A compendious chyrurgerie: gathered, & translated (especially) out of Wecker, at the request of certaine, but encreased and enlightened with certaine annotations, resolutions & supplyes, not impertinent to this treatise, nor vnprofitable to the reader: published for the benefite of all his countreymen, by Ihon Banester maister in chyrurgerie — Medicinae utriusque syntaxes. English. Selections

A compendious chyrurgerie: gathered, & translated (especially) out of Wecker, at the request of certaine, but encreased and enlightened with certaine annotations, resolutions & supplyes, not impertinent to this treatise, nor vnprofitable to the reader: published for the benefite of all his countreymen, by Ihon Banester maister in chyrurgerie — Medicinae utriusque syntaxes. English. Selections

Table of contents

Title page

To the Right worshipfull and his verie good friend M. Robart Beale Esquier, one of the Clarkes of her Maiesties most honorable priuie Counsell, Iohn Banister wisheth dayly encrease of all vertuous knowledge and happie health both here and euerlasting.

The Translator to the Reader.

To his louing friend M. Banister.

§

The first booke of Tumors aboue Nature.

CHAP. I. Of the differences of Tumors.

CHAP. II. Of sanguine Tumors, and first of t•e true and legitimate Phlegmon.

CHAP. III. Of the Carbuncle.

ANNOTATIONS.

A RESOLVTION OF THIS chapt. concerning the cure.

CHAP. iiij. Of the Furuncle.

ANNOTATIONS.

CHAP. v. Of Gangraena and Sphacelus, or Syderatio.

ANNOTATIONS.

CHAP. vj. Of cholerick Tumors. Of Erysipelas, true, or legitimate.

CHAP. VII. Of Herpes exedens, or depascens.

ANNOTATION.

CHAP. VIII. Of Herpes miliaris.

Of Flegmatike Tumors. Of the true or legitimate Oedema. CHAP. IX.

ANNOTATIONS.

CHAP. X. Of the flatuous tumor.

ANNOTATIONS.

CHAP. xj. Of the Tumor called struma.

ANNOTATIONS.

Supplie.

CHAP. XII. Of Atheroma, Steatoma, and Meliceris.

Of Melancholike Tumors. CHAP. XIII. Of the true, or legitimate Scirrhus.

Of Cancer not vlcerate. Cap. xiiij.

Of the Tumors in particuler: And first of those that be incident to the head. CHAP. XV. Of water in the head of a childe.

ANNOTATION.

Supply. CHAP. XVI. Struma and nodus in the head.

CHAP. XVII. Of Psydracia.

CHAP. XVIII. Lippitudo: Inflamation of the eyes.

Supply concerning the symptomes.

ANNOTATIONS.

CHAP. XIX. Supplie. Epiphora, after some (perhaps) Opthalmia non vera, bleare and watering eyes.

CHAP. XX. Pustules in the eyes are called Phlyctaen•.

CHAP. XXI. AE•ylops and Anchilops.

ANNOTATIONS.

CHAP. XXII. Supplie. Phlegmonous tumor in the Eare.

CHAP. XXIII. Of Polypus.

ANNOTATION.

CHAP. XXIIII. Supplie. Parulis. Epulis.

CHAP. XXV. Supplie. Batrachus, or Ranula.

Supply. CHAP. XXVI. Tumor tonsillarum.

Supply. CHAP. XXVII. Tumor Collumel•ae.

Supply. CHAP. XXVIII. Angina.

Of tumors incidsnt to the Bellye. CHAP. XXIX. Standing foorth of the Nauel.

CHAP. XXX. Epiplocele, and Enterocele.

ANNOTATION.

CHAP. XXXI. Cirs•cele.

ANNOTATIONS.

CHAP. XXXII. Bubonocele.

CHAP. XXXIII. Sarcocele.

ANNOTATIONS.

CHAP. XXXIIII. Hydrocele.

ANNOTATIONS.

CHAP. XXXV. Of Pneumatocele.

Of the Tumors of the Glandulous partes. CHAP. XXXVI. Of Bronchocele.

ANNOTATIONS.

Supply. CHAP. XXXVII. Parotis.

CHAP. XXXVIII. Of the small tumor Phyma.

ANNOTATION.

Supplie. CHAP. XXXIX. Phygethlon or Panus.

Resolution of the glandulous inflamations.

CHAP. XL. Bubo venereus.

ANNOTATIONS.

Supply. CHAP. XLI. Bubo Pestilens.

CHAP. XLII. Cruddeling of Milke in Womens brestes.

CHAP. XLIII. Inflamation of the pappes.

Supplie. CHAP. XLIIII. Inflamation of scrotum and the testicles.

ANNOTATION.

Of the tumors of the limmes or extreme members. CHAP. XLV. Paronychia.

CHAP. XLVI. Of Wartes, and cornes, to wit, Myrmecia, Acrochordone, Clauo, and Thymio.

Supplie. CHAP. XLVII. Tumor in the knee.

Supply. CHAP. XLVIII. Varix and Aneurysma.

THE SECOND BOOKE, ENTREAting of woundes, and first in generall. Of the differences of wounds.

CHAP. I. Of a greene wounde.

Supply or addition to the accidents of wounds.

ANNOTATIONS.

CHAP. II. Of a contused wounde.

ANNOTATIONS.

CHAP. III. Of a broose, wherein there is effusion, and cluttering of bloud vnder the skinne.

ANNOTATIONS.

The powder.

The oyle.

CHAP. IIII. Of a wounde doone by byting, or stinging of creatures, either venimous, or otherwise.

ANNOTATIONS.

Supply.

CHAP. V. Of a simple wounde in the flesh.

ANNOTATIONS.

CHAP. VI. Of a deepe and priuie wounde receiued in the flesh without losse of substance.

ANNOTATION.

Emplastrum Sticticum.

CHAP. VII. Of a hollowe wounde, with losse of substance in both the skinnes, and in the subiect flesh.

ANNOTATIONS.

CHAP. VIII. Of an equall or filled wound.

CHAP. IX. Of a wounde hauing o•ergrowen, or prowde flesh.

CHAP. X. Of the wounde in the synewe, tendon, and ligament being prickt.

ANNOTAIONS.

CHAP. XI. Of a wounde made in the sinewe by way of cutting.

ANNOTATIONS•

CHAP. XII. Of a wounde in the veines and •rteries.

ANNOTATION.

CHAP. XIII. Of woundes in the bones.

ANNOTATION.

CHAP. XIIII. Of woundes of the heade and Contusion.

ANNOTATIONS.

CHAP. XV. Of woundes in the face.

ANNOTATION.

CHAP. XVI. Of woundes in the eyes.

ANNOTATION.

CHAP. XVII. Of woundes in the eye liddes.

CHAP. XVIII. Of woundes in the nose.

ANNOTATION.

CHAP. XIX. Of woundes in the lippes.

CHAP. XX. Of woundes in the eares.

ANNOTATION.

CHAP. XXI. Of woundes in the necke.

CHAP. XXII. Of wounds in the shoulders.

CHAP. XXIII. Of woundes in the armes.

CHAP. XXIIII. Of woundes in the brest.

ANNOTATIONS.

CHAP. XXV. Of woundes in the bellie.

ANNOTATIONS.

Supply or addition to this chap. concerning accidents.

Supplie. CHAP. XXVI. Woundes of the priuie parts.

CHAP. XXVII. Of woundes in the ••gges.

THE THIRD BOOKE, ENTREATING OF Vlcers, and first, in generall. Of the differences of vlcers.

CHAP. I. Of a simple vlcer.

ANNOTATIONS.

CHAP. II. Vlcer with dist•mperature.

CHAP. III. Payne with an vlcer.

CHAP. IIII. Vlcer with a tumor.

CHAP. V. Vlcer with contusion.

CHAP. VI. Vlcer with prowd flesh.

CHAP. VII. Vlcer with discolourednesse and hardnesse of the lippes.

CHAP. VIII. Vlcer with the bone defyled.

CHAP. IX. Maligne vlcers, called Cacoethe.

ANNOTATION.

CHAP. X. Of the wormie vlcer.

CHAP. XI. Of burning.

ANNOTATION.

Supplie. For some perticuler burnings.

Supplie. CHAP. XII. Skabbes, itch, skurffinesse, Tetters, and leprosie.

CHAP. XIII. Of vlcers and skalles in the head, called Achores, or Tinea, and Fauus.

Here also of Alopecia, and his allies: for the affinitie of causes. CHAP. XIIII. Alopecia, and Ophiasis.

CHAP. XV. Brannie scales in the heade.

CHAP. XVI. Of lowsinesse called Ph•hiriasis & morbus pedicularis.

ANNOTATIONS.

CHAP. XVII. Of vlcers in the eyes.

CHAP. XVIII. Of the lachrimall or teari• fistula.

CHAP. XIX. Vlcers in the nose, called Ozenae.

CHAP. XX. Vlcers in the eares.

CHAP. XXI. Vlcers in the brest.

CHAP. XXII. Vlcers in the priuie parte• of man.

CHAP. XXIII. Vlcers in the priuie partes and ma•rice of women.

CHAP. XXIIII. Of virulent and corrosiue vlcers.

CHAP. XXV. Of the filthie and putrified vlcer.

CHAP. XXVI. Of a deepe and hollowe banked vlcer.

CHAP. XXVII. Of a fistula.

CHAP. XXVIII. Cancer exulcerate.

The fourth booke entreating of fractures and dislocations.

CHAP. I. Of fr•ctures.

CHAP. II. Of luxations.

A table of all the principall matters contain•d in this Booke.

A

B

C

D

E

F

G

H

I

K

L

M

N

O

P

Q

R

S

T

V

W

If it shall please the reader, to restore these places in his owne booke, I hope the rest of the faultes are such, as cannot greatly staie the course of his reading.

§

§

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A COMPENDIOVS CHYRVRGERIE: Gathered, & translated (especially) out of Wecker, at the request of certaine, but encreased and enlightned with certaine Annotations, Resolutions & Supplyes, not impertinent to this treatise, nor vnprofitable to the Reader: Published for the benefite of all his countreymen, by IHON BANESTER Maister in Chyrurgerie.

LONDON. Imprinted by Iohn Windet, for Iohn Harrison the elder. 1585.

To the Right worshipfull and his verie good friend M. Robart Beale Esquier, one of the Clarkes of her Maiesties most honorable priuie Counsell, Iohn Banister wisheth dayly encrease of all vertuous knowledge and happie health both here and euerlasting.

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AS the case standeth in cōm [...]ncing of suits: so is it in publishing bookes. The client tryeth his greatest friendes which will giue him countenaunce, and feeth the best lawier to plead his cause: euen so a [...]l autors present thē selues to suche, which for friendshippe will fauour their endeuour, & with knowledge can iudge of their profession. [Page] Then the reason is plaine, the cause iust, the purpose necessarie which hath mooued me to offer this my simple trauail vnto you, sith I haue often tryed your singular loue, and vnfained friendshippe. I hope you will accept this signe of my continuall remembrance, and seale of my thankful hart, not regarding the gift, but respecting my good will. Some peraduenture will thinke I seke praise of o [...]her mens paines, as arrogant Batillus did boast of Virgils verses. For others haue framed, and finished this building, and I haue onely layde it ouer with newe colours. But when it shall be well weighed that it is a hard thing to translate authors, & more hard to compare manie [Page] togeather, but most harde to picke and to cul out the most profitable thinges in them, I trust they will not detract frō my labour. This I professe, that my care in beginning, continuing, and ending t [...]is worke hath beene for the benefit of my countrie, not esteeming my paines, but hazarding my credite. My desire is to furnish & profit a surgeon with the knowledg of the body in mine anatomy and with manifolde and plaine practise in this book. Whether I haue attained the marke at which I aymed, or shot wide: I submit my selfe to the censure of the learned, and chiefly to your iudgement. For as you are well knowen to be skilfull in the varietie of tongues, and [Page] endewed with all other good learning: so haue you soūded the depth of this art. The consideration whereof hath much more pricked me forward to present this booke vnto you. For as it was due vnto you in regard of friendship: so it was most meete for you in respect of your knowledge. Lucilius would not haue his writinges reade neyther of the most ignoraunt no of [...]h [...] best learned, because the one sort v [...] derstoode [...]othing, [...]he other more than himselfe. But I am co [...]t [...]nt not only to haue my [...]ooke reade, but also vnderstoode and censured by the skilfull, beeing willing to heare where I haue erred, and readie to amende that which i [...] ami [...]e. I knowe that [Page] some mall-contentes will vncourteouslie entertaine mee not remembring that thorough my sides they wounde others. Against these I request your assistaun [...]e, that your name abroade, and your countenance in present place, may be a refuge to this poore infant when it shall wander from vnder the fathers wings and want the protection of other friendes. The father of light, from whom all good giftes and graces proceede guide you in his feare, increase you in knowledge, inflame your zeale, keepe yo [...] in constancie (and all other Patrons of good learning) to his glorie, the good of the common wealth, the encouraging of the godly, the discouraging [Page] of [...]he wicked, and your owne euerlasting com [...]ort. Fare you well the xxvij. of October from mine house in Siluer streete.

Y [...]ur worships louing friend. I. B.

The Translator to the Reader.

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OF two thinges (as it seemeth to mee) the reader will require a reckoning at my handes: in both which like [...]ise, I am readie to render mine accountes. Of the one, as by the waye of talke and treatie: of the other (as more important) necessarily. The first is, why I lab [...]ured in this translation: the other, why I haue in this sort brought it f [...]orth. To the [...]irst I protest, it was vndertaken by the earnest re [...]uest, and importunitie of such friends, as I, in no wise was able therin to resist: my self being, though not vnwilling to doe good, yet vnwilling at this time, to haue [Page] vndergone such a burthen. Of this sort perfourming it, my reasons thus I render. And first for setting that downe, in a continued tenor of stile (but sorted into Chapters) which standeth in diuisions and tables in the Author, whence I haue it: The occasion was in the mouers of this transla [...]ion, who made that choyse for the benefite of the greater number: for that (as they said truely) fewe Chirurgians otherwise could vnderstande, that they should reade therein. Thus when I had trauailed a space in the traslation, and founde that parte of Wecker committed vnto mee, defectiue in many points, pertaining hither [...]o, I thought good (that this worke might be the fuller) partly from other his bookes, partly from the [...]ost approued Authors, olde [Page] and newe, (in this point, taking to my selfe some larger libertie) to supplye that wanted. In which doing I haue neither so curiously take [...] vpon mee, to prosecute euerie point, as that no perticuler shoulde bee wanting, that might come in question in this arte: neither yet (I trust) so loosely laboured, as that manie things of value, shalbe founde to haue ouerslipped me. From whence, an equall minde may see, I haue aymed both at comelines and profit. And verily I iudge him of too mean capacitie, for this calling, that cannot, by the light of these things, proceede into further particulers, when neede requireth. For the cataractes and manuall administrations about the eyes, I referre the Reader to a treatise of olde Penemicus, inserted and lately [Page] published in Phil [...]ip Barroughes booke. The french disease needeth a particuler treatise: which wee shall see (I doubt not) in all parts accomplished by master Clowes our countriman, who hath hitherto not vnfrutefully labou [...]ed in it. Thus much for the Supplies. In my resolutions, I haue giuen some addresse to the Reader in things, otherwise (perhaps) not so perspicuous. My Annotati [...]ns are both to giue light to the vnderstanding of the texte, to furnish further with medicines where I thought it needefull, & to preserue soundnes of doctrine, where I sawe it not ynough regarded. And let no man here saye, I goe beyonde the la [...]chet: but rather with iudgement, and an vpright eye, weigh, and consider the things I haue reprehended togither with the reasons [Page] annexed thereunto. For I protest, there is nothing on the earth, hath carried mee into this course saue onely, a iust and honest care of the readers commoditie. As for that learned man Wecker, if I haue any where either [...]rested his meaning, vnreuerently taken him, or censured him without cause, then is there wherfore, I should iustly be blamed for him. But if in all these things, I haue caried my selfe in a reasonable course, let not that be imputed to mee for a fault, which is (if I could deserue any) my commendation. Neither can any man greatly marueile, that so much vnsoundnesse shoulde be founde in Wecker, considering that (except in the preparation of medicines) he hath too much tyed him selfe to antiquitie. I found cause [Page] ynough likewise, to haue dealt with his methode, but leauing that to the censure of D. Brights arte, (a worke of more learning & iudgement, than manie will confesse) I content my selfe, in this treatise, to haue looked on [...]y to the matter: and therein to haue prouided, to my power, [...]hat the painfull patient reape not the bitter fruites of an infected iudgement.

Farewell.

To his louing friend M. Banister.

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I Receiued no sooner the report that your booke was readie for the printer, but I perceiued some priuily repined. I hope you regard not their words, but continue your grounded purpose. You know that enuie lyeth always at vertues gate, and treadeth on her heeles when shee goeth abroad. For as the deafe cannot discern the sweetnesse of musick: so the ignoraunt cannot looke into the excellencie of knowledge. Maruail not if they say, there are ouer many books. For either they can not read, or at least vnderstand none. They neuer tasted Latin, and if some of them haue tipped their tongues with French, and sipped thereon as the dogges do on Nilus, then they blase abroad their skil with H [...]ppias. I doubt not (if learning had leaned vpon the [Page] fauour and fostering of these good Patrons) but all the artes had beene long since starued, and buried: and the poore widowe had beene the best surgeon. A fisher in The [...]c [...]u [...] dreamed he had taken a golden fish, and therefore he would nowe liue at ease, and cease from labour: so these fooles feede themselues in their vaine fantasies, but when they shall once awake they will harken vnto Plato, who disdained not so long to be a scholer, as he desired to be wiser. I would not haue you vouchsafe to remēber these men, which thinke with madde Aiax in Soph [...]cles, that fooles haue the fairest liues. Surely they deserue pitie because they are simple, but stripes, because they are wilfull. An other sort there is which hath more learning, but as little iudgement and honestie For they will whippe Homer as did Z [...]ilus, and sift great H [...]ppoc [...]a [...]s as did Thessalus. They haue sucked Lamiahs brests in Plutarch which when she sa [...]e spinning at home layde her [Page] eyes by her in a basen, but put them into her head whē she went abroade. They are as kinde as the cuckowe, which deuoureth the birde that brought her vppe, and with the male spider (as Aristotle sayth) they eate the pray, but take no paines. You haue felt these gnawing at your booke of vlcers, and deuising to cut your anatomy as small as mootes. Of this sort I say little, because all others say much. For as they haue stricken all writers on the head, so they haue by them againe beene wounded to the heart. This fruite I am sure springeth frō their continuall carping. They weaken the painefull hande, they make dull the sharpe witt, they poyson the well affected, they sowe contention amongst the learned, they seduce the simple. They haue the tongue of the horsleech, the eye of the cockatrice [...] the talents of the tyger. Not vnlike are they to Procustes the curst hoast, whose guestes were euer too long or too short for his beddes: so to these [Page] men all writers seeme too new or too old, too short or too long, too plaine or too obscure, too simple or too curious. They are alway aguish, for euery thing is bitter to their tast. And deadly sicke of a desperate consumption, for the more they eate, the leaner they are. If you tarie these mens leasure and liking, your papers, will perhaps be eaten with rattes and mothes. Whereas you feare the censure and iudgment of the learned you do well, if thereby you be made warie in your woorke not weary of your enterprise. For they hauing seasoned their censure with equitie, and their iudgment with discretion, will passe ouer small faults with silence, and reproue greater slips with modestie It is not vnknowen to them, that the wisest mā hath his wants, and the soundest writer his errors. Then you are not to feare the ignoraunt, which cannot iudge of your labours, nor to regarde the enuious, which will not like your endeuour, neither to shrinke for [Page] the godly & vertuous, which will accept your good wil. Behold all hinderāces are plucked vp by the roots: wherfore thē do you doubt wherfore do you quaile? what do you require? what do you seeke? If ther be no peple almost so barbarous, no nation so rude, which hath not all arts in their own proper language. If Hippocrates, Galene, AE [...]i [...], Actuarius, M [...]schion, accounted the fathers of this art, haue written in their mother tongue, you haue a large and lawfu [...]l president to warrant this enterprise. And if mine affection (which I owe and beare vnto you) blind me not, I think no such book, in this kind, hath bin published in our tongue. For as ze [...]sis picturing Hel [...]n, drew the liniaments frō fiue of the fairest virgins of C [...]oton: so this booke is borrowed from the richest treasuries of the best Phisitions and Surgions. Moreouer whereas the parts of surgery haue beene rent in sunder, and scattered abrod, now they are cunningly compiled, and shortly comprised [Page] in one litle volume. But aboue all, you shall honor this profession in the eies of all such who heretofore haue accounted it base and vile [...] For they shal plainly see that it requireth not only a lyons hart, a Ladies hande, a haukes eye (as the cōmon prouerbe is) but more especially good reading, sounde iudgement, diligent obseruation, wise experience. The gray heares of this art shal wyn reuerēce with the reader, the necessity procure loue [...] the variety of things bring delight, the plainesse cause attention the certainety get credit, the continuance deserue estimation. The matter hath carried me further then I purposed, and yet I should haue written more if this bearer had not so sodainly departed. But of other things at an other time. Fare you well (good M. Banester) and when you can conueniently, write againe vnto me. The last of Iuly.

Your louing and assured friende. A. H.

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The Booke to the Reader.

I swellinges wast, I wounds do ioyne [...]

I vlcers do make sounde:

I doe the broken bones restore,

What further can be founde?

To the Printer.

Hast to the presse, feare not the sale,

good wine doth neede no signe:

The Surgeons craue this woorke to haue,

the gaine it will be thine.

The Translatour to the Reader.

Reade well, keepe fast, trye warely,

in no case me disdaine:

Commende of loue, amende with leaue,

this craue I for my paine.

To the Translatour.

If Weckers workes do praise deserue,

thy paines no man can blame,

Which both with new and needefull store,

enriched hast the same.

[Page]A worke well bredde, and better borne [...]

but [...]raynd vp passing well:

The phrase, the notes, supply also,

this same doth plainely tell.

If some wordes [...]o the daintie eares,

or simple sort seeme straunge,

Knowe this, that artes to termes are tied,

and may not lightly raunge.

If methods plat be not so plaine,

and perfit as some thinke,

Thine author did this way chalke out,

from him thou mayst not shrinke.

Thy tongue from tauntes by reasons rule,

so wisely hath beene stayde,

Th [...] Momus eye cannot espie,

with fault thee to vpbraide.

Such is thy fru [...]e that painefull Bee,

may honie sucke with ease.

But spi [...]efull spider cannot finde

her poyson to encrease.

Then armed with Achilles shielde,

Minerua standes thee by:

Though Hectors force doe thee assault,

there is no ieopardie.

In praise of the Booke.

As little Bee in broyling heate,

doth search the feildes abou [...]:

[Page]So litle Booke from Authours best,

best medicins sucketh out.

As precious pearle in li [...]le roome,

doth many vertues shroud:

So in this litle volume is,

much secret knowledg shewed.

As litle Sphere by due recourse,

doth heauens hygh vnfold:

So in this litle booke thou maist,

the wounde and cure behod.

A [...] loadstone doth the yron hard,

by secret force hold fast:

So litle volume in despite,

will enuye make agast.

As glittering Sunne with his bright hie [...]

doth other Starres deface:

So where this booke doth once appea [...]

i [...] others doth displace.

As Persian tree both flower and fruite,

doth bring foorth without staie:

So fruitfull is this booke to all,

in time, and place alway.

Then honie [...]ast, buy pre [...]ious pearle [...]

viewe spheere that turneth fast:

Feare loadston [...] force, walk by Sunne light,

[...] fruite that aye doth last.

A. H.

The first booke of Tumors aboue Nature.

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CHAP. I. Of the differences of Tumors.

THE differences of tumors are taken from the materiall cause,Simple tumors. either of which, or in which they are begotten, they come of a defluxion of humors, sometime one alone, sometime moe, one humor, and that either hote or colde, the hote is either bloud or choler. If the bloud be good, it bringeth a Ph [...]gmone: if it be euil, thicke and blacke, a Carbuncle, or Furun [...]le. But if [...]t be mort [...]fied [...] then springeth Gangrana, and Sp [...]acclus. Choler of the [Page] gentler sorte, purchaseth Erysipelas without vlceration: but of the sharper choller, if it be also thicke, there riseth either Erysipelas with an vlcer, or Herpes exedens. The more serous & thinne, nourisheth Herpes miliaris.

Againe, for the cold humors obserue, as first for flegme, if it be thin [...], there springeth of it Oedema, if it be vaporous, Tumor flatulentus: if it be thicke, S [...]ruma, Ather [...]ma, Steatoma, Meliceris: [...] it be waterish, Hidrocele: of Melancholi [...] comes Scirrhus, Can [...]e [...], &c. Sometime Tumors proceed of moe humors than one, and when they do so, it is commonly of two humors conspiring the mischiefe:Compounde Tumors. as bloud and choller [...] if they be equally mixt, they bring foorth a middle eff [...]ct betwixt Phlegmon and Er [...]sipelas. But if their mixture be vnequall, then that which ouerwaieth the other beareth away the name also: as bloud proouing principall, the Tumor is Ph [...]gmon Erys [...]pelatodes, if choler haue the prerogatiue, Erysipelas Phlegmo [...]oles. If the humors mixt be colde, as flegme & melancholie, in like sort their equall matching breedeth one [Page] middle effect, betwixt O [...]dema, and Schi [...]rus. Otherwise, if flegme be chiefe Oedema Schirrhode [...], if Melancolie beare rule, Schirrus Oedema [...]odes is engendred. Againe, if flegme bee mixt with blod, & that equally, a middle effect commeth betwene Phl [...]gmō, & Oedema: Else the mixture being vnequal, if Phegme excell, there is Oedema Phlegmonodes: if bloud, Phlegmone Oedematodes. Melancholie mixt with blod equaly [...] the tumor is Phlegmone & Schirrus indifferently. But if bloud preuaile, Phlegmone Schirrhodes: if Melancolie, S [...]hirrus Phlegmonodes. The colde humors also mixing with choler bring foorth the like order of names, for the tumors: as if Phlegme haue equall parts with choler, the affect is iust between Erysipelas & Oede [...]a. Whereas if Phlegme exceede the choller, it bringeth to passe Oedema Erysipelatodes, or contrariwise, Erysipelas Schirrhodes, when choller hath the preheminence ouer Phlegme.

Wee haue saide in the beginning of this Chapter, that Tumors are discerned bothe by the matter, whereof they are begotten, as also [Page] wherein they are ingendred: and hitherto we haue prosecuted the matter onely of their generation. Nowe it remaineth to declare, how they differ in respect of the place, wherein they are situate. And first, Hydrocep [...]a [...]us, Parotides, Polypus &c. haue th [...]ir place in the head. In the belly are P [...]ominen [...]a vmbelici, Epiplocele, Ent [...]rocele, Cirsoce [...]e, [...]u [...]onocele, Sarcocele, Hi [...]rocele, Pneumatocele. To the gland [...]les pertaine, B [...]onchocele, Phy [...], Buh [...]ven [...]reus. And to the limbes, [...]ar [...]ni [...]hi [...], Verruca, Th [...]mion, Mermecia, Acr [...]ch [...]rdon, C [...]auus.

CHAP. II. Of sanguine Tumors, and first of t [...]e true and legitimate Phlegmon.

D [...]finition. THE true Phlegmon or inflamation is a Tumor begoten of pure bloud, [...]nd is specially incident to the fleshie Partes.

Causes & sig [...]es.The antecedent cause is abundance of bloud, l [...]e as when the partie is of a Sanguine complexion, and youthfull yea [...]es, or it being at the spring [Page] time, or the dyet of the patient be of much good i [...]yce, and therefore fit to encrease much bloud. And here is to be considered, both the part that [...]endeth it, the part that receiueth it, and the part that draweth. The part that sendeth it, doeth it either through needelesse plentie of bloud, which it containeth, or strength, or straitnesse of the passages: which thing fulnesse descryeth. [...]he receiuing part doeth it of weaknesse, or largenes [...]e, els opennesse of his passages, or by inferiour situation. The part [...]hat draweth, doeth it, either t [...]rough heat, or paine within it, which things may eas [...]ly be found out. The c [...]us [...] conioy [...] [...] bloud stuffed in the affected place it selfe, which whilest it is vnchanged, & not yet come to s [...]ppuration, the [...]e is Tumor with rednes [...]e, resisting heate, paine, &c. but being suppurate, and turned to Pus, the Tumors is so [...]t, yelding, and growing to a point, the paine is p [...]cking, with some itching and pulsation. And all the while, before it com to an abscesse, the Tumor is red, outstretched, r& esisting the finger, the heat & paine also is vehement. [Page] But when it cōmeth to the abscesse, the Tumor decreaseth, yeldeth out to a sharp point, & is soft, & easily pressed: the paine is pulslike beating, mixt with pricking & some itching. Finally the skinne in the superfice or point of the Tumor goeth away, and there is made the issue. Sometime it proceedeth frō outward causes, as by contusion, wounde, vlcer, ruption, cō uulsion, fracture, luxation: which things are discouered partly by sight, partlye by relation of the patient. The ende or termination of this tumor,The termination. is ij. folde, viz. resolution, and suppuration. It is possible to bee resolued, when the matter is thinne and little in quantit [...]e, the skinne thinne &c. and it is a plaine token that it doeth resolue, if there growe a certaine lightnes in the member, the pulsation wasting away. But if the humor bee thicke, and much in quantitie, if it lye deepe, the skinne be thicke, and so foorth, then is the ende of it to come to suppuration, & howe it groweth to that, you haue heard by the notes before declared. There be i [...]ij. times obserued in this [Page] tumor, beginning, augmētatiō, state, & declination. In the beginning the part beginneth to swel,Seuerall signes of the 4 times. humors flow thither, & the paine is yet but little. In the augmentation, the Tumor is high heaped, the affected place filled & the accidentes inc [...]eased. In the state the tumor and [...]ccid [...]ntes are at height. In the declination the greatnes of the tumor is diminished, the accidents weake, & the matter begins to change into another substance. There hapneth to this tumor (either for lacke of cu [...]e, or by error in the cure, or such other con [...]deration) euil dispositiōs, worthie careful foresight: to wit, co [...]ruption: which is signified by blacke or leadie colour, stinking sauour &c. regressiō or lurking of the matter, which you shall know by the so [...]den diminishing of the tumor, & a spedie following of a feuer, with other euil accidents. Also induration or hardening: in which the swelling swageth, but the hardnesse stil remaineth &c.

If this tumor Phlegmon, Prognos [...]. be not resolued & euaporated, it must needs come to passe, that the matter do either [Page] suppurate, or corrupt & putrifie, or els grow into a schirrous hardnes. Note also that sometime the cure is inuerted, by reason of some cruel accidents, which importunately vrging, cause all the meanes to bee bent against th [...]m, and so for a time, interupt the oth [...]r p [...]oceedings.

The ant [...]d [...]nt [...]use, (which is bloud flowing to th [...] part) must first be met withal,Cur [...]. le [...]t it come to the coniunctiue: and this must b [...], by euacuation, either from thence, whence it floweth (the whol [...] [...], or a parte thereo [...], as is the liu [...], which thing, bloud letting in the inside of the right arme, will [...], if the strength and age of the patient be agreeable) or els from the parte whether it doeth flowe, as by bloud letting, either reuulsiue, as in a vaine directly aunswering to the contrarie: or els deriuing, that is, drawing to the neere partes: cupping glasses fixed to the part opposite, as likewise ligatures, and frications. The quantitie of bloud must be rated proportionably [...] after the measure of strēgth: and may be repeated twise or thri [...]e if [Page] neede be. And the verie b [...]ginning, or encrease, is the fittest time for this remedie. Medicines that auoyde the part affected of the matter flowing [...] must be cooling and beating backe: viz, acatia, vineger, balanstium, bolus armenus, caphura, capreoli vitium, folia vitium, folia Cupres [...], malecorium, mirthus, omphacium, plantago, quer [...]us, [...]ubus, rosae, rhus, solanum, succus hiosciami, terra sigi [...]lata, vinum aust [...]r [...], &c. or these compounds: as first, a fomentation of oxi [...]ra [...]um, or Pos [...]a, or Rec. oui candidi, olei rosarum, aquae rosarum, ana.q.s. mixe them togither, & therein wet your clothes to applye to the inflamed part. Rec. suc. semper vi [...]i, li.j [...] vini austeri li. ss. far. h [...]rdei, ℥. [...]. malecorij, sumach. ana.℥ss. boyle them and make thereof a Catapla [...]me: or Rec. santali, a [...]bi, rub [...]i, ana.ʒ.iij. glaucij ʒ.ij. terrae chim [...]liae, b [...] arm [...]ni, ana. ʒ.j.ss. beate and searse them, and with the iuyce of Housleeke, Letti [...]e [...] or Pu [...]slayne, make a catapla [...]me. To this ende also you may v [...]e Ceratume Psillio, Ceratum e Co [...]iand [...]o, Ce [...]atum rosaceum &c. These and all other rep [...]llent medicins you must vse in the beginning, [Page] and in applying they must be renewed often. But take with you this obseruation general: that you apply not medicines that coole & beate back.Note. If the tumor be in the glandulous partes, or the matter bee venomous, or thicke, & vnapt to flit backwards. Also, if it be exceedingly impacted, or if it be a critical tumor, or stirred of a primitiue cause, or els nere situate to a principall member. Thus much of the antecedent by it selfe: now let vs consider of the bloud impact in the affected part: which is called the cause conioynde.Ca [...]se conio [...]ned. If the bloud alreadie flowed be thi [...]ne, and apt to be euacuate: out with it, by scarification, or discutient medicines: of which sort are these simples: Anethū, bu [...]yrum, faenum Graecum, fermenium, ol. Camomelinū, ol. ricininum, ol. leucoij, malua agrestis &c. Likewise these compounds: passulae, the stones pluckt out, mixt cum pane, & modico melle, or hordei farina cum melle [...] or lana succida, wet in warme wine, wrung out & applied, els a spunge vsed in the same man [...]er. So [...]hat these digerent & discutient medicines, are to be ministred onely in [Page] the declination, and to lye long to the place, without remouing. But if the matter be thicke,If the matter be vnfit for resolution. and vnfit for resolution: then must you bende your skill, to change it into Pus, with medicines, that doe metely warme and moysten: such as are these simples, vz. aqua temperatè calida, bu [...]rum, farina triticea, panis triticeus modicè salitus. adeps suillus, adeps vitulinus, adeps taurinus, adeps anserinus, &c. resina, ocsipus, pix, caricae, ficus, cr [...]cus, thus, &c. or these compoundes: viz. farina triticea, or hordeacea boylde in aqua & oleo or radix altheae mixt cū decoctione caricarum dulcium, & farina triticea, or this: Rec. decoctionis altheae, & caricarum pinguium li. j. farinae triticeae. li. ss. boyle them togither, and make a cataplasme, or thus: Rec. cortic. rad. altheae, rad. lilii sen [...]cionis, maluae, ana. m.j. farinae triticeae, ℥.iij. axungiae, suillae recent. li. ss. boyle the herbes in water, aud stampe them with the rest, and make a cataplasme. These remedies for the mouing of matter, must be applyed towardes the declination of the disease: and renewed twise a day.

[Page]Thus much of the antecedent & conioyned causes,If the antecedent and conioyned causes concurre. alone, and seuerally by themselues considered. But if it fall out, that both of them be in force, & raigne togither, then the disease is to be considered of, as a complicate matter, and that accordinge to the equall or vnequall mixture of them. For when they are vnequally matched,Vnequally mixed. as when the antecedent cause, ouerwayeth the other, then aunswerably your medicines must bee of mixed force: to wit, more repellent & lesse discutient. For that that floweth in vehemently, m [...]st be repelled also vehemently: & that which hath meanly flowed, and sticketh nowe in the place, must meanly be resolued, therfore are some discutient things here noted to be mixed with repellents. Oleum Rosaceum hath that facultie: or [...]his pl [...]ister, Rec. fol. maluae m.j. absinthij. rosarum [...] ana, ℥.ss. farinae hordei, ℥.j. ol. Camom [...].℥j.ss. boyle them and stampe them to the forme of a safte playster. Or this Epithema: Rec. sapae ℥iij. aquae ros. aceti, ana.℥.j.ss. croci.ʒ.ij. let them heat a litle at a soft fire, afterward straine them & make your [Page] Epithemae. Applye it with wet clothes, or wooll. These medicines, consisting of repellents, somewhat mixt with discutients, are to be vsed in the encrease and augmentation of the disease: and to be shifted seldomer, then pure repellents a [...]e. Otherwise, if the antecedent & coniunctiue causes, fall out to be of equal force in mingling: in such a case, with equall mixture of remedies,Equall [...] mixed [...] it is to be resisted: to wit, equally repelling and discussing, of which facultie, you haue these simples, A [...]thaea, Mal [...]a, Camomilla, sem. lini &c. and these compounds, vnguentum Basilicum [...] Emplastrum diachilon &c. or a medicine made with breade and oyle of roses, or of melilote and bread boyled in passo, els made, ex dactylis in passo coctis, and mingled cū pane, & oleo Rosaleo: or thus: Rec. parietariae, Maluae. ana. m.j. furfuris, farinae volatilis ana. P.j. faenugreci, anethi, ana.℥.ss. ol. Camomelini.℥.j.ss. seeth them in oyle, and make a plaister. Another, Rec. medullae panis, li. j. steepe it in ho [...]e water, after straine it therehence, and put to it mellis ℥.iij. and make a plaster. These medicines that [Page] are mingled to represse, and discusse equally, must bee ministred in the state of the Disease, and neede verie seldome shifting. Hitherto wee haue handled the antecedent and conioyned causes. Now wee followe on, to the formall,For the formall cause. which is three folde: to wit, hote intemperature: greatenesse: and breach of vnitie: hote intemperature,Hote intē perature. (which is also readie to rayse vp feuers) must bee brydled, partlye by dyet, partlye by medicines. Let the dyet therefore bee cooling, and moysting: as cleere and coole ayre: rest of the minde and bodie, moderate sleepe, but not on the daye, the bellye apt to stoole, naturally, or artificially: meates of little nourishment, as Lettuce, Spinage, borage, prepared Barley, &c. Vinum oligophoron. Waterish wine. These are conuenient. The contrarie hurte, as exercise of the parte affected, anger, contention, loude cryinge, carnall acte, fatte, sweete, sharpe meates, or of much iuyce, &c. and likewise strong wine. Generally a thinne and skant dyet is the meetest. The medicines [Page] against hote distemperature, must be cooling, such as are syrupus rosarum, sy [...]upus endiuiae, syrup. granatorum, syrup. acetosu [...] simplex, oxysacchara, &c. The greatnesse, or Tumor,For the greatnes or swelling. which wee call a part of the formall cause, if it bee without abscesse, maye come to bee remooued, by the resolution of the conioyned matter, as is nowe before declared. But if it containe an abscesse, or breache, and but within, the outsyde yet beeinge whole, helpe it out with Chyrurgicall instrumentes, as with a Lancet or cauterie, the latter being yet of More safe saith Calmetius, & so generally, both antiquitie, reason, & experience do confirme. The place fittest to open. lesse safetie then the former. the quantitie of the orifice being according to the aboundance of the matter collected, and to the place affected. The place, for opening, is fittest, which being most outpointed, is soft and easily pressed in with the finger: which also is situate most commodiously for the purging out of the matter, being alwaye warie to shunne the veines, nerues and arries: and aboue others, the morninge tyde is preferred for this businesse. [Page] If it must be done with eating medicines (which neither is so safe as the yron) then haue you simples for that purpose, lighter or stronger, the easier sort are these, Adeps ranarum viridium, Calx v [...], Cantharides, Cau [...]m radices, burnt and pound with olde axungia, faex vini dried, faex ace [...]i, lac ficulneum, muscerda, ostreorum testae crematae, powder made, e capi [...]ibus muscarum, & lacertarum: radix cannae, sapo, semen vrticae stampt with wine, st [...]cus caninum album, succus Tithymallorum, theriaca, &c. The stronger ones, are arsenicum, and Mercurius, you haue also compoundes seruing to the same ende, as a playster made ex radice narcissi, stampt in Mulso, and boyld cum oleo irino, or ex radice tenera arundinis, stampt and mixt cum melle, or made ex aristologia & melle, or, ex pice arida, with equall part of propolis cre [...]icae: either [...]x [...]mine lini, fermento, & stercore columbino, cum sapone molli, or, ex calce & sapone. Else, Rec. faecis vini crematae, ℥ss. fimi columbini, propoleos, salis tosti, aeruginis ana.ʒ.iij. aquae marinae ℥j. olei [...]tiqui, ℥.ij. mixe them. Another. Rec. Colophoniae, butyrirecentis, ana.li [...] [Page] j. picis aridae, mellis, ana.li.ij.℥.vj. aeruginis, ℥.iij. visci, q.s. misce.

Now when it is opened, it must first be mundified, then filled with flesh, and lastly shut vp with Cica [...]rice, as shalbe saide. The thirde part of the formall cause, which is the breach of vnitie,For breac [...] of vnitie. when the veines are strowted out by the effusion of humor, and the spaces of the flesh disioynde, this (I say) is to be remoued, by taking away of the humor effused &c. as hath beene sayde.

Thus farre concerning the cure of Phlegmon, Of accidēt [...] incident to this tumor. by his causes particulerly prouided for, and may seeme for the whole mat [...]er, sufficient: but becau [...]e there are certaine accidents thereunto incident, and which sometime hinder the cure of the whole, it is not in vaine, if before we conclude hereof, we do consider, how also to remoue them away when neede requireth. The accidents are these, paine, regression of the matter, putrifying o [...] the part, and hardnesse.For asswaging paine. Paine is therefore to be mitigated by aswaging medicine [...], called Anodyna, such as are these simple ones: ol. anethinum, ol. [Page]Chamomaelinum, ol. e semine lini. ol. amigdal. dulc. Iasiminum, ol. sambucinum. ol. ouorum, ol. rosarum &c. butyrum, Oesipus, lana, succida. Adeps suillus, vitulinus, asininus, felinus, vulpinus, melinus, sciuri, anatinus, anserinus, gallinaceus, ex anguillis, &c. Likewise mucillago altheae sem. lini [...] faenigreci, maluae, &c. lac muliebre, lac vaccinum, &c. Compoundes to that purpose there are both milder and stronger. The first sort are eyther made ex passo, oleo rosac. & pauca cera, applyed cum lana succida, or, ex rosaceo, ouorum luteis, mica panis albi, in aqua calente macerata, postea expressa & rosaceo permista. Else, ex malua in aqua cocta, mixta cum [...]ursure, & rosaceo, vel ol. viol. & pauco croco. One more vehement then these haue you [...]lso (if neede be) to resort vnto: being stupefactiue, and consisting, ex folijs hyosciami, sub cineribus coctis, & recenti axungia mixtis. Thus much for the paine. Nowe if there bee regression of the matter to the inner partes,If the matter turne backe. or to some principall partes, it must be reuoked, by cupping glasses, or attractiue medicines, such as these: Aristolochia [Page]longa, adeps vrsinus, pardalinus, leoninus, ammoniacum, calx viua, coagulum vetus, cantharides, dracon [...]ium, euphorbium, fermentum, faex vini vsta, Galb [...] num, lepidium, nasturtium, opoponax, propolis, pyrethrum, ranunculus, radix arundinis, sagapenum, struthion, synapi, thapsia, tithymallus, viscum, &c. Or compoundes contriued of these, as neede requireth. If the part putrifie, vse manie and deepe scarifications,If the par [...] do putrifie. & after wash the place cum aqua salsa, and thencefoorth applye thereon a playster, ex fabarum, aut orobi farina, cocta in oximelli [...]e. The incision in launcing must be after the similitude of an Oliue or Mirt leafe: after which manner of incision it will easilyer heale. Lastly, the hardnesse,Hardnes of the part. that sometime remayneth, must be mollyfied with conuenient meanes, of which againe, here be both simple and compounde medicines for choise.

The simple medicines are butyrum, caricae. bdellium, althea, crocus, cera, adeps, medullae, ammoniacum, galbanum, Oesypus, lana succida, malua agrestis, semen lini, faenumgraecum, radix Liliorum, oleum Amigdal.[Page]dulc. irinum, lentiscinum, Chamomelinū, &c. Compoundes are these: Radices cucumeris agrestis, cum caricis. rad. brioniae, vel asari in aqua coctae: or, farina, cum aqua & adipe anserino, vel gallinaceo, vel suillo: or else radices aliheae decoctae cum pane, & adipe contritae, and so applyed.

CHAP. III. Of the Carbuncle.

CArbunculus, or (according to the Greekes) IT differeth not from Carbunculus, as Vigo & others supposed: neyther doth ignis perficus & pruna, but An [...]hrax being the greeke word, is euer of [...]earned interpreters translated Carbun [...]ulus, & the other two be vsed as synonynies, all noting but one thing, as appea [...]et in Gal. Paul AEtius, Oribasius, and [...]s truely noted of Fernelius, Tagautius, [...]nd others. Anthrax, Definition. is a little venomous pustule, burning the place, and first raysing a blister, bringeth afterwarde a crust.

Causes & signes.The antecedent cause is These causes touch but the Carbu [...] cle not pestilent, particulerly: for the othe [...] commeth of a venimous constitution of th [...] ayre, which once taken in [...] is afterward [...]xpelled by nature to some ou [...]ward par [...] together with the humors, and spirit [...] that were by it defiled. Fernel. li 4. ca. 18 [...] Simonius li. de peste 1. blacke, thicke, hote and faeculent bloud, flowing into the place, which is coniectured by the state of the bodie, abounding with bloud. The conioyned cause, is bloud gathered in the part affected, and that easily discerned by the signes of the Carbuncle Our account of the Carbuncle is [...] the same [...] with the auntient Writers, f [...] with vs it is euer pestilent: theirs not s [...] but some of them cal a certaine inflamation of the eyes, a Carbuncle, as doth AEtius, li. 7. c. 30, & cor. cels. li. 6. & cap. [...] some in the secre [...] partes, as Paul. lib. [...] ca. 25. who although he account, this ma [...] also be ingendered of some pestilent occasion, yet doth he and Galen, Meth. med. lib. 14 [...] reckon it to come ordinarily of [...] cause, simply humorall. But vse hath [...] preuayled with vs as to vnderstand no [...]therwise of a Carbuncle, then a pestile [...] [...]umor, and symptome, it shall bee g [...] therefore, somewhat to chaunge our c [...]stome, and with Vigo lib. 2. c. 20. di [...] [...]he carbuncle int [...] pestilent and not p [...]lent, which distinction is no [...] wel omitt [...] others. which are these:Signes cō mon to both Many small pustules, like [Page] burnt blisters on the outmost skinne, which being broken, a crustie vlcer ensueth. Sometime onely one pustule with the like crustie vlcer. Otherwhiles without any pustule, only the vlcer is in all sortes crustie. There is itching also, the crust is blacke, or of ashie colour: the flesh about inflamed:Signes of the pestilen [...] Carbuncle. rednesse, great and grieuous paine, with a Feuer. Further (if any venomous matter be lurking) then there is loathing, oft vometing, losse of apetite, trembling and beating of the heart with swooning.

Carbuncles commonly come of causes generally raigning,Prog. and In saying for the most part, he sp [...]keth with Taga [...]tiu [...] and our experience, trulye: but yet not according to the mind of the old writers fully: for they make th [...] cause commonly otherwise. for the most part are attendāts on the plague. If the Carbuncle com in the At whose handes Wecker receiuing this was deceiued I wil not gesse, onely let the Reader know that wherea [...] Guido and Taga [...]tius pretende this to bee Auicens prognostick of the carbuncl [...], they are deceiued: it being in deede [...]ronounced of Bubo, and not of the carbuncle, as appeareth lib. 4. fen. 3. Tr. 1. cap. 9. &. ca. 17. clensing places, called emunctories, or neere the principall members, it is deadly: for it is to be feared, lest the venomous matter haue recourse to s [...]me principall part. If it breake out about the stomacke, or iawes, it sodenly choketh for the most part. That is lesse daungerous which appeareth first red, and after yelowish, but that, which is of black, or bloe colour, killeth. If the accidents which accompanie this [Page] dissease doe much decaye, and vanish, some hope of health is promised, contrariwise, if they more and more, get strength, and waxe vehementer, then is ther no hope at al remaining.

Cure.Your curation must bee considered first, according to the antecedent cause, which being declared to bee Consider that is noted a [...]re in the letter b.thicke, hote bloud inflowing, must both be altered for his qualitie, & euacuate for his quātitie. His qualitie is alterable by In respecte of the Feuer cooling thinges: but in respect of contagion, such as assist the heart, and breake the for [...]e of venimous impression, must also b [...] vs [...]d. cooling diet, and medicines, let his meate therefore be Ptisan, lettuce, purslaine, the broth of chickens, with lettuce, pomegranets and Lemons. Let his drinke be Barley water, or wine much delayed. Medicines cooling and concocting are, syrupu [...] acetosus simplex, syr. de endiuia, syr. granatorum, syr. acetositatis citr [...]To assist the hart and expell the venome, looke the letter q.&c. The quantitie then is to be diminished, partly by Here I take the meaning of the aunti [...] ̄t writers, to be of the simple carbuncle: otherwise, with Iulius Palma [...]ius, and Simonius, I refuse to subscribe vnto them: for that this is not to follow the motion of nature, from the center to the circ [...]mference, but contrariwise to draw backe to the center that nature had profitablye discharged to the circumference. bloud letting (if nothing hinder) not with drawing to the contrarie parte, (for, because of the thicknesse and malice of the humor, it cannot be turned awaye) but neere the part on the same side. Likewise cupping glasses may be vsed, or such like meanes. But the quantitie [Page] of bloud taken, would be great: yea, euen to fainting, or swooning, if there were not too much weakenesse before. Medicins to diminish the quantitie, may be Manna, cassia, diaprunū, &c. Or losing kWhich I deeme to be the safest in the pestilence. clisters. Outward medicines, applyable to the place, must bee of discutient facultie, or metely repressing: if so be the f [...]uxion be vehement If the Fluxion be vehemēt: & these are to be laid to the parts nere about the tumor, as is noted after. as is this: Rec. arnoglossi, lentium, medullae panis an. li. j. coquatur in aceto, vel posca, or a playster ex duobus malis granatis, in aceto coctis. Or this rather of Fallopius: Ree. malū punicū dulce j. & alteriū acidū, sed matur [...] ̄, coquantur in aqua hordei cū folijs scabiosae & sem. lēticulae, pauxillo plātag. & aceti: cocta terātur optime, ijs admisceatur pulpae pomorū odoratorū, & cydoneorū maturorū, coctorū in decocto praedicto, q. [...]. ad emplast. but if the carbūcle be pestilēt, I coū cel no repellent medicine, til the mat [...]er be (for the most part) gathered, & then th [...]y are to be set as a hedge betweene the carbuncle and the hart, as also if the carbuncle be out of the emūctories, it is (as I may speake) to be paled about with [...]h [...]m. The matter impact, which is the cause conioynde, is to be taken away, partly by Chirurgery, partly by medicins. By Chyrurgerie, as scarificatiō of the Tumor, (if nothing withstande) and that sufficient deepely, and after that washing the places scarified with warme salt Water, so that by no meanes anye bloud lye cluttered in them, but bee cleane purged forth.Horsele [...] ches. Sanguisuge [...] also serue to this purpose: or suckinge that is doone with the mouth. Medicines you haue ex ficubus, fermento, & sale, Or, ex vitellis ouorum, & sale, Or, ex Melle, Farina Triticea, [Page]& ouorum luteis, or; ex consolida maiore, trita inter duos lapides. And these medicines serue only to alter the qualitie of the h [...]mor, to wit, by rypening, especially when the matter cannot be disper [...]ed [...]or the thicknesse of it, and the disease is not so fell, but giueth time: for otherwise we cannot intend any ripening. But discutient medicines, (which is, when the humor floweth not verie vehemently into the part, for then meetely repressinge things as is aforesaid are required [...]) you haue both casie and vehement. Of the easier sort are, m [...]dulla nucis anellenae, Emplastrum de arnoglossa, or such other, so Scabious eaten, or drunk out of wine, discusseth and dissolueth insensibly [...] more vehement, and euen attractiue As this: cepa excauatur, in cauitatem theriaca citri mali succo subactainditur, cū modico aceti: tū calēt. cinerib. obuoluta coqu. deinde teritur, apply [...] it plaste [...] wise: or a plaster ex narcisso cocto [...]imo gallin sale, melle anacardino, & theriacae tantillo. meanes also, [...]re meete for the matter, if the aff [...]cte bee in the limbes, and ignoble partes of the bodie, and withall the fluxion moue but As boxing, applicatiō of hote bread, fomētations, the warm lūgs of new killed beastes, oft shifted [...] the taile or burn of a cocke made bare, and some salt put in, applied to the place, or pigeons clouen quick, & applied warme to the place successiuely. slowly. Here note, that a fit time for the gentle discutient medicins, is the beginning, but in the state, & declination, the stronger sort are to be applyed. And againe, obserue, th [...]t you lay your discutients to the place affected, [Page] but then defensiues also, to represse the matter, in the partes lying round about: as vng. ex bol. armeno, vng, rosaceū or made ex oleo mirthaceo & aceto Calm. hath this: Rec. bol. arm.℥:iiij. terrae sigil.℥.ij. cornu cerui vsti, rasurae eboris, an.℥.ij. caphurae, ʒ.iij [...] cerae, ℥.iij. olei. ros. li. j. aceti, ℥,iiij. aquae rosarum, ℥.ij albumina duorum ouor [...]m, fiat vnguentum.: so that by these, likewise the humor that is come abroad, shall haue his course cut off for running in agayne. The hart, in the meane time, is not to be neglected, but strengthened with a little Or this potion: Rec. aquae acetosae ros. scab. an.℥.j syr. de lymon ℥j.ss. pul. el. de bolo.ʒ.ss. diamar. frid.℈.j fiat potio. also this Epitheme, Rec. aq. scab. acetosae, ros. nymph. an.℥.iiij, troc. de caphura, ʒ.j. coralli rub.ʒ.iij. cornu cerui vsti, ℈.j. croci, ℈.ss aceti tantillum, you may ad (if the sick be rich) diamar. fridg.ʒj.ss. & some a [...]omaticall wine, apply it to the region of the hart. Cal. Triacle, given in Scabious, or Buglosse water, sixe houres after meate: now if it come to passe, that they vlcer retayne a crustye escar aloft, resolue it with bu [...]i [...]um resens, a [...]ungia porcina, &c. or this compound plaister: Rec. farinae triticae, far [...] hord [...]acae an.℥.iij. cum decocto maluarum, violarum, & rad [...] al [...]hae fiat, Empl. s [...]lidum, addendo, butiri rec. axungiae porcinae, ana, ℥.ij. vit [...]llorum ouorum, no.ij. this resolueth the crustinesse mitegat [...]th the paine, and scattreth out the maligne iu [...]ce. But if it be corrupt and putrified, it h [...]th neede of incision, c [...]uterie or hote yron: and these must be executed so throughly, till it come well to the quicke, and payne grow into euery place, and the corrupted partes, at last, taken holde of, [Page] with conuenient instruments, & pulled vp by the roots, this case also hath neede of very drying medicins, wherof you maye here chuse some of the gentler, othersome of stronger force. The easyer are, Pastilla Andronis, Past. Musae. Past. passionis, Past. polyidae: These must bee dissolued in sweete wine, or cute, or make a cataplasme ex farina orobi, & oximellite, or vng, Egyptia [...]. Or this stone, Rec. Vas fictile exiguis admodum foraminibus in fundo pertundito, calcē viuā, vitriolū, sal nitr. & alumen in puluerem redacta, in vas conijcito, lixiuium acerrimum (quale est ex tartaro) atque feruentissimum, paulatim instillato, idque ter, aut quater ita percolato: postea liquorē sic percolatū coquito, donec in gypsei lapidis formam incrassetur, or Rec. Lixiuium ex quo fit sapo, in fictili ad mellis crassitatem coquito, dein adde aliquid sublimati, rursumque donec in lapidis formam concresca [...], coquito: keepe this in [...] Viall close stopped, Calmetius. &c. The eschar being remoued, mundifi [...] the Vlcer with some vnguent [...] ex tereb. [...]ucco apij, vitellis ouorum, & fa [...]ina hordei, &c. and so grow on to incarne and cicatrize as in other thinges. Thus much for the effecte it selfe, consydered according to his seuerall causes, nowe remayneth the accidents incidēt here vnto,Accidents. to be prouided for. These symptomes principally are a Feuer, trembling tThis is more properlye a symptome of the pestilence, as is also the carbuncle it elfe, of that kinde. of the hart, and payne, the Feuer is to bee looked to after the order of a pestilent feuer,Feuer. Trembling of the hart. trembling of the hearte with comfortable and strengthening medecines, as odoriferous wine, or suche a confection: Rec. Coaguli haedini, agnini, vitulini, ana, ℥.ij.ss. testiculorum gallorum, coct. in aqua buglosae, etaceto pauco, trium. santatorum ℥.j.ss. zacchari rosati, ʒ.iij. omni. contusis, ad ignem secundum artem cum syr. rosaceo, & acetositate Citri, fiat Confectio: Of this Confection let the [Page] patient take, in a morning one sponfull in odoriferous wine, adding to it Pulpae caponis, ℥iij. & fragmentor um [...]retiosorum lap [...]um. omnium, ℥.j [...] ss, for the trembling, likewise it is good to vse frications, and ligatures, in the extreme parts, or cupping glasses, fixed vpon the hips and hanches. The paine [...]s to be mitigated,Payne. as with this plaster: Rec. As al fattye thinges are soone set on fire, so if you [...]uspect this medicine, make a bagg [...] (as Palmariu [...] counsaileth) ex altheae & liliorum radicibus, lini semine, pinguibus ficubus, & ex malua, violaria, semperuiuo, & Plantagine, with which bagge boyled in water foment the place, dayly three or foure times, after it, applying this cataplasme, Rec. maluae, violari [...], oxalidis, semperuiui, singm. ij. fol. hyosciami. p.j. roule them round together: and roast them vnder the [...]mbres, then stamp them cum. v. ouorum vi [...]ellis, mel. ros.℥.iiij. croci ʒ.ss. theriaces.ʒ.j.ss. adding also farinae hordei, q.s. applye this oft, not suffring i [...] [...]o drie to the place. maluae, violarum, an.m.ij. coquantur in aqua, vsque ad perfectam co [...]tionem, deinde contundātur, addēdo far. [...]ordeaceae, ℥.iij. butiri recent. ol. recent: ana, ℥.ij. vitellorum ouorum, no. ij. fiat Emp [...]. els an Epithema made ex decocti [...]ne maluarū, violarū, & radic, altheae.

ANNOTATIONS.

a IT differeth not from Carbunculus, as Vigo & others supposed: neyther doth ignis perficus & pruna, but An [...]hrax being the greeke word, is euer of [...]earned interpreters translated Carbun [...]ulus, & the other two be vsed as synonynies, all noting but one thing, as appea [...]et in Gal. Paul AEtius, Oribasius, and [...]s truely noted of Fernelius, Tagautius, [...]nd others.

[Page] b These causes touch but the Carbu [...] cle not pestilent, particulerly: for the othe [...] commeth of a venimous constitution of th [...] ayre, which once taken in [...] is afterward [...]xpelled by nature to some ou [...]ward par [...] together with the humors, and spirit [...] that were by it defiled. Fernel. li 4. ca. 18 [...] Simonius li. de peste 1.

c Our account of the Carbuncle is [...] the same [...] with the auntient Writers, f [...] with vs it is euer pestilent: theirs not s [...] but some of them cal a certaine inflamation of the eyes, a Carbuncle, as doth AEtius, li. 7. c. 30, & cor. cels. li. 6. & cap. [...] some in the secre [...] partes, as Paul. lib. [...] ca. 25. who although he account, this ma [...] also be ingendered of some pestilent occasion, yet doth he and Galen, Meth. med. lib. 14 [...] reckon it to come ordinarily of [...] cause, simply humorall. But vse hath [...] preuayled with vs as to vnderstand no [...]therwise of a Carbuncle, then a pestile [...] [...]umor, and symptome, it shall bee g [...] therefore, somewhat to chaunge our c [...]stome, and with Vigo lib. 2. c. 20. di [...] [...]he carbuncle int [...] pestilent and not p [...]lent, which distinction is no [...] wel omitt [...] others.

d In saying for the most part, he sp [...]keth [Page] with Taga [...]tiu [...] and our experience, trulye: but yet not according to the mind of the old writers fully: for they make th [...] cause commonly otherwise.

e At whose handes Wecker receiuing this was deceiued I wil not gesse, onely let the Reader know that wherea [...] Guido and Taga [...]tius pretende this to bee Auicens prognostick of the carbuncl [...], they are deceiued: it being in deede [...]ronounced of Bubo, and not of the carbuncle, as appeareth lib. 4. fen. 3. Tr. 1. cap. 9. &. ca. 17.

f Consider that is noted a [...]re in the letter b.

g In respecte of the Feuer cooling thinges: but in respect of contagion, such as assist the heart, and breake the for [...]e of venimous impression, must also b [...] vs [...]d.

h To assist the hart and expell the venome, looke the letter q.

i Here I take the meaning of the aunti [...] ̄t writers, to be of the simple carbuncle: otherwise, with Iulius Palma [...]ius, and Simonius, I refuse to subscribe vnto them: for that this is not to follow the motion of nature, from the center to the circ [...]mference, but contrariwise to draw backe to the center that nature had profitablye discharged to the circumference.

[Page] k Which I deeme to be the safest in the pestilence. l If the Fluxion be vehemēt: & these are to be laid to the parts nere about the tumor, as is noted after.

m Or this rather of Fallopius: Ree. malū punicū dulce j. & alteriū acidū, sed matur [...] ̄, coquantur in aqua hordei cū folijs scabiosae & sem. lēticulae, pauxillo plātag. & aceti: cocta terātur optime, ijs admisceatur pulpae pomorū odoratorū, & cydoneorū maturorū, coctorū in decocto praedicto, q. [...]. ad emplast. but if the carbūcle be pestilēt, I coū cel no repellent medicine, til the mat [...]er be (for the most part) gathered, & then th [...]y are to be set as a hedge betweene the carbuncle and the hart, as also if the carbuncle be out of the emūctories, it is (as I may speake) to be paled about with [...]h [...]m.

n As this: cepa excauatur, in cauitatem theriaca citri mali succo subactainditur, cū modico aceti: tū calēt. cinerib. obuoluta coqu. deinde teritur, apply [...] it plaste [...] wise: or a plaster ex narcisso cocto [...]imo gallin sale, melle anacardino, & theriacae tantillo.

o As boxing, applicatiō of hote bread, fomētations, the warm lūgs of new killed beastes, oft shifted [...] the taile or burn of a cocke [Page] made bare, and some salt put in, applied to the place, or pigeons clouen quick, & applied warme to the place successiuely.

p Calm. hath this: Rec. bol. arm.℥:iiij. terrae sigil.℥.ij. cornu cerui vsti, rasurae eboris, an.℥.ij. caphurae, ʒ.iij [...] cerae, ℥.iij. olei. ros. li. j. aceti, ℥,iiij. aquae rosarum, ℥.ij albumina duorum ouor [...]m, fiat vnguentum.

q Or this potion: Rec. aquae acetosae ros. scab. an.℥.j syr. de lymon ℥j.ss. pul. el. de bolo.ʒ.ss. diamar. frid.℈.j fiat potio. also this Epitheme, Rec. aq. scab. acetosae, ros. nymph. an.℥.iiij, troc. de caphura, ʒ.j. coralli rub.ʒ.iij. cornu cerui vsti, ℈.j. croci, ℈.ss aceti tantillum, you may ad (if the sick be rich) diamar. fridg.ʒj.ss. & some a [...]omaticall wine, apply it to the region of the hart. Cal.

r Or this stone, Rec. Vas fictile exiguis admodum foraminibus in fundo pertundito, calcē viuā, vitriolū, sal nitr. & alumen in puluerem redacta, in vas conijcito, lixiuium acerrimum (quale est ex tartaro) atque feruentissimum, paulatim instillato, idque ter, aut quater ita percolato: postea liquorē sic percolatū coquito, donec in gypsei lapidis formam incrassetur, or Rec. [Page]Lixiuium ex quo fit sapo, in fictili ad mellis crassitatem coquito, dein adde aliquid sublimati, rursumque donec in lapidis formam concresca [...], coquito: keepe this in [...] Viall close stopped, Calmetius.

s The eschar being remoued, mundifi [...] the Vlcer with some vnguent [...] ex tereb. [...]ucco apij, vitellis ouorum, & fa [...]ina hordei, &c. and so grow on to incarne and cicatrize as in other thinges.

t This is more properlye a symptome of the pestilence, as is also the carbuncle it elfe, of that kinde.

v As al fattye thinges are soone set on fire, so if you [...]uspect this medicine, make a bagg [...] (as Palmariu [...] counsaileth) ex altheae & liliorum radicibus, lini semine, pinguibus ficubus, & ex malua, violaria, semperuiuo, & Plantagine, with which bagge boyled in water foment the place, dayly three or foure times, after it, applying this cataplasme, Rec. maluae, violari [...], oxalidis, semperuiui, singm. ij. fol. hyosciami. p.j. roule them round together: and roast them vnder the [...]mbres, then stamp them cum. v. ouorum vi [...]ellis, mel. ros.℥.iiij. croci ʒ.ss. theriaces.ʒ.j.ss. adding also farinae hordei,[Page]q.s. applye this oft, not suffring i [...] [...]o drie to the place.

A RESOLVTION OF THIS chapt. concerning the cure.

CArbuncles being eyther simple or maligne: or (as is noted before) pestilent, or not pestilente: haue thus iointly the vse of the aforesaid remedies pertayning to thē To the simple carbūcle [...] the blood letting and purging there spoken of, for the inner meanes: for the outward, & first as it is growing, the repressing and discutient medicines de arnoglossa, & de malis granatis, when it is growne, or the matter gathered, then the scarifiengs and simple discutients layde to the place: as also those medicines that make and remoue the cru [...]tines that followeth Not neglecting in the meane time the defensiues, if neede be: to wit if the fluxion be violent. The maligne carbuncle whilest it is growing. must haue the furtheraunce of [Page] meanes, both inward & outward: as the medicines strengtheninge the hart (which in this case wold no time of the cure be neglected) and boxing [...] or other artificial applications set downe to that purpose. VVhen the matter is gathered, applying (as is there sayd) the defensiues, laye to the place the stronger discutiētes, ex coepa, theri [...]a. &c. then also commeth in vse the caustike stone, or (whiche is cheefe) the hote yron, or golde button: after the crust is resolued proceed to mundifying and healing. As for the s [...]mptome of pain last mētioned, though I haue added some chosen medicins therevnto, yet aduise I the Artist, to be but spare [...] and very considerate in the vse of them, euen as driuen to them by extreame necessitie.

Thus much for thy better addresse (friendly Reader) to take away confusion in this chapter whiche happened, thro [...]gh the lack of a necessarye distinction.

[Page]

CHAP. iiij. Of the Furuncle.

THE Furuncle is a small Tumor and out pointed,Def. ioyned or accompanied with payne and inflamation, especiallye when it is growne to matter.Ca [...]s [...] [...] [...]ig [...]s. The antecedent cause is thick blood, thither flowing, & is to be iudged accordingly, by the notes of abūdance of thick blood. the cōioyned cause, is the same thicke blood nowe gathered in the place affected [...] & this is knowne, like as the disease it selfe, by heat, rednes, and payn vehement, & with pulsatiō, about the time of ripening [...] it breaketh also of the own accord, without instrument, the matter that issueth is thick and like putrified sinewes. in other things it is like Phlegmon.

A Furuncle by nature is not perilous,Prog. though no cure bee applied thereto, yet pain maketh medicins more welcome for the [...]ooner dispatche of the matter.Cure. The antecedent cause is to be emptied both frō whence it sloweth, whether it be frō some part, or frō the [Page] whole body: and so it is co [...]uenient to open a veyne of the right cubit, if age, strength, time of the yeare, &c. hinder not: as also from thence whither it floweth [...] and so the drawing of the blood to the part, would be cutte of, eyther by reuulsion, to the parte opposite, if nothing let, or deriuation of the same to the neare parts if it be more conuenient. The impulsion, or thronging in of the blood, into the part, is to be inhibited (if neither the thicknes of the matter, nor nerenesse of the noble partes hinder not) by repellent medicines [...] all whiche are to be ordred according as is set downe in phlegmone, so the fitter time for repercussiues is, i [...] the beginning, while the matter violently floweth in, but in the state and declination, maturatiues, as now in the conioynd cause, whē the matter is impact in the place and must bee there auoyded, then (I say) must the crude qualitie thereof be altered by maturatiues: as whea [...] chewed and applied, Raysons mixte with salt, dried figges boyled in Hydromel, leuen mixt with nitre, Lin [...]eed with honie, &c. or these compounded [Page] playsters, Rec. rad. liliorum alb.℥.vj. rad. Buglossae, ℥.ij. maluae, violarum, ana. m.j. coquantur, deinde pistentur addendo, farinae t [...]iticae.℥ [...]iij. butyri recent.℥.ij.olei dulcis, ℥.iiij. axungiae porc ℥.ij.ss. vitellorum ouorum.no.ij. croci, ℈. [...]. fiat Emplastrum. These are required, if pain greatly vrge, otherwise, AEtius Macedonicum is greatly commended: & this is it: Rec. Picis naualis, ℥.j adipis suilli [...] ℥.v. adipis taurini & aesipi, an.℥ij [...] resinae pini, ℥.v. liquefiāt simul [...] & addantur cerae, ℥.iij. Or, Rec. decoct. predict.li.iij. farinae hordei, far. triticae, ana.℥.j.ss. olei com. butyri ana, ℥ [...]ij. axungiae porc.℥.ij. boyle them to the consumption of the fourth part, then put to vitellorum ouorum, no.iiij, and make it an Epithema, to be applied with warm stuphes. Then when it is opened, purge the same with this mundificatiue: Rec. terebentinae clarae.℥.ij.ss. me [...]is rosati, ℥.j. succi apij, ʒ.vj. coquantur vsque ad succi. con [...]um. Then put thereto fa [...]inae hordeacae, far. triticae, far. fabarum, ana.℥.j. croci.℈.ss. vit. oui. no.j. fia [...] mundifica [...]u [...] herewith annoynt your plageats, to laye on the orifice of the furuncle. After it is thus sufficientlye mundifyed proceede to t [...] consolidation with this Emplaster. Rec. diachilonis albi, sine gummi.℥.ij. terebentinae clarae, ping. porc, an.℥.ij.ss. lithargirij [...]ur. & arg. a [...] ʒ.v. mi [...]ij [...] ʒ.v. cerusae.℥.j. ol. [...]os.℥.j.ss. ad ignem fiat Cero [...]um,[Page]cum baculo s [...]mp. agitando, addendo cerae albae, q.s.

ANNOTATIONS.

a These are required, if pain greatly vrge, otherwise, AEtius Macedonicum is greatly commended: & this is it: Rec. Picis naualis, ℥.j adipis suilli [...] ℥.v. adipis taurini & aesipi, an.℥ij [...] resinae pini, ℥.v. liquefiāt simul [...] & addantur cerae, ℥.iij.

CHAP. v. Of Gangraena and Sphacelus, or Syderatio.

GAngraena This would more properly (in my opinion) be reckoned among the symptomes and not handled in a particuler chapt [...] as a new tumor being described as a symptome a slippe common to many writers. is a mortification cō ming by the exceding inflaming of any part yet not fully accomplished, but some sence stil remaining in the part, & in the fleshie part onlye is the place of it. Sphaceius, or Syderatio, or Es [...]hiomenon, is a full depriuing of sence, aud vtter mortification, so much, as the part affected, being stricken, laūced [...] or burnt, feele [...]h nothing: and this inuadeth not the fleshy parts alone, bu [...] [...]he sinewie, and euen the bones themselues. The inwa [...]d causes hereof,Causes. as fi [...]st the antecedēt, is blood adusted or corrupted, flowing into the place, &c. the conioynd cause is the same blood, now alreadie impact [Page] and gathered [...] outward causes to be much coldnes, either by outward ay [...] or medicins ministred: vnmeasurable heat & venomnes: al which extinguish natural heat. So againe, ligatu [...]es, cō pressions, contusiōs, &c. all which depriue the pa [...]t of vitall facultie. You shal know Gangraena by losse of sēce,signes. (yet not wholy) heat of the member black or swartish colour, by a fading of the florishing colour, whiche was proper to the inflamation: also there is paine, burning and pulsation of the arteries, going back. but in Sphacelus, there is a whole priuation of sence, black colour, the member is sauft, putrified stinking, rotten, & being pressed with the finger, yee [...]deth to the bottom, & returneth not: to be short al the signes of Gangraena, but all enhaunst to a higher degree. Gangraena is difficult to cure,Prog. but Sph [...]celus most hard, and not otherwise then by cutting when the fleshe and finewes euen to the bones are affected, it is not to be cured. vnles Gangraena be in the beginning & speedily cured, the affected part easily dieth, & so it crepeth on to the neare parts till it haue [Page] slayne the body, but if it haue not ful possession, but onely be entring, it is not very difficult to cure especially in a yong body.

Cure.Whilest the bloud is flowing into the part, seeke to temper the qualitie thereof, first setting downe a cooling order of diet: as bread crums steiped in water,Diet. barley creame, almond caudel, or oten cawdell, broth of chicken with Lettuse, purslane, spinage, almōd milk, barley water, &c [...] thē giue preparing medecines such as sy [...]upus acetosus simplex, Medicines. syr. endi [...] granatorum, de lupulis, defumaria, giue of these I say, in appropriate waters. Prouide also for the quantitie of the matter, to diminish the same, from the place whence it flow [...]th by blood letting (if age, strength, time of the yeare &c. suffer) and medicines purging and clensing the blood, as Diaca [...]hol [...] cassia fistula, T [...]marindi, lupuli, [...]umaria, &c. also frō the place whether it hath recourse, as by repressing medicines layde to the partes round about: as a defensiue made ex argilla cum ace [...]o Or this: Rec. ol. ros. ol. mi [...]th. ana.℥.iij.ss. s [...]c. pla [...]ag. su [...] s [...]la [...]r [...], ana, ℥ij. [...]quan [...] [...]sque ad[Page]consumptionem succorum, colaturae, add [...] cerae albae, ℥.j s [...]. farinae fabarum, far. lentium. far. hordei ana, ℥.ss. santal. omi. ana, ʒ.ij.ss. boli armeni, ℥j. pul. mirthi ʒ.j. mix them, and make a defensiue, to be applied to the partes lying rounde about. defend and strengthen also the heart with Mithridate and Triacle Or this opiate: Rec. Conserua radi. buglossae, rosarum, an.℥.j cōseruae florum cichorij.ʒ.vj. pul. diamarg. frigi.℈.iiij. pul. bezoardici.ʒ.j. pul. elect. de bolo, ℈ [...]ij. pul, el. de gemmis, ℈.j. syr. de acetos. citri.q.s. fiat opiata. Take as much as a beane drinking after it ij. spoonfuls of buglosse, & scabious water., &c. This done bende your force against the cause conioynde, that the corrupt blood impacte may neither by stopping cut of the course of vitall facultie, nor by his excessiue heate suffocate the naturall warmth, to which purpose serueth blood letting (if nothing hinder) scarificatiō of the place, and after washing with salte water: cutting the mēber or burning with a hot iron. Take of blood as the patient may bea [...]e, let the scarifi [...]ations be in number and deapth sufficient, your burning betweene the sound and vnsound according to the quantitie of the affect, and your deuiding of the member bee to the quick, so that no part of the putrified be lefte: doe it also quickly that the rest of the body may be safe: for that that is putrified, is after the maner of [Page] venom, by touching only, able to infect & corupt that which is yet whole and sound. Let your blood letting be in some most apparant veine, aboute the part affected,Simple medicines. or neare to it, the time for blood letting, and scarif [...]ng is, when putrefaction beginneth: cutting and burning haue place whē the part is putrified. In the mean time local medicines for the place a [...]e not to be neglected: which must bee suche, as haue p [...]opertie to d [...]y and resolue, for such are able to hinder, and to take away putrefaction: and such are these simple ones: as erui fa [...]ina, cum melle, acetum mulsum, far. orobi, vel lolij, vel fabarum cum oximel [...]ite [...] cortex nucum vetustarum, & ti [...]hima [...]i liquor, lupinorum decoctum, &c. stronger than these are arsenicum, sublimatum, calx, &c. Compounde ones also you haue here to vse, and that of both sortes, the gentler sorte is, Farina [...]lij, cum raphano & sale, and somtime with aceto. Calm. noteth one consisting ex aequis partibus farinae lupinorum, orobi & fabarum, cum syr. acetoso, aut oxymellite, adding also if you list, succū absynthij vel apij. or else vua passa, cum sale & oxymelite: the stronger sorte are, These are to bee vsed, if those others preuaile not:Canons. at which time also Calm. applieth his causticke, noted before, in the carbuncle. pastilli polyidae, pastilli musae, past [...] passionis, these ground and mixt with viniger and wine, or Vnguen [...]um AEgyptiacum, [Page] suche as is made ex flore aeri [...], alumine, melle, & aceto, mixt by equall portions, and boylde: and this vnguent is meetest to be vsed when the heate is now alreadie delayde. Another medicine, Rec. AEruginis rasae, minij, aluminis scissilis an.℥.j. These chafe in water, and applye them to the affected part, being first a little scarifyed. Note heere, that you wisely make choyse of your medicynes,Canons. according to the nature and age of the Patient, knowing that the rusticall body maye endure fittest, the stronger sorte; but the effeminate bodies the weaker, infants and children lik [...]wise require the easier medicins. Because of ce [...]taine chirurgicall operations required in this disease, (as afore is sayde) there must necessarilye ensue certayne symptomes: as, after section of the member, fluxe of the blood, after burning, crustes and payne. After the crustes, or escars Vlcers, whiche must dulye also bee prouided for: for the fluxe of blood therfore, it is conuenient to s [...]are the part with a hote iron, for so the fluxe is speedily staide, & the putrefaction [Page] hindered for going further, thē apply after the searing succum porri, or sal cū porro. for these drie and restraine the putrifaction, as also wel prohibit the flowing in of humours. The crustes then or escars (when the putrefaction ceaseth to go any further) are to bee remoued either with butter or axungia suilla, or cum pane, farina triticea, or farina hordeacea boylde, cum hydrelaeo. or cum pane & apio [...]rito, else cum iride, radice panacis, aristolochiae, acori & melle: else cum cephalico ex melle. Or cum tetrapharmaco or macedonico, or suche other. Now when the crust is remoued, whilest the vlcer is purulent, it must be clensed and mundifyed, as with this, Rec. mellis li.ss. vi [...]ellorum ouorum [...] no.iij. far hordei, li.ss misce. after two or three dayes adde to it mirrhae, ʒ.x. you maye for that purpose also make your mundificatiue to consist ex far. orobi cum melle vel thu [...]e. Then when it is faire fill it with fleshe, and after cicatrize it, as is sayde in other places. If paine doe greatly vrge: then take the leaues of Faba inuersa, which being applied to the affected part, do meruailously remoue the pain therof.

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ANNOTATIONS.

a This would more properly (in my opinion) be reckoned among the symptomes and not handled in a particuler chapt [...] as a new tumor being described as a symptome a slippe common to many writers.

b Or this opiate: Rec. Conserua radi. buglossae, rosarum, an.℥.j cōseruae florum cichorij.ʒ.vj. pul. diamarg. frigi.℈.iiij. pul. bezoardici.ʒ.j. pul. elect. de bolo, ℈ [...]ij. pul, el. de gemmis, ℈.j. syr. de acetos. citri.q.s. fiat opiata. Take as much as a beane drinking after it ij. spoonfuls of buglosse, & scabious water.

c Calm. noteth one consisting ex aequis partibus farinae lupinorum, orobi & fabarum, cum syr. acetoso, aut oxymellite, adding also if you list, succū absynthij vel apij.

d These are to bee vsed, if those others preuaile not:Canons. at which time also Calm. applieth his causticke, noted before, in the carbuncle.

e These are accidents of the manual operation, rather than of Gangraena: therefore I haue rather thus translated, then following Wecker, cal them the symptomes of Gangraene.

