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A02364 The Frenche chirurgerye, or all the manualle operations of chirurgerye , vvith divers, & sundrye figures, and amongst the rest, certayne nuefovvnde instrumentes, verye necessarye to all the operationes of chirurgerye. Through Iaques Guillemeau, of Orleans ordinarye chirurgiane to the Kinge, and sworen in the citye of Paris. And novv truelye translated out of Dutch into Englishe by A.M.; Oeuvres de chirurgie. English Guillemeau, Jacques, 1550?-1613.; A. M., fl. 1598. 1598 (1598) STC 12498; ESTC S122176 253,267 144

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or a little Masticke vvhite Coralle and preparede pearles ther of a paste beinge made of the vvhich vve may forme as manye teethe as vve please This paste is also verye commodiouse to replenish thervvith a hollovve toothe because ther might noe viandes remayne therin through vvhich the teethe doe more corrupte and more intollerable payne is heer bye suscitatede 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The Speculum of the Mouthte and Wombe Declaratiō of the Characters which are contaynede in the figures of the Hoockes and Knives which are necessarye and conveniente to drawe forth a deade Child out of the Mothers bellye also of the Pessaryes Plates and of other thinges necessarye to the Ligatione of the fistles of the fundament Demonstrateth the Crochet vvith a dubble hoocke vvhich must not be sharp but blunte leaste that internallye they chaunce to vulnerate the Wombe by vvhich meanes the vvoeman might be in greate perille and daunger of her lyfe The hole throughe the vvhich must be thruste some certayne string to tye thervnto a Naptkinne because there might tvvo at once pulle vvhen it is nedefull The seconde hoocke vvhich is flatte and blunte C A little croockede knife vvhich is verye acute sharpe conveniente to inscide the Heade and bellye of a deade Childe internally in the Wombe because the vvater aqvositye might heerbye have his issue I have divers and sundrye times binne sente for to divers Woemē vvhich vveare in difficulte laboure Childebearth notvvithstandinge I never vsede any hoockes or other ferrealle Instrumentes therto for vvhich occasion I also councell all Chyrurgianes to vse none of them then in extreame necessitye for if soe be there happen anye other accidente there vnto as excoriatione or anye effluxione of blood vve muste then attribute the same vnto the Instrumente vvhich the Chyrurgiane vsede thervnto Neverthelesse I have heere causede them to be set dovvne vnto you to vse them in the extreameste necessitye and heere is to be notede that the Insculptor or Ingravere to adorne imbellishe his laboures hath participatede some propre and perpolite fashone to the handle vvhich indeede is thereon invtile and needeles because it is better that they be playne smoothe becaus they fastē themselves on nothinge The Pessarye in forme of an Apple vvhich is made of Corke and is circumvestede vvith vvhyte vvaxe this pessarye preventeth the descendinge and sinckinge out of the Matrix The Greeckes calle it Pesson and the Latinistes Pessarium There are some also made after an Ovale figure rovvnde and somvvhat prologatinge like an Egge and of divers magnitudes but quotidiane experience hath taught vs that they are not so necessarye and commodious as those vvhich are of this forme because they are to slipperye and cannot be hilde so faste in the entrance or necke of the vvombe so that oftentimes they sincke theroute and in like sorte also the vvombe vvhich notvvithstandinge reqvireth to be continuallye therin contaynede The firste vvhich I have seene vse such manner of Pessaryes vvas the right vvorshipfulle Mr. Rousset on of the Kinges Chyrurgians and of the Ladye of Nemours vvhich hath learnedlye and excellentlye vvritten of divers sortes of the Woomens parturiō vvhere this forme of Pissaryes are defigurede and the manner also of his vse The hole vvhich is in the middeste vvhich serveth to dravve therbye the pessarye out of the vvombe vve thrustinge our finger in the hole * The linte vvherone the Pessarye is fastenede rounde aboute the bodye of the vvoman An argentealle plate being semilunare somvvhat reflectinge invvardelye tovvarde the internalle part beinge notede vvith G. This plate or this invention hath