The Surgeons Mate or Military & Domestique Surgery. Discouering faithfully & plainly ye method and order of ye Surgeons chest, ye vses of the Instruments, the vertues and Operations of ye Medicines, wth ye exact Cures of wounds made by Gun-shott, and otherwise, as Namely: Wounds, Apostumes, Vlcers, Fistula's, Fractures, dislocations, wth ye the most easie & safest wayes of Amputation or dismembring. The cures of the Scuruey, of ye fluxes of ye belly, of ye Collicke and Iliaca Passio, of Tenasmus and Exitus Ani, and of the Calenture, with A Treatise of ye cure of ye Plague. Published for the seruice of his Ma.tie and of the com: wealth. By John Woodall Mr in Chyrurgerie.
LONDON Printed by John Legate for Nicholas Bourne, and are to be sold at his Shop at the south entrance of the Royall Exchange. 1655.
TO THE KINGS MOST EXCELLENT MAJESTIE, CHARLES, By the grace of God, King of England, Scotland, France, and Ireland, Defender of the Faith, &c.
YOur poore Subiect in all humilitie, hath hereby presumed to prostrate, as at the feete of your sacred Maiestie (for protection) these his unworthie workes in Surgerie, which containe in them the method and scope of the Militarie Surgeons Chest, with all the necessarie appurtenances that are usefull in Surgerie for the Warres; which he tendereth, as a poore expression of his dutie and zeale, for the use of your Maiesties service upon all Militarie occasions for Surgerie either by Land or Sea; expressing therein the easiest and safest wayes and means of healing the wounds and other great infirmities and diseases that warre usually produceth, for the benefit, comfort, and better safetie of your Maiesties valiant [Page] Captains, Souldiers, and hardie Sea-men; The which his poore labours, if the Authour may be so happie as from your most pious and unlimited benignitie to finde a gracious acceptance, he shall with a ioyfull heart esteem his endeavours to be highly dignified.
TO THE VVORSHIPFVLL THE MASTERS and GOVERNORS of the mystery of Barber Chirurgions of London for the time being, viz.
To William Clowes Esquire, Sergeant, Surgeon to his Majestie, and (at present) Master: M. William Lingham, Master George Dan, and Master Henry Watson, Wardens.
To Richard Watson and Michael Andrewes, both Esquires▪ Surgeons in ordinarie to his Majestie, and ancient Masters; together with the rest of the Assistants, Examiners of Surgeons, the Livery, and whole fraternity of Surgeons of London.
John Woodall, an ancient Master of that mystery, the Authour of the ensuing Treatises, sendeth greeting in our Lord God everlasting▪
BEloved Brethren, publick and private salutations are Christian duties imposed upon all men by the holy Apostle S. Paul, the time or frequency thereof unlimited: Wherefore my self, even now upon the putting forth of these my ensuing works, by that precept am taught, and do hereby send you a salutation, greeting you in the name of the Almighty, giving you thanks for the loving society I have found and respectively enjoyed amongst you, for fourty years past and more, till this present.
As also for your good likings and well approvings of [Page] my former works and editions yet extant with you; namely, my Surgeons Mate and Viaticum, which now revised, I have here (with my other works) again published; which were by me penned in my love to you, for the use of the younger sort of Surgeons, your servants; who when they had received their first rudiments from you as Apprentices; yet neverthelesse (as might be conceived) were wanting of some further helps for their proficiencies in Art, to the leading them on in knowledge; as namely, first to know the office and duties of a Surgeons Mate, which my self first penned and published, for their instructions; and having therein proposed unto them the method of a Surgeons Chest, and also opened to their view the composure and order of the first methodical Surgeons Chest, for their further incouragement in way of Art, I then gave them a help to the said Surgeons Chest; namely, I published for them a Viaticum (a book so called) in Anno 1628. for their journeying, after which (as followeth) I have explained unto them such other documents as may be presumed that by their diligent endeavours and careful putting them in practice, they may in short time become good proficients in military and domestick Surgery; men fit and able for the service of his Majestie, and the Common-wealth, in their Science, upon all occasions,
And moreover, for as much as that contagious and noysome disease of the Plague hath of late yeares spread it self into many parts of this Kingdome▪ which▪ though now ceased, may return at Gods pleasure▪ none knoweth how soon; my self, as some of you know, having in my younger daies lived in France, Germany, Polonia, and other forreign parts, for divers years together, where, for want of better and beneficial imployments. I was forced for my maintenance to follow the practice of the cure of the Plague: and having emboldened my self thereby, ever as in an assured hope, that God who had called me to professe the mysterie of healing, would [Page] surely protect me therein; I persisted in my endeavors, and having kept my Papers of receipts and experiments together, which I made in the cure of that dreadfull disease, at my return for England I begun and practised in London the cure thereof; first, in the year of the great Plague at the first entrance of King James of blessed memorie, and left not the Citie when the disease was at the highest; neither then did I omit to visit and cure any that desired my help, and ever since in some sort I have been helpful to the curing thereof: neither will I desist from affording my medicine to the diseased, whilest God spares me life and ability. And further, I have here for future publick good, although by my own dear experience, searched into the supernatural and dreadful causes, symptomes, crisis, and cures thereof; the particulars of all which I have in one of the following Treatises published, to the help of my younger brethren; nothing doubting but that some of them will by their better educations and further experiences therein, furnish the following Ages with better documents then my slendernesse can unfold: In the mean time, since that for this fourty years last past, no Surgeon of our Nation hath published any book of the true practice of Surgery, to benefit the younger sort, these my mean Treatises onely excepted, I desire you to accept of my good will instead of good deeds, at the least not to reject it, till better comes in place by succession of time.
And so not omitting the continuance of my good affection to all my brethren, the sons and successours of Aesculapius professed Surgeons, I commend you to the tuition of the most Highest, resting still yours in brotherly affection,
THE PREFACE.
CHriftian dutie inciteth every man to extol Gods great mercies towards mankind, and namely, (which is the scope of this ensuing Treatise) for his blessing concerning the gift of healing, and for the originall or first finders out of the Science. In the arguing whereof, many ancient and modern Writers have taken great pains in searching out and describing (for memories sake) unto posteritie, who were the first discoverers of that noble Science or Mystery of the healing mans body; but not without severall and different opinions, and strong contradict [...]ons: Yet, giving venerable and due respect unto all, I will crave leave for my self to think and believe that the originall foundation of Medicine proceeded from God alone; being more then sufficiently explained so to be by Moses that divine Historiographer, in his sacred History of the first creation of heaven and earth: For he witnesseth that before man was created, all herbs and plants sprang out of the bowels of the earth, with their infinite varieties of flowers and seeds, with different odours, sapours, colours and forms, endued (no doubt) with many and great vertues, Solu [...] expraescientia Dei, onely of the fore-knowledge of God. Wherefore to attribute so great excellencies, so many wayes in use for the health and wel-being of mankind, to any other than to the divine bounty of God alone, would seem (in my apprehension) not much lesse than blasphemy; for it could never be, that humane reason could have found out the knowledge and vertues of these things, unlesse God himself by his secret prescience had shewed them to man.
For God, the Architector of the world, when in the beginning he created Adam, and inspired him with the spirit of life, made him not onely a living creature, but also indued him with such understanding, that he knew the natures, the forces, the proper faculties, virtues, and dangerous effects of al things which the said universal world then contained or produced: so that the glory of the invention of the mystery of healing of mans body, came from God himself, and may not be so much undervalued as to be ascribed to humane ingenuitie. Yet neverthelesse (under favonr) we may so far venture to conceive, that theThe gift of healing is no lesse then one of the gifts of the H. Ghost. same gift of God, namely the gift of healing, might by his holy Spirit be, and was transcendent successively on those whom he had preordained, and chosen unto the medicinall function, to the end that [Page] they might be the better enabled to search out and apply wholsome medicines in due season, according as they were inspired or taught; for all excellent knowledge commeth from above: and this opinion is also assented unto by holy Scriptures in sundry places.
But withall, complying with our Ancestors as much as may be, touching the first generall professors of this art of Medicine; The most Writers affirm the Grecians were the first that tooke upon them to professe the art of Medicine, and they likewise utter speeches to the same effect, affirming Apollo to be the first Inventor of Medicine; and by Apollo, it is suggested, that they either understood the Sunne, which through the penetrating heat thereof, produceth, comforteth, tempereth and cherisheth all creatures as well animall, and vegetable, as minerall: Or they meant, under that name of Apollo, some Noble man, who was instigated thereunto through an excellent and divine power (no doubt by Gods fore-knowledge) and also endued with learning and diligence in that noble art of Medicine, who performed some excellent cures: alluding whereunto, Ovid speaketh thus of Apollo,
And after Apollo the succeeding Inventor is said to be Aesculapius, which ome Writers stile to be his sonne, brought up in learning by him, who did somewhat more set forth and polish this Art, being as then rude and rustick, and therefore he was reputed as one of the gods. Not long after those times (as Writers report) did flourish Chyron, termed the Centaure, who also excelled in the knowledge of the medicinall plants.
This Aesculapius (as other ancient Histories witnesse) had two sonnes, viz. Podalyrius and Machaon, who followed their Fathers steps, and professed the art of Medicine, and cured the wounded souldiers in the Trojan Wars; and these chiefly practised that part of healing which is now called Surgery. After them the knowledge of the art of Medicine grealy increased, though for a time it was in a hereditary way left by them to their posteritie; and through their studie and diligence was that part called Physick which cureth inward diseases, also by a more prudent and diligent search found out.
And further, authors witnesse, that out of this most learned Aesculapius his Stock, did spring Hippocrates, begot by Heraclida in the Ile of Ch [...]os, Prince of all the Physicians that ever were before him, who perfected the art or mystery of Medicine or healing, and digested it into a method in the Greek tongue. And after him six hundred yeares followed Galen, a man not only exquisite in the knowledge of Medicines, [Page] but also in many other sciences. And what was left in the writings of Hippocrates obscure and intricate, Galen faithfully interpred and illustrated it, and put it into many Volumes, and established universal precepts, and methodical rules, and reduced the Science into a more perfect Art.
And further, we read in Histories, in the infancie of this art, that it was a custome amongst the Babylonians and Assyrians, who then were very ignorant in the art of healing, to appoint the sick languishing people to be carried and laid in Porches and Galleries, or to carry them into the Market places and crosse Streets, that passengers might counsell and exhort them to those things, by which they might eschue the like diseases, or had known some to be recovered: and it was not lawfull for any one to passe by the sick with silence, but he must utter some words of comfort at the least.
Strabo also (a Greek Writer) witnesseth, that it was of old a custome amongst the Grecians for the sick to betake themselves unto the Epida [...]rian Temple of Aesculapius, that sleeping there, they might be admonished by the gods in a dream what was good for their healths: and being freed from their diseases, they caused those remedies, by which they were recovered, to be written in Tables, and fastned to the posts of the Temple. Such was the zeal and superstitious blindness of the heathen people in former ages, and the ceremonies which they performed in a grateful remembrance for future times.
Also Hippocrates is reported to have copied out all those things, and so from them first to have amended the medicinall art. And it is likewise by the ancients reported, that brute creatures have bin much conducible to the first finding out of some particulars in this art: so that man not only from man, but also from brute beasts and birds, hath learned many good things, which by them have been demonstrated, as namely, the vertues of divers herbs, by which they did preserve themselves from diseases, through the mere instinct of nature, (as the blindness of the young Swallowes is said to be removed by the herb Celedona, &c.)
Seeing therefore so great and so many good helps have concurred together to the perfection of this excellent art of Medicine, for the health and wel-being of mankind, who then needs to doubt thereof, or may say that it did not proceed, as from the beginning, de praescientia Dei? seeing that man, the most noble of all the creatures of God, and for whose sake all other earthly creatures were created, receiveth such unspeakable comforts thereby: which caused Herophilus heretofore to term the medicinall Science to be the hand of God: for (saith he) as we having got a fall, do with our stretched-out hand endevour to free our selves out of that dirt or pit we were fallen into; even so we, being at the point of death by the assaults of sicknesse, do succour our selves by the salutiferous remedies of good Medicines, and do thereby, as it were, draw our selves out of the jaws of death; so as Homer, the Prince of the Greek Poets, doth affirm in his verses, that one good man that can heal well, is more worth then divers other men [Page] ignorant in that art: for what person is, or can be more necessary, or more usefull in any Common-wealth or place, then the expert Artist, skilfull in the divine science of healing? which Science bringeth a man in favour with men of all degrees, yea, to be acceptable to Princes Kings and Emperors, being both profitable and commodious every where to Prince and people for the preserving of health, and repelling of diseases from them and their subjects, which also gaineth to himself honour and riches: for, as Histories record, unto Hippocrates by King Abderas (for healing of Democritus his madnesse) was given an extraordinary great reward; and moreover the heathen nation, men, women and children, gathered themselves together, and in a triumphant manner proclaimed him (with aloud voice) to be the saving god, and honoured him with the name of Pater Patriae, the father of their Countrey. And the Athenians, because he had freed Athens from the pestilence, celebrated playes with triumphant pomp to his honour, placing on his head a crown of gold weighing a thousand crownes, and honoured him with the great magnificence of a King; and likewise built him a statue for a perpetuall eternizing of his wisedome and learning.
It is also reported by ancient Writers, that one Erasistratus, Aristotles nephew, received by a voluntary contriburion from King Ptolomie, an hundred talents of gold, as a reward, for that he reftored his sonne to health from a desperate disease: and likewise, that Augustus the Emperor appointed rich statues to be set up to the honour of Antonius Musa: and that one Quintus Stertinius received yearly for about 50. years together, out of the Emperors treasury at Rome, twelve thousand crowns for his great skill in the mystery of healing: and that if any sick person of sort did call him out of the Citie for his advice, he did pay him 50. crownes a day for his skill. Moreover, it is said, that for curing Pope Honorius the third, he every moneth received foure hundred crownes out of the Treasurie of Rome.
Ancient Histories make mention, that in former times the most noble and honourable personages (yea, Kings and Princes) were greatly delighted in the study thereof, esteeming themselves much graced and dignified thereby; and thereupon, being greedy of getting renown, have given plants denominations from their own names, as Gentian from Gentins King of the Assyrians; Lysimachia, an English water-willow, from Lysimachus King of the Macedonians; the composition of Mithridate from Mithridates King of Pontus and Bythinia; the herb Achillea from Achilles; Centauri from Chyron the Centaure; Arthemasia from Caria Queen pf Arthemasia. And further, Writers do affirm, Attalus King of Pergamus, Solomon King of the Jewes, Evax King of the Arabians, and Iuba King of the Moores, with infinite more (too long to recite) did as it were burn with a desire of learning the medicinall art, some in the herball part, others in the searching the vertues of drugs, others of minerals, and did also write and compose whole volumes in that Mysterie, for the benefit of posteritie yet extant; wherein are contained infinite salutiferous Antidotes, by the [Page] mixture of many simples into one medicine.
And whereas there hath been a question amongst some of the Ancients, by what name they may most properly call the Artist; the more learned sort are justly stiled by the title of Physicians, and the more experienced sort are called Chirurgions, or Surgeons; by means whereof, sometimes there hath grown difference and offence, which I doe advise each discreet Surgeon to avoid, and that they give the Physician his due honour and precedence, comparisons being odious and unmannerly amongst good men. Also the Artist of old, before the art was distinguished, was called amongst the Grecians Iatros, and amongst the Latines, Medicus, and in our countries ancient language, by report, he was termed a Leech: and all those denominations signifie no other thing but one and the same, viz. A curer of diseases, sicknesses, wounds, apostmues, ulcers, &c.
And whereas all men may judge such infirmities cannnt be cured without fit instruments, which are first and chiefly by the hand of man, (who doth make ready fit medicaments and applications) to be administred to the foresaid diseases in due order and time: The first instrumental part of Medicine was, and is, that which both the ancient and later writers term Chirurgia, or the Handy part of healing.
The second is Dieta: a special instrument to cure, without which neither wounds, apostumes, ulcerations, nor tumors against nature (as Hippocrates and Galen do affirm) can well be cured; for that diet must be prescribed according to the temperature of the body, and nature of the wounded part: and Galen also prescribeth a diet for those that have ulcerations, whether cancrous or otherwise proceeding. Wherefore I conceive him to be no just and charitable Judge, that denieth this instrument, namely diet, to belong to a Chirurgion as well as to a Physician: for that reason and experience both do allow and approve thereof, as an unlimitable instrument, fine quibus esse nequit. And whereas Galen saith, in lib. 3. De methodo medendi, all arts are grounded upon experience and reason: if any one can declare, either by experience or reason, a way how to cure ulcers, tumors, wounds, fistulaes and other like diseases incident to mans body, as the French Pox, the Plague &c. the cures of which diseases by statute Lawes are appointed to Surgeons, and to do it without the use of diet, and other both inward and outward helps, which these learned men (as Hippocrates and Galen) used, and have with no small labour found out by reason and experience, then I will easily yield, and be glad to learn, and will not onely learn, but highly extol it: but if on the contrary, no man can shew me any other way to heal the former recited diseases; then I see no just hinderance, but that each true Artist, being legally a Surgeon expert, may and ought freely to make use of diet to perform his cures.
The third general instrument used in the curing of diseases, is Pharmacum, in Latine, Medicamentum, or Medicine, granted to be of several sorts. Each man will conceive that medicine is a principal part of healing and curing of sores, diseases and sicknesses: for who is he that [Page] can cure a wound, a tumor, an ulcer, yea, but an ague with his hand onely, without fitting medicines? Surely no man: Then it must necessarily follow, that Chyrurgia, Dieta, & Pharmacum, viz. Surgery Diet and Medicines (I mean both outward and inward) are unseparable companions, and therefore all to be used in the [...] art of curing mans body; and that in the person of one man, and why not in the Surgeon that practiseth in military occasions, as in ships and camps more especially? where neither his Majestie nor the Merchant alloweth Physicians nor Apothecaries any place, and there the whole scope of healing the bodies of the bravest and most valiant warriours and hardie Sea-men, are upon all occasions wholly referred to the skill of the Surgeon. Wherefore it were a very ungodly thing, and in reason most unjust, to forbid a Surgeon to learn all, or any thing that concerneth his calling: and all those that are of opinion to hinder a Surgeon from using outward and inward medicines, have quite misconstrued Hippocrates and Gale [...], shewing themselv's enemies to art, reason, and true experience, for that it is manifest, each of these aforesaid three branches of healing, do mightily further the other, to make the Surgeons cures perfect; for by these three together, and not by any one of them simp ly of it self and alone, we may boldly conclude to have healed well and honestly, and as we should do.
I have, I confess, too long insisted upon this argument, but the cause is, there be some at this day that do indeavor to sever the instruments of healing asunder, against the publick good, for their own private lucre, and would have inward medicine practised onely by themselves, and confine the Surgeon onely to outward medicine, and outward healing, as one Tragus an ancient Writer maketh mention, affirming, that there were certain sorts of men in his dayes which did use the art of curing severally; namely, some by inward medicines onely, and some by outward, and some by diet onely, every one according to his education and profession of curing: all these three contending, and each one affirming his way the best; in conclusion, their errours were confuted by Hippocrates, who gave to each of them (as learned Writers affirm) a patient to cure, whom all of them endeavouring to recover, failed in their performance: notwithstanding, afterward by the wisedome and skill of Hippocrates, they all were reconciled and united; for he, having well weighed and considered each of their weaknesses and errours, willed them apart to set down how long time he, or they would take, to cure his or their appointed diseased patients; whereupon he and the rest agreed on a set time; which being expired, Hippocrates found that although each Artist had shewed his utmost skill, yet their patients were not accordingly cured. Hereupon he with much mildnesse and kind perswasions (as is recorded) so appeased and instructed them, that each of them by the very same means and medicines they formerly took, being all used together to each party, quickly and perfectly cured their severall patients. Whereby also it is manifest, that it is not just nor safe for the Common-wealth, neither can it be approved, that the best of the antient Fathers in Physick [Page] and Surgery did, or indeed could divide or separate these three parts of healing.
But it may be that some will object that Valeriolus, Tagaultius, and some oth [...]rs say, that a Surgeon ought not to give inward medicines, without the counsell of a Physician. To clear this, I answer, first it is expedient and just▪ where learned counfell may be had, to make use of it, for that by much counsell there is safetie: neverthelesse, know, that it is uncharitable to forbid an expert Surgeon at any time, or in any place, the use of the in [...]truments and medicines which are necessary to this art, for the curing of his patients: for certainly T [...] g [...]lt ius and V [...]leriolus meant it of them that practised the art of Su [...] gery in those times, being Impostors, and illiterate, and such as did not understand the principles of their art, nor the differences of diseases; and those were justly to be inhibited, as in every well governed Common-wealth it is fit it should be. But as concerning worthy Artists, viz. Surgeons apprpoed by the Lawes of the Realme, they ought to be free to exercise their art▪ and the same Author concludes with Mr. Gales comparison (who was a late good Writer in Surgery) which upon the like difference he then made of a Shipwright and a Carpenter, who were both of necessitie to use one and the same instruments to perform their severall works withall: even so must every honest Artist, legally bred in the art of medicine, be tolerated to practise, by what title soever you please to call him. Then, if so, he must by consequence have the free use of all such instruments and means as may best and with most ease perfect what he intends, to wit, the cure of mans body: for although the Carpenter may say unto the Shipwright, Thou art not to use the a [...]e, the adds, the saw, the hammer, nor the plain, &c. For that all these tools appertain, and are proper to me for my art, and I cannot build without them; even so might the other make a like fair answer, and say, They are also as proper for my Art, and without them I cannot build. In like manner might the Joyner and other Tradesmen say. And no lesse may it be said of the art of medicine: for whether he be called Physician, Surgeon or Le [...]ch, or what other name men please to impose upon him, if they admit, yea and appoint him to cure wounds, tumours against ua [...]ure, ulcers, erisipelaes, herpes, the French pox, the pesti [...]ence or whatsoever other disease is incident to mans body, it is but fitting that he be free to have the proper use of all medicines and instruments, most apt and meet to bring the same his intended scope to pass, yea, and that without offence of the Law, notwithstanding any by law made by any, for private lucre, to hinder the prosecution of the well-healing of the diseased people. For who is so fit, or to whom doth the whole use of all good medicines so justly appertain unto, as to the Surgeon that is expert, who by his Majestie is prest, and thereby commanded, as well as by Christian dutie tied, upon all occasions to heal wounded and other diseased p [...]rsons?
Galen in his third and fourth books De meth [...]do medendi, doth name the Artist Medicus that doth cure ulcers and wounds, &c. and many [Page] ancient Writers call him Medicus Chirurgus: whereby it appeareth, that the Surgeon is Medicus à medendo, and retains the name Chirurg [...]s by performing the art of healing in a practick way, namely, by the hand; and therefore is rightly termed Medicus Chirurgus, and thereby is capable to use all medicines for healing. And if so, of necessitie he must not be fo [...]idden lawfull practice, otherwise how shall he well perform his scope of healing, when he is either in Ship, in Camp, or but any where in the Countrey, where Physicians either are not at hand, or will not come, as when and where contagious diseases happen, namely, the small and great pox, or the pestilence, &c. Now here in all conscience the Surgeon is to be admitted to shew his utmost skill for healing mens infirmities, without danger of any Law, if he be a man lawfully called as aforesaid, to the exercise thereof: otherwise it were very unreasonable that the Surgeon alone should be pressed out of the healing of his Majesties subjects, where no Physician nor Apothecary is admitted to advise, assist or direct him, and yet to practise should be held unlawfull for him, when he performeth his best in any action or part of healing for his patients good. But God be thanked, there are both ancient and modern good Laws, Orders and Ordinances, which do manifestly enable a Surgeon to exercise his science, and to breed up servants to be expert therein, for the better continuance of the art, and for the future encrease of good and able Surgeons, for the service of his Majestie, and the Common-wealth. And to manifest the same, his Highness not onely alloweth the use of inward and physical drugs and medicines to the Surgeons for his own service, but is further gratiously pleased (out of his own Coffers) to pay for them, as elsewhere in this Treatise more at large will appear.
Thus much in generall by way of Preface. Now the Author in this following Treatise desires to excuse himself, by way of Apologie, to the Chirurgicall Reader, for his over▪forwardnesse in the unfolding to the vulgar what he hath hereafter done by his explaining of a Surgeons Chest; which he never intended, untill (nolens v [...] len [...]) he was put upon it, who, having in his younger daies spent divers years in travel in forraign nations▪ for the gaining of knowledge and experience in his calling, setled himself in London, where, according to the weak talent of his education, he endeavoured to obtain some answerable perfection therein, that so by doing good he might give the better account of the dutie of his calling, by cursing of such as committed themselves to his weak skill; in which endeavours before he was (in his own opinion) worthie thereof, it pleased the honourable Societie of Merchants trading to the East Indies, in the beginning of the Trade, to make choice of him, and to appoint him Surgeon generall for all their imployments, as well by Sea as Land; reposing in him also the credit and trust for ordering and appointing fit and able Surgeons, and Surgeons Mates for their ships and services, as also the fitting and furnishing their Surgerie Chests with medicines, instruments, and other appurtenances thereunto. Which credit and weightie charge, so neerly concerning the lives of their [Page] servants reposed in him, instigated him to imploy all his endeavours to answer their so great trust imposed on him: For the effecting whereof, hee had no way better to recompence them, then by reducing their Surgeons Chests, with all the particulars thereof, into an order and method, which was never undertaken before by any, although very requisite: but being once done▪ it would not onely benefit them, but also be a perpetual good for the service of his Majestie, and the Common-wealth: [...]or by want hereof the said East India Companie, and many of their servants, as also many other publike actions abroad of great consequence, have suffered much; and namel [...], by unworthy impostors under the names of Surgeons, (to the dishonour of God, and scandall of the true professors of the art of Surgerie, by many mis [...]ries undergone both by the hardie Sea-man, and valiant Souldier▪) For remedie whereof, and in want of some more learned and expert then himselfe, he undertook the work; the said honourable Company being ever most willing, without limitation or grudging, to beare the rea [...]onable charge thereof▪ and to give approbation of the Authours weak endeavours, (which otherwise could never have been done) who (through Gods mercie and their favourable acceptance thereof) hath performed the said charge, and continued their servant (to their contents) for full twentie foure yeares alreadie: Yet notwithstanding, his dutie (by reason of the trust reposed in him by his said honourable Masters) wa [...] not therein fulfilled; for he was (if he would fabricate a new invented Surgeons [...]he [...]t) also tied in Conscience to instruct all and every Surgeon (that was to make use thereof in their services) in the knowledge and us [...] of all such m [...]dicines and new inventions as were of his production and induction. And although it well might be conceived divers of them in knowledge otherwise exceeded him, yet nevertheless in the true use of new medicine, how good soever, which he had intruded upon them, not being within their owne former breeding and practice, he was obliged also to instruct them in the uses and dangers incident by mistakes, (fit to be foreseene) and that by writing. As also he was further tied (for his owne reputation sake) to performe the same in some methodicall and plaine way.
And because untill that time no Writer (that he could possibly finde out) had ever handled or written any thing worthie of note of that subject, namely, of the methodicall composure of a militarie Surgeons Chest; he was put upon the toyle and studie of new inventions, for the fit composure of medicines and instruments, and that without the helpe of Authours, yea, and without the help of the Surgeons themselves, that were to use the said Chests, who (especially the more ignorant sort of them) for their own private ends, and in part to cover their imperfections and absurdities, forcibly withstood him. Yet notwithstanding all such discouragements, after he perceived in himself any hope or abilitie of effecting the worke, he [Page] proceeded on with courage, being confident of the goodnesse and usefulnesse thereof, for the preserving of mens lives and limbes; and would also in time to come prove profitable both [...]or the service of his Maiestie, and the whole Common-wealth, as at this day is manifest.
For this Work hath already turned the whole composure of the Surgeons Chest into its own forme and method, both plain and easie, being free from all exceptions of absurd fraud or collusion, and also free from the former obscure, imperfect and ridiculous errours, and impertinent intrusions, whereby every unworthy ignorant impostor (as under a vizzard of hidden skill▪ made use of the art of Surgery, and thereby put up whatsoever they pleased into their Chests, under pr [...]tence of extraordinarie skill, great secrets, unvaluable, unsearchable, and not to be prized treasures, (which long time they had concealed) but being searched into, appeared for the most part faulty, fraudulent, and full of poore blinde ignorance: whereby, as is said, divers unskilful persons intruded themselves, not onely to be entertained into the Merchants best ships, but also into his Majesties service, yea, and that into his best ships, as great Surgeons, without either judgement, sound medicines, or once viewing of any their provisions, and without examining any their abilities in their callings; making their abbettors believe that those which sought to view their Surgeons Chests, came but to learn some of their (no) skill, or for some of their (lesse) money at the fairest.
Finally, though the worst might seem never so commodious, yet not onely to such as before are rehearsed, but even to Sea-Surgeons in generall, it seemed harsh and unreason [...]ble; and namely (wherein in part they were to be excused) for that their exceptions had a good shew of reason, in that they held it not fit that one Surgeon should make ready a Chest for another Surgeon, and the absent Surgeon not versed in the practice of the things made and appointed for his use: and this was held not onely unjust, but ridiculous; and that justly, had not instructions, namely, the Surgeons Mate been written. And it hath since been observed (the instructions being put forth) that the same absent Surgeons, after better informing themselves (by the Authors direction set forth in Print) of the integritie and innocent way thereof, with the fairnesse of the Worke also, and the utilitie of the said Treatise, have commended it, and approved thereof: so that by a few yeares practice of the younger sort of Surgeons, it is now brought into common use and generall good liking; so that it hath gotten credit, and it is with all Surgeons common in use, yea, even in his Majesties service, being first made use of in the Rochell Expedition, and the Author then having the charge of pressing, furnishing, and ordering of his Highnesse whole Navic and Land services, with Surgeons, and Surgeons Mates, with all their provisions.
This present Work, being now the third Edition, as it were of the [Page] method of the Surgeons Chest, the Authour entreats (as the former hath had) may receive a charitable Construction upon the egresse thereof▪ and albeit the benevolent Reader no doubt) may see and apprehend divers e [...]rours and meane passages therein, (discovering thereby the Authours many weaknesses) yet that he of his clemency would either amend them, or in love cover them, considering that Facilius est inventis addere, quam nova invenire.
And further, if any Reader of his own calling, condemne or contemne him, for so farre explaining the hidden mysteries of the art to the Vulgar, saying, By your rules every young youth may proceed, not onely to furnish, but also to make some use of a Surgeons Chest, though he never truely served for it; The which the Authour will confesse to be an errour and weaknesse in him, and therefore craveth pardon; but withall (for his defence) alledgeth, That he had an earnest desire by such an errour to doe a publike good, not onely for the benefit of every worthy young Surgeon but chiefly, and indeed for the Common-weal, and safetie of the lives and limbs of many of his Maiesties loving subiects:
Now, unless the Surgeons Chest had been reduced into a method, could one Surgeon at sea well have succeeded another in the use of a practice unknown unto him? For by death all mens thoughts perish, and so doth every mans private inventions and practises; and by consequence, his death might have produced much dammage upon (otherwise) a hopefull designe, the want whereof many a worthie and valiant sea-man, by lamentable experien [...]e hath felt, before the Surgeons Chest was thus digested; because then every unworthie Surgeon (how weak, as is said, or deficient soever) had power, if he pleased, to practise, to the dishonour of God, the scandall of that most laudable Mysterie of healing, and the great danger of mens lives, procured by their ignorance and errour: for things known may be indged of, but unknown things stand by hazzard and chance: ‘Cognita judicio constant, incognita casu.’
Likewise the explaining thereof hath not onely much enriched the Profession of the Apothecaries, by undertaking the making, selling at their Shoppes, and transporting beyond the Seas, of many Chirurgeons Chests, for persons (unknown to them) inhabiting in forreigne parts; but also enabled them at their pleasures to have for sale, and for his Maiesties services, complete, (or in part) Chirurgeons Chests ever readi [...]: unto all which [Page] faithfull Apothecaries, the Authour wisheth prosperitie and happinesse.
And lastly, it hath divers wayes brought advantage and good to the whole Societie of Surgeons; in so much that his Majestie, by the Lords of his Highnesse most Honourable Privie Councell, hath taken notice thereof, and, observing the utilitie that it produceth to the Common-wealth for the saving of the lives and limbes of his Highnesse subjects in time of Warre, hath been graciously pleased to allow a free benevolence, out of his Coffers, towards the same, for all ships imployed in his service: which allowance was never granted before by any of his Highnesse noble Progenitours, the Kings or Queens of England: the particulars and order of which allowances, more at large appear in the Preface of the Authours Viaticum herewith imprinted, unto which for brevitie, he referreth the Reader; hoping these his indeavours will be well accepted of the judicious and better disposed sort of Readers. As for the rest he regardeth not: and the rather, for that he is hasting to the grave, where envie hath no power: And on the other side, hee is not ignorant, that a large broode of pregnant wits, fraughted with Jeeres, (and good ones as they terme them, such as these times afford) will snarle, though themselves either cannot, or (be it spoken in the best sense) will not spare time from their pleasures or profits to advantage others; yet are they so sharpe of wit, and can so well dispute, and so wisely reason, that they will easily make ‘Candida de nigris, & de candentibu [...] atra.’ Their words seeming as Oracles to their own applauders, in whose Opinion they onely have the keyes of Art at their girdles. But to any such, I say as one of the learned lately did to the like;
Some have already accused the Authour to have lost time in writing of the Cures of divers diseases, farre better written of by others. Which although he cannot deny, but that the accusation is Just, yet answereth, That if each Surgeons Mate had experience, with a Librarie, and iudgement to use it, his labours were then in vain and idle: and to such as have these helps, or that perfection, the Authour intends not these his labours; and to that partie in particular, he answereth, That if one wise man in former ages hath commended and well approved of another in writing [Page] both of one and the same subject, he conceiveth it is as easie for one foole in this age to wink at anothers faults and weaknesses, especially in such fooles as have neither wit nor will to write better. As for wise men they will judge like themselves: but who can satisfie a fool? And so he concludes, with these following verses, taken out of a German Writer, as a loving answer to all such as shall hereafter find fault with his Book:
In English thus.
THE OFFICE AND DƲTIE OF THE SURGEONS MATE.
HAving an intent to set down Instructions for Surgeons Mates, out of my love to them, I thought it meet in a word or two to put them in mind also of their duties. The office & dutie of a Surgeons Mate, may (in my opinion) well be divided into three parts, whereof the first concerneth his dutie to God, who seeth not as man seeth, and who is the searcher of the heart, and knoweth mens thoughts long before, whom if he and I have the grace to honour with our whole hearts and fear, he wil direct our waies aright.
The second dutie of the Surgeons Mate, is concerning the chief Surgeon, towards whom he must be carefull to behave himself wisely, lovingly and diligently: and in many respects he is obliged to his▪ Mate as the wife to her husband; for he ought to be to him in every point readie to obey his reasonable will, I mean onely in things concerning his calling, dutifull, diligent, willing, carefull, secret, and loving, yea, and to shew his love in covering his Mates weakness: he ought also to be gentle, and kind in speech and actions towards all: pitifull to them that are diseased, and diligent in ministring to them such fitting remedies as he shall receive, or be directed to give from his Mate; but none without his order, for that his Mates order, I mean the Surgeons order, is his discharge or warrant, whatever happen: yet let [Page] him privately lend his best advise to his Mate, the prime Surgeon, upon every needfull occasion, kindly, submissively and lovingly, ever as under correction; for if comparisons or opposition take place betwixt them, it is not onely dangerous to all the ships company, but also a disgrace to themselves, and a great scandal to their calling: for avoyding which, it is fit that the yonger obey the elder, and beware of the contrary, lest it be repented too late. S. Paul adviseth servants to obey froward Masters, so I advise Surgeons Mates to do the like to froward Surgeons: for it sheweth no excellent thing in a yong man to please an honest quiet man, but to live in love with an ambitious, or otherwise a froward vicious man, sheweth wisdom in the sufferer. I would not so stand upon this point, but that my experience hath known too much the great harm that hath ensued by the dissention of the Surgeon and his Mate in Iong voyages, the which with discretion and love might have bin prevented, if but one of them both had bin wise. The Surgeons Mate ought also daily to visit the Cabins of men, to see who hath any sicknesse or imperfection: also to have ready against occasion lint made, Plaisters spred, splints armed, Needles prepared for stitching wounds, Rowlers and Boulsters, Dorsels, Tents, Buttons, Caps, Pledgents, Tape, rowling needles, and threed prepared, and each other needful thing for his calling, ready in their convenient places, fitted against occasion be. Likewise his care must be to keep all the instruments of the Chest, and of his own Box, clean from rusting, and to set his Lancets and Rasors as oft as need is. It may be he wil say to himself, it is a base office, belonging to meer Barbers and Grinders, I never gave any mind to it, &c. But let me friendly tell the Surgeons Mate, it is the credit of a yong Artist to take a vein smoothly and neatly, as also to shave well is praise-worthy: wherefore I wish him to practise to do it, and to be ever learning; for I am sure he shall never know half he ought to know, though he do his best.
[Page] Thirdly, if he enter into consideration wherefore he goeth to Sea, and hazzardeth his life. I suppose it is to gain, or he is unwise: if to gain, the chief gain he can intend, being a Mate, is knowledge in his calling. Then let him consider wisely how he may best apply himself to effect such gains, namely by observing the whole passages of the diseased people, considering both when they began to be sick, as near as he can, the causes thereof, what hath been applied either inwardly or outwardly, what operation the medicine had, and so of every diseased person, and every medicine given; and to keep a Journall in writing of the daily passages of the voyage in that kind, and that as well of the unsuccessive applications, as of the successive, he shall find great benefit in both: Likewise what alterations of operations he findeth in each medicine, and what medicines keep their force longest, and what perish soonest; also what varietie the climate causeth, of the Doses as well of the laxative as opiate Medicines: I heartily wish each Surgeons Mate were carefull in these points. Another good way for him to learn is, to read much, I mean in Chyrurgery and Physick, and well to consider and bear in mind what he reads, that as he hath need of the help of his Books, he may again find the thing he once read, which will turn much to his profit: for otherwise what use hath a man of reading, if he forget it presently? If a Surgeons Mate spend his time wisely in the premises, he may do good service to God, his Countrie, and himself, and the benefit will be his, namely, Gods favour, preferment, credit and reputation in the world will be gained thereby, which will bring abundance of good things with it, which God grant for his mercie sake. And were it not that I have intended this plain Treatise wholy to the Surgeons Mate, I would in a word or two put the young Sea-Surgeon himself in mind of his charge, by admonishing him of some errors too grosse, which I have observed to have been committed by some, that he might avoid the like in himself.
[Page] The first errour some yong Surgeons are possest with, from which infinite others grow, is the want of the service of God, the example whereof to their Mates is very infectious; and this bringeth with it a blaspheming the name of the Almightie, a general deboist and base kind of habit on them, ready for all unprofitable, idle, and unseemly actions, and unapt for to prosecute any good thing, either in their callings, or otherwise: and if they seem to be any thing, it is in bosting and brave phrases, censuring other men in many things, but not perceiving their own wretchedness at all. Being given and dedicated to the Pot and tobacco-pipe in such an unreasonable measure, that thereby they become in themselves base, despising vertue and commending vice; and to their Mates they shew themselves most unkind, keeping that little knowledge they have from them, not instructing them at all in their Science, and holding them in more base subiection then their masters ever did in their apprentiship. Also of a proud lasie disposition commanding them (without due instructions) to do the whole business, when indeed themselves ought to put their hands even to those parts of Surgery which they esteem basest; for the most lamentable diseases of poor men require the most care of the Surgeon, as for example, the ulcerations and slidings downof Ani or the Ars-gut, which some in disdaining to do their office of fomenting, comforting and restoring thereof to the due place, most inhumanely have cut it off, when with as good a conscience they might have cut their Patients his throat: and the same I say to him that is negligent, and suffereth such to perish in their infirmities, without doing his utmost diligence. I could name some of the parties who have much disgraced themselves and the noble Science: but I will be charitable, hoping they will amend; and conclude with an old Grammer vers, worthy the remembrance of al men; ‘Foelix quem faciunt aliena pericula cautum.’
TO THE CHIRƲRGICALL READER.
IF you please to take notice thereof, within this Volume, you may easily discover the Surgeons Chest three times to be repeated; or rather three severall proportions or explainings of a Surgeons Chest, or of Surgery provisions for Military uses: The first whereof puts the Reader onely in mind, by way of inference, of particular Medicines, Instruments, and other materials and needfull additaments, usefull for a Surgeons Chest, for Sea or Land, to be provided with▪ as also such necessaries as by the ship Barbers are fit to be had in readinesse. In the second view of the Surgery Chest, is described (and as it were set open to be viewed) a Chest fitted for a great Ship upon a long Voyage for Sea service; as suppose for an East India Voyage. And wherein this second is not sufficiently explained, the first (if you please to repair unto it) shall give you further satisfaction. As for the third proportion, it is a Surgeons Chest epitomized, or a sparing proportion, as suppose chiefly ordained for the curing of wounds either with Gun-shot or other casualties, and accidents in his Majesties service for a Voyage on a sudden, to serve upon or near our own Coast, where additions (if occasion be) cannot be wanting in every Port Town. Unto all which proportions as each occasion of use shall urge, relation may be had, in regard each one of them differ in many and divers respects from the other. In which my indeavours, if any of the more sharp witted sparks of the time, I mean any of my younger brethren, shall shew his greater skill, and say, I can yet adde many more needfull particulars, which the Author hath in his nescience omitted; as an acute verball youth did not long since in my hearing, he not knowing me to be the Author: to whom I made a short, though it may be not a respective answer, that a fool could doe as much. For who that hath wit, and is expert in Surgery, can be ignorant, that all medicines that Art hath ever devised or invented from the beginning of times for the health of mankind, or can any way be produced for the healing of the bodies of men, the same may be found usefull in a Surgeons Chest; whether the medicine [Page] be composed by a Chymicall, Methodicall, or Empericall Surgeon, and whether made of an Animall, Vegetable, or a Minerall substance, the Artist may doubtlesse make good use thereof for Sea or Land service in his Chest: but neverthelesse, the Author by way of introduction held it fittest for him to expresse partem pro toto, a part for the whole, (Nam verbum sat sapienti) leaving just libertie, with room sufficient, for succeeding times to shew their inventions and excellencies, as alluding to the wise saying of Hippocrates in his first and second Aphorismes, Vita brevis est: Mans life is short, Ars long [...] est, Art is long. In which regard the discreet young Artist, that hath time enough before him, is hereby desired to forbear his censure of the weak endeavours of the Author, untill he have effected a better of his own, and more usefull in Surgery, for the Common-wealth.
A note of particular ingrediences for a Surgeons Chest, and of other necessary Appendixes serving for Chirurgicall uses, whereof these next recited may be placed on the lidd of the Chest to open view, to manifest he hath them, if the Surgeon will have it so, or he that is to pay for them desire to seethem in vie w.
- INcision knives.
- Dismembring knives.
- Catlings.
- Rasours.
- Trapans.
- Trafine.
- Lavatories.
- Head sawes.
- Dismembring sawes.
- Dismembring Nippers.
- Mallet and chizel.
- Speculum Oris.
- Speculum Oris with a screw.
- Speculum Linguae.
- Speculum Ani.
- Cauterizing irons.
- Storks bills.
- Ravens bills.
- Crowes bils.
- Terebellum.
- Incision sheers.
- Probes or flamules.
- Spatulaes great and small
- Spatulum Mondani.
- For teeth.
- Paces.
- Pullicans.
- Forcers or punches.
- Crowes bills.
- Flegmes.
- Gravers,
- Small files.
- One bundle of small German instruments.
- Glister sirings.
- Small sirings.
- Cathetor.
- Wax Lights.
These for the lidd of the Surgeons Chest, till the Surgeon see cause to remove them.
The rest that follow are no lesse necessary then the former for their particular uses: namely.
- The salvatory furnished with such Vnguents as hereafter in their places are named.
- The Plaster box furnished with the due instruments and medicines thereunto belonging.
- The instruments for the Plaster box are as followeth ordinarily.
- Scissers.
- Forceps.
- Spatula.
- [Page] A capitall instrument.
- Probe.
- Stitching quil [...]nd needles.
- Lancet.
- Burras pipe.
- Lavatory.
- Vvula spoone, &c.
- Cupping glasses.
- Brasse bason.
- Bloud porringers.
- Diet pot.
- Skillet.
- Chafing-dish.
- Glister pot.
- Funnel.
- Cups to give potions in.
- One board to spread plaisters.
- Morter and pestel.
- Weights and scales.
- Sieves.
- Searces.
- Strainers.
- Splints.
- Juncks.
- Tape.
- Towe.
- Spunges.
- Clouts.
- Rowlers.
- Gray paper.
- White paper.
- Empty pots.
- Glasses.
- Thred and needles.
- Wax lights.
- Lanthorn.
- Tinder-box furnished.
- Inke and quils.
- 1 Close stool.
- 1 Bed stoole and a brasse paile.
- Bricks to heat upon occasion.
- Pipkins.
- Empty bags.
- Skins of lether.
The particulars of such Emplaisters as are most common in use by Sea-Surgeons.
- Stipt. Paracelfi.
- Diachilum cum gummis.
- Diachilum simplex.
- Diacalcitheos.
- Oxicrocium.
- Mellilotum pro splene.
- Mellilotum simplex.
- De lapide Calaminari.
- De Minio.
- Calidum or spiced plaster
Unguents most in use in the Surgeons Chest.
- Basilicon.
- Apostolorum.
- Aureum.
- Aegyptiacu [...].
- Album Camphoratum.
- Diapompholigos.
- Pectorale.
- Rosarum.
- Nutritum.
- Populeon.
- De Melle & Sapo.
- Contraignem.
- Contra Scorbutuns.
- Dialthea composita.
- Dialthea simplex.
- Potabile.
- Mercurii.
- Linamentum arcei.
- Aragon.
- Martiatum.
- Axungiae porcinae.
- Axungiae Cervi.
- Mel simplex.
Waters or liquors fitting a Surgeons Chest.
- Composita ex spiritu vini.
- Coelestis.
- D. Stevens.
- Rosa solis.
- [Page]Cinamon.
- Limoniorum.
- Rosemary.
- Sassafras.
- Anniseed.
- Absinthii.
- Mellissae.
- Angelicae.
- Minthae.
- Cardui sancti.
- Theriacalis.
- Rosae Damaski.
- Rosa Rub.
- Odoriferae.
- Plantaginis.
- Falopii.
- Viridis.
- Aqua fortis.
- Lotion.
- Lixivium forte, & Commune.
- Acetum Rosarum.
- Acetum Vini.
- Verjuice.
- Spiritus
- Vini.
- Vitrioli.
- Terebinthinae.
- Caustick liquid.
- Absinthii.
- Gemmae.
- Nitrae.
- Lapidis infernalis.
- Rosarum.
- Anethinum.
- Chamomell.
- Lumbricorum
- Liliorum.
- Hipericonis simplex.
- Hipericonis cum gummis.
- Balmi Artificialis.
- Sambucorum.
- Ol. Lini.
- Ovorum.
- Laurini.
- Absinthii.
- Papaveris.
- Petroleum.
- Scorpionis.
- Amigdalarum dul.
- Amigda: amara:
- Balsami naturalis.
Chymicall Oyles.
- Vitrioli.
- Sulphuris per campanum.
- Gariophilorum.
- Cinamome.
- Maci.
- Philosophorum.
- A [...]nisae.
- Terebinthae.
- Juniperri.
- Spic.
- Antimonii.
- Succini.
- Absinthii.
- Origani.
Syrups.
- Absinthii.
- Limoniorum.
- Papaveris.
- Cinamomi.
- Rosarum simplex.
- Solutium.
- Violarum.
- Oximell simplex.
- Mel Rosarum.
- Diamorum.
- Raphanae silvest.
- Prunellorum.
- Rosarum.
- Anthos.
- Berberorum.
- Citoniorum.
- Luiulae.
- Prunellorum.
- [Page]Extract. catholicon purgance.
- Extract. rudii.
- Diacatholicon.
- Diaphenicon,
- Diaprunum.
- Conf. Hameck.
- De succo [...]rum.
- Diatrion piperion.
- Theriacei Londini.
- Conf. Alkermes.
- De Ovo.
- Mithridatum damo.
- The. Andromace.
- The. Diatessaron.
- Diaphoreticon Aurum vitae.
- Opiats.
- Laudanum Paracelsi.
- Diascordium.
- Diacodium.
- Philomum Romanum.
- Persicum.
- Tarsensi.
- Aurie Alexandrine.
- Succus.
- Absinthae.
- Acatie.
- Licorice.
- Limoni.
- Pulpa Tamarindarum.
- Pil.
- Agaricum.
- Aurea.
- Chochiae.
- De Euphorbio.
- De Cambogia.
- Ruffi [...].
- Pulvis laxativus.
- Sanctus
- Arthreticus.
- Trochiscus.
- Absinthia.
- Alhandall.
- De Spodio.
- De Minio.
Simples.
- Foliorum sena.
- Rhabarbarae.
- Agaricum.
- Scamoniae.
- Aloes.
- Hermodactilis.
- Polipodium.
- Dens Elephantis.
- Cor [...]u cervi.
- Euphorbii.
- Turbith.
- Mirabulanor um.
- Cambogia.
- Cassia fistulae.
Certain other Simples.
- Crocus.
- Opium.
- Chinae.
- Sarssaparillae.
- Sassafras.
- Guaicum.
- Cortex guaiacae.
- Cortex granatorum.
- Licorice.
- Hordia com.
- Hordia gallic.
- Scmen anisae.
- Feniculi dulces.
- Geniculi comun.
- Carraway.
- Cumini.
- Petrocelini.
- Lini.
- Fenigrece.
- Anethae.
- Papaveris.
- Plantaginis.
- Sem. quatuor frigid.
- Majoris.
- Minoris.
- Saccarum.
- Amigdalarum.
- Uva passa.
- Amillum.
Spices, viz.
- Cinamomium.
- Macis.
- [Page] Piper.
- Cloves.
- Nuces Muscatae.
Gummes.
- Guaicum.
- Opoponax.
- Bdellium.
- Amoniacum.
- Sagapenum.
- Galbanum.
- Myrrha.
- Masticbe.
- Laudanum.
- Storaxcalaminthae.
- Liquida.
- Beniamen.
- Tragagantum
- Pix navalis.
- Resina.
- Succinum.
Other needfull Simples of divers kinds.
- Cera citrina.
- Mummia.
- Sperma ceti.
- Sanguis Draconis.
- Lupinis.
- Cantharides.
- Camphora.
- Spodium.
- Sumech.
- Galls.
- Bolus vera.
- Bolus communis.
Minerals.
- Antimonium Stibium.
- Sulphur.
- Alumen rochae & ustum.
- Vitriolum commune.
- Vitriolum album.
- Vitriolum ustum.
- Lapis prunellae.
- Cerusa venetiae.
- Lythargyrum auri.
- Viride aes.
- Tutia.
- Bacci
- Juniperi.
- Lauri.
- Ferina
- Tritici.
- Fabarum.
- Hordei.
- Furfuris.
- Volatilis.
- Ammille.
Herbs most fit to be carried.
- Rosmari [...]us.
- Majoranus.
- Mentha.
- Melilotum.
- Salvia.
- Thymum.
- Absinthium.
- Carduus Benedictus.
- Mellissa.
- Sabina.
- Scordium.
- Althea.
- Raphani silvestres.
- Peritrum.
- Angelica.
- Consolida.
- Album Grecum.
Certain brief remembrances touching the particular instruments for the Surgeons Chest, and the uses of the same.
And first of the Incision knife.
THe uses of the Incision knife are many: namely, to enter the cutis or skin upon very just cause; whereinGreat care be had in Incision. I advise the Surgeons Mate not to be too forward, or too rash, but to take good advice, namely, if the Patient may by any better way receive health, that he forbear incision, if not, let him proceed in the name of God. But note well, that this instrument is far lesse used amongst discreet Artists of our time,Incision by caustick medicines. then it was in former ages: for it was ever accustomed to be at hand for the opening of any Apostume suppurated, many of which now are farre more conveniently done by caustick medicines. For in truth it is a grosse errour in the Surgeon, and painfull to the Patient (ordinarily as some do) to open Tumors by incision, and put tents intoTumors not to be Incised. Evils attending Tumors I [...]c sed. the orifice, by which occasion in short time the Artist is enforced either to new incision, or to dilate the orifice with a Spunge, or Elder or Gentian roots, thereby also including the peccant matter within the apostumated part, from one opening to another, which ought to have continuall passage, whereas the caustick medicine saveth all that labour, with great honour to the Artist, and no small profit and convenience to the diseased. But as touching smal apostumes in the mouth,Apostumes in the mouth to be Incised rather with a Launcet, then with a knife. throat, and gums, incision is best: in which case I hold a fine launcet is most comely, and much fitter then a larger incision knife: and note that in all incisions whatsoever are to be made in any part of the body, it behoveth the Surgeon to regard if he incise deep, that he do it as near as he can according to the length of the Muscles; and also it is commendable in an artist to be very carefull to hide his sharp instruments (as much as is possible) from the sight of the Patient, for manyCautions in Incision to be observed. reasons too long to recite. Onely in conclusion note, that it is very [Page 2] Two Incision knives needful. fit and needfull for the Surgeon to have at the least two incision knives, one greater, one lesse, and that he keep them sharp and clean; but let them not be so thin ground in the edge as the Rasour, for then they will deceive the workman, when he hath most use of them. Thus much at this time of the incision knife.
Of the dismembring knife, and of the Catling.
Their use. THese two instruments are to be used in dismembring; as namely, they are to amputate, or to take off any offensive member or partThe Incision knife required in disrumbring. of mans body: I mean all the fleshie part, or whatsoever may be incised even to the bone: And also in dismembring of the legge or arm below the knee or elbow, you shall have occasion to use the incision knife to cut asunder betwixt the bones or else where, whatsoever the Catling or dismembring knife cannot come at by reason of their greatnesse or unfitnesse; and then proceed to the sawe. To conclude, one of each kinde may serve for one Chest, so they be sharp and fitly grownd, and not too thinne edged. They are both very needfull instruments to be at hand upon all occasions in the Surgeons Chest.
Of the Rasour.
The use of a [...]asour. THere needeth little to be spoken of the use of this instrument, for that all men know well the use thereof, which is chiefly to shave away haire where need requireth: onely let me put the SurgeonsA hoane and a whetstone is very necessary. Mate in mind, that if he forget to take in his Chest a good Hoane, as also a good Whetstone, he may easily lack the necessary use of a good Rasour, when he hath most need of it at Sea; yea, though heGermane Surgeons praiseworthy for Rasours and Lanncets. Instruments kept clean is commendable withall. carry ten Rasours with him. In Germany it is a principall proof-piece of Master-ship in Surgerie, for a young man to take a base and ordinary knife, and to fit it to shave a beard; and also to make a Launcet himself which will enter smoothly: and it is a very great commendation in a young Artist to have sharp and clean instruments of all sorts, and to keep them so, and chiefly Rasours and Launcets; and it is as great a grace to young Artists to have good Rasours and Launcets, and the contrary may do great hurt. Wherefore I advise each young Artist to be practising often with the worst of his knives and Launcets, till he be able to make them serviceable.
Negligence blame-worthy. But I find that pride and slothfulness hath taken such hold of many young Artists, that they disdain and neglect the meanest parts of their calling, as things of too base account for them, which indeed are as behovefull often times as those which seem of more consequence. I shall never for my part account him a fit Sea-Surgeon, which cannot, or will not amend his Launcets and Rasours, which I hold to be an especiall credit to him, and no lesse advantage to his Patient. Thus much at this time of the use of the Rasour.
Of the Trapan.
The use. THe Trapan is an instrument of great consequence, where there is just occasion of the use thereof; but it is seldome well used, and it onely attendeth the Fractures of the Cranium, and yet scarce one in ten have just occasion of the use thereof. For we see daily many grievous Fractures healed without it, and many more would be if no such instruments were; since the perfect use thereof is not every mans work, neither in every Fracture (as I have said) needfull to be used, because of many dangers attending the unskilfull or untimely useAn advertisement whether the Trapan i [...] necessary to be used [...] thereof. I advise the younger Surgeons to consider well afore they set the Trapan, whether it may not be forborn: but if a Fracture happen in the Cranium, with contusion and depression of both the Tables thereof, so that by other conjoyned and apparent accidents, as want of some of the senses, great vomiting, with contraction of sinewes, convulsions, or the like just reasons appear, thou be enforced to use the Trapan proceed warily as followeth.
1 If it be requisite observe first the instrument it self. First, be sure the instrument of it self be good, and of the best making, and that it be clean from rust, and perfect without faults; for those Trapans which are brought from Germany are not to be used, nor yet to be tolerated.
2 The place where▪ it is to be applied. Great care required in the use of the instrument. Further, of the place where it is to be used or placed upon. It is not alwaies directly where the blow lighteth, but sometimes a Fracture is found a great distance off: wherefore this work requireth no small discretion in the attempting thereof. Your direction therefore, the skin being not broken, must be according to the apparent indication of the part, the due consideration of the complaint of the Patient, together with your own feeling with your fingers well respected. The place therefore found where the Fracture is, it then followeth that the hair must be first shaved away, or at least (which is not so good) cut close3 The haire must be shaved off. for a good distance about the grief, 4 fingers broad or more; which done, have ready your medicines to bind up the wound again, as namely, your spunge, your ligature, with hot water, and each other4 Have all medicines in a readinisse. 5 Observe the flux. things necessary for a dressing fit, which in another place I intend to set down. And if so be that the flux hinder not, use wine and hony to foment the grieved part after the incision be made, it will do well if it be in the ship to make also a restrictive ready, namely of bole with water and vineger, if an eg be not to be had; but an eg in the restrictive will make it the better. And further, if that the flux will not be ftaied by an ordinary kind of restrictive, then take the stronger restrictive powder which in due place is to be mentioned. And for present applications unto the wound, you have good choice of 2 sorts; namely, Oyl of Roses, and Mel Rosarum mixed warm, or the Linamentum Arcei, which in speaking of wounds of the head, I will touch God willing) more largely.
6 Care of the Patient in dressing needfull. 7 Incision must be. All things therefore in readiness, and the Patient placed close and warm from the aire, and having two appointed to stay his head, the incision is either to be made directly cross, or in the form of a Roman T. and when the cutis is divided, together with membranacarnosa, or [Page 4] 8. The Pericranium remove. fleshly membrane, the Pericranium or Panicle, covering the scull, is also to be taken away, that the fractured part be bare; then set the TrapanThe setting of the Trapan. thereon, but the pin thereof is alwayes to be set on the whole part of the Cranium, whereby the most part of the Trapan (by consequence) standeth on the whole bone, but so that almost half may stand on the fractured part of the bone. This being thus warily set,The piercing with the Trapan. begin easily to turn about the instrument, till all the teeth have taken good hold round, then take up your Trapan again, and take out the pin in the midst, and set on the other part again as before, piercing and turning still, till you have pierced through both Tables, which is easily to be felt by the piecer: then gently take out the piece which commonly cometh away in the midst of the instrument, not regarding that all the fractured part be taken out, or all coming away: Neither shall it alwayes be needful that the depressed part be presently elevated, except it may very safely and easily be done, for natureNature much helpeth in this work. will admirably bring to passe the elevating and scaling of the rest of fractured or depressed bone in due time, if thou follow onely a good method of applying comforting and convenient medicines to the wound, with apt Ligature. Neither strive in setting the Trapan,A caution in setting the Trapan. without good reason, to use the greatest head of the Trapan, which hath commonly three or four heads: for if nature onely have a breathing, it will wonderfully help it self by purging the contused blood through the orifice, by way of matter or excrement. Many worthy Artists there are at this day living, which have performed great cures in fractures of the Cranium, and yet never knew the worthy use of this instrument. I have my self with a short carving knife twise made as good a shift as if I had had a Trapan ready, and thereby cured two dangerous fractures, by cutting as much of the Cranium away, as that the contused blood had only vent. The Germane Surgeons use no Trapan, that ever I could see in my eight years living among them, though they both speak and write of it. But forasmuch as it is apparent, the work of a Trapan is very good, I therefore would advise a young Artist to make some experience first upon a calves head, or a sheeps head, till he can well and easily takeSpecial skill required in the operation. out a piece of the bone; so shall he the more safely do it to a man without error when occasion is.
Note also, that where a fracture is accompanied with a wound, itNote. shall not be needfull to inlarge further then will serve to set the Trapan; for, as too litle breathing is dangerous, so are too great wounds; making the Artist to be esteemed Butcher-like and hatefull, and is often also very dangerous and deadly.
Further note, the good successe of the curing of the fractures in theNote wherein curation of Fractures consists. Cranium, as also in all other Fractures, standeth very much in good Ligature and easie medicines, which I wish each young learner with diligence to practise. Thus much of the Trapan.
Of the Lavatorie.
THe Lavatory is a necessary instrument to elevate the depressed Cranium, The use. in which work, as I have written in the former Chapter [Page 5] of the use of the Trapan, I advise no young Artist to be too curiousCautions to be observed. or hastie to force the depressed bone too much, where there is no evil symptomes: for a depressed bone will oftimes help it self, by risingIt is very necessary. and scaling, admirably; and yet it is many times of very necessary use, and a fit instrument in the Surgeons Chest.
Of the Head-saw.
The Vse. THe Head-saw is an instrument with which a vent may be given sometimes through the Cranium, and thereby the use of the Trapan may be happily forborn: and for that reason this instrument may have a place in the Surgeons Chest: sometimes also a small ragged piece of the Cranium may so hang, that this instrument may be used to sawe it away. But I wish young Artists not to be over-busie inGood heed required in sawing. sawing, plucking away, or raising the fractured Cranium, as is said, more then of mere necessitie they are argued unto, lest fearfull and suddain accidents follow, not to be avoyded not stayed: If ought be meerly loose, and in sight, take that away; if not, forbear to pluck much at first, for nature is exceeding beneficiall in eiecting unnaturall things in that part, and very froward if thou use force whilest she is weak her self.
Of the dismembring saw.
Instruments must be ready at hand and kept clean. THis great and terrible instrument, onely ordained for amputation or dismembring, is fitting to be alwayes ready and clean kept in the Surgeons Chest, with two blades thereunto, though one good blade well used will serve an Artist for his whole life: but forasmuch as it is onely appointed, as is said, for the work of dismembring, I refer the Reader to a subsequent Chapter of dismembring, where I shal at large recite the use thereof, and (having small leisure) will now haste to the next.
Of the dismembring Nippers, and of the Mallet and Chizel for dismembring.
THese instruments having coherence with the precedent, namely, the Sawe, are meerly invented, as the former, for amputationThe Vse. chiefly, and are appointed to the fingers and toes, as the other is to the legs and armes. I need say no more, of them in this place, but that they are good necessaries upon occasions in the Surgeons Chest, being kept well. Neverthelesse, in want of such at Sea, the Ship-CarpenterNo great n [...]d of them. for a need can alwayes furnish the Surgeon in a short warning; and therefore they may as well be forborn as any other I know in the Chest, if allowance grow scant.
Of the Speculum oris plain.
The use. THis Speculum oris is that which taketh hold on the tongue and under the chin at once, and is very necessary to hold open the mouth for the better applying medicines to the throat: and this instrument [Page 6] This is very necessary. is of no other use at all in the Surgeons Chest; yet because the work is frequent at Sea, there is much need of such an instrument in the Surgeons Chest.
Of the Speculum oris with a screw
Frequent in use, and very profitable. THis Speculum serveth to screw open the mouth, which is often very need full at Sea, as well in the cure of Lethargie and Scurvie, as in many other dangerous cases; and namely, sometime for conveying nourishment into the mouth of the Patient: sometime also for the bringing in medicines of severall kindes, too long to write of; wherefore it may not well be missing in the Surgeons Chest.
Of the Speculum Linguae.
The form of Speculum linguae. The use thereof. THis Speculum Linguae. is a small instrument which may be carried in a plaister box: it is formed like a splatter or spatula at one end, onely it is hollow and cut through, and the other being formed for scraping the tongue, is very fitting in Fevers, and furring of the tongue. The broad end is used to hold down the tongue at some times as you desire, either to inject any liquor into the throat, or to apply any other medicine to the mouth or throat; though some use in place thereof a splatter, yet this instrument is far steddier, better, andThe Commendation of it. cleaner and being through hollow, as is said, the tongue is not apt to slip or slide from under it any way.
Of the Speculum Ani.
THe Speculum Ani declareth his use by his name, belonging onelyThe use. to an [...] or the fundament, to open the same as occasion shall be offered, upon every grief or disease happening thereunto, and cannotReasons for the necessity of it. well be forborn in the Surgeons chest. For if there happen in the orifice of the fundament any excoriation or exulceration, then can nothing 1 better be brought to the grieved place, then by this Speculum: 2 neither can the grief be seen without it: the manner of the opening of the fundament therewith needs not to be discribed. For I hold none so witlesse which cannot make use thereof, when they once see but the instrument; and yet let not the young artist be too busie in usingAn advertisement for the right use of the instrument. Note 1. of this instrument without good reason. For if by injection, without it he can cure the Patient, it is much better so to do, and much easier to the Patient then to use the instrument. One principall reason is, the Patient hath not alwayes power to help himself by giving way to 2 the safe use of this instrument, for the Sphingtures or gathering muscles of the fundament, will not of themselves▪ without resistance be opened, but often will against the Patient his own will make such unexspected resistance, that if the artist which dilateth give not back, he may bruise the said muscles, and thereby make new work: for it ought well to be had in mind how dangerous it is to the life or health of the Patient to use needlesse force in that part.
Of the cauterizing Irons.
THe ancient Chirurgions of former ages used these instruments far more then in these our times: The necessary use of them in many cures is now forborn, by reason the terror thereof to the Patient isThe use. great, yet the use of them is very needful, as namely, to cauterize any vein or Artery in strong fluxes of blood, which cannot otherwise be stayed. And in the Epilepsie or falling sickness they are often used withWhen & where the use is required. good successe: also they are good to make a funtanel or Issue in the hinder part of the head, or in the neck; so likewise in the cure of the Lethargy or Apoplexy, if upon learned and good advice there be held just cause so to do. But they have been used commonly by the ancient Surgeons of former ages for the opening of Apostumes; and surely they are better in my judgement for the good of the Patient in many Apostumes then the Launcet: yet I confesse I make no use of them myThe benefit of the instrument, fear and scandal hindereth. self in that kinde, because of the fear they put the Patient into, and for speech of people, who are ready to scandalize an Arti [...] upon each light occasion. These instruments have likewise been commonly used by the ancients in dismembring, namely, to cauterize sometimes the whole end of the stump, and sometimes onely veins and arteries, and doubtlesse with good warrant they may yet be so used; but in that case they are wholly now forborn, for reasons aforesaid, and for that a more pleasant course is known both for the Patient and the Artist; yet I conclude it is very fit the Surgeons Chest be furnished with divers sorts of them, if the allowance of the Surgeon will admit it.
Of Storks bils, Ravens bils, Crowes bils, Goose bils, and the Terebellum.
The use. THese last recited instruments have their several uses, to draw out bullets arrow-heads, broken bones, or whatsoever else of unnatural things are gotten into any part of mans body. In the use of each ofCare in their use is to be had for divers reasons. them great care and respect is to be had, not to use extreme violence on the sudden to draw out the offending thing, for it is not always necessary to draw it forth by the way of the first wound, but perhaps it may with far lesse danger be thrust quite through the member, and taken out on the other side. Sometime also the offending thing, as a bullet, may be so fixed in a bone, or otherwise betwixt bones, that it is far better not to move it, then to offend the part where it is fixed or seated: sometimes also Nature will better cast it out then thou canst by Art devise to do, and over-forwardnesse doth often as much hurt as good. It happeneth also sometimes, that the orifice of the wound is to be dilated, or inlarged to draw out a loose bone, or other thing, In such a case if itThe drawing out of a loose bone. be meerely loose, it is best to take it out the first dressing; but if it be loose at one end onely and fast at the other, except thou without flux of blood or danger of the member canst remove it, forbear and give nature leave to do her office, and have patience. For otherwise young [Page 8] Artists which are forward to tear, cut, and search too boldly, do often that harm which is unrecoverable. To conclude, since experience andGod and man are to be sought unto for knowledge. reason make an Art, if thou have reason be careful to ask counsel both of God and man, that thou maist answer thy deeds both here and in the world to come. For the subject of thy Art is the most precious of Gods creatures. Thus much for the use of the aforesaid instruments at this time.
Of Incision sheeres.
THere is in every Art or Science a due respect to observe the havingIncision sheeres are rather for form then necessary use. of some things for form and order sake; and if any instruments in the Surgeons Chest may be termed for form sake to be placed there, the Incision sheeres are of that kinde: for they are generally desired,The seldome use of the Instrument. but scarce once in a mans like worth the usage. For admit there were an occasion to dilate or inlarge a wound; it is far better done with the Incision knife, which justly will obey the Artist his will, withoutAn Incision knife will excuse the want of the sheeres. more or lesse doing then need requireth: and this instrument is no way so justly to be limited. Wherefore though I have here nominated it, I forbear any perswasive words to urge the use of it, but leave the Artist to his will therein.
Of the use of Probes of several siezes.
THe use of a Probe, can no way be forborn in the Surgeons Chest:Probes very needful. for no Chirurgical work is well and artificially effected, without some occasion of the use thereof, more or lesse; as namely, oftentimes itThe divers maner of their use. is to be armed with dry soft lint, to cleanse a wound: sometimes again, as is aforesaid, armed with dry lint and dipped into some lotion, oyl, or liquor, therewith to mundifie, corrode, or heal the grief, accordingThe ends of their use. to the due occasion thereof, and will of the Artist: sometime to enquire the depth of a wound, ulcer, or fistula; in which work many times great wrong is done by unconscionable or ignorant Surgeons, to theirGreat danger in the ill use of the Probe. Patients, by forcing too far the Probe, thereby to make the grief appear deeper, which I advise young Surgeons to make a conscience of: for by such abuse, the Patient is many times greatly indangered of hisThe use of a long Probe. life. Further, some use the longer sort of Probes, with eyes like needles, in wounds that penetrate through a member▪ yea, some are so hardyTo draw the Probe therow the body wounded, is evil. they will put them through the Trunk of the body, the Patient being wounded through the body; all which I hold to be very idle; for certainly it must be both very painful, fearful, & dangerous to the Patient & the custome of such artists is to draw laune or a fine linnen cloth, being put into the eye of the Probe, (or stamule as some term it) and dipped in some artificial balm, thorow the member; yea, and some are so wise in their own conceits, that they leave the said laun or linnen cloth in the wound from one dressing to another, which for my part I utterly mislike, for I know in all wounds nature striveth to make unition of the parts divided, & whoso keepeth asunder the parts by such courses, [Page 9] it shall repent him, except he be gracelesse. My self have had reasonable experience in piercing wounds, both through the trunk of the body, and through the outward members, and have ever contented my self, in putting in to each orifice a short and easie tent, which I commonly make of emplastrum stipticum Paracelsi, or some other good plaister spread on a clout, and rolled gently tentwise, and so applyed dipped in Balm, the tent being but of half an inch or an inch long at the most: of which I never yet repented me, except a broken bone be to come out, and then I alter my intention according as the occasion enforceth, with other answering and methodical courses due to healing being observed: which in their places (as time will permit) shall be touched God willing. No more at this time of the use of Probes.
Of Spatulaes great and small.
SPatulaes or splatters, as they commonly term them, are most needful instruments to spread unguent, and emplaisters withal, and alsoTheir use. to stir about, and the better to compound any medicine on the fire;Splatters of wood as well as of Iron necessary. and to this latter work the Artist may make wooden splatters, which will be far fitter and cleaner then those of Iron: The Surgeons Chest cannot well be without both sorts, and variety will do well; wherefore they cannot be forborn in the Chest.
Spathula mundani.
THis instrument is newly devised by my self, to serve upon any occasionA new instrument. of extreme costiveness, which often hapneth to sea men, so that no purging medicine neither upward nor downward administred or taken, will work; which my self have more then once seen, in whichThe use. case the fundament, with the speculum ani aforesaid, if occasion urge, is to be opened, and the spoon end of this instrument put in, & the hard excrements there with drawn out; which in some bodies are so dry that they may be poudered. This disease killeth many, and may byCostiveness dangerous. the diligent Artist be easily cured as aforesaid. This recited instrument may be easily forced into the fundament without the speculum ani to conduct it, being anointed or greased, and first warmed a little. This grief cometh now and then to men which have the scurvy, and it often so inflameth, and excoriateth; yea, and sometime putrifieth the Arse-gut or Longanum, that the party either dyeth thereof, or the sharp humidity proceeding by reason of the inflammation and excoriation thence mentioned, maketh passage for the aforesaid hard excrement, after which followeth a most extreme and painful flux of blood, which for the most part killeth them: and yet is it often seen, that the party being in time diligently attended (by God his mercy)Great care to be had in the cure of this disease. may have comfort and remedy for it. These hard excrements taken away, the body returneth to the natural former habit again, &c.
Pacis, Pullicans, Punches or Forcers, Crowes bils, Phlegmes, Gravers and Files for teeth.
ALl these recited instruments, and each of them are needful in theThe use. Surgeons Chest, and cannot be well forborn for the drawing of teeth, forasmuch as the cleansing of the teeth and gums, and the letting of the gums blood are often no smal things for keeping men in health at Sea, and sometimes do save the lives of men both at Sea and Land: For we see that from an Apostume begun under a rotten or hollow tooth, for want of drawing the same, sometimes proceedethSkill in drawing of teeth required. great swellings in the face, or in the amygdals and throat, and the party is suffocated and dyeth: Likewise by indiscreet drawing of a tooth, either the jaw is broken, or some other had accident is provoked. Wherefore I hold none worthy to go for a Surgeons Mateto sea, who is ignorant of tooth drawing; and I esteem him an unworthy Surgeon (how high soever he bears his head) that can draw a tooth well, and will upon need at Sea scorn or deny to do it.