[Page]The Gangraene cumming also of other causes than inflammations, as of extreame [...]olde, impressed poyson, and vtter extenuation, and wasting of the radycall moysture, (as Fall [...]pius obseruing, hath testifyed) must (therefore) require their s [...]uerall courses of cure: and all diuers from the Gangraene before entreated of. For that which commeth of colde, requireth not the incisions before spoken of [...] but some warme and comforting fomentations, playsters, &c. The malignitye of Venome must more specially be deal [...]e agaynst, according to the order deliuered in the chapter of venimous woundes. As for the later sorte of these, seeing it chaunceth in bodyes which for their extreame consumption, are vtterly incurable, there is no deuice of man can ought preuayle.

To the Tumors of blood are also referred Parotis, Phyna, Bubo, and by some Phygethlon or Panus: though this last (by Gal.) is indifferently referred to Phlegmone, or Erysipelas.

CHAP. vj. Of cholerick Tumors. Of Erysipelas, true, or legitimate.

[Page] ERysipelas or (according to the Latines) ignis sacer, Def. called commonly in English, wild fire, is a braunche of cholerike fluxion, cheefely consisting betwixt or about the skinnes.

The antecedent cause is yellow choler abounding and flowing to some part which you may easilier be resolued of,Causes and signes. if you note the complexion of the party to be cholerick, his age hye florishing, & colerick diet, &c. the cō [...]oind cause being choler, now pact in the part, is known by reddish or yealow colour, great heat, small tumor, the colour vanishing in touching, and after returning. Also a Feuer, stirred vp by the heate, but pulsation (whiche is the proper signe of a Phlegmone) is in this not so great: the payne is a biting or picking, not causing tension or strowting. There is a motion of a tertian Feuer, &c. the times as beginning augmētation state and declination, and the symptomes, or accidentall affects: as turning backe of the Matter, hardnesse, corruption, payne, vlceration, &c. are obserued to be the like, in Erysipelas [Page] as in Phlegmone. Er [...]sipelas about the head, is a busie thing to cure, it catcheth the face most commonlye, and beginneth most of all in that parte of the nose that is called Lepus: & thēce by and by spreadeth all ouer the face, by reason both of the lightnesse of the humor, and the thinnesse of the flesh, in that part. If Erysipelas fall in the baring of a bone, it is euill, and in the wombe of a woman with childe deadly. An exquisite Erysipelas is sieldome ended by suppuration: but is deliuered (for the most part) by insensible out breathings. that whiche becommeth suppurate, corrupte and putrified, is euill, so is it a ve [...]ye euill thing also, when it returneth from the outer partes to the inner againe.

Cure.To take away the antecedent cause from within [...] whence it floweth, firste, order your patientes diet so that it may be cooling and moystning, and so let the ayre be such,Diet. eyther by nature, or else artificiallye prepared: as his lodging low, and celler like, in the earth: let there be where hee is, often pou [...]inges of colde water from one vessell to another, and the pauemente [Page] sprinkled continually with the like: and strewe the place with roses, violets, vine leaues, willowe branches, &c. keepe his belly solluble, and his bodie in rest: auoyding exercise, watchinge, anger, cryinge, &c. Let his meate be, Lettuce, purslaine, sorrell, gourd, barley meate, ryce, ptisan creame, &c. His drinke, Barley water, or small beere, or ale, but forbid him wine, and hote, sharpe, sweete and fat meates &c. And in all these, let him obserue a temperate measure also. The dyet thus ordered, come to your sensible euacuations of the matter: as inward medicines, most specially here auailable. For bloud letting is not in vse, in a legitimate Erysipelas: but when it is Erysipelas Phlegmonosū only: & then the humoral vain, or else the fairest in sight, is to be opened: specially, if the affect be in the face. To come to your euacuation, it is meete, first, to prepare and concoct the matter thus:Invvard medicines. Rec. syr. de succo Endiuiae, syr. nympheae an.℥.ijss. aquarum cichorei, aquarum buglossae, an.℥iiij. santal. moscatellini, ʒj. fiat syrupus: clarifie, and aromatize it for iij. doses. [Page] Or thus: Rec. syr. acetosi simpl. syr. capil. ven. syr. de buglossa, ana, ℥.ij. aquae acetosae aquae lupulorū, aquae graminis, ana, ℥.iiij fiat syrupus: clarifie, and aromatize it for iiij. doses. Else thus: Rec. syr. violarum, syr. ros. syr lupulorum, ana ℥.j. aquarum violarum, aquarum lupulorum, ana, ℥j [...] ss. mixe them, and make your syrope for one dose. The humor being by these meanes sufficiently prepared: purge the same, either by clister, or potion, as followeth. Rec. altheae, maluae, violariae, attriplicis, parietariae, branchae v [...]sinae, lactucae, ana, m.j. 4 s [...]m. frig m [...]. contus. ana, ʒ.iij. anisi, feni [...]uli, ana, ʒ [...]j. prunorum, par. vi. florum viol. borag. buglossae, nenupharis, ana P.j. polipodij, sennae, ana, ℥.j. fiat decoctio: de qua, accipe li.j. cui adde, cassiae, ℥.j. di [...]catholiconis, ℥.ss. mellis violati, ℥.iij. salis, ʒ.j. misce, fiat chister. Your potion you may thus prepare: Rec. tamarindorum, ʒ.vj. prunorum, Iuiubarum, ana, par. 5. passularum, ℥ [...]ss. hordei, Pj. sem. melonū, lastucae, ana.ʒ.iij. florū viol [...]rū boraginis, buglossae an. P.j fiat decoctio, de qua accipe ℥.iiij. in quibus dissolue, cassiae, ℥ [...]ss. diacath [...]l.ʒ.iij. rhabarb. infusi, ℈.iiij. cinamomi, gr. v. syr. ros. lax.[Page]℥.j fiat potus. Or thus: Rec. rad. & fol. lapathi acuti, summitatū asparagi, lupuli, fumariae, endiuiae, cichorij scariolae, sonchi, lenticulae, borag buglossae, acetosae, ad [...]anthi, agrimoniae, an.m.ss. 4. sem. frig. ma. lactucae, portulacae, papaueris, alb [...] an.ʒ.ij. tamarindorū, ℥j. senae, ʒx. prunorū, par. vi. passularū, par xij. florū cordial an. P.j. fiat decoctio ad quart. v. in cola [...]ura dissolue, syr. vyol. & rosati, ana, ℥.ij. zacchari q.s. rhabarbari.ʒ.ij.ss. mixe them for iij. dos. Else thus: Rec. cassiae recent. Diaprunorū lenitiu. ana.℥.ss. mannae, ℥.j. rhabarbari infusi, ʒ.j. syr. ros. laxat.℥.j. cum decoctione florū & fructuū, fiat potio. By these meanes emptie the body,Locall medicines. according to the time, age, & strength of the patient. And to the part, whether the humor flieth, add strength & ayd, by cooling and repelling medicines:Repellēt [...]. such as cold water is, powred vpon the place, & the iuyce of solanū, semperviuū, portulaca, psyliū, [...]yosciamus, lactuca, sedū, intybus, cucurbita, & lenticula palustris. Or thus framed: Rec. aquarum, plantag. rosarum, lactucae, semperviui, ana, part j. aceti, parum, misce, fiat Epithema. Liniments of no lesse force also, maye bee thus ordained: [Page] Rec. ol. ros.℥.iij. olei nympheae, ℥.ij. santali citr. & rub. ana.ʒ.ij. troch. de caphura, ʒ.j. succi solani, aceti, ana, ℥.j. misce. Another: Rec. succi plantag.℥.j. rosacei, ℥.iij. lithargirij nutriti, ℥j. cerusae loiae, ʒ.iij. lactis mulieris, ℥.ss. miscean [...]ur in martareo plumbeo, fiat linimentum. Or, ex cerussa mixta cum aceto, & lycio. vel terra chimolia. Else, ex spuma argenti, cū rosaceo. among the vnguents, vnguentum rosaceum is most vsual, or you may thus prepare one: Rec. vnguenti rosati, Mes.℥.j albumina ouorum mucilag. sem. cydoniorum, ana, q.s. misce. Profitable also is Cera [...]um album, or infrigidās G [...]leni. But [...]he cause conioynde, which is Choller nowe receiued in the part, must be remoued by medicines, that haue propertie to euacuate, and duscusse: as Epithem [...] ex aqu [...] calida, Discuti [...]nt [...] or this vng [...]ent: Rec [...]litharg [...] auri, ℥.j. cerussae lotae.ʒ.vi. succi plantag. lactis mulieris, ana, ℥.j.ss. olei rosa [...]i, ℥ [...]iij. cerae albae. q.s. mi [...]e fiat vnguentum, or a playster ex hordei farina: or, ex cruda polenta: or thus composed. Rec. altheae nouellae, li. j. coquatur in bydrelaeo, contundātur, adda [...]urque, ol [...] [...]osati ℥.iiij. argenti spumae, cerussae, ana.[Page]℥ij.ss. succi solani, micae panis, ana. q.s. fourme them to a plaster. Else this: Rec. virgae pastoris, m.ij. arnoglossae, m.j. coquantur in aqua extinctionis ferri, terantur, addanturque farinae lentium, ol, ros. ana, parum, fiat Emplastrum. Thus haue you your repellents, for the beginning, as also discutients, for the state and declination. There remayneth nowe, to consider of the symptomes,Symptomes. (that here may interrupt the cure,) and howe wee shall buckle with them, as occasion offereth. They are reckoned vp togither, before in this Chapter, among the signes. The first of them is, a returning backe of the matter,Going backe o [...] the matter. which must be met withall, by drawing it forwarde againe: in like sort, as is set downe, in the Chapter of Phlegmon. Hardnesse is the seconde:Hardnes. which must be taken away by some cerate, on this wise prepared. Rec. ol. violati, ol. rosati pingued. gallinae, butiri, ana, ℥.ij. axungiae caprinae, axungiae vitulinae, ana, ℥.j. medullae cruris vituli, ℥.j. mucilagini [...] altheae, mucilag. maluae, Psyllij, ana, ℥.vi. coquantur ad mucilaginum consm. deinde, adde lithargyrij auri, ℥.iij. cerae albae, q.s. fiat ceratum, [Page] further if there bee payne, and burning,Paine and burning. those must be mitigated and extinguished with an vnguente made ex folijs, & radic. hyosciami, in stupis, & coctis sub prunis, deinde mixtis cum vnguento populeone, or with vng. albo cum caphura, or this: Rec. sem. hyosciami, ʒ.j. sem. papaueris albi, ʒ.ij. vng. popul. q.s. misce. the fourth symptome is vlceration,Vlceratiō. which you must [...] again, consolidate with vnguentum album, or de lithargirio, cum pauco recremento plumbi, or thus make your vnguent: Rec. ol. violati, rosati, ana.℥ij. vng. ros.℥.j.ss. lithargirij auri & argenti, an.℥.ss. [...]hutiae, ʒ.ij. cerussae ʒ.vi. caphurae ʒ.j succi semperuiui, & plantagini [...], ana, ℥.ss. misce fiat vnguent. Here is also a liniment, Rec. succi rubi, succi solani ana, ℥ [...]j. olei rosati, ℥ [...]ij cerussae, lithargirij, ana, ℥.ss. aceti pa [...]um, misce. another, Rec. Trochisorum alborum rasi [...], ʒ.j.ss. plumbi vsti, loti, ʒ.j. caphurae, ℈.ss. olei rosati, ℥.iij. cerae, q.s. misce fiat [...] nimentum. The last of the afore [...]amed symptomes, is putrefaction,Putrefaction. whiche is to be cut off by the meanes afore vsed in Phlegmone.

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CHAP. VII. Of Herpes exedens, or depascens.

THese are euil pustules,Def. of cholericke generation, eating, & feeding (as it were) vpon the skin.

They proceede of a thicke,Causes & signes. & sharpe sort of yellow choller, flowing into a part. Therefore consider, if there bee aboundance of yellow choller in the bodie: for so you shall acknowledge the disease it selfe the better. As for the other signes thereof [...] they are euident: as vlceration of the skinne, euen downe to the flesh vnderlying, small eating and spreading pustules, with inflamation, itching &c.

The antecedent cause,Cure. which is a ful flowing of choller to the part affected [...] must be scoured out from within, whence it descendeth: as also from the part, whither it maketh his resort, by conuenient meanes. First therefore,Invva [...]d [...] medic [...]ne [...] set downe the dyet that is appointed for Erysipelas: then alter and prepare the [...]umor on this wise: Rec. syrupy endeuiae, syr. lupulo [...]um, syr. ace [...]os. simpl. ana, ℥.ij. aq [...]ae graminis, aquae[Page]buglossae, aquae lupulorum, ana.℥iiij. san [...]al. moscat.ʒ.j.ss. Mixe them & make of them a [...]yrope for iij. doses: then prepare your purgation, either in forme of bole, po [...]ion, or electuarie, on this wise: Rec. cassiae nouiter [...]ractae, ℥.j. rhabarbari, ℈ij. Cinamomi, gr. iij. mixe them, & cum Zaccharo make your bole. The potion. Rec. pulpae ta [...]arindorum, ʒ.vi. sennae, ℥.si. mirabol. ci [...]℈.iiij. [...]hymi, epi [...]himi, ana, ʒj. passularum, par. vi. florum cordial. ana. P.j. fiat decoctio, in aqua horde [...]: in colaturae, ℥.iiij. dissoluantur, diacatholiconis, ʒ.vi. diapr. sol [...] ʒj. si. syr. ros. lax.℥.j fiat potio. The electuarie. Rec. pulpae tamarindorum [...] ℥j. cassiae nouiter extractae, ℥j. si. sennae, ʒ.vi. elect. de succo rosarum, ʒ.iij. rhabarbari.ʒij. cinamomi, ℈ss. syr. violati. q.s. fi [...] electuari [...]m: of which, let them take, once a weeke, the dose is ʒ.vi. or ℥.j. Now that in the affected parte, the humor may finde no setling,Outvvard meanes. you shall vse reuulsion, both by frication and ligatures, on the contrarie partes: as likewise, cooling and drying medicines, to the place it self, to beat them back againe: to wit, such as these: balaustium,[Page]calix glandium, capreoli vitium, folia oleastri, folia salicis, folia rubi, lactucae, lens palustris, malicorium, poligonion, plantago, portulaca, Rhus, seris, s [...]mperviuum, solanum, &c. of which you may compound your medicines, fit for the purpose: as for example: a plaster, ex corticibus mali granati in vino decoctis, & rhu, & farina hordei: or thus made: Rec. malicorij, ℥.iiij. Rhois vtriusque, ana. m.ij. farinae hordei, ℥iij. coquantur in vino aust ero, & fiat emplastrum. Another: Rec. plantaginis, summitatum vitis, rubi, oleastri, ana.m.j. balaustiarum, P.ij. [...]iat decoctio, de cola [...]ra accipe ℥.x. quibus adde, farinae hordei, ℥j farinae [...]upinorum, ℥.ss. olei rosacei, ℥.j.ss. coquantur, & fiat Emplastrum. Thus much for the antecedent cause: the course wherof, being cut off, you shal tame the conioyned, (that is, the tumor alreadie setled in the place) with discutients, and drying medicines: such as vnguentum diapompholygo [...]: or, Rec. laenae succidae vstae, ʒ.ij. corti [...]is pini vsti, & loti, ʒ.j.ss. adipis caprini, ℥.iij. cerae. q.s. fiat vnguentum. Else this plaster: Rec. succi plantaginis, succi solani, ana.℥.j. succi rad. lapathi, ℥ss. balaustrij,[Page]P.j. rosarum rub.ʒ [...]j.ss. aluminis, ʒ.j. aceti.℥.ij. coquantur ad aceti, & succorum consm, deinde [...]erantur in mortari [...] plumbeo, addendo, lithargirij vtriusque anae, ℥ij. cerussae, ℥.j. thutiae, ʒ.ij. These you adde, if you couet a medicine verie drying: else, at your discretion, leau [...] them out. scoriae ferri, praeparatae, ʒ.ij. floris aeris, ʒ.j. fiat emplastrum. Lastly, the vlcer it selfe, must be wyped, dried, and brought to consolidation, proceeding (as need requireth) from gentler, to stronger meanes: as: Rec. centinodiae, plantaginis, solani, ana, m.j. calicum glandiū, vel nucum cupressi, ana, par.x. baccarum, & fol. mirthi, malecorij, balaustij, ana, ℥.j. acatiae, hypocystidis, ana, ʒ.vj. mirrhae, thuris ana ʒ.v. fiat decoctio in aqua fabrorum, and therewith wash and foment the place. Also: Rec [...] lanae tedaceae combustae, ʒxij.ss. cerae, ʒ.xxxv. olei mirthini, ℥.v. misce: or. Rec. malecorij dulcis, ʒ.vi. spumae argenti, ʒ.vi. lanae tedaceae, illotae, combustae, ʒ.iij. cerae, ʒ.xij. cerussae, ℥.j. thuris, aluminis scissi, ana, ʒ.j. cum vino vel oleo myrthino, fiat vnguentum. A slight vnguent also may you make, ex plumbi recremento, & succo rutae. When you finde these of the gentler sort, vnsufficient, in force: you haue these of vehementer working: Pastilli musae, [Page]pastilli Polyidae, pastilli Andronis: or, Auicen his Pastilli calidicon, and Aldaron: Else, arsenicum sublimatum, tritum, & mixtum cum vnguento albo, and applyed with lints, plageats, or such like: obseruing by the waye, that alwayes, when you vse such vehement workers, you defende the place, rounde about, with vnguentum de bolo: or, Oxycratum which is a mixture, ex aqua & aceto.

ANNOTATION.

a These you adde, if you couet a medicine verie drying: else, at your discretion, leau [...] them out.

CHAP. VIII. Of Herpes miliaris.

THese are certain small pustules rising vpon the outmost skin,Def. like the seedes of Millet. The antecedent cause is yellowe choller,Causes & signes. mixt with som thinne flegme, which the signes of choller & flegme, abounding in the bodie, wil declare. beside the pustles, there is heate also, or a little inflamation, with itching, & the colour tending towards Citri [...]e.

[Page] Cure.To deale with the cause antecedent: first set downe a dyet that may contrarie both choller and flegme: then prepare and concoct the humors with this syrupe:Invvard medicines Rec. syrupi de Endiuiae, ℥.j. syr. de duabus radicibus, oxymel. simpl. ana.℥.ss. aquae endiuiae, aquae lupulorum, aquae borag. aquae capillorum veneri [...], ana ℥.j. misce, fiat syrupus, pro vna dosi. Then purge either with this bole: Rec. cassiae nouit. extractae ℥.j. diapheniconis, ℈.j.ss. rhabarb.℈.j. misce, cum zaccharo fia [...] bolus or this potion: Rec. Endiuiae, m.j. rad. cichoreae, faenugraeci. ana.℥.s [...]. florum cordial. ana, P.j. sem. anisi, lac [...]ucae, ana ʒ.ij. passularum, iuiubarum, sebesten, ana, ℥.ss. glizerizae [...] ʒ.ij. sennae, ʒ.x. agarici, rhabarbari, ana ʒ.ij. zinzibri [...].ʒ.j. spicae indicae, ℈ij sa [...]s gemmae, ℈.ij. coquantur secundum artem, & fiat potio, pro duabus dosibus. Cui addantur, syr. rosa, laxat.℥.ij. Else, if you had rather haue pilles [...] thus: Rec. pill. agregatiuarum, pil. de fumoter. ana, ʒ.j. agarici [...]roch.℈.ij. turpeti, ℈.j. cum syr. ace [...]oso fiant pillulae: whe [...]eof giue ʒ.j. for a dose. To the part whither it floweth, must you minister repellents (vnlesse the matter be verie aboundant, and [Page] the bodie vnpu [...]e, as a plaster,Outvvard meanes. ex duobus granatis: or, ex arnoglossa, cum puluere balaustiorum, & gallarum viridium: else made, ex succorad. lapathi acuti, aceto & puluere balaustiorum & aluminis. Either: Rec. gallarum, balaustij, malecorij, boli armeni, ana.℥.j. aquae rosarum, ℥.iij. aceti, ℥j. misce. Nowe, that which hath setled it selfe, and so sticketh in the affected part, must be discussed cum aqua sublimata, or, succo asphodeli, smilacis asperae, solani, plantaginis: or, cum oleo genistae, &c. A linimēt. or else compounded ones: as, ex glaucio, diluto cum aqua: or, ex gummi prunorum cū aceto: or, ex capitibus piscium salsorum, crematis, & in puluerē redactis, & vino dilutis: or, ex lana succida, vsta, & tri [...]a, cum aqua peculi rosarum. Else: Rec. aeruginis rasilis, sulphuris, ana, ʒ.j. aquae sarmen [...]orum vitis, dum comburuntur. q.s. [...]ise, fiat linimen [...]um.

Of Flegmatike Tumors. Of the true or legitimate Oedema. [Page] CHAP. IX.

Def. OEdema is a certaine loose, vnpainfull tumor, proceeding of flegmatike humors, flowing into any part.Causes & signes. It is therefore apparant, that the antecedent and conioyned causes are flegme, the one yet flowing, the other flowed, & heaped now, togither in the mēber: both which also may haue procurement from outwarde causes: as falles from height: strokes, surfeting &c. which are easily vnderstood by the patients relation. The Tumor is loose & soft, easily yeelding to the pressing of the finger, and retaineth the pit after the finger is remoued. The paine is little or none, the heate small, the colour whitish or pale.

Prog.The termination of Oedema is most by resolution, seldome by suppuration: and often, by changing into nodes & other abscesses. Winter is the chiefe time of their raigne. And olde age is oftest troubled therewith.

Cure.First for the antecedent cause,Diet. set downe your dyet contrarie in qualitie: [Page] to wit, heating, drying, and making thinne: As thinne and dry ayre, moderate exercise, and specially of the contrarie partes: short sleepe, and only on nightes: if the bellie keepe not soft naturally, order it by art thereunto: as by giuing figges fasting. stuffed with the pulpe of sem. carthami. Let his bread be well baked, his meat, Weather mutton, mountaine birdes, or made with Otemeale, &c. his wine, white, cleare, sweete smelling, or pallet, forbidding all po [...]age, herbmeat, [...]eige, or papmeat, all It comprehendeth all pease, beanes, chiches, rice, and such like. pulse, fruites, fishes, milkemeates, cheese &c. The dyet so appointed, come to the purging of the flowing homor, that so the course therof may happely be intercepted. Not omitting also, first to prepare the humors to euacuation, to which purpose, these simples serue verie fitly: radic. cyperi, acori, galangae, ireos, enulae, apij, petroselini, graminis, asperagi, rusci, faeniculi. Also betonica, saluia, hyssopum, melissa, polium, pulegium, calamentum, origanum, maiorana, abrotanum, mentha, absynthium, camaedryos, chamaepy [...]eos, herba paralisis, agrimonia, capil. ven. sem. calida lignum sanctum &c. [Page] Of which you may compounde simples on this wise:Preparatiues. Rec. mellis ros. colati, syr. acetosi, simpl. ana.℥.iij. aquae melissae, maioranae, buglossae, ana, ℥iiij. cinamomi, macis, ana, ℈.ij. misce, fiat syr. clarif. pro iiij. dosibus. Or thus: Rec. syr. de hyssopo, de staecade, oxymellis s [...]il. ana, ℥.ijss. aquae saluiae, betonicae, faeniculi, ma [...]oranae, ana, ℥.iiij. cinamomi, aroma [...]. ros. ana.ʒj. misce fiat syr. pro 5. dos [...]bus. An apozeme to the same purpose: Rec. rad. ireos, galangae, ana, ʒ.vi. rad. apij, pe [...]ro. selini, asparagi, ana, ℥j betonicae, melissae, chamaedrios, chamaepiteos, herb. paralisis, ana, m.j [...] capil. cōmunium, ana, m.ss. sem. anisi [...] ℥ij. sem. faeniculi, carui, cinnimi, ana, ℥.ij. sem. melonum.ʒ.vi. passularū, par 8. sem. carthami, ℥.ij. sennae, ℥.j.ss. florum genistae, cicerum rub. staecadis, buglossae, ana, P.j. [...]iat decoctio: de qua accipe, li [...] ij. quibus adde, mellis ros. colati, syr. de absymhio, ana, ℥.ij. zacchari. q.s. aromatici rosa [...] ʒij.ss fiat apozema, clarificetur pro vi. [...]osibus. The humors being nowe wel prepared, must be purged out, either by the belly, or by vomit. Of the first sort you haue your choyce, both in number and forme.Purgatiues. Rec. diapheniconis, ʒij. electuar. Indi maioris, ʒjss. [Page]diacatholiconis, ℥ [...]ss. zacchari. q.s. misce fiat bolus. Another: Rec. elect. diacarthami, elect. de citro sol. ana, ℥.ss. zacchari q.s. misce fiat bolus. A potion for the purpose thus. Rec. med [...]. sem. carthami contusi, ʒiij. sennae, ʒ.ij. agarici [...]rochis [...].ʒ.j. fiat leuis decoctio: in colaiurae ℥.iiij. dissolue electuarij diaturbi [...]h, vel de citro solutiui, ʒ [...]iij. syr. ros. laxat.℥j. misce fiat potus. If you had rather haue pilles: Rec. pillul. chochiarum, pil. arthriticarum, ana, ʒ.ss. cum syr. de staecade fiant pillulae, n.ix. or, Rec. pil. de agarico, pil. agregat. ana, ℈.ij. cū aqua betonicae fiant pil. no. vij. Else: Rec. pill. imperialium, pillul. faetidarum ana, ʒ.ss. cum aqua absynthij fiant pillul [...] no. vij. If you thinke [...]o do it by vomit more commodiously, as if the Tumor bee in the inferiour partes: (for then it is commended, because of reuulsion:) you shall prouoke the same, with oleum commune: or oxymel: or a decoction made with the seedes of Attriplex: or, nasturtium: or with the rootes of Radish. [...]utvvard meanes. In the meane time, that the matter flowing may finde no settling in the affected parte: the same must be fortified in the beginning [Page] with repellents, somewhat mixt with discutients, but if the affect be in the augmentatiō, the discutiēts must be somewhat more forcible, for thus defēding and strengthning therfore of the affected part, make an Epithema, ex duabus aceti partibus, & vna aquae, wherein, a newe sponge being dipped, minister it to the place [...] but on such wise make your binding on the sponge, that the beginning of your rowling be beneath, & the finishing thereof aboue, els your epitheme may be made, ex nitro, aphronitro, & lixiuio. a cloth also wet therin, & applied or it may cōsist, ex decoctione nitri, or spumae nitri, & cinerum & aceti, or thus cōpounded, Rec lixiuij acerrimi, ex cineribus caulium, sarmentorum vitis, ficus, & tartaro confect.q.s. aceti. q.s. olei parum, misce fiat epithema: in this also wet a sponge and foment the place, another: Rec cinerum sarmentorū vitis, ficus brassicae, tamarisci, ana, p.j. fol. ebuli, tamarisci, an. m.ss. boli armeni, ℥j.ss. aquae in qua ferruna fuerit extinctum. li. iij. aceti ℥.iiij. make a decoction, to the wasting of the third part, and therewith foment the tumor, & bind it vp with [Page] your rouler, being dipped in the same but first the part must bee annointed with this liniment, before you binde it vp Rec. cineris brassicae, velilicis, ℥.ij. axungiae suillae, ℥.iij. misce fiat linimentum, an vnguent for the matter you must thus prepare: Rec. bol. arme. acatiae, ana, ℥.j. cyperi, ℥.ss. aloes, mirrhae, ana, ʒ.v. croci.ʒ.ss. succi brassicae, ℥.ij. ol. rosati, ℥iiij. aceti [...] ʒ.j.ss. cerae. q.s. misce fiat vng. if you with your medicine in forme of a plaster, Rec. aloe [...] [...]ycij, mirrhae, acatiae, sief de glaucio, cype [...]i, croci, boli armeni, ana partes aequales: puluerizentur, & cum suc [...]o caulium & aceto, fiat emplastrum, another: Raec. nucis cupressi, squinanthi, farinae hordei, far. lupinorū, an.℥ s [...], blattae bizantiae aluminis, ana, ʒ.ij. sem. papaueris corniculat [...] ʒ.iij. aloes, mirrhae, ana, ʒ.j. suc. brassicae, a [...]et. an. q.s. acatiae, hyposistidas, an.ʒij stercorir columb. stercor. capr. an.ʒ.iij. misce fiat Emplast. when the matter is impact, & hath nowe got lodging in the place, consider whether the same be thicke, or else of a thinne substance, that may be resolued. For if so be, that it may be otherwise spēt, thē by ripening, frame your self thus to it [Page] by digerent or discutient medicines [...] as an epitheme, made ex lixiuio, ex cinere ficus, vitis, & ilicis facto, and apply the same with a spunge, or a liniment thus prepared: Rec. aluminis, sulphuris, mirrhae, salis, ana partes aequales, ol. rosati, aceti ana. q.s. fiat linimentum. Another: Rec. suc. ebuli, sambuci, oxylapathi, leuistici, faeniculi, ana, ℥.j. vng [...] dealtheae.℥.iij. mellis.℥.j. ol. chamomelini.℥ij. coquantur ad succorum cons. fiat linimentum. In forme of plaster, thus: Rec. stercoris vaccini, li.ss. olibani, styracis, musci arborum, calami aromatici, spicae, absynthij, ana, ℥.ss. confice omnia eum aceto [...] & decocto caulium, & fiat Emplastrum. Another: Rec. sulphuri [...], ℥.j. stercoris, columbini, ʒ.x. far. fabarum, ℥j.ss. mellis, ℥.j.ss. succi brassicae, q.s. fiat Emplastrum. Another: Rec. fol. ebuli, sambuci, absynthij, ana, m.j. aluminis. sulphuris, salis, ana.℥.ss. coquantur, terantur, addendo, dia [...]theae, ℥.ij.ss. [...]xungiae suillae, ℥.j.ss. mellis, ℥., j. fia [...] Emplastrum. Another: Rec. rad. cucumeris agrestis, ℥ij. origani, vel brassicae, m.j. far. horde [...], ℥.j. coquantur, terantur, & fiat Emplast. If contrariwise the matter being considered, be found grosse [Page] & vnfit for resolution, frame to maturate it, cū vng. Diachylone: or plasters to the same ende contriued, in this sort: Rec. maluae, branchae vrsinae, rad. lilij, ceparum, assarū limacū, fermenti, sem. lini, ana, q.s. boyl them & work them in a morter cū axungia vel butyro, to the forme of a plaster. Another: Rec. suc. ebuli, sambuci, oxylapathi, leuistici, marathri, ana, part. j. dialtheae, mellis, olei, butyri, ana q.s. coquantur, & fiat emplastrum. Another: Rad. altheae ℥.iij. rad. liliorum, ℥ij. caricarū, par. v. florū chamomelini, & meliloti, ana, P [...]j. farinae hordei, & faenugraeci ana, ℥j coquantur, & terantur, addendo pingued. gallinae, butyri recentis, olei Chamomelini, liliorum, ana, ℥.iiij. rad. brioniae, rad. cucumeris agrestis, ana.℥.ij. ol. liliorū li.ss. ol. de costo, ℥.iiij. vini, ℥iij. coquantur ad vini consumptionem, terantur, addendo far. sem. lini, & faenugraeci, ana, ℥.ij. fermenti, ʒ.j.ss. pingued. anse [...]is, ana [...]is, ana ℥.iij. misce, fiat empl. Another: Rec. rad. liliorū, ℥.ij. cepae, ℥ij.ss. altheae, maluae, an. m.iss. chamomil [...]ae, m [...]liloti, ana, P.j. fars [...], lini, faenugr. ana, ℥j coquantur, & te [...]antur, addendo, axungiae su [...]llae, ℥.iiij. misce fiat emplaestrū. Whe [...] the tumor is ripe let it be opened with some hote yron, [Page] or causticke. And because that in this case the natural parts (many tymes) are weake ynough,To strengthen the naturall parts. & the body stādeth in neede of hartening: you shal not neglect, to prouide for the stomack both inward & outward meanes, as followeth: Rec. conseruae florum staecados, cō seruae rorismarini, an.℥.j. corti [...], mali citri, conditi, ℥.ss. mirabol, emblicorū, condit.ʒ ij. specierū diacinamomi, ℈.ij. cū syr. de corticibus citri, fiat electuarium, wherof let the patient take the value of a nu [...]t, j. houre & a half before euery meal, Lozenges. Rec. spec. aromat. ros.ʒ.j. sp. diagalangae, ℈.j. pul. corallorum, santali, citrini, an.℈.ss. corticum citri conditi, conseruae ros. vet. an.ʒ.j.ss. zacchari in aquis menthae & absynthij dissoluti, q.s. make thē lozēges, euery one weighing ʒ.ij. and let him eate one fasting euery day. A dredge: Rec. coriandri conditi, ℥.iij. anisi, faeniculi, an.℥.j. pul. cotoneorum, ʒ.ij. cinamomi, elect.℈.iiij, spec. aromat. ros.ʒij. zacchari. q.s. fiat tragema, wherof giue after euery meal j sponful cōmanding the patiēt to abstain frō drink after it. for the outside you may make for the stomack this vng. Rec. ol. lentiscini, mastichini, ros [...] an.[Page]℥.j.ss. nucis moscatae, cariophilorū, an.ʒj cort. sic. suc.℈.ij. coralli vtriusque, an.ʒ ss. florū chamom. aneti, an.℈.iiij. spicenar. squināthi, an.℈j. acet. parū, cerae, q.s. fiat vng. A plaister for it, thus: Rec. mas [...]ae empl. pro stomacho, ℥.ij. cerati galen. emē dātis vitia stomachi, ʒ.j.ss. tereb. parū, misce, fiat empl. If now in the proces of the cure, there fal out accidēts troublsome, & hindring the cure, as payne, hardnes or vlcer, you shal not be with out means likewise to answer thē accordingly: & first delay the pain with Oesypo humida, or vino cocto, or a cerate cōpoūded ex ol. chamomael. nardino, absynthino, & cera, or this liniment. Rec. O [...]sipi.℥.j, ss. passi, ol. chamomael. vel anethini ℥.j. misce, fiat linimētum. Hardnes, if ther be any, you shal saftē with medulla bubula, or ceruina, &c. or an vng [...] thus prouided: Rec. axung. bubul.℥.iiij galb. bdel. ammoniaci in acet. dissol. an.℥.j ss. picis, ℥.ij. terebent.℥.iij. mirrhae, ʒ.iij. cortic. thuris, ℥ij. ol. veteris.℥.iiij. misce fiat vnguentum, another: Rec. mucilaginis altheae, sem. lini. mucilag. faenugraeci, an.℥.iiij. far. hord, ℥.iij. axungiae gallinae, cl. liliorum an.℥.ij. butyri, ℥j. croci, ℈.j. ammoniaci, bdellij, styracis, ana, q.s. [Page]vitellorum ouorum, numero ij. misce, fia [...] vnguentum. If it come to an vlcer, then whilest it is foule, cleanse it with a mundificatiue ex apio, or apply vng. apostolorum: so after it be cleansed, fil it vp with flesh, and when it is plaine, couer it with a cicatrize, as, in many other places you are instructed.

ANNOTATIONS.

a This Tumor is of two sortes: one gathered & limited within a certaine place, called properly and simply, Oedema: the other diffuse, & vnbounded: more rightly termed Tumor Oedematosus. This is of Phlegmatike bloud [...] ioyned with euil disposition of the liuer, and vnconcocted iuyc [...] distributed, and that alwayes: the other, though sometime with such infirmitie of the natural partes, yet other some time of naturall Phlegme, & of outwarde causes only: which is then also to be cured by outward medicines. But Tumor Oedematosus, Tumor Aquens. called of some the watrye tumor, requireth both inward and outward meanes, though of like nature, to the helpes, of a simple Oedema: yet by so much the more forcible, as it is in degree a stronger enimie. [Page] and so for this cure, you may proceede in the same way, of the last chapter, intending and strengthening al your meanes as circumstances shal leade you: knowing that the difference of these diseases, is not such as might require other scop [...]s of cure, or new natured medicines, but rather discree [...] prouision, that those your remedies maye bee of strength ynough so matche, and finally vanquish the power of a stronger disease: and this not in the inner medicines only, but in the outer also, as here for a supply, followeth: Apply a newe sponge dipt in oxy [...]hodino, wherein salt is dissolued,A mixture ex oleo ro [...]aceo & aceto. or foment the place cum lixiuio ex cineribus, sarmentorum, caulium, ficus, ilicis, quercus & tartari, addito s [...]le, vel aphronitro, vel sulphure, some adde to their Lixiuium, Aristolog. rotun ammoniacum, & bdellium, but first euer arming the partes agaynste the sharpenesse of the lee with some ointment, as you may doe with this liniment or vnguent following. Rec. Salis nitri, ʒ.x. p [...]peris, baccarum lauri, ana.ʒj. ol. laurini, ℥.vj. cerae. q.s. fiat linimentū: some adde Pulpam passul. Rec. radi. iteos. & cucumeris agrestis, nucum cupressi, o [...]sis tibiae hominis, cinerum[Page]rad. brassicae, ana [...] ʒ.ij boracis, nitri an.ʒj. ol. anetini, cerae, an. q.s. fiat vnguēt. A plaster of great cōmendatiō: Rec. sem. sinapi, sem. vrticae, sulph. aristolochiae rot. spumae maris, bdellij. an.℥j. ammoniaci, ol. vet. & cerae an.℥, ij. fiat empl. good also for the flatuous tumor. Hitherto to pertaineth hydrocephalus, and hydrocele, handled among the particular tumors.

b It comprehendeth all pease, beanes, chiches, rice, and such like.

CHAP. X. Of the flatuous tumor.

De [...]. TVmor flatuosus springeth of a gathering of windie spirites, eyther vnder the skinne, or else vnder the membrans which couer & clothe the bones or muscles.Causes & signes. The efficient cause is imbecility of naturall heat, & then the party hath weake concoction, and is giuen to a quiet or idle life, &c. the materiall cause antecedent, is flegmatick humor, out of which, windines is easily gendred, & therefore colde and moist tēperature, flegmatick diet, surfeting [...] idlenes, slouthfulnes, old age, &c be signs therof. the cōioind cause i [...] the flatuous spirits now already retained, [Page] either vnder the skin, or some membrans, thorow which they cā get no passage, for the thicknesse or close substance of those parts. the signes of the cōioind cause, & so of the disease, are, a tumor or swelling in any part, with a certaine brightnes or shining, which being pressed with the finger, sheweth a certain resistance, & sometime being smitten vpon, yeeldeth a soūd, like a bladder, or taber, the partie feeleth very oftē, some wandring windines, run hither and thither thorow their body: the paine is extensiue, or stretching &c. Flatuous spirits not discussed,Prog. bring many discōmodities. vaporous pufts coursing hither & thither thorow the body, with pain & anguishes, are greatly to be feared, for it is a token that some venimous matter was the occasion of them. Because the antecedēt cause which is the flegmatik humor,Cure. aboundeth in such a body, or specially the stomach, first prouide bi diet to diminish the same,Diet. vz. let his aire be temperate his sleepe shorter, his belly solluble, his exercise moderate, his breade of barlie, wherein also beside salt there is some [Page] cummin mingled, his brothes of chiches with onions and parsley, his flesh meates, Weather mutton, veale, and mountaine birdes, his drinke Very auaileable ha [...]e I founde it to tonne vp in new ale, the hearbe called of Matthiolus Common Eupatorie, & when it is sta [...]e ynough, giue it to the papatien [...]: for his continual drinke. white odoriferous wine or pallet, in the meane time forbid as hurtfull, all grosse, viscous, raw, flegmaticke and [...]atuous meates, suche as are sweete thinges, pulse, raw fruites, rape rootes chestnuts, milke, cheese, &c. generally also obseruing, that his diet all times be spare ynough in quantitye, secondly his diet so set, prepare by medicins, the humors fit for purging, thus:Invvarde meanes. Rec. syr. de duabus radicibus, mellis [...]o [...]. an.ʒvj. aquae faeniculi. aquae capil. ven. aquae scabiosae, ana [...] ℥.j. misc [...], fiat syr. pro vna dosi, and so after accordingly for fiue or sixe doss. thē purge either with clister, made with thinges discussing windinesse, or this potion: Rec d [...]acatholici ℥.j. diaphaemic.℥.ss. cum aqua faeniculi & de fumoterrae, fiat potio breuis, addendo, diacymini, ℥.ss. the measure of your purging in this, as also in other matters, must be according to the age, temperature and strength of the patient, & so the quantities to bee encreased or diminished accordingly. [Page] thus hauing foreseene for the antecedent cause:Outvvard meanes. the conioynd must bee attenuated, discussed and s [...]attered by all meanes. Simples seruing to that purpose, are these: anisum, faeniculum, daucus, carum, cuminum, seseli, apium, petroselinū, ruta, baccae lauri, ol. Irinū, laurinum, rutaceum, nardinum, costinum, Ricininū, ol. spicae, nucum, de [...]uphorbio, de piperibus, lixi [...]ium applied with a new sponge of these againe and such like, may be compounded diuers formes, for your vse as here [...]olloweth. And Epitheme, Ex sapa, cum vino, & exiguo aceto, & oleo, applied with lana succida, or an Epitheme, made ex parietaria, Centaurio, aniso, faeniculo, dauco, caro, cumino, Chamomilla, anetho, staecado, roremarino, melle, furfure, &c. or ex lixiuio, cum sapa & oleo mixto, & spongia excepto. or, ex The vncleane sweatinesse of men of great excercise. strigmentis gymnasiorum, calce viua, ex aqua, & vino, simul coctis. else ex lixiuio, cum nitro, & aceto: otherwise ex decocto hyssopi, cum oleo rutaceo, or, Rec. sapae, ℥.iij. olei ane [...]ni, saponis mollis, ana, ℥ ij. misce, fiat Epithema: and herein moyste a sponge or flanke wooll, and applye the same. a quilte for the same you may make, [Page] after this sort: Rec. milij. li.j.ss. salis, li.j. artemisiae, maioranae, an. m.j. se. carui, faenugreci, cumini, ana.℥.j. florum Chamomille, florum meliloti, florum stecadis, florum anthos, ana, p.j. torrefiant omnia in sartagine, and make thereof ij. quilts, which being ouersprinckled with som pleasāt wine, must be warm aplied to the part affected [...] afterward annoynting the part with this vnguent: Rec. r [...]d. gentianae, ℥.j. agrimoniae, [...]halamenti, origani, ana, ℥.ss. rubiae tinctorum, ʒ.iiij squinan [...]i, masticis, ana, ʒ.j.ss. spicaenardi, croci, ana, ℈.iiij. aquae vitae, ℥.j.ss. olei anethini, ol. nardini, ol. de cast [...]reo, ana, ℥.iiij. [...]erae, q.s. siat vngent. Or this: Rec. ol. anethini, ol. rutacei, ol [...]laurini, ol. spicae, ol. mastichini, an ℥.j. calamēti, cen [...]aurij, absinthij, maioranae, tritorum, ana, ʒ.j. sem faeni [...], rutae, lupinorum, baccarū [...]auri, an.ʒ.ij. mellis crudi, q.s. fiat vng. Another: Rec. ol. chamomelini, olei anelini, olei amigdal. amar. olei rutae, ana, ℥.j sem. anisi, faeniculi, dauci, ser [...]. cumini, car [...], ameos, & rutae, ana, ℥.j.ss. Vini albi, ℥.iij. coquantur vsque ad vini cosm. expressioni adde, cerae, q [...]s. fia [...] vnguentum. Plaisters likewise for the purpose you haue: de baccis lauri, [Page]& de semine [...]inapi: Or thus compoū ded: Rec. propoleos, li, j.ss. ros. rubr.℥.j. coquantur in vino albo, pinsantur, addanturque piperis, caryophilorum, nucis moschatae, zinzibris, an.ʒ.ij. cumini, anisi, faeniculi, sem. apij, ameos, ana, ℥.ss. ol. chamom. ol. anethini, ol. rutae, an.℥.ij. fiat Empl. Minister this plaister warme: but first scarifie the place superficially: and chuse of these for your turne, the most cōuenient, and of proportionable facultie, both for the place affected, & tractability of the matter. In the meane time, if naturall [...]eat be weake, and so be founde an effitient, in this matter, stir vp and refresh the same both by heating diet, afore prescribed, as also by medicins strēgthening the cōcoctiue vertue, cheefly of the stomach. to which end, you haue both inward and outward ones. To take inwardly for that purpose, diaciminū, diacalamēthū, aroma icū ros. diagalanga, diacinamomū, dianisū, &c. very auaileable also is this dredge. Re [...]. anisi marathri, carui, dauci, cumini, bac. lauri, an.℥.j. glycyrrhizae, galāgae, zinzibris, an.℥.ss. caryophil. cub [...]bar. piper. se. rutae, an.ʒ.ij. anisi, zaccha. [...]bducti, ℥.iij. zac. li ss.[Page]misce fiat puluis. Outwardly applye ol. Nardinum, absynthinum, menthae, costinū, [...]utae, nucis moschatae, &c. Now, if in the case of a flatuous tumor there bee pain foūd as a cōpaniō io [...]ned with it,Pame. striue first to mitigate the same, and then discusse the flatuous matter afterward [...] and if the flatuous spirit pro [...]ceede of a venemous matter, then shall you vse this Art to remoue the same: first binde the part both aboue and beneath the place, & in the middest between, open the tumor with youre incision knife, or a hote yron, so as that the venemous matter may haue easie passage out, this done, dresse vp the wound with a mixture m [...]de ex aloe, bolo armeno: ol. [...]o. & aceto. After three or four days endeuour to fil it vp with flesh [...] & so to cicatrize it, as Art require [...]h

ANNOTATIONS.

a Very auaileable ha [...]e I founde it to tonne vp in new ale, the hearbe called of Matthiolus Common Eupatorie, & when it is sta [...]e ynough, giue it to the papatien [...]: for his continual drinke.

b The vncleane sweatinesse of men of great excercise.

[Page]

CHAP. xj. Of the Tumor called struma.

STruma is a tumor, in whiche vnderneath certaine as it were, glandules made of matter and blood, And inclosed with a membran. do grow, & these haue their place most of all in the necke: though they sometime be found in other places also.Causes and signes. The inward cause is flegmatik humor wherwith thē likely, the body aboundeth, by reason of such a diet, vsed before time: & surfeting idlenes, or resty life whereto the party is addicted, &c. outward causes befals, strokes and surfeting life, &c. which things by the patients relation are easily found out.

They which haue a narrow & short forehead,Prog. with temples flat, as it were compressed, and large iawes, those are subiect to wennes. these kinde of tumors doe not lightly come to maturation: but if they do, and after be so healed, for the most part, yet they spring agayne, neare the cicatrize of the olde. The Struma that is small, of a gentle condition, and superflu [...]icious [Page] in the skin, is easily cured [...] cōtrari wise, if it be great, of a malign nature, and deepely lodgde, it is hardlye healed. againe if it be of late growth, it may be resolued and discussed, but the inueterated ones cannot [...] children often, old men s [...]eldom are takē with this tumor. Pain and heate in struma, sheweth that it either tendeth to suppuratiō, or else degenerateth into a fistule, or Cancer.

Appoint your diet such, as may both drie,Diet. somewhat heat, & make thinne: as temperate ayre, exercise before meate, the meats of good iuice & easie concoction, pleasant wine, &c. auoyding moyst, marrish, low or cellarlike habitation, ouermuch repletiō & satiety: also such thinges as breede vpbreyding, and loathing in the stomack, grosse meats, drinking of cold water, idlenesse, or restye life, &c. let the quantitie alwayes be spare, yea so that if the partie sometime abstayne vtterly from meate, it shalbe very auaileable for him. then proceede on, to the more sensible taking away of the antecedent cause, by medicine: as firste, preparing the humor by [Page] his syrupe: Rec. oxymellitis compos. syr. de stechade, mellis rofati, ana, Invvarde meanes. ℥.ss. aquae scabiosae, aquae fumiterrae, ana, ℥.j. mix them and make a syrupe for one dose, and so after for moe, as neede requireth. when the humor is prepared, purge then with this potion: Rec. diaphaeniconis, diacatholiconis, elect. indi maioris, ana, ʒ.ij. cum decoctione cō muni fiat po [...]us. Or the pouder of T [...]rbith, of Auicen or Rhasis his description, or els prepare a magistral pouder, in this order: Rec. rad. aristol. rot. raphani, rad. spathulae faetidae, an.ʒ.j. pimpinellae, pilosellae, rutae, an.ʒ.ij. scrophulariae, philipendulae, an.℥.ss. anisi ʒ.ij. zinzibris, ʒ.j. turbith [...] sennae, an.ʒ.iij. zaccha.℥, iiij. make herof a pouder. wherof let the patiēt take euery morning fasting j [...] sponefull in white wine. you may purge also with hiera pigra, pil. chochiae, or pil. de agarico, &c. After cō petent purging, by the common passage of the belly, it will be further also conuenient to clense the bloud by the wa [...]s of vrine: whervnto this po [...]iō serueth: Rec. s [...]rofulariae m.iij. philipped. m.ij. pimpinellae, pil [...]sellae [...] tanaceti, caulium rub. rubiae ma. an. m.j. rad. [...]rist. ro [...].[Page]spa [...]hulae faetidae, [...]aphani, ana.m.ss [...] boile them in vino albo, & melle, [...]sque ad cō sump [...]ionem medietatis, then strain thē, and giue thereof to the patient euery third daye, three ounces in the morning fasting. The conioynde cause, is to bee consydered two wayes: to wit, as it is ap [...]e or fitte for Resolution, or else vtterlye v [...]fitte for suche kynde of meanes. If it maye be (therefore) resolued,Outvvard meanes. then vse medicines meete to mollifie,To resolue the matter. make thin, disperse and separate the matter, such as Diachylon commune, Diachylon magnū, or Diapalma, these be of vulgar vse, but you maye prouide you of more choice & tried medicins amōg these that follow [...] first, ex stercore [...]aprillo, cum melle & aceto, 2 [...]. ex [...]aenugraeco, sem: lini, & bra [...]sic [...]e, cum muscilag [...] alth [...]ae. [...] [...] ex calce viua, melle vel oleo, vel adi [...]e su [...] illo, 4. [...]. ex stercore bubulo & aceto coctis 5. [...]. Rec. [...]l. antiqui.℥.xij. aeruginis ʒ.xiij. picis siccae, ℥.vj ladani.℥.iij. lithargi.℥.xij. galb.℥.iij. mis [...]e fiat emplastr. 6. [...]. Rec. rad. brioniae, cyclaminis, cucumeris, agrestis, altheae, lilij caelestis, an.℥.ij coquā [...]ur in vino albo, terantur, addēdo, ammoniaci in aceto diss [...]luti, bdellij, opoponacis,[Page]in ol sesamino diss [...]lui [...], ana, ℥.j. stercotis columbini, ster [...]oris caprini, an.℥ [...]j. s [...]. [...]adani, stiracis calamitae, ana.℥ [...]. pici [...]naualis [...] q.s. fiat emplastrum, 7. [...]. Rec. farinae fabarum, far [...]ordei, an.ʒ.x. rad. glizerizae, aliheae, ana, ʒ.v. picis ʒ.v. cerae albe, adipis anserini, ana.ʒ.x. ol. veteris, vrinae pueri, ana, q.s. fiat Empl [...]strum, 8. [...]. Rec. stercoris [...]ubuli, ℥.ij. radic. caulium. radic. capparorum. squillae, sicuum, ana, ℥.ss. lupinorum, bdellij, ana.ʒ.ij. aceti, mellis, axungiae su [...]llae [...] facis olei antiqui, ana, q.s. fiat emplastrum 9. [...]. Recipe ammoni [...]ci bdellij, Galbani, ana [...] par [...]es aequales, macerentur triduo in aceto, dissolutis adatur surfuris subt. q.s. fiat emplastrum. 10. [...]. Rec. radi [...]filicis, asphodeli ana, q.s. cequantur in vino optimo, tundantur addendo sulphuris viui, parum. 11. [...]. Rec. Stercoris bubuli, [...]aprini columbini, anserini, ana.ʒ.ij. farinae hordei, farinae lupinorum, farinae lolij, ana, ʒ.ij.ss. ammoniaci, bdel. galb. in aceto dissol. an.℥.ss. mel.℥iij, suc. ebuli, suc. cauliū, an.℥.iij, axūgiae juillae, q.s. fiat emplast. 12. [...]. Rec. ol. lili. vellauri.℥.xij. pici [...] siccae.℥vi. ladani.℥.iij. litharg.℥.xij galb.℥.iij. styracis, ℥.ij. aerug ℥.xiij. fiat. empl. 13. [...]. Rec [...] rad. ireos, ℥.iij. coquantur in aceti[Page]& mellis ana, ℥.ix. terantur, addendo [...] terebenthinae, resinae, dealtheae, ana, ℥.iij. pulueris cumini, faenugraeci, ana, ℥.j. fiat Emplastrum. 14. Rec. sinapi, stercoris columbini, ana, ℥.ij. micae panis, ℥.iiij. mellis, ℥iij. aceti, li.ss. boyle them to the thicknes of a plaster. An vnguent you may make thus: Rec. cinerum limacum [...] ℥.j. axungiae suillae, ℥.j.ss. misce, fiat vnguentum. Nowe, if so be you perceiue the matter to be altogither vnfit for resolution,If the matter be vnfit for resolution. then haue you two waies to endeuour the emptying of it: to wit, suppuration & incision. If you see, it be meete to ripen it, fashion it to your purpose, with a playster made ex farina hordei, pice, olibano, & vrina pueri. Or, if that will not serue, this: Rec. rad. aliheae, liliorum, ana, li.ss. coquantur in aqua, contundantur addendo, alliorum sub prunis coct. caeparum coctarum, ana, ℥.iij. ol. liliorum, butyri, ana, ℥.ij. pingued. suillae, anserinae, ana, ℥.ij.ss. farin [...] tritic [...]ae, faenugraeci. sem. lini ana, qs. vitellorum ouorum, n [...]ij. fiat empl. Another: Rec. myrrhae ʒ.x. ammoniaci, [...]hymiamatis, ana, ʒ.vij. visci quercini, ℥.j. galbani, ℥ss. propoleos, ʒ.j. misce. When it is ripe, open it with instrument [Page] or ruptorie: as, ex calce & sapone: or, Cantharides: or, with arsenicke. The last meanes, and vtmost in this case, is manual operation: which is to be vsed, when the tumor will neither giue place to resolutiues, nor yet bee ordered by maturatiues, as hath bene hitherto said. The same manual operation is thus to be perfourmed.Manuall operation. Let the patient be laide along vppon his bed, his feete fastened sundrily to the bed postes, and his head firmely holden of some that are assistant to you in that worke: then deuide the skin, that lyeth ouer the Tumor, with a straight lyne, or somewhat slopewise: because likewise, the vessels & nerues, cōtained in the same do lie in straight maner answerably [...] this alwaies prouided, that you work not so roundly, as to rush thorough the thicknes of the skinne, at once, with one incision, but by leisure: for nothing is violently to be performed in this busines. & in the lesser sort of thē, which are also of the gentler conditiō, a simple lined sectiō wil serue, but in the greater sort, the incision must be made after the figure of a Mirt leafe: & the veines & arteries [Page] gently, and by little and little, bared, must be put aside. After this, dilate, and stretch wide open, with mullets, or little hookes, the lippes or borders of the deuided skinne, and either with your fingers, lancet scale, or spatule, seperate the membrans, vntill by little and little the lump being deliuered from all his holds, may be taken foorth. But if it be enwrapped with vessels, with great heede then is the businesse to be handled, lest by any negligence committed, great fluxe of bloud should followe. In such a case therefore, it is best to drawe open with your mullets but one of the sides, & so with your lancet, by little and little seuer the same from the partes tyed to it. And this once done on the one side, perfourm so much after on the other side. There being special care taken, le [...]t either the arteries called Carotidae, or yet the recurrent Nerues be violated or touched. Now, if it doe fall out, that in making in [...]sion, through hitting vpon some vessel, there follow such profusion of bloud, as tendeth to the hinderance & trouble of this your businesse, [Page] then shal you tye vp the same vessel, or (vnlesse it be verie great,) cut it quite asunder: either else, if it bleede not with any full force, stop it with remedies for such a purpose: & so proceede on with your worke begonne. Here, though I haue not followed [...] the wordes of Wecker, yet by the light of sense, and euidence of Aegineta, I haue aymed nearer the trueth. And when you haue proceeded so farre, in vndermining it, that you haue brought the foundation of it to a narrow point, it behooueth to cut it vp expertly, and cunningly: as also, to search diligently the place, whither there be other moe strumae thereto adioyning, which in like maner (if you finde any) you must draw out, as is aforesaide. As for the fluxe of bloud, that is not verie forcible, but in meane sort, such (I say) you may easily stay, by medicines of drying facultie: as stuphes, spunges, or battes of cotten dipt, and againe wrong out in cold water, or vineger, or [...]xycra [...]um: which is a mixture of them two, and so applyed. But if your proceeding hitherto be free, & withe out any interruption of bloudie fluxions, then go on to fill the wounde with powder of thus, & (As you would say) lintie properties, including plageats, dozelles, or any such formes, as the Ch [...]urgion vseth to dresse vp a hollowe wound. lintes, bynding vpon (for the better staying on [Page] of the lintes) wooll wet in wine. Againe, if the case so fall, that anye notable or large Veine bee growen fast to the roote or bottome of it, then shall it not bee good to cutt it vp by the roote, but to make a strong t [...]all or bindinge vppon the same vesel, and so leauing it in his place, till by little and little, it maye breake loose from his holde, and fall foorth without daunger. The tiall or band must bee of such a matter, as maye not easily putrifie: as threed of silke: for those thinges that easily putrifie, doe soone let slip the holde that they haue. Moreouer, if your worke thus finished, ther yet remaine any parte of the bladder, or membran that enwrapped the matter of the aforesaide Tumor, or any other outward thinge else remaine behinde, it is to bee consumed by filling the wound, the firste daies, with Cotton, wet in salt water: and after applyinge vnguent. Or pulu. praecipitati, or such other practise as all common points are [...]uer referred to the artistes iudgement. AEgyptiacum. To conclude: if the sore beeing opened, appeare filthye, cleanse it with vnguentum apostolorum, vnguentum AEgyptiacum, Emplas [...]. Diachylon, Diapalma, mundificatiue[Page]ex apio: or, puluis M [...]rcurij. After, if it bee hollowe, fill it vp with flesh: applyinge thus, aristolochia, pompholygos, al [...]es, cadmia, manna, myrrha, fuligo thuris, vnguentum aureum, Me [...]uae, vnguentum fuscum Ni [...]olai, croceum, Te [...]rapharmacum, &c. Lastly, to the Cicratrize, with such as, gallae immaturae, mirthus, malicorium, squamma aeris, Chalciteos, aerugo, scoria plumbi, stibium, ceratum mirthinum, cadmia cr [...]mata, cerussa, pompholygos, thutia, bolus armenus, [...]erra sigillata, plumbum vstum: or, vnguentum alb. Rhasis, &c. And if paine much solicite the cure, striue to mitigate the same, with a stuphe wet in the white of an egge, and oyle of Roses, or with vnguentum Populeon, or anye such other medicines mitigatorie.

ANNOTATIONS.

a And inclosed with a membran.

b Here, though I haue not followed [...] the wordes of Wecker, yet by the light of sense, and euidence of Aegineta, I haue aymed nearer the trueth.

[Page] c (As you would say) lintie properties, including plageats, dozelles, or any such formes, as the Ch [...]urgion vseth to dresse vp a hollowe wound.

d Or pulu. praecipitati, or such other practise as all common points are [...]uer referred to the artistes iudgement.

e Struma is called of the barbarous sort, scrofula, Queenes euil. and englished the Kinges or Queenes euill, being commonly cured by the hande of the Prince, and otherwise therefore, seldomer striuen withall among vs.

Supplie.

Glandula after Guido.HItherto may bee also reduced, the Tumor called Glandula, which is like a little kirnel, soft, mouable and separate from the parts round about it: growing commonly in the emunctories. It is cured by artificiall incision, or the like resol [...]ing, and outspending medicines, as other like tumors: or, R [...]. nucum cupressi, ʒ.j. ficus acerbas, iij. misceantur cum succo sambuci, and apply it: Else, ammoniacum in aceto acerrimo eliquatū: or, empl [...]strum de bdellio: or the medicines [Page] vsed to Ganglion, which tumor also, for supply sake, may here be ranged: though not for likenesse of generation and place: yet for agreeablenesse of proportion and cure. Ganglium, Ganglium. is a concretion, or knottie growing vpon some sinewe, or tendon: the place is commonly the wrest of the hande, & insteppe or ankle of the foote. It commeth of some stroke: or extreme labour and straine of the parts:Li. 7. ca [...] [...]. through which slymie flegme or, (as fernel) natural melancholie: or yet (perhaps more rightly) the viscous nourishment of the tendon, and panniculous partes (partly pressed out by the present violence: partly, afterward excerned through resolution of the brused places) gathereth there togither, and wanting cure, in time, compacteth, and groweth to hardnes. Calmeteus often cured it,Li. 1. ca. 13 by rubbing it often with spittle onely. Howbeit, in others, hee hath vsed this processe of cure. Rec. fol. sambuci, P.j. salis modicum, masticentur simul, and chaffe the Ganglium therewith, till there bee no iuyce or moysture left: then annoynt it with this vnguent. Rec. mucilaginis[Page]altheae, lini & faenugraeci, ana.℥.ij. ol. chamom. lilior. & irini, ana, ℥.iij. ol. sambuci, ℥.ij. coquantur ad consm. mucilaginum, postea adde, gummi ammoniaci, bdellij, opoponacis, & sagap. in aceto dissol. ana, ℥.js [...]. axungiae anseris & anatis, an.℥.j. axungiae suillae veteris salis expertis, [...]i.ss. medullae [...]ruris vituli & cerui, ana, ʒ.x. spumae maris, ℥.ss. fiat vnguentum. Aplaster: Rec. empl. oxycrocei, ℥.j. muccaginis altheae, lini & faenugraeci, ana ʒ.v euphorbij, sagapeni, ammoniaci, ana, ℥.iij. resinae, ʒ.vj. cerae albae, ʒ.iij. dissoluantur gummi in aceto, fiatque emplast. When Ganglium by these meanes, is softened, vppon the fresh remouing of the plaster, whilest the place is yet warme, fixe your thumbe vppon it, and with fine force, crush it in sunder, and binde laminam blumbi, rubde ouer cum mercurio, vppon the place, for ix. or x. dayes. Nodus is the like knottie fourmed gathering, Nodus. as Ganglium, growing anye where without the ioyntes, and kernellie places: as sayeth Fernelius loc. cit. It is cured by the like resoluing and discutient medicines, as those others aforesayde. The Arabians, and their sectaries are yet full gorgde, with needelesse names, and differences of [Page]Tumors, which (wishing for a Hercules,) I will not touche.

CHAP. XII. Of Atheroma, Steatoma, and Meliceris.

ATheroma, is a Tumor voyde of paine,Def. or chaunge of colour, contayning in the membran, or some sinewie coate, a clammie humor, sometime it is as starch, sometime thicker, sometime mixt with heres, fragmentes of bones, peeces (as it were) of brimstone, or such other matter. like a pulteis made of sodden meale. Meliceris is a Tumor in like sort voyde of payne, but rounde, and containing in a sinewie coate, a thinne humor representinge the substaunce of Honey.

Steatoma, is likewise a Tumor in colour nothinge differinge from other partes: softe in feeling, small in the beginninge, but much enlarging and increasing in processe of time: the humor it containeth is like sewet, and is also incloased in his proper membran.

The inwarde cause is Phlegmatike, [Page] humor, which the signes of flegme abounding in the bodye,Causes & signes. wil declare [...] outward causes [...] befals, strokes, surfeting, drunkennesse, &c. which may be descried by the patient. you shall acknowledge atheroma [...] by that it is a tumor lying longwise and somewhat high ridged, and which being printed in with the finger, returneth slowlye to his forme agayne, by reason of the humors clamminesse [...] also melliceris is discerned by his roundnesse & thinner substāced humor, then that in atheroma: being (as is sayd before) like honie, and this tumor being pressed with the finger, both yeeldeth backe speedily, and also returneth as hastily to his olde fashion agayne. But Steatoma contrariwise, is hard, resisting in feeling, and giuing no place to the fingers pres [...]ing it, the humor being indeed sewet like.

Prog. Meliceris is to be dealt with by discutients, corrosiues, and incision. Atheroma with corrosiue medicines & incision onely. But Steatoma, no other waye then by incision.Cure. For the abating of the antecedent cause, set downe the same dyet, that before is [Page] appointed in Oedema. Then prepare the humor,Invvarde mea [...]es. with syr [...] acetosus, de bizantijs, de hissopo, de duobus radicibus, de quinque radicibus, de stechade, oxy saccharum, mel. ros. co [...]atum, oxymel simplex, oxymel scylliticum: of these, as shalbee thought good, giuen with waters appropriat, as, de betonica, hissopi, faeniculi, saluiae, melissae, primulae veris. So afterwarde make your purge of semen [...]arthami, polypodium, agaricum &c. Or if stronger be required, Colocynthis, Turbith, esula, euphorbium, elleborus albus &c. These also you haue readie compounded, Diaphaenicum, Indum maiui, Elect. diacarthami, elect. de citro sol. Againe [...] Pill. de agari [...]o, pil. Chochiae, fetidae, de benedicta, pil. arthreticae, pill. de opoponaco, de euph [...]rbio &c. Outvvard [...]nes. Nowe if the conioynde cause bee meete for resolution, discusse the same with these plasters. The first: R [...]c. rad. cyclaminis, q.s. axungiae veteris, sulphu [...]is viui, ana, part.j contundantur & fiat emplastrum. 2. [...]. Rec passul. enucleat [...] rum, n.xx. squammae, ℥.ss. misce. 3. [...]. R [...]c. passularum enucleat. li.j. cumini triti, ℥.vi. nitri, ℥.iij. contundantur & misceantur. 4. [...]. Rec. salis ammonia [...]i, spumae arg.[Page]cerussae, [...]na, li.j. cerae, terebentinae, galbani, opoponacis, ana, ℥.j. rubricae sinopicae, ℥.vj ace [...]i ℥.vij.ss. misce. If they wil not be resolued, consume them with eating medicines: as with a plaster made ex calce, sapone & lixiuio: or, Rec. calcis viuae, ℥.ss. faeculae vini combustae, nitri liquidi tosti, ana, ʒ.ij minij ʒ.j. cum lixiuio [...]iat empl.: or, Rec. squammae aeris, ℥ss. arsenici rubri.ʒ.ij. ellebori nigri, ʒij. cum rosaceo fiat empl. or, Rec. [...]rynaceorum vstorum, testae sepiae, auri pigmenti, ana, part [...] aequales: cum rosaceo fia [...] empl. Apply your playster and make a deepe escar: then make incision directly through the middest of it, euen to the quicke, putting after into the place of the incision, arsenicum sublimatum, or one of the causticks afores [...]ide. El [...]e, if you choose rather, to accomplish the matter by incision, then by the co [...]rse of eating medicines, nowe deliuered: then must your incision be after the fourm of a Mirt leaf, and sl [...]opewise: s [...] that no nerue, veine, or [...]erie vn [...]erlying may receiue [...] [...] vnlesse the tumor be in the [...] or such places, in which, the incision must be ouerthwart, because [Page] of the doubling or pleating of the skinne, in those places, whilest the partes bee moued. And so the verie purse or bladder, wherein the humor is lodged, must be wholly taken out, lest the same affect eftsones reuiue againe. The bloud that issueth while the bladder is rootinge vp, is to bee stayed, with applying a sponge dipt in ox [...]crato: or the white of an egge, mixt with astringent pouders: and euer in such kinds of operations, medicines that asswage paine are to bee vsed: as the white of an egge, with rose oyle. If there hap to remaine any parte of the bladder of it, waste it awaye after, by corrosiue medicines: such as vnguentum AEgiptiacum, or the powder of Mercurie.

Of Melancholike Tumors. CHAP. XIII. Of the true, or legitimate Scirrhus.

[Page] Def.THE ligitimate scirrus, is a tumor verie harde, and void of paine: neuerthelesse, not altogither insensible. It is ingendred of the naturall melancholik humor. The inwarde cause is melancholike iuyce,Causes & si [...]nes. gathered in the bodie, by reason that the Splene hath not wel performed his office in draining it. And this is the antecedent cause, acknowledged by the signes of Melancholie.

The conioynde is, when the same Melancholik iuyce is impacted (now) in the part affected. The outwarde cause is, euil regiment of life, that engendreth and heapeth vp thicke and melancholike bloud, which by the patient his relatiō is vnderstood The tumor is harde, and stiffely resisting: the colour, meane, betwixt red and blacke as it were browne, or swartish colour. The sense or feeling of the place, dull.

Pro [...].Scirrhous tumors, in the beginning, appeare small, but in processe of time, by little & little, they are increased, & become greater: these melancholike tumors, if they be wel handled, [Page] are cured by resolution: sometime they continue indurate: and manie times degenerate into a Cancer. For the cure of this tumor:Cure. first, prouide for the melancholike humor, abounding in the bodie, & being the antecedent cause of the same, by diet:Diet. as, prouiding for a temperate aire, the sleepe longer then accustomed, moderate exercise, solluble belly, & tranquillitie of mind. Let the bread be of wheate meanly salted & leauened, but wel baked. Let his meat be reare egges, chicken, henne, capon, Indian Pecocke, partriche, fesant, quayle, yong kidd, veale, Weathers flesh &c. Also, spinage, lettuse, borrage, buglosse, hoppes. His drinke, wine, both thinne & sweet smelling: being warie to auoid all immoderate exercise, excessiue affections of the mind, as carefulnesse, sadnesse, &c. watching, cou [...]se or brannie bread, biefe, goates flesh, hares flesh, foxes, snailes, & salted meates. Of potherbe [...] shunne coleworts, and of pulse, most of al lintels: & al grosse wines, & red. To conclude: let the whole order of his dyet be sober & moderate. The [Page] dyet thus appointed: if you spye the bloud to be verie thick & black, & no other impediment stand in the waye, open a veine, then prepare the humor, with medicines heating and moistening. as with this apozeine:Invvarde [...]eanes. Rec. rad. & fol. lapathi acuti, rad. & fol. buglossae, boraginis, funariae, herbarum capil. com. cichoroj, endiuiae, rostri porcini, lupulorum ana, m.j. melissae, m.ss. 4 sem. frig. ma. contusorum, ana.ʒ.ij. sem. portulacae, ʒij. anisi, faeniculi, ana.ʒj. passularum mundat.ʒ.vj polipody ℥j. senae.℥.j.ss. thymi, epithimi, ana, ʒ.ij. florum violarum boraginis, buglossae, ana, P.j. fiat decoctio, in colaturae li.ij. dissolue, succi pomorum odorif. succi buglossae, ana, ℥.iiij. boyle them againe to li.j.ss. & with sufficient quantitie of suger make your apozeine. Clarifie the same after, & aromatize it cū pulueris diamargar. frig. & diatrag. frig. ana, ʒj. vse it at iiij. doses. Either may you for that purpose vse syrops: as, de fumaria, buglossa, boragine, en [...]iuia, cichorio sine rhabarbaro, epithemo [...] scolopendria &c. oxysacchara &c. else one thus compounded Rec. syr. de fumaria, syr. de buglossa, vel endiuia, syr. de scolopendria, syr, de epithimo,[Page]ana, ℥j.ss. aquarum lupuli, aquarum [...]ichorij, ana, ℥.vj. pul. santal. mosc. cinamomi, ana, ʒ.j. fiat syr. clarifie and aromatize it, for iiij. doses. The humor thus made readie, craueth ou [...] purging, by these meanes ensuing: as simple medicines: sena, epithimum, polipodium, fumus terrae, lupulus, volubilis, cassia fistula, mirabolani indi, lapis lazuli, eleborus niger, &c. Compounds are, Diasena, diacatholicum, hiera ruffi, &c. Triphera persica, &c. confectio hamech. Or, Rec. sennae orient.ʒ.ij. rhabarb. opt.℈.iiij. cinamomi, gr. v. infundan [...]ur in ℥.iiij. seri caprini, & exprimā tur, adde syr. violacei, ℥.j. f [...]at potio. Stronger ones: Rec. diacatholiconis, Tri ferae persi [...]ae, ana, ʒ.iij. diasennae sol.ʒ.ij rhabarbari in aqua endiuiae infu [...]i, & expressi, ʒ.j. cinamomi, gr.iiij. [...]quarū lup [...]l & endiuiae, an.℥ij. mis [...]e fi [...]t po [...]io. Another: Rec. confect [...]l [...]a n [...]ch. diasennae sol. ana, ʒ.ij. mannae granatae, ℥.j. medullae cas [...]iae, ʒ.v. aquae cichoriae, aquae fum [...]riae, an.℥.ij. decoct. thimi, & epithimi & 4. sem. frig.℥.iij fiat potio. As for the melancholike iuyce, gathered into the affected parte, beeing the cause conioyned: that must bee sauftened, [Page] seperated and discussed, by all good meanes,O [...]tvvard meanes. to which purpose serueth: O [...] sypus, lana succida, butyrum, ol. amigdalarum, ol. chamomaelinū, anethinum, liliorum, &c. adeps gallinaceus, vulpis, anserinus, [...]axi, ana [...]inus, vrsi, suillus, leo [...]is, aquilae, vulturis, medulla vituli, cerui, &c. mu [...]ilagines, propolis, cera, ca [...]i [...]ae pingues, malua, althea, lilium, branch [...] vrsina, ammoniacum, bdellium, g [...]lbanum, styrax, pix liquida, resina, &c. Rec. caricarum ping. xij. coquantur & tevantur, addendo ammoniaci, bdellij, galbani, in aceto dissolus. ana, ℥.ij. styracis liquidae, ℥.j. mucillag. al th [...]ae, f [...]n [...]graci & sem. lini. ana, ℥.ij. Oesypi, butyri recent. ana, ℥.j. ol. ricini, vel sesamini, v [...]l li [...]iorum, ℥.iij. c [...]rae, q.s. fia [...] emplastrū or, R [...]c. rad. lilio [...] um & al [...]heae coctarum & cont [...]sarum, ana, li.ss. adipis lupi, aquilae, vul [...]uris, ana [...] ℥.iij. adipis anseris & gallinae ana.℥.ij. ol. I asmini vel samb [...]cini, cerae, propoleos, ana, qs. fia [...] empl. Another: Rec. muccaginis rad. altheae [...] medij cort. vlmi. mucil [...]g. sem. lini, & [...]aenugraeci ana, ℥.iiij. ol. chamomelini, anetini, liliorum, ana, ℥.j. ammoniaci, galbani, opoponacis, sagapeni, in aceto dissolu [...]orum, ana, ℥.ss. te [...]ebynthinae, ℥ij. croci[Page]ʒ.ij. cerae, ℥ [...]ij.ss. fia [...] emplast. Another plaster: Rec. stereoris asinini li. [...]s. ammoniaci in aceto dissoluti, ℥.iiij. ladani puri, masticis, ana, ℥.iij. axungiae anatis, galli [...]ae, ana, ℥.ij. ol. mastichini, cheirini, ana ℥.ij.ss. cerae q.s. fiat [...]mplastrum. An v [...]guent: Rec. rad. genistae, hyperici, fol. cupressi, & scrophulariae s [...]ccorum, ana, ʒ.v. lithargirij auri [...] ℥j. mucilag. sem. lini & faenugraeci, ana, ℥.ij. [...]l. v [...]lpini & liliorum ana, ℥.iiij. ce [...]ae q.s. aceti parum fiat vnguent. Another: Rec. ammoniaci, b [...]ell [...], in sapa diss [...]lus. ana [...] ℥.iij. mirrh [...], thuris, o [...]ibani, ana, ℥.j. pingued [...] anguillae, gallinae, & aqui [...]ae, ana, ℥.j. adipis vituli, ℥j [...]s. olei antiqui & liliorum, ana, ℥.iij. cerae, q. [...]. aquae vitae parum, fiat vnguent. An Epithem: Rec. [...]ad. cucumeris agrestis, rad. alth [...]ae, ana, ℥ij. maluae, branchae vrsinae, ana, P.j. sem. lini & faenugraeci, ana, ℥ij. fiat decoctio, & therewith foment the place.

After coque in aceto sa [...]ureiam, & cast of the same acetum, super lapi [...] ē molarem made hote in the fire, and let the vapor therof be receiued of the place affected. And again also by course, vse your molli [...]ying & discutient medicines, as teacheth [Page] AEtius out of G [...]len.

Of Cancer not vlcerate. Cap. xiiij.

Def. CAncer is a hard, vnequal, round, & venomous tumor, hote, black of colour, sod [...]nly encreasing, verie ve [...] ing to the patiēt, & almost with perpetual pain afflicting, called in Greek Carcinoma. The antecedent cause being melancholik humore abounding in the bodi, is spied out by the partie [...] melancholike tēperature, & dyet: Also by cōiecture of the time of the ye [...]e, declining age, &c. The conioyned cause is melancholicke iuyce,Causes & [...]gnes. contained in the part affected, & appearing with a hard & resisting, vnequal, swa [...] tish or browne tumor, swelled & exal [...]ed veines, in the compasse round about [...] like the Cancer that falleth into the throte. The patient feeleth about the place affected certain ierkes, (as it were) a soudiane pricking. Sometime again, it is heauie & dul of sense.

Prog.The thicker & blacker that the humoris, so much the worse is the affect. This disease can growe in any part of the body, but especially about the face, eares, lips, & womens brests, that lacke their natural course. It is of [Page] his whole nature, a grieuous & pernitious disease. It is hardly at any time healed, through the thicknesse of his iuyce, which in deede, can neither be repelled, nor discussed, nor yet be spēt away by purgation of the whole bodie. But rather verie often, of a not vlcerate Cancer, it becōmeth vlcerate: either whilest the humor, lurking in the vessels, in space of time doth pu [...]rifie: or else the affect it selfe being prouoked, & set on mischief by medicines, vnaduisedly ministred. Only those Cancers, that bee in the moste outmost partes of the bodie, receiue curation: but those that haue gotten deeper lodgings admit no cure. The Cancer likewise that is inueterat, and now confirmed, admitteth not curation: otherwise then by rooting vp the same with incision or burning. Cancers for the most part, light vpō those men, which haue been acc [...]stomed to hem [...]hoi dall purging, & haue nowe lost the benefite of the same.

First, to buckle with the antecedent cause,C [...]. you must prouide both for the prohibiting of the generatiō of melacholie, throughout the whol body [...] as [Page] for the manifest euacuation of the same, if it bee aboundant. Appoint your rule of dyet therefore moystening,Diet. and also meetely cooling: his meat of good iuyce, as barley cream, mountaine birdes, fish of stonie ri [...]ers, reere egges. His herbes, mallowes, arage, betes, spinage, gourde, borage, &c. wine thinne and delayed, auoydinge salte and sharpe meates, and all that gender melancholike iuyce. Seing also that the whole dyet be spare, and moderate. It is good to open a vaine, specially if the bloud appeare black and thicke, and the age and strength agree thereto: or if the menstruous course or hemrhoydes haue beene suppressed before fiftie yeares of age.