oftentimes binne vsede of Mr. Girart Raber Chyrurgiā at Paris vvhich vvas a verye inventive perquiringe man in searchinge out of Chyrurgicalle Instrumentes and also the most experteste practitionere of his time the Knott vvhich is layede above the silver barre H The argentealle or silver barre or pegge I I The little ringles vvhervvith the little barre is fastenede vvhen shee passeth therthroughe this barre may be turnede as much and as little as vve please The Privet or Needle to religate the fistles Hippocrates calleth it Scorodou Physinga vve may allsoe make theire poyncte blunte to vse the same the fistle beinge vvholye apparent and may easylye be seene but if she lye occulte and invisible and that vve must necessarily perforate any membrane she must then conseqventlye be acute and sharpe She muste also be of silver and verye vveake because she may be suple to bende at our pleasure Explanation of the Characters contaynede in the figures of the Instrumētes to drawe breake and cut of teeth L Demonstrate the tonges vvhich are verye conveniente to cut of all superfluouse teethe or at the least those vvhich are to longe they are internally inflectede by that meanes the better to fasten on the teeth A superfluouse tooth vvhich is halfe of The Polycampe L Polycampus G Odontagra and Odontagegon It is an Instrument vvith divers brāches vvhich are all of them intrudede in one handle throughe a little serve The scrue vvhich is on the Instrumente One of the braunches of the Polycampe An other extendede braunche The thirde braunche The vise beinge taken out S Demonstrate the Instrumente callede the Patretesbille L Denticeps Dentiducum Celsus calleth it Forfex G Rhixan The tooth vvhich is helde fast betvveene the teeth of the Instrumente An Instrument vvhich loosenethe the gummes frō the teeth callede in Latine Dentiscalpium G Pericharacter The expulser or thruster out L Pulsatorium G Oterion X The Roote dravver G Rixagra It is an Instrumēte verye necessary to dravve out any roote of a toothe vvhich remaynethe in the Chavve vvhen the tooth is broken or corruptede and rotten 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Diuers Instrumentes to drawe and cutt of Teeth Haeckes to drane forth a Childe The Declaration of the Characters which are contaynede in the table of the actualle Cauteryes Defigurate the a Cauterye vnto vs vvhich hath a poyncte like vnto a Raper and is callede in Latine Ensis vvhich is partlye on both sydes rescindente The poynct vvhich must be of the crassitude of this lettre because it might the longher Keepe hott Is the handle vvhich is smaller then it is needefull and must be foure or five inches longe and in like sorte also all the other handles of the other Cauteryes vvhich are heere notede vnto you It is a backede Cauterye vvhich hath a backe like vnto a knife vvhich cutteth but one the one syde and for that occasione hath a thicke backe because it shoulde continue the longer hott and effectuate his operatione so much the better The rescindente syde Π The backe vvhich must be verye thicke The poyncte vvhich must be foure goode fingers breadth longe This Cauterye is rotunde concavouse rescindente vve vse it to cauterize the skinne of the Heade vvhen as suddaynly vve vvoulde trepane the same as beinge in anye compagnye and in cuttinge vve feare anye
parte of his body as havinge tvvo heades four armes beinge dubble or els if ther be moe then one to vvitt tvvo three or four vvherof the one might praesent his arme an other his legge or anye other part all at one time Afther the infāt praesenteth himselfe the childebirth falleth easye or difficulte because that follovvinge the naturall Childebirth the childe allvvayes praesenteth first his heade havinge his armes stretched out alōgest both his sydes or vvhē it praesēteth it selfe vvith both the legges forvvarde vvherby it may easylye be plucked dravven out vvhen it praesenteth him one anye other manner it is as then not naturall but verye daungerouse vvherin vve must vse our remedyes as herafter shal be shevved The externall occasions Touchinge the externall occasiones they are violēt heate vvherthrough the strengthe forces of our bodyes are convicted contrarilye ther is great could vvherthrough all the conduictes are stopped as allsoe are those persons vvhich vve feare or hate