The maner how how to draw a tooth aright. For drawing of teeth, the true manner is, first well to divide the gum from the tooth; in which work if you be wary, you need not launch or cut the gum at all, but only with the round sharp pointed end of theThe use of a Phlegme. phlegme, to compasse the tooth close, piercing by little and little still somewhat deeper, but ever keeping round and close to the tooth till you feel your phlegme be as low as the jaw bone, in which time you may do well then to consider what kind of instrument you wiltake to draw it, and if it be the furthest tooth of the jaw either above or below▪ The use of the Pullican. or that it be a stump except it be of the formost teeth, the Pullicans are the fittest instruments to draw with; if it be any other of the great grinders, and that there be reasonable hold on the inner side, be it onThe use of the Pacis. the upper or lower jaw, it is best done with the pacis, but you must be wary you draw not a large tooth with a narrow pacis, for so you hazzard the breaking thereof; wherefore 2. sorts of pacis at lea [...] are needful in a Chest, & the like of pullicans, & punches or forcers, for you mustThe use of the Forcers and Punches. fit a large tooth with a large instrument. Concerning the foremost teeth and the eye teeth they are safest done with the Forcers, or punch, provided that they be upon the upper jaw, and for them of the lower jaw being strong, with narrow pacis. Note further, that as well the eye-teeth, as also the fore-teeth are very apt to break in drawing, for that they alwaies are deep, wherefore there is great care to be had inRespect in placing the Instrument to be had. the placing your instrument, of what sort soever it be, and you must in raising the tooth be very careful for fear of breaking the same, or offending the jaw. Wherefore for one general rule ere you draw aHow to place this instrument. tooth, forget not to thrust down your instrument as low as you can possible towards the root of the tooth, and that you gripe it steady 1 and fast, that as you seem somewhat to wrench your hand, you may 2 more intend to pluck the tooth upward, according to the situation 3 of the tooth, for saving the jaw. Also when your instrument hath 4 hold on the one side of the jaw, you must with your other hand take [Page 11] hold and stay the jaw. Beware also you be not too sudden or rash in raising the tooth, but that you feel as it were the form of the situation thereof in your plucking out of the same; for some great teeth, being far wider in the lower end then elsewhere, if you bee too rash in raising them from their place, you are sure either to break them or to damnifie the jaw bone. And in truth in that I have often wondred at the goodnesse of God, when I have viewed a tooth with three large stradling roots or fangs, forced out at a round narrow hole; whichGods mercy in working that which Art cannot. fangs are no way flexible: so that it must follow of necessity the [...]aw bone hath opened it self (though by force) to let them out; and yet without to harm to the Patient, or help of Art, closed again, and in three daies per [...]ectly whole. Concerning the metal your instrumentThe metal of the Instruments ought to be respected. ought to be made of, the forcers or punches, are best to be made of the hardest steel; the pacis & pullicans of steel softened, that they may not pinch too sharp: My self have (to my pain) proved experience inA reason drawn from experience. What fit to be done after the teeth be drawn. my own head twice; namely, the harm of steeled hard pacis: which pinched off the heads of two of my own teeth, and left the roots behind; which maketh me the more to commiserate others in that behalf. After the drawing of teeth some put vineger, and some put other liquours into the mouth, but vinegar I utterly mislike: I never use other thing but salt betwixt my fingers, thrust into the place where the tooth stood, and then with my fingers close again the gum easily together: For in my opinion vineger is hurtful in such cases; but if sometimes the party be not in ease presently▪ then I use to heat a little of my ordinary lotion, and give it the party to keep hot in his or her mouth, holding it on that side where the grief is, which for the most part bringeth present ease.
The use of the Crowes bils. Concerning the Crowes bils, they are only used to take hold of any snag of a tooth or bone loose in the jaw, or elsewhere in the body where occasion may urge.
Another use of Phlegmes. Phlegmes have not only their uses in teeth drawing, but also to launch and cut the gums to let them blood, or to cut oftentimes the superfluous flesh of the gums away, it being too ranke, as in cases of the scurvy, the cure whereof (God willing) shall in another place be spoken of. And for Gravers they are used to take scales off, being a hardThe use of Gravers. substance which use to fix themselves to the teeth, causing them to become loose and stink, or be black in the mouth; or to help to scrape or cleanse a bone in any other part of the body, as just occasion is offered. The small Files are used either to file a small snag of a tooth,The use of Files. which offendeth the tongue or lips, or to abate any end of a bone else-where in the body which is fractured.
One Bundle of smal Instruments usually brought from Germany containing divers kinds, as Mullets, Forceps, Hamules, or Hooks, Ear-pickers, Sikes, Small spatula's, &c.
FOrasmuch as the unexpected casualties that hapneth to a man are innumerable, I see not how the Surgeon can by his wit devise instruments or remedies for all.
[Page 12] The use of the Germane instruments. Wherefore for that hair or a mote in the eye, a stone in the ear or nostrels, a pin or a bone in the throat, a spill in the finger, and divers like casualties unfortunately happen on the sudden, it is very necessary for the Surgeon to be furnished with such like needful instruments, as are commonly contained in the Bundle mentioned: for this Bundle containeth at the least 20. small instruments of strange forms, at first devised (no doubt) by learned and diligent Artists, and do well garnish and set out the Surgeons Chest, and are many wayes very needful for any the occasions mentioned.
Of the large Siringe containing one wine pint, commonly called the Glister Siringe.
THis worthy and well devised instrument so needful in the SurgeonsThe necessity of this Siringe. Chest, I wish each Surgeons Mate were perfect in the use thereof: for it is so necessary and so comfortable an instrument to him that hath need thereof, & so ready, neat, & easie for the workman, as surely no instrument in the Surgeons Chest, in my opinion, is like to it. For there are two principal and capital evils, which chiefly hasten the ends of many of our loving Countreymen at sea, not onely in the East Indies, but also in all hot Countries: the first and principal is extremeThe use thereof. looseness and weaknesse of the stomach, and intrals, causing a flux of the belly; the other is extreme costiveness: in both which this instrument is most necessary. Provide therefore that you be sure to have oneThe manner of keeping the Siringe. at hand, and that it be alwaies ready: also that you have several pipes thereto; that you arm it well with good tow; that when you have used it, you wipe it clean, and hang it up in your Cabin in two parts being drawn out, namely, the staffe and the barrel each by it self; for if it be kept close, it will be musty and the tow rotten. There is alsoMore pipes them one with a crooked neck needful. to be had in readiness a crooked neck much like an elbow, belonging to the same instrument, that how crooked soever the Patient lye, the medicine may be administred to him: and therewith also any man may give himself a Glister very easily, without the help of another.
Necessary rules First of the tow in the Siringe. The principal things to be observed in fitting the instrument, is that the tow, within the staff mentioned, be even and full and close put on, that no drop of liquor can come out behind at the staff's end; which is2. Of the Glister pot. as easie to do as in a small Siringe. And you must also have a Glister pot of pewter, but one of brass were better, for fear of melting. Your glister pot should be made with a snout or lip, and containing one pint and a half, the better to deliver in the liquor at the narrow hole of the4. Of putting in the Glister into the Siringe. Siringe without a funnel. When you would put in your medicine, you must draw down your staff as low as you can, that there may be the4. Of stopping the Siringe filled. whole room to contain the substance which you have ready, namely, your Glister, which put in, have ready a cork to stop the hole you put5. Put on the pipe. it in by, then may you lay down your instrument till you be ready to use it. There is no other thing in the delivering it into the body to be6. Anoint it with oyl or Axungia. observed, save that you put on the pipe, annointing the end of it with some fat thing, or dipping it into the oyl swimming in the Siring. And [Page 13] when you are ready, having some tow about the head of the said pipe,7 Put tow about the Pipe wringing it hard in, thrust it to the head, laying the Siringe in an even8 Concerning the delivery of the Glister into the body. position if it may be, and then put it from you till all be in the gut: then let the party turn himself on his back, forcing himself by all possible means to retain the medicine given him for one hour if he can. Sometimes it falleth out, that by means of the hardnesse of the excrement in the gut, the holes of the Siringe pipe is like to be choakedExtrement sometimes stoppeth the passage and hindred from delivering of the medicine; in such a case (the said excrement being onely clammy and not fully hardned) put upon the end of your Siringe pipe that first entreth the gut over the holes of theNote. same pipe, a thin oyly clout that may cover all the holes, and so put it in, clout and all, thrusting the same up to the head or thick part of the Pipe; then a very little (as it were) draw back your hand, and deliver your Glister with some reasonable good force, thrusting the Pipe in the delivery close up to the body▪ that nothing come back; the Siringe being drawn out let it be washed, wiped, and drawn out of the barrel, as I have said, & so in two parts hung up to be ready for the next occasion. But if you find such resistance in the gut, that your medicine by theThe use of Spatula Mundana required if the Glister cannot have passage. What to be done if the body through weakness cannot keep the Glister. aforesaid means will not enter, then with the afore-mentioned Spatula mundana, draw out part of the hard excrements which hinder, and then proceed as beforesaid to give a Glister. Moreover, many are very weak and unfit to hold in their bodies any such medicine, except you with some tow, clout, or the like, wil hold it in, they can take no benefit by a Glister: wherefore in such a case, you must be ful of humanity and Christian commiseration; not to be fine fingered, squeamish, or disdainful, but consider your brother by your self. Concerning the substance of a Glister, the quantity to be given, and other necessary observations, of that kind, in the Chapters of the cure of the Flix and Scurvy I have written; to which place I refer the well disposed Surgeons Mate: & look what for brevities sake I have omitted, the young practitioner must as I have done before him, either by reading, inquiring, or practising, and sometimes even by erring finde it out: and if he know more then my self, thank God for it, and let him impart some to others, and not scorn this; for to such I write it not, but to the young and willing learner. Some may marvel, I multiply so many words concerning the Glister Siringe, and forget to mention the Glister bag and Pipe, soThis Siringe is preferred before the Glister B [...]g and Pipe. good and ancient a work, & so long in use before the other. To which I answer; this work is cleanlier for the Surgeon, easier for the Patient, and may be delivered with greater of lesser force, as the Artist pleaseth; and this instrument will last when the other will stink and putrifie: and yet I deny not the other to be good, but not to be trusted to at Sea.
Thus much of the Glister Siringe.
Of the small Siringe.
IT might seem a thing vain to mention instructions herein: for what Barbers boy is not practised in the use of the small Siringe? Truely few, and yet many Masters to my knowledge erre grossely in the true [Page 14] uses thereof divers waies, all which were frivolous in these briefe notesInstructions for the use of the small Siringe. to touch. First therefore observe that when you use a Siringe, let it be clean; that it be smooth at the end for galling; that it be even armed with tow; that it go not by jumps nor too stiff; & that you carry a steady & even hand in delivering it, & force it not over strongly, except upon great reason. And if the grief be in the passage of the yard, as in case of Gonorrea, oftentimes there are excoriations, then in the putting in the Siringe it is needful to rest thy arms in the delivery thereof on the Patient his thighes, he sitting somewhat high, or standing bowing forwards, andHow to use this Siringe in the yard. strive not to fill the Siringe too full at once, for then thou canst not easily and steadily reach it to deliver it: and the first time thou presentest it thou mayest if thou please make short work, and deliver it betwixt glans and praeputium, that is, betwixt the skin and the head of the yard, holding the forepart of the praeputium close together, if it may be held together, which serveth only to wash without the passage. The second timeHow to deliver an Injection. deliver into the passage so far as well thou canst reach; namely, to the end of the Pipe, if without great pain thou canst effect it, resting thy arms, at it is said, and holding with the one hand the yard (as it were) in the midst thereof or behind the former part of the pipe of the Siring; namely, not meerly to the head of the yard, nor straining nor pressing thy hand too hard, only that the water injected may be kept in; for by that holding of the left hand close, the water being artificially put in, wil come to the neck of the bladder; which done keep it so in till thy Siringe being drawn out, can be filled once again, and deliver it as the other was, without removing the hand that holdeth; & that second time, the water will come into a bladder; and observing duely this form of injection, thou shalt cast in as much water as thou please into the bladderErrors in injecting manifested. without pain, with onely an ordinary Siringe; whereas casting it in and holding the praeputium close as is usual, assure thy self the water will never come at the neck of the bladder, nor further then the pipe is put in; whereas often the defect is in the neck of the bladder, and thy medicine cometh not there. Also, let not thy medicine be too hot which thou injectest, for that is dangerous, and cold is also bad; so hot as pisse isMercurial injections to be rejected. the true temper, or a little warmer. Beware also of Mercurial lotions, I mean any which have Mercury sublimate, precipitate, or otherwise prepared in them, for though they have good qualities, yet they are (uponThe evils the case. my knowledg and experience) dangerous, used by way of injection into the yard; for they wil utterly alter and overthrow the natural faculty of the yard, and will offend the erection of Virga, and so calcine the same, that it shall become impotent to his natural work, I know it, and yet they may be with good successe used in curing malignant ulcers twixt glans & praeputium, or else-where upon the yard, as daily use of them declareth. Concerning Lotions or Injections, they shall, God willing, in another place be mentioned. Also, concerning the general uses ofInjections not proper onely to the yard. The necessity of the Siringe. the Siringe, they are not alone limited to Virga or the yard, nor to venereal causes onely; but they are also of especial good use in wounds, ulcers & fistulaes; as also for griefs in the mouth and throat, and may not therefore be omitted in the Surgeons Chest: wherefore I [Page 15] advise at the least two if not three, each with three pipes, to be ready in the Chest upon any occasion.
Of the Catheter, together with wax lights to search the conduit of the bladder.
The use. THe Catheter may well be numbred one amongst the needfull instruments in the Surgeons Chest; for if obstructions happen, either in the passage of the urine, or neck of the bladder, through slime, gravell, the stone, or like accident, which by the artificiall use of a siringe cannot be removed, then is this needfull instrument to be used, as also to make search for the stone in the bladder.
How to use it. If therefore there be occasion to use it, put it in gently as followeth, namely with the crooked or dependent part thereof downward, so farre as it will be put in, being first anointed with a little oyle of Almonds, or some fresh grease, or oyle for want of the first rehearsed; and being put in as farre as you can without much force, then feele by the roote of the yard neare the fundament with thy fore finger, anointed with butter or oyle (or the middle finger of the other hand) where the end of the Catheter resteth or beareth out, then put in the Catheter yet further towards the fundament, pressing or bearing down, as it were, a little the lower part of the said instrument with thy upper hand which stayeth the Catheter, then (together with the help of the lower finger of the other hand) turn the Catheter upwards, putting it also withall forward a little, and it will slip into the bladder; then draw out the inner wyer, and the urine will come forth, still keeping the instrument carefully within the bladder till all be runne out that gently will come without forcing. Moreover, you may by putting in the first or longest finger into [...]no or the fundament, the Catheter being in the bladder, and the water drawne out, feele easily if any stone be in the bladder, the partie grieved standing and bending his body likewise forward.
Of the searching candle.
The use. THe searching candle is chiefly to be used when there is a caruncle or ulceration in the necke of the bladder, or passage of the urine, and then it is used both to finde out the place where the said grief is, and also to bring apt medicines to the place grieved; but that work requireth good deliberation well to effect it: for an expert workman may easily erre herein, except he take good regard. Wherefore when by the candle you haveThe right end of the candle is to find out the grieved place, and right passage thereunto. found the certaine place of the griefe, which is commonly done by the stoppes or stayes which the said candle findeth in the passage, bee carefull to observe the just length to the further end of the said stoppe or place agrieved, and there if you marke your candle well, you shall by the same perceive the full length and breadth of the disease: then upon the said light or candle, fasten your medicine which you intend to heale theThe time when the medicine is to be applied. griefe with; as namely, if the disease be a kinde of spungie flesh, as often [Page 16] The right manner of applying medicines. it is a very little allumen ustum, or vitriolum ustum, will be fitting medicines, or what else you know best for such occasions, and print it according to the depressed part of the wax into the wax candle, and conveigh it warilie to the place, and let the waxe light remaine for a short time in the yard, then having a care you keep it not till the waxe melt too much, drawing it out, and doe so again; and alter your medicine upon the searching candle, as you see cause and forget not to use good injections also, which help much. Thus much for this time concerning the Catheter and searching candles.
These former recited instruments may be placed on the Chest-lid, except the Glister pot. Their necessarie uses being brieflie touched, it rests now to speake next of certain other Chirurgicall instruments and necessaries pertaining to Chirurgerie.
The Salvatorie and the necessarie appurtenances.
Six divers unguents at the least in a Salvatorie requisite. THe Salvatorie if it contain six severall Unguents, it is sufficient for any present use, so that they be such are found and good, and most in common use: such are
Unguentum
- Basilicon.
- Apostolorum.
- Linament of Arceus.
- Aureum.
- Diapompholigos.
- Dialthea
Light roomes in a Salvatorie not amiss. But if the Salvatorie have eight roomes, then two more as necessarie as the former may be added; as namely, unguentum Populeon, and unguentum Album; concerning the severall uses of these unguents, in their places somewhat shall be spoken, God willing.
Of the Plaister-box, and what belongeth thereto: And first of the Emplaisters.
THe Plaister-box ought to contain, at the least, three kindes of severall Emplaisters: as namely,
What Emplaisters the Plaister-box should have at all times readie. Emplast.
- Stipticum Paracelsi.
- Diachalcitheos.
- De lapide calaminari.
For want of Diachalcitheos, Emplast. De minio may serve.
The uses of the Instruments due to the Plaister-box follow next, and are these,
- Speculum linguae.
- Flegme.
- One capitall instrument.
- A directorie for inlarging a strict orifice.
- Scissers.
- Forceps.
- [Page 17] Spatula.
- Probes.
- Stitching needles and quill.
- Launcet.
- Barras pipe.
- Lavatory.
- Uvula spoon.
There belongeth to the Surgeons Mate a carefull and especiall respect to be had concerning Scissers; namely, that he have at the least two pair of good Scissers for to cut hair, that they be well grownd, and keptSurgeons ignorant of the true use and keeping Scissers and plaister-box, unworthy name and place. clean; as also in his plaister-box one pair, and that they be at all times kept well. The manner of using them were lost labour to be taught any Surgeons Mate: for if he be therein unskilful, he is unworthy of his place. Wherefore I onely recite them for remembrance sake, and likewise for order, having already spoken somewhat of the several uses of each one of the recited instruments.
Of the Forceps.
The use, THe Forceps are onely used to take off medicines from diseases, or sometimes to take out a spill, a hair, or a loose bone, or ought else which is offensive, from a wound, or to draw out ought that may by chance come into the ear, nostrils, the mouth, or throat, to the danger of the Patient. Wherefore it is an instrument of continual use, and hath many offices in Chirurgery.
Of the Spatula.
THe use or abuse of the Spatula, as it hath his office to take out an unguent and spread it on lint, can do no offence to the Patient greatly. Wherefore I will pretermit to lose time in declaring ought thereof.
Of the Probe.
The use. THe Probe hath already been mentioned in another place; but the small Probe, being a necessary meerly belonging to the plaister box, serveth not onely for the aforesaid uses, but also to cleanse wounds, ulcers, fistulaes, &c. and is a very necessary instrument which cannot wellThe abuse of this Instrument. be missed: but there is much abuse of this instrument oftentimes by making probation (as the phrase is;) for some, to shew a wound deep, having gotten once within the cutis, will, by thrusting it sometimes betwixt the coats of the muscles, sometimes otherwise, ignorantly either indangerNote. the part, and thereby occasion evil accidents to follow, or otherwise break the coat of a veine or artery, to the overthrow of the patient, or his great hazzard.
Of the stitching quill, and stitching needles.
THe stitching quill, and stitching needles, have their due place in the plaister box: wherefore that they may be the more ready on a suddain, as occasion is offered, forget not to have at the least three readyHow many needles needful Of what siezes. Instructions for stitching. needles well armed and pointed of several siezes, I mean threded with strong coloured silk, well waxed: and when you stitch, beware you draw not the orifice awry, oblique or deformed, but that you have great respect to the true beauty and former comlinesse of the wounded part, neither let your stitches be too near one unto another, neither tie your silk too close, which will occasion the stitches to break before their time; for nature will not be forced. Also when you would stitch a wound, let the hole of your stitching quill not be forgotten to be set to the one side of the lips or sides of the wound which you intend to pierce, so that it may give a stay to the part when it is to be pierced through with the needle; and it must be just so placed, that the needle piercing through the wound, may also come within the said hole; which drawn through, take away your quill, and set it so to the other side. Sometimes also it happeneth in stitching the sides, that the sides of the wound lie so near each to the other, that both sides may at one time be taken up without drawing out the needle at all: in such a case the stitcing quill mentioned is not to be removed from▪ the first place. A double coloured silk is best to stitch with, being waxed, next that, thred will serve. It is also convenient to wax the thred or silk, or to use some emplaister to rub it with in place of wax. Note also, that rolling needles be put into the said stitching quill to be ready: also thred to sow rolles together for making the readier and more convenient Ligature in wounds and ulcers, as occasion is. There is also a form of dry stitching of new wounds, which at this time I omit for brevities sake. Thus much of the stitching quill, and stitching needles.
Of the Launcet.
ALthough at the first it might be imagined that little were to be spoken to the Surgeons Mate concerning the Launcet, for without question each Surgeons Mate knoweth a Launcet as well as my self; yet when I consider the weaknesse of young men concerning the true use, and the abuses of the same, and that I call to mind how many good men daily hazzard, if not lose their lives by the undiscreet use thereof▪ I am at a pause with my self, to consider in these few lines I have to write, what I might say for to furnish the Surgeons Mate with best and most needfulInstructions concerning the Launcet. admonitions in fewest words. First therefore, methinks, it is not amisse to advise him, that he carry with him at the least six of the best sort, besides six more common ones, for an east Indie voyage: that he oyl them, or anoint then with Axungie, and so wrap them in oylie clouts, that they rust not: and that he onely bring forth into the aire one at once. Also that he have ready convenient bands to tie the arme; a [Page 19] band made of wosted gartering is the best, or of a strong fine list; for allConcerning blood-letting necessary admonitions. bands made of silk or linnen, will slide back. Let him remember also that he tie not two knots upon the band, for that requireth too much trouble in giving the veine vent: if he use a wollen band, one sliding boe-knot will serve, which is easie to be loosned or fastened, where you would cause it to bleed more or lesse. Note also, that the band be turned twice about the arme ere you tie it: also that this knot lie aloft on the top of the arme, and on the outside of the elbow, and not too near the joynt or the place where the veine is to be opened: that he never open a veine but first he have ready a band and bolster to make it up again: thatOf the Launces points. Of the veine opened. his launcets be not too spear pointed, I mean small pointed: for the broadest pointed Launcets make the best work: likewise that orifice be large, not deep, yet not overlarge, for it is overlarge when the blood tumbleth out without a stream, for that spendeth too much the spirits, and it is also too narrow when the stream is small, and the veine is puffed up with wind. Note also, that if your Patient incline to faintnesseOf faintnisse in blood-letting with a remedy. or swounding, you cause him betimes to thrust his longest finger of the other hand into his throat, and a little provoke himself to casting, it helpeth presently; let him reiterate the same work if occasion be. But if he chance on a suddain, as oft it happeneth, to be gone in a swound, beware you lay him not on his back with his head too low, as it is usualOf sweunding in blood letting the remedy approved. with some to do, for so you may chance to lose him. I have seen the like once done by an ignorant blood-letter: wherefore remember it, but rather bend him with one arme forewards, and with your other hand stop very close his mouth and nostrels, and in very short time you shall perceive wind to come, and it will gather to his mouth, and he will strive for breath, then let go your hand, and all is well; and as often as he fainteth do so. This is a safe course, which with good successe I have used from my youth to this day.
The quantity of blood to be taken away at sea. Further note, that at sea, especially where fresh food or good nourishment is not at hand, it is good to be sparing in the quantity of blood to be taken away, and rather often take blood away, then too much at once, except blood abound too much; which is not easily judged by every young Artist. For sometimes the party is idle-headed by distemper of the blood, which by cooling broths and julips ought rather to be tempered; providing also, that he have the benefit of nature, I mean a loose body,Remedies for idlenesse in the head through distemperature of blood. Phlebotomie not ealwayes to be used. or be provoked thereto by art; and by this means rather seek to cure, then by rash Pplebotomy; for you must consider that in the blood consisteth the life of man: wherefore, be not rash in that work; and as is said, hold ever this rule, that if the Patient neither on the day thou wouldest open a vain, nor on the day before we have had a stoole, that thou attempt not to let him blood before first he hath had one stoole procuredObserve well. Of the vains to be opened. him at the least, if not more; which is soonest and safest done by a suppository: the next safest and better way is by a glister. The veines commonly opened are six in number; namely, one in the forehead, one under the tongue, three in the arm, and one in the foot: The three in the arm are most in use, whose names are Cephalica the uppermost, or head vain, so called of the Greek word Cephale, which signifieth a head, and [Page 20] is commonly opened in all griefs of the head where it can be taken, in want whereof, it is almost as good to take the middle veine.
The next is the median or the middle veine, it is the second principall vein, which is generally taken as indifferent for the whole body.
Aspecial observation concerning the liver vein. The third is the Basilica, or the liver vein, being the lowest in the arm, and more respecteth the liver then the two former. But hold this general rule, that if thou intend the opening of a vein to help the liver, and that the liver vein will not be well taken, then take the median vein; for thou must know that all veins have their original in the liver. Some arms have but one fair vein appearing; then it followeth of necessity, thou must take that: for many learned Physicians are of opinion, that generally the fullest vein in the arm is best and fittest to be taken, except some special cause alter their minds: for their words are often quae majus turget, majus urget, which may be englished, the vein which sheweth most, is most faulty.
Causes of b [...]ood letting in the forehead. Under the tongue. In the saphane vein. The vein in the fore-head is also often taken for pains in the head, as rheumes, distillations of humours, and the like.
The veins under the tongue in the squinancie or angine, imflammations, and swellings of the Amygdals of the throat, or of the root of the tongue, the liver vein called saphane, chiefly is taken for womans sicknesses, not often seen at sea, though some necessary occasions chance of the taking thereof in men at sea, for diverting and sometimes for curing of some special diseases, which for brevity, having spent my limited time, I omit.
Incision knife.
THis Instrument is mentioned in the beginning of the uses of Instruments under the title, Incision knife.
The Burras Pipe.
From whence it hath its original. The use of the Burras Pipe. THis Instrument thus named, doubtlesse was by a Surgeon borrowed at first from some Gold or Silver-smith, and never paid him again; for the Gold smiths use it daily, and cannot perform their works without a Burras Pipe, but the Surgeons make other use thereof, (namely, for the most part) to retain corroding powders in, as Vitrioll, burnt Allom praecipitate; and such other caustick medicines, which well used perform very much in healing; So also their abuse bringethThe danger of the abuse of it. shame to the Artist, and often unrecoverable damage to the Patient. For it is common with many Artists, in the healing of new wounds to mix praecipitate either with a digestive Unguent, or with Basilic [...]n, and Dorsell or plegents laid on tents, according to the form of the wound, andAn errour in healing of a new wound observed. to put it in, as they say, either to enlarge the wound, or to help digestion, to take away proud flesh, to mundifie, and the like; and if not praecipitate, then must they be busie with Vitrioll or Allom burned, or withDirections for the cure of a new wound. some caustick medicine in that kind. But I would advise the Surgeons Mate not to use any corroding medicine at all in new or fresh wounds, but [Page 21] let the flesh grow as proud as it will, the ground being clear from whence it groweth, namely, if it be from a wound wherein is no putrified bones, and if so be that the wound be full of flesh, and then will not cicatrize, a little burned Allom or Vitrioll, will doe well, and then to your former dressing again, remembring that each third or fourth dressing be merely drie lint, you shall find good therein; and if you onely take lint and wet it in a Coperas water, and let it dry again, and lay that lint drie upon the proud flesh, sometimes for a dressing or two, and then againe to your former method, doubt not but it will without pain verie well cicatrize any new wound: I write this, for that by the unskillfulness, yea,Surgeons wilfulness as well as unskilfulnes blame-worthy. and sometimes by the idleness of evill minded and base Empericks, I have seen men lamed by the needless use of caustick medicines, even in slight wounds; to which, if an old wife had openly applied her one salve for all sores, no such thing had happened: yet I am not so simple to denie the just use of such noble medicines in wounds, ulcers, and fistulaes, or otherwise where need is; but I onely here advise the young Artist,Note. that he may not be too rash in the use of them, and likewise doe advise him, that having used them once, he first pause again at the least eight dayes, namely, till the first Esker be fallen, and certain daies after, ere he use any caustick powder again; for with the use of corroding medicines,Two evils to be avoided. one immediately after another, many Ulcers are made more painfull and rebellious then they were, and the bones sometimes made foule which were otherwise clean; which fault is too frequent now adaies: and amongst many grosse faults daily committed by unexpert Empericks, this one is to be lamented, namely, the use of keeping open penetrating wounds too forcibly and too long by the use of hard tents, armed with caustick powders, whereby nature can make no true unition, but is forced into much disorder; which I wish young men to make a conscience of, and to be carefull not to erre in that kind.
The Lavatorie.
This Instrument is set down else where.
Of the Uvula spoone.
THis Instrument is made to put pepper and salt in, or fine bole, pepper, or salt, or some other the like medicine, and to hold the same right under the Uvula, which is for to blow up into the concavitie behinde the same; and no other great or especiall use I know it hath in Surgerie, except it may be used to warm a medicine in.
Thus much of those necessaries which properly deserve the names of instruments in the Surgeons Chest. Now a word or two of such other Appendixes, which in their kind are as necessarie as the former.
The Cupping-glasses or Ventoses.
The use is divers. THere are many necessarie works in Surgery performed by Cupping-glasses, namely, sometimes they are used to set upon a Bubo or botch to bring it forward, and therein they are very good. Sometimes also to set in the nodell, and on the upper part of the shoulder-blades, to draw back humours which oppresse the head, the eyes, or teeth: or against Lethargie, or on the thighes against aches or pains there; or for the cure of the Sciatica, they are very good; or sometimes to draw bloud and spirits toThe end why they are set without scarifying. Why with scarifying. a member withered or benummed: in all these and divers more griefs the Cupping-glasses are very needfull. Sometimes also they are set without scarifying onely to attract humours to the place. Another time (it may be) in other cases they are used with scarifying, to take away bloud and choler, which offendeth the part▪ Some set them on withThe divers setting of them. The best manner of setting them. towe, some with a small wax light set under them; some onely with the flame of a great candle, which my self use, and is not offensive nor painfull at all: whereas the other waies the flame excoriateth often the part, and maketh new unseemly work: for the better doing whereof, I use to place my candle close to the place where the Cups should be set, the place being first wet and rubbed well with hot water and a spunge, andNote. the Cupping-glasses also wet. Hold your Cupping-glasses over the flame a little, and then clap it quickly on the place whilest yet the steame of the light is in it, and it will be fast, and draw hard; but you must have your Cups fit, and not too wide for the place you would set them on, or else they will not take any hold. Further, when you perceive they have drawn well, which by the blackness and rising of the skin you may sasilyScarification must be light, and sudden, and with a Lanncet. see, then (if you hold it fitting) you may lightly and quickly scarifie it with a fine Launcet, which truely is the best and profitablest instrument for that use; and then wetting your Cupping-glasses againe, with the flame onely of the candle, set them on where they stood before, settingWhen to take the cupping-glasses away. What to be done after they be taken away. Deep scarifying evil. as many cups, and drawing as much bloud as you see good: and when no more bloud will come, and that you thinke it time to take them away, which is known by a yellow water which cometh at the last; then (I say) it is time to wash the places with faire water where the cups stood, and drie them with a spunge or cloth, and onely anoint them with Ung. Album once, and they will bee whole. The overdeep scarifying it, is not onely dangerous, but also painfull, and not art-like: for if you note well the cutis, it hath many capillar veines in it; yea, and some great veines, and is porous, so that the Artist may by force draw humiditie sufficient from farre, if so occasion bee to use their utmost force. Large and with cups are fittest on the thighes, lesser on the arms, and the least for the hands or feet.
Of tho Brasse Bason.
Friend, learn good by ill. I Have nothing to write concerning it, but that at the least the Surgeons Mate have one if not two; and if he finde no use for it, let [Page 23] him sell it for good liquor at Bantham, as a Surgeons Mate lately did one of mine.
Of the Blood Poringers.
The quantity of blood. Imitation with out discretion is idle. Blood poringers necessary. BLood Poringers are necessary at Sea, to be the more certain of the quantity of blood which is let; for since the blood of man is so precious, it is to be well weighed what quantity is taken. And although the German Surgeons, do ever let blood into a bason, yet I hold it not good for the Surgeons Mate to imitate first, except he be of good judgement indeed, to judge of the quantity. The blood Poringers, which are made for that purpose being full, hold just three ounces, andThe constitution of the body is to be regarded in Phlebotomy. somewhat more▪ For my own practice I hold this course; if one chance to come to me of himself, or by advice of a Physician to be let blood, though he have a strong body, I never take from him more then two poringers, and a half at the most, but often lesse. If the party be not strong, except it be in case of a Pleurisie, or some like urgent cause, I take lesse. For in that work except my reason give me good satisfaction to do the contrary, I will rather offeud in too little, then in too muchToo little rather then too much blood is to be taken away. taking of blood away; for I have seen much hurt to have ensued by great quantity of blood taken away at one time: 7. or 8. ounces I hold a strong body may bear to lose, having good nourishment to recover it again, and that without harm: but if you grow to ten ounces, you may many wayes do harm in the body, except your warrant be good. I speak not this to discourage young Surgeons from a work so behovefull, but admonish them to warinesse in a point so dangerous.
Of the Dyet Pot.
The use. THe Dyet Pot is not alone to be used in cases of dyet drink, seething for the pox, and not otherwise; for as a learned Doctor upon occasion lately reasoned, there is difference betwixt the Dyet and a Dyet, though in both kinds there is even. Quot homines, tot sententiae, so many men, so many minds. Wherefore concerning descriptions, of several Dyet drinks for the pox, I will refer the Surgeons Mate to other Authors: for in truth I must defer that point till fitter oppertunity; I mean till I write touching the cure of that disease. And yet (methinks) to speak somewhatA docoction for the Calenture. of a drink is the case of the Calenture, or any other unnatural hot fever, to be made at Sea to qualifie the heat of the blood, were not amisse; which may be done as followeth.
- ℞. French barley ℥ iiij.
- Fresh water 2. gallons.
- Licorice ℥ i.
- Cloves no. 12.
In want of Licorice, tak juice of Licorice half an ounce. In want of french barley take other barley, or for a need, wheat flower; boyle this gently to 4. or 5. quarts, then clear it, and if it may be, keep it not inHow to keep it. [Page 24] The composition of this drink if the heat be over great, causeth head-ach. The colour and taste of the drink is to be observed. the brasse pot, but in some earthen or glasse vessel; and if the party his heat be great, and have pain in his head, add thereto so many drops of oyl or spirit of Vitriol as will a little change the tast and make it sowerish, but not too tart in any wise; and if into all his drink, you put of Rose-water, of wine-vinegar, or Rose vinegar, and Cinamon-water, of each onely one spoonful, if you have it, it will do well to mend the tast; if not, the matter is not great: let the Patient drink often hereof. Further youThe drink composed for a Laske. may, if you think good, add surrupe or juice of Limons ʒ 4. If it be for one which is loose in his belly, you may infuse of your succus Acatiae herein some 2. or 3. ʒ, and (being cleared) let him drink of the drink plentifully as he hath thirst; but you must cut your Acatiae first, and dissolve it in a little of the drink warmed, and so put it into the rest. Also, in want of Acatia, if you put therein Galls in powder a little, it will do well.
Of other necessaries.
THe next instruments, in order to be remembred, are these following, viz.
- Skillet.
- Chafing dish.
- Glister pot.
- Funnel.
- Cups to give potions in.
- One Board & knife to spread plasters.
- Morter and pe [...]tel.
- Weights and Scales.
- Sives.
- Searces.
- Strayners.
- Splents.
- Junks.
- Tape.
- Towe.
- Spunges.
- Clouts.
- Rowlers.
- Gray paper.
- White paper.
- Empty pots and glasses.
- Thred and Needles.
- Wax Candles.
- Lanthorne.
- Tinder box furnished.
- Inke and quills.
- One close-stoole.
- One bed pan.
- One brasse paile.
- 20 Well burned bricks.
- Pipkins.
- Empty baggs.
I shall not need to spend much time, to set down the uses of all these necessary implements, only two or three of the most needful to be noted, I will remember, and then to the uses of the medicines within the Chest.
Of Weight and Scales.
VVEights and Scales are necessary things, often times lightly regarded, and yet how many mens lives hang in the ballance, it is plain enough. For Sea-Surgeons familiarly give Stibium by the grain,The use is divers. namely, from 4. to 8. grains, yea and to 12. grains by your leave, when in truth few of them have waights and Scales which can weigh one grain.A great fault in weights and scales. It is a dangerous thing for a Surgeon at Sea, to be unprovided of neat weights and Scales which will turn with half a grain: for how can they give either Laudanum Paracelsi, Stibium, or other Chimical medicines [Page 25] safely, or almost any medicine inward without small weights and Scales? Wherefore two pair of weights and Scales, are very needful for the Surgeons Chest; namely one for ounces, and another for grains; for larger Scales the ship is furnished. It is also to be understood here, for instruction of children in Art, that xvi. ounces, make aA direction i [...] weights. pound; each ounce 8. drams, each dram 3. scruples, each scruple 20. grains: for the grain, a full barley corne will well serve, or a good wheat corne, though a large wheat corne be somewhat too big: an ordinary pepper corn will also serve for a grain.
Of the Close-stoole, with the Paile of Brasse, and the Bricks.
ALthough I know before hand, that I am to undergo many witty and Eloquent flouts from young gallants of my own profession, for mentioning so base an instrument to belong to the Surgeons charge, as this last mentioned Close-stoole, with his appurtenances, yet let themMean things sometimes are of great moment. know, that neither can my book blush; neither shall my self, I hope, have cause; for I nothing doubt to yeeld each honest young Artist a sufficient reason for to satisfie him herein: and (in a word) my reason for appointing to each ship, bound for the East-Indies, at the least one of these, is because the bloody, or other flixes, are so dangerous diseases, and so deadly amongst our men, that I hold it my duty to advise even the goodNone worthy to be reputed [...]rtists who disdain the meanest office of their profession. use of a Close-stoole: and I have caused the stoole to have one door on the one side, that thereby either things to foment, fumigate, or otherwise to comfort the weak part, might be the better applied, the Patient sitting at his ease thereon.
The use of the Close-stool. The need of it is great. Also one especial reason, why I have appointed it, is, that a poor weak man in his extremities, should not continually go to the shrouds, or beak-head to ease himself; nor by noysome to his fellowes, but might by the help of his Mate through this mean instrument find comfort in his most pitiful distresse; whose miseries I heartily compassionate. Wherefore, I admonish the Surgeons Mate in general, in the fear of God, not to be fine fingered, slothful, scornful to use every kind of good manualObserve this, thou hast acon [...] science. and other help, to save mens bloods in this fearful disease; for the omitting of their duties in helping men thus distressed, bringeth the bloods of those men without doubt upon their heads; and though peradventure they may carry it away for a while with men, yet the Almighty, who seeth not as men see, will surely find them out.
The brasse paile The paile of brasse, under the stoole chiefly appointed for neatnesse, cleanlinesse, strength, and other good uses it hath, was alwayes to belong thereto, and not to any other use: It may also sometimes be whelmed down, and on the top thereof a hot brick be set, or the brick (if you find it too near) may stand lower, or be put into the paile; with hotThe use of bricks. brick with wine and vinegar or any other like fitting medicine of experience, may be sprinkled to comfort the part agrieved withall; for it is found by experience that the steem of wine-vineger, sprinkled on a hot brick doth much availe in the cure of the flix, & that simple remedy alone The cure of the flix. [Page 26] hath cured many; but when the Patient riseth from the said fume, if then a cloth be well heated over the said fume or over a fire, and put close to the part, it availeth much; and if you then likewise lay the Patient to rest, giving him three or four grains of Laudanum, you shall do the better, and by Gods help, with other answerable good regiment of diet, make a quick and perfect cure of his disease. But I am not ignorant, that there is use for twenty close-stooles at once, in some one ship, which work the Cooper and Carpenter should take care of.
The conclusion. Thus having briefly run over the most necessary uses of the particular Instruments, and other necessarie appendixes to the Surgeons Chest; it followeth next to begin with medicines Physical and Chirurgical, aswell simple as compound, within the Chest; namely, somewhat, though very briefly, to touch their most common uses and vertues, for the help of young Practitioners.
ENEMA FVMOSVM, OR A FVMOVS GLISTER.
BEing a new found Art of giving a Glister of smoake, winde, any drie powder whatsoever in substance, into any mans body, very convenient in many occasions, experimented, to bee not onely safe; but also most comfortable, pleasant, profitable, and easie to be perceived in; being a most profitable Instrument, and Art for the way of curing many grievous infirmities, which although in all occasions either Domesticke or Military, it may be very usefull and good; yet, it may be esteemed most necessarie and expedient for the Military Surgeon. Explained Dialogue wise, betwixt the Authour and a Military Surgeon; and in that it is a by-part of Surgery not common, the Author hath thought fit to unfold it by a medicinall riddle.
Brother Surgeon, being here so well met, I esteem it will not be time, ill spent, that I explaine unto thee for thy experience, a riddle of an old new medicine, that for sundry occasions may fall fitting; thy practice in Camp, Ship or else where; and it is made of strange, not strange materiall, immateriall, extramarine, domesticke substance, or subiect common to bee found, and almost every where ready at hand amongst good fellows, serving, and usefull in Surgerie and Physicke, commended highly for worthinesse, and for unworthin esse, as much blamed; being as pleasant as hatefull to many, the substance whereof being a vegetable plant, apt to grow upon any warme ground, although a S [...]ercorarium that is well fortified with soyle, being a subject disposed [Page 26] [...] [Page] [...] [Page] of, and easily dispersed by every motion of winde; yea, and so from Nation to Nation, of a vagrant, not fragrant, olent, not reddolent smell, being a volatile uncertain ayrie substance; no sooner taken into the body, but cast out in a fuming manner yet as an Idol, magnified by not a few, taken for health, solace, ease, pleasure, profit, comfort, wantonnesse, and good fellowship; being esteemed fit for all societies, as also received in for alement, nutriment; yea, and for especiall food in scarcity. used every way, and any way received into the body (to wit) inwardly, outwardly, upward, downward, backward, forward, without limitation of time, or advice of the learned, being also approved of by very many of other noble great and marvellous vertues, as for the enriching, impoverishing, supporting, endowing, undoing, maintaining, overthrowing, and raising again of innumerable persons and whole Families at home and abroad, as well of traders as other occupiers by Sea and Land: likewise, for the uses and abuses thereof, exposed and transported to each City, Town-Corporate, Hamlet, Village, Inne, Tavern, Tipling-house, Goaile, and where not beloved, or abhorred, but here I desire to conclude, fearing to be held overtedious, if I should further proceed in arrogating or derogating, amplifying, or eclipsing of that undoubted, excellent medicinall subiect, of heathen production and extramarine importation, and first birth, becomes native with us, and therefore should not be obnoxious, wherefore here my riddle is put forth, and is at an end
And perceiving that you my brother Surgeon expect with desire, that I should unfold this my riddle to you, we will for the purpose step afide in private, where we may accommadate our selves with a small Gallon of Sack, and a pipe of the best smooke, and there we will further discourse of our occasions, and I will unfold the riddle.
SIr, I like well your motion, and here at the signe of the mouth you may be accommodated, for I long to come to the opening of the riddle, with also your imparting to me your collections, experiences, and instructions, arising thereby in military service according to your formerstruposition.
BRother Surgeon, I am ready to answer your desire, and that as brief as possible; for we are come to the period, here you see the choice materialls, before us the wine and the Tobacco the latter, of which unfold the riddle, if you desire the pipe of Tobacco, take it as your share and the subject of the riddle; the operative part whereof is but smoake, and therefore smoake it to the purpose, and I will answer you in the good liquour which finisheth the first end of our meeting: namely, for the unfolding of the riddle being finished: Now I doe intend to fall upon a briefe declaring to you, of some medicinall uses of the so long spoken of [Page] pipe of good smoake, by setting forth the giving of it Glisterwife in a fume to a Patient reversed in the Iliaca passio, wherein it excelleth, as also for many other obstructions, gripings, tortions, Iliacal, and other distempers of the bowels.
And first for the time and manner of the giving thereof, it is best to be given if occasion be by tortions, after a former ordinary Glister hath been given; that hath emptied the great gut called Intestinum rectum, for so it may have the freer place by inflation, to force up the fume thereof, for the opening the obstructed parts, for the better effecting whereof, if the Artist that administreth the fumous Glister put the pipe prepared into the fundament as far as it will or can goe, with the first short pipe screwed to it, and depending thereon; remembring ere he put the pipe into the patients body, he put a thinne piece of a wet bladder, or oyled paper, or a fine ragge onely on over the head, I mean or over the holes of the said Glister pipe, the which pipe being so armed put into the body to the utmost, that it may be passed in without offence, the Artist being first ready with his pipe, prepared either of smoake lighted, or of powder put into the socket or appointe [...]lace, within the Instrument, let him that is to administer the fumous or other medicine, withdraw the pipe that is placed within the body a little backe, some halfe an inch, that the small piece of bladder or paper, that covers the pipe, may be thereby put aside, that so the Glister fumous may by inflation be the better forced up for to perform the duty required of it; namely, to discharge it all within the body.
The Glister Instrument, fit for the exact giving of a vaporous, fumous, or dry Glister, ought to confist of seven parts, in order to be put together (hereafter explained) which in their order and places effected, the fumous medicine by inflation is to be driven up to the agrieved part if possible, but howsoever it ought to be put up and to be discharged into the Intestinum rectum; which is a safe and beneficiall course, especially when the infirmity is in that gut (as is said:) This excellent instrument hath a double scope in his office of healing, the one way in the delivering into the body by inflation, any torrified or dry powdred medicaments in their powders, the other in delivering thereinto any vaporous medicaments as is said, and namely, the vapours of Tobacco, of Nutmegs, Anni-seed, Colts-foot, Bay-berries, Mi [...]rha, Aloes, or what else Art or experience can produce in the one form or in the other, by way of inflation to be cast into mans body for ease or cure thereof. But the Artist must in this manner of curing observe some generall rules, with also some caveats in the administring of Glisters by inflation, whether they be fumous or materiall substances; namely, first note, that if they be intended for dry medicines or fumes, that they bee given into the body, where looseness of the belly by a fluxe or otherwise hath proceeded; whereby the Intestinum rectum, may be hoped to be empty, the better to receive with effect the dry or vaporative medicine, that it be not impediated by hard excrements, but suppose it bee, and that there be no other preventions ready then as aforesaid, the use of an oyled paper or wet bladder will doe well, which so put up, and the instrument somewhat [Page] drawback, and then by inflation or blowing it in with fitting continued force, it will effect thy desire.
Much more might be added of the facilitie, pleasure, and benefit, of this infasive device if time would give leave, but the whole work of my Treatises, being almost printed off before I had resolved to explain this inflatious piece of Art, forceth me to use all brevity therein, where I had intended the prosecution thereof further, namely, by some device of Art to have ordered the parts of the Instruments, so that a man might have given himself a Glister in that was, which I will not question, one or another will finde out; and no doubt will adde to this invention: yea, and questionlesse will invent other good offices that it may be fit for, although perhaps will not willingly publish it, which I leave to the time unfolder, finisher and the consumer of all things.
Concerning the parts of this instrument, as well in their particulars as also in their composure, or ready, being put together and fitted to be used in one as followeth.
The inflative instrument, for the giving of a fumous medicine, or other medicines within the capacitie thereof.
Impri. The stopples thereof accounted as parts, the devidable parts in all are seven in number, viz.
1 The first is the Glister pipe which ought to be in length ordinarie, or according to Art, a greater and a lesser as the present occasion may urge.
2 The second is the stopple to be s [...]rewed upon the head thereof, viz. of Glister pipe.
3 The third is the elbow piece screwed into the one side of the upper part of the glister pipe, standing Byas, or a scant, being framed so to stand, and that part ought to be in length two inches and a half, or near three inches, but not full three.
4 The fourth is a straight pipe of eight inches long in all; all consisting of foure particular parts, if devided or devidable; namely, the long or fistula.
5 The fourth of the seven is a piece of Ivory screwed and fixed into that lower fistula or pipe, that containeth the silver or other metaline part thereof.
6 The next is the silver bole or cup within the said Ivory head, and containeth the fumous medicine, being to be accounted the sixth part.
7 And the seventh part is the cover screwed on the head thereof, being full of holes for the better inflation of the smoak, all which rightly conjoyned, maketh one entire instrument, which may iustly be named fistula fumosum. Unto which so coniunct instrument, as coherent parts thereunto are to be at hand the matter effectuall and subiunct; namely, the substance for the fume, be it any of the aforesaid materials, as also a pair of fit forceps, holding fire with a Tobacco stopper, usuall to order it [Page] in kindling; and lastly, which should have beene first mentioned, is the ingenious Artist, for the dew administration thereof in time and place convenient
Thus much of Enema Fumosum; and I conclude, onely thus I say in dew commendations thereof.
ARtificiosissimum hoc instrumenti genus ultissimum, [...], mulierumque praegnantium morbis secretis, aliisque uteri languoribus uvamen affert multifarium, praesertim in muliebribus obstructionibus, haemorroicis, fluxibus, abortionibus, tortionibus, aliisque id genus infirmitatibus, sicut ratio & experientia sine omni dubio manifestum faciet in futuro.
To his very worthy and entirely respected friend and Brother, Master John Woodall, in due commendation and attestation of his work and worth.
Eodem Amico.
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Loving Reader, this explanation is more for putting the Artist in memory of what may be, then of what must be in his Chest; for although there may seem many particulars, yet there wanteth at the least forty more, that may not in true method be omitted in a due proportion; as namely, all the instruments for manual uses and operations, all the most useful of which are expressed in an Index following the Preface in the beginning of the Book.
Place this Chest, betwixt Fol. 26. and 27.
AN ABRIDGMENT OF The vertues of certain EMPLAISTERS mentioned, which are most usual in the SURGEONS Chest.
Emplastrum stipticum Paracelsi.
THis composition, devised by the famous Philosophers Philippus, Theophrastus, and Paracelsus, excelleth in the cure of piercing wounds and stabs; as also in the cure of all dangerous wounds whatsoever: it hath the precedence as well for contused as incised wounds; for it asswageth pain, defendeth from accidents, discusseth, mollifieth, attracteth, incarneth, digesteth, and consolidates, and is also good for an old ach proceeding of a cold cause. It is further especially good for ulcers on the leggs, or elsewhere in any part of the body: it is of temperament warm, and very comfortable.
For approbation whereof you may see Paracelsus his own words, which I have here inserted.
Hoc Emplastrum est magis vertutis divinae quam humanae. Valet ad omnes plagas, novas & antiquas. Abstergit, mundificat, carnem bonam generat, consolidat ex fundo plus una septimana, quam ali [...]d quodcunque in mense, nec permittit fieri aliquam putrefactionem & corruptionem, nec malam carnem generat. Valet omnibus nervis incisis, ut conquassatis & musculis. Valet omnibus inflaturis, abstrabit ferrum & lignum, & plumbum de plaga, eidem suppositum. Valet contra omnes morsuras cujuscunque morsurae bestiae venenosae, & puncturas Serpentis; maturat, sanat omne generatum cujuscunque Apostumatis, superpositum. Valet in membris generationis si ibi fuerit corruptio. Valet contra Cancrum, fistulas, contra ignem persicum; sedat dolores cujuscunque plagae. Haec Theophrast Bombast.
Diachilon magnum cum gummis.
THis Emplaister dissolveth, maturateth, and mollifieth hardnesses, and is principally good in Apostumes: it is of temperament warm, [Page 28] and moist. It was first devised by a certain Artist named Serapis. Avicenna (as some think) invented it; but others judge that Mesues was the inventor thereof.
Diachilon parvum.
THis Emplaister is very good to dissolve schirras, tumours of the liver, spleen, reins, belly, or elsewhere; it is wholly composed of mollifying and discussing ingredients; it serveth generally for hot or cold causes, but chiefly for hot: For I hold it to be of temperament cold, the rather, by reason of the much Litharge in it, which, if a mineral may be called▪either hot or cold Litharge, cold it is without question. It was devised by Mesues.
Diacalcitheos.
THis Emplaster mitigateth pain; it is a good defensative against all venemous humours, and will very well induce a cicatrice in wounds and ulcers: also it hath an especial good quality to asswage the pain in the small of the back, proceeding from distempered kidnies, by hot causes, aswell concerning the stone, and gravel, as in the Gonorrea: and dissolved or relented with oyl of roses or elders, or of linseed, it is a very good medicine to heal burnings, and scaldings. It was devised first by Galenus: of temperament it is cooling and drying.
Empl. Oxicr [...]ceum.
THis is a very ancient composition, but ascribed chiefly to Nicolaus an ancient Writer as Author thereof: it is of quality anodine, attracting, mollifying, and comforting; asswageth pains in the gout proceeding of a cold cause, and is good in cold Aches, and by that attracting vertue it hath, it draweth out vapors per por os cutis, or the sweat vents in the skin, whereby it often unladeth the body of vicious and noisome humors, which otherwise might indanger the Patient: of temperament it is hot and moist, &c.
Empl. Melilotum per splen.
THis Emplaster mollifieth all hardnesse of the liver, spleen, and ventricle; dissolveth windinesse, ceaseth vehement pains provoked by wind; as namely., in the disease called flatus hypocrondriacus, which is a flatuous or windy pain gathered near unto the Spleen: it is also generally good against the gathering together of any congealed cold substance in the stomack or liver: of temperament it is warm, and comforting exceedingly: It was devised by Me [...]ues an ancient writer.
Empl. Melilotum simplex.
THis is good in green wounds, for it draweth and healeth well: also [...]t attracteth and bringeth forward a cold Apostume, and is an especial [Page 29] secret, and the best thing I ever knew in curing kybed heels and chilblains: it is of temperament hot and moist, and was devised by Mesues.
Emplastrum de lapide calaminari, or Grisium.
THis Emplaster (I may speak of my own experience) is a good healer of ulcers which are hard to be cicatrized, and hath an especial vertue in curing of buboes, as well venereal as pestilential: It is also the best incarnative of all the Plasters that ever I used.
Emplastrum de Minio.
THis Minium-plaster is a good discusser of hot humors, a good swager of pains, mollifieth well, repelleth somewhat, and is very commodiously used upon wounds and ulcers, to further good healing: it induceth also a good cicatrice. In the tumour of scr [...]tum, or rather of the Testicles, called Hernia humoralis, commonly following the sudden stopping of Gonorrae, it is a very convenient anodine and discussing Plaster. This Emplaster likewise is very good to asswage pain, in any case, where safely an anodine Emplaster is required; as namely, in contused or distorted joynts: onely note, that this Emplastrum de Minio is meant of the composition set down by that reverent Master Galle in his Dispensatory, for I make mine according to his description.
Emplastrum calidum.
THis Emplastrum stomachi or calidum, is a composition described by Johannes Jacobus Weckerus, under that name, pag. 953. of his Dispensatory: it is onely used where a comforting Emplaster of a very warm temperament is required: it is a needful Emplaster of a very warm temperament is required: it is a needful Emplaster in the Surgeons Chest; for it comforteth much the liver or stomack debilitated by cold humours, and helpeth well digestion; yet in want thereof Paracelsus Plaster, though not so fitly, may serve.
AN ABRIDGMENT OF The vertues of certain Unguents, most usual in the SURGEONS Chest.
Vnguentum Basilicon.
THis unguent doth digest and incarn wounds and ulcers; and will also prepare and bring to suppuration an Apostume either hot or cold, being somewhat thick spread on towe or leather and applyed thereto: it also mitigateth the pain and pulsation thereof, and is likewise very fitly mixed either with praecipitate, Unguentum Egyptiacum, or the like medicine, the more easily and better to mundifie and cleanse an ulcer: this unguent is of temperament warm, and it is ascribed to have been devised by Galen: it is also good for burnings and scaldings.
Vnguentum Apostolorum.
THis unguent serveth well to cleanse and scowre ulcers and fistula's, and to make a good ground to healing: it is of temperament hot and dry: it was devised by Avicen; named Apostolorum, for that it consisteth of twelve several ingredients joyned into one body.
Vnguentum Aureum.
THis unguent serveth well to incarn wounds and ulcers, being first well mundified: it is also to be used as a balm to them to heal them, and is a good healer of burnings and scaldings, the fire first taken out. The composition which I do make, is of the practice of Josephus Quer [...]itanus, whose good use I have made trial of.
Vnguentum Egyptiacum.
THis unguent serveth to scowre; it mundifieth all rotten foul ulcers, and is best to be put into the grief scalding hot, for then the usual pain and corrosion it procureth will be quickly past: in like manner it is to be used in any venemous wounds, made either with poysoned shot, [Page 32] or bitten with mad dogs, or any other venemous creature, or great contused wounds, wherein, for preventing them from fear of a Gangreen, it excelleth. It serveth also well to be used alone, or mixed with any lotion for ulcers of the mouth and throat, especially in the scurvie. This unguent drieth vehemently, and is abstersive: it is of temperament hot and dry, and was devised by Mesues.
Vnguentum album Camphoratum.
THis unguent is very good to cool and heal any hot moist pustles: it cureth excoriations of the skin in any place, but chiefly in the yard betwixt glans and praeputium: it also healeth burnings and scaldings very well, and is good to be applyed to any painfull ulcer; for it asswageth pain, and healeth well. It was invented by Avicen: it is of temperament cold, anodine, mollificative, and attractive, and therefore of very good consequence in the Surgeons Chest.
Vnguentum Diapompholigos.
THis unguent is good to heal painful ulcers in any part of the body, especially of the yard, or betwixt glans and praeputium, as also any fretting or painful ulcers of the leggs, or elsewhere. I have found it good before all other unguents in ulcers of the yard; indeed against virulent, painfull and corrosive ulcers, scarce a better composition is known: in Noli me tangere in the face, I have had good experience of it; and in many other occasions I have found it a very useful unguent: of temperament it is cold and dry. Nicolaus Alexandrinus was the Author of it.
Vnguentum Pectorale.
IT swageth the pains and stitches of the breast and sides, easeth the cough, helpeth expectoration: as also to digest grosse humours, and to attenuate them: it warmeth and comforteth a cold stomack. This composition is set down in the Dispensatory of Augustanus.
Vnguentum Rosatum.
THis is used against inflammations, Ignem sacrum, and all hot pains of the head: it asswageth the pains of the liver, kidnies, and belly, proceeding of heat, and hath vertue to corroborate. It was invented by Mesues.
Vnguentum Tripharmacon, or Nutritum.
THis serveth well to cure an Erysipilas, excoriation or bladderings of the skin; such also as are termed the Shingles: it is also good for to take the fire out of burnings and scaldings; and for any moist humour flowing to any ulcers in any part of the body, being spread upon cap-paper thin, and laid over the whole distempered part: also against any [Page 33] sleight scabbinesse or itching humour, whence soever it is: it [...]an especial good defensative against any scalding or vicious humour, flowing to any ulcer. Of temperament this unguent is cold and dry: it is subject to divide it self, namely, the Oyl, Litharge, and Vinegar asunder; which if it be wrought together again will be as good as at the first: and if it be over dry, add vinegar and oyl thereto, and it will be as good as ever.
Unguentum Populeum.
THis serveth well to asswage the pains of the Sourvy; by anointing the parts grieved there with. I may justly say, upon the experience of divers skilful Surgeons, and my own also, that as well in hot as in cold countries, it hath been found so exceeding comfortable and behoveful, that scarce any composition of an Unguent in the Surgeons Chest may compare with it: which some may think is a very absurd affirmation in reason, but that experience will have it so. It is good also to annoint the Temples, to provoke rest in hot fevers; as also the palms of the hands and soles of the feet. It is likewise good to be applyed for swaging of pain in any part of the body, and being applyed cold upon a Plegent where you have laid any corrosive, it easeth the dolour of the caustick medicine. Of temperament it is cold and moist; it was devised by Nicolaus.
Mel Saponis.
MEl Saponis is honey and sope mixed ana, partes aequales, and is a medicine appointed to be first applyed (upon a burning or scalding) to take the fire out. It is a linament of ancient use amongst our countrey Surgeons, and good: but I find it not mentioned in ancient Writers; in want whereof use Tripharmacon, or an infusion of Vinegar and Litharge: namely, ℞ Litharge of gold in powder ℥ 4. wine Vinegar lib i. mix them well, and boil them very gently a little on the fire, and the Vinegar will become sweet as sugar, and very anodine: foment the grief therewith, and you shall find present ease to the party. Or take Populeum and unguentum album mixed, and apply it on soft cap-paper, first being well rubbed with your hand to make it so: or take Diacalcithios or Minium plaster, and mix it with Linseed-oyl, or oyl of Elders, till it be a gentle unguent, and so apply it: or Tripharmacon alone will do well: also Honey alone is a good medicine.
Unguentum contra ignem.
THis composition used that purpose, you shall find in Johann [...]s Weckerus his Dispensatory, pag. 1174. I have found it very good against burnings and scaldings, as also against burnings with Gunpowder. Where I write the compositions of my medicines in general, that also shall be expressed. In want of this composition, the Vng. album, either alone, or mixed with Tripharmacon, will do very well; which if it be too hard or dry, you may mix oyl of Roses or Linseed with it: and for want of this, you may take Diacalcithios or Minium mixed or relented with [Page 34] any of the said oyles, or any other fitting oyl, as oyl olive simple: also unguentum Basilicon is very good in burnings and scaldings.
Unguentum contra scorbutum.
THe composition of this Unguent is recited in the cure of the Scurvy. I have had the practice thereof, and found it very good to attenuate grosse tumors of the Scurvy, to asswge the pains of them, and by the use thereof to dissolve such tumors. I use this Unguent in cold causes, and in want thereof, ung: Martiatum, or Oleum Laurini, or Dialthea: but in hot griefs and very painful I use Populeum.
Unguentum Dialthea compositum.
THis Unguent Nicolas an ancient writer seemeth to be the Author of. It is profitable against pains of the breast proceeding of a cold cause, and against the Pleurisie: it warmeth, mollifieth, and comforteth all the parts of the body, which are evil disposed through cold infirmities: it is also good against stiffnesse and pains of the joynts in the Scurvy.
Dialthea simplex.
THIs hath the properties of the former, but the former is better.
Unguentum potabile.
THis unguent is a sure Balsame for wounds of any sort, or in any part of the body, either penetrating or not penetrating; in wounds penetrating either inject it warm, or pour it into the wound. Also upon any occasion, it is to be drunk ʒ i. or ii. at once, or for a dose. It healeth wounds within the body. Also it healeth burnings and scaldings without any scar. And further it cureth the wind-chollick drunk with sack: the dose is to be ℥ i. without [...]ear: but I give usually but one dram or ʒ ii.
Vnguentum de Mercurio.
I Have else-where said, and it is too much apparent, that for healing and killing, Mercury hath no fellow; and where I recite Mercury in any of my instructions, you must understand me Quick-silver, for so it is truly stiled by the Learned, and not without good reason. This Unguent, joyne with it what other ingredients you please, yet if Mercury be one, it will shew his valour in despight of the rest, though it have 20. for one odds against it; so puissant is that volatile and excellent spirit of his, which (I may boldly say) could truly never be tamed: and yet many worthy medicines are made thereof, which in their several places I mean to explain as I shall have time, God willing. You may make this Unguent of Dialthea, oleum Laurini. ana lib. ss. Mercurius vivus, or quick-silver ℥ ii. oleum spice or Tereb. If you have them, ana ℥ ss. [Page 35] and if you see cause in very cold bodies you may add of Euphorbium in powder ʒ ii. This unguent is good to provoke a flux. You may make it of one of these unguents alone for need. But I wish not the Surgeon to carry any of this unguent ready made to the East-Indies; for the Quicksilver (it is to be feared) will fall to the bottome: but if he will needs have it ready made, let him add to the composition, wax, a sufficient quantity; but it must be made as followeth. The wax and unguent must be melted together, which being yet warm, ℞ Terebinthinae clarae ℥ i. being put into the bottome of the woodden bowle, or brasse bason, not a pewter bason; and stirring it so long till all the Quick-silver be clean lost, and turned into a blew salve, no more to be seen; then by little and little mix it with the former, and being almost coagulated (I mean almost clean cold, neither liquid through heat, nor altogether cold) work the Terebinthinae with the Mercury altogether strongly till it be cold. You must use it cold, and neither let the Patient himself chafe it in till it be warm, or (which is better) let the Patient stand before the fire and chafe it in. But note, he which anointeth other therewith, if he use it too often, let him put a bladder on his hands; for the often use thereof causeth many evils. This unguent hath as many vertues as vices, and as many vices as vertues: a whole week may be easily spent, with good profit to the Reader, in waiting of Mercury: I heartily wish some learned and worthy man would take in hand truly to anatomize that subject: I am perswaded, yea, and know well, he might thereby save the lives of many an innocent soul, who with great infamy perish through the inordinate use of this unguent; notwithstanding the medicine is good. But I refer the Surgeons Mate, for the use of this unguent, to Mr. Clowes his book of Surgery.
But concerning the ordinary uses thereof, if you anoint the joynts therewith, it killeth the itch; but if you anoint too plentifully it provoketh a flux, sometimes upward, sometimes downward. If you anoint the seams of his shirt which is lowsie therewith, it driveth away all the lice: the same it doth to the lice of the eye-browes and secret parts, wherewith many are troubled. Also for the pils it is a very good medicine; I use it in that case, first to purge the Patient, and after to anoint him with Vnguentum album, wherein Quick-silver is mixed; namely, of the unguentum ℥ i. of Mercury ʒ i. misce, and anoint therewith daily three times, and keep the place very warm.
Linamentum Arcei.
I Cannot but reverence the Author of this precious plain Linament; whose desert is highly to be esteemed of by the Commonwealth: for it is as sufficient a Balm for new wounds, especially in the head, as that a better can scarce be found out by art. It doth all the intentions of healing a wound in the head meerly of it self, the flux being stayed: For it digesteth, mundifieth, incarneth, and cicatrizeth, it defendeth from accidents, and is very anodine: it may also fitly be applyed to painfull ulcers and fistula's upon occasion. The Author or manifester [Page 36] of this Linament was Franciscus Arceus, as is manifest by a small treatise of his, translated by Mr. John Read a Surgeon: It is of temperament hot and moist.
Vnguentum Aragon.
THis unguent is numbred amongst the four hot unguents. It profiteth generally against all cold affects of the outward parts of the body: it much warmeth and comforreth the sinewes: it is good against convulsions and cramps: it is good to anoint the ridg-bone of the back, and the parts near the kidnies against the pains thereof: and also to anoint the stomack and belly upon any cold grief: it is good to anoint the body of them which have the quartane fever, the falling sicknesse, the pains of the joynts: and also it is good to be used as a Morbus ointment (according to the common phrase) adding the due quantity of Mercury thereto; which I account to be of Quick-silver ℥ii. to the unguent lib. i. But I find it will not retain his vertues above one year, as witnesseth Johannes Jacobus Weckerus: wherefore I forbear this composition in the Surgeons Chest.
Vnguentum Martiatum.
THis unguent, as it is composed of many ingredients, so it is said to be effectual for many griefs: for (saith the Author) it discusseth cold causes in the head, sinewes, and joynts: it removeth pain from the breast and stomack proceeding from colds: it prevaileth aganst convulsions: it helpeth the resolution of the sinewes, dead palsie, and them that are troubled with the Sciatica or hip-gout, the gout in the hands, feet, and other joynts of the body: it mollifieth hard puscles and tumors in the flesh: it asswageth the hard swellings of the liver and spleen; easeth the pain in the small guts; it cureth the ach in the reins. It hath his name (as Salaritanus saith) of Martianus; or as Ma [...]lius (which is more probable) saith, of Martiatus, a most skilful Physician, supposed to be the inventer thereof: and it is described in the Dispensatory by Nicolaus Alexandrinus; who also describeth the vertues thereof, in effect as is here set down.
Axungia Porcina.
IT is called Axungia, of anointing the Axle-tree, to make the wheeles turn easier about, for which cause many use it to this day. It is liquid, flowing like oyl with warmeth: it hath a lenifying and anodine quality, and therefore it is not unprofitably used for mitigation of sharp humours, asswaging of pain, healing of burnings with fire, and very fitly mixed with Cataplasmes appointed for those effects.
Axungia Cervi.
THis Axungia is of a hot nature, doth asswage aches, resolveth and mollifieth hard tumours in any part of the body. And by experience [Page 37] is found very good, administred in Glisters, to heal the excoriations of the Intestinum rectum; for it is anodine and very sanative. The manner to use it, is somewhat touched in some other my instructions elsewhere.
Mel simplex.
ENglish honey being yellow, the favour and odour pleasant, sharpe, pure, sincere, clear, fast or stiffe, yeelding little spume in decocting, is good and very profitable for those that are costive, also for the stomack if one drink it with water: it helpeth the bladder and reins: it is good for the eyes: mundifieth, openeth, and healeth. As for burnings and scaldings, it cureth them without scar, and is very good to heal ulcers of the ears; and (saith Dioscorides) drunk with water is wholesome for the belly and stomack (it helpeth such as are pained in the kidnies and bladder. It is also good to anoint the eyes with, to clear the dimnesse of sight in them: it hath an abstergent or cleansing force: it openeth the mouthes of veins, whereby it also draweth out fordid matter or qui [...] tur from fetide ulcers. But the best honey of all other, is that which is gathered in Lituania, a Province of Polonia. where the Bees breed onely in high trees, and gather their honey from a certain flower growing on trees, called in Latine Flos Tiliae or Tili, in the Germane tongue Lind [...]n holt. This honey is white, hard, and very fragant or odoriferous.
Of the vertues and uses of sundry Cordial waters.
FOrasmuch as compound cordial waters, truly made of the Spirit of wine, with the addition of divers especial costly and medicinal spices, drugs, and other precious additaments now much in use, have been found very available and comfortable by many experiences, not onely at Sea, and in the very remotest parts of the earth, either hot or cold, to our nation, and others in their travels; but also here at home, upon many occasions, have ministred great help and comfort, both in preserving the body in health from diseases, and also in curing many great infirmities, especially when they have proceeded of cold causes; I thought it a thing not unnecessary, briefly to set down the vertues and uses of some of the principal of them, for the benefit of young Surgeons.
Aqua Caelestis.
MAthiolus in his Commentaries upon Dioscorides, setteth down this excellent water, as a principal Antidote or preservative against all poysons, or poysoned and infectious aires whatsoever, for that either received into the body, or but onely smelled unto, it helpeth very much against infections, and that it doth very admirably restore again one fallen either of the dead palsie, or falling sicknesse,; and is also good either in the Collick or any gripings of the guts as also in any the weaknesses of the stomack, and against any cold fluxes of the guts or belly, two spoonfuls thereof given in a glister, and hath many more especial good uses and vertues there set down, which for brevity I must passe over.
Dr. Steevens his water.
THis Water needeth no man to describe his vertues, being a thing so common and ancient in use, composed by that learned Physitian of worthy memory so named. Experience hath found it to be a notable cordial water for comforting the head and heart, yea, and all the principal faculties of the body, both animal, vital, and natural, if it be truly prepared: and of this there needeth no question, if you will but believe the seller thereof.
Rosa solis.
THis Rosa solis, or rather Rossolis, taketh his name of an herb so called; which herb is very medicinable; as namely, against consumptions, it hath been often approved and found a certain remedy. But the Rosa Solis composition being without deceit made, is far more precious; for it comforteth the stomack and brain, helpeth digestion, strengtheneth the appetite, openeth obstructions, is good against the palsie and falling sicknesse, and hath many other vertues.
Cynamon Water.
THis Water doth comfort and strengthen the stomack, the liver, the milt, the lungs, the heart, the brain and the sinewes; sharpneth the sight, is good against venoms, as also the stingings and bitings of venemous beasts; helpeth a bad or evil savouring breath; is good against loathing of the stomack: and where you desire to warm, to open, to attenuate, digest, or corroborate, in all such cases this precious liquour excelleth: witnesse Johannes Jacobus Weekerus, alledging Mathiolus; yea and divers other famous Writers, beside experience it self.
Limon Water
THis is the tincture and chief essence (drawn by the spirit of wine, from the rindes of Limons) which is a great restorative to mans nature, and a precious Cordial, which not onely aromatizeth the stomack, but much strengthneth the feebled spirits, and is as an healing balsame to all the inward parts of the body, and doth open obstructions and break the wind in the stomack exceedingly. Juyce of Limons is touched elsewhere in the cure of Scurvy.
Rosemary Water.
THis is a great comforter of the brain, sharpneth the sight, helpeth the weaknesse of the stomack, preserveth from vomiting, is very good against the disease Dysentery, or the bloody flix (the cause proceeding of cold) either drunk, or three spoonfuls taken in a Glister, when you are ready to administer the same. It hath very many other good properties too long here to recite.
Sassafras Water.
THe spirit of this precious root is a great opener, of all obstructions or stoppings in the body; namely, of the liver, the lungs, the kidnies, and of the spleen: and therby it is found by many experiences excellent against the Scurvy, the French disease, and the yellow jaundise; it is an approved remedy also against cold fevers, and the dropsie, or for those which are inclining thereto; for it provoketh urine and sweat, in a very mild and natural manner, and driveth out many diseases by the pores of the skin. It hath infinite more vertues ascribed [Page 40] unto it: the best of these roots grow in Virginia. You may read Monardus of the vertues of this root more at large in his Treatise of New Spain.
Aniseed-water.
THis water, as the former, and also those which follow, have all their substances from the Spirit of wine, and must therefore, being truly so made, retain the manifold good vertues thereof: and besides, having therein the whole vertues of the Anise-seeds, it is found very excellent against wind in the stomack or else-where in the body, and against Asma, the Tisick and shortnesse of breath: it also breaketh flegme, and warmeth the stomack.