Invvarde [...]eanes.Then prepare, and concoct the humors, with that apozeme prescribed in the curation of Scirrhus: addinge moreouer to it, acetosae, m.j.ss. sem. acetos [...]e, serici crudi, ana, ℥.j. corticum citri, sem. citri, ana, ʒ.vj tamarindorum.℥.j coquantur in aqua decoctionis ranarum viridum dicoct [...]oni misce, succi mali punici maturi, suc, ros suc. pomorum odoratorum, ana, ℥.iij. aceti passulati, li.ss.[Page]zacchari q.s fiat syr. perfectè coctus, ad li.ij. Vse the same with whay for fiue or sixe dayes. The syrupe likewise set downe before in Scirrhus, is fitte in this case. The humor thus prepared, purge out with hiera ruffi, pillulae indae, confectio hamech, diasenna, &c. or this: Rec. storum violarum, storum boraginis, buglossae, an. p.j. epithimi ʒ.iij. senae, ℥.ss mac [...]rentur per decem hora [...], in ℥.iiij. seri lactis, then straine it, and adde to, syr. violati, ℥j.ss. dia [...]rimorum sol.ʒ.ij. fiat potus. Rec. fumariae, m.j. sennae, epithimi, ana, ʒ.iij florum ro [...]ismar. p.ij. infundantur in ℥iiij. seri lactis, & ijs expressis, dissolue, rhabarb. in aqua b [...]raginis infusi, ʒ.j. cinamomi, gr.iiij. mannae, ℥.i.ss [...] cassiae, ʒ.vi. fiat potio. beside [...] this course of purging, it is conuenient also, to prouide this electuaries for the further consumption and driing vp of the matter, by little and little: Rec. pul. cancrorum, ℥.iiij. pul. limacum, pul. ranarum, an.℥.ij [...] cortic. citricō dit.℥.ss. rasurae eboris, ossis de corde cerui, ana, ʒ.iij. xylobalsami, ligni aloes, [...]antali mosc. corallirub. limaturae chalybis ana, ʒ.ij. sem. acetosi, sem. citri. sem. endiuiae, ana, ʒ.j. ambrae.ʒ.ss. conserua[Page]boraginis, buglossae, anthos, ana, ℥.ij. aquae meliss [...]e & tormen [...]llae, ana, ℥.ij.ss. fiat electuarium. Hereof let the patients bee taking euery houre as muche as he listeth [...] and in all your purging, obserue this rule, that you prepare the humor often, and so purge gently and by little and little, not at once nor aboundantlye. The antecedent cause thus tamed, laye your siege to the conioynde, with all such engines, as may both scatter all the force of it, in the member contayned, as also harten and confirme the part against all the new inuasions of humoral hostilitye. To the whiche businesse, these simples are assistaunt:Outvvard meanes. solanum, ceterach, agrimoni [...], hypericum, cen rum galli, succus coriandri, lentes in aceto coctae, carnes coclearum, elixae, can [...]ri fluuia [...]iles, ranae virides, ster [...]us humanū, plū bum vstum & elo [...]m, ol. ran [...]rum, ol. sulph [...]is. Vsuall compounds also are these: vng. de pomphol [...]ge, vng. de cācris fluuiati [...]ibus, cū a [...]ūg. gallina & thutia, & diapalma. Les vsual are these: Rec. succi plantagin [...], ℥.v. suc [...]i solani, aut vermic [...]laris, succi symphyti minoris, ana, ℥.ij [...]ss. olei ros. ompha [...]ini, ℥.iij. In [Page] the heate of the sunne stirre these wel togither, in a morter of leade, till it become thicke as glew. Another: Rec. boli armeni, terrae sigillatae, ana, ℥.j. lapidis calaminaris, cerussae lotae, ana, ℥.ss. thutiae preparaiae, marcas [...]ae, ana.ʒ.iij. pul. ranarum viridium, pul. coclearum, in clybano exi [...]catarum, ana, ʒ.iij. lythargyrij au.ʒ.ij. ol. ros. omphacim, ℥.iij ol. ranarum, ℥.j.ss. ace [...]i, ℥.ij. albuninū ouorum. no ij. cerae qs. coniundantur diu, in mortario plumbeo, & fiat vnguentum. Another: Rec. litharg [...]rij loti, cerussae lotae, thu [...]iae preparatae, ana, ℥.j. plumbi in vino loti, ℥.ij. o [...] ros.℥.vi. aquae ros.℥.iij. ac [...]ti, ℥ j. alb. ouorū, no.ij. c [...]rae albae, ℥.j.ss. caphurae, ℈.j. fiat vnguentum. A liniment to the same purpose: Rec. Testarum can [...]r [...]rum fluuia [...]i [...]ium, vstarum, ℥.j. pul. ranarū, ʒ [...]iij. litharg. auri.℥.j. plūbi vsti & loti, thu [...]ie preparatae, an.ʒ.ij. ceruss [...]e, in aq. ros. lotae, ʒ.j. ss. suc. bursae pastori [...], & plātag. an.℥.iij.ss. ol. ros omphac [...] ni, vel mirthini, ℥.iiij. stir them long in a leaden morter, and make a linimēt. The force of your medicins is to bee quickned or rebated acording to the greatnesse of the affect,Canons. & tēperature of the part, agayne the tymes of the [Page] disease must be considered [...] for in the beginning, and in time of purging, your local medicins must beat back, in the augmentation, and when some reasonable purging hath bene, you must both beate back and discusse. in the state and declination, and when the whole bodye hath bene purged, then absolutely those things that discusse and spend it away the parte affected being also thus prouided for, it is further necessary to vse meanes for the strengthening of the hart, and liuer: which scape not scotfree, at the hands of so great an enimie, but feele annoyance: though the same come to thē (as it were) at the second hand. For the better arming therefore, of those noble parts, make this electuarie:Cordials: Rec. confectionis de hyacin [...]ho, ℥j.ss. confectionis alchermes, ʒ.iij. conseruae rosarum, conseruae radicum buglossae ana, ℥.j. syr. de p [...]mis, q.s. fiat elect. Of which electuarie, let the patient take foure times in a weeke, two houres before his meale, the value of a nut, drinking vpon it a little good wine, delayed with buglosse water. or these lozenges also you may applye to that purpose, [Page] at your liking, Rec. fragmentorum lapidum pretiosorum, ana, ℈.ij. margari [...]m praepara [...]arum, ʒ.j. coralli rubri, coralli albi, [...]na, ʒ [...]ss. sem. endiuiae, sem ci [...]ri, sem. portulacae, ana, ℈.iiij. limaturae eboris, ℈.ij. san [...]ali mosc.ʒ.j.ss. mirabolanorum emblic condi [...]. cortic. ci [...]ri zaccharo conditi ana, ʒ.ij. mosci, ambrae, ana, gr. vi. zacchari albissimi, in succo pomorum diss [...]luti q.s. fiāt tabulae. which the patient shall vse euerye morning dayly. in the mean time if there happen any furious motion, or payne in the plate which breedeth extraordinarie disquietnesse,To appea [...] payne. mitigate the same with this vnguent, Rec. olei ros.℥.iiij. sem. papaueris albi, ℥.j sem. hyosciami, opij, ana, ʒ.ss. gummi arabi.℥.si. cerae parum, miscefiat vnguentum.

Of the Tumors in particuler: And first of those that be incident to the head. CHAP. XV. Of water in the head of a childe.

[Page] Def.THis Tumor, called Hydrocephalus, happeneth in the heade of an infant, newly borne, being of water, enclosed betweene the skull and the skin.

Causes & signes.The inward cause is watrish humor outsweating, by reason of the opennesse of the pores. outward cause, vnskilfulnes of the midwife, not cunningly pressing the head of the child. If it be betweene the outer skin and the skull, the tumor is sauft, of a like colour, [...]ometime without payne, and somtime painful, outswelled, & yeelding easily to the pressing of the fingers, &c. if it be between the skull & the mēbran of the brain, then is not the tumor sauft, and easily pressed in with the finger. but the payne is sharper, they shead teares often, their forhead bouncheth oute further: they looke winking with their eyes, and moue their heads diue [...]sly.

Prog.If so be the disease be gathered, & lurke vnder the skull, then as a desperate case apply no hand vnto it. For the spending of that watrish humor,Cure. see that the childe in diet, vse d [...]ying things, auoiding the cōtrary. [Page] Also let it liue thinly,Diet. drink litle, & be kept solluble, &c. Medicins wasting the humor & strēgthning the part, ar of this sort: calamenthum, [...]riganū, pulegiū, serpillū, saluia, betonica, sauin [...], chamom. melilotū, stacha [...], flores anthes, anethum, rosae, furfur. with these boyled in lee, or sower wine, maye you make means to moistē & bath the hed. also linimēts & plasters for the purpose, as followeth:Outvvard meanes. Rec. pul. absinthij, pul. chamomillae, p [...]l. melilo [...]i, an.℥.ij bu [...]y [...]i recē tis, olei chamomelini, an.℥.iiij. cerae parum, fiat linimētū. Another: Rec. ol. chamomillae, vel anethini, ℥.iiij. sulphuris, ℥.j fiat linimēt. Wherwith twise a day annoint the head of the child, & couer it with lana succida. A plaster: Rec. mellis li ss. origani, m.j.ss. salis, ℥.ss. [...]isce fiat emplaest. The chirurgians hand is not, so safely to be vsed in this case [...] neuerthelesse if it be thought necessarye,Manual operation then must the incision bee made according to the quantity of the matter. Some make incision from the hinder part to the fore part, Diameter is a line, deuiding any figure iust in the middest. diameter wise. Othersome in cutting, make a triangle: Others again doe it in fashion of a crosse, but howsoeuer [Page] it be done, obserue this stedfastlye, that the water be let out but by little and little, lest the strength of the infant fayle: and as for caustike medicines, which are sometimes vsed in steede of incision, they seeme not so safe, or allowable in this case: for the nearenesse of the brain, &c. amongst the rest, the part affected which is the head, must be strengthened with driing and warming medicins. as this, in forme of a pomander. Rec. castorei, rutae, ana, partes equales, mosci, gr. aliquot: cum succo maioranae make your Pomander, which often applie to the infants nose [...] you may vse to the same purpose, Cyper [...]s, galanga, nux muscata, caryophilla, belzoin, and such like.

ANNOTATION.

a Diameter is a line, deuiding any figure iust in the middest.

Supply. CHAP. XVI. Struma and nodus in the head.

THese particulars, for their antecedent cause are so to bee prouided [Page] for, as before is put downe in the general. obseruing in purging, to vse most specially pilles,Calm. li. 1. Cap. xx. whiche through their long abode in the stomach, doe draw from farre. If the matter you woulde purge be cold, vse these: pil. alephanginae, pil. de hiera, pil. assaieret, de agarico, cocciae, arabicae, or aggregatiuae: or if it be hote, these: pil, de rhabarbaro, de mir abol. pil. aureae, assaieret, aggregatiue, or defumaria. if it may be resolued, or else, if it must needes be suppurated, proceede in eyther purpose with locall medicines, as is also in the generall. obseruing, that when the tumor commeth to matter, you procure vent so soone as is possible: least it corrupt the bone. Now if the bone be foule, then is the cure the same, as in the corruption of the bone, thorow the frenche disease. In both which if the corruption be but small in compasse, deale with it by incision and mundification, ex melleros. terebinthina, puluere ireos, myrrhae, thuris: according to that is handled hereafter in the fracture of the skull: consuming the putrified flesh (if there be any) with merc. praecipit, or other such, [Page] ordinarily practised in the curing of vlcers. But if the corrupted bone bee very large in compas, some counsail to leaue the cure to his prognostication: notwithstanding, I alwayes deeme a doubtfull cure worthy to be prescribed to a desperate forsaking: so that a christian resolution be firste stoode vpon by the patient, and his friendes: and then, ripe iudgementes with an experte hande, applied to the businesse. By whiche manner of proceeding, that we maye (at the leaste) sometime doe great cures, Calmetius euen himselfe, that doubteth so muche, giueth great hope: in declaring that he tooke out the whole coronall bone once, and cured yet the party safely. No lesse also are wee in this confirmed, by the practise of Arcaeus and [...]tallus, as appeareth by manifold [...]estimonyes, in their treatises of woundes in the heade. Goe forward therfore, to take away whatsoeuer nature hath separated as vnprofitable, so that you do it stil, with such moderation as you may appeare, to follow nature alwayes at the heeles, but not to go before her one steppe. [Page] whiche you shall do (if you finde the bone largely putrified) by taking awaye, not all at once, but peece after peece, as nature supplyeth flesh in the roome thereof. If the bone corrupted be in one entier peece, so that the remouing thereof at once, should be daungerous, for the sodain alteration of the braine by the aire (which is the doubt & the case that Calm. remēbereth) thē shall you work safest, either to break away the same pecemeale, if it wil easili break, or els to bore it, in diuers places, & euer after, as by your medicines, flesh groweth about it, to bre [...]ke it of furder: til so at the lēgth, you haue remoued the whole. Youre medicins in the mean time, aplied to the hard mēbran, must be such, as are set down in the wounds of the head: except only ther be exceding foulnes in the same, with superfluous flesh, & thick mater aboūding: in which case, you are rather to reach into the cure of vlcers, for some mūdificatiue: or els apply praecipitate,De vul. [...]. 2. cap. 8. of Arcaeus praeparation: which he warranteth, then appliable, to the hard mēbran it self. & this is the order of it: Rec. Praecipitati [Page]merc.ʒ.ij. agitetur paululum pistilo, in mortario stanneo, cum aquae ros.℥.j. Afterward poure sorth the water, and set the morter to the fire, til the pouder be dried, and agayne put in lyke quantity of water and doe as before. If you perceiue greate quantitie of matter gathered, or fallen betweene the skull and hard membran, appoint the patient three or foure times a day closing his mouth and nostrils, to straine his breath hard: that so, by the inlarging of the braine & membran, the matter vnder the skul may be excluded. In which case also (if you see it good) you may bring in vse th [...] decoction of Guaiacum.

CHAP. XVII. Of Psydracia.

Def.THese are hard whitishe pustules, which yeelde out matter by pressing, or they are little swellinges in the heade like pushes, exceeding the top of the skin,

Causes & signes.They are manifest to the eye, and are knowne of what offending humor [Page] they take their originall, by the like notes expressed in Alopecia. Cure. And the humorall cause hereof once detected, contend (first) to the taking of it awaye, by the instrumentes and meanes deliuered in alopecia. Then applye the affected parte it selfe, with dispearsinge and drying medycines: suche as are, Nux cypressi, sulphur, cerussa, lithargyrum, Nitrum, Acatia, gallae, hypocystis, ossa myrabolanorum, malicorium, gallia moschata, Oleum rosatum, acetum, &c.

Of compounde thinges, some bee vsuall, some lesse vsuall, the vsuall for this purpose, are Vnguentum Enulatum, & vnguentum Citrinum. Others bee of this sorte, Recipe spumae argenti, cerusae, ana, ℥ss. aluminis, ℥.ij. fol. rutae viridium, ʒ.ij. olei mirtini, aceti, ana, q.s misce, fiat vnguentum. Another: Recipe rutae, aluminis, mellis, ana, q.s. misce, fiat vnguentum. Wherwith annoint the head, it being first shauen. A third: Rec. spumae arg. cerusae, an.℥.j. ss. sulph. viui.℥.j. cerati my [...] thini, qs. misce. A fourth: Rec. rad. enulae. rad. lapathij, an. q.s. boile them in viniger, & mixe them cum axungia.

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CHAP. XVIII. Lippitudo: Inflamation of the eyes.

Def. Ophthalmiae Causes & signes. LIppitudo, is an inflammation of the Coate, or membran of the eye, called Adna [...]. it proceedeth sometime of humors, sometime of Hereof maye come distention, and so payne, as a symptome in Ophthalmia, but wee can giue it no place among the proper causes of Ophthalmia, and the Auth [...]ur afterward sayth ynough agaynst it. flatuous spirites. of humors: as blood, choler, Neither flegme nor melancholi [...] can thus cause an inflamation: I denie not bu [...] the blood with these may be qualifyed (as in such compl.) yet thereof it followeth not that they should be causes of the inflamation. Else why are all the Tumors of flegme and melancholie before, shut out of the Catalogue of inflamations. And like wise the inflamations deriued from other Fountaynes, then Flegme, Melancholye, or wynde. Flegme or Melancholie. Of blood thorowe the aboundaunce of it (testifyed by rednesse of the face, and of the membran Adnata) by largenesse of the veynes, sence of heauinesse, and vnaptnesse of the bodye to accustomed actions. The teares that issue, not sharp or fretting also the complexion, yere time, regiō, age, or diet hote & moist: of choller the signes are these: no fulnesse of the whole body, sharpe and fretting teares, so as not only the corners of the eyes, but euen the cheekes whereon they fall are frette and exulcerate by them: Rather anger and furious hastinesse. sadnesse, care, hote dyet goinge before, & cōplexion cholerike. Regarde the causes and Signes following, as the two notes afore doe giue you occasion. tokens of Flegme are [Page] great heauinesse or vnaptnesse, littl [...] rednesse in the tunicle, or face, complexion, age, region, yeare tyme, Diet colde and moyst. of melancholye: swarte coloure in the face and membran, complexion, age, region, yeare tyme, Diet cold and drie. Nowe if flatuous spirites be in cause, you shall finde the tunicle Adnata extended, as if it woulde breake, and with payne: but fewe or no teares, no dulnesse of sences, no fretting nor heat If there be no heate, what kinde of inflamation is it? of the eye.Prog. if the Flegme be drie and withered, or the tumor large and drye, and without payne, there is speedie recouery. Contrarywise, aboundaunce of hote teares, little matter, small tumor, and that in one eye. or agayne, hote teares, with white moyste matter and saufte Tumor, betoken slowe recouerie. If the matter beginne to bee white and saufte, and mingled with teares, or haue inuaded both the eyes at once, there is daunger of Vlcers. If the Tumor bee great, drye, and paynefull, it commonly exulcerateth. and sometime in that case it happeneth, that the eyelid [Page] groweth to the eye.

[...]ure.The inflamation being of blood, let the patients order of diet be cooling and drying: to witte: his ayre suche, his lodging somewhat darke: sleepe moderate, his meate cooling, and of little nourishmente, his drinke barley water,Diet. boylde with Coriander seedes, prepared. Keep [...] his bellye loose, and his body and minde in rest. And for the quantitie both of his meate and drynke [...] see that it bee small ynough, in the beginning of the inflamation speciallye. Yea rather (by Celsus counsayle) they shoulde abstayne from meate and drinke, if it were possible, for the cheefest thinges in this case (sayeth hee) is rest and abstynence.

If the humor yet be flowing, dra [...] it otherwhither by blood lettinge,Medicin. in the middle veyne of the cubite, or in the foote, on the same side. Vse also frications to the inferiour parts, bynding the legges, and loose the bellye. But in the time that the humor stayeth, and floweth no more [...] worke by euacuation, as opening [Page] the humorall veyne of the same [...]yde, and emptying the same euen to sounding: if the inflamation bee great, the bodye strong, &c. Cuppinges also with scarifying, woulde bee applyed to the hynder parte of the heade. Your locall medicines in the beginning, muste bee repellentes, and mitigatiues of payne: as fomentation with warme water. Albus liquor oui. lac mulieris iuuenculae. Or a medicyne compounded, ex lacte mulieris, vitellis ouorum & [...]rosaceo, al mixt together, which moderatly repelleth, and wonderfullye mitigateth payne. Or a ca [...]aplasme, ex papauerum capitib [...] in aqua decoctis, & lini sem. fari [...], &c. In other times of the inflamation, digerent and discutient medicines: as decoctum faenig [...]aeci. If the humor be choler, the like diet as aforesayd, saue more moistning, will serue, and for diminishing the quantity, as also for reuulsion sake, if it abound mixt with the blood, open firste the humorall veyne, and after purge downeward by medicines, thus [...]irste altering and concocting it if it bee crude. Recipe Syr. violacei, de [Page]papauere, nympheae, ana, ℥.ss. aquarum violarum, endiuie, lactucae, ana, ℥.j. misceantur, & fiat syrupu [...]: and giue the patient the same many dayes togeather [...] to the eye, in meane time applying, Albumen oui lac mulieris, aqua rosarumalb. cum candid [...] [...]ui liquore, the matter being concoct, purge first vniuersally, cum cas [...]a recent. [...]racta: or manna cum tamarindorum decocto: or cum syrupo rosarum, made of many infusions, cum diacatholicone, and such other medicines. after come to such as doe it perticulerly, as, fomentum ex aqua tepida, vsed oft in the day, or Balnaeum aquae dulcis. Noting that in all these euacuations, there bee due regarde had of the quantity [...] as also of your medicines:Ca [...]tion. encreasing or lesseninge, euerye thing, accordinge to the multitude, strength, temperature, yeare time, &c. according to the vehemency of the affect, condition of the part, &c. If the caus [...] be Flegmatik cause.Flegme, let his aire be hote, the place where hee is, obscure: his sleepe moderate, & nightly, his mind & body at rest, his bellie daylye loosed, his meat heating, of good nourishment, [Page] not vaporous, nor slow to concocte. his drinke in the beginning, decoctum cinamomi, aq. m [...]sa. but at other times thinne wine w [...]tered, &c. alwayes obseruing that in quantitye, hee bee very spare, specially in the beginning of the disease. The Dyet thus appoynted, consider if the blood bee yet flowing, wherewith the flegme is mixed, if it bee, make reuulsion, with blood letting in the middle vein of the cubite, frications and ligatures of the lower parts [...] cuppinges, &c. but if it nowe staye, and [...]lowe no more, first immediately empty the blood, by the humorall veyne, and after purge the body: but preparing and concocting firste, if the humor bee crude, as with this Syrupe: Recipe syr. de Bae [...]onica, Hyssopo, Staecade, ana, ℥ [...]ss. aquarum Maioranae, Betonicae, Rorismarini, ana, ℥.j. Mixe them & make a syrupe therof, whiche yo [...] shal giue the patient, and repeate it many dayes. Or else this decoction: Rec. saluiae, betonicae, hyssopi, serpil [...] ana, m.j. [...]orum stachados, m.ss. rad faeni [...]. paeoniae, ana, ℥.j. sem. Anisi Faeniculi, ammi, an.ʒ.j. nucis moscatae, Cinamomi, [Page]ana, ʒ.j. misceantur & coquantur, vsque ad consumptionem tertiae partis, deinde cole [...]ur, zaceharoque dulcis reddatur po [...]io, cui denique addantur syrupi de be [...]onica, ℥ iiij. Thus the matter being now concocted, euacuate first vniuersally with medicines purging flegme, taken by the mouth or bellye: then also particularly, and insensiblye, by way of resolution, as cum decocto faenigreci, or deco [...]to meliloti, & faenigreci, or a fomentation ex aqua [...]epida, cum spongia applyed. All whiche thinges must be guyded for their quantitye: varying or diminishing for the greatnesse of the affecte, condition of the part time of the yeare, &c. And if this affecte come of melancholy, proceed also by the same meanes, as agaynste flegme, saue that in this, you muste vse medicines purging Melancholye.

Supply concerning the symptomes.

[...]ayne.THere are Symptomes also in Ophthalmia not to be neglected, and especially payn, for which (if [Page] it be vehement) make a medicine ex pomo inter prunas cocto, vitello oui, aqua ros. & lacte muliebri, modice coctis, Calm. and applye it: Or else ex mica panis, in aqua rosarum, & lacte muliebri infusa. Conueniente also is, portulaca trita, & admota, or muccago sem. psyllij, & cydoneorum, in aqua rosarum, vel papaueris, vel eius decoct [...] extracta.

If the payne bee yet more raginge, adde to it, Succi Coriandri, & cerusae modicum, cum al [...]quot granis opij. Th [...] hurt of whiche astonishinge medycine, you maye afterwarde take awaye with a fomentation, ex decoctione chamomillae, meliloti, & faenugraeci. If Pus appeare in the tunicle cornea, through long continuaunce of Ophthalmia, Matter vpon Cornea. that shall you wipe awaye cum trochiscis de thure, vel de mirrha.

ANNOTATIONS.

a Hereof maye come distention, and so payne, as a symptome in Ophthalmia, but wee can giue it no place among the proper causes of Ophthalmia, and the Auth [...]ur afterward sayth ynough agaynst it.

[Page] b Neither flegme nor melancholi [...] can thus cause an inflamation: I denie not bu [...] the blood with these may be qualifyed (as in such compl.) yet thereof it followeth not that they should be causes of the inflamation. Else why are all the Tumors of flegme and melancholie before, shut out of the Catalogue of inflamations. And like wise the inflamations deriued from other Fountaynes, then Flegme, Melancholye, or wynde.

c Rather anger and furious hastinesse.

d Regarde the causes and Signes following, as the two notes afore doe giue you occasion.

e If there be no heate, what kinde of inflamation is it?

f These Prognostikes I take to be drawne from Corn. Celsus, lib. 6. ca 6. and then by this worde, Flegme, is meant the matter, the eye yeeldeth in lippitudine: & so I haue here translated it, in the Prognostikes following.

g Calmetius also counsaileth immediat [...]ly after blood letting, to lay some plaister to the forhead and temples, to restrain the Fluxion: as made ex bolo arm. gallis, acatia, hypocistide, malicorio, balaust. aloe, thure, far. fabarum, Mixt [...] [Page] cum oui albumine, vel muccagine gummi tragaganthi.

h Or this rather: Rec. aquae ros.℥.ss. albū. j. oui, lactis mulieris modicū, mixe them together, a [...]d instil them [...] to this may you also adde Muccag. sem. psyl [...]j, & cydon. gummi tragag. & arabici. Else dissolue in Aqua [...]os, collirium al [...]um Rhasis [...] sine opio.

i Or Collirium album dissolued in aqua ros & lact. mulieris recens mulcta, or muccag. sem. cydon & fa [...]nigr. in aqua ros [...] extrahito, & addito lacte, instillato. Caphura also may be added if the heat be great. After, to make a medicine more resol [...]ing, put to Tuthia praeparata: as thus: Recipe Muccag. cydon. in aqua ros. per decoct. extractae, ℥iij lactis mulieris recens mulcti.℥j [...]yr, ros.℥.ss. in quibus dissolue collirij albi Rhasis sine opio, ʒ.ij. tuthiae praeparatae, ʒj.ss. zacchari candi.ʒ.j. myrabol. citr.℈ij. agi [...]entur & percolentur: hereto adde caphurae, ℈.j. If the heate be vehement. In the state lette a Woman often, milke from her brest into the ey [...]: and further, Rec. Muccag cydon. & faenigreci, in aqua ros. extr. an ℥.j.ss. syr. ros.ʒ.j.ss. trochis.[Page]alb, sine opio, ʒ.ij. sarcocollae nutr.ʒ.ss. zacchari candi.ʒ.j.ss. fiat Colsyrium. In the declination, faenugraecum diligenter lotum in aqua hordei & rosarum coquito: and with that decoction foment the eye: applying then vpon it while they be warme, Egges ha [...]de sodden and lapte in a cloth. Else Recipe sarcocollae nutritae, ʒ.x. aloes ʒ.ij. myrrhae, ʒj. fiat pul. tenuiss. Whereof put into the eye: or rather, dissoluatur in aqua euphrasiae fiatque Collirium. In the ende bathing is profitable, and drinking of good wine, to dis [...]usse the remnant of the humor.

k Or like meanes as in the cause of blood, saue for sharpenesse of the humor, or payne, which you must take awaye by purging (as here) and locall medicines, as in the symptome of payne is set down hereafter.

l Consider of these thinges following, ac [...]ording to the former annotations, that I be not driuen needelesly in euery place, [...]o cut off superfluities and inconuenien [...] [...]e [...]ers with particular annotations.

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CHAP. XIX. Supplie. Epiphora, after some (perhaps) Opthalmia non vera, bleare and watering eyes.

EPiphora, Fernel Def. (in this sense) is a thronging in of thinne humors, (like teares) into the eyes, sometime inflaming the edges of the eye liddes, but not the membran adna [...]a. The original therof is commonly from the crowne of the head, and mould:Causes & signes. where vnder the skinne, humors lightly resort out of the skull: which thence distilling downe by pericranium into the adherent membran, doe at length issue out into the eye. Other times they come from the interiour veines of the head. The humor is sometime cold and plainly waterish, causing no paine, burning nor rednesse. And sometime againe hote biting or salt, with paine, fretting, burning, and rednesse in the eye liddes: whereof followeth itching and scabbednesse.Pruritus Scabies. The first being called xerophthalmia, [Page] the latter Psorophthalmia: this cōming of a hote and sharp humor, the other of a salt and br [...]ckish: and this itch is called of manye, sicca lippitudo. It is easily gottē by beholding other like sore eyes.

Prog.The cure of Epiphora beeing neglected, bringeth manie times the Webbe in the eye. If skabbed or mattering eyes growe from infancie (as in some) it is in vaine to attempt the cure. And if it come through the perishinge of the flesh,Cure. in the great corners of the eyes, it is hardly recouerable. If the humor flowe by the interiour veines, there is scarse (nay I may leaue out scar [...]) any hope of cure. That can bee done, must bee by abstinence, and often purging: by concocting the humours, and foorthwith outpurging them by the stronger sortes of pilles. If it flowe by the exteriour veines, beeing not of long continuaunce, and in a person of gouernement: execute the vniuersall partes of the cure, accordinge as in Ophthalmia aforegoing.Calm. To the eye minister a Collirie made ex pauco[Page]vitriolo, in mulsa aqua rosacea dissolut [...]. Or this: Recipe aquae faeniculi, & euphrasiae, ana, ℥.ij. aquae rosarum, ℥.j. tuthiae preparatae, ʒ.ij. vitriol. ro [...]nan. diligenter [...]loti, ʒ.ss. sarcocollae nutritae in lacte mulieris, ℈.i [...] [...]loes.ʒ.ij.ss. zaccharicandi, syr. ros. ana, ʒ.ij. agiten [...]ur, & fiat collirium. Or, in case of itchinge and burninge of th [...] eye: Recipe aquae rosarum vini albi, ana, ℥.j.ss. aquae faeniculi, ℥.ij. succi limonum, ℥.ss. myrabol. citr. [...]uthiae praeparatae, ana, ʒ.ss. aeruginis rasi [...], gr. v. caphurae, gr.ij. coquantur in phial [...] vitrea ad tertias: so strayne it, and hereof droppe morning and euening into the eye. Againe: Recipe aquae rosarum & faeniculi, ana, ℥.j [...] ss. vini albi, ℥.ij. sarcocollae nut [...]itae, thutiae praeparatae, alo [...]s, myrrhae, ana, ʒ.ss. zacchari candi, ʒ.j. aeruginis rasilis gr. v. coquantur ad tertias, it beeing strayned, instill a droppe of it morning and euening: and it auayleth not onely in this case, but also cleareth the sight, and taketh awaye the spotte or webbe, newe growing. In the meane time, if the fluxion bee too headie, and vnrulye, it shall [Page] be safe, to applye to the forehead, & temples, some restraining plaster, as either that, put downe in the former Chapter of Ophthalmia, Conc. 63. or else this liniment much commended of Montag. Rec. amyli, ʒ.j.ss. terrae sigillatae, ʒ.vj. tuthiae preparat.℥ [...]ss. seif memitae, ʒ.j. rosarum [...] spodij [...] [...]andal. rub. acaciae hypocistidos, ana [...] ʒ.ij. gummi arab. torres acti ℥j suc [...]i plantag. succi consolidae ma. ana, ℥.iij. labour it long in a leaden morter, with his pestell, & therewith annoynt the forehead and temples twise a daye, either colde or warme. If the disease be inueterate, or these meanes auayle not, shaue the forepart of the head, and apply to the crowne, temples and forehead, some astringent and drawing plaster: as pr [...] Ruptura: or, Rec. pi [...]is, cor [...]icis thuris, boli arm. ros. rub [...] siccarum, gallarum, ana, ʒ.j. sem. berb [...]ris. suma [...]. Masticis, thuris,Rondel.ana, ʒss. spicenardi, opij, ana ℈.j. incorporentur si [...]ul cum terebinth. [...]iat em plastrum. Or this: if the tumor be colde: Rec. pi [...]is naualis, ℥ss. masticis, thuris myrrh [...]e ana, ʒ.j. cype [...]i, spicae [...]ardi, schenanthi, rosariō. ana, ℈.j. aca [...]iae, licij. ana ʒ.ij. fiat [...]mpl. incorporando[Page]cum terabynthina. If Licium may not be gotten, take double quantitie of acaci [...]. Further, you may proceed to direct the humor by cupping, rubbings of the head towardes the hinder parte, and applying the seton in the necke: yea, some much commend the application of a cauterizing yron to the crowne of the head: so as it be done to the verie bone, that it maye [...]kale, & the issue there be kept open long time.

CHAP. XX. Pustules in the eyes are called Phlyctaen [...].

PHlyctaenae, are certaine pustules, growing out of the membran Cornea. De [...]. they are caused of serous humors, which doe sometime participate with bloud: the partie being of sanguine complexion, youthfull yeares, hauing red eyes &c. In others they be hote byting humors, causing accordingly byting paine,Causes & signes. & it falleth then on a cholericke complexion, or by reason of the yearetime, [Page] being hote, or hote diet vsed, & the patients eyes are yellowe. If they be but superficiall, they are easily, but if they haue deepe footing, they are hardly cured.

Prog.If the serous humor participate of bloud, open the humerall or median veine, aud [...]hat not once onely, but scarifying to the necke, and shoulder blades. If the humor be hote and fel, appoint a cooling dyet: with meate [...] cooling, fo [...]t, and of easie concoction. Barley water, or thinne ale for his drinke: appointing the patient reste, and frication, with bindinges to his lower partes: Forbidde wine, much speach, neesing, anger, much light & mouing. Prepare the humor with syr. violarum, de papauere rosarum, and such like: then purge with manna, cassia, diacathol [...]cum, decoctum tamarindorum, prunorum, sebesten, mercurialis siclae, senae, &c. or with syr. ros. laxat. o [...] Diasereos, &c.

The place it selfe must be applyed with digerent, and withall, lightly repellent medicins, as are album o [...] cum aqua plantaginis, ouorum album & luteum [...]um pauco [...] croco, passo & pant,[Page]acatia cum succo oliuae, succus fol. virg [...] pastoris per se, or cum cerus [...]a, succus fol. mali co [...]onei cum oui liquore, mucilag [...] faenigraeci, &c. Else, Rec. lycij, croci, ana, ℈.j. sarcocollae, ℈.j.ss. thuris, ℈.ij. cum duobus vitellis & albuminibus ouorum, & aqua [...]osarum, fiat collyrium. Or this: Rec. haematitis lotae in aqua ros.ʒ.ij. cerussae lotae, lycij, ana, ʒ.j. amyl [...], gumm [...] [...]rab. tragacanthi, ae [...]s vsti, antimo [...]ij, ana, ʒ.ss. opij, ℈.j. formentur pastill [...] cum succ [...] foliorum oliuae, and instill of them into the eye, cum succo faeniculi, symptones: to witt, paine and inflama [...]ion, if they happen. must bee asswaged and smoothed, cum opio in lacte dissoluto: or, cum hypocistide & ac [...]cia in aqua rosarum, cum malocotoneo [...]lixo: or, Pomo austero cocto, and warme applyed, or such like.

CHAP. XXI. AE [...]ylops and Anchilops.

AEgylops is a small swelling,Def. or inflammation, in the greater [Page] corner of the eye, when after suppuration, it is come to an abscesse, it is called Anchilops. Caus. It commeth of vicious iuyce, especially of hote and byting qualitie, flowing to the eye, and that either from the whole bodie, or else but from the head.Prog. If it be in a thinne bodie, and with putrifaction of the bone, it is hardly cured. For the diminishinge of the humor, set first the patients order of dyet, to bee with meat of good nourishment, and thinne ale: with exercise of walking, and vsing frications and bindings in his inferiour members. Then to the ende, to diuert & euacuate, open the humerall veine of the same side, and set boxes in the necke, or in the iugular veines. Purge also cum pill. lucis, arabicis, aureis, coc [...]ijs, or such other. And to come to the place inflamed, if the inflamation be yet but growing, striue to staie it, partly by such bloud letting and boxing, and partly by repellent medicines, as this: This is much commended, of Rond. Rec. acaciae, balaustiorum, myrtillorum, cort. mali granati, rad. bistortae, gall. immaturarum, ana, ʒ.ij. boli arm.℥.ss. cort. thuris, croci, ana ʒ.ss. ol. ros. & myrth. ana, ℥ij. succ. cotoneorū, & aceti ros. ana, ℥.j. incorpora simul & reduc. ad formam nutriti. Rec. succi sola [...]ri ℥.vj. thuris ʒ.ij. misce, & These medicines would be applyed no [...] onely to the great corner of the eye (where the tumor is) but to the eyebrowes also, & [...]o the cheeke and nether iawe: occupying all the circuite so, vnto the cure. super ponatur. Or, Rec. succi semperuiui, succi parietariae, ana, ℥.iiij. glaucij, croci, ana, ℥.ss. misce. Nowe the humors being [Page] impact, and the inflamation being made, your medicins must be to wast and discusse them: as Emplastrum diuinum, ceroneum, Diapalma, farina erui cum melle, parie [...]aria elixa, & malaxaia cum pauca myrrhae [...] Alica co [...]ta in ace [...]o & probe trita. Or a medicine ex glaucio, croco & parietariae succo: or, Ruta cum lixiuio primario trita & cocta: or, thus, applyed cum stercore columbino: el [...] folia maluae: or, chamaemeli, commansa, & cum sale imposita. Also cinis nucis combustae iniecta: or, arundinis membrana cummelle imposita &c. If paine busily vrge you, prouide to mitigate the same cum pomo cocto in lacte. Or, lacte mulso: or, muccagine Psylli & faenugr. cum aqua violarum extracta: or, a defensiue, or fomentation ex decoctione rosarum Chamemeli in vino rubro, &c. The abscesse being Be diligent to spie out the suppuration, lest it being, er you be aware, the ma [...] [...]er worke a hollowe, and also defile th [...] [...]one. suppurate, must be opened (if not otherwise) by instrument, and the rest of the cure to be [...] perfourmed, as in the fistule of the eyes is set downe among the vlcers.

ANNOTATIONS.

aThis is much commended, of Rond. [Page] Rec. acaciae, balaustiorum, myrtillorum, cort. mali granati, rad. bistortae, gall. immaturarum, ana, ʒ.ij. boli arm.℥.ss. cort. thuris, croci, ana ʒ.ss. ol. ros. & myrth. ana, ℥ij. succ. cotoneorū, & aceti ros. ana, ℥.j. incorpora simul & reduc. ad formam nutriti.

b These medicines would be applyed no [...] onely to the great corner of the eye (where the tumor is) but to the eyebrowes also, & [...]o the cheeke and nether iawe: occupying all the circuite so, vnto the cure.

c Be diligent to spie out the suppuration, lest it being, er you be aware, the ma [...] [...]er worke a hollowe, and also defile th [...] [...]one.

CHAP. XXII. Supplie. Phlegmonous tumor in the Eare.

Place. Fernell.THis tumor accustometh to gather in the inner parte, betweene the hard membran of the braine, and the panicle spread before the passage of hearing.Causes & signes. It is ingendred of [Page] most thinne and sharpe bloud, which rushing in thither, from the interiour veines of the membrans couering the braine, at length doth putrifie. It bewrayeth it self by heate and greuous paine: both tho [...]ow sharpnesse of the humor, whereby it pricketh, & thorough the plentie gathered, whereby it stretcheth and sundreth the membrans, whereof commeth a panting and tearing kind of paine: euen such, as is found in all inflamations, kindled about the arteries & membrans. There ariseth also a feuer, accompanied with his symptones. But all this while, no tumor, or rednesse seene without, vnlesse, (perhaps) by a double growth of euill, the outside happen to bee drawen into consent. at length the putrified matter, by little and little, changed with concoction, maketh an abscesse, whererupon pus either eateth or breaketh, or (at the lest) is conueyed out, through the poares of the membran of hearing, & so issueth out by the cōmon passage: to the great ease, and lightning of the parte, both of the paine, and burthen, wherwith it was oppressed. [Page] Such as in this case haue weake braines,Prog. and abounding with excrements, haue their eare the longer issuing: yea, the suppuration sometime verie long abyding: still casting foorth either white pus, or liquid sanies. The vniuersall pointes, of dyet, reuulsion, and euacuation being ordered,Cure. as i [...] taught in Ophthalmia, come to your locall medicines,Calm. according to the time of the tumor. In the beginning, (regarding the nature of the affected part, and sharpnesse of paine) your medicines may be repellent, for all the neerenesse of the braine. Make a decoction therefore ex plantagine solano, vi [...]laria, lactuca, and such other, in aceto & aqua, and by a funnell, let the fume therof be receiued into the eare: adding to such a decoction (if you list to make it more cooling) papauer, hyosciamum, & mandragoram. Afterwarde of the herbes of that decoction, make a cataplasme, by mixing therewith ol. ros. ver cydoneorum, vel papaueris: or other cooling & astringent oyle, and apply the same to the eare. Else, boyle ole [...]m rosaceum myrtinum, [...]ydoneorum, violarum, papau [...] nympheae, [Page] or such other, cum aceto, ad aceti consumptionem: and therof instill into the eare, by a droppe at a time, warme: or Rec. ol. rosarū part.ij. ol. amygd. dulc. part. j. aceti part.iij. coquito ad aceti consumptionem, and droppe therof in like sort, into the eare: or, (if the heat be great) you may droppe in of the iuyces, or waters of cooling & astringent herbs, cum granis aliquot Caphurae: or, albumen oui cum lacte muliebri agitatum: which will coole and ease: or, cleum rosaceū, cum succo mali punici, & tantillo croci, coquito, and put it likewise warme into the eare. Obseruing alwayes, in this case, that those things you put in to the eare, bee warme and in little quantitie.Cano [...]. In the encrease of this tumor, you must mixe discutients with things coolinge and repellinge: and therefore adde to the former oyles, fumes, and catapl. althea, malua, chamomilla, melilotum, hordeum, & lentes. The state approching, wherein you must more largely discusse, adde to the decoction, semen lini, faenugraeci, absynthium, calamentum, origanum, and such other, in such due quantitie, as may directly serue your purpose, in [Page] more or lesse discussinge, and repellinge, or mixte with the iuyces, or waters of those herbes, oyles both repellinge and discussinge, and vse them by waye of fume, fomentation, or dropping into the eares: or of the remnant of the decoction make a cataplasme, by adding vnto it, conuenient quantitie of oyles and fattes. Vnguents may you also prepare ex muccagine psyllij, cydon, sem. lini, [...]aenugr. butyro, a dipibus gallinae, anseris, anatis, and oyles conuenient to repell & discusse, according to the diuersitie both of your intention, & also of the time of the tumor. Discutient oyles are chamomelium, anethinū, a [...]igdal irinum lil [...]rum, nardinum, &c. The tumor tending to suppuration, tho [...]gh it must receiue some fur [...]heran [...]e from your medicine, yet spa [...]g [...]y: for as much as large vse of suppuratiues,G [...]no [...]. woulde bring perill of great put [...]ifaction, in that place. Like wise your sup [...]uratiue must bee drying: a [...]nswe [...]able to the nature of the parte: as this: R [...]c. rad. al. hee, ℥.ij. mal. [...]. a [...]a, m.s [...]. [...]am [...]mil. me [...]loti, [...], P [...] [...]s. fiat decoctio, cui adde, farina,[Page]faborum & hordei, ana, ℥.ss. pass [...]larum, ℥j. ol. chamomillae: ℥.ij. fi. [...] cataplasma: or, Recipe adipis gall. anseris [...] caprae, ana, ℥.ss. butyri recentis & sali [...] expertis, ℥.ij. mellis & asypi, ana, ʒ.vj. ol. liliacei, ℥.j.ss. cerae. q.s. fiat vnguentum.

If there bee (in the meane time) vehement paine,Paine. studiously por [...]ide to ease it, as with cooling oyles, waters and iuyces mixt cum lacte mul [...]eb [...]i. Also auayleth succus cucurbitae & mali granati, cum oleo rosac. & lacte: or (if there bee much heate) cum ol. nympheae, papaueris, mandragorae. Else, oleo cum aceto, vel succo mali granati, ad aceti consumptionem coqui [...]o: Adding vnto it, muccaginem, semen Psillij, & cydoneorum, vel nonnihil caphurae, vel gr. aliquo [...] o [...]ij. & croci, cum lacte.

Auaylable here likewise are, o [...]eum de vitellis ouorum (which is good also in the vlcer of the eare, beeinge mixte cum tertia parte mellis) oleum lumbricorum, oleum Chamomaelium, anethinum, & de semine lini: So are, pinguedo leporis, cuniculi, vulpis. Further, adeps a [...] medulla cruris vituli, si cum[Page]lacte misceantur. or, lumbricos lotos, coquito in oleo ros. & exigua vini quantitate, terito & addito semen lini, pingued. gall. seu. cuniculi, & croci tantillum. This was verie familiar with Calmeteus: Rec. olei ros.℥j. vitellum oui.j. opij.℈.j. misce diligenter in mor [...]ario aereo, fiatlinimentum.

CHAP. XXIII. Of Polypus.

Def. POlypus is a tumor beyonde nature, growing in the nostrels, of substāce loose and fungous, like the flesh of the fish called Polypus.

Causes & signes.The cause thereof is a thicke and viscous humor. The signes: a loose & fungie swelling in the nostrels, greater in the change of the Moone, but lesser in the declination. Sometime it appeareth betweene the nostrels, but not much: Sometime it hangeth quite out of the nostrels. Other some times also it lyeth more backwardes: as in the hollowe way betweene the nostrels and the mouth.

[Page]If it be a cancrous,Prog. or inueterated Polypus, it is hardly or neuer cured.

Appoint a slender dyet:Cure. the meates such as be of good iuyce,Diet. and doe atteinuate or make thinne.Euacuati [...] The drink, water of Guaicum, &c. If nothing hinder, let bloud in the Cepha [...]lca veine, specially, if the head bee replete with bloud: else, set cuppinge glasses behinde the head. Purge the bodie vniuersally, cum pillulis coccij's, aureis, sine quibus, &c. and the heade also perticularly, with masticatori [...]s, of masticke, and scannwine, &c. Then see that your medicines for the place be partly astringent, partly pearsing: partly attenuating,Local medicines. and partly discussing, as is this water: Rec. vuarum imma [...]urarum, li.iij. mali grana [...]i, balaustiorum, sumach, a [...]a. [...]i.ij. macerentur in aceto & destil [...]entur, deinde adde, aluminis, li.j. vi [...]rioli, ℥.iij. destillentur, omnia, iterum, and with that water, touch the inner partes of the nose. An vnguent for that purpose: Rec. argen [...]i spumae, cerussae, vini, aceti, olei mirthini, ana, qs. To these being boyled, you may put and mingle, aliquid rosarum, balaustiorum, & aluminis. Another: Rec. [Page]spumae arg.ʒ.j. cerussae, ʒ.iij. male [...]or [...], ʒ ij. aluminis scissilis.ʒ.ij. with these powdred & odoriferous wine. Frame it to the thickenes of honie: after that put in some ol. myrthinum, and stirre them togither, & reserue it to your vse, in a leaden boxe. If you see that these medicines be too milde, & that you stād in need of stronger: you mai therafter get vnto you stronger also: such as chalcitis, aes vstum, san [...]araca, au ripigmentū, &c. emp [...]rast. Macrionis, Te [...]rapharmacū, cum duodecima parte aeruginis: Ceratū mirthynū, c [...]ratū e cera rubra, cū oleo mirthino, & dicima parte aeruginis: Psoricum Mesuae, Trochisci Andronis, Musae Polyidae, &c. Else these pouders of later inuention: Rec. squā [...]ae aeris, ℥j. atramenti sutorij, ʒ.vi. sandaracae, ʒiij. veratri nigri, ʒ.ij. misceantur. & blowe vp of this pouder into the nostrels. Another: Rec. Chalcanti, chalcitid [...]s, aeris, vsti, [...]ysi, ana, ℥.ss. misce cum vino ad mellis crassitudinem: then burne it in a fornace, and powder it, and vse it as afore. If it be rebellious to these kind of meanes,Incision. the last refuge is, incision, or burning [...] as if they be [...]auft, they are fit for incision. Let [Page] the partie therefore be placed in som Sunshine or lightsom place: then holding open the nostrel with your lefte hand, cut of the Polipus rounde, with the right hande, with a spatule made sharp for that purpose, & like the fashion of a mi [...]t leafe: directinge the edge of the instrument to that parte, wher it ioyneth to the nostrels: then in like maner turning the instrument to the contrary part, cut the foote of the Polipus asunder, & so take it out. If the P [...]lypus be of a maligne nature,Cauterie. it must come to the [...]re of the hote iron. And if it be but a small one, the cauterie is to be applied to the place, through a siluer reede or pipe. In But this respect of persons is vnfi [...] for the children of God, who must mak [...] conscience, of the least peril, or deformity, (if by more diligence, or better meanes i [...] may be redeemed) euen in the basest sort [...] of men. rustical persons the nose may be slitt, & so the cauterie haue more easie passage to the part. Beyond all this the affected part especially, the he [...]d must be lookt vnto, for meanes of comfort & strengthening. You shall make the patient coyffes therfore, quilted with cotten woll & strewed betweene with some drying & coroborating pouder [...]x ligno alocc, caryophilis, macere, nuce moscata, staecade, saluia, maiorana, menthae roremarino, betonica, lauendula, &c.

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ANNOTATION.

a But this respect of persons is vnfi [...] for the children of God, who must mak [...] conscience, of the least peril, or deformity, (if by more diligence, or better meanes i [...] may be redeemed) euen in the basest sort [...] of men.

CHAP. XXIIII. Supplie. Parulis. Epulis.

Def. Aetius. PArulis, is an inflamation with tumor, in some parte of the gummes. If it bee in the lower gummes, the matter descendeth by the temples,Fer. Causes & signes. from veines there ending. If in the vpper gummes, it distilleth from the greater corner of the eye. It gathereth at the rootes of the teeth, and swelleth out with heat, rednesse & paine.Prog. If it be not resolued, it groweth to suppuration. By euil handling, the gumme may growe vnto the cheeke,li. def. med as Gorraeus once sawe it. So may epulis rise thereof, as noteth Fernelius. In the beginning, (the bodie [Page] being lookt to, for the vniuersall points, as hath beene saide in the general Phlegmone) let your medicines be Aet. me [...] med. li. 4. ca. 14. repressing, and discussing: as Aet. 2. ser. 4. c. 25. succus p [...]isanae, or, decoctum sem. lini [...]: or, Ori. loc. aff. l. 4. c. 66. acetum in quo hyosciamiradix cocta sit, being a speciall remedie in that case. If it will not so be spent, nor repressed, let the patient hold in his mouth decoctum caricarum, and laye on the place, ficum pinguem, cum modico sale tostum. If it suppurate, & yet break not of it selfe: by pricking it with a lancet point, or quill, it runneth out: & oft times healeth of it selfe: howbeit, if you finde it in a bodie of suspitious qualitie, I hold it saffer to make incision wider, and to lay open the place more largely, lest it runne into t [...] danger of a fistula:Loc. cit. as also AEtius iustly suspecteth. After the opening, wash it with aqua mulsa, or, mel rosarum. Being cleansed, drie it vp cum puluere balaustiorum torre [...] act. & modico aluminis vsti, or such other: applying thickets of lint vpon the place, both for the cause of drying, as also to presse down and close againe the seperated sydes. Out of this euil springeth,Epulis. as is noted [Page] afore,Loc. cit. Epulis, which is an outgrowing of flesh in the gummes. For this, Orisabius counsaileth a powder,Tetr. 4. ser 2. c. 50. consisting ex pari portione vitrioli, & mirrhae, cum modico aluminis, sciscilis. AEtius hath this: Rec. Calcitis viuae, ℥.ij. auri pigmenti, ℥.j. auri pigmentum cum aqua te [...]ito, & calcem addito, & simul, probe cont [...]r t [...]. deinde in mortarium aqua plenum conijcito [...] vt subsideant. When the matters bee settled to the bottome, powre awaye that liquor, and put in fresh, stirring it long time. Let it then settle, after separate also the water, and put in newe: do so like wise the thirde time. Last of all, leaue the vessel filled with water, in the Sunne (stirring it euery day, and [...]llinge it vp, still when the water i [...] consumed) for 40. dayes. After the last expence of the liquor, the pouder being dry, keepe it in an earthen pot, in a drye place, so as it may not bee tainted with moysture. And this (s [...]yeth he) maketh his escar withou [...] byting, & depresseth loose swellings. Perticularly hee praiseth it, in this case, and for putrified gummes. If Epu [...]es be verie painfull, and inflamed, [Page] as it is sometime seene,A [...]t tetr 2 ser. 4. ca. 25 so as the partie cannot open his mouth: then first must you practise to delay the inflamation, and that, as by vniue [...]sall meanes, (according as the case requireth) so also by locall medicines: as washings of the mouth with aqua mulsa, succus ptisanae: or, decoctum sem. lini. And emplastring the whole [...]aw, with a cataplasme, ex semine lini, & aqua mulsa. The inflammation being done away, so as the mouth may open, applye the powder to your purpose, or in the want thereof: Rec. aluminis scissilis.ʒ.ij. gallarum, ʒ.iiij. salis terrefacti, ʒ.j. fiat puluis. Strewe of this vpon Epulis, and apply al [...]o your lint, as is set downe in Pa [...]ilis. And I suppose, that nothing can in this case be done by the waye of these medicines [...] that a prouident a [...]tist cannot as quickly accomplish, by discrete vse of the caustike stone. The ancient authors, beyond all these meanes, come (at the last) to incisiō. Pareus preferreth before all other that it be bound with a double threede [...] li. 7. c. 4. and followed still with strayter bynding, till it fall of, burning the place afterward, with [Page] a causticke applyed in a hollowe pipe: or, cum aqua forti: or, oleo vitriolo, so curiously put it, as that the sound parte [...] mai not be touched of them. And thi [...] way (he saith) he hath cured this humor, of so large a sise sometime, a [...] that it grewe forth at the mouth, to the great deformitie of the face.

CHAP. XXV. Supplie. Batrachus, or Ranula.

Def. RAnula is a tumor in that la [...]e & sauft parte of the mouth, which is vnder the tongue, and whereto the tongue is knitte by his ligament.

It proceedeth sometime of hote humors,Causes & [...]gnes. bearing the signes of an inflamation: but moste commonly of colde, slyme and pituitous matter, which, when the tumor is opened, i [...] like the white of an egge,Cure. Act. m [...]h. [...]ed. li. c [...] 4 [...] 14. & somtime (sayth Pareus) yellowish. If it be in a partie of sufficiēt age, open a vein vnder the tongue, that so by bleding sufficient, [Page] the disease may be made more obediēt. Afterward, to your medicins:Aetius tetr. 2. ser. cha. 37. aplie vnto the place galla, or semen ros. tritam cum melle. Or rubbe the place cum artemi [...]ia viride, trita cum sale. Els nuces iuglandes veteres integra [...], vna cū cortice exvstas, comere: deinde piperi [...] gr.xij. adijce, & thuris gr.iij. cum melle sufficienti misceantur, and annoynt the place with it.De Apost. cap. 26. AEtius maketh great account thereof. Paracelsus appoynteth after the opening of the veynes, to washe the place with the waters of Brassatella, alchimilla, diapensia, or agrimonia, or annointe them cum oleo hypericonis, or de floribus centauriae, & though it reuerse,Li. 7. c. 5. to cure it yet again in the same order. Pareus chuseth to preuent the reuerse, by opening the tumor with a hote yron: (deuised safely, by meanes of a plate with a hole in it, for defence of the other partes of the mouth) and washing afterward the place, ex decocto hordei, melle & zaccharo rosato.

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Supply. CHAP. XXVI. Tumor tonsillarum.

THere be certayne glandules, placed on eyther side of the iawes, by the rootes of the tongue, which sometime swell with cold humors from the heade, sometime are inflamed with hote. It maye also come of causes from without, such as AEtius telleth in yong bodies: to wit, drinking much wine, and greedy deuouring of meats, specially rough or sharp tasted: as I also haue sene it, by excessiue eating of cheries. The Tumor is euident to see and feele. Besides, the patient feeleth, as a lumpe sticking in his iawes, hindering his swallowe: but all this while without burning and thirstinesse, they being the signes of this parte inflamed: together with manifest rednes & paine.Prog. This not discussed, commeth to suppuration: the other oft to vlceration. The vniuersall points being ordred as in taught in the general tumors.Cure. Wet [Page] ouer the swelled places with a fether, dipped in this water,Rulandus. twise or thrise in an houre, Rec. aquae fontanae, ℥.ij. ol. vitrioli Rom. tot guttas, quot acidam multam reddant. By this he shall be procured to spit much. After it, put succinum album vpon the coles, and procure him the fume of it, by an embot vp into his iawes: this may be done two or three times in a day, if neede shall so require.Rond. And further to drie vp and restraine, Rec. nidi hyrund.℥.iij. pulu. nucum cupressi, ℥.ss.ros.℥.ss. excipiantur oxymellite f [...]a [...]que ad formam cataplasmatis. Applye it to the sides of the throate. Likewise, if you couet a gargarisme, Rec. Florum prunellae, florum saluiae, ana, Rulandus. m.j. gran. myrtil.℥.j. ss. decoquantur in vini rub. & aquae ana, li.ij. ad medium horum iuri colato admisceatur, diamoron ℥.j.ss. fiat gargarisma. If this course notwithstanding the tumor tend to suppuration, leaue your fume aud cataplasme, and put to your gargarisme, Ficus, mucilagines faenugraeci, recentem glycyrrhizam, iuiubas &c. according to the proceeding, hereafter set downe in Angina.

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Supply. CHAP. XXVII. Tumor Collumel [...]ae.

THis last deliuered tumor, is commonly accompanied with th [...] tumor of Collumella, especially, whē that proceedeth of the outward occasions,Causes & signes. there mentioned. Other times it groweth likewise, of muche filling with moyst matter from the heade: the place is swelled, especially extended in length, and hangeth dropping wise into the throate: so as it constraineth the partie often to swallow,Fernel. supposing he could at once swallowe that, whiche otherwise lying in his throate, mighte endaunger his choaking. This part is sometime also (though sieldome) enflamed, with hote humors: testifyed by burning & rednesse in the place, & offring more trouble to the partie, & greater feare of suffocation, then that, which is relaxed only. When by occasion of this inflammatiō, the nether end of Vvula groweth thick, and the roote smal, [Page] [...]lender and blackish, it is called vua, being resembled by a grape hanging by his stalke.Prog. When it is in this case, it doth gangraenate.

If the head abound with rhewmatick matter:Cure. euacuate & diuert by blood letting, purging, cupping, and such other meanes as you shall iudge expediēt for the case, the diet being spare, and drying. Many are cured, the matter impacted being not much in quā titie, only by touching the place with long pepper finely poudred, and conuayed vnto it, either vpon a spatule, or little spoone.

Rulandus highlye accounteth, of the fume and gargarisme,Cur. 1. set downe in the chapter going before,Cent. 1 [...] to be vsed also in this case, appointing moreouer to take, fermenti veteris, ℥.j. to spread the same vpon a linnen cloth, sprincle it ouer, cum puluere carabae albae, and applye it halfe a hand broade, to the top of the head. Calmeteus hath this garg and pouder: Rec. lentium & hordei, an. p.j. baccarum & fol. myrti, an. p.ss. balaustiarum, ℥.ss. ros. rub. p.ss. aquae & aceti part. aequales, coquantur ad medias, colaturae adde sacchari, rub. vel mellis[Page]ros. col.℥.iij. fiat garg. Ex. Cal. Recipe gallas virides xv. spicae celticae, ʒ.iij. ros. rub. P.ss. nidi, vel pul. hirundinum, ʒ.iij. fiat pul. tenuiss. Applye it to the place: Others make their pouder ex vna parte piperis, & duabus partibus myrab. citr. The inflamation of vuula hath suche sute of local medicins beloging vnto it: as are declared & taught hereafter, in that parte of the cure of Angina, that concerneth inflamation. But if it do gangraenate, it must be cut of with an instrument: or els tied, according to the deuise of Honoratus castellanus, and set downe, with the fourme, and vse of the instrument,Li. 7. ca. 7. pertaining to the doing thereof, by Ambrose Parey.

Supply. CHAP. XXVIII. Angina.

Def. ANgina is that affecte of the throat, wherein larynx by some inwarde occasion, is streightned,Fernel. lib. 5. c. 9. to the procuring of suffocation. Angina is of two sorts, [Page] in generall: one true, another fals: of the true are foure differences:Differences vvith Causes & signes. the first accounted of Hippochrates, the moste dangerous of al others, when neither in the iawes within, nor in the throat without, any euil at al is seene. This inflamation being altogether hiddē, bringeth forth most cruel accidents, with peril of present suffocation. Of this kind of angina, Fernelius testifyeth he hath seene die, in the space of xviij. houres [...] being perfit in minde & sences. The second kinde is, when the inner muscles of larynx, & the iawes are tainted with inflamatiō. this hath as cruell accidents as the former, but with lesse perill [...] for as muche as it sheweth it selfe by manifest tumor, which may haue riddance out by the mouth [...] The third sort occupieth the iaws within, together with the throat outwardly, apparāt by tumor & rednes, accompanied with sence of heat, & payne. the symptoms of this, are no slighter than of the former, saue with more hope of health: in that the inflamation bearing outward, is so much easier to be breathed out, & discussed by medicins. The 4. is iudged lightest [Page] and safest of al the rest, this toucheth not the iaws within, but the outward throate only, and his muscles: by the swelling of which, notwithstanding, it commeth to passe, that the inner muscles of larynx, are compressed, & so the passage of aire straightned. The cause of these sortes is, a sanguine or cholerike Fluxion, which flowing into these partes, by the braunches of the iugular veines, pertaining vnto them doe bring forth eyther Erysipelas or Phlegmon. The euident causes are sundrie, to wit, colde rather then hote, either aire, or drinking: strokes fishe bones, or pinnes, &c swallowed: drunkennesse & all excesse. For signs, these kindes haue (besides those that are common to euery Angina) tumor, Heate, and Feuer, the laste of whiche signes, is a continuall companion of euery true angina. False Angina. Now the false angina, that is without all Feuer, and proceedeth of a distillation of pituitous matter, in the iawes and muscles of the throate. in which, though ther be tumor, yet without rednesse, heat and feuer. The common signes of al sortes of angina, are, straightnesse of breathing, [Page] difficultie in swallowing, (so as the drinke sometime leapeth vp into the nose) and great payn about the iawes.

Those sorts be most greeuous and soonest kill,Prog. Hip. 3. prog. 18. Aph. l. 4 (yea commonly in one day) that making no appearaunce, neither within nor without, yet moue great payne, and difficult breathing. That whiche is with tumor and rednesse in the throate and brest, is safe,Aph. l. 5.10 secund. Iou [...] berti tr. c, de Angina. for the most part, though longer enduring. Whosoeuer in the ceasinge of Angina, haue the matter conuerted to the lunges, they eyther die in seuen dayes, or after fall into Empiema. Cure. Ioub. loc. cit. Set a diet moste spare and slender: both for that the disease being most sharp, requireth it, as also for the vnfillinge of the vessels, which in this case is very requisit. In the case of inflamation make the ayre colder,Diet. Appoint sleepe to the patient, in the beginninge of this disease, that so there maye bee a reuoking of the humors and spirites, to their proper mansions: but about the state, and rypening of the humors more watchfulnesse is meeter, leaste in sleepe time, the matter that should [Page] bee auoyded vpward, steale down into the lunges, or ventricle. Let the patient procure suche rest to the part affected, in the fyrste dayes, as that hee neyther speake, chew, nor gargle: so long as the vehemencye of the Fluxion endureth. but vse frication to the whole body, hote bathinge of the feete, and painfull ligatures to the limmes, for reuulsion sake. Afterward, the inflamation and fluxion for the most part being stayed, both walking, speeche and gargling, ar very conuenient. The belly must yeelde his course euerye day. All immoderate affections must cease: especiallye anger, and exceeding ioy, and whatsoeuer might giue occasiō to laughter. Blood letting would be in the beginning of euery true angina, Order of cure partic. if there bee strength to beare it, yea though there be no great fulnesse: & that not once onlye, but agayne and agayne on the same daye (if neede require) repeated. prouiding and vsing in the meane time, from the firste blood letting, your locall medicines, both inwarde, and outward: this hauing the same scopes of cure, [Page] concerning the perticular times therof, as other ordinarye tumors, arising of a Fluxion: to wit, in the beginning to repel or beat back only. In the augmentation, to resolue with all. in the state to repel & discusse equally, & in the declination, simply to discusse or resolue. Repellents conuenient, are these simples: Acetum, succus mori, (as well fruite as tree) succus corticis vi [...]idis iuglandium, malorum cydoneorum, granatorum acidorum cumsuo corio contusorum, pirorum agrestium, & prunellorum: Also the iuice of the tree Cornus, omphacium, &c. Againe for decoctions: radix bistoriae, rhus coriariorum, summitates rubi, lentisci & myrti, myrta ipsa, plantago, oxalis, vtrumque cichoriū, portulaca, lens palustris, gallae in [...] maturae: sorba & mespila immatura, viua [...]ea, calices glādiū, spōgia bedegaris, citini, balaustia, rosae, alumē, and such others. Of these maye you prouide, (as the case requireth) repellēt collusions, or decoctiōs, to hold in the mouth: obseruing that your repelēt medicins be not to strōg at first, as for exāple: oxycratū very fit to begin withal. or this, Rec, aquae peculi ros. & plantag. ana, Beginning [Page] ℥.iij. succi granatorum acidorum, ℥.j. diamoron, ℥.ij. fiat collutio. A fewe houres after, this stronger one: Rec. gallarum viridium, rhois, balaust. malicorij, an.℥.j. fiat decoctio in aqua plantag. ad li.j. in aqua dissolue diamor.Calm.& vini granatorum ana, ℥.ij. fiat garg. or this:Rondel. Rec. summi [...]atum rubi, vel lentisci, rhus, myrti, pyri siluestris, aut sorbi, vnius horum, m.ij. rosarum rub. balaustiorum, & acinorum vuae, ana, ℥.j. fiat decoctio. In li.j. colatu [...]ae dissolue, diamoron, & dianucum, ace [...]i, & succi mali granati acidi, an.℥.j. misce. obserue: that in the want of the green plantes,Cautions. you maye vse their distilled waters. The Patient must not gargle with these liquors, but hold of them in his mouth onlye: for mouing of the iawes encreaseth the Fluxion [...] Act. 8.45. and euer whē they are vsed, the cold must be taken of at least, for thinges colde in acte, as those that be too hote, doe exasperate the Fluxion, and increáse payn. And in the beginning of the inflamatiōs of these parts [...] vse no hony, not sweete syrupes, the first whereof, prouoketh the Fluxion by his acrimonie, the latter sort, are abstersiue, and opening by their sweetenesse: [Page] howsoeuer otherwise cōsisting of simples astringent, & ingrossing. Excepting neuertheles the vrgency of payn, which may somtime enforce vs to the vse of some of them, as, s [...]r. viol. papaueris, &c. A thing wel obserued of Calm in his practise. The outwarde meanes, in the beginning of the true angina, ought not to be meerely relaxing, as the common practise importeth. For if the throat without, be fomented with oiles, or plastered with cataplasmes, what reasō cā be shewed, that their properties should not pears to the affected part within? if they do, & they be relaxing, shall you not so much the more increase the fluxion? shall you not so muche frustrate the work of your inward medicines, & so in effect, set vp with one hand, & pull down with another?Lib. 4. Trallianus hath noted it long ago, a thing extreamely dangerous: & amongst the late wryters some likewise haue giuen warning of it: namely Rondele [...]ius & Ioubertus: though none of thē (in my opinion) haue sufficiently ynough withstood it, in their practise: for whilste some of thē mingle so small astringencie, [Page] with such plenty of resoluing, and mollifying medicines, as appeareth in that receipt Ioubertus gathereth out of Trallian: I feare least that prouerb may be truely saide therein: (as good neuer awhit, as neuer the better.) This is the receipt, that others may iudge likewise. Rec. micarum pan [...]s, ℥.iiij. dactylos, numero viij. sem. lini, ℥.j. coctis, tus [...]is, & cre [...]is adde, farinae hordei, ℥.j.ss. croci [...].j. ol. liliorum, vel chamomelini, ana, q.s. [...]iat cataplasma. For my part, I take this fitter for the state, then the beginning of an inflamation: especially, if the bread therein, bee vnderstoode fo [...] pure wheat bread. R [...]deletius, if he had continued the same course in his chapter de Angina, (touching this point) a [...] in his chapter before, de Tonsillarū inflamatione, he had both counsailed, and practised, I must haue helde him free from all staine of this errour. Howbeit, howsoeuer afterward he fo [...] ga [...]e himselfe, let vs lay holde of hi [...] first sound counsell, which is, to minister in the beginninge of Angin [...] [...] both inwardly and outwardly, medicines drying, with a certain as [...]rictiō [Page] which hauing concluded first, from the authoritie of Dioscorides: & a reason, drawen from the constitution of the partes, he afterwarde confirmeth from his owne manifold experience: namely in the vse of Cipresse nuttes: wherehence hee taketh iust occasion, to laye downe the receipt of a cataplasme, of effect aunswerable to his rule before prescribed: to wit, Rec. nidi hirundinis, ℥iij. pulu [...] nucum cupressi ℥.j. ros.℥ss. excipiantur oxymellite. fia [...] que ad f [...]rmam cataplasmasis: apply this to the sides of the throate. This knitteth togither the partes: Otherwise naturally loose, and dryeth vp the humor flowed. Fit also for the beginning is this: R [...]c. [...]ungorum sambu [...]i, q.s. in serolactis infundantur, donec mollescani, d [...]in con [...]undantur, and apply it as is said of the former. In the meane time, let the patient haue the same Fungi, steeped in all his drinke. And in the infusion of them, done in aqua rosacea, or Plan [...]ag. Wet cloathes and laye them vppon the heade. To which vse, Parac [...]lsus appoynteth aqua ros. rubearum, bursae pastoris, solatri, barbae Iouis. [Page] thus hauing proceeded by blood letting, & local repellents: if within few houres, the fluxion remit not, or (especially) if the blood shewed the body repleat with euil iuice, com to the other general euacuatiō of the body: which because it can seldom be done by potion or pill, you shal sufficiētly performe by clister, as on this wyse:Ioubert. Rec. hordei p. j. fol. betae, mercurialis, parietariae, maluae cum radicibus, ana, m.j. caricas pingues, no.xx. sem. faeniculi ʒ.ij (if there be no feuer, otherwise, Cucurbitae, melonum ana, ℥.ss.) Florum trium communium, chamomeli, meliloti, ana, p.j. fiat decoctio in q.s. Colaturae, dissolue, diaphaenici, ʒj. diapru. lax.℥.ss. vitell. ouorum ij. olei violarum, ℥.iij. salis (if the bodye be not easye to moue) ʒ.iij. fiat clister. Minister this the first daye after blood letting. and stronger, or weaker then this, as the case shall require, whiche muste bee committed to the iudgement of the Artist: obseruing that you content not your selfe with a washing clister, if the humors bee defyled. The second day open the veynes vnder the tongue, or (if the tongue be swelled, [Page] that you cannot come by them) scarifye the tongue it selfe,Aegin. l. 3. cap. 27. sayeth Paulus, or open the iugular veins, according to Trallianus: a deuyce, once also experimented of Ioubertus, Li. 5. cap. de ang. with happye successe. Your Gargarismes for the second day, whiche is the augmentation, must haue some mixture of resolutiues, as for Example:Augmentation. Rec. rosarum, & hordei, ana, P. j. balaustiorum, ℥.j. caricarum, & passularum, ana, Paria x. iuiubarum paria, xx. Glycyrrhizae, ʒ.ij. fiat decoctio. In li.j. colaturae, dissolue diamoron, ʒ.ij. mellis rosarum col.℥.j. Or this: Recipe Aquilegiae, Prunellae, Betonicae, ana, m.j. ros. rub. balaustiorum, ana, ʒ.ij. Fungorum sambuci, ʒ.vi. caricarum paria, v. passularum paria, xv. glycyrrhiz [...], ʒ.ij. coquantur in s [...]ro lactis, in colaturae, li [...]j. dissolue diamoron, dianucum ana, ℥.j.ss. mellis rosarum, Col.℥.j. cassiae extr. cum eodem decocto, ℥.ss. fiat oris collutio. Let the patiente nowe and than (in the sharpenesse of his payn) bee sucking downe with a quill, Lac recens mulctum, steeped cum fungis sā buci, and warmed agayne lightlye, for the outside of the throate, mixe [Page] with your former astringent cataplasmes, some mollifying & discutient medicines, & that in larger measure, then in the inward meanes: to thend, that the humors finding straiter rowme within, & larger without, may (at the worst fall) bee gathered outwardly, if so be thei cannot otherwise, be cleane spent away. Neither yet doe I here allowe meere relaxinge medicines: for that those doe not, as these here counselled, labour togither in one common worke, with the inwarde meanes: but directly fight against them, as hath bin noted afore. Cupping glasses serue not,Cupping. til the fluxion be altogither stayd:State. and then are they rightly to be applied to the sides of the iawes, & in the neck: especially to the second vertebre of the neck, in the extreame peril of suffocation. The 3. & 4. dayes (accompted for the time of the state) let all your meanes be more resoluing. As first diminishing in the last described collution, the quantities of balaust ros. diamoron. and encreasing the figges, raisins, & mel. But the [...]. day, taking those astringents quite away. Or vse this: Rec. [Page]h [...]siopi, m.j. betonicae, m.ss. glycyrrhizae ras.℥.j. fungorum sambuci, ʒ.j. sem. lini. faenugraeci, ana, ʒ.jss. carnarum ping. numero xij. dactilorum incis. numero. ij. passularum enucleatarum, numero .xx. fiat decoctio: in.li.j. colaturae. dissolue, mellis ros. oxymellitis simpl. ana, ℥ij. sapae dulcis, ℥.iij. dianucum, ℥j fiat gargarisma. Rec. vng. de altheae, ocsipi, vel resumptiui, ana, ℥ [...]iij. ol. li [...]iorum, ℥.iiij. pulu. nidi hyrundinum, ℥.iij. incor [...]orentur sin.ul, & fiat cataplas [...]a. Apply it to the sides of the throat. Iouber [...]us reporteth this out of Celsi [...], to bee verie effectuall.Declinati [...] Sal lineo sacco excipiatur, dimittaturque in aquam bene calidam: and so applye it warme to the sides of the th [...]oate: especially, (as I suppose) in the declination: at what time, it shall bee good likewise, to adde to the gargles, parum salis nitri, vel gemmei & sulphuris calamentum, origanum, thymum, nepetar [...], &c. Caution. Obseruinge diligentlye that in the declination of this Tumor, the matter steale not downe into the lunges, least soudenly you bee depriued of the comfort of your cure. To preuent it therfore [...] minister [Page] euery other day a drawing clister, although the body be otherwise somewhat solluble. And in the declinatiō (according to the strength of the patiēt, & plight of the humors) consult of new purging and bloodletting hitherto of the most desired terminatiō of this tumor, to wit, by resolutiō. the other way is suppuratiō, and that eyther outwardly or inwardly. If it grow outwardlye (whiche you shall know by outward swelling & rednes,If the tumor tende [...]o suppuration. [...]alter. [...]. 2. obs. 10 with inward ease in swallowing) help it forward with this cataplasme: Rec. fol. malu [...]rum, al [...]heae cum suis radicibu [...], ana, m.ij. fol. caulium rubeorum, matrum Violarum, hissopi, ana, m.j. caricarum ping. no. xxx. Florum chamomeli, melilo [...]i, ana, P.j. sem. lini, & faenugraeci, ana, ℥j capitum liliorum alborum, ℥.ij. furfuris P.j. fiat omnium deco [...]io in aqua, pistentur & cribrentur: Cribaturae adde, ridi hyrundinis in Oleo Liliorum macerati, praebulliri & postea cribati, ℥.iij. farin [...] sem. lini & faenugraeci, farinae frumen [...] ana, ℥j. (decoquantur farinae cum oxymelli [...]e, ad conuenientem glutinositatem) axungiae gallinae recentis, Butyri rec. sine[Page]sale, ana, ℥.j. croci, ʒ.j. ol. Liliorum, ℥.iij. fiat cataplasma. Inwardlye vsing such gargarismes as are fitte for the augmentation. The abscesse beinge opened, proceede by mundificatiō, & the other common rules of curing, as hath bene ofte before declared. Contrariwise if angina, suppurate inwardly (which is to bee perceiued by the long continuance of the state, with encrease of payne, inflammation and feuer: the patient still growing wors at nights, with horror & vnequal tē perature of body) make ready your helpes in this maner. Rec. rad. bismaluae, sem. lini, ana, ℥.j. caricas ping. no. xx. hys [...]opi. m.j. Coque & exprime, in li.iiij. liquoris mucosi dissolue, farinae frumenti puris.℥.i. croci, ℈.i. sapae q.s. [...]iat in modum linctus. Or ex syrupo iuiubarum, glycyrrhizae, & puluere radicis ireos [...] Make a mixture, whereof let the patient be often licking. So maye you forward the matter likewise by outward applications. as of some Catapl [...]sme ex farina volatilis, faenugraeci, cum decocto caricarum, maluarum, chamomi [...]lae & melle. After the breaking thereof, minister some mundifyinge [Page] gargarisme: as, ex decocto hordei, cum melle: or this, Rec. aquae de prunis, & de prunella, or (in steed of their water) their decoction: ana, ℥.vij. mellis rosac.℥iiij. aristolochiae rotund. fungorū sambuci, ana, ℥ [...]s [...]. coquantur lente, fia [...]que gargarisma. [...]alse An [...]ina. Hitherto of the true Angina: now followeth of the false. The vniuersal meanes for reuulsion & inanition being ordred, The local curation of this kinde, is to be handled. much after that kinde of cure of the true, which is wrought by way of resolution: obseruing this proportion: that those medicines that are deuised for the augmentation of the other, a [...] meete for the beginning of this, & so foorth: making your meanes in the declination of this, more strongly reso [...]uing, then in the declination of the true Angina. For the beginning, some vse mustard dissolued in oxymellite. Trall. Rec. deco [...]ti thymbrae, [...]i.ss. oxymel. simp.℥ iij. mūmiae gr.iiij. [...]at gargarisma. succinū burnt on the coales,Matthiol. & the fume therof taken into the mouth, is much cō mended: or this vapor following, [...]o [...]bert. if the humor be thick & slimie: Rec. origani, & salur [...]e, ana, m.ij. sem. faenugr.℥.j [Page] buliant ex aceti parte vna, & duabus aquae, addendo salis nitri, vel gemmei, ℥.ss. this being in a pot with a hole in the couer, conuey the fume of it into the patients mouth, by a quil, or hollowe pipe: Rec. sem. rutae siluestris [...] (alias harmalae) apij, ammi, s [...]haenanthi, croci, rosarī [...] [...]ubear. i [...]idis, my [...]rhae, cinnamomi, casaiae, crocomagmatis, aristol. longae, gallarū, aluminis scis [...]i, ana, ℥.j spicae nardi, amomi, ana, ℥.ss. costi, cineris hirundinū recens vstarum, ana, ʒiij. mellis, q.s. ad excipiendū. fiat opiata. Diabesasa. This is that famous cō position of the Greekes called Diabesasa, or, diaharmala, so much celebrated of them, for his vertues, in the cure of al sortes of Angina, though in reasō, it seem not so fit for the true sorts: except only, after the fluxiō is wel stayed, as also Iouberius hath truly noted. But in this kind there is especial vse of it: seing that by discretiō it may be [...]itted vnto the seueral times thereof: as AEius s [...]eweth in this sort.Ser 4. terr. 2. c. 47. In the beginning [...] mingle it with som decoctiō meanly astringent: toward the state, cum ptisanae succo: & neere the declination, cum melle, aut hydromel [...]e, aut vno mu [...]so: so that as you woulde [Page] haue it worke, so may you direct it, by your liquor or decoction, wherein you will dissolue it. Of greate account also is this:Aetius loc. cit. Sumunt ur pulli hirundinum siluestrium vi [...]e cum plumis: addi toque sale pauco, in fictili bene obturato comburuntur: Recipe illius cineris, ℥.j. croci, ℥.ij. spicaenardi, ʒ.j. melle excipiantur. This resolueth excellentlye, without biting. If the Fluxion continue verye headlong, Ioubertus counsayleth this fume for the stay thereof.Loc. cit. Recipe Nigellae romanae, & gummi hederae torrefactorum, eoriandri praeparati, granorum & gummi Iuniperi, santali albi. rub. citrini, ana, ʒ j. myrrhae, thuris, masticis, Nucis moschatae, calami aromatici, cyperi, ana, ℈.ij. spicaenardi, schaenanthi, ana, ℈.j. rosarum, ℈.iij. Pouder them, mingle them cura gumini dragagantho, dissolued in aqua rosarum, vel m [...]yrit, and make of them [...]rochisces like lupines.