The childe alsoe as longe as it lyeth drye the vvater as yet is not brokē out vvherthroughe it can have no passage because the vvayes passages are drye not slippery not smoothe as in the vvater streames vve may see that the stones through the slipperishenesse of the vvater The operatione are carryed avvay In like sort alsoe all sorrovve tribulatiō stoppeth occludeth the entrance of the vvombe as cōtrarilye the meane reasonable iucunditye openeth the same All these foresayed occasions must be cōpared vnto ther cōtraryes as if soe be that throughe the imbicilitye of the mother it be occasioned she must thē be conforted givinge her a little vvyne or Hipocras conforting ioyinge her in her necessitye as much as is possible if soe farr forth as the passage be to narrovve or anguste to exsiccate or dry or els to much shrūcke vve must then endevore vvith decoctiones vvith vvarme infusions vvith pingvefactiōs to soften moystē make supple the same If then ther be anye carnositye vvhich in terrupteth the passage therofe vve must depose detrude the same one the one syde or if ther be a stone in the entrāce of the bladder vve must thrust the same on highe if soe be the Childe othervvise praesent it selfe thē it should as first vvith the heade vve must then turne it in the best sorte vve maye or if it thrust one arme or legge out vve must not thervvith dravve it out but must gentlelye retrude it backe agayne agayne bringe it into his place or if ther be more thē one child vve must dilligently consider hovve vve ought to take hould therone notinge that vve doe not take the one by the foote and the other by the foote soe both at once plucke thē vvherfore vve must thrust one foote on highe dravve tovvardes him the foote of that vvhich is next Hovv vve ought to situate the vvoman most rediest vnto the passage But before vve come to the manuall operatiō vve must first of al situate the vvomā convenientlye although ther be divers māners of situationes for some sett thē in a stoole others set thē leanīge on a table or one the edge of a bedd vvith the legges separated the one from the other others set them one theire knees yet the best fittest vvay is one a bedde causinge the vvomā to lye one her backe thvvarte over the bedde close to the edge ther of vvith cushēs or pillovves vnder her backe to rest her heade therō layinge her heeles close to her buttockes vvhich must lye alsoe somvvhat exalted and the hippes spanned the one frō the other vvhich of tvvo vvoemē must so in that sorte be helde least that she doe not chaūce to dravve shutt them together the vvomā lyinge in this sorte the Chirurgian as then may the easyer obtayn his vvill and com close vnto her to drive detrud the child tovvarde the entrance of the vvombe The vvomā beinge thus setled or layed the Chyrurgiā must lay one the knees one the belly of the vvomā a cleane linnē clothe partly to be an opercle or coveringe to the vvoman partlye ther through to be freed from the externall ayre thē he must gentlely thrust his hande being annoyncted vvith freshe butter vvith Sallatoyle or vvith hogges suct in to the entrance of the vvombe first of all cōsideringe vvhether the childe be alive or deade hovv it is thereī disposed or turned vvhether also ther be more thē one tvvo or thre children a fore hādes hovve soever it be situated The child must vvith his heade be dravvne out or vvith the feete if it be possible or disposed ether alive or deade curved or croocked if it be possible vve must dravve the heade first out but if not vvith both the legges dravvinge the same aeqvally dovvnevvardes cause one of the armes to be stretched out alōgest the syde of the heade because ther throughe may be hindered that the bodye beinge therout the vvombe doe not chaunce to shutt the necke of the Childe be not therin inclosed vvhich through the arme vvhich lyeth stretched out by his heade shal be praevented hindered If so be the one foote praesenteth it selfe the other tarrye therī vve must tye the foresayed foote vvith a ribbon gentlye thrust in agayn the foresayed foote sufferinge the end of the ribbon to hange out and inqvire seeke after the other foot thrustinge the hande alongst by the foresayed foote legge vntill such time as vve feele the buttocke of the other foote then reducinge your hande close to the buttok shall immediatlye