Worm wood Water.
NO water whatsoever more gratefull to the stomack, then is Wormwood water truly composed; for it is as balsame thereto. It consumeth and breaketh wind mightily, killeth the worms, whereunto our Nation are subject in the East-Indies, hindereth vomiting, provoketh appetite, is very good against pains in the head proceeding of a cold cause, and is very Cordial
Balme Water.
THis water hath a great respect to the heart, for of all other but the former, no herb is esteemed more Cordial then this, and is of a grateful smell and tast; yet I hold it more proper to women then men, for it much respecteth the infirmities of the Mother, and is, in the times of their pains, very comfortable to take a little of it for the safer and sooner provoking of speedy delivery.
Angelica water.
ANgelica water, may serve well in stead of Treakle or Mithridate, for a preservative against the Plague or any infectious aire, for there is no one thing more commended by ancient and moderne Writers in that kind, then Angelica is, whereof there is good experience: it is also very stomachical and cordial, and being truly made, will retain his strength and vertues forty years and more
Mint Water.
AQua Menthae doth warm and strengthen the stomack, liver, spleen or milt, helpeth concoction, stayeth vomit, and is very Cordial.
Aqua Cardui Benedicti.
CArd [...]s Benedictus Water, doth ease the pain of the head, confirmeth the memory, cureth a quartane, provoketh sweat, and comforteth the vital spirits.
The Conclusion.
AL these waters and spirits rehearsed, though in themselves they be good, yet if any of the best of them be abused, and immoderately taken, they may as soon do harm as profit: I advise therefore no man to make a common use of them, or any of them, which hath a young able body, and may have a good diet at his pleasure: for they are chiefly to be used at sea, where mens bodies (by variety of the venemous vapours and evil dispositions of the aire, or unkind diet) are in hazzard; or where there is a weak stomack, evil digestion, with a loathing disposition to meat, evil appetite, and too much loosnesse of the belly; also where by extream heat and sweat, the spirits of the body are exhausted and spent, or where (through the extream cold of the same) the body is much annoyed and endangered: In all these, and infinite more evils incident to mens bodies abroad and at home these precious liquors minister present comfort. They also are very behoveful to aged people after their meats to help digestion, or them which have weak stomacks, or that are of sad and melancholy dispositions; for it must not be denied, that wine comforteth the heart of man; and these waters having their original and whole force from the spirit or life of the wine, do thereby exhilarate mans heart, and give him courage, as well as cure his infirmities.
If therefore these waters be truly made, they ought also to be strong of the spirit of wine, otherwise they will not keep long good, neither are they profitable nor wholsome, and being good, one spoonful at one time is sufficient, or two spoonfuls at the most, for the preserving of health: they are best to be taken fasting, one hour or two after dinner, and last at night, either alone, or with beere or wine; some make a toste fasting, and drop the same full of cordial water and so eat it, and that is very good.
In gripings of the guts, collick or flixes of the belly, proceeding of cold causes or much crudity, three spoonfuls or four may be used at once in a Glifter; but you must not boil it therein, onely put it in when it is ready to be administred; for if you do otherwise, the spirit will evaporate and be of no force.
Aqua Rosarum Da [...]ascenarum.
DAmask Rose-water doth refrigerate and comfort the heart, is good against swouning, and causeth sleep.
Aqua Rosarum Rubrarum.
REd Rose-water doth refrigerate, bind and corroborate the vitall and animal faculties, benefiteth the head, easeth the pained eares and eyes, and doth good in inflammations, and is profitable in medicines against Dysentery.
Aqua Odorifera.
SWeet water is very necessary and profitable to aromatize the body, and refresh the senses; it sweetneth the garments, taking all offensive savours away, and doth much exhilarate the spirits, being well composed of true Aromatick Ingredients.
Aqua Plantaginis.
PLantane water, is astringent and sanative, good to them that are in a consumption of the lungs, in a dropsie or that have the bloody flix, good also against the quartane ague: it cureth the ulcers of the reins, bladder, and excoriations of the passage of the yard, and being drunk, helpeth against ardent urine, or the sharpnesse of the water.
Aqua Falopii.
FOr this water, if you desire the composition thereof, I refer you to the Author; namely, Gabrielus Falopius, in his Treatise De Morbo Gallico: but hereafter I mean to set down some several compositions thereof; for the Author hath divers.
It is a water proper, and is made chiefly of Mercury sublimed, I say chiefly, for that though the other things for quantity be ten for one, yet sublimed Mercury will carry no cools, but will ever shew his valour in healing or spoiling: I put not this composition ready made into any Surgeons Chest, but rather leave the ingredients, and let the discreet Surgeon make it to please himself; for if I my self should find such a composition made by any, I should much fear to use of it, and so I wish the Surgeons Mate to do in all Mercurial Lotions; but rather let him use such other good Lotions, as are set down in the cure of the Scurvy; unto any of which he may add sublimate, and term it if he please, Aqu [...] Falopii: but I say, let him well understand himself both in the composition, and administration of any such medicines, or let him crave advice, or rather forbear them, and use other safer medicines, though their vertues or vices perhaps be fewer.
Aqua viridis.
THis Green water (which is held a maxime by some Surgeons) hath his tincture from Viridi or Aeris, and likewise his astringent tast and vertue. His chief use is concerning the cures of Opthalmiae in the eyes, and also against divers rheumes, or distillations of humours troubling the eyes, guttatim or drop-wise adminstred; for the description whereof, I refer the Reader to the rest of my compositions, where they shall be found together; but I use in place thereof Lapis medicamentos [...]s, which in his place also shall be spoken of.
Aqua fortis.
AQua fortis or strong water, I have to satisfie some Surgeons, put into their Chests; but for my self, I see no reason for it, nor do I know any Chirurgical use it hath, which is not much better performed by oyl of vitri [...]l; whereunto I refer you rather, for that it is a far sweeter and surer medicine, as at large shall be spoken of in his place.
Verjuice.
VErvise or Verjuice, made of the juyce of Crabs, is a good cooling medicine to be given in drinks against burning fevers; it helps digestion, causeth appetite, relisheth well meats and drinks, and is cordial, familiar, and pleasing to the tast; but it will not live above one year in good force at Sea, yet I give way to the putting it into the Chest, for that it is often desired by Surgeons.
Lotion.
THis word Lotion, is a general phrase with many Surgeons, as if there were no difference in Lotions, whereas their differences are infinite: but here I will use it as the vulgar sort do. A Lotion compounded of vulnerary hearbs gathered in their prime, and decocted with allumen and mel in aqua pura, I confesse may retain a name general as wellas any one outward medicine I know; for if well prepared, good use may be made thereof; as namely, it is all in all to be used as an injection generally for griefs of the yard, aswell within the passage as also 'twixt glans and praeputium, and in Gonorrea; which though it cannot cure the disease, yet it healeth the excoriations thereof, and strengtheneth well the parts; and so doth it in all exulceratious of the same, remembring, that if you use it within the passage of the yard, if you find it be too tart of the Allom, you mix it with Plaintane-water if you have it, or for want thereof with fair water. Note that the first time you begin injection, it be very gently done, then you may fortifie it as you see cause; namely, give it of it self, or with the addition of a little well dulcified Mercury where occasion is, but that warily; namely, seldom or never within the passage, 'but twixt glans and praeputium daily (if you will) upon just occasion; and administer no Lotion within the passage of Virga cold, but warm ever. Further it hath the prime place, for a Catholick medicine in exulcerations and excoriations of the mouth and throat, both in Town and Country, and is become in such cases every old wives medicine: I have touched it in the cure of the Scurvy, wherefore here for brevities sake, I crave pardon: Onely, let me tell the Surgeons Mate, that in want of such a Lotion, though it be not in all points answerable thereto, yet he may make a good Lotion at sea of fresh water, Allome, and Hony, provided he be wary not to be too plentiful of the Allome.
Lixivium forte.
THis is to be understood of capital lees, a very necessary medicine to be at hand in the Surgeons Chest, to mollifie the liquid or white caustick when it groweth dry, and also if need be, by decoction perse to make up a lapis infernalis, as some term it, or a hard caustick stone: the liquid caustick is made onely of unslaked lime and strong Capital lees, by decoction together to the thicknesse of an unguent, and when occasion of application thereof is, lay on the grief a Minium, or some other cleaving Emplaster, with a hole cut therein, so big as there shall be occasion to make an orifice, and spread thick the white caustick thereon, and so let it remain at the least two hours, having a care to defend the same, that it do not spread any further at all.
The caustick stone if you boil it to a just consistence, and having put it out (being yet warm) smooth it over with an iron splatter, and then with a knife cut it into pieces, so you shall have it ready to make incision after your own will; for any caustick laid on an Apostume may spread further and broader then you will, to the dammage of the Patient, but this kind of caustick you may hold in your hand wrapped in some clout or piece of plaister spread, and so you may rule it at your own desire, and yet it maketh greater speed with lesse pain then the other. Somewhat of this manner of incision I have mentioned in the cure of Apostumes, and elsewhere, to which I refer you.
Lixivium commune.
FOr this medicine I referre you to the Treatise of Salt in general.
Acetum Rosarum.
VNderstand that vinegar of Roses is, or ought to be vinegar of wine first, and then by the insusion of choice read rose-leaves, it becomes the more fragrant and cordial, so that it is the better to aromatize the stomack, and to refresh nature weakned, and against the fainting and great weaknesse of the spirits, wherein the tincture of roses hath a great vertue comfortative.
Yet let not the Surgeons Mate be discouraged though he have not Acetum rosarum, for acetum vini, or wine vinegar, will serve well in place thereof; and yet 'tis better if you have Rose-water to infuse therein upon occasion of using the odour thereof; or for to be applied to the stomack against vomiting, or imbecillity of the same. In other cases the one may stand for the other very well, as also for those griefs.
Acetum vini.
VVIne Vinegar helpeth the unnatural swellings of the belly, as also cureth the fluxes of the stomack, the parts grieved being fomented [Page 45] therewith: it stayeth the inordinate menstrual fluxes, the region of the liver or the bearing parts fomented therewith warm; namely with stupes wet therein. It is good against vomiting, the stomack outwardly fomented with warm stupes wet therein: It also discusseth and dissipateth violent hot tumors in their beginnings; yea, even those which are named Panaritiae, or, as some term them, fellons. Good wine-vinegar excelleth, used in Cataplasmes, as also in somentations, where anodine Medicines are to be used, provided the place be not excoriated; as namely, in Hernia humorali. With bean-meal, and oyl of Roses, it is a present help being well applied, with apt trussings, and good care had. In the falling down of the fundament it is approved good, sometimes with wine used warm to foment the part withall; as also to be cast on bricks to receive the fume thereof. In the hot Gout, and in all inflammations, as the Rose, or Ignis sacer, or (as some call it) Saint Antonies fire, by way of fomentation with wine vinegar, it is a precious help; as also made into a sirrupe with honey, then termed Oximel; or with Sugar, then termed Oxisaccatum; it is very convenient to a weak stomack; for it causeth appetite, and is a help to digestion, given ℥ i. or ℥ ii. at once, for it cutteth away flegme and refresheth nature, and corroborateth the stomack; also by way of a Gar gerisme, it is an approved remedy against Squinantia anginae, or any of the sudden inflammations of Collumelle, or the Amygdales of the throat; and if Roses be put therein, it is good for all the aforesaid uses, yet more, better, and maketh the vinegar much more Cordial: It is very questionable, whether wine vinegar be of temperament hot or cold, considering the different effects thereof, for I should not doubt to give reasonable content to any unpartial Artist, that it doth both the effects of a hot and cold medicine, proving it both by authority and practice to be hot and cold; yea, even by Galen himself, Tesie cap. 6. lib. prim. simpl: med. & cap. 20. ejusdem lib.
Spiritus vini.
SPirit of wine of all vegetables is the most precious thing; it is the truest of all Cordials: the particular vertues whereof, to be duly handled, would fill a great Volume; It is called, as is said, Spiritus vini, quasi Spiritus vitae; and the sacred Scriptures testifie that wine makes glad the heart of man, wherefore there needs no further argument to expresse it to be a true Cordial. It is odoriferous and of a pleasant tast: It extracteth out Tinctures from every medicinal subject,
It preserveth the body from putrefaction, and in every cold oppression of Nature it is a true helper; for the cough, and all distillations of rheumes and fluxes, it is a perfect help: It comforteth the stomack, and provoketh appetite.
It helpeth those which are thick of hearing, one drop daily put into the ear.
It preserveth a man in health, if every morning and evening he take certain drops thereof; and defendeth the body that taketh it, from the oppression of infectious aires, and (being sick) almost in any disease, it may safely be given as a true restorative medicine. All sorts of [Page 46] the Cordial strong waters recited, for so much as they contain of spirit of wine in them, as is said, become thereby (if not otherwise Cordial indeed; for take from them the spirit of wine they contain, and the remainder is not worth the room in a glasse. Much might here to good purpose be taught of the true use of the Spirit of wine for the cure of wounds, ulcers, fistula's, and many other infirmities, if time would serve, which for brevities sake, I purposely pretermit at this time.
Spirit of Vitriol.
FOr this medicine I refer the Reader to the general Treatise of Salt, and to that part which mentioneth Oyl of Vitriol, where he shall be satisfied.
Spirit of Terebinthine.
THis spirit of Terebinthine is a subtile, volatile, pure, and a Chrystalline spirit exttacted from Terebinthina, which how much the more noble the subject is, so much the more excellent will the spirit be. It hath many precious vertues medicinable contained in it; for it is wholly combustible, penetrative, of a warming and comforting faculty: it is a good menstrum to draw Tinctures by, either from vegetable or minerall medicines, and chiefly it is to extract the Tincture from Sulphur, which Tincture is a singular good medicine many wayes, as in his proper place I mean to touch. This said spirit is a true balsame in the cure of all new wounds, especially of the sinewes. It comforteth all the sinewie parts of the body afflicted with any cold impression, as convulsions, the Scurvy, or the like. It provoketh urine very well if 10. or 12. drops be taken in wine fasting, and drives out gravel and the stone. It is also good to consolidate any inward wound penetrating into the body, a few drops thereof daily drunk. It is a fit addition for any Unguent serving for a cold disease to amend the warming force thereof, and to cause it to penetrate the better. It hath many other singular good uses, which for brevitie I must passe over.
The white Caustick.
THis kind of Caustick taketh his vertue from the vegetable salt it contains, and may well be carried in the Chest, for that it will last well an East-India Voyage, with (some times) the addition of a little capital lees, as need shall require; namely, when it groweth too hard. It is altogether as safe and sure as the Caustick stone, but not so swift in working, neither so well to be ruled; for it will often spread three times as wide as it is intended, if it be not warily prevented: which thing is dangerous to the Patient, and disgraceful to the Artist. Wherefore if I had capital lees I would rather boyle up the Caustick stone; but then again, except the Surgeons Mate know the true height of boyling it, and can cut it into pieces one half inch long (as is said) and with [Page 47] one of the said pieces held in his one hand can perforate the apostume, otherwise it is all one with the former white Causticks for being laid on, it will become liquid as the other. It is not sufficiently safe to cut a hole, (as the use is) in a spread emplaster, of the bignesse he would have his orifice, and so lay it on, and cover it with a like emplaster; for that this course cannot hinder the spreading thereof; but if he will work surely after that fashion, I mean with any potential caustick medicine, let him cut from a roll of some soft emplaster that will cleave well, a piece of one ounce in weight, or thereabout, and make of it two long rolles, laying one on each side the place of the apostume appointed to be pierced, bringing them at each end together, for the ends of a caustick incision ought to be narrow, and the middest broad, if it be artificial; at least twice as long as broad is a good form, and rather more. Regard also that your incision be made (as near as may be) according to the length of the fibres and muscles, and alwayes that it be so made, that one end be more dependent then the other: But in Bubo's of the emunctories, it will seldom fall out so, for that you are constrained to follow the form of the tumour, which commonly lieth thwart, chiefly in venereal Bubo's in inguine, or the groine. Likewise if the tumour be full, and the Patient in great pain, you shall do him great ease by piercing the Esker in the middest, so soon as it is made, to discharge some of the matter. But note this as a general rule, never presse out the matter too forcibly, nor take too much at once out. For howsoever you may justly alledge and conceive, it is putrid and offensive matter; yet know, it containeth natural colour, and some spirits, and any sudden evacuation thereof will weaken and perhaps overthrow your Patient. Wherefore except some extraordinary cause urge you thereto, force not much matter from a suppurated Apostume, but leave that work to nature onely, and hinder not the due course thereof, by the foolish use of stopping the orifice with a tent; for so thou shalt become an enemy to thy Patient, and not onely hinder his natural help (far above thy artificial help) but also uncharitably thou wilt choke him up in his own excrements; which beware of. And for the furthering the fall of an Esker in an Apostume, where nature hath a breathing, it is meer folly, as I have said in other place. The longer it lyeth on, the better I like the work, and if you would use all the art you can, you cannot keep on an Esker at your will: wherefore forget that work till it be done to thy hand.
I have much (in my good will) to write of this subject, namely, of the manner of preparation, keeping, and sundry sorts of applycation of the same caustick, and divers other necessary instructions of the several uses of the same medicine in divers parts of Chirurgery, as well as in the opening of tumours, but my hast calleth me to the next: Wherefore at this time I crave pardon.
Sal Absinthii, Ge [...]ae & Nitri.
VVHat my leisure hath not here permitted me to speak of them or any Salt else, I have rehearsed in my Treatise general of [Page 48] Salt in their particular places, to which I refer the friendly Reader. The Index will guide him thereto.
Oleum Rosarum.
OYl of Roses is anodine, and doth refrigerate and corroborate, and therefore is good against hot diseases, as Erysipelas. Also with Mel Rosarum it is a good Balm for new wounds of the head, and elsewhere; and hath divers other worthy uses in Chirurgery.
Oleum Anetheninum.
OYl of Dill is anodine and comforting, it concocteth crude tumors, causeth sleep, mitigateth the head-ach, refresheth the wearied members, strengtheneth the sinews, discusseth wind, is profitable for convulsions, and asswageth aches, easeth pains, and hath many other good uses.
Oleum Chamomelinum.
OYl of Chamomil resolveth moderately and calefieth, by anointing the parts grieved: is good for the Collick, stone, wearinesse, and for aches, fevers, and for all other things with the former. It is also very convenient in Glisters for all gripings and tortians of the guts, and yeeldeth great comfort to the intrails by the good odour and warmth thereof.
Oleum Lumbricorum.
OYl of Earth-worms helpeth the aches of the joynts in any part of the body, and doth strengthen and comfort well the sinews weakned and pained, and is good against convulsions and cramps; it is also a good Balme for sinews wounded.
Oleum Liliorum.
OYl of Lilies doth moderately warm and resolve, asswageth pain, mollifieth hard tumours, doth much mitigate the violence of diseases, and is very effectual against pains of the breast and stomack, and allayeth the inordinate heat of the reins and bladder.
Oleum Hipericonis simplex.
OYl of St. Johns wort simple is of a thin essence: it is of temperament dry and anodine, healing sinews pricked or wounded. Also it is very profitable to them that have the Sciatica to anoint them against the swellings in the Temples, Belly, and Leggs through Melancholy: and it is of very good use for cold aches and convulsions, cramps burnings, scaldings and good to cure new wounds.
THese three several names of oyles, or different medicines, according to that Intend in the Surgeons Chest, are but one and the same medicine. A better balme then which, to heal new wounds, the Surgeons Mate need not desire to learn or know. Some Writers call it by the name of Oleum Hipericonis cum gummis, some, Oleum Aparici, some, Balm Artificial. The composition whereof (with the rest) shall follow.
It is best to be used in wounds, as hot as the Patient can endure it, and for the first time rather hotter. It is a sure medicine for all venemous wounds, all bitings of mad doggs, or of venemous worms, very hot applyed, and the parts about anointed therewith warm; remembring in all venemous griefs a Cordial is also requisite. In my own practice it is almost all the unctious medicine I ever use, for the curing of wounds and contusions; and I never repented my self of the use thereof. In piercing wounds and stabs it is a medicine a Surgeon may well relye on; it will not disgrace him. It is a very comfortable medicine against all pains, aches, and witherings of the outward limbs proceeding of cold causes, using it warm with good friction, and a plaister of Burgundy pitch spread on leather and applyed thereon; or rather Empl. Stipticum Paracelsi.
I speak this of practice, and I could say much more of my own experience, touching the praise of this worthy medicine, if time would serve: but for this present accept of this abridgment.
Oleum Sambucinum.
OYle of Elder-flowers doth lenifie and purge the skin, is good for the obstructions of the liver, helpful for the joynts and nerves pained, the parts grieved being anointed therewith: given in glisters, it procureth stools, healeth the yellow Jaundise, amendeth bellyach, and easeth the griping pains thereof.
Oleum Lini.
OYl of Linseed is anodine, cureth convulsions, mitigateth the hardnesse of the arteries, muscles, and nerves, asswageth the pain of the Hemorrhoides: and helpeth the unnatural clefts, chaps, and fissures of the fundament.
Oleum Ovorum.
OYl of Eggs clenseth the skin, taketh away the filthinesse, and all the sears thereof, occasioned by cuts or bitings, or at the least much diminisheth them, so that they can hardly be seen: it cureth burnings, killeth ring-worms, healeth excoriations, and is prevalent [Page 50] against any ulcer, chaps, or ill matter arising out of the flesh, either in the hands, feet, arms, leggs, or in any other part of the body.
Oleum Laurinum.
OYl of Bayes is a medicine calefying, mollifying, opening and discussing; it doth much mitigate the Collick, delivered into the body by glister; it is a present remedy against cold griefs of the brain, nerves, arteries and loins, the parts anointed therewith; it represseth the violence of a fever, the spina dorsi, or region of the back bone anointed therwith; it is good for the Palfie, Sciatica, the hardnesse and pains of the spleen, and is much used, as well to cure the scab and ring-worm, as the Scurvy.
Oleum Absinthii.
OYl of wormwood doth calefie and corroborate, especially the stomack, raiseth an appetite, concoeteth crude humours, dissipateth and disperseth wind, killeth worms, and taketh away obstructions proceeding from a cold cause, the parts grieved being anointed therewith; and likewise it is good in glisters for the like occasions.
Oleum Papaverum.
OYl of Poppies cureth the intemperature of heat in the reins and fevers, and procureth sleep being anointed on the nose, temples, or eares; maketh lubrick, and lenifieth the sharpnesse thereof.
Oleum Petreoli.
OYl of Peter is hot and dry, and by the tenuity of the essence thereof, doth penetrate and digest all excremental matter: it is used with profit for the falling sicknesse, palsie, giddinesse of the head; and is good for many other griefs arising from cold causes.
Oleum Scorpionum.
Oyl of Scorpions is of especial use to break the stone in the reins and bladder; and Manardus commendeth it against the pestilence, all contagion and fevers, but chiefly in expelling poyson. It is likewise good to asswage the pains of the back, proceeding by distempered kidnies.
Oleum Amygdalarum dulcium.
Oyl of sweet Almonds doth lenifie the roughnesse of the breast and throat, as also the hardnesse & drinesse of the joynts, is good against the consumption of the lungs: it is also of good use to be drunk in the hectick fevers: it stayeth the cough, asswageth the heat of urine, healeth [Page 51] ulcers by injection, is very good in Colica or Iliaca Passio, to be drunk and administred in glisters.
Oleum Amygdalarum amararum.
OYl of bitter Almonds doth open obstructions, discusseth wind and vapours; but chiefly it healeth deafnesse, the hissing and pain of the ears, lenifieth the hardnesse of the sinewes, and maketh the face and hands fair, &c.
Balsamum Naturale.
NAtural Balsamum or Opobalsamum, is very good for them that are short winded, for the obstructions of the liver, and for griefs of the stomack; it helpeth the consumption of the lungs, and causeth an appetite: besides the excellent vertue sanative it hath, both inwardly and outwardly in the cure of wounds, it hath also many other good vertues.
Oleum Vitrioli.
OYl of Vitrial is exceeding hot and cold, mixed in waters, decoctions, sirrupes or conserves, maketh them in tast, tart or sowrish; and in colour, purple-like, delighting them that are sick of fevers; freeth obstructions, recreateth the bowels, and is very effectual in the pestilence, falling sicknesse, palsie, and stopping of urine. See more hereof in the treatise of Salt.
Oleum sulphuris per Campanam.
OYl of Sulphur, made from the humide vapours thereof, is good to make the teeth white, to take away the morphew, cureth venereal ulcers, expelleth diseases arising from wind or cold, is good against the falling sicknesse, shortnesse of breath, evil affections of the lungs, easeth the tooth-ach, and is, being well prepared, a true cordial medicine.
Oleum Garyophilorum.
OYl of Cloves not unlike to Opobalsamum in strength, doth sweeten the breath, driveth away putrede humours, discusseth wind, openeth the pores of the liver, digesteth cold humours, dissipateth the melancholick humours, healeth old and new ulcers, stayeth the putrefaction of the bones, and asswageth the pain of the teeth proceeding from a cold cause.
Oleum Macis.
OYl of Mace doth calefie and digest cold humours, roborate the stomack, helpeth concoction, raiseth an appetite, aud procureth many other benefits to him that useth it.
Oleum Philosophorum.
OYl of Philosophers, or of tile-stones or brick-bats, the eldest is the best: very like it is to Oleum Petreoleum: in vertue it doth attenuate and penetrate upward, digesteth and consumeth all excremental matter, and is profitable for cold affections of the spleen, reins, bladder, nerves, womb and joynts; for the Lethargie, Apoplexie, and falling sicknesse, and many other the like griefs.
Oleum Anisi.
OYl of Anise-seeds prevaileth against the collick arising from wind and cold, against the Tympany, inflation, and crudity of the stomack, against the gripings and the crying of the intestines, &c.
Oleum Terebinthinae.
OYl of Turpentine is taken inwardly for shortnesse of breath, the ptysick, against the stone, the collick, cold and windy affections of the breast: it is outwardly used for to heal sinews wounded, or troubled with any intemperature; also to fill ulcers with flesh, and knit them up, leaving no cicatrice in them.
Oleum Juniperiunm.
OYl of Juniper is commended for the cure of the morphew of the skin, it provoketh urine, and agreeth with the cure of diseases of the reins; it is good to be taken certain drops thereof against any pestilential vapours; for the stone it is also good, and to be drunk certain drops against penetrating wounds.
Oleum Spicae.
OYl of Spike doth calefie, attenuate, discusse, and is very profitable to them that have the Gout proceeding of a cold cause, or to comfort any member benummed: also it is good against the falling sicknesse and convulsions, the temples & nape of the neck, yea and the whole head to be anointed therewith, is very profitable.
Oleum Antimonii.
OYl of Antimony or Stibium, is good for them that have convulsions, or any astonishing disease, and other evil affections of the brain, four grains thereof drunk, it asswageth the pain of the gout and collick, cureth fevers, helpeth the bladder ulcerated, and wonderfully helpeth the Canker, Fistula phagedena, the fretting or eating pockes, the wolfe, and all other sorts of ulcers.
Oleum Succini Chimice.
OYl of Amber helpeth the pain in the head, resolution of the sinews and falling evil, if one dop or two be taken with water of Betony or Lavender, or in fair water: it preserveth also from poyson, and (mixed with parsley water or Malmesey) is a singular remedy in discussing diseases of the reins and bladder, bringing forth the stone, and opening the passages of the urine; it profiteth in the collick and strangullion. Four drops put into a little Angelica water, and so given to a woman in travel, refresheth all the weak faculties of the body, confirmeth and openeth the brain.
Oleum Absinthii Chimice.
OYl of wormwood is good for the stomack, to strengthen it, to stay vomiting, to kill worms, asswageth the pain of the teeth, and is used in agues
Oleum Origani.
OYl of Origanum cureth malancholy, helpeth the dropsie, and cureth the cough, the quartane fever, and the tooth▪ach.
Syrupus Absinthii.
SIrupe of wormwood is said to corroborate the stomack, help concoction, cause an appetite, discusse wind, open the veins, and to move urine, kill worms, &c.
Syrupus Limonum.
SIrupe of Limons is Cordial and refrigerating, and I may say calefying too; it doth please and profit the appetite, and comforteth all that are sick of the pestilence, continual and contagious fevers, as also all diseases on which exceeding great heat attendeth; cheareth up the heavy heart, and dispelleth sorrow therefrom, and against all obstructions of the spleen it is a good help, and also well approved in the cure of the Scurvy.
Syrupus Papaverum.
SIrupe of white Poppies hath an astringent quality; it procureth fleep, helpeth the cough, hindereth the humours which distill from the head into the throat tickling, and is of precious use against the Palsie, if it be used in the beginning thereof.
Syrupus Cinamomi
SIrupe of Cynamon is commended to be very good to old men that are cold and weak, and to them whose vigour, humidity, and natural heat diminisheth: it nourisheth much, begetteth blood, and quickneth all the vitall parts.
Syrupus Rosarum simplex.
SIrupe of Roses simple doth quench thirst, especially in fevers, mitigateth their heat, refrigerateth the stomack and liver being very hot.
Syrupus Rosarum solutivarum.
SIrupe of Roses solutive, is used as a gentle and safe purge both to old and young, when they are molested either with burning or pestilent fevers, or any hot distemperature of the body.
Syrupus Violarum.
SIrupe of Violets doth break the acrimony of melancholy, tempereth the heat of the bowels, bringeth down the belly by purging it, helpeth the diseases of the throat, as hoarsenesse and the dry cough, and is a chief aide to the curing inflammations of the breast, against the pleurisic, and quencheth thirst in fevers, and is cordial.
Oximel simplex.
OXimel simple is in great use for the cure of inflammations of the lungs and throat, helpeth expectoration and difficult breathing, cutteth and attenuateth thick and slimy humours, purgeth the entrails without trouble, and is good both in cold an hot affections.
Mel Rosarum.
OR Honey of Roses, strengtheneth and cleanseth the stomack, purgeth clammy humours, helpeth concoction with the temperate heat thereof, allayeth and stoppeth hot fluxes, the phlegmon of the mouth gums and jawes, is singular good with oyl of Roses for wounds in the head: These two (with Aqua vitae) are very good to cure wounds in joynts, where the joynt▪ water gleeteth out.
Diamoron simplex.
OR Diamoron simplex, not unlike Mel Rosarum, is profitable in Gargarismes, against the eating ulcers of the mouth, as aforesaid, cutteth away flegme, and cleanseth the mouth and throat; and by reason of the pleasing tast thereof is the more comfortable to the diseased.
Syrupus raphani sylvestris.
OR Sirupe of wild Radish, breaketh the stone, mundifieth the reins, provoketh urine, is profitable for the Kings-evil, and is an approved medicine for the Scurvy to be drunk daily.
Syrupus Prunellorum.
OR Sirrupe of Sloes, doth refrigerate and comfort the stomack, stoppeth fluxes, healeth the excoriations of the intrals. The dose may be ℥ii. at once.
Cons. Rosarum Rubrarum.
OR Conserve of Red-roses is good for the heart and head, strengthning and comforting both; as also the bowels, mitigating their heat, and stoppeth fluxions, and is much the more profitable in any grief if a few drops of oyl of vitriol be mixed therewith, but beware of too much.
Conser: Anthos.
OR Conserve of Anthos, or Rose-mary flowers is of much use in physick, because of the force it hath in comforting the brain, and corroborating the sinews, and is given with good successe for the falling sicknesse, Apoplexie, Lithargie, dead and shaking Palsie, but it will not keep long at Sea in hot Countries.
Rob. Berberies.
OR Conserve of Berberies doth refrigerate, and is astringent, it quencheth thirst, and the heat of the stomack, and bowels, it causeth appetite, removeth the waterish humour of choler, cureth the bloody flix, the flux of the liver, the often gnawing and wringing of the guts caused by choler, healeth the small pox, and resisteth drunkennesse.
Rob. Citoniorum.
OR Conserve of Quinces doth bind, comfort the stomack, is good for choler, stoppeth all kind of bloody fluxes and helpeth digestion.
Conser: Luiule.
OR Conserve of wood-sorrel doth recreate and comfort the heart, removeth putride humours, refrigerateth and profiteth much in continual and contagious fevers, being very cordial; but will perish in hot Countries: great store of this herb is found in Soldanie at the Cape of Good-hope as I am informed.
Conser: Prunellorum.
OR Conserve of Sloes is of a comforting stiptick force, very profitable to comfort a weak stomack oppressed with crudities, good against all fluxes of the belly, and also good to heal all inflammations or excoriations occasioned by the same, either taken on a knife in form of a Bolus, or given in Glisters.
Electuarium Diacatholicon.
THis Electuary Diacatholicon doth purge gently all humours, it is conveniently used in fevers, and other diseases which arise from a certain evil disposition of the spleen and liver: the dose is ℥ i.
Electuarium Diaphenicon.
DIaphenicon purgeth easily and safely flegme and melancholy: it helpeth the belly-ake, chollick, continual burnings fevers, and all evils proceeding of choler and flegme: the dose is ℥ i.
Diaprunum simplex.
DIaprunum simplex is commended for a gentle laxative, not onely against continual aud hot intermitting fevers, but also against all hot diseases, and against the vices of the lungs, throat, reins and bladder: the dose is ℥ i.
Confectio Hamech.
COnfectio Hamech purgeth choler, melancholy, and salt flegme; and is therefore with great benefit used against diseases arising from the same, the Canker, Leprosie, or dry Scurfe, Madnesse, Ringworm, Itching, Scabs and the like: the dose ʒ vi.
Electuarium de succo Rosarum
THe Electuary of juice of Roses is powerful in purging of yellow choler: the dose is ℥ i.
Extract. Catholicon purgans.
THis extract is a laxative medicine (being drawn from the most excellent of vegetable laxative ingredients) fitting to be ever ready at hand in a Surgeons Chest, or else where in Surgery. The dose is small, namely, 15. grains at the most: the tast pleasant, not nauseous nor bitter at all; neither causing tortions, nor gripings in the bowells: It is a medicine that will keep good for seven years without putrefaction, the vertues whereof have been by the Author (for many years well experienced) both at Sea and Land approved of. Now for that it is the honour of every expert Artist, Cito, tutè, & jucundè sanare; that is, quickly, safely, and pleasantly to perform his scope in the comforting and curing of his patient, I have therefore thought fit to recommend the use hereof to the Surgeon, to be practised by him, as well in military, as Domestick occasions.
[Page 57] And this medicine that here I commend to the reader, answereth fitly those fornamed attributes, by reason of his gentle and easie operation in safe purging per secessum, or downward; It exceedeth other purgatives therein, the dose being duly observed; for it purgeth the head, the stomack, the belly and liver of all grosse offending humours, either flegmatick, cholerick, or melancholy; also it purgeth watty and slimy humours, and taketh away the chollick or gripings of the bowels; and withall, it comforteth the stomack; yea, any child, or woman with child, may safely take hereof. It is best to be taken fasting in a morning, and to eat in three hours after the receipt thereof, onely the party may take drink, or rather (which were best) warm broth, or in want thereof posset drink, or beer for a need somewhat warmed; and the party that taketh it; were best he keep within his Chamber, and not to sleep in the time of the working of the medicines; but if he goeth out, urged by his necessities, being careful to keep himself warm he is in no danger thereby, although I confesse to keep in were better.
And whereas Paracelsus saith, that every good laxative medicine, ought to contain in general three operations or faculties as proper to it; namely, First, that it purge nature without offence of danger; Secondly, that it strengthen nature being debilitated or weakned; Thirdly, that it do comfort nature; yet the said Author is of opinion, and that justly, that the excellency of purgative medicines is not alwayes to be judged of by the numbers of stools it provoketh, but much more for the Artanum thereof, or hidden specifical power it hath in the curing and rooting out of diseases, although they be inveterate.
And moreover this medicine is very safe to be given in cases of the plague, or small pox, where, and when, by advice a purge is fitting to be given.
Diatrion Pipereon.
DIatrion Pipereon doth help the stomack, and is good against belching, quartans, cold, and all flatious diseases, or wounds: of the species thereof you may ℞ ℥ i. honey ℥ v; put them together being well mixed, and keep the same to give upon occasion to a weak stomack fasting, or at any time, it will warm and comfort him much: when men feel their stomacks oppressed with obstructions by reason of cold, now and then a little thereof given them will much comfort them, and preserve them well from fluxes of the belly.
Theriaca Londini.
THis conposition was heretofore appointed by the Doctors of the Physitions Colledge in London, as a thing very requisite, for that the price should be resonable for the poorer sort, the ingredients thereof being neverthelesse Cordial, and yet such as are easie to get. It may be used well in place of Mithridate: and in truth I had rather put [Page 58] my self upon it, as a good Cordial, being fresh made, then upon the Mithridate we buy from beyond the Seas; for it is by the Hollanders so uncharitably sophisticated that a man may fear to take it in his need: my self chanced in Holland into the house of a Bore (as they term him) to lodge, who lived by making of Mithridate and Treakel, he confessed to me, his Mithridate had but nine simples in it: he had also pewter boxes marked so artificially as no man could discover them to be other then right Venice ones.
I have appointed to the Surgeons Chest some of the Species of the London Treakel ready powdered and dry, that the diligent Surgeon at his will may compose a London Treakel at Sea; namely, by taking hony ℥ iii. and of this powder ℥ i. and heat them together, stirring them well till all be incorporated, and give it as need shall require.
Confectio Alkermis.
COnfectio Alkermis preserveth from Apoplexies arising from cold and melancholy humors, doth very much comfort the brain and heart, and is sometimes used very profitably for them that languish away through long sicknesse, and are subject to swoundings.
Electuarium deovo.
Electuarium de ovo is very much commended for prevention, and cure of the plague, and all pestilential diseases, in expelling the infection from the heart.
Mithridatum Damocratis.
MIthridate of Damocratis is in quality and vertue like to Treakel, but more hot and forcible against the poyson of Serpents, mad Dogs, wilde Beasts, creeping things, being used as a plaster or drunk; it cureth all the cold affections of the head, helpeth the melancholick, or those that are fearful of waters, them also that have the falling sicknesse, Megrum, pain in the bowels, ears, tooth-ach, and weeping eyes, healeth the evils of the mouth and jawes being plasterwise laid to the temples; by discussion giveth ease to the troubled with the Squinancie, Apoplexie, cough, spitting of blood, Impostumes, or inflammations of the lungs, or any griefs within the body, and is good against the bloody flix, flux of the stomack, obstruction of the guts, and against wringing and tortions in them, being taken with aqua vitae and the decoction of baulastians, it remedieth convulsions and palsie, helpeth the middriffe flatus, Hypocondria, the pains of the reins and bladder, breaketh the stone, provoketh urine and monthly flowers, expelleth other vices of the matrix, yeeldeth a singular benefit for the Gout, profiteth not a little in quotidians and quartanes, or a quantity drunk in wine being first warmed, and then taken an hour before the fit.
Theriaca Andromachi.
ANdromachus Treakel doth the effects of Mithridatum Damocratis, and is also good against the hoarsnesse of the voyce, against the Jaundise, Dropsie, for wounds of the intestines, to bring forth the young birth dead, to expell and take away the Leprosie, and measles, to revive every decayed sense, to confirm wounds healed, to kill all kinds of worms, to dissipate wind, to comfort the heart and stomack, and to keep the body uncorrupt and sound.
Theriaca Diatesseron Mesuis.
THis Diatesseron is an ancient composition devised by the ancient Grecians, and had beginning from Avicen, and Mesues. or one of them; and according to the Greek word so named, for that it is made of four simples, viz. Gentian roots, Bay-berries, Myrrha, and Aristolachia rotanda, four precious and very Cordial simples, full of medicinable vertues. And for that I would have it kept in time of need, I have thought meet to have ready powdred the said 4. simples together to be composed into a Treakel as occasion shall move thee. Onely note this, that to one ounce of the said species ℥ 3. of hony is to be added, and well mixed on the fire, and so it is ready for use. By some Writers this composition is called Theriaca ad pauperem, the poor mans Treakel.
The vertues of Diatesseron are said to be as follow.
It is good against poyson drunken, and against the bitings of venemous beasts or worms. It is also good against all the cold affects of the brain, as convulsions, resolutions of the sinews, morbum Comitialem, the Spasme or Cramp, the inflation of the ventricle or stomack, against defect of concoction therein, and against venemous wounds both inwardly drunk, and outwardly applied. Also it openeth the obstructions of the liver and spleen, thereby preserveth the body from the disease called Cachexia or stomacace, which is the Scurvy. Teste Pharmacopoeia Augustana, & aliis.
Dentes Elephantini.
DEns Elephantinus, or Elephants tooth hath an astringent force, healeth fellons, and is good for white fluxes of women, the Icteritia Flava or the yellow Jaundise, Morbus Regius, worms, and continual obstructions.
Laudanum Paracelsi Opiatum.
IN the Treatise of the fluxes of the belly, it is handled at large, to which I refer the friendly Reader.
Diascordium.
DIascordium is helpful in fevers, as well contagious, as penstilential: good for the head-ach, and universal plague, whose dose is from half a dram, to one dram and a half, according to the occasion or strength of the Patient.
Diacodion.
DIacodion removeth subtle Catarrhes, which distill from the head to the breast, helpeth the cough, and procureth rest, the dose is from ℈ i. to ʒ i.
Pbilonium Romanum.
PHilonium Rom. magnum is given for the Pleurisie, Collick, and any internal pain or grief; it causeth sleep, stayeth Haimorraea or the flux of blood in the inward parts, and sneesing, allayeth the griefs of the belly, spleen, liver, and reins, caused by cold, wind, and crude humours, and taketh away the hicket: the quantity of ℈ i. is the usual dose, and it is augmented or decreased as the years and strength of the Patient is.
Philonium Persicum.
PHilonium Persicum is invented against the abundance of blood of womens monthly terms, of the hemorrhoides, and for the overmuch flux of their courses, the flux of the belly, against vomiting and spitting of blood: it doth also consolidate ulcers and veins.
Philonium Tarsense.
PHilonium Tarsense is of the same facultie as Pbilonium Romanum.
Aurea Alexandrina.
AUrea Alexandrina is effectual against the cold defluxions of the head: good for weeping eyes, the tooth-ach, and head-ach, consumption, collick, cough, and spitting of blood: it easeth the pain in the reins, and profiteth intermitting fevers. But the cause why I have not appointed this good composion, nor any of the three last mentioned Philoniums to the Surgeons Chest (though I know them to be good medicines) is, because they will not keep an East-India voyage; and Laudanum opiale Paracelsi is sufficient for ought the other can do: Wherefore I rest satisfied therewith.
Succus Absintbii.
SUccus Absinthii, juice of wormwood is good for digestion, killeth the worms, benefiteth the stomack, and differeth much from the vertues of the herb; this being astringent, the other abstersive.
Succus Acatiae.
SUccus Acatiae is a forrein medicine, for which we use the juice of Sloes: it doth refrigerate, binde, and repell: it stayeth all fluxes of the belly, healeth excoriations of the intrals, strengtheneth much the stomack; helpeth appetite, healeth ulcerations in the intrals, either used in Glisters, or eaten in agelly. The dose whereof may safely be ℥ i. at one time, or 2. ℥ cannot offend: but I hold the infusion thereof, or the decoction of it, to be the aptest medicine, because of the grossnesse of the sustance thereof.
Succus Glycirrhizae.
SUccus Glycirrhizae, or juyce of Licorice in all his qualities is temperate, but exceeding in heat: somewhat it doth lenifie the throat, and mitigate the asperities of the arteries: cleanseth the bladder, and is good for the cough: moveth expectoration, and is very profitable against all vices of the lungs and throat.
Succus Limonum.
SUccus Limonum, or juyce of Limons expelling and refrigerating, cleareth the skin of morphew, killeth handworms; and is of special use to bridle the heat of melancholy: to help sharpe and contagious fevers: is good to cause a pleasant tast in potions, &c. and Cordials. It is very cordial of it self, and the most precious help that ever was discovered against the Scurvy to be drunk at all times; for it mightily openeth all obstructions, and refresheth and restoreth nature.
Pulpa Tamarindorum.
PUlpa Tamarindorum, the pulpe or juice of Tamarinds is a medicament excellent and well approved of against Scurvy, as well for opening the obstructions of the liver and spleen, as for comforting and refreshing the blood and spirits decayed or stopped. Also, it purgeth choler: allayeth the heat and fury of blood: cureth sharpe fevers, and the Kings evil: extinguisheth thirst, and all heat of the stomack and liver: stoppeth vomiting, and is good for the Chollick.
Pilulae Aggregativae.
PIlulae Aggregativae, so called either from the Agaricum or the aggregation of many vertues that are said to be therein: for they are profitable for many affections of the head, stomack, and liver: they purge flegme, choler, and melancholy; and therefore are of very good use against continual fevers, and inveterate diseases. It is described by Mesues; whose dose is from two scruples to a dram and a half. But beware of the use of these pils where the flux raigneth; for Agaricum in such bodies as are incident thereto, is a dangerous medicine. I speakthis of experience, wherefore remember it.
Pilulae Aureae.
PIlulae Aureae, or golden pils, being in colour like aurum, or gold, because of the saffron in them, they are cholagogall, attracting choler, yea, and flegme too, from the inferiour and superiour venter; and therefore purge the head, senses and eyes, and restore the eye sight. They were first made known by Nicolaus Myrepsus, who was the first inventer of them; their dose is like that of the pils Aggregative.
Pilulae Cochiae.
PIlulae Cochiae deriving their name from a Greek word [...], a grain (pils being formed small and round like grains of Cicers) do purge both choler and flegme from the head, the liver, and from all other parts wherein such humours are contained, and are found described, first, by Dr. Rhasis, who is their supposed Author. The dose is divers as before, sometimes great, sometimes small, but ʒ i. is the ordinary dose.
Pilulae de Euporbio.
PIlulae de Euphorbio, pils of Euphorbium (receiving Mesues for their Patron) are vertuous against the dropsie and Scurvy, for they calefie the stomack and intrails, purge water abundantly, prevail also in removing the cause of tumours, and bring aide for the pain of the loines and gout, proceeding from too much humidity: they are effectual in the quantity of one scruple, or half a dram, and may be mixed with Pilulae Cochiae.
Pilulae Cambogiae.
PIls of Cambogia, are good to cleanse the head and refresh the sight, to purge choler, flegme or melancholy from the stomack or spleen, they open obstructions, and thereby profit well in the cure of the dropsie and scurvy, and for the cure of Icteritia flava or the yellow Jaundise, they are very good. This Cambogia is much used in Holland and Germany: and Doctor Harvey of St. Bartholomews Hospital, calleth it purging saffron, and giveth it in pils per se, in which manner given, it purgeth both wayes forcibly; but the pils here mentioned, purge onely downwards very gently, their dose is ʒ ss. their composition shall be mentioned in his due place.
Pilulae Ruffi.
PIlulae Ruffi or Pestilentiales Ruffi (subscribing to Ruffus their inventer, a famous Physition, and fitting for the pestilence and plague) do rather prevent infection, then cure the infected: for by reason of the aloes the body is freed from excrements, by myrrha from putrefaction, and by Saffron the vital faculties are quickned; but infection once possessed, [Page 63] is not alwayes by such light cordials and gentle laxatives removed: their dose agreeth with that of Pilulae Aureae, they are very stomachal, for they refresh much the stomack, and in any oppressions of the stomack where gentle purging is required, they excell.
Benedicta laxativa
BEnedicta laxativa, or the blessed laxative, doth mightily open obstructions, purgeth choler, flegme, and all clammy humours from the joynts, reins, and bladder: and is termed Benedicta, because it benignely looseth the belly. The dose is ʒ ii.
Pulvis Arthriticus Paracelsi.
THis is a laxative powder, made onely of four vegetables, and one Animal simplex, with the addition of sugar, to give it the more grateful tast: the dose is to ʒ i. at the utmost, besides the sugar: I can speak of the pleasure and profit I have had by this mean purging powder; I say pleasure, for that it is so pleasant and easie to be taken; and profit to me many wayes; for it is my general purging medicine, when I would purge downwards upon any repletion of the body, or general cause of evacuation downwards; and I find it indifferent in purging any offending humour, according to the commendations the Author giveth of it; I can no more misse this plain and harmlesse ready purge, then I can misse my Salvatory. Oswaldus Crollius, a most learned late Writer, hath set down this onely purge for the cure of the Podagra, giving it this breif commendation. It purgeth safely and gently all podagrical defluctions: and in truth, whosoever shall have occasion of the use thereof, will have cause to commend it, and knowing it, will find small need of Pulvis Hollandicus or Pulvis sanctus, whose dose at sea must be at the least two drames, being nauseous and unsavoury, whereas ʒ ss. of this will do as much with great facility, and without tortions or gripings of the guts, which other compositions cause. I use to give it to strong bodies in white wine, to weaker in sack; but at sea for a need it may be given in fair water, and some sirupe to help the tast thereof, which neverethelesse is not ungrateful of it self.
Trochiscus de Absinthio.
TRochiscus de Absinthio, or of wormwood (saith Mesues) taketh away the obstructions of the stomack and liver, and intermitting or chronical fevers sprung thereof, strengtheneth the bowels, and causeth an appetite.
Trochiscus de Alhandal.
TRochisci Colocynthidos, or Alhandal (as the Arabians speak) do bring away thick flegme, and all glutinous juices from the brain, nerves, and other more remore parts, they help the collick proceeding [Page 64] from a glassie tough flegme, the Apoplexie, Squinancy, falling-sicknesse, short breathing, cold and gouty diseases, which scarce give way to common medicaments, and is described by Mesues; the dose is gra. 4.
Trochisci de Spodio.
TRochisci de Spodio, saith Mesues, have their use in bilious fevers, which bring also a flux of the belly, they allay the inflammation of the stomack, liver, and continual thirst.
Trochisci de Minio.
TRochisci de Minio, or the Trochisks of Minium, consume pruod flesh, mundifie sordid ulcers, as also callous or hard flesh, and wonderfully cure fistula's▪ look more thereof in Johannes de Vigo.
Folia Senae.
FOlia Senae are hot and dry in nature, they are an excellent medicament for purging the belly; it scoureth away flegmatick, tough, and melancholy humours from the brain, lungs, spleen, liver, stomack and bowels, as also cleanseth the body from a dust and salt humour.
Rhabarbarum.
RHabarbarum or Ruberbe, is hot in the first degree, and dry in the second, of an astringent nature, and is good for the stomack and liver, and against the bloody flix, purgeth downward chollerick humours, and therefore very profitably used against hot fevers, inflammations, and stoppings of the liver, &c. ʒ i. is the full dose.
Agaricum.
AGaricum or Agarick, is hot in the first degree, and dry in the second, purgeth flegme, freeth from obstructions, attenuateth, cleanseth, and dissipateth wind, and helpeth all diseases which spring from grosse, cold, and raw humours: the dose is ʒ i. But beware of the use thereof in the curing any fluxes of the belly.
Scammonium
SCammonium is hot and dry in the second degree, purgeth downward in vehement manner cholerick humours, and therefore is good against diseases arising from the same, but if it be taken either too much in quantity, out of time, place, or unprepared, it is very dangerous, excoriating the guts, provoking bloodly excrements, procuring Dysenteria, causing wind, offending the stomack, and distempering the heart and liver: the dose is eight grains.
Aloes Cicotrinae.
ALoes the best is hot in the second degree, and dry in the third degree, removeth cold, flegmatick and cholerick humours, by purging, digesting, and driving them out: it is a soveraigne medicine for the stomack.
Hermodactili.
HErmodactils are hot and dry in the second degree, they do effectually draw away flegme, and other slimy humours from the Joynts, and therefore are very profitable for the Gout in the hands and feet, and the Sciatica.
Polypodium.
POlypodium is dry in the second degree; openeth the body, and bringeth away black choler and flegme, helpeth the collick and the griping of the belly, and also the obstructions of the spleen.
Cornu Cervi.
HArts-horn is to be numbred among Cordial simples in the highest place, it is given in want of Unicorns horn, and not unfitly; it comforteth the heart, is good against poyson, provoketh urine, openeth obstructions, easeth the collick, disperseth wind, killeth worms in the body, is good against pains of the reins, or bladder, and being taken upon each occasion in liquors proper to the former griefs, it is much the better in force: Thus much is meant of Harts-horn unburned; And being burned, the powder thereof is very good against the bloody, or any other fluxes of the belly.
Euphorbium.
EUphorbium is hot and dry almost in the fourth degree; and besides his extream heat and notable acrimony, it hath a certain faculty of purging, whereby tough and cold flegme, with choler and water are taken away.
Turpethum Cathapsaris.
TUrbith is hot in the third degree, is good to purge flegme, cho [...]erick and thick humours from the stomack, breast, joynts, and other remote parts, and helpeth the collick and cold aches.
Mirabolanes.
MIrabolanes (whereof there are five kinds, the Citrine, Indian, Bellerick, Chebule, and Emblick) have peculiar vertues: some purge [Page 66] choler, others melancholy, others flegme; but as they purge, so they bind again, comforting and strengthening the heart, stomack, and liver, and therefore are fit purgers of the body in dysenterie upon any occasion: their dose is ʒ ii.
Cambogiae, or Guttigambe.
CAmbogiae is a purging medicine, newly found out in the East-Indies, and thence brought, to us; it is not much unlike Stibium in working: it is already in use by divers reverend Physitians, amongst which, Dr. Harvy useth it in Saint Bartholomews Hospital, and calleth it Crocus purgans. I find by my practice it purgeth well the head, and that it is good to open obstructions, that it is also good against the yellow Jaundise: It openeth well the spleen and liver, and purgeth more downwards then Stibium doth: the do [...]e is 12. grains. The recited Doctor giveth it in pils: my self, for that I see it purgeth the head, have mixed it with pils for the head; and I so give it, and it worketh gently downward onely.
Cassia fistula.
CAmbogiae fistula is hot and moist in the first degree, tempereth immoderate heat, purgeth gently cholerick humours, and is good for the reins and kidnies, driving forth gravel and the stone.
Crocus.
CRocus, or Saffron, is hot in the second degree, and dry in the first, is good for the brain, quickneth the senses, cheereth the heart, causeth digestion, helpeth the diseases of the breast, lungs, and liver, it mollifieth all hardnesses, and ripeneth all tumours.
Opium
OPium is cold and dry in the fourth degree, asswageth inward pains, causeth sleep, stoppeth the flix, and requireth care in the use thereof, for otherwise it is a deadly poyson.
Radix Chyna.
RAdix Chyna, Chyne-roots, prevail much in the cure of Lues venerea, and are good for the giddinesse of the head, taketh away the pain of the stomack, and obstructions, and are profitable for the dropsie, collick, and gripings of the belly, moveth urine, causeth sweat, and are helpful against convulsions, the palsie, and pains of the joynts, and a singular remedy against a consumption.
Sarsaparilla.
SArsaparilla is of a hot quality, causeth sweat, especially extinguisheth the heat of venereous poyson, and is good for the articular diseases, [Page 67] ulcers, and flegmatick humours, and principally it is good against the French pockes.
Sassafras.
SAssafras is of a hot and dry temperament in the second degree, commended in taking away obstructions, corroborating the inward parts, helping the Asthmatick and Nephretik, cleansing the reins from gravel, discussing wind, good for womens diseases; and against any kind of fluxion, and in the Morbus Gallicus or French pox, it is a good medicine.
Gnaiacum.
LIgnum Gnaiacum doth exsiccate, attenuate, open, purge, move sweat, resisteth contagion and infection, and doth wounderfully cure the morbus Gallicus, old ulcers, scabs, and ring-worms; the best use thereof is by decoction in fair water.
Cortex Gnaiaci.
COrtex Gnaiaci hath the same vertue as the Lignum Gnaiacum hath, but exsiccateth much more.
Cortex Granatorum.
COrtex Granatorum, seu malicorium, is astringent, stoppeth the laske, and bloody flux, healeth the gums moist and weak, fasteneth the teeth loose, stoppeth the bleeding of green wounds, and helpeth the corruption of the stomack▪ bowels▪ and the bursting or falling down of the guts.
Liquiritia.
LIquiritia is in all qualities temperate, yet enclining more to heat, it is agreeable to the lungs and breast, rotteth flegme, moveth expectoration, cureth the cough, helpeth breathing, and is profitable for the reins, taking away the sharpnesse of urine, dissolveth the stone, and healeth the sores of the kidnies and bladder.
Hordeum.
HOrdeum commune (in English said to be Barley) is cold and dry in the first degree, digesteth, softeneth, and ripeneth all hard swellings, is good for inflammations, excelleth against the sorenesse of the throat, refrigerateth, comforteth, strengtheneth, is abstersive, and provoketh urine.
Hordeum Gallicum.
HOrdeum Gallicum, more used inwardly then the hordeum commune by the Physicians in medicaments, is of the same nature and vertue as the other is.
Semen Anisi.
SEmen Anisi or Anise-seed, is hot and dry in the third degree, doth discusse the windinesse of the stomack and bowels, stoppeth the bloody flix, laske of the belly, moveth urine and monethly termes, breaketh and bringeth away the stone, helpeth obstructions of the liver, amendeth the breath, and is good for the falling sicknesse.
Semen foeniculi.
SEmen foeniculi or fennel seed, is hot in the third degree, dry in the first, corroborateth the stomack, openeth the obstructions of the lungs, liver, and kidnies, and causeth abundance of milk in womens breasts.
Semen Cari.
SEmen Cari or Caraway seed, is of the same nature and vertue as Semen Anisi aforesaid.
Semen Cumini.
SEmen Cumini or Cummin seed, is hot and dry in the third degree, attenuateth, digesteth, resolveth, discusseth wind, dissipateth flegmatick tumours, and is good against the chollick and tympany.
Semen Petroselini.
SSemen Petroselini or Parsley seed, is hot in the second degree, and dry in the third, is given to them that have the stone or Jaundise, as also to provoke urine.
Semen Lini.
SEmen Lini or Linseed, is hot in the first degree, temperate in moisture and drynesse, softeneth all cold tumours, ripeneth and breaketh Impostumes, draweth out thornes sticking in the body, expelleth wind, and gripings of the belly, and cleanseth the flesh from spots.
Semen Fenigraeci.
SEmen fenigraeci or Fenigrece, is hot in the second, and dry in the third degree, doth mollifie, discusse, and mundifie: helpeth cold, hard swellings, impostumes, and gout in the feet: wasteth and lenifieth the hardnesse of the milt, mitigateth heat, is profitable for the matrix in women, and cleanseth the skin from many evils; as, itch, scurf, pimples, wheals, and the like.
Semen Anethi.
SEmen Anethi or Dill-seed, are hot and dry in the second degree, provoketh urine, prevail against the gripings of the belly, and inflations thereof, take away the Hicket, increase milk, attenuate, resolve, and digest humours.
Semen papaveris albi.
SEmen papaveris albi or white Poppy seeds, are cold and dry in the fourth degree, provoke sleep, take away subtill humours, catarrhes, rheumes distilling from the brains upon the lungs, and help the cough.
Semen plantaginis.
SEmen plantaginis or Plantane seeds, are cold and dry in the second degree, stop the flux of the belly, and any flux of blood, are good also for catarrhes, old and new ulcers, either of the body or mouth.
Semina quatuor frigida majora.
THe four cold seeds, named Semina quatuor frigida majora (viz. Cucurbitae, Cucumeris, Citrulli, Melonis) are cold and moist in the second degree. The first whereof extinguisheth the fervour or heat of blood, choler, and fevers. The two following are profitable to the stomack, move urine, help the ulcers of the reins and bladder, extinguish thirst and choler. The fourth and last hath all the vertues of the former.
Semina quatuor frigida minora.
SEmina quatuor frigida minora or the four cold feeds, (viz. Lactuc [...]; Portulacae, Cichorii, Endivae) the first whereof is dry and cold in the third degree, refrigerateth the head, liver, spleen, reins, bladder, and limbs, prevaileth against the Gonorrea, and heat of Venery, moisteneth, lenifieth, slaketh thirst, and and causeth sleep, Ren. Wick.
Saccharum.
SAccharum, Sugar is hot in the first degree, looseth the belly, is convenient to the stomack, doth cleanse, digest, take away the asperity or roughnesse of the tougne, and siccity, thirst, or drought in fevers, helpeth the reins and bladder, and is profitable for eyes dim of sight.
Amygdalae amarae.
A Mygdalae amarae or bitter Almonds, are hot in the first degree, dry in the second, they are abstersive more then sweet ones: they do [Page 70] open and purge the lungs, liver, spleen, kidnies, and passages of the reins, and bowels, and are good against spitting of blood.
Amygdalae dulces.
AMygdalae dulces or sweet Almonds, are hot and moist in the first degree, do extenuate, purge, and cleanse the bowels, draw spittle from the breast and lungs, are good for the cold and dry stomack, clear the skin from spots, pimples, and lentiles, stop spitting of blood, and ingender choler.
Uvae passae.
Vuae passae seu Corinthinae, or Currants, are hot in the first degree, or rather of a temperate quality; and by a special faculty they have, they prevail against the vices of the breast and liver, move and purge the belly, strengthen the stomack, purge the head, lenifie and cleanse the breast and lungs.
Amylum.
AMylum or white starch, is moderately hot, levigateth the parts exafperated, it is effectual against the defluxions of humours into the eyes, against pustles and hollow ulcers, it filleth with flesh, stoppeth spitting of blood, helpeth the roughnesse and sorenesse of the breast and throat, and easeth the cough: It is very good in the fluxes of the belly to be given in glisters, against inflammations and excoriations in the intrails.
Cinamomum.
CInamomum or Cinamon, is hot in the second degree, warmeth, comforteth, concocteth, mollifieth, and wonderfully cheareth up the heart, and all the faculties of the body, as well animal, as vital and natural. It is very good against the fluxes of the belly.
Macis.
MAcis or mace, is hot and dry in the second degree, strengtheneth the stomack, helpeth concoction, discusseth wind, and comforteth the heart.
Piper nigrum.
PIper nigrum or black pepper, is hot and dry in the third degree, expelleth wind, is good against all cold griefs of the breast and lungs, against poyson, agues, and squinancy, dissolveth and wasteth hard tumours, causeth digestion, and aromatizeth meatsr.
Cariophilli
CAriophilli or Cloves, are hot and dry in the second degree, and are Aromaticall, and beneficial to the heart and brain, help the [Page 71] liver, and stomack, make the breath sweet, good for digestion, quicken the sight, stirr up just, and take away obstructions.
Nux Muschata.
NUx Muschata, or Nutmegs are of the same complexion with Macis: helpeth the stoppings of the liver, milt, stomack, windinesse of the belly, laske, weaknesse of the kidnies, and stopping of the urine: comforteth the heart, and aromatizeth the stomack.
Zinziber.
ZInziber, or Ginger is hot in the third degree, helpeth concoction, strengtheneth a cold and weak stomack, breaketh wind, and preventeth sowre eructation.
Gummi Guaici.
Gummi Guaici, the gum of the Guacum hath the same vertue as the wood and bark aforesaid called Lignum Guaicum, and drunk in powder is approved a good remedy in Gonorraea.
Opoponax.
OPoponax, is a gum hot in the third degree, and dry in the second (if bitter, white within or yellow, fat, tender, easily dissolving, and of a strong smell, it is good) it doth mollifie, digest, attenuate or asswage, dissipate or disperse wind, and is laxative.
Of Bdellium.
BDellium doth warm and mollifie hard tumors in the throat, and discusseth Hernia's in their beginnings, provoketh urine, and is good aganst the cough.
Amoniacum.
AMoniacum (a gumme so called) is hot in the third degree, hath the force of mollifying so effectual, that it dissolveth Tophoes or hard stones grown in the flesh, easily discusseth other pustles, healeth the spleen hardned, and being given in drink, taketh away many obstructions, provoketh the monethly courses and urine, driveth out the stone, dissolveth the Kings-evil, is very profitable for aches occasioned by cold: that which is pure thereof is formed like Thus, and in tast like Castoreum.
Sagapenum.
SAgapenum, or Serapinum is hot in the third degree, dry in the second, bringeth down womens courses, is profitable against the suffocation of the Matrix, resolveth, attenuateth, dissipateth, moveth, dissolveth, and purgeth (though slowly) thick flegme, and clammy humours: it is esteemed excellent, if clear, yellow in colour without, but white within, quick in tast, light in substance, and easie in dissolving.
Galbanum.
GAlbanum is hot in the second degree: it is good if it be full of drops pure like frankincense, fat, not full of sticks, strong in smell, neither moist nor dry in substance: it extracteth, discusseth, bringeth away the courses stopt, and the birth, takes away biles, hard kernels, and knots in the body, and helpeth the cough, short breathing, convulsions, and ruptures.
Myrrha.
MYrrha, chosen, fragil or brittle, light, spendent, of little drops, bitter, sharp, which smelleth sweet, full of whitish veins being broken, is hot and dry in the second degree: It openeth the womb, procureth the courses, bringeth forth speedily the birth, and is good for the cough, stitch, flux, and bloody flix: it killeth worms, amendeth the breath▪ closeth up wounds, confirmeth the teeth loose, and stayeth the hair from shedding.
Mastick.
MAstick sweet in smell, white, spendent, brittle, old, and very dry, brought from the Isle Chio, is hot in the second degree: It helpeth concoction, stoppeth vomiting, confirmeth the power of reteining sustenance, is abstersive: it is profitable also to them that spit blood, or that are troubled with a cough, it attracteth flegme from the brain, and is good for the breath.
Gum. Ladanum.
LAdanum is hot and dry in the second degree, doth calefie, and mollifie: it opens the pores of the veins, keepeth the hair from falling off the head, stoppeth the laske, provokes urine: it is used seldome in the Surgeons Chest, except in making a grateful odour, as when a fume of Cinabrium is to be prepared, for the cure of the pox.
Styrax.
STyrax, Calamita & liquidus are both hot in the second degree, do mollifie, concoct, cure the cough, distillations, hoarsnesse, pose or stuffing of the head, matrix stopped, are good to procure the monthly courses of women, cordial, exhilarating, oppose to poyson, and [Page 73] do discusse hard cold tumours the knots of the sinews, and the struma. The best commeth from Gyprus, Sidon, and Pisidia: the Calamita Styrax is yellow, fast, rosen like in glistering fragments, continuing its smell; though old; and (being dissolved) of a hony-like colour, if commendable.
Belzoin.
BElzoin, called vulgarly Benjamen, is hot in the fourth degree, comforteth the heart, and all the faculties thereof, and hath the same power as Styrax Calamita aforesaid: the reddish, cleer, full of white drops like frankincense, and of a sweat smell as Xiloaloes burned, is chosen.
Tragacanthum.
TRagacanthum, a temperament hot gum, is good for the cough, roughnes of the Artery or wind-pipe, hoarsnesse and defluxions, being taken with honey, or with Sugar, and is commended to be good for the eyes; also it is good to be swallowed down whole, or eaten in powder against the fluxe.
Pix Burgundiae, of some Pix Graeca and Colophoniae
COlophonia or Pix Graeca, is all one thing, and is a kind of Rosin of the Pine tree: it is hot and dry, cleansing and healing new wounds, mollifying hard tumours or swellings, and is very profitable against aches of the limbs, proceeding of a cold cause.
Pix.
PIx Navalis, or stone pitch, is hot and dry in the second degree: it discusseth, conglutinateth, mollifieth, maturateth, suppleth the hardnesse of the matrix, and hard tumours, cureth ulcers, filleth them that are hollow up with good flesh, and helpeth cold aches.
Resina.
REsina is hot, mollifying, discussing and cleansing, and (being taken inwardly) is good against the cough, mendeth the breast, provoketh urine, concocteth crude matters, looseth the belly, expelleth thē stone and gravel, and is excellent for the cure of green and fresh wounds.
Succinum.
AMbra citrina seu succinum is hot and dry, prevalent against the white flux of the wombe, flux of blood, running of the kidnies, distillations of the head, stopping of the matrix, monethly terms, difculty of urine; being powdered and drunk, helpeth immoderate cough, and strengtheneth the intestines, and is good to be cast on coals to receive [Page 74] the fume thereof, to comfort the Arse-gut fallen, as also to fume a ship or house in time of infectious aires, as the plague, or when general fluxes are to be feared.
Cera Citrina.
CEra Citrina, or yellow wax, doth mollifie and heat, moistneth temperately: it is good to amend the milk in the nurses breasts coagulated, it asswageth pain, healeth wounds and ulcers, and hath commonly a place in all good unguents and plaisters: It is a good medicine to be drunk or eaten, and so swallowed down for to cure the exulcerations of tht stomack or intrails in fluxes, where inward exulcerations are to be feared.
Mummia.
MUmmia is astringent, helpeth fluxes of blood, the bladder ulcerated, and the inward distempers of the yard; as also it provoketh urine, and is very good to be drunk in powder against great contusions or coagulated blood within the body.
Sperma Ceti.
SPerma Ceti, or Spuma maris, or the spawn of the Whales, is sowre in tast, spungie and white in shew, unsavoury in smell, and weighty, having a sharp quality: It is of a cold faculty, cleanseth, and digesteth, and is sometimes used of women to clear the skin from spots and morphew: It is good also against bruises inwardly, taken with the former, namely, Mummia, and also outwardly warm, to anoint the parts contused therewith, and a Paracelsus emplaister, or of Pix Grecum put thereon.
Sanguis Draconis.
SAnguis Draconis is cold and dry in the first degree, it is of an astringent quality: it closeth up wounds, and confirmeth the weak parts, and stayeth the fluxes of outward wounds.
Lupines.
LUpines are hot and dry in the second degree, digest, make subtill and cleanse, kill worms, drive away the freckles and spots like lentils in the face, asswageth impostumations and swelling, the sciatica pain; digest consume, and dissolve Morbum Regium; ripen and open wens, botches, biles and pestilential sores.
Cantharides.
CAntharides are used outwardly to cause a blifter, and sometimes inwardly to move urine; but so they are most dangerous, for they will [Page 75] bring the disease Priapismus upon the Patient in a violent manner: I once knew it given, but it killed the party the third day.
Camphura.
CAmphura or Camphora of a mixt quality, refrigerateth and calefieth, asswageth the pain of the head, inflammations of ulcers, wounds, cureth Erysipelas or St. Anthonies fire, is effectual against the Gouorraea, the white flowers of women, bleeding of the nose: it is also good against venoms and poysons, it preserveth the body from putrefaction, and is commended for many other vertues, for brevity here omitted.
Spodium.
SPodium an astringent simple, is cordial and good for fainting or swounding, inflammatious of the stomack, trembling, melancholy, and other affections arising thence.
Sumach.
SUmach is wonderfully astringent, dry in the third degree, and cold in the second: it is good for the Dysentery, all bloody fluxes, and womens fluxes, especially the white, and the Hemorrhoides, preserveth also ulcers from inflammations and exulceration.
Gallae.
GAllae or Galles are cold in the second degree, and dry in the third; they cure fluxions of the gums, help the ulcerations of the mouth, stay the fluxes menstrual, and help the mother falling down, make the hair black, consume proud flesh in wounds and ulcers, and induce a good healing to them.
Bolus verus.
BOlus Armeniae vel Orientalis verus is very dry, and astringent: it is a good medicine in resisting the fluxes of blood, helping the Catarrhe, Dysentery, and ulcers of the mouth, prevailing against pestilence, and all other like infections.
Bolus Communis.
BOlus communis, common Bole, hath the same effects as the former Bolus.
Stibium.
ANtimonium, seu Stibium, used in due time and place, produeeth very good effects, wrestling well with many kinds of strong diseases: [Page 76] commonly it is given in a Tertian, as also to the troubled with collick pain, it purgeth upward and downward forcibly, and causeth sweat, it is a good medicine, given with careful respect; but it killeth many by the violence thereof, unadvisedly administred: I lament to call to mind what fearful accidents I have seen follow the use thereof; wherefore I advise the Surgeons Mate to administer it with great care. The dose (being five grains) is best taken by infusion. It cureth fevers, is good against pestilential fevers in their beginning: For it cureth such at once taking; and in any other fevers it may be given, the body being strong.
Sulphur.
SUlphur or Brimstone is hot, concocting and resolving, it profiteth the asthmatical, cough, collick, grief, and resolution of the members: taketh away itch, breaking out of all the body, cureth tetters or ringworms, and the scurffe, and cureth rheumes and distillations: Seek further hereof in Sal, Sulphur and Mercury.
Allumen.
ALlumen, or Allum, is astringent and yet purging, mendeth putrefied ulcers, drieth the moist, consumeth proud superfluous flesh, taketh away the itch, and cureth the scab, and is very profitable in lotions for ulcerations of the mouth, throat, or else-where.
Vitriolum.
VItriolum seu Calcanthum, or Coperas, is hot, astringent and dry, killeth the worms of the belly, helpeth against poyson, keepeth the flesh moist and from putritude, consumeth, contracteth and and purgeth ulcers. Seek more of this subject in the Treatise of Salt.
Vitriolum Album.
SEek in the Treatise of Salt, in the end of Vitriolum for white Coperas.
Cerusa.
CErusa or Venice seruse, refrigerateth, drieth, bindeth, extenuateth, gently represseth excrescences, and bringeth deep wounds to a skar or ciccatrice, and is very good to be mixed a small quantity at once with Plantane water, against the heat and excoriations of the yard, I mean within the passage of the yard.
Plumbum Album.
PLumbum Album, or white lead, is cold in the second degree, it is an excellent remedy against inflammations, stiffe and hard ulcers, cankers and fluxions of the articles.
Minium.
PLumbago, or red lead, hath the force of binding, mollifying, filling up hollow ulcers with flesh, bringing down proud flesh, refrigerateth, closeth up wounds, and induceth a cicatrice.
Plumbum ustum.
IS astringent, filleth up wounds, eateth away their excrescences, stayeth the rheume of the eyes, and is profitable against the ulcers of the fundament, hemorthoides, and their inflammations.
Lithargyrum.
LIthargyrus, or Litharg [...]rum auri & argenti, & plumbi, Litharge either of gold, silver, or lead, do all refrigerate, bind, represse, stop, fill up hollow places, cleanse, induce a cicatrice or little scar, and prevail against the galling of the thighes. The litharge of gold, of silver and of lead, are all but one thing though they are of several names. colours and differences of operations, by reason of their different preparations: they are as Minium is, all the sonnes of Saturn, and are even lead and no other thing.