But if the straightnesse of breath bee greate, that you feare suffocation of the fume, let the patient receiue it at the nosterls, for euen so shal the braine bee affected with the qualitie thereof. You may likewise [Page] applie cupping glasses to the mould of the head, and this or such like plaster, to suspend the rhewme. Rec. guttae ammoniacae, vino generoso dissol.℥.j. sinapeos vel thapsiae, ℥ [...]ss. masticis, ʒ.ij. terebenthinae, q.s. fiat massa Emplastri. After the fluxion is sufficiently staid, then may you boldly vse those meanes, that may more immediately frō the place, where they are gathered, drawe out, and so expende the remnant of the humors. Rec. succi hederae, vel siclae, vel maioranae, ℥.ij. mannae granatae, vel mel ros. c [...]l.ʒ.j. [...]ecoct. hordei, li.ss. misce. Minister this into the nostrels, by a tente of bombast: or cloth dipped therein. From thence may you safely passe to sharper gargles, & drawing masticatories: to dislodge the insoked humors, in the loose and spungeous partes of the iawes. The way to prepare such gargles is shewed before. your masticatorie maye bee zinziber conditum, radix enulae campanae, pyrethrum &c. Or this compounded: Rec. cubebarum, zinzibris, nucis moscalae, ana, ʒ.j. fiat puluis: which you may knit vp in knottes of linnen clothes, to chewe vpon: or else make [Page] a paste therof with sigges, for the like vse. Hitherto of Angina of both kind [...], with their seuerall cures continued. Now of some things that may interrupt, and otherwise fall out amisse in the cure.For paine. Things interupting are pain & peril of strangling. For paine, theri [...] before apointed, sucking of new milk with suger. Or, (as I haue tried) with Iewes eare insteped: and in the collutions for the mouth, syr. violarī [...] &c. allowed. The auoyding of suffocatiō is thought,For suffocation. by authors of great authoritie, in the extreme peril of it, to be by incision of the rough arterie: as extreme points of diseases require extreme practises of remedies, and the keeping of breath and life, for a short time, (though by a hard kind of meanes) in this most sharpe disease, may be if much auaile for nature, in the meane time, either by resolution or suppuration, to saue her selfe. I knowe there is also graue authorite against it,De cur. ac morb. li. i. ca. 7. as, Aretaeus, and some other: but their reasons being these: First, that the weland being wounded cannot be healed againe. Secondly: that the newe wounde, causeth a newe [Page] inflamation: are easily answered. The latter being a case, that by means may be preuented: and the former a thing that experiēce dayly improueth. Whē you come to it therefore, make your incisiō betwixt two of the cartilages, in the mēbran which ioineth them togither: by cooling meanes, then may you preuent [...]al inflamatiō, as also hinder the to hasty ioining of those parts againe. Ad also this caution that the ayre which the patient after incision, receiueth,Caution. be warmer then ordinarie: because it must nowe, by so short a space, passe to the lungs, without that alteration it was wont to haue, when it was receiued through the iawes, which mai satisfie Aretaus also, for his obiectiō of cough & suffocatiō, which (perhaps) he feared, through the coldnesse of the aire. Lastly, if by any inordinate vse of some of the former meanes, the tumor grow to Scirrhous hardnes:Schirrhous tumor. make hast to your molifying medicines, such as these: Rec. rad. bismaluae, maluae, sem. lini, ana, ℥.j. caricas pingues [...] numero xx. hyssopi, m.j. coque & exprime, liquoris huius mucosi, recipe, ℥.iij. iridis florentine, ʒij[Page]myrrhae vel styracis ca [...]. & stercoris ex nido hirundinum, ana, ʒ.j. oxymel, scillis, q.s. fiat loch. Outwardly applye this catapl. Re [...]. rad. bryoniae, caepae albae, c [...] [...]umeris agrestis, ana, ℥.ij. branchae v [...]sinae, parietariae, origani, calamenti, ana, m.j. caricas xx sem. lini, faenugr. ana, ℥.j. florum centaureae minoris, ℥.ss. coctis, i [...] sis & cretis, adde butyri recentis, vel ax [...]ngiae anserinae, ℥.ij. fimi hirundinum ℥.j. sulphuris, ℥.ss. ol. anetini. q.s. fiat catapl.

Of tumors incidsnt to the Bellye. CHAP. XXIX. Standing foorth of the Nauel.

Causes & [...]ignes.THE prominencie of standing foorth of the Nauel is called also in Greeke Exomphalon. The outward causes are falles, strokes, labour, crying, coughing, &c. (as the partie himselfe, or the bystanders can lightly report.) The inward causes are ruptures or breaches, by which, either the kell, or guttes fall downe into that place [...] if it be the [Page] kell: the tumor is sauft in feeling, vnequall, of a like colour, &c. If it be the guttes, the tumor is also saufte, vnequall, easily giuing place, and vanishing at the impression of the fingers: yea, sometime with noyse or rumbling: and increaseth more when the partie vseth any bathing, or yet stretchinge out of the bellie. inwarde causes are windinesse: and the tumor then is saufte, yelding a sounde at the striking of the fingers, and vanisheth when it is pressed vpon, &c.

In the cure you are to consider if windinesse be any cause:C [...]re. and so to discusse the same if neede be, with these conuenient medicines: as Mithridatum drunke with the decoction of Rewe, or a clister made in this wise: Rec. anisi, cumini, faeniculi, sem. ameos, ana, ʒ.j. rutae, m.j.ss. fiat decoctio, de qua accipe ℥.x. quibus adde, ol. rutae, ol. laurini, ana, ℥.j.ss. salis indi, salis gemmae, ana, ʒ.ss. zacchari, [...]ub.℥.j.ss. misce fiat clister. Minister the same euery daye, before meat, hote. Also to apply outwardly, you may make this medicin: Rec. lixiuij, li.ij. sulphuris viui triti, ℥.ij. b [...]racis, ℥ss. boyle them to the consumptiō [Page] of the third part: in this same liquor wet a spunge, and apply it to the place. Thus hauing remoued impediments out of your way, addresse your self to the ioining of the rupture and first by medicines, if it be possible, such as be astringent and consolidatiue: as these plasters: for example: Rec. perfoliatae [...] q.s. boyle it in water o [...] wine, then stampe it, and apply it to the nauel. 2 Rec. consolidae ma. tritae, ℥j. cerae liquaefactae, ℥.ss. misce fiat empl. apply vpō the place with lint. 3 Rec. far [...] [...]upinorum ℥.ss. pannilintei vsti, ʒ.ij. those brused togither, mixe thē with wine, & apply them with lint. 4. Rec. fabae fresae, corticum gallarum, balausti [...] rum, ana, partes aequales, those sodden & stamped, bind to the part. 5. Rec. plumbi scobis, ʒ.ij. cicutae, mannae, cerussae. hipocistidis, ana.ʒ.ij. these dissolued in wine, vse them as is aforesaide. An vnguent for that purpose you may thus compound. Rec. aluminis scissilis, ʒ.v. faecis vini, ℥.j. olci rosati, ʒ.x. gal [...]arum, ʒ.ij. dissolue them in wine, & forme them to the thickenesse of honie: therewith annoint the affected place, layinge aloft aspunge wet in [Page] posca, and so make your binding.A mixture of vvater & vineger. If medicines may not preuaile, but that handie operatiō is necessarily, to the cure required: then thus shal you accomplish it. The man standing or [...]itting vpright, commaund to holde his breath, so as his bodie maye swel out at ful: then take a penne with inke, & circle rounde about the compasse of the swelled nauel: after lay downe the man vpright, and with your scarrifying lancet, tricke the place rounde about, as the penne did goe, [...]o that, it become rough with your searifyings: then with a hooke, taking hold of the place, in the middest of the circle, and therewith eleuating or drawing it vp, haue readie a band to tie it, about the scarified place, (for so shall it holde for going backe the better,) leauing a bow knott vpon the same tyall: this done, open the tumor so tyed, in the toppe of it, and put in your forefinger, to assaye, whether any folde of the guttes, or else parte of Omen [...]um, bee bounde in with all. And if a gutt be helde in the tiall, drawe the knotte and slacke the bande aforesaide, to put it in againe.

[Page]But if it be the kell you finde, drawe foorth the ouerplus parte of it, & cut it of, tying first the vessels, if you find any where you cut it. next, take two needles, with either of them a single threed, and thrust them through, in crossewise both sides of the gappe, made by incision: and with those iiij. endes, knitte togither, close vp the wound harde, taking off the former bande. And when the partes thus bound with tyings, shall putrifie, and fall away. Apply with linte, conuenient medicines to the wounde, and heale it vp: coueting in this case, alwayes a hollowe cicatrice.

CHAP. XXX. Epiplocele, and Enterocele.

Def. EPiplocele, is when the kell falleth into Scrotum. Enterocele, when the intestine Ileon doeth so.

Causes & signes.The outward causes hereof may b [...] strokes, leaping, labour, showting, or crying, vehement moouing, &c. which by the patients relation is vnderstoode. [Page] Inwarde causes are either rupture, or relaxation. Ruptures happen in the sides of the hucke bones, neere the setting to of the bellie, after some stroke, fall, leaping &c. the swelling thereof in the beginning, is not great, but only in proces of time. the paine is pricking. Relaxations ar alwayes about the hole, through which, the vessels and muscles cremasteres, descend to the testicles: this tumor is without paine, but (in some persons) of great quantitie, vneuen, encreasing, and decreasing. Now Enterocele, and Epiplocele are to bee distinguished, by the signes proper to them both. For in Epiplocele the tumor is small, and oftener in the bone pubis, then in scroto. In whether place soeuer it bee, it is like a sauftishe bounche, slipperie and vneuen: remaining after one manner alwayes, as well after, as afore meate. Neither doeth it swell more by the straining of the breath, as the manner of Enterocele is: neither doth it returne backwarkes. In Enterocele, the Tumor is sauft, and soudenly rising, encreaseth by strayning of the voice, or repletiō [Page] of meate, but contrariwise withdraweth it selfe backwarde, through colde or vpright lying. Likewise being put vpwardes toward the flank, it maketh a noyse, like as winde in the guttes, being stirred. By feeling many times the excrements may be perceiued in them, hardened: so as they cannot be auoyded, like as is seene also in Iliaca passi [...].

Prog. Enterocele, of all other is most perillous: specially, if the intestine cannot be put vp: and againe in som that haue had the same put vp, there hath followed singultuous feuers, & death it self at the length. To others again, whilest it could not be put vp, hath happened Gangraena. Epipl [...]cele is, by reason of his sauftnes, hardly reduce [...]. Yet Enterocele that is new may be cured with medicines, but that which is aged, is not cured but by manuall operation. Likewise, if Enterocele grow on the left side, it is worse: because colon with manye foldes finisheth his course on that side: and is layde vppon with manye of the small guttes.

First. that that descended must be [Page] put vp againe, into his place.Cure. To that purpose therefore, with a decoction of Mallowes first mollifie the place: then laye the partie with his heeles somewhat high, and his legges abroad, and so by little and little, reduce the kell or intestine, (whether it bee) into the place againe. And by and by, bynde it vp, with a conuenient trusse, whether of clothes, wood, yrō, or such like deuise: so that the inside of the boulster, & those parts that are to come nere scrotum, & the flank, be couered and ouerlined with some sauft and gentle substance. When you haue thus first prouided, to put euery thing in his proper place: it standeth you next in hande by all meanes, so to holde and keepe them still: if it be a rupture, by conglutinatiues, and if it bee a relexation by constringent medicines. For the dyet therefore, ordaine, that the patient maye reste for manye dayes: lyinge on a saufte bedde, meates beeing of good iuyce, and somewhat astringente, his bellye kepte loose, and that in goinge to stoole, hee euer obserue to presse his hande [Page] vpon Pubis, and scrotum, the better to preuent the fallinge downe of anye thing. Let him beware of strayninge his voyce, or wind: of too much mouinge, of repletion or fillinge [...]with meate and drinke: of the bath of honyed water, of windie meates, and of all kinde of fruites, and pulse. then for medicinall engins, you may prouide Medicins sufficient, both to minister inwardly, & also to apply outwardly, to stoppe the mouth of so tedious an enimie: remembring (a [...] I saide before) that against the rupture, you striue with medicines desiccatiue, consolidatiue, and constringent. But if it be a laxation, with astringents only: for which purposes I haue set you down here, both inward and outwarde medicines conuenient. And first, simples to giue inwardly, for this purpose, are the iuyce of consolida maior, & regalis, the iuyce of Iacea, and of sigillum salomonis. Also, syrupur iaceae, puluis consolidae maioris, herniaria, radix pentaphilli trita, & cum vino sumpta, radix cyperi, radix plantag. radix aristologiae longae, & rotundae, scori [...] ferri, corralium, pri [...]pus t [...]uri, cerui &c. [Page] Compoundes of those and such like, you may prouide on this wise: & first for a potion: Rec. Radicum bistonae, radic. narcissi, ana, ℥.j. rad. cons [...]lidae vtriusque, radic. quinque folij, rad. rubiae, ana, ℥.ss. hypocystidis, poligonni, ana, m.j.ss. sebesten numero x. dactylorum par. iiij. myrabol. chebulorum, myrabol. citrinorum mirab. indorum, ana, ʒ.j. sem. anisi, masturtij ana, ʒ.ij. florum rosarum, anthos, cyperi, ana, P.j. fiat decoctio in vin [...], & aqua, & in li.ij. dissolue mellis, & zacchari, ana, partes aequales, fiatque syrupus: of which syrrupe minister to your patient ℥.iiij. for a dose, in the morning fasting: the bellie being first vnloaden of his excrements. Likewise an electuarie for the purpose is thus compounded: Rec. conseruae rosarum antiquae, conseruae symphiti, ana, ℥.j. conseruae florum saluiae, conseruae acori, ana, ℥.ss. trochiscorum de carabe, vel de spodio, vel de bolo, ʒ.iij. blattae bizantiae vstae, & in aqua candae equinae lotae, ʒ.ij. cum syropo cotoneorum fiat electuarium. Whereof, let the patient take the quantitie of a nutte fasting, & drinke thereupon a little red wine. Then to the affected place outwardly, applye [Page] this fomentation, or some of the plasters following. Rec. rad. bistor [...]ae, rad. pentaphilli, rad. rubiae, rad. chelidoniae, an [...] m.ss. herniariae, polygoni, hypocistidis, ana, m.j. cumini vsti, nasturiij torrefacti, ana, ℥.j. florum staecados, anthos, ana, P.j. florum rorismarini, caentaureae minoris, ana, P.ij. make of them your decoction, with water and astringent wine, and therewith foment the place. Vsuall plasters you haue, that are called de pelle arietina, Empl. commitissae, &c. which beare a name cōmon inough to be in euerie mans knowledge, and haue beene founde (no doubt) verie profitable. Neuerthelesse there be others againe of lesse common vse, deuised of sundrie practitioners, which heere also for thy choyce, I haue thought it not a lost labour to gather togither. 1 Rec. balaustiorum, ℥.j.ss. gallarum, ℥.ss. rad. asphodeli, rad. narcissi, ana, ℥.j.ss. coquantur in vino, tundantur & fiat emplastrum. 2. Rec. thuris, masticis, sarcocollae [...] acatiae, lapidis haematitis, mūmiae, tragacanthi, gummi arab. terrae sigillatae, ana, ʒ.iij. boli armeni, ga [...]larum, lithargy [...]ij, balaustiorum, nucis cupressi, malecorij, aristologiae longae, &[Page]ro [...]. corticum thuris, rosarum, radic. consolidae vtriusque, orobi, siliginis, sambuci, cyperi, ana, ℥.ss. picis naualis, ʒ.ij.ss. colophoniae, resinae pini, terebinthinae, ana.℥.j. visci quercini, ℥ [...]j.ss. cerae, ʒ.ij. pilorum leporis vstorum, ℥.ss. olei in quo ficus pingues coxerint, ℥.ss. fiat magdaleon. 3 Recipe vnguenti comitissae, ℥.ij. radic. bistoriae, radic. narcissi, ana, ℥.ss. blattae bizantiae, sang. draconis, sarcocollae, aluminis, an [...] ʒ.iij. malaxentur omnia simul, in oleo co [...]oneorum, fiatque emplastrum. 4 Rec. masticis, myrrhae, corticum thuris, nucis cupressi, sarcocollae, glutinis piscis, ana, ℥.ss. gluten in aceto dissoluatur, reliqua tri [...]a misceantur: spread it vpon leather. 5 Recipe spumae argenti vstae, ℥ix. aceti li.ij.℥.iij. olei cotoneor [...]m, li.ss. succi plantag.℥.ij. misce fiat emplas [...]rum. 6 Recipe masticis, sarcocollae, sanguinis draconis, aloes, blattae bizantiae, corticum thuris, boli armeni, gypsi, gallarum, ana, ʒ.ij. psidiae, ʒ.ij. icthiocollae, taurocollae in aceto dissolutarum, ana, ℥.ij. malaxentur & fiat Emplastrum.

Now if the ruptur be old, then it requireth to be cured only by manuall [Page] working: as either incision, or Here Wecker supposeth cauterization, to be a seuerall kinde of manuall cure: whereas AEgineta (whence he seemeth [...]o haue it) sheweth it to be a part of the cure attempted by incision, according to some mens order. burning. The cure by incision therefore is in this sort accomplished. Three dayes togither, before you determine to make incision, let the partie drinke water onely, and the very day before, abstaine from meat also. Then lay him vpright, and let your assistant l [...]ft vp the skinne in the flank, whilest you make incision, with an ouerthwart line, or in transuerse manner. Some notwithstandi [...]ge doe make their incision not ouerthwart, but longwayes: and so with a hooke, drawe open the diuision: which must be in largenesse aunswerable to the quantitie of the testicle: then fastening so manie hookes in the inner skinne, as the largenes of the wound requireth, and excoriating as you go, the membrans and fatt, deuide still forwarde with your knife, vntill you haue bared peritonaeum: which done, put downe your finger into scrotum, and deuide the testicle from all his holdes therein, and so with one hand drawing vp peritonaeum, and with the other, thrusting scrotum inwarde, to beare vpwarde the testicle, Take it [Page] out, by the place of incision, togither with his membran Erythrois: which one of your assistants lifting vp, serch you in the meane time, both that it be perfectly loosed from all his hinder holds in scrotum, and also that red membran Erythrois be fre from al inuolutions of the kell or guts, (which you shall put in their place, if you find any) this done, take a sufficient needle, with a double threede of tenne twistes, & in the place of the incision, thrust it through the midst of the end of Peritonaeum, and taking the foure endes of your double threede, binde them strongly acrosse, one ouer another, in the fourme of this letter X, & that with a double knott:See Aegi [...] li. 6. ca. 65. so as none of the nutrient vessels, may passe any nourishment from them, for feare of inflamation. Also outwardly, two fingers from the other, giue another binding. After which things, (leauing the length of a finger of peritonaeum,) cut off all the rest togither with the testicle. Last of all, deuide scrotum againe in the lower part, and put through a drawing tente, and so fomenting the place with oyle, and [Page] applying conuenient ligatures, afte [...] the manner taught in Hernia aquosa, perfourme that businesse. Some, whē they cut away the membran called Erythrois, doe cauterize the ende with a hote yron, for feare of fluxe of bloud.

ANNOTATION.

aHere Wecker supposeth cauterization, to be a seuerall kinde of manuall cure: whereas AEgineta (whence he seemeth [...]o haue it) sheweth it to be a part of the cure attempted by incision, according to some mens order.

CHAP. XXXI. Cirs [...]cele.

Def. CIrsocele is a varicous rupture, (so called) when the vaines nourishinge the testicle, doe swell.

Signes.The tumor is but small, and of a diuerse fourm, both in the By epididime is here meant, the place of the setting to, of the vessels to the testi [...]le. epididime and spermatike vessels, which are therby (as it were) heaped & wouen togither, and writhen. It is harde, and [Page] in figure long, easie to be perceiued in feeling. It is lesse grieuous then Hernia carnosa. If it be of any notable groweth or continuance,Prog. it is hardly or neuer cured, but by handy worke.

The cure therefore is to be laboured with mollyfying medicines:Cure. as, faenum graecum, semen lini, farina frumenti, ol. sesaminum &c. or else with handy operation, which is thus to be performed. First, place your patient decently for your purpose [...] then stroking scrotum gently with your hand, driue the nerue Wecker hath this at the hande of Paul AEg. who is commonly knowen to be deceiued in his opinion of Cremaster, howbeit, the substance of the cure is contained in that that followeth, namely, the tying, and empting of the vessels, wherein I wish this to be obserued: that before the lower tyall, next to the testicle be made, the vessels first be opened, and the thick dreg [...]gish bloud contained both in them & the [...]esticle, be let out. [...]remaster into the lower parte, you shall easilye knowe it by this: that it is a slenderer, stronger, harder, & solider vessel then the rest, and the patient at the thrusting down thereof will complaine, feeling himselfe troubled about the yarde. Then the dilated vessels, beeinge taken vp with scrotum, See Aeg [...] li. 6. ca. 6 [...] betweene the fingers of you and your assistant, & harde stretched, cut slopewise, with your incision knyfe, through the skinne that lyeth directly ouer them. After that, liftinge vp the vessels with hookes, when you haue bared, and separated them from their holds [Page] in the skinne, and other partes, pearse them through with a needle, & double threede: then cutting off the needle, binde the vessels, both in the place of their first dilatation or enlarging, as also in the lower ende of the same. This done, make incision along vpon them, and emptie out the bloud contained. Lastly, with medicines that moue matter, effect the cure, and so that the bindinges togither with the vessels, may fal away of their owne accord.

See Aegin. loc. cit.This course must be taken (saith Leonides) when some of the nutrient vessels are varicous, or dilated [...] otherwise, if all the vessels be in like case, then are they to bee cut off, & the testicle to be taken away with them.

ANNOTATIONS.

a By epididime is here meant, the place of the setting to, of the vessels to the testi [...]le.

b Wecker hath this at the hande of Paul AEg. who is commonly knowen to be deceiued in his opinion of Cremaster, [Page] howbeit, the substance of the cure is contained in that that followeth, namely, the tying, and empting of the vessels, wherein I wish this to be obserued: that before the lower tyall, next to the testicle be made, the vessels first be opened, and the thick dreg [...]gish bloud contained both in them & the [...]esticle, be let out.

CHAP. XXXII. Bubonocele.

BVbonocele, Def. is when Omentum, or I leon fall into the flanke, and there remaine, not runninge downe into scrotum.

Peritoneum in this case,Causes & signes. is either broken or relaxed, it becōmeth broken, by some fall, stroake, crying, &c. as aforesaide. Relaxion is shewed aboue in the causes and signes of Epiplocele. The disease it selfe, being a visible tumor, in the place mentioned is easie to be discerned by the eye.

Let the dyet and medicines in this cure,Cure. be the same that is set downe in Epiplocele, & Enterocele. And if the kel or guttes be slipt outward, put them [Page] in againe, and so with conuenient trusses, or flanke binding, hold them there. There are also further meanes vsed [...]f these serue not: as incisiō & cauterie: both which I will here set down vnto you.Incision. And first the incision thus: deuide the swelled parte of the flank, with an ouertwhart incisiō, the bredth of three fingers long, take out the membrans and fat: then with a probe [...]et vpon peritonaeum, wher it poynteth out, beare it downe, therby to compel againe the intrels into their place. And this do euery where, whereas it bouncheth out: in the meane time, sowinge togither the breach with a conuenient seame, then plucke forth the probe: and thus neither cuttinge of peritonaeum, nor the testicle, nor yet binding any part, onely with meanes fit for a greene wounde, finish the cure. The cauterio is to bee vsed in this manner.Canterie. Let the man in meane sort moue his bodie, and by violent coughing, stretching, and holding of his breath, make the tumor in the flanke appeare at large: then compasse the place that you wil cauterize, with a penne, & inke, first in trianglewise, [Page] so as the transuerse line of it, tende vpwardes, along the flanke: then make a pricke or signe also in the middest of the triangle. This done, laye the patient alonge, and applye vppon the middle marke your hote yron, firste, a narrowe pointed one, then a three co [...]nered, like this Greeke letter [...]: and thirdlye with a Laterculer, or lenticulate cauterie: matche the compasse of the whole triangle, your assistant still beeing with a cloth readie to drye and wype the place of the burninge: which must bee so deepely done, vntill you touche the fatte: and that in a bodye of meane habite or plighte: for in leane bodies, the yron is not to bee deepely imprinted: lest so, vnawares, you shoulde burne periton [...]um. Neither is it a meete waye in fatter bodyes [...] because in them, the fatte will appeare before you come to a iust measure in burning. But howe muche it is mee [...]e to burne, an artificiall coniecture must bee the rule. After the cauterie, minister to the cruste, Sal vna cum porro tri [...]us: [Page] and vse a flanke binding or trusse, in the likenesse of this letter X, the daies following, vse meanes to remoue the escar: as lenticula cum melle, and such like.

CHAP. XXXIII. Sarcocele.

Def. See Aeg. li. 6. c 63. SArcocele is a fleshie rupture [...] as when fleshie matter groweth in the fibrous knittings of Scrotum. It may come of some inwarde fluxion occasioned by some stroke,Causes & signes. leaping, &c. or some incision for rupture, and not rightly done. The parte affected is the testicle, or nerues, or coates thereof, hardened by the growinge of flesh [...]mongest them. It is knowen euen by feeling [...] as also in sight: The tumor is rounde, longwise, following the fashion of the testicle: harde, and in long time, by little and little encrea [...]eth. Likewise, if it be Schirrous, it is without paine: but with a pricking kynde of paine, if it be maligne.

Prog. Hernia Carnosa notably growne, [Page] cannot be cured, but the testicle is to be taken out.

To take away the same by incision,Cure. you shall worke on this sorte: place the patient, as in the cure of Enterocele aforesaide, and make the like diuision also, and if the [...]esticle haue become faultie, through flesh engendred thereabout [...] [...]ut away both the membran See Aeg. li. 6. c. 61. By dartos, AEgyneta vnderstand [...]th not the second coate of the testicle, as wee doe, but the middle skinnes that [...]ye s [...]rotum to Erythrois. Darto [...], & erythrois: & lif [...] vp the t [...]sticle, and take it out with erythrois: seuer By Cremaster, the same author meaneth to note a certaine nerue (which otherwise vntruely also he calleth Paras [...]ra [...]es) which should spring from the spinall marrowe, and descend with the other vessels, to the testicle, and that it shoulde be deputed, to conuay the sede to the yard: but beeing onely a fansie of his owne, wee cannot receiue it. cremaster from the vessels, and cut Wordes moe then neede. The scope i [...], that after artificiall binding of the vess [...]ls the testicle with all the carneous growing be cut away it away: binde the vessels, [...]nd take awaye the testicle, that had so [...]oyned it self with superfluous growing flesh, as an vnnatural thing. But if this same growinge of flesh, be in anie coate or vessel, then after the diuision of scrotum, and the membrans vnder the flesh, take away all that that hath growen into fleshinesse: but if the hinder commissure, or seame be couered with fleshe, take away the same commissure, and the testicle withall: for without it the testicle cannot remaine. Moreouer, there are incident to the testicle Tophous, Tophus in the testicle. or knottie growings [...] hardning vppon the membran [...]rythrois: stifning [Page] the same much, and yelding hardnes, and inequalitie in handling: thereby differing both from the fleshie and watrish [...]uptures: yet it is to be cured by the hande, as is the fleshie rupture.

ANNOTATIONS.

See Aeg. li. 6. c. 61. a By dartos, AEgyneta vnderstand [...]th not the second coate of the testicle, as wee doe, but the middle skinnes that [...]ye s [...]rotum to Erythrois.

b By Cremaster, the same author meaneth to note a certaine nerue (which otherwise vntruely also he calleth Paras [...]ra [...]es) which should spring from the spinall marrowe, and descend with the other vessels, to the testicle, and that it shoulde be deputed, to conuay the sede to the yard: but beeing onely a fansie of his owne, wee cannot receiue it.

c Wordes moe then neede. The scope i [...], that after artificiall binding of the vess [...]ls the testicle with all the carneous growing be cut away.

CHAP. XXXIIII. Hydrocele.

[Page] HYdrocele, Def. is when water descendeth into scrotum, or is therein gathered.

The immediate causes are watrish humors,Causes & signes. contained either in all scrotū, or in the membran erythrois [...] or dartum: either of which, you shall thus descrie from other: for if it bee in those membrans, then the tumor is rounde & with tension in the testicle only, scrotum being free & wrinkled, after his natural maner. Contrariwise when the matter possesseth all scrotū, the tumor is (the part being set betwixt you & the light) through shining, vnpainfull, firme, stable, & scrotum without wrinkles. It may come also of I cannot hereunto consent: that the resort of bloud should cause Hydrocele. All men knowe, rather, an inflamation & mortification: But here Wecker was borne downe in the streame of AEgineta. bloud, but then some stroke or fall hath bin the occasion: & then the tumor is ruddie, or blackish. Mediate or mean causes, conducing therunto, may be imbecilitie throgh cold distemperature, either of the liuer, or els of the vessels I vvould rather read contained vvithin scrotum. enwraping scrotū, by occasiō wherof, the bloud that cō meth thither for nourishment, is chā ged into a watrish or whaish & vnprofitable susbtāce. The tokens of a cold distēperature doeth bewray this case. [Page] Further,*Amend this as before. you shall trye out, whether the partes enwrapping scrotum, be affected first, and by themselues, or else by consent of some other parte, after this sort. If there be any consent, as of the Liuer, or Splene, examine the state of those partes, by the proper signes and notes of the liuers affects, and of the dropsey: and if you finde faultinesse in those parts, then is there consent: but if those partes be sound, and there no signes of dropsey, the tumor also vnpainfull, firme and abyding, you easilie see where all the fault must be layde.

To goe about this cure:Cure. foresee first, whether the part be affected by it selfe, or by consent of some other: as by colde distemperature of the liuer and Splene, which if you doe suspect, set an order, both by heatinge diet, and medicines, that may resist the same: diligently spending out the watrie matter, contained in peritoneū, by often purgations. In vaine else shall you go about to lay locall medicines to waste away the water in scrotum, when the same shall bee still supplyed out of the abundance in peritonaeum. [Page] Those things therfore thus prouided for: prooue if you may by medicines discusse the watrie humor in scrotum, as by this fomentation: Rec. lixiuij, li.iij. Cumini ℥.ij. petroselini, apij, ana, ℥.ss. salis, li.j. make your decoction hereof, & foment the place. A cataplasme for that purpose, you may make ex stercore recen [...]i vaccino, mixt with a thirde parte of Bole arm. or sanguis draconis, &c. or, Rec. stercoris Caprae, ℥.iij. coclearum contus. cum suis testis, ℥.ij. sulphuris ℥.j. misce, make thereof a cataplasme: which must be often remoued. It auayleth also to vse pulu. radicis brassicae vstae, cum adipe suillo recenti. Or this plaster after fomentation: Rec. empl. de Baccis lauri, li. ij. mithridatij, ℥.iij. fimi columbini.℥.iiij. lupinorum, ℥.iij. baccarum lauri, cumini, ℥.j. absynthij sic.℥.ss. florum Camomillae, ℥ [...]j. florum hyperici, ʒiij. aquae vitae, ℥ [...]ij. ol. hyperici, ℥.vj. fiat empl. Hereto may bee encreased, or diminished, the number or quantities of ingredients, according to the wisedome of the Artist. The last refuge is incision, which may bee perfourmed in this sort. This long discourse of manuall operation, out of Paul. AEg. as it satisfieth no [...] me, so (perhaps) neither many others. It may suffise vs, when there is such store of water gathered, as our locall medicines cannot fast ynough dispend it, to prouide more open vent, by one of these ij [...] wayes: [...]o wite, the seron, or the cu [...]ing c [...]erie. Shaue awaye the hayre (if there be any) from scrotum, & pubis, and lay the patient vpright on a fourme, with many foldes of cloth vnder his hippes, but vnder scrotum a spunge of sufficient largenesse: your selfe sitting at the leftside of the partie, your assistant on the right: appoint him to turne the yard to a side, & lift vp the skinne of scrotum to abdomen warde: then make [Page] your incision from the middest of scrotum, vp along, almost to [...]s pubis, and neere the seame that deuydeth scrotum in the middest: and continue your diuision, euen downe to the membran Erythrois. If you finde humor, gathered in a peculiar engendred coate: make your deuision iust, where you espie the outpointed parte of it. Thus your incision beeing made, and the sides drawen wide open with hookes, as also the tunicles Looke the annotations of sarcocele. darti beeing deuided, with a rupture knife, fit for that purpose: make bare the membran Erythrois, and deuide it in the middes with your lancet, especiallye in that part where it is deuided frō the testicle, & so the humor being either al, or for the most part, let out into a vessel, standinge vnderneath, with hookes draw out Erythrois, that is all the thin part of it, and then vse meanes to engender flesh againe. But if the testicle be touched with putrifaction, or bee defiled any way, then after you haue bound the vessels annexed to the Looke the annotations of Sarcocele.nerue called cremaster, cut out the testicle and take it away. In like maner [Page] deale with those that labour with a double rupture,See Aegi [...] li. 6. c. 63. in double wise endeuouring the cure, by incision on both sides of scrotum, towardes the flanks, which done, put in your probe by the wounde, downe to the bottom of scrotum, & when you haue wrought with the head of your probe, such a dent or pitte, on the in [...]ide of the skinne of scrotum, that you can perceiue on the other side where the head of the probe lyeth, against the same cut through scrotum with the edge of your incision knife, so much as may serue to giue issue to the matter, or cluttered bloud contained, and with the same head of the p [...]obe plucke in a longe drawinge tent, or linnen cloth, which maye come through the orifice aboue. This done, applye to the testicle Wooll wet in oyle, and aloft outwardly, other peeces, wet in oyle and wine, and besides dooynge this to scrotum, laye the lyke battes of oyle and Wine also to the bottome of the bellye, to the flankes, to the loynes, and along the space between scrotum & the fundament. So aloft on al, [Page] make your enwrapping with a linen cloth, three fold, contriued with sixe strappes or boughtes, and other conuenient bindings for the purpose, letting the partie keepe his bedde, and boulstring vp scrotum with wooll, that it may lye at ease: prouiding alwaies to lay vnder the same woll, some soft leather skinne, for the receiuing of the fomentations, that wilbe alwayes syping through: for you must foment the place with hote oyle till the third day. The thirde day, the wound being opened, dresse it againe with tetrapharmacum, and change the long tent that went through. Also yet foment the partes without vntil the vij. daye: for feare of inflamation: and apply aloft some plaister, to keepe in the tents. The wound being by those meanes purged, and flesh in a reasonable measure engendred, wash the place, drawe out the long tent, and accomplish the rest of the cure, as hath beene saide in other like before. Nowe if there come any inflamation, or fluxe of bloud, or such like, it is meete to make conuenient resistance by their proper remedies: which here [Page] I stand not vpon, lest I shoulde make needelesse repetitions of the same things, in fitter places deliuered.

ANNOTATIONS.

a I cannot hereunto consent: that the resort of bloud should cause Hydrocele. All men knowe, rather, an inflamation & mortification: But here Wecker was borne downe in the streame of AEgineta.

b Or this plaster after fomentation: Rec. empl. de Baccis lauri, li. ij. mithridatij, ℥.iij. fimi columbini.℥.iiij. lupinorum, ℥.iij. baccarum lauri, cumini, ℥.j. absynthij sic.℥.ss. florum Camomillae, ℥ [...]j. florum hyperici, ʒiij. aquae vitae, ℥ [...]ij. ol. hyperici, ℥.vj. fiat empl. Hereto may bee encreased, or diminished, the number or quantities of ingredients, according to the wisedome of the Artist.

c This long discourse of manuall operation, out of Paul. AEg. as it satisfieth no [...] me, so (perhaps) neither many others. It may suffise vs, when there is such store of water gathered, as our locall medicines cannot fast ynough dispend it, to prouide more open vent, by one of these ij [...] wayes: [Page] [...]o wite, the seron, or the cu [...]ing c [...]erie.

CHAP. XXXV. Of Pneumatocele.

Def. PNeumatocele is a windie rupture or bursting. The mediate cause is colde distemperature &c.

Causes & signes.The immediate, winde: and that either in the foure nourishing vessels of the testicles, (the tumor then appearing harde and not vanishing by the pressing of the finger) or els in the arteries running betwixt the tunicles of Here stil you must vnderstād, according as is noted [...]n sarcocele. dartos: in which case the tumor giueth backe, and vanisheth being pressed with the finger. Nowe, if the partes be affected first, & by them selues, then shall you see no signes of dropsie or timpanie, nor of any affect of the liuer, or stomacke, then by the proper signes of the affectes of those partes, as also by the notes of those named diseases, you shal descrie it. In briefe, the generall signes of windie rupture, are these: The [...]ump [...] is through shining, lighter in poyse, [Page] & yelding more sound or noise, than in Hydrocele.

If the affect be in the iiij. vessels, nourishing the testicle,Prog. it is curable, but in the arteries of dartos, vncurable. In new borne children also it oft happeneth, and is easily discussed.

If it come by consent of the liuer, or stomack, it is to be dealt withal, as in the timpanie. So the dropsie is first to be cured,Cure. if this be occasioned ther by. [...]ut if the part first, and by it self haue receiued the affect, and be faultie alone, then is it thus to be dealt with. The mediate cause, which is, cold distemperature, if it be without matter, it is the sooner corrected by heating dyet and medicines, but if pituitous matter be ioined with it, then must you first alter or concoct it, after [...]uacuate the same matter, by conuenient medicines. Now for the immediate cause, which is windines in the place, you must prepare discutient medicines, such as these: a Fomentation. Rec. cumini, baccarum lauri seseli, rutae ana, ℥.j. fiat decoctio in vino leuiter astringente, & lixiuio, & therewith fomēt the part. A bag for it may [Page] be made ex milio, sale & [...]umino. So may you applye Emplast. de baccis lauri: emplastrum de meliloto. Or this: Rec. stercoris vaccae, li.ij. sulphuris, cumini, ana ℥.iij. mellis parum, mixe and make a plaister. Another: Rec. farinae fabarum, li.j. cumini, apij, petroselini, ana, ʒ [...]ij. coque in vino, fiat empl. The last meanes is by incision: which is to be perfourmed as is saide in the varicous rupture. First strongly bynding all the veines: But you must note that this cure pertaineth not to that kinde of windie rupture, that is in the arteries of Dartos, (which kinde is sayde afore to bee vncurable) but in that that consisteth in the iiij. vessels of the testicles onely.

Of the Tumors of the Glandulous partes. CHAP. XXXVI. Of Bronchocele.

Def. BRonchocele (otherwise called B [...] cium, & Hernia gutturis) is a great round tumor in the throat, [Page] betwixt the skinne and rough arterie [...] in which is sometime contained, a certaine Bronchocele, is of two sortes: the one, when Atheroma, Steatoma, or Meliceris growe in that placae. The other is a dilatation of the proper vessels of that place, after the rate of Aneurisma, or Varix. dull flesh: somtimes againe a humor, like honie or fatt, or like to a pulteis: other somtimes heres, mixt with little scrappes of bones.

The antecedent cause,Causes & signes. which is flegmatike humor, is to be searched out by the signes of phlegme. The conioyned cause, as also the signes of the disease, are euident out of the definition.

If this disease come naturally,Prog. it is not cured, and hardly ynough, if it come otherwise The last of the two in the former annotation is vncurable..

The antecedent cause must first bee taken away,Cure. (that is to say, pituitous humors heaped vp in the body:) partly by dyet, and partly by medicines. Let the dyet therefore be such as may heate, drie & make thinne, according as is set downe in the cures of Oedema, & Struma, auoiding all vaporous and thicke nourishours: and such as be apt to gender viscous humors: also loude cryings, stooping downe with the head, &c. The order of dyet thus instituted: come to the ordination of medicines, which must be (first) of [Page] propertie to alter the qualitie of the humor, by preparing and concocting the same, such as is this sirupe. Rs. syr. de duabus radicibus, mellis ros. colati, oxymellis s [...]illit. ana, ʒ.ij. aquae betonicae, aquae maioranae, aquae faeniculi, ana, ʒ.iiij. specierum pliris arco [...]icon, vel diamoscu dulcis, vel diambrae, vel cinamomi, ana, ℈iiij. make thereof a syrupe, clarified and aromatized for iij. doss. the humor now prepared, purge with this bole: Rs. turbith op [...].℈.iiij. zinzibris, ℈j. elect. Indi maioris, ʒ.ij. zacchari q.s. fiat bolus: or this, Rs. turbith, ʒ [...]j.ss. zinzibris viridis conditi, ʒ.ij. zacchari, q.s. fiat bolus: else this potion, Rs. aga [...]ici trochis [...]. in oxymelli [...]e infusi, & expressi, ℈.iiij. turbith.ʒj. salis gemmae, gr. vj. zinzibris gr. vj. syr. ros. sol.℥.j.ss. aquarum betonicae, & melissae, ana, ℥.ij. fiat potio. Turne you then with all your engines of art, against the conioynd cause, as here followeth: Rs. satureiae, hyssopi, polij montani, pulegii, spicaenardi, ana, ʒ.ij. sem. apij, sem. petroselini, ana, ʒ.ij.ss. anisi, ʒ.iij. glycyrrhizae, ʒ.ij. nucis moscatae, [...]aryophillorum, ana, ℥.ss. cinamomi,[Page]ʒ.iij. piperis longi, mirrhae, ana, ʒ.j.ss. make of all these a most fine pouder, and giue thereof to the patient three houres before meate, three times a weeke, ʒ.j. for a dose, in white wine, and this, by little and litle, shal waste away the humor from the place, whetherto it is resorted: and it is especially to be vsed in winter. Nowe for medicines to be applied to the place it selfe, you may conueniently prouide you amongest these that followe. Recipe ammoniaci, bdellij, galbani, in aceto dissolutorum, ana, ℥.j.ss. picis naualis.℥ij. resinae pini, ℥.j.ss. miscean [...]ur manibus vnctis oleo sycionio, fiatque Emplastrum. another, ex bd [...]llio melli mixto. a thirde, exch [...]lce viua, axungiae sui [...]lae mixta. a fourth, ex stercore caprino, in aceto liquato: a fifth ex lixiuio & melle. A sixte on this wise compounded: Recipe radic. brioniae, radic. cucumeris agrestis [...], ana, ℥.iij. ficum immaturarum paria vj. amygdalarum amar.℥.ij. scillae ℥.j.ss. colocinthidis.℥.ss. coquantur in aequis partibus olei veteris & vini maluatici, ad vini comszm. [...]eran [...]ur, & cribrentur, deinde adde,[Page]farinae fabarum, & orobi, ana, ℥.ij.ss. far. sem. lini, & faenugreci, ana, ℥.j. medullae cruris bubuli, ℥.iiij. ol. nucum q.s. croci, ʒ.jss. fiat empl. An vnguent is this: Rec. sem. sinapi, & vrticae ana, ℥.ss, rutae agrestis ʒ.ij. ireos [...] ℥.ss. aceti, ℥.j.ss. olei de castoreo, ℥.iiij. cerae, q.s. fiat vnguentum. If you haue neede to come to manuall operation, then incision being made, take out the same, with the case or skinne, as is before shewed in the cure of S [...]ruma: foreseeing wisely aforehand, that there be not any daungerous implication of nerues and arteries, in the matter containde.

ANNOTATIONS.

a Bronchocele, is of two sortes: the one, when Atheroma, Steatoma, or Meliceris growe in that placae. The other is a dilatation of the proper vessels of that place, after the rate of Aneurisma, or Varix.

b The last of the two in the former annotation is vncurable.

[Page]

Supply. CHAP. XXXVII. Parotis.

PArotis, is an inflamatiō,Def. in those glandules specially that are seated about the rootes,Fernel. & behind the eares. It commeth of ho [...]e humors flowing thither from the head.Causes & signes. It hath all the notes of Phlegmone, as tumor, rednesse, heat, and panting paine, except (as it is sometime) it be partaker of Oedema. As it is sometime without a feuer, so is it, other whiles in a sharpe feuer: there hauing gone before, franticknesse, or paine and heauinesse in the head.

The criticall Parotis tendeth naturally to suppuration.Prog. The other endeth best by resolution. Paro [...]is not cunningly resolued, turneth oft into a schirrous tumor.Cure. The dyet and vniuersal meanes, being ordred, according to the rules propounded in the generall tumors. See that your local remedies be first partakers of some [Page] astringencie, but in no wise reper cussiue, because to beate backe, as it is not safe, in any of the Emunctories, so, much lesse in this, so neere to that noble part, which, for the continuall resorte of superfluities, hath need sometime, of many chanels, and ventes, to disburden it selfe by. Some astringencie yet, I allowe, (I meane in the Parotis not criticall, the cure whereof I will first handle,) lest the fluxion shoulde be too headlong, and vnrulie. as for example, a pulteis made, ex medulla panis (I mean wheaten or seconde breade,) vrina puerorum infusa, or, ex farina hordei, vel fabarum, aqu [...] & oleo chamomelino decocta, putting to last of all, mucilaginempsylij, vel cotoneorum. or, Rs. chamomillae, parietariae, florum rosarum, florum arboris pomiferae fructum acidodulcem feren [...]s, ana, m.j. coquantur in aqua, cribraturae adde medu [...]lae panis lacte infusae, li. ss. [...]xungiae porci, vel butyrirecentis, ℥.vj. or as you see it meetest. In the sharpnes of the paine. Recipe olei chamomil. liliacei, ana, ℥.ij. vng. dealiheae, ℥.j. fiat linimentum. applie it with flanke wooll, or [Page] butyrum maiale opt. praeparatum, cum oesypo, or cum oleo chamomel. amygdal. anethino, &c. or, if you chuse a cataplasme: Recipe far. hordei, & faenugraeci, ana, ℥.iij. decoquantur in aqu [...] & oleo chamomelino, velirino, velanethino, vel ex semine lini [...] & fiat cataplasma.

When you haue made some staie of the fluxion, proceede to discusse more largely: as, cum butyro maiali mixt cum sale torrefacto, & subtillissime puluerizato, and applyed with browne paper, fowlded three or foure double, being looked thereinto, as butter into a toste: else it may bee ministred w [...]th wooll: so likewise,Rondel [...] tius. if you adde to the latter cataplasme mel, or frame one ex melle, favina fabarum, & farina hordei, leuiter coctis: you shall sufficientlye perfourme that dewtie. In the ende, if there remaine any thing, by these vndiscussed, the paine beeing ceased, applye Diachilon mag. ireatum, Diapalma with double quātity of chalciteos, and some of the powder of Ireos, or diapalma mixt with proportionable quantities of bdellium and Ireos. [Page] If it bende to suppuration,Parotis suppurate: the case is one with the critical Parotis. then shal you further it, as with such like cataplasmes: Re [...]. maluarum, m.j. rad. bismaluae, ℥.iij. ficuum par.xx. coquantur & pistentur diligenter, per colum transmittantur, quibus adde axungiae porci, ℥.iiij. ol. communis ℥.iij. farinae frumenti, leuiter decoctae in colatura decoctionis herbarum, li.ss. misceantur & reducantur ad formam catapl. This may you make stronger by adding also mucilaginem faenugraeci ad ℥.jss. So may you towardes the breaking, put in some fermentum acre, or c. After the breaking, followe the ordinarie waye of mundifying, incarning, and cicatricing.

CHAP. XXXVIII. Of the small tumor Phyma.

PHyma is a small tumor like the Furun [...]le, [...]f. but rounder & playner, often also greater, lighting vpon the glandules, or kernels.Causes & signes.

The antecedent cause is abundance of bloud, either in the whole body, or [Page] in some part: which you shal find out by the signes of abundance of bloud. The conioynd cause is bloud nowe driuen into the affected part, whereof commeth inflamation. The signes are, [...]orr. def. [...]ed. ex Galeno. Another speciall note, whereby the aucthors distinguish Phima from the other inflamations of the glandulous Emunctories, is, that it is of spedie suppuration. round tumor, and euen, exceeding the quantitie of halfe an egge: the paine and inflamation, is lesser yet then in the furuncle.

This tumor sheweth it selfe oft in children,Prog. and is easily taken away. To striplings it hapneth seldomer, and is more difficult to cure. In a riper age, is not seene.

Prouide for the cutting short of the antecedent cause by diet & bloud letting,Cure. as is set downe in the Furun [...]e. The bloud impact in the place, must be discussed, if it be thinne, with these plaisters: the first consisting, ex rad. altheae, attriplice, parietaria, & adianto, vino incoctis. An other, ex a [...] moniaco cum melle mollito. A thirde, ex lupinis amaris, propole, & aceto. A fouth, ex radice cucumeris agrestis, & cor [...]tc. rad. capparis, & terebentina. A fift ex nitro, fermento & ficubus. A sixth, Rec. ammoniaci, bdel [...]ij, ana [...] ℥.j.ss. terebynthinae, ladani puri, ana, ℥.j. propoleos [...][Page]ol. antiqui, ana, q.s. aceti parum fiat Emplastrum. Now if the matter be too thicke to bee resolued, prouide to suppurate it as with this emplaster: Rec. cortic. rad. capparis ℥.j.ss. caricarum ping. par. v, far. lupinorum, ℥.ij. fermenti acris, ℥.ss. coquantur in aceto, & oleo de lilio, vel amigdal [...] dulcium, ad aceti conszm. addendo nitri, ℥.iij. caepa [...]um q.s. fiat Emplastrum. When it is come to suppuration, open it, vnlesse it breake of his owne accorde. Afterwarde proceede by accustomed art, to mundifie it, if it be foule, to fill with flesh that that is hollowe, and to seale it vp with cicatrice when it commeth to be euen.

ANNOTATION.

[...]orr. def. [...]ed. ex Galeno. a Another speciall note, whereby the aucthors distinguish Phima from the other inflamations of the glandulous Emunctories, is, that it is of spedie suppuration.

Supplie. CHAP. XXXIX. Phygethlon or Panus.

[Page] PHygethlon, Gal. I [...]. 2. de art. cor ad Gl. cor. cel. li. 5. c. 28. or Panus, which is also an inflamation of the glandulous Emunctories, is broader, and with lesse swelling then the others,Act. med [...] li. 2. c. 12. and therefore more Erysipelas like: which is his difference. This groweth (as doth Parotis) sometime of the crisis of a feuer,fern. li. 7. c. 2. sometime by occasion of some outwarde hurt, or painefull issue in the partes belowe, as when it falleth into the flankes, or armepits, for some affects in the legs or armes. Concerning curation, a word or two may suffice: there needing no great labour for a distincte handling of it, for him especially that is any thing well exercised in the generall tumors. After meete euacuation, and seemely dyet set, ordaine your locall medicines both repressing, and discutient:vict. [...] as Rec. vrinae pu [...]i, li.j. vini albi fortiss. li.ss. album. ouorum no.ij. conius. aquae r [...]sarum rub.℥.ij. fiat fo [...]us, & apply it warme with bats of flaxe.Parae. or, R [...]. myrrhae rub. thuris albiss [...] ana, ℥ss. singula seorsim in puluerem redacta, duobus sacculis includantur, ac in aceti opt. sextario semis, vini albi opt. sextario vno percoquantur, [Page] and therin wet double linnen clothes and applye often to the place.

Resolution of the glandulous inflamations.

BVbo in his proper signification, is that inflamation that lighteth in the flanke: the tumor then bearinge the name of the parte, according to the Greeke originall. Notwithstanding late writers, takinge it some time in a larger signification, do vnderstande thereby anye of the late mentioned glandulous inflamations. VVee taking it likewise in the same larger sense, do deuide it into two kindes: simple and maligne. The simple is that that followeth humorall feuers, or paines of any partes: which also varieth his name, according to the place wherein, or humor wherof it is engendred. The place, as if it bee beehind the eares, and then it is called Parotis, or in the flanke, & so called properly Bubo. They that are discerned for the humor wher [Page] of they spring are Ph [...]ma, which commeth of [...]incerer bloud, and therefore sooner suppurateth, and Phygeth [...]on which consisteth more of coler. Nowe the maligne Bubo, is to be deuided into venereus & pestilent: which followe here to be treated of.

CHAP. XL. Bubo venereus.

THis is an inflamation of the glandules in the flanke,Def. gotten by some venereous touch.

The antecedent cause is a contagious humor,Causes & signes. procured by som touch of venerie For in that sinful & vncleane coupling,Ronde [...]. there is a vennimous impression made partly by the yarde, partly by the flankes,Iul. Palm. which sometime affecteth togither the yarde, other somtime, stayeth not therin, but pearseth whollye into the inner partes, leauing nothing yet to be seene without: which contagion nature finding, at conuenient oportunitie, sorteth out such humors, as are therewith defyled, and laboureth to expell them by tbe same region the euil entred. &c. The conioyned is corrupt and infected bloude. The tumor is hard with paine, heate, &c. First in this case,Cure. you must deale with the conioyned cause, to wit, the bloud driuen nowe into the affected parte: which, if it come slowlyer, must be drawen by meanes & helpes: as fomenting the place with oyle and warme water: or with som epitheme, of the decoction of Lilies, althea. malowes, [Page] violets, linseede, & Fenugreke. Or further drawing may you vse, with cupping glasses, if so be that need require. Giuing the patient daily, some tryacle or other proper Aexipharmacum. Nowe if the matter be of a swifter motion, and gather redely vnto the place, then discusse the same first with gentler meanes, afterwarde with stronger. The gentler meanes: Recipe ol. liliorum, ℥.j. ol. Chamomillae, ℥ss. misce. Another: Recipe emplast. de meliloto, emplastri de mucilagine, ana, ℥.ij ol. liliorum, qs. misce fiat emplastrum. A stronger sort: Recipe emplastr. dia [...]hylonis ircati, ℥.iiij. terebynthinae, ℥.j. amurcae, ol. liliorum, ℥.j.ss. fiat ceratum. Another: Recipe diachilonis magni, ℥.iiij. olei irini. qs. fiat ceratum. A thirde: Recipe amoniaci, bdellij. opoponacis in acet [...] dissolut. ana, ℥j. terebynthinae lot [...] ℥.j.ss. florum Chamomillae, sambuci, ana, P.ss. pul. ireos. florent.℥.ss. ol. Chamomeli, g [...]s. fiat emplastrum. But if you finde the matter vnapt to bee resolued, then prouide to maturate the same with such a like plaster. Recipe foliorum maluae, violariae, ana, m.ij. radi [...]. altheae, li ss. capitum liliorum alborum.℥.iiij. coquantur & contundantur, addendo sarinae triticeae, vel hordeaccae. q.s. ol.[Page]communis, butyri, ana, ℥.iij. pingued. porcinae, ℥.ij.ss. vitellorum ouorum, numero ij. fiat emplastrum. After this, looke to the antecedent cause, to wit, the contagious humor yet flowing: for This rule is well to be regarded, but not perpetually maintained. For though in sanguine and cholericke Buboes, which come to suppuration, this (except there be intollerable fulnesse) may easily be graunted. Yet in Phelgmatike or melancholike matter, which is neither speedie towarde maturation, nor resolution, (and therfore neither so fleeting, that we shoulde feare backward recourse) I knowe no cause, if the bodie be withall replete with ill iuyce, why a meete euacuation by purging, shall not rather in lightening nature of some loade, stirre her vp, to perfourme riddance of the rest with greater expedition, rather (I saye) then hinder or damnifie her, in this busines. A thing well noted, and proued of Iul. Palmarius, lib. 2. de Lue venerea. cap. 8. and ratified by the daily experience of those, that obserue the euents of their ministration with iudgement. it is not in the beginning to bee euacuated, (for hindringe natures motion) but some dayes put betweene, lest the partie fall into the venereous disease. The same contagious humor (therefore) is to bee emptied partly by bloudletting, (if nothing hinder) and partly by purging medicins, instituted according to the nature of the bodie, and humors, &c.

Finally, (to prosecute the cure by maturation, as is a little aboue saide) when it is ripe fully, and also opened, (either of it self, or by instrument, as neede requireth) it is to bee dealt withall, with clensing medicines, first of gentler sort, then stronger, after with incarnatiues, and so to cicatrization, as hath bene oft before remembred.

ANNOTATIONS.

a For in that sinful & vncleane coupling,Ronde [...]. there is a vennimous impression [Page] made partly by the yarde, partly by the flankes,Iul. Palm. which sometime affecteth togither the yarde, other somtime, stayeth not therin, but pearseth whollye into the inner partes, leauing nothing yet to be seene without: which contagion nature finding, at conuenient oportunitie, sorteth out such humors, as are therewith defyled, and laboureth to expell them by tbe same region the euil entred.

b Giuing the patient daily, some tryacle or other proper Aexipharmacum.

c This rule is well to be regarded, but not perpetually maintained. For though in sanguine and cholericke Buboes, which come to suppuration, this (except there be intollerable fulnesse) may easily be graunted. Yet in Phelgmatike or melancholike matter, which is neither speedie towarde maturation, nor resolution, (and therfore neither so fleeting, that we shoulde feare backward recourse) I knowe no cause, if the bodie be withall replete with ill iuyce, why a meete euacuation by purging, shall not rather in lightening nature of some loade, stirre her vp, to perfourme riddance of the rest with greater expedition, rather (I saye) then hinder or damnifie her, in this busines. A thing well noted, and proued [Page] of Iul. Palmarius, lib. 2. de Lue venerea. cap. 8. and ratified by the daily experience of those, that obserue the euents of their ministration with iudgement.

Supply. CHAP. XLI. Bubo Pestilens.

THis is that Tumor in the pestilence that lighteth in the emunctories. The signes are a small swelling at the first and mouable, but in feeling to the sicke, as a loade or burthen.Differences in [...] cause [...] Bubo [...] the [...]buncle. Also with much paine and lacke of sleepe, &c. Causes are the same with the Carbuncle, saue that the authors make this difference: that the Carbuncle commeth of hote adusted bloud, but Bubo of the more phlegmatike parte. This tumor is to ende by suppuration: beeing otherwise a messenger of euil newes.Cure. It must bee drawen forwarde, by all such meanes as are mentioned in the Carbuncle: & suppuration speedily furthered. Therfore [Page] besides the inner helpes, by Alexipharmackes, to assist nature to the thrusting foorth of the venome, as also the outwarde, by cupping glasses, (if the matter flowe but slowly) set on euery sixe houres, till the place be sufficiently gathered, you may grow to this cataplasme:Iul. Pal. loc. cit. which you may also beginne withall, in such places as you neede no cupping glasses: Recipe rad. symphiti maioris, liliorum, ceparum, ana, ℥.j. fol. oxalidis, m.j. cum butyro salis experie, fiat pila, sub cineribus coquē da: dein conterantur omnia, & cum oleo liliaceo, axungiaque porci, adiecto mi [...]hridatio & fermenti momento, subigantur. Or, Recip [...] cepam magnam excauatam mithridatio aut theriaca impletam, cum aliquot rutae sollijs, ha [...]c calidis cineribus obrue, assa, deinde tunde, & cum axungia suilla misceto, and applye it as a cataplasme to the tumor. The matter beeing sufficientlye collected, bring it to ripenesse by these meanes: Recipe fol. oxalidis, cum butyro salis expexte, in pilam componantur, coquantur su [...] prunis, tundantur, & adiecto vng. basilici duplo, in cataplasma coaptantur. To this you may adde, in the colder [Page] Tumor, fermenti, ℥.iij. or, Recipe radic. altheae & symphiti, fol. oxalidis, sem. lini, ana, ℥.j. coquantur & tundantur adijciendo vnguent. basil.℥.ij. fiat cataplasma. In a colder matter this: Recipe vnguent. basilici ℥.iij. fermemi secalini acris, ℥.ij. ol. liliorum, butyri recent. ana, ℥.ss. theriacae, ʒ.j. fiat vnguentum cum vitellis duorum ouorum. This ripeneth and lightly draweth, but in hote matter sharpeneth the payne. After the matter is thus made readie, make speedie issue, or vent, by incision [...] or causticke. Then haue your mundificatiue, ex melle, farinis, & vitellis ouorum, your incarnatiue such as this: Recipe masticis, thuris, myrrh [...], cerussae, tutiae, farinae triticeae, vel [...]abarum, adipis ceruini, vel capi, ceraeana. q.s. misce fiat linimentum molle. Last of all conglutinate as in other matters.

CHAP. XLII. Cruddeling of Milke in Womens brestes.

[Page] Def.THis is an engrossinge or thickning of milk in the pappes. It procedeth either of distēpered heat, turning the milke:Causes & signes. The signes wherof are heate, feuer, yellowish milke, Relife by colde things, and such like: or else it is of colde, heaping vp, and binding togither, apparant both by the sense of the partie, and handling: as also by the sight of the milk: which is watrish, or viscous and slimie. Also the patient feeleth releefe by hote things.

Prog.If this affect be not quickly cured, it bringeth foorth either inflamation, or vlceration of the pappes.

For the hote cause, appoint the patient a cooling dyet,Cure. as Lettuse by it selfe, or boyld with flesh, &c her drink Barley water, or small ale. And if ther be plentie of milke, let her brestes be emptied by sucking. Cooling medicines for that purpose are these: succus solani cum aceto, applyed: or, succus portulacae, or, morsus gal [...]in [...]e cum aceto: or, suc. apij cum aceto, & farina [...]icerum: or, suc. coriandri cum ol. ros. & aceto. Also, farina hordei cum aceto mulso, aut cum posca: or, furfures in aceto cocti, cum [Page]rutae decocto, &c. In a colde cause, let the dyet be heating and extenuating. The medicines also of propertie, to warme and make thinne, as these: Mentha cōtusa, & cum farina horá [...]i & faenugraeci, altheae & sem. lini. ol. ros. & pauco aceto permixta, and applyed, lentes muria decoctae, and applyed, cuminum cum modico [...]roco, applyed: or, decoctum faenigraeci & altheae, sem. apij: also, ol. chamomelinum, anethinum, amygdal. dulcium. Coagulum leporinum, cum butyro & pauco aceto: or, Coagul [...]m cum vino potum: or, succus caulium, morellae, coriandri, portulacae, cum aceto & farina [...]ordei, mixta omnia simul. atque in formam emplastri redacta: or, succus apij cum aceto & farina cecerum, &c.

CHAP. XLIII. Inflamation of the pappes.

MEdiate causes are, plentie of bloud, cluttering or aboundance of milke.Causes & signes. Of aboundance of bloud in cause, the signes are paine in backe, shoulder-blades, [Page] and armepittes, suppression of menstruous course, paine, heate, feuer, with other signes of bloud abounding. Of cluttered milke the signes are manifest. So childlabour neere hande, or newe fulfilled, argueth the part to bee inflamed through store of milke. Then is there lesse rednesse, heate, &c. The immediate cause is hote distemperature: The badges whereof are, feuer, heat, paine, &c.

Prog.The substance of the pappes being open and kernellie, not much abounding with inborne heate, it is doubtfull leste the inflammation g [...]owe to Scirrhus or Cancer: e [...]ther else being suppurate, and comming to abscesse, an eating vlcer followe. Wherefore the cure of it, is in no wise to bee neglected.

Cure.If it bee for plentie of bloud, or milke, ordaine a cooling dyet, and let there bee frication of the thighes, moderate sleepe, the bellie kept solluble, with clisters, or potions ex cassia, or manna, &c. her meate diminishing bloud, such as Beetes boiled with butter and vineger, sodden [Page] apples, toastes in drinke, rere egges with iuyce of Orenges, abstaininge from flesh broth, &c. Her drinke, Barley water, or small ale, or the decoction of Cinamon [...] And for quantitie, let the patient bee spare, in all her dyet.

In the beginning the patient may haue bloud taken, in proportionable quantitie, for her plentie, and strength: and that in her inner ancle (if her inferiour course haue fayled) or else in the Median, or Basilica of the Cubite: applying (withall) outwardlye, medicines meanly repelling: as posca cum spongia, or decoctum chamomillae, cum oleo rosac. & aceto, folia solani cum butyro, & oleo contusa. Or, Palmulae in posca & oleo [...]lixae, deinde malaxatae, or, succus coriandri c [...]m rosaceo, &c.

But in the augmentation, digerent and discutient remedies, as this Epitheme: Recipe florum Chamomillae, meliloti, altheae, faenigraci, semen lini & anethi, ana, manipul [...] j. coquantur in aqu [...], cui adde oleum rosarum, anethini, ana, ℥.ij. aceti, ℥.j. herein a spunge being wett, applye to [Page] the pappes: or a plaster: ex farina fabarum, faenigraeci [...] sem. lini, & hordei, & panecontrito, in aqua decoctis, cum oleo anethino, additis duobus vitellis ouorum, ac croci a [...]que myrrhae, ana, ℈.j. else, ex farina fabarum cum melle. In the state, make your medicines maturatiue (especially, if the former haue nothinge auailed) such as these: folia maluae in hydraeleo clixa. radix maluae: vis [...]i, fol. maluae cum axungia porci malaxa [...]a: or, farina triticea cum hydreleo. The tumor being ripe, procure the opening by instrument, or sharpe medicines, &c. If crudeling of the milke was occasion of the inflammation, haue respect to the Chapter going afore. In the rest of the cure, proceede by abstersiues, conglutinatiues. &c.

Supplie. CHAP. XLIIII. Inflamation of scrotum and the testicles.

AS this commeth sometime of outwarde occasions:Causes & signes. as stroakes, bruses, & other euill [Page] applications: so also of suddaine inward defluxions, and that verie often. The signes are manifest.

For diet and bloudletting, obserue the rules of ordinarie inflamations.Cure. Loosing of the belly (which in this case also must needs be respected,) is best to be done by clyster, except the body be such, as is easily moued, by the lighter meanes otherwise. Your local medicines must be framed (likewise) according to the times of the inflamation, as thus for example:Rondel. in the beginning:Beginning Rec. suc [...]i plantag. vel solani, li.j [...] far. hordei, li ss. ros. rub. cort. mali granati, ana, ℥.j. ol. ros.℥.iiij fiat cataplasma: or this, which both repelleth & discusseth:Augment. Rec. vrinae pueri, li.j. aceti alb. fortiss. li. ss. aquae ros rub.℥.ij. albumina ij. ouorum contus. misce: and with battes of flaxe, dipt in it, applye it to the testicle, & to the vessels descending thereunto. If you would haue it a cataplasme you may bring it to the fourme, cum fa [...]ina fabarum: or, Rec. vrinae pu [...]ri, li.ss. panis furfuraceae, in lacte recen [...]i in fusae, li.j. mellis, ℥.iiij fiat cataplasma, which is also good in con [...]usions and to asswage paine: like as [Page] is also, that ordinarie one: consistinge ex [...] lacte, & farina fabarum. [...]tate. If the paine be such, as vrgeth to suppuration: Rec. maluae, rad. bismaluae, an. m.j. far. [...]rumenti.℥.iij. far. faenugraeci, & sem. lini, an [...], ℥ij. ol. viol, pingued. por [...] ana, ℥.iij. decoque, & contusa per cribrum transmittantur, fia [...]que cataplasma. Declin. If yet the paine continue, decoquantur folia hyos [...]iami sub cineribus, & contusa excipiantur axungia porci, reducanturque ad formam cataplasmatis, and so apply it. It alayeth paine, and ripeneth the inflamation. If the tumor doe by these meanes resolue and vanish, pursue it with a cataplasme ex farina orizae, vel cicerum, vel orobi, cum oxymellite, vel sapa, vel vino: or, with a plaster, ex chalcitide, brought into the fourme of [...] cerote, cum oleo antiquo, vel ane [...]hino, vel rutaceo, vel irino. Otherwise, if it decline not, but suppurate: procure the opening by instrument, or as you shall thinke good, and finish the rest of the cure, as is saide in other inflamations. If there ensue a Schirrous hardnesse (as it attendeth on euerye inflamation not iustly ordered.) First soften it with mollifying fomentations, [Page] as ex amygdal. dulc. lil. oleo dulci, vel in sapa decoctis, vel butyro recenti, vel axungia porci non antiqua exceptist afterwarde disperse the matter with digerent oyles: as amygdal. amar. irino, antiquo, rutac. aneth. Or some cerote ex diachalcit. cum gummi & ol. amygdal. or such like.

Last of all, as a wonderfull cataplasme, this is commended of Rondeletius: Recipe radic. mandragor. recent. li. ss. hyosciami & alchecengi, ana, manipulum, j. decoquantur in sapae, & per c [...]ibrum simul contusa mittantur: quibus adde rad panacis, ℥.ij. (vel loco [...] ius opoponacis in eodem decocto liquati) fiatque adformam emplast [...]i: addendo cere parum, vel ad formam cataplasm. addendo styracis ℥.ss.

As for such Tumor in this parte, as proceedeth of colde and dull humors, and so of longer congestion: hee that is exercised in the cure of Oedematous tumors, cannot bee vnfurnished to deale with them.

ANNOTATION.

[Page]Here I omitte the tumors of the yard, both inwarde and outward, as brooches of the frenche disease: which in this booke I handle no [...], par [...]ly, because mine author hath not led me, (though he haue touched some things thereof) but specially because some of our countriemen doe in absolute treatises handle it of purpose: Who (I doubt not) will neuer cease, vntill they haue brought their good intent to a full measure of perfection, for that point, not onely concerning the maine disease it self, but euen for all those symptomes beside, that deserue any seuerall respect therein.

Of the tumors of the limmes or extreme members. CHAP. XLV. Paronychia.

Def. PAronychia, is an abscesse, or inflamation, gathering in the rootes of the nayles.

The antecedent cause is bloud inflowing,Causes & signes. which you may descrie by the notes of abundance of bloud, [Page] the conioined cause is the bloud contained in the part affected, &c. This tumor is about the rootes of the nayles, the paine is vehement, with pulsation, heate, &c.

This tumor sometimes is founde with grieuous symptomes, as paine, so great, that it purchaseth a feuer, alienation of the mind, and sounding, and so endes by death sometimes. Againe, it vlcerateth, and bringeth an eating and corrupting both of the flesh, and bone, and so consequently a Gangraene, or Sphacele, and perdition of the whole finger, &c. The bloude inflowing (which is saide to bee the antecedent cause) is first to be driuen out,Cure. and that either from the region or seate, whence it floweth, whether it bee from the whole bodie, or a part, (as by bloudletting and dyet, as is sayde in Phlegmon) or else from the parte whether it doeth flowe [...] and gather: and this may you doe two maner of wayes: one waye is by reuulsion, to wit, in pulling away to a contrary parte, that which is drawen towardes the parte affected, which is doone both by bloud letting (if no [Page] thing withstand) and cupping: these being done on an opposite or contrarie parte. Another way to remo [...]e the matter from the seate whether it gathereth, is, by repellent medicines: as vnguentum album cum caphura, vng. Populeon. Or, Recipe succi portulac [...], succi solani, succi plantag. succi vmbeli [...]i veneris, ana, ℥.ij. mucilaginis Psillij.℥ij. boli armeni, ʒ.ij. gallarum, ℥.ss. caphurae, ℈.j. olei ros ℥.iij. mixe them: or ex oleo mirtino & liliorum. or, ex oui albumine, & oleo violato: or, a plaster ex [...]yosciamo cocto cum axungia, & mucilagine psillij, vel maluae. Sometime, in speciall paine, you may vse opij ℈.j. cum lacte, croco, & vitello oui. Nowe the bloud gathered and contained in the affected parte: (called the cause conioynd) if it bee thinne, and fit for resolution, must be discussed & spent out, by vsing first warme wine, and after oyle of roses. But if it be thicke and rebellious to resolution, maturate the same, with this vnguent: Recipe Peraduenture it should be vng. rosarum. sacchari ros.℥.ss. axungiae gallinae, ʒ.iij. vitellorum ouorum, numero j. butyri recentis parum. Make the same a [...] vnguent, in a morter, and that without [Page] fire. Or with this plaster: Recipe mucilag. psillij, adipis suilli, butyri recentis, vitell. ouorū, farinae sem. lini, farinae faenugraeci, ana, q.s. fiat emplastrum. When it is ripe and opened, mundifie it first whilest it is filthie, either, cum melle, terebynthina, & hordei farina, & vnguento apostolorum. Or else, with the powder of Mercurie, if neede require. After, when it neede [...]h to bee filled with flesh, prouide this vnguent: Recipe myrrhae, thuris, sarcocollae, ana, ʒ.j. aloes, ʒ.iij. terebynthinae, ʒ.v. mellis ros. col.ʒ.ij. misce. If the paine bee great, it must bee mittigated by the meanes aforesayd. If there bee corruption or perishinge of the bone, there must bee vse of Cauterie, &c.

CHAP. XLVI. Of Wartes, and cornes, to wit, Myrmecia, Acrochordone, Clauo, and Thymio.

[Page]THere are foure kindes of wartes, as Mi [...]mecta, Def. which is a small, callous, rounde and thicke tubercle, sitting with a broad foundation, and yelding a sense like to the byting of a pissemire, or ante, when it is handled.

Acrochordon is a hanging kinde of warte, standing of a slenderer botom, callous, rounde and without paine [...] Clauus is a rounde callous warte,Corne, or [...]g [...]aile. of colour white, fashioned like the heade of a nayle, growing vppon the toes and soles of the feete, and procuring paine in going. Thymon is a little warte appearing vppon the bodie, slender beneath, like Acrochordon, but at toppe broder, verie rough and somewhat harde. It groweth in the beginning of the foote, palmes of the handes, or inferiour partes and soles of the feete, the vylest of all, is that that groweth in the vncleane or secrete partes.

[...]ses & [...]nes.The cause of Wartes is a thicke humor: for the moste parte, melancholike, when as the Wartes are of blackish colour, the temperature of the bodie, melancholike, the patients [Page] dyet, colde and drye, &c. But otherwise flegmatike: when the warts are of whitlie colour, and the temperature and dyet flegmaticke, they are knowen one from another, by these notes. Myrmecia hath a broder root, and slenderer toppe then Thymon. It is lower, harder, fuller of paine, and lesse subiect to bleedinge then Thymon, and scarse, at anye time, exceeding the greatnesse of a Lupine. Acrochordon is slenderer in the bottome, broader in the toppe, alwayes standing out from the skinne, seeldome growing greater then a beane, moste commonly incident to children: sometime turning to matter, otherwhiles, suddenly going awaye: and nowe and then mouing in some measure an inflammation. Also they growe manie in number, &c. Clauus is round, callous, white, making pain [...] to the goer, and specially addicted to the toes, and soles of the feete. Lastly, those that are referred to Thymus, are eminent and broader, harde and rough, slender in the lower parte, in colour, representing the flowers of Tyme. Somewhyles they bleede. [Page] They growe commonly to the greatnesse of the AEgyptian beane,Prog. and are sometimes one, sometimes moe in number. Myrmecia goeth not awaye without curation. It is burned with medicines: it sticketh in with broade rootes, so that it cannot be cut out, without a great vlceration.

Ac [...]ochordon oft times ceaseth by it self. If it be cut out it leaueth no root behinde, therefore, neither doeth it growe againe. with medicies it may be burned.

Claui goe not away without curation. If they bee cut you shall see a round roote vnderneath, which descendeth down euen to the very flesh. The same roote beeing left behinde in cutting, the corne or Agnayle groweth againe. by cutting or burning, they are moste redily cured.

Thymon often vanisheth away of it selfe. If it be cut awaye, there groweth a rounde roote vnderneath, as in Clauus. It is cured by eating or consuming medicines.

Cure.The cure of all which, both vniuersally and particulerly, you shall prosecute in this manner. If the thick [Page] humor (which wee haue noted afore, to bee the cause of this disease) bee melancholike, bende your fo [...]ce to the takinge of it awaye, first by bloud letting, if nothing hinder, and the bodie appeare aboundinge with bloud: then with a dyet heatinge and moystninge, and engendringe good bloud: and thirdly by medicines: to wit, such, firste, as prepare and alter the qualitie of the humor: as oxymel scilliticum, oxymel compositum, syrupus de epithymo, de fumoteriae, de lupulis, &c. then such as purging, diminish the quantitie manifestly. Such simples are these, senna, epi [...]hymum, elleborus niger, &c. Compoundes: diasenna, d [...]acatholicon, confectio hamech. If the humor be pituitous or Phlegmatike, then instituting first, a dyet that may deuide, or scatter, and make thinne, prepare the humor with medicines of the like qualitie, and then purge it with Diaphe [...]i [...]um, Benedicta laxatiua, Elect. Indum, &c. The causes thus gainstoode, come then to deale with the affectes themselues, which you shall doe either by medicines, or manuall operation. Let [Page] your medicines be resolutiues lightly astringent, and proceeding in them (as you neede) from the weaker sort to the stronger, and more vehement, like as here you haue examples of all sortes: the gentler, oleum phisticorum, oleum frumenti, ol. de Been. oleum sulphuris, ol. lini, &c. cera rubra, succus chelidonij, &c. also succus calthae cum sale, caput lacertae, aqua ex sarmentis viridibus, dum comburuntur, cum nigella, &c. the vehementer sort are these corroding medicines: as Calx, arsenicum, cinis, sal Alcali, Cantarides, mel anacardi, lac Tithymalli, flos aeris, sal cum aqua raphani, fimus ouillus, &c. Whe [...]eof you may prepare you compounded ones on this sorte: as one, ex cinere salicum, cum aceto, vel, ex nigella, cum vrina: vel, ex sterc [...]re bouis cum aceto, vel, fimus ouillus, cum aceto: another ex flore aeris, sulphure, aqua [...] sarmento [...]um viridium vstione extillata, simul mixtis: a thirde, Recipe floris aeris, chartae vstae, ana, ʒ v. colo [...]ynthidis, baurach, ana, ʒ.vj. salis ammoniaci.℥.ss. salis alkali, ar [...]enici, ci [...]rini, fellis vaccini, ana,[Page]ʒ.vj. vsneae persici, ʒ.vij. terantur, & cum aqua saponis fiat lixi [...]ium. The manuall operation is three foulde, to wit, incision, ligature, (which must be cunningly administred) and vstion or burning: in the which operation, you must haue an yron plate, or such like matter, with a hole in it, made fit, to couch close about the borders of the warte, that you will cauterize, so that none of the sounde skinne about it, may appeare through the same, then the cauterie being set on as farre as needeth, resolue the crust with butter, or some vnctuous thing, that it may loose, and afterwarde cure the place, as other vlcerations. Obserue here among (as there is alwaies an eye to bee had to the accidentes) that lest anye paine, inflamation or exulceration shoulde chaunce to the partes, (as they are apt to come by meanes of burning medicines) you doe, in the vsing of the remedies, (for the more securitie sake) defende the partes lying rounde about, with an vnguent made ex bolo armeno, terrae sigillata, aqua rosacea & aceto, or such like. Hitherto hath beene spoken of [Page] the common cure of all these wartes, now to their speciall cures, [...]peciall cure. wherein is some varying, according to their seuerall differences: so those that bee called Myrm [...]ci [...], are to be cured, partly by medicines eating, or corroding, partly by chirurgerie. Of that sort of medicines are, alumen, Chalcanthum, sandaraca, caput lacertae, succus arboris ficus, elaterium cum sale, cortex thuris cū aceto, ruta cum nitro & pipere, nitrū cū vrina, stercus bouis cum aceto, &c. capu [...] piscis smaridis, salsum & vstum. By chirurgerie also, as first s [...]arifying them, and then catching hold of them, with a mullet, cut them out, with an incision knife, like as you doe cornes. another way is practised, by drawing and sucking them first into the mouth for a space, and then soudenly biting them cleane out, with the foreteeth: some doe yet otherwise: to wit, first scarifie them in the extreeme part, thē with a brasse or yron pipe, or olde goose quill, thrust into the bottome of it, do sprittle it vp by the roots. Acrochordon [...]s are to be remoued, ether by ligature, cutting, burning or byting. Claui, or cornes are cured, parly [Page] by medicins, partly by chirurgery, the medicines being resoluing, as faex vini, fellupi pisc. cera rubra, aq. for [...]is, &c. or this prepared plaster: Rs. [...]mp. diachy lonis magni, ℥.ss. resinae sutorū, ℥.ss. salis, ʒ.ij. mixe them, and the same being [...]pread on a cloth, apply it to the corn chaunging it euerie fourth day. It is a proued one. The chirurgical administration in this, is incision, and burning: the order of both which, are afore set downe. Thymi are doone away, partly also by medicines, as are cinis salicum cum aceto. or cum ficubus in aqua coctis: and partly by chirurgerie, namely ligature: which is by binding the same very surely and strongly, with a silke threed, and still more and more girding it, till it fall off: afterwarde cu [...]ing the same, like to other vlcers. And in this sort are they best cured, which growe in the vncleane, or priuie partes. There may come in vse, in this cure, also both incision and burning with fire, and hote yrons, or suche other: which orders haue nowe beene oft ynough repeated.