finde the other foote vvhich gētlely you must bring forevvardes dravvinge by the ribbō the other foote vvil come forth agayn vvhich having thē both aeqvally together must gētly dravvē thē out vvith the rest of the vvhole bodye of the child by this means vve may knovv vvhether they be both the legges of one child on this māner dravving out the same first the one then the other Signes of a deade Childe in his mothers bodye But if so be the Childe be deade it vvill not as then stirre it selfe in the feelinge also therof it vvill be coulde vvhenas vve thrust the fīger in the mouth therof it stirreth nether lippes nor tunge to suck The mother as then hath a stinckinge breath hollovve eyes and a svvollen bellye vve therfore out of all these foresayed tokens perceavinge the Childe to be dead vve must then dravve it out as already vve have sayed vvith the feet forvvardes As farre forth therfore as if the Childe had one arme or one Legge hanging forth of the vvōbe it vveare impossibleto reduce the same agayne into his former sitvation because that throughe the bodye of the Childe the entrance of the vvombe is stopped vve must then plucke the foresayed arme or legge dravve it to the ioyncte of the shoulder or of
the hippe Hovv vve ought to dravve forth a deade Childe then discide cut of the same in the foresayed ioncte And if so be the heade did first repraesent it selfe vve must then thrust both our fingers into the mouth therof in place of a hoocke tovvardes the roofe and so as gentlye as is possible dravve the same tovvardes you If soe be the belly therof be svvollene or hath to greate a heade and the same fulle of vvater vve must then vvith our finger a little crush theron because the aquosity might soacke therout and the svvollen partes by this meanes be diminished and vnsvvollen if soe be that our handes vveare not sufficient to dravve out the Childe or to finde the belly to let out the sayed Aquosity vvhich ether is retayned in the heade in the Brest or in the bellye vve must then gently vvith our right hande bringe therin a little curved and croocked knife vvhich vvithin the curvednes therof is sharpe and cutttinge the acuitye or povncte therof being closely inclosed betvvixt his fingers After vvhat fort vve may dravve forth the aquositye out of a deade Childes bodye vvhich he must houlde verye close together vvhervvith vve must make an inscisione ether in the Heade in the Breste or els in the Belly by this meanes to dravve forth the vvater vvhich is therin cōtayned And then vve must take a hook vvhich on the same fashon as is afore sayed vve must bring therin vvherof vve must fasten the poyncte ether in the eyes or in the mouth or in the Clavicles vvheron vve must then dravve as violentlye as the cause reqvireth to be done dilligentlye cōsideringe that the hooke breack not through let his houlde goe through the violente pluckinge of the same doe not chaūce to hāge take houlde in the VVombe to the vvhich intēt vve must vvith as much iudgemēt cōsideration dravve the same as is possible onlye vvith one hande vvhich muste be vvithin the VVombe Novv if the Childe be so thick so grosse A monstruouse Childe that vvholy to dravv it out is impossible for vs or els if it be a Monster or tvvo Childrene faste together vve must as then by parcels dravve them out cuttinge the Heade thereof in peeces then plucke out first the the one peece then the other then the Brest the Armes and the legges allvvayes makinge that it be cut in the ioynctes vvithout breakinge any bones for although they be tender yet the splinters therof might chaunce to hurte the vvombe soe that it is allvvayes the surest vvay vve cutt of the Armes and legges in their ioynctes It chaūceth also sōtimes that vve dravvinge forthe the Childe by the legges that onlye the head tarrieth therin vvhich therafter vvithout great difficulty vve cā not get it out thē vvith extreame daunger because the same rovvleth vp and dovvne in the concavitye of the vvōbe this therfor being happened ther must as then a servant or one of the standērs bye vvhich is experimented in such affayers sittīg one the left syde of the vvoman crushe vvith both his handes one the bellye of the vvomā beinge covered vvith a vvarme cloth on this manner to depresse dovvnevvardes the heade of the childe and ther in that place