Aes Viride.
AES viride, or verdigreace, hath a sharp quality, digesting, attracting, extenuating, corroding and is abstersive, stoppeth fretting and spreading sores, and eateh the callous hard flesh of fistula's, good in ulcers and Ophthalmies of the eyes. It is the rust either of copper or brasse.
Tutia.
TUtia is a gentle drier, good against the distillations of the eyes, astringent, cooling, cleansing, stopping, and filling up. It is the scum of brasse in boiling.
Arsenicum.
VVHite and yellow Arsenicum, called Arsenicum album & Citrinum, are enemies to the life of man or beast: Taken into the body, this mineral killeth any living creature, and is of a corroding quality, outwardly applied, it causeth a hard crusted scab with vehement burning, eateth away superfluous flesh, and taketh away hairs. It cureeth the morphew, the skin anointed with water of the infusion thereof.
Argentum vivum.
ARgentum vivum doth corrode, kill the itch and lice, woundeth the intestines, suppresseth urine, swelleth the body, hurts the stomack [Page 78] and belly, resolveth, penetrateth and purgeth. But of this see more in the particular, Treatise of Mercury.
Mercurius sublimatus.
MErcurius sublimatus, made of Argentum vivum, is excellent against the Morbus Gallicus. This medicine truly perpared, is a laxative, a Diaphoretice, a Diauretice, a vomitive, and the best and worst corrasive medicine that can be devised. Quaere the Treatise of Mercury.
Mercurius Praecipitatus
MErcurius Praecipitatus, is very good to further digestion in ulcers evil disposed, and to dispose them to better healing, by cleansing and digesting them; and because it is Mercury or Quick-silver, I have no time for it in this place, but must refer you to my Treatise of Mercury.
Cinabrium.
CInnabaris is astringent, hot, extenuating, and hath the vertues or vices of Mercurius or Argentum vivum. It is of two kinds, either natural, which few know, or artificial, and then it is compounded of Quick-silver and Brimstone, and so is that we buy in the shops.
Flores Anthos.
FLores Anthos, or Rosemary flowers, are hot and dry in the second degree, comfort the brain, heart and memory, and other senses, amend the speech, help digestion, mollifie, cleanse, and cut away flegme.
Flores Balaustiarum.
FLores Balaustiarum, or flowers of Pomgranats, are cold and dry in the third degree, they are also astringent; close up, and stop, they cure the bloody flix, bleeding of green wounds, they are good in lotions for moist and weak gums, kill worms, and fasten loose teeth.
Rosae rubrae.
ROse rubrae or Red-roses are cold and dry in the first degree, refrigerate, and are astringent, they purge cholerick humours downward, open, strengthen, and cleanse the liver from obstructions, comfort the head, stomack, and heart, help against consumptions, and inflammations, cause sleep, and stop spitting of blood.
Flores chamomillae.
FLores chamomillae Camomile flowers are hot and dry in the first degree, provoke the monthly termes, and urine, are good against windinesse, [Page 79] the collick, gravel, stone, aches, fevers proceeding from obstructions, cure wearied parts, also they open, loose, mollifie the hard-swollen and stopt parts of the intrails.
Flores Melliloti.
FLores Milliloti or flowers of Mellilote, are of a dry and hot quality, digest, consume, dissolve, and maturate, prevail against all hot swellings, provoke urine, break the stone, asswage the pain of the kidnies, bladder, and belly, ripen flegm, and clear the eye-sight.
Flores Centaurii.
FLores Centaurii or flowers of Centory, are of a hot and dry complexion in the second degree, purge choler and grosse humours downward, open the obstructions of the liver, kill worms, cause the course of flowers, are good against the Jaundice, hardnesse of the spleen, griefs of the sinewes, clear the eyes, heal wounds, and drive forth young fruit.
Flores Hyperici.
FLores Hyperici or flowers of Saint Johns wort, are hot and dry in the third degree, break the stone, provoke urine, bring down womens flowers, stop the laske, drive away fevers, are good for burnings, and cure old and fistulated sores.
Flores Sambuci.
FLores Sambuci or flowers of Elders, are hot and dry in the third degree, open the belly, purge slimy slegme, and cholerick humours, and are good for hot swellings and tumours, and for the asswaging the pain of the gout.
Baccae Juniperi.
BAccae Juniperi or Juniper berries, are hot in the third degree, dry in the first, and astringent, are good for the stomack, cough, windinesse, gripings of the belly, venomous bitings, infection, contagion of the aire, help the lungs, liver, kidnies, and bladder, and provoke urine.
Baccae Lauri.
BAccae Lauri or Bay-berries, are hot and dry in the second degree, they resist poyson, help deafnesse, contracted and wearied parts, and the pain of the breast, cut of flegme, and take away the scurfe.
Farina Tritici.
FArina Tritici or Wheat flower, is hot in the first degree, stoppeth spitting of blood, distillations of subtill humours, helpeth the cough, roughnesse of the sharp artery, dissolveth tumours, and cleanseth the face from lentils and spots, appeaseth hunger and thirst, and is the principal natural upholder of the life and health of man.
Farina Fabarum.
FArina fabarum or Bean meal, is cold and moist, dissolveth all swellings, is very good for ulcers, evils, and blastings of the genitories, and taketh away inflammations of womens paps.
Farina Hordei.
FArina Hordeacea or Barly meal, is cold and dry in the first degree, dissolveth hot and cold tumours, digesteth, softeneth, and ripeneth hard swellings, stoppeth the laske, and humours falling into the joynts, discusseth wind, is good against the scurfe and leprofie, and allaieth the inflammations of the Gouts.
Furfur Tritici.
FUrfur or Wheat bran, is good against the scurfe, itch, and spreading scab, dissolveth the beginnings of hot swellings, doth slake and swage the hard swellings of womens breasts, and the decoction thereof is singular good to cure the painful exulcerations in the intrails, given by glisters, as is montioned in the cure of Dysenteria.
Farina Volatilis.
FArina volatilis or Mill dust, is used in compositions to stay fluxes of bleeding wounds.
Rosemary.
ROsemary is hot and dry in the second degree, cureth the Jaundice, and the Regius morbus or Kings-evil, comforteth the brain, memory, and inward senses, and restoreth the speech lost or broken.
Menthae.
MEnthae or Mints, are hot and dry, do profit the stomack, appease the hickok, stop vomiting, cure chollerick passions, griping pain of the belly, and the inordinate course of menstruall issue, ease women in their travel of child-bearing, soften breasts swolne with milk, and keep the milk from curdding therein.
Millilotus.
MEllilotus or Mellilote, is hot and astringent, it doth asswage and mollifie hot swellings of the eyes, matrix, fundament, and genitories, healeth the scurfe, and putrified ulcers, dissolveth apostumes of the stomack, is good for the head-ach, provoketh urine, breaketh the stone, helpeth the pain of the kidnies, bladder, and belly, and taketh away the webbe and pearle of the eye.
Salvia.
SAlvia or Sage is hot and dry in the third degree, and somewhat astringent, stoppeth the bleeding of wounds and bloody flix, openeth the stoppings of the liver, cureth the cough, breaketh the stone, provoketh urine, comforteth the heart, asswageth the head-ach, and pain in the side.
Thymum.
THymum or Thyme, is hot and dry in the third degree, is good to cleanse the breast, ripen flgme, and for the Asthma, purgeth cholerick humours, corrupt blood, bringeth to women their natural terms, expelleth the secondine, provoke urine, discusseth wind, extenuateth cold swellings, and helpeth the cure of the falling sicknesse.
Absinthium.
ABsinthium or Wormwood is hot in the first degree, and dry in the third; it is bitter, sharp, and astringent, cleansing, purging, and comforting, excellent to purge the stomack, liver, and reins from the cholerick humours, and to stay the weak stomack from vomiting, cureth the Jaundice, resisteth pestilent infection, helpeth the dropsie and splenetick, and killeth worms in the body.
Carduus benedictus.
CArduus benedictus or the blessed Thistle is very bitter, and hot, comforteth the heart and vital parts, moveth sweat, resisteth poyson, is of much use in pestilent diseases, mitigateth the pain of the reins and sides, killeth the worms of the belly, and prevaileth against bitings of Serpents.
Melissa.
MElissa or Balm, this herb is hot in the second, and dry in the first degree, doth bring down womens termes, helpeth against venom [...] of scorpions, spiders and dogs, comforteth the head, increaseth the memory, and refresheth the vital faculties.
Sabina.
SAbina or Savin, is hot and dry in the third degree, provoketh urine with blood, moveth the flowers, driveth forth the secondine, living and dead birth, cureth ulcers and eating sores, aud cleanseth the skin of lentils.
Radices Altheae.
RAdix altheae or Hollihock roots, are hot and dry in the first degree, they are profitable for the gravel, stone, bloody flix, tooth-ach, Sciatica, and cough: they cure new wounds, dissolve cold tumours, wennes, hard kernels, impostumes, sores of the mother, and chaps of the fundament, are good for cramps, burstings, & trembling of the members.
Radices raphani sylvestris.
RAdices Raphani sylvestris or Horse-redish roots, are hot in the third degree, dry in the second, are good for the stomack eaten before meat, cause wind, and desire to vomit; but after meat, digest, purge flegme, provoke urine, break the stone, help the dropsie, liver, sicknesse, old congh, stopping of the reines, lithargie, collick, and hardnesse of the spleen, stay fretting, and festring ulcers, cause hair to grow, and cleanse the face from spots.
Radices Pyrethri.
RAdices pyrethri or Pellitory roots, are hot and dry in the third degree, good for cold diseases of the head and brain, falling sicknesse, and apoplexie, mitigate the tooth-ach chewed, bring forth much waterish flegme, help the resolution of the sinewes, and cause salivation or a flux of spitting
Radices Angeilcae.
RAdices Angelicae or Angelica roots, are hot and dry in the second degree, they do open, attenuate, digest, cut and discusse grosse humours, they are adversary to poyson, help pestilent diseases, cause the flowers, comfort the heart and vital powers.
Radices consolidae majoris.
RAdix symphiti magni, seu Consolidae majoris, or Comfry roots, are hot and dry in the second degree, they do help spitting of blood, the breast and lungs, cure inward wounds and ruptures, are glutinative, mitigate hot tumours, and heal fresh wounds.
Calx viva.
CAlx viva or unslak'd lime, is hot and dry in the fourth degree, having a fiery, sharp, and burning force: it concocteth, mollifieth, dissipateth, and cureth corrupt stinking ulcers, very hard to be cured, and bringeth them to a cicatrice or skar.
Album Graecum.
STercus caninum, seu Album Graecum, is hot and astringent, stayeth the laske, cureth the Squinancy, helpeth the Dysenteria, and driveth away fevers that come by course, and is very good to strew the fundament fallen withall, for it cureth the slipperinesse thereof, and causeth it being gently put up to stay up; and being mixed and boyled with sallatoyl to the thicknesse of an unguent, is very good to cure the painful Hemorrhoides.
The Conclusion, touching what hath been spoken of the vertues of Medicines, Simple or Compound, for the Surgeons Chest.
THe vertues, uses, and doses of all the precedent medicines here noted, have been gathered from such Authors as either were the Inventors of them, or formerly have taken them upon them; to whose works I refer the Reader: which thing if any well disposed Artist upon good ground shall question, I doubt not to satisfie him. The Authors I have used herein, are these following;
- Galenus.
- Mesues.
- Avicenna.
- Tagaltius.
- Vigo.
- Paracelsus.
- Josephus Quercitanus.
- Renodeus.
- Johannes Jacobus Weckerus.
- Dodoneus.
- Valerius Cordus.
- Riolanus.
- Rulandus.
- Oswoldus Crollius.
- Dorncrellius.
- [Page 81] Augustanus.
- Montanus.
- Matheolus.
- Fernelius.
- Dioscorides.
- Franciscus Arceus.
- Monardus.
- Nicolaus Alexandrinus.
- Serapius.
And some others, whose names sometimes I have remembred and noted, sometimes for haste pretermitted: wherein I confesse I have done them hard measure, like him which in hast sleighteth his good friends; a fault too common.
OF WOƲNDS.
A Wound is a recent solution of a continuity; or a division of that which was knit together, without putrefaction; andDefinition of a wound. is common as well to the soft and organick parts, as also to the harder: it may (though seldom it doth) arise from an internal cause, as the malice of bad humours; but more commonly it comes from an external cause, namely, by the violence of some instrument. For which cause a wound is said to differ in his denomination: for sometimes it is called a thrust or punction, which is made by stabbing with any thing sharp pointed, as a Dagger, Rapier, or theThe divers appellations of wounds. like: sometimes it is named a Contusion, when by a weighty thing offending (as timber) falling down, or violently cast down (as a stone) the flesh is bruised and broken: sometimes also it hath the appellation of Incision, or incised wound, for that it is done by an edged instrument, as a knife or sword. And these wounds are either simple or compound: the simple are onely in the upper skin or flesh, without detriment or losse of substance, which also have their several species or kinds, because of their divers forms; some being greater or smaller, profound or superficial, long or little, streight, round or crooked, of a facile cure, of difficile, or mortal. And for the sounder judgment and better cure of all wounds, (which are either external, or internal and penetrating) there are several signes (of ancient tradition) with much diligence to be had in remembrance, which daily practice also verifieth.
The several differences of all external wounds are discerned by sight or handling.
The places of internall wounds. Those which are termed internal and penetrating wounds, are either in the head, breast, or inferiour venter, and are discovered likewise by sight, by feeling, or by searching with an instrument into them.
The hurt or ruption of the membranes or brain is accompanied with sneesing, vomitting, bleeding at the nose or eares▪ raving and the like: but if the substance of the brain be hurt, those signes are encreased, and a bilious or sharp vomitting is seen; also a fever, dull understanding, with alteration of favour and countenance do ensue; stupidity also and dumbnesse signifie the brain contused.
The breast is observed to be wounded and penetrated, when aire commeth forth of the wound, or when the person sick hath in his mouth a sense of the things applied to his grief.
It appeareth that the lungs are hurt, if the respiration be difficult, a [Page 86] a ratling sound in breathing be heard, and the excrement which is voided from the mouth be spumous, pale, and crude.
The Pericranium hurt hath sometimes sudden and often swounding for a sign, though some neverthelesse having the Penicranium wounded or contused, have no evil symptomes extraordinary to other mean wounds of other parts.
The Heart wounded hath the refrigeration of all the parts, extinction of natural heat, and death attending thereon.
If the great Veins and Arteries in the breast be offended, and immoderate flux of blood, defection of vertue in all the faculties, a cold and an unsavoury sweat doth ensue, and death within a few hours.
The solution of continuity in the sinewie parts of the Diaphragma, causeth convulsion, difficile respiration, an acute fever, raving, and death: but if the fleshy part onely be agrieved, it is capable of remedies, and suffereth not such dangerous symptomes.
If the recurrent Nerves be wounded, there followeth losse of speech immediate motion and sense also is suppressed, and that without recovery.
In the wounds of the Liver appear vomiting, bloody dejections, much pain, a continual fever; and if they be deep, fainting, resolution of the spirits, cold sweat and death follow,
The Spleen offended is as the Liver affected, save that the symptoms are in the right side, the other in the left.
The Ventricle is demonstrated to be wounded by the voiding of chylus, frequent vomiting, swounding, fainting, and death.
When the excrements are retained in the belly, and issue out of the wound very unsavoury and putrefied, and hot by the natural place, it is plain that the intestines are hurt,
The sign of the Reins or Kidnies wounded, is the suppression of urine which causeth a sore pain in the groine and testicles, with inflation or swelling even to death.
The accidents of the Bladder offended are one with the reines, unlesse the sinewie parts thereof be grieved, and then distention of the belly, pissing of blood, vomiting, voiding of urine at the wound, suppression of the faculties, doting, and death follow.
When Spinae Medulla, or the Marrow of the back bone is hurt, there followeth the resolution of the sinewes (which hindereth the function of the sense and motion) voluntary evacuation of excrements appear, and for the most part death is the immediate conclusion.
The solution of a Veine is known by blood of red colour and thick substance.
The testimony of an Artery hurt, is blood somewhat yellow, subtie, thin, hot, beating and leaping, or violently issuing, and as it were by jumps.
The Tendons, Membranes, and Ligaments wounded or incised, bring the same symptomes as the Nerves do.
The Cure.
Wherein the cure of wounds in general doth consist. THe Cure of wounds is either by the help of nature or medicine: if by nature, the strife is at an end, the Artist may save a labour: if [Page 87] by medicine their cure consisteth both in the reduction of parts disjoyned and dislocated to union, and in consolidation and true conglutination of them: therefore it shall be necessary to consider, that if any thing hinder consolidation it be removed: that reduct on be rightly and skilfully wrought, lest the parts adjoyned fall into relaps, and that the substance of the part with his natural temperament be conserved: and lastly, that the symptoms be prevented, and carefully cured as they arise.
The first intention in curing of wounds is to take away whatsoever is besides nature, as Iron, wood, lead, or ought else with fit instruments, and that without pain (if it may be) to the diseased, that consolidation may the better be effected. In wounds▪ of the head, to take away the hair, or what else might seem to hinder the good application of medicines to the grief, is the first part. Strive also to set well the veins and nerves displaced, that the beauty and due office of the member be not diminished, and that it may conglutinate the easier, and being united, keep them so by Ligature, future, and other due and artificial means.
It is requisite also that the natural temperament of the part be carefully preserved: and that is done by a certain carefull regiment of the body, which is universal or particular.
The universal regiment consisteth in purging medicines, as Potions, Glisters, a sober and frugal dyet, abstinence from wine, venery, and all kinds of meats which may move or attenuate humours, and moderate use of good nourishing sustenance, all which helps the poor Sea-man is not capable of in long voyages.
The particular Regiment is in remedies which confirm and strengthen the natural heat of the member debilitated, and which hinder and avert fluxion: such are Unguentum Nutritum diapalma, I mean Diacalsithios dissolved in Oyl of Roses, Ceratum Refrigerans, Rosat. Messue. Ungu. de minio, or the like.
The general accidents most to be feared that affect the wounded are Haim rrea, dolour, tumour intemperature, a fever, faintnesse of the heart, convulsions, specially where a sinew is wounded.
The cure of Ha morrea. Haimorrea, or flux of blood is stayed by medicaments astringent, fitted and applyed with convenient future or ligature; and sometimes by medicines caustik, either actual or potential, touched in the Treatise of amputation or dismembring.
A Tumour is an unnatural increase, exceeding the natural state in the body, and inducing an offence of the actions of the same, the cure whereof is touched elsewhere.
Intemperature is either over much heat or cold, & his remedy is by opposites, as namely, to too hot imtemperature (apply a cold medicament &c.
The intemperature of the Liver chiefly consisteth in oppilation or debility of the faculties thereof, and is helped chiefly by wholsome nutriment: the lamentable want whereof at Sea, is the cause of many the grievous obstructions, and other evil effects in Seamens bodies: so that ofttimes a good Artist shall not be able to heal a mean excoriation.
The Accidents common to the wounded heart, as is said, are swounding, palpitation thereof, a hot burning fever, and many other.
[Page 88] Syncope is a solution of the spirits which forsake the heart, whose remedy is Cordials, if God have appointed life.
A Fever is a heat in the heart more then natural, infused and dispersed through the whole body, whose cure is by purging, bleeding, and good government.
A convulsion is a dangerous disease of the brain, which often-times is a fore-runner or a messenger of death.
The diseases in the brain are either in the membranes, substance, or ventricles, and passages thereof; whose species and symptoms are many, and for the most part very dangerous, and of difficult cure: For if the substance of the brain be offended, the functions thereof are impedited, whence proceedeth doting, melancholly, foolishnesse, slothfulnesse, Lithargie, frenzie, madnesse, losse of memory, deadish sleep, giddinesse, apoplexie, Paralysis, and divers other like accidents formerly recited. And if the ventricles of the brain be wounded, then the motions and senses thereof be grieved. Wherefore for the better cure of these wounds in the brain, desiccation and cicatrization in due time is needful, either by simple medicaments, (as Spiritus vini, b [...]l [...]s Armeniae, Terra sigillata, Lithargirum, Cerusa, Tutia, Adust lead, Burnt paper, Allom water, Burnt Vitriol) or by compound medicines, (as Vng: desiccans rub: Diapompholigos, & Diapalma.)
Divers Accidents will have divers medicaments. And as you see the accidents of the wounded are divers, so the remedies are not all alike: but some are general, others more peculiar
Those that are onely in the skin or flesh have no difficile cure: for oft-times Nature with some easie remedy, or a Ligature onely doth help them: but those that are compound, offending many parts, need a methodical and convenient order of curation, which is divers, as is said, according to the diversity of the parts affected: for if contusion or ruption be onely of the flesh under the skin, there is required consolidation by easie comfortation, and desiccation; and no suppuration, which is effected onely by nourishing and preserving the natural heat or humidity of the member, as in other wounds.
But a contused wound, if it be be great, requireth purging Glisters, potions, or pils, phelbotomie, a wholsome dyet, perfect evacuation of the humour that commeth from the veins, and suppuration of the contused and livid flesh; which two last, are affected at the first by mean remedies; as oyl of roses and mirtles, & sometimes by a Paracelsus plaister. It will desire also suppurating medicines, fitting the greatnesse and nature of the contusion. It may be healed in the manner of an apostume; and if putrefaction be feard, the use of a good Lixivium, of cupping Glasses, and light scarification, is most necessary, that the humour about to putrifie may be evacuated, so shall the wound be better cured: but when the wound shall be with losse of substance, then let thy endeavour be (by renovation and regeneration of the substance diminished, or the intemperatureAnother note for the removing of that which is besides nature in a wound. carefully by convenient digestive medicines to produce laudable quitture, and that the part affected be kept in his natural temperament and faculty, for thereby it doth concoct & digest the matter flowing unto it; as also consider diligently the excrements of the wounds, their substance, [Page 89] quality▪ and quantity, these will shew thee what is superfluous, not natural, and what hindereth the action and duty of nature, that it may be corrected and taken away by fit and convenient remedies. The medicaments incarnative, or for regeneration of the flesh, are the flower of Barley, Beans, Lupines, or Orobus, Myrrhe, Aloes, with Aristolochia and Ireos, which are usedeither by themselves, or mixed with turpentine, Mel Rosarum, Syrupe of dry Roses, the yolk of an egg, or the like: also Basilicum, Unguentum Incarnativum, are good incarnatives, the Emplastrum gratia Dei, made of juyce of herbs, the Emplaister of Betony, dissolved with Axungia porcina: and follow the general rule, Let the dry be more humected, and the humid more desiccated.
How to cure venomous wounds, which are either internal or external. The cure of wounds caused through the biting of venomous beasts (as mad doggs, scorpions, vipers, serpents, bees, fishes, waspes, hornets, swine, or other the like, is performed first by taking away that which is virulent, extracting, dissipating and consuming the poyson; which work requireth internal as well as external medicaments. The internal must be such as comfort and confirm the parts diseased (as Theriaca, Aurum vitae, Confectio Alkermes, Bole Armenick, Conserve of Borage, Buglosse, Rosemary flowers, and the like) that so the virulent vapour may be abolished, which otherwise will infect the whole body. The external must also intend to extinguish the venomous vapour (and such are cupping glasses and scarification, also all hot medicaments attracting, as Galbanum, Ammoniacum, Bdellium, Emplaistrum Diachilon and divinum, a fomentation made with the herb Dragon and Mugwort boiled in wine, Triacle, Garlick, Onions, Fimus columbinus, and the like) which being done, the cure shall be after the manner of other wounds of the same magnitude: but in mine own practice, I heat Balm artificial feething het, and apply it for the first dressing, if I fear venome: and if I fear a Gangreen, I use Aegyptiacum as hot as may be, and over the wound I apply a Lixivium: slender and wholesome dyet is also good, that may neither increase melancholy, nor heat much the blood; and abstain from bleeding, unlesse the noble parts be tainted, & then thou maist not safely purge, but rather sweat, which is best known when the animal faculties are offended.
The cure of wounds in the arteries. The wounds in the Veins and Arteries, bring with them commonly a flux of blood, which to stay is a special businesse, consisting chiefly of astringent remedies, good application, future, ligature of a vein or artery, if it may be done conveniently, and sometimes caustick medicaments; yea, incision, phlebotomy, the use of cupping glasses and ligature on the parts opposite; which three last are not alwayes to be presumed upon as safe courses, but upon need, if so be the vein or artery wounded be great: many things are of force put in practice, which otherwise seem very harsh. The astringents simples to make compounds, are Bo [...]e Armenick, Terra sigillata, thus, Aloes, Mastick, Myrrhe, Sanguis Draconis, Flower of wheat, barley, mil-dust, and divers sorts: likewise Allum, Vitriol, Precipitate, Mans blood dryed, and sundry more, sometime to make a ligature upon the vein, wound, or artery, which is the binding of each end thereof, being first caught and holden with some fit instruments; and tied with a sure and strong silk thre [...]: but oft-times it [Page 90] happeneth that the ends of the veins or arteries wounded cannot be found, in which case an actual caustick remedy, or a potential caustick medicament, which induceth an esker, and stoppeth and covereth the orifice of the vein, is convenient: some also lay their thumb on it so long, untill it be somewhat of its self stayed, and then bind it up, which is good in mean fluxes: I have often prevailed so. Now after that the flux of blood is stayed, let the sick party be contained in a place neither too hot nor too cold, and dark, speaking little, that the cure may be accomplished with more ease to the patient.
The wounds made in the nerves, tendons and ligaments, whether byThe cure of wounds in the nerves and ligaments. incision long or overthwart, a thrust profound or superficial or by contusion, great, little, or mean, require a good dyet, such as is, meat easie of digestion, refrigerating and causing little blood; but the choice of such things at Sea must be forborn: also that the body be kept open by Glisters, moilifying and cleansing, and (if need be) by potions easie and gentle, that the humours be not too much stirred to inflammation: blood-letting is sometimes needful, likewise anodine medicines which resolve and extract corruption by the pores of the skin, strengthen the part affected, and have an infinite, or a certain property to comfort the sinewes: such are Turpentine and the oyl thereof, oyl of Euphorbium, Rue, Worms, Yolkes of Eggs, Rosin, Pitch, as also a Cataplasme made of bread crums, milk, and a little Saffron, the like made of Althea roots two ounces, Mallowes and Sorrel of each an handful, flower of Beans, Lupines and Orobus, of each two ounces and an half, red Rose leaves powdered half an ounce, common honey two ounces, Chamomile oyl one ounce, all made into a Cataplasme according to Art. But if pain and inflammation be in such wounds neer to an article or joynt, apply a cataplasme made of bread crums, with the juyce of Hyoschyami, or cool herbs, or Ung. nutritum, populeon album, or some of those, that the burning heat may be extinguished; or of oat-meal sodden in water with a little oyl: But if convulsion happen to a sinew wounded or pricked, cut off all the sinew, for if the nerve shall be wholly abscised, lesser symptomes, through impotency and deprivation of action ensue, then if the middle or any part be wounded: the cure (and note it) is not so safe to sew it up together, as some think, because his adunation is uncertain.
The cure of a nerve contused. If a sinew be contused without any wound, let it be corroborated by medicaments strengthening and astringent. The cure of the wounds of the head is not alwayes to be presumed upon, though small, nor yet despaired of, though great. Consider therefore diligently whether the brain it self be hurt or no; if the brain be offended, it is to be known partly by the inflammation, dolour, apostumation, retraction, convulsion or deprivation of the functions of the senses, and death also is suspected presently, or within a few dayes to follow: and if the palsie possesse the opposite part, it being sound and whole, it is doubtful, and the sympathie of parts will cause oft-times an abscesse in the Liver and Messenterium, and an intemperature of the vitall faculty, with a continual fever and death. It shall therefore be necessary for the [Page 91] wise artist to know the manner of the hurt, that he may wisely prognosticate the danger: for if only the Pericran. be hurt by incision, without any contusion, and far from the commissures or seames, it is not dangerous at all to be cured, and the cure to be wrought, is as in other wounds: but if it be much wounded by punction or contusion, and symptoms arise with a tumour in the head, then dilatation is needfull, that the contused blood which is between the Cranium and the Pericranium may be extracted; and let it be quickly done, so shal the symptoms cease and the cure will be easie: but and if the offence of the Pericranium be in the suture or seam, it is more dangerous, because the brain doth sympathize with it. If the Fibres passing through the sutures of the Pericranium from Dura mater be wounded or contused, it exceeds the other in danger; therefore to resist putrefaction, let the wound be mundified: and if no fracture of the bone be (the wound appearing only in the flesh, without any offence of the Pericranium) the cure shall be as in other wounds. But if a fracture in Cranium chance,Special observation if the bones of the head be br [...]ken there is required great care, namely, let the form & magnitude thereof be well considered, observing also diligently what bone it is, and in what part it is hurt, and whether the fragments are great or little, or sharp, pricking the Membranes or not, which, of what sort soever they be, they are diligently to be drawn out with as much ease as may be to the Patient; and if they cannot, being broader within then without, let the trapan be carefully used; the use whereof is touched in the book of instruments, under the name trapan. Sometimes there is onely a depression and then a levatory instrument wil excuse the use of a trapan, and take away the spils and fragments which are upon the membrane & the blood also which shal issue out upon the same may by a spunge be taken away: keep it likwise from cold, and of a temperate heat, and the place hurt being well cleansed, poure mel rosarum warm into the wound, or 2 parts of hony, and one part of oyl or syrup of drie roses, or common hony with turpentine, with the yolk of an eg, which are remedies mundifying, and grateful to the membranes, and ought to be applied warm, but above all others the linament of Arceus is the chiefest balsom for wounds in the head. The general remedies for wounds of the head must neither overmuch refrigerate, nor overmuch calefie, but be of a moderate or temperate calour. The general manner to proceed to the cure of the wounds in the head, is as followeth.
First, let the hair be shaven away; the next, if any loose bons be, take them out; the next to be done, is, if a depression of Cranium be, strive with the elevatorie to raise it; the next is, to stay the flux of bloud if any be, leaving of the grief undressed for two daies, that the veins may knit; then inquire of the Patient if he have the benefit of nature, if not, procure him one, not many stools, and only see he have natural stools once a day, or in two daies, not by potion nor pils, but rather by glister or suppositorie. At the second opening of the wound, if occasion serve, use the Trapan, or take out any spils or bones that seem to offend, ifInstructions very needful in the bead wounded the second time open [...]d. they be very loose, not else; force nothing out of the wound, except the Patient his great necessity force thee thereunto; for nature is kind, [Page 92] and ready to do wondrous help in the cure of the head. For the second application, have ready of the noble linament of Arceus, never sufficiently commended, and being somewhat hotter then the partie would willingly bear it, annoint the wound therewith in each place, with a little soft lint on a Probes end, leaving the said lint therein, and with plegents of lint drie fil up the orifice, & after anointing about the edges of the grief, apply a plaister, either of Emplast. Betonicae, Stipticum Paracelsi, Minium, Mellilote. or Diacalsitheos. In want of Arceus linament you may take oleum rosarum, and mel rosarum, which are not much inferior to the former, being warm applied; some use therewith also a digestive of Turpentine, and the yolk of an eg well mixed, ana alike quantitie, wherewith they spread plegents, and then dip them in the warm mel and oyl mentioned, and so apply them, which is very good and the most ancient practice in curing wounds of the head.
In want of oyl of Roses oyl of Olive will do wel, and common hony for mel rosarum, though not so well: and if cause be, some Artists mix spirit of wine, or good aqua vitae with the former medicine, and it comforteth wel the brain, and very much furthereth good and speedy healing: good bowlstring, and ligatu re doe much avail to the cure of the head: also it is good to keep the partie lying and in a dark place, till the greatest danger of accidents be past, remembring withall that the overstrict keeping him in, may also be very offensive to the sick.
Let good diet strictly be observed, if occasion be, and the use of Glisters likewise upon good reasons is also to be approved; and it is good to open the Cephalike vain if the brain have been long uncovered, or yield a spumous white and thick excrement, which seems to be a portion of the substance of the brain: likewise to purge the body, mundifie the wound, and corroborate the brain with Cordials, and fomenttations fitting, the chiefest is good wine and hony to foment with; but I seldome use any Fomentations my self, having cured divers Fractures in the Cranium without any Fomentations at all; for the use of them at Sea, I know is troublesome and dangerous, except greatDiligent observation of the accidents of a wound required. cause. Be careful also to observe the danger of thewound, according to the accidents thereof; for if it be little and superficial, it is cured as an other wound, but if it pierce the second table, it must not be passed lightly over; for if you be occasioned to use the Trapan, it is to be applied the third, fourth, or fifth day after the hurt at the farthest; but the choice of the day is not material, as some suppose, where there is apparant necessitie, except on the day of the full of the Moon, and then there is danger more then at other times, but necessitie hath no rules,
The cure of wounds in the face, would if it were possible be done without a cicatrice, but that cannot be performed without a drie stitch with also a most artificial, & convenient binding the lips of the wound together with also a sure natural balm: wherefore I will not stand to teach the drie stitch here, for it is not proper at sea, it fits the land bettet. In the work of suture or stitching, take heed that the skin and flesh be not overthick which you take up with your needle, and let not your stitches be too close. A true ligature of the face is somewhat [Page 93] difficult to be performed, because of the cavities thereof, which are to be filled with linnen clothes, or tow, or lint, the better to keep the ligature to the wound.
Where ligature is needfull. The Nose and Eare wounded require good and carefull ligature, and Emplasters that will cleave fast to the grief.
The wounds of the eyes are dangerous by reason of their affinity, as well with the Pericranium as the other Membranes of the brain, so that they are for the most part full of bitter pain, causing losse of sight: wherefore by Glisters, bloud letting, cupping Glasses, Purgations, and sober diet, the accidents are to be stayed. The medicines outwardly which I have used ever with good successe, are the artificial Balm with fine lint warm applied on the eye lids, and a Paracelsus plaster over that, and therewith I have done great cures in wounds of the eyes; but I never dropt any medicine into the eye it self.
The wounds of the neck are healed as other are, unlesse the hinder part thereof be hurt, which hath like symptomes to the brain.
If the shoulder be wounded, it is cured as other wounds, except the wound be in the joint-bone, ligaments, and nerves, which needeth a suture; and if it be overthwart, a convenient Fascia, or Ligature for the sustentation of the arm is to be carefully provided, for without good ligature those wounds do not well: For ought else their cures are common to other wounds.
The cures of the arm are sometimes dangerous, chiefly if the bone, and ligaments, or the muscles with veins and nervs be incised thwart; let the remedies therefore be such, as are proper and agreeable to the nerves; as namely, the artificiall Balm very warm applied, and a Paracelsus plaster with ligature fitting.
But if the hands be wounded, and the tendous ligaments, and sinewie parts thereof offended, divers abscesses in many places, with Inflammations appear sometimes, and exceeding sore: Sometimes pains arise, which may occasion the use of purgations, blood-letting, anodine medicaments, and a spare wholsome diet. In these cures the artificiall bearing up of the arm is a chief part of the cure thereof, and keeping the hand in one even position.
The wounds of the Thorax external, suffer to be covered with flesh and to be healed as other wounds; but wounds that penetrate the inward patts are dangerous; namely, if any great quantitie of bloud lie in the capacitie of the Thorax, which cannot be evacuated by the wound; but if it can be evacuated there is hope, otherwise it is desperate▪ Also, if the blood may be extracted, and no internall part seem hurt, heal up the wound and be careful the aire get not into it; but if the external orifice be litle, and the internal great, and wide, the Membrane being burst, and a rib uncovered, as it oft times falleth out, it is to be judged incurable, and a Fistula will remain their continually. And if the former part of the Thorax be strook thorow even to the latter, but not thorow both, if the wound be little and slender there is some hope of cure, otherwise not, but it is commonly past cure, yet neglect not thy duty, nor despair, for God is merciful: Let thy cure be [Page 94] attempted with good diet, as is said, cly sters bleeding, syrupe of Violets, and Hysop and the like, unguentum potabile drunk fasting ʒ ii. or 3 for a dose, and such local Medicines as are mentioned; but if pain or the like accident shall be in any part of the Thorax, use anodine medicaments as well as sanative, lest pain hinder rest and overthrow all.
The outward wounds of the belly do nothing differ from the generall method of other wounds, touching local, Medicines, onely in stitching they differ much, but the inward differ, as the parts offended may be divers: as namely, when the Omentum commeth out, with all hast put it into its place lest it corrupt, and the aire alter it: if it shall be put in cold, it will putrifie, and bring grievous Symptomes; it were better to make a Ligature about so much as is out, and cut it off, being careful of the guts: If the intestines passe out by a wound, the wound being very little they will hardly be reduced, unlesse they be pricked, for they will swell with wind: but if the substance of a gut be wounded, sow it together and consolidate, it; and if the liver, splene, stomack, kidneis, or bladder be wounded, let nature work its part, for there is small hope by art to prevail.
The wounds of the Scrotum are cured as other wounds of the sinewie parts.
The cure of the Hyppe wounded agreeth with that of the shoulder afore mentioned.
The Knee wounds also are cured as▪ other sinewie parts wounded are. The ancle, foot, and sole thereof wounded are hard of cure, because there are many bones, ligaments, tendons, and finewie parts among them: they are also placed in the lowest part of the body, and therefore are subject to defluction of humours.
Of Gun-shot wounds.
VVOunds made by Gunshot are alwaies compound, never simple, and are the more difficult of cure by reason of a certainWounds by Gunshot are compound. humor without the veins found neer them, inclining to coruption; the quality thereof being changed by the sudden violence of the blow. The composition of which wounds for the most part consists of loss of substance, contusion, fraction of many sinewie fibres, veins, arteries, membranes and bones; yea, often shivered into divers pieces, being inThe divers form ofwounds by Gunshot. form different, as some round, narrow, and wide, and in figure cuniculous, triangular, quadrangular, fistulous, &c. at the first bringing with them no Hemorrhea or flux of blood, although the veins be broken & open, the blood returning back through the fearful violence of the strok. The first curative intention of these wounds is dilatation, where by the enemy to nature may by an open orifice be expeld. The symptoms of such wounds are Hemorrea, furtive, or a stealing flux of blood trickling out by little and little, Gangrene unawares assaulting the part: also apostumation, dolour, and the like. Wherefore as an entrance to the cure, let an universall regiment of the sick be carefully observed, [Page 95] namely, that as much as is possible he use wholsome aliments, such as resist putrefaction (as sowre and tart things) and which are grateful to the vital faculties: and when he eateth, let it be sparing and often: let him drink very little wine. If you fear venemous vapours may be gathered, give him of good Mithridate, Venice Triacle ʒ ss. or Diatesseron ʒ ss. These rules at Sea are not so well to be observed as at Land; wherefore let the Sea-Surgeon therein do his best: let his ordinary drink be Ptisans, or Barley water: conceal from him the magnitude of his wound, keep him loose onely with Glisters, or suppositories, let him blood if need be, and yet but a little, lest poyson or venome setled in the outward parts, be thereby drawn in back into the more noble parts: and abstain to give him remedies calefying the humour, especially at the first.
In these wounds often appear exudations of clammy humours, supposed by some to proceed from membranes, and sinowie Ligaments bruised and broken, being changed from sound to unnaturall and vicious: those humours are to be evacuated, or their dangers prevented by good alterative remedies; namely, abstersive medicines, as a good Lixivium, or by suppurative, mundificative, and desiccative things having faculty of confirming and strengthening the parts affected. Therefore the fear of a Gangreen being taken away, suppuration must be intended in the flesh contused, but if in the parts contused there be a vicious humour, and the flesh about do putrifie, in such cases it is convenient to help suppuration with all speed.
But first of all let a good Alexipharmacon or Preservative against poyson be given the sick, if you see cause; namely, a little Venice Triacle other Triacle on the point of as knife, if it be right and good: but if you do fear the vertue thereof to be doubtful, as often it is, give it dissolved in spirit of wine, Cinamon water, or good aquavitae, whereunto add certain drops of Oyl of Vitriol, for it exceedingly resisteth putrefaction. You may for a need give Mithridate, London Triacle, or Diatesseron alone: or if the party be of a cold constitution, then give him Diatrion piperion (or good Rosa solis a little. And if he be strong, after he is dressed, you may lay him to bed to sweat, and procure: him thereto by a dose of Diaphoreticon given in Triacle or Mithridate, regarding, as is said, that the sick have the benefit of a natural open body; yet not many laxative stools for fear of danger: Let care also be had of his dyet, as is said, so much as the time and place can permit. Which effected, in the next place consider by the view, of the wound, what manner of local medicaments are most fit. And for the first intention of curing, it were fit the Surgeon at Sea were never wanting of a good Lixivium, to foment the parts percussed or contused; let it be such a Lixivium as I have described in the cure of Fractures, but somewhat sharper; to which for brevity I referr the Surgeons Mate. Also have ready Ung. Aegyptiacum, and the Caustick stone, if it may be: also the Artificial Balm, Oyl of Vitriol, a good Restrictive powder, good Ligatures of all sorts, stitching needles ready, with all other fit instruments not far off if occasion should be, as tents, splints, dorsels, spunges, clowts, [Page 96] rollers, tape, tow, lint, plaisters ready spread, and the like, that when an occasion happeneth, he might be ready to perform his duty.
The most notable differences I have ever observed betwixt wounds made with Gunshot, and other contused wounds, is onely a furrive Hemorrage, and a dangerous disposition to a Gangreen; which two accidents warily prevented, the cure of such wounds differ nothing from ordinary wounds contused.
In the curing of wounds of the head, as is said, Arceus Linament is the chiefest Balm: the next thereunto in common use, is Mel Rosarum & Oleum Rosarum mixed, then Honey and Mel mixed with good Sp. vini, if the party be not too hot of constitution, Unguentum Basilicon is a good healing Balm; also the Unguentum Incarnativum, or Unguentum aureum, is generally a good healing Balm; you shall find it no lesse. Ung. Necot [...]anum is also a good healer of new wounds; but the best is the Artificial Balm. For dangerous wounds, Oyl of Terebinthine is very good; but Venice Terebinthine alone is much better; and common Terebinthine is not to be despised; and no more is the ordinary Digestive of Terebinthine and the yolk of an egg, of each a like quantity well mixed together.
And yet I would not doubt at all without all these recited medicines, to find sufficient healing medicines in the Surgeons Chest for double the occasion that can be imagined, which if time would permit me, I would write of.
Directions how to prevent putrefaction to great wounds incident by [...] Gunshot. And whereas putrefaction, as is mentioned, alwayes attendeth great wounds made with Gunshot, all care in time is to be had to prevent the same. Let therefore your first local application, if you fear putrefaction be Unguentum Egyptiacum mixed with Wine or Sp. Vini, or alone; being also very hot injected into the wound, or applied on lint. And if you fear it will require yet more exsiccation or cauterization, add some bumt Vitriol, and foment somewhat the outward parts of the grief with a hot Lixivium, and apply a hot stupe wet in the Lixivium, and wrung out round about the member: but if the outward parts about the wound be altered in colour, or grow either stinking or insensible, make scarification and foment well with strong hot Lixivium, and inject thereof into the wound very hot; and after such fomentation, scarification, and injection used, as is said, then if you yet see cause, you may use the former mentioned Egyptiacum, with a hot stupe, and remove not that dressing without extraordinary cause, I mean the Egyptiacum, in lesse then 48. hours, but rather, if you have caused a good Esker. The next dressing after the Esker procured by the former dressing, it is likely you shall find digestion though imperfect, namely, durty and foul, and the wound will also be very tender and sensible, and subject to alteration by the ayre, if care be not had. Wherefore all things for your next intention of application being first ready, ere the wound be opened make a very short dressing, and of as gentle medicines as may be. I have used an Arceus Linament warm, and with soft lint applyed, and the edges or parts neer the wound anointed therewith, and gently filled the wound with lint, then over that a Paracelsus plaister, and moreover a large hot stupe wet in a good Lixivium, and wrung out, with also convenient, soft, and [Page 97] warm Ligature, which is a great help to healing.
The third dressing, I would leave Arceus Linament, and betake me to the Artificial Balme; which Balme I would apply warm, anointing the parts about therewith; applying also thereto some good emollient, discussing, anodine plaister; as namely, Paracelsus plaister I hold chief; next that I hold Emp. Betonica described by Arceus; then Diacalfithios, Minium, Gratia Dei, or Mellilote, any of which, as thy discretion and store affords, is proper. The rest of the Cure I refer to be proceeded in with balm and plaisters, as is said, in ordinary form: and if any loose bones be, remove them: onely force none out before their time without great cause: if no bones be imagined, strive not to keep the wound open, neither keep any hard tents wirhin the wound open. Many by a custome keep tents to the bo, ome of the grief so long, till they make the disease incurable: you need not be too vigilant in keeping new wounds too long open; for the fear of putrefaction being once put away, and digestion procured, and no bones to come out, the sooner you can heal, the safer. Many Surgeons also have a grosse custome of arming tents, as they term it, with precipitated Mercury, or other the like Caustick medicines, and put them into wounds to mundifie, and also the better to digest them, as they imagine; but I may boldly affirm, that (as is said) if neither fear of a Grangrene be, neither broken bones to be taken out, there is no cause of any Caustick medicines to applyed for the curing of a new wound at no time. And I find by practice plain, that Caustick medicaments within ulcers or fistula's have no other use but to take away a callous substance commonly in them, to alter the viciousnesse of the humour, and dispose the grief to a good healing; which healing after followeth chiefly by the benefit of nature, together with gentle and sanative applications, for (subl [...]ta cansatollitur effectus) the cause removed, the effect ceaseth, and so fo wounds.
An admonition to Surgeons. It is a shamefull errour of many foolish Empericks still to be too busie with Caustick medicines: for how apparent is it that thereby they lame many, through ignorance? They will not see a wound incarn and red, and good flesh to grow, but straight they slander it of pride, and call it proud flesh, like their own, and then must at the fairest Precipitate, or Vitriolburnt go to work; yea, though the Patient be lame for it, or at the least the grief put back again. Truely the abuse of good Caustick medicines, bringeth much slander to the Art of Surgery. In the cure of Ulcers and fistula's and else where, I have noted down my opinion of the true use of Caustick medicines, to which I refer the Reader.
If therefore wounds happen with Gunshot, which give no cause to fear a Grangrene, then begin the first dressing with Balm Artificial very hot applyed, the next dressing reasonable hot, and so to the end of the cure, using emplaisters and Ligatures convenient.
Of Burnings.
Of burning by Gunpowder. Necessary Rule [...] for the Cure. BUrning by Gunpowder (which wanteth no grievous accidents) often-times is incident in Arms to Souldiers and others; therefore be ready at all times with remedies fit and effectual to asswage them. And beginning thy work with Lotions, as namely, either a fomentation made with oly and water, or with a decoction of the seeds of Quinces, or of Mallowes, March-mallowes, Violets, and a little Purslaine seed; these and the like take away all the powder that sticketh in the flesh, for it hindereth the cure. And to asswage both the dolour thereof, and the vicious humours, Mel Saponis is an approved remedy, for it taketh the fire out: And to make it more easie for suppuration, use Anodine Medicaments (as Ceratum refrigerans Galeni, Poputeon mixt with a third part of Unguentum album, or a third part of Triapharmacon and oyl of Roses, or Oyl of Eggs, or of Roses mixt with the white of an egg, Axunglaporcina washed in the juyce of Plantane, or the juyce of Solanum, or in water; also the fat of rustie bacon washed in Rose-water, or the [...]ke. Also a decoction of wine vineger lib. i. Litharge in powder ℥s, and gently fomenting the part therewith, taketh away all pains. But to perfect the cure, let good sanative medicines be applyed; as the Unguentum co [...]a ignem, set down in the Chest, whose composition shall be manifest hereafter.
Observe also, if occasion be, that blood-letting be used, which is very requisite to avert fluxions, and to avoid putrefactions of humours. But abstain from purging potions, and the like at the first. With these recited helps, administred in their due time and place, with also a good dyet, the Surgeons Mate shall perform much in short time, to the praise of the Almighty and his own comfort.
The Cure of Apostumes.
First what an Apostume is.
The Definition of an Apostume. AN Apostume is a tumour composed of three kinds of diseases, as Avieen affirmeth, namely, Intemperature, Incommoderation, and Solution of continuity, all gathered into one magnitude: and Tagaltius in his institutions affirmeth, every tumour against nature is an Apostume: The differences of tumours are many, and are by many learned Writers handled at large, of which my leisure will not permit me now to write.
The times of an Apostume are four. The times of Apostumes are also at large handled learnedly by Mr. Gale, Johannes de Vigo, Ambrose à Paris, and divers other good Writers, and are noted to be in number four, as namely, Beginning, Augmentation, State, and Declination.
What the begining of an Apostume is. A good rule. The beginning of an Apostume is noted to be the first collection of humors, extraordinarily intruding into any one part of the body, at which time with the Chirurgions care, the proceeding of the disease is easily hindered, according to that old Poetical verse, Principiis ob [...]a, &c. The next time of an Apostume is the Augmentation, when the disease hath taken root, and is not so well to be put back, neither is it alwaies necessary nor safe to attempt it: for it may be nature hath determined to send it out, and this second decree or time of an Apostume is sometimes known by heat, and pulsation increaseth a distemper generally of the body, and an inclining to a feaver, especially if the Apostume be hot, or have malignity therein: but the augmentation of cold Apostumes have often no other signs notable: but onely an appearance of increase, without any other distemper of the body for a long time together.
what the state of an Apostume is, and the signs thereof. The third time or degree, which is the state or ripenesse of the grief is well to be known divers waies, as namely, the Apostume by this time is come to perfect maturity, and the pain is either wholly or partly asswaged, and the matter being neer the skin, each child in Chirurgery may judge what is next in Art to follow, by the beating out and discolouring of the skin, for usually it is discoloured blacker, or is very soft, and if the Apostume lye deep by feeling, you shall also sensibly perceive whether there be perfection of maturation or no, also by depressing the cutis a little with your finger.
When an Apostume will suppur [...]e H [...]ppocrat. cap. 2. lib. 47. Mark also out of the words of the Ancients, to know when an Apostume will proceed to suppuration. Hippocrates lib. 47. cap. 2. hath these words, that whilest Pus is in making, paines and feavers do afflict: but Pus being made, paines and feavers do decline: And to [Page 142] Tagalt. Instit. confirm the former words, Tagaltius in his Institutions, cap. 3. hath these following verses.
The fourth time of an Apostume. The declination of Apostumes, I cannot stand to amplifie, but I refer you, as before, to Mr. Galles Institution of a Chirurgion, as also to Johannes Vigo, and other good writers, for a more ample doctrine in that point, onely note that when the tumour or apostume is ripe, mine opinion is rather it be opened by a potential caustick medicine, then by actual incision, when it may be as conveniently effected, and that for many good reasons, and one sufficient reason in mine opinion is, if you use incision, you must needs put in tents dossels, or the like with medicines, to keep open the orifice, and also to enlarge it, which doing you stop the passage of natures true evacuation twixt each dressing, offending the parts adjacent, and hinder the unition of the disjoyned parts, against conscience, detracting good healing: yea, and thereby hazard divers evil accidents to follow, as fistulaes, &c. fromCaustick incision commended. all which by caustick incision you are freed, and fear not at all the application of a convenient potential caustick medicine in due time and place, especially the impostume being ripe, and the skin thin, for you can pierce no further then thorow the cutis, though you would▪ for being onely thorow the skin, the matter will choak your caustick or corrasive medicine; neither doubt at all, that your work shall succeed otherwise then well, for nature will provide remedy speedily, easily and safely to heal your patient: provided you be also careful to use your endeavour with good warm medicines duly applyed, and with also the use of good ligature, which is one principall good help, good diet and other reasonable means likewise had, for I have ever observed in my practise, that a hot tumour in any outward part of the body, growing either by repletion, obstruction, fever, or by the evil disposition of the bloud, for the most part: yea, even in pestilential and venemous Fevers in good bodies, not being pocky nor too too old, are easily healed by any understanding Artist, that can joyn reason and experience together, many several wayes, namely for one, if you perceive a beginning, or [...] of humours together in any part of the body, consider what might be the cause thereof as near as you can: if you find it to be fulnesse of the body, or costivenesse, you have divers present remedies that way to flye unto,Laxative Medicines fitting. viz. at the first make the Patient a suppository, then give him a glyster if need be, and a Laxative medicine, also according as you shall see cause, regarding the quality and quantity of the humour abounding: but remember where the body is costive, you were best to begin, as is said, with a suppository first, and that having caused one stoole, proceed with a purge, if you see further cause, or a glyster, for often onely one suppository doth what you require: also good fomentations that may by the pores of the skin help to breathe some part [Page 143] of the matter, will do well, and so the rest by discussing and mollifying medicines the easier be cured. If the grief begin in the head or throat you may use phlebotomy either under the tongue, on the forehead, or on the arm in the head vein, or median vein: but if you perceive that by emptying the body artificially, and cooling the blood with convenient medicines, as also answerable slender diet, and opening a vein, that the collected peccant humours will not be discussed nor put back, then may you proceed to attraction and suppuration as you see cause; for it were most grosse to seek to detain that which Nature hath resolved to cast forth: wherefore if you see cause to bring forward any Apostume, you may then consider by the quality thereof what course to take, namely, by attractive, alterative or suppurative Medicines; as touching attractive medicines, good attractives at Sea to be had are Gum Elemni of it self, spread on lether, and [...] applied; and Galbanum also is very good, provided it be dissolved in wine, and not in vineger: Mellilot plaister will well bring forward an Apostume hot or cold, and helpeth suppuration: Commonpitch is a good attractive: Burgundy pitch is also good: Of these the discreet Chirurgions Mate may use the fittest in his discretion, and if he desire violent attraction of any slothful cold tumour, let him set a large cupping glasse thereon. Maturatives, or alterative Medicines in the [...] Chest and Ship to be had are very many, yea more then I can call to mind at this time, wherefore to be brief, Emplastrum Diachylon cum Gummis I put for the principal, for it is for that purpose only; Para [...]elsus Plaisters applyed thick spread, the place first anointed with oyl of Lillies, will do well. But where time and place is convenient in my opinion, a mean Cataplasme warm and thick applyed suppurateth best and easiest, viz. make a decoction of Althaea roots or Line seeds, and the cause being cold, add Fenigreek a little to this decoction, adde Bean or Barley meal, oyl of Camomil, Dill and Lillies of each a small quantity, Dialthaea a little, or Axungia porcina, and apply it warm, and shift it twice in 24 houres. Or ℞ flowers of Camomil, Mellilote and of Elders an a M. ss, Wormwood, M. ss, Althaea roots bruised ℥ss, make a decoction thereof in fair water a sufficient quantity, adding of Bean meal, or Barley meal M. j. and being boyled into a due form of a Cataplasme, adde oyl of Camomil or Dill ℥iiij. Axungia porcina ℥ij. In want of some one of these flowers another for need will serve, and if none of them were to be had, yet there is many other meaner helps to bring forward an Apostume, which time will not now permit me to rehearse. When you have an intent to bring any tumour to suppuration, you must neither purge nor bleed your Patient, neither appoint him a thin dyet. When you would an Apostume should go back, if it be above the navil in the breast, back, or head, then let your purging Medicines be such as purge downward onely, but if it be below the navil, or in the arms, or legs, vomitive Medicines do best, except some especial hinderances, as Asthma or the like: And to those uses none are so effectual as those which are of Mercury truly prepared, for that they do not only duly evacuate, but also divert and draw back the humours from the place offended [Page 144] which in truth is a great help to nature. Also blood letting where occasion is; may be used for diverting and mitigating a stubborn disease, but after the use of Mercurial purges it is held of many not to be good to open a vein, of which opinion I am, without extraordinary reason urge the contrary. And further if you intend to repel an Apostume you may make use of this following Cataplasme of Bean meal, or wheat meal boyled with water and vinegar a convenient quantity that it be not over sharp, adding a little Terebinthine and very warm apply it, with also good close ligature, and shift, renuing the medicine every sixth or eight hours, but observing as it is rehearsed, that to repel an Apostume slender diet with convenient evacuation of the belly, and Phlebotomy are as principals to be used. Also a safe Cataplasme to repel an Apostume in the beginning is, ℞ farina fabarum or Bean flower and castle sope, ana ℥j. wine vineger as much as will suffice, boyl these one quarter of an hour together, and you may mix a little water with the vinegar for fear it break the skin, and apply it warm. Note further, that to an Apostume broken by a causticke I commonly use no other thing then unguentum basilicon warm, from the first to the end of the cure, or my artificial balm which I much rather commend upon my long experience, except some dressings now and then I apply to it onely dry lint, and if nature be not beneficial to incarn and help healing to my desire, I use a gentle absterfive medicine, namely a little precipitate mixed with the said basilicon or else unguentum Aegytiacum very hot, but that only for one dressing & one time, and then to my former course again for certain daies together, namely, till the Esker be faln, and at the least three dressings after, which if it give me not good content in hope of amendment, then I proceed further one degree, namely, I use for one dressing of oleum sulphuris per campanam, or oleum Vitrioli, with which I onely touch the Ulcer within: I also give a purge, thereupon if the Patient be strong, and then to my old form again, till nauure be at rest, I mean as is said, till the Eskar be clean gone, and yet five or six daies further: but if then I see it be still stubborn, I proceed to the next step or degree, and crave help from my honest old friend Mercury who if he fail me judiciously applied, then I confess I am almost to seek, but he seldom failed me performance, if my Patient were not the cause, the disease being by Art curable. The mercurial medicine I most use in such cases you shal find to be rehearsed in the cures of Fistulaes and Ulcers.
If an Apostume be opened by a caustick medicine the Apostume of it self being concavous, I mean having a great hollowness, going deep this way or that way, strive you not at all, either with tents, plegents, or dorssels to fil the said concavities, and to divide the parts asunder which desire unition, but only dress the outward or superficial part with warm basilicon, artificial Balm or the like convenient medicine, putting it a little within the entrance of the orifice of the Apostume upon a little lint on the end of thy Probe, until the first, second, and third dressing after the opening be past, and if thou have any of thy Cataplasme remaining with which thou didst ripen the Apostume, apply the same very warm, if not, apply some good [Page 145] Emplaster over it, anointing it with balm artificial, and tpplying daily thereto a good balm or basilicon warm, and fear not if thou make thy applications warm, and use good rowling and boulstring which is a principal part of the belly where thou seest cause, but thou shalt heal comforably, onely forget not if occasion be, that sometime thou make injection into the concavity of the Apostume with some fitting mundificative or abstersive medicament, namely, with a fitting Lotion it will do well, but use it warm, and charge it not often with it, not at all except great cause, yet upon due occasion if an Apostume turn to a moist watry concavous Ulcer, thou maist then add to thy Lotion Aegyptiacum, but be not too busie with such medicines. It may be also thou maist think how shall a good healing follow where the sore is not searched, and with tents, and like medicinesA Caution. healed first at the bottome: my loving Brother in that thou shalt behold the excellency of Nature in our bodies, which being once eased of the burden of that vicious and offending humour, which was the cause of the disease, it will at first seem admirable to thee being a divine work, for nature intends healing without thy help, first by little and litle she avoideth the dregs of the disease, and ever as fast within by Gods providence incarning new flesh as the quitture is outwardly avoided, not by means of thy incarnitives I must tell thee, whereon I advise thee not to trust, albeit they be never so good: experience will shew thee that Abstersive medicines, namely, such as have vertue to scower and exiccate or drie, leaving a certain st [...]pticknesse behind them, do best incarn judiciously applyed, yea and those medicines which are most caustick of all, are truly most incarnative, for I speak this upon my known experience, that upon the true and judicious use of them the Ulcer will soon incarn, only with the use of dry lint far more then with any unctious Medicine whatsoever, yea though it be Unguentum aureum, for it is an infallible rule inAn infallible rule. that divine mystery of healing, who so can dry well, can heal well: if thou with thy over many causticks following each other, or by keeping the parts too much asunder hinder it not, for too much exiccation or drying will make work, not heal, which beware of.
Some Artists have in use long hard tents, this way, that way, or dorsels, or plegents for perpetual keeping open an Apostume, for say they; I will see a good ground, and a sound healing at the bottome ere I take out my tents, and then I will begin to shorten them: I say such are unworthy Surgions, yet I deny not an Apostume or Ulcer may be in such a part of the body, as namely, in the corner of the eye, or in ano, which in no wise will safely suffer healing, till some caustick medicine have well searched, yea, and as it were seared the bottom, which once effected, go on, in the name of God, with your precedent courses of healing again, namely with all soft, gentle, and speedy healing means, as before said.
For Natura naturans naturat omnia, and mark it, for by this reason an old wife oftentimes exceedeth a great Artist in healing, for she wrestleth not with Nature as great masters do, and Nature pleased [Page 146] An old wives medicament better then an unwise Artists medicine. E [...]ours in Chirurgions worthy reproof. with her milde and simple means is appeased, and by divine providence the disease often easily made whole: for I know it for a truth, and by too much experience of my own, as an eye witnesse in other mens work I have seen as great harm done, and as grosse faults committed by unworthy Chirurgions for want of mature judgment in over-doing, as by old wives, or fools in under-doing. For many Chirurgions never think they have played the workmen till indeed they have made work: Some by errour for want of judgment, others for base lucres sake, prolonging and aggravating with things not onely contrary, but also dangerous to nature oftentimes, laying bare the bones, and by fouling them with their caustick medicines when there is no need, presaging wickedly before hand upon unperfect grounds, bones to be foul, when to their shames they have made them so themselves, as is said, either for want of honesty, or want of true judgment to consider: wanting charitable and Christian reasons, or not being capable what the benefit and force of Nature is able to effect▪ whereas if they would proceed mildly, and with sleight Medicines they might oftentimes effect far more then they do, or can. Nam natura paucis contenta, & sublatâ causâ tollitur effectus: Nature is content with small things, and the cause removed the accidents or effects cease. I wish rather a Chirurgion should heal gently, yea though he should hazard the breaking out again of the grief, which will not easily be if he rationally follow the precedent method, rather then by keeping the the grief open long to give occasion of deformity, lamenesse, losse of limbs, fistulaes or the like, which very many in the height of their great conceited skill procure; which were it but onely the guilt of conscience, if they feared God, they should not dare to do. These and the like grosse errours, unexcusable before God and man, have brought to the Art a scandal, and a sensible feeling of want upon many vertuous Professours hereof, so that the guilty and unguilty are censured both alike by the common sort, and the one smarteth for the others fault. But those which for gain or otherwise will prolong the health of those that commit their lives, or limbs to their mercy, or approve of it, the Lord pay them ten fold as much to their shame: and so for this time I conclude concerning Apostumes, onely let me give thee this caveat concerning Precipitate Mercury, or of any kind of Turbith mineral, use them not much near any bare bones without very great judgment, for they will black the bones, neither use any of them in any new wounds, as is said, for if you do, they are very apt to procure lamenesse, or shrinking of the finewes. All swift healing in new wounds I esteem best, yea without any caustick medicines at all if it may be, which the Artist need not doubt of where neither bones broken, nor other just thing of like kind hindreth the work. Thus much concerning the general curing of tumours, to the praise of God.
Of the Cure of Ʋlcers, and Fistulaes.
FOr, haste I have mixed Ulcers and Fistulaes together, for that they are of affinity in shew and cure: whose several definitions I also forbear for want of time, and enter into the Cure at the first. Wherefore note as followeth. If you chance to have in Cure an Apostume, that by the malignity of the humours, or other evil disposition of the body changeth it self into a rebellious Ulcer, concavous, fistulaes, or into any the like height of malignity; or that such an Vlcer come to thy handƲlcers Cu [...]es. from another Artist, be not out of hope to cure the same. For if nature be not utterly thy enemy, the member being not pierced thorowProg [...]ostication. in the joynt, and so the ligaments rotten, and perhaps the ends of the bones also, or some other apparent token of incurability, proceeding as followeth, thou shalt be able to cure the disease, by the help of God.
First, therefore entring into due consideration of the age and strength of the Patient, with other reasonable respects had, give him a dose of ℈ ij. or ʒ j. of pulvis Arthreticus, and 3 daies after of Aurum vitae a dose, viz. grains 8. which he shall take whilest he is yet in bed, and cover him warm, and yet but ordinarily, and it will cause him gently to sweat some 2 or 3 houres: then let him wipe himself and rise, and after noon he will feel himself very much refreshed. Then the next day, or two daies after, apply to the Ulcer a little Aqua benedicta, that it may come to the bottom, and into each part of the Ulcer, namely with a little lint on the end of a Probe wet only therein, and so leave the linte sticking in the mouth of the orifice for two daies, dressing it only with oyl of Roses till the Esker remove, with also a Minium plaister over it, this will cause some pain, and produce a strong Esker, which being fallen, fill the orifice full with dry lint, for the first and second dressing, putting the same very gently in; for it will beSecond dressing. exceeding tender. I am of opinion that it is mere idlenesse to apply any medicine suddenly to provoke the fall of an Esker, as I have mentioned elsewhere. For I dare affirm it furthereth nothing good healing: for when the time of nature is come, it will fall without thy help, thou canst not keep it on. And I hold it as a hopeful sign of good healing, when the Esker is slow in removing. Wherefore the thirdThird dressing. dressing after the natural fall of the Esker, having for two dressings, as is said, used only dry lint, take of the white Aquilla laxativa a little, I mean 3 or 4 grains, and mix with it Plantain or fair water, or an ordinary Lotion, onely that it be as a very thin Unguent, and wet well the wound therewith warmed, and fill it with dry lint, and give the party [Page 148] in to drink of Aquilla vitae 4 grains upon the point of a knife. This will cause him to vomit, and make a strong diversion of the humours, and then proceed in the cure with drying ordinary medicines, namely dry lint onely some 4 dressings, and some one dressing now and then, withFourth dressing. a little Aquilla Laxativa upon any lint, onely to touch the Ulcer within: this causeth no pain at all, or little some dressings. Also I apply Basilicon, either alone warm, or sometimes mixed with a little of the powder of Aquilla Laxativa strewed thereon. And when I use this dressing, I let the dressing remain for 24 houres at the least, and then to my dry lint again: and perhaps if I perceive the Ulcer or Fistula to have any other secret cavities, and see that it be not fully touched in the bottom, I use once more my Aqua benedicta, and give a second vomit of Aquilla vita.
Other Rules for the finishing of the Cure. Also I observe it for good in the conclusion of each sure cure, to give such a vomit, where the strength of the Patient will bear it. Furthermore I prescribe the Patient a strict drying dyet, where I see good cause, not otherwise. But remember this principal rule, that what day he either taketh vomiting, purging, or sweating medicine, that the same day he forbear his dyet drink. Further beware that you prescribe not over slender diet to him which is already pinched with weak diet, either at Sea or Land: or whose diet is of bad nourshment, as too oftentimes it happeneth amongst poor Seafaring men in long Voyages. Thus using this afore prescribed medicine judiciously, you may cure any pockie Fistula, or inveterated Ulcer whatsoever, if they by Art are curable. And for any pockie Ulcer on the virga, I mean either upon glans, or praputium, or 'twixt both, only touch it but once with the aforesaid Aqus benedicta, and give the party one dose of the Aquilla vitae, and without question you shall cure it afterwards as if it were a green wound, but remember it will cause Virga to tumifie sometimes much, but be not afraid, for by the use of Lotions mixed with Plantane or fair water daily warm, and cast it in twixt Glans and Praeputium, it will soon amend. It cureth also any warts of the virga by onely touching them, and that if they be touched but very gently: for it is a strong medicine, and procureth some pain, but not in warts, yet honest it is and sure, for it will not fail: and if once you acquaint your selves with the parts thereof, you will never afterward use Trosses of minium nor Mercury sublimate again; and yet let me speak my Conscience, both Trosses of minium and Mercury sublimate are worthy Medicines, their whole force and healing vertue being indeed onely the quick-silver and spirits of salt, and no other thing, whose companion was never found out for healing and killing. I have often cured desperate Ulcers, yea and Fistulaes with Trosses of Minium, as also sometimes with onely a Tent made of Mercury sublimated, and put into the orifice. And how excellent it is inwardly given being truly prepared, I will for this time forbear to speak, till I write of the preparation of such medicines, as I have here divulged under strange names. Thus much of Ulcers and Fistulaes to God his glory, and the help of the weaker sort of young Practitioners.
The Cure of Fractures.
THE first Intention in the Cure of Fractures is performed by restoring the bones disjoyned, and taking away any loose pieces or fragments of bones if any be.
The second Intention is performed by keeping the parts together, namely, the ends of the bones formerly displaced and fractured by violence.
The third Intention to be done, is the curing of the wounds or contusions incident to fractured bones.
The fourth, to prevent or remove the accidents.
The first part of this work, namely, the restoring, or rather bringing to their places, the fractured ends of the bones, is performed by extention, and a skilfull and ready hand touching the extention: let it be done paulatim, by little and little, as the tearm is, with even hands,The first work. not by jumps or on the sudden, and yet with as much force as is requisite, namely, till the Artist standing by with his hands upon the grief, perceive he is able to set the ends of the bones into their place; which done, it is then required that they be kept so.
The second curative intention of Fractures, is performed by keeping the ends of their bones placed in their right forme and place.
This part is chiefly done by good Ligature, wherein I am willing to impart to young Artists my practise in curing Fractures in the thighes and legges, and understand I use no rowlers at all, but clowts, splints armed and tape, my reason is, it is a great disease and disquiet to my Patient, yea though I have two assistants to hold the member to come so oft about the member as to rowle it, and endangereth much the disjoynting of the bones again, and causeth pain.
And it is manifest that in simple Fractures, the placing of the bones and keeping them so, is the most work of the Cure, and nothing cureth a fractured bone so much as rest: wherefore when a bone is newly placed, and shall be troubled much with lifting and rowling, it cannot but hinder unition, and procure some accidents offensive, my form of Ligatures in Fractures is to have next the member one fourdouble clowt in length, I mean above and below the Fracture, so long that the ends of the splints I intend to use, may have a resting place on the clowt. And if I intend to cure the Patient by a Lixivium, I apply it on this said clowt, appointing the medicine ever to be next to the grief, then I have another like great cloth to come over that again under the splints, which being close and smooth [Page 150] brought about the member, I then put under the first splint of a good bredth and length well armed with tow, and under that I lay foure or five strong tapes, then I tie one of the said tapes gently, and thurst all the rest of the splints under the same tape, namely so many as may compasse the fractured member, lying close, but with some small distance, that they touch not one another, then I tie the rest of the tapes, drawing them close, till the partie fensibly seel them to bear in all places, the splints I appoint commonly so long as the member can bear without galling or troubling the next joynt: these things so done, if either the legge or thigh be fractured, I appoint him juncks, as some terme them, namely bents rowled up in canvasse to come above his knee, and down to the foot, yea, though onely the legge be fractured, it is fit these bundles of junckes be as thick, and thicker then the member fractured, for that they may defend it in bed from wrong, and they are gently to be bound to the member, that they may turn with it if occasion be; to these junckes also a cloth may be fastned, which may be brought under the foot to stay the same up, to his due position, which is a great ease to the patient, and beleeve me, if once you be but perfect in this form of Ligature, you will never desire a rowler in the Cure of fracture: I used rowlers till I saw the fufficiency of this form of binding, which now I desire not to change.
The Cure. The third intention is the Cure, wherein the inward and outward course of the Cure is to be considered of. Touching the regiment of the body: concerning sustenance at Sea, the Patient need to have it no thinner then the Saylers ordinary, and touching medicine let him have the benefit of Nature, that is onely every day, or the second day, a naturall stool or an artificial help by suppositories or glysters, if there be great necessitie not otherwise; and if a Fever happen, give him a barley water, with a little oyle of Vitrioll therein, and if that help uot, open a vein on the contrarie side, and if you fear putrifaction of humours, give him a little Diatesseron, Triacle or Mithridate, or the like, if he complain much of the pain, search the cause, namely, see that the ends of the bones lie right, and that the splints gall him not, also that there be no wrinckles in the clouts applied,The ingredients of a restrictive, the manner of composing it. and that it be not too hard or too soft bound, all these things duely considered. The Medicines I use are as followeth, either I use a restrictive stuffe, which is as followeth.
- ℞ Bole ℥iij.
- Aluminis.
- Thus ana. ℥ss.
- Radix Consolidae in powder ℥ij.
- Lapis Zabulosus ℥iss.
These all made into fine powder, and mixed with the yolkes and whites of two egges together, if they may be had, adding wine vineger, and mixed as much as will serve to make this medicine into the form of a Cataplasme, and in want of egges use water and vineger onely so much as is needfull, also if Comfry roots be not to be had or Thus; they may be forborne, you may in their places for need, [Page 151] though not so very well use Bean-meal, I have done very well many times, onely with Allum, Bole, Egs, water and vineger, though Bean flower is also very good or Wheat flower, and as for the medicine called Lapis Zabulosus here recited, it is a medicine found out in the Arch-Duke of Brandenburg his Countrey, named in the Germane Tongue, Bc in broucke, which in our language is a broken bone, being in substance like chalk and in form like a bone, some pieces like ribs, other like fingers, others like legs or armes, bones of nature so growing. This medicine I know to excell many other in healing Fractures both outwardly applied in Cataplasmes, and inwardly taken daily the quantitie of ʒj in fine powder in wine, beere, or water, the patient fasting for two houres after the taking thereof. In great Fractures the Germane Chirurgions, prescribe this aforesaid medicine dayly to be taken for twentie foure dayes, if they see cause so long to use it: The other form of application to Fractures used and commendable, as I have said, and from which I am digressed is a good strong Lixivium made with fresh water and ashes till it be slipperie, namely, let the water be made seething hot ere the ashes be put in, adding if th ey be ready, or may be had in the Ship these hearbs following: St. Johns wort, Wormwood, Centaury, Rosemary, Sage, Camomile and Mellilote flowers, or at the least some of them, also you may adde Lupines thereto: but howsoever though there be no herbs, adde salt good store when it is cleared, but not before; and then though you have neither hearbs nor lupines, it will be of good force, for it is the vegetable salt in the ashes, which is the best healer, the next best is the minerall or Sea-salt, wet the clowts rehearsed therein, and wring them out hard, and apply them smooth, close and hot about the member binding it so up: this second form is esteemed of most Artists the safer, for avoyding Gangrenes, which fractures are much incident unto by reason of great store of contused bloud gathered, that can hardly be discussed on the instant, which thereby causeth obstructions, whereupon followeth inflammation and pain, and consequently a Gangrene, and surely the first is not inferiour to this: for by the means of the Allum and the Vineger it swageth pain, tempereth well the parts, and yet repelleth and discusseth the bloud gathered, and being once baked to, it fortifieth mightily the member, by sticking close and hard to it, I have used it long without repcntance, and the other sometime: but for that it helpeth of it self to keep the member to his straightnesse, I the rather use it. Observation; for the cure of the great bone of the legge fractured.