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Supplie. CHAP. XLVII. Tumor in the knee.

TVmors in the knee, whether they bee inflamed, oedematous, or flatuouse, neede no seuerall tractation, this being obserued, that there be greater heede taken, when there is vse of incision, and more corroborating & strengthning meanes, in the processe of euery such cure, then in other ordinary places, for the ioyntes sake, and synewye partes there lodged.

Supply. CHAP. XLVIII. Varix and Aneurysma.

[...]. li. 7. [...] 3.VArix is an vnmeasurable dilatation or enlarging of a veine, the place is (most cō monly) the legges. It commeth of some stroke, cōtusion, much [Page] labour, strayning and trauaile,Causes & signes. sometime of filling and swelling of the bodie, as in women with childe. The veine thus enlarged looketh blacker than others: sauft, easily yeelding to the finger, and soone returning. It breaketh out in the ende to a filthie and intractable vlcer:Prog. sometime the veine bursting soudainly, daungereth the partie of death by bleeding. If withall the patient haue a stitch in his side,De Apost. c. 25. then iudge the disease to be tending towardes death, sayeth Paracelsus.

This cure hath two considerations,Cure. to wit, as the disease is young, and as it is inueterate. The growing of it is to be cut off, by strengthning and astringent locall meanes: inwardly withall prouiding, that melancholike iuyce encrease not. Outwarde means are these simples: bolus armenus, terra lemnia, nux cupressi, gallae, acacia, hyposistis, thus, cyperus, iragaganthum, hordei farina, &c. Of which may be made fomentations & cataplasmes, or apply them mixt cum oui albumine & aceto: profitable also is Emplastrū contra Rupturam & such others, likewise [Page] a rowle dipt in vino austero, or other decoction of astringent thinges, and applyed from the ankle to the knee is much commended. If you require more ample setting out of the deuise of these kindes of medicines, haue recourse to Vigo li. 4. cap. 6. The inueterate Varix (which cōmonly keepeth some periodical turns of increasing and decreasing) must be opened and vented in his periodes: or (as I may speake) in the determinate season of his pride and rage [...] as once a yeare, if it returne but once: or else twise, if twise it doe aduaunce it selfe. Afterwarde alwaye, for three weekes or a moneth, annoynt the place daily cum pinguedine humana, or Balsamo sulphuris: else with them mixt togeather, as you shall see it good, binding vppe the member afterwarde, with a strengthening lygature. Thus shall the feculent bloud, at fittest opportunities, bee emptyed: (which seemeth verely to aunsweare natures expectation) and the member afterwarde receiue dewe confirmation and strengthning: this last giuing vs assurance, against all further growth [Page] of Va [...]ix: and the former making vs secure [...] for the returne of any euill vpon the principall partes. Which two points, as they are not sufficiētly satisfied by any other ways of curation, so lest of all (that I may yet speake with reuerence towards the inuentors) by incision. Therefo [...]e haue I abstained to teach it in this place.

Aneurysma is the like dilatation or enlarging of an arterye.Aneury [...]ma. It is to bee knowne from Varix [...] by the great, lifting and (oft times) painefull pul [...]ation that is in it. It is sometime in the inner partes, sometime in the outter. In the inner partes, as in the breste, or about the splene and mesenterium: discernable otherwhiles to the eye: or (at least) notoriouslye felte of the patient. In the out [...]r parts, and that either superficiallye, or deepe in the member: the superficiall Aneurysma may both bee seene and fealt. The other, though it escape the eye, yet it is easily founde out in feeling, by the extraordinarie greatnesse of his strooke. Especially if the vesselles bee brooken, and there growe [Page] separation of the other continued parts about them, through their vnmeasurable powring in of spirituous bloude: which case, I content not my selfe onely (here) to touch, but purpose further, by a cleere instaunce to proue it, chiefly for the taking awaye of the doubte, which the reuerende F [...]rnelius hath put in this behalfe. [...]7. c. 3.

[...]istorie.Not two yeares passed, a seruant of the right honorable, the Ladie Marques of North. dying of Aneurisma in his thigh, wherof he had long time languished, with most intollerable paine, I was present at the opening thereof, with maister Goodrus, now chirurgian to her Maiestie, & this (of a certainty) the case was: Incision being made along the thighe, halfe an ynch deepe, or somewhat more, there was founde no further substaunce of flesh, but thencefoorth bloud, either concrete, or fluent, lodged as in a trunke, from the flanke, downe (almost) to the hamme, in quantitie about a gallon and a halfe, the bone was as a staff thrust through a leather budget: for so had it no flesh abiding on it, only periosteon couered it. The [Page] fewe fleshie parts and muscles, yet towarde the skinne remayning, were daily still in consuming (which wee might iudge by the aboundaunce of muscles, and fragmentes, some loose and swimming in the bloud, some separated, others halfe consumed, yet hanging by one end) so, as it seemeth the naturall ende would haue beene, by soudaine efusion of all this bloud and spirits, when (at last) the skin and fleshie parts had all beene worne and washed through. Thus muche I thought not in vaine in this place to be registred, (if there were no other vse of it) euen for the rarenesse of the obseruation. It is a desperate disease,Prog. and (for the most part) vtterly vncurable: especially if it either grow with in the bulke of the bodie, or in the deepe partes of any member.

Institute a cooling and thickning order of diet,Cure. which doeth ease in all sortes. Against the superficiall Aneurisma you haue two scopes of practise: thone preseruatiue, the other curatiue, to preserue the patient longer in hindering the increase of his disease, beside his order of liuing [Page] rightly instituted, with some dozell or fitte bowlster, layde on the place, keepe the member rowled. If the vessell be not broken, but enlarged onelie, then likewise annoynt it with such thinges as serue for the varicous vaine. Now if you attempt the cure, the way is by incision: and that, either as the vessel is yet whole, or as it is nowe broken by extreeme distention.Lib. 6. Ch. 28. If it bee whole, followe Pareus counsell, in taking vp the vessel, then bynding it abo [...]e the enlarged part, afterwarde cutts it quite a sunder, and let the tiall remaime till it come away of it selfe: so heale the place againe, but if the vessell be broken,Aetius Tetr. 4. [...]r. 3. c. 10. then serueth the deuise of surprising: which is wrought, by taking vp, and knitting the same vessell, where you can finde it, aboue the breach: after which, you may boldly open the tumor: let out that which was contained, seeke out the broken vessell, and knit it aboue the breach: then take away the tiall aboue, and leaue the last till it fall awaie, in the healing.

The end of the booke of Tumors.

THE SECOND BOOKE, ENTREAting of woundes, and first in generall. Of the differences of wounds.

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THE differences of woundes, are taken either frō their causes, by which they are inflicted: or frō their accidentes to wit, the place wherein they are situated [...] the causes are either bodies with out life, or else liuing things. Things without life that wounde a man, doe it either by cutting, or brusing: if it be by cutting, wee call it simplye a wounde: if it be brusingwise doone, we call it a contused wounde, or Ecchymosis. Againe it may be of a liuing bodie as a wounde that is of biting. Nowe the place giueth difference in this sorte: some woundes chaunce in the similar, some in the [Page] organicall partes. Of the similar, also, some are sanguin, some spermaticke, so the woundes in the sanguine parts, as in the flesh, are either, simple, deep, hollowe, plaine, or proude with flesh. The spermaticke partes, likewise are either harde or sauft: the sauft partes be, the sinewe, which being hurt, we call it a wounde in the sinewe: the veine, whose hurt we call a wound in the veine: the arterie, whose wounde wee call by the like name: the harde spermaticke partes [...] are the bones, a wound in the which, we call a wound of the bones. Woundes of the organicall or instrumentall partes, are either of some whole bulke or trunk, or some more particular member or limme. Woundes of the trunkes are meant those of the heade, necke, brest and bellie, in the heade againe, there growe more particular names and differences, by reason of the parte [...] thereof which be of speciall note and name: as woundes of the face, eies, nose, lippes, and eares. Woundes of the limmes are these, to wit, wounds of the shoulders, armes, thighes and legges.

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CHAP. I. Of a greene wounde.

A Wound is a breach of continuitie,Def. new, and bloudie, with out either matter or putrefaction.

Causes are,Causes either sworde, or such weapons, as may be sent from farre to doe the hurt: of which kinde, there be diuers fashions, some long and slender, as arrowes, both with plaine and bearded heades: others broade, some againe rounde, as bullettes of leade, or y [...]on, othersome empoysoned.

Signes of the wounde,signes. as also whether it be in a similar or instrumental part, ar easily discerned by common sense. The signes yet of the instrument that causeth the wounde, are not alwaies so manifest. For although (as is saide before) some are stricken at hande, as with the sworde, or such other weapon, yet we knowe also, that some hurts are sent further off, which being done by things of small compasse, [Page] as a pellet or bullet, may be out of sight, lying hidden in the fleshe. The place thereof if you shall handle, you shall finde eminent, rough and vneuen. The diuision doeth not tende directly forwarde, but sheweth greater, and wider. The fleshe sheweth blackish, brused, and there is paine with certaine heauinesse. The woundes that are empoysoned you shall perceiue, in that the fleshe will shewe pale, of a bloe colour, and be deaddish, &c.

Prog.Woundes in the fleshie partes are easily cured, but those of the nerues, veines, and arteries, doe not vnite againe, neither are without daunger. The bones doe ioyne againe by their naturall glewe. Woundes in the

Of these, some are necessarily mortall: as woundes in the heart, midr [...]ife, stomache, guttes, and bladder: Some, but for the moste parte, as those of the braine: ( [...]f wee credit Arcaeus, lib. de vul. and Coiter in his obseruations.) The rest, as in the Lungs, Liuer, Splene, and Wesande, moste often healed, if they bee artificially dealt withall, as witnesse manie mens obseruations, togither with our experience. Verie daungerous also, are ouerthwhart woundes in the Muscles, and such as are inflicted, when the member is extended.

Paracelsus obserueth a matter more secrete,Chir. m [...]. li. i. c. xvi. where he sayeth: When Choler [...]ath betaken it selfe to the arteries, ca [...] sing the partes to tremble, and moue vnorderly: if at the same time, those partes be hurte, death ensueth, which I vnderstande to bee, by reason of the extreame ebullition, and pro [...]use expence of the spirites, which by no meanes, can at that time bee restrained: for therefore he saith afterwarde, that in the same daunger is euerie wounde, made in anie ebullition. That then wee neede not marueile, though of a small wounde the partie sometimes dye, without any manifest cause. And the vncertaine successe of woundes, both by reason hereof: as also of sexe, temperature and lurking accidents, causeth the same author otherwhere esteeme it f [...]te [...],Chir. mag. [...]r. i. c. v. to reckon all woundes (that is to saye, of all partes) in the Catalogue of deadly, rather then account any of them safe, and voide of danger.

instrumentall parts, as in the braine, heart, lunges, liuer, splene, midreife, wesand, stomach, guttes, and bladdar, are deadly. A feuer, sounding, perturbation, alienation of the minde, crampe, &c. comming vppon a wounde, are perillous. There be iij. terminations to wounds. The first and shortest is within seuen [...] dayes. The longest xl. daies. And the [Page] middlemost (according to the nature and order of sharpe diseases) xiiij. dayes. If the wounde appeare suspitious and enwrapped with doubtful indications, prognosticate nothing vntill the seuenth day.

To the direction of the cure,Cure. of woundes in generall, pertaine iiij. intentions.First intention of the cure. The first must be in regarde of the cause, the seconde of the disease or wounde it selfe, the thirde respecting the part affected: and the iiii. the symptomes o [...] accidentes concurring. The cause, to wit, the outward thinges wherewith the wounde was inflicted, must (if they sticke yet in the same) by all meanes, be sought to be remooued. Which purpose to atchiue, you haue two notable waies to worke, that is to wit, by instruments, and by medicines: by instruments, in this sort: if it be a long and slender dart, cōsider, whether the head of it be euen and smooth, or else vneuen and bearded, if it be euen, it is to bee drawne foorth, either on the contrarie side, or the same waye it went in. You are to chuse the contrarie side, if so bee there bee [Page] likelihoode of doing more hurt, by tearing the parts, in drawing it backwards, then in t [...]king it out contrary way. The way therfore being opened sunder the fleshe with an instrument made after the similitude of this greeke letter [...] nowe when the dart head apeareth, & sheweth it selfe, into the place of your incision, if the steale or shaft be yet in the heade, it will helpe you the better, to thrust it thorough, to the other side, that so, you may there drawe it foorth. But if only the heade sticke within, then must you make shift, either with your fingers, or some conuenient instrument to take holde of it, and so drawe it forth. If you see it more conuenient, to draw it backe againe, the way that it went in, that must you also attempt by the like reason: to wit, the wound being enlarged, drawe it out by the steale, if it haue any, if it haue none, drawe foorth the yron either with the opening cane, or the crowe bill, or the darte drawer, or other like deuised instrument for the purpose: enlarging sufficiently the wounde, if otherwise, it bee to narrowe fo [...] [Page] the instrument. Nowe if the heade be spiked or bearded, if the beardes be small, breake them off first, and then drawe out the dart: but if the beardes bee large, conuaye quilles in that order betwixt them and the flesh, that the flesh may not be torne in their going out: but if the heade be bearded both forwards and backwardes, so that it can come out neyther waye, then must you needes open the place with a newe incision (without you knowe of a veine or such other vessell of daunger, in that place, that forbiddeth it) and so sufficient roome beeing p [...]ocured, take foorth the heade gently and without plucking. Some doe likewise bridle those beardes, with quilles, or peeces of reedes, that they may not teare, and so plucke them out that way that seemeth readiest. Broade dartes or speare heads being hiddē in the flesh, it is not expedient to thrust them out on thother side, for feare of making one great wound vpon another, they are therefore to bee pulled out with Diocles darte drawer. An instrument deuised by Diocles, and called of the [Page] Greeks Eraphiscum. If a bullet of lead or yron, be lodged in the wound, first place the parties bodie in the same gesture (if it may be) in which it was when it receiued the wounde: and so search with a probe, which way the pellet is gone, (this obserue in the drawing out of all artillerie) if the case be such as the patient may not haue his bodie placed in that order, yet at least, so place him, lyinge, that, as muche as may be, he may come neere to the fashion. This doone, enlarge the wounde, and take out the pellet by the waye that it entred, with some hooke, probe, crowebill, or scissourlike mullet, or suche other, as the wounde is easliest able to receiue for that operation. If so be, the shotte bee in such sort hidden, as that it may in no wise be founde, or else may not safely ynough be drawen foorth, then is it to be let alone, till nature eyther thrust it foorth, or manifest it. And it hath beene seene sometime, that without offence of nature, a bullet hath tarried within, for a certaine space, after the [Page] wounde was cloosed vppe and healed. And agayne, after a certaine space, to come foorth by waye of apostemation: after which the wound hath beene perfectly healed, the same cure being vsed thereto, as to other woundes. To speake generally of al sorts of engines inflicting wounds, if they sticke in but superficially, and haue not persed or broken anye great veines, then are they to bee drawen out, the same waye they went in. As also it falleth out sometime, euen in those that lye deepe: to wit, when manifest daunger, eyther through losse of bloud, or consent of some principall partes, is forespyed likelie to fall out, through the opening of the contrarie side. In such a case therefore, wee eyther drawe it foorth with our fingers, or by the steale of the shaft, or dart, (if it haue anye) or otherwise, by conuaying a steale into the hollowe of the yron, and so winde it foorth. But there is another case, wherein if it lye deepe, it is not to bee plucked out the same waye, but, [Page] but, on the contrarie side, as when the way is longer for it to come backe againe then to be thrust through outright, and hath alreadie in going in, pearsed through veines and synewes: briefly, when but a little whole flesh remayneth to be pearsed through, & that nothing letteth, whereby incision might not be fitly made, on the other side against the point of it, in such a case, it is better to open that that remaineth, and thrust out the dart, on the other side. for so, it is both neerer hande to finde, and safelier taken out, as also in a great member, if the point haue once passed the midst of it, it healeth easilyer, if the way be made quit thorough, because it may receiue the helpe of medicines on bo [...]h [...]ides. Nowe it must bee thrust through, either by the steale, if it stick in, or else (if the steale be shaked out of the heade) with a propulsorie instrument [...] either hollowe [...] or solid, (which some call the deafe propulsorie) euen as the case requi [...]eth. Further note, that if it haue a sharpe point (which you shall finde by searching with your probe) then [Page] you must vse the female propulsorie instrument, but if it haue a hollowe or socket, the male propulsorie: and so by such meanes, thrust it on forwarde, till you may easily take holde of it to plucke it forth. Alwayes hauing notable regard, that you deuide not a nerue or a tendon, either some great veine or arterie. As for those that sticke in the bone, it is not safe to plucke them out otherwise, then backe againe: shaking or moouing the darte, till the place bee loosed, wherein it was holden, and then with the hande, or instrument, drawe it foorth: which manner of dealing likewise is vsed in plucking foorth of teeth, and verie seeldome doeth the dart, not followe, if it be so vsed: but if it doe chaunce to staie, it may bee stricken out with some instrument. Some binde the bowe called Balista, to some of the mullet like instrumentes or pinsers, and so, the patient sitting fast in his place, by drawing and loosing againe the string of the same instrument, drawe foorth the darte: but if the darte sticke [...]eeper in the bone, (which wee [Page] knowe by that, that it will by no force be mooued) then with a chissell [...] cutting away the bone neere about it, or else pearsing it through (if it bee thicke) with a [...]erebrer, wee take foorth the dart. There are, which from the hole of the terebrer, doe cutte out the bone agaynst the dart, after the fashion of the letter [...] so that the lines, which are sundred may respecte the darte: whiche doone, it must necessarilie slippe, and be easily taken out. which is the last remedie.

Othersome, with a straight long [...]erebrer, called the direct Terebrer, doe straine open the rift of the bone, wherein the darte is holden, that whilest the same gapeth, the darte may be drawen awaye. In thinges fixed in a ioynt, that is, betwixt two bones, you are to fasten to both sides of the ioynt, strong rowles or bandes, and the one of them pulling one way, the other another way, drawe open the ioynt, that the tendons, ligamentes, and nerues may stretch: which beeing so extended, [...]he space in the ioynt betwixt the [Page] two bones must needes bee easier, so that without anie difficultie, the thing infixed may bee taken foo [...]th. But in this businesse it must also be lookt to, that no nerue, veine, or arterie be hurt, whilest the infixed thing is drawen out. Thus muche touching drawing out dartes (and other artillerie, or thinges infixed,) by mettalline instrumentes, and manuall operation. Nowe let vs see what maye be doone by medicines.

To the drawing out therefore of little bones, thornes, heeres, stones, peeces of glasse, &c. these simples are of force and auaileable: to wit, dictamnum, thapsia, sagapenum, ammoniacum, radices aristolochiae, ranae combustae, radix arundinis, propolis, viscum, opopo [...]ax, C [...]lx viua, faex vini vsta, lepidium, sinapi, ranunculus, adeps vrsinus, &c. fermentum, &c. Compound medicines you may thus prepare, to wit, a plaster ex radice arundinis & melle. or, cum farina lolij, radice arundinis, & melle.. or this: Recipe lapid. magnetis ℥.j. rad. aristolochiae v [...]riusque ana, ʒ.j. polypodij, visci ana, ʒ.j. sterc. anseris, ℥.j.ss. amoni aci, galbani in vino dissolut. ana, ℥.ss. propoleos ℥.ij. ol. lilior [...].℥.iij.[Page]mellis ℥.j. fiat Emplastrum. A liniment for that purpose you may make ex puluere magnetis mixt with some mundifying matter, and therewith arme the tent and apply it, in such sort notwithstanding, as that the tente may not reach to, to touch the yron.

Second [...]ntention in the cureWhen you haue thus farre prouided, that nothing vnnaturall be left remayning in the wounde, then followeth your next care, to cure and ioyne againe the partes that were so seuered [...] If therefore the solution be small, it is to be restored by the winding manner of rowling, for so out of doubt, the wounde shall ioyne and heale, without the vse of anye other outwarde cure: specially if it be a simple wounde, and encombred with no other affect or symptome. But if the solution be great, it must be helped, by artificiall closing togeather the gaping sides and borders of the wound, to wit, either by seame [...]aches, verucles, or stitching clothes. The seame is made with a strong [...], equall and smooth threede, [...]eame, or [...]laine [...]itch. as a silken threede, at the least in common woundes, taking the first stitche in [Page] the middest of the diuision, the next betweene that and the one end of the wounde, and so foorth proceeding, that ther may be conuenient distance betweene euery two stitches, till the [...]ides of the wound be committed togither. So that neither must the stitches be set too thicke nor thinne For if they stande too thinne, they cannot holde: if too thicke, they make too m [...]ch paine. Because that, the ofter the flesh is pearsed of the needle, and the moe places the threede twitcheth, by so much the greater inflamations do rise. So also let your seame ioyne togither the borders of the wounde, that yet the sides meete not close togither, to the ende there may be way and space to purge out, what matte [...] gathereth togither within the wound. They are wont therefore to leaue the bredth of a finger commonly betwen euerie stitch. Moreouer, see that your needle be long, smooth, and threesquare pointed, with a guttered eye, that the threede, close couching therin, may giue no occasion of stickinge in the passing through of the needle. Besides, you must haue a stitchinge [Page] quill, whereupon the lippe of the wound may leane, and stay it self stedily without slipping hither & thither whilest the needle is pearsing it thorough, and so, that through the little window or loope hole of it, you may spye when the needle hath pearsed through, that then you may drawe it on ende, with the threede. All the while that the threede is drawinge through, vnderprop the lippe of the wound, with your probe, that it tugg not outward in following the same. Let it be tyed first with ij. inuolutiōs or bowtes, the second time with one only, & so cut of the threed, somwhat distant from the knott. Thus when the partes are drawen togither by stitching, vse glutinatiue medicines, which may both consume and dry vp, the corruption of humors gathered, as also prohibite lest any more come thither. The second way of ioyninge is by claspes,Claspes, or tack [...]ookes. and these must you make greater or lesser, according to the qualitie of the wounded part. But let them be from eche side crooking backe, fastening one hooke in the one lippe of the wound, and drawing [Page] it towardes the other lippe, fastening therein the other hooke, as they vse to doe, that dresse clothes vppon the Tenters. These claspes whereby wee drawe togither the borders of gaping woundes, require no force or strayning, but onely are so farre profitable, as the skinne seemeth willinge, of it owne accorde, to followe that which leadeth or draweth it.

The thirde waie,Verncle, or the quil [...] stitch. to restore the seuered sydes, is by verucles, euen made, of stupes strongly writhen, and slender like a writing quill or reede, and the length almoste of the middle finger. But if wee couet to haue the stitching holde a long time, take a writinge quill, in steede of the stupes, and doe as followeth. Drawe a stitche through both sydes of the wounde, and returne your needle through agayne by the same waye it came, so that you leaue youre threede in a loope, on that syde, whence the needle returned, in which loope, put one of the quilles, then take both the endes of your threede, to wit, both the beginning, [Page] and that that came backe againe, and straine or vrge them so, as the sydes of the wounde maye drawe togitherwarde, and putting between them the other quill, tye them on a knott, and cut away the remnant of threede, so leaue it to the perfect healinge of the wounde. The fourth stitchinge,The drie stitch. is perfourmed by clothes, applyed on both sydes the wound, in fourme triangled, and of such greatnesse, as seemeth best agreable to the member that is hurt. Which kinde of stitche is most agreeable to such places, as we couet to heale, most without blemish or skarre as in the face. Those clothes must bee fastened on with some viscous or harde clea [...]ing liniment, compounded of sanguis draconis, thus, mastiches, pix. and pollen, that is, farina volatilis. all which must bee encorporated with albumen oui, and so made one. And then spread vpon one side of your clothes, which clothes then must you laye on eche syde the wound, a thumb bredth distant from the same. Thus when that oyntment drying, the clothes become fastened in their place, make in them your [Page] stitching, ingeniously to the purpose. by which meanes, the lippes of the wounde shall goe togither and glewe againe.

Now when you haue wrought for the drawing togither of the wounde, you must after also carefully see to it, to preserue so, and keepe togither the partes that you haue ioyned: which is also done commonly by the continuance of the same meanes. That is to wit, decent bynding, apt placinge of the member, and stitching, if it shalbe thought necessarie.

The thirde scope,The 3. intention in the cure. nowe is, to preserue the substance of the wounded part and prohibite, lest it come to be troubled with paine, inflamation, or other vntowarde accident. Inflamation is restrained by taking away the cause of his fluxion. And humors flowe to a place, either in that they are sent, or in that they are drawen. They are drawen first through paine, and then through heate of the member. But when they are sent, it is, as it were into a weake parte, as when the whole bodie is abundant with good or euill iuyce. Therefore to hinder [Page] and take away the cause of the fluxion. three thinges are to bee attended vnto: the first is paine, which must be In this place, handling that scope of the cure, that respecteth the part affected, the Author was onely [...] to haue deliuered all the meanes, both by dyet and medicines, that were to preserue the bodi [...] and partes in a prosperous state of healing, and after that, to haue looked vnto such a condition, a [...] is nowe combred with accidents, (which is his fourth intention) [...]hat the reader may see, here is no plac [...] for medicines against paine, (which is not yet supposed to be) and that besides this inuerting of his owne order, there is also omitted that should iustly haue occupied the rowme therof: to wit, the local medicines for the cure of the wound: which [...]e hath verie ill deferred to the Chapter [...]f a simple wounde that the reader should not be perplexed, I am driuen thus to note the author, whome otherwise I could gladly haue spared, as in manie other places of [...]is order. mitigated & the heate quenched, either with some plaster ex radice solani triti & axungia porci, or, ex folijs maluae coctis, tritis, & furfure & rosaceo: else, ex medulla panis triticei, in aqua feruenti macerata: or, with oleum rosac. &c. or, oui albumen, cum vino stiptico. The second is a full good liking and high state of bodie, which must bee diminished partly by dyet, partly by bloudletting: which first must be do [...] farre of, & then euen in the wounded part itselfe: at such a quantitie, as is conuenient and meete, both in regard of the store, that is in the bodie, and of the measure that came out of the wounde, as also of the time, age, nature, and custome of the bodie. The dyet must tend to cooling. Vse therefore light frication of the contrarie parts, much rest. for meat, the flesh of partriche, chickens, hennes, & little birdes, barley, ptisan. For pothe [...]es, lettuse, purcelane, borrage, &c. For drink, either Small beere or ale, with vs, which also (if time and place do serue) may be ton [...]ed vp with vulnerarie herbes, as sani [...]ula [...] ophioglossum, Alchimilla, consolida, agrimonia, betonica, vinca peruinca, aristolochia. &c.water boylde, or wine delayed [...] Beware of mouing, venerie, [Page] and affections of the mind. Eschew al hard flesh, cheese, garlike, mustarde-seede &c. great fishes, wine, &c. in summe, appoint a sparing diet altogither, especially at supper. Kepe the diet thus skant & straited for the first 7. dayes. Then after, when you see the patient free from inflamation & abscesse, let loose also to a fuller dyet. The third thing to looke to, is, a state of bodie pestered with euill iuyce, which, if it be yellowe choller, purge with cas [...]ia, manna, rhabarb, tamarindis, &c. If it be flegme, with agaric. sem. carthami, diaphaenicon &c. If it be melancholie, diasenna, diaprunes lenitiue, sena, polypodium, &c. To these meanes, of keeping the bodie in a good disposition of healing, must bee ioyned (as I touched afore) the ad [...]ised vse of locall medicines: bee they balmes, plasters, powders, vnguenies, or what fourmes soeuer. Which, because the aucthor hath here omitted, I must request the Reader, to turne to the Chapter of a simple wounde, where all these thinges are largely deliuered.

Hitherto of the three first intentions common to the cure of woundes: to wit, of remouing thinges superfluous, and of a disagreeable nature. Secondly, of ioyning the wounde againe: thirdly, of keeping the good estate of the parte. Nowe to the fourth and laste intention,For the accidents, the 4. intention. which is to correct such accidentes as happen to the wounded patient, which are commonlye, fluxe of bloude, payne, inflammation, hote or colde [Page] distemperature, conuulsiō, sounding, rauing, palsey, or resolution. For moderate fluxe of bloud,Fluxe of bloud. hauing appointed a dyet to coole and thicken, as with ryce, lintels, astringent, ta [...]t and sowre frutes, &c. The vse of water, &c. Applye to the opposite or contrarie partes, ligatures, frictions, and cupping glasses. Or let bloud, opening the vaine a little, and emptying the bloud by repetition. You may also stoppe the veine with your finger, or vse the common seame of the skinners, or binde, or cauterize the veine, &c. inwardly it shalbe good to giue this potion. Rec. lapidis haematitis, coralli, rub. ana, ʒ.ss. trochisc. de terra sigillata, trochisc. de spodio, vel de suc [...]in [...] ana, ℈.j. aquarum fortulacae, plantag. ana, ℥.iij. Make thereof a potion, and vse it at twise. Or this: Rec. lapidis haematitis, ʒ.j boli armeni, ʒ.ss. sang. draconi [...], ʒ.ss. sacchari ros. veteris, ℥.ss. aquae plantag.℥ij. Make a potiō. Outwardly applye a liniment ex aceto, & oui candido, &c. Or this: Rec. thuris, aloes, ana, partes aequales, mixe them, cum albumine oui & pilis leporinis. Another: Rec. boli armeni, ℥.vi. terrae sigillatae,[Page]℥.ij. farinae volat.℥.iij. Gypsi, calcis viuae, ana.℥.iiij. thuris, aloes, ana, ℥.j. mixe them cur [...] albumine oui, Among the medicines to staunche bloud, may be numbred, crocus martis, crocus veneris, cinis ranarum, and a [...]oade artificially dried, lapt in a clothe, and layde neere the wounde. Also the bloud stone holden in the patientes hande, or hung about his necke..

Simples, mitigating paine, are,Paine. First of all, wisely consider, what is the occasion of the paine: for if there be n [...] distemperature first, suspect some errour to bee, either in your medicenes or bynding. oleum rosac. ol. commune, ol. papaueris: medulla panis triticeae, in aqua feruenti macerata, oui albumen, aesypus, lac muliebre. lac vaccinum, &c. Compoundes consist ex radice solani trita, & axungia porci, or, ex folijs maluae coctis cum furfure & rosacco, or, oui candido & vino stiptico &c. Of the inflamation wee haue entreated afore. The distemperature is to bee regarded, as it is, either hote or colde: if it be hote:Hote intemperature. consider whether the same be generall in the whole bodie, or onely in the part affected. If it be a distemperature of the whole, as a feuer: it must be cured so as a feuer. If onely in the part (which will appeare by the rednesse) then it must bee abated with cooling things, as roses, planten, vnguentum album, This is most excellent of Paracelsus: Rec. rad. hyosciami, q.s. digerantur in aceto rosaceo as solem, fiat Epithema: In this wet clothes, and applye warme to the payned place. Lolium and Papauer may be vsed in steede therof. And this wonderfully swageth paine. &c. Colde in [...] temperature. Cold distemperature (which is spied by the sauftnes and swart colour of the part) is cured by heating medicines: as with wine, or vnguentum fuscum, vnguentum basiliconis &c. A conuulsionConuulsion. must bee [Page] dealt with, acording the causes wherof it commeth and is effected: as if it be of repletion, and that of flegme, set order that the aire of the place be tending to hote and drye. Let meane sleepe be procured, by night, not by daye. Seeke quietnesse and rest [...] for the partes conuulsed are specially to bee holden in rest, & kept from inordinat motions. Vse frication to the vertebres of the necke: keepe the belly soluble, and a calme mind [...] free from the tempests of perturbatiōs. Let his diet be barley creame, rere egges, rosted flesh of capons, chickens, hennes, &c. herbes: sage, maioram, hissop, mother tyme. Fruites: raisons, pine kernels, sweete almondes. His drinke, sweetened water, wherin hath boild a little sage & cinamon: but let him abstaine from wine, specially in the beginning throughout all his dyet, let him bee spare in the quantitie, chiefly the first three dayes, afterwarde, taking some more libertie. If you see the flegmatike humor is not altogither seuered from the bloud, & nothing els let, begin first with opening the midle vain, emptying it not much at one time, [Page] but doing it at diuers times. If there be place for purging, you may perfourme it with such a pill: Rec. pil. faetidarum, pil. de sagapeno, ana, ℈.j.ss. agaricitrochis [...].℈.ss. misce & cum syrupo betonicae fiant pillulae. Apply to the parte conuulsed oleū de casto [...]o, laurinū, nardinū, costinū, nucis moscatae, or such other, or a catapl. ex faenugr. sem. lini, farina hord. oleo rutaceo &c. If the cōuulsion com of repletion of bloud, or inflamation, then let bloud the middle veine, not much quantitie at once, but at many times. Then vse sharp clifters, obseruing that there be no necessarie circūstance withstāding ether course. if the inflamation persist, vse medicins such as the inflamatiō requireth, and acording to the diuers times of it, taking your indicatiō from the part affected. If the cause of the conuulsion be emptines, direct his dyet to moistnes: as, moyst ayre, sleepe longer then woont, rest of bodie and minde, free frō affections. His meat such as aforesaid, changing his herbs & fruts to letuse, arage, spinage, borage, mallowes, &c. milons, gourdes, damaske prunes, peaches, ripe grapes, &c. [Page] Adde also little stone fishes. His drink thinne watred wine, barley water, or water sodden with liquorise and Cinamon. keeping such a moderate compasse, for the quantitie, as is answerable to the bodies strength, age, time, &c. Giue him inwardly conserue of violets, borage, or buglosse, diadraganthum frig. &c. outwardlye foment warme with oleum dulce, ol. amygdalarum dulc. or vse VVater and oyle. hydreleum, or balneum aquae dulcis tepidae, If nothing hynder: euer respectinge the greatnesse of the disease, the temperature, age, region, time of the yere, &c.Conuulsion hapneth to woundes no [...] done by venimous creatures, two manner of wayes: one is, by pricking or halfe cutting of some synewe, and then it followeth immediatelie, the other is brought in by payne and inflammation, his forerunners, and this after a longer time. The first I will touch no further in this place, because I am drawne to it againe, by Wecker, in the Chapter of woundes in the sinewes. The seconde sorte must bee taken awaye, by remoouing the causes: and that, beginning with the first, and proceeding in order, to the last, euen as one euill heere brought foorth another: to wit, offence of the nerue paine, payne inflammation, inflammation putrefaction, putrefaction maligne vapours, which proceeding from parte to parte, by the continuitie of nerues, are at last communicated to the braine it selfe, whence proceedeth conuulsion. Nowe the offence of the nerue, which causeth this kinde of conuulsion, I vnderstande to be, some colde aire, or vnmeet [...] medicine applyed: the medicine being eyther of venimous qualitie, or else of vniust temperature. Of venimous or maligne qualitie, are most sortes of corrosiues. Vniustly tempered are, all barbours digestiues, most distilled balmes simply, and at first applyed, and other too hote, opening and relaxing, togither with such mundifying and attractiue medicines, as want aequiualent mixture of drinesse and astringe [...]cie. Hauing therefore taken awa [...]e, that which offended both in your ayre and medicines, and prouided by better ones, that nature in the wounde may finde rest and friendly nourishment, you shall afterwarde, with no great difficultie, by the mean [...]s heere se [...] downe, take away both inflammation and conuulsion. Any other way you loose your labour.

Sounding.Sownding, if it be of paine, by all meanes endeuor to appease the payn. If it come by vnmeasurable euacuation, sprinkle rose water, or cold water in his face: bynde strongly the extreme partes of the bodie, and chafe them with clothes indifferent rough. If of vitious ayre, change the same to a better temperature. If of venomous qualitie, or stroke of a venomous creture, then with medicins fit for For this matter, reade more in the fourth Chapter following. poison must he be cured.

Rauing.The seuenth symptome is rauing, [Page] or frantiknes: appoint therefore a dyet meane twixt heate & cold: giue rest, prouoke sleepe, loosnes of bellie, and quietnes of mind, vsing gentle frications. His meat let be Barley creame, herbes, lettuse, suckerie, mallowes, & such as coole & moisten. Skalie stone fishes towards the declination, Pomegranet, tart aples, cheries &c. his drink Barley water, or the decoction of Cinamon, with syrupe of violets, roses, or water Lillies. If the bodie abound with bloud, & nothing else hinder, open a vaine in the cubite. Then alter the humor with conuenient syrupes, as syr. violaceus, rosaceus, ex nymphea. syr. endiuiae, de papauere. And if you see good further to emptie the bodie, do it with manna, cassia, saccharum violaceum: or, syrup. ex pluribus infusionibus vi [...]larum vel rosarum: else, a clister ex decocto maluarū, violarū, hordei, capi [...]um papaueris, ac folior [...]m betae, & pauco sole, adding to ℥.iij. ol. violacei, cas [...]iae ℥ j. & so make a clister. He may also vse to abate the hote distemperature (if neede be) conserue of roses, violets, or water lillies, loch. de papauere, and such like: applying outwardly, to the head [Page] oxyrhodinū, in Summer, but warme, in winter moderatly hote, or an embrocation ex rosis. violis, hyosciamo, lactuca, corticibus papaueris, oleo ros. addito. But towards the latter end, a wetting for the head would be made ex rosaceo, in quo decoctū fuerit thymū, serpyllū, melilot. althea, anethū, flores chamomillae Alwayes be it obserued (as I haue noted afore) that, if this accident be caused of paine, and distemperature in the wound, you first, by all meanes, practise to remoue the same. And therefore to preuent all such euils, once for all, I will admonish, that for the first seuen dayes, you be verie circumspect, and (as it were) iealous ouer the wounde, for paine: and for tha [...] [...]ause, sundrie times (if neede be) vncouer the member, and foment, the circumstant partes of the wounde cum aceto & oleo rosaceo, or (if more neede) cum aceto ex rad. hyosciami, noted afore. &c.

Palsey.For the palsey, the last symptome, be no lesse circumspect both by dyet and medicines. Make the ayre hote & dry, meane sleepe, but no day sleepe. Moderate exercise, which is good, if it may be vsed. Frication with olde oyle, or oyle of rewe, a pleasant mind free from perturbations. His meate ba [...]ley creame, rere egges, broth of henne, made with a little hyssope, sage, maiorame, betonie, or sauorie. Also rosted chicken, capon, henne, &c. his drink, honyed water, sod with som cinamon or sage els this Ipocras: Rs. cinnamomi, ℥.ij. zinzibris ℥.ss. granorum paradisi, galangae, piperis longi, ana, ʒ.j. cardamomi ʒ.jss. nucis moscatae, caryophyllorum, ana, ʒ.j. macis ʒ.j. boyle these in water to the wastinge of a thirde part, then straine it & make it pleasant with suger. If you finde the [Page] humor through mingled with the bloud, by & by in the beginning opē a vaine, if al circumstāces be therto agreable: but do it in the sounder parts & that moderately, that the body be not to much cooled. If the humor be crude & vnfit to purge, first alter, concoct, sunder & make thinne the same with this or such a syrup: Rec. syr. de staechade, syr. de hyssopo an.℥.ss. mellis rosac. aquarū maioranae, betonicae, rorismarini, an.℥.j. misceantur, make threof a syrup for one time, doing the like after for many dayes. When the humor is redie for purging: Rec. assae faetid [...], castorei, ligni aloes, an.p. aeq. agregentur cū syr. de staechade, make therof pilles, one of euery drachm, & giue iij. of thē euery morning, 8. days togither, with a draught of rosemary water [...] and three graines of pepper. Another pill: R [...]. pil. cochiarū, alephāginae, hierae cōmpositae, ana.℈.j. agarici trochisca [...]i ℈.j. misceātur & cū syr. de staechade fiant pil. Or this solluble decoction: Rec. saluiae, roris. anthos, hyssopi, menthae ana, m [...]j. rad. faenic. apij, acori, f [...]axini an.℥ij. florū rosarū, viol. nenupharis, sem. en [...]iuiae, ana, ʒ.ij. polypodij ℥.ss. senae ʒ.ij. agarici ʒ.ij.[Page]fiat decoct. ad li. ij. coletur, in colatura dissolue [...]yr. de radicibus, oxymellis diuretici, ana, ℥ss. a clister thus: Rec. maluae, altheae, mercurialis, chamomeli, maioran. hyssopi, betonicae, an.m.ss. florū rutae, & stechadis, ana, ℥.iij. coq. in aq. vsque ad sufficientiā & fiat decoctū, de quo sumatur, li.j. cui addan [...]ur otei communis, ℥. [...]ij. [...]ierae pic [...]ae vel benedictae laxat.℥.ss. sal. parum, & so make your clister. To the outward parts, attainted with the palsey (hauing thus well prouided for within) prepare this balme to be applyed: Rec. mirrhae, aloes, spicae nardi, sag. draconis, thuris, mumiae, opohalsami, [...]arpobalsami, bdellij, ammoniaci, sarcocollae, croci, masticis, gummi arab. styracis liquidae ana, ʒ.ij. ladani suc. castor [...]i an.ʒ.ij ss. mosci, ʒss. terebynthinae ad pondus ouium: stil thē in a glasse vessel, & therwith annoint the chine of the backe.

Supply or addition to the accidents of wounds.

Costiue [...]es.COstiuenes, & suppression of vrine, come oft by flux of bloud, much weakning nature. In loosing the bodi obserue, to attēd naturs leisure, for iij. or iiij dayes: without he feele in the meane time, a certaine straitnesse in [Page] his brest: and then rather by lenitiue medicines, or suppositorie,Stopping of vrine. to induce nature, then by any sorte to enforce her. For the vrine, this is Paracelsus counsail: puluis glandiū giuen in drink or, Rec. croci. q.s. make a bagg therof, and apply it to the priuie partes. Vomitting sometime taketh the wounded pacient:Vomi [...]. for that (if in time it cease not) Rec. fermenti, m.j. succi me [...]hae cū aceto extracti. q.s. coquantur in formā catapl. lay it warm to the stomach. Whē it is colde, heat it againe, in the same iuyce.Para. ch. mi. li. i. Thus as oft as he eateth, and for iij. hours after. For the wound moreouer obserue:Paroxisme. if the patient feele heat & cold, by fittes, or only heat in the wound, by fitts, or sleepines, & astonishing in the place, apply this plaster:Burning heat. Astonyednes. Rec. calaminaris, litharg. mirij, ana, li.ss. thutiae, ℥.ij. cerae, ol. mirt. ana, ℥ix. boyle them to the forme of a cerote. [...] camphorae anoynted in the wound [...] [...] speedie remedie. Giue the patient inward, Mithridate. To make ol. cāphorae, Ouum ad duriciem percoque, exempto vitello, caphuram non adulteratam include, & in cella vinaria filo suspende, vt oleum in vas subiectum defluat.

[Page]When the wounde swelleth with heat,Tumor. so as the tumor will pitte at the pressing of the finger. Rec. nasturtij aquat. nenupharis, ana, q.s. coq. in aceto rosaceo, & apply it warme: or, Rec. argillae de furnis adustae, q.s. in aceto coque, & apply it on the place. If you espie the clere & viscous liquor of the nerues (called synonia, gluten album, or Glarealis aqua) flow forth by the wounde,Flux of the sinevves. beware lest in any wise it continue: wherfore (to temper the heat) immediatly, wash the wound cum aceto rosaceo warme, & dresse it vp, with the first vulnerarie oyle in the annotations of a simple wound, & with emplastrū sticticum. This plaster likewise of Vigoes, I know (in this case) to be excellent: Rec. olei rosarū, violarū, chamomillae, ana, ℥j. sepi vituli, ℥.iij. axungiae porcinae, ℥.j. pinguedinis ga [...]inae, medullae crurium vituli, ana.℥ss. lumbricorum lotorum in vi [...] j. bu [...]yri rec.ʒ.vi. mucilaginis alth [...]ae li.ss. coquan [...]ur lento igne ad mucilaginis consumptionem: colaturae, adde lithargyrij auri & argenti, ana, ʒ.x. minij ʒ.iij. cum cera sufficienti fiat cerotū: addendo in fine cocturae resinae abietis, ʒ.x. masticis ℥.ss. & denuò buliant vni [...]a ebullitione. [Page] These preuail (likewise) in the case of bluddie matter,Bloudie matter. & against the growing of proud flesh:Proude flesh. especialy (for these last) emplast. sticticū, which is set down in the 6. Ch. By the negligence or vnskilfulnes of the Chirurgion (applying such medicines as putrifie togither with the wounde) may growe wormes.VVormines. Againe, whether the wound heale or no,Stinke. if it yeld a stinking sauor it betokeneth a hote nature, & faultinesse in the medicine. Also if the wound to much linger, or be hindred in healing, there falleth fluxe of humors,Holing. & holing inward.Putre [...]action. And putrefaction is when as the wounde putrefying, turneth back from healing. For these foure: Rec. mellis li.ss. alo [...]patici, ℥j. succi chelidoniae, ℥.vj. salis cōmunis, ℥.ss. all these beeing mixed, wash the wound therwith warme: or, R [...]c, consolidae aureae, consolidae Rubeae, ana, m.j. mellis cocti despumati, li.ij. salis gēme ℥.ij vini, li.j.ss. simul in loturam coquan [...]r: therewith wash the place. Against the accidentes,Ignis P [...]sicus. Cancer. called ignis Persicus, and Cancer, Recipe vi [...]rioli, ℥j. amborum gummi minorum, ana, ℥.ij. ochrae, ℥.ss. vini & aceti, ana, li. j. boyle them, [Page] and apply it warme. Or, R [...]cipe lithargyrij, [...]i.j. aluminis li.ss. salis, ℥.ij. thuris, ℥.ii [...]j. gummi Romani ℥.v. vini, aquae, & aceti, ana, li.j. coquantur ad quartam horae partem, and applye it warme.

By these two, (in the case of woundes) Paracelsus hath this meaning: when a wounde towardes the latter ende, swelleth with heate, looketh blewish, or swarte, and afterwarde blacke, and last of al, the member enflameth, this hee calleth Ignis Persicus. Cancer, is when woundes conceiue heate, and therewith flu [...]e of humors, which make frettings & vlcerations about them. Moreouer at the shutting vp of a wounde, if it bee done too soudainly, without firme foundation, so as it afterwardes putrifie and breake foorth againe, This he calleth the Pu [...]iulous fistul [...]: [...]tulous [...]ule. & for remedie appointeth this: Recipe liquoris carabis, Aspal [...]i, armoniaci, ana, ℥.ss. ceroti de mummia, ℥.iij. misce simul in emplastrum, and vse it. One of his speciall cerates of mumia is this: Rec. Olei communis, cerae virgineae, lithargyrij auri pulv. ana, li.j. coquantur simul in ceratum, cui deinceps adde opoponacis cum[Page]aceto praeparati, ℥.iij. mumiae, ℥iij. aristolochiae, masticis, thuris, myrrhae, ana, ℥.ss. terebinthinae, ℥.iij. olei laurini, ℥.ij. Camphorae, ʒ.ij. After, woorke it vp [...] cum oleo Chamomillae. Hee handleth besydes these, other accidents, but I cannot communicate them to the Reader, for the difficultie of the medicines.

ANNOTATIONS.

a Of these, some are necessarily mortall: as woundes in the heart, midr [...]ife, stomache, guttes, and bladder: Some, but for the moste parte, as those of the braine: ( [...]f wee credit Arcaeus, lib. de vul. and Coiter in his obseruations.) The rest, as in the Lungs, Liuer, Splene, and Wesande, moste often healed, if they bee artificially dealt withall, as witnesse manie mens obseruations, togither with our experience. Verie daungerous also, are ouerthwhart woundes in the Muscles, and such as are inflicted, when the member is extended.

Paracelsus obserueth a matter more secrete,Chir. m [...]. li. i. c. xvi. where he sayeth: When Choler [...]ath betaken it selfe to the arteries, ca [...] sing [Page] the partes to tremble, and moue vnorderly: if at the same time, those partes be hurte, death ensueth, which I vnderstande to bee, by reason of the extreame ebullition, and pro [...]use expence of the spirites, which by no meanes, can at that time bee restrained: for therefore he saith afterwarde, that in the same daunger is euerie wounde, made in anie ebullition. That then wee neede not marueile, though of a small wounde the partie sometimes dye, without any manifest cause. And the vncertaine successe of woundes, both by reason hereof: as also of sexe, temperature and lurking accidents, causeth the same author otherwhere esteeme it f [...]te [...],Chir. mag. [...]r. i. c. v. to reckon all woundes (that is to saye, of all partes) in the Catalogue of deadly, rather then account any of them safe, and voide of danger.

b It is possible sometime, to abridge this terme, euen to three dayes, or lesse.

c or, cum farina lolij, radice arundinis, & melle..

d Hookes to tacke the sides togither: but what vnprofitable businesse, of stitching and hooking, is here taught from antiquitie, manie can testifie at this daye: [Page] who hauing long agoe reiec [...]ed such disagreable courses, & conten [...]ed themselues ordinarily with fit medici [...]es, and seemely rowling, seeldome or neuer found cause to thinke vppon these neanes,Chir. mag. tr. i. c. xiiii. all thinges succeedinge much better, without them: and certainly, Paracelsus doeth in som [...] part worthely condemne them. As for hookes and verrucles, they are worne ou [...] of vse with the multitude: that it greeueth mee, to see men, in writinge their bookes, to regarde rather, what is written, then what is meete to bee written. Neither woulde I here bee vnderstoode, vtterly to gaine saye all vse, and kindes of stitching: but onely the hookes and verrucles simply: the plaine sticthe, but for the moste parte: [...]or there bee rare cases (as to staye in the guttes, holde on a ioynt, &c.) Wherein, when the Artist cannot auoyde it, this maye bee vsed: according to the olde Maxime: In a hard case, a harde remedie is better then none. As for that kinde of stitch, called The dry stitch, I haue in no wise, said against it.

e In this place, handling that scope of the cure, that respecteth the part affected, the Author was onely [...] to haue deliuered [Page] all the meanes, both by dyet and medicines, that were to preserue the bodi [...] and partes in a prosperous state of healing, and after that, to haue looked vnto such a condition, a [...] is nowe combred with accidents, (which is his fourth intention) [...]hat the reader may see, here is no plac [...] for medicines against paine, (which is not yet supposed to be) and that besides this inuerting of his owne order, there is also omitted that should iustly haue occupied the rowme therof: to wit, the local medicines for the cure of the wound: which [...]e hath verie ill deferred to the Chapter [...]f a simple wounde that the reader should not be perplexed, I am driuen thus to note the author, whome otherwise I could gladly haue spared, as in manie other places of [...]is order.

fSmall beere or ale, with vs, which also (if time and place do serue) may be ton [...]ed vp with vulnerarie herbes, as sani [...]ula [...] ophioglossum, Alchimilla, consolida, agrimonia, betonica, vinca peruinca, aristolochia. &c.

g To these meanes, of keeping the bodie in a good disposition of healing, must bee ioyned (as I touched afore) the ad [...]ised vse of locall medicines: bee they [Page] balmes, plasters, powders, vnguenies, or what fourmes soeuer. Which, because the aucthor hath here omitted, I must request the Reader, to turne to the Chapter of a simple wounde, where all these thinges are largely deliuered.

h Among the medicines to staunche bloud, may be numbred, crocus martis, crocus veneris, cinis ranarum, and a [...]oade artificially dried, lapt in a clothe, and layde neere the wounde. Also the bloud stone holden in the patientes hande, or hung about his necke.

i First of all, wisely consider, what is the occasion of the paine: for if there be n [...] distemperature first, suspect some errour to bee, either in your medicenes or bynding.

k This is most excellent of Paracelsus: Rec. rad. hyosciami, q.s. digerantur in aceto rosaceo as solem, fiat Epithema: In this wet clothes, and applye warme to the payned place. Lolium and Papauer may be vsed in steede therof. And this wonderfully swageth paine.

l Conuulsion hapneth to woundes no [...] done by venimous creatures, two manner of wayes: one is, by pricking or halfe cutting of some synewe, and then it followeth [Page] immediatelie, the other is brought in by payne and inflammation, his forerunners, and this after a longer time. The first I will touch no further in this place, because I am drawne to it againe, by Wecker, in the Chapter of woundes in the sinewes. The seconde sorte must bee taken awaye, by remoouing the causes: and that, beginning with the first, and proceeding in order, to the last, euen as one euill heere brought foorth another: to wit, offence of the nerue paine, payne inflammation, inflammation putrefaction, putrefaction maligne vapours, which proceeding from parte to parte, by the continuitie of nerues, are at last communicated to the braine it selfe, whence proceedeth conuulsion. Nowe the offence of the nerue, which causeth this kinde of conuulsion, I vnderstande to be, some colde aire, or vnmeet [...] medicine applyed: the medicine being eyther of venimous qualitie, or else of vniust temperature. Of venimous or maligne qualitie, are most sortes of corrosiues. Vniustly tempered are, all barbours digestiues, most distilled balmes simply, and at first applyed, and other too hote, opening and relaxing, togither with such mundifying and attractiue [Page] medicines, as want aequiualent mixture of drinesse and astringe [...]cie. Hauing therefore taken awa [...]e, that which offended both in your ayre and medicines, and prouided by better ones, that nature in the wounde may finde rest and friendly nourishment, you shall afterwarde, with no great difficultie, by the mean [...]s heere se [...] downe, take away both inflammation and conuulsion. Any other way you loose your labour.

m For this matter, reade more in the fourth Chapter following.

nAlwayes be it obserued (as I haue noted afore) that, if this accident be caused of paine, and distemperature in the wound, you first, by all meanes, practise to remoue the same. And therefore to preuent all such euils, once for all, I will admonish, that for the first seuen dayes, you be verie circumspect, and (as it were) iealous ouer the wounde, for paine: and for tha [...] [...]ause, sundrie times (if neede be) vncouer the member, and foment, the circumstant partes of the wounde cum aceto & oleo rosaceo, or (if more neede) cum aceto ex rad. hyosciami, noted afore.

[Page]

CHAP. II. Of a contused wounde.

WHether the wound were giuen by a fall,Causes & [...]ignes. or stroke of staffe, stone, or such other, you shall best vnderstande by enquirie. But that it is a contused wounde, it will appeare by swelling, paine, blackish or blue colour, &c.

Cure.And because the ordinary entrance into the cure of this wounde, is many times, intercepted by the importunitie of accidentes, let vs It is not of necessitie, that by and by, in a contused wound, there be found these accidentes, neither that the whole scope of the cure, should euer first, be bent against them, but rather (as in other cases) minister such fit helpes vnto the wounde, as may also haue respect vnto the accidents: neither doe I thinke, that Wecker meaneth any other thing in this place: howebei [...], (in my iudgement) his method had beene more apt, if after his generall regiment, comming to his locall administrations, he had taught, first the cure of the wounde, & after remembred the accidents. first labour to represse them, and afterwards proceede to the cure of the wound it self. The accidents be either paine or swelling: paine must bee mitigated with oleum an [...]thinum, ol. chamomelinīs, ol. liliorum, or a liniment ex ol. rosaceo, & vitello oui, layde vppon lynt and applied, the tumor that you finde, is to be remooued, by the taking awaye, both of the antecedent and conioynd cause: and the antecedent cause, being the humor flowing, the conioynd [Page] cause, the humor alreadie contayned in the wounded parte, to the cutting off of both these we must labour with all our might: first for the defluxion, it is to be considered, whether it be of bloud, or other humors, if it bee bloude, it is to be euacuated, either from the point whence it floweth, or else from the place whether it floweth. The rage of the fluxion, cōming eyther from the whole bodye or part thereof, is to be bridled by bloudletting [...] or thinne cooling dyet. From the part whether it goeth, there are two wayes to dispatch it: one is by reuulsion, in withdrawing the humor to a contrarie part, either with phlebotomie, cupping, frication, or ligatures on the contrarie side: the other way is by repercussiues, when the matter is not drawen but sent, as with ol. rosaceum, ol. mirtinum, or an vnguent ex bolo armeno, cleo & aceto, wherewith the circūstant parts about the wound are to be annoynted, else a plaster ex puluere mirtillorum & oui candido. If the defluxion come not of bloud, but of other humors, then must it be taken away with purging medicines according [Page] to the nature of those humors. which point is now set downe before in the curation of tumors beyond nature. The humor nowe impact in the part is to be brought to That is to saye, if it cannot bee resolued. suppuration: for which purpose you haue these simple medicines, malua boyld, radix aeltheae, panis triticeus, hordei farina cū ol. & aqua, fomentū aquae calidae, &c. compounde ones you may thus prepare, Rs. radicum altheae, radis. cucumeris agrestis, ana, ℥.ss. origa [...]i, hyssopi, ana, m, ss. florum chamomillae, sem. lini ana, P.j. ficuū pinguium no. vj. coquantur, quibus pressis ac tusis, adde galbani, mirrhae, styracis liquidae, aesipi, ana, ʒ.j ss. fiat Emplastrum. Another: Rs maluae, violarum ana, m.j. rad. altheae, li [...]ss. coquantur, in iure carniū abs (que) sale, postea subigātur in mortario, & adde farine hordei, & triti [...]i, ana, q.s. fiatque emplastrū. A Indeede the wounde is first to be concocted, with this or such other medicine, as Rec. terebentinae venetae, mellis albi, ana, li. ss. vitellos ouorum numero xij. these well mixed, boyle saufily togeather, to the consistence of an vngent. After digestiues, come you to mundific. incarnatiues, &c. in order. Why Wecker hath sundred them, setting his digestiue, where he handleth the accidentes, I knowe not. digestiue for the wound it selfe is to be made ex [...]erebynthina, resina, & ouorū luteis. The accidents thus prouided for, & put away, go on to the cure of the wound, considering therof as the present s [...]ate requireth, to wit, whether it be filthy, hollowe, plaine, or torne. If therfore it be fowle or filthy, mundifie it with [Page] mel rosar. or a mundificatiue ex apio, or vnguentū apost. ether els an vnguent ex farina hord. cicerū, fabarū, orobi, ouorum vitellis & melle, &c. with such, I say, First wash the wounde cum decocto vini ex myrrha. arme you tents & apply thē, laying aloft dry stupes, or beds, & rowling vp the member in such sort, as may aptly keep the medicines in their place: thus doing till the wound be perfectly purged: the holownes of the wound must be filled with incarnatiue medicines such as, thus, aristologia, aloe, fuligo thuris, mirrha, pix liquida, resina, colophonia, chrysocolla, christallus. &c. wherof you may thus prouide you vnguents, as ex aloe, cera, & aerugine, or Rec. cerati rosati li. j. aeruginis ℥.j. mannae thuris, ℥.ij. mixe them: or Rec. cerae terebynthinae ana, ℥.iiij. aeruginis ex aceto lotae ℥.j. mixe them: or otherwise, ex oleo, cera, aerugine, terebynthina, thure, manna, &c. againe if the wounde be once made plaine and euen, it must be sealed vp with cicatrizing medicines: as are malicoriū, galla, myrthus, aerugo lota, scoria plumb [...] cerusa, pompholix, plumbū vstū, bolus armenus & such like. among which you may fit your selfe on this wise: as making an vnguēt ex pompholyge, chalce elota, bolo armeno, cera & ros. [Page] or this: Rec. cadmiae, lithargyri, cerussae, ana, ℥.j. cerae ℥.iiij. ol. ros.℥.iij. fiat vnguentum. Else this: Rec. cerusae, cadmiae, ana, ℥.iiij. cerae, olei mirthini ana, ℥.vj. mixe them. Nowe if the wounde be so torne, that you see in the beginning, it is necessarie to vse some stitching, let it be done, yet slackly, so as it is ynough if you shall onely retaine or staie the lippes of the wound.

ANNOTATIONS.

a It is not of necessitie, that by and by, in a contused wound, there be found these accidentes, neither that the whole scope of the cure, should euer first, be bent against them, but rather (as in other cases) minister such fit helpes vnto the wounde, as may also haue respect vnto the accidents: neither doe I thinke, that Wecker meaneth any other thing in this place: howebei [...], (in my iudgement) his method had beene more apt, if after his generall regiment, comming to his locall administrations, he had taught, first the cure of the wounde, & after remembred the accidents.

b That is to saye, if it cannot bee resolued.

[Page] c Indeede the wounde is first to be concocted, with this or such other medicine, as Rec. terebentinae venetae, mellis albi, ana, li. ss. vitellos ouorum numero xij. these well mixed, boyle saufily togeather, to the consistence of an vngent. After digestiues, come you to mundific. incarnatiues, &c. in order. Why Wecker hath sundred them, setting his digestiue, where he handleth the accidentes, I knowe not.

d First wash the wounde cum decocto vini ex myrrha.

CHAP. III. Of a broose, wherein there is effusion, and cluttering of bloud vnder the skinne.

ECchymosis, Def. that is, effusion and going togeather of bloud vnder the skinne, is a kinde of solution of continuity, which for the most part, is accompanied with some contusion, and ruption.

Whether the c [...]use was some fall,Causes & signes. stroake, violent rush or such other, al that you shall vnderstande of the patient [Page] by inquirie. the place is swelled, sauft, easily pressed, blackish & without paine for the most par [...].

[...]rog.A broose that commeth of some great & violent contusion, is not with [...]t danger: forasmuch, as there hath many times followed, not only corruption of the particle it self, but euen of the whole bodie also. If the skinne [...] a broose bee separated from the flesh, so as it remaine hanging by, it [...] [...]eldome or neuer ioyned againe. It is better therfore, in such a case, to cut, it away, & so apply drying medicines: else to leaue the place so excoriate, Hee meaneth without binding it in, vnto the rest of the wounde, that it maye die, for so, within two or three dayes, you may cut it away without paine. without any bynding vp, &c.

To enter the cure of a broose you must fetch your indication from the affectes that are ioyned therewith.Cure. as fluxion of humors, concret bloud in the bodie, effusion of bloud vnd [...]r the skin, &c. al which require their taking awai, so that you euer begin your cure with that which most vrgeth, & without appeasing of which nothing else can bee performed. Wherefore, the fluxion beeing first, that calleth for help in this case, seek first for it, a way of euacuation. Diminishing the store [Page] whereby is maintained the course of it, (which it taketh frō the whol body to that part) by opening the liuer vein of the right arme (if nothing hinder) & taking away such quantitie of blod as is fit for the greatnes of the griefe, & strength of the party that beares it. Againe turning the streame another way, by reuulsiue blodletting on the contrarie part (if nothing hinder) or by ligatures &c. arming also the part and so restrayning that, that cōmeth thither, by repellent medicines, as ol. rosaceum and oui candidum. The second aduersarie here to be dealt withall, is concrete or cluttered bloud, which, if it be in the body, is to be resolued and scattred, by

In his diet also, is specially to be obserued, tha [...] there be a measured mixture of p [...]rging matter, as p [...]isan, or almonde milke, made with rubarb. sene, or rootes of swallowort, and his meates sodde with mumia and rupontick. Parac. Chir. mag. tr. iij. Who also in the 5. Chapter setteth downe a powder, and an oyle, in all cases of con [...]rete bloud, most excellent and approued. They are these:

The powder.

Rec. rhabarbari electi, ʒ.ij. mumiae, ʒ.ss. laccae rubrae, spermatis ceti, ana, ʒ.j. boli armeni, terrae sigillatae, ana, ʒ.ss. radicum hyrundinariae, ʒ.iij. fiat puluis subtilis Dos.ʒ.j. in some conuenient liquor.

The oyle.

Rec. florum verbasci, m.j.fl. hyperici, m.iij. rad asclepiadis, m.ss. mumiae, ℥.j. ol. oliuarū recentis, li.ij. terebintinae, li. j. vini. rub. optimi, li. iij. coquantur omnia per horas vij. post vase vitreato probe occluso macerentur ad solem [...] ad tempus, ac exprimantur. So haue you an oyle (sayth the aucthor) in this case, incomparable [...] morning and euening it must be vsed.

medicins, partly such as dissolue bloud & strengthen the inner partes, partly such as procure & moue to sweat. For the first purpose, to wit, to dissolue blud, Rs. rhabarb. triti, ℥ij. mumiae ʒ.ss. aq. rubiae maior.℥.ij. syrupi de rosis siccis ℥.ss. make hereof a potion, and giue therof to drinke spedily. There may be thereto added rubia trochiscata. Another to that purpose, Rs. rhabarbari torrefacti, terrae sigillatae, boli armeni, mumiae, sem. nasturtij torrefacti ana, ʒ.j. make them in powder & giue [Page] thereof ʒ.j. euerie morning c [...] aqua plantaginis & bursae pactoris. Another, Rs. terrae sigitlat [...], rubiae rinctorum, mumiae, symphiti, ana, ℈.j. rhabarbari triti, ℈.j. mixe them and vse the same cū aqua bursae pastoris & plantagini [...]. Another, Rs. rhabarbari torrefacti, costi, radicis rubiae maioris, centa [...] rij, aristologiae rotundae, ana, ℥.ss. fi [...] puluis, de quo detur quotidie mane ʒ.j. cum syr. ace [...]oso, for ix. daies &c. A potion to mooue sweate is this, Rs. osmundae regalis, caudae equinae terrestris, ana, q.s. coquantur in m [...]lle & vino, Giue ℥.v. to drinke, and so let the patient sweate thereuppon. Nowe for the bloud clodded vnder the skinne, if it be so all ouer the bodie, or in many partes, take a Rammes skinne newe pluckt from the sheepe, and hauing sprinkled it cum sale tenuissime trito & puluere nastur [...]ij, lappe it about the patients bodie, and let him sweate in it. Which is also a good remedie to take awaye the sorenesse and markes of stripes: you may make also a liniment for this purpose ex ol. ros [...]ceo, myrthino, ac lumbricerum cum puluere rosarum or mirtillorum. Else [Page] this vnguent, Rec. buli armeni, resinae, th [...]ris, faenugraeci; nagaganthi, ana, ℥.ss. croci.ʒ.j. pul. rosarum, myrthi, sumach, ana, ʒ.iij. vng. de althea [...] ol. ros. chamomelini, ol. myrthini, anethini, ana, ℥.ij. cerae no [...]ae, tereby [...]thinae, ana, ℥j. make thereof an vnguent, wherewith annoint the partie, and l [...]t him sweate. These thinges doe discusse, and are meanely astringent. Like as in all this businesse, you must obserue this for a rule, that in the beginning, you applie astringent medicines, wherewith some discutientes are mixed: but after the beginning vse discutientes only. but if the bruse and so the bloud concrete or clodded, be only in some one part, then consider whether it be apt to be resolued, or els like to grow to matter. if it may be resolued, then vse some of these medicines following, which be discutient and meanly astringent. Rs. ol. rosarum.℥.ij. ouum. j. pulueris myrthi.℥.ss. fiat linimentum, wherewith warme annoynt the place. or, ex oleo rosaceo & puluere malicorij vel myrthi. an epitheme for that purpose may you make ex vino, melle, sale & cumino. or, ex floribus chamomillae, [Page]meliloti, staechadis, & cumi [...]o in vino d [...] coctis. or yet ex ma [...]ua, furfure, m [...]ll [...], absynthio, cumino, aut anetho aqua, vel vino incoctis: else ex decoctione cha [...] millae, absynthij & cumini: plasterwise likewise may you prepare a medicine ex farina hordei, caluminthae, & vino. or ex farina hordei, & faeni [...]gr [...]ci, croco & momento auripigmenti. or thus contriued: Rs. symphiti vtriusque ana, li.ss. florum chamomillae, meliloti ana, P.ij. croci.ʒ.ss. farinae fabarum ℥.iiij. farinae faenugreci, ℥.v. butyri recentis ℥.j. seeth them reasonably: & if you ad therto succi absynthij & succi cumini ana, ℥j. it shall resolue and drie, and so make your plaster. If otherwise the matter be altogither vnapt to be spent awaye by resolutiō, thē turne it to matter & bring it to suppuratiō: afterward procure issue & mundifie the vlcer, like as is before set down in the cure of p [...]legmon. Hitherto touching the fluxion & concrete bloud within the bodie, as also bloud effused vnder the skin. The 4. scope or intention, in this cure, is to strengthen the mēber or part affected: which is done with Empl. oxycroceū o [...] Chaeron [...]um, or Apostolicū. The 5. care i [...] [Page] employed about the remoouing of symptoms or accidents hitherto incident: which commonly are paine and blacknesse of the place, paine is to be asswaged with ol. rosaceo & oui candido mixt togither. blackish or dead colour of the place, comming of bloud vnder cluttered, may be amended by some conuenient fomentation plaster or vnguent. as a fomentation ex aceto calido, decocto rad. raphani serpentariae & ari, in vino, or else (if there bee any paine) in aq. coctarū. your plaster may be diachylon ireatum: or ex cera & cumino. or thus made: Rec. fol. abrotani sicci, sem. cumini, florum chamomillae, ana, ʒ.j. cum succo a [...]i & melle fiat Emplastrum. so may you deuise it ex maluis violis, absynthio, rosis, rorismarino, farina fabarum, rad. altheae, parietariae, sigillo salomonis, squinantho, staechade, croco, oleo ros. chamomelino, anethino, myrthino &c. if you couet an vnguent, then this: Recipe ol.℥.ij. cerae ℥.j. succi maioranae, ℥.j. me [...]t them togeather, afterwarde adde to it arsenici citr. triti ʒ.j. and so make your vnguent.

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ANNOTATIONS.

a Hee meaneth without binding it in, vnto the rest of the wounde, that it maye die, for so, within two or three dayes, you may cut it away without paine.

b In his diet also, is specially to be obserued, tha [...] there be a measured mixture of p [...]rging matter, as p [...]isan, or almonde milke, made with rubarb. sene, or rootes of swallowort, and his meates sodde with mumia and rupontick. Parac. Chir. mag. tr. iij. Who also in the 5. Chapter setteth downe a powder, and an oyle, in all cases of con [...]rete bloud, most excellent and approued. They are these:

The powder.

Rec. rhabarbari electi, ʒ.ij. mumiae, ʒ.ss. laccae rubrae, spermatis ceti, ana, ʒ.j. boli armeni, terrae sigillatae, ana, ʒ.ss. radicum hyrundinariae, ʒ.iij. fiat puluis subtilis Dos.ʒ.j. in some conuenient liquor.

The oyle.

Rec. florum verbasci, m.j.fl. hyperici, m.iij. rad asclepiadis, m.ss. mumiae, ℥.j. ol. oliuarū recentis, li.ij. terebintinae, li. j. vini. rub. optimi, li. iij. [Page] coquantur omnia per horas vij. post vase vitreato probe occluso macerentur ad solem [...] ad tempus, ac exprimantur. So haue you an oyle (sayth the aucthor) in this case, incomparable [...] morning and euening it must be vsed.

CHAP. IIII. Of a wounde doone by byting, or stinging of creatures, either venimous, or otherwise.

VVHether the creature that inflicted the wound,Causes & signes. was venimous, as a madde dogge, a serpent, scorpion, basiliske, dragon, viper, shrew, spider, &c. or else not venimous: such as a domesticall dogge, ape, man, horse, sowe, catte, waspe [...] bee, &c. the patient is commonly able to deliuer vnto you, notwithstanding these signs doe argue a venimous biting: to wit, paine, pricking, vehement byting greife, chaunge of colour, the patient vext with grieuous anguishes, all burning with heate, and sometime the bodie groweth astonished, his payne [Page] sometime slacketh, sometime renueth, now heate, now colde, &c. If the biting be not venimous, the accidents are lesser.

A venimous byting is most perillous,Prog. especially if it be of cōtinuance, because poyson doth alway, naturally seeke the destruction of the heart, whence it is, that if the patient bee hydrophobus, (that is, though thirstie, yet fearefull of all water,) hee is incurable.

Cure.For the cure of this kinde of wounde, wee will consi [...]e [...] of it (as before in setting downe the signes) two wayes, that is, as it is, eyther venimous, or not venimous If it bee founde venimous, we haue three generall intentions to prouide a remedie for it. the first of them, is respecting the cause of the disease, the seconde standeth in regarde of the pa [...]t affected: the thirde considereth of the disease it selfe. The cause therefore, being venome, sheweth it selfe the first capitaine enemie to be dealt against. with whome to couple, wee haue three sortes of chosen weapons: manuall operation, dyet and medicines. [Page] Manuall operation is perfourmed by cupping, sucking with the mouth, cauterie or cutting. The cupping must be done with much flame, and applyed to the verie wounde, the partes round about being first scarified, whereby the more vitious bloud may be drawen out. Mouthsucking is thought conuenient, if the disease, be but light: or in steede of it, the tayle of a henne applyed to the wounde. A ca [...]terie is to be vsed, so the place be not full of synewes. And cutting is approoued, if the venome bee of a malig [...]e nature, and abundauntly impressed. The dyet for this, is set downe in the cure of the carbuncle. Nowe the medicines against this venome, must be I cannot here, in silence ouerslippe, the vndoubted cure of a madde dogges byting, which Iulius Palmarius reporteth. Rec. foliorum rutae, verbenae, saluiae minoris, plantaginis, fol. polypodij, absynthii vulgaris, mentae, artemisiae, melissophili, betonicae, hyperici, centaurii minoris, singulorum aequale pondus. Gather them all about the middest of Iune, or (as the aucthor sayeth) about the full moone thereof, s [...]w [...] them seuerally in papers, and drye them in the shadowe. Of euerie of these (in time of neede) take a like quantitie, powder them, and giue ʒ.ss. ether in a spoone, with double suger: or else in drinke, brothe, butter, or honie, euery daye, for three or foure dayes, or mo [...], if it be longe after the byting, or the patient become nowe fearefull of water. For this doth not onely preuent, but also cure that greeuous and fearefull accident, if moe then three fittes of it haue not passed, before this cure beginne. Excepte the wound [...] bee giuen in the partes of the heade aboue the t [...]ethe, or else the wounded part immediately after the by [...]ing, b [...] washt wi [...]h colde water. In the meane time, the wounded parte must be fomented twise, or thrise eueri [...] daye, cum vino authydromelite, in quo suprapositi pulueris, ʒ.ss. soluta sit. After the fomentu [...]ion dressing it vppe, with your ordinarie wound vnguen [...]s, or plasters. attractiues: of which order you haue a number, as, allium, cepa, sinapi, flammula, scabiosa, pulegium, calamentum, gentiana, polium, chamaedr [...]s, scordiu [...], diptamnum, stercus c [...]prinum, fermentum, bryonia, asphodelus, aristol [...]chia, Euphorbium, galbanum, theriaca, &c. of which you may prepare your compoundes, thus, ex nu [...]ibus, allijs coctis & tritis cum fermento, melle & sale [...] [Page] or ex allio cepa and theriaca. o [...] ex st [...]rcore caprarum, baccis [...]auri, g [...]ntiana, dictamno, galbaeno, e [...]phorbio cum vino, vel oleo laurino & [...]era. Else Recipe galbani, sagapeni, opoponacis, assae faetidae, myrrhae, piperis, sulphuris ana, ℥.ss. stercoris columbini & anatis, ana, ℥.ij. calamenti & mentastri ana [...] ℥.ss. dissolue the gummes in wine, and so, adding mel, and oleum antiquum [...] make your plaster. Another: Recipe pulueris aristolochiae longae, ℥.ij. asphodeli, brioniae, ana, ℥.j. assae f [...] tidae, galbani, myrrhae, ana.℥.ss. cum oleo laurino, & cera, fiat Emplastrum. The seconde intention beeing applyed about the affected parte, it is to be noted, that the same is to bee doone two manner of wayes: as it is first, and by it selfe, or as it is secondly affected. For the parte that first, and by it selfe is affected, it is sometime expedient to cutte off, chieflie when it is such one, as may not vnfitly admitte such handling, as the extreeme partes: as also when the wounde is knowen to haue such a conditioned venome, as bringeth vnauoydable daunger, such as are all [Page] serpentes, to wit, the aspe, the horned serpent Cerastes, the viper, &c. Nowe the part that commeth by his hurt at the seconde hande, is the heart: which therefore wee must confirme, and keepe safe from the venome, by all meanes of inwarde and outwarde medicines. a potion: Recipe theriacae ʒ.j.ss. vini opt.℥.iiij. mixe them and make thereof a potion: or, Recipe theriacae ʒ.ij. galbani, assae faetidae, ana, ʒ.ss. lapidis magnetis, ʒ.j.ss. cum vino citoniorum vel aqu [...] scabiosae, fiat potio, seruing for three times: the like may be made ex pul. cancrorum fluuialium, & gentianae cum aqua pimpenellae. or a decoction ex gentiana, chamedrye, scordio, polio, anetho, cancris fluuialibus, addito zaccaro. also, succus foliorum fraxiri, whereof let the patient drinke fasting.℥.iij. the seconde or thirde day after his byting. Outwarde helpes are likewise to be prouided applyable to the nastrels, as nigella, as also to the heart, as epithemes which you shal finde in the cure of the carbuncle. the thirde intention mindeth the disease it self [...], to wit, the wound as it i [...] [Page] vnripe, filthy, hollow or plaine, while it is vnripe, it is to be wrought vppon with ripeners or suppuratiues, as vng. basilicon, vng. fuscum cum galbano, &c. the other iij. require mundificatiues, incarnatiues, and cicatrizing medicines as shall be sayde hereafter.

Wee haue hitherto spoken of this kinde of wounde, as it is venimous, nowe as it is not venimous. To the cure whereof, wee will also vse three intentions, to wit respecting the cause the symptomes, and wounde it selfe. The cause of the disease, beeing matter not venimous, is to be taken away by medicines more gently drawing, such as is oleum sambucinum applyed hote, the symptome is paine, which is to be mitigated, with this liniment, Rec. oui candidi, butyri, croci, olei violi [...]ti ana, q.s. mixe them. or a plaster ex radic. altheae, malua, violaria, absynthio, chamomilla, r [...]sis, meliloto, furfure, vitellis ouorum, croco, ol. ros. chamomelino, &c. lastly the wounde considered as it is fil [...]hie, must be clensed, as it is hollow, fi [...]led, and as when it is plaine [...]kinned, as hereafter followeth.

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ANNOTATIONS.

a I cannot here, in silence ouerslippe, the vndoubted cure of a madde dogges byting, which Iulius Palmarius reporteth. Rec. foliorum rutae, verbenae, saluiae minoris, plantaginis, fol. polypodij, absynthii vulgaris, mentae, artemisiae, melissophili, betonicae, hyperici, centaurii minoris, singulorum aequale pondus. Gather them all about the middest of Iune, or (as the aucthor sayeth) about the full moone thereof, s [...]w [...] them seuerally in papers, and drye them in the shadowe. Of euerie of these (in time of neede) take a like quantitie, powder them, and giue ʒ.ss. ether in a spoone, with double suger: or else in drinke, brothe, butter, or honie, euery daye, for three or foure dayes, or mo [...], if it be longe after the byting, or the patient become nowe fearefull of water. For this doth not onely preuent, but also cure that greeuous and fearefull accident, if moe then three fittes of it haue not passed, before this cure beginne. Excepte the wound [...] bee giuen in the partes of the heade aboue the t [...]ethe, [Page] or else the wounded part immediately after the by [...]ing, b [...] washt wi [...]h colde water. In the meane time, the wounded parte must be fomented twise, or thrise eueri [...] daye, cum vino authydromelite, in quo suprapositi pulueris, ʒ.ss. soluta sit. After the fomentu [...]ion dressing it vppe, with your ordinarie wound vnguen [...]s, or plasters.