to contayne and keepe the same Hovv vve may dravve forth the heade of the deade childe as yet remayninge in the vvōbe And the Chyrurgiane vvhich sitteth on the right syde of the vvoman must vvith his light hande bringe the hoocke therin as is already sayed vvhich he must faftē in the heade ether in the eyes in the mouth or in the apertione of the heade dravve the same by little little therout as if as yet the vvhole bodye remayend therin If soe be the foresayed head vveare to great vve must then in like sorte alsoe cutt the same in peeces and dravv therout the peeces first the one then the other The Childe beinge dravven therout vve must dilligentlye consider that vve doe not breake a sunder the navell because it may serve for a conductor leader vvhich vve must allvvayes feelinge the same and suffering it to glide throughe our right hande must follovve vntill vve be come to the matrice vvhervvith the Childe vvas covered in the foresayed vvōbe hauinge found the same vve must gentlye rovvnde about separate her vvher vve finde her to befastened then dravve her forth vvith al the cōgregrated blood therī if therbe anye least that there it might chaunce to putrifye havinge thus finished all this the vvoman as then shall ioyne and shutt her hippes together agayne and must then circumligate the bellye as is required and necessarye In this forerehearsed daunger is oftentimes incident vnto the vvoman a farre more lamentable and pitiful accident to vvitt a discendinge and sinckinge do vvnvvardes of the vvombe vvhich betvveen the hippes sincketh out throughe the vvhich the vvoman can not goe The māner to elevate agayn the suncke discēded Matrice If soe be therfore this chaunced vve must gentlye and easilye by degrees thrust in agayn the same as vve have sayed of the guttes or entralles being sunck out vvherof vve must cause the disseased and sicke vvoman to keepe her bedde some certayn cōtinuance of time vvith her buttockes a little exalted and if soe be the Matrice in her risinge chaunced agayn to sincke out vve must then agayn thrust in the same And to praevent her that she doe not agayne sincke out of the bodye vve must thē thrust in the Matrice a Pessarium like a rovvnde Apple vvhich must have a hole in the middle therofe as heer before amongest the instrumentes vve may see it defigured vnto vs vvher vve shall alsoe finde the forme the figure the manner of vsinge the same ❧ VPpon what occasione the externall partes as Armes and legges are and must be extirpated or cutt of and in what place it must be done Chap. 4. When vvhye the externall part must be saved of THe externalle membres of mās bodye as are Armes legges are cutt or savved of vvhen as they are sqvised plettered and brokē the Vaynes Arteryes Synues vvholy be lacerated cutt of Or els vvhen they concerninge any externalle occasione are hurte or indammaged vvherby they sōtimes vvholy come to be mortifyed that suddaynlye or els somtimes alsoe by degrees so that somtimes ther ensueth such a Gangraena or mortification that not only the fleshe all the other mollifyed partes of the foresayed ioyncte doe mortify corrupte but alsoe the Bones themselves soe that ther is noe hope at all of any health then onlye throughe the extirpatione of the same fearinge least that the foresayed Gangraena shoulde farther infect pollute all the circumiacent partes vvherethroughe the patient might suddaynlye chaūce to dye Notvvithstandinge the Chyrurgiane may not in anye forte aproch vnto his exstreame last remedye before he have tryed all other remedyes to ease
vvhich is made on the other syde but there is most certayntye in the ligatione to avoyde the effluxion of bloode vvhenas ther is sufficient flosh enough betvveene Ther have binne certayn auntient Chyrurgianes vvhich coulde not agree vnto the Speculum Ani but have onlye thrust there finger into the fundament to dilate the same and besydes the same a thinne and pusille privett vvhervvith they have soe longe felt thervvith this vvay and that vvay vp and dovvne till such time as they have fovvnde the Orificium of the fistle vvhich is felt as if it vveare a thinge rent or torne and novv hauinge fovvnde the foresayed Orificium An other practice or inventione they then close to ther finger thrust in the privett conducinge the same alonge the finger supernallye or vpvvardes