These things ready, I mean the one or the other form, suppose then the greater fossill or bone of the leg were fractured, make true extention (as is said) that both ends of the bones meet together, namely, let one strong man take the one end of the fractured limbe, and another the other end, thy self standing free, and let them draw out the member, directly when thou art ready, and not before, neither by jumps, but leisurely and together: likewise if they bear their hands too high or too low in drawing, they cause great pain to the Patient,How to know when the [...]ds of the bones meet ar [...]ght. and likewise cause the bone to lie unapt to thine hand to reduce it. It is known when the ends of the bones meet, for that not onely [Page 152] the member is returned to his former beautie again: but also by it much of the pain is eased, for it is a sure rule, if the pain abate not, all is not well: The bone, I say, first well reduced, bring your stuffe formerly rehearsed and put it under the leg, the parties that extended, not forsaking their hold, and lap it about smooth and close as you can, without wrinckles, lumps or seams, and that the ends may also fold smooth one over the other, wrapping it double and smooth over the shin bone▪ the cause why I use to fold it double on the shin bone, leaving it there to be opened, is that if it chance there be a wound it may be dressed the better without undoing all: but if no wound be, yet it fortifieth the bone the better, by the doublenesse thereof being smooth, then lay your next cloth broader and longer then the first, over the first, being wet in water and vineger if there be cause, and wrung out. Let the second cloth, I fay, as also the first, be longer then the splints, that the ends of the splints may rest thereon, and not on the bare leg, placing the splints in their order about the leg, till you have compassed the leg, laying them (as is said) not too close together, that they ride not one over another, neither touch each other, nor come upon the ioynts, remembring to put all your tapes under together, in number it were fit to have five or sixe, namely, two on each end, and two for the midst: Also if there be a wound, you must so order the matter, that you may daily apply to the wound necessary medicines, whereas otherwise if there be no great cause, namely, through much pain or the like, you may well forbear six daies, or ten daies, provided that you see the leg be straight and well laid in an even position or form; and that it may lye the safer, it were good to be provided with the afor esaid bundles of reeds or bents, as thick as the leg or thicker, to come from the foot, and one hand breadth over the knee, which should be wound and wrapped in canvasse, and bound to each side of the leg artificially with four long tapes, and at Sea you may take for a shift two billets bumbasted with a little Ocum wrapt in an old piece of a sail. Further in Fractures with a wound, if you use unctions and liquid things, as oyles; you hazard putrifaction of the bone and apostumation: herein also great care must be had, that the legge must be kept steddy, for disquiet therein will bring apostumation, and mortification, and death also: beware likewise of over hard binding, for it bringeth astonishment and hazard of a sudden Gangrene and death, it is a generall fault of divers young Chirurgions, for many think they have never bound hard enough, and yet too loose is a fault, but easily may be amended, and I advise thee to look to thy Patient often, that his splints gale him not, for that bringeth▪ want of rest, and divers evill accidents depending thereupon, I speak this of my own experience, not to my praise: let him have no wine except he be weak, let him once in two daies by Nature and Art have a stoole, holding these rules with little trouble it is hard for him that will be careful to cure any Fracture: for indeed as is mentioned, the bone restored, rest is the chiefest medicine to cure a Fracture, yea, it will effect it almost without medicine, the member being onely artificially bound, and splinted orderly; [Page 153] the inward medicines for Fractures I say need not to be many, onely give him in beere dayly, in wine or water, as thy discretion shall move thee, the mentioned Lapis Zabulosus ʒj. for tenne or fourteen dayes if you have it: sometimes if need so require, a lenitive glyster may be given: Also the best locall medicine to wounds with Fractures in my opinion is good Basilicum or Arceus Liniment being warm applied thereto sometimes as you see cause; Also you may use an Abstersive or Corroding medicine, as Allumen Combustum: Aegyptiaeum, Vng. mixtum, or the like: but in these things reason must instruct the Artist more then precepts, but beware of the over-use ofA special Ca [...] tion. sharp medicines neer the bone, for thereby often a bone is made foul, which before was clear, this errour is too frequent, both in young, yea, and many old Surgions also, who apply sharp medicines often without true judgement, not onely in Fractures, but also otherwise, and as for simple Fractures, I have cured them often with onely a seare cloth made of waxe ℥iij. rosin and sheeps suet, of each ℥j. dipping a course canvas therein in forme of a sparrowdrope, and so have wrapped it warm and close about the limme, that it might reach at the least three fingers above, and as much below the Fracture, with apt Ligature, as I have recited in the manner of the application of the Cataplasme: This in Fractures of the armes is as good as any, andA uec [...]sarie Rule for best or exco [...]iation of the member fractured. from the first to the last this searecloth may be used. Remember also in any Fracture that if either by the galling of the splints or heat, or other distemperature of any medicine or itching humour excoriation or heat appear, that you apply next the grief for one dressing, ung. Triapharmacon spred upon paper, and your other usuall medicine thereon, and it will become well with one onely dressing, being taken ere it grow too farre.
Thus much concerning Fractures, not writ from any mans authoritie, but truely and plainly as I have done the like in my practise, for which let God be praised,
Amen
Concerning the Cure of Dislocations.
ALthough I have seen divers skilfull men perform good works in Dislocations, and reade somewhat, and for many yeares practised my self, yet know I not in this part of Chirurgerie by words to describe ought to the purpose, which might serve at all assayes, or upon all occasions for the help of young men, for as much as so many unexpected observations and strange occurrents happen in and by Dislocations, as would aske much time to explaine or but to touch all, yet in a word or two, I hold it not unfit to advise them somewhat [Page 154] concerning Luxations or Dislocations. First, therefore it is a generall rule that you must use extention almost to every Dislocation, especially in the shoulder, in the huckle bone, in the knee, and in the ankle, for I may boldly say, where the Artist findeth a member longer then his due form, he shall hardly do good on it, namely if it proceed by evill disposition of nature, or that by the abundance of vicious or viscous humors it have extended it self, or that it have been over much extended and thereby is longer. Extention is therefore to be carefully made, Imean as I have said in the Cure of Fractures, not on the suddain, nor too forcible, but yet with strong and steddy hands, for in the extention is exceeding great respect to be taken, and it is the principall work, yea, and much Charitie is to be used therein, for too farre extending weakneth much, if not overthroweth the true use of the member, even so too little extended, produceth not the effect intended, I mean it serveth not to restore the bone Dislocated; even so the extenders raising their hands too high, or putting them down too low, hinder the comming of the bone into his due place, and cause greater pain to the partie: furthermore, itCertain Rules for the cure of Dislocations. were good when the Artist taketh view of a member Dislocated, that the other side were also uncovered, that thereby the true forme and situation of the diseased limme, being well regarded, and compared together with the whole joynt, the better judgement, and truer indication might be taken: I mean if one shoulder or elbow be out of joynt, let the Artist make bare the other side also, for that there is often great difference in the naturall proportion or situation of mens joynts: having therefore first viewed, and then also sufficiently extended, and the form of the other side also, as is said, seen and kept in remembrance t then seek to reduce or place the bone by those means, which in thy own reason seem fittest considering and well weighing the natural form, and true situation of the Dislocated bone, as is said, which in truth is unpossible in my opinion by letters to explain: this done, for the most part, yea, and in very great Dislocations, the work thou maist account is done, and the fear at an end.
My self have set divers strong mens bones, I mean the shoulder bones chiefly, which have done labour the same day, neverthelesse I denie not but it is good and very necessarie to apply to the place things discussing, anodine, and mollificative as reason shall induce the Artist unto: you may therefore anoint the place with oyle of Roses, Camomill, Dill, or Earth-worms as you shall see fittest, and apply thereon a Plaster of diacolon diccalsiteos, Paracelsus plaster or the like and so rowle and bind up the member artificially as shall be most fit, and let it have rest: if thou fear furrher accidents, thou maist also give the partie some laxative. The bone I have said is never truely restored, if the pain continue. Again, if there be a great tumour in the place dislocated, so that thou canst not therefore well reduce the bone, then maist thou lay the partie to rest, and the member also to as good rest as thou canst, and by things mollifying, and discussing seek to asswage the tumour, in which case a good Lixivium described in [Page 155] the Cure of Fractures were good to foment it withall, or a good Cataplasme made of Oat-meal and Linseeds boyled in beere or water, with a little oyle of Elders would doe very well, but take this for a rule that if thou be called to any dislocation where a tumour is, if it be but a tumour of one, or two, or three dayes gathering, attempt thy best to reduce the bone notwithstanding the tumour: for if by extention and pains taking thou canst get the bone into his place, thou needest not to fear the tumour, for it will quickly be gone: whereas on the other side if by thy other applications thou canst not in reasonable time dissolve the tumour, a callow or strange substance may be fixed in the place that thou shalt never be able to dissolve, also the Ligaments and heads of the Muscles will be grown hard and shrunk, and thou maiest fear a lamenesse and withering willThe sooner extention is wrought the better. follow to that member: wherefore with a carefull consideration seek to reduce any bone, the sooner the better.
I use an instrument in dislocations which I learned the practise of in Polonia whilest I lived there, which I call by the name of a Commander, for that rightly placed and used it will surely command; and I have used that one self same instrument to the shoulder, wrist, Huckles bone knee, and ankle with good successe. I may truly say I have set with it above 500. joynts at times, and never once repented me of the use therefore: and to shew thee how I use it mark a little my words, for I must be brief: If I see just cause of the use thereof and with my own hands and some others to help me I cannot without much pain to my patient bring the dislocated bone to his seat, if this dislocation, I say, be in his shoulder, I place the button of the instrument being somewhat flat on both sides, not round, just into the armpit, or hollow place, I mean under the upper round end of the adjutory bone, or betwixt the said bone and the body, and directly under the Os humeralis, or O [...] Scapula, as close as I can, the end of the recited button being well armed with tow bound on with a cloute: which done, I put on the Iron ginne which belongeth thereto at the lower end of the Commander, where are certain holes with one Iron pin for diversities of lengths of limmes to be extended, this ginne having a resting place for to stay it to the pinne recited, and another for to take hold of the end of a soft towell to be tied about the wrest of the dislocated arme, which wrist bound about, and the lower part of the towell, or some strong lether, band, or coard, fastned to the said towell, and also fastned to the upper part or teeth of the iron instrument, let then some garter also be gently tied about the party his arm betwixt the elbow and the wrest to stay the arm to the instrument. It were also good that the Instrument, I mean the wooden Commander, were just of height with the partie, I mean from the place where it is to be placed to the ground, but because that cannot alwayes be expected, let the partie diseased stand in that order, or so under set the instrument that it may fall out so: and understand further, that the partie forany bone of the arm dislocated must be standing whilest it is placing. And for the thigh, knee, or ankle lying. Having placed, tied, and fastned the parts together, as is said, let one [Page 156] for thee stop to turn the extending instrument, and turn it gently till all be reasonable stiffe, the commander standing up right close by the Patient his legge: and let some one strong man stand on the other side of the Patient, with his armes about the Patient his neck to keep him upright to the businesse: these things ordered as is said, with thy own hands seek to reduce the bone: I have often found when I have extended but to a just length, the bone hath of it self returned to his place, thou wilt wonder at the facility thereof, if thou proceed orderly, I nor no man else can teach thee by written words half so well, as by practise, with once using it, thou wilt find it out.
And when thou wilt use it to the huckle bone, note the button on the top must be taken off, and a cushion bound on the place thereof; the party must also be so placed lying, that his huckle bone, thigh and leg must hang over the beds feet free from the bed, or so laid on a table, that all those parts may be free, and his leg below the knee must be gently bound to the Commander, as is said of the arm: In all this work neat ligature, true extention and a carefull industrious hand must perform the businesse, and practice must be the mean; for my self I have no time to amplifie further: this which is said is practise, for the which if thou find profit by it, give God the praise.
Of Dismembring or Amputation.
AMputation or Dismembring is the most lamentable part of Chirurgery, it were therefore the honour of a Surgeon never to use dismembring at all if it were possible for him to heal all he undertaketh; but necessitie hath no law, the Patient will declare in his naturall desire to live, the comfort that he hath by it. Since therefore it is of necessary use, let the discreet Surgeon be ever prepared for it, and to that end let the Dismembring saw be alwaies in a readinesse, well filed, and clean kept in oyly clowts to save it from rust, let it also have two blades well filed ere you put it into your Chest, for that one toothCertain Rules before thework to be practised of the Patient. in a Saw may break. If you be constrained to use your Saw, let first your Patient be well informed of the eminent danger of death by the use thereof; prescribe no certaintie of life, and let the work be done with his own free will, and request; and not otherwise. Let him prepare his soul as a ready sacrifice to the Lord by earnest prayers, craving mercy and help unfainedly: and forget thou not also thy dutie in that kinde, to crave mercy and help from the Almightie,Other Rules which concern the Surgeon his preparation for the work. and that heartily. For it is no small presumption to Dismember the Image of God. This done, have thy other Instruments ready, namely, a good Dismembring-knife, a small Incision-knife, two great square stitching needles armed with very strong thred waxed, which [Page 157] some use, but may also be forborn, and one needle also and thred of the ordinary sort to sow rowlers: likewise have ready long clouts, lesser clouts plegents of tow greater and smaller, dorsels, and bu [...] to [...]s of tow, three broad strong rowlers or four, of four yards long each, with also a form convenient for to place the Patient on, with a large boul and some ashes therein to recieve the blood, let it be set under the end of the form, then wet your clouts, I mean your beds or boulsters in water and vinegar, and wring them out hard, which done, make ready your medicine, I mean your restrictive powders of both sorts: have also ready strong wine-veneger, or other good vineger, and the white and yolk of an egge together mixt if it may well be had, or else vineger onely, spread your plegents ready with the restrictive stuffe or Cata [...] lasme following, have ready the stronger restrictive powder mentioned, namely, the ordinary restrictive ℥j. and of burn'd Allum ʒj. Vitriol burn'd and of Precipitate of each ʒiss. all these mixed together: This mixture I have termed the strong▪ restrictive powder, for that it forcibly restraineth Fluxes, aud maketh an Eskar: have ready also one plegent made no bigger then the end of the member; let it be spread with this recited strong restrictive, mixed with an egge and a little vineger, which done, strew it thick with some of the said strong powder mentioned, having another plegent ready, broader then the former spred with the ordinary restrictive mentioned and mixed with an egg as the former: also, take of the buttons of row some four or five, wet them in the strong restrictive to be laid on the ends of the great veins and arteries when they are absized: This done and ready, place the Patient on the mentioned form with one strong man set behind him, and another to stand before him, bestriding his thigh close to his body, compassing strongly with both his hands the member which is to be taken off, and holding it exceeding fast some two fingers above the place where you intend to take it away, and let another hold up his foot. It were not amiss also to have ready a swines bladder which hath been somewhat wet and dryed off again: which after the stuffes the first bed and first long rowler is spent, draw on the Bladder, and proceed to rowl again to the full end of the work, in the name of the Almighty, the sharp Instruments being as near as you can, ever hidden from the eyes of the Patient; the two ministers or helpers also being ready, and having hold on the member one above, another below, and also one sitting behind, as is said on whom the Patient may lean backward, and rest on: then take your dismembring knife, and with a steddy hand and good speed, cut off flesh, sinews and all, to the bone round about the member, which done, take a smaller incision knife and divide the panicle called the perioste [...]n, from the bone, it is a tough thin skin, covering all the bones of the body; also thrust your said incision knife betwixt the fossels or bones, cutting away whatsoever is to be found there with the like expedition: the party that holdeth the upper part of the legge with all his strength, griping the member [...] together to keep in the spirits and blood: It were also very good that the said party holding the member [Page 158] the flesh and sinews being cut [...]asunder, should immediately draw orThe use of the Saw. strip upward the flesh so much as he could, keeping his hold, that thereby the Saw may come so much the nearer, which would occasion a quicker and better healing, the flesh being thereby made longer then the end of the bone: then if you approve of that course of stitching,The manner of stitching the stump. as some good men do, take the two strong square needle & threds mentioned, & presently after the member is taken away, stitch the skin thorow on the one side, and just over on the other side, and with the other needle do likewise as it were cross over the member the other way, and draw the said threds so close as you think convenient, the better to stop and choak the great veins & arteries, then tye them fast and presently put buttons to the heads of the veines and arteries, then apply the restrictive Plegents together, the lesser spred with the strong restrictive lying on the broder, spred with the ordinary stuff: this broder plegent must come at the least three fingers over the stump, and a linnen bed with them presently following, laying a flat hand close on the end of the stump, and holding it so till another standing by draw up the said plegents with the saidbed smooth & close; then let a third mango on with the rowling, till the first rowler be spent, then if you will, draw on a Swins bladder, which is no evil course, for being once dry, you need not fear any flux of blood, my self have used it and found it good, but your rowling must be very Artificial in such a case, or all will not serve, for [...]it exceedeth all medicines. And there is a second great care to be had in the holder, that he hold wel▪ also remember ever in rowling to keep a hand to the end of the stump, thrusting up the medicines close, and keeping them so, excepting ever as the rowle [...] passeth by to make way warily for it, and stay it again, & ever where you see the blood springing out, there lay a slender dorsel of tow, and rowl over it again, continuing rowling till the blood appear no more: The first dressing being ended, lay the party to bed with the stump high, and a pillow under it, appoint him a slender diet, namely, no flesh: let him have a comfortable Caudle for the first, if you see him weak, and afterwards Broths and Pannadons and light things, and in small quantity. It shall not be amiss to defer the second dressing until the fourth day and no longer, only visit the Patient daily and ease or take away some one towler, or as you shall see cause. Moreover, in dismem bring the leg, you are to understand that though the foot only be corrupted, it is best to take off the leg some four inches below the lower end of the rotule, or round bone of the knee, the pain is all one, and it is most profitable to the Patient, for a long stump were but troublesome. This work of dismembring is best to be done in the morning, do it not willingly the sign being in the place, neither the day o [...] the full Moon, never take off any member in the joynt: yetA caution. Petrus Pig [...]rius a late learned Writer affirmeth it safe and good of his own Practise: and M. Richard Wood a worthy Father in Chirurgery confesseth the same in small joynts to be good, but not in the knee. Note also it is convenient if the occasion of dismembring grow by reason of a Gangrene the body of the party and spirits not wasted before with long sicknesse, to let go some reasonable quantity of blood in dismembring, because it is supposed to be venomous, but [Page 159] in a spent weak body, who hath had a long pining disease, preserve his blood and spirits as careful as if they were thine own, and yet remembring this one rule, which all the London Hospital Chirurgions hold, there is more hope in a weak spent body, then in a full body: note further, that if the legg be taken off above the knee, there is the more danger, also there is great care to be had to the great vein and artery, namely, that thou take them up, and pierce them thorow, and make strong ligature about them, which must be speedily done, if thou canst do it: but at first I fear thou wilt miss, yet be not discouraged, nor stand too long to seek them, but go on with like hope: Also if the occasion of dismembring proceed of a Gangrene, by reason of an inward cause, it were requisite to take the member off four fingers above the Gangrene at the Least, if the member will bear it, and let the Patient have some cordial potion: furthermore in dismembring, where there be two bones, as namely in the leg, it is not amiss to set the Saw first on the outward part of the leg, that both the bones might be cut at once, for the lesse thou shalt shake the member, the better and the more ease to the Patient: moreover concerning the secondThe composition of M. Galles Ʋaguent, and the good use of it. dressing, M. Gall teacheth this unguent following, if occasion be, as a good remedy to swage pain and cause the Eskar to fall, but for my part, except pain did cause me, I should never respect the hasting of the Eskar to fall, for I am of opinion, as I have said in other places, that it is frivolous to hasten the fall of any Eskar whatsoever, which Eskar was forced by caustick medicines, and yet I deny not this or the like unguent may be found to be of good use, to swage pain, therefore I have set it down, and it is as followeth, ℞ Terebinthine ℥ij. Butyrir [...]ce [...] tis ℥iiij. Cera ℥iss. Ung. Populeon lib. ss. melt these together and it is made then being warmed, dip plegents therein, and apply them, but in want of this ungue [...]t a good digestive of T [...]ebinthine and the yolk of an egg is as good, Erplastrum de minio mollified with a little oyl of Roses, Ung. Basilicum or Arceus Liniment are likewise good remedies: the rest of the cure differeth little from the ordinary cure of ulcers, only a great care must be had that all your dressings be warm, and keep the cold from the end of the stump as much as you can, and chiefely from the end of the bones, to which purpose warm oyl of Roses daily applyed to the ends thereof, will do well, further to foment it with a good Lixivium, wherein is strong wine, is good after some fourteen daies, sometimes also it will do well to make one dressing with Aqua vi [...]e, wherein a stup hot wrung out of the same, may be warm applyed to the grief, and then warm clothes and convenient rowlings, and sometimes also one dressing with dry lint, or of soft tow is likewise good, and sometimes unguentum mixtum, viz. Basilicum & Aegyptiacum ana. partes aequal.
The compositi [...] of the Cataplasme. The defensative Cataplasme or stuff often mentioned, is made of the ordinary restrictive powder prescribed in the chest, mixed with the white of an egge and wine venegar: the strongest restrictive of all is already set down, but in ordinary fluxes in wounds Bole may serve very well. Thus much for this time touching dismembring, being according to mine own practise.
Of the Scurvy called in Latine Scorbutum.
The Preface.
Marine [...]s most subject to the Scurvy. THis lamentable disease, which hath so long and so fiercely assailed Saylers and Sea-men of all sorts more then Landmen; It is strange in so many ages past, that no one Chirurgeon of our countrey men, hath out of his experience taken in hand sincerely to set down to posterities, the true causes, signes and cure thereof, neither left any instructions, caveats or experiences for the prevention or cure of the same, yet it may be some may say the cure thereof is common, and we have in our own countrey here many excellent remedies generally known, as namely, Scurvy-grasse, Horse-Reddish roots, Nasturtia Aquatica, Worm-wood, Sorrel, and many other good means: the truth is we have so, but mark how far they extend onely to the Cure of those which live at home, or else it may be said, they also help some Sea-men returned from far, who by the natural disposition of the fresh air and amendment of diet, nature her self in effect doth the Cure without other helps, as daily it is seen.
This thing therefore being so, what should I spend my time in teaching that Method, or those medicines to the Chirurgions Mate, which will not be had at Sea, neither if they could be had, will suffice for the Cure thereof, where the disease raingneth fiercely?
This Treatise most concerneth Sea-men. Having therefore very small time, I must constrain my self to go briefely to the businesse in hand, namely, to enform the Chirurgions Mate how he should demean himself to comfort his Patients at Sea in that most dangerous disease, neither will I here strive to give the curious Reader other content then this, that if he like it not, let him amend it himself, which I should heartily rejoyce to see any good man do, knowing mine own weakness. A learned Treatise befits not my Pen, and to declare those good medicines, which cannot be had at Sea, is but time lost.
What the Disease called the Scurvy is.
Definition of the Scurvy, and the nature thereof. THE Scurvy is a disease of the spleen, whereby it is sometimes wholly stopped, sometimes onely distempered, sometimes also appearing with hard Scyrros, swellings, beginning and shewing themselves in divers parts of the body, but more particularly on the thighes and leggs, causing them to seem of a Leady colour, the sharpnesse of which infectious humor oft offendeth the mouth and gummes of the diseased, and causeth the flesh thereof to rot and stink.
The names of the Disease.
The divers appellations thereof. THe Scurvy is called of some Cathexia universalis, of other Sceletyrbe, and of some Stomacacen, it is a Chronical disease, not simple but compound of many other diseases.
The causes of the Disease.
FIrst the Disease comes, as is said, by obstructions of the spleen, and by the thicknesse of the humour, not the multitude.
Some judicious Writers do affirm this sicknesse to come by the multitude of Melancholike humors gathered in Vena Porta, by which it is said the Milt doth draw unto it Melancholly humors, and so transporteth it from the Milt into the Ventricle.
But truly the causes of this disease are so infinite and unsearchable, as they far pass my capacity to search them all out; some men conceive this disease happeneth to Sea-men onely, through long being at Sea without touch at land, as it is seen in East India voyages; our men have it betwixt England, and the Cape de bon spera [...]ce, as they term it, and at their coming on the land there they presently growAire and fresh food helpeth well this disease in Sea-men. strong again, and are by the very fresh ayr and fresh food cured without much other help; and likewise twixt the Cape and the Indies, they are touched with it again, and as aforesaid the fresh air of that land, the next they come on and good dyet together, cureth them with small physical helps, and the same again home-ward bound. The chief cause whereof is the continuance of salt diet, either fish or flesh, as pork and the like, which is not to be avoided at sea, as I suppose by the wit of man; another cause is want of sufficient nourishing food, and of sweet water, and also for want of Aqua vita, wine, beer, or other good water to comfort and warm their stomackes, which by contrary winds men are two much incident unto in long voiages, howsoever the Marchants are careful, provident, and bountiful in that point.
[Page 162] An other cause of this disease to the ordinary sort of poor men, is want of fresh apparel to shift them with, which indeed amongst poor Sailers, especially a sort of them that are carelesse and lazy of disposition is too frequent, partly also by the not keeping their apparel sweet and dry, and the not cleansing and keeping their Cabins sweet, this also ingendreth and increaseth the infection. Some charge Bisket as a cause of the Scurvy, but I am not of their opinion: Some say inordinate watchings are cause therseof: Some say extream labour wanting due nourishment: Some also affirm cares and grief to be some cause thereof, others affirm the very heat of the [...] resolving the spirits; but what shall I amplifie further? for it is [...] true that they which have all the helps which can be had for mony, and take as much care as men can devise are even by the evil disposition of the aire, and the course of nature, strook with a Scurvy, yea and die thereof at sea and land both: yet this giveth no warrant to the Surgeon, or his Mate to leave their duties unperformed, for the bloods of those men which either by their wilfulnesse or slothfulnesse perish under their charge will surely be required at their hands.
But it is plain that this grief is a lazie foul disease with obstructions of the liver, or spleen, or of both; as also it appeareth that the head is much diseased, and that there is great obstructions in the brain, for that the eyes not onely look evil coloured, but also the gummes putrifie, and the teeth grow loose, and all the sinewy parts of the body bear their part in the disease, for the shrinking and withering of the sinews with the great pains the party hath, declareth no lesse.
Of the Scurvy or Scorbutum the signes.
THe signes of the Scurvy are many, as namely, a general laziness and evil disposition of all the faculties and parts of the body, saving the stomack and the appetite, which oftentimes is greater then ordinary with them a long time.
A discolouring of the skin as if it were fouler then ordinary, with spots darker coloured then the rest, and sometimes also darkish blew spots.
A fever at sea commonly ends in the Scurvy, wherefore by the way beware of too large purging▪ or phlebotomy, which increase oft the grief, and make it incurable: I speak this because I have noted there is a fault in young Surgeons of forwardnesse in taking too much blood at Sea.
Also itching or aking of the limbs are signes of the grief.
Sometimes the legs falling away, and drying the calves of the legs growing hard and dry, as also immoderate swellings of the [Page 163] legs: also the legs and thlghes discoloured into frekels, or spots of a durty brown sad colour much like the colour of a gangrenated or mortified member.
Stinking of the breath.
Great obstructions of the liver, or spleen, or both, and in the exercising of the bodyes, their limbs and their spirit failing them.
Shortnesse and difficulty of breathing, especially when they move themselves, but lying still finde little grief or pain.
Their eyes of a leady colour, or like dark violets.
Great swellings in the face, legs, and over all the body; paleness, or a foul pale colour in the face. Swellings of the gums, rottenness of the same, with the issuing of much filthy blood and other stinking corruption thence, looseness of the teeth: Also some are troubled with an extream costivenesse, that for 14. dayes together they go not to stool once, wherefore the Chirurgion is constrained with an Instrument to take out the excrements to avoid death, after which extreme costivenesse often followeth a great flux of blood, and a painful: also many have stoppings of the urine, or at least making lesse water in two dayes then the party drinketh in one day.
A coldnesse and stiffenesse of the sinewy parts, chiefly of the legs.
Some also have their Muscles, yea and sinews of their thighes, arms, and legs, so wasted away, that there seemeth to be left only theCertain signes of the Scurvy by the dead opened, discovered. skin covering the bones.
Also it is manifest that divers of those which have been opened after death, have had their Livers utterly rotted.
Others have had their Livers swoln to an exceeding greatnesse, some the Spleen extreamly swoln, others have been full of water, others their Lungs putrified and stunk whilst they have lived, these and divers other signs, too many for to be mentioned here, do afflict poor Sea-men, which often are past mans help, in such place and time as they happen, the Cure whereof resteth only in the hands of the Almighty. And yet to any man of judgement it may seem a wonder how a poor miserable man, coming on Land from a long Voyage even at the point of death, namely, swoln sometimes to an unreasonable greatnesse not able to lift a leg over a straw, nor scarce to breath by reason of strong obstruction, yet in a few daies shall receive the fulnesse of former health, yea with little or no medicine at all.
The Cure of this disease, as a famous Writer named Johannes Echthius in a Treatise De Scorbuto affirmeth, consisteth chiefly in four things, namely, in opening obstructions, evacuating the offending humors, in altering the property of them, and in comforting and corroborating the parts late diseased.
Remedies touching the Scurvy. Johannes Vierius another famous writer ascribeth the whole cure of the Scurvy to the herb Spoon-wort. One Olivar as a Sweden writer, in his fifteenth book, and fifty one Chapter, intreating of this grief attributeth the whole cure thereof to be in Absinthi [...] or worm-wood, namely, to drink much of the infusion thereof, and also of the salt of the fame: and one chief part of the cure of the Scurvy (saith he) consists in good diet, but the sea-men are injoyned to that [Page 164] onely the Ship affordeth, which the better and sounder their provisions of victuals are, the more their men stand to health; and the contrary not onely bringeth many diseases, but maketh the diseases which happen very hard to be cured, therefore I may spare labour in writing what broths or herbs serve best where no fresh food can beThe Chirurgions duty in this disease at Sea. gotten: the Surgeon and his Mate must therefore, seeing he is at sea deprived of one principal help in that cure, namely, fresh meat and good drink, be diligent to call for such for comfortable things as are by the great care and bounty of the Marchants provided for sick men, or those which incline thereunto, whereof in each Ship is a goodI mean in the Kings service, or of the East India Company. proportion both of wine, sugar, spices and other comfortable things, and to see they have it in due time and measure: and likewise to complain to the Governours if they be withheld from the same, or if any man abuse himself by mis-dyet: yea and the Chirurgion ought morning and evening to seek for weak and poor men in their Cabins, or so soon as they are missing at their messes to inquire for them, and to see their Cabins be sweet, and their provisions according, or to move and intreat the Master, or Governour of the Ship for redresse in such cases, for fear of a general infection. And whereas the first part of this Cure is in the opening of obstructions, it is therefore fit in the beginning of the grief to give a lenitive glyster, then the next day if the party be strong open a vein, but beware, as is said, of taking too much blood away at once, especially where the Liver is weak or stopped, and where men want good nutriment, for many evils ensue thereby. The next day following his bleeding if he can bear it, and if that his disease be with a swelling or fulnesse, give him a doss of the pills of Euphorbium or otherwise of pibula ruffi, or of Cambogia, and make him some comfortable spoon meat, such as you can make at sea; namely, an Oatmeal caudle would not be amiss of a little beer or wine, with the yolk of an egge, and a little Sugar made warm and given him to drink, or any comfortable broth made with Currants and other fruit, or Spices moderately taken▪ or with Sugar, or as the Ship can afford, a Barley water for his ordinary drink were not amiss, with some few drops of Cinnamon water therein, and also some juice or Syrupe of Lemons therein, or a few drops of oyl of Vitriol, and some Sugar, and give him in his drink by way of infusion, dryed Wormwood good store, for it is very wholesome.
Further the Chirurgion or his Mate must not fail to perswade the Governor or Purser in all places where they touch in the Indies and may have it, to provide themselves of juice of Oranges, limes, or lemons, and at Banthame of Tamarinds: Also sometime though a man be well, a comfortable caudle made with some Wine, Spices, Sugar, and the yolk of an egge were very good; for these are helps in that case as well to prevent the disease, as also to help it when it comes.
The excellency of the juyce of Lemons, Limes, Oranges, and Tamarinds. And further experience teacheth which I have oft found true, that where a disease most raigneth, even there God hath appointed the best remedies for the same grief, if it be his will they should be discovered and used: and note for substance, the Lemmons, Limes, Tamarinds, Oranges, and other choice of good helps in the Indies which you [Page 165] shall finde there do farre exceed any that can be carried thither from England, and yet there is a good quantitie of juice of Lemmons sent in each ship out of England by the great care of the Merchants, andThe Merchants care for Sea-men. intended onely for the relief of every poore man in his need, which is an admirable comfort to poore men in that disease: also I finde we have manygood things that heal the Scurvie well at land, but the SeaLand medicines for the Scurvy [...]ad sea medicines. Chirurgion shall doe little good at Sea with them, neither will they indure. The use of the juice of Lemmons is a precious medicine and well tried, being sound and good, let it have the chief place, for it will deserve it, the use whereof is: It is to be taken each morning, two or three spoonfuls, and fast after it two hours, and if you add one spoonfull of Aqua vitae thereto to a cold stomack, it is the better. Also if you take a little thereof at night it is good to mixe therewith some sugar, or to take of the syrup thereof is not amisse. Further note it is good to be put into each purge you give in that disease. Some Chirurgeons also give of this juice daily to the men in health as a preservative,The iuice of Lemmons a good preservative. which course is good if they have store, or otherwise it were best to keep it for need. I dare not write how good a sauce it is at meat, lest the chief in the ships waste it in their great Cabins to save vineger. In want whereof use of the juice of Limes, Oranges, or Citrons, or the pulp of Tamarinds: and in want of all these use oyl of Vitriol as many drops as may make a cup of beere, water, or rather wine if it may be had, only a very little as it were sower, to which you may also adde sugar if you please, or some syrups, according to your store and the necessitie of that disease, for of my experience I can affirm that good oyl of Vitriol is an especial good medicine in the cure of the Scurvie, as also in many other griefs▪ the which in another place is noted. Further a decoction of Bisket, and therein Almonds ground, adding Cinamon and Rose-water a little, and some sugar, were very comfortable now and then to be taken to refresh the stomack. And as touching the Tamarinds brought from the Indies they are to be eaten of themselves as the substance of them is, namely, to eat them as you would prunes, and being made into conserves, eat them as other conserves, on the point of a knife sucking out the substance, and putting forth the stalkes or stones thereof; some dissolve them in wine or water, and work out the substance of them therein, and cast away the rest, taking onely that which is pure: one may use this medicine so oft as he please without danger or harm, onely if he fear a flux of the belly, or have a weakness in the reines, let him not eat too much of the Tamarinds. Also theTamarinds must be used sparingly if a flux be feared. Elect. Diatr [...] onpiperion. Electuarie Diatrionpiperion given each morning a little on the point of a knife fasting, and last, namely at the partie his going to bed, is a great preservative; for it doth warm and corroborate the stomack, and preserveth from the Scurvie, and is very comfortable to be given to any one that is diseased with the same, or subject thereto And the Theriaca Diatesseron is yet better, for it hath an especiall vertue in curing that disease. Also Venice Treakle, Mithridate, and London Treakle preserve well from this disease daily taken fasting, and so doth conserve of Roses and Berberies mixed with a little oyl of Vitrioll, and given on the point of a knife.
[Page 166] Green Ginger is also very good to comfort the stomack, and so are all sorts of Myrabolans Condite, and also all sorts of strong Cordial waters, but chiefly good Rosasolis and good Wormwood water, yea, and very good Aqua vitae helpeth well, Currants and Reysons of the Sun are likewise very good.
Also all kinds of Spices moderately taken are good, and so is good wine a very good preserver of the body from this disease, with also the continuance of fresh diet, which is hard to be gotten at sea, the excesse of which good things is as dangerous.
The principall Laxative medicine which I would advise in this case is pills of Euphorbium wherewith the body being swoln and watry, you may at your pleasure make evacuation thereof: these purge also by urine very well the dosse being ʒ ss, or at the most ℈ij. These are the fitter for that disease, because they purge not alone water, but also by their great warmth, they comfort and warm the stomack and intrals.
A caveat for the dose. These I advise the Chirurgions Mate to use, as it is said, where the body aboundeth with overmuch cold and crude humiditie, but let your dosse alwayes respect the strength of the patient, for any strong purging is not good in the Scurvy: all sudden and strong evacuations are to be avoided. Also Aquilla Laxative is a very good purge in this case, namely eight or ten grains thereof taken in a cup of wine. It cureth also all worms of the body, and killeth them wheresoever they be. But if the stomack onely be oppressed with the grief in this disease, I first give a dose of pills called Pillule Ruffi, namely ʒj. you shall find them to be very good.
Note further, that if any dose or any whole masse of pills in the Chest, such time as you would administer them be grown too hard, then you may dissolve them with any syrup you have, or with good honey a very little, namely one onely drop will serve to dissolve oneHow to compose them in a fit consistence if they be oversoft. dose at once, if the masse prove too liquid, you may roll it in some of the Pulvis Arthreticus till it be hard enough. Also the moderate use of Verjuice, Vineger, or Oxymel hath been found very good in this case.
Furthermore, if you see cause, certain dayes after you have given of any your former Laxatives, you may give a sweat to the patient in hisTo sweat is an other singular remedie. Means to procure sweat. bed, namely you may give him a scruple of Mithridate, Venice Treakle, or London treakle, or Diatesseron, and mixe therewith if you have it eight grains of the Aurum vitae Diaphoretice, and being but ordinarily covered, he shall sweat sufficiently if he stir not too much. Also the sweating in moist bathes I confesse to be good medicines in this case, though not well to be performed at Sea for the ordinary men. And whereas one accident dangerous in this disease is extreme Costivenesse as is mentioned, with also stopping of Vrine: the remedies for the Costivenesse, is first that you attempt to move the belly by a lenitive glyster as is said, made rather of a slimy decoction or medicine which might leave no sharp Astringent or desiccative qualitie behind it, yea though it purge not much, for the sharp Purgers after their working cause often a more Costivenesse then was before, or by [Page 167] their violence cause a weaknesse in the stomack and intrals, whence followeth a flux, wherefore for glisters at Sea in great Costivenesse, where the Apothecaries shop and Cheapside is not at hand, make a slimy decoction of Altheae roots, or Comfery roots, or in want thereof,How to make a glyster in case of necessity for the Scurvy. of Linseeds and Fenogreek bruised, of each ℥ss. in want thereof, of Bean ℥ij. to the decoction being strained, add of species Hiera Pigra, ʒij. of salt half a spoonful, of honey as much, of oyle two spoonfuls: all these put together, let the decoction mentioned be so fitted that all may be but one wine pint, and administer it with the Siring, being of a just temper in warmth, but if you intend it not to have it purge much, leave out the species Hiera Pigra, and it will give 2. or 3. stools. You may for an ordinary glister well also take one quart of the broth from the beefe kettle, adding thereto of Linseed ʒij. Comfry roots and March mallow roots if they may be had, a small quantitie of Aniseed and Fennelseed, Ana ʒij. boyle these half an houre, then adde honey and common oyle of each a spoonful, and give one wine pint of this for a glister: but if you see it work not but come away without excrement, the former recited will do well, or make another stronger, namely, ad colaquintida ʒij. in the beginning of the decoction to the aforesaid decoction, provided there be no inflammation in Longanum, or intestinum, nor any excoriation, which by the Patient his complaint is known: this decoction being boyled, and ready to be administred, you may yet adde of the species Hiera ʒij. thereto, or of theA special observation in giving these aforesaid glysters. Pulvis Arthreticus ʒj. rather, for it inflameth not, it were best in my opinion to strive in this disease by glisters to give but one or two stools at one time, for sharp glisters offend much. Therefore though I shew what you may doe, yet be well advised in doing of it. Also of pills of Euphorbium, have a care you give them not where there is an inflammation or inward heat in the guts, in such a case, the Aquilla For heat in the Intest [...]nes use. Aquilla Laxativa. Laxativa will be a better medicine, which will both temper the inward heat and help to heal the intrals, and yet will purge him well, and doth not bind him again presently, and provoketh also urine very well, for Aquilla Laxativa will often cause natural loosenesse, certain dayes after the taking thereof, and will purge water very much both by stool and urine: and because as is said, extreme costivenes is great hurt to the body, the Chirurgion must by his best care to the Patient, seek to prevent it, both by teaching him to doe his best for his own health, and to amend the same by observing good customes and diet: by customes, namely that he fail not daily▪ once a day at the least to offer himself to stoole, and doe his best to urge some excrement to come, and somewhat to force his body thereunto if occasion be, and to keep one and the same houre daily as near as he can: I know by proofe it helpeth much, and for diet to use also as near as he can those things which he findeth procure an inward slipperines and loosness in the guts, pease, oatmeal, and rice do somewhat thereunto, providedA caution. they be very well boyled, and the adding currants thereto is the better, and oyle and butter are good helps, but at land whereThe third rule ceaseth, the Marrin [...]r, [...] shore. it may be had, all kinds of fresh diet almost are good in that case, for by the leaving onely Sea diet, the body refresheth it selfe [Page 168] suddenly through benefit of nature and the fresh Aire, and easily becommeth naturally loose, and then the difficultie is ended. The eating of East India Tamarinds is likewise a good thing in that case.
What I have written here plainly, touching mean and simple glisters; I would not be mistaken, as if I did it out of ignorance or disdain of better medicines, for I were worse then foolish if I would reject, detract or disswade from the good use of decoctions of hearbs, seeds▪ &c. with the additions of Electuaries, Laxative Syrups and the like which I have in dayly use at home upon each just occasion: yet many of the ancient Artists of worthy memorie which I could rehearse, have in former ages used for glisters onely water and salt with oyle, and some other have added honey, and it is manifest that new milk alone is a good comfortable glister with the yolke of an egge, and a little course sugar added.
And you may also many times save a labour in giving a gli [...]ter by a suppositorie, which is either to be made of a long piece of Allum scraped smooth, or of a candles end, or of a piece of hard sope, or of honey and salt sodden till it be so hard that it will break being cold, which being yet hot may be rolled and made up of the greatnesse of a finger, and administred: of any of these, I say you may make a suppositorie as long and big as a finger or lesse, and thrust it up into Ano, and let the partie keep this medicine one houre at the least in his body (if he possibly can.) Further note this general rule concerning glysters,The quantitie of a glister to be regarded. let a glyster never exceed the quantitie of one wine pint, let it rather want one quarter, especially when you give it to a costive body, or a full body, he shall be much the abler and the willinger to keep it theThe true temper if the glister to be administred. just time. Further, beware it be not too hot nor too cold, for the guts are tender parts, so hot as pisse new made, or a very little rather warmer is the true temper. But if you perceive the Intestinum rectum or Arse-gut, to be excoriated or inflamed, in such a case use no salt, nor salt broaths, nor strong Laxatives, as Euphorbium Agaricum, Hiera, Pigra, Col [...]quintida, or the like. If you find the Longanum or Arse-gutHow to deliver a glister of the Long [...]num be stopped. to be clung, or hard stopped with excrement, you may put a small greasie or oily clout on the end of your glister-pipe onely over the holes thereof, when you put it into the body, and thru [...]t it into the head of the pipe, then draw back a little your hand and deliver in your medicine, and if you see cause, and that it will not easily deliver, force it somewhat. Also when your medicine is all in, and that you would draw out your instrument again, do it quickly, and let the party turn him on his back, and he shall keep the medicine in the better. In cases of excoriations or inflammations of the intrails, in glisters useA glister for inflammation and excoriation in the guts. Deer suet ℥ij. for one glister, and in want thereof Axungia ovini vel porcini, I mean sheep or swines fat, and let the decoction whereof the glister is made, be onely of bran, and without any other addition, and give now and then such a glister, I mean once a day, for two or three daies, after you may add thereto some sm [...]ll astringent medicines, as Succus Acatiae ℥j. or Gales ʒij. or Balustians ℥ss. or Myrabolans, ʒiij. even as you see cause, for these help to heal the guts well.
Of Lotions.
COncerning Lotions to the mouth and throat of the diseased, they must be sharp and very astringent, I mean them especially which concern the cure of the gums in the Scurvie; if the gums therefore be swolne, that they hang over the teeth, stinke, or be putrified, they must be very well lanced or scarified, and after hard rubbed with aThe cure of the gums mu [...]h swoln, st [...]nking and putrified. linnen or wollen cloth, wrapped about the fore finger, and wet in some strong restringent or Stiptick Lotion very hot, as is the ordinary Lotion of Allum, Honey and Hearbs, adding thereto a double quantity of Allum, and a little Salt▪peter, or gun-powder for a need is good, and if it be not sufficiently strong, make a stronger decoction of coperas in water, adding Salt-peter with a little honey, if you have it, or Mel Rosarum, with also a little strong vineger, you may also put oyle of Vitriol a little thereto, but that it hath one evil qualitie in hurting and softning the teeth, wherefore beware of it, and if you use it, do but onely touch the gummes with it once and no more, and it wil do much good: and if you please, also Aqua Fallopie is good, but because it is made with sublimed Mercurie, it is not without danger, and is also a loathsome taste to smel, and offendeth the stomack very much, but I know it to be held by many for a great secret, but as for my self for reasons rehearsed, I us [...] it not, but advise rather that which is strong either of the Coperas, Allum, or Salt-peter, for they hurt not the teeth at all as doth the oyle of Vitriol, and so doth Aq [...]a fortis very much, or you may make a Lotion thus: ℞ Coperas, white, green or blew ℥ij. water one pound or there about, Hony one spoonful, boyle these to the consumption of one third or half, then take of Lapis Medicamentosus, or Salt-peter ℥ss, and if you have no Honey, take Sugar, or juice of Licorice, or Licorice boyled therein for to make it pleasant in taste, or without for a need you may well use it, or the Lapis Medicamentosus dissolved into fair water, maketh an excellent Lotion for the putrified gums.
Outward [...]emedies for the S [...]urvy in gen [...]rall. Touching good outward remedies for the cure of this grief, bathes, Fomentations, with also good oyls and unguents, cerates, cataplasms, or empla [...]ters, are each necessary in their due times, provided they be of comfortable ingredients, namely those which minister warmth and nourishment to the diseased parts, and open the pores obstructed, all such, I say, are most fit, provided they be alwaies applied very warm, and the partie be laid and kept warm upon it. Further, if it beIf swelling grow in any part a Lixivium is good. Of what the Lixivium is made. a swolne member, then this following bathe to [...]oment the member, will be good, namel [...], a Lixivium made of fresh water and ashes, and being onely but reasonable sharp, (for too sharp of the ashes will over heat, yea, and excoriate) this done and cleared, boyl some hot hearbs, flowres and seeds fitting therein, such are Cammomile, Mellilote, Dill, Wormewood, Balme, Rosemary, Thyme, Sage, Bay-leaves, Bay-berries, Juniper▪berries, Annis-seed, Fennel, Co [...]iander, Carraway, Dill seeds, or the like: these ingredients, or those of them which may be had use, and let them be boyled a little therein, and either stupes of woollen or linnen clothes wet therein [Page 170] or put the ingredients into bagges after the decoction is made with them, and the place well fomented therewith, and so laid to sweat with some of the hearbs in the same bagges well wrung out and hot applied, till the next dressing. But if the disease proceed with stiffnes and hardnesse of the sinews, then forbear the Lixivium, I mean put no ashes thereto, and make the decoction of the mentioned ingredients, boyled in the broth of the beef-kettle, in wine, beer, or water for a need, adding some salt; and likewise, if you have it, Linseed oyle, neats-foot oyle, sheeps-foot oyle, or oyle of Almonds, oyle of Camomile, Dill or earth-worms, of Bayes, of Lillies, or some one of them.
A bath of blood very good. Also where you can have it, a good bath of the blood of beasts, either cows, horses, asses, goats, or sheeps blood is exceeding good,The manner how to bathe in this bath of blood. namely, to put the legs of the Patient, yea and his body too, if it may be, into a tub made fitting, and the blood kept warm, part thereof being still kept hot on the fire, and renew therewith the bath still, as it cooleth with the warm blood, for some reasonable time, this restorethA bath of milk and comforteth mightily the decayed spirits. Milk of it self is also good to be used in that kind where it may be had.
Of Oyles thereto.
Oyles good outward helps, and what they be. OYls good to anoint, which are Oleum Chamamillae, Laurini, Anethi or Lumbricorum, with à little Spike oyl, oyl of Turpentine, oyl of Nutmegs pressed out, oyl of Peter, oyl of Exitor, or oyl of Juniper,Much & hard frication very beneficiall. or one of the same mixed with them, or some good Aqua vitae, and to use strong frication with warm soft hands long continued, helpeth much.
Vnguents.
What Vnguents are herein helpfull. GOod Unguents to help these griefs, in my opinion, are every warm and comforting unguent in use in the Chirurgions chest, but I have had especial trial of an Unguent, the composition whereofTwo principall Vnguents of soveraign vertue against the Scurvie. shall be hereafter described, which is named Contra Scorbutum, as also of the Vnguentum Populeon, I mean the same composition Valerius Cordus hath described, for I find it to be very good: but you may well say, how doth he contradict himself, which even now adviseth warming Unguents, and presently reciteth Populeon for one, which is known to be cold, but though I have haste, let me I pray thee answer for my self in that one point, which I know to be a principal Arcanum inMany [...]edicines [...] shew that which in effect they are not. healing not looked into: many a medicine hath a seeming shew to be cold, and yet doth contrary effects, witnesse Quicksilver, juice of Lemmons, Vitriol, oyl of Vitriol, Salt-peter, Allum, Sorrel, and divers others which I could recite, all which may easily be proved, either hot or cold, by their several strong operations and effects which they perform: as for example, to beginne with Quicksilver, it is affirmedWhat Quicksilver is in shew and in effect. to be extreme cold of infinite Writers, and his repercussive qualitie sheweth the same, as also in repelling and cooleth hot tumours: with also the varietie of cold diseases and contractions Podagrical [Page 171] and Chirurgicall, procured thereby to divers Artificers which work much therewith, as namely to Guilders, Foilers of looking-glasses, and the like Trades-men, which sheweth the same to be cold. It also sheweth it self to be hot diversly, as namely in that it is so extream subtil and penetrative, so invisible to enter the body (per poros cutis) and being in the body, so volatil and busie, so caustick and corrosive, so extream Laxative, so diaphoretick, so diaveritick, so mundificative, so incarnative and so sigillative or siccatrizing, as the like medicine by the art or wit of man was never found out: juice of Lemmons was ever reputed a cold medicine, prescribed and given daily by the PhysiciansThe different vertue of the iuyce of Lemmons. in burning and pestilential fevers, and that with good reason, and good successe even to this day, and yet to that notable, and cold, and terrible disease of the Scurvie, how excellent hath it been approved, how then in these two recited medicines holds the old Axiom, Similia conservantur similibus & contraria contrariorum remedia sunt? even as true as vox populi vox Dei, or pepper is hot in the mouth and cold in the maw; if I would desire truly to cool and temper the boyling of the bloud inwardly, which I my self would take, yea were it upon the safeguard of my own life, I would take five or sixe drops of good oilA singu [...]a [...] and approved good medicine to temper the boiling of blood of Vitriol in a draught of fair water with a little sugar, a drop or two of Rose-water and as much wine vineger, mark well my words, if thou knowest not these medicines they are worth knowing, or ʒj. of saltniter, which is also called Lapis prunella, in the like liquor, and for want of the sugar, Rose-water or vineger of it self, or with the water onely for a need: I have often proved them so true coolers that they have stayed the Hemoragie or bleeding at the nose, the latter whereof shalTo stop bleeding at nose good rules. seldome fail, if you by outward means proceed rationally by applying to the forehead cold and astringent things, as also to the nape of the neck: also a large spunge wet in cold water and applied to his secret parts is good, or let him hold or put his members into a boul of cold water, also binding hard the arms and legges is very good to stay bleeding at the nose; and one of the surest remedies, but last to be attempted in Hemoragie or bleeding at the nose, is to open a vein in the arm on the same side. Thus it may plainly appear that two of the recited medicines are cold: now to prove those two hot, I will not spend many words, call to mind that of Vitriol and Salt-peter Aqua fortis is made, which by his heat and penetrating force,What opposite vertues Vitriol, Salt-peter, and aqua fortis have. teareth to pieces and dissolveth the strongest metals presently, devoureth and utterly destroieth clothes woollen and linnen, or put but good oil of Vitriol into an Ulcer, or to the whole skin, and tell me halfe an houre after what a cold Fever the Patient had: or put fire toThe like in Salt-piter. crude salt niter alone and mark the conclusion, namely, it will prove it self wholly combustible, and therefore hot: as I suppose likewise the hearb Sorrel, it is a cold herb esteemed at least in the first if not in the second degree, and yet consider wel if you seek quicklie to ripen and bring to suppuration an Apostume; you shalAs also like different operation in Sorrel find it a most excellent speedie remedie: I conceive therefore that it is not by his coldnesse it doth that effect, for that is not common, nor rational, and therefore to conclude my digression as [Page 172] A saying of Oswaldus Crollius Ozwaldus Crollius, a late learned Writer saith in his Preface Admonitorie to his Booke called Bazillica Chymica, Simplicium qualitates non semper considerandae sed earum arcana, The simple and apparant qualities of Medicines are not alwayes alone to be respected, but rather their mysteries or hidden vertues.
Gods providence to be observed in Physicks operation. Thus much in difference of the temperament of some private Medicines working strange and severall effects, wherein the mysteries of our God in his divine providence far do excel whatsoever things else, shewing mans wisedome meer foolishnesse, wherefore to him for evermore be praise, Amen.
Where the unguents are to be applied. The warm Unguents are to be used where you see apparant need by reason of the coldnesse of the part, the Populeon where there is pain though no manifest sign of a hot disease appear, and doubtlesse it will work good effect to your comfort, yea though you think the disease be not cold, and therefore need a more warming Medicine, Vnguentum Dialthea is one of the best Vnguents, and Mariatum is another, Oleum laurini is also good, and if you list to adde some more califying oyls, take of oyl of Speek, of Terbinthine, or Petreolum, but good warm application and strong frication is the means, and warm keeping. Of medicines to be applied to the Spleen, Liver, or stomack outwardly, the unguent pectorale described is very goodWhat outward medicines the liver and stomack require. warm to anoint those parts, whose description with the rest you shall finde, and to lay also over the whole part agrieved the Emplastrum millilote pro splene, whose description is expressed in the Dispensatory, for want of which plaster Emplastrum cumini is good. Also the well anointing with oyle of Nutmegs, or Mace, adding a few drops of oyl of Cloves Chymicall doth [...]much comfort, keeping the grieved part extraordinary warm.
Of Ulcers in those that have the Scurvie.
THe Vlcers which happen to them which have this disease are many wayes different from the generall formes and differences of ordinary Ulcers in bodies not touched with this disease, the severall definitions of all which I have here no time toTwo strange effects the Scurvie [...]useeth, the first an Hydropicall inflation of the whole body. amplifie. But because this disease hath two generall and principall differences of appearance, namely, some men diseased with the Scurvie are swolne exceedingly, even as in the Dropsie: and others have their outward limbs withered, comsumed, and dried up, their sinewes shrunk and grown hard, though the Vlcers in the one and the other should be like in shew, yet doubtlesse the healing of the▪ Vlcers will be found veryA second is consumption of the body. much different, wherefore for one generall note remember that the Vlcers in the full and hydropicall bodies will require more desiccative [Page 173] medicines, as namely the Vnguentum Diapompholigos, de minio. Vnguentum album Camphoratum and the like: And the other kind the Vnguentum basilicon incarnativum, and the Arceus liniment and the like to those. Some Sea-Chirurgions have commended to me ofExperience the best prayser. their practise the use of Vesicatory medicines; namely, Cantharides in painfull swolne limbs, which I leave to the practise of others further to commend the same, my self having received it as a great secret from a Chirurgion my friend, but made no such experiences thereof my self.
Obstructions of the Liver must be removed before the Vlcers can be cured. And further touching the Cure of Ulcers in this disease untill the obstructions of the Liver and Spleen be removed, those Ulcers give no place to good healing; wherefore since notwithstanding they must be carefully attended for conscience sake, I advise that all sharp and violent medicines be shunned, and all soft and anodine things applied that you know or can learn, provided they be warrantable medicines, for otherwise they not onely strive against a stream, butA Caveat. put your Patient to needlesse disquiet, and thereby increase this disease.
I have here in part shewed the Chirurgions Mate my opinion concerning the cure of the Scurvie, to which he may joyn his own and other mens experiences, where he can gain instructions worth following, together with his own daily practise, which if he be wise, he may likewise set down, only let me advise the young practitioner thatHow to help the body extremely bound through the Scurvy. sometimes (as my self have experienced) the Scurvie produceth such extream costiveness, as neither suppositorie, glister, or any Laxative medicine whatsoever will avail, but that the excrements must be drawn out of the Longanum, or the Intestinum rectum with an instrument, for they will be like dry lumps of clay, or hard Sheeps treckles, as they term them, the which instrument I have invented, and is an easie and a fit instrument, called by me Spatula Mundani, which instrument being a little warmed, is then to be anointed with oyle, and so gently put into Ano to draw out the excrements, and to make way for the glister-pipe, which, when it hath cleansed some foure inches, or five inches, you may assay by a glister again. Furthermore, it sometime happeneth, that by the long remaining of the excrements in the Longanum, the gut is either excoriated, or at the least inflamed. In such a case you may take notice that you forbear Salt, as is said, and all sharp heating things in your glisters, as Coloquintida, Hiera pigra, Scammony, Agaricum, Euphorbium, and the like; and content your self toWhat must be done for the cure thereof. A glyster. administer for the first, a glister made onely of a decoction of Bran alone, or of Mallowes, or of Comfry roots small cut, or Lintseeds bruised with ℥ij. of Deer suet, Vnguentum Diapompholigos, or as muchAquilla Laxativa. Populeon or Vnguentum album, as is said, and rather if you find that help not, give a dose of Aquilla Laxativa which will purge easily without any offence at all, and help to heal the gut, and this course is better then by sharp glisters to purge, which will offend the gut, and after the said purge it will not be amisse if you see occasion, to give a likeThe aforesaid glister repeated glister again as before, and note that if in the glister some of the [Page 174] ingredients should be wanting, you may neverthelesse proceed with the rest with good profit, provided if you have better you use them, neither do I here intend strictly to enjoyne the Chirurgions Mate to my rule, but if he have better, let him use it, and forget mine in the Name of God.
Moreover, if the Patient his disease be in the form of a Consumption▪ The cure if the body be consumed by the Scurvy. the body being dried up as it were, or with shrinking of the Sinewes: then if you intend to purge the partie, give him pils called Pillulae▪ Ruffi for the first remedy, but if he complain much of pains in his joints, then a dose of Pulvis Arthretieus will do best, or purge himwherein the vertue of Aquilla [...]axativa consists. with Aquilla Laxativa, it is also a general good purge at all times, and almost in all cases, though best in the French Pox and Dropsie. And though I have formerly touched the forms of some Cataplasmes, yet for that there hath been much good found in the application of thisCataplasmes excellent in this case. How to make the Cataplasm Cataplasme made, being of warming, conforting and anodine medicines, I thought good to note it, which is as followeth ℞ the flowers of Cammomil, Mellilot flowers, Worm wood, also Hipericon and Balm, of each M. j. Bran M. j. ij. Linseed, Fenigreek, of each ℥ss. Comfrey and Mallow roots, of each ℥ss, Barley meal ℥ij. bruise the hearbs, and boyl these in milk, beere, or water, then adde of oyle of Cammomil, Dialthae, oyle of Dill, of each ℥ij, Axungiae ℥ij. apply it warm: note likewise, that where you have not all these recited ingredients, yet that you take so many of them as you have, and trie their force, for if a few will doe the businesse, as sometimes it will, it were vain and waste to use many.
Sometimes for a need you may make good use of a decoction of Bisket in Wine or Beere, which warm applied will wonderfully comfort a weak limb, and asswage the pain, for sometimes the very good warmth with good ligature availeth much: fattie things must be forborn in some cases; namely, when the pain is sharp and quick, lestSowre things better then fatty in this disease. you cause putrifaction and suppuration of humours against your wil, yea and rather use Acetosous medicines, and Anodine sometime, also musslagy medicines are to be forborn, for like reasons: in all which cases, confer with other Writers: aske counsel of thy Elders, and keepe ever in writing thy own good observations from time to time.
A word or two to conclude for the young Chirurgions concerning the cure of this disease, when they come upon a coast where they may have some helps, let them use some one of these following, they shall find them good upon trial.
Counsel directing what to be done if means may be had. ℞. Absinthiae, Juniper Berries of each M. j. Goats milk, lib. 4. boyle this together, the hearbs and berries well bruised till a third part be consumed, then strain it, and adde of Saffron in pouder ʒj. stir it on the fire till it have boyled a very little, and set it to clear, and give the sick thereof three times a day at the least, viz. morning, noon and night, this drink hath cured many in great distress: if you have no Goats milk, Sheeps milk, or for a need, Cowes milk will serve.
Another.
Another good drink. ℞. Water Cresses, Sorrel, and Wormwood, of each one handful, bruise them well, and boyle them in three quarts of Whey or new Milk, and adde thereto a little Sugar and Saffron, and let the sick drink thereof as often as he will.
Whey sodden with divers hearbs very profitable. Whey drunken of it self is very good, but better if the juyces of Scurvy-grasse, Sorrel, Coclaria, Wormwood, Watercresses, the greater or lesser sort, Brooklime, Scordium, Spoonwort, water Jermander, or of some of them be mixed therewith, for that they are all approved good medicines, and doubtlesse some of them are to be found in other Countries and Coasts, as well as in England.
Also an infusion or gentle decoction of the roots of the hearb Rhaphanae silvestris, or horse-reddish in vineger, or mixed with beere and drunk, is exceeding good, or eaten of it self with bread.
Eay-berries also and Juniper-berries are good. Bay-berries, and Iuniper-berries are also wholsome boyled in Whey against this disease, for they open obstructions: likewise from these former hearbs may many other good compound medicines be made.
And generally note, that bitter and sowre medicines prevail most to the cure of this grief, amongst which sowre medicines you haveSowre medicines very good that are approved good thereto, these that follow as chief, juyce of Lemmons, of Limes, Citrons, and Oranges.
Oyle of Vitriol, oyle of Sulphur, spirit of Salt, vineger of Wine, and the spirit thereof: also the Syrups thereof, so many as are in use, and the rather, for that they cut away the rough and grosse [...]egme, and have power also to open obstructions. In like manner, the juice or pulpe of Tamarinds hath a great acetositie, and is found a precious remedie against this disease, the use whereof is noted already.
An observation. Also note further that there are few diseases at Sea happeneth to Sea-men, but the Scurvie hath a part in them, the Fluxes which happen chiefly proceed from the Scurvie, and I suppose if Sea-men could be preserved from that disease, few other diseases would indanger them.
The Conclusion.
THese recited medicines for Christian charitie, I thought not amiss to publish, admonishing young men to be wise and careful to make right use of them, and as near as they can, to respect in the usewhat is bad in a Chirurgion and ought to be avoyded. thereof, Time, Place, Age, quantitie, qualitie, temperament, strength, climate, cause, and what else is fitting to be regarded for the good of the sick, and credit of themselves, and let them avoid slothfulnesse, avarice, envie, fear, pride, or what else may hinder these duties, that God may give a blessing to their labours, and then the praise and comfort shall return to themselves, which God grant.
And for the elder sort of grave Artists, I crave their charitable censures of my weake or undigested instructions, which I no way mean to them, but to babes in Chirurgery, and so I conclude to the honour of the Almightie, concerning the Scurvie for this time.
Concerning the Fluxes of the Belly.
THe principal Fluxes of the belly by a common consent of divers ancient Writers, are chiefly referred to three kinds, namely:
- Leienteria.
- Diarrhoea.
- Dysenteria.
What Leienteria is. Leientaria is distinguished to be that Fluxe which either passeth the sustenance taken, wholly digested, and that without any blood at all, and without great pain, or as it were half digested. The true causes of Leienteria proceed chiefly through imbecillitie and weaknesse ofThe causes of Leienteria. the stomack, which may be occasioned many wayes, whereby the vertue retentive is weakned; yea and sometimes the stomack by someCrudity a cause Apostumation is either wholly weakned, and cold or broken, or otherwise by crude humidities is oppressed, and must be strengthned, both inwardly and outwardly, by things that corroborate and warm the same, as is Syrupe de absinthio, or olean [...] absinthii; Chimice 3 or 4 drops thereof in wine, or beere for need, and I have found it good to a strong body, at first, namely, in the beginning of the disease to give him a vomit of the infusion of stibium, or rather ofA vomit at first. Salvitrioli, ten grains if it may be had, or of Aquila vitae four grains, or of Cambogia twelve grains, and so the medicine having done working,To corroborate. let him presently sleep fasting, if he can; if not, give him a little Cinamon-water, or a little sanguis prunellorum, if you have it, or a draught of good Aligant, or conserve of Sloes, or Quinces; and shortly after, namely three houres, if he cannot take his rest, give himAn opiate. three grains of Laudanum in a pill, and so appoint him to rest; but if you conceive, or feare the disease to proceed of Apostumation in the stomack, then beware of giving any vomit before perfect suppuration of the same, for it is deanly, but outwardly you may apply thenStomack comforted. to the stomack, a bag with Worm-wood, Mints, or sweet Majoram, nd warm being sprinkled with Rose water and Vineger, or else a Bisket bedued well with Rose water and Vineger, being steeped, mustPecteral unguent. be applied to the stomack; or anoint the stomack with unguentum pectorale, or with oyl of Nutmegs made by expression: also Theriaca andromachi, or theriaca Londini ʒiss. is very good given him upon theCo [...]als. point of a knife, or Marmalad of Quinces is also good: Mithridate is very fit and approved, or grated Nutmegs is very good, and Cinamon in powder taken in meats or drinks is good likewise, if these things [Page 177] answer not thy desire, thou maist proceed to medicines more astringent,Astringent medicines. such as follow in the cure of Dysenterie, one verie familiar and good Medicine is sanguis prunellorum aforesaid, the dose is ℥j. or ℥ij. with Mint or Worm-wood, or Carduus water, taken going to rest, or taken of it self. But your mentioned Laudanum in all Fluxes judiciouslyCordial water▪ administred is the onely sure help, neverthelesse in this grief trie other good things: first all Aromatized strong waters are convenient in this case, moderately used as well to avoid further fluxes, as also in these fluxes to comfort the stomack, stiptike wines serve well for it: likewise, Theriace diatesseron ℥j. now and then, also electuarium diatrion piperion ℥ss. on a knifes point given is very good, for it mightilyDiatrion piperion. warmeth and strengthneth the stomack. But sometimes it happeneth that not onely the meat passeth away by stoole, but also other undigested matter with it, in which case Petrus Bayrus in his Veni mecum, folio 273. adviseth to use things sowre with meat, as Verjuice or the juice of sowre Pomgranats and the like, in want whereof the juice of Lemmons is good, or rather syrup of Lemmons, or syrup de Agrestis, or oyle, or spirit of Vitriol taken in some fitting drink, as Card [...]us water, or fair water, wine, or Barly water, the oyle of Vitriol. 3.Syrupe of Lemons. Oyl of Vitriol. drops taken with conserve of Roses is also good in this disease; also keep warm the region of the stomack and Liver, and inwardly as is said, it is good to use all good comfortable helps that warm.
Of Diarrhoea.
DIarrhoea is a flux of the belly which is either merely watrish, or with humors and with slime mixed, for the signes of the disease are manifest, the causes too many for my leisure to note unto you, concerning the cure of Diarrhoea if you see that the Patient be strong, there is no great hast of stopping this disease, for that it is many times a benefit of Nature, whereby she avoideth superfluous, or venemous, orStop not at the first. otherwise vicious and offensive humours: but when you shal perceive that it hath continued certain dayes, and that the partie is weakned thereby, then begin the cure as followeth: First give him ℈ij, of Rubarb dried as they use to drie Tobacco, and poudered either in wine or Carduus, or fair water, or the infusion thereof without the substance,A purge and after the working thereof, a gentle glister will doe well, which may likewise leave a stiptick qualitie in the guts, but not too strong, such as hereafter shall be mentioned, and let the partie be laid to rest very warm covered, and warm clothes applied to the belly and fundament of the partie; and if that helpeth not, you may give himWarmth is very good. within three houres three or foure grains of Laudanum, and let him again incline himself to rest, and by Gods help he shall be cured: but if he have a Fever give him an opiate first, I mean the Laudanum. Good helps to the cure of this disease and all Fluxes of the belly, areLaudanum. these following, first to refrain and resist as much as is possible the motions of going to stool, not to strain or force the body being at stool, not to sit long being at stool, in rising to remember to put up [Page 178] worth the observing. the fundament with a clout, and that if it may be with a warm soft clout: to sit as hot as the partie can, namely if it may be often to sit upon an oaken board hot is very good, hot trenches, or pieces of boards heated and applied to the belly are very good, and to take the fume of wine vineger sprinkled on a hot brick, or iron, and sit over it on a close stoole is approved very good, and to sit over the fume of FranckincenseManuall help. or Amber with a chafing dish, and a few coales in a close stoole is likewise very good: this disease in our climate for the most part by skilful Physitians and Surgeons is well and speedily cured, but in the Indies it is very hardly cured, in so much that many haveTo sit [...] died of it▪ partly by the great wilfulnesse and disorder of the Patient, and by your leave also by the ignorance of the Surgeon being a thing they had not been warned of before, nor practised in, and by not having good remedies and instruments fit at hand to give men help, wherefore let young Artists have a care to these afore mentioned rules and medicines, not scorning them.
A fume. And among other needfull instruments for poore Sea-men in fluxes, never be unfurnished in the ship of one or two close stooles with doores to them, and Brasse pailes, that poore miserable men in their weaknesse may be eased thereon; and not to be constrained to goe to either the beak-head, or shrouds (as they term it) for that not onely increaseth the disease, but also causeth the falling down of thecare to be bad. Ano or Arse-gut, a fearful accident, except the Surgeon be very careful, diligent, and ready handed, in which cases all nicenesse, lazinesse, and disdainfulnesse (too much cleaving to some young men) must be laid aside, for the very omitting of his dutie, in reducing the gut fallenA dangerous accident may easily be the death of the Patient; whose bloud will cry to God for revenge. Wherefore young Artists that professe to fear the Almightie, ought to be compassionate to the meanest creature in this disease, as they would others should do to them in the like case, and not even otherwise.