Supply.

FOr the byting of a serpent, lysarde, viper, spider, toade, &c. This is Paracelsus practise.Diet. Let the Patientes dyet bee most slender, his drinke vin [...]m rubrum astringens calybeatum cum modica theriaca, mixing also with euerie draught thereof, coralli rub.ʒ.ss. For defence of the principall partes, drinke fiue times a day, [...]vvarde [...]dicines. oleum, in quo calybi candens aliquoties sit restinctus, ad li. j. cum pulueris coralli rubr.℥.ij. elect. de gemmis, ℥.ss. the first time giue it warme, and euer after colde. Or let the Patient take a quantitie of [Page] this mixture: Recipe Mi [...]hrida [...], ℥.ij. th [...]riacae bonae, ℥.j. pulver. c [...]ralli rubr.℥.j.ss. mis [...]eantur. Also, that Philonium Pe [...]sicum drunke, doeth greatly defend the head, & other principall partes,Outvvard medicines. the same author verie confidently auoucheth. Meane time, applye to the wound your foyne plaster, thus altred: Rec. emplas [...]ri stictici, ℥.iij. gummi, ℥.ij. cum [...]leo denuo coquantur ad emplastri consistentiam, addendo mumiae pauxillum, and defende the whole member, with oft applyinge clothes wet in vineger, wherein flo [...]s hyperci verbasei, rosarum, & [...]uta haue steeped in the Sunne, adding this obseruation: that when the wound enclineth to better, you thenceforth vse the simple sticticum without any addition. Against excessiue thirst,For the [...]cidents. (which is assure signe that the venome rea [...]heth the hart) giue the patient warm milke, with the powder of corall, and apply to the region of the hart, an E [...]itheme, ex aceto Rosaceo, cum campho [...]a & sandalis. Trewe terra sigilla [...]a also, as it cureth these woundes, claye being made thereof with spittle, and presently applyed, so in particular is it [Page] commended, against the venome of the spider and toade. And these meanes, with the balmes set down in the Chap. of the simple wounde, can fully furnish you, for poysoned shot.

CHAP. V. Of a simple wounde in the flesh.

Def.A Simple wound is that which cōsisteth alone, that is, which is without losse of any substance, or any other affect, or symptome ioyned with it.

The cause, whether it came of sword dart,Causes & signes. or such like [...] the patient can best declare, and whether it be greate or li [...]le, by sight you may discerne.

Cure.Addressing you to the cure, first, remoue al outward causes, which mai hinder the ioyning (as heres or oyle, &c.) which first must bee remoued. The second purpose is to ioyne togither the breach that is made, whether it be great or little: as, if it bee but small, ioyne togither the sides of the wound by a decent ligature, to wit, a [Page] roule with two beginninges, and so those wounds whose sides are not far asunder, shall if they be exactly closed againe, onely by natures worke, without al other outward businesse, heale & grow togither againe. But if the diuision be great, it requireth further cure [...] as, first to bee closed, by buttons, either else by stitching, with an euen silk threed, taking your first stitch in the middest of the diuision, & the next two in the middle spaces, betwixt that middest, & either end of the wound, & so forward proceeding, as that betwixt euery two stitches, there may space for one remaine, vntil you haue taken so manie, as therby the lips of the wounde are sufficiently drawen togither. After this [...] closing, dresse vp the wounde with some agglutinatiue medicine [...] made of such simples, as, mastix, thus, aloe, sarcocolla, bolus armenus, terra sigillata, sanguis draconis, puluis humani sanguinis, balaustium, malicorium, nux cupressi, plantago galla viridis, cauda [...]quini, herba peti, &c. A powder maye bee thus compounded for the purpose: R [...]cipe thu [...]is part.ij. sanguinis[Page]draconis partem vnam: mixe them and make thereof a powder, to be applyed cum oui candido. Another: Recipe b [...]li armeni, ter. sigillatae, ana, ʒ.vi. thus, masticis, sarcocollae, ana, ʒ.ij. mirrhae, aloes, ana, ʒ.j.ss. tragacanthi, sang. draconis, ana, ʒ.j. farinae hordei, farinae fabarum, ana, ʒ.ss. Make thereof a powder, and applye it as the other. An Epitheme for the purpose: Rec. aqua vitae, li.j. terebintinae abietis, mirrhae, thuris, masticis, ana, ℥.ss. Let them bee set in the Sunne for thirtie dayes, and with the same, being warme, foment the wound the first dressing, layinge vppon it afterward this plaster:

Or this of Paracelsus m [...]st excellent: Rec. cerae virgineae, ol vulnerarij nostri (which is one of them that followe) ana,A plaster for preuenting of accidents. li.j.ss, lithargyri auri, li.j. plumbi loti, li.ss. coquantur ad cerati consistentiam, dein adde, bdellij [...] opoponacis, in aceto praeparatorum ana, ℥.j.ss. masticis, thuris, ana, ʒ.vj. myrrhae ℥.j. mumiae, ℥.ss. [...]ernicis cum herbis parati (example whereof doeth followe) li ss. terebinthinae lotae, ℥iij. fiat emplastrum, worke it vp in rowles, your handes euer annoynted with vulnerarie oyle.

Examples of his vulnerarie oyles.

Rec olei, vel terebintinae, li.j. florum chamomillae, rosarum rub. prunellae, ana, m.j. florum hyperici, m.iij. florum centaureae, chelidoniae, ana, m.ss. mixta omnia ponantur ad solem per duos menses: which perfourmeth great things in woundes, and that without paine. What remaineth of this oyle the yere following, may be strayned from his olde flowers, and filled with newe, and set againe to digest in the Sun, so shall it become yet more excellent.

Another.

Recipe Ophioglossi, pirolae, agrimoniae, saniculae, ana, m.j. florum hyperici, m.ij. rad. symphiti. m.ss. vermium terrestrium mundatorum, numero 100 [...] olei vel terebenthinae, qs. pro maceratione omnium, sistantur ad solem, ad tempus legitimum digestionis. To these you may adde mumia, thus, myrrha, mastiche, but not in great quantitie. Also, in Winte [...], you may put into the same oyle, the seedes of those herbes brused, and set in some hote place to digest.

Another.

Rec. ol oliuarum li.ss. terebintinae ℥.iij. florum hyperici quantum suff. ad implendum, florum verbasci tertiam partem ad flores hyperici, vini albi generos. sextarium vnum & semis, decoquantur ad consumptionē vini: postea ad tempus legitimum insolentur.

Preparation of Vernish.

Rec. Fernicis quantum videbitur, herbis & floribus antea dictis expleatur, & digestioni solis exponatur.

Recipe ammoniaci in aceto dissoluti, ℥.ij. gummi elemij, ℥.iiij. resinae pini, ℥.v. terebenthynae abietis, ℥.iij. olei ros.℥.ij. make hereof a plast [...]r: or, this: Rec. terebenthinae, ℥.xij. resinae pini, ℥.iij. gummi elemij ℥.v. aristologiae longae, ℥.j. sang. draconis, ℥.j. cerae parum, make a plaster. If you will haue an vnguent for the purpo [...]e, doe thus: Recipe Paracelsus sheweth an excellent maner of making vulnerarie vnguents: an example whereof for the Readers vse, I haue here set downe: Recipe rad. symphiti, li.j. ophioglossi vel saniculae, li. j.ss. aristoloch. rec.℥ [...]iij [...] florum hyperici, ℥.ij. vermium terr. mund [...] li. ss. Contundantur in formam pulticulae, postea affunde vini, tantum vt pa [...]lulum supernatet: boyle them in balneo mariae for tenne houres, then strayne them, and put to mellificij apum recentis, vel butyri maialis, li. iij. boyle them againe, as at first, after straine them out strongly, and set it in a vessell to the Sunne, [...]ill it growe to a iust consistence. succi herbae peti. lib.j. picis ℥.iij. cerae, resinae, olei, ana, ℥.iij. boyle them all to the consumption of the iuyce, then put to terebenthinae venetae, ℥.iij. Make [Page] your vnguent. Or, if balmes more delite you, prepare them thus: Rec. terebenthinae, li.j. euphorbij.℥.ss. sulphuris, ℥.ss. salis, ℥.j. olei, li.j. coquantur duashoras, lento igne, colentur, and apply the same warme vnto the wound. Another: Recipe terebenthinae, li.j. galbani, ℥.ij. gummi elemij, ℥.ij. gummi hederae ℥.ij. [...]huris, masticis, myrrhae, ana, ℥.ij. aloes, xyloaloes, galangae, ana, ℥.j. caryophyllorum, cinamomi, ana, ℥.j. nucis moscatae, cubebarum ana, ℥.j. aquae vitae, ℥.iij. let them bee infused and distilled to a balme. Thus, the vnion beeing once made, the next scope is to preserue the [...]ame, which is also done by the continuance of a decent bynding, by [...]it placing of the member, by feames and glutinatiue medicines, & so long is it to bee so ordred, till the wounde be iustly ioyned againe. Therefore after you haue once so applyed your remedies to the wounde, you shall not againe vnroule it, vntill the thirde or fourth day

Admit this tollerable in small and simple woundes, yet in all great woundes, I auouch it verie hurtfull. For, after nature hath wrought her woorke of one dressing, shee straight desireth riddance of the excrements, made in that businesse, and newe nourishment of medicines, for her further proceedinge: wherein if nature bee not aunswered, a double dammage ensueth: as losse of time to the curing, and generation of an euill qualitie in the wounde, by the long putrifying of the matter there. And this I take occasion to note here, leste any man by this place, shoulde confirme himselfe in an euil custome. If it bee demaunded, what time shoulde bee limitted to the ordinarie dressinges: I aunswere, twelue houres. Farre otherwise (I know [...]) is the custome of Barbours. But I write vnto the sonnes of arte.

Here also, a worde or two, out of Paracelsus, for the manner of vsing, and applying these medicines: First, he deuideth the whole time of the cure into three partes, called his three ligatures. The first parte, is the first eyght or nyne d [...]yes, in which the wounde is thus to be followed. Powre into the wounde, some of your vulnerarie oyle, balme, or vnguent, warme, and fill it vp with your lintie properties, wet therein, or rather, (as hee specially approoueth) with the flowers, and simples remaining in your vulnerarie oyle, aloft then applye your plaster, and rounde about the borders of the wounde, laye the same flowers and simples, or (if you had rather) clothes wet in oxyrrhodino: dressing it so euerie twelue houres.

If the wounde bee a foyne or pricke, iniect of the oyle or balme, into the bottome. If it bee in the h [...]d [...] laye first a linnen cloth, or linte, dipt in your oyle, or ba [...]me, (but no distilled balme) into the bottome of the wounde, and fill vp the same a [...]er with flowers, beeinge warie of oppressing the membrans: alofte laye [...]n your playster, as aforesayde [...] and bind it vp [...] Let your plaister be this aboue sayde: or else the Sticticum in the annotations of the sixt Chapter.

The seconde ligature, which beginneth after those eight or nyne dayes, is thus accomplished, with a fether dipte in your balme, touche the wounde ouer, thereupon then applye your plaster: and thus continue vntill the ioyntes, nerues, or such like partes (which were bare) bee all couered with fleshe.

Then proceede to the thirde ligatur [...], which is done, by the onely application of the Sticticum plaster. This is his course in all great woundes, for the preuentinge of accidents. In small woundes there needeth lesse curiositie.

after, vn [...]esse paine or inflammation, or other symptome arise. But the fourth lay you shall looke vppon it. Whe [...]her the wounde bee ioyned togither [Page] or no: if it be not, then foment the same with some sowre astringent wine, being warmed, and after put thereon some powder astringent, and glutinatorie, togither with terebentine, or some of the aforesayde plasters, &c.

The last intention is the forestalling of accidents, as fluxe of bloud, paine, inflammation, and such other, which are easily prohibited in small wounds, if immediatly after the closing togither the lips of the wounde, you minister vppon it a stupe, wet i [...] the white of an egge, beaten, and afterwarde rightly [...]owle vp the parte: For this shall preuent the comming, both of bloudy fluxe, paine, and inflammation.

ANNOTATIONS.

a Or this of Paracelsus m [...]st excellent: Rec. cerae virgineae, ol vulnerarij nostri (which is one of them that followe) ana,A plaster for preuenting of accidents. li.j.ss, lithargyri auri, li.j. plumbi loti, li.ss. coquantur ad cerati consistentiam, dein adde, bdellij [...] opoponacis, in aceto praeparatorum [Page] ana, ℥.j.ss. masticis, thuris, ana, ʒ.vj. myrrhae ℥.j. mumiae, ℥.ss. [...]ernicis cum herbis parati (example whereof doeth followe) li ss. terebinthinae lotae, ℥iij. fiat emplastrum, worke it vp in rowles, your handes euer annoynted with vulnerarie oyle.

Examples of his vulnerarie oyles.

Rec olei, vel terebintinae, li.j. florum chamomillae, rosarum rub. prunellae, ana, m.j. florum hyperici, m.iij. florum centaureae, chelidoniae, ana, m.ss. mixta omnia ponantur ad solem per duos menses: which perfourmeth great things in woundes, and that without paine. What remaineth of this oyle the yere following, may be strayned from his olde flowers, and filled with newe, and set againe to digest in the Sun, so shall it become yet more excellent.

Another.

Recipe Ophioglossi, pirolae, agrimoniae, saniculae, ana, m.j. florum hyperici, m.ij. rad. symphiti. m.ss. [Page] vermium terrestrium mundatorum, numero 100 [...] olei vel terebenthinae, qs. pro maceratione omnium, sistantur ad solem, ad tempus legitimum digestionis. To these you may adde mumia, thus, myrrha, mastiche, but not in great quantitie. Also, in Winte [...], you may put into the same oyle, the seedes of those herbes brused, and set in some hote place to digest.

Another.

Rec. ol oliuarum li.ss. terebintinae ℥.iij. florum hyperici quantum suff. ad implendum, florum verbasci tertiam partem ad flores hyperici, vini albi generos. sextarium vnum & semis, decoquantur ad consumptionē vini: postea ad tempus legitimum insolentur.

Preparation of Vernish.

Rec. Fernicis quantum videbitur, herbis & floribus antea dictis expleatur, & digestioni solis exponatur.

b Paracelsus sheweth an excellent maner of making vulnerarie vnguents: an [Page] example whereof for the Readers vse, I haue here set downe: Recipe rad. symphiti, li.j. ophioglossi vel saniculae, li. j.ss. aristoloch. rec.℥ [...]iij [...] florum hyperici, ℥.ij. vermium terr. mund [...] li. ss. Contundantur in formam pulticulae, postea affunde vini, tantum vt pa [...]lulum supernatet: boyle them in balneo mariae for tenne houres, then strayne them, and put to mellificij apum recentis, vel butyri maialis, li. iij. boyle them againe, as at first, after straine them out strongly, and set it in a vessell to the Sunne, [...]ill it growe to a iust consistence.

c Admit this tollerable in small and simple woundes, yet in all great woundes, I auouch it verie hurtfull. For, after nature hath wrought her woorke of one dressing, shee straight desireth riddance of the excrements, made in that businesse, and newe nourishment of medicines, for her further proceedinge: wherein if nature bee not aunswered, a double dammage ensueth: as losse of time to the curing, and generation of an euill qualitie in the wounde, by the long putrifying of the matter there. And this I take occasion to note here, leste any man by [Page] this place, shoulde confirme himselfe in an euil custome. If it bee demaunded, what time shoulde bee limitted to the ordinarie dressinges: I aunswere, twelue houres. Farre otherwise (I know [...]) is the custome of Barbours. But I write vnto the sonnes of arte.

Here also, a worde or two, out of Paracelsus, for the manner of vsing, and applying these medicines: First, he deuideth the whole time of the cure into three partes, called his three ligatures. The first parte, is the first eyght or nyne d [...]yes, in which the wounde is thus to be followed. Powre into the wounde, some of your vulnerarie oyle, balme, or vnguent, warme, and fill it vp with your lintie properties, wet therein, or rather, (as hee specially approoueth) with the flowers, and simples remaining in your vulnerarie oyle, aloft then applye your plaster, and rounde about the borders of the wounde, laye the same flowers and simples, or (if you had rather) clothes wet in oxyrrhodino: dressing it so euerie twelue houres.

If the wounde bee a foyne or pricke, [Page] iniect of the oyle or balme, into the bottome. If it bee in the h [...]d [...] laye first a linnen cloth, or linte, dipt in your oyle, or ba [...]me, (but no distilled balme) into the bottome of the wounde, and fill vp the same a [...]er with flowers, beeinge warie of oppressing the membrans: alofte laye [...]n your playster, as aforesayde [...] and bind it vp [...] Let your plaister be this aboue sayde: or else the Sticticum in the annotations of the sixt Chapter.

The seconde ligature, which beginneth after those eight or nyne dayes, is thus accomplished, with a fether dipte in your balme, touche the wounde ouer, thereupon then applye your plaster: and thus continue vntill the ioyntes, nerues, or such like partes (which were bare) bee all couered with fleshe.

Then proceede to the thirde ligatur [...], which is done, by the onely application of the Sticticum plaster. This is his course in all great woundes, for the preuentinge of accidents. In small woundes there needeth lesse curiositie.

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CHAP. VI. Of a deepe and priuie wounde receiued in the flesh without losse of substance.

THis wounde hath two speciall indications to institute the cure by, accordinge to his situation in the member, either vpwardes or downwardes. As for the first, if the Orifice of the wounde looke downwarde, and the bottome bee vpwarde, so, as the matter maye freely, and pronewise flowe out of the wounde, such a one is to be ioyned both by an orderly ligature, such as may beginne aboue, and ende belowe, where the orifice is, as also by stitching and glutinatiue medicines, such as afore are set downe in the cure of a simple wounde in the flesh. But if contrariewise the orifice bee vpwarde, and the bottome of the wounde tending to the lower partes, so as there is therein a restinge place for the matter: then here is vse for the seconde indication, which noteth [Page] a neces [...]itie of If from the beginning, the wounde be so dressed, as that first it be cleansed from the bottome, with iniection ex vino, myrrha & sale coctis, (the part so placed as that it may runne out againe) and then dressed vp with your vulnerarie oyl [...] iniected, and Sticticum plaster alof [...] applyed, with an ingenious bolstring and rouling. I [...] this course (I say) be taken euerie dressing, from the beginninge, and na [...]ure not otherwise vexed by barbarou [...] [...]enting, verie seeldome shall such incision come in vse. incision for the healinge of this wounde. which incision must bee made, either from the orifice downe to the bottome, or else in the bottome onely, that the matter may goe out. But whether waye is the moste expedient, you shall learne, by consideringe the nature of the place, and greatnesse of the wounde. For if you finde the place daungerous to make incision in, and the wounde it selfe goe deepe, then is it more expedient to open the same in the bottome. Otherwise, if it bee shallowe and the place without daunger, it is best to make diuision downe from the orifice. Afterwarde minister some mu [...]difyinge medicine vpon a sauft stupe or cloth, and let it bee shifted twise euerye daye, &c.

ANNOTATION.

a If from the beginning, the wounde be so dressed, as that first it be cleansed from the bottome, with iniection ex vino, myrrha & sale coctis, (the part so placed as that it may runne out againe) and [Page] then dressed vp with your vulnerarie oyl [...] iniected, and Sticticum plaster alof [...] applyed, with an ingenious bolstring and rouling. I [...] this course (I say) be taken euerie dressing, from the beginninge, and na [...]ure not otherwise vexed by barbarou [...] [...]enting, verie seeldome shall such incision come in vse.

Emplastrum Sticticum.

Recipe ol oliuarum, ℥. vi. cerae, ℥.j. quibus liquefactis, adde lithargirij ℥.ij ammoniaci, bdellij, ana, ℥.ss. galbani, opoponacis, ana, ʒ.ij. aristolochiae rotund. calaminaris, myrrhae, thuris, ana, ʒ.ij. ol. laurini tantundem, terebinthinae purae, ℥.j. gummi ex aceto praeparata, pinguibus cum lithargi [...]o ad cerati formam coctis, adiungantur, postea pulueres, deinde ol. laurinum, & postremo terebynthina, & sic, summa cum diligentia agitando, coquantur ad emplastri consistentiam. In making the same vp in rowles, it must bee wrought with handes three or foure houres, your hands (as you neede) [Page]being euer annoyn [...]d ex oleo [...]osaceo, vel chamomelino.

CHAP. VII. Of a hollowe wounde, with losse of substance in both the skinnes, and in the subiect flesh.

THE causes and signes hereof, being easily apprehended, as also the accidents manifest, wee will passe on to the cure, after the consideration of two notes that concerne iudgement in it. The outwarde comming causes,Prog. beeinge not remoued, doe hinder generation of fleshe and also healinge. Also accidentes comming vppon the wound and not remoued first, doe prohibite the curation.

Let the firste intention therefore,Cure. in this case, bee, to remooue outwarde things incident to the wound, as dartes, or other thinges inflicted, hayrs, filth, &c. with instrumēts conueniēt. Then next to cure the wound it self, which being hollow, requireth [Page] a filling with flesh, and that in regard of the qualitie of the wounde, and of the excrement: which in the generation of the flesh it engendreth [...] which excrement being of two sorts, a thicker called sordes, and a thinner called sanies, (the last making the wound to moyst, the other filthie) must be met withall, with medicines of a double qualitie, to wit, meanly drying and wyping, called commonly incarnatiues, of which sort are these simples: thuris lachryma, thus, cortex thuris, mastix, aloes, v [...]num rubrum, austerum, colophonia, pix, resina, farina hordei, & faenugraeci, These are fit for children, or effaeminate bodies. aristolochia, iris, farina orobi, farina lupinorum, panax, These may you sort out, for bodies or parts of drier temperature. centaurium, polium, glutinum, cadmia, Pomph [...]lyx, plumbum, antimonium, Chalcitis, And these last, for partes or bodies, farre more drie: wherein also must be obserued, that the minerals bee first artificially prepared, by burning and washing. But if your balmes and plasters be right, what neede these newe deuises of incarnatiues, and I know not what? I will in no wise, be guiltie of these strayings. &c. Compounde incarnatiues you maye thus prouide, both powders and vnguents: Rec. olibani, aloes, sarcocollae, sanguinis draconis, radicis ireos, ana, partem j. make th [...]eof powder. Or, Rec. thuris, masticis, myrrhae, sarcocollae, boli armeni, sang. draconis, farinae hordei, ana partem j. Make a powder: Rec. resinae ℥ij. terebynthinae ℥.iij. mellis, ℥.j.ss. thuris, masticis, myrrh [...] ana, ʒ.ij. sarcocollae,[Page]aloes, croci, ana, ʒ.ij. ol. li.ss cerae ℥.v. fiat vnguentum. Another: Rec. agrimonij, absynthij, verbenae, centaurij, gallitrici, chelidoniae, scabiosae, symphiti ma. semperuiui, Cyn [...]glossae, caulium rub. plan tag. mi. fabae inuersae, otherwise called, Crassula mi [...]or, ana, m.j. Out of al these draw the iuyce, and adde vnto it, aceti li.ss. ol. ros.℥.ix. cerae alb.℥.iiij. axungiae vervecis, li ss. r [...]sinae ℥.x boyle all togither at a saufte fire, then put in galbani ammoniaci in aceto dissoluti, ana, ℥.ss. terebynthinae, li, ss. mellis ℥.iij. thuris masticis, ana, ℥.j. resinae crudae, ℥.iij. make thereof your vnguent. And as your medicines ought to bee thus,Canon̄s. of qualitie, contrarie to the propertie of the di [...]sease: so must you likewise further obserue, to intende or weaken the force of your medicine, accordinge to the state, both of the wounde and temperament, both of the whole bodie and wounded part, as thus: The naturall temperature, both of the whole bodie, and of the wounded part, must be conserued & kept, by things agreeable, or like vnto it [...] but that distemperature which falleth in, contrarie to nature, must [Page] be driuen away by contraries [...] for it perisheth whatsoeuer is drawen into a contrarie plight, and by a contrarie thinge. Accordinglye therefore, a wounde, the moyster it is, the dryer medicine doeth it neede. But withall, the nature of the bodie, by how much the moyster, by so much the lesse drying medicine is required of it. Wherefore if there be wounds in diuers bodies, in which woundes, there is a like humiditie: that wound that is in a dryer temperature of bodie, needeth more drying, and that in the moyster, so much lesse, as there is difference betwixt those two natures: if so bee you meane to make the newe flesh aunswerable to the olde. Likewise [...] on the other syde, where the olde is dryer, it is conuenient, that the newe bee dryer also. And so this must haue drying medicines more plentiful, yea & by howe much more it is the dryer, by so much the more drying facultie must your medicine haue. And contrariwise, in a moister nature, so much the lesse of drying medicines need you, as the flesh in that partie, is lesse of [Page] nature, drie. The same reason standeth whole, to be obserued in his diet also. Accidents, whether they be present, or you feare them: are to be either prohibited, either els remoued, as hath bene said in other places.

ANNOTATIONS.

a These are fit for children, or effaeminate bodies.

b These may you sort out, for bodies or parts of drier temperature.

c And these last, for partes or bodies, farre more drie: wherein also must be obserued, that the minerals bee first artificially prepared, by burning and washing. But if your balmes and plasters be right, what neede these newe deuises of incarnatiues, and I know not what? I will in no wise, be guiltie of these strayings.

CHAP. VIII. Of an equall or filled wound.

THE signes of an equal, plain or filled wounde, are manifest, so as I neede not stande vpon thē. I wil therfore come [Page] to the cure, after I haue layde downe this note, that may direct you, in the deliuerie of your iudgement concerning this case.Prog. it is this. The matter of the skin considered, which taketh it beginning frō the seede, it is euiden [...] that the like to that which was lost in a [...]l points cannot be gotten by art againe: but notwithstāding, some like thing [...] and which may fulfil the office of that which is lost [...] may bee restored, being yet, not plainly the skin.

Cure.In the cure hereof, are two generall scopes or intentions to bee had: The one respecting the wound it self: the other the accidents. The wounde therefore, being nowe plaine and equall, must bee cicatrized and couered with skinne. This is to bee perfourmed, by medicines, which doe consume not onely superfluous, but euen the naturall moysture also, and they bee such as haue some measure of astringent facultie, but verie much drying. of which sort here followeth both simples and compoundes. Simples drying and astringent of themselues, are Galla, balaustium, ostrea vsta, cortex malorum granat [...] bedeguar,[Page]sumach, spina aegiptia, bolus armenus, terra sigill. cerussa, plumbum, vstum & lotū, lithargyrum, cortex pini, &c. Other doe it accidentally: as, aes vstum & lotum, squamma aeris, alumen, vstum, & lotum, vitriolum vstum & lotum, plantago, aristochia vsta, soleae calceorum. Compounded medicines be these: an Epitheme: balaustia & sumach boyle in vino austero, and therwith foment the wound. A powder: Rec. corticis pini, ℥.j [...] nucum cupressi, centaurij minoris, aristolochiae vstae, ana, ʒ.ij. cerussae, lithargiri, ana, ℥.ss. make thereof a pouder to sprinkle vppon the wound. A red vnguent: Rec. cerussae, ℥.iij. lithargyri, ℥.ij. minij, ℥.j caphurae, ʒ.ij. ol. ros. li.j.ss. aquae ros.℥ij. albuminum o [...]orum, numero iij. cerae albae. q.s. make your vnguent. A white vnguent: Rec. lithargiri, ℥.j. cerussae, ℥.j. ol. ros. aquae ros. ana, q.s. make your vnguent. A plaster: Rec. cerussae ℥.iiij. lithargiri ʒ.j. terebynthinae, ℥.ix. thuris masticis, aluminis, cochlearum limacum vstarum, ana, ℥.ss. caph [...]rae ʒj. coquan [...]ur cerussa, lithargirum, oleum & cera [...] lento igne, at the end of the boylinge, put to terebynthinam, and when you [Page] haue taken it from the fire, put to the Powder. Another: Rec. antimonij, aeris ac plumbi vstorum, lithargir [...], & cerussae lotorū, corticis thuris, sarcocollae, th [...]ti [...] praeparatae, aluminis crudi, ana, ℥.j. balaustiorum. P.j. caphurae ʒ.ij. cerae albae li ss. ol. ros.℥.iij. melt the waxe & oyl togither, & after put to the rest. Another: Rec. lithargiri, cerussae, ana, ℥.vi. plumbi vsti lapidis, calamina [...]is, terr. [...]igillatae, ana, ℥.iiij. colophoniae, picis naualis, resinae, ana, ℥.ij. resinae crudae sar [...]ocollae, ladani, ireos, ana, ℥j.ss. caphurae, ℥.ss. sem. porri, ℥ij. ol. rosati, li.j.ss. cerae albae, ℥.iiij. make it a plaster.

The accidentes incident vnto this ca [...]e,Accidents are concerning the vncomlines or deformitie of the cicatrice, which must be amended by medicines accordingly: as if it be too nesh & tender, you must thicken it, with diachilon, or, cum lithargyro nutrito, or with oyle, in which radices bryoniae are sodden, or calamintha in oleo cocta, or argenti spuma cum rosaceo albo, lota, &c. Contrariwise, ouerthicke and harde ci [...]atrices, are to be attenuated, with [...]leum basa [...]itae, radic [...] cucumeris agrestis, stampt and applyed, Pinguedo asini, [Page]cum argenti spuma. Oleum de lilio, d [...] myrrh [...]. All kinde of gummes dissolued in aqua rosacea. Or this distilled water: Rec. myrrhae, aloes, styracis vtriusque, ana, ℥.j. mumiae, baccarum lauri, ana, ℥.ss. grynde them indifferently, and with a glasse limbecke, at a saufte fire, distill them, and vse the liquor of it. If the cicatrice beare an euill colour, which is another deformitie, then to bring it to a whitnesse, vse those meanes: Rec. ol. de tartaro, ℥.iij. mucilag. sem. Psillij, ℥.ss. cerussae in ol. rosae [...] dissolutae, ℥.j. boracis, or [...]alis gemme, ʒ.ij. make thereof a liniment. A plaster for the purpose is this: Rec. axungiae suillae, ℥.iij. lithargiri, ℥.j. [...]ruginis rasilis, v [...]rioli combusti, ana, ʒ.ij. make it a plaster.

CHAP. IX. Of a wounde hauing o [...]ergrowen, or prowde flesh.

A Wound ouergrowen with flesh is both an instrumental disease,Def. in quantitie, and also a comon disease, in respect of solutiō of vnitie.

[Page] Cure.As it is an instrumentarie dissease, to wit, with flesh too prowdly growing, it is to bee dealt withall with medicines, that may diminish & take away the same, such as are those, that be sharpe and drying: namely, Chalcitis, vitriolum, alumen vstum, radices asphodelorum, hermodactilorum, nucl [...]i dactylorum vstorum, semen vrticae, serpentaria, squamma aeris, aes vstum, cinis [...]rinacei, stupae minutim incisae, puluis mercurij, calx viua. sublimatum, hydrargyrum &c. Compounded medicines for the purpose you haue [...] vnguentum AEgipciacum, or apostolorum: or such as follow you may prouide: Rec. aquae vitae ℥ij. aeruginis rasi [...]is, ℥.ij. mixe them. Or Rec. hydrargyri sublimati, ʒ ij. aluminis crudi [...] ʒv. aquae rosarum, vel plantag.℥.vj. boyle them to the consumption of the fourth parte. Another: Rec. salis nitri, vitrioli romani, aluminis, ana, ℥.ss. hydrargyri sublimati, ʒss. aquae plantag.℥.vj. aceti, ℥ij. boyle them as aforesaid. But when you minister these medicines, it behoueth to defend the place, in applying about the wound vnguenū de bolo armeno. If further deling then thus be [Page] required, it is done with chirurgicall applying of the incision knife, cauterie, hote scissours, &c. lastly, the cō mon case this wounde hath in respect of solution or breach of vnitie, requireth his coniunction, or rather cicatrization, which, howe it is done, is nowe before declared.

CHAP. X. Of the wounde in the synewe, tendon, and ligament being prickt.

WHat thing it was wherby such a prick was giuen,Causes & signes. is best vnderstood by the Patientes tale: and whether it be a nerue, tendon or ligament that is prickt, it is easily seene. He meaneth, it is easily scanned out, by artificiall coniecture. if a sinewe be wounded, there is great paine, hurt of both sense and motion, sometime a feuer, inflammation conuulsion and rauing.

Sinewie ligamentes will abide the force of the strongest remedies.Prog Againe if a tumor appeare in woundes of the sinewes, and afterwards vanish away, it threatneth the daunger of a [Page] conuulsion and rauing.

In the cure first remoue, if there be anye thing sticking in the wounde, according as is taught nowe before [...] Cure. then respecte the substaunce of the part that is hurt, that it be defended, and kept from all iniuries thereto incident: against which, you shall well prouide, if you preuent the generation of inflammations: whiche by diet and bloudletting shall be aptly done. Let his ayre therefore and place where hee lyeth be warme, a saufte bedde, much rest, gentle frication, and chie [...]lye of the contrarie partes. Let the bellye be kept loose, by cly [...]ters, or laxatiue medicines, according to the nature of the humors in the bodie. Let his meate be colde and drye, and sparing in the highest degree. His drinke Or with vs, small ale, or beere. water boyld &c. Hote ayre is hurtfull for that it breedeth inflammation. Agayne, colde ayre hurteth, for that it is an enemie to the synewes. so let him auoyde moouing, much meate, and such like. Let bloud also, although there be no fulnesse of the bodie apparant, so that there be strong vertue [Page] and liuelihoode, and no other thing of sufficient value withstanding. And in this dooing haue alwayes due regarde to the affinitie of places. The substance of the part being thus prouided and cared for: note next as touching the wounde it selfe, which must not be vnited, no [...] kept shutte, but remaine open. And if it carrie not a sufficient open issue, it must bee so opened, as the matter may flowe foorth: then the payne must be eased, and the eruginous or fretting matter gotte foorth: which fitly may be done, with medicines, that heate and drie without paine: to wit, as oleum fabinum, fambu [...]inum, i [...]i [...]m, [...]icyonium, ole. terebynthinae, oleum in quo sal coxerit, cum terebynthin [...], as followeth: Your last generall intention, for the cure of this kinde of wounde, shalbe in regard of the symptomes,Acciden [...] as paine, conuulsion, inflāmation or putrefactiō, which if they ioine with the pricking of a sinew must needs be remoued [...] to mitigate therfore the paine & bring out the eruginous mater you may apply [...]l. ex vi [...]ellis ouorū, o [...] l [...]mbricorum, or ol. rosac. cum terebynthina: els [Page] oleum terebynthinae, or, oleum sabinum, or this oyle: Rec. euphorbij, ʒ.j. olei, ℥.ij. boyle them togither and straine out the oyle. Plasters to that purpose are thus to bee deuised, Recipe musci quercini, m.ij. furfuris m.j. olibani, ℥.j. coquantur in vino, & tantillo aceti, till they come to the fourme of a pulteis. another: Rec. micae panis, in lacte bubulo imbutae, olei ros. ol. chamomillae, vitellorum ouorum, ana, q.s. croci parum make thereof a plaster. another, Rec. rad. altheae, farinae hordei, farinae fabarum, farinae lentium ana, q.s. coquantur cum sapa, vel lixiuio, then put to it, ol. rosati, chamomelini, & anethini, terebynthinae, ana, qs. croci parum, make therof your plaster. strōger yet then those if neede bee, you may thus ordaine: Rec. micae panis in lacte bubulo maceratae, q.s. p [...]paueris albi, q.s. opij parum, contundantur optime, and warme, lay it on the payned place. or this: Rec. farinae tritici ℥.ij. succi fol. hyosciami ℥.iij. make thereof a pulteis and applye it hote. A conuulsion or crampe you shall remooue, if foorthwith you annoynt the heade, necke, whole chinebone, shoulder and armepitte, (if the [Page] wound be iu the hande) else the share bone and flanke (if the wounde be in the foote or legge) with hote oyle of lillies, or oleum laurinum, or costinum, or spicatum, or oleum ex pulegio, or ol. commune, whereto a little castorium, or euphorbium is added. An inflammation or phlegmone chauncing is to bee brough to suppuration To wit, if the matter gathered haue made an abscesse: otherwise it were absurde, that assoone as wee see an inflammation, we should giue our mindes to suppurate the same. with this plaster: Rec. farinae orobi farinae fabarum, & hordei ana, q.s. coquantur cum lixiuio & [...]apa & modico aceti. or this Rs. lumbricorum ℥.ij. porrorū tritorum ℥.j. ol. communis q.s. misce. [...] After it is suppurated, prepare this vnguent to mundifie it. Rec. farinae hordei, farinae fabarum ana, ℥.ss. farinae lupinorum & orobi ana, ʒ.ij. pul. lumbricorum, ʒ.j. vini decoct. caudae equinae, ac prassij, ac matricary q.s. then after adde to it mellis ros.℥.ij. sarcocollae, sagapeni, in praedicto vino dissolut. ana, ʒ.j. fiat vnguentum.

The last symptome is putrefaction or corruption, which is to be taken awaye eyther by If by pu [...]refaction, hee meane that thinne, slimie matter, that runneth from the sinewes, like the whites of egges, as Pareus Andraeus a Cruce, and others vnderstande it, then is this counsayle dangerous: for this commeth not to passe, but the wounde is first depraued, eyther by the patientes intemperaunce, or the Chirurgians medicines: in eyther of which, to vse cawsticke medicines is hurtfull, sith they remooue not the cause, but exasperate the euill: If it be asked, what is to be doone in this case, I aunsweare, if the patientes gouernment be good, then remooue your medicines, for they are eyther too hote or too relaxing and opening: and appease nature, by asswaging the payne and inflammation (which alwayes keepe companie with this accident) after that, your care is ended for this matter. For payne and inflammation, you haue instructions in the first Chap [...]er: as also for this matter yet more. cawsticke medicines as AEgip [...]iacum or else with a hote yron. &c.

[Page]

ANNOTAIONS.

a He meaneth, it is easily scanned out, by artificiall coniecture.

b Or with vs, small ale, or beere.

c To wit, if the matter gathered haue made an abscesse: otherwise it were absurde, that assoone as wee see an inflammation, we should giue our mindes to suppurate the same.

d If by pu [...]refaction, hee meane that thinne, slimie matter, that runneth from the sinewes, like the whites of egges, as Pareus Andraeus a Cruce, and others vnderstande it, then is this counsayle dangerous: for this commeth not to passe, but the wounde is first depraued, eyther by the patientes intemperaunce, or the Chirurgians medicines: in eyther of which, to vse cawsticke medicines is hurtfull, sith they remooue not the cause, but exasperate the euill: If it be asked, what is to be doone in this case, I aunsweare, if the patientes gouernment be good, then remooue your medicines, for they are eyther too hote or too relaxing and opening: and appease nature, by asswaging the payne and inflammation (which alwayes [Page] keepe companie with this accident) after that, your care is ended for this matter. For payne and inflammation, you haue instructions in the first Chap [...]er: as also for this matter yet more.

CHAP. XI. Of a wounde made in the sinewe by way of cutting.

A Sinewe beeing cutte,Signes. especially ouerthwart, there followeth paine, hurt of feeling, and somtimes inflammation, feuer conuulsion, &c.

If a [...]inew be wounded ouerthwart,Prog [...] and not quite cutte a sunder, there hangeth more daunger of conuulsion ouer it, then if it were so sundred throughly: by reason that from the fibres which be cutte, inflammation Or rather, because the cutte fibres, by their shrinking, doe euer cause stretching and tearing toward the whole fibres. is communicated to those that bee not cutte, and so againe the fibres that bee vncutte, stirre vppe a conuulsion. But if all the nerue be cutte a sunder, there is no further feare, [Page] neither doeth any other daunger ensue, saue weakenesse of that part. If such a ligament be hurt as goeth frō bone to bone, to ioyne them togeather, it is most without daunger: and with whatsoeuer medicines you drie the same you shall not offend the partie. But if it be such a one, as inserteth it selfe into a muscle, looke how much it bringeth lesse daunger, then if it were a synewe or tendon, by so much the more (vnlesse it be rightly and diligently cured) is it more perillous then the other sorte of ligamentes. If in a wounde of the synewes a tumor appeare, and afterwardes vanish, it threatneth the perill of conuulsion or rauing.

Cure.First (as I haue oft admonished) prouide, that no outwarde thing remaine in the wounde. Secondly for the conseruation of the substaunce of the part from inflammation and conuulsion, let bloud largelyer then in the case of a sinewe prickt, and appoint a conuenient diet, as temperate ayre, rest [...] a sauft bed, little meate, and annoint the flankes, necke, head and chinebone, with store of oyle. On the [Page] other side, aire either too hote or cold hurteth, so doth mouing, surfeting, drunkennesse, &c. costiuenesse of the belly, &c. Thirdly with the wounde it selfe deale in this manner: if the skinne bee not open ynough, make the entrance wider. Then [...]oyne again the nerue (if it may be) with [...] He hath this also from Calmeteus: who perem [...]orily appointeth it [...] being perhapps mooued by the auctoritie of Guido, and some others: but hee that well considereth the reason, of a conuulsion comming of a nerue halfe cutte, will neither practise this himselfe, nor counsayle it to others. stitching, as you doe the flesh: after that put vpon it this medicine: Rec. lumbricorum praeparatorum ʒ.iij. caudae equinae ʒ.ij. pulv. betonicae, pul. vrticae, ana, ʒ.j. olibani ʒ.iij. carnium limacum quantum sufficiat ad vniendum: vse the same foure dayes, laying alofte some glutinatiue, as is this vnguent following: Rs. centaureae minoris, plantaginis, cynoglossae, pilosellae [...] consolidae vtriusque, caudae equinae, millefolij ana, m.j. vermium terrestr. li. ss. ol. & vini opt. ana, li. j.ss. aceti.℥.iiij. stampe them, and mixe and infuse them togeather seuen dayes, then adde to, seui arietis, li. j. picis, resinae ana, ℥.iij. seeth them to the consumption of the wine and viniger, adde to the strayning, ammoniaci, galbani, opoponacis in aceto dissol. [...]na, ʒ.v. terebynthinae ℥.j.ss. thuris, masticis, sarcocollae, ana, ʒ.iij. croci ʒ.ij.[Page]cerae q.s. make thereof an vnguent. the symptomes which here might be spoken of, are all sufficiently before handled, and taught howe to bee dealt with, onely if in this case a conuulsion come, the whole nerue must bee cut through or cut off with a hote yron: and after, oleum samb [...]cinum, or [...]erebynthinae to be applyed.

ANNOTATIONS [...]

a Or rather, because the cutte fibres, by their shrinking, doe euer cause stretching and tearing toward the whole fibres.

b He hath this also from Calmeteus: who perem [...]orily appointeth it [...] being perhapps mooued by the auctoritie of Guido, and some others: but hee that well considereth the reason, of a conuulsion comming of a nerue halfe cutte, will neither practise this himselfe, nor counsayle it to others.

CHAP. XII. Of a wounde in the veines and [...]rteries.

[Page]WHether this wound was giuen by sword,Causes. or shaft or the breach was made by a fal, or to much fulnes of the body, els some crush, as of stones falling on, or the vesselles be f [...]etted out by colour or some salt humor, all this I say, partly by the patients telling, partly by the proper signs of humors may be acknowledged.

That there is breach in some vessel,signes. profusiō of blud is euidence ynough, but whether it be a veine or arterie, these signes shall testifie, to wit, the flowing of thicker & blacker bloud, without pulslike mouing, sheweth a bleeding veine: but the bloud of an arterie is thinne, and yellowe, and comes foorth leapingwise.

An arterie cut ouerthwart,Prog. is sooner ioyned and healed, then if it were deuided longwise. And an arterie is harder to heale then a veine. Fluxe of bloud is perillous. for vnlesse it staie or be stopped, it bringeth death vnauoydably because bloud is the treasure of nature. sounding, conuulsion, rauing, or yesking in the fluxe of bloud, betoken euill.

[Page] C [...]re.This cure hath in it two generall scopes: the first is to staie the bloud, the seconde to cure the wounde. To staie the bloud you haue diuers waies to practise: and first by turning the course of it, either by drawing to a contrarie parte, or else deriuing it oth [...] whether it is drawne to a contrarie part, without euacuation, by cupping without scarifying, frications, and ligatures on the opposite partes of the same side. It is turned awaye with euacuation, by opening a veine on the contrarie parte, and letting it flowe, and staie againe, by times. And the deriuing of the course of it other-whither is done by opening a veine in some part neere vnto the wounde. The second meanes to worke withall, is to bridle and intercept the furious course of it, by things that may thicken, astonish, or coole. These thicken the bloud, to wit, len [...]es, oriza, iuiub [...], mala cotonea, &c. fructus omnes stiptici, &c. this doth astonish the headie rage of it, to wit, cold water, either drunke, or applyed rounde about the place whence the bloud floweth, but not vpon the place it selfe: for a cold thing [Page] is biting to an vlcer: cooling thinge [...] be reckned, faynting, sounding, &c. the thirde meanes to be vsed, co [...]cerneth the place it selfe, and standeth partly in the vse of the hande, partly in the application of medicines. The meanes to be vsed by hande are sundrie: as eyther the application of the finger vpon the mouth of the wound, and pressing it sauftly without payne: or applying a ligatur [...] or rowling vppon the member, of sauft lynnen, and making your first 4. or 5. boughtes. or turnes, vpon the verie wounde and veyne that bleedeth: winding vp the rest towarde the roote of the veine, if so be the wounded parte bee such as you may doe it, and commonly you may do it in all except the membrans of the brayne. or vse stitching to it (the wounde being first clensed from clodded bloud) drawing so the lippes of the wound togeather into one, either with a common stitch, or else such one as coddars, or peltmongers vse to make: especially if the bloude flowe with great force. but while the wounde is so institching, care to take your stitches deepe ynough. [...]nd after [Page] it is stitcht, apply an astrictiue powder vpō it, & aloft on it the like powder mixte with the white of an egge, layd on vpon s [...]uphes: so binde vp the member, & place it conueniently. If the vessell that bleedeth, lye deepe, it is good to cut it through, and then to apply some staunching powder and binde aloft spong, or stuphes wet with astringent medicines. If the veine or arterie lye in sight, or may aptly so be come to, take it vp and tie it fast with a silke threede. Afterwarde apply to the wounde some glutinatiue medicine, and rowle vp and place the mē ber orderly. The last manual administration is, with a cauterizing yron, to make a crust, or escar: which specially serueth when the vessels are fret thorough, by putrefactiō. Medicins now for the stopping of blud may in diuers sorts be ordained, & some of thē such as woorke their effect by a manifest quality, others by a secret or vnknowē property. Of manifest quality for that purpose, are these plasters & powders following: Rs. thuris, aloes, ana partes aequales, excipiantur albumine oui & pilis leporinis, or, Rec. boli armeni, ℥.vj. [Page]t [...]rr [...] sigillatae, ℥.ij. f [...]rinae vola [...].℥.iij. Gypsi, calcis viuae, ana, ℥.iiij. thuris, aloes, ana, ℥.j. fia [...] pul [...]s, qui albumine [...] oui excipia [...]r. Another: Rs. calcis viuae sang. draconis, Gypsi, alo [...]s, thuris, vi [...]rioli, ana, partes aequales, cum oui albumine, & telis [...]raneorum excipiantur. A powder for the purpose. Rec. boli armeni [...] sang. dr [...]conis, thuris, aloes, an [...], par [...]es aequales, fiat [...] Another: Rs. lapidis haem [...]itis ℥.j. thuris, masticis, boli [...]rmeni, telae [...]raneorum, gallarum viridium, ranarum exicca [...]arum, Gypsi, fuliginis, farinae volatilis, ana, ʒ.ij. vi [...]rioli combusti, calcis viu [...], [...]ragaganti, ana, ʒ.iij. rasurae tergoris arietis vel hyrci, char [...]ae papyraceae, pilorū leporis, & bombacis torrefactorum, ana, ʒ.j. stercoris asinini, ℥.ss. fiat puluis tenuissimus, and keepe it to your vse. I sayde there be some thinges, that by a secrete propertie doe worke this feate: so doeth puluis b [...]fonum, in fictili cooper [...]o combustorum, which being clossed in a little bagge, must be applyed to the veyne that bleedeth, foure fingers from the wounde.

The symptome of bleeding being stinted, the ioining of the veine or artery [Page] must then be looked for, and procured by medicines consolida [...]iue, it being noted that the arterie requireth so much the more drying medicines then the veine, as it is naturally of a dryer tēperature then the veine. Therfore a wound that lighteth on a vein, and that without losse of substaunce, desireth the same kind of cure, as that, that is in the flesh: but in case that a vessell be tyed, or you haue vsed stanching medicins, or cauterizing yrons, so that there is losse of substance committed, then are you to vse the same medicines, which hereafter are set downe, in the cure of hollowe vlc [...]s.

ANNOTATION.

a See the note, vpō the accident of bleeding in the first Chapter, here also obse [...]e with me somewhat, concerning the oportunitie, and the manner of staying the bloud. For the oportunitie, that you bee not too hastie, if the bloud be [...]oule, or the vessels f [...]t. For the manner that you wisely regard the incident occasions: as wrath, drunkennesse, veneri [...], &c. and in all kindes, to keepe the part couered from the aire.

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CHAP. XIII. Of woundes in the bones.

A Wounde of the bone, is a cut made in the same,Def. by some sworde, or other cutting or deepe pricking thing.

What gaue the wounde either pricking,Causes & signes. or cuttingwise, may be vnderstoode of the patient: and by sight, it will easily appeare, whether the bone be through cut, or but in part. And so it falleth out sometime to haue these accidentes: to wit, fluxe of bloud, vehement paine, conuulsiō & sounding [...]

If great bones,Prog. suche as the arme bone (called humerus) or both the fociles in legge or arme be cut in sunder so as the marrowe goe foo [...]h, it is most daungerous, and for the most part that member perisheth [...] so if Erysipelas come in the baring of a bone it is euill. Childrens bones deuided, do ioyne againe by themselu [...]s. In the other ages, to wit, of the stripling, yong man, perfect man, and old man, their bones being deuided, are neuer after by themselues rightly [...] stored again, [Page] but by the helpe of another substaunce comming betweene as a certaine glewe.

In this cure,Cure. prouide first for the taking awaye of symptomes, or accidentes. If therefore there be any outward thing infixed, or peces of bones, plucke them forth. Yet taking much heede, that you draw not out [...]odenly, or with great force, any parte of the wounded bone: specially if it be great in quantitie: for so doing the patient should hardly escape a fist [...]la, conuulsion, rauing, or feuer. It shall be better therefore, to deferre their taking forth, till another time, and in meane while, to help nature with some drawing medicine: but if it might bee doone, without violence, it is better first, then later. The other accidentes: as inflammation, feuer, paine, if they be not come, preuent them, if they haue alreadie taken houlde, remoue them: eyther by emptying or reuulsive bloud [...]etting, by thinne [...] and cooling dyet, by purging, according to the nature of the abounding humors, or mitigating medicines, &c. If neede be. Hauing [...] [...]idde the wounde of [Page] bones, & your way, of the thornes of encombring accidentes, and prouided a cleare entrance to the cure, proceede on this wise. Ioyne againe togeather the distant partes, and prouide, that so they may continue. stitch the wound that is in the flesh, with deeper & strō ger stitches then ordinarie, afterward apply a tent in the most decliued part, but being first armde cum melle rosato, If this kinde of wounde bee ordered with the like medicines, and maner of application, as is noted afore, in the chapter of a simple wounde, there shall neither bee neede of stitching, nor yet of running to these particulars: as is the manner of the olde writers: who certainely did it, for want of the vniuersall balmes, and medi [...]ines artificially contriued, for all parts. And in this note also I touch the most of the chapters going afore, as also woundes with gunneshot: which (the premisses well wayed) neede no particular tractation, saue for their burning: which I shall be occasioned to speake of, in the booke of vlcers. myrrha & puluere glutinatorio. Vppon the wound, for the first dayes, applye [...]ome glutinatory powder [...]ū albumine oui, the dayes following, mixing that powder with terebentine, or some other glutinatiue medicine. Now if the bone looke bare, minister vpon lint some powder or vnguēt glutinatorie, togither with plasters also or stuphes, or linnen clothes wet in warme wine. If the bone be cut through, then after the making of your stitching, applye the first daies, [...]ome glutinatory mixt with the whit of an egge, thē the days following, clothes wet in warme wine rowling vp the part, with a rowle cō uenient for the mēber, so prouided as the place of the wound may be left opē, least for euery dressing you should [Page] be constrayned to vndoe the rowle againe: applye also your splentes that the binding may bee more sure: neyther shall you at any time vndoe that rowling till the wounde be thorough cured: vnlesse some paine, ytch or inflammation, growing in the parte, compell you thereunto.

ANNOTATION.

a If this kinde of wounde bee ordered with the like medicines, and maner of application, as is noted afore, in the chapter of a simple wounde, there shall neither bee neede of stitching, nor yet of running to these particulars: as is the manner of the olde writers: who certainely did it, for want of the vniuersall balmes, and medi [...]ines artificially contriued, for all parts. And in this note also I touch the most of the chapters going afore, as also woundes with gunneshot: which (the premisses well wayed) neede no particular tractation, saue for their burning: which I shall be occasioned to speake of, in the booke of vlcers.

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CHAP. XIIII. Of woundes of the heade and Contusion.

WHether the hurte bee committed by a cutting,Causes & signes. pricking or brusing [...] thing, may be easily vnderstoode of the patient, or those about him. And whether it be a wounde, or contusion, the matter likewise is manifest. Whether the skul be broken, it is thus to be coniectured: to wit, if the fall was from high, the contusion great, paine, thinnes in the skinne perceiued by touching, separation of the skin from the bone, and moysture bubling vp through the cleft at the parties stopping his breth. Also an apoplexie, giddinesse, speachlesnesse, the head [...]eelding an vncleare sound being stricken on with a wand, & the teeth gnashing at the striking of a threede holden betweene them: these (I say) are signes that the skull is broken. So these signifie that pia mater is hurt, to wit, paine giddines [...]e, [Page] rednesse of the face & eyes, dimnes & [...]trouting out of the eies, the face full of pushes, bleeding at nose, eares and palate, difficult speach, a feuer, casting downe of the strength, astoniednesse of the senses, watching, losse of appetite, with loathing, vomitting, &c. Signes of the braine hurt, are, thicke, round clodded & marrow like matter, deprauation of reason (if the wounde be in the fore partes) and hurt of the memorie (if it be in the hinder part) also astonishment and dotage.

A fracture in the skull is perillous.Prog. incision of pia mater and of the braine is death. so is the corrupting of pia mater deadly. A sharpe feuer, a crampe, trembling, alienation of the minde, sounding, abridging of speach, rednesse and dimme sight, all these bee fearefull signes, and mortall, specially if they continue, and doe not s [...]acke. Also Dura mater becomming blacke, so as it will not be put awaye by the application of mel betokeneth death. So doeth a great swelling, specially if it vanishe soudenly with out reasonable cause, signifie euill. Contrariwise, the swelling little and [Page] the matter well digested, is a good signe. so is rednesse of the flesh in the consolidation or time of souldring of the skull. In the fracture of the skull, the terme of the cure is to a hundred dayes, or 46. according to others. A fracture of the skull is to be feared in the full moone.

The he [...]d being shaued,Cure. prouide for the remoouing of accidentes: or preuenting thē, if they be not yet come. As namely inflammation, which you may do away, or prohibite, partly by bloudletting on the Cephalica veine, so that strength, age & other cōsiderations forbid not: partly by diet, & partly also by loosing medicines. for dyet: Let the ayre be temperate, or a little warme, the belly loose euery day, eyther naturally, or by means of suppositories, or sauftning clisters. Appoint also rest, and let the body lie on that side that is lesse grieued, till there be ꝑfit matter engendred: after that, on the ꝑt affected (that so the matter mai easily flow forth) vnlesse paine forbid the same. Be spare in diet, till the danger of inflammation, & al other accidents be past, the drink let be Small ale o [...] [...]. sodden [Page] but all these hurt, to wit, colde ayre, moouing costiuenesse, large dyet, meate that sendeth vapours to the heade, wine, &c. And as for the loosing medicins, see they be of the gentler sort, and of propertie according to the dominion of humors in that bodie. If bloud flowe, let it be staide, and so of other accidentes as [...]ath now oft beene sayde. Then if the wounde be a simple one in the flesh, without the losse of substance, vnite the same either with ligatures, or stitching as is aforesayde. If there be losse of substance, renewe flesh, and after induce a cicatrize, as hath beene sayde in his place. If the wounde be feared to be in the skull, and yet no certainetie thereof, searche with your finger or some apt instrument. If you remaine yet doubtfull, and the wounde is not [...]ufficiently open, make incision in this fourme X. and lay open the skull in that parte, applying stuphes wet in viniger, to auoide fluxe of bloud [...] the skul thus vncouered: if the cracke appeare, but yet vncertaine, whether it go through, or no apply on the place the powder of masticke mixt with the [Page] white of an egge [...] and marke wel the same plaster, the next dressing, when you take it of, whether it be more notoriously dry in some one place, for if it be, in the same place it betokeneth penetration of the skull therby. Now if there be a breache in the skull, certaine and manifest, and yet small, so as ther is not easie issue for the matter, open the skull: especially if there be fragments of the bone vnderneth, hurtinge the membran. The skinne you shal deuide in fourme aforesaid, or thus X, and the bone so vncouered, dresse it vp for that day, with lint, or clothes wet in oui candido, the next day, opening the skull with a trepan, in which operation, consider, diligentlye, whether the partie bee of strength to beare it: vse prudent forespeach of the likely daunger. shunne (in that action) the ful of the moone.Obseruations. Beware the commissures as much as you may. Open the skull in the most bending or decliued place, if it m [...]ye be. If the fracture bee greate, cut it not all out: but it is ynough if there be sufficient vent for the matter, and way to take out the peeces of bones. [Page] All thinges that may doe hurt to the membran, take out with asmuch speed as may be. If there be any roughnes in the bone, rebate it with a lenticuler. Deferre not this worke till the 3. or 4. day, but perfourme it before either feuer, or other symptome catche you. For the rest afterwards, proceede as in the cure of a great wound in the skull: which thus must be handled. A gret wound hauing way wide ynough for the putting out of matter, needeth no enlarging by trepan nor Sawe, but is to be mundified, & after consolidated. Yet first must the fragmentes of bones, if there be any hurting the membran, be spedily remoued: as also the roughnes (if there be any) rebated. Which things orderly done, first then I wish not the reader, for al these, to depart from his balmes & plasters before commended vnto him. vnto which, I will here adde another plaster of Paracelsus, cont [...]iuing, for whatsoever wound in the head, principally commended: Rec. cerae lythargyrij, ana, li j. calaminaris, colophoniae, ana, ℥.ij.ss. ol. communis, li.j.ss. liquescant igne leui, cera, colophonia & oleum simul, postea lithargyriū & calaminaris contusa, tritaque subtiliter sensim inijciantur, ac decoquantur ad iustam spissitudinē, haec gummi postea imponantur, scilicet, opoponacis, serapini, bdellij, ammoniaci, galbani, ana, ℥.j.ss. praeparatorum tamen: & ex aceto prius coctorum. post quam aliis admixta fuerint, addantur isti pulueres: Rec. corallorum alborū & rub. mumiae, myrrhae, thuris, an.℥.j. antimonij.℥.ss. croci martis, ʒij. his alijs permistis, partem adijce larignae masticis (I suppose he meaneth terebentine, as ordinarily he adeth a litle therof in the end of al his plasters) & so powre it forth, & worke it vp in your hand [...], cū ol. hepericonis, & lumbricino, & additione camphorae, ad.℥ss. mundi [...]ie the wound cum melle [...]osa [...]o, mixt cum aqua vitae, & terebynthina: or else with ol. terebynthinae, mixt cum puluere sarcocollae, & granorum tinctorum. Else thus you may make you [...] ab [...]rsiue linement: Rec. mellis ros.℥.ij. farinae hordei ℥.j. sarcocollae, ʒ.ij. vi [...]ellorum ouorum, ol. ros. ana, q.s. fiat linimentum. Applye your medicines in this order: first conuey betweene the [Page] skull & the [...]ard membran a peece of red silke dipt in melrosarum wel warmed: after that laye in lint wet also with mel, & vpon the other partes of the wound some digestiue, as ex vitello oui, & ol. rosaceo, or such other. if any peece of bone sticke so as cannot easily be pluckt out, annoynt it with ol. rosac. that it may easilier loosen. When the wound is in the vpper parte or top of the head, there is no need of stitching [...] but in the sides stitching is profitable. Manie haue accustomed to lay of a rammes skinne aloft, & to charge the head with manie happings but that liketh not Hippocrates: for it becommeth but burthensome to the head, encreasing heate, and prohibitinge transpiration, or through-breathing. So much shall therefore bce ynough to couer the heade, as that the brayne maye not bee affected by the coldnesse of the ayre. two or three dayes beeinge nowe spent in this order, passe on from the vse of the aforesayde medicines to this vnguent or powder followinge, seruing to drie, incarne, and consolidate.

[Page] Rec. vnguenti regis, ℥.iij. mellis ros.℥j. terebynthinae lotae, ℥.ss. pul. myrrhae, pul. corticum thuris, pul. sarcocollae, pul. ireos, ana, ʒ.ss. ol. hyperici parum, fiat vnguen tum, which apply vpon your plageats, still putting betweene the skull and harde membran, your red silke, wet in mel. ros. When the membran is couered, you may vse this powder following: Rec. rad. artstolochiae, iridis florent. corticis thuris, sarcocollae, sang. draconis, ana, ʒj. nucis cupressi, myrtillorum, ana, ʒ.ss. centaureae min.℈.j. corallij, ℈.ij. farinae orobi, ʒ.j. fiat puluis tenuissimus: applye it with linte, and laye aloft emplastrum de betonica, or, decapri [...]olio. If at any time the harde membran swell, so, as it beare out at the hole of the trepan: then fitly & profitably shall you minister ol. de vitellis ouorum, and a cloth or spunge soked in decoctione rosarum, chamomillae & meliloti, but if flesh grow too rankly vppon the hard membran, put on it alumen coctum, or, pul. mercurij, or hermodactylorum, or, vnguentum apostolorum.

If the hurt in the head be a contusion, and but a small one, without [Page] breach of the skull, it is remedied with medicines that discusse, wype, &c. as oleum rosaceum annoynted on the heade after it is shauen, and sprinkled on cum puluere myrthi: the daye following applying this plaster: Rec. pulu. myrthi, ℥.j. nucum cupressi, rosarum sumac. balaustiarum, ana, ʒ.ij. [...]l. rosat. vel chamomelini. q.s. fiat Emplastrum, which plaster is also profitable if ther be a small fracture in the skull, or in case we suspect the same: in which it is sufficient to resolue and discusse. & if towardes the ende of your worke, you shall add vnto it squinanthum, absynthium, fabarum & lentium farinam. you shal make it so, an excellent medicine, to disperse, wype and strengthen. Now if the contusion be great, and with a manifest fracture, deale then as aforesaide. If the fracture be vncertaine, you shall sounde it out with this plaster: Rec. cerae, thuris, ladani, ana, ℥.ij. terebynthinae, ℥.j. farinae fabarum, aceti, ana, ℥j. fiat Emplastrum: this plaster shall you applye all ouer the head shauen, and where the fracture is, there shall you finde the plaster notoriously drye at taking of. If [Page] the contusiō haue only made depression in the skull, as it often commeth to passe in children, then must you labor with drawing medicins to heaue, lift vp & reduce the same: for which purpose, you haue here choise of diuers plasters set downe: Rec. propoleos (vel cerae nouae s [...]rdidae) ℥.iij. mellis, ℥.iij. lapidis magnetis, ℥,ss. lapidis pumicis, ʒiij. abs [...]n [...]hij, cumini, sulphuris, ana, ʒ.ij. salis, ℥.j. furfuris, P.j. vini opt.℥.iiij. misce fiat empl. & apply it warme to the head being shauen. Another: Recipe mellis. li.ss. fermenti, li [...]j. surfuris, ʒ.ij. salis, ℥.ss. cumini, absynthij, ana, ℥ [...]iiij. make therof a plaster to be worne for xv. dayes. Another: Rec. centaureae in vino albo per noctem infusae, m.vi. coquā tur ad medias, & post c [...]laturā coque iterū ad mellis crassitiē: de hoc accipe ℥.iij lactis mulieris, ℥.ij. terebynthinae, li j. mastici [...], ℥.j. resinae, ℥.ss. thuris, gummi arabici, ana, ℥.j. cerae nouae, ℥.iij fiat empl. Another: Rec. terebynthinae, part.ij. cerae, part.j. liquefiant: postea diligenter. cum ace [...]o agitentur. The next day take succi betonicae, part.ij. verbenae, part.j. lactis mulieris, q.s. misce. and applye it.

ANNOTATIONS.

a I wish not the reader, for al these, to [Page]depart from his balmes & plasters before commended vnto him. vnto which, I will here adde another plaster of Paracelsus, cont [...]iuing, for whatsoever wound in the head, principally commended: Rec. cerae lythargyrij, ana, li j. calaminaris, colophoniae, ana, ℥.ij.ss. ol. communis, li.j.ss. liquescant igne leui, cera, colophonia & oleum simul, postea lithargyriū & calaminaris contusa, tritaque subtiliter sensim inijciantur, ac decoquantur ad iustam spissitudinē, haec gummi postea imponantur, scilicet, opoponacis, serapini, bdellij, ammoniaci, galbani, ana, ℥.j.ss. praeparatorum tamen: & ex aceto prius coctorum. post quam aliis admixta fuerint, addantur isti pulueres: Rec. corallorum alborū & rub. mumiae, myrrhae, thuris, an.℥.j. antimonij.℥.ss. croci martis, ʒij. his alijs permistis, partem adijce larignae masticis (I suppose he meaneth terebentine, as ordinarily he adeth a litle therof in the end of al his plasters) & so powre it forth, & worke it vp in your hand [...], cū ol. hepericonis, & lumbricino, & additione camphorae, ad.℥ss.

CHAP. XV. Of woundes in the face.

[Page]THE cure of woundes in the face is to be perfourmed according to two generall indications thereto belonging, to wit, the symptomes, & the wounde it selfe. The symptomes considered, as they are, either imminent, or present: if they bee but imminent, and in daunger to come, preuent them (as an inflammation) by bloud letting, such as doeth either drawe to the contrarie part, or deriue or emptie the humors, if nothing let: else by cupping with scarification vppon the vertebres of the necke. Also by diet, fit and conuenient: as spare quantitie, taking rest, keeping the bodie solluble, drinking sodden water, &c. auoyding colde aire, ouermuch mouing, plenteous meat, drinking of pure wine, binding of the belly, &c. The bodie also would be lightly purged with such medicines as be answerable to the nature of the abounding humors. If the accidentes haue nowe founde place alreadie, displace them: as, payne, by mitigatinge, bloudie fluxe by stayinge: inflammation by putting it awaye, as is often taught afore, &c.

[Page]The second generall indication is the wound it selfe, which requireth to be vnited: but in this doing [...] there is speciall care to bee had [...] to preserue the fourme and beutie of the face Therefore shal the stitches be taken thicker, and neerer to the [...]ide, for so it shall more firmely ioyne togeather: or let it be don by a dry stitch, as thei cal it. Somtime also when the first stitching proues not fast ynough, nor reteynes the lips sufficient close togither, but becommeth slack, then the later kind of stitching is to bee added to it. In places ordayned to moue, the stitching may be made by needles prickt through the lippes of the wounds, and left remayning with their threede wonne about both endes. No tent in this case is to bee vsed, except the wounde be verie deepe, or that there be losse of substaunce. as for medicines the same shall serue in this case as in other woundes. Some applye on the stitching, medicines made ex duabus partibus, aquae vitae & vna [...]rebyn [...]hinae. Others apply vnguentum de mi [...], it shalbe profitable alwaies to the woundes, both of the face, and other [Page] parts, to minister some By this glutinatorie water, I suppose [...] h [...] meaneth the Epitheme, set downe in th [...] Chapter of a simple wound, as may be well gathered by the Chapter of wounds in the lips, where againe, appointing this glutinatorie water, he referreth you to the Chapter of a simple wund for the finding of i [...]. & there it must needes be the Epitheme. glutinatori [...] water, or other balme of like forcible drying, propertie, &c.

ANNOTATION.

a By this glutinatorie water, I suppose [...] h [...] meaneth the Epitheme, set downe in th [...] Chapter of a simple wound, as may be well gathered by the Chapter of wounds in the lips, where againe, appointing this glutinatorie water, he referreth you to the Chapter of a simple wund for the finding of i [...]. & there it must needes be the Epitheme.

CHAP. XVI. Of woundes in the eyes.

Prog.WOundes of the eyes are perillous, both for the sight it self, & for the nerenes of the brain. But if vpon the hurt the humor flowe forth, then followeth destruction and losse of the eye.

To preuēt inflamation (& so other accidents) which in this case,Cure. by reasō of the sharp pain, are like to grow, vse reuulsion by bloud letting, (if nothing let) or cuppings applyed to the neck. Also a thinne diet, & purginge medicines (if nothing hinder) according [Page] to the nature of the aboundinge humors. To the forehead & temples, lay some repellent medicine, as albumen oui diu [...]issime cū aqua rosarū agitatum. Or, collirium albū, sine opio, cū oui candido & aqua rosarū mixtū. If there be paine present, endeuor to mitigate it with applying lac cū collyrio albo, & mucilag. sem. cydoniorū extracta in aqu [...] rosarum. If there bee cluttered bloud in the eye through the stroke & con [...]usion, dissolue the same cum lacte m [...] liebre mixt with albumine oui: or, sanguine columbi ex ala de [...]racto, dropped in warme, after the 2. or 3. day. Either else, medulla Or medulla panis a furno calida, in vino albo infusa & saepe applica [...]a. Likewise for stroakes in the eyes, contu [...] de folia agrimoniae, & cum albo oui contere, and apply it. panis torrefacta, & vino rubro infecta. And thus much for the accidents: Now the wound it self requireth to be vnited, cleansed & consolidated by conuenient liniment or collyrie: such as are these set down for your purpose. your linement let consist ex melle virgineo, saccharo cando, th [...] tia praeparata, & aloe, mixt togither: or thus, Rec. myrrhae, sarcocollae nutritae in lacte, ana, ℈.ss. thutiae praeparat [...], ℈j. mellis parū, fiat linimentū. & if the patient cōplain of the sharpnes of it, mix with it aliquid albur [...]inis oui, & aquae rosarū. [Page] Your collirie make thus: Rec. aqu [...] [...]sarum, ℥.ij. syr. rosati solutiui, ʒ.iij. fiat Collyrrium.

ANNOTATION.

a Or medulla panis a furno calida, in vino albo infusa & saepe applica [...]a. Likewise for stroakes in the eyes, contu [...] de folia agrimoniae, & cum albo oui contere, and apply it.

CHAP. XVII. Of woundes in the eye liddes.

LEt the eye liddes beeing incised with their borders be stitched, and that with a deepe and firme stitch, that may be able to hold the parts long time togither lest their ioyning togither through often mouing, might be hindred. As for perfourmance of the rest of the cure, obserue to do accordingly as in the cure of other woundes.

CHAP. XVIII. Of woundes in the nose.

[Page]IF the nose be wholly cut of,Prog. it cannot be ioyned togither any more: for vnition in the organical partes, is not possible. And if it be not wholy cut of, it mai be cured by stitching. In curing,Cure. first set an order for the accidentes after the same rate as is before spoken of in wounds of the eies. The second care is to looke to the vniting of the wounde, by conuenient stitching with a crooked needle, if it cannot be done with a straight: but see that the stitchinge bee deepe ynough. And before you take anye stitch: first see, by conueying your fingers into the nostrels, to place the sides togither in due order: afterward make a pipe of a goose quill, & arme it with saufte linnen clothes, conuaiing it so to lye within the nostrels, that there may be therby free passage for the breath. Of ligatures & rowling Hippochrates sayeth: they that are too curious in rowling, as they are without reason, hurtfull to manye other places, so especially to the nose. He saith furthermore, if that the inner part of the nose be brokē, it must be again restored, by putting in your [Page] forefinger, or the patients, or a childes [...]inger (for soft handes in this case, are necessarie) and so place eche parte in order againe. But if neither the forefinger, nor least finger can be put in, then do it with your probe: prouiding that this be don quickly, the first daye: or soone after: for that these bones, both admit there callous glewinge, and are hardened also, by the 11. daye, vnlesse they fall to be corrupted. And as within, so without like wise, the Artists hande must be working, to restore the seuered partes to their natural placing againe. It is manifest therfore, that to the nose, cannot a fit bynding be applyed: but after stitching, some glutinatorie water or other of that kinde, or albumen oui, with a Because many delight in powders, in these & other wounds of the face, for their speedie request of healing, I wil here out of Paracelsus set down one of [...]hoyce accōpt: Rec. boli arm. veri, ℥.iij. dissoluatur in aqua aluminis.q.s. destilletur, dein alia superfundatur aqua ac denuo elā bicetur, itereturque toties, donec bolus in oleum degeneret, qui ad solem dein exiceatus, ac in pul. redactus, misc [...]atur cum thuris, ℥ [...]j. coralli rub.ʒiiij. mumiae ʒ.ij. fiatque pul. sprinkle this into the wound twise a day, and lay aloft Emplastr. Sticticum. glutinatorie pouder, as is said in the simple wound, is to be applyed: so also boulsters outwardly, but inwardly tents.

ANNOTATION.

a Because many delight in powders, in these & other wounds of the face, for their speedie request of healing, I wil here out of Paracelsus set down one of [...]hoyce accōpt: Rec. boli arm. veri, ℥.iij. dissoluatur in [Page] aqua aluminis.q.s. destilletur, dein alia superfundatur aqua ac denuo elā bicetur, itereturque toties, donec bolus in oleum degeneret, qui ad solem dein exiceatus, ac in pul. redactus, misc [...]atur cum thuris, ℥ [...]j. coralli rub.ʒiiij. mumiae ʒ.ij. fiatque pul. sprinkle this into the wound twise a day, and lay aloft Emplastr. Sticticum.

CHAP. XIX. Of woundes in the lippes.

VVOundes in the lippes require a decent stitchinge, & the applicat [...]on of thos things that ioyne & glutinate [...] as also diligent drying & astringentnes, in regard of the plentie of spettle, alwayes moystening the place. Verie profitable shal it therfore be, euer to fomēt the place with the glutinatorie water spokē of in the simple wound. Neither do these wounds admit anye ligature, otherwise then to the holding on of the medicines that are applyed. The lippes of the wound in this case, are curiously & in equal order, to be matcht, & ioyned togither, for the preseruation of comely forme, which here is diligently to be looked vnto.

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CHAP. XX. Of woundes in the eares.

STitching is likewise required in woundes of the eares, & medicines both mightily drying, astringent and glutinatiue, because the part is drie. Rowling (saith Hippochr.) of what sort soeuer, is an enimie to the eares. For as much as if it be rowled, it is to no purpose to be slacke: and if it be not slacke, it hurteth verie much: for all the eare will ake, beate, and inflame, if it bee but bound onely. And it is somtime, the best cure, to applye no Here is meant ouer curious applications of bindings, according to the saying of Hyppochrates, cited also by the author, in the Chapter of woundes in the nose. cure, not only to the eare, but to manie other places else.

ANNOTATION.

a Here is meant ouer curious applications of bindings, according to the saying of Hyppochrates, cited also by the author, in the Chapter of woundes in the nose.

CHAP. XXI. Of woundes in the necke.

[Page]FOR the knowledge of the wound, what partes are hurt by the wounde, and what was the cause of the wound, to wit, whether a thing cutting or pricking, partly by your owne sight & senses: partly by conference with the patient, or others, you are to receiue instructiō.

If a nerue in the neck be cut, there followeth some maime.Prog. A wounde pearcing to the back marrow, is mortall & incurable. And if it come not at the marrow, though it then be curable, yet is there a feare of the losse of sense and mouing of those partes, which these wounded nerues, taking their originall from that hurt part of the back, do serue. A wound that toucheth the recurrent nerues, causeth hoarcenes. A wound in the great veines & arteries is perillous. A wounde in the gullet, or in the wesand, is perillous.

For the preuenting of inflamatiōs & such other accidents,Cure. appoint in the beginning a slender diet, open a veine on the contrarie part: vse purgation, according to the nature of the abounding humors [...] & repellents, or defensiue [Page] medicins, to the parts about the wound. With the wound it selfe deale thus: if it be only in a fleshie or musculous substance, then stitching only is required with glutinatiue medicin [...]. If it be in the veines or arteries, stay the flux of bloud, either with medicins, or by application of the finger to the orifice of the veine, or a [...]terie: as it happened to a certain mā, wounded in his outer i [...]gular vein, who by the diligence of his friends, attending one after another, to hold their finger on the wound for three dayes [...] escaped safe. Or if it may be, stitch the vessel. If you intend to doe it by application of the finger, be fure so long to holde it, til the bloud in the place bee cluttered. Rowling is not conuenient in this place: for that the necke through the great vessels in it, & passage of the vital & animal spirites [...] may endure no binding or straitning. If the wounde be in the gullet or wesande, vse then also stitching & glutinatiues: holding besides in the mouth diasymphyton, diatragaganthū, diapapaue [...]is, &c. If the wound haue toucht the sinewes, after a thinne diet set, & vsing of reuulsiōs, [Page] purging medicins, & repellentes: for the auoiding of inflamation, foment the wound with ol. rosac. calenti, & vse a mitigatiue ex oui vitello & ol. rosac. til the partie be set free from paine & inflamation. Afterwards, when there is perfect matter, apply this mundificatiue Rec. mell [...]s ros [...], ℥.iiij. farinae hordei, ℥ [...]ss. terebynthinae, ʒ.iij. resinae, ʒ.ij. thuris, masticis, ana, ʒ.j. myrrhae, sarcocollae, ana, ʒ.ss. cerae ʒ.ij.ol. mastichini, & hyperici, ana, ℥.iij [...] mixe them, & make thereof a cleansing vnguent, &c. Now for the accidentes: if there grow any paine, mitigate it cū oui vitello, & rosaceo. If there come a cōuulsion,For accidents. annoynt the hinder part of the head & vertebres of the neck, cum ol. Chamomelino, anethino, lumbricorum, de terebynthina, pinguedine gallinae, & terebynthina. For it is founde out by sure experience, for the most parte, that both terebynthina it selfe, and his oyle also, aswell in these woundes, as in those of the armes, do asswage pain, and hinder conuulsion.

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CHAP. XXII. Of wounds in the shoulders.

Prog.VVOundes in the shoulders, are suspitious, in respect of the nerues, for the perishing of sense & mouing.Cure. At the first setting to of the cure, prouide for the forestalling of accidents by these meanes: open a vaine on the contrarie part, if nothing [...]et [...] or vse cupping with scarifying. Also frication and ligatures on the contarie part. Appoint a slender dyet: keepe the bellie loose, auoide all mouing of that arme, kepe the minde in quiet, &c. Further also, vse purging, according to the nature of the abounding humor: and repellent medicines to the partes about the wound. Now for the wounde it selfe, after remouing outward things if any be, come next to ioyne it againe by stitching and glutinatiue medicines: taking the stitches deepe, and [...]owing fast, lest through the waight of the arme [...] they become loosed, and so the ioyning of the wounde therby be hindred. Beware yet, lest anye nerue in stitching be pricked: foment it with the glutinatorie water set [Page] downe in the simple wound. Applye aloft the stitching, albumen oui, cum puluere restrictorio. Wet stuphes in oui candido, & [...]leo rosa [...]o, and lay them aloft. If you thinke it also necessarie, you may vse a tent, with digestiue, in the most decliued or bending part of the wounde: and conuenient firme rowling. After the thirde or fourth day from the first dressing, arme your tent with terebynthina, myrrha, & sarcocolla. Accidents (if here fal out any) must be handled as hath bene taught before.

CHAP. XXIII. Of woundes in the armes.