or thether vvher they suppose the bottome or ground of the fistle to desiste and end vvhich throughe feelinge of the finger of the other hand vve may easylye discerne and havinge fovvnde the end therof and perceavinge the skinne or the fleshe not to be verye thicke in stede of ligatione vve violentlye thrust the privett ther throughe vpvvardes the privett beinge passed therthroughe they then cutt open all that vvhich is situated betvveen the tvvo Orificia of the Vlceration or els they thrust a threde ther throughe and soe binde it throughe Amongst those vvhich are of opinione that vve ought to cure the fistle throughe an actuall Cauterye Albucasis discribeth vnto vs the meanes Albucasis vvillinge vs to vse a Cauterye of iron thervnto vvhich must be verye subtile and glovvinge or redhott and that it be proportioned accordinge to the greatnes of the fistle thrustinge the same tvvice or thrice therin vntill such time as all the callositye is taken avvay ther from laudinge the fervent glovvinge Cauterye above the cuttinge or rescindent Cauterye because the glovvinge Cautery as he sayeth correcteth and amendeth the vntēperatnes of that parte ther follovveth noe effluxione of blood the callosity therof is burned avvay the superfluouse humidity is exsiccated vvhich vvas concursed and assembled together vnto that patte ❧ How we ought to extracte drawe forthe little infantes out of theire mothers bodye which of themselves can not be borne Chap. 3. Admonition for the Chyrurgiane BEfore vve offer to imploy our hādes on such on operatione it seemed expediēt vnto me to admonishe the Chyrurgiane vvhat vvoemē may escape this daūger because vve should obtayne great blame and discredite vnto our selves if so be the vvoman being in childebearth should chaunce vnder our handes to dye she supposinge by our helpe councell to be released out of this daunger The signes vvher throughe the Chyrurgian is hindered to dravve forth the child out of his mothers bodye vvhic of it selfe cā not be borne VVherefore those vvhich vve suppose to be in daunger of death vve must not in any sorte laye hādes on them because the countenance and cheare of those vvoemen vvhich are in laboure or childebearthe and also ther face administreth sufficient knovvledge vnto vs vvhat event or successe the matter shall have for those vvhich are in any great daūger of their lives have a straūge vvonderfull behaviour over them to vvitt that shee troubleth or molesteth her self vvith nothing hath a fearfull sight vvhich is cleane contrarye to her naturalle beinge is debilitated hath hollovve eyes a sharpe nose a feeble Puls vvhich beateth obscurely and vvithout time Shee is vvholy cōvicted as if she hadde the soporiferouse dissease vvith out all strēgth cleane layed alonge although vve speake vnto her yet vve can not avvakē her if vve doe lōg trouble plucke her shee speaketh verye feeblelye vvith noe strength and then agayne lyeth as it vveare in a great sleep the ayre alsoe flyeth out of her throte Those in the vvhich is anye strength left they fall into Spasmo or convulsion of synnues Others after they haye continued a long time in theire labors as are those vvhich have bin troubled molested thervvith the space of five or sixe monethes they are vvholye decayed grovvē leane vvholy consumed for vvant of foode because alsoe that vvhich shee hath eaten is not chaūged into any nouriture the vvhol boodye beinge thorough soacked vvith humidity especiallye the face vvherof her svveat most commonlye is fattye axungiouse and smearye But those vvhich can suffer the manuall operatione are fitt to have the child dravven out of their bodye have none of these fore rehearsed accidentes vvherfore vvithall festinatiō alsoe they must be opitulated helped on this māner as heerafter follovveth notvvitstānding vvithout rashlye or temorously to beginne the same vvithout beinge certifyede of the Midvvyfe vvhat the reason or occasione might be vvhye the vvoman can not be delivered or bringe forth her childe Ther are thre thinges vvhich make Childe birth difficulte beinge certifyed heereof as vvell of the parturinge vvomā as of the Midvvyfe in as much as is possible dilliggētly considering the same having vvell perpēded it therout to knovve the iust occasione of this heavines sorrovv considering vvhether it taketh his