of Roses and five Pints of common Oil Let the whole Composition be put into a Earthen-Vessel Leaded and well stopt and then let it be expos'd to the Sun during forty Days Afterward let it be boil'd in Balneo Mariae and having strain'd and squeez'd the Roses let the Oil be kept for use Compound Oil of Roses made by Infusion Take a Pound of Red Roses newly gather'd and pound 'em in a Mortar as also four Ounces of the Juice of Red Roses and two Quarts of common Oil. Let the whole Composition be put into an Earthen-Vessel Leaded the Mouth of which is narrow and well stopt and then having expos'd it to the Sun during four Days let it be set in Balneo Mariae for an Hour and then strain'd and squeez'd Afterward let this Liquor be put into the same Vessel adding to it the Juice of Roses and Roses themselves in the same quantity as before Let the Vessel be stopt let the Maceration Boiling Straining and Expression be made in like manner as before and let the same Operation be once more re-iterated Then let your Oil be depurated and preserv'd for use These Oils qualifie and disperse Defluctions of Humours suppress Inflammations mitigate the Head-ach and Deliriums and provoke to sleep They must be warm'd before the Parts are anointed with 'em and they may be given inwardly against the Bloody-flux and Worms the Dose being from half an Ounce to a whole Ounce The Parts are also anointed with 'em in Fractures and Dislocations of the Bones and Oxyrodins are made of 'em with an equal quantity of Vinegar of Roses Oil of Sweet Almonds made by Expression Take new Almonds that are fat and very dry without their Snells and having shaken 'em in a somewhat thick Sieve to cause the Dust to fall off let 'em be put into hot Water till their Skins become tender so that they may be separated by squeezing 'em with the Fingers Afterward having taken off the Skin they must be wip'd with a white Linnen-Cloth and spread upon it to be dry'd Then they are to be put into a Stone-Mortar and pounded with a Wooden-Pestle till the Paste grows very thin and begins to give Oil This Paste is to be put into a little Linnen-Bag new and strong the Mouth of which hath been well ty'd and the Bag is to be plac'd between two Platines of Tin or of Wood lin'd on the inside with a Leaf of Tin squeezing the whole Mass gently at first but afterward very strongly and leaving it for a long while in the Press that the Oil may have time to run out This Oil mitigates the Nephritick Colicks remedies the Retension of Urine facilitates Child-birth allayes the After-Pains in Women after their delivery and the Gripes in young Infants It is taken inwardly fasting from half an Ounce to two Ounces and it is us'd in