VVOundes in the bought of the cubite are perillous,Prog. bicause of the great veins. Woundes of the cubite are suspitious for crampes, inflamation &c. To prohibite paine and inflamation,Cure. let blod on the contrarie part, or vse opposite cuppings, ligatures & frecations. Prouide the aire temperate, set a moderate exercise vpon the lower partes: al rest to that arme: giue slender dyet, with meates of good iuyce, and easie concoction. Keepe the bellie solluble [Page] &c. Purge after the nature of the humors, and laye aboue the wounde repellent medicines of colde iuyces. To the wounde it selfe, if it runne but along the muscle, conuenient bynding sufficeth: but if it goe ouerthwart, make stitching deepe & firme, leauing a tent in the lower parte: and apply some astringent & glutinatorie powder, mixte with the white of an egge. After the fourth day, doe vpon your tent some clensing medicin. For accidents, I referre you to that is saide otherwhere.

CHAP. XXIIII. Of woundes in the brest.

Causes & [...]ignes.VVHether the cause of the wounde were some cutting matter, as a sworde, or else pricking [...] as arrowes, darts &c. by conference with the partie you shall vnderstande. But what partes be affected by the wound, you shal thus coniecture. If the brest bee pearsed, winde puffeth out by the wound, especially [Page] if the patiēt close his mouth & nosterils, which shall easilyer bee shewed, byholding before the wound either a candle burning, or combed woll. If the hart be hurt, there floweth blacke bloud, with colde of the extreme partes of the bodie, cold sweating, sownding, & the wounde in the left side, &c. The lungs being wounded, the bloude is reddish and frothie, his face pale & wanne. Vpon the hurt of the midreife ensueth great & difficult breathing, coughing with ratling and paine, alienation of mind [...] blackish spettle, thirst, loathinge of meate, rigor, & the wounde situate about the false ribbes.

Wounds of the hart, Woundes in the lunges are verie of [...]ten cured. lungs,Prog. & diaphragma are mortall. Woundes that pearce the brest from the back ward, are more daungerous than those on the forepart, by reason of the veines, arteries, nerues, gullet, rough artery, and ligamentes of the heart. Those that pearse not into the cauitie of the brest, are without daunger.

First, to forestall the impendent accidentes,Cure. endeuour by bloud letting on the contrarie syde, cuppings, [Page] frication & ligatures, or bindinge of the extreme parts. Cease the partie frō mouing See that the belly aunswere his turne, & for meate giue almonde, barley, or reason broths, & such nourishments. Let his whole dyet be cold & drye, slender, & not astringent in the beginning, for causing straitnesse of breth. His drinke sodden water. Conuenient purging likewise is to be prouided according to the nature of the humors: as cassia, mumia, Diacatho [...]n, or, syr. ros. lax. taken by the mouth. or otherwise sauftening clisters min [...]stred beneath. By these meanes (if a feuer doe come) you shall put it soon to flight. If paine get foo [...]ing, vse an epitheme ex decocto chamo. meliloti, anethi. sem. lini, faenug. rosarū, so that there be no feuer. Or this vng. Rec. vng. r [...]sumptiui, ℥.iij. vng. deal [...]heae, ℥.ij. pingued. anseris, ping gallinae, anatis ana, ℥.ss. butyri rec [...]ntis, ol. amigdal. ana, ℥j.ss. c [...]oci parum, cerae, q.s. fiat linimen [...]m [...] which may be vsed if there bee a feuer. If a cough molest, with straitne [...] of breath vse this decoction Recipe hordei mundi, P.j. Glycyrrhizae, ℥.j. 4. sem. frig. ma. ana, ℥.ss. iuiubarum, [Page]passularum, ana, par. x. penidiarum, ℥.ij. zacchari albiss.℥.iij. boyle them diligently in aqua hordei, and giue of that decoction often: at least euening and morning. If there be cluttered bloud in the brest, you shall dissolue it, by giuing rhabarbari, ʒ.j. mumiae, ℈.j. cum aequa plantaginis. Nowe, to come to the wounde it selfe: i [...] it be such as pearseth into the brest, and yet hurteth no inwarde part, nor ribbe in his entrance, neyther yet is ioyned with fluxe of bloud inwardly: in this case put into the wounde a Arcaeus counsayleth, that your tent be of that kinde, that is called flammula (which is a long peece of fine cloth, cōuayde into the wounde endwayes) for that rownd tentes (in this case) dispose [...] the wound [...] to a fistula. tent, bu [...] tyed by a threede, (least it fall in) or without a threede, so it be we [...] in oui albumine, or rowled in some glutinatorie powder, laying aloft stuphes, wet in the like: and arming the tente, the dayes following with a Or in steede of these, some vulnerarie oyle and plaster, as hath beene shewed before: and had need be noted in euerie chapter: that it must needes appeare an vnworthie dealing, that is ordinarily committed by writers, in running (euer anon) to these particulers, as though the balmes and oyles set downe in their gen [...]rall tractation of woundes, must not be brought in vse in particuler members, and partes. Nowe I request the Reader to ease me of this labour in other places. digestiue, ex terebynthina, & oleo r [...]sato. Afterwarde when well concocted matter appeareth, vse this liniment to mundifie withall Rec. mellis rosati, ℥ij. terebynthinae [...]℥.iij. succi apij, succi plantaginis, ana, ℥j. coquantur modice, poste [...] adde vi [...]ellos, numero ij. farinae hordei, farinae faenugreci, ana, q.s. fiat linimentum, or this: Rec. mellis, ℥.j. myrrhae, thuri [...][Page]sarcocollae, ana, ℥.ss. farinae hordei, farinae faenugreci, ana, q.s. fiat linimentum. Apply outwardly, Emplastrum Diachalcitidis. But if there bee fluxe of bloud inwardly, and without fracture of any ribbe, keepe open the orifice, yea inlarge the same (if it bee not wide ynough) for the vtteraunce of the bloud and conueyance in of iniections: which thinges prouided for, iniect by [...]iringe warme wine, meli [...]ra [...]um, or such a mundificatiue: Rec. hordei mundi, lentium, ana, P.ij. caudae [...]quinae, m.j. ros. rub. p.ss. boyle them in equall partes of cōmon, and plantaine water, cum modico mali pu [...]i [...]i succo, to the thirde part, putting to, when it is strayned, zaccha [...]i, ℥.ij. syr. ex infusione ros.℥.iij. croci, ℈j. another: Rs. gentianae, ℥.ss. lupin. lentium, ana, ʒ.ij. plantag. agrimoniae, ana, m.ss. thuris, myrrhae ana, ʒ.ss. m [...]i. ros. parū, boile thē in wine & make therof your iniection. When the wounde is clensed, vse then astringent medicines, as balaustia, myr [...]hus, acatia, hypocistis, mala cydonea, myrabolana, aqua rosarum, plantaginis, succus mali punici &c. Astringent As this vulnerary decoction of Schylander, appropriate to wounds of the brest: Rec. consolidae maioris, & mediae, saniculae, betonicae, ana, m [...]j ophioglossi, agrimoniae, ana, m.ss. [...]habarbari, ℥.ss. mumiae sincerae, ʒ.ij. spermatis ceti, ʒ.j. decoquantur in vino, in vase duplici bene obturato. hereof giue the patient morning and euening ℥.j.ss. This doth not onely consolidate, but dissolue cluttered bloud likewise. Else this of Iosephus Quercetanus: Rs. succi verbenae, betonicae, veronicae, ana, ℥.ij. aquae cinnamomi, li. j. macerentur, and giue a spoonefull at a time. medicines are [...]hen also [Page] to be taken by the mouth, if there be no cough, as before is monished. And if by these meanes, the bloud, or matter fallen vppon diaphragma, cannot be got out, a newe incision is then to be made, betweene the fourth and fifth ribbe, not farre from the ridge bone, & done along the ribbes. If the patient be strong, let the incision pearse into the cauitie, but if he be weake, then is the incision either not to be made at all, or else not to passe the succingent membran. If there be fracture of a ribbe, apply to it Emplastrum oxycroc [...]um, so notwithstanding, as that the place of the wounde maye remayne open, for the issue of the matter: and whilest you dresse the wounde, laye your finger on the fracture, that the ribbe goe not forth of his place: and so appoint the patient to cough [...] for the helping out of the matter. Nowe if it be no wounde pearsing into the capacitie, but only outwarde, and yet large, and wide gaping, vse stitching thereto, and cure it with mundifying and glutinatiue medicines.

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ANNOTATIONS.

a Woundes in the lunges are verie of [...]ten cured.

b Arcaeus counsayleth, that your tent be of that kinde, that is called flammula (which is a long peece of fine cloth, cōuayde into the wounde endwayes) for that rownd tentes (in this case) dispose [...] the wound [...] to a fistula.

c Or in steede of these, some vulnerarie oyle and plaster, as hath beene shewed before: and had need be noted in euerie chapter: that it must needes appeare an vnworthie dealing, that is ordinarily committed by writers, in running (euer anon) to these particulers, as though the balmes and oyles set downe in their gen [...]rall tractation of woundes, must not be brought in vse in particuler members, and partes. Nowe I request the Reader to ease me of this labour in other places.

d As this vulnerary decoction of Schylander, appropriate to wounds of the brest: Rec. consolidae maioris, & mediae, saniculae, betonicae, ana, m [...]j ophioglossi, agrimoniae, ana, m.ss. [...]habarbari, ℥.ss. mumiae sincerae, ʒ.ij.[Page]spermatis ceti, ʒ.j. decoquantur in vino, in vase duplici bene obturato. hereof giue the patient morning and euening ℥.j.ss. This doth not onely consolidate, but dissolue cluttered bloud likewise. Else this of Iosephus Quercetanus: Rs. succi verbenae, betonicae, veronicae, ana, ℥.ij. aquae cinnamomi, li. j. macerentur, and giue a spoonefull at a time.

CHAP. XXV. Of woundes in the bellie.

VVITH what wepon this wounde was inflicted,Causes & signes. you may learne of the patient or others. What part is thereby affected, you shall knowe by these notes: if the bellie be p [...]arsed thorough, with your probe searching, you shall perceiue it, or by falling out of the guttes, kell, or such other. If the kell be hurt, it yeeldeth way through his substance and is full of bloud. Also it is blacke in colour or swartish. If the small guts be hurt, there is vtterance of the extrementes, [Page] and the wounde is aboue the nauell. If the great guttes, the wound is beneath the nauell, with vtterance of excrementes. If the stomach bee hurte, Chylus goeth foorth, and the wounde is in the fore part. If the liuer: fluxe of bloud, the wounde beeing on the right side. If the splene: issue of feculent matter, and the wounde on the left side. If the kidneis: effusion of watrish bloud, the wounde being in the region of the kidneis [...] If the bleddar be pearsed, there is issue of vrine that waye, and the wounde is about pecten. If the matrice be hurt, there is fluxe of bloud, and the wounde is vnder the nauell.

The great guttes are easier healed, the smaller sort more hardly,Prog. and the hungrie gutte is not curable. The stomach, liuer, &c. are scarce to be cured. Vnlesse there be speede vsed in the putting in of the intrels, they become inflate with winde, through coldenesse of the ayre, and so are harde to be reduced. So also, vnlesse the kell bee speedily preuented, for issuing out, it is verie soone altered and corrupted. Woundes & stitchings [Page] about the middest of the belly are more difficult and daungerous then those about the sides.

The impendent accidents [...] as inflammation and paine,Cure [...] must be preuented by bloud letting reuulsiue. opposite cuppinges, frications and ligatures. As also by thinne and slender dyet. If paine doe come, it is to be mitigated as in other places is sayde. Also for a tumor, or bubo, here happening, you are to finde addresse in his proper place. If there bee tormentes in the guttes through their wounding, foment the bellie with wine, wherein hath boyled semen anisi, & faeniculi, with other thinges that discusse windinesse, and chamomilla, and melilo [...]um, with other mitigatiues. Nowe if the wounde pearse the kell, it must be vnited and restored to his place. If it hange out of the wounde, tie it with a threede, and so cutte off that which hangeth out, and after cauterize it euen to the ligature, and then put it in: but so as the threede may yet hange foorth at the wound: which, at the fall of the escar, may afterwarde be pulled foorth therewith. Some vse [Page] no cauterie, because that which corrupteth, will in processe of time come fitly away with the threede. The kell being restored to his place, the outer lippes of the wounde are to be vnited and stitched, so as the stitch on one side be higher, on the other side lower. The manner of this stitche (in fewe wordes here passed ouer) I will plainelyer deliuer out of approoued practises. Take your first stitch through mirach and peritonaeum, on the other side pearse mirach onely, so make your knotte. The seconde stitch beginne on the same side, but through mirach onely: and ouer against it, pearce both mirach and peritonaeum and knitte the endes togeather. Your thirde stitche (if you neede moe) make like the first, and your fourth like the seconde, &c. t [...]ll you haue sufficient for your purpose. If a gutte be penetrated and also hange out, first wash it with wine, wherein absynthium, chamomilla, melilotum, anethum, and rosae are boyled. so after stitch it with a skinners seame, letting both the threedes hang out at the wounde, that when that breach is healed they may be taken away. The gutte so stitched, sprinkle it with masticke, or other astringent and glutinatorie powder. Sometime the gutte is not hurte, but hangeth out, and straightwaye swelleth, with wynde growing in it, so as it cannot be put againe into the bellie: then shall you first foment the same with wine, wher in hath sodden anisum, saeniculum, cuminum, cum melle. else deuide a whelp, doue, or henne in the middest, and sprinkle it with some powder dissoluing winde, and so applye it to the swelled gutte. Bu [...] if the windinesse [Page] cannot so be discussed, nor the gutte restored to his place, the wound then is to be enlarged, with a blunt pointed instrument, (for the better securitie of the guttes) and so the same gutte restored to his place. Which done, the lippes of the wounde are to be vnited and stitcht togeather as is saide afore. Let the patientes dye [...] be spare, and such as may be drying, astringent and glutinatiue: such as are astringent brothes, or A wound drinke in these cases, is verie conuenient. As either the first of those, in the anno [...]ations of the chap. aforegoing, or this of Quercetanus: Rec: boli armeni, ℥.ss. consolidae ma. & mi. ana, m.j. galangae, ʒ.ij. macerentur in balneo cum vini q.s. giue thereof a sponefull morning and euening. If any [...] principall part be hurt, there may be more speciall regarde hadde thereof, by adding some other speciall matter, for the comfort of it. aqua chalybeata: in which things you shal dissolue mastix the value of ʒ.j. [...]t shall bee good to vse also clisters extergent and glutinatiue, as thus made: ex iure capi, vel intestinorum & extremitatum veruecis: wherein hath boyled hordeum chamomilla, anethum, and furfur, dissoluing also in the same broth, mel rosarum and vi [...]ellos ouorum. Else otherwise make a clister astringent and glutinatiue, ex vino austero, & ʒ.j. pulueris astrictorij, for the strengthning of the guttes, specially if the wounde be in the great guttes. Finally if the wound ha [...]e pearsed the liuer, splene, stomach, bleddar or matrice, their cure yet differeth not from those partes [Page] aforesayde, sauing that these require continuall confirmation and strengthening, because of their necessarie actiōs: which thing yet is easi [...]ier perfourmed to the stomache, then to the other partes, both by thinges taken and thinges applyed. For whatsoeuer things are taken inwardly, haue more force to worke vpon the stomach being hurt, then on the liuer, or splene, by reason of length of way, and alteration of the thinges taken.

ANNOTATIONS.

a The manner of this stitche (in fewe wordes here passed ouer) I will plainelyer deliuer out of approoued practises. Take your first stitch through mirach and peritonaeum, on the other side pearse mirach onely, so make your knotte. The seconde stitch beginne on the same side, but through mirach onely: and ouer against it, pearce both mirach and peritonaeum and knitte the endes togeather. Your thirde stitche (if you neede moe) make like the first, and your fourth like the seconde, &c. t [...]ll you haue sufficient for your purpose.

[Page] b A wound drinke in these cases, is verie conuenient. As either the first of those, in the anno [...]ations of the chap. aforegoing, or this of Quercetanus: Rec: boli armeni, ℥.ss. consolidae ma. & mi. ana, m.j. galangae, ʒ.ij. macerentur in balneo cum vini q.s. giue thereof a sponefull morning and euening. If any [...] principall part be hurt, there may be more speciall regarde hadde thereof, by adding some other speciall matter, for the comfort of it.

Supply or addition to this chap. concerning accidents.

LIke as some time it hapneth to woundes in other places, so oft times to woundes in the brest and belly, to haue hardnes of the lippes, & a fistulous dispositiō towards the closing vp. In such a case, besides your wounde drinke, haue readie this or such like oyle,Quer [...]. de part. c. 4. which mastreth all malignitie: Rs. an [...]imonij, ℥.iij. mercurij sublimati, ℥.j.ss. mellis, ℥.vj. mixtis omnibus vt ar [...]is est, destillentur per re [...]ortam vitream medi [...]ri igne. The oile that commeth forth, is most excellent, against all callous and maligne vlcers, fistules, cancer, and Gangrene.

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Supplie. CHAP. XXVI. Woundes of the priuie parts.

Prog. tr. 1. c. 17. Cure.WOundes of the gendring parts are most perillous for paine, sayth Paracelsus. The ordinarie dressinges must be, as hath beene sayde for other p [...]tes: but for their inflammation and paine, prouide a remedie ex farina fabarum, in vino & aceto c [...] ta, this warmed, applie and stil renew, till the paine remit. Or in place of farina fabacea, you may put lutum furnarium, and in like sort applie it: for that both appeaseth paine, and defendeth the part: which thing is verie requisite in these places. If the payne thus cease not, Rec. florum chamomill [...], verbasci ana, m.j. olei q.s. coquantur, & fiat cataplasma. Which apply likewise warme. If this serue not, the last remedie, and shoote anker (in this case) to flee vnto is, Ebulus in vino coctus, & cataplasma [...]i [...] mod [...] applicatus.

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CHAP. XXVII. Of woundes in the [...]gges.

WOundes in the knees and legs are much perillous:Prog because those parts haue greater interfoulding and packing of b [...]es, ligaments and si [...]ewes: and because those parts, for their inferiour position, are more subiect to the descension of humors.

Preuent the impendent accidentes by reuulsiue bloudletting,Cure. cupping, ligatures, and frications, appointing thin diet, cōmanding rest, & purging by vomit but not by stoole [...] as for the wounde it selfe, that must be ioyned, according to the order of woundes in the armes: making a repellēt ligature or rowling, to keepe the humors for flowing to the place: which is don, by beginning with one end of the rowle at lower end of the member, & continue rowling vpwarde, strict beneath, but towards the vpper part of the mē ber, by little & little, looser. Nowe if there growe any paine, or inflammation, all such are to be done away, as in their proper place is sayd a [...]ore.

THE THIRD BOOKE, ENTREATING OF Vlcers, and first, in generall. Of the differences of vlcers.

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DIfferences of vlcers are taken, from [...]heir accidentes, and from their causes. From their accidentes, to wit, quantitie and place. So in quantitie they are eyther simple, or compounde. A simple vlcer is that, whereto no other affect or simptome is ioyned. And a cō pounde is that, which is accompanied with another affect or symptome: as an vlcer with distemperature, an vlcer with paine, an vlcer with a tumor, with contusion, with proude [Page] flesh, with hardnesse and discolourednesse of lippes, with fowlnesse of the bone, with a maligne nature, called also Cacoethe, with wormes, with burninge, &c. They that differ in respect of the place, are either of the trunke of the body, or limmes. Of the trunk, and that ether perteining to the head, breast, or bellie. To the heade, are Achor, or tinea, vlcer of the eie, tearie fistula, vlcer of the nose, mouth, and eares. To the brest, such as beare the name of the brest. To the bellie, vlcers of the bellie, secrete partes, and wombe. To the limmes: vlcers of the armepittes, and armes, flanks, thighs [...] legges and feete. Vlcers differ in respect of the causes: as the humor being eyther hote or colde. Hote humor is eyther cholericke, [...]hereof commeth a virulent vlcer: or sanguin, whereof is the filthie vlcer. Agayne the cold humor is ether phlegmatike [...] whereof commeth the hollow bankt vlcer, and fistulous vlcers: or else melancholicke, and so bringes foorth a cancrous vlcer.

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CHAP. I. Of a simple vlcer.

AN vlcer is a solution of continuitie in the flesh, [...] conteining This is a thinner and vnconcocted matter. sanies and Matter concoct and laudable. pus.

[...]uses & [...]nes.The antecedent cause is either sanguine, cholericke, melancholicke, or phlegmaticke humor thither flowing: as is aboue declared in the causes of tumors. The conioynd cause is distemperature, paine, tumor, contusion and such other, stirred vp of antecedent causes. Whereof commeth the generation of matter, ether good or bad: both which, haue their notes to be knowen by: for good matter is in substaunce, meane betwixt thinne and th [...]ke: also white, light, equall and not stinking. Euill matter is thin glewie, much in quantitie, swartish, blacke, pale, stinking.

[...]og.Vlcers of the limmes are subiect [...]o inflammations and other tumors. Vlcers in the necke, or about the eares in the head, doe very cōmonly rise vp in swellings. If an vlcer eate & growe deeper, note diligently whether that [Page] come to passe through the faultinesse of the humors of that part, and malig [...]itie of the vlcer, or else through the working of the medicins. Vlcers that are hard, virulent, and waxing blacke, are euill. Colde vlcers are knowen by their whitnes and sauftnes: hote vlcers by touching, and by their red colour. Vlcers that beare the colour of the whole body, are euill. So are rownde vlcers, and those that haue bauld borders. lawdable matter is a good signe: vnlawdable, euil. Also vlcers th [...]t eyther come yearely, or be of long continuance, are harde to be healed. And those that lightly breake out againe, are apt to chaunge into a fistula.

First the humor flowing is to be euacuated,Cure. and that either frō the place whence it floweth, or whether it floweth. Let bloud therefore, if all things accordingly answere: appoint a diet as is meete for the parties temperature, and humors reig [...]ing. and so also vse your pu [...]ging, according as is expressed in the treatise of tumors Likewise reuulsiue bludletting, & boxing, liga [...]tures and frications on the contrarie side, shall dislodge the humor of his [Page] place, yea although it were drawen thither by the place it selfe. And if it be not drawen thither, but sent onely from else where, then shall you beate it backe, with applying vng. ex bolo a [...]meno, or such like, set down among the tumors. The conioynd cause, to wit, How [...]oeuer it hapned, here was some great ouersight: for neyther is this according to Wecker himselfe in other places, much lesse agreeable to trueth or good order. For the adiunctes or accidentes of anye thing, cannot be accompted with the causes of the fame: neyther was it the au [...]hors meaning, I am verely perswaded. The place may thus bee restored. The humor in the parte affected, feeding the vlcer, when the antecedent cause is cutte off, according to the order aforesayde, shall easily be managed, and [...]pent, by digestiues, and mundificatiues, & so the place soone sealed vp by incarnatiues, & cicatrizing medicins, such as are afore, & shall hereafter againe be plentifully deliuered. distemperature, paine, swelling, contusion, proude fleshe, hardnesse, defiled bone, &c. See (for these) in the curation of the symptomes, which follow. The vlcer it selfe is to be cured after the manner of hollow woundes.

ANNOTATIONS.

a This is a thinner and vnconcocted matter.

b Matter concoct and laudable.

c How [...]oeuer it hapned, here was some great ouersight: for neyther is this according to Wecker himselfe in other places, much lesse agreeable to trueth or good order. For the adiunctes or accidentes of anye thing, cannot be accompted with the causes of the fame: neyther was it the au [...]hors meaning, I am verely perswaded. The place may thus bee restored. The humor in the parte affected, feeding [Page]the vlcer, when the antecedent cause is cutte off, according to the order aforesayde, shall easily be managed, and [...]pent, by digestiues, and mundificatiues, & so the place soone sealed vp by incarnatiues, & cicatrizing medicins, such as are afore, & shall hereafter againe be plentifully deliuered.

CHAP. II. Vlcer with dist [...]mperature.

IF the distemperature be hote,Cause [...] & signes. it is knowen by heate, rednes, and releif at the applying of cold things. Contrariwise, a colde distemperature is discerned by white colour, light rednes, & receiuing help by hote things. Moyst and drie distemperatures are manifest.

First the symptomes,Cur [...]. then the vlcer is to be taken away. And to deale with the hote distēperature, it is to be con [...]idered whither it be with matter, or without matter. If it be with matter then whether it be sanguin, or cholerick: for the sanguin, vse bloudletting, slender & cooling dyet, with cooling [Page] medicines If it be cholericke, diminish the quantitie with medicin [...] purging choler, and temper the quality with cooling means. Otherwise if the distemperature be hote & yet without matter, then a simple cooling course sufficeth, both by dyet and medicins: as, vng. album, rubrum cum caphura, vng. ex pompholyge, vng. ex plumbo, cerussa and such others: also aqua rosarū, succus solani, semperuiui &c. contrariwise, a colde distemperature is to be brought to a mean, both by hote diet and medicines purging f [...]egme (if it abound) as also warming vnguents, to wit, vng. dealibeae, vng. citrinum, or a fomentation of warme wine, or lee, or the decoction of absynthium, mentha, byssopum, pulegium, calamenthum, origanum rosinarinum. Moist distemperature is to be corrected by drying dyet, and medicines, as vng. de pompholyge, de plumbo de cerussa, de gra [...]ia Dei, diachalcitidi [...]. drye distemperature is to bee altered with moystning dyet, and medicines, such as are, vng. basilieon, de pice, diachylon, dissoluing of them in oyle, and putting to ℥.j. of them, pulueris rosarum ʒ.j. also fomenting [Page] the place with warme water. The vlcer beeing thus deliuered from all distemperature, is to bee cured then, according to his case. Namely a purulent vlcer, if his matter be crude, is to be digested. If it bee not crude, but concocte, then is it to bee mundified. So also a hollowe vlcer, to be filled with fleshe, and a filled vlcer to be ioynde and brought to a cicitrice.

CHAP. III. Payne with an vlcer.

CAuses of paine in an vlcer are eyther distemperature,Causes & signes. or solution of continuitie. The distemperature is eyther hote or colde, and knowen by the singes declared in the Chapter going before.

According to which causes you shal also attempt the cure:Cure. as if the distemperature be hote, correct it with cooling thinges: first dealing with the easier sort, and after with the stronger. Simple [...] of the easier sortare, succus [Page]plantaginis, solani, semper [...]i [...]i, hyosciami, aqua rosarum, solani, hyosciami, &c. ol. rosatum, albumen oui, &c. compounde medicins of the weaker sort are, vng. album caphuratum, vng. de lithargyrio, de minio, de thutia, de plumbo, & vng. rubrum cum caphura. also albumen oui cum rosaceo. o [...] bolus armenus, terra sigilla [...]a, cum aceto & rosaceo. or Emplastrum ex malua, plantagine, furfure & rosaceo. or, Recipe vng. popul.℥.ss. olei vitellorum ouorum, ℥.j. mixe them. Stronger (if neede bee) then these, may be made, ex farina hordei, ol [...]o rosato, & nympheae vel mandragorae, boyled cum lacte, vel passo. or ex mica panis, in aqua infusa, cum ol. rosaceo, vi [...]ellis and croco: whereto also adde o [...]ij, ℈.ss. another, ex folijs papaueris albi, vel mandragorae, vel hyosciami, cum pul [...]ere chamomille. also philonium, theri [...] ca recens, oleum de ranis, oleum papaueris cum opio, succus hyosciami cum [...]acte mulieris, & opio &c. Colde distemperature is amended by bathing with warme wine, and applying vng. fuscum, basilicum, or [...]i [...]rinum. Nowe if the caus [...] of paine bee solution of continuitie, mitigate it with anodinous [Page] medicines, and that eyther applyed to the vlcer it selfe, or else to the partes rounde about the vlce [...]: to the vlcer it selfe, a medicine, consisting ex vitello oui, croco, terebynthina, ol [...] abie [...]is, and [...]saceo. To the partes about the vlcer, pinguedo gallinae, anatis, anse [...]is, suis, &c. [...]esypus, mucilag [...] semiris lini, f [...]greci, al [...]heae, maluae, oleum rosatum, violaceum, anethinum, chamomelinum, ricininum, amigdalarum dul. vulpinu [...]. or this plaster: Recipe maluae, m.j. ss. farinae sem. lini, far. hordei, far. faenugreci, ana, ℥.ss. ol. chamaemelini, liliorum, ana, ʒ.vj. olei rosati, ℥.iij. mucilaginis sem. althe [...], ℥.j.ss. vi [...]ellorum ouorum, numero ij. make thereof a cataplasme. Thus when the paine is remooued, the vlcer is to be healed by the ordinarie intentions, of filling with flesh, and cicatrizing [...]

CHAP. IIII. Vlcer with a tumor.

AS in others so in this, the accident first must be remooued and then the vlcer cured. The accident [Page] is to be dealt withal, according to the humor wherof it riseth. If the swelling therefore be of a hote humor, cōsider whether it be yet flowing, or else do [...] rest, and settle in the part affected. If it bee flowing, it requir [...]th euacuation, both from the part whence it [...]loweth (whether it be th [...] whole bodye, or some part) which is done by bludlerting, thinne & cooling diet, with purging medicines: as also from the part, whither it floweth: which is to bee wayed in two respectes [...] for eyther it floweth to that part, as being drawen of the part [...] or els, as sent thither only. If it were thitherto drawen, it must b [...] drawen back again [...] by bloudletting, cupping fricatiōs & ligatures, al done on the cōtrary side. But if it were sen [...] thither, then vse bea [...]ers backe, applying namely [...] [...] boyled in vino austero, or stamped: or, malum cotoneū acerbum, boyled cū puluere myrthi. or els a medicine made ex lentibus coctis, & mixe thē cum puluere malicorij, rosarū, & terebin. Wherunto if you shal adde sarinam fabarum, hord [...]i, [...]ritic [...], & chamomillam, you shall [...]ot only make the medicine more gentle, but in the [Page] augmentation of the Tumor, more profitable also. If the humor be al resting in the part affected, it is to bee discussed with a cataplasme, ex decoct. maluae, absynthij, in vino dulci, cum farina [...]em, lini, fae [...]ugraedi, & furfu [...]e. or els, [...] farinae tritici, oleo com [...]ni, & croc [...]. These sodden in water to the fourme of a pult [...]is. If the humor whereof this tumor r [...]seth be colde, discusse it, with this plaster: Rec. mum [...] ̄ae [...]d cr [...]ssi [...]iem in vino coctae [...] ℥ [...]j. aesypi, ℥.ij. farinae [...] ℥ [...]ss [...] boyle them & [...]ake them a cataplasme. The tumo [...] thus done awaie, proceede to digest [...] [...]difye, incarne, and consolidate the vlcer.

CHAP. V. Vlcer with contusion.

A Contu [...]ed vlcer needeth medicines moysthing [...] engendring good matter. as a pulteis ex farina tritici, ole [...], & aq [...]a sodde togither: or, ex tritico aqu [...] calida [...] diu macer [...]to & cocto: else, ex radice alth [...] & c [...]ricis [...]imul [...]oc [...]is, cum farina triticea ad mellis cra [...]sit [...]em. For further addre [...]e resort to the curation of a contused wound.

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CHAP. VI. Vlcer with prowd flesh.

PRowd flesh is to bee abated, either by manuall operation, or medicines. By manuall operation, as by the incision knife, cauterie, hote scissors, &c. The medicines must bee corrosiue: whereof you haue store, both gentler, and stronger. The easier are also of two sortes, differing in the more, and lesse: as the more gentle are these: alumen [...] stum, cum bolo: hermodactyli cum tartaro, nuclei dactylorum combusti, aqua vitae cum sulphure, vnguentum apostolorum, semen vrticae, squammae aeris, serpentaria, ae [...], vstum, radix asphod [...]li, cinis erynacei. Lesse gentle are these: to wit, p [...]luis mercurij, vnguentum AEgiptiacum, vnguentum apostolorum cum aerugine rasili. Of the stronger sort, you haue both simple and compound medicines: simple, as Calx viua, chalciti [...], chalcanthum vstum. sublimatum hydrargyrum. Compoundes are thus prouided: Recipe hydrargiri sublimati. [Page]ʒ.ij. aluminis cr [...]di, ʒ.v. aqua ros. vel plantaginis, ℥.vi. boyle them to the wasting of the fourth parte. Another: Recipe salis nitri, vitrioli romani, aluminis, ana, ℥.ss. hydrargyri sublimati ʒ.ss. aquae plantag.℥.vi. aceti, ℥.ij. boyle them as is saide before. Note, that when you minister these stronger medicines, you applye about the vlcer, vnguentum de bolo armeno. The prowde fleshe thus abated, the vlcer must be cicatrized.

CHAP. VII. Vlcer with discolourednesse and hardnesse of the lippes.

IF the hardnesse of the lippes be [...] not greate, seeke to sauften, and resolue the same with mollifyinge medicines: as pinguedo anseris, gallinae, anatis, leonis, vrsi, vi [...]uli, bouis, &c. oleum liliorum, amigdal [...]rum dulcium, oleum lumbricorum, ol [...]um vulpinum, &c. Oesypus, mucilago altheae, sem. lini, faenugraeci, vnguentum basilicon, Diachilon, Emplastrum de mucilaginibus. [Page] But if the hardnes be great, it requ [...] reth incision, or cauterie, or else corrosiue medicines: as, puluis mercurij, sprinkled on the lippes of the vlcer, when they are scarified. Or a powder thus prepared: Rec. lythargi [...]ij, lapidis h [...]matitis, vitrioli romani, an [...].ʒij. hydrargyrij sublimati, ʒ.ij.ss. mixe them.

CHAP. VIII. Vlcer with the bone defyled.

Causes & signes.THE bone first appeareth fattie, then after blacke, or rotten, and commeth by fowle vlcers, or fistulaes: and those either cancrous, or of long continuance.

For the preuenting of paine & inflammation,Cure. prouide first by bloudletting, dyet and purging medicines, done accordinge to the nature of the humor. Then if the fowlnes bee not large, nor deepe, take it of, either by skaling instruments, (rowme being made to it, in the flesh) vntill that bloud do followe, (which thing is verie good in vlcers of the head & spine [Page] bone.) Afterward applye thereto this medicine: Rec. rad. aristolochiae rotundae, rad. ireos, & peu [...]edani, cort. panacis, cortic. pini, cort. thuris aloes, ana, ʒ.ij. fiat puluis tenuis, qui melle, vel vnguento AEgyptiaco expiciatur. If it be largely defiled,Calmet. li. 3. cap. 8. nothing is more profitable then the hote yron: prouiding (specially, if it be deepe defiled) that after the applying of the hote yron, you bore the bone in manye places till the bloud followe, applying in those holes also the hote yron, to drye the bone: or els filling them with aqua fortis: so, by [...]his meanes, the bone shall drye, and [...]y little and little cast his skale: na [...]ure (in the meane time) getting flesh [...]nderneath, for the preseruing of the [...]ound bone, from the corruption of [...]he ayre. so shall the skale fall of af [...]er, and litle or no moysture follow. Your medicine the first iij [...] d [...]ies, after [...]he application of the cauterie, for [...]he loosing of the skale shalbe, rosaceū [...]lens cum oui alb [...]mine: and other iij. [...]ayes following a digestiue ex [...]oui vi [...]ello & rosaceo, Cal. loc. cit. then after that, but rū [...]m melle. If the defiled bone lye so [...]eepe, that you cannot come at it [Page] with instrumentes, then make iniection with this water: Rec. radicum aristolochiae vtriusque, iridis, ana, ℥.j.ss. centaurij minoris, ℥.j.ss. agarici, ʒ.iij. symphiti, m.j. hyperici, pedis columbini, ana, m.j. herbae Roberti, m.j. cort. pini, ℥.ij. ros. rub. p.ss. anthos, p.ss. mellis ros.℥.iij. irrorentur omnia vino albo, & d [...]stillen [...]ur [...]lembico plumbeo. With this make iniection twise a daye. The rest of the time of the cure, touch the bone defiled with this water following: Rec. aquae vitae ter destillatae, aquae rosarum, ana, ℥.iij. sublimati, ʒ.j. coquantur lent [...] igne, vsque ad sublimati dissolutionem, & keepe it in a glasse. After the vse of which water, it shalbee profitable to minister this powder: Rec. aristoloch. rotund. cort. pini, ana, ʒiij. radi [...]. peucedani, & arundinis, ana, ʒ.ij. agarici, tartari, ana, ʒ.j.ss. euphorbij, ʒ.j. fiat puluis. With this powder sprinckle the putrified bone: or mixe it cū melle [...] or, vnguento regis & mell [...], or vnguento AEgiptiaco: and therewith annoynt the putrified bone, after the vse of the former water: laying aloft Emplastrū diachalciteos, or diuinum, or this following: Rec. cortic. o [...]orum, ossium humanorum,[Page]& panni combustorum, ana, ʒij. rad. peucedani, pulu. lumbricorum, ana, ℥.ss. emplastri de gratia dei, diachylonis, picis naualis, ana, ʒ.ij. fiat Emplastrum: which is so excellent in takinge off the skale, in mundifying, & also getting of flesh, that Calmeteus testifieth, he neuer fayled in the vse of it. Finally, note in the application of your hote yron,These notes being necessari, I haue added out of the same author, vvhence the rest vvere taken. that you wisely measure the greatnes of the heate of it to bee but aunswerable to the greatnesse of the corruption of the bone. Also if the bone bee putrified to the mar [...]owe, cut off the whole bone: vnlesse it bee in the spine, or ridge bone of the backe. In whiche, the best that can bee done, is a palliate cure.

CHAP. IX. Maligne vlcers, called Cacoethe.

THE causes of this maligne,Causes & signes. and hardlye cicatrized vlce [...], are of two sortes: antecedent, and continent. [Page] The antecedent, are abundance, either of good iuyce, or euill iuyce in the bodie, or else some faulte in the liuer or splene: all which are to bee coniectured, by the proper notes & signes. The continent causes are Varix in deede is a cause continent, the rest are accidents. distemperature, hardnes of the lippes, varicous or swelled veines, &c. The signes of this vnrulie vlcer (called also [...] Chironium) are, callous and swelling lips, thinne matter, ill sauour, no inflamation, small paine, neither creepeth it [...] but sometime dryeth vp, and eftsones breaketh out againe, and is most resident in the feete or legges.

Prog.The easinesse, or difficultie of the cure of these kinde of vlcers, is coniecturable, according to the likelihood of takinge awaye the causes antecedent, or continent [...] which needes must be remoued, before the cure can bee accomplished.

And because fulnesse, that is a maintainer of this vlcer,Cure. is twofolde, to wit, of good iuyce, or bad: we must aduise (if wee suppose fulnesse, or abundance to be in fault) whether the bodie abound with good, or euil humors: & so accordingly deale for the [Page] diminishing of them. If the bodie abound with good iuyce, it must bee diminished both in the whole, by bloudletting, and spare dyet, as also in the parte whether it floweth: either drawn, or sent. If it come to the place by attraction and drawing of the part it selfe, make reuulsion, by bloud letting, cupping, frication, and ligatures, all done on the contrarie part. Otherwise, if the humor come not to the parte by attraction, but is receiued onely, as a thing sent thereunto: then vse your meanes, both to beate backe that which commeth, and so discusse that which is there alreadie: as shall be saide in the processe of the cure. If the antecedent cause be euil iuyce, wherewith the bodie aboundeth [...] institute a dyet of such meates as are of good iuyce, and so maye engender good humors, and bee an enimie to that humor that nourisheth the vlcer. Let his drinke be Guaiacum water, & vse purging medicines, according to the nature of the aboūding humors. [...]isseasednes of the liuer, splene, or [...]tomach, giuing occasion to this vlcer, must first be taken away, & then [Page] goe to the cure of the vlcer. The like is to be saide of the continent causes: to wit,Varix in deede is a cause continent, the rest are accidents. distemperature & wea [...]es o [...] the parte, hardnesse of the lipp [...], and swelled veines, the two first w [...]ereof haue bene spoken of, and the [...]irde I finde not where Wecker hath the cure of Varix hereafter. I haue supplyed it in the latter ende of the first booke. shalbe taught in his place. Concerning locall medicines, bot [...] [...]o [...] that which resorteth, and to [...] that, that is alreadie resident in the place, you haue these simple [...], as a storehouse to resort to: to wit, terra lemnia, cadmia, chalcitis vsta, & lota, & cum [...]ceto trita. aristol [...]chia, cortex rad. capparis. malicorium, vitrum combustum, cortices radic. paracis, sarcocolla, testae piscium vstae, antimoniū, Diphryges, plumbum vstum, & lotū, squamma aeris squā ma ferri, scoria plumbi, aerugo rasilis, vsta & lota, aluminis omne genus &c. It shal be best, at the first, to vse the powder of Mercurie [...] & after it this water: Rec. succi agrimoniae, succi solani, succi pla [...] taginis, ana, li.ss. vini albi, ℥.ii [...]j. aluminis crudi, ℥.iij.ss. auripigmenti.℈.ss. albuminum ouorum, numero vi. mix them togither, & destil them, and therewi [...] wash & foment the vlcer twise a daye [...] after dresse it with one of these vnguents: [Page] Rec. olei rosati, ℥.vi. cerussae, ℥.iij. lithargirij auri [...] lapidis calaminaris, ana, ℥.j.ss. [...]hutiae praeparatae, boli armeni, ana, ℥.j. c [...]phurae dissolutae in aqua rosarū, ʒ.ij. ol. de papauere, ℥.ij. cerae albae, q.s. fiat vnguentum. Another: Rec. ol. rosa [...] & myrthini, ana.℥.ij.ss. suc. solani, plan [...]ag. & semper viui, ana, ℥.j.ss. seui hircini & vitulini, ana, ℥.ij. pingued. suillae, ℥.iij. aluminis crudi, calcis tertio extinctae, & lotae, ana, ʒ.vi. malicorij, balaustiae, myrabolanorum citrinorum, ana, ʒvij. aeruginis rasilis, ʒ.v. scoriae fer [...]i, ʒ.x. sarcocollae, ʒ.ij. al beaten and mixt togither, infuse [...]hem a whole day, then boyle them a little togither, and put to lithargirij vtriusque, ana, ʒ.x. cerussae, ʒ.vi. plumbi vsti, ʒ.v. antimonij, ℥.j. caphurae, ℈.j. cerae. q.s. stirre them togither in a marble morter. Hereto also may be added argenti viui, ℥.j. A plaster also for your vse, you may thu [...] compound: Recipe diphrygis, ℥.j. ʒ.vi. argenti spumae [...] ℥.v. cerae, ℥.vi.ʒ.v. olei myrthini, ℥.x. fiat e [...]pl. This plaster deuised by A [...]dromachus, is commended for those vlcers, that (though they be hard to cicatrice) yet are not come to a malignant qualitie. [Page] Note this in the choyce, and composing of your medicines, for this purpose: that according to the habite & disposition of the bodie, in finenesse, or hardnes, and as the vlcer is in great or lesse malignitie: so are you also, in the more or lesse to weaken or intend the force of your medicines.

ANNOTATION.

a Varix in deede is a cause continent, the rest are accidents.

b I finde not where Wecker hath the cure of Varix hereafter. I haue supplyed it in the latter ende of the first booke.

CHAP. X. Of the wormie vlcer.

Cure.TO prohibite the generation of wormes in vlcers, it is necessarie that you take away the humiditie, & putrifaction wherof they are engendred. But the wormes shall you [...]lea with the iuyces or decoction of absynthium, eupatorium, centaurium, marrubium, and other like [Page] bitter simples. The same doeth succus foliorum & florum persici, & the leaues also themselues, being stampt & laide to: or, Rec. ol. de absynthio, ℥ij. succi absynthij, ℥.vj. pul. cumini, dictamni, aloes, ana, ℥.ij. cerae, q.s. boyle them to the fourme of a plaster: which then you may vse, to any parte, where wormes are: millefolium also is commended, for the killing of wormes, both in beastes and in men: whereof ʒ.j. may be giuen in wine to children [...] for the wormes of the bellie, and greater quantitie to elder persons. Iniections of the same, maye bee vsed against wormes in the eares.

CHAP. XI. Of burning.

IT shalbe good immediatly after the burning, to holde the place by little and little, nere the fire,Cure. that so one heate drawinge foorth another: you may keepe it from blisteringe. Let the patient keepe a slender dyet. Apply cooling medicines: as aqua rosarum [...] sol [...] or, [...]ndiuiae, cum oui albumine[Page]diu agitata, addito aceto pauco: or, Rec. butyrirecentis, vel olei saepe loti, ℥.iij. vnguenti populeonis, ℥.j.ss. ouorum n.ij. misce fiat linimentum. Or make an vnguent ex vnguento albo, & rubro, mixt cum caphura, albumine oui, & aqua rosarum. Or, Rec. olei nucum cocti, ℥.ij. cerae, ℥.ss. agitentur simul. Or this: Recipe vnguenti albi cum caphura, vng. populeonis, ana, ℥.ij. mucilag. sem. cotoneorum in aqua rosarum extractae, ℥.j.ss. fiat vnguentum. Another: Rec. chalcis lotae, ℥.j. cerae albae, ℥.j.ss. olei rosarum, ℥iiij. stercoris columbini vsti, ʒ.ij. aquae rosarum, ℥.j. albuminum ouorum, numer [...] j. mixe them. But if the burninge come to vlceration, and the same vlcer become filthie or hollowe, clense it with Or, butyrum recens & lotum, mixt cum Emplastro Stictico, to the fourme of an vnguent. this mundificatiue vnguent: Recipe ter ebynthinae lotae in decocto hordei, ℥.ij. syr. ros.℥iij. myrrhae, aloes, ana, ʒ.j farinae hordei. q.s. ad [...]rassitiem. & replenish it with flesh with this vnguent: Recipe ol. rosati, ℥.viij. olei ouorum, ℥.ij. vitri albiss. [...]enuissime triti, ℥.j. cortic mediae sambuci, manipulum, j. cerae albae, ℥.j.ss. coquantur simul [...] & fiat vnguentura. When the fleshe is equall, and nothinge but cicatrice [Page] wanteth, applye this vnguent: Recipe diachiloni [...] communis, ℥.ij. vnguenti populeonis, ol. rosati, ana, ℥.iij. mucilag. sem. cotoneorum in aqua rosacea extractae, ℥.iiij. vitellorum ouorum, numero ij. fiat vnguentum. The cicatrice beeing made, it shall bee good to annoynt the place eue [...]ie daye with ol. de vitellis, ouorum.

ANNOTATION.

a Or, butyrum recens & lotum, mixt cum Emplastro Stictico, to the fourme of an vnguent.

Supplie. For some perticuler burnings.

FOR burning with gonnepowder:Parac. tr. 3. c. 6. Burning vvith gunpovvder. Recipe butyri, li.j. olei nucum, seui ceruini, ana, li.ss. medullae tauri, ℥.iij. liquefacta ac fer [...]ida infundantur in aquam nympheae, [...]er quaterue, agitentur probe, & fiat vnguentum.

[Page]In applying, renue this still, as it waxeth hote in the place, vntill all paine be banished: then cure it as a simple wounde.Accident. For cornes of powder sticking in the face, apply this liniment. After you haue (with needle or some such instrument) pickt foorth as manye as you maye: Butyrum, liquefactum in aquam ex ranarum semine extractam inijce, Quercetanus. aut in aquam gammarorum, id decies aut saepius repetendo, donec butyrum lactis instar albescat. eius ita praeparati, ℥.iij. misce cum ℥.j. olei luteorum ouorum & fiat linimentum: which is likewise excellent to get out the fire in a burning.

Parac. ib. c. 7.It happeneth to some that prepare mettals and minerals, to bee burnte of them in their preparation: and their burning bringeth daungerous accidentes, because of the impression of their venome: as the burning of Vitrioll, alome, salte, brasse, &c.Burning by metals and minerals. cause (if they bee not rightlye cured) Cacoethicall vlcers, yea, sometime bastarde leprosie. Therefore, to drawe out the fire, and roote out the venome of these, and other metals: Recipe adipis suillae, id est, lardi, [Page]quantū sufficiat liquefiat ac incalescat, while it is verie hoate, powre it out in aquam solani, stirre it then to the consistence of an vnguent, and therwith annoynt the place.

Against the skalding of minerall waters (if any such chaunce:By mineral vvaters.) Recipe olei nucum li. ss. ceui ceruini, li. j. butyri praeparati, li. j. ss, fiat vnguentum. Or vse the oyntment agaynste gonnepowder burning, aforesayde. If these burninges bee so deepe, that there needeth restauration of substance, after the fire and venome are extinguished, then doe as is noted in the former Chapter.

If a man bee burnt of Mercurie, Burning by Mercurie. foment the place affected with linnen cloathes wet in milke, and applyed as hoate as maye bee suffered twentie times, or more: euer renewinge them as they waxe colde: after that, with butter ofte heated, and powred into colde water, and laboured to a moste white vnguente, dresse the place, to draw out the fire. Last of all, heale it as other playne woundes.

Paine of the teeth,Accidents. and tremblinge [Page] of the handes, particuler accidentes of this burninge, maye thus bee remedied. Washe the handes in aqua vitae, and gargle with aqua lauendulae: abstaininge in the meane time, to come neere anie Mercurie.

There is yet the burning by lightening,Burning by lightening. though rare, yet necessarie to be cared for. The intention of drawing foorth the fire,Parac. ib. ca. 9. hath not heere the firste place, as in other burninges, but firste must here bee a vehement cooling medicine, to quench the fire, which else ceasseth not to burne: like as sometime a man shall see the same by gonnepowder. Recipe spermatis ranarum, succi sedi, astacorum fluuialium, ana, partes aequales, myrrhae, vitrioli, ana modicum, mixe them, and applye them to the affected member, till the heate be gone: after which, effect the cure with vnguentes praescribed for other burninges. And this course sufficeth, if the parte bee not exceedingly fyred: Otherwise, like as wood beeinge brought either to ashes, or coales by the fire,Accident. cannot bee returned to wood againe, euen so, whatsoeuer [Page] is here burned, beyonde the hope of recouerie, requireth (Moreouer,) a medicine, for the separatinge of the same from the sounde. After your extinguisher (therefore) let this bee your distinguisher (as you may call them:) Recipe colophoniae, li. j. picis communis, l [...]. ss. cerae.℥.iij. olei & terebynthinae, quantum sufficiat malaxetur, & fiat Emplastrum. Applye this plaster, till the dead bee deuided from the liuing flesh. Lastly, finish the healing with your sticticum plaster.

Supplie. CHAP. XII. Skabbes, itch, skurffinesse, Tetters, and leprosie.

SKabbednesse is a light vlceration of the skinne,Def. ex Feru. li. 7. ca. 5. with itching and (sometimes) creeping frettines.Causes & signes. It followeth some moyst pustule going before, (whether it wer pale, swartish or blacke) which being broken, leaueth a moiste vlceration in the skinne, wherupon ensueth the skabbe: meane time, there is itching, [Page] rednesse, heate, paine, and such other accidents, moe or fewer, accordinge to the humor whereof it hath his feeding: which, be it cholericke, flegmatike, or melancholike, you shall knowe by the condition of the affect: painfull, moyste, or drye: by the patients temperament, and other artificiall indications of his course of life, yeare time, &c. so often beaten ouer before, as I should doe the Reader wrong to repeate them nowe againe.

Impetigo. Impetigo, which we english a Tetter is a harde and drye roughnesse of the skinne, with great itching This riseth by iiij. staires vnto the height, which 1 is the leprosie. First [...] it is a simple one, the skinne, red, hard, and rough, with vehement itchinge. It commeth of Choler, or thinne flegme, but salt and 2 putrified. The [...]econde is the true Impetig [...], which riseth with greter rough pustules, fretteth fiercelier, and gaddeth more abroad. This commeth often of Herpes miliaris, or exedens, in their cure neglected. The mater hereof is hotter choler, or thicker salte flegme. In the thirde degree is Psora, [...]sora. [Page] which I call skurffines, wherein the skinne is thicker, dryer, harder, more swelled and rough, with creeping pustules [...] which doe eate, and cause it to chappe all abroade, casting of blacke and brannie skales. This ariseth of blacke choler, (wee commonly also call it melancholie) put out into the skinne, and whereout it can hardlye be scattered. Lepra is the last,Leprosie. & worthelie worst of all. This eateth vehemently, and feedeth & clifteth deepe: wherehence not onely branne, but skales sometime pale, sometime blackish doe shead. It groweth of blacke choler, wherewith some thicke, and tough salt flegme is mixed. This last is accompted vncurable.Prog. The nexte afore it verie hardly curable.

The inwarde meanes vsed,Cure. and Phisicall partes first perfourmed, according as for euerie humor, and other considerations, you haue oft before receiued instruction: come to your locall remedies: wisely in them obseruing, to encrease the force of your midicines, according to the validitie of the disease, and strength of the patients bodie. Which rule wel marked, [Page] choose medicines here for your purpose. For the skabbes:For skabs. Rec. succi chelidoniae, fumi terrae, boraginis, scabiosae, lapacij acuti, ana, ℥.iij cum faece ace [...]i, & axungia veteri misceantur. This cureth any sk [...]bbe, that is not of the pocks. Or,Scylander. Rec. butyri recentis, ℥.j. axungiae ℥.ss. lithargi [...]j cerusae, ana, ʒ.j. zinzibris, ʒ.j.ss. sulphuris, ʒ.ss. hellebori nigri pulu.ʒ.iij. ace [...]i, ℥.j.ss. misceantur, & coquantur in vnguentum. Botallus. Or, make an vnguent ex butyro, sulphure viuo, & aqua sublimati: else, Rec. olei iuniperini, ℥iij. olei lucernarum, nucū ana [...] ℥.ij. tartari albi, ℥.j.ss. vitrioli, salis, ana, ʒ.iij. li [...]hargirij auri [...] ℥.iiij. succi plantaginis, limonum, ana, ℥.iij. aceti squilli [...]ici, ℥.j. misce. Bathes likewise maye you contriue, to enforce your vnguents further in working. As for example: Rec. rad. enulae, lapatij acuti, ana, li. j. parieta [...]iae saponariae, ana, m.ij. florum authos, chamomillae, ana, P.j. fiat decoct. [...]pro balneo, cui adde [...] salis li iiij. Rec. maluarum, lapatij acuti, plantag. argentinae, saluiae, faeniculi, ana, m.iij. aluminis rupei, ℥.v. sulphuris flaui pul.℥.iiij. furfuris tritici, m.iij. fiat decoctio. For Impetigo, For Impe [...]igo. make a decoction ex radic, oxylapa [...]hi rub. cum[Page]gummi arab. modico, in vino albo: therewith euerie morninge foment th [...] place warme, and let it drye in. Also oleum genistae, Iuniperi, or Guaiaci, doeth banish all Tetters. Against Psora and lepra, as the former localles are much auayling, so yet I wish not too farre relying vppon them: for in trueth, on Phisical meanes their greatest cure dependeth.

CHAP. XIII. Of vlcers and skalles in the head, called Achores, or Tinea, and Fauus.

AChores, called of others Tinea, Def. are issuing vlcers in the head, perforated with many holes. But faui are large holed vlcers, yelding humor thicke like honie, so lying, as in the holes of the honie combe.

Nitrous and salt flegme, euill dyet of sharpe iuyced meates, rawnes, surfeting,Causes & [...] signes. &c. doe occasion it. Tinea appeateth with itching, vlcers and matter, crustie skabbes and skales in the head, stinking sauour, &c.

[Page] Prog.This dissease, though it bee newe, yet is cured with difficultie, but if it bee olde, either neuer, or verie hardly.

[...]re.To take awaye the cause, which is a salte and nitrous humor, if the bodie abounde with bloud, and the parties age not repugnant, let bloud, or applye cupping glasses with scarification in the hinder pa [...]te of the head: ordeine a slender dyet, cooling and engendring good bloud: as to vse moderate exercise, meane chaffing of the legges, let the bellie bee solluble, either naturally, or else so kept with clisters. For his meate, the flesh of hennes, chickens, capons, weather, veale, peacockes, &c. His drinke, either decoction of Cinamon [...] or white Wine delayed. Abstayning from anger, surfeting, salte, sharpe, thicke and glutinous meates. Prepare and concoct the humor with Oxymel simplex, oxymel scillinum, syr. acetosus, oxysaccharum, &c. Then come to your purging: which must both bee generall and particular: [...]urge the whole bodie with cas [...]ia, di [...]ca [...]holicum, confectio ham [...]ch, Elect. de[Page]succo rosarum, pill. agregatiue, pil. sine quibus &c. then perticulerly, as by the mouth and nasterls, accordingly as is taught in alopecia. Well aduising to doe all these, (both concerning the strength of the medicines, and their repetition) according to the age, and strength of the partie: more, or lesse: or not at all. The cause beeing thus prouided for, minister to the place medicins, such as may clense, discusse, and represse: as oleum rosarum, ol. de serpentibus, ol. myrthinum, ol. de frumento, ol. citoneorum, ol. d [...] nucleis per [...]ico [...]um, ol. e salicibus, ol. amigdal. amar. ol. Iuniperinum, ol. fraxininum: acetum, lixiuium, vrina, muria: succus rubi, plantaginis, fumariae, boraginis, scabiosae, parietariae, anagallidis: suc. enulae, ireos, aristolochie, sambuci, ebuli, absynthij, marrubij cucumeris agrestis, cen [...]aurij minori [...], &c. axungia vrsi, talpae, lupi, anseris, cuniculi, &c. sulphur, cinnabrium, sal torrefactum, alumen, arseni [...]um, aerugo spuma argeni [...], Chimolia terra, pompholyx, myrrha, aca [...]ia, thu [...], malicorium, cortex pini, bacrae lauri, & folia, fol. myrthi, farina lupinorum, farina lol [...]acea len [...]ium, faenum [...] graecum, adiantum, rosae, fol.[Page] [...]utae, &c. Of whiche thinges, you may prouide you great copie (also) of compounde medicines, as the [...]e vnguentes following: Recipe succi boraginis, succi scabiosae, succi lapatij acuti, succi ire [...]s, ana, ℥.ij. faecis olei veteris, ℥.iij. aceti, q.s. bulian [...] simul omnia deinde subducto igne, mis [...] pulueris elle bori albi, & nigri, sulphuris viui, lithargirij auri, auripigmenti, cinabrij, calcis viuae, albuminis oui, gallarum, aeruginis, fuliginis, pici [...], cineris [...] faece vini vsta, ana, ʒ.ij. fiat linimentum. and therewith anoynt the head being shaued. another: Rs. lithargirij, cerussae, cadmiae, fuliginis, gallarum, ana, ʒ.j. faecis olei, vini, aceti, cerae, ana, q.s. misce fiat vnguentum. Another: Recipe vnguent. pompholygos, ℥.ij. olei myrthini, ℥.j.ss. chimoliae, dram;.iij. misce. or, Recipe olei nucum, olei iuniperini, ana, ℥.ij. olei lucernarum, ℥.j. nucum vstarum cum testis, ℥.vj. myrrhae, floris aeris, ana, ℥.j. fuliginis furni ℥.j. lithargirij, ℥.ss. argenti viui, ℥.ij. misce fiat linimentum. or, Recipe vng. li [...]hargirij, vng. pompholygos, ana, ℥.j. pulueris rosarum, myrthi, acatiae, ana, ʒ.j. aceti,[Page]olei myrthi [...]i, ana, q.s. misc [...] Pro linimento. Another, Recipe spumae argenti, thuris, ana, ʒ.iij. sulphuris, ʒ.ij. aceti, ℥.vj. olei resa [...]i, ℥.iij. boyle them to the thicknesse of honie. another, Recipe auripigmenti rubri, calcis viuae lotae quinquies, ana, ℥.iij fuliginis furni, ℥j. virtioli, aluminis, ana, ℥.ss. allij triti, ℥.ss. tartari, ʒ.vj. mellis, aceti, ana, q.s. misce fiat linimentum. another, Recipe nucum rancidarum, ℥.j. seui hircini, piscis, ana, ℥.j.ss. sulphuris, fol. rutae, ana, ʒ.ij. olei myrthini, ℥.ij. [...]isce igne lento: it is a verie good one. another, Recipe olei myrthini ℥.vj. aceti, ℥.ij. puluer. myrthi, ℥.ss. sulphuris, lithargyrij, ana, ʒ.j. misce. therewith annoynt the heade, being shaued, for it is verie approued. another, Recipe succi [...]ol. myrthi, succi plantaginis, ana, ℥.iij. farinae lentium, puluer. myrthi, acatiae, thuris, ana, ʒ.ij. olei laurini, aceti, ana, ℥.ij. mixe them to a liniment.

Here also of Alopecia, and his allies: for the affinitie of causes. [Page] CHAP. XIIII. Alopecia, and Ophiasis.

Definition ALopecia is a falling of the here, after which, certaine vacant places are left in the heade. It differeth from Ophiasis, both in figure, place, and age. For Alopecia keepes no propper figure, but indifferently sheweth it selfe in any, and is incident to the forepart of the head beard, eie browes, and any age. But Ophiasis euer appeareth in one certain figure,Differēce. namely, not exceeding the breadth of two fingers from the nape of the heade: it creepeth on with his two heads, to both the eares: in some to the foreheade, neuer ceasing, till it haue ioyned both his heades in the forepart of the foreheade. And this disease is incident (for the most part) to young children, and that to the heade onely.

Causes & signes.They are engendred otherwhiles, of the naughtinesse of some common matter, and other sometime, of some speciall & peculier matter. It is meant [Page] to be of common matter, when it cō meth of a common, and as it were, accustomed putrefying of humors, which eate awaie the rootes of the heares. For the heares doe come of certaine dryed vapours, resolued by moderate heate, which, whilest they passe out through the pores of the skin, are thrust out into their fourme, of length and roundnesse, and dryed by the ayre. Which againe doe easily fall, when as by some vitious humor they are stubbed vp. And this may be serous or thinne bloud: then is it with a redde colour in the skinne, and in a young flourishing age, a sanguine complexion: and in such one as hath vsed meates of much and good iuyce. Or it may be of choler, which you shall knowe by palenes of the skinne, cholericke complexion, hote and dry temperature, hote dyet, and youthful age. It maye likewise [...] proceede of flegme, eyther sweete or salt: the sweete, is apparaunt by whitenesse of skinne, boyish age, colde and moyst temperament, and colde and moyst nourishment. Salt flegme also bringeth foorth white colour ioynde with [Page] dandroufe, ytching, &c. If it bee of melancholie: blackenesse of skinne, with melancholicke complexion and custome of dyet, will declare it. The peculier matter, which commeth to be considered of in the generation of this disease, is that which hath, either by adustion, or maligne & pernitious constitution, gotten to it, a certaine sure, and vnwoonted malice, as in leprous bodies [...] whose signes are: falling of heare, with great deformitie of face, hollowe nose, rounde eyes, narrowe drawen nostrelles, swelled eyebrows, fleshie knots in the face, & duskie coulour &c. or else in the french diseased persons, and signified by falling of the beard, eiebrowes, and tuftie foreparte, before the rest of the head, also paines in the head & ioints, wheales and skales in the heade, and chinne, skurfe, sorelike wearinesse, ytching about the face, cleftes sometime in the hands, and vlcers (ꝑhaps) going before in the priuie partes. Other signes of the fourme of these diseases, and their place, are manifest ynough by the definition.

Prog.To knowe whether there may be [Page] cure or not, two thinges must bee considered: one is the time: for if it be of late growing, it may be cured, but if it be of long continuance, it is eyther impossible, or at the least verie difficult. The other thing is the affect or disease it selfe, & so Alopecia, which commeth of the leprosie is seldome, or neuer cured. Ophiasis sometime healeth of the owne accord, and with out application of any remedie: but Alopecia doth not so.

The cureCure. of these diseases must be instituted first according to the matter whereof they proceede, be it common or els peculier, as is afore described in the signs. And then respecting the fourme, which commeth to be amended by local medicins afterward. If therfore you find the vi [...]iosity of the common humors to be in fault, seeke out also by the signes which of them it is, and thence proceede to the taking of them awaye, in this manner. If it be serous bloud and choler,Dyet. appoint a contrarie, that is, a cooling dyet. As colder ayre, moderate exercise, moderate sleepe, or larger then of woont, the meate of [Page] good iuyce, as flesh of hennes, partriche [...] capons and weather, sodde with lettuse, &c. auoyding ho [...]e, sharpe and salt meates. The drinke, water that is boylde, &c. obseruing warely, that (at no time) there be too great filling with meate. For phlegmaticke humors in this case, let the dyet be with hoter ayre, temperate exercise, moderate sleepe, meate that hath propertie to heate and make thinne, the drinke, white wine delayed, &c. And the quantitie of meate but little. Otherwise also if the humor be melancholicke, let the dyet be heating and moystning: as hote and moyst ayre, meane exercise, longer sleepe, meate engendring good bloud, the drinke, delayed wine, &c. the quantitie also in a meane. The diet thus considered of, [...]anuall [...]eration. as is meete: proceede to more manifest diminishing of the humor, by bludletting, cupping, or sanguisuges, as the case offreth most conueniency. Prouided always, that in any of these, the age and strength of the patient be considered: for the moderating of the quantitie, Therefore these manuall operations finde place, when this [Page] disease proceeth of sanguine, and cholericke humors. And the fittest places then for the opening of a veine, is Cephalica first: and then some veine in the forehead, one done after another, with some conuenient time between. Cupping with scarificatiō is to be vsed in the circuit of the head, Bloud-suckers. Invvarde medicines. sāguisuges in the hinder part of the head.

Medicines conuenient in this case, whilest the matter is serous blud, and choler, are first [...], those, that woorke contrarie to the present qualitie of the humor, by altering concocting and preparing the [...]ame: of which nature are these:Preparatiues. Oxisaccharum, syrupus violaceus, syrupus de boragine, sirupus endiuiae, syrupus acet [...]sus, with distilled waters, or the decoction of the like herbes, whereof those sirupes are made. Then following after, with such purging as maye manifestly diminish the quantitie of the offending matter, in generall. Of which sorte, you haue choyce ynough amongst these following: manna, cassia, tamavindi, Diaprunum lenitiuum, Purgations. Diacatholicon, syrupus ros. laxatiuus. syrup. ex flor. persicis, &c. mirabolani Citrini. or if [Page] neede require a stronger sort: Electuarium de succo rosarum, Electuarium ros [...]rum mesuae, Hiera Ruffi, P [...]llulae Au [...]eae, Pill. agregatiuae, Pill. sine quibus, &c. After which generall euacuations, order requireth that the perticuler sort, as mastica [...]ories, of mastick, or pyrethrum mildely sodde in syrupe of rosses solutiue, doe followe. In all which the artist must haue care, that by dewe quantitie, hee performe that which is sufficient: purging both often, yea and vehemently, if the age may beare it, forasmuch as the humors are impact in the habite of the bodie.

If the humors offending be phlegmaticke,Phlegme the cause. first alter and prepare it, as with, oximel simplex or compositum, giuen with a decoction of the rootes of smaledge: likewise, mel rosarum, syrupus de staeca [...]e, syrupus de betonica, syr. de capillorum ven. with the decoction of maidenheare, veruaine, sothernewoode, or their distilled waters. Then purge the same with Di [...]catholicon, hiera pi [...]ra, Hiera Ruffi, pillulae de agarico, mirabolams chebulis, or such like: else, if stronger be required: Diaph [...] [...]icum,[Page]Electua rium Indum maius, Pill [...] l [...] cocbi [...], pill. faetidae, pil. inda [...], pil. hier [...] diacoloc [...]nthidos, Trochisci Alhandal, &c. After which, in like manner as aforesaid, follow in order your perticuler [...]uacuations by the mouth, to wit, gargarismes, made of the decoction of figges, reasins, hissope, peniriall, stecados, maioram, &c. else (if you would haue them stronger) of the decoction of pepper, and pyrethrum &c. or of mustarde seede, viniger, honie, &c. masticat [...]ries also of mace, cubebe [...], stauesagre, [...]sarum, mas [...]i [...]h, pyrethrum, eyther rawe, or lightly boyled in oximel. In all which you must proceede with the like obseruation as before is noted, to wit, that both the preparing and also the purging be oft [...] yea and vehemēt (the age & strength of the patient considered) because the humors haue taken roote in the habite of the bodie. The time is most conuenient for them, when the patient is fasting.

If the melancholicke humor bee cause of the falling of the heare,Melancolie the cause. the dyet first ordeyned as is afore described, heere haue you your preparatiues [Page] first to concocte and make readie the matter: to wit, oximel compositum, oximel scilliticum, syrupus de fumo terrae, syrupus de lupulis &c. with the water of hoppes. Euacuate then the whole bodie, eyther with some of the gentler sort, as Diasenna, diacatholicon, mirabolani Indi, senna, lapi [...] armenus &c. Or with these strōger sort, as Hiera Ruffi, confectio hamech, Pil [...]ulae de fumo terrae, pill. de lapide lazuli, Elleborus niger, &c. Lastly descending to the particulars, as gargarismes of the decoction of pyrethru [...], in the decoction of mercurie & tyme. Eleborus niger, confectio hamech, &c. and these thinges likewise must bee often repeated, and strongly perfourmed, for the consideration, before, nowe twise rehearsed. When all this course hath beene dewly folowed, for the rooting out of the matter of this disease, that is to saye, the common humors of the body, which are found faultie in this case: then come wee iustly to the vse of locall medicines:Outvvard medicines. which likewise are not a little a [...]aileable in the matter. Of which sort are these: Oleum laurinum, oleum ouorum, [Page]oleum nucum, oleum lucernarum, ol. abrotani, oleum ricininum, oleum Iuniperi. axungia tal [...]ae, axungia vrs [...], axungia lupi, leonis, anseris, cuniculi. Moreouer, the ashes of sothernwoode, of beares heare, or of mans heare, the ashes of moles, sea yrchins, spumaemaris, of tap sia, euforbiū, bees, waspes, &c. of which thinges may be made vnguentes and lees, of diuers sortes, such as here, for example sake, I haue set downe. Rec. olei de abrotano ℥.ij. pingued. vrsi, or talpae, ℥.j. cineris pellis vrsi, vel echini terrestris ℥.iij. nucum vstarum, abrotani vsti, ana, ℥.j. propoleos, ℥.ij. mellis, ℥.j. mixe, and make thereof a saufte vnguent [...] or else this: Rec. succi cepae, succi scillae, ana, ℥.ss. olei laurini, ℥.iij. axungiae anatis, ℥.j. boyle these togeather till the iuyces be consumed, putting to in the ende, cineris radicum ficus, & pulueris seminis nastur [...]ij, ana, ʒ.j. of these make an vnguent, and annoynt therewith the heade, being shaued. Another to the same purpose is thus prepared: Recipe piperis, stercoris ouilli sicci, sem. crysimi, er [...]cae, ana, ℥.ss. ellebori albi, ʒ.iij. ste [...]coris murium ʒ.j. fellis tauri, q.s. mixe [Page] and make thereof an vnguent [...] A lee to the same purpose make on this wise: Recipe cin [...]ris maru [...]ij, cineris nucum, cineris aucllanarum, cineris pellis vrs [...], ana, ℥.ij. aquae, li.iiij. vel v. make thereof a lee, in which boyle afterwarde, saluiam, betonicam, abrotanum, capillos veneris, &c. Thus farre we haue spoken of the falling of here, comming of a common matter, as the vitiositie of the foure humors [...] and so much sufficeth our purpose.

CHAP. XV. Brannie scales in the heade.

THis is a disease in the out side of the skinne of the heade:De [...]. when as, (there beeing no vlcer in the heade) branlike skales shake foorth with a light scratching.

Causes & signes.The thinge it selfe is euidentlye knowne by ytching, and skales in the heade. But of what cause it is, as whether of corrupt bloude, burnt choler, salt flegme, or burnt melancholie, [Page] you shall knowe by the consideration of such notes as are giuen you in the acknowledging of Alopecia.

If it be not cured in a conuenient time,Prog. it chaungeth into the leprosie.

If it proceede of ferous or corrupt bloud,Cure. institute a dyet contrarie in qualitie: to wit,D [...]et. let the partie vse moderate exercise, temperate sleepe, a quiet minde, meates of good iuyce, not windie, nor grosse. White wine delayed, &c. Forbidde beefe, venison, and gotes fleshe, also bulbous rootes, musheromes, puffes, potherbes and banquetting dishes. So may you bende the force of your dietarie prescription against the faultinesse of the other humors (if you see it good) by the order foreshewed in Alopecia.

Also in this case (of bloud) phlebotomie is conuenient:Med. invvarde. and other medicines, both altering, concocting and purging: generally, and perticulerly, in maner, as is afore set downe, in Alopecia.

Obserue the order of that chapter [Page] likewise, if choler, flegme, or melancholie be,Outvvard in this case, faultie. The cause of the disease then beeing thus prouided for, come to locall medicines, to cure the present place withall. Which you must prepare, of wiping, dispersing and drying thinges. Such as are lupini, ciceres, orobus, faenumgrecum, cineres betae, brassicae, abrotani, cucumeris asinini, parietariae, absynthij, &c. also puluis enulae campanae, ireos, aristologiae, brioniae, ari, mirthi, maluarū, foliorum sesami, staphidis agriae, sulphuris, nitri, lapidis calaminaris, argenti spumae, ossium myrabolanorū, &c. likewise calx, furfur, succus betae, & omnia fella, &c. of which sorts, & other like, you may prouide your cōpound medicines, either in fourme of bathes, lees, or vnguentes on this wise: Rs hordei mundi P.vj. sem. lini, faenugr. ana. ℥.iiij. violariae, maluae, borag. fumiterrae, cichorei, lapathi acuti, ana, m.iij. amigdal. contrit. li. iiij. farinae fabarum, li. j. mix them and make thereof your bath. another: R [...]. rad. lapathi acuti, enulae camp. ana, ℥.iij. maluae, bismaluae, ciclae, parietariae, saponariae, ana, m.iiij. lupinorum, fabarum int [...]grarum ana, li. j. centaureae mi. P.iij. [Page]furfuris vel hordei integri, P.iij. make a decoction for a bathe, and wipe the place with a rough cloth, or sponge. A third, Rs. [...]ol. myrthi, vel salicis, ana, m.iij. plantag. aco [...]i, agrimoniae, fol. vlmi, ana, m.iiij. lentium, m.ij [...] rosarum P.vj. make your decoctiō for a bath, wherto adde aluminis li. ss. and let the patient enter into it, after the vse of the other remedies. Make your lees of the ashes of the cuttinges of vines, or of the roots of beetes and colworts. Vnguentes haue here of diuers sortes, as first, Rs. farinae hordei, far. fabarum, far. lupinorum ana, ℥.j. fellis bouini au [...] suilli ℥.ss. aceti, ℥.iiij. fiat vnguentum. Another: Rec. sulphuris, Chimoliae terrae ana, ʒ.ij. succi betae, ℥.ij. misce. A third: Rec. amigd. amararum tostarum, nucum rancidarum ana, par. xx. terrae sigillatae, sulphuris, vitrioli, ana, ʒ.ij. ol. nucum ℥.iij. mellis scillae, ℥.ij. misce fiat vnguentum. With this oyntment anoynt the heade ouer night, and at morning, washe the heade, with the decoction, eyther of lupines, or beanes. A fourth Rec. ol. amigd. amararum ℥.iiij. clei irini, ℥.ij. suc. ciclae ℥.iij. suc. fumiterrae, ℥.iij. boyle these togeather to the [Page] consumption of the iuyces, adding thereto, fa [...]inae faenugr.℥.ij. nigellae, ℥.j. misce fiat vng [...]entum, wherewith annoynt the place at night, applying one of the bathes, to the same, the next morning. A fift: Recipe argenti spumae, olei rutacei, aceti ana part. j. mixe them on the hote embers. A sixte: Recipe puluer. ireos, puluer. abrota [...], ana, ℥.ss. succi enulae & be [...]ae ana, q.s. reduce it to the thicknesse of honie.

CHAP. XVI. Of lowsinesse called Ph [...]hiriasis & morbus pedicularis.

Causes & signes.THis is a disease chiefly of the inner skinne of the heade. But sometime of other partes also, as the beard, arme pittes and share bone, in which partes lyce are engendred, of diuerse forts [...] some without the skinne, as those of the heade: and those called Of some partlyee they be flatter, and sticke in the skinne like [...]tickes. morpiones: othe [...]s lurking within the skinne called We commonly cal them worms, which many women, in the sunne shine, can cunningly picke out with needles, and are most commonly in the handes. Cyrones.

Prog.They are engendred of a hote and moyst humor, which is de [...]cried, by [Page] noting the patient his order, in the regiment of his bodie. As his meates being moyst and phlegmatick, ioynd with the vse of nuttes, figges, chestnuttes, and fruites: neglecting the heade for combing, &c.

The hote and moyst humor which is the cause of this disease must be taken away,Cure. Dyet. both by diet and medicins. Let therefore the patientes meate be of good and lawdable iuyce, his exercise moderate, his bath of salte water, and his clothes be often changed: and generally obseruing, to keepe his dyet slender: the medicines to purge out this cause,Med. must bee ordayned according to the nature of the humors abounding, if the age and other considerations bee not repugnaunt. Then with conuenient medicines: as bitter, discutient, astringent and drying, drawe foorth and kill the wormes them selues. To which ende, you may prouide yo [...] of diuerse sortes, both linimentes and bathes, as followeth: Recipe aluminis, ℥.ss. veratri albi, ʒ.j. olei, aceti ana, q.s. [...]iat linimentum. another: Rs. ol. [...] migdalarum amararum, ℥.ij. ol. rutae, ℥.j. [Page] staphidis agriae ℥.j. centaureae mi.ʒ.ij. mi [...]rhae ʒ.iij. argenti viui, ℥.ij. axungiae rancidae salitae, ℥.iij. aceti parum, fiat linimentum. A thirde: Recipe sulphuris, ℥.ss. staphid. agriae ℥.j. olei ℥.ij.ss. acen.℥.j.ss. misce. A fourth: Recipe staphidis agriae, ℥.ss. aloes, ʒ.ij. aceti scillit. olei amigdal. amararum, ana, qs. misce fiat linimentum. A fifte: Recipe mellis ℥.ss. succi fol. hederae, ℥.ij. misce. A sixt: Recipe sandracae, ʒ.iij. staphidis agriae, ʒ.vj. ni [...]ri ʒ.j. aceti, q.s. misce. A seuenth: Recipe aloes, staphidis agriae, ana, ℥.ss. ol. fraxini, suc. genistae, ana. q.s. fiat linimentum. An [...]ight: Recipe lardi salsi rasi ℥.ij. aloes ℥.ss. aceti scill. q.s. misce. A ninth: Recipe staphidis agriae, aluminis ana, ℥ss. sem. tamaris [...]i ʒ.ij. fellis bouis, ʒ.iij. ol. laurini, aceti ana, q.s. misce fiat linimentum. The tenth: Recipe pill. com.ʒ.ij. pill. contra vermes, ʒ.ij. succi athanasiae, q.s. misce fiat linimentum. Your bath you may prepare on this wise. Recipe ciclae, absynthij, marrubij, betonicae, ana, m.j. centaureae mi. florum stacados, ana, P.ij. lupinorum, P.iij. staphidis agriae, li. j. aristologiae, li. ss. make the decoction in lee, [Page] whereunto adde salis li. ss. these medicines applye to the part so affected, which (if it be possessed with heere,) it is meetest first to shaue.

ANNOTATIONS.

a Of some partlyee they be flatter, and sticke in the skinne like [...]tickes.

b We commonly cal them worms, which many women, in the sunne shine, can cunningly picke out with needles, and are most commonly in the handes.

CHAP. XVII. Of vlcers in the eyes.

THese vlcers are caused of some sharpe and biting humor,Causes [...] signes. and so there is ioyned with the vlceration paine, much wat [...]ing and rednesse of the eyes,Cur [...]. &c.