occasion of the parturiēt vvomen or els out of the childe because therby vve might knovv hovv to rule govern our selves If so be this daūger consisteth in the mother The mother it happeneth then ether because of her mistruste or smalle hope or because shee is fearfulle and fayntharted havinge the vvombe and the necke or entrance of the sam small anguste because shee is yonge small of body tender and delicate Or els because the entrance of the foresayed VVombe lyeth recurved or is occluded vvith some tumor or els there is som Apostematione vlceration or any Carnositye ther in vvhich oppugne themselves agaynst the bearth of the infant Ether because that the mother hath a stone in her Bladder vvhich therin alsoe beinge oppressed seeketh by all meanes possible to come therout and beinge come into the mouth or entrance of the Bladder crusheth there the entrance of the VVombe vvher throughe she is angust or els because therin is som cicatrice vvher through she is narrovver then she ought to be vvher through she cā not in any sorte stretch forth her selfe Childe bearth alsoe in some vvoemē is hindered above all these foresayed accidentes because they ar to fearfull are to much affrighted of the parture or Childbirth as yet not beinge vsed vnto the labouring of childe doe not yet knovve therafter to governe thēselves as vveare condecent and needfulle Others are grovvne impotent throughe anye praecedente sicknesses and having noe strength at all to deliver the conceptione or fruicte from them The childe alsoe may be occasion heerof The childe because it is to feeble and cā not helpe it selfe in the deliverance of his mothers labors and that especiallye vvhen it is deade and svvollē in like sorte also the same beinge to grosse and greate ether in any
the vvounded or hurte entralies not so pungent and sharp but somvvhat more surde and benumde The occasione of the bloodyeflixe is the venoumouse puissance and force Occasion cause of the Dysenteria Dynamis of the acute saulte and mordicant humoures vvhich beinge as it vveare on the iournye to descende right to the guttes but they come recurvared in form of this lettre S. as in the situatione they must passe by manye recurvationes cōcavityes vvher they cleaving fast first of al crudifye and excoriate the foresayed guttes in the end throughe theire acuitye corrode the same as is the cholericke humiditye the melancholycke humors and the saulte Petuita the vvhich is ether ingēdred internally in the guttes or els congregate together in other place are soe driven that vvay as it happeneth commonlye in the Pestilentialle agues in Causo colliqvanti Phthisi Athrophia in the Cacochimia in the inflammatione and in the colliquation of the vvorthyest partes The humors are also irritated and provoacked through causticke and venoumouse medicamentes as throughe the Coloquintida Scammonia or throughe the Sublimated poulder of a Diamante Ravve fruicte causeth the Bloodyflixe Also through anye viciouse acute grosse cibaryes and those vvhich are apte vnto corruptione or els is not sufficientlye dressed Alsoe throughe any fruicte as by cherryes Blackecherryes Plumbes Peatches Coucoumbres Milions such like vvhich vve call Hotatij Fructus vvhich more throughe the constitutione of the ayre vvhich ether is to moyste and pluviouse or raynye to coulde or to hott in others through intemperature and other inordinate victitatione or debacchatione by the vvhich it inseparablelye happeneth as vvell in the VVinter as in the Summer that this dissease of the bloodyeflixe afflicteth man kinde It is right true that this dissease Indicati● hovv vve may easilye or difficultlye attayn to the Bloodyeflixe oftentimes reagneth in the Prime or vernall time of the yeare and especially in the Harvest or Autumne in the vvhich time the humors doe most impeach hurt vs vvith the qvallityes Havinge observed all these thinges vve must consider one the quantitye and quallitye of the dissease as on the greatnes of the vlceratiō and the superfluitye of bloode and one the greate corrosione and one the violence of the dissease therbye to iudge vvhether the dissease vvith anye facilitye difficulty or impossibilitye may be repelled and cured VVe esteeme the cure of the Dysenterya to be of more facilitye the same beinge in the great guttes or intestines Caecum Colon