Petrus Bayerius an ancient learned Writer, alledging Galen in his second book, de locis affectis, defineth this disease as followeth: It is, saith he, tearmed Dysenterium, whereas varietie of substances are sent out with the excrement, producing excoriation with dolour and pain, as if somewhat were shaven from the small guts, and that shaven, saithAdmonition to young Artists. he, proceedeth from the choler and turneth to ulceration of the guts and is compleat in two weeks, or proceedeth of a glassie coloured substance, and hath its termination in foure weeks: or proceedeth of a Melancholy humour, and is in perfection in forty daies: first beginneth the fluxe, then followeth the excoriation, &c. But to trouble the Reader much, or my self with long definitions, either of the causes or signes of this disease, my leisure will not permit me, and the rather will I not insist thereon, for that in reading I find divers learned and reverend Writers that have entred into long discourses of the signes and causes of this grief, prescribing divers methodical rules; and yetAmbiguity impertinent. they conclude of the cure of Dysentery, for the most part of them with a kind of Emperical form of curing, namely, some reciting one, some another medicine for the general cure of this disease: many of [Page 179] them ending without any rational, or methodical form at all, which argueth in my opinion that it is impossible either to finde out all the causes thereof, or to prescribe any one true form for the general cure of the same, but the discreet Chirurgion must be armed with judgement in these following principles; namely, that if he perceive it to proceed by fulness of bloud or humours, to seek the health of the Patient by sundry the most rational and fittest evacuations; as namely,Advise to the Art [...]st. bleeding, purging, and slendernesse of diet: then also, to proceed to medicines which take away the acrimony, and heale the inward parts, then to those which are Anodine, and doe cause rest. A learned French Chirurgion named Guillemeau, writing a Treatise of thisGuillimeau his opinion. disease, in his conclusion saith as followeth: The Empericall Medicaments which the methodical Physitians so disdain and esteem of little worth, are those which we through our experience, and through the diuturnal use of them, have found to be most excellent, which being used with judgement, are not to be disdained, seeing that Galen Ground of Arts. himself testifieth, that the Physitian must be established on two foundations, to wit, reason and experience, whereof reason is as it were the soul of the same, which measureth and pondereth all things, and experience the body as a provident Tutour and Schoolmaster;Rubarb pray sed. wherefore seeing that experience teacheth us that Rubarb in what manner soever we administer the same, (but especially the infusion thereof) is very commodious and profitable in this disease, as likewise is Spiritus Vitrioli with Rose-water, and Plantane-water, and also being administred with Cinamon▪water, saith Guillemeau, there is a sugarlike dulcor or sweetnesse extracted out of Lead, which never deceived thehope of the right reverend Master Duion a very learned Physitian, where of I have attained the best of these discourses: the tincture of Coral and of yellow Amber, extracted with Aqua vitae, is in operation admirable, also Crocus Martis, or flos Surphur is being in season administred with the Conserves of Roses, Marmalet, Citron rindes,Saccbaram, Sa [...]i. with other such like things are very commodious, because among natural things I know nothing exsiccateth more, and opposeth it self more against all corruptions. To conclude, there are innumerable sorts of remedies which we must so compound, that they may have one similitude, or one Analogy with the disease: finally, we must in extream Dysentery for the last remedy indeavour t [...]itigate the pain with narcotical things, as is the Oleum Jusqui [...] mandragorae, the cold seeds, the Philonium requies Nicolai, and many other such like compositions which are unto this disease used, and which may not be administred except great judgement and advise had thereon. Thus muchwhat people most sub [...]ect t [...] this disease, and where. out of Guillimeau. This disease chiefly afflicteth Souldiers in Warres, and Sea-men in long Voyages, and namely in hot countries, chiefly when after short and hard allowances they shal happen on the sudden to get great store of raw fruit, fresh meat, flesh or fish, or any other great change of pleasant diet, in which cases reason and judgement, as the principal helps are to be used, as for instance, this disease is incident much to such as change the place of their abode for a farre [Page 180] hotter or a far colder Countrey, but chiefly into hotter, witnesse the mortalitie through that disease which hath often befalne our Souldiers in the wars in France, &c. As also now at Bantham, how much doth it afflict them that live there. Moreover, as is said, if it proceed of repletion, evacuation, and thin diet, is the mean to proceed in the beginning of the cure thereof: if it proceed of an acrimonious fretting humor, then one of your first helps must be a present purge, if strength will bear it, namely of Rubarb, as is said in the cure of Diarrhoea, or a Decoction of myrabulans and also a good Barly-water; the second good help is a Glister, which may be proper against sharpIf the Patient want rest, give him a Glister. humors: and after to conclude the cure with a dose of Laudanum Paracelsi, but if the partie be in great weaknesse and want of rest, give him some comfortable glister first, next that an Opiate, I mean the Landanum one dose: you may begin in weak bodies first with Opiate medicines, in that there is most need of ease, and if you find after rest it help not, use a Glister or a purge as you see cause, for though the Laudanum at first cure not, yet it giveth rest, whereby the partie afterwards, it is likely, will be the stronger to indure cure by other reasosonableThe oft repeating of Laudanum r [...]quireth this caution. medicines, which done, if that answer not thy desire, thou maist return to Laudanum again and again, alwayes remembring, as is said, there be foure houres at the least distance, betwixt each dose, and if the disease proceed of heat, seek to coole the bloud by a decoction of Plantane and cold hearbs or seeds if they be to be had, or at Sea with such medicines as are used to quench heat, and are not merely sharp, and yet Oyle of Vitriol is much commended to be taken certain dayes together in any kinde of distilled waters, either Plantane, Sorrell, Straw-berries or the like, whilest the said waters are good and sweet, or with Aqua Sparnolae, if it be at hand, also a Barley water with a little Allum or Galls in powder is singular good, so is Bole, but the finer the Bole is the better, and Terra Sigillata, Syrup of Quinces is good also in that case, and so are all the medicinesLaudanum laude dignum. made of sloes, after some due evacuation, as in thy discretion thou shalt see reasonable; but to conclude, a dose of Laudanum Opiate, is best to finish the work, for that goeth before, or rather exceedeth all other medicines in fluxes, for that swageth all pains and causeth quiet sleep which often even alone is the true perfection of theHow to restore the patient very weak by Disentery. cure. And further, if it [...] appear, that this disease have so gotten the upper hand that the [...] is grown very feeble, his bloud being wasted, appoint him [...] that may warm and comfort the stomack, namely, at land if it may be had, Broths of chickins or the like, with some Spices therein, and Egs and Sugar, and a little Rose water, but not Honey, for that increaseth gripings, and cawdles with egs, wine and spices, according to good discretion will do well, if they may beA glister against excoriation. had, and give him, if thou see cause, a glister, if there be fear of excoriations in the guts, namely, a decoction of Barley or Bran, or of Bran onely with Deer suet ℥ij. let not your decoction be too slimy of the Bran, and adde if you can get it, the yolk of one egge, for egges comfort much and swage pain, the yolk of the egge must be well beaten [Page 181] with the decoction by little and little, so taken very warm, or if the party have gripings in his guts, make this glyster following, and for want of Bran take a little wheat flowre, and with camomile, Centaury Worm-wood, St. Johns wort, or some of these, make a decoction addingA glyster for grip [...]ng through Dysentery. also Anniseed, Fennel, Dill [...]or Cummin-seeds, or the like, or some of these at the least, adding after the boyling, some two or three spoonfuls of Rosasolis or good Aqua-vitae, or some strong cordial waters, if you see there be cause to comfort and warm, and adding also, as is said Deer suet ℥ii. with wax ℥ss.
Another glyster. Also glysters of milk and egges onely are very good to swage gripings and pains, where they may be had; also as is said, warm cloths to the belly and fundament applyed are very good, and note still that rest procured is a principal help in curing all fluxes.
Another glyster. For excoriations of the guts, make a glyster with a decoction of dry Centaury, Hipericon, Worm-wood or Balm, with barly, adding of Deer suet ℥ij. and a little dried Galls in powder, or cut in slices, or succus acatiae or Cortices granatorum or dried red roses, if you have them, or Balausties, which are flowers of Pomegranats: Note what powders so ever you give in glysters, let them be exceeding finely powder'd, otherwise they are very dangerous, & fear not to administer an opiat, as I have said, provided that there be four or five hours distance of time twixt each dose: also you may give a dose of Rubarb, namely, ℈ii. or ʒ ss. parched and powdered fine, for so it doth best, taken either alone, or with Sanguis prunellorum one small spoonful in wine, and a little Cinamon water, or in any other convenient drink, as the prsent state of the sick shall cause thee, or for want of wine, beer or water, you may give the sicke also conserve of roses or quinces, after which, if cause be to give rhe Laudanum again, you may safely do it. Furthermore in this case, as also in all kind of fluxes, fumigations are very good medicines, namely, sitting over a close stool, provided the sick be very warm kept, and not too hot, to which purpose a well burned brick heat very hot and put under the stool, laying two cold bricks under it, for burning the stool, and then sprinkle often the hot brick with vinegar if the disease be hot, or with vinegar and Aqua vitae mixed if it be cold, and for want of bricks some great pieces of old iron will serve, as it is already rehearsed, also a decoction of cinamon or cloves, or both together, or nutmegs set under the stool, that the warm steam of the spices may come up into the body of the patient, is very good. Note further, that where you fear a flux of the belly may follow, that you purge not the party with Coloquintida, Trochis de Alhandal, Agaricum, nor Diagredion. And remember ever when you give Rubarb, that you give cinamon, or ginger, or anniseeds, a little there with, which correcteth the flatuous diposition thereof. If this disease of the flux shall shew it self to proceed of any contagiousnesse of the aire, as sometimes it doth, this is certainly theAll diseases proceed from God. most fearful of the rest, for although all diseases have their original from the hand of the Almighty, yet then we have all reason to call to our remembrances, the words which the Prophet David speaketh [Page 182] God must be sought unto▪ in the Psalmes, whither shall I flie from thee O my God? when therefore the aire which we are forced to receive into our bodies shall threaten us, then if ever, it is high time for Chirurgion and patient to cry unto God for his help and mercy, and yet not to mistrust, but to use all artificial means, referring the successe to the Almighty. Wherefore in this case I hold nothing better then a good purge of Rubarb, and then to take three or four grains of Laudanum Paracelsi, then afterThe cure of a flux through the contagion of the aire. there may be given him one scruple of the best Treacle or Mithridate, or London Treacle, or meerly Laudanum alone. You may give the party also a little Cinamon water, or Aqua Theriaculis or Carduus water laying him to rest: It were also to be confidered whether the body standeth in need of bleeding, purging, or a glyster: but when as the disease proceeds from contagious and venomous aire, and is fierce, I hold it the safest course to forbear bleeding or purging, forIf the flux be fierce and, sudden what to be done. fear of drawing back the venome to the principal parts, and rather to fly to Alexipharmacons or Preservatives, as Venice Treacle, Mithridate, Diatesseron, London Treacle, or the like: And presently after, or immediately with it, as is said give a dose of Laudanum, which of it self is a perfect cordial, and a good preservative.
Many learned writers are of opinion that this disease is infectious,The flix through the aire is infectious. and that the breath and excrements of the sick man may easily infect a sound man, affirming also that from putrified and diseased bowels, infections vapours do ascend and descend, and partly the rather by a kind of sympathy our bodies have each with other, but lest that opinion of mine uttered may perhaps offend the courage of young Artists,Infection should not daunt Chirurgions called lawsully to the cure of any disease whatsoever. whom I seek by all possible means to embolden, let them take this rule from me, in the fear of God, I hold no disease infectious to me, in that I have a lawful calling, and I am therefore bound to visit the diseased, which who so neglecteth, God will find him out with that disease or a worse. Now a word or two of such medicines as are belonging to the chest found in the ship, or at the utmost may be found in the East-Indies, or that are likely to be found there, I intend to set forth some instructions for the Chirurgions Mate: and firstThe cure of Dysentery at sea, & of Lientery. note, I have cured many, both in Dysentery and Lientery, with burned Harts-horn, or in want hereof, I have found that onely the hard bones of Beef or Pork calcined or meerly burned till they be white, for so they must be, and it may easily be done in any wood or coalfire, being not a fire of sea-coal, and then being powdered fine, and given continually in the ordinary drinks, during the time of the sicknesse it helpeth much, and you may assure your self, that if you take much or little of it, it can do no harm to be taken, and with some few drops of Cynamon water, if it may be had, it is the better, or a little Nutmeg and Cynamon in powder therein, also I have givenit sometime with Rosasolis and fair water mixed, of each two spoonfuls and ʒj. of the powder of bones.
Another secret which hath cured many of the flix.
℞ Wheat flowre, and thrust it veryclose together into an end ofa [Page 183] clout, and so bind it up hard, and close like a bullet, and put it into boyling water, and boil it three hours or more, and you shall find it will be very dry and hard as chalk, and powder it, and give of this powder ʒij. or more in any liquid substance fitting, and it is a very good midicine for any flux of the belly, either white or red: this medicine hath been often proved, and found sure at sea and land, yet it helpeth the vertue of the medicine well, if the vehicle or menstrum you give it in be also good, namely, if you give it with some liquid medicine proper to the grief, also Crocus Martis ℈i. given in red wine, Aligant or French wine, or with beer or water for a need, adding certain drops of Cinamon water, it is a very good medicine. The same also is given with Venice Treacle, or London Treacle, or good Mithridate is likewise very good, but to a weak person give it alone with Sugar, it will please his tast better then with other strong medicines. The cure, if the disease proceed of worms.
But if you perceive the disease proceeds of worms as often it doth, then give the patient a glyster of a decoction of Althea roots, with a little worm-wood, adding Coloquintida ʒij. where there is no great acrimoniousA glyster. pains in the guts, but where there is great dolour in the guts, rather put some Bay-berries, namely ʒ ss. in your decoction; which decoction you may alsomake meerly of the brain, if you please, and make it not too slimy, I mean, put not too much bran or roots therein, then add, if you have it, of Aquilla Laxativa, 12. grains, Deer suet ℥ii. or three ounces, and give it stirring well the powder therein,The means to kill worms. this Aquilla Laxativa, certainly will kill any worms, and give present ease: also almost all bitter things kill worms, as Aloes, Agaricum, Coloquintida, Worm-wood, and the like, but principally Aquilla Laxativa doth it sure, and is safe to be given, the dose by way of glyster is to 10. grains.
Mr. Edwards his medicine for the flux.
℞. red-rose water ij. spoons full, Cinamon ℥ij. Almonds of vallence ℥iiij. unblanched, the Cinamon is to be bruised and boiled in iij. pounds of water till ii. pounds be consumed, then reserve that decoction, and add three pounds more of fair water to the former Cinamon and boil it as afore, reserve both the waters together, then beat or rather grind well your Almonds, and being well ground and beaten add thereto some little quantity of the water mentioned, grinding the Almonds therewith: and again beat the said Almonds and so often beat and strain them with more of the said liquor or water till all the substance of them be in the decoction which will be in the form of an Almond milk, then add rose water ij. spoonfuls, and as much sugar as to sweeten the said drink, give the Patient thereof to drink so oft as he please.
Gluttony a cause of the Flux. Let such as fear the flix not overgorge themselves, for the evercharging & straining of the stomack of [...] bringeth this sicknesse, chiefly when the body is weak, as also if the food taken be crude or not well boyled or rosted, and meerly fresh without any Salt. Also the use of eating Tamarindes brought from Bantham if you use them overmuch by their acrimony may easily cause a flux, although their vertues in preserving from the Scurvy, are unreproveable and very good indeed.
[Page 184] The signs of the places aff [...]cted with the Flux. The higher towards the stomach the disease hath his beginning the more dangerous it may be adjudged. By the complaint of the sick you shall know partly in what part of the body the disease is, though not alwayes: if the small guts be in the fault there is alwayes great pain about the navil, but if it be in the gut Duodenum colon, or rectum, then the chief pain is in the lower parts of the belly, according to their places.
The causes of the Flux with the signs of death. This disease proceedeth sometimes by Apostumation of the small guts, and then it is exceeding painful before it come to a Flux, neither can any anodine glyster prevail at all to give ease till the full suppuration of the guts be perfected, and that the Apostume be br [...]ken.
If this disease proceed from a former great obstruction either of the liver, of the lungs, or the speen, there is small hope of life to be had.
Also when convulsions of the sinews, singultas, and vomitting, or any one of these signs, especially the two first appear, then commonly death is at hand.
One learned Writer rehearsing Hippocrates for his Author, saith, that usually before death in this disease a black or blewish spot will appear behind the left ear of the sick, which I also have seen observing it of late: you shall find Plantane water to be a very good liquor to give any dry medicine in for the flux, especially where there is any complaint ofPlantane water, and seeds, and roots, are very good for the flux. heat, or excoriation, Plantane seeds are also good, and so is a decoction of the roots of Plantane very good for that use, or for glysters where it may be had. The purging medicines which are called Diauretick, or that provoke urine are also praised by Writers: but I leave them to be done with great judgement, onely if you use any medicine to cause urine, the powder of yellow Amber is a sure one, and without any manifest hot or offensive quality, so is the powder of the Seahorse peezel and the morse tooth, of any of which if you give ʒj. for one dose you may safely do it, but ℈ is sufficient at once Oyl of Terbinthine and of Amber are good diau [...]tick medicines, and much more fotceable then the former, but not so fit in this disease but rather good to drive gravel from the kidneys, and serve well touching theThe giving of vomits require great care and a good judgement. cure of many cold and slothful diseases, as the Dropsie, Scurvy, Lethargy, and the like. A vomitive medicine is not amiss in Fluxes whilst the party hath strength, but the young Artist may easily make an error, small in shew, which notwithstanding may quickly cost a man his life, wherefore if he attempt in such eases to cause vomit; as one principle let him have care to the true dose of his medicines; but first let us have good confideration, whether it be convenient to use any such medicine, or no, for where easier medicines will cure, never attempt greater; but mistake me not, I speak these things of love onely to children in Art, and not to grave Artists, from whom I would gladly learn my self. Further, I advise the younger Artists not to strive to stay a Flux, as is said in a full body, till nature be first unburthened, partly by the disease, and partly by medicines fit.
But as concerning Phlebotomy rehearsed as necessary in the cure of this disease, do it not without great discretion, and judgement; [Page 185] for the Patient weakned formerly with so terrible a sicknesse, and his spirits spent bleeding by a vein, not advisedly done may suddenly overthrow and kill him, yet again I must confesse that rule holdeth not generally.
CERTAIN SIGNES, PROGNOstications, and instructions which I hope will not be unprofitable for YOUTH concerning Fluxes
The signs preceding the flux. THe Signs of the disease are alwaies manifest of themselves, the signs, afore-running or demonstrating of the instant disease are these following: Pain and torture of the intestines, or ventricle. Galen testifieth cap. 2. locorum affectorum, in the very beginning of a Flux, saith he, sharp choler is sent forth, wringings, and as it were off-scouring, or off-shavings of the intestines appear, then after there followeth a little blood, and then beginneth the disease Dysentery, and by the relation of the Patient it will often appear if the pain be above or below the Navil. A painful slow expulsion of the excrements of the belly with small fragments bloody and fatty do argue the higher intestines to be affected, but if the grief be lower, a pain below theThe excrements in fragments and fat therewith. Navil shall torment the Patient, then you shall see much fatnesse with fragments, and those fragments of the lower intestines will be more grosse and lesse mingled with the excrements. A Dysentery slaying popularly and killing many, may be adjudged contagious, and is thought to follow a pestilential constitution, and if in the times of a general infection by the disease Dysentery, or Lientery, a white Flux called Diarrhaea with Tenasmus appear in the Patient, that party a little after shall be afflicted with the Dysentery. The Ulcers of of the small intestines are more dangerous then the ulcers ofthe greater.
Difficulty of the intestines, if it proceed from a black choler is held mortal: Aph. 24. Sect. 4.
Mortal signs in the Dysentery. Long difficulties of the intestines, hunger and wearinesse are evil signes, and it is so much the worse if it be with a fever: [...]ph. 3. Sect. 6.
Every Flux especially if it be Dysenterial, happening after a long sicknesse is mortal, but chiefly if it be sudden, because it argueth a sudden corruption of humours and great debility.
A Flux drawing to a languishing dropfie is mortal.
[Page 186] If in a Dysenteria a blew blew spot appear behind the ear, the Patient shall dye,
The Fluxes that are from the beginning waterish, and afterwards like an unguent, are evil.
In all Fluxes of the belly, and in all other diseases, of weaknesse of the appetite, inconstancy of the minde, heavinesse in sleep, imbecility of the legs, a hoarse and barking voice, a weak pulse, beating often, pains over the whole body, chiefly about the belly, blacknesse of the face, or of a deadly or leady colour, and coldnesse in all the extreme parts: theseafore-said signs foretel evil, but the signs contrary to these aforesaid are healthful.
The Hicket after an immoderate flux of the belly is mortal.
A good sign. Belching following a Flux of the belly is good, because it is a sign that nature hath received, or again begun concoction.
A bad sign. A flux of the belly which is not appeased by fit remedies, is pernitious.
A pestilent flux of the belly beginning with lienteria Dearrheae, or Tenasmus is worse in children then in ancient men, as experience teacheth.
If that by the difficulty of the Intestines, the excrements come forth like peeces of flesh, it is a deadly sign, Aph. 26. Sect. 4.
Another good sign. In fluxes of the belly, changes of the excrements is a principal good sign, unlesse the change be made worser, Aph. 14. Sect. 2.
In perturbations of the belly and voluntary vomiting, if such things are purged thereby that ought to be purged, it is good: but otherwise the contrary, Aph. 25. Sect. Aph. 3, Sect. 4.
A Dysentery which proceeds from yellow choler is not altogether mortal, as Galen affirmeth in his second book of natural faculties thatGeneral rules for the cure of the flux. many are cured of it. Lientery after Dysentery is mortal: these Canons following belong to the particular cure of any flux of the belly.
1 No flux of the belly before the fourth day if the Patient be strong, is to be restrained.
2 The ulcers of the higher intestines are to be cured with medicines taken at the mouth, but those of the lower with Glysters chiefly: and if ulcers be in both, then are they to be cured both waies.
3 To such as cure a Dysentery, let astringent things be given before other meats, that they may the better be retained.
4 Hot stiptick things are good in fluxes proceeding of a cold cause: And on the contrary, if the concocting faculty shall be weak, the use of hot things is likewise good.
5 If there be a cough with flux of the belly, the Patient shall abstain from all sharp stiptick things.
6 Sweating medicines and frications with oyl of Camomil and Dill, by opening the pores, and plucking back the matter to the opposite part are good in fluxes.
7 Cupping-glasses saith Avicene applyed four hours to the belly stay the fluxes of the belly.
[Page 187] 8 All stiptick fruits by the counsel of Avicene are to be avoided in fluxes of the belly, notwithstanding Chestnuts hurt not, as the same Author affirmeth.
9 Sleep among other things is good for a flux, and so is any quietnesse and rest good unlesse the flux proceed from some Catarrhe or rheume.
Touching the particular cure, if the disease come of a hot cause, let there be a lentive glyster administred before the fourth day, which is this. ℞ Aqua hordei ℥xij. Mellis rosati ℥ij. mingle it, and let it be made a Glyster, twice reiterating it afterwards, let the cholerick matter be purged thus: ℞. Rosarum ru [...]earum violarum, [...]. [...]. ℥ [...]. let them boileA glyste onely one walme, and in the straining, infuse them the space of six hours, then add these things: ℞. Corti [...]es mir [...]bal: cit. ℥j. tragac. ʒij.A Purge. strain the medicine, and let it be so given: notwithstanding warily, for indeed many of our ancients did abstain altogether from purging medicines in fluxes: whereupon Avicene 41, capite 3. saith, that it is dangerous to loose the belly upon a former loosenesse.
If the matter be sanguine, and the sick of reasonable strength, you may let the lower vein be opened, to represse the acrimony of the humour, to pluck back and coole the boyling of the liver, witnesse Avicena 4 [...]rimi chap. 20. Phlebotomy doth bind the belly very much, and amongst many is held for a great secret: for a certain man of 70. years of age labouring with the Dysenterie the space of a moneth, when no other means would help, him he was cured by letting of blood, yet I confesse my self should not easily do the like.
If the excrements begin to grow thicker, and the gripings begin to cease, the token is good: if in the excrements scraping as it were of the guts seem to appear, it is no token of death.
I read that the ancients used caustick Glysters of Arsenicum, aes vestum, Alumen & Calx vivum, but these later Pysitians use rather astringent and narcotick medicines as these, Cortices Th [...]ris, Masti [...]ts Boli Armeniae Sarcocollae, and the like.
The'ulcers of the small guts are worse to receive healing then those of the great guts, for the greater are fleshie, and therefore they receive consolidation so much the easier. The ulcers of Jejunum, or the hungry gut are of all the worst, because it is smaller then the other, and because sharpe choler doth suddenly happen into it, i [...] hath more veins in it then the rest, and is next to that noble part the liver, and further one reason of doubt is, for that medicines taken to bind and consolidate, cannot long remain therein.
In the Dysentery what must be refused. In the Tenasmus and the Dysentery coming after it, the patient must abstain from all sharpe, salt, and bitter things; because by using of such things, the excrements become sharpe, and cause excoriation.
Hot things restrain the flux of the belly because they, make the meat digest, penetrate, cause urine, and provoke sweat, which is found in the drinking moderately of pure wine, as Avic [...]ne witnesseth, besides [Page 188] that, it provokes sleep and helps digestion, notwithstanding it is to be abstained from in fevers, and when the flux proceeds from hot and cholerick humors.
A Dysentery proceeding from obstructions will never be cured with Astringent medicines, but rather with penetrating medicines, by adding a little vinegar which openeth more forcibly then wine, and mollisieth obstructions: for if Astringent medicines be mingled with de [...]icatives, they increase the obstruction.
Although some say that in the Lienteria the meat taken in doth come forth in the same colour and quantity as it was when it was taken in: this notwithstanding is to be understood that the form and colour of it is of necessity changed, but it doth not wholly alter it, for they are altered somewhat according to the majus & minus, because it is an impossible thing that the nourishment being conveighed thorow so many intestines, should come forth without any alteration at all.
There are some also which judge the Dysenteria and the Tenasmus by motion of the pulse, that the patient hath a fever if the pulse be moved swift; yet it seems to me the contrary, although there is an over heating or boyling in the blood by reason of the hot humors, the great motion of the body, want of sleep and abstinence: yet with the flux onely stayed, the fever hath an end.
It is formerly said that the ulcers of the great intestines are to be cured with Glysters, and the ulcers of the small intestines to be cured with medicines taken at the mouth: notwithstanding it profiteth to take fit medicines at the mouth for ulcers of the great intestines, andRemedies for Vices in the intestines. in ulcers of the small guts to inject glysters, which sometimes ascend to both the ventricles, as experience teacheth: and so also are ulcers in the great guts sometimes cured by medicines taken at the mouth; wherefore let no convenient helps be omitted in case of necessity.
And though Avicena saith, it is dangerous to purge the belly upon a loosenesse thereof, yet the same Avicena, Gerardus, Cremo, Serapio, Jordanus, de Turra and other later Physicians of [...]ound judgement prescribe in the cure of fluxes Purgative medicines; therefore they appoint things according to the patients strength, when a DysenteriaGalen s rule if the Dysenteria proceed from humours. proceeds of mauy humours; or having and ill quality, the cure as Galen witnesseth, hath one chief and most common intention, to that which is contrary to the disposition to be taken away; Therefore let there be given Myrabolans, which in this case are most excellent, for they correct the acrimony of the humours, and strengthen the ventricle, and the intestines; in want whereof Rubarb may be as well given, being dried a little. But if the flux be pestilential, let the matter be purged presently by sweating, as is said, not respecting the concoction of humours.
Of Laudanum, Opiat Paracelsi, and the Vertues thereof.
THere are many diseases which can hardly be cured without Anodine medicines, therefore in the Cure of such diseases, I mean where want of rest through extream pain or other, the great disquiet of nature doth foretel an imminent danger of death, if rest be not speedily procured, in all such cases Anodine medicines may doubtless with great reason and good warrant be inwardly given. To procure therefore safe and quiet rest, sheweth great skill in the Artist, and to the Patient is more precious in his grievous infirmitie then much treasure, but in no one infirmitie have such medicine more shewed their admirable vertues, then that noble medicineThe chief vertue of Laudanum. called Laudanum Opiat Paracelsi hath done in the cure of that lamentable disease called Dysenterie, or the bloudy Fluxe, as witnesseth divers of our Nation coming from the East Indies upon good proofe, as also being no lesse approved of, not onely by ancient and modern Writers, but by every expert Chirurgion coming from those countries of their own, too many experiences thereof have been made.
The vertues of this precious Anodine to be, I mean here recited, as they are noted and set down very learnedly by that famous Writer Oswaldus Crollius, late Physitian to Matthias the third Emperour ofOzwaldus [...] Crossi [...]e [...] of the vertues of Laudanum. Germany in his book called Bazilica Chymica, and not by him onely, but also by divers good Authors of credit, which have written of the same medicine before, which vertues being very many, may seem almost incredible, though many of them my self am witness of to be true, out of my daily practise onely; they are meant by the true composition, according as Theophrastus Paracelsus hath prescribed it, and is the same composition which the said Writer mentioneth.
Touching the virtues of the Medicine.
Ozwaldus concerning Laudanum. THis Laudable medicine (saith Ozwaldus Crollius) deserveth rightly his name, although thou call it Laudanum, for in all sharp pains whatsoever hot or cold within the body or without the body, yea, even when through extreamitie of pain, the parties are at deaths doore, or almost mad with the vehemencie of the same, this precious medicine giveth ease presently, yea and quiet sleep, and thatLaudanum more effic [...]cious if the body be soluble. safely, but much better the body being first soluble, either by nature [Page 190] or Art, and you may give it safely, provoking first onely one stool [...] by a suppositorie, or a glister were better: in the collick with Mintwater, it easeth the gripings forthwith. In the pains and gravel of the kidnies, likewise it giveth present ease. In the plurisie it presently and safely giveth ease. In pains of the joints it is verie good. In the staying of rheumes, as tooth-ache and other like defluxions in the beginnings, it is a singular good medicine, as namely in the toothache, dissolve foure graines thereof in Plantane water, and put it into the eare on the aking side, and take three grains into the body, and lie to rest, it is a sure help. In all fluxes of the belly, whether they proceed of sharp or slipperie humours, or whatsoever else offending cause taken with mastick, Terra Sigillata, fine Bole, or with any other appropriate good medicine, it is exceeding sure, for it fortifieth the other medicines, and doubleth their forces, adding his own also thereto. In extream watchings and want of rest, either inwardly or outwardly taken, it is profitable if outwardly you would use it, take foure or six grains, with three drops of oyl of Nutmeggs, which is pressed out mixed together, and binde it in two little clouts, and put it into the nostrils, it will marvellously asswage pains in the head, and cause quiet rest. In the extream bleedings of the nose called Hemoragie, it is an approved secret, that sixteen grains thereof divided into two pils, and thrust up into the nostrils, into each nostril one part, helpeth the same. In all kinds of Fevers it is good to be given with water of Worm-wood, or pill-wise alone, and if the heat remain after sixe houres, you may give it the second time, and after that again in like time safely, not exceeding the dose: yet let your own experience lead you, that where you see three grains will not cause rest, in the next potion you give one grain more, and so increase paulatim, but increase not but upon good deliberation.
In burning Fevers it asswageth thirst, and provoketh sleep chiefly in those Fevers, in which the partie seemeth to have some shew of rest, with tedious dreams and slumbrings mixed.
In the disease called Asthma, and in the Tysick, if it be used in water of Hyssope, it will preserve the diseased Patient a long time.
It conserveth the natural heat, strengthneth the spirits, repaireth strength lost: It is also effectual to be given to melancholy people which are void of reason, and are troubled with the passions of the heart. It is likewise used with good effect against vomiting, and the Hickcock proceeding of wind, faintnesse, or debilitie of the Ventricle.
In the superfluous defluxions of the excremental or menstrual bloud, it is an excellent remedy with Crocus Martis, or red coral.
In phrensies and madnesse, both in wardly and outwardly it is good mixed with Aqua vitae, and the temples anointed therewith.
In the falling sicknesse with spirit of Vitriol, or the quintessence of Camphire, with also oyle of Almonds, it is usually taken. The dose of this opiate medicine, is two, or three, or foure grains, if there be loosnesse of the belly, as is rehearsed, it worketh much the better. Note [Page 191] that in some parts of the world this medicine in the mentioned dose will doe no ease, wherefore when you finde that by experience, in the next Patient give more, but not to the same Patient without great reason. It is best given in any occasion accompanied with waters orThe best way to administer it. other medicines which are most appropriate to the diseases, land parts diseased, and yet may very well be given alone in a pill, which I willingly do, for that the Patient then is least troubled with the taste thereof.
A caution remarkable. But beware you use not this medicine to any, which are feeble through a great cough being oppressed with tough phlegme and shortnesse of breath, for there it is not good: if the disease be violent, as I have said, one dose may be given after another, with six houres at the least distance, very safely, but Ozwaldus Crollius saith, within foure houres, as is said in the Cure of Dysentery.
The cause of this description of Laudanum. In a word this Laudanum passeth all other medicines in the cure of Dysentery, for which cause I have published it to the benefit of the younger fort of Chirurgions, which adventure their lives toward the East Indies; I know it is presumption in my self and deserves blame, that I should handle medicines of this nature so copiously, for which I crave pardon from that grave and learned Societie of Physitians of London, whom of right I ought to reverence and doe: excusing my self that I have done it merely for the benefit of young Sea-Chirurgions in the remote parts of the world, where they otherwise have used Opium in common, without understanding the danger or dose thereof, to the losse of many mens lives. It behoveth young men to be carefull to carry with them such ballance, as the beam will turn at one half of a grain, with weights and grains fitting, and to keep them warily and alwayes ready at hand for all occasions, for he is an unworthy Chirurgion, which is at any▪time unready with such needfull instruments. This Laudanum I esteem so sufficient a medicine truelyNot [...] ▪ prepared in all causes, where an [...]piat medicine is required, that if I were upon my life to morrow to undertake a Voyage to the East-Indies in any great Ship, I would renounce all other compositions of that kind whatsoever, rather then misse it: yet am I not ignorant of divers other good compositions of Opiat medicines in dayly use, as namely Philonium Persicum Romanum, nit. & mes Roman sen Tarcenci, Athanasicamagna, Aurea [...]lexandrina, Trifera magna nic. Diacodion, Diascordion Laudanum excelleth all other Opiats. and many more: before all which I onely would take the true Laudanum Opiat Paracelsi, for when the rest had fully fermented at Sea, and were void of all their supposed vertues, which their preparers had challenged them to have had, yea and had been turnd to crawling Animals▪ even then and twentie years after their deaths, may any man r [...]lie upon the foresaid Laudanum, as a true medicine, which medicine notwithstanding, I know it is unpossible for the ChirurgionsBecause of his duration. Mate to prepare at Sea, yet for that he should be the better satisfied, when he hath occasion to use it, I thought it not a misse to set down the ingredients, with also the true form of the preparation thereof, his verbis out of Ozwaldus Crollius being one of the best I ever found or read.
Laudanum Paracelsi Laudatissimum, and the true preparation thereof.
- ℞. Opii Thebaici uncias i [...]es.
- Succi Hyoscyami debito tempore collecti, & in Sole prius inspissati unciam unam & sem specierum Diambrae & Diamos [...]hi, fideliter dispensatarum ana uncias duaes cum dimidio mummiae transmarinae & selectae unciam sem.
- Salis perlarum.
- Gorallorum ana drachm. iij.
- Liquoris Succini Albi per Alcohol Vini extracti.
- Ossis de corde Cervi ana drachmam j.
- Lapidis B [...]zoartici.
- Unicorni animalis vel mineralis drachmam unam.
- Moschi.
- Ambrae ana scrupulum J.
- In defectu genuini auri potabilis nullis corrosivis inquinati addantur, Oleorum
- Anisi.
- Carui.
- Arantiorum.
- Citrorum.
- Nu [...]istae.
- Cariophyllorum.
- Cinamomi.
- Succini ana guttae 12.
- Fiat ex his secundum artem Chymicam, massa, sen extractum, ex que a [...] necessarios usus, possint pillulae efformari.
Observations in the preparation of this Medicine.
The time of gathering them ℞ The roots and rindes of the younger Hemlock, casting away the inward woody part thereof: the time of the gathering thereof is the Summer, the Moone being in the signe Aries or Libra, and before the full of the Moon, and if it might be done it were best to be gathered in the very houre the Moon is entred into one of the said signes:The preparing of the juice expressed. this observed, let the juyce thereof be pressed out, and filtered, and coagulated, then set in the Sunne to harden, which done, extract the tincture thereof per spiritum vini: the Opium ought o be purged in some distilled water, as of Hyssope or the like, as Aloes is used to be purged, and after, the tincture thereof to be extracted per spiritum The preparation of the Species Diambrae. vini, the tincture of the Species Diambrae is to be extracted also per spiritum vini.
The juice of Hioscyami, or Henbane with the extract of Opium mingled, together with the spirit of wine, whereinto they are extracted before, is to be evaporated from them ere that they be mixed with [Page 193] the rest of the ingrediences. Also the opium and juice of Henbane must be digested in Chymical manner for a moneth at the least, that thereby their sulphurous, venemous, and dangerous vapours they have may be well corrected, which vapours have a yellowish froth or scumme seen in the superficial parts of them, and are very obnoxious and dangerous, which I thought not amisse to advise the studious and industrious Chymist of.
A special observation. Let all the extractions be done in the true spirit of wine well rectified, and then the longer the extract remaineth in the digestion, the better will be your medicine.
He that intendeth any part of this composition for women, must forbeare the musk and amber-greece, and use with it rather foure grains of good castoreum, I mean in that one dose he intends to giveA dig [...]ession. the women; but in this I digress from my scope of the Sea practise, where women in long voiages are rare creatures. Wherefore to the business in hand: the feces of the opium hioscyami, specierum ambrae, &c. after their tinctures are extracted from them, are to be calcined andExtraction. brought into salt, namely by infusion in some fitting liquor, after calcination, with all due filteration, evaporation, and coagulation withCalcination. Cohobs convenient, and add to the rest of the composition.
And concerning the tinctures mentioned to be extracted in spiritu vini, after one moneth digestions the spiritus vini is by balneum mariae to be evaporated till the residence be almost of the thickness of hony:Evaperation. which done and gathered clean into one convenient glasse, porringer, or the like instrument, then adde the salt corallorum, perlarum Mummia beaten fine, and also the Bezar, and the cornu cervi, muscus and ambra, The ma [...]ner to fiuish the composition. all in fine powder, and well mixed with the said extracts, then adde the aforelaid salts of the recited feces, and also the former recited oiles, all of them first mixed together with the Liquorice and Succini shaken well together in a glasse-violl with a few drops of spiritus vini, for that the said spirit of wine causeth the recited oiles well to incorporate, which done, and that they are mixed all in one and added to the former, the Laudanum is readie, onely if you could forbear your Medicine so long that it might afterwards stand in a small Alimbeck of glasse, with a blinde head one moneth, it would be much the better.
To compose this Opiate aright is b [...]rd to a Bungler. This Medicine though it would put many that professe much knowledge in the Art of the Apothecarie to their trumps truely to prepare it, yet to an artist which is a true preparer of Medicines it is plain and pleasant to be done, and once done, it is for his whole life a sure medicine, and will do the work-master credit that useth it.
I have the rather explained this medicine for that so many grosse and dangerous compositions are daily hatched up, and uttered abroad for currant under the name of Laudanum Paracelsi opiati, to the extream hazard of the lives of very many, and to the great prejudice of the Common-wealth, from the danger whereof God deliver each honest Christian. And for that the younger sort of Artists should not easily be deceived with false compositions, though I confess it is [Page 164] Marks to discern the false from the true Laudanum. not possible to espie some cunning deceits which may passe in farre plainer compositions then this is, yet take these few notes following when you would buy it, for remembrances. First note, that the medicine is fals, if it be uneven, I mean if it have any course or grosse thing in it, so that it will not all clearly dissolve as a juice of Liquorice well made will.
Notes of the true Laudanum. For this is an infallible rule, extracts are the pure parts of things, and will wholly dissolve, or be dissolved. Further note, that if either honie or sugar be found in the medicine, it is false.
Also if it be more liquid then the ordinarie bals of Liquorice made up in London, it is false or foolishly made, and will not keep.
Also if it retain the lothsome smell of Opium, it is not to be trusted.
Also if it be not merely of one colour, so that you see nothing of the ingredients appear at all, it cannot be good.
For assure thy self this composition truely made must be smooth, and well smelling, of such an indifferent hardnesse, that without additions you may roule it into pils, and is not greatly ponderous or heavie, but it is of an unpleasant taste, I must tell thee, and therefore I use to give it, as I have said, in a pill, except necessitie by weaknesse of the Patient when he cannot swallow a pill, urge the contrary, or that I use it in outward griefs, as to othache, &c.
Iliaca Passio.
ILion, or Iliaca Passio is a most painful disease, proceeding from anA fearful vi [...]ation. obstruction of the small guts, which suffering nothing to passe downwards causeth a great wringing and pain, so that many which are oppressed with this dis [...]ase do perish, and die a very miserable death, ending their dayes, with their feces, or their own excrements issuing out at their mouthes, and it is many times noted for a disease infectious.
Iliaca and Colica differ in place. This woful kind of belly-ache or Iliaca Passio, differeth from the Collick in the situation, in that it hath his place and being in the smal guts, and the chollicke onely in the great guts, so that a vomit sometimes giveth ease herein; but glisters seldome or never give any help, for that seldome any thing will be brought forth downwards though the glisters, be never so strong: but herein the help that is to be hoped for by glisters is farre better effected by the glister Siringe, then by the glister bag, for one may deliver it with that Instrument with as great force as you please.
Causes.
THe causes of this disease are almost one with the Chollick, both which are obstructions in the small or great guts, and proceed chiefly of three causes, as saith Dominic [...] L [...] ▪ namely
[Page 195] 1 The drinesse of the ordure, or excrements.
2 Abscessus, or a b [...]le, or a botch in the guts.
3 Thick and drie humours.
Also this disease sometimes commeth by distemperature of the aire being very cold, also by a blow or bruise upon the gut [...]lion, the inward causes may be very many, namely by drinking of poyson, or cold water, meats of hard digestion, binding of the belly, and such like.
Signes or tokens.
THe signes or tokens whereby this disease is known, are as Galen affirmeth, 7. Aphoris. 19. is an intolerable pain and wringing in the upper part of the guts, and no excrements descending downward. Sometimes it moveth heavie and sore vomits, so that the very feces are vomited upward, of which disease or grief scarce any in that kind doe escape, as Galen witnesseth, lib. 6. cap. 2. I have seen the like in aA fearfull vomiting. Rupture by reason of a part of the gut Ilion that was fallen through the Peritoneum into Scrotum that could not be reduced, the sick vomited his excrements, and died the second day. Also much watching sometimes causeth great pain in the small guts or Ilion, unrest, strongNote. Convulsions, cold in the extream parts, and if any feces be gotten forth of the fundament by any means they being put into water will swimme aloft. Item if this grief come of poyson drunke, then the Patient will suffer Tremor Cordis, soundings, debilitie of the faculties of the body and vomit, doe commonly goe before the pangs, and all these aforesaid signes are usually more vehement and stronger then in the Collick.
Prognostica.
VVHen the Iliack cometh with distilling or dropping of urine, the partie dieth within seven daies, Galen aphoris. 44. except an Ague happen, so that in the mean time sufficient quantitie of urine do come.
Item, vomit, the Hicket, foolishnesse or idle convulsions are evil [...] signes, Avicen upon the 7. aphor. 10.
A deadly sign. The vomiting upward of the excrements, deadly, yet young folks escape in this disease sooner then old folks.
A good sign. The Ilion, where the pain doth change from place to place, is of least danger: because it dependeth or proceedeth of winde, which is easily rosolved.
Another. The breaking of winde upwards or downwards, and stinking much is evil and deadly: as also the excrements much stinking is the like.
Cure.
Promise n [...] cure. IN the cure of this disease no Physician or Chirurgion, respecting his credit, will take upon him absolutely the cure thereof, especially if the Scurvie be confirmed in the patient, but with protestation of death [Page 196] if the Patient doe vomit the feces or excrements upward, but if thePromise no cure. Scurvie be not yet confirmed in the Patient, then the cure of this disease differeth little from the cure of the Collick, and may be indifferently used, and is all one, but that onely the stronger medicines, and greater diligence is to be used in the Iliack, then in the Collick: which if it were on shore or land, much more good might be expected,Observations. where aire, diet, place, and many other helps, observations, and considerations according to the qualitie of the disease, with advice also of the learned Physicians observed, all which the Sea affordeth not.
Certain brief and speedie notes for the Chirurgions Mate at his need, when neither Doctor, Chirurgion, nor Apothecarie is to be had.
Iliaca of poyson. FIrst, if the disease come of poyson exhausted, a vomit with warm water and then warm oyle, or some fat broth is to be administred, and after a day or two some good treakle to be used.
If the cause come of crude meats remaining in the stomack, or that the disease come of crude and raw meats, a vomit is to be used.
But if there be no crude meats yet remaining in the stomack, then all means must be used to disperse the winde, and to draw the excrementsOf potions and glisters. downward, either by potions, glisters or such like: and first with glisters to supple the guts, and to evacuate the obstructions of the lower parts: make therefore a glister of common oyle, or Linseed oyle, and give him, or a decoction of March-mallow roots, Comfrey roots, Linseeds and Fenigreek, adding Bay-berries and oyle of Dill, and Pulvis Arthreticus, or species Hierae Pigrae ℥j, give this glister with the great Siringe, and put it up with good force, remembring to adde salt, one smal spoonful thereto. Also you may use Suppositories and all other helps which are proper in the cure of the Collick, or a mixture of honey and salt Peter, or Niter to anoint the fundament therewith, and use foments with spunges, &c. as in theFomentations. Collick. Also Phlebotomy may be used, especially in young men, and that in Sommer, or warm Countries, and namely, where the disease cometh of an Apostume, or botch: Purging potions are also good, as Pulvis Arthreticus ʒj, in wine or beere, or Aquilla Laxativa 12. grains in a pill or in beere dissolved. Moreover, Resolution of the matter is to be made with foments, with cloth or woollen stupes wet in oyle, wherein Dill, Camomill, Rew, Hollyhocks, &c. have been boyled, and applied very warm. Also Cataplasmes made of Barley-meale, Cummin, Rew, Linseed, Fenigreek, Dill-seeds, Anniseeds, Fennel-seeds, Bayberries, and the like, are very convenient.
Cataplasmes. Also the Patient is to sit in a Bath made of oyle and water, wherein are boyled Camomil, Mellilot, Dill, Althea, or Hollyhock, Rew, Bayberries and the like, all these are good helps.
A strange medicine. Nota S [...]ercus L [...]pinum is a remedie in the Iliaca passio, even as album Gracum is in the angina.
[Page 197] Also old Treacle and Mithridate are good helps for those which cannot hold their meat, and you must give them to drink the powder of Thus or Frankensence, and Cumminseeds in warm oxymel.
To conclude these brief notes, I wish the young artist in this miserable disease, to try by strong glysters and purges and every other good meanes which is warrantable, and not strictly to rest upon these short instructions, in cases difficult and dangerous.
Collica passio.
The pain described. COllica passio is called in English the Collick, and it is called a passion, because the pain therefore is so great and vehement, that many times the patient desireth rather to die then to live in that vehement pain. This disease hath his name of a gut called Colon, and happeneth very often when the excrements are retained beyond their naturall times and customes.
How it happeneth. This infirmitie is engendred of ventorsitie, or wind in the gut Colon, and cannot get out, sometimes it proceedeth of colerick humours, and untemperate heat which drieth up excrements, and hindereth the due evacuation: also it cometh sometimes of cold and drie distemperatures with increase of fatnesse, making strict the passages of evacuation of the excrements, and weakneth the expulsive faculties. Also this pain proceedeth sometimes from the humours of the stomack, gathering wind from the liver and milt, sometimes from the reins of such as have the stone. Also from an Apostume in the wombe, and sometimes it proceedeth from all the parts of the whole body of man, as in fevers, where the humors are expelled from the veins to the guts, and proceedeth of hot and drie, or cold and drie distemperatures but never of moist, as saith Dom. Leo.
Signes.
Vomiting a sign. THe signes or tokens of this passion are both generall and speciall. Generall signes are vomiting, lothing of meats, great pain, retention of the excrements, unrest, grief or pain in the fore-part ofCostivenesse a sign. the belly, constipation so great, that it will go neither upward nor downward.
The speciall or proper accidents that do alwayes accompany the Collick are continuall thirst, vomiting of choler, watchings, by looseContinual thirst. or cholerick, excrements, a straining or wringing pain, though not long enduring, and young persons in the Sommer are most subject to a loose collick: but the tokens or signes of the state of a cold body in old age, are slothfulnesse and lazinesse, much desire after grosse and cold meats, rawnesse Nausea, or quesinesse of the stomack, ready to cast, but cannot, Pituositie or slimie vomits, little thirst, the pain more remisse but longer continuing. Rumbling of the belly, desiringBeware of cold drink. to drink cold water, or small drink. Longing after all manner of fruits, and white meats. The pain changing from place [Page 198] to place, and the feces to swimme being put in water and very many such like signes too tedious to trouble the Chirurgions mate withal atAuthority. this time. Avicenna saith, that amongst outward signs of this disease, if the patient sick of the Collick have certaine small whelks or pushes arising upon his belly, about the bignesse of a bean, ulcerating and continuing above two dayes, it is a signe the patient will die of the disease: Also when the Chollick doth not give place to Glysters, Foments, Motions Cataplasmes, and such like good remedies: you2. Authority. may then with Galen 12. Methodi Medendi, judg that biting humours doe possesse the tunicles of the guts, but if the disease yeeld or give way thereto, then the matter of the disease is contained in the cavity or hollownesse of the guts.
The Collick still continuing with vomiting, cold sweats, often sobbing or the hicket, and not giving way to remedies administred, is deadly.
A pestilentiall Collick, or contagious Collick, doth almost alway kill.
A Collick with feces voyding slimy substances, though an Apostume be in the greatest guts, yet it is curable.
The Collick proceeding of winde is easily cured. An easie or good breathing, or taking breath is a good signe in the patient that he may be cured, but difficult breathing sheweth the contrary.
The Cure.
Method of the cure. THe manner of curing the Collick is effected by renewing and taking away the cause, and then the paine vanisheth: But to remove the cause, many things are to be put in practise; as preparing the humours by evacuation, remission and resolution, all which require some long time, and therefore other meanes are first to be used to take away the paine, or at least to mitigate the same withAnodines first. Anodine medicines, and the due application of convenient helps of warme and moist temperatures, which not helping, you must againeNecrotical medicines if need. have recourse to Necroticall and Stupifying things, which indeed are not to be used, but in great extremities to give the patient some present ease.
Anodine medicines are to be adminstred so well inwardly as outwardly; as first inwardly, namely in glysters consisting of moist and fat substance, as the decoction of Camomill, Dill, Linseed, Mellilot, Mallowes, Hollihock, Fenigreek, Bayberies, or some of these, with one ounce of the new extract of Cassia, and some suger, with Linseed oyle and butter administred. Outwardly, these are to be applyed, either Unctions, Cataplasmes, Fomentations, Baths, or some such like convenient medicines, as time and place best fitteth.
But if these should not help, then in great extremities, you are to flie yet againe to Necroticall or stupifying medicines, as namely Landanum Paracelsi, which exceedeth all Necroticis: or Philonium Romanum is also a good medicine; these are onely to be used in causes proceeding [Page 199] of heat, and never of cold causes; for in cold causes that were rather to confirm the disease, and yet in the judging whether the cause be hot or cold, sometimes a good Artist deceives himself. If the Collick come of winde, then you must apply warm resolving medicines, I mean dissolving and dispersing medicines.
Notes to be considered of by the Chirurgion in the beginning tf the Cure of the Collick.
1 FIrst, whilst the meat is yet in the crude gut, I mean before it be digestedA caveat. and turned into excrement, no loosing medicines are to be administred, but rather a small and spare dyet, and in the beginning to begin with mollifying glysters, and then afterwards to proceed with more sharp and stronger. But before all things, if the Patient have a full stomack, and withal queasie, after a glyster, then a vomit is principallyGlysters and vomits. to be administred.
2 Secondly, Repletion or overfulnesse, as well as too much fasting is to be avoided.
3 Thirdly, no Agarick is to be used in any of your medicines for the Collick, because that cleaveth to the guts, and most bringeth terrible pain and tortions, yet Stokinus a learned Germane Writer, dothBeware of Agaricum. highly extol the same to be put in Glysters to give it present ease.
4 Fourthly, you must by cordials have a care to preserve the Liver, Heart, and Head, least they be hurt or offended by the vapours, andA caveat. over-much heat of the oyntments, cataplasms, and fomentations which are usually applyed to the parts agrieved.
5 Fifthly, in the beginning over vehement warmings are to be avoided,A second caveat. especially, if the Collick proceed of the dry feces; for thereby they be the more dryed▪
6 Sixthly, cold water is to be avoided, and not any waies to be permitted to be used to quench thirst withal, but rather let the patient use some stewed prunes, Julip of Violets, conserves, and such like; or a barly water, with a few drops of oyl of Vitriol and some licoras are good.
Specifical remedies. Specifical things that cure the collick are very many, as horse-dung drunk in wine, hares-dung or hen-dung drunk in Oxicratium, where such may be had. Also the powder of Harts-horn, corral, cockel-shels burnt, or swines hoofs burnt or Calcined till they be white, and such like, according to the diversity of the causes. Further in the particular cures of this disease, there are very many things observed by the learned Physitians, according to the diversity of the causes, which were too much to trouble the Chirurgions Mate withal at this present as the ayre, dyet, and divers other good helps to the cure of this grief, which cannot be observed at sea, onely fish and water-fouls are to be avoided as much as may be.
The Cure. To cure the Collick which cometh by means of the feces remaining, and being dried up, which happeneth most commonly at the sea [Page 200] in long voyages, and especially in hot countries: there are three sundry intentions to be observed.
The first, to mollifie the feces, and supple the guts.
Secondly, in Evacuating, to discharge the belly.
Thirdly, to remove or take away the cause of exsiccation, or drying up of the feces or excrements.
The first is performed with glysters made of common oyl or butter, with the decoction of Mallows, Violets, Beets, &c, and by drinking oyl of sweet almonds, or a decoction of Polypodium.
The second thing which doth bring forth the mollified feces or excrements is Cassia fistula or Manna, or Diaphenicon, or Hiera, or sharp glysters.
The third intention curative, if it could be attained to at Sea, were to remove first the external causes of the disease; as over-warm ayre, over-salted dry meats, and small quantity of food, fasting, watching, melancholy, and the like, inwardly to help the weaknesse of the expulsive faculty, with Treakle, Mithridate, Conserva rosarum, or the like cordial helps, helping also the expulsive faculty with glysters and such like good things: For further inward remedies you may use the aforesaid glysters, or half a drachme or ʒj. of Sulphur vivum drunk in warm wine, and the belly well covered with warm clothes helpeth somewhat.
Item, Carraway seeds made warm in wine, but not boyled therein, being drunk helpeth.
Item, a glyster made of Sope and Honey is a present remedy.
Item, a bag stuffed with bran, and made very warm sprinkled a little with vineger, and applyed to the belly is good.
Item, Goats milk, or other milk, boyled with honey, and applyed to the belly with a spunge, or cloth warm, in manner of a foment, healeth the Collick, and driveth away worms, and ceaseth the pain.
Item, the gall of a bullock, Salgem, Aloes, common oyl, ana partes equales, mingle them and make an oyntment thereof, wherewith annoint the fundament before the fire, that looseth the belly, and bringeth forth the hard feces.
Tenasmus.
The definition of Tenasmus. TEnasmus or Tenasmus, as Hippocrates calleth in his sixth Aphorisme and in the seventh book, is a disease, of extention, or straining out of the right gut called intestinum rectum, being oppilate or stopped, and of some English writers it is called Costivenesse. This disease as Galen saith in his second book De methodo medendi, is when a man hath an extraordinary provocation, lust or desire, and a vehement straining to go to the stool, but cannot void any thing at all, except sometimes some small quantity of slymy matter, which now and then is mixed with blood or a bloody substance, and the extraordinary desire of emptying or going to the stool ceasing.
[Page 201] The causes of Tenasmus outward and inward. Outward as Cold. Heat. Drought. A corrupt asire. Bathing in cold w [...]ter. Necrotical ointments. Inwardly as salt humours. This disease preceedeth of divers causes and accidents, both outwardly, and inwardly.
Outwardly by cold, coming accidentally to the hinder parts, arsegut, as the long sitting upon a cold stone, upon iron, a boord, upon the cold ground, or any hard thing, whereby the Sphincture or round muscle compassing the straight gut is pressed or bruised. It cometh also by intemperate heat, and drought, and corruptnesse of the ayre and weather: sometimes by long bathing in cold water, and sometimes by much using narcotial oyntments, and such like. Also inwardly this disease proceedeth of salt biting humours abounding throughout the whole body of man: also by means of some hot or cold impostume, or after a Dysentery or Flux, whereas some cholerick matter remaineth behinde in the right-gut yet unevacuated. And sometimes too happeneth here in our Countrey, as some English Writers affirm, by little drinking of Beer or Ale, and sometimes it cometh by drinkingToo much drinking of wine. Nature of Tenasmus. too much wine, and by eating of costive meates, and superabundance of choler adust. This disease is of the nature, or disposition of a Dysentery or Flux, but that the Dysentery paineth the Patient with greivous tortions through all the guts, but Tenasmus paineth the Patient usually in the right gut onely, as appeareth by Galen in his third book De causis Symptomat. And Trajanus in his sixth Chapter, andGal. de causis & sympt. lib. 3. Trajan. cap. 8. lib. 6. The signs of Tenasmus. eighth book, who affirmeth the same, saying, Tenasmus recti inte [...]tini est effectus, &c. The signs and tokens of this disease are chiefly to be known by the Patients relation of the temperature of the body, slender diet, and egestions, whether it be hard or costive, or else thin or liquid.
The pain described. In Tenasmus the pain doth not ascend so high as the navel, but is chiefly felt with heat, pricking, and burning with a desire of emptying in the end of the sphincture, the excrements being of a yellowish colourAnother sign. in young men (like their starching now adayes) but in old persons the excrements are of a more pituos, slimie and bloodie substance.
If the disease proceed of an Impostume, the Patient will feel a continual pain, and the more augmented and grievous when he goeth to the stool.
Prognistica.
Tenasmus after a Dysentery is most hard to be cured.
Necessary observations. Tenasmus in a woman with child causeth oftentimes abortion, sobbing, vexing, or the hickoke, and is very pernitious, and betokeneth much drynesse.
Tenasmus long continuing, bringeth the Collica and Iliaca Passio: or Swoonding and diseases of the head.
Tenasmus is not numbred amongst long nor sharp diseases, for that it is soon cured; and if the Patient do eat and drink well, there is no danger.
The cure.
How to cure Tenasmus proceeding from cold. Tenasmus is cured by taking away the causes thereof, from whence it doth proceed; as if it come by outward cold, then let there be applyed to the Ose pecken, and hippes warm, resolving fomentations and applications, as bags of millium with salt, being rosted or fried, or sacks with bran sodden in wine, or water, and so applyed as hot as may be suffered, and the fundament and parts anointed with oyles of Rew, Lillies, Bayes, Vnguentum martiatum, and such like: Alexander in his sixth Chap. and eight book saith, Tenasmus is cured with foments of Fenigreek and the roots of Altheae, being boyled and injected into the belly, and also the Patients hinder parts well suffumigated with the same decoction, the Patient being compassed about close with clothes, and so set over it, and then the fundament afterward annointed with oyl of Roses, fresh butter, or goose grease, with wax dissolved, Bears and Capons grease, and such like.
Item, A fume of Frankencence and pitch, being cast upon burning coales, and the Patient set close over the fume, helpeth presently.
Item, To give present ease to that pain, let two bags be filled with wheaten-bran, and steeped in boyling vineger, and the Patient to sit thereon so hot as may be suffered, and to change them continually, as the one cooleth to take another.
Note that in this disease of Tenasmus, no cold things are to be applyedA special instruction in administring a glyster for Tenasmus. at all.
Item, such glysters as are used in this disease should not exceed half a pound, and the glyster-pipe to be put into the gut not above two fingers bredth at the most in length within the gut.
Concerning exitus, vel progressus, vel procidentia A [...]i, in English, the falling of the fundament.
THis disease for the most part is accidental to our Nation in hot countries, and that chiefly after or in the time of a great flux of blood or humours, although it is manifest it also happeneth in allChildren more subject to this disease then old people. countries and places, both to young and old, but chiefly to children upon divers several occasions, which I list not here to amplifie, having no intent to set out my work in painted phrases, for I would onely arm the Chirurgions Mate how to proceed in the cure thereof at Sea, and yet I know the same will take good effect also at land where that disease happeneth.
The Causes.
Causes of the falling of the fundament. THe causes of this grief are too many to be named, the sign thereof is manifest, that it is a resolution or a relaxation of the muscles of those parts: whereby the gut slippeth or slideth down lower then the natural place thereof, namely, out of the body.
The cure of this grief is for the most part short, and likewise if [Page 203] the Patient at Sea be careful and go not out to the shrowds or Beakhead of the ship to stool, neither in going force the expulsive vertue of his body over much, it will not easily fall down again.
The Cure. It is cured as followeth, namely, at the first going out, use no other remedy then a warm soft clout and thy hands, and gently return it into his due place, and let the party after it is reduced, sit on a hot board, or have a very hot napkin doubled and applied to his fundament, and another to his belly: but whereas this disease for theThe cure if it proceed of the fluxes of the belly. most part proceedeth from the fluxes of the belly, in such cases you must proceed to the cure of such fluxes of the belly, and that effected you shall hear no more of this accident; but if it usually fall out, it isThe cure if it useth often to fall down. the more dangerous, then you may proceed as followeth▪ set the party over a close stoole, and fume the place as warm as he can suffer it, with a fume of Thus, Mastick, amber, rosin or pitch, or any one of these, and being fumed well and very warm, bestrew the gut fallen down with Album Gracum well powdered and fine, for this is precious, though a homely medicine, but therewith this disease is cured, and many other infirmities also; but there is a great care to be had to the powdering and well searsing of the same, for that it is often full of sharp pieces of bones very dangerous: I say therefore this beingThe putting of it up. carefully prepared, and applied with warm soft clouts and warmedThe Patients help required. hands put it up, and let the party as it were endeavour to draw in his breath in the doing thereof, for it will with ease be brought up: and being thus put up, into his place, it falleth not easily out again; the same effect hath burned Harts horn powdred, or any other hard bones burned into white powder, are very good, powder of Gall-apples or Gals is thereto a good medicine strewed on as the former; Pomegranate Pils powdred doth the like, and Balausties or Sumach is also good, being powdred and strewed thereon. Also a fomentationA Fomentation. very warm of stiptick drying things are good, as for example. ℞ fresh water, heat and quench pieces of iron or steel often therein, if it can conveniently be done: if not, onely faire water, a convenient quantity of about a quart, boyle therein the quantity of one large Gall, put to it a little Allum about ʒij. a little Succus Acatiae some ʒ ss. or lesse, cynamon if it may be had ℥ss, or pomgranate rinds ʒ j. if you have them, or Baulausties a little, and therewith foment well the part, and after fomentation let it be very gently put up to his place, but French wine or Aligant were better then water for the fomentation. Further, have a great care that whatsoever you use by way of fomentingA special caution. or otherwise, each thing be actually very warm you apply, or they will endanger him. It will likewise not be amisse, if you adde a little good Aqua vitae or Rosa solis to your fomentation after it is boyled, especially if your decoction be water. Bean flowre is also good to strew thereon, when you go to put it up, but Album Graecum is the best thing you can use, Mastick in powder is also a very good medicine to strew thereon, use as little force, as may be in putting it up, and have ever ready a Chaffendish with fire, when you go about that work, to warm clouts, and your hands also. And [Page 204] The Patients help very needful and profitable to himself. Let the Patient beware. if you find it difficult to be reduced, let the party be set on his head and hands, with his legges abroad and it will help somewhat, but beware he stand not so too long, but rather let him rest and begin again, or kneeling on his knees and elbows is also good, onely let him remember that he draw in his breath, as I have said, for that availeth much, and let him not seek to close or draw together his fundament as little as he can, till the gut be reduced to his place. If upon occasion of the flix you be constrained to use confortative o [...] restringentHow to prevent it in the time of the flix afflicting. glysters with also your Laudanum, you shall not need to fear but it will keep up: or if these things help nothing, I fear he is hardly to be cured, but they have never failed me; and so I conclude to the honour of the Almighty concerning this disease.
Of the Callenture.
THe Callenture by all my experience, or what I can gather fromWhat the Callenture is. others is no other thing then a contagious feaver, for the most part suddenly assaulting Sea-men, sometimes it is with paroxysmes,The quality of it. sometimes coutinuall, and hath fits hot and cold in some, and that very violent, even to the losse of senses and life also.
The Causes:
The causes thereof. THe causes thereof are divers, as namely the intemperature of the Climate, or degree of the world causing an evil habit in the bodies of men, when they come into such contagious aires, the evil nutriments the Sailers have at Sea, strong obstructions, the abuse of themselves in diet and customes, and divers other reasons too long to insist upon.
The Signes.
The signes. TO be breife, the signes are a strong fever, a generall and sudden distemper oft times both of body and mind at one instant, or an inclination thereto,
The Cure.
THe Cure confisteth chiefly in Cordials, Alexipharmacons or preservatives;The curation wherein it consisteth. that the animall, vitall, and naturall parts may be defended from the venimous danger of the disease in evacuation, and in regiment of diet, all these being as suddenly put in practise as time will serve, the disease being sudden and fierce in it self. An excellent remedy thereunto is a dose of Aurum vitae, and sweat upon it also.
Of Cordials.
A Cordial p [...]tion for the Callenture. A Present Cordial medicine fitting to be given in the Callenture is Venice Treacle or Mithridate ℈j. London Treacle, or Diatesseron ʒ ss. with Syrup Limoniorum ℥ j. Plantane water or fair water, ℥iij. oyl of Vitriol six drops, or so much as to make the drink tart, and one houre or two houres after give him another dose thereof, and forthwith also let him have a suppository or glyster given him and so soone as he hath had one stoole therewith, let him blood reasonable [Page 205] largely if his strength will beare it, let him also have for his diet no other thing for two or three daies but thin broathes, pannadies or the like; and if it be thought fit to take it, after the suppository, a glyster were not amisse to be given him, namely, decoction of March Mallow roots in water, adding in the end of the decoction of Saltniter ℥iiij. of Species Hierae ʒij. Oleum Sambucae ℥ij these will coole him well and cleanse him.
And if further need of purging be, give him a dose of Aquilla Laxativa, or Aquilla vitae, a dose, which in this disease hath been approved very good.
The Aquilla Laxativa is usually given in ℥iij. of Plantane or faire water with Syrupe of Violets or Lemmons ℥j. the Aquilla vitae with Conserva Rosarum, with Diatesseron Liquorice-powder or alone. If you see these courses reasonably put in practise, doe not give content, I meane the body being open, then in the name of God give him a dose of Laudanum, you shall find it often to procure perfect health withoutHis ordinary drink what it must be, and of what it is made. further help. For his drink let him have a decoction of French or commou Barley, whereunto so much Liquorice, or Succus Liquoricae may be added, as to make it of a grateful tast, as also for the smel, a small quantity of Rose or other vineger, and Rose water a little, and thereto so much oyle of Vitriol; as to give it a tast somewhat tart but not too much: Syrupe or juyce of Lemmons is also very fitting to be put thereto if it be to be had in any plenty. But let me advise the Chirurgions Mate in all the precedent courses, that he,Good Chiru [...]gion take notice. use good discretion and moderation, for over purging, bleeding, much thin diet will be very dangerous at Sea, and will surely turneTwo principal observations. your Patient unto the Scurvy: for note this for a general rule, that almost every sicknesse at Sea ends in the Scurvy: and the Scurvy 1 oft-times unlades her selfe by a flux with death attending thereon,2 without Gods mercy, and the Christian Commiseration, diligenceBy Gods mercy miseries are prevented, and Art in curing blessed. and skilful hand of the Chirurgions Mate, which that he may the better be enabled in all difficult cases to practise and performe his duty, the God of all glory assist him with his grace.
Amen.
A Treatise of Salt in general: And first of the Antiquity thereof.
Salt sure in vegetables. SAlt was created with the world in the beginning, for that it is easy to be proved, that neither herb, bud, nor tree whatsoever groweth, which containeth not in it selfe a proper and peculiar Salt, which is easily and apparently by Art to be separated from the other substances thereof, andHealth from salt by Gods providence. through the wonderful providence of our Almighty Creator, each Salt hath some needful vertue contained in it for the benefit of his creatures. A further testimony of his Antiquity, the Sea which tooke his beginning, asScriptures testifie The Sea and all creatures containe salt. Scriptures testify, before mankind doth produce the substance thereof being wholly salt. And not onely the Sea, but also all other creatures of God whatsoever under the whole heavens, whether they do consist of Animal, Vegetable or Mineral parts, cannot, nor ever did subsist without a natural inbred salt in them, whose nourishment and increase proceedeth from the earth, water, or ayre, where the said creature breedeth and groweth. Therefore since it challengeth a place with the most ancient and first creation of all things, I need use no more demonstrations, but conclude that the Antiquity thereof, is undeniable, and as cleere, as the Sun-shine is at midday: thus much of the Antiquity thereof.
Of the kinds and differences of Salt.
TO intreat of all the kinds and differences of Salt, is a worke so difficult and long, that no man whatsoever in the whole time ofFrivolous to write of all salts. this short life, can make sufficient relation thereof, wherefore to avoid tediousnesse, I will take a shorter course: namely, I meane to doe something therein, and leave the rest for others of better capacity, that shall come after. Note therefore that there are three kinds ofThree kinds of salt. Salts in general, to wit, animal Salt, Vegetable Salt, and mineral Salt and ere I digresse or go any further, let me interpret my selfe in plaine tearmes, to young practitioners in Art, whom alone I desire to benefit.
The animal salt is understood to be that salt which proceedethThe three sals explained. from creatures that bear life, and have sense and feeling, or moving whatsoever, under which are comprehended all beasts, fish, fowl, and [Page 207] worme, &c. under the name of vegetable salts, are comprehended the salts of trees and herbs, and whatsoever else may grow by sowing or planting, or any other industry of man, as well the seed as the fruit or the plant it selfe, or any part thereof. And under the name of mineral salt is comprehended the salts of all metals, as of Saturn, Juter, Mars, Sol, Venus, Mercurius, or Luna: as also the salts of all stones, with also all earths and their juyces and extractions, as likewise all other Mineral and Terrestrial salts whatsoever, without name.
Thus much in briefe for explaining the three principal kinds of Salts, each of which have a three-fold several substance contained in them, viz. A volatile salt, a fixed salt, and a Caput mortuum, named also Terra Damnata, otherwise it may be tearmed to containe a Flegme, a spirit, an oyle which againe is called, Sal, Sulphur, and Mercury, each dividable plainly and easily by Art: Some may here object, that they will draw more then three substances, each being a good medicine from any one subject, either Animal, Vegetable or Mineral, as for an instance from Mercury, you may extract infinite several medicines, inwardly, and outwardly serviceable, as namely you may have from Mercury Laxative, Vomitive, Diaphoretick Diaureticke, cordial, preservative, and sundry other needful medicines to be ministred with great safety and comfort to the diseased, as elsewhere of Mercury is noted: which speech may seeme very strange toAnswer. some that all these, yea and many more varieties and diversities are found in any one Mineral: but though one substance make many medicines, yet it confoundeth nothing the tria principia, for every medicine is not one principal, neither is there any principal tied toSalts good in meats, are of three sorts. to make but one medicine. But to returne being digressed, I say the kinds of Mineral salts used at tables, and for seasoning meats, are to be esteemed three in number: one kind is the Bay or Sea salt, dried meerely from salt Sea water by the heat of the Sunne. The second sort is that salt which we have from the Sea cost, or from salt Springs at home, made by decoction. The third is the salt that groweth concrete, bard and pure in the bowels of the earthsuch is the Sal Gemmae, and this last is held the best, both in meat and medicine, it is in colour like Cheystal transparent and groweth in great quantity, in Polonia, neer the Citie Cracovia, my self having gathered of it in the Mines there.
Of the necessity of salt, and of the general utilities thereof.
The necessity of salt in all things. NO one thing which the Almighty Creator hath made for mans use, excelleth Salt: as well for the sundry and most necessary uses it hath, as also for the abundant vertues thereof, without the which, nothing which is created under the Sunne, as is said, could subsist in his kind, beauty or vigor: as for example, man the excellentest of Gods creatures without salt presently putrifieth, or at the least fallethExample▪ into some extreame disease, yea a small distemper in the Animal salt of man is able to kill the strongest man, which the simplest may in his owne reason comprehend and know. And who liveth which at some time or other hath not tasted his owne bloud, either from his [Page 208] How to discern salt in man. gums or his nose bleeding, or otherwise, whereby he is able o [...] affirm the same bloud to be salt. I think none will deny it, but if any will be so simple or obstinate, then let him taste his owne urine, and there questionlesse he need not doubt to find it salt: but without contradiction, the whole masse of mans body is full of salt: and if thou wilt not by all this reason be perswaded to beleeve it, then search artificially, and thou shalt find, yea two kinds of salt in mans bloud, and so in all other creatures which beare life and have bloud as well as man, namely, a Volative salt, and fixed salt, which salt I say wanting in the body, that living creature which wanteth, it presently putrifieth.Certain evils befalling man wanting salt. Some also we see that by a salt rheume in there eyes lose their sights, some by a sharp saltnesse in the urine, dangerous accidents ensue: some fall into the Scurvy, some have the Dropsie, some the Leprosie, with infinite other the like offences hapning by the distemper or want of the Animal salt: the examples are very common, Nihil sale & sole corporibus hominum utilius, saith Paracelsus; nothing is more profitableSalt preserveth from putrefaction. for mans body, then the Sunne and salt. It is the most precious Balsam for mans life in health, it maintaineth health and keepeth mans food from putrefaction in sicknesse, sores and aches, few medicines to be compared to it: Mineral salt being brought to an examen in the fire, first from it is by Art exhausted a thin Mineral Phlegma, called the Mercury or fleagme thereof: which past, then there ariseth a most fragrant spirit which openeth Mineral bodies, aud breaketh up gold and silver to make them potable, or otherwise according to the will of the discreet Artist, in which spirits is comprehended the chiefe medicine: the residence whereof containeth the fixed salt, and the feces therof: the feces are meerely good for no use at all, that I know, and therefore of Chymists are called Terra Damnata. Paracelsus speaking of the necessary uses of common Mineral salt affirmeth it to be the true Correcter of all kinds of meats, and saith further, that meat, though being of meane nutriment, yet if it be well salted nourisheth much: for he is of opinion, that whatsoever meat is either eaten without salt, or but meanly salted, turneth for the most part to the offence of man, and breedeth diseases, as the falling sicknesseSalt helpeth digestion, and comforteth. and other great griefs: for, saith he, salt mightily helpeth digestion, and concoction, and likewise comforteth all the faculties of mans body, it is the Balsam of the earth, whereby mens bodies areSalt the Palsamum of the earth. preserved alive, and so of all creatures which containe bloud in them, yea and all insensible creatures also, as Vegetables and Minerals have their peculiar salt, which keepeth them in their vigor and strength from common putrefaction. Josephus Quercitanus affirmeth salt to be a spur to all medicines, both outward and inward, with which it is mixed, stining them up and quickning them, the better to performe their offices, and the longer to retaine their vertues, by preserving them from outward putrefaction of the ayre.
Temperature of Salt in general.
The temperament of common Salt. COmmon salt by the most opinions of the learned writers is hot and dry, some affirme in the second degree, some in the third, this [Page 209] being spoken concerning common salt as it is used in meat and medicine without any further preparation: but let no man attribute to all salts one temperament, which I suppose none which is discreet will, because then he should mistake himselfe; for without all contradiction,Divers Salts diversly qualified. no temperature can be named, but some salt may easily be proved of the same temperature, wherefore it is said concerning ordinary salts for meat used, whether they come from sea, or from salt water by decoction, or from the ground without mans Art as salt Gemm doth, or from the salt springs within the land, as our Worcester-shire salt doth: yet all those have no manifest differences in their temperature, but may be said to be hot and dry, and yet according to the strength of them they may one exceede another more or lesse in degree.
But salt Peeter which is of excellent use for medicine, as also for very many needful occasions otherwise whose substance and qualityThe quality of Salt-Peeter. are wonderful being considered, yet it is apparent that the temperament thereof is cold by the effects, for it doth coole the violent boyling of the bloud, no otherwise then if a man should coole fire with water, and yet his chiefest substance is spiritual, volatile, andThe substance of Salt-Peeter. combustible, if it be pure: but in truth all minerals shew themselves in operation to be specifical, and not truly to be distinguished by their heat or cold: and as for the spirit of common salt the medicinal effects thereof are cooling the bloud, quenching thirst, corroborating and refreshing the stomack, &c. the tast thereof being almost like the oyle of Vitriol, or rather like good juice of Lemmons
Further, the salts of animal and vegetable creatures may very well be said to have their several temperaments and differences, each according to his one kind, as the salt of wormwood is esteemed hot and dry like the hearb, and so of many other hearbs in like manner may be understood.
Somewhat of the healing vertues of common salt.
COmmon sea-salt, boyled in the strongest beer to the consumption of three parts of the same beer, and being made salt as brine, is an excellent bath to ease the pains of the gout, as my selfe have provedGood for the Gout. often. It is also good to cure the Serpigo of the hands, Tetters of hard curation. Paracelsus speaking of the vertues of salt saith as followeth.Serpigo. Tetters. All those which are vexed with any disease, proceeding of grosse crudity, or natural humidity, as rheumes, itch, scurfe ringworms, or the like noysome griefs: let them make a bath of common sea-salt, and strong bear boyled together to a third part, and as warm as they can possible indure it fit in it and sweat therein and after go to a warm bed and sweat againe, and doing so sundry times they shall feele help thereby: I have had credit by it when divers greater medicines have failed me, especially in the pains of the Gout & other aches, I have done much good with it; and further, it is so harmlesse aGood for cold Aches. thing that none need to feare the use thereof: whereas many other kinds of bathing although they be good in one kind, yet hurt in another [Page 210] but this is merely harmlesse to any, provided withal, before theThe body to be purged before it be with a salt hath bathed. use of this bath, a due preparation and purgation of the body be thought upon.
Moreover, there is an ordinary Lixivium, made by expert Chirurgions, for the healing Ulcers, which is Mundificative, Abstersive, Discussive, and very Sanative, performing much in Chirurgery, the chiefe ingrediences whereof is vegetable and mineral salts made by decoction with vulnerary herbs in faire water to a just consistence:The vertues of this Lixivium. this Lixivium in Tumors, Ulcers, Fractures, Dislocations, as also in great Contusions, Obstructions, Gangrenes, and many other like infirmities, is a very good and ready medicine, the description whereof is set downe in the cure of fractures.
The Caustick stone is made of salt. Also the causticke stone, called commonly Lapis Infernalis, is no other thing, then meerely a vegetable salt, the virtues and making whereof, is not proper in this place to be spoken of, but shall in another place be mentioned. Thus much at this time concerning common salt.
Of Vitriol or Copperas in General: And first what is Vitriol.
VItriol called in Latine, Calcanthum, in English Copperas or Vitriol, but more commonly called Copperas, is a mineral salt which for the worth and Vertues thereof doth farre excel many other kinds of salts, so that not without great reason, that worthy Theophrastus Pvracelsus, who had truly anatomized that salt, affirmed and often repeated that the fourth part of Physick was contained in this Mineral salt, from whence the same author also, not unfitly, doth compareA comparison between Copperas and wood. it to wood, of which divers formes may be formed, and divers instruments also may be made for divers operations and effects, for out of this salt many substances may be extracted and prepared, and many good medicines may be compounded, quite contrary in operation, and utterly disagreeing in effects from each other; as for example, outThe divers vertues of Copperas both inward and outward. of this Mineral salt, medicines of great efficacy may be made, as well in purging as also sudoriferous or diaphoreticks, Cordials, Anodines, Narcotick, Stupefactive, Stipticke, Corrosive, Abstersive, Repercussive, Mundificative, and Sanative medicines, as also against the Epilepsie, or falling sicknesse and suffocations of the Matrix, good medicines are to be prepared thereof, and how these or some of them may be made by Art, and of their vertues, as time shall serve, by Gods helpe I have determined briefly to declare heareafter.
But I confesse I am not able to discover the fourth part of the great vertues of this worthy salt, for I daily meet with some new medicine therein worth the noting.
Of the different kinds Of Vitriol.
VItriol or Copperas we may have in England of six, or at the least of five kinds, namely Vitriolum veneris, or Copperas made of Copper, which in diseases of the head farre exceedeth others [Page 211] as writers affirme, and this kind may easily be prepared and cheape, as hereafter shall be set downe.
The next thereto in vertue is that kind of Copperas which grows in Hungaria, which to my knowledg we cannot well have in England, though some will affirme they have of it.
The third sort of Copperas that is praised is the Roman Vitriol or Copperas, in a place whereof we doe buy a kind of blew Copperas in London, which is not the true Roman Vitriol.
The fourth kind is brought from Gosler, a Towne in Germany neere to the City of Brunswich.
The fifth kind is commonly brought from Dansk and is somewhat yellowish.
The sixth and last, or worst, is our owne common English Copperas. These are all the sorts ordinarily to be bought.
Copperas of divers Colours. Though indeed many waies, and of many colours copperas may be made, yea and of many substances, as well from mineral stones as earthes, which if time would serve, and that it were to the purpose should be further shewed; but to be short the Copperas I would chuse for my use, is that which cometh from Gosler in Germany, it is to be had in London, and is not dear, and sufficiently good to draw a spirit or oyle from, or to make any medicine for inward uses, but for outward ordinary uses, the common sort of Copperas will serve well, and so it will do reasonable well for oyl, but not yeeld so much.
What Copperas for outward uses best. Note that the best Copperas as is said, is made of Copper, or of the Mineral of copper. Note further, that all copper and brasse will wholly be converted into Copperas, yea and turne againe into his owne first substance, namely into copper or brasse againe, though with losse. Also iron and silver will make good Copperas, so will divers sorts of stones and earths be converted into good Copperas, and springs neere copper mines, they doe make Copperas of, much after the manner that salt-peeter is made.
The way to make Vitriolum Veneris or Copperas of Copper, is as follweth.
℞ THin plates, or rather filings of Copper, what quantity you please, and Brimstone of each a like quantity, powder the Brimstone, and mix it with the Copper, put these into an earthen pan unglazed, and place them in a char-coale fire in a Chimny, and let them gently heat together till the Brimstone take fire. Then with an iron stirre it a little to and fro till all the Brimstone be consumed: then take it from the fire, and being cold cast it into a gallon or lesse quantity of fair water, and it will make the water green, and in taft like Copperas; poure off that green water, filter and keep it, and set the same Copper to be made dry againe on the fire, which done, mixe it with more Brimstone, and burne it, and quench it as before, continuing such worke, till all the Copper be consumed and turned into a pleasant blew or green water: then mix and boyl the waters till half [Page 212] or more be consumed, and set them to cool, and being cold, if it beA note of the true height of dection. sufficiently boyled, you shall find Copperas therein; if not boyle it more, and the Copperas will appear: then take away the said Copperas which you find, and lay it to dry, and boyl the remainder of the water againe, and there will be more Copperas: take still the Copperas each time out, laying it to dry, and doing so till all be made into Copperas. This is the best kind of Copperas, it is in colour of a pleasant blew, and is easily to be made, and will yeeld a good quantity, namely, one pound of Copper, if it be artificially prepared, will make three pounds of Copperas.
Of Phlegma Vitriol, or of the first water drawn from Copperas.
The rules in this worke. PHlegma Vitrioli is made as followeth: ℞. Copperas, put it into an Alimbecke and place it according to Art in the highest degree of B. M. namely, in a boyling water, drawing therby from it all the humidity which by B. M. will be exhausted, provided you fill your Alimbeck but two third parts full of Copperas, when ye put it to distill.The vertues of Plegma Vitrioli. This liquor as Angelus Salus a late Italian writer affirmeth, is good against paines of the head, proceeding from heat, namely the dose being two drachmes taken fasting for certaine dayes together. It swageth also the burning and boyling of the bloud. It strengtheneth all the bowels. It confirmeth the braine weakened with superfluous heat by the daily use thereof in the Spring time, the stomack being purged a little before. Also it maketh a moist braine temperate This first medicine of Copperas was by the Ancients not known: my self I must confesse have made no great use of this medicine, onely I have used it as a cooling water against the heat of the stomack, and sometimesThe Author his experience thereof. have found it good, as also to foment warme with it for any sudden inflammation in any outward part of the body due Evacuation first considered of. The said Author ascribeth many more vertues to this first Phelgma, or water of Copperas, which, for that I would be loth to waste time I will not trouble the Reader with.
Of the preparation of the second water of Vitriol, commonly called Spirit of Vitriol.
Rules in the work. THis first recited water being well rectified, separated, and kept apart: then take the glasse, Alembeck mentioned, containing the Vitriol, from out of the B. M. and place it in Arena, or a furnace with sand according to Art, the Vitriol within being first made into fine powder, and distil it therein so long till all the rest of the Humidity shall be drawne from it which the B. M. had no force to exhale. This second water, you shall perceive to be a cleere and odoriferous water, onely remember that thou force not the water over strongly, but doe it by a gentle fire.
The effects. This liquor is good to purge the reines: it appeaseth inward fretting [Page 213] and gnawing pains, taking one drachme thereof in the morning fasting with flesh broth.
It also causeth store of urine, and moderately provoketh sweat. It ceaseth the inflammations proceeding of blows or stripes taken in warm broth, and mitigateth the pain thereof, but if your fire be too strong, your liquor will come over so strong, that your dose must not exceed ℈j. at the most: wherefore be wary thereof, for a goodA Cau [...]io [...]. medicine evil handled, may do much hurt, and so will this if you want judgement to use it. In times past they were wont to calcine Vitriol till it was red, whereby it was deprived, not onely of the first, but also of this his second moist and most spiritual substance, butHow the Ancients prepared this Vitriol for the spirit. that was used by them chiefly, when onely they intended to prepare the sharpest spirit, or strongest oyl of Vitriol, which strong oyl of Vitriol hath all the vertues hereafter recited and many more.
The vertues of the strongest oyl of Vitriol.
IT helpeth the infirmities of the Lights, with the water of Fennel or fumitory It cutteth away the melancholy humours from the stomack, with Balm water, and comforteth the stomack after a wonderful manner, and doth defend the whole body from inward Apostumes and inflammations, and therefore it is used with good successe in the Plurisie, as also in vulnerary drinks it is approved good, for it attenuateth the blood wondefully, and defendeth the parts grieved from fear of Gangrene or putrefaction of the blood: It conglutinateth ruptures as well of bones as veins, and doth exceedingly corroborate and comfort all the parts of mans body, and may well be numbred as a principal amongst cordial medicines. It is also a very good medicine not onely in preventing the Scurvy taken inwardly, but alsoIt helpeth the Scurvy. in the cure of the Scurvy many waies, both inwardly taken with any comfortable wine, or with beer for need, or to make a Beverage therewith, and daily to use it in small quantity, namely, four drops for a dose In the Calenture it excelleth all other medicines taken inCalenture. Plantane, Sorrel, or any other good cooling water, or onely in fair water. Other convenient courses judiciously held, as namely, toA Caution. procure to the party by suppository, glyster or potion some looseness of body, with also phlebotomy in due season, and quantity according to judgement.
And likewise observing that a dose of Landanum is in such cases a fit help, laying the party to rest: a loosenes of the belly, I say, first had by nature or art. Moreover, for the overgrowings of the gums in the Scurvy, Vitriol or Coperas hath no fellow, namely, a strong decoction of Vitriol, with a little mel, or mel rosarum, and the gumsThe gums overgrown. after they are let blood well rubbed therewith very hot, helpeth well. Also if a stronger lotion be required, you may touch the rotten gums warily once with the oyl it self, but beware you touch not the whole skin with the oyl recited or strong spirit, for if you onely but rubA Caution. the teeth therewith, it is hurtful, for it will offend and much decay [Page 214] them, although I confesse it maketh them white, I have had the experience thereof, as well by making black teeth white, as also in lotions for the teeth: wherefore I know that the much use thereof consumethVlcerations of the mouth and throat. the teeth, in ulcerations of the throat or mouth that resist ordinary cure, by other good lotions usual; touch the ulcerated part warily but once therewith, and the ulcerations will heal very fastA Caution. afterwards with any ordinary medicines and helps, remembring as cause shall require, to use due evacuations or Phlebotomy. Also this strong spirit is good for inflamations of the throat, namely, againstInflamations of the throat. Squinancy or Angina used certain drops in a fit Gargarisme or Lotion, namely, to make it somewhat sower, and then gargarize warm therewith, for it mightily quencheth inflamations, and tempereth well the blood, and being likewise a little thereof given to drink, namely, sixA Caution. drops in such a case, it is much the better, alwaies remembring that all such diseases require loosenesse of the belly, and sometimes phlebotomy.
Vlcers and fistula▪s. Moreover in ulcers and fistula's scarce a better medicine is found, to enlarge a strict orifice, remove a callow, or truly to correct and prepare any inveterate Ulcer to good healing, onely by touching it with lint on the end of a Probe, thereby putting the medicine to thePurging medicines. place where the cause is. This strong tart spirit or oyl of Vitriol is almost generally in all purgative medicines, a notable corrective, and, as it were a good help to them to do their office, for it comforteth the whole body, and it giveth a grateful taste almost to any medicine.
A bad appetite. It is also good to a weak stomack oppressed with phlegme or slime, and helpeth appetite taken in conserve of roses, it hath infinite other vertues, too long here to relate, and indeed above my reach to search out.
Pestilential fevers. There is no medicine more precious in pestilential fevers, then this strong oyl or spirit is, my self have often used it to others in that case, and taken it my self with good successe.
The true and utmost dose is onely so much thereof, as may make the vehicle or medicine wherein you give it somewhat sower, but not too tart, for no man can say justly, give five, six, or seven drops, for that one sort is five times stronger then another: but when either your purge or other medicine is ready tobe administred, adde certain drops thereof to alter onely very little, the taste sower like, but in the Callenture, strong fevers, or pestilential fevers, a greater dose may well be taken, according to discretion and judgement; but take this caveat for a farewel in the use thereof: note that if you put it into a medicine liquid, it will sink down to the bottome, so that when you give it shake it, otherwise you may leave the most of it in the glasse behinde, and when you mix it with a quantity of Barley water or Julep, whereof you intend to make many doses, deceive not your self, for if you never shake and stir it, the last dose will be unreasonable to be taken, and dangerous.
Of white Coperas.
W [...]ereo [...] and how it is made. VVHite Coperas is easily made of other kinds of Copperas, it is generally called Vitriol, or white Vitriol in English, as if it were worthy a higher or more particular name, or respect, when in truth, as white wax is made of yellow wax, by the bleaking it in the ayr, and washing it oft: so is white Coperas made of green Coperas,White Copera▪s weaker then green. and is thereby, in my conceit, the weaker, onely the superfluous humidity is thereby evaporated, and it begetteth a new kind and shape, in all lotions it may serve in place of the other kinds of Coperas, but to draw spirits from, it is weaker then any other coperas that I know The vertues thereof, for the eyes excel any other medicine..
The chief uses I have made there of, is for Collyriums or lotions for the infirmities of the eyes, namely against itchings, akings, smartings, defluxions, and ophthalmia's of the eyes, wherein I find it to exceed either Lapis Calaminaris, Tutia, or Camphire. The salt thereof maketh also a singular vomitive medicine, which I first learned out ofThe Salt is vnmitive. the daily practise of that worthy and famous Physician Dr. Peter Turner dwelling in St. Hellens, who highly commended it to me, and I have found it worthy his commendations in many great infirmities, the dose is from ℈ ss. to ℥ ss and ʒ jj. it is safely given.
The effects of the Salt are fo [...] the falling sicknesse. Fevers. Stomack. It may very well be taken in Betony water with sugar, or in want thereof, in faire water with Rose-water, one spoonfull. It is good against the falling sicknesse, and in divers occasions of purging the head, also in fevers proceeding of crude and undigested humours. It Provoketh appetite. One receipt of my experience for outward infirmities of the eyes, I will here bestow upon the Chirurgions Mate made of white Coperas, which is as followeth. ℞ Vitriolum Album in powder ʒ j one new laid egge, or sound egge, boyle the egge hard,Arecti [...] for the eyes ill affected. shell it, and cleave it through, and take out the yolke, and in place thereof put the powder of coperas mentioned, and let it so remain closed together two hours or more, then put it into a clean soft ragge, being still so closed together, and strain it hard, and a water will come out which is green in colour, keepe it in a glasse close stopped; and when occasion is, drop one drop or two at once into the grieved eye. It is good in many infirmities of the eyes, and it will keep seven yeers without putrifying. It cureth all itchings, smartings, immoderate rheumes, the Ophthalmias in their beginnings, with many other infirmities happening to the eyes, and it strengtheneth well the fight. Thus much for this time of white Vitriol or Coperas.
Of burnt Vitriol.
THis is made as burnt allum is, ofany sort of coperas, and is of great use in Chirurgery, namely, to abate spungy flesh in Ulcers,The use of it▪ and also in all restrictive powder for staying of fluxes, and it helpeth well with other fitting simples to siccatrize, and also in Lotions and Gargarismes; as is said, it is of good use.
Of Liquor, or rather Mel Vitrioli.
THis Liquor, or rather honey prepared from Copperas, so called, because it is in thicknesse and colour not unlike honey; It is anThe vertue. excellent remedy against any lacrimous or weeping ulcers, or fistulas,Whereof it is made. to stay defluxions of humours in them, for it is very astringent, and doth well fortify a weak member, it is made of calcined Vitriol infused in spirit of wine, and the tincture of the Copperas therebyOther effects. drawn out, and then spirit of wine evaporated per B M and so it is excellent for to cure rotten gummes, or any putrid or corrasive ulcers of the throat or mouth, or elsewhere, and hath many other speciall vertues, which when I set down the preparation and use of my other chymical medicines shall be further handled.
Of Colkethor or Dead-head.
The kinds. FOr want of time I here come to the last medicine of Vitriol ere I have touched the fourth part. This Colkethor is of two different kinds, the one is from the feces of Aqua fortis, and the other from copperas, after the strong oyle is extracted from it. The first is most in use amongst Chirurgions, and indeed is most fotcible, because thereinThe force or effect of Colkethor. is a great part of the fixed salt of Salt-peeter, and of Allum mixed with the Coperas; it is a medicine astringent by reason of the coperas and allum, and abstersive by reason of the Salt-peeter, and therefore it is good for to prepare stubborn ulcers to a ciccatrize. Thus for this time I conclude of Coperas.
Sal Absinthii.
SAlt of worm-wood is a cordial medicine, and is very necessary inThe dose for a pestilent fever. the Chirurgions chest. It is very good against the heat of a burning and contagious fever, ʒ ss. thereof taken in a decoction of Centaury best, or in Plantane, or faire water, to which for to amend the tast, you may adde suger a little: give the party at the least three doses ofThe dose for the Dropsie. the medicine at several times, and sweat thereon▪ you shall find it an excellent help also in the dropsy or swellings of the Scurvy, ℈ j. therof given first and last on a piece of tosted bread for five daies together.The quality. It is good and fit to adde a few grains thereof into every cordial, for it is Diaphoretick, Diauretick and partly Laxative. It is aThe dose for a Quotidian. Good for stoping of the urinal passages. very good medicine against a quotidian fever, ʒ j. thereof taken in Centaury-water, or rather in a decoction of Centaury, and sweat thereon. In all stoppings of urine, it is a sure good medicine taken in wine. Thus much for this time for Sal Absinthii.
Sal Gemmae.
SEarch in the differences and kinds of common Salt for Sal Gemmae.
Sal Nitri.
The purity. IS the Chrystalline salt purified from grosse Salt-peeter, knowne to be pure by that it doth contain no common salt therein, being also wholly combustible▪ of temperament, it is either hot or cold, as isThe Nature. plainly seen by his office and vertue: do I say vertue? yea and vice; both I may say, for in truth for wounding and killing salt goeth beyond Mercury, this is the dangerous part of gun-powder, which giveth it the force of piercing to the heart, which God deliver all Christians from feeling it, and accursed be that hellish Germane MonkGermane Monk. Europs Doct rs. Sal Nitriof two sorts. which taught it first in Europe. This Sal nitri is either animal or vegetable, or both, and may also not unfitly be tearmed mineral, growing in mines, and it is every where, for every creature living may be said to have a part thereof: man and beast, I am sure hath a great partThe spacious kingdome of Sal Nitri. of it. It is a most medicinable subiect as any is in the world, and no man can live without it, for our bloud and urine hath it in it, yea, and our very excrements are mixed therewith, it is also in caves, in mountains and plains, and where not?
The inward vertue of Sal Nitri. The dose for Hemoragie. But to leave such discourse, whereto I have not appointed this little time, I say, Sal nitri in the Chirurgions chest is a worthy medicine, and the purer it is, the better it is for all uses: Touching the inward uses thereof, it is good against Hemoragia, or bleeding of a vein, whether it be by the nose, or any inward vein of the body, taken ʒ j. dissolved in plantane or fair water.
Helpeth the Calenture. In the Calenture it is approved good to coole the boyling of the blood taken as aforefaid, the dose for a need, if the heat be great may be given every foure houres, or the party may have a barley water rather made, wherein two drachmes or more may be dissolved to drink at will, it will not offend him, onely if he take too great aThe dose. dose at once, it may cause him to vomit, but it will not hurt him. It is the best thing I do know for the furring of the mouth and the throat in fevers, the place gently washed therewith dissolved in water, it presently bringeth away all the whitenesse and furring without offence.Cleanseth the mouth furred, used in water. The mouth cleansed, a Lotion needful. It is not ungrateful of taste: but so soon as you have taken such furring away, I advise you that you have ready some gentle sanative lotion to inject, to take away the acrimony thereof, for it is abstergent, and yet without violence or danger; you may use therefore the ordinary lotion one part, faire water two parts, and so inject to cleanse the mouth after the use thereof. I have expressed other uses of Sal Nitri proper in the cure of the Scurvy, to which I referr the Reader.
Certain plain Verses for the use of Young Chirurgions by the Author gathered▪ in praise of SALT.
OF SƲLPHƲR.
Sulphur is taken in general three manner of waies SUlphur is generaly taken for every fatty, oylie, or any way combustible part of any creature, whether it be Animal, Vegetable, or Mineral, namely, in animal it comprehends Adeps, Axungia, Pinguedo, and what else is combustible. In Vegetables it includes Rosine, Terebinthine, Gum, Oyl, Wax, Vinum Ardens, or Aqua vitae. Touching Minerals or Metals, it includes all sorts of Bitumens, with also the oyles of Metals, as of Gold, Silver, Iron, or any other, together with all sorts of Brimstone. Also it comprehends all sorts of Minral salts, I mean their oyles, as the oyl of Vitriol, ofA special observation. Example. A general rule. Allom, or of common salt, &c. And further it is to be considered, that every Animal, vegetable, or Mineral substance whatsoever, is said to contain his own pec liar and different Sulphur, as for example in wine or beer, or any other liquid thing Vegetable, that spiritual part which is combustible, though it be liquid, is termed the Sulphur thereof, viz. Aqua vitae is the Sulphurous part of Wine, and so also of Beer is to be understood.
Of Sulphur in particular.
What it is. SVlphur in particular is that usual Sulphur or Brimstone which with us is common, of which Artists make divers exellent medicines, viz: Flos, Oleum, Lac, Arcanum, and Balsamum Sulphuris, as also Essentia Sulphuris, with many other profitable preparations.
The divers appellations of Sulphur. This Sulphur or Brimstone is tearmed the Balsome of the Earth, of some others it is tearmed a Mineral Terbinthine, of other some a Rosin or Gum of the earth, and is plentiful in all the world, for if youThe plenty of Sulphur. but note for one mean instance, the Sea-coles, as we term them, which we burn, even they are full of Brimstone, whereby they kindle so soon, and burn so noysome, that were they not burned in Chimnies, none could live and indure their Sulphurous fume. As also the Turfs in some places used for fuel, and generally all the earth is replenished with Brimstone.
[Page 222] Moreover note, that there is no M ttal, whatsoever it be, as is said, but contains a natural Sulphur in it, othe rwise it were no Metal, forSulpher tht Father of Metals in truth many of the ancient Writers do affirm that Sulphur is the Father of all Metals, and notwithstanding all Metals contain a part of Brimstone or Sulphur in them; yet we see Sulphur or Brimstone also to be an ordinary substance of it self without the help of any Metal to it. Further it is apparent that Sulphur or Brimstome is of many different kinds as is said, and thus much briefly of Sulphur or Brimstone.
In praise of Sulphur or Brimstone.
[Page 226]OF MERCURIE in Generall.
Mercury commended and dispraysed. MErcurie is generally taken by Chymists for one of the three principles whereof each compleat creature is framed by nature, and it is also the first which forsaketh his fellows, being assailed by Vulcane; it is in truth a fugitive vagrant substance, which in the preparing of divers simple medicines, is scarce to be esteemed worth the glasse which contains it, it being also the faintest and weakest part of the three, for performing any good thing it self, yet if you passe higher in Art then to a simple work, and that you would make a true essential medicine, in such a case it is worthy of equal respect with the rest: namely, either with the Salt, or Sulphurous part of the medicine. It is of some Artists tearmed a Phlegma, a water or a dew, as being the watrish part of a medicine, it is so easie to to be exhausted from his fellowes, that the very warmth of the Sunne will raise it, yea warm aire without fire or other help in some simples is sufficient to drie their humidity, though not alwayes wholly: butA special observation. note this that all the humiditie, in medicines is not to be termed Mercurial or Mercury: for any humiditie, though it be not oyly, yet if it be combustible, it is termed Sulphurious, to wit, Aqua vit [...] as is said, even so much thereof as will burn is held Sulphur Vini. Thus much of Mercury in generall.
Of Mercury in particul [...].
MErcury is a special name which wise Philosophers of ancient time have thought meet to grace Quick-silver withall, the reason whereof in my opinion was, for that Quicksilver is an unstable orMercury taken for Quick-silver. Quick-silver. very medicinable. uncertain Metalline substance fugitive, and not well any way to be made fixe or faithful, as trial will teach thee to know. And yet of Quick-silver is made many several sorts of medicines, each in their names and operations much differing, according to their virtues, several uses and effects which they perform: Sublimed Mercury is calledMercury sublimate white Mercury. Whereof it is made. onely by the name of Mercury, and by the vulgar speech, some call it white Marcary and Markry. This corrosive medicine is made of Quick-silver, salt, and the Colcother of Vitriol only by sublimation or distilling them together with the Quick-silver, which Quic-silver flieth up [Page 227] to the top of the helm or head of the Still, together with the spirits of salt, leaving the substance of the salt, as also the Colcother in theThe subtile quality of Quick-silver. bottome of the glasse which is thereby said to be sublimed, yet neverthelesse though it seem easily to be made, let none attempt to make this medicine without good direction or experience, for there is no small danger in the working thereof, and yet it is a good medicine well used, and hath much helped the Surgeon in the outward cures of desperate diseases, as namely fistulaes and rebellious ulcers.
Of Precipitate,
How Precipitate is made. PRecipitate is also Quick-silver distilled in Aqua fortis, which by reason of the strong spirits contained in the violent and fierce vapors of the Aqua fortis or strong water, it is coloured red, or glistering, or yellowish, as experience sheweth▪ the vapors proceeding from this kind of preparation are also dangerous, and so are the medicines made therewith being often without due respect admīnistred, yea ℥j. of Praecipitate one dosse often Pil [...] wise by E [...]pe [...]icks. And again some others which would be esteemed more excellent for invention have this medicine a little removed. And then they style it Tur [...]th, mineral, attributing thereto the perfect cure of the Pox▪ perswading themselves none can do like wonders to themselves, but they are children in understanding, and know i [...] not, onely they are opinionated andThe subtilty of Mercury. bold, and more often kill or spoil▪ then heal, as their consciences know; for mercury is a fox, and will be too crafty for fools, yea and will oft leave them to their disgrace, wh [...]n they relying upon so uncertain a medicine, promise health, and in the stead of healing make their Patient worsethen before.
Of Sinabar.
Whereof Sinabrium is made, and the use and abuse thereof. SInabar which is used in fumes for the Pox, is a deadly medicine made half of quick-silver, and half of Brimstone by Art of fire, I mean by distillation: I know the abuse of these three recited medicines hath done unspeakable harm in the Common-wealth of England, and daily doth more and more, working the utter infamy and destruction of many an innocent man, woman, and child, which I would my wits or dilīgence knew to help, for every horse-leech and bawd now upon each tri [...]e will procure a Mercurial flux▪ yea many a pitiful one, whereby divers innocent people are dangerously deluded, yea perpetually defamed and ruinated both of their good names, goods, healths and lives, and that without remedy. Me thinks I could spend much time if I had it, even in setting down the good and bad things of quick-silver, and yet I confess I am too weak to to describe the tenth part of his wonders.
In Laudem Mercurii: OR IN PRAISE OF Quick-silver or Mercurie.
A word or two touching the foure Elements. The foure Elements are Fire, Aire, Water, and Earth. But the division which the Chymists of these times plead for touching the Elements, Josephus Quercitanus expresseth in these words following: saith he, The whole world isThe whole world contained in two globes. What is comprehended in the superiour Globe. What the inseriour containeth. divided into two Globes, to wit, into the superiour Heaven, which is Aetheriall and Aery, and into the inferiour Globe which containeth the Water, and the Earth. The superiour Globe which is Aetheriall, hath in it fire, lightning, and brightnesse, and this fiery Heaven is one formall and essentiall Element; the water and earth are the other two Elements▪ so he concludes, there is but three, and with him all the Chymists of latter times subscribe, affirming that number most perfect which agreeth with the everlasting Trinitie.
Paracelsus in a Treatise of his, called Meteorum, cap. 1. mentioning the difference betwixt foure and three Elements, hath these words. Touching fire; saith he, fire which is esteemed▪ one of the foure Elemente, can stand with no reason so to be: but as touching the Earth, the Water, and the Aire, they are truly Elements; for they give Element [...]o man, but as touching fire, it giveth no Element, it hath no part in the breeding of man-kind, for it is well possible for a man to be bred, and to live without fire; but neither without aire, water, nor earth can man live, for in truth from the heavens, by help of the other two Elements doth proceed Summer and Winter, cold and heat, and all nourishment and increase whatsoever without the help of fire. Therefore are the heavens the fourth Element, yea and the first, for the sacred Word sheweth us that in the beginning God made Heaven and Earth, shewing that Heaven was the first made, and in the outward heavens are included the water and earth, which▪ saith Paracelsus, may be compared to wine contained in a vessel, for wine is not gathered and prepared without a vessel first had and ready, proving also many wayes that the fire is included within the Element of Aire, and is no Element of it self. To prove the like opinion, touching the foure Elements, I could rehearse the names of many famous Writers if I had leisure, and that the occasion were worth it, but the question little concerneth the cure of diseases by young Chirurgions, wherefore I will conclude this point my self, intending neither to quarrel for to prove three, nor four, let there be four or three, either of both shall contentme.
Certain Fragments concerning Chirurgerie and Alchymie.
To the Chirurgicall Reader.
LOving Reader, I held it not altogether impertinent to acquaint thee as by the way with some customes which I have observed concerning Chirurgions in forraign parts in my younger dayes travels, and chiefly in the Germane Empire, as touching their manner of allowing or approving of Chirurgions in those parts, if by accident any young Artist should affect to make trial by travel thither for his better experience, as I my self have done, he may take notice hereby for his instruction.
Imprimis, their orders there generally are, that every City, Town Corporte, or place priviledged, hath a constant rule, as by ancient tradition of the allowing of onely an usuall accustomed number of Chirurgions thereunto appertaining, so that for one instance if the Citie of Hamburge hath twelve Chirurgions belonging thereto, although a thousand pound should be tendered in any way to produce a freedome for a thirteenth Chirurgion, it could not prevail, nor would be taken there; as likewise generally it is so all over Germany, and each Chirurgion is bred and must be a Barber, and so are all Barber Chirurgions; and if any one die, his Office, Art, and place rests in the power or disposing of his wife, to the use of her and hers, so that who so marrieth her, or compoundeth with her, of what Nation or Countrey soever he be that shall exercise the place, it is alike provided he be brought in by the widdow, as her husband or agent for her, he is capable of a place void, having first made his master-piece, and performed some Manuall exercises usuall with them in his art of Chirurgerie, thereby to give a sufficient testimony to the world of his answerable skill in his Art or Science, as namely, either by grinding, and setting a delicate lancet, and therewith opening severall veins smoothly, for the more manifest effecting whereof to the brethren of his calling, one will lend him his vein, namely, one on the thumb, one on the foot, and one on the arme, one other on the forehead, as also by the neat and exact making an artificial Emplaster, Vnguent, or the like: which done, being by rest of the Masters of the Citie approved of, and some other rites and ceremonies answering to his calling by him performed, according to the custome of the place that he intendeth to reside in, he is then being [Page 234] esteemed a Regular person, and also having made the Brotherhood of the place and himself well drunk once, twice, or thrice, he is, I say, (ipso s [...]cto) admitted to be a brother, and freely to use his Function, and i [...] styled by the name and honour of a Master of his profession. Thus much of their custome. But our customes are different from theirs, and are far better, namely, our Company of Chirurgions of the Citie of London, in the Hall of the Society, have a more commendable custome, for we not onely examine Chirurgions, and try their skils in that way, as being of ancient time used and practised amongst us, but also we have profitable, learned and experienced Lectures read amongst us, having two laudable ends and effects in them, the one in testifying their own, I mean the Readers sufficiencies; the other in seasoning and instructing of their auditours, namely, the younger sort of practitioners in the Art they professe: and yet they have a third good end, namely, they serve for the publick good of the whole Common-wealth, by training up, and breeding of able Chirurgions upon all occasions.
And of these our laudable customes and exercises in our Hall, my self have been both an eye and eare witnesse to divers worthy Artists at their Lectures there, that have shewed themselves Masters indeed in their Arts to their due commendations (Virtus landatur ab illis) as also at the Lectures of divers learned Doctors in that place: but as for my self, although I have there as I may not deny exercises by publick reading of Lectures in my turn and place, yet my ambition at the highest hath been openly to deliver my self to the world to the Chirurgions Mate, as aspiring to soar no higher, (Ne sutor ultra crepidam.) In which being, first I have explained to the world a Modell of the Military Chirurgions chest, with the instruments and medicines fitting thereunto, as elsewhere is recited, thereby to intimate to the younger Chirurgions in some sort how they may make use of them in all publick services for the better performance of their duties in their callings, upon all military occasions, for the more speedy curing of such infirmities as Sea-men and Souldiers are most incident unto, and having finished my intent therein, at the intreaty of some of my good friends, I thought it fit, though in brief, to write somewhat by way of addition to my former edition of Sal, Sulphur and Mercury, and, namely, how they are made the more known and useful unto us by the Chymick art, or the art of Alchymie which the Chirurgions ought to be versed in, and which in brief is thus defined.
De definitione Alchymiae.
Alchymia est ars corpora naturalia mista solvendi, & soluta coagula [...] ad medicamenta gratiora, salubriora & tutiora concinnanda.
The definition of Alchimy.
Alchimy is an Art dissolving natural congealed substances, and again congealing substances dissolved, for the more grateful, wholesome, and safe preparing of medicines for mans body.
Secunda definitio.
Oswaldus Crollius Alchymia est ars perficiendi magisterii & essentias pur as & mistas, separato corpore extrahendi.
A second definition thereof
Alchymie is an Art which produceth magisterial, and essential medicines from mixed bodies.
The parts of Alchymie.
Libanius. The parts thereof by ancient Writers are accounted two, namely,
- Encheriae,
- Alchymiae.
Encheriae is said to be that part which performeth the operative parts of the Art.
Alchymiae is tearmed the mixing and finishing part of the said Science.
Of the antiquary, the first inventers, and worthinesse of the excellent Art of Alchymy.
IT is recorded by ancient Writers that the first inventer thereof was Tubal Cain, spoken of in the holy Scriptures, who as some Writers say, was called Vulcan, Is enim primus in metallurgia laborasse scribitur. That he did first of all men work in Metals, which is within the scope of Alchymie, and not the least part thereof.
After him as Records witnesse, Hermes also called Mercurius Trismegistus, an Egyptian king, was a worthy Inventer or founder of Alchymie, being famous in his daies for the transmutation of metals, whereby certain instrumental parts belonging to the hidden mystery of Alchymie bear their names, that is to say, Vas Hermetis, Pellicanus Hermetis, Sigillum Hermetis, &c. This Hermes as is said by Husius an ancient writer lived king of Egypt about the year of the world 2646. so also in the learned Mesues works is mentioned Pill. Hermat. Hiera Hermetis, &c.
The Art of it self is also called Ars Hermetis, and for the transmutation of metals that is also understood with Gebreus Mauritanus to have proceeded from Hermes, the which in this work the Author intends not at all to handle, but onely of the inventers of this Art: some writers say, the Arabians, and others the Persians, are thought to be [Page 236] the first that have prepared metals fit for medicines, and also have practised the distlling of Liquors: whence Avicen of Sansano is said to have studied Alchymie, and he maketh mention of Sublimation and precipitation. Also many other Princes and Philosophers moved thereunto no doubt de prescientia Dei, esteemed themselves exceedingly graced by the works they performed in that Art for the curing of many infirmities.
Amongst which one of the most famous and so most truly worthy was that excellent Philosopher for art and experience Philippus Theofrastus Bombast, otherwise named Paracelsus, who descended from a princely family in high Germany, in the countrey or Province of Helvetia commonly called Switherland; upon whose monument, to his perpetual fame is ingraven the verses following.
And whose engraven Motto was: ‘Alterius non sit qui suus esse potest.’ And Bazillius Valentinus seconded him, who having his lights from the former exceedingly beautified the Chymick Art, by composing medicines of unspeakable worth to future ages, far exceeding their worthy predecessors as is manifest; for what comparison can there be betwixt medicines made of vegetables, decocted, contunded or mixed how artificial soever, if compared with Elixers, Quintessences, Tinctors, and like extracts of price, which are not onely dureable for many yeers without change, easie and pleasant to be received into mans body in his greatest weaknesse, but also they excel all Galenistical compositions for the eradicating inveterate maladies, as experience more then sufficiently manifesteth. For example, suppose a sweat provoking medicine were to be used of four, six, or eight grains, being a Diaphoretick of gold, or suppose but of Sulphur in or with a fitting vehicle given, as, namely, in a little Mithridate, Conserve of Roses, that by causing a gentle sweat would extinguish a pestilential fever: were it not far easier for the sick to receive into his body then a decoction made of sudorifick herbs, as Carduus Angelica, or Centaury with Mithridate and syrups justly composed, as in that form is usual, or that an Extract being a Catholicon purgans ten or fifteen grains whereof being extracted from a vegetable, which without any offensive nauseous taste, or bitternesse at all, doth work effectually to the desire of the Artist, suppose you it shall not be as much to the reputation of the Artist, and to the content and profit of the patient, as if he had taken a dose of Diaphenicon, or confectio Hamech, with the usual additaments of decoctions or syrups thereunto as vehicles added.
Or that a dose of a Panchiagagon of 20. grains be not far more grateful to a sick stomack, then an ounce of Diacatholicon de succ. Rosarum, [Page 237] Confectio Hamech, or the like, it being daily manifest that the very sight of large doses of medicines, although good, are nauseous, and abhorred of the weak stomack, yea that many Patients will endure the disease rather then the medicine; whereas on the contrary true prepared Chymick medicines are not onely grateful to be received into the body, but also, as is said, far excel the others in vertue and potent operation: and whereas the Chirurgion cannot at all times advise with the learned Physician, as fitting and most requisite he should in cases of Physick, where such may be had for the health of his patient, as namely, the Chirurgion being at Sea, and upon long Voiages, or at land in the Camp or Countrey, where learned advice cannot readily be had, they have especial reason if they be men provident to be furnished with such medicines as are small of dose, and light of portage, being also such as do not putrifie, nor in one year change their accustomed natures and vertues, no nor in any Voiage how long soever: all which Chymick medicaments do well perform, yea though they be carried in ships and passe the line more then once.
Whereas few medicines made of Vegetables that are in common practise, though sound from the Apothecaries shops, will be found serviceable upon just occasion if they go but a six monethes voyage, as daily experience sheweth, and as the Reader may easily conceive: wherefore then how needful, precious, and how truly valuable such medicines be, let any indifferent person judge, that being truly made, duely administred, and their doses and uses observed and known.
A further explanation of Alchymy containing a division of Natures whole works into three parts, viz. Animal, Vegetable and Mineral.
OSwaldus Crollius a learned writer, as also Beguinus, and divers others with him of that sort do affirm that tota natura inferior sub Sole in tres partes dividitur, viz. Animalia, Vegetabilia, & Mineralia. The whole inferior work of Nature under the Sun is divided into these three principles, viz. into Animal, Vegetable, and Mineral creatures. The Animal Creatures are termed or said to be all whatsoever containeth life: the Vegetable creatures are tearmed or meant to be all that which groweth. And under the Mineral part is included all metals, stones, minerals, and whatsoever it be that neither vegetateth, upon the upper face of the earth, nor liveth:and from each of these three, by learned Authors is taught, and by experience is found out, that there is again a threefold substance to be extracted, and perfectly to be made apparent in every of these creatures; and these threefold substances are called Sal, Sulphur, and Mercury: and beginning with the last first, their further definitions follow.
A brief definition of Mercury.
MErcury is a liquid substance sower, or sharp, volatile, penetrable, ayrie, and most pure, from which all nourishment proceedeth, as also all sense, motion, strength, and colour, and the keeping back old age from man, chiefly next the divine operations of God resteth therein, and it agreeth well with the elements of aire and water; for to the former it is subject upon every offered occasion to vanish into the soft aire: to the latter, in that it is very difficultly contained in any straight or certain bound, but easily in a vaste or wide capacitie. Likewise there are that define Mercury to be a liquid substance, that is Eger, Porous, alwaies moveable, often mutable, and ea [...]ily penetrable, and a body that is most pure and heavenly, most subtile, and of a lively and spiritual substance, being the food of life, and yet a shape, that is also most mutable, concerning his several shapes of all other creatures; whereupon Phalopius tearmeth Mercury, Miraculum naturae mundo, The miracle of Nature in the world. In which definition, if the Reader may suppose I speak this of the vulgar Mercury, viz. Quick-silver, and the wonderful Imps of his production, he takes me off too short by figure. Wherefore I here conclude the definition of Mercury, and passe to Sulphur.
A brief definition of Sulpur.
SVlphur by the ancient Writers is said to be the balsam of Nature, it is sweet, oyly, and clammy, preserving the natural heat of the body, being the instrumental cause of all strength, of all increasing or generation, of all transmutation, and the fountain and well-spring of all sents both sweet and stinking: and it is compared unto fire, by reason of the flame which it easily gathers, as other gummy and oyly bodies do, and this one thing is proper to it, that it hath force of making fit and conglutinating the greatest contraries; and Beguinus a famous late writer, giveth an example thereof: For, saith he, thou can [...]t never make a fit clay with water and fand, unlesse thou mingle Lyme or some other conglutinating body with it, so neither fleeting Mercury, nor fixed Sal, can by any means be forced into one substance, and framed into one body, but by a band and fetter of Sulphur, which participates through the clammy and viscous substance thereof with both the natures of Sal and Mercury, and so joyneth them into one, to wit, it maketh a true accord betwixt the drynesse of Sal and the moystnesse of Mercury, by the thicknesse and viscousnesse of Sulphur, and so conjoyneth them both joyntly into one body, neither may this Sulph [...]r be taken to be meerly Brimstone, but rather which in truth it is the fatty and combuftible parts of the body, or substance from which it is drawn, be it of what quality soever.
A brief definition of Salt.
SAlt hath a body that is drie, savourie, and bitter, defending both the mixed and unmixed parts from putrefaction; it exceedeth in the faculties of dissolving, and discussing, coagulating, evacuating, and scowring; and yet from Salt is all the vertue of the two last recited principles borrowed, with their tastes, and infinite other excellent properties it have, so as the analogie of it answereth the earth, not because it is merely cold and drie, for in truth Minerals generally have no certain temperaments, nor can be confined truly under the attributes, hot, cold, dry, or moist, for that a Mineral is an elementarie body that is of it self firm and fixed; and therefore for his operative excellencie is unsearchable, specifical, and incomprehensible, not to be limited or subjugated to any one temperament, neither to be comprehended within humane capacitie. This may seem unto the Reader but a strange Paradox, except by a plainer definition it be explained, as namely, whether that the Salt here mentioned is [...]eally Salt, such as is commonly used for salting meat, and also to declare that Sulphur is really Brimstone, and that Mercury hath the name of Quick▪silver generally: Unto all which I answer, They are; And yet as is said, they are not merely so, [...]or that as concerning Salt, each creature hath his peculiar Salt, and each peculiar his appropriate and different facultie and vertue. And here I desire t [...] inform the younger men that are Chi [...]urgions, by way of digression, for their better knowledge in avoiding of dangers, that they be exceeding cautelous and warie in the inward use of all Mineral medicines, whose preparations they are not t [...]uely versed in, but chiefly of that great and wonderfull Idol Mercury, not in regard of the great good it daily doth by the judicious use thereof, for it is a gracious good thing; but rather I speak in respect of the great hurt and mischief it daily produceth by the abusive preparation and administration thereof: but for as much as Mineral medicines have their due denominations according to the seven Planets, it will not be impertinent for the younger sort of Chirurgions, that in brief I write somewhat of the seven prime Metals ascribed to the seven Planets.
A briefe Chymicall Narration concerning the seven principle Metals, denominated according to the seven Planets.
MAny of the prime Authors of the Chymick art have, and that not unfitly, ascribed the seven principle Metals into seven Planets▪ as namely, they have ascribed Gold unto S [...]l, [...]ilver to Luna, Copper to Venus, Iron to Mars, Tynne to Jupiter, Mercury to Quicksilver, and Saturn to Lead, and have nominated them accordingly; and so in generalll explanations of all the learned Chymists, they stand to this day known by the aforesaid attributes. The an [...]ient Philosophers Chvmists also have ascribed to each of these seven metals, or rather to the medicines made of them, a certain specificall or [Page 240] more peculiar operative power, or facultie in the curing of the diseases of some one part of mans body more then of another, and namely, unto Sol or Gold and his medicine, is ascribed a specificall facultie or hidden vertue, more exquisite in the cures of the disease of the heart, unto Luna or Silver, the cures of the infirmities of the head, and chiefly of the brain are ascribed; and to Jupiter or Tin, is referred the help of the diseases of the Lungs, unto Mercury, or Quick-silver, is ascribed an especiall priviledge in the cures of the disease of the Liver; unto Saturn or Lead, is appointed the healing of the infirmities of the Spleen; Mars or Iron, is said to cure the griefe of the Kidneyes best, and unto Venus or Copper, is left to heale the defects of the Genitals, and this is not onely so esteemed, but also practised accordingly, and that by Authoritie of many famous Writers ratified, as of Josephus Quercitanus, Tho. Muffetus, Jacobus Swinglerus, and very many other worthy Authors in that Art, the number of which it would be tedious to repeat, in regard that all and each of these Minerals have their severall medicines proceeding, or made out of them, which although they all doe n [...]t alwayes bear the proper name of the Originall Metall from whence they proceed, yet in some sort they doe, and namely, from Sol or Gold proceedeth, Elixer vitae, Aurum Potabile, Aurum Tinctura.
And from Saturn or Lead proceedeth Oleum Saturni, lac virginis, Saccarum Saturni.
Cerusse, and many other good Sanative medicines.
And the like of the rest of the seven Minerals in use, too long to repeat: and here as by the way you may take notice concerning Saturne or Lead, that all sorts of Lithergie, they are no other thing then Lead meerly, and to be reduced into Lead again; even so Mercury or Quick-silver, which hath these following medicines, and many other profitable preparations descending from it, viz▪
- Essentiade Mercurio.
- Turbith Minerale.
- Mercurius vitae, which is vomative.
- Balsamu [...] Mercurii, a sanative.
- Mercurius Diaphoretic. provoking Sweat.
- Mercurius Diaureticus, provoking Urine.
- Mercurius Laxativus, purging per secessu [...].
- Beazor Minerale, which is different two wayes. viz.
- Laxance,
- Vomative.
- [Page 241] Mercurius Dulcis, Specifical in operation.
- Mercurius cum Jove,
- Lac Mercurii,
- Sublimatum, in it self Corrosive, desiccative,
- Pracipitatum, suspected to have been the death of many a man
- Aqua Mercurii ex Mercur: Sublimat: & ex prae [...]ipitat.
- Ablutio Mercurii vitae.
- Oleum Mercurial: Sinabrium: and divers other preparations.
And yet to all these apparantly in use may be added divers waters, oyles, liquors, &c. proceeding from this wonder of nature, Mercury; and yet neverthelesse there is scarce one of these medicines, but may be reduced or turned again in his prima substantia, that is to say, those that are really of Argent [...]m vivum into plain Quicksilver, in despite of the old wife that killed it with fa [...]ting spittle; And Sinabrium is a Dog of the same Mercurial kind, being made of Brimstone and Quicksilver sublimed together, and therefore a Coarse and far more dangerous medicine then the medic [...]nes of mere Quicksilver in my apprehension, for by the only once subliming thereof with ☿ Sulphur it begetteth a Corrosive or venemous qualitie, as all experienced Artists well know Mercurius sublimate doth, and that a fierce on [...]: therefore though some have counselled to themselves, that supposed safe but most pernitious medicine, that they have found as a rare devised secret by the mutation of Mercury into Sinabrium, let them know, be they old or young Artists, that it is a divellish, deadly, coarse medicine, no way safe nor fitting to enter in, or to be put into mans body. I fear I may trouble your patience in dwelling too long upon this false fellow Mercury, whom fully to discover with all his miraculous effects, especially if I should unfold all his perfidious clusions and treacheries against the poore Patients that are under his dominion, that onely subject would fill a large Volume, and yet I must ever confess, as I have said elsewhere, I have found him my good friend many times at a pinch▪ yet let no Artist that truely feareth God be too bold with him: for that Mercury (under the Rose be it spoken) is a cruel Man-slaier, and hath wounded, defamed, yea, and murthered thousands in corners, yea and doth play the Devil daily both in Citie and Countrie; and that under a vizard of vertue, yea and sometimes under the Rose doth it Cum privilegio Magistra [...]is, upon whose guiltlesse corps so transferred into Abrahams bosome no earthly Jurie passeth. For it is then too late to call to mind whether Art or Nature were too blame, or by which the errour proceeded: for, under favour be it spoken, sometimes it is cast upon the knave Mercury▪ which then he ever retorts it upon the Imposer: and he the Impostor, like a jugler, blames poore Venus with the cause, but how true God knoweth▪ yet she, prettie poore shamefast soul, being amazed and abashed, knowing her selfe to be a sinner, yet conceiving it unmercifull [Page 242] that her sweet lover and friend should die by the cruell hand of a murtherer Mercury, for a little sweet pleasure; she hath no wit to lay it where truely it should be, but plead Ignoramus, conceiving yet dares not say that some of the greater Planets, as Sol, or Luna, by their gliddering shews wrought with some body that perhaps ignorantly put that Idol Mercury by Vulcans means, to play the Dragon. And so no more of that, Foelix quem faciunt aliena pericula cautum, &c. leaving suggestions and conceits, and may be's.
We will again to our intended scope, namely, to speak of better things, concerning the secrets of the Art, and leaving the errours of Impostors with all their base and dangerous elusions and abuses, and proceed to the information of the well disposed younger artists. And in this place considering that Mercury is appointed and appropriated, as formerly is expressed, to the cure of the diseases of the Liver. I cannot but put the Reader in minde to admire the exceeding deep wisedomeProv. 7. 6. to the end. of that most prudent King Solomon, as appeareth in the Proverbs, in his description of the whorish woman, who after his setting forth of her dangerous wiles and cunning inticements for the intrapping of the foolish young man, he thus concludes: The young man goeth after her as an Oxe to the slaughter, or as a fool to the stocks, till a dart strike through his Liver; or as a bird hasteth to the snare, not knowing it is for his life: and concludes, her house is the way to hell, going down to the chambers of death. In which attributes of Mercuvie, as aforesaid, to the healing of the Liver, it seems to me Mercury is as it were by God and Natures appointment prefigured and enjoyned for the healing of the foolish young man that had the dart strucken through his Liver; for I am confident that dart was by Solomon meant the contagious disease of the French pox, which by coitu vel contact [...], the poor fool gained by his folly from the whorish woman; for that the learned and expert artist, not onely by the pulse and the urine, but by the complaint of the Patient, yea and by his very countenance may gather his disease, and that Solomons Dart hath stricken his Liver even with the pox. For in the perfect cure whereof, the Liver is first to be rectified, for the which work I had almost said Mercury is beyond comparison, if he be well guided by the experienced artist: But if otherwise, Mercury is a Dragon, who for healing and killing hath no fellow, as I formerly have denoted more then once. And whereas it is vulgarly alledged that Chymick medicines prepared of Minerals, and namely of Mercury, are dangerous and deadly, it is not denied but that they are so, if that by art (purū ab impuro) the pure from the impure be not separated; but this advantage the true Chymist saith he hath, that in the preparing of his medicines he can take the pure from the impure. Whereas even by the books of Hippocrates, Galen, Diascorides, and very many of the most reverend ancient Writers it is manifest, witnesse Antidotarium Mirspitium, and many other works and dispensatories which testifie that they themselves have not at all, so much as undertaken to separate purum ab impuro, but have made and administred many Minerall medicines being of crude and unpurified [Page 243] substances amongst the rest. Bondeletius used to give crude Mercury in pills to robust bodies to kill worms, and for the pox: and Crato a famous Physitian to three Emperors, is said to have used to administer Zinabrium for the giddinesse of the head. Julius Alexandrinus, Matthrolus and Gesnerus, these all used to give crude Copperas in Fluxes, as witnesse Beguinus, and Falopius used crude filings of Iron in menstruous obstructions, also in the Jaundise; and crude Sulphur in the effects of the Lungs. The premises therefore considered, judge then if the true prepared Chymick medicines given with judgement be not far more noble and worthy in themselves then they aforesaid, and the rather to be embraced, in that it is daily manifest, that the Galenistical preparations of vegetable medicaments fail much in their ascribed or prescribed vertues, especially with our Sea Chirurgions, as is said in forraign parts, to the danger, yea and to the losse of many of their Patients; yet not in the least excusing of the abuses by false prepared Chymick medicines, and the harm they produce by their unskilful preparations, and the absurd administration of them, alluding whereunto divers worthy and famous Writers have mentioned caveats, and namely, Laurentius Hofmanes, a learned German Chymist in his book entituled De vero us [...] & sero abusu medic [...]mentorum Chymicorum: he useth these words following as an instance of the danger of a false Chymick medicine.
An History. A false Chymick medicine prepared unduely, and so given (saith he) may not unfitly be compared to certain dangerous subtil Rats in India, which by nature do watch the Crocodile of those parts, which usually sleeps with his mouth wide open, and these Rats being smooth and soft in their entrance, do not awake the poor Crocodile at all, but go in at his mouth very smoothly, and easily without troubling him by taste, touch, or smell; yet neverthelesse, after they are got quietly into his bowels, forthwith they with their divellish sharp small teeth, begin to bite the poor Crocodile, and in a small time they do so corrode his entrals, that they make their own way out at their pleasure, by the killing the poor creature, and that if not immediately, yet by a languishing deadly disease, they perform their divellish end by perforating his entrals, and so that improvident creature dyeth.
The occasion of the aforesaid Author, his alledging this comparison, proceeded by reason such an Indian Rat, or rather in truth by a false Mineral medicine put into the body of a Brother of his, as he affirmed, which very smoothly went in at his mouth, but within a short time had cruelly effected the killing of the party. Also to the same purpose, one Forestus of Paris a learned Writer affirmeth upon his knowledge, that thousands of people in that city, have dyed by taking of dangerous, & not well prepared Mineral, & for the most part Mercurial medicines, and one Crato an ancient Writer also affirmeth, that he kept a note of above eighty persons, which to his knowledge had been killed absolutely in one year in the City where he dwelt, by one Impostor, and that by the onely giving of Turbith Mineral, [Page 244] and yet of these but very few, but become or seemed for a moneth or two, to have been well cured of their diseases, and yet after a small time they languished away and dyed, some of Consumptions, others of more fearful accidents by that most pestiferous Indian Rat, be it for Sal, Sulphur, or Mercury, unduly prepared.
And Cardanus, an ancient worthy Writer, reporteth of a woman sometime his Patient, who dying of a vehement pain in her head, after the receiving of divers Mercurial medicines, which being dead; himself took out ℥ij. of crude Mercury, from within her scull.
And he also relateth of another, who after a Mercurial unction taken, vomited up Argentum vivum in drops at the mouth and dyed thereof, and my self in Saint Bartholomews Hospital having been there a Chirurgion 23. years, have observed very many, to have most pitifully been abused that way by Empericks, foolish women, and by base Impostors, who after in short time have dyed by bad Chymick medicines.
It is reported of Cardanus, that in his time he would say, he was confident, that if he might have for every man, woman, and childe, that precipitate had killed, the value of one shilling, he should be richer then any living man, in the City where he lived.
And Andreas Libavius, doth report of a certain Medicaster of his time, which gave his Patient two pils of Mercury, of the first he fell into an Apoplexy, and of the second into a Lethargy, and so dyed immediately.
He also speaketh of another, who had the winde Collick, unto whom a Barber gave three Mercurial pils, who purged thereby continually until he dyed.
Also Adu [...]pius, a Physitian of Strausburge reports of another Physitian dwelling in Strauburge in upper Germany not far distant from him, who in one year was known to have killed 80. Patients, which had been under his Cure, by the use of Mercurial medicines.
Also of medicines of Antimony evil prepared, and worse taken; infinite many have ended their dayes untimely: and here I cannot omit to deplore the unchristian audacious boldnesse of the wicked Imposters in these dayes, who without any fear of God, or compassion to mankinde, do rashly rush upon the cure of any infirmity (how incurable soever) promising cure, taking money in hand, and thereby engaging themselves to the Patients to cure them; but yet when with the best ordinary means they know, they have not effected their desires, I will judge charitably so far, but then they boldly proceed further, and put the Indian Rat to work, which as aforesaid, goeth smoothly down into the stomack, but when it is in, then it begins to shew what house it came of.
Now a word or two touching the true preparing of excellent medicines by this art, wherein I admonish all men who have not convenience, I mean a convenient house and room convenient for the work with learning, Judgement, Leisure, wealth and other additaments fitting; as also an able body and a spirit to go through therewith [Page 245] that he or they refrain from the preparing of mineral medicines as also from their vapors for avoyding thr burthening of his soul with the guiltinesse of bloud▪ yea and perhaps of his own bloud by evil vapors proceeding from Minerals in their preparations, but for the man that is fitly qualified▪ let him in the name of God goe on, the work is good, unto which to encourage him I intend to shew the producing of Sal, Sulphur, & Mercury from Animal, vegetable and Mineral creatures by a most plain and true Art, and that at easie rates.
The way to draw Sal, Sulphur and Mercury from an Animal part.
℞. Cranium hominis alicujus Justificate ℥xij. (more or lesse) rasp it small, put it into an Alembick of glasse well luted S. A. with a receiver joyned thereunto, place it in Arena (ut mos est) distill it first, lento igne, and there will be found in the receiver a pure water for the first which by Artists is called the flegma or mercurial part thereof, which when by a gentle distilling no more will be had, change the receiver, and increase the fire, and a fatty Oyle, which the Artists tearm the Sulphur thereof, will appear; and when by fire no more fatnesse will come over, all things being first cold of themselves, take out that which is in the bottome of the Still, I mean the feces; and calcine them, and after inbibe and filtrate them, and having cleansed the salt thereof, evaporate the humiditie, or flegm there from, S. A. in Balnea, and you shall find in fundo a perfect salt, then rectifie the Mercurial and Sulphurous parts, each per se▪ and put all the three medicins so purified together, & you have ready a perfect good medicine for the Epilepsia, and divers other infirmities: and by this infallible rule, you may make true and perfect medicines from any members or parts of an Animal creature, either of the flesh, the bloud, or bones thereof. But if you fail in your art, and namely in the artificial proceeding, in the aforesaid processe, then blame not him that sheweth you a plain way, but begin again, and beware amongst the rest, of that misery which commonly attends the poor Alchymist, namely, that his glasse breaks, le [...]t you lose the first labour, and be to begin anew.
The way to draw Sal, Sulphur, and Mercury, from a Vegetable substance.
℞. Lignum Guaicum made into grosse powder, or small chips, three pounds or thereabouts (more or lesse) put it into a retort of glasse, likewise well Luted place it, S. A. in a furnace in Arena, then adde a fitting receiver of glasse, likewise well Luted to it as aforesaid, let it have a gentle fire, for some eight or ten houres, in which time an odoriferous clear flegma, or water will come over, being the most volatile part of that subject, which by Artists is tearmed the Mercurial part thereof; which being come off, change the receiver, and increase the fire, and a fattie oyle will appear and come over, being wholly [Page 246] combustible, which is the Sulphurous part thereof, all which being drawn of, and the furnace and all being cold, take out the feces and calcine them a little, then put fair warm water thereto, and extract the salt per filtrum, the which salt water being purified, filtrated and evaporated, you shall have in fund [...] a perfect white salt, and if you then please to rectifie the Mercuriall, and the Sulphurous parts each per se, and joine them all three together, you have a true good medicine in the cure of Morbus Gallicus, and divers other diseases.
An example to take Sal, Sulphur, and Mercury, from a Minerall Body, and namely, from Salt it self, which may perhaps seem strange, though true.
R. Sal, Communis, sixe pound more or lesse, the stronger the salt be the better, put it into an earthen pot made to endure strong fire, and let it have a narrow mouth, and be in capacitie three quarts, or more, put in the salt and put a receiver, S. A. thereto, Lute them both together, place that in a strong reverberating Furnace, and put fire thereunder, first gently untill all the Mercuriall, volatile, and subtile parts thereof be drawn over, which done, change the receiver, and increase the fire gradati [...]n to the fourth degree as the Artists tearm it, but by order paulatim, and you shall draw over a strong oyle, fattie in feeling, and forceible and fierce in operation, which is able to dissolve and open the purest, and most principle Minerall: even Sol or gold it self to make it potable, and after all the aforesaid strong spirits be drawn forth that will be forced out by the strength of the fire, withdraw or decline the fire, and all being cold, gather your first liquor by it self, then the spirit, or rather the Oleum salis into a second glasse by it self, the which is a most excellent medicine, and in the bottom of the earthen Instrument, you shall finde the true salt; of salt though but light in substance, and small in quantitie, which having each part: then if you please to make use of these medicines, each per se not joyned; for so it is the better, for that each of these particulars have different vertues in the Art of healing as experience will teach. And amongst the rest the spirit of Salt, will dissolve Gold to make it potable, it is also singular in Fevers, for the quenching of thirst, and refreshing the spirits, and for the curing of many other diseases.
A PREFACE TO THE TREATISE OF THE CHARACTERS AND TEARMS OF ART FOLLOWING.
COurteous Reader, considering with my self that young men in long Voyages are full of leisure, I thought it not lost labour to adde these Treatises to the former, for that they not onely contain profitable instructions for youth, but by their novelty and varieties do partly refresh the minde of those Readers as delight themselves in that part of Practise. It was part of my gleanings in the time of eight years travel by Land in forreign Regions. If the matter and form thereof be not worth the acceptance, yet I pray thee accept the good will of the Giver.
CHARACTERS AND THEIR INTERPRETATIONS.
And first of the seven Planets.
Sāturnus. Plumbum | ♄. ♄ | Lead | Cold, desiccative sweet, discussing, mollificative, anodine, sanative, laxative, mundificative, and yet full of deadly vapors. |
Jupiter Stannum | ♃. ♃ | Tin | Diaphoretick, laxative, desiccative, sanative, &c. |
Mars Ferrum | ♂. [...] | Iron or Steel. | The greatest shedder of blood a sure medicine for fluxes of blood, and a great opener of obstructions. |
Sol. Aurum | ☉. [...] | Gold | A great and sure Cordial, for it comforteth the heavy hearted, and is reputed the best medicine. |
Venus Cuperum | ♀. ♀ | Copper | Maketh sundry needful medicines for mans health, Physical and Chirurgical, viz: Oleum spiritus, & terra cum multis aliis. |
Mercurius. | ☿. [...] | Quicksilver | Is hot, cold, a friend, a foe, healing, killing, expelling, attracting, corroding, & quid non? |
Luna. Argentum | ☾ ☽ | Silver | A medicine never too often taken, a good restorative, a comfortable, and an anodine medicine, &c. |
[Page 249]Other Characters Alphabetically.
Acetum. | [...]. [...] | Vinegar of Beer | Good against inflammation, discussive, defensative, comfortable, anodine, &c. |
Acetum Vini. | [...]. [...] | Wine Vineger | A discusser, a cooler, a heater, a piercer, anodine, a consumer, a caustick, and a vesicatory medicine, &c. |
Acetum Distillatum. | [...]. [...] | Distil'd Vineger. | Is a vehicle that openeth mineral bodies and extracteth tinctures, &c. |
Aer. | 🜁. AR | One of the 4 Elements | Without the which no creature subsisteth. |
Alumen | ○. ○ | Allum Crude | Desiccative, astringent, corrosive, mundificative sanative, refrigerative, &c. |
Alumen Combustum. | [...]. [...] | Allum Burnt | An easie and a good corrosive medicine, which also induceth a good cicatrix. |
Alumen Plumosum. | [...]. [...] | Allum Plume | A secret in restoring a withered member by a certain hidden specifical vertue it hath. |
Albumen Ovorum. | [...]. [...] | Whites of egges | Cold, defensative, mollificative, healing, and good in restraining fluxes, &c. |
Amalgama. | [...]. āāā | A putting things together, or a term of Art for putting together, viz: fiat Almagama, but more particularly it is meant of Mercury, with any other metal. | |
Antimonium. | (antimony). [...] | Antimony | Vomitive, laxative, sanative, diaphoretick, diauretick, anodine, caustick, and full of deadly vapours, if it be not prevented, yet exceeding precious in healing, being discrectly used. |
[Page 250]Antimonii Vitrum. | [...]. [...] | Glasse of Antimony or Stibium. | A forbidden medicine, and yet in common used, and praise-worthy, if not abused. |
Antimonii Regulus. | [...]. [...] | Antimony Precipitate | This is but half a medicine, which afterward is used to be converted to Flores, Tincture, or some other good medicine. |
Annus. | [...]. [...] | One year | From March the 25. till the return of the same. |
Aqua. | 🜄. ♒ | Water | One of the four elements of quality coldd and moist. |
Aqua Fortis. | [...]. [...] | Strong Water | Made by Vulcans Art of Coppperas, Allome, and Saltpeeter, and diversly other waies. |
Aqua Regis. | [...]. [...] | A water to divide Gold. | This is made as the former, adding common salt, or rather Sal Armoniacke. |
Aqua Vitae. | [...]. [...] | Aquavitae. of Wine. | Aquavitae distilled out of Wine is of excellent use for healing, and the chief cordial in cheering the heart of man. |
Arsenicum. | [...]. [...] | Arsuick | In taste not unpleasing, in trial deadly, yet a good outward healer many waies. |
Auripigmentum | [...]. [...] | Orpiment | In taste deadly, yet used of some inwardly for the cough, by fume with amber mixt, and outwardly used in many medicines profitable. |
Autumnus. | [...]. [...] | Harvest | Or as it were an entrance to the Winter quarter. |
Auriculum. | [...]. [...] | A chalk that contains gold. | Also gold calcined into powder being an entrance to Aurum Potabile. |
Aurum Potabile. | [...]. [...] | Potable▪Gold | A Principal cordial medicine, but very often adulterated, which being true is precious. |
[Page 251]Aestas. | [...]. [...] | Sommer | This character is sometimes used for Sommer and sometimes for heat. |
Aes. | [...]. [...] | Brasse | This is but Copper mixed with Lapis Calaminaris and prepared by Vulcans Art. |
Balneum. Mariae. | MB. BM | Balnea Mariae. | Is an Artificiall distilling by a glasse Still, set into a furnace in a Kettle of water, by the boyling of which, the subject contained in the glasse is distilled. |
Bolus Armenus. | [...]. [...] | Fine bole | Is cordial, desiccative, restringent, sanative, refrigerative, &c. |
Borus Communis. | [...]. [...] | Common Bole. | Imitating the former, but farre weaker. |
Borax Venetiae. | [...]. [...] | Borax | This is a great opener of obstructions of young women, and is excellent to lute glasses▪ and as a second hand to goldsmiths. |
Calidus | [...]. [...] | Or rather W [...]rm▪ | Neither hot nor cold, |
Calx | [...]. [...] | Lime | Is abstersive, desiccative, caustick sanative. |
Calx Ovorum. | [...]. [...] | Lime of Eggesb [...]ls | Is sometime used in strong restrictives, &c. |
Calx Vive | [...]. [...] | Vnstaked Lime | Chiefly used in Causticke medicines. |
Chalybs. | [...]. [...] | Steele | The most valiant sonne of Mars, it openeth obstructions, and stayeth the fluxes, &c. |
Calor | [...]. [...] | Heat | This Character serveth not only for fire, but also for great heate. |
[Page 252]Calcinare | [...]. [...] | To Calcine | Sometimes to burne to powder, and sometimes to prepare by fire to a certain height and colour. |
Cementare | [...] [...] | To Cement | Is by a mixture corrosive to adde to any metal pure, as Gold or silver, a higher tincture, and also to purifie the same yet further. |
Cerussa Venetiae. | [...]. [...] | Venice Ceruce. | One of the offspring of Saturn, sanative, cooling, anodine, desiccative, &c. |
Cera | [...] [...] | Waxe | A blessed medicine outwards & inwards, of a temper neither exceedingly too hot, nor too cold, mollificative, sanative, &c. |
Cinnabrium | [...]. [...] | Cinnabar | Found naturall and also compounded of Sulphur and Quicksilver, and used in Fumes, it spoyleth many, and healeth by chance some one in killing ten. |
Cineres Ligni | [...]. [...] | Ashes of Wood. | Hereof are prepared many different medicines of value, in Physick and Chirurgery, amongst which the caustick stone, the ordinary Lixivium, &c. |
Corallus Corallus Albus. | [...]. [...] | Coral white | Is Cordial, cooling, drying, and being prepared Chymically, hath wonderfull vertues confortative. |
Corallus Rubeus. | [...]. [...] | Red Coral | This is as the former, but in vertues it farre exceedeth it. Paracelsus ascribeth vertues infinite and wonderful to red Coral, if it be perfectly red. |
Colcothar. | [...]. [...] | Burnt Vitriol, or Colcoth. | A good causticke medicine, and also cooling, exsiccating, sanative, mundificative, &c. |
Crocus Martis. | [...]. [...] | Safron of Iron. | Good against dysenterium, Gonorrer, Di [...]rrh [...], and generally all fluxes. |
Crocus Veneris. | [...]. [...] | Safron of Copper. | Or refined Verdigrease, as some affirm, but more truly is refined Aes Ustum, it expelleth, drieth, mundifieth, and healeth. |
Decoctio. | [...]. [...] | Boyling | Is the boyling or decocting any medicine. |
Digestio | [...]. [...] | Digesting | Good digestion presageth good healing, but Chymical digestion, est gradus spagyricus similis ventriculo, per quem gradum materia coquitur melius ut puri ab impuro separatio fieri posset. |
Dies Et nox. | [...]. [...] | Day and Night. | Containing 24. houres. |
Distillatio | [...]. [...] | Distilling | Is the separation of the pure, from the unpure, performed by sublimation, and precipitation, but after many kinds and fashions. |
Elementa. | [...]. [...] | Not one of the four Elements | But a pure medicine made by Chymical Art, out of any good thing either animal, vegetable, or mineral, Quere La [...]avii, lib. 2. Alchym. cap. 49. |
Filtrum. | [...]. [...] | A felt | This filtring with a felt, is a kind of preparation of medicines liquid, to purge them from their terrestrial parts. |
Fimus. Equinus. | [...]. [...] | Horsedung | Chymists use to set their medicines in Horsedung to putrifie, and is an ancient and worthie work rightly used. Vicarius ejus est, BM. Balnia Maria. |
Fixatio. | [...]. [...] | Fixing, or perfecting | This is that al [...] good Chymickes desire in their works, but few truely attain it, but in stead of fixatio, they finde vexatio satis, & ultimo mendicatum ire. |
Flos Aeris. | [...]. [...] | Verdigreas | Called commonly viride [...]s, and Verdigrease being the rust of Copper, it is a good astringent, disiccative, and corrosive medicament. |
Gradus. | [...]G1. [...]G2. [...]G3 | A degree first, second, or third, as you see them described with their severall figures. | |
Gummi. | [...]. [...] | Gumme. | Of any kinde is so described, but the single Character is most used. |
Hyems. | [...]. [...] | Winter | This Character is also used for cold by some Writers |
Ignis. | 🜂. [...] but the first is most in use. | Fire. | As well naturall asartificiall, actuall as potentiall |
Lapis Magnetis. | [...]. [...] | The Loadstone. | A jewel precious for value far exceeding the Diamond, of the Tribe of Mars, in qualitie attractive and sanative. |
Lues Venerea | [...]. [...] | The venereall disease | This is a Catholike plague containing almost all diseases in one, being seldom perfectly healed. |
Luna Crescens. | [...]. [...] | The Moone increasing▪ | Or the first and second quarter of the Moon. |
Luna Decrescens. | [...]. [...] | The Moone decreasing | Of the two last quarters of the Moon. |
Lapis Prunella. | [...]. [...] | A stone made of Salniter | This is good against toothache and inflammations, and for sores of the mouth and throat, and also against [...]ot fevers inwardly taken. |
Lapis Calaminaris. | [...]. [...] | Calamint Stone. | Is a stone which changeth Copper into Brasse, it is desiccative, and excelleth in Lotions for the eyes, &c. |
Lapis Hematices. | [...] [...] | Bloud stone | This stone is used to stench bleeding inwardly and outwardly, and hath many other vertues medicinable. |
[Page 255]Lapis Sabulosus. | [...]. [...] | This is a great secret in curing a fracture being daily given the party, ʒj. and also mixed with the outward medicine, and applyed to the grief. | |
Lapis Granutus. | [...]. [...] | The Granat Stone | This is a Jewel precious in medicine, but not commonly used. |
Lateres. | [...]. [...] | Stones. | Or Bricks for farnasis or otherwaies. |
Lateres Cribrati. | [...]. [...] | Powder of Bricks | It is often used in preparing medicines as well to make good Lute, as also for divers other needful uses. |
Lucinium Lixivium. | [...]. [...] | Lye made of ashes. | This is many waies used very profitable in healing outwardly and inwardly, and for caustick medicines it is the best. |
Limatura Martis. | [...]. [...] | Filings of Horn | Used for the making of Crocus Martis. |
Lutum Sapientia | [...]. [...] | Lute used of the Philosophers | Some suppose that the pinching of glasses together is it, but it is taken for a man, and so meant by divers learned men. |
Lutum Commune. | [...]. [...] | Lute. Common | Made of good Clay, with flax of wooll, and salt commonly, but there is as many several Lutes as Chymicks. |
Lythagirus Auri. | [...]. [...] | Litharge of Gold | One of the sons of Saturn, and is partly so tearmed, for that the tests that refine Gold through Lead, after are made into Litharge, I mean the Saturn into them. |
Lythagirus Argenti. | [...]. [...] | Litharge of Silver | One of the sons of Saturn, supposed proceed of Luna to as aforesaid, but indeed these and the first are sent daily from Holland, made onely of Lead. |
Lythargirus Plumbi. | [...]. [...] | Litharge of Lead | One other of the sons of Saturn, and is made by every Plumber out of that part of Saturn which wasteth to a hardnesse in melting. |
Marchasita. | [...]. [...] | Vnprepared Minerals | Of any kinde, as we vulgarly say Silver oar, or Lead Lead oar, &c. |
Mercurius | ☿. ☿ | Quicksilver | The hottest, the coldest, a true healer, a wicked murtherer, a pretious medicine, and a deadly poyson, a friend that can flatter and lye. |
Mercurius Sublimatus | [...]. [...] | Quicksilver sublimed. | This fellow hath deserved much praise and dispraise, as till more scope I omit, for he hath done me both credit and shame. |
Mercurius Praecipitatus. | [...]. [...] | Quicksilver precipitate. | A worthy medicine, of true Artists with praise used, of Empericks shamefully abused, for healing and killing he is known. |
Mercurius Solis. | ☿☉ ☿☉ | Mercury of Gold | Hic labor, hoe opus: quod supra me nibil ad me, true Philophers onely are capable of this mystery. |
Mercurius Lunae. | ☿☽. ☿☽ | Mercury of Silver. | This and the former have one way of preparation, or not greatly different, but are past my reach. |
Mercurius Veneris. | ☿♀. ☿♀ | Mercury of Copper | I have heard many brags of this medicine, and to be precious, but I never could see it, &c. |
Mercurius Martis. | ☿♂. ☿♂ | Mercury of [...]on. | It is said that with this medicine, the vertue of the Loadstone is strengthened above measure. |
Mercurius Jovis. | ☿♃. ☿♃ | Mercury of Tinne. | This is reported able to make of Lead, Tinne; but I have not seen it. |
Mercurius Saturni. | ☿♄. ☿♄ | Mercury of Lead. | This is easily drawn from Lead in a good quantity, per se, onely by Art of fire, as Writers affirm. |
Mensis. | [...]. [...] | One mone [...]h | Containing 28. daies, and 28. nights, or four whole weeks. |
[Page 257]Minium. | [...] [...] | Or red Lead | Is one of the sons of Saturn, cooling, drying, repelling, healing, mollifying, discussing, &c. |
Minutum. | [...]. [...] | One Minute | The sixtieth part of one hour. |
Mel. | ML . ML | Honey | Honey is Laxative, mundificative, mollificative, sanative, &c. |
Oleum. | [...]. 🝆 | Oyl of any kinde | And sometimes taken for Sulphur, is as if you would say, take from Guaiacum his Sal, Sulphur, and Mercury, by his Sulphur you must understand his oyly part, &c. |
Phlegma. | [...]. 🜄 | A Plegma | It is used for any distilled water which is void of Spirit, as Rose-water. |
Piger Henricus. | [...] [...] | Slow Hemick | An instrument for distilling, so called, for his exceeding slownesse. |
Plumbum Philosophorum | [...]. [...] | Philosophers Lead | This preparation is mystical and above my reach, the same Character is also used for the Philosophers stone. |
Pulvis. | [...]. [...] | Powder of any thing | Any fine powder, and sometimes it is taken for subtill flores, and fine spirits of any medicine. |
Purificare. | [...]. [...] | To Purifie | Either by sublimation, or by precipation, or any kinde of purifying or cleansing. |
Putrefactio. | [...]. [...] | Putrifie | Is dissolving or, opening of mixed Minerals bodies by a natural, warm, and moist putrefaction, namely, by fimus equinus, vel ejus Vicarius, M B. |
Quinta Essentia. | [...]. [...] | Quinta Essentia | A permanent Essential well digested medicine without grosse superfluities, drawn from any subsistence either Animal, Vegetable, or Mineral. |
Quinta Essentia vini. | [...] | The Quint [...]ssence of Wine. | This is also called Aquavitae, and Aqua Coelestis, and Alcole vini, and Aqua Ardens, with many other names. |
Realgar. | [...]. [...] | A kinde of Ratsbane | A thing seldome used in healing, though sometimes used in Alchymy. |
Reverberatio. | [...]. [...] | A preparation Chymical by fire. | |
Retorta. | [...]. [...] | A retort of Glasse |
Sublimare. | [...] · [...] | To sublime. | Or to cause to ascend by fire or Art of distilling very many waies. |
Sulphur. | 🜍. [...] | Brimstone. | Discussive, sanative, desiccative, anodine, repercussive, &c. |
Sulphur Philosophorum. | [...]. [...] | Perfect Sulphur, vix c [...]gnitum | A true essential, perfect, and unisal medicament out of Sol. |
Sal Communis. | 🜔 · 🜔 | Common Salt | Discussive, mundificative, sanative, and most precious for the life of man. |
Sal Gemmae. | [...]. [...] | Precious salt like Chrystal. | A Chrystaline salt, naturally growing in mines in Polonia, neer the City of Cracovia, &c. |
Sal Petrae. | [...]. 🜕 | Salt-Peeter | A Salt of a wonderful kinde and breeding, with effects admirable both good and evil. |
[Page 259]Sal Amoniacum. | 🜹 · 🜹 | Salt Amoniack. | Growes naturally in Turky, but is commonly made of Sal Alkali, common Salt, Urine, &c. Teste Andrea libavio. |
Sal Alkali. | [...]. [...] | A Salt of an heard called Kali. | A kind of vegetable Salt, but Paracelsus termeth every vegetable Salt Alkaly. |
Sal Colcotharis. | [...]. [...] | A salt out of Deadhead. | A Salt drawne from the Caput mortuum, and commonly called Deadhead, which is exceeding astringent and drying. |
Sal Tartari. | [...]. [...] | A Salt of Argall | The Salt of Tartar or wine Lees a medicine of many great vertues, both of it self, and also for making other medicines. |
Succinum Album. | SVa · SVa | White Amber | Commeth from Prutia and is a Cordiall medicine, diauretick, diaphoretick, laxative, and generally opening all obstructions. |
succinum Citrinum. | Src · Src | Yellow Amber | Like the former, but not so good, yet from this is an excellent oyle drawn, serving for many especial medicines inward and outward. |
Spiritus Vini. | [...]. [...] | Spirit of Wine. | A pure and essentiall substance, cordial, and of infinite other vertues, Liquid, yet wholly combustible. |
Sapo | [...] [...] | Sope | A good medicine attractive, mollificative, &c. |
Stratum Super Stratum. | ssst. SSS | Two medicines laid one upon another. | A term of Art often used, viz. fiat stratum, super stratum, that is, first put in of the one, and then of the other till all be in. |
Solutio | [...]. [...] | Opening | The opening of minerall bodies diversly by Vulcans Art. |
Sigillum Hermetis. | [...]. [...] | Hermes his Seale | A kinde of Luting or sealing of Glasses by a more excellent manner. |
Terra. | [...]. 🜃 | Earth | Commonly taken for potters earth to make Lute of. |
Tigillum. | [...]. [...] | A melting pot. | A pot wherewith Gold-smiths and other Artists use to melt metals or medicines in, called also a Crucible. |
Talcum | X. X | Talk | This mineral is scarce wel known yet the oyl thereof is much extolled for beautifying the skinne. |
Tutia | [...]. [...] | Tutty | A medicine commonly knowne, and is made of the scum of Gopper, or of Copper by combustion. |
Tartarus | [...]. [...] | Argall | Is the Lees of wine dried, which makes many profitable medicines, artificially prepared. |
Tumores | [...]. [...] | Tumors | And also any Apostume, or swelling, wheresoever in mans body. |
Turbith Mineral. | [...]. [...] | Turbith Mineral. | This with some additaments artificial, well prepared, is precious in the cure of the French pox. |
Vlcus | [...]. [...] | An Vlcer | This is the ancient Character for an Vlcer, and some authors, have used the same for a wound. |
Vitriolum | 🜖. [...] | Coppera [...] | It is best which is made of Copper. |
Vitrum | [...]. [...] | Glasse | It is used for a Glasse Still, and also for any other kinde of Glasse. |
Vrina. | [...]. [...] | Vrine | Mans urine or childrens urine, it is commonly used in Alchymie, and some use it in fomentations, and otherwise in Chirurgery and Physick. |
Certain Chymical Verses, or Good Will to young Artists, from the Author.
Vale
THE Tearms of Art, Recited formerly in Verse, are here again repeated Alphabetically, and more plainly interpr [...]ted.
ALbation is the abstraction of dust, moths, gret, adhering to a thing with an Hares foot, feather, spather, knife, or the like.
Ablution is exaltation, cleansing unclean things by often infusion, reducing them to purity.
Alcolis [...]us is an operation by calcination, ribellation, and other means, which reduceth a matter into Alcool, the finest powder that is.
Amalgamation is the putting together, solution, or calcination of familiar metals, by Argentum vivum, &c.
Ar [...]matization is an artificial manner of preparation, whereby medicaments are made more suaveolent and odoriferous for the oblectation and strength of the palate, and vital faculty.
Attrition is a certain manner of preparation, like grinding on a convenient stone with some humidity, whereby Lapis Judaicus, Collyria, and the like are prepared.
Buccellatio is dividing into gobbets, or by peece-meals.
Calcination is solution of bodies into Calx or Alcool, by desiccation of the native humidity, by reverberate ignition, by Amalgamation, by Aqua fort is, the spirit of salt vitriol, Sulphur, or the like.
Calfaction is a certain manner of preparing simple and compound medicaments, not by boyling or burning, but by the moderate heat of the Sun, fire, [...]imus equinus, vel ejus vicarius.
Cementation is gradation by cementing.
Cementum is a mineral matter like lute, and penetrating, wherewith metals spred over are reverberated to cement.
Ceratio is the mollification of an hard thing, untill it be like waxe at the fire.
Cinefaction is ignition converting Vegetables and Animals by a very vehement heat into Cineres.
Circulation is the exaltation of pure liquor, as spirit of Wine by [Page 269] circular solution, and coagulation in a Pelican, a moderate heat forcing it.
Clarification is the expurgation of sordid grosse matter from liquid medicaments.
Coad [...]nation (sometimes termed by the name of a more excellent species, Coagulation) is a perfect and skilful working, whereby disagreeing things are united,
Coagmentation like to glutination, is by liquate things, to which dissolving powders are cast, and afterwards are made concrete by laying them in a cold place, or by evaporating their humidity.
Coagulation is the coaction of things agreeing in nature from a thin and a fluid consistence into a solid masse, by the privation [...]f moisture.
Coction is the alteration or commutation of a thing to be boyled.
Cohobation is frequent abstraction of liquor oftentimes a [...]used upon a dead head or dry feces by distillation.
Colation is the transmission of that which is humid thorow a strainer, that the liquor may be had separated from the dryer substance.
Colliquation, or Colliquefaction, is the conjunction of many fusils or liquables to make one compound by eliquation on the fire.
Coloration is, whereby the perfect colour of gold, silver, Philosophers Lead, &c. obscured by any sulphurious vapour, is renovated and illustrated by maceration, frequent ablution, in sharp liquor, as Salt, Argal, spirit of wine, wine vineger, or by an acute paste laid on the said metals.
Combustion is ignition, converting bodies by burning them into Calx.
Comminution is the reducing of any matter into such fine powder by dilution, filteration, exiccation, contusion, calcination, cribration, or any other means, that no roughnesse or corpulency be felt, as Alcool.
Complexion is the nature of a part hot, cold, moy [...]t, or dry.
Composition is the codunation of divers things.
Concretion is divaporation of humidity in fluid things, by gentle decoction on fire,
Confriction is a certain light Attrition, by which pulverable things, with the rubbing of the fingers, or a more solid body, are quickly levigated, as Cerussa Amylum, &c.
Confusion is properly a mixture of such liquid things as are fluid, and of one and the same nature (as of divers waters by themselves, and so of oyles:) liquid things (as wax, rosin, pitch, &c.) may likewise be confused, but by Eliquation.
Congelation is often performed by a precedent decoction of things to a certain height or just consistence, which after set into a Cellar or cold place, do congeal into a transparent substance, not unlike ice, as is seen in the making of Copperas, Salt▪peter, or the like.
Conglutination is the [...]errumination or compaction of metals, jewels, glasses, &c. by gummes, glue, whites of egges, and the like, the nature of the conglutinated remaining,
Contusion is the beating of grosse bodies into smaller or very subtile parts.
[Page 270] Corrosion is calcination, reducing things coagulated, by the corroding spirits of salt, sulphur, wine-vineger distilled, Aqua fortis, &c. into Calx.
Cribration is the preparation of medicaments by a sive or scarce.
Deliquation is the preparation of things by melting on the fire.
Deliquium is the liquation of a concrete (as salt, powder calcined, &c. set in an humid an frigid place (external humidity, resolving the siccity) that it flow, having a watery form, as is apparant in the preparation of salt of Tartar.
Descension is when the essential juyce dissolved from the matter to be distilled, is subducted and doth descend.
Despumation is when spume or froth floating on the top, is taken away with a spoon, feather, or by colation.
Distillation is, whereby an essence is extracted in the form of liquor, and being coagulated, is carried by the stillicidium translated out of the vessel of the matter, into the excipulium sublocated.
Difflation is, wheu through heat, spirits arising, are with a kind of folles blown into the adverse camera, and there are found congulated.
Digestion is simple maturation, whereby things uncocted in artificial digestory heat (as food by a natural heat in the stomack) is digested.
Dissolution is a preparation of medicaments simple, and compounded by some convenient humidity to a certain consistence.
Distraction is a certain divulsion or disunition of divers things before united and agreeing together (no respect of one existing or comprehended in an other had) every one remaining in its own nature.
Divaporation is exhalation by fire of vapour, remaining in liquid substances, till all aquofity be consumed, or in more dry but fumed by torrefaction.
Dulcification is the correction of mineral medicaments by ablutions, and the like.
Duration is either when things mollified at the fire are set in a cold place to harden: or by boyling to an high consistence or admixtion of dry powder with them, do waxe hard.
Elaboration is a manual operation, whereby we extract from a substance the most excellent matter, the ignoble parts removed.
Election is of simples according to time and season wherein they are gathered, and according to the region wherein they grow, that so the best may be had, and their vigour appear in use according to expectation.
Elevation is▪ subtiliation, when spiritual parts from the corporal, subtile from the grosse, the not fixt from the fixed, like smoke by the force of fire are elevated, and adhering to the cold concaves of the Alembeck, do thicken and convert into water.
Elixation i [...] coction in humid [...] by a moderate heat.
Elution is the preparation of common Bole, Tal [...]um, Crocus Martis, Terra Lemnia, &c. by pulverization, calcination, lotion, &c.
Evaporation, See Divaporation.
Exaltation is an operation, whereby a medicament changed in his affections by gentle dissolution, is produced to an higher [...] dignity of substaance and vertue, and a greater degree of purity.
[Page 271] Exhalation is, when the spirit of any matter solid, or in powder (being put into a platter, or any other convenient vessel set on coales) is elevated through heat, and vanisheth into the air.
Expression is extraction by a presse, wherein herbes, amygdales, &c. compressed, pour forth their substances (as juyces and oyl, into a liquid form.
Extinction is the suffocation of a matter fiery and hot into some humidity.
Extraction is a segregation of an essence from a corporeous concretion, by digestion in Balneo, his feces left in fundo, as Rhabarbarum in spirit of Wine infused, manifesteth.
Fermentation is the exaltation of a massie substance, by the admission of Fermentum, which doth penetrate it wholly (his vertue distributed by a spirit) and inverteth it into his own nature.
Ferrumination is the joyning together of a fracture in one and the same Metal, or of divers Metals, by a Mineral flux.
Filteration called percolation, by Filtrum a Chymical colum is subduction of thin aquosity in humid things, the thick and oyly substances resisting.
Fission, see Section.
Fictation is the assuefaction of volatil and spiritual bodies to fire by calcination, gentle and continual decoction, frequent sublimation, solution, and coagulation often iterated, or by addition of a matter fixed, that so they may endure fire and not flie away.
Fraction is the breaking of some matter with ones hand, or with an instrument.
Frixion is the preparation of some medicaments, with oyl, butter, wine, vineger, &c. in a convenient vessel, for the correcting of bad qualities in them.
Fulmination derived of fulmen a Latin word, signifying fire breaking out of the clouds, causing a sudden light great and bright, is a metallicall gradation, with excoction to an absolute perfection in Cinerition, whose purity is declared by an effulgent splendor.
Fumigation is calcination of metals, by the sharp corroding vapour of Mercury, Philosophers Lead, &c. boyling in a crucible, the metals cut into plates, and either laid over the Orificium of the crucible, or hanged over the fume.
Fusion is liquation by heat violent or moderate, for the separation of the pure from the impure.
Gradation is an exaltation of Metals in the degree of affections, where by waight, colour, and constancy they are brought to an excellent measure, but the substance unaltered: so Gold is rubified, fixed, and purified.
Granulation proper to Metals, by infusion on fire, and effusion into water is their comminution into granula, or very small drops like Grana Paradisi.
Humectation, see Irrigation.
Ignition is calcination, the fire reducing violent bodies into Calx.
Illiquation is the commistion of terrene bodies with Metalline (as of [Page 272] Lapis cadmia with cuprum) but so as each retains his own substance.
Imbibition, a Philosophical operation is ablution, when liquor adjoyned to a body is elevated, and not finding vent, doth fall back upon the same, and often washeth it with Humectations, so long as it being coagulated, can no more ascend, but remaineth wholly fixt.
Imbution, see Infusion and maceration.
Inceration is the mixture of humidity with that which is dry, by a gentle and not hasty combibition to the consistence of mollified wax.
Incineration, see Cinefaction.
Incorporation is a sudden addition of so much humidity to exiccate matters as is required in the true consistence of a mixt body, past, or a masse.
Infusion is the preparation of medicaments, cut or bruised in some humidity convenient for the purpose, a lesser or longer time, whether it be an hour, one day or many, a week or a moneth, &c.
Inhumation is the setting of two pots (the head of the uppermost being very well covered and luted, with his bottome boared full of little pinholes, and sure fastened to that which is underneath in the ground, and burying them with earth to a certain depth, having a circular fire made for distillatory transudation per descensum.
Insolation is the preparation of simple or compound things by the heat of Sun in the Summer, or a gentle fire in the Winter, or in Balneo, or in fimo equino.
Irrigation not much unlike immersion, is an aspersion of humidity upon things that are to be dissolved, that so they may the more easily deliquate.
Levigation is the reduction of any hard and ponderous matter by comminution, and diligent contusion into fine powder, like Alcool.
Limation proper to Metals (as Steel, Iron, Brasse, Lead, &c.) is a preparation with a file, whereby they yeeld dust for divers uses.
Liquation is when as that which shall be made into one body, is dissolved, that it can flow abroad like waves.
Liquefaction is the dissolution of a Mineral body, by the force of a very gentle fire.
Lotion is a preparation of medicaments by water, or some other liquor to remove some evil and hurtful thing, and to procure some good and profitable quality in them.
Lutation, right worthy the name of Sapientia, is a medicine thin or thick according to the heat and continuance of the fire, which stoppeth most exactly the orificium of the vessel, that no vapour passe out.
Maceration is preparation of things not unlike to Humectation in the manner of working, but in time, for some are infused three, four, or moe moneths, and some a shorter space.
Maturation is exaltation of a substance, rude and crude to that which is mature and perfect.
Mistion is such a composition of bodies, as inceration, incorporation, colliquation, and contusion do declare.
Mollition is the beginning of liquation, yet some things are mollified (as cornu cervi, Corral, Ivory, Ungulae, &c.) which cannot liquate.
[Page 273] Multiplication by projection, is of a body amalgamated from 7. to 10. from 10. to 50. from 50. to 100. &c. according to the force and quantity of the tincture.
Mundisication is the purgation of any matter by few or many operations from that which is sordid and vicious, that onely the most excellent may be admitted to the work in hand.
Nutrition is the permistion of humidity by little and little, for the alteration of the quality of the medicament.
Precipitation is when bodies corroded by Aqua fortis, or Aqua Regia, and dissolved into water, Salt Armoniack or Mercury cast upon them, either by the abstraction of the corroding vapour, are reverberated into Calx, they are made perfect medicines.
Probation is the examination of any matter, whereby we discern what is excellent and perfect, and what corrupt.
Projection is an exaltation chiefly in Metals, by a medicine cast upon them, which will suddenly penetrate and transfigurate them, giving them another tincture.
Prolectation is extraction by attenuation of subtil parts, so that by the inclination of their rarified nature, they may be altred from the more grosse parts.
Purgation like to separation, is the clarification of impure liquor, having a thick sedement and spume by decoction.
Putrifaction is the resolution of a mixt body by a natural putritude in calido humido, or fimo equino, &c. whereby it may be made more excellent.
Quartation is the separation of Gold and Silver mixt together, by four unequal parts.
Quinta essentia is an absolute, pure and well-digested medicine drawn from any substance, either animal, vegetable, or mineral.
Rasion is the scraping or paring of a thing, either for expurgation of that which is unprofitable, or for easier pulverization.
Reduction common to many operations doth restore a thing changed to his former estate and condition.
Repurgation is, whereby metals and other substances are purged from super fluities of another nature, adhering to them.
Resolution (the way to most excellent operations of Alchymie, causing both elements and coelestial essences to separate from their elementary composition) of things commixt, is when they part one with another.
Restinction is a gradation, whereby metals or the like, candified by fire, are restinguished in liquor of exaltation, and thereby made more noble, by how much a more excellent tincture and glosse is set upon them.
Reverberation is ignition reducing bodies (the fire quick reverberating and reflecting) into a very subtil Calk.
Section is the cutting of things great into lesser parts, for the present occasion.
Segregation is the solution of that which was whole and perfect into parts divided, which flow not together as colliquables dissolved.
Separation is, whereby parts distracted are separated every one alike having his several being in himself.
[Page 274] Siccation is the drying up of excremental humidity in bodies, before the fire, Sun, in the shade, or the like convenient place.
Solution, a principal part of Chymical practice, whereby the incorporation of things coagulated, is dissolved and attenuated.
Subduction is an abstraction of juyces, oyles, and other liquid matters downward by percolation, filteration, and the like.
Sublimation is when that which is extracted is driven to the sublime part of the vessel, and there subsisteth, or when as between that which is sublimed, and the dead head an aëry space doth intercede.
Subtiliation is dissolution, separating the subtil parts from the grosse.
Stratification, or stratum superstratum well known to Chymists, and used in cementation, is strewing of corroding powder, or the like, upon plates of metal by course.
Torrefaction like siccation, but more violent, is an operation drying speedily, parching and scorching that which is to be dryed before, or over the fire.
Transmutation is the mutation of a thing in substance, colour, or quality.
Transudation is, when in descensory distillation, the essence provoked, sweateth through, and is carried guttatim into the receiver.
Vitrification is Combustion, converting Calk and Cineres into transparant glasse.
Ustion is a preparation of things for easier pulverization, mutation of colour, faculty, &c. by burning them in a crucible, or in the fire.
The Epilogue.
I Had intended much more in my love to young men, to have written by way of instruction, namely, a Dispensatory touching the precedent particulars, with somewhat also concerning the Cure of the French Disease, with symptomes thereof, namely, the Gonorea, the Bubo venerea, the Hernia Humoralis, &c. But time hath overtaken me, so that now I am forced to conclude, having run through the cares of sixty nine years; old age being an enemy to study, for my sight being weakned, my memory much impaired, and my capacity utterly unable to perform so hard a task, which will ask both large time, and much study to fulfil, and other occasions best known to my self, and some speciall reasons elsewhere expressed in my precedent and subsequent work, to which I refer you, for the further satisfaction; I rest ready to do good so long as the Almighty pleaseth willing to be,
VIATICUM, BEING THE PATH-VVAY TO THE Surgeons Chest. Containing, Chirurgical Instructions for the younger sort of Surgeons, imployed in the Service of his Majestie, or for the COMMON-WEALTH upon any occasion whatsoever. Intended chiefely for the better curing of Wounds made by GUNSHOT.
First published by Authority, Anno 1628, and now revised and inlarged by the Authour, JOHN WOODAL Mr. in SURGERY.
LONDON. Printed by J. L. for Nicholas Bourne, 1653.
The PREFACE.
LOving Brethren, for as much as in times of war, as well as of peace, men of our calling should be ready Ad omne quare, for the service of their King and Countrey: We and our Countrey have been long happy in a blessed peace; and yet even now having rumors of warre, it is not amisse to be prepared for the contrary: Wherefore from the wise heathen Philosopher, let us all learn as followeth (Jam tua res agitur, para cum proximus ardet:) Our neighbouring Nations are and have been long in combustion; it is therefore wisedome for us to be ready, and the rather we ought to take it into our better consideration, because at the first composing and writing hereof, namely in Iuly, 1626. when as I published it, there were then, and now are rumours of Warres, and our Company of Barber Surgeons were then commanded by His Majesties Authoritie forthwith to provide sixeteen of the best Surgeons as the then time afforded for his especial service by Land, such as were men most expert in the healing of wounds made with Gunne-shot; and generally for the most part, by reason of that long and happy peace that our Nation had enioyed, many good Surgeons being put to it at the first, were likely to have been found somewhat to seek therein; how much more then our younger men? wherefore the charge of providing, preparing, and fitting His Maiesties whole service by land and sea, being by his Highness referred to our Corporation & our Company, having for that time made choice of my selfe, and deputed me to the worke, I held my selfe in conscience and dutie tied to do somewhat, [Page] although I confes it was little, to the better enabling and encouraging of younger men unto their duties in that point. But here under favour I must desire pardon for a little digression; namely, that before my entrance unto any further discourse, I acquaint the yonger sort of Surgeons my Brethren with those especial favours, which it then pleased our most gracious King Charles, to bestow upon our Corporation in particular above and beyond his ever blessed Ancestors, for the good of his Souldiers and Sea-men, and our encouragements thereby, to animate and inable us the more heartfully to serve him: And namely.
First his Highness was graciously pleased, when also he increased the sea-mens wages, to augment the monthly wages of each Surgeon and Surgeons Mate in his service by sea and land, to above a third penny from former custom; namely from nineteen shillings four pence a moneth to thirty shillings. He hath also bin graciously pleased to give a free benevolence to the Surgeons in all his sea services, which never was given them by any of the former Kings nor Queens of this land before as followeth, viz. To all Surgions that serve in his Highness own ships, I mean towards the furnishing of their Surgions Chests with Physical drugs and medicaments, I say for each of them ten pounds; and to each Merchants ship five pounds, and to each Newcastle-ship or Colliarsship serving in his Highness his affairs three pounds. And, nevertheless all the Surgions in his Highness service have as formerly by the head of all men that are in pay in any of his ships or land-service two pence of each man by the moneth: And for the surgeons in his Land service, he alloweth to the Surgeon Major of the whole Camp five shillings a day; and for his two Mates or servants four shillings a day. Also his Majestie alloweth to each Surgion two shillings and six pence the day, which is three pounds and fifteen shillings the moneth, and to each Mate three pound a moneth, and more over allowed, and gave to each Surgeon appointed to 250. men, a surgery [Page] Chest of 17. pounds valew free of account: And moreover his Majestie alloweth to the Surgeon Major a store Chest or Magazeen Chest of 48. pounds value, for a supply to furnish upon all wants and occasions: And His Highness was yet further well pleased to give authority unto the Masters and Governors of our Society, for to have the making, compounding, fitting, and ordering of all the medicines, as well Physicall as Chirurgicall, together with all other provisions belonging to the Surgeons chest. And further His Highness hath referred to the ancient Masters and the Governours of our Society, the pressing of all Surgeons and Surgeons Mates or servants to Surgeons and Barbers; with also the taking up of any instruments, chests, or ready made medicines in His Highness name for his service, if occasion be not otherwise. These favours and priviledges our Corporation have received from His Highness, together with a new Charter, wherein he hath likewise gratiously been pleased to confirm all our priviledges formerly granted unto us; and hath given us divers new priviledges for the better subsistance of our said Corporation in future times; as also we had never been denied as formerly, to have monies imprested before hand, for the providing a chest with surgery Instruments and salves. In regard whereof, and for that Surgeons should with the better courage be instigated faithfully to perform their duties; I have presumed in this Preface to explain His Highness former favors, as aforesaid, whereby our younger bretheren may from age to age the better keep it in remembrance; and to that end I have also further under favor I hope without offence, presumed to set down the effect of the order of the then Lords of his Highness most honourable Privie Councell, with the day and yeare in which some of the recited priviledges were granted and ordered, as also in part the form and order how his Maiesties Officers of his Navie have interpreted, dispensed, and disposed of his Maiesties said free gift, according to the severall burthens, rankes and orders of the ships of His Highness his Navy respectively, which are as followeth.
A List of the different rates of severall of his Majesties Ships, concerning His Highnesse free gift and imprest, to each of them, namely, as they were heretofore rated by the Officers of His Higness Navie, in the yeare, 1626.
Great Ships of the first and second ranck were rated all alike, viz.
- Mer. Honour
- Triumph
- Anne Royall
- Saint Andrew
- Saint George
- James
- Repulse
- Charles
- Defiance
- None-such
- Unicorne
- Victory
- Hen. Maria
- Vanguard
- Rainbowe
- Swiftsure
- Red Lyon
- Con. Reformation
- With the rest of the like.
- Free gift—10. li.—0—0
- Imprest—7li—10.—0
- In all—17. li.—10—0
Ships of the third ranck.
- Assurance
- Guardland
- Bonaventure
- Entrance
- Leopard
- Convertine
- And so of the rest of the List.
- Free gift—7li.—10—0
- Imprest—5li.—0—0
[Page]Ships of the 4. ranck.
- Adventure
- Mary Rose
- Blake George
- Free gift—5li. 0—0-
- Imprest—3.—10—0
Great Merchant men in His Majesties service at the rate of his Majesties great ships, viz. 10 li. and 7 li. 10. s. ordinary Merchant men at the rate of his Majesties ships of the fourth ranck, aforesaid, namely 5 pound free gift and 3 pound 10 s. imprest.
Ships of the 5. ranck. Each Lyons Whelp viz.
- First Whelp
- Second Whelp
- Fourth Whelp
- Fifth Whelp
- Tenth Whelp
- Free gift—3 li. 0-0
- Imprest 3 li. 0-0
His Majesties Pinaces.
- Greyhond
- Roe-buck
- Or any of like account.
- Free gift 3 li. 0—0
- Imprest 2 li.—10-0
Newcastle Ships or Colliers, at the same rate with His Majesties Pinnaces.
The Preface.
The day of the grants of the aforesaid order touching benevolences, was to my best remembrance the 10 of July, 1626. at White-hall, by the Lords of h [...]s Majesties Privy Councel, being then by them ordered to be paid unto the Masters and Wardens of the Surgeons, ever from time to time before hand, and upon all services for his Highnesse; and for the better performance thereof, the said Noble Lords were pleased to pray the Lord Treasurer to take knowledge thereof, and to cause the monies accordingly to be forthwith issued as aforesaid, as for a supply for the providing of Physical drugs and medicaments. And further the said Honourable Lords were then pleased to order, that all such other monies as usually had been allowed by way of imprest to any Surgeons in His Majesties service, towards the providing and further fitting of their Surgery-Chests, should together with the former monies be likewise paid into the hands of the said Masters and Wardens, ever for the time being in dew time and before hand; who for the better effecting of the intents and service aforesaid, were ordered to see the said monies faithfully and frugally bestowed, and should for the surer performance of it, orderly have the making, ordering, fitting, and compounding of all the medicines, as well physical as chirurgical; as also all other provisions belonging to a Surgeons Chest; or to appoint such others for the effecting the work, as they should at their perils answer for their faithful performances: All which Chests and provisions whatsoever therein so fitted and provided as aforesaid, being ready, the Master and Wardens are by the said order commanded to see every of them to be safely delivered under lock and key, unto His Majesties officers whom it may concern at Tower-wharfe; that all things therein provided and inclosed might the safelier come on board the ships, for which they are designed: All which allowances, Injunctions, Priviledges and Commands, were then by the said most Honourable Lords thought fit to be for ever hereafter continued to all ships or Fleets in his Highnesse future services, as is more plainly manifest by the said order; the which no doubt is extant, and unto which if occasion require, relation may be had.
Thus loving Brethren, having acquainted you with these his Majesties favours unto our Corporation, it followeth in my duty that I should acquaint the younger sort of Surgeons with the use of the Surgeons Chest, I mean the medicines in this Viaticum contained; in some methodical manner, according to the insuing expressions of the following Treatise, were it not that time hastens me to an end, before I begin: Yet neverthelesse I have shrained of time to lend the yonger sort a word or two in this Viaticum, not to al as a Teacher, but as a loving remembrance to the elder, which I pray you to peruse as you have occasion. And so in Gods name without painting of phrases or collecting of great Authours for my [...]ouchers; my Method you know by the plainnesse of the stile; the which Method is no other then the old beaten Path-way of all Surgeons, wherein each Artist ought to be experienced. And If any Artist [Page] by forgetfulnesse erre, desire to informe his memorie: And as for the younger sort, I know it is Charitie to shew them, for they have need, and ought to-desire and seeke knowledge, according to an old Doctrine of that sweet Lillie, in his Grammatical instructions, videlicet.
In English to this effect.
And to conclude, I well knowing you could not alwayes have the advice of the grave and learned Artists at hand, in militarie affairs, I therefore presumed to the utmost of my latchet, hereby to afford you my following helps, which I hope by the friendly Reader will, if he want better, be taken in friendly part.
Vale in Christo
An Epitomy of a Surgeons Chest, and of the Contents thereof, for his Maiesties service, by addition or omission of any the particulars, to be altered according to each severall Ships proportion, time, or different occasion, upon any voyage.
Composed and published by John Woodal, Master in Surgery, August the 11. 1628.
- DIsmembring Saw.
- Dismembring knife
- Incision knife.
- Head Saw.
- Tresine.
- Glister
- Pot.
- Pipes.
- Small sirings with pipes.
- Cathetor.
- Speculum oris.
- Cauterizing Buttons.
- Flamula.
- Forceps straight.
- Forceps crooked.
- Paces.
- Forcers or punches.
- Crowes bils.
- Spatulaes.
- Weights and scales.
- Morter and Pestill.
- Strainers.
- Spunges.
- Skillet.
- Chafingdish.
- Pannikins.
- Mallet and Chezel.
- Bloud Porringers.
- Cupping Glasses.
- Potion Cup.
- Spoon lrage.
- Towe.
- Funnels.
- Cap-paper.
- Leather skins.
- Splints and Tape.
- Skillet large.
- Clouts and Rowlers.
- Stipticum Paracelsi.
- Diachalcitheos.
- Oxycroceum.
- Deminio.
- Meliloti.
- Cumini.
- Basiliconis.
- Viride.
- Populeonis.
- Album.
- Triapharmacum.
- Dialtheae.
- Diapompholigos.
- Aegyptiaci.
- Linimentum Arcei.
- Digestive.
- Mel Saponis.
- Axungi Porcini.
- Costicum Liquidum.
- Cautulorum.
- [Page]Hipericonis cum gummi.
- Rosarum.
- Chamomillae.
- Anethi.
- Lilliorum.
- Lini.
- Pulvis
- Registringens majus.
- Defensat.
- Bolus verus.
- Mastick.
- Myrrhe.
- Pix Greca.
- Lapis Calaminaris.
- Bolus.
- Praecipitatum.
- Sublimatum.
- Lupines.
- Cantharides.
- Alumen
- Crude.
- Combust.
- Vitriolū
- Album.
- Viride.
- Combustum.
- Farina
- Fabarum.
- Hordei.
- Wormwood.
- Mint.
- Rosemary.
- Time.
- Centaury.
- Hipericon.
- Scordium.
- De Ovo.
- Discordii.
- Mythridat.
- Phylonium pers.
- Theriaca
- Andromachi.
- Londinensis.
- Diatesseron.
- Confectio
- Hamech.
- Alkermes.
- Diatrion Pyperion.
- Diacatholiconis.
- Diaphaeniconis.
- Lohoch Sanum.
- Laudani.
- Aquilla vitae.
- Aurum vitae.
- Extract. Catholicon purgans.
- Succus
- Liqueritiae.
- Lymonum.
- Violarum.
- Limonum.
- Menthae.
- Rosarum salutivi.
- Dimoron.
- Oximel.
- Mel Rosarum.
- Rosarum.
- Prunellorum.
- Barberorum.
- Cochleariae.
- De Euphorbio.
- Ruffi.
- Cochiae.
- Aureae.
- Pulvis
- Sanotus:
- Arthreti [...].
- Caelestis.
- Cinamomi.
- Rosarum.
- [Page] Menthaesimplicis
- Cum Vino
- Card. Benedict.
- Plantaginis
- Aquaevitae
- Angelicae
- Lotion
- Spirit. vini
- Acetum vini
- Vitrioli
- Terebinthinae
- Origani
- Mel Depurat
- Aloes Succotrinae
- Senae elect.
- Rhabarb. elect.
- Colycintis
- Opii
- Cornu Cervi
- Rasura
- Combusta
- Cerussae
- Mu [...]
- Sperma Ceti
- Cortices granatorum
- Galla
- Radices Liquiricae
- Semen anisi.
- Faniculi
- Lini
- Cuminae
- Faenum Graecum
- Flores
- Comomillae
- Melilotae
- Baccae
- Lauri
- Juniperi
- Terebinth.
- Hordei excort.
- Com.
- Stibium
- Cambogium.
- Bladders
- Bags
- Pots
- Glasses
- The Chest
- A padlock
- Petty charges.
[Page 303] WOODAL'S VIATICUM: A Help to the Surgeons Chest.
The first dressing of Wounds, made by Gunshot.
AFTER extraction of unnatural things, forced into the wound with the Bullet, which ought with all circumspection, care, and possible ease to the patient, to be effected for fear of hurting the offended Arteries, veins, and nerves, &c. And also all such fractured bones greater or lesse broken by force of the bullet, be taken out; I say of allDraw not fractured bones out at the first, without caution. such of them, as may without danger of Life or Limb be immediatly removed for the first dressing; wherein note, that a fractured bone, though wholy divided from the greater fixed part thereof, is not as by a general rule alwayes to be cut or forced out at the first dressing, except it doth apparantly endanger a Gangrena, or other feareful accidents, by pricking of Nerves or the like; for by amoving it, a Flux mayTarry if you may while nature helps. be induced, or some other offence, but you should do well rather to forbear such bones for the first dressing at the least, and until nature, or other just reasons in the true Art of healing doe compel, and to proceed to the dressing.
In the more simple sort of Gun-shot wound, as followeth, I mean in wounds, where no Gangrena may be suspected, neither immediate Flux, nor furtive hemorrhage, dresse the Patient either with Artificial Balme, or Oleum Hypericon: cum Gummis de Apericij, Oleum Cattulorum, Balm in the Chest. or Arceus Linament, or one of these, and apply it warme, and somwhat [Page 302] warmer then the Patient would willingly suffer it, and cover the wound with an Emp. of mellilot stiptic: Paracelsi, Minium, or any other goodEmpl sitting. Emplaister, that is according to Art, and namely according to the temper of the griefe, ever to make choyce of hotter or colder Emplaisters, not omittng convenient bandage, I meane due ligature, and soOrder in cnring. proceed in Gods name, as in all contused wounds is most convenient to the end of the worke, that is to say, first to suppurate and digest, then to mundify, and then to incarne, and so on to sigillate, or siccatrize with due respect, if occasion be, by Laxative or other remedies, to temper and fit the body by good Regiment of dyet, as by purging,Spirit of wine. bleeding, &c. And for one particular, observe that in Gun-shot wounds, almost in all dressings, the spirit of wine doth well with some of the aforesaid balmes, until the wound be well mundified at the least.
But in wounds, where great danger of a Gangrena is to be feared, theDressing of great Wounds. Surgeon hath nothing more safe, for the first dressing, then [...] Aegyptiacum, and a little spirit of Wine, somewhat too warme, put it upon soft Linte, or fine towe pledgents, or by a Siringe, to be carryed in at first, into the bottome of the wound▪ which done, with some good astringent defensative medicine, and fit bandage, let it be bound up, and if the Surgeon be not forced thereunto, let not the wound be opened againe until 48 houres be past, upon the first dressing, and so also upon every Causticke application. Then at the next dressing, if Fluxes, hinder not, have ready,) if it may be (white wine and honey, for a fomentation, or faire water, and Mel for necessity, if better cannot be had, and with a little Aqua vitae added, if you thinke fit, with stupes, very warme, foment the wounded part a pretty space, then apply until full digestion one of the a forenamed Balms, warm, or with the ordinary digestive of Terebinth, vitellum ovorum &c. and cover it with an emplaister, and embrocate the part about, with Oleum Rosarum Camom. Aneth or the like, without urgent necessity, but faile not toTime of dressing. dresse it once every day, and bind it up, and after dresse the wound but once a day, and more, if the Surgeon see cause.
But I hold it fit that the Surgeon leave off Oleum Hypericon Cum Gummis in time, for that it hath Oleum Terebinth: therein, and so may be too quick, and rather change from that, and use Vrceus Liniment, Oleum Catulorum, or some digestive of your owne practice, until perfect digestion. And if accidents chance not, the Surgeons Method may be to proceed as in all contused wounds, onely as is said, I advise the Surgeon to make use of pure Aqua vitae, or rather spirit of Wine, with Aegyptiacum, where he findeth not a just cause to the contrary.
Cautions, Advices, and Instructions for the Younger sort of Surgeons▪ in Wounds of Gun-shot.
COnceale from the Patient the great danger of the wound, except just cause urge thee to acquaint him with it.
Fomentation. Fomentations are very good medicines in wounds with Gun-shot, but foment not at any time, except you can have convenient fire at hand, and let ever your Fomentations be very warme applyed.
Foment not too long at any one time, neither use it but upon urgent occasions.
Embrocate often, if no Gangrena be at hand, whether you have fire or not. Embrocation.
Let all your Vehicles for your Medicines, as tents, dorsels, plegents, &c. be soft and pleasing to your Patients, as much as in true Art may be, and cram not the wound too full at any time, especially Wounds incised for hindring unition of parts.
Also, if you can conveniently come to the work, inlarge not, especiallyInlarging of Wounds. in contused wounds, where danger may be feared, otherwise doe it warily; observing that you doe it not to thwart any member, neither any Veine, Artery, Nerve or Muscle, as neare as you can possible.
Gun-shot wounds over compound. No wound of Gun-shot can be said to be a simple wound, neither ever was there any Artist, that could truely say, that he healed any gun-shot wound by the first intention of Vnition, without due suppuration, no nor any contused wound whatsoever; for the composition of Gun-shot wounds, are ever real and very substantial; witnesse the poore patient, where Fibres, Nerves, Membranes, Veines, Arteries, Bones, & quid non, suffer together so, that such wounds, in their recency they resemble Vlcers rather then wounds; and the differences of these from other contused wounds is, That other contusedDifference of contused wounds. Wounds for the most part suffer but by way of contusion onely, and these by contusion and dilaceration, if not fraction of bones &c. whereby all the whole member suffereth together, and also the parts adjacent, and that in a high degree.
If discolouring blistering or other apparent shewes of a Gangrena appeare, give the patient a Diaphoreticke cordial, then scarify gently at the first, and deeply afterwards as cause shall urge, and have ready a Lixivium made of water and ashes, to the height of an ordinary Lee that women use to drive bucks with, and put a reasonable quantity of common Salt into it, and when it is cleared, if you have hearbs, as [Page 304] Scordium, wormewood, Centaury, Hypericon, Camomil, Melilot, or the like or Lupnies, make use of them according to Art, it will be much the better, if not, use it without, and apply it very warme, with stupes, often shifted, and wrung out, and if that cannot be had, use salt water for a fomentation very warm, rather then want a medicine: Aqua vitae is also precious in all Lixiviums against Gangrens, but you must boyle the Aqua vitae without errour, for the spirits will evaporate and the vertue resteth in them.
Observe in great lacerated wounds, as followeth, viz. If you find by the wound, the one halfe of the member to be taken away, there is no hope to save on the rest, but you are rather to make present Amputation,Iust cause of amputation. especially if the patient upon information of his danger be willing, for that the rest is contused, and must therefore admit by consequent, some losse of substance, by suppuration ever in a contused wound, and then the remaining part can doe no service to the body but will much indanger the life of the patient, by the expence of blood and spirits in the striving to save it, and be but a hindrance: and I dare say, that if but halfe any member be taken away, with the fracture of the bone, it is impossible to save the rest of it on, to do any service▪ If you have haemorrage, I mean bleeding, or furtive bleeding, or weeping of veines or arteries, in your worke, search for the vein or artery that bleedeth or gleeteth; and try if you can make ligature on it, if you cannot, make ligature, which seldome or never you can in Gunshot wounds, then apply to the end of the veine that weepeth an actual cautery, a small one will serve, but apply it like it selfe very hot, and apply it not all over the wound, onely to that veine, if you can, that bleedeth, you may if the flux be not great, use burning hot Egyptiacum, upon a button of lint dipt, and quickly and neatly brought to the place, whilst it is hot, and then well boulstred.
Actual Cautery. But a small actual cautery is the safer, and maketh better worke, or the Surgeon may use restrictive powder, adding thereto burnt VitriolRestrictive Powder. a little or burnt allum, and precipitate mixed which maketh a strong eskar, and often restraineth a great Flux, being applied thereon artificially, onely precipitate will surely make bones soul in contused wounds, for which cause I affect it not.
To take heed of an old error. But ever take heed to avoid the old received error of unwise practitioners, whose use is to cram the wounds, be they incised wounds or contused wounds, as is said, ful of bole or restringent powder, or some other stuffe, and then thrust in pledgents or dorsels into each corner of the wound, yea sometimes forgetting to take all out at the next dressing, yet think they have done all workman like, and very artificially not considering the harm, that often ensueth thereby. I dare say, that in contused wounds of Gunshot, by such errors, they force and draw a Gangrena, if not death thereby, by hindering natural unition, by obstructing the parts, and grieving the patient, in keeping the woundded parts from healing. It is a safe and fair way at the first dressing, ever to strive to joyn together the parts of all recent wounds, and unite the wounded parts if it may be with this caution, to order that fit [Page 305] breathing be left to evacuate the peccant humours, whereof there is small feare in lacerated wounds, and then to apply apt and fitting astringent medicaments outwardly over all, together with apt and due ligature; and by that course to stay a fluxe, but in contused and lacerated wounds of Gunshot, the Surgion hath not that benefit, but must trust to other helps not so ready, namely, as is said in the lesser wounds, to very warme Balmes, astringent defensatives, and good ligature, and in greater wounds, to caustick medicaments, Cauteries and forcible helps to repel fluxes, &c.
But in the Surgeon his careful desire to restraine fluxes, let him everA Caveat. beware of over hard ligature, as much as is possible, which is also a common dangerous error, and certainely draweth on evill accidents, as Plegmon Gangrena, &c. as daily experience telleth.
Likewise one the other side, over-slack binding is also bad, due, comly and smooth ligature, with the due composing the parts wounded with soft and smooth boulstring, greatly honoreth the Artist and cureth the patient almost as much as the medicines doe.
Observe also, that you put never one Caustick or Escarotick medicine after another too soone, namely, not until the first eskarre hath beene gone at the least three daies. If in a contused wound of Gunshot any slough or putrid part, as proceeding from the heads of the muskets, arteries, veines, or the like, appeare in a contused wound which needeth an Escaroticke medicine, and the Surgeon doe desire to cleanse that part, let him use an artificial Caustick medicine, namely, hot Egyptiacum, or an actual Cautery, if you can apply it onely in that place, and not all over the wound, for in truth the use of them is very good in contused wounds made by Gunshot; and yetOver drying medicines dangerous. you are to consider, that as too much gleeting, weeping or experience of humidity from wounds of gunshot is dangerous many wayes, so too much use of drying medicaments in wounds made with Gunshot, is no lesse dangerous by stopping the pores and repelling the peccant humours, by reason of the contused blood collected, being choaked in the wound, aptly indangering a Gangrena, and other deadly accidents incident thereunto.
Advise touching the general regiment of wounded men. Now a word or two in want of the grave Physician, how the young Surgion may in part demean himselfe being put to it, for the more happy performance of the cures made with Gunshot, which are very much regulated by the government of the Patient, touching his dyet, as also in the careful keeping his body in temper from muchDyet. costivenesse, and also to stay in ordinate fluxes, thereby to prevent accidents, as Feavers, &c.
And further also to meet with an help to cure evill accidents when they happen, to the effecting whereof, good dyet and other fitting helps are to be wished, might attend valiant men, which fight for their countries honour and defence, which failing, much with brave Souldiers, and valiant Sea-men, at Campe and Ship, there the Surgeons must take it, as they can have it, and make use in necessity of what [Page 306] the Surgeons chest affordeth viz. If the patient before his wound had not a loose body, let the Surgeon give him a Suppository or Glyster, and if he seem disposed to a fever, though he hath bled by his wound, yet if his strength be answerable, open a veine on the contrary side ofSupposi [...]ory or Glyster. his griefe, but purge him not being wounded without very just cause, rather keepe him by gentle meanes, to have the benefit of nature, either by Glyster or Suppository, if once in two dayes hee have not a stoole; and further, if he be distempered with heat, make him aFresh water oft wanting at Sea. Barly-water, viz. Water two gallons, Barly 6. ounces, Liquorish one ounce, or juice of Liquorish two dram's, boyl it gently a little, then cast away the first waters, if water be plentiful, else not, and boyl it in fresh water, till one third part be spent, and being boyled and clarified to the said decoction, add some few drops of oyl Vitriol, to make it some what sower in tast, but not too much, but if to this 6. graines of Confectio Alkermes, with one spoonful of Rose-water were added, the drinke would be much the more grateful in tast, and more profitable.
I conceive it will be needlesse to urge a course for a sparing dyet for Souldiers, or Sea-men at Sea, for I feare gluttony will not be their sinne. But if fulnesse of body be a hindrance, the Surgeon hath meanes to evacuate, as for a vomit by Stibium, the infusion of 4 graines, if such a medicine be thought fitting, as in able bodyes may be borne, or by laxatives, as Confectio Hamech, six drams for a dose, Diaphenicon or Diacatholicon, the dose to an able body is a full ounce.Pills. The Pills in the Invoyce in this Surgeons chest; upon their several occasions▪ one dram is a dose of any sort of them. Also of Pulvis Sanctus may be giuen two drams, or Pulvis Arthriti [...]ns one dram; and if Cordials be required, the Surgeon hath in his chest to provoke rest iu Feavers several ones, as more particular, there is Diascordium, which he may give to the ful of two drams for a dose to a strong body either in wine or water, as he please, or in a Bolus or lump of it self.
Ʋse of Laudanum. Also he hath Laudanum, which he may give safely 3. or 4. graines to asswage pain in painful wounds; to give rest in Feavers, to stay fluxes, and in divers other cases being used with judgment, and provided, that the party which taketh it be not costive.
Likewise in fluxes of the belly, accompanied with crude nauseousnesse of the stomach, as also against venemous or pestilential infection of the blood, there is in the chest Phylonium Persicum, of which the Patient may take from one scruple to halfe a dram, and to one dram safely in a reasonable body, and this is a safe medicine, which causeth rest and corroborateth the stomach, and mightily prevaileth to stay a flux of the belly, and doth also correct venemous and maligne humors, and is therefore very fit to be used in fluxes that be contagious or pestilential, after some fitting evacuation if occasion be. What I here write, it is of mine owne practice, you may take it on my word for truth, for you shall find it to be so, if with due caution you make use of them. These three Cordials, as is said, asswage pain (viz.) Diascordium, Laudanum, and Phylonium, or either of [Page 307] them also they serve well to coole or contemperate the blood. Cordials to swage pain. Of Cordials in general.
The Surgeons chest containeth also divers other Cordial medicines, which may be profitably administred, each upon due occasion. viz. Confectio Alkermes either given alone, or to aromatize any purgative or Cordial medicine, from 4. graines to a scruple for a dose.
Aqua Caelestis, and Cinamon water to refresh the spirits, halfe a spooneful or a spooneful for a dose, and so of Spirit of wine, and also Aqua vitae made of wine, which so much as containeth of the spirit of wine, is quasi spiritus vitae. Also the Surgeons chest hath against contagion, and the Plague, Mithridate, Ther. Londinens. Diatessar. Elect. de Ovo, as also Diascord. Aurum vitae, and Laudanum mentioned, all these being proper for pestilential occasions, the uses and vertues of which I desire to touch, though but in a word. And for example, if the Surgeon desire a Cordial to be made to cause rest, it is made either of L [...]udanum to three graines, or to 4 grains as it is said, or Diascordium 2 drams, or Phylonium to one dram, mentioned. And note that Laudanum is best to be taken in a Pill, becauseNo [...]e. of his ungrateful tast, and Phylonium in a Bolus or lump, for the like reason, and so also may Diascod. be used well, and especially in warre, where neither the advice of the learned Physitian, nor the helpe of the expert Apothecary is at hand, but if the Surgeon be occasioned, and that he would have Diascor. to be given in a potion, then let him take of Diascor. 1 dram, of white wine or fair water 3 ounces or foure, of Sirrup of Violets halfe an ounce, Confect. Alkermes eight graines; Oleum Vitrioli gutt. quatuor, and let the Patient drinke that potion and incline himselfe to rest.
Cordials comfortive. And if a Cordial to comfort the spirits be required, then the aforesaid Cinamon water, Aqua caelestis or Aqua vitae of wine is at hand, without mixture or addition, or with some addition, halfe a spooneful, or a spooneful for a dose.
If against the malignity of the blood or any pestilential contagion be feared, then in such a case the Patient may take as followeth, R. Diatessar two drams, Mithrid one dram, Elect. de ovo one scruple, dissolve or mixe them together and take it in white wine, claret, or sack, or in Carduus, or fair water for need, of any the aforesaid, to the quantity of foure ounces, and sweat thereupon, and if the contagion be fierce, the Patient may reiterate such sweating medicine each eight houres, safely for three times, or Aurum vitae gr. 8
These or any of these other Cordials, may be given in other waters, and other mixtures, according to the discretion of the Surgeon, the time, place, and different occasion considered, and for need, the aforesaid Cordials or any of them, may be taken in a Bolus or lumpe. Likewise Mithridate or Audromaches Treacle, a dram or two drams of either of them, in white wine, in Carduus water or in beere, or water for a need, may safely be taken for a Cordial, or in a Bolus, if the Patient like it so. For tortions or gripings of the stomach or bowels.
Also Therica Diatessaro [...], three drams for a dose may be taken, either as it is in a Bolus or lump to be swallowed down, and even so [Page 308] taken, it is an excellent Cordial to provoke sweat, to remove tortions, stitches or gripings of the stomach or lower belly, or against any paines therein, also it resisteth all putrefactions and pestilential vapors, and is the most antient Treacle of all others, my selfe have had very much, true and good experience of it, and would trust my life upon it, though not before the two aforesaid Alexifarmiks, and London Treacle in like manner is to be used, and is a very good Cordiall: Elect. de Ovo, is also of it selfe a sure good Cordial, a scruple I meane, twenty graines thereof in a Bolus or lump, or in wine given, it resisteth pestilential venome, and refresheth the spirits, and eitherA Cordial. alone, or as a foresaid mixed with other Cordials; Aurum vitae, as also a true Cordial, for it comforteth the heart, provoketh sweat, and by the pores of the skin expelleth poysonous vapors, I have had good proof thereof upon my one body, when I was strucken with the Plague.
Conser. Rosarum, is used to refresh and strengthen the stomach, either alone, or if you intend to coole and contemperate the blood,A contemperative Cordial. to purpose, adde a few drops of oyle of Vitriol, to a little thereof, and i [...] to warme the stomach, mixe a little Methridate or Treacle, one part, and Conserve of Roses two parts, and give it so in a Bolus.
Of cooling Juleps. Conser. Barberies may be profitably kept, either to mixe with cooling Barley waters, or Juleps, to refresh the appetite and the feebled spirits in feavers, or sometimes to give little of it in a Bolus or lumpe, or to give a relish to the mouth, to cause appetite in Feavers, and to expel nauseous distempers.
There is also in the chest Oxymel simplex, which I use in the Surgeons chest, in want of sirrop Diamor, as being nothing inferior thereunto, for Lotions in the mouth and throat orderly used, it ceaseth inflamations, as also for the other vertues it hath exceded Diameron, as namely, in the swaging of tumours and paines, this is a singular medicine, andCure of Hernia humeralis. also in Hernia humeralis, being tumours of the testicles and scrotum, it excelleth them, if it be mixt with a Cataplasme of Beane-meale boyled in beere, with a little oyle of Elders or Roses, and a little wax, so that the whole quantity of the Cataplasme being by guesse two pound, if so then, put about six, or seven, or eight ounces of Oximel thereunto, and boyl it to a body, and it is an admirable good medicine, for it discusseth and safely repelleth such tumours in their increase, with the helpe of Phlebotomy and a vomit, where the patient is strong, which tumours by the patient his delaying of time, or by [...]rrour of the Surgeon, will otherwise come to suppuration, and prove fistulaes incurable, but hee that will cure such tumours, must have an artificial sacke-trusse, and be sure that the griefe be truely and easily borne up at all times of the whole cure, and Oximel inwardly administred, purgeth the stomach and intrals, openeth obstructions, and yet without any manifest signe of heat, and thereby helpeth much in feavers ingendred of grosse phlegme.
Of Lotions generally used in the Surgeons Chest, the most common is of Sanative hearbs made in the Summer with water or wine or [Page 309] both, and honey, but at Sea if a laxative or washing lotion in need beLotion at Sea for a need. required, faire water with as much Allum therein, as will make it tart, and so much honey as will give it a grateful tast, and there is a lotion for a shift, or if in the diseases of the Scurvy a lotion be required, then use Copperas instead of Allum, or sometimes Vnguent. Egyptiacum, which is a most fit medicine for Ulcers of the mouth, or throat▪ the grieved part being touched very hot therewith, and being applied with a Probe armed with Lint.
And to wash and cool the mouth in feavers, I often take fair water, foure ounces, of Rose water halfe a spoonefull, a little sirrup of Violets, or Mel for a need, and a few drops of Wine Vinegar, or Oximel, or Oyle of Vitriol a few drops onely to make the Medicine tart, I mean the Lotion. I have bin taxed that my proportion hath not sufficient medicines contained therein for wounds of Gunshot, but if any please to look into the particulars, and well consider them, he will find that the whole scope of the Surgeons Chest, is of purpose contrived to that end, and that there is not any one Medicine therein,A true Idescription of a wound with Gun shot at the first view. but upon the main, or upon the by, tendeth that way: for a wound of Gunshot at the first view representeth a wound, an ulcer, a Fistula, yea and sometimes a fracture, and a dislocation, and by accidents calleth unto it a feaver, an Apostume, a Gangren, & quid non, yea without Gods Mercy joyned, and the great care of the discreet Surgeon, death followeth. Judge then if ought be in the Surgeons Chest, which in such a wound upon some occasion may not be found useful.
And for an instance, the Chest containeth for the first intention curative of burnings with Gun-powder, Vng. populeon, Album triapharm [...]c. Dipomphol. Mel. Saponis, Oleum Lini, Cerusa, Meldep [...]ra [...] ▪ being all directly fitting for the first intention, namely for taking out of the fire, and yet the Chest hath divers other helps; as for an example: a linament may be made of Minium Diacal [...]itheos, and Oyles either of Linseed, or Roses, very profitable for that use,
And for all the rest (as is said) of wounds of Gun-shot, so I say of Ulcers made by Gun-shot, the whole scope of all the Sanative Medicines in the Chest, according to their several intentions, and times, sute fitly to finish the cures.
But say, some others, the proportions is very much wanting of restrictive or astringent Medicines, to stay Fluxes, or to amputate upon occasion; wherefore to satisfie the young benevolent Surgeon desirous to be informed; I answer first, that there is Pulvis restringens M [...]gis, aAstringent, [...]estringent, or restrictive Medicine. sufficient proportion, also Bole, Wine Venegar, Mirrh, Allum, Crude Vitriol, Vitriol combust, Mercury Precipitate, sublimate, Bean and Barley Meal, Gaules, Pomgranate Rinds, and whites of Egges.
Besides good Ligature and boulsters ready, all which with Iudgement, and discretion used, I dare say are sufficient; and for one instance namely, that three pound of the strong restrictive powder is sufficient, in quantity for a reasonable Sea-Chest. Vpon the 24 of Iuly 1628, I tooke off two members, being both legs, whereof one above the knee, with one ounce and a half of the powder to both, and had a fourth part [Page 310] to spare of the made medicine. There is also an astringent defensative powder, prepared and made ready for use, as hereafter followeth.
And if all what is said, with also the help of Phlebotomy, ligature, actual and potential cauteries, will not suffice, then I am I confesse mistaken.
Common practice. Note in burnings with Gun-powder, that if the face or hand be burned, I have found it best from the first to the last, namely, to the end of the cure, to use Vng. Album, either mixed with Populeon, or withA note in the cure of burnings in the face. Linseed Oyle, or Vng. Diapomphol. is fully as good made into a very thin linament, and warme, laid on the face with a feather and no clouts at all, nor ought else to cover the face, this healeth excoriation s or scorchings best▪ or that the Surgeon take Ceruse, grown'd in a mortar, with linseed oyle, and apply it as the former, I have approved it to be very good. Tripharmac. is also very good so used.
I speak but now of honey for burnings, and who shall prove it shall find it safe to take out the fire, and after to heale the grief, but is somwhat more paineful then some other medicines are, it is onely once a day to be applied upon brown paper, the paper being first rubbed soft, and the Medicine spread thereon, and in that manner applyed, it healeth without any scarre very quickly. Also Mel Saponis and all other medicines appropriate may be applyed upon paper at Sea, partly for sparing Linnen.
Of the knowledg of weights and measures. Moreover, I find a great weaknesse in younger Surgeons, that I have just occasion to question, in that their Masters that bred them have not taught them thetrue knowledge of our usual weights and measures, but chiefly they fail in their weights, which doth bring great danger to their poor patients, whose lives hang dangerously in the balance by a grain too much given, where the Surgeon knoweth not how many graines are in a scruple, or in a dram, no nor scarce, that there is a weight so called: wherefore young Surgeons note as followeth. The Physitians, Surgeons, and Apothecaries, have two sorts of weights in use, namely Troy-weights, which likewise are the Gold-smiths weights, and that containeth twelve ounces to the pound, and Haber-de pois weights, which containeth 16 ounces to the pound, and is that common weight which the Grocers and all other trades-men use, and indeed which we most use, for though my selfe sometimes buy Musks, Civet, or Amber-greece, and other forts of Drugs, by Troy-weight, yet I dispence and administer all by Haber-de pois, which is 16 ounces to the pound▪ so much I will onely for brevity sake speak thereof.
A pound of Haber-de pois weight hath 16 ounces, an ounce hath 8 Drams, a Dram hath three scruples, a scruple hath twenty graines, and by that accompt a dram hath two graines, and a full grain of Barley is a reasonable Grain, and a pepper Corn or wheat Corn may be used.
And our measures agreeing with our weights most usual are as followeth, a wine Gallon of water containeth 8 pound, a pottle 4 pound, a quart 2 pound, a pint 1 pound, and of ordinary sallet oyles, 7 pound and a half is accounted a Gallon.
Of Cataplasmes.
OF all other necessaries in the Surgeons Chest, I confesse my deficiencie there in; for I ought to have had dryed hearbes of all sorts fitting, some store: but I pray you accept of my excuse. For at the Edition of this Ex temp [...]re, I had Surgeons Chests and parts of Chests, 60 at once to prepare, and had but ten dayes respit admitted me to make and to fit them all; and yet notwithstanding, the said Chests contained herbs of divers sorts, as also Bean and Barly-meal, Linseed, Fenugreeke, Camomile flowers, Cuminseed, Fennel seed, and divers other things, that are helps that way. But what shall I say? To some foolish, contentious, vain-glorious persons, my best things fall too short for them; but to benevolent understanding Artists, they can make and find many wayes and helps of fitting things in a Ship, and not alwayes charge the Surgeons Chest. Viz. If my selfe were at Sea, and put to it, I would find wast crums of Bisket, and I would boyle them in Ship-Beer, and with some fat of the Beefe Kettles, or of the Porke Kettle, I would make up a suppurative, Cataplasme; and if it had not a fit consistence or body, I would deale with the steward for a little Meale, or take some of my owne stores, and according to my store, enrich that with other helps from the Chest: And if I need a discutient Cataplasme, and the Chest had not to help me to my will, being put to it, I would, as I said, make my ground of the Medicine to be of crums of Bisket, or of soft bread decocted in Beer; adding, when it had well sod, Vineger and honey, a fit quantity: these things, with other rationall additions, according to several occasions, doe much comfort the weak patient, and also grace the Artist: Nam frustra fit per plura quod fieri potest per pauciora.
And to put young Surgeons in mind, what other Suppurative Medicines are in the Surgeons Chest, there are either Unguents, Oyles, or Emplastick Medicaments divers, which my time will not admit me to informe you of, though I confesse I should advise young men in their necessities. But to be short, they shall find Vnguent Basilicon spread thick and applyed to an Apostume, doth well help to suppurate; and the better, if the griefe were first embrocated with some Oleum Lili [...]rum, Lini, or the like: and you shall find, that Arceus Linament is right good to suppurate a tumor, and likewise Empl. Meliloti: and who knoweth not, that Ship-pitch and a little fat mixed ripeneth a tumor, duly applyed; or Pix Graeca, with fat or turpentine; and divers other the like good things may be found, where the discreet Surgeon is put to his shifts. But no more of that; for whereas Bees may suck Honey, even there Spiders will convert a plain stile into Poyson and Gall.
Non omnibus dormio.
A ready defensative powder to be applyed where Iust cause is for a defensative, either for wounds with Gun-shot, or other Wounds, which I have made use of, and will impart the secret to young practitioners, and is as followeth.
R.
- Terra sigillat.
- Alumin.
- Vitriol.
- Tartar.
- Cerus. ana 1 li.
- Bol. Armen. 2 li.
- Aquae. 1 li. ss.
Take a new earthen pot of almost a Gallon and a half, put the water into the pot, and thereunto put the Allom and the Copperas, then powder the tartar, and put that in also, and then have ready the other ingrediences in powder, put them in by little and little, stirring them very well, until all be incorporated, and without seething keepe the Medicine on the fire till it be hard, and if you cannot make it hard enough in that manner so that being cold, it will powder, then put it into some dreppin Pan, or the like, and into an oven, when the bread is drawn, and it will be hard, then being cold powder it and keep it to your use, for it will not decay, nor alter his Vertue in many years.
And when you would use it for a defensative, take of this powder, about halfe an ounce of Posca, I meane water and Vinegar mixed, foure ounces, put the powder therein which will almost melt, then dip clouts therein, and apply them. This medicine with moderation used, is a true and excellent defensative, and a very anodine.
Also it healeth all itchings, smartings, gaulings, or any Erisipelas or other excoriations speedily and safely, and dryeth it mightily, preventeth from accidents, either in great wounds, or fractures and being in small quantity used with faire water to ulcers, it cleanseth them well and healeth them.
And if you have whites of egges, mixed with a Posca, it▪ were the better, or in fractures with yolkes and whites together it is very good, onely let the care of the Surgeon be, that he apply it in his true nature, namely as a defensative in fit time and touching the rest of the uses thereof, he may presume he hath a very good Medicine, and so for this time I take my leave.
Vale in Christo Jesu.
A Description of the Trafine, and the necessary uses thereof, especially for Military occasions for young Surgeons.
HAving had sufficient tryals of the facility and of the Trafine, I have thought fit to commend it and the use thereof, for the future, to the younger Artist, upon some of their requests, not detracting ought from the worthinesse, and due commendations of the Author of the Trapan, concerning that excellent invention, yet by way of addition to my former Edition, I thought fit here to describe the Trafine, it being an Instrument of my own composing, which experience will shew, is more compendious, and of more facility in the use thereof, for young practicioners in Surgery then is the Trapan, the which Instrument, although it may be said to be derivative or Epitomy of or from the Trapan; yet well observed, it performeth as much as the Trapan in every degree and more, and for that it was so fashioned, and first practised by my selfe, I thought fit to put the name of a Trafine upon it (a tribus finibus) from the three ends thereof, each being of several uses, and being as it may appeare triangular or three cornered, each corner there of performing the part it seemeth to undertake, so that it fully supplyeth and maketh good all the uses of a Trapan, with the one end, and that with more facility as is said, and safely then the Trapan doth, or can doe, and it supplyeth with the second end all the uses of a smooth Levatory, and supplyeth the necessity of a Jagged or toothed Levatory, with the third end, the said Levatories being all necessary adjutors in helping to make and finish the Trafine or (tres finis (and who so shall please to make a judicial experience thereof, not being prejudicated, will find that it far exceedeth the Trapan in all his uses; in the compendious and safe performance of the workes, as well of the two Levatories, as of a Trapan recited which the former can no way be said to be.
Secondly, the Trapan cannot be well managed without both the hands of the Artist viz. the one for the work of erosion by the Artificial motion thereof in turning it ever round for the better penetrating of the Cranium, the other hand must be used to keep it steddy upon the affected part, and yet the upper part of the Instrument, must neverthelesse, as of necessity rest upon the Surgeons brest, yea and the Surgeon must for that purpose order his body in a fit posture; and further yet, the Surgeon must have a second man for an assistant of necessity, that must be imployed to stay the Patients head, whereas [Page 314] with this Instrument (I meane the Trafine) the whole worke is performed by the two hands of the Surgeon onely, with farre more dexterity and quicker, then with the Trapan as is said, yea, and that with much more comfort, both to the patient and to the Artist, as the practice therewith will plainely shew: and againe, there is no such danger attending that Instrumentas doth the Trapan; for the heads of the Trafine are made all taper, to wit, wider above then beneath, and also cut both wayes, and cannot therefore easily be said to offend the (Dura Mater) by an error to be suggested, to happen in the use thereof, without stupid ignorance in the Artist.
Thirdly, the Trapan of old had ever the heads as wide above as beneath, which heads were many wayes both very dangerous and uncertaine, especially when the Instrument by turning round, had cleane pierced through the Cranium, and thereby after the same head had fully perforated the Cranium round, it was very apt on the suddaine to slip downe upon the (Dura Mater) by error and improvidence of the Artist, either upon oblivion or omission divers wayes, as namely for one, if the Artist did not truly, equally, and strongly fasten the small screw, being an iron or rather a steele pin, that stayeth and fasteneth the said head of the Trapan, which the Artist pierceth with for the gaging thereof, either by hast, which though otherwise he might adjudged a careful Surgeon, yet upon his eager proceeding on his work, might unhappily be omitted, and even that small error might cause danger to the life of the Patient, and sometimes proved the irrecoverable cause of his death; whereas this Instrument, the Trafine, hath all the heads thereof made taper, as is said, namely wider above then below, piercing every way alike, and therefore there needeth no rule or gager, especially in the being performed without turning it round about, but is done by the onely moving or agitating of the hand to and fro, yea with the onely moving of the wrist of the hand, and which is another manifest benefit thereof, it can goe no lower then it is, by agitating and extreame pressing urged, and when it hath penetrated through it, for the most part detaineth and bringeth forth the peece of the bone with it, and putteth the Patient to no paine nor danger thereby, no nor colour of danger or paine at all.
Fourthly, by reason that the Trasines taper heads are made and framed, to cut every way alike, as is said, the work is easier and sooner performed therewith, then with the Trapan, as by the proving it upon a Calves head you easily shall make the experience, provided as is fitting in the time of piercing, you sometimes take out the Instrument, and wipe the teeth thereof that it furre not too much, and thereby hinder the due penetration: also thereby you easily may consider how farre you have penetrated, and what remaineth unpierced, that you may doe what is just in the work of penetration and no more.
Yet I will never deny, but doe acknowledge that the Trapan hath deserved great praises from former ages, for that it hath been an Instrument [Page 315] that hath preserved many a man, woman and childs life, from the eminent danger of death, and whereby they have bin restored to good and perfect health againe, and if that any by omission or error in the use thereof have dyed, they are at rest by it; and if the younger Artist doe by his experience, find that this my addition deserve ought, let God have the prayse in his mercies to weak men, for the comfort they find thereby in their wofull distresses, and as for this my Addition of invention, I must confesse is not much, onely good will, for all men may well conceive, that it is more easy to add to another mans invention, then to invent a new thing of his owne.
The next observation considerable in the fitting of the Trafine duely to the work is, for the regulating the center or