Euacuate first the sharpe and byting humor, by bloudletting, cupping, ligature, frication, spare dyet, and purging medicins, as in Ophthalmia: as also by repellent medicines applyed outwardly. If the vlcer bee [Page] sanious, clense it, but with medicines without byting, or mouing of paine: such as syrupus acetosus, [...]l virgineum, sacharum candum, aloe lota, myrrha &c. If it be hollowe and lacke fleshe, incarne and glutinate the same cū Thutia praeparata, collyrio albo sine opio, or collyrio de plumbo, eyther of these finely groune, and dissolued in aquis rosarum, vel plan [...]aginis, vel candae equinae, vel in lacte muliebri, vel lacte caprin [...]. If there bee paine or inflammation, mitigate and cure them as is sayde, in Ophthalmia.

CHAP. XVIII. Of the lachrimall or teari [...] fistula.

THE cause hereof is a fell, sharp [...] and nitrous humor [...] gotten eyther to the bone, or gathered in the circumference or sauft compasse about the eye. Both which you shall perceiue by search and feeling: for there is callou [...] hardnesse, and toughnes in the bone (if it be [...]oucht) like [...]ise some aposteme euer goeth before [Page] it, the matter is serous and glewish, and there is rednes in the eye.

A lachrimall fistule is harde to bee cured,Prog. for the neerens and sensibilitie of the eie. And that that is inueterate can scarce bee cured, because of the bone muche corrupted. And if it be, yet shall that eye be euer wat [...]ing,Calm. li. 3. c. 20. because the flesh in the corner is wasted.

This humor would be spent out of the whole bodie,Cure. or heade, by bloud letting (if nothing let) slender dyet, and of good iuyce, and purging medicines according to the nature of the humors. Also it would be turned away from the place whether it floweth, by bloudletting, cupping, bynding and frications on the contrari [...] partes. The rest of the cure, is by medicines, thus to be perfourmed: if it be sanious or filthie, clense and mundifie it eyther by filling the cauitie, cum laungine rad. arundinis, & so often vsed till it be perfecty mundified: or with a collirie ex thure, sarcocolla, aloe, sanguine draconis, balaustia, antimonio, alumine, mixt in equall partes, with putting to quartā partē flor. aeris. or ammoni [...]cū dissolued in aceto cū aerug. ras. [Page] or this liniment: Rec. aquae vitae, mellis ros. col. ana, ʒ.j. myrrhae, ʒ.ij. fia [...] linimentum. Wherewith annoynt the place morning and eueninig. If it be growen with callous hardnesse, waste it with vng. aegiptiacum, or pul. mercurij or asphodeli. If the bone be defiled, applie a cauterie, in quantitie and fourme proportionable to it: in the meane time, defending the eye, with lint, or flaxe wet in albumine oui, and therupon holding also a siluer spo [...]e. Finally the hollownesse of the fistula must be filled with flesh, and so after when it commeth to be euen cicatrized: accordingly as is taught in the woundes of the eyes.

CHAP. XIX. Vlcers in the nose, called Ozenae.

OZenae are vlcers about the nasterls, yelding a filthy sauour, [...]ef. and casting manie crustes.

[...]auses & [...]ignes.Causes ar sharp putrefied humors. The signes are manifest.

[...]rog.Seeing it commeth of the flowing [Page] in of sharpe and putrified humors, it is verie harde to cure.

Order the patients dyet so,Cure. as his meates may be of good iuyce, and not sharpe nor salte, his drinke small. And the quantitie of either spare. Open the humerall veine, if the head abound with bloud, and set cuppes to the hinder parte of the head, purge vniuersally, cum pillulis aureis, cochijs, sine quibus, &c. And after perticulerly, with masticatories ex mastice & scammonio &c. Fortifie also the part affected, to wit, the head, that it bee not so apt to receiue excrements, thitherto ascending: and this doe by dryinge and repellent meanes, such as these: oleum myrthinum, ol. rosaceum, puluis corallorum, santallorum, rosarum rub. sicc. gallarum, acaciae, myrthi, masticis, mannae thuris, &c. Of those may you make plasters, to apply all ouer the toppe of the head, being shauen: as for example this fourme: Rec. myrrhae, thuris, ana, ℥.j. cochleas integras num. v. albuminum ouorum num. ij. cerae, q.s. misce fia [...] emplastrum. Apply it on a linnen cloth to be worne nine dayes togither. Of the vlcer it selfe consider, either as it is [Page] newe, or inueterate: to prouide for either case,For the nevv O [...]ena. answerable medicines. Apply to the newe Ozaena accordinge to his present condition, to wit, as it is crustie, filthie or pure: fall the crust cum melle & resina, axungia gallinae, butyro, oleo violaceo, or such other. Purge and cleanse it cum melle despumato, melle rosato [...]colato, or, vnguento AEgiptiaco, and that which is pure and cleane, fill vp and conglutinate cum vnguent. de Thutia, or delythargirio, or lycio cum vino diluto, or a mixture ex menthae succo cum melle, ex omphacio cum melle: or, vnguento ex cerussa, a [...]genti spuma, vino & oleo myrthino. Else thus compounded: Recipe spumae argenti, cerussae, ana, ʒ.vj [...] plumbi vsti loti, ʒ.iij myrrhae, aloes, ana, ʒ.ij. gallarum ʒ.j. vini, ol. myrth. ana, q.s. fiat vnguentum. Nowe,For the inueterate. for the inueterate, and putrified, which must be eaten out & scoured, ordaine such deuised meanes as followe. An vnguent: Recipe omphacij, ℥.ss. malicorij, balaustiorum, ana, ʒ.iij. myrrhae, aluminis, ladani, ana, ʒ.ij. chalcitidis, aloes, cort. thuris, ana, ʒ [...] olei ros [...]c. ol. myrtini, ana, ℥.ij. cerae ru [...] q.s. [...]iat vnguentum. A fume: Reci [...][Page]ladani, hypocistidis, masticis, myrrhae, styracis, rub. calaminthae cort. thuris, sandaracae, auripigmenti rub. ana, ʒ.iij. ter [...] binthinae, q.s. fiant i [...]ochisci pro fum [...]. A water: Recipe balaustiorum, malicorij, ana, [...]i.iij. plantaginis, caud [...], equinae, pilosellae, linguae passerinae, herniariae, ana, manipulum ij. rad. bistortae, li. ss. foliorum myrthi, m.j. [...]co [...]tu [...]dantur, & simul destillentur. Put to the water destilled, aluminis ℥.iij. and therewith wash the vlcer. To mitigate paine (if any bee) vse axungia gallinae, cum oleo violaceo & pauca c [...]ra.

CHAP. XX. Vlcers in the eares.

THese vlcers proceede of vitious humors,Causes & signes. and are euident by their paine, putting foorth of matter, &c.

First therefore prouide for the taking away of those vi [...]ious humors,Cure. by bloud lettinge, cuppinge, ligatures and frications, &c. Thinne dye [...], and purginge medicines, [Page] and that first vniuersally, accordinge to the nature of the humors, and afterwardes particularly, by the mouth and nostrels. By the mouth with this masticorie: Rec. theriacae veteris, ʒ.ij. staphidis agriae, pyrethri, ana, ℈j masticis, ʒ.ss. fiant masticatoria. Let the patient chewe thereof euerie morninge before meate. Make also a nosepurge ex succ. anagallidis, mer [...]urialis, maioranae, & melissae, ana, q.s. oft times let the patient snuffe thereof into his nostrels. Now if the vlcer be filthie, applye thereto medicines that maye cleanse and drie, and first of a gentler sort: as, Rec. aquae decoct. agrimoniae, & absynth. li.ss. vini albi, mellis ros. ana ℥ij. instill thereof warme. Or this: Rec. succi mali punici dulc. succi poligoni, succi virgae pastoris, ana, ℥.ij. mellis rosati, ℥.j.ss. boyle them and thereof put into the eare. So may you doe oleum ouorum, cum melle. Of a stronge [...] sorte (if neede be) you haue vnguen [...]um AEgiptiacum dissolued. Or, Trochisci Andronij, dissolued in vineger. When the vlcer then is cleansed and pure, make your medicines such as may both incarne, and yet mundifie [Page] withall: such as this trochiske & water following: Rec. balaustiorum, ʒ.ij aluminis, ʒ.j. atramenti sutorij, ʒ.ij. myrrhae, ʒ.j. thuris, aristochiae, gallarum, ana, ʒ.ij. salis ammoniaci, ʒ.j. excipiantur melicrato, & fiant tr [...]chisci. The water: Rec. succi polygoni, succi hederae, ana, ℥.j. pompholygis lotae in aqua ros. & plantaginis, qs. mixe them, and instill thereof into the eare. If paine doe much disturbe, seeke to mitigate it with oleo ouorum, in mortario plumbeo diu agitato, vntill it become of a swartish or leadie colour, and then instil thereof into the eare.

CHAP. XXI. Vlcers in the brest.

FIrst for auoydinge the vitious humor,Cure. that is the cause antecedent, institute such a dyet, both as may [...] bee of spare quantitie, as also contrarie thereto in qualitie. It shall therefore be conuenient for him to take him to rest, & to vse such meate as is prescribed in the woundes of the brest. His drinke let [Page] be decoctū virgae pastoris cum melle: or, aqua agrimoniae stillatitia. Emptie also the bodie, by bloud letting and purging, due consideration had to all circumstances thereto belonginge. Then, for the vlcer it selfe, if it pearce not into the brest, you may cure it, after the manner of a simple vlcer. But if it pearce in, there is further care to bee had. In this case therefore if the orifice bee straite, enlarge it, & hauing rowme ynough to come to your worke, consider whether it bee filthie and purulent, or cleane. If it bee filthie, first practise to clense it, which you maye doe, with this liniment: Recipe chalcanthi, ℥.j. mellis rosati, ℥ij. mis [...]e. Or, make iniection cum mellicrato, or oenom [...]lite: else thus compounded: Recipe rad. asari, ireos, gentianae, aristolochiae, ana, ℥.j. agrimoniae, pentaphylli, pedis columbini, ceterach. centauree mi. hyperici, ana, manipulum j. myrrhae, ℥ss. fiat decoctio in aequis partibus aquae, & vini: & in colaturae li. ij. dissolue mellis ros.℥.vj.

An vnguent: Rec. succi apij, ℥.iiij. su [...]c. agrimoniae, absynthij, plantaginis,[Page]crassulae, ana, ℥.ij. suc [...]. cynoglossi, ℥.j. faerinae hordei, & fabarum, ana, ℥.iij. mellis, ℥.iiij. te [...]ebynthinae-lotae in aqu [...] plantaginis, ℥.ij. pulueris [...]huris, ℥.ss. myrrhae, ℥.j. olei rosati, cerae, ana, quantum sufficiat fiat vnguentum.

Thus when the vlcer is cleansed, proceede to the gettinge of fleshe, by these meanes: Recipe vnguenti regis, ℥.iiij. pulu. ireos, aloes, aristolochiae, myrrhae, ana, ʒ.j. fiat vnguentum. Or: Recipe pulu. radic. arundinis, & pen [...]e [...]ani, ana, ʒ.j.ss. [...]huris, masticis, myrrhae, ana, ʒ.ij. pulu. ireos, aristo [...]ochiae, ana, ʒ.j. cortic. pini, ʒ.j.ss. vnguenti comitis.℥ [...]iij. mellis ros. quantum sufficiat, fiat linimentum. If anye inflammation growe, delay it with vnguentum rosa [...]eum, &c.

CHAP. XXII. Vlcers in the priuie parte [...] of man.

[Page] Causes & signes.THese doe proceede of some sharpe and eating humor, &c. it is manifest to the eye.

Cure.To take awaye the antecedent cause, euacuate the vitious humor [...] partly by bloudletting, according to the bodie, and partly by medicines, accordinge to the nature of the offending humors. The vlcer is to be dealt withall being considered in his case, as it is, of a curteous or maligne kinde. If it be not maligne, but of tractable condition, it must bee dryed, cleansed, incarned, and conglutinated, as with some water, vnguent, or powder following: as aqua aluminosa, or, Rec. aquae plantaginis, aquae rosarum, ana, ℥.ij. ir [...]chiscorum alb. Rhasis, ʒ.ij. misce. Another: Rec. aquae rosa [...]um, aquae plantaginis, ana, ℥.j. floris aeris momentum, that is, gr. j. vel ij. misce. therewith foment the vlcer. Vnguentum album cum caphura, vnguentum de plur [...]bo: or this powder, ex cucurbita sicca vsta, aristolochia: or, aloes: or this, Rec. corticis thuris, aloes lotae, myrrhae, saecocollae, gummi elemij, ana, ʒ.ss. anethi vsti, ℈.j. cort. pini, ℈.ij. thutiae praepara [...]ae, antimonij, plumbi vsti, cerussae, ana,[Page]ʒ.j. sang. draconis, ℈.ij. fiat pul [...]is. But if the vlcer be of maligne condition, your engins must be of greater force against it; as if it be creeping, virulent and corrosiue, your medicines must drye vehemently, like this vnguent: Rec. plumbi vsti & loti, ʒ.iij. lithargirij, ℥ss. lapidis haematitis, ʒ.j. aloe [...], ʒ.j.ss. thutiae praeparatae, ʒ.ij. cortic. pini sicci [...] ℈.iiij. sem. anethi combusti, cucurbitae siccae vstae, ana, ℈.ij. ol. rosati, ℥.iij. cerae, q.s. fiat vnguentum. Another: Rec. cort. chamaem, vstae, ʒ.ij. gallarum balaustior [...] malicorij, acatiae, ana, ʒ.iij. aeruginis [...]lis, ʒ.ss. pompholigis, aloes, thuris, sarcocollae, coralli rubri, ana, ʒ.ij.ss. ol. rosati, cerae, ana, q.s. If the vlcer be putrified, eat out the same with the powder of Mercurie, or this water: Rec. aquae plantaginis, ℥.ij. vini albi, ℥.ss. thutiae praeparatae, aeruginis rasilis vstae, ana, ʒ.ij. buliant modicum: Therewith foment the vlcer. Another: Rec. vitrioli, aluminis crudi, ana, ℥.ss. auripigmenti, ʒ.ij. aquae plantag. & rosarum, ana, ℥.iiij. aceti albi, li. ss. coquantur, postea, adde aeruginis rasilis, ℥.iij. and therewith foment the vlcer. If there growe paine, appease it with [Page] vnguentum populeon, mixt cumsucc [...] solani, plantaginis, semperuiui, farina hordei, oleo violaceo, & albumine oui, &c.

CHAP. XXIII. Vlcers in the priuie partes and ma [...]rice of women.

Causes & signes.VItious humor is the cause hereof. The signes of the dissease and parte affected are manifest.

For the auoyding the cause antecedent, the vitious humor, set a dyet consisting of meates proportionable for the nature of the humors of the bodie, her drinke Guaiacum water, and generally a spare dyet. Then come to more manifest euacuation of the matter, by bloud letting, (if bloud abounde, and age and other circumstances consent) and purginge medicines: but first preparing the humor [...] with this syrupe: Recipe ligni sancti, ℥.iiij. corticis eiusdem, ℥.j.ss. infundan [...]ur, in li.iij. aquae buglossi, cichorij, & absynthij, coquantur igne lento ad medias,[Page]& in colatura dissolue, syr. de fumo terrae, li. j. Let the patient drinke thereof ℥.vj. morninge and euening, to the ende. Afterwardes: Recipe polypodij, ℥.ss. passularum, ℥.ss. prunorum [...] sebesten, ana, par. v. tamarindorum, ʒ.iij. senae, ℥.ss. violarum, P.j. mercurialis, boraginis, ana, m.ss. fiat decoctio & in ℥.iij. culaturae dissolue, confect. hamech ʒ.ij electuaerij diacartami, ʒ.j. syr. ros. laxat.℥.ij. fiat potio.

Further, let him take once a weke, the value of a nutte of this electuarie, with the decoction of Mercurie: Recipe cassiae recent. extract.℥.iiij. tamarindorum, ℥.ij. pulpae prunorum & sebesten, ana, ℥.j.ss. mucilaginis sem. psilij.℥j. sennae, ℥.iij. anisi, ℥.ss. glycirrhizae, [...]ulue [...]izatae, ʒ.ij. cum syr. rosarum sol. [...]iat electuarium. Let your locall me [...]icines bee prepared to drie, cleanse [...]nd consolidate: as the waters spo [...]en of in the Chapter aforegoinge, [...]nd these iniections: to wit, the first, [...]onsisting ex sero lactis, cum saccharo, [...], ex vino cum melle, or d [...]cocto hor [...]i cum syrupo rosato & melle rosato. [...]nother: Recipe hordei intigri modice [...] P.ij. corticis Guaiaci ℥.j.ss. [Page]rad. ireos, ℥.j. passularum, ℥.j. myrabol. citrinorum, ʒ.ij [...] fiat decoctio in aqua fabrorum: & in li.ij. dissolue mellis ros. & syr. ros. ana, ℥.iij. and therewith make iniection. A thirde: Rec. hordei integri assati, P.j. ligni sancti, ℥.ij. pilosellae, m.ij. ceterac. m.ij. virgae, & bursae pastoris, ana, m.j. plantaginis, absynthij, ana, m.ss. malicorij ℥.j. sumach.℥.ss. ros. rub. P.j. f [...]at d [...]coctio in aqu [...], in qua plumbum extinctum fuerit, & in li.iiij. dissolue mellis, ros. col. & sacchari ros. vel. syr. de rosis siccis, ana, ℥.iij. fiat iniectio. Afterwarde: Rec. vnguenti pompholygis, ℥.iiij. cerussae lotae, plumbi vsti loti, antimonij, ana, ℥.j. aloes lotae, thuris, masticis, sang. draconis, ana, ℥.ss. ol. rosati, ℥.iij. cerae rubrae, ℥.ij. fiat linimentum, the same apply to the place vppon pesses. If those vlcers take their, originall from the french disease, you may then adde to the same liniment h [...]drargyri, ℥.ij. If the place enflame, foment it cum decocto hordei, cum mucilagine sem. psylij, & cydoniorum, iuiubarum, sebesten, cum succo plantaginis, portulacae, lacte [...], aqua rosarum, oui albumine & zaccharo, &c. If paine arise, mitigate the same with insessiōs, made ex vino, in which [Page] chamomilla, melilotum, rosae, and other anodinous medicines haue been boyled.

As for vlcers of the armpits, flanks, thighes, legges, and feete, they are to bee cured both by dyet, purging, and locall medicines, as hath bene nowe often saide.

CHAP. XXIIII. Of virulent and corrosiue vlcers.

A Virulent vlcer is that,Def. wherein virus, that is to saye, a certaine thinne & liquid excrement, not fretting, aboundeth.

A corrosiue vlcer is that, which by eating, and sometime makinge an escarre, becommeth greater and larger daily. And this for the moste parte, followeth Herpes, and itching pustules.

The cause is a cholericke,Causes & signes. sharp and adusted humor. The signes are manifest ynough out of the definition.

For the auoydinge of the antecedent cause,Cure. for which you must first labour, seeke to euacuate the sharpe inflowing cholericke humor, (by order [Page] of dyet and medicines) both from his bowndes, whence it commeth, and also from the point, where it setleth. And first for his order of life, let the scope of it be cooling and drying. And so it shalbe conuenient, that the partie haue great quiet both in minde and bodie, that his meate bee of barley, or almond milke, chic [...] kins, partriches, small birdes, &c. with these herbes: spinache, endiue, suckerie, lettuse, &c. For drinke, barley water, or such other: and in all his dyet, let the quantitie be spare. Open a veine [...] if the bodie abounde with bloud, and age and strength bee answerable. Prepare and concoct the humor with some of these syrupes, giuen with appropriate waters: oxysa [...]chara, syrupus acetosus, syr. violarum, syr. de endiuia, syr. de papauere. Afterwardes purge with cassia, manna, diacatholicum, elect. de succo rosarum, confectio hamech. syr. rosarum sol. syr. persicorum lax. Or thus you may ordaine your purging medicines: Recipe cas [...]iae ʒ.vj. elect. de succo rosarum, ʒ.ij [...] confect. hamech.ʒ.ss. cum zaccharo f [...] bolus. Or thus in fourme of potion [...] [Page] Rec. florum boraginis, vi [...]larum, ana, P.j. rad. cichorij, ℥ss. passularum, ℥.ss. polypodij, glycirrh [...]zae, ana, ʒ.ij. prunorum par. v, sebesten, ℥.ss. rhabarbari, ʒ.iij. agarici ʒ.j.ss. sennae, ʒ.x. spicae indicae, ʒ.j. salis gemmae, ʒ.ss. zinzibris, ʒ.j. coqu [...]n [...]r in s.q. aquae, and make thereof a potion for twise, adding thereunto syr, ros s [...]l.℥.ij. Defende in the meane time, the place, with vnguentum de bolo armeno, &c. If the humor come thither as drawne and sucked in [...] by the parte it selfe, make reuulsion by bloud letting, or cupping, with frications and ligatures, on the contrarie parte. All the locall medicines, applyable in this case, must be of propertie, cold & dry, astringent and discutient: aswell for the drying vp, and spending of the inherent humor, as for the beating backe of the fluent. Of which nature are these simples: plantago solanum, summitates rubi, consolida, f [...]li [...] vlmi, & papaueris, folia & fructus cydoneorum, & myrthi, lentes, balaus [...]ia, aca [...]i [...] malicorum, galla, [...]mphacitis, bolus arm [...] nus, terra sigillata, nuclei myra bolanorum, cortex thuris, mastix, metallica omnia vsta ac lota, &c. [Page] of which thinges you maye contri [...]e both waters, vnguents, cerotes, &c. at your liking: and as here followinge shalbe plenteously set down, for your readie addresse. Calm. li. 3. cap. x. But here some first applye puluerem Mercurij, to take awaye the corrosion and malice of the vlcer [...] letting it lye to a whole daye, and applying aloft thereon, vnguentum de minio, till the vlcer bee well qualified. After that wash the vlcer, and partes about it, either with the alumined water, spoken of, in the cure of the maligne vlcer, or else with one of these waters followinge: Rec succi rubi, succi virgae pastoris, succi plantaginis, suc. solani, acetosae, sumach. ana, ℥iij. albumina ouorum. numero sex, aluminis triti, ℥.iiij. distill them in a leaden still. Or, Recipe cer [...]ssae, lithargiri, ana, ℥.j. plumbi vsti, ℥.ss. lapidis calaminaris, ℥.ss. boli armen [...], ℥.j.ss. sanguinis draconis, terrae sigillatae, ana, ℥.j. aluminis combusti, ℥.ss. calicum glandium, gallarum viridium, baccarum myrthi, psidiae, balaustiae, sumach. ana, manipulum j. coriandri, sem. plantaginis, ana, ℥.ss. rosarum rub.P.ij. coquantur in aqua fabrorum suffit. quant. And when they [Page] haue all well setled, washe and foment the vlcer therewith. You maye also adde honie thereto for cleansing sake.

Another: Recipe aquae plantaginis & rosarum, ana, ℥.iij. aluminis, ℥.ij. zacchari, ℥.j. coquantur donec alumen & zaccharum liquefiant, and therewith wash the vlcer. If you put to it mellis ℥.j. it shalbee profitable to clense. Another: aquae plantaginis, ℥.vj. sublimati, ʒ.j. sa [...]is ammoniaci, ʒ.jss. salis commun [...]s, ʒ.ij. aluminis, ʒ.j. coquantur in phiala vitrea ad consumptionem quartae partis. And bee it free to the artist, to choose among these, this or that, whichsoeuer hee shall thinke fittest for his turne. After washing the vlcer, vse thereunto one of these vnguentes followinge, to wit, vnguentum de plumbo, or de minio, or rubrum cum caphura, album cum caphura, or, de pomph [...]lyge: or, Recipe vnguenti de plumbo, ℥.ij. vnguenti populeonis.ʒ.ij. succi plantaginis, ʒ.j. alb. oui, numero j. mixe them in a leaden morter. Or: Recipe thutiae praeparatae ℥.ss. plumbi vsti & loti, cerussae, lotae, ana, ℥.j. nutriantur in mo [...]ario[Page]plumbo cum aqua plantaginis, deinde a [...] de boli armeni, terrae [...]igillatae, ana ʒ.ij. ol. rosati, [...]erae albae a [...]a, q.s. or, Rec. lithargyri, ℥.iij. ol. ros. aceti, ana, q.s. cerussae parum, misce. Cal [...] li. 3. cap. x. It shall be better also to adde plumbum in vino albo maceratum. Whereto also if you ioyne nucem cupressi, thutiam, bauracem, aes vstum, & antimonium, you sh [...]ll make it auailable for vlcers that are harde to bee cicatrized. Or doe it thus: Rec. ol. ros. myrthini, ana, ℥.ij. succi plantaginis, ℥.j suc [...]i [...]lymenon depurati, ℥.ij.ss. s [...]uihircini, ℥.j.ss. aluminis vsti, ʒ.j. li [...] a [...]gy [...]i auri & argenti, ana, ℥j. scoriae serri, ʒ. [...]j. puluerizentur ac simul coquantur ires horas, deinde adde cerae albae, ℥j. [...]erebynthinae ʒ.vj. mercurij ex arte extincti, ʒ.iij. caphurae, ℈.j. aerugi [...]is ras ℥.j. fiat vnguentum: Rec. cerussae, lithargyri, boli arneni, terrae sigillatae, lapidis calamina [...]is ana, ℥.j. santali albi & rub. baccarum myrthi, ros. rub. ana, ʒ.ij. sem. papaueri [...] mandragorae, hyos [...]ia [...], ana, ʒ.j. ol ros. & violati ana, ℥.iij. cerae albae, ℥.iij. caphurae, ℈.j. fiat cera [...]um. Recipe ol. ros. ol. myrthini, ana, ℥.ij. succi [...]lymenon, ℥.iiij. succ. plantaginis, ℥ij. ping. vituli, ℥j.ss. fol. caprif [...]lij, & clymenon,[Page]ana, manipulum j. boyle them to the consumption of the iuyces, then put thereto, li [...]hargyri, ℥.ij. minij, ℥.j. caphurae, ʒ.j. masticis, ℥.ss. cerussae, antimonij, plumbi vsti, ana, ʒv. cerae albae. q.s. fia [...] ceratum. Verie auailable is it likewise [...]o steepe plates of leade, for certaine dayes, in alumined water, after rubbe them ouer cum argento viuo, and pearce them with holes, and so applye them. If the vlcer cannot bee ouercome by these meanes, but still fretteth out, and creepeth further: then come to your cauterie actuall, or potentiall. Your potentiall, you may thus prouide: Recipe sublimati ʒ.ij.ss. vnguenti populeonis, vel diachylonis, ʒ.j. misce. Else with sublimate and vnguentum album. Vsing then, after the remouing of the escarre, vnguentum de pompholyge, or some of these vnguents aforesaide.

CHAP. XXV. Of the filthie and putrified vlcer.

[Page] Def.A Filthie and putrified vlcer, is that, which through his malitious nature, putrifieth the member, shedding out from it, either viscositie, soft flesh: or a stinking crust, from which vapoureth a filthie and carrennish fume.Frandulēt vlcer. Such an vlcer is also called fraudulent. But if it goe forwarde in his malice, and fall a creeping, it degenerateth into sphacelus. It commeth commonly after a Ca [...]buncle, or anthrax, or some abcesse, or wounde euil handled.

Causes & signes.The cause is, sanguine humor depraued, thicke and boyling. The part affected is manifest, and the signes of the vlcer are euident by the definitiō.

Prog.If the malice of this vlcer [...] growe walkeripe, that is, fall a creeping, it turneth to Sphacelus, and so to the death of the partie.

Cure.First, the sanguine humor, which is thicke and boyling, and hath gotten a certaine venimousnes and malignitie, is to be euacuated by bloudletting, dyet, and purging medicines, as is before set down in the cure of phlegmon, Carbuncle and Gangraene. Then that in the parte affected is to bee [Page] clensed, and done awaye, by medicines, such as, farina hordei, fabarum, cicerum, orobi, lupinorum, iris, apium, aristolochia, hypericum, centaurium minus, gentiana, marrubium, mel. aqua mulsa, aqua marina, lixiuium, &c. Wash therefore the filth away, with water and honie, or wine & honie, or with aqua marina: or a lee made ex ℥.iiij. cineris caulium, & corticis fabarum, cum aquae pluuiae li.j. or, ex lixiuij ℥.iiij. mellis ℥.j. & pulueris praecipita [...]i ʒ.ij. Afterwarde applye either some vsuall vnguent or plaster:Cal. li. 3. cap. 11. as namely, vnguent. de resina, vng. fuscum, apostolorum, de gummi, de pompholyge cum puluer [...] mercurij, AEgiptiacum, Empl. de gratia dei, Empl. diuinum, rubrum Graecum &c. or, one of these following: Rec. su [...]ci apij. mellis, ana, ℥iiij. terebynthinae, ℥.ij. ireos.ʒ.vj. fa [...]inae hordei, ʒ.iij. fiat vnguentum, or Rec. succi absynthij, apij, plantag. ana ℥.ij. far. hordei, orobi, ana, ℥.j.ss. terebynthinae, ℥.j. mellis ℥iij. myr [...]hae, ʒ.iij. fiat vnguentum: or, R [...]cipe succi centaurij minoris, ℥.v. succi apij, ℥i [...]. succi plantaginis, ℥.ij. mellis, li.ss. te [...]bynthinae ℥.ij. farinae hordei, & orobi, ana, ℥.ij. ireos, ℥.ss. fiat vnguentum [...] [Page] and for a plaster thus: Rec. galbani, opoponacis, b [...]ellij, ammoniaci, ana, ℥.j.cerae nouaeli.j.ol. rosati li.ij. resinae ℥.iij. lithargyri auri.li.jss. olibani, myrrhae, al [...]es, thuris, masticis, aristolochiae rot. ana, ℥j.ss. styracis calami [...]ae.℥ss. succi betonicae, verbenae, caprefolij, plan [...]aginis, pimpinellae, c [...]noglosse, ana, ℥j. lapidis haematitis, ʒ.ij. aruginis rasilis, ℥.j. fiat Emplastrum.

Calm ibid.Now if the vlcer fall to putrifying wash it in oxycra [...]o or muria, and then fourme a plaster to it, ex carnibus piscium sa [...]sorum, farina crobi, aristolochi [...] [...]nga, scylla, & mel. in vino coct. Or apply vnguentum AEgyptiacum, which to a deepe vlcer, you may vse by way of iniection, dissoluing the same in lixi [...], vino & melle, or the aforesaide decoction. Excellent also is Auicenes vnguent thus compounded: Recipe tragacanthirub.℥.j. calcis vi [...]ae, alu [...]inis, malicorij, ana, ʒ.vj. thuris, gallarum, ana, ℥.ss. cerae, olei, ana, q.s. fia [...] vnguentum: obseruinge alwayes, that whilest the vehementer sorte of mundificatiues are vsed, you applye some defend [...]nge medicines about the borders of the vlcer, as vnguentū[Page]de bolo, and beddes or stuphes wet in oxycrato, for the auoyding of inflammation. But if the vlcer yet more and more, eate vppon the borders and partes adioyning to it, it is requisite then, to vse the medicines proper to the maligne vlcer. And sometime incision, to take awaye that which is putrified and corrupt. Else a cauterizing yron, or some sharpe medicine, such as [...]rochiscus asphodeli, de arsenico: or this causticke following, (which will mightily pearse in one houres space, and procure lesse paine then arsenicum sublimatum.) Rec. calcis viuae, li.ij. cineris ilicis, caulium fabarum, ac tartari, ana, li.j. soldae ex qua si [...] vitrum, li.ss. axungiae vitri, quar [...]. j. cum capitello ex quo fit sapo. Let them stande seuen dayes mixte togither: after [...] boyle them to the hardnesse of a stone, or a sufficient thicknesse and dryethe: you maye adde also (if you liste) saponis mollis, ℥.j and this is profitable, not onely to the consuming of [...]lesh, but of fistulous hardnesse also.

Heere likewise maye you haue vse of the sublimate Water, sette [Page] downe in the Chapter aforegoinge. or make a medicine in solide forme, applyable on tentes, as followeth: Recipe terebynthinae lotae, ℥.ss. cerae albae, ʒ.ij. liquesiant simul, deinde adde sublimati, ℥.j. moue then til they be cold. Or, [...]alm ibid. Recipe sublimati ℥.j sanguinis draconis, ℥.ij. fiat puluis, which strawe vppon the vlcer: or receiue it with linte vppon your probe, and therewith touche the vlcer, which also you may doe to a bleeding veine: for it is a causticke, and astringent medicine. Many thinges also may bee heere in vse, that are written in the Chapter aforegoing. And if further proceeding bee yet required, goe on to the cure of Gangraena, & Spacelus.

CHAP. XXVI. Of a deepe and hollowe banked vlcer.

DEepe, cunniuaulted, or cauernous vlcers,Def. are those, which hauing straite orifices outwarde, and large scope & [Page] profunditie inward, make many turninges and fouldinges, out of sight: some strayght, some crooked: yet without hardnesse or callous growing.

They come commonly of apostemes not opened in dewe time,Causes & Signes. or woundes vnartificially handled. The reason is this, that matter which is retained longer time, in a ripe aposteme then is meete, becommeth sharpe and fretting, and so (at length) worketh corners and cauities to it selfe, which are verie hardly healed. For to the affected parte, which nowe is become weake, will all superfluous humors both of the next partes, and of the whole bodie, flowe, and by that meanes, the vlcer become hardly curable. The vlcers hollownesse is discernable by diligent sounding the same, eyther with tentes or probes of siluer or leade: or smal stalks or roots of herbes, or waxe candles: else certaine coloured iniections.

The goodnesse,Prog. and litle quantitie of sanies, or pus, with the vanishing of paine & swelling, which first were present, shewe the hollownesse to fill [Page] with flesh and be glutinated: or contrariwise.

Appoynt a slender dyet, according to the nature of the bodie,Cure. & humors. And purging medicines after the like rate. If there be any distemperature, phlegmon, Erysipelas, or paine, first remooue them. For vnlesse the symptomes bee first doone away [...] the vlcers cauitie cannot be filled vppe. For it cannot be, that eyther the growing of fleshe, or ioyning of cauities, or inducing of cicatrices, cann [...] be rightly perfourmed, vnlesse the subiect fleshe comme first to his naturall state and condition. And howe these accidentes maye bee remooued, you shall obserue out of the curation of woundes. If the hollownesse of the vlcer reache downwarde, and the orifice bee aboue, eyther make incision from the orifice to the bottome (which is best to doe when the hollowe runneth by the skinne) or at least make a vent in the bottome, if it bee perillous to doe otherwise. But the best is alwayes, (if nothing gayne stande it) to dissect the hollownesse thoroughout, [Page] rather then to make incision on the other side of the hollowe. For so shall the vlcer be brought to healing both easilyer and sooner. The cauitie being all layde open, by applying then, fitte medicines, on your lintes and plageates, so purge and dry the whole hollownesse, that at the length, flesh may grow again, the cauitie be filled, & the vlcer brought to perfect soundnesse: after the order set downe in the chap. of deepe and hollowe woundes. But if you make your incision on the other side of the hollowenesse, suffer first some sufficient store of matter to gather togither in the bottome of the cauity, to the making of the skinne both thinner, and [...]agging outwarde: as also for the eas [...]er cōuaying of a probe into the bo [...] tom. Now let your probe be smooth, & anointed with some vnctuous thing hauing an eie in the hinder end, like a needle, to carrie with it a ceton, made of hemp, or some slēder cloth, or [...]auft band. After incisiō, appease the paine that groweth, & fluxe of bloud, with the white of an eg, & such other helps as serue to the suppressing of blo [...]di [Page] profusion. After this agayne, when neede requireth, put in a fresh ceton, armed with some mundifying medicine: which you shall the aptlier doe, by tying, or stitching it to the olde, when it is plucked out. Otherwise, if neither the cauitie can commodiously bee cut foorth, nor yet opened in the bottome: yet then haue you cure for it, by mundifying, incarnatiue, and glutinatiue medicines: thus, first mundifie it with iniections, made ex oxymel. A mixture of vvine and honie. oenomelite, vino astringenti, aqua alluminosa, melle, lixiuio, aqua marina, puluere mercurij, &c. or thus: R [...]. aquae plantaginis, aquae peculi ros. aquae caprifolij, ana, ℥.ij. vng. aegyp [...]iaci, ℥.j.ss. fiat iniectio. Another: Recipe aquae plantaginis, aquae peculi ros. ana, ℥.iiij. vini albi, ℥.ij. aluminis vsti, ℥.ss. baccarum myrthi, aloes, ana, ʒ.j. misc [...] fiat iniectio. A thirde: Rec. hordei integri. P.j [...] ss. ceterac, agrimoniae, ana, m.j. centaurij minoris, absynthij, ana, m.ss. coquantur in melicrato & fiat iniectio. or dissolue vnguentum aegyptiacum in lixiuio & melle. Thus when the vlcer is sufficiently purged, and made meete for filling with flesh and glutination, [Page] vse these meanes: Recipe hordei, P.j. rad. ireos, fol. oliuae, plantaginis, agrimoniae, ana, m.ss. coquantur in aqua, & colaturae li. ss. dissolue mellis ros.℥.ij. myrrhae ʒ.ij.ss. thuris, masticis, ana, ʒ.j. fiat iniectio. Another: Rec. decoctionis hordei, li.j. mellis ros. col.℥.iij. sarcocollae ʒ.ij. myrrhae, thuris, ana, ʒ.j. vini, ℥.vj. coquantur ad tertias, quibus interaum aliquid aloes, addi potest. An vnguent. Recipe farinae hordei, farinae lupinorum, ana, ℥.j. mellis, ℥.iiij. thuris, masticis ana, ʒ.ij. myrrhae, ℥.ss. terebynthinae lotae, ℥.j.ss. ol. hyperici, q.s. fiat vng. for plaster you may vse, de minio, apostolorum or Diachalciteos, &c. or else this: Rec. nitri tenuissime [...]triti, ℥.iij. aquae rosarum, ℥.ij.ss. coquantur simul lento igne ad crassitiem, semper agitando: postea adde terebynthinae, ol. veteris, ana, ℥.iij. cerae, q.s. fiat ceratum. There may bee applyed in this case, hollowe tentes of leade, with boulsters, and an expressing kinde of ligature, a peece of sponge beeing layde in the orifice: by which meanes, the matter being partly pressed and partly sucked foorth, the vlcer may bee kept dryer. In the meane time, it shall [Page] not bee amisse, to fortifie the partes roūd about [...] with some medicin, partly repellent & partly discutient: as this following decoction. Rs. calamenthi, origani, saluiae, ma [...]icariae, absynthij, rorismarini, ana, m.j. chamom. staechados, ros. rub. ana, P.j. nuces cupressi x. salis, ℥.ij. aluminis, ʒ.x. mellis li.j. coquantur in lixiuio et vino austero adtertias, et fiat fotus. else take other astringent medicines, as sumac. plantag. balaust. rosas, myrt. and boyle them in wine to that purpose.

CHAP. XXVII. Of a fistula.

A fistula is a narrow,Def. long, and callous growne cauitie, little paynefull, and for the most parte, following apostemes vnartificially handled.

It commeth of euell humors, especially phlegmaticke & melancholick,Causes & Signes. &c. What part is taken therewith, by sight & search, it is easily discouered. Signes are [...] callous, growinges, horrible virulencie, little paine, &c.

[Page]A fistula if it haue hurt some bone,Prog. cartilage, sinewe, or muscles: or if it occupie a ioynt: or haue pearced to the bleddar, lunges, matrice: or to the great veines or arteries: or to the emptie spaced partes, such as the throate, stomache, or breast, it is pernitious. And those are alwayes perillous also, that tende to the guttes. A fistula in the fundament, lurking without an orifice, or that hath manifolde turnings, or endeth in the bone, is hardly healed. A fistula manifolde wise creeping, with many turning corners and crooked windinges, is cured only by the hande. If a fistula pearce deeper, then that a collirie can bee sent into it, it is curable onely by handie operation.

First the cause of the fistula,Cure. to wit, hurtfull humors hindring the healing of it, are to bee diminished and taken away, partly by dyet, partly by preparing and purging medicines, according to the nature of the humors. Secondly the inner ꝑts must be strengthened as by these potio [...]s, deuised for that purpose: 1. Recipe agrimoniae partes iij. plantag. partes, ij.[Page]fol. oliuae, part [...] j. scindantur minutim & contundantur: postea in vino albo coquā tur, & fiat colatura, whereof let the patient take ℥.j.ss. euerie morning, 2. Recipe of mundae regalis (which with Dioscorides, is filix mas) scrophula [...]iae ana, part. j. agrimoniae, centaurij minoris, ana, partes ij. aristolochiae, gentianae, ana, part. ss. rad. filicis part. j. philipendulae part. ij. coquantur in vin [...] albo, addendo sacchari, q.s. And giue of that decoction euerie morning, ℥.j.ss. you may adde Guaiacum also to the same decoction, and after the callus of the fistula is taken awaie, it shall auayle to vse Guaiacum sodden in wine or water, hauing regarde to the patients strength, and humors and euen as you couet to make it more or lesse drying. Thirdly the fistula it selfe is to be dealt withal: and first if it be straite and narrow orificed, it must be enlarged, with a tent of gentian, or the trochises de minio, or ex radice brioniae. or dracunculi [...] or a sponge thus prepared: Recipe cerae, resinae ana, ℥.j. sublimati, ʒ.j. liquescat cera cum resina, postea adde sublimatum, soake your sponge in that mixture, and by and by plucke [Page] it out, least it burne, then diligently presse it. After this, roote out the callousnesse, either by medicins, or handie operation. Simple medicines to that end are, auripigmentum rubrum, sublimatum, aqua sublimata, arsenicum, spondilij radix, veratrum nigrum, elaterium, laserpi [...]ij succus &c. compounde are, troachis [...]i asphodeli [...] trochis. de arsenico, aqua alchymistarum, or this iniection: Recipe vng. aegyptiaci ℥.ss. sublimati, ʒ [...]ss. arsenici, ℈.j. lixiuij.℥.j. aquae rosarum, ℥.ij. aquae plantag.℥.iiij. coquantur ad tertias: make therwith iniection three dayes: and euer after iniection, cloase vppe the orifice with waxe, or bombast, that the same abyding within, may worke the better, and consume the fistula. The handie operation to bee perfourmed in this case, is eyther incision only, without cauterie, or else incision and cauterie togeather. The incision doone alone, is to be followed all along the hollowe, to the verie botome of the fistula: after which you must take out the callous, either with your nayles, or instrumentes, so as the place, may bee left pure and cleane from all filthinesse [Page] & quick & perfect flesh euery where appeare: & this is the true cure of the fistula: which must be done by and by in the beginning, if nothing let. Incision and cauterie togeather is thus to be done, if nerues or arteries forbidde not. First trye, whether the fistula runne right forwarde, or crooked, by searching with a probe o [...] waxe candle: if you finde it lye shallowe, and narrowe: make it more euident, with your probe houlding in it, and in good order, cutte it along with your incision knife. If there bee manie turninges or windinges, those prosecute in like sorte, with probe and kniffe. Nowe when you are come to the ende of the fistula, fill all the vlcer, so, with tentes, or lintes, dipte in the white of an egge, as the lippes of it may bee kept asunder for going togeather againe. The daye following, burne the place, either with hote yron, or causticke: to wit, cum puluere asphodelorum, vel arsenico, vel hydrar [...]yro, or other such like. But if the fistula lye not shallowe, but tendeth iust inwardes, when you haue made, first, your [Page] incision, as deepe as can bee, and as is lawefull to goe, if it bee possible take awaye the callousnesse rounde about, as was sayde euen nowe: and if anye of it be left behynde, waste it afterwarde with some burninge medicine. If much callous haue remayned, and will not giue place to such medicines, burne it with hote yrons. Obseruing alwayes, by the way, to lay aloft, and rounde about the place, thinges that may coole and beate backe. And thus the fistula being burned, and dryed, as it ought, must be attended the first dayes following, with some mitigatorie medicine: as oleo cum oui luteo mixto. After that, applying those thinges, that may loose the cruste: suche as butter or other like. When callus is gone, mundifie the vlcer with putting in of aqua mulsa, or cum decoctione erui cum melle: then applying this vnguent: Rs. terebynthynae in aqua vitae ablutae, ℥iij. succi ap [...]j, suc. cynoglossae, ana, ʒ.vj. mellis ros. col.℥.j.ss. aristolochiae rotundae, ʒ.ij. farinae lupinorum, ℥.ss. coquantur succi & terebyntina cum melle rosac. vsque ad consumpt. medietatis[Page]succorum deinde reliqua misecantur. else mundificati [...]um ex api [...], or such other may serue. When the [...]istula shall be pure and cleane, then vse medicines to encrease and fill vp with flesh: such as cinis rad. liliorū crematarū, or this powder: R [...]. rad. chamaeleon [...]is nigri, cor [...]ici [...] pini, thuris masculi [...] aristolochiae longae, ana, part. aequale [...], fiat puluis: a collirie to that purpose is thus made: Rec. aquae vitae, ℥.ij. vini maluat.℥.j. mellis ros.ʒ.x. myrrhae, rad. peucedani [...]ae, [...]na, ʒ.ij. sarcocollae, aloes, ana, ʒ.j.ss. misc [...]antur, & coquantur vnica bulli [...]ione, and hereof iniecte into the fistula with a syring. another: Rec, squammae aeris, aeruginis, ammoniaci, thymiamatis, ana, partes aequale [...]. ex aceto terito, & pastillum conflato: hereof fashion tents according to the fistula, and apply thē [...] an vng [...]ent to enca [...]ne make thus, Rs. terebynthinae in aqua vitae lotae, ℥.iij. succi apij, & cynoglossae, ana, ʒ.vj. mellis ros. col.℥.j.ss. fiat decoctio ad consm. medieta [...]s, postea adde aristolochiae rot.ʒ.ij. farinae lupini, ℥.ss. radic. peucedani, rad. ireos, myrrh [...], sarcocollae, ana, ʒ.j.misce.

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CHAP. XXVIII. Cancer exulcerate.

A Cancer exulcerate is a round vlcer,Def. hor [...]ible, stinking, with lippes both thicke and harde [...] knott [...]e, turned inward, strouting vpwarde, and hollowe banked in collour blackishe and obscure, with veynes in the circuit of the vlcer, full of melancholie bloud.

It commeth of melancholicke humors,Causes & signes. and of woundes or vlcers euill handled. Signes are, paine, hardnesse, swelling: the vlcer as it were gnawed, v [...]euen [...] filthie, swart colour, and stinking. The matter of it thin, watrish, blacke or yellowe, euill sauouring.

A cancer that is in the veines,Prog. synewes and bones, is hardly cured. An aged cancer, and such as hath gotte a habite in the member, is vncurable. So also is a cancer hidden in the interiour partes.

First take away the melancholicke humor,Cure. by diet, bloudletting, and purging, like as is afore set downe, in [Page] the hidden, or not exvlterate cancer. Then for the cancer it selfe, if it bee externall, and superficially rooted, fetch it out, roote and all, with instrumentes or causticke medicines: to wit, cutte it wholly awaye, with an incision kniffe, and presse the thicke bloud, out of all the veynes neere to it, that it may flow forth. After again ioyne the lippes of the vlcer, and goe forwarde to cure it as another vlcer. Some consume it with a cautery. And others, after the cutting and pressing out the bloud, applye also a cauterie, with causticke medicines it maye be doone: as cum arsenico sublimato. But then the places about it, must be defended, with an vnguent de bolo, for auoyding inflammation. After procure the casting of the escar: and so proceede in the cure, as in other vlcers. Nowe if the cancer vlcerate, bee in some inner part, deepely rooted, and neere a principall part, so as it cannot be cured, yet then at the least, wee maye vse meanes to hinder his encrease: as letting bloud, if nothing hinder, and vsing such a dyet as may eng [...]nder good bloud: to wit, barley [Page] creame, whaye, birdes fleshe, stone fishes, mallowes, arrage, beetes, cowcumbers, a little wine and that watred. But sharpe meates, much filling [...] &c. hurt. Let his purging medicines be such, as in the exulcerate cancer. His locall medicines drying but without all byting: such as, succu [...] [...]olani, or ace [...]osae, aqua s [...]lani, acetosae, plantaginis, plumbum, antimonium, [...]l [...] um sulphuris, vng [...]ent. [...]lbum, de lithargyro, v [...]guent. de plumbo &c. vinum in which tapsus barbatus is soddē. or you may artificially prepare thē, like these following: a water: Rec. succi solani, succi semperuiui, succi acetosae, succi sc [...] biosae, succi caprifol [...]j, succi tapsi barbati, succi scrophulariae, succi philipendulae, succi linariae, succi agrimoniae ana, li.ss. succi omphacij, li.j. carnis limacum, carnis ranarum, carnis cancrorum, ana, li.ss. albuminum ouorum numero, vj. aluminis, ℥.iij. caphurae, ʒ.j. distillentur omnia in alembico plumbeo, and therewith foment the place. An vnguent: Recipe cerussae vstae & quinquies in aqua rosaceo lo [...], ℥.j. plumbi vsti, & loti.℥.j. thutiae praepara [...]ae, ℥.ss. lithargyri n [...]ri [...]i, ʒ.iij.[Page]suc. solani, semperuiui, hyoscya mi, ana [...] ℥.j. lactis sem. papaueris cum aqu [...] ros. extracti ℥.ij. lactis mulieris ℥.j. olri ros.℥.iiij. cerae albae, ℥.j. misce. another: Rec. vng. pompholyg.℥.j.ss. vng. albi, lithargiri, plumbi vsti, & loti, ana, ℥.ss. succi scabiosae, solani, ana, ℥.ij. ol. omphacini vel de ranis, ℥.iiij. fiat vng. in mo [...] t [...]rio plumbeo. A thirde: Recipe thutiae praepara [...]ae, cerussae lotae, plumbi loti, lithargyri loti, coriandri praeparati, amyli, ana, ℥.ss. cerae albae, ℥.ij. ol. ros. vel de ramis, li. j. mucilag. sem. psilij cum succo s [...]abi [...]sae, her [...] Roberti, linariae, thaps [...] barbati extractae, ℥.iij. misce. A fourth: Recipe plumbi vsti & lo [...], ʒ.iij. antimonij loti ʒ.ij. pompholygis, ℈.iiij. cerussae ʒ.j.ss. caphurae ʒ.j. lapidis haemati [...]is ℈.ij. vtriusque corallij, ana, ℈.ij. cineris cancrorū ʒ.ij. succi plantag. & solani, ana, ℥.ij. ol. ros. vel de ranis q.s. fiat linimentum in mortario plumbeo.

There are some moe particuler vlcers, which might here be handled, which I would also haue doone by waye of supplye, as in other places, saue that my booke of vlcers, alreadie ex [...]ant, can well deliuer [...]ee of so much labour, for that point.

The fourth booke entreating of fractures and dislocations.

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CHAP. I. Of fr [...]ctures.

A Fracture is diui [...]ionDef. or breaking of a bone, by meanes of some outwarde violence, done vnto the parte.

Causes are,Causes & signes. things of weight falling on the place, or falling of the partie from high, and such other wayes, as the patient can best declare vnto you. Whether the fracture be ouerthwart or longwayes, you shall thus discerne. If it be ouerthwart, the partes of the bone in feeling, [Page] doe seeme in that place, seuerall, and disioynde: the figu [...]e of the member is vnequall. The part is full of paine when it is touched: and when the member is mooued and diuersely handeled, the bones make a noyse and crackling. If it bee longwayes: the partes in handling, is to bee perceiued more then naturallye thicke, with payne, and vneuennesse, the other signes beeing awa [...]e.

Prog.The arme, and cubitte bones: as also the thighes, legges, and finger bones, are not daungero [...]: if they be broken in their middest. But the nearer the fracture is to the heade (be it vpper or nether) of the bone, so muche the worse is it iudged. If a ribbe bee wholly brooken, the case is harde. A fracture in the nosethrilles is the worse, when the breache of the bone, or gristell, is accompanyed with a wounde in the skinne. In a fracture of the skull these thinges foretell of euell: to wit, the membran vnmooueable, blacke, swart, or otherwise euell coloured, losse of [Page] the wittes, sharpe vomitte, resolution or else distention of the nerues: blackish fleshe, and stiffenesse of the iawes and necke. A simple transuerse fracture is most tollerable. A s [...]ope fracture with loose fragmentes, is worse: but a sharpe pointed worst of all. A fracture with paine, or inflammation, or contusion of the flesh, is euill: for that it cannot be restored, till those accidentes be first remoued. And if a wounde be in the flesh also, the case is euil: specially if it be in the muscles of the thigh or sholder bone. Agglutinatiō of bones, in a declining age, cholericke persons, and recouering health, is most difficult: but in decrepitte and very aged ones, im [...]ossible. Moreouer, a fracture the elder it is, so much the worse it is. The skul asketh xxx. dayes to be ioyned in. the arme & legge (if they be rightly handled) about xl. the cubitte is knitte for the most parte, in xxx. dayes. The bone of the nose broken, ioyneth in viij. or ten dayes space. A ribbe souldreth in xxj. dayes. The iawe, and cannell bone, betweene xiiij. and xxj. dayes. The shoulder bone humerus, [Page] and the thighes, betweene xxvij. and xl. dayes.

Cure.Your patient being placed, according as his case requireth, appoynt two ministers to applye their handes to the fracture, one aboue, another beneath it, which may by pulling the member, one vpwarde, another downewarde, or the one to the right hande, the other to the lefte warde: in iust order, ioyne againe the broken partes of the bone, and fit them to their naturall fashion and placing. If you stande in neede of more force, or [...]tronger stretching, prepare large tyals of strong linnen, which being fastened aboue and beneath the [...]racture, with two assistantes, one drawing one waye, another another way, pull out the member as much as you neede: taking heede that you make not ouer violent extension in the member, specially in dryer bodies, lest vehement paine, feuers, conuulsion and resolutions bee procured. Beware also, that in the stretchinge of the mēber, none of the outstrouting bones be broken, which would make [...]he cure more difficult to perfourme. [Page] when the member therefore is somewhat more then naturally stretched out, applye your handes then to the fracture, and couch the bones in their places againe: after let those that stretch the member let go their hands by little and little, till the member be againe returned to his length. And thus you shall knowe whether the bones be right: if the paine do slacke, and the sense of pricking vanish. Hippocrates in his booke of fractures, teacheth another kinde of setting, by the instrument called glossocomium: which is doone, like as, by the sentence of a iudge, tormenters stretch vppon the rack, suspected persons: notwithstanding that this other wai is both more easie and familier. After nowe the bones are couched in their places againe, let your studie be, so to retaine and keepe them. Anoynt there [...]ore al the member cum ol. rosaceo warme, or ol. myrthino or mastichino, sprinckling thereupo [...] ex puluere mas [...]icis. After, Rec. boli armeni, terrae sigilla [...], farin [...] v [...]latilis, ana partes aequales, excipiantur alhuminibus [...]uorum, and vppon thinne stupes, orderly platted, and wette in [Page] water and viniger and wrounge out, apply it: layi [...]g againe aloft on them, a cloth wette in water and viniger: this doone, with a sauft firme rowle, wonde vp at both endes, and wet in water and viniger. fetche iij. or iiij. turnes about the fracture: after that, dispose one ende vpwarde, and the other downewarde, but reducing the lower ende, to the vpper part againe. And for that cause, prouide in the beginning, that, that end of the rowle, that goeth downewardes, be so much longer thē thother. As for the length & bredth of the rowle, that is alwaies to be ordained ꝓportionable to the greatnes of the fracture & mēber. In the meane time, looke that your binding be nether to slack, nor to straite. For the one doth no good, to the retayning of the bones in their places, the other causeth paine & inflāmation prohibiteth nourishment & vitall spirite to be cōmunicated to the mēber & hindreth the euaporation of excrements [...] yet most straite of all must the ligature be in the place of the fractur: which to be so, you shall, ꝑtly by your own handing [...] partly by the ꝑties feeling, [Page] vnderstand. After rowling, apply also your splentes (although Hippocrates & other auntients apply not thē til the 7. day) not in such sort as that they may constraine or bind the part (for so they shuld either stir vp, or maintaine paine & swelling in the part:) but only as they may containe the me [...]e position of the mēber, and vnderset the bones on each side, restored to their places. In the beginning therfore apply splents, but not too straitly, til the time that feare of paine & inflammation be past: & then tie thē straiter. see your splents be smooth & euē plained of thinne woode [...] or pastbord, or hid [...] lether. Some in steede of splentes, vse barkes of trees [...] but they are not sufficient stablishmēt for the bones. if for the inequalitie of the member, splents cannot be applyed, the hollow disuantaged places must be filled vppe, with beds, and boulstring clothes for that purpose: and so the splents being lapt in woll or flaxe, must bee bounde about the fracture, one a finger distance frō another, so, as they may not slippe their places [...] shunning to touch a ioynt with them, and specially the [Page] inner bowing of it. Moreouer, when you haue bounde vp the member, in order, prouide for the fit placing of it: which is that, that is most voyde of paine, and answerable to the naturall and accustomed figure, and wherein the patient maye longest endure it. Galen calleth that the rightest figure, which hath the veines, arteries and muscles rightest. The cornered figure is rightest to the arme. Therefore to the conseruation of the rowled member, some fewe (most closely) strawe in a linnen cloth, and making thereof as it were a bed, doe place and tie the mēber therein. Others make a case fit For it, after the same maner. If thus thē it goe forwarde, so as neyther payne, inflammation, ytching, vlcer, nor other symptome molest, and the fracture it selfe is rightly restored, then ought both the bindinges and splents [...]o abide vntill the xv. day: fomenting the mēber meane while, round about it, cum ol. myrtino, & mastichino. Profitable also is it, if you apply (especially the first dayes) a defensiue to the vpper parte of the member. Then after [...]x. dayes, loose the bindings: foment [Page] the part, cum vino decoctionis absynthij & rosarum, cum sale, and againe, fo [...] other seuen dayes, vse the same medicins as before. After which time also, foment the place as is nowe sayd, but apply Emplastrum oxycroceum vppon it. By these meanes, shall nature ioyne againe the broken bones (like as somtime also without medicines) which she doth by engendring a callous substaunce,Callus. betwixt the broken partes, whereby they a [...]e glewed togither againe. The same callous ariseth from the nourishment of the bone, and is therefore better helped by dyet fitt [...] for that purpose. Let the patient therfore vse meates of good iuyce, and which canne nourish much, (vnlesse there bee a wounde) and which may also engender thicke & cleauing iuyces: for such are fit to make this soulder. And such are these, to wit, ryce, wheate, the extremes and intrelles of beastes, chiefly of the kidde, and wether. In the beginning let his dyet be but slender, absteyning from wine and flesh, till the tenth day, at which time callus beginneth to engender. When a fracture is in the lower partes [Page] of the bodie, seldome moue the belli [...], neither with clisters, nor purging medicines, but somtime open a vaine to staye the defluxion. Thus much of a simple fracture: nowe if it be complicate, as with contusion or wound, then must you also obserue to do further, then hitherto hath beene sayde. As if ther be a contusion withal, your ligature shal not bee as aforesaid, but as Hippochrates counselleth; your roll must runne from either side of the contusion, slopewise along, after the fashion of the Greeke letter [...], that the contused place may remayne vncouered, so as you maye alwayes come to dresse it, not vnrowling the member. After the same maner shall you doe, if there bee a wounde: prouiding first, if there bee anye loose bones, that pricke, to take them foorth in the beginning.

Hippochr. cureth a fracture with a wounde, the same waye, as that without a wounde, saue that hee makes his bynding loser, in the place of the wounde, then if there were none. Hee vseth also moe rowlers, because hee rowleth looselier. Also [Page] he cōmeth not so soone to the vse of his splents, & appointeth a slenderer dyet. Now if any symptome arise, or the fracture proceede not rightlye, Hippochr. willeth to vnrowle the member euerie [...]irde day, and so to deale with the symptome.Symptomes. The symptomes which commonly cumber are these: vnpro [...]ortionable growth of Calius, paine, inflammation, ytchinge, Gangraene, and vncomelye fourme of the member. The Callus is vnproportionable, if it eyther want, or abounde. If it growe too skarcely therefore, vse moderate perfusion of warme water, to the place, as also frications, and Emplastrum ex pice: for these things drawe nowrishment to the affected part. Againe, medicins that haue digerent & spending facultie, do diminish a new ouergreat grown Callus: as doth lamina plumbe [...], strait bound to the place, also immoderat frication, or done with oleo, sale, ac nitro, or much fomentation with warme water, and vomiting, with a thinne dyet. If there bee payne, or inflammation, vnrowle the member, (if it bee rowled) speedely. [Page] and apply woole with oyle and viniger: or other such conuenient helpes, to the payned and inflammed parte. And neither shall you make any rowling to the member, nor yet applye splentes, (till the inflammation bee remooued) saue only, so farre, as they may staye the member, and keepe on the medicines applyed: that is, verie loosely. Some counsell liberall fomentation with warme water, whilest the inflammation endureth, and a little vse of it, after it is gone: but inflammation and paine once banished, then rowling and splenting as afore [...]ayde, are to be vsed. If there by noysome ytching, or pustules, foment the place cum aqua, aceto & sale, and vse to it vng. album, diapompholygos, populeon or such other, If through contusion, or any such matter, some daunger of a gangraene be threatned, scarifie the part affected. And if the gangraene, or other creeping putrefaction haue taken place meete with it, with such engines, as are set downe against such enemies in other places of this booke. Finally, if after the fracture set, and the place growen, the mēber [Page] shewe awrie, and lose his naturall figure: then must you go backe again, breaking first the callus and after, restore the member aptly, in fourme aforesayde: which to doe, you must first make sauft the callus, by suche mollifying medicins as folowe: some beeing plasters, some fomentations, some vnguentes: Rec. fol. cicutae m.iiij. fiat decoctio: herewith foment the part, then stampe the leaues with axnugi [...] fuillae or gallinae, and laye it vppon as a plaster, after fomenting: for this sauftneth callus meruelouslye, so, as that within ix. daies it may easily be broken, and the member be fitte to sette againe. In the end, this sparadrap following is much auayling. Rec. thuris, masticis, farinae volatilis ana, ʒ.ij. boli armeni, ʒ.ij. cerae, seui arie [...]is, ana, li. ss. resinae, ℥.ss. ol. ros.℥.ij. liquefia [...] cera & resina cum seuo & oleo, & ijs eductis ab igne, pulueres inijciantur & fiat [...]mplastrum. or dippe clothes therein and make a sparadrap. A fomentation is made ex decoctione capitis, pedum, & intestinorum veruecis, corticis mediae vlmi, rad. altheae, cum farina sem. lini, faenugreci, chamomillae, meliloti: these are to [Page] be sodd in vino & aqua, then let th [...] member being couered with a cloth, receiue the fume of it. After [...]oment it with decocted oyle, and annoint it with one of the vnguents following: Recipe vnguen [...]i dealtheae, & agripp [...] ana, ℥.j. ol. chamomelini, liliorū, amigda [...]. dulc. ana, ℥.ss. ol. laurini, ℥.j. pingued. gallinae, medullae [...]ruris vituli, & vac [...] ana, ℥.ss. oesypi, ℥.ss. mucilag. sem. li [...]i & faenugraeci, ana, ℥.j. cerae, q.s. fiat vnguentum.

Another: Rec. rad. altheae, li.j. ireos, scillae, ana, ℥.ij. iuae arthreticae, herbae paralysis, cynoglossae, ana, m.j. coquantur, urantur, exprimantur, & colaturae adde pinguedinis gallinae, & anseris ana, ℥.ij. butyri recenti [...], ℥.j.ss. axungiae suillae, ℥.j. amurcae olei irini, & de lilio, ana, ℥.ij. cerae, terebynthinae, gummi hederae, ana, ℥.ss. galbani, ℥.ss. colophoniae, resinae, an [...], ℥j. fiat vnguentum.

CHAP. II. Of luxations.

[Page]A Luxation is the slippinge of a ionyt forth of his natiue positiō,De [...]. and proper lodging, into another strange and vnwonted feate, whereby voluntarie moouinge is hindred. The Greekes call it Exarthrenia. Causes & signes. It hath causes both inwarde and outwarde: The outwarde are, falle [...], stroakes, exten [...]ion, wrenchinge, wrong writhinge, &c. to bee vnderstanded by the patients speache. Inwarde causes are, mucous, and pituitous humors. That the ioynt is displaced, these are [...]ignes: to wit, Tumor in that parte, where the bone lyes, that is leapt out, and a pitte or cauitie in the place, from which it is departed. Also, payne and difficultie, or priuation of moouinge in that member.

A luxation,Prog. wherein the borders of the bones, that is, the brinks of the cauities are broken, is iudged worst. If the head slip out towards the hinder part, it cannot be againe compelled into the place, but by and by bringeth death. Of bones that are moued frō their places, som slip out, and are reposed againe [...]a [...]ier, others [Page] more hardly. The knee, as it easily slippeth out, so, with no great ado [...], is it to be driuen to his place againe. Luxatiō of the fingers make no great businesse. The cubitte, as it seldome and hardly slippeth out, so, if it be out it causeth much trouble. The shoulder contrariwise is neither hard to vnioynt, specially in leane persons, nor yet to bring again into his place. The [...]awe bone, shoulder blade, os tali, the heele bone, the hande, and plant o [...] middle of the foote, doe commonlie knitte againe in xiiij. or xxi. dayes. The hippe in 50. dayes, and the foote it self in 60. If rest be giuen. Whosoeuer hath his hippe vn [...]oynted, through dayly payne wherewith hee is there molested, his legge after wasteth, and he becommeth lame, if he be not cured. To what luxations soeuer, inflam [...]mation, or wound, or great and sharp paine hapneth, these, besides that they are verie harde to be cured, are also full of daunger. It is an euident signe of the comming of the bone againe into his naturall place, if it made a cracke, or noyse when it returned to his seate againe: and by and by the [Page] figure and conformation of it, bee in [...]ight and handling, the same it was, or like the same member on the o [...]her side. All olde luxations, & which [...]y time are callous growne, doe ei [...]er verie hardly, or neuer receiue [...]te. Those partes which in child [...]ood are displaced, and not set againe [...]rowe lesse then the others.

The bone that is displaced,Cure. must [...]e stretched foorth, and then by force [...]mpelled againe, from the place [...]hetherto it is gone, contrariwise to [...]s proper seate, whence he is slipped. [...]ut there is not one & the same rea [...]on of extending all the partes: but [...]iuers and sundrie, according to the [...]ature of the luxated parte, and ac [...]ording to the disposition, situation, [...]nd knitting of the bones, tendons, & [...]erues [...] For somtime it is don with [...]he hande [...] sometime not without [...]andes or tialls (as is saide in fra [...]ures) and sometime wee are driuen [...]o doe it by engines [...] for that pur [...]ose, such as glossocomium. Thus when [...]hat ioynt is placed againe, studie so [...]o keepe it: strengthning and confirming the member, with annoyntinge [Page] it, ex ol. rosaceo, myr [...]ino, or, mastichino, & after, applying a linnen cloth steeped in rosaceo [...] next that light stuphes and clothes, ouerspread cum oui candido, & some powder of astringent things. Las [...] of al, vse your rowles, wet in water and viniger, of breadth & length according to the parte you haue i [...] hand. Further you shall apply splent [...], of some stiffe leather, or paste bo [...]de: so yet, as the binding maye not be to straite: least paine and inflamation be thereby caused. All which once done [...] in certaine order, and manner, & the member duely placed, leaue it so, till the seuenth or tenth day, vnlesse some symptome arise. When you come the seconde time, to dresse your patient, foment the mēber with warm [...] water, both to swage paine, (if any [...] bee) and to euaporate, or discusse su [...] perfluitie [...] in the affected pa [...]. That done, cloth the member aga [...], with a plaster ex puluere astringen [...]e, & ou [...] rum albumibus: and binde it harder [...] A luxation sometime is complicat [...] with a wounde,Luxation complicate. or a fracture: if it be [...] with a wounde, it requireth grea [...] wisedome and diligence in the cu [...] [Page] of it: for that sometime while the bones are placed, great perill, naye death it selfe is inferred. For when as the nerues and muscles thereabout lying, are by stretching easily enflamed, it followeth likewise that grieuous dolour, great conuulsions, and sharpe feuers must easely ensue, especially in the great ioyntes. For the nearer that the luxated ioynt with a wound, is to the principall members, the greater feare is it, of the comming of such accidents. Therefore according to Hippochrates iudgement, no ioyntes can bee safely set againe, besyde the handes, feete and fingers: in which also, he warneth of wise proceeding, and that nothing bee done headely or rashly. Therefore, to be shorte, the ioyntes luxated, must by and by, in the beginning (while the part is void of inflamatiō) be placed, but a ioynt displaced with a wounde also, must be assayed to bee set, by a meane intension, or stretching, because it cānot suffer much stretching, without daunger. If it succede aright, vse diligence, that no inflammation arise. But if there growe inflamation, [Page] conuulsion, or other such, after the ioynt is placed, displace the same againe, if it may be done without violence, and if wee feare such a hazarde or perill (because peraduenture the ioynt inflamed, will no [...], without force, bee driuen from his place againe. It shal be better, if (in the beginninge, in such cases of the great ioynts, as the thighes & shoulders) you leaue of, & deferre the placing of them. Afterwarde, when the inflammation is ceassed, (which is commonly the seuenth, or ninth daye after) vsing some preface to the patients frinds, of the daunger that is like to followe such reposition, as also on the other side, that lamenesse and weakenesse necessarily followe, if it be not set: endeuour safely, & without violence, to driue the bone into his place againe. As for the wounde, deale with it according as is taught afore in the fracture with a wounde. Also obserue that euerie displaced member, with a wounde. If it be not set againe, must so be placed, as may be most to the patients ease. Aboue all, see that it bee not mooued, nor [Page] hang downwarde. If there be a fracture with the luxation, yet without a wounde, the member then is to be extended, according to the common manner, and so with the handes to be fashioned into his place, according as is taught in simple fractures before. But if there be a wound also, a conuenient cure thereof, is to be fetched from the instructions alreadie giuē, for the handling of fractures & luxations complicate with woundes. And to speake in a worde: if a luxation happen with a fracture, the luxation (if it may be) first, the fracture next is to be restored. If that cannot be, then compasse the cure of the fracture first, and after his Callus is growne firme, vndertake the luxation. Nowe concerning accidents:Acciden [...] If inflammation growe, preuent or stay it, by meanes spoken of in the cure of Phlegmone, and other places Paine you may mitigate by applying lana succida ex hydraeleo calido, & ace [...]i momento. If there be any callous hardnes, by continuance of time, gathered, betweene the luxated bones, foment the place cum decocto altheae, [Page]maluae [...] and other mollifying medicines: then annoint it with vnguent. dealtheae: After lay vppon a plaster of Diachylon magnum, or else in steede thereof, lana succida in ma [...]ilagine qua piame molliente delibuta. To the same ende also, cortex radicis maluauisci decocted in water, and stampt cum axungia, vel anserino pingui to the fourm of a cataplasme, is reckoned effectual. Thus then, the partes within being sufficiently sauftened, giue the luxated bone his [...]eat againe.

FINIS.

A table of all the principall matters contain [...]d in this Booke.

[Page]

A

A.

ANthrax.

page. 20

Aqueus or Aquosus tu.

72

Atheroma.

95

AEgylops.

139

Anchylops.

ib.

Angina.

162

Acrochordon.

247

Aneurysma.

256

Astoniednesse in a wounde.

293

Achores.

443

Alopecia.

448

B

B.

Bleere eyes.

133

Ba [...]rachus.

156

Bronchocele.

216

Botium.

ib.

[Page]Bubonocele.

201

Bubo venereus.

229

Bubo pestilens.

233

Bloudie matter in a wounde.

295

Brose.

309

Burning.

[...]3

Burning with gunpowder.

435

Burning with metalles or minerals.

436

Burning by Minerall waters.

437

Burning by Mercurie.

ib.

Burning by lightning.

438

Brannie scales in the heade.

458

C

C.

Carbuncle.

20

Cancer not vlcerate.

106

Cirsocele.

198

Crudling of milke.

235

Clauus.

247

Conuulsion in a wounde.

285

Costiuenesse.

292

Cancrous wound.

295

Contused wounde.

304

Cancer exulcerate.

505

D

D.

Distemperature in a wounde.

285

E

E.

Esthiomenon.

38

[Page]Erys [...]pelas.

47

Epiphora.

133

Epidis.

152

Enterocele.

188

Epiplocele.

ibid.

Ecchymosis.

309

F

F.

Furuncle.

35

Flatuous Tumor.

74

Fluxe of bloud in woundes.

284

Fluxe of the sinewes.

294

Flesh proude.

295

Fistule pustulous in a wounde.

296

Fauus.

443

Fistule lachrymall or tearie.

466

Fistula.

498

Fractures.

509

G

G.

Gangraena.

38

Glandula.

92

Ganglium.

9 [...]

Gunnepowder sticking in the flesh.

436

H

H.

Herpes exedens.

55

Herpes mili [...]ris.

59

Hydrocephalus.

114

[Page]Hydrocele.

206

Hernia Car [...]osa.

204

Holing in a wounde.

295

I

I.

Ignis Sacer.

47

Inflamation of the pappes.

237

Inflamation of scrotum and the testicles.

240

Ignis persicus in a wound.

295

Itche.

439

K

K.

Knee swelled.

256

L

L.

Lippi [...]udo.

122

Leprosie.

439

Lousinesse.

462

Luxations.

523

M

M.

Meliceris.

95

Milke crudled.

235

Mermecia.

247

N

N.

Nodus [...].

94

Nodus in the heade.

116

[Page]Nauell standing foorth.

184

O

O.

Oedema.

62

Ophthalmia.

122

Ophthalmia non vera.

133

Ophiasis.

448

P

P.

Phlegmon.

4

Psydracia.

120

Pustules in the eyes called Phlyctenae.

137

Polypus.

148

Parulis.

152

Prominencie of the na [...]ell.

184

Pueumatocel [...].

214

Parotis.

221

Phyma.

224

Phygethlon or Panus.

227

Pappes inflamed.

237

Paine in woundes.

285

Palsey.

290

Paroxisme in a wounde.

243

Putrefaction in a wound.

295

Pustulous fistule.

296

Q

Q.

Queens euill.

92

R

R.

Ranula.

156

Rauing.

28 [...]

S

[Page]

S.

Syderatio.

38

Sphacelus.

ib.

Struma.

81

Scrofula.

92

Steatoma.

95

Schirrhus.

99

Struma in the head.

106

Sarcocele.

204

Scrotum inflamed.

240

Sownding.

288

S [...]inke in woundes.

295

Skabbes & skurfines.

439

T

T.

Tumor in the eare.

142

Tumor [...]onsillarum.

158

Te [...]ticles inflamed.

240

Thymius.

2 [...]7

Tumor in the knee.

256

T [...]mor in a wounde.

294

Te [...]ters.

439

Ti [...]ea.

443

V

V.

V [...]rix.

256

Vrine stopt.

293

Vomit.

2 [...]

Venimous woundes.

3 [...]

Vlcers simple.

412

Vlcers with distemperature.

415

Vlcers with paine [...]

417

Vlcers with tumor.

419

Vlcers with contusion.

421

Vlcers discouloured with hard lips.

423

Vlcers with bone defiled.

424

Vlcer Cacoethe.

427

Vlcers with wormes.

432

Vlcers in the eyes.

465

Vlcers in the nose called ozenae.

468

Vlcers in the eares.

471

Vlcers in the brest.

473

Vlcers in the priuie partes of man.

475

Vlcers in the priuie partes and matrice of women.

478

Vlcer virulent & corrosiue.

481

Vlcer filthie & putrified.

487

Vlcer deepe and hollowe banked.

492

W

W.

Water in the head of a child.

113

Wa [...]ring eyes.

133

Wartes.

247

Woundes newe or greene.

265

Wo [...]mines.

295

Woundes contused.

304

Woundes venimous.

317

Woundes simple in the flesh.

326

Wounds deepe and priuie.

336

Wounds hollowe, with substance lost.

339

Wounds equall and filled.

343

Wounds hauing proude flesh.

3 [...]7

Wounds with sinewes prickre.

349

Wounds with sinewes cut.

355

Wounds in the veines & arteries.

358

Wounds in the head.

369

Wounds in the face.

379

Wounds in the eyes.

382

Wounds in the nose.

384

Wounds in the lippes.

387

Wounds in the eares.

388

Wounds in the n [...]ke.

ib.

Wounds in the shoulders.

392

Wounds in the armes.

393

Wounds in the brest.

394

Wounds in the bellie.

401

Wounds in the priuie partes.

408

Wounds in the legges.

409

FINIS.

If it shall please the reader, to restore these places in his owne booke, I hope the rest of the faultes are such, as cannot greatly staie the course of his reading.

[Page]

Page. 5. line 28. and resisting. p. 15. l. 27. arteries p. 24. l. 16. auellanae. p. 25. l. 16 triticeae p. 25. l. 17. hordeaceae. p. 25. l. 18. altheae. p. 26. l. 12. affect. p. 26. l. 26. santalorum p, 32. l. 2. crassitiem. p. 37. l. 4. triticeae. p. 37. l. 10 triticeae, p. 37. l 18 hordeaceae, triticeae, p. 37. l. 28. ana, p. 38. l. 17. fleshie parts. p. 46. l. 21 Ph [...]ma. p. 64. l. 16 cimini. p. 71. l. 2. cortic. citri sicc. &c. p. 73 l. 19. aristilog. rotunda. p. 77 l. 18. staechade. p. 81. l. 29. superficious. p. 81. l. 23. subiect to the Queenes euill. p. 99. l. 20. After the chap. put in this annotation: a sometime it is as starch, sometime thicker, sometime mixt with heres, fragmentes of bones, peeces (as it were) of brimstone, or such other matter. p. 102. l. 6 apozeme. p. 102. l. 8 fumarie. p. 132. l. 20 heretofore. p. 137 [...]. 4. diuert. p. 142. l. 12 eare. p. 147. l. 5. oesypi. p. 147. l. 16. oleum. p. 149. l. 7. cephalica. p. 149. l. 14. scammonie. p. 156 l. 3. put in, &c. p. 167. l. 20. vinacea. p. 175. l. 3. caricarum. p. 193. l. 3. bistor [...]ae. p. 193. l. 9. nasturtii. p. 214. l. 1. ceton. p. 232. l. 16. which quickly come to &c. p. 359. l. 7. choler. p. 420. l. 22. and stamped.

Information about this book

Title statement

A compendious chyrurgerie: gathered, & translated (especially) out of Wecker, at the request of certaine, but encreased and enlightened with certaine annotations, resolutions & supplyes, not impertinent to this treatise, nor vnprofitable to the reader: published for the benefite of all his countreymen, by Ihon Banester maister in chyrurgerieMedicinae utriusque syntaxes. English. Selections

Wecker, Johann Jacob, 1528-1586.

Edition statement

1585

Publication

Publisher

Text Creation Partnership,

Place of publication

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Date

2003-01 (EEBO-TCP Phase 1).

ID [DLPS]

A14882

ID [STC]

STC 25185

ID [STC]

ESTC S102710

ID [EEBO-CITATION]

99838480

ID [PROQUEST]

99838480

ID [VID]

2861

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(EEBO-TCP ; phase 1, no. A14882)

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Source

— A compendious chyrurgerie: gathered, & translated (especially) out of Wecker, at the request of certaine, but encreased and enlightened with certaine annotations, resolutions & supplyes, not impertinent to this treatise, nor vnprofitable to the reader: published for the benefite of all his countreymen, by Ihon Banester maister in chyrurgerie, Medicinae utriusque syntaxes. English. Selections, Wecker, Johann Jacob, 1528-1586., Banister, John, 1540-1610..

Extent

[24], 530, [10] p.

Imprinted by Iohn Windet, for Iohn Harrison the elder,. London :: 1585.. (In four books.) (Book 2 has caption title, reading: The second booke, entreating of woundes and first in generall.) (Book 3 has caption title, reading: The third booke, entreating of vlcers, and first, in generall.) (Book 4 has caption title, reading: The fourth booke entreating of fractures and dislocations.) (Pages 264 and 378 misnumbered 2 and 387.) (Errata on verso of Z6, final leaf.) (A translation of book 3 and other selected portions of Wecker's Medicinae utriusque syntaxes.) (Some print slightly faded and show-through.) (Reproduction of the original in the Cambridge University Library.)

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