Rectum thē it being in the smalle entralles Duodenum Ieiunum and Ileum VVe take also the same to be lesse daungerouse in yonge persons and in the men then in yonge children and vvoemen In a longevalle or longe continuing Dysenterye it is a badde signe vvhē the appetite is departed yet a farre more vvorse signe vvhē as ther are associated vnto the same Agues or Imflammationes They vvhich are of most experiēce may iudge of this poyncte As is that vvhich is caused out of anye Apostemation beinge burst out of the Liver or of the Milte vvhich verye rarelye happeneth and yet more rare out of the pulmonicalle Apostemationes vvherof the matter disgorgeth it selfe in the left ventricle of the Harte and soe into the Artery called Aorta the truncke or body of all other Arteryes frō thence into the Vaynes of the Mesentery vvhich are extēded to the entralles the vvhich passage or vvay vve can not then throughe imagination compraehend and vvhich is very obscure And if soe be ther follovved any peculiare thinge therout besides the causticke and venoumouse matter it might thē inferre fearefull daungerouse accidentes to the hart of the Patiēt vvhich is the vvelspring of lyfe the onlye originall of vitall spirites vvhich are diffused over the vvhole body are occasione of the actione motione also all other agilityes of the bodye The evomitiō of the choloricke humors in the beginning of the dissease doe beare vvitnes alsoe of the daunger follovvinge The bloody flixe vvhich is caused out of any melācholicke humors is esteemed to be vvithout anye hope The convulsiō of synnues the Hickough the parbraking are forerunners as it vveare embassadoures of death In like sorte allsoe vvhen vve espye a blacke spott behinde the left eare as bigge as a Vetche vvherbye is great alteratione that allso is a signe of Death as Hippocrates vvithnesseth vnto vs. If soe be this dissease through negligēce or through malice or aulteration or by any other meanes came to be inveterated the Patient as then vvill vvholye consume vvexe so feeble that vvithout great difficultye he shall not be victor therof This therfor is the cause or occasiō the species kindes of this dissease the afflicted opressed parte beinge aperte and knovvne vve must novv proceede to the resanatione of the same The finall end of the curatione is ether generalle or specialle The generall end is to be noted ether on the dissease or on the Physitione as on both the especiallist most principall personages vvhich acte and sett forth the Historye of this dissease In all the kindes of Dysenteria Cure of the Dysenteria the patient must keepe himselfe reposed and quiet because all vlcerationes desire to be quietlye kepte and in ease Notvvithstandinge Hippocrates in his third boocke de Diaeta councelleth that vve shoulde cause the Patient vvhich hath the bloodye flixe to vvalke alsoe cause him to stirre his bodye vvherby he meaneth that vve ought to doe the same before the foresayed Dysenteria become because of the Prophylactica therthroughe to prevent the procreatiō of all badde humors to defend the same out of the intestines cause them to vvithdravve themselves into other externall partes of the bodye Farthermore the patient must allvvayes retayne his stooles as longe as he possibly may or can vvithout constraygninge himselfe thervnto The Chyrurgian must first of al consider on the vse of the astringent medicamentes What astringent medicamētes the Patient must vse vvhich before repast or comestion are vsed for he cōtayninge the viandes or cibaryes they helpe also to the digestiō of the same but by the astringent thinges I vnderstande meane vvhich are reasonablelye fortifyinge and confortative and those vvhich are helpefulle to the concoctione For it vveare the greatest absurdest error of the vvorlde if soe be in the first especiallye in an vnhealthfulle bodye to vse violent stopping astringent medicamētes for it vveare nothinge els thē to shutt keepe our enimye or theefe vvithin doores VVherfore his viandes or meate drincke What his meates drinckes must be must onlye be Diureticke astringent causinge to voyde vrine because through the vrine especially all aquositye of the blood is evacuated but if so be you perceave that the great toughenes of the acute sharp adusted Pituita or aquosity vvhich is verye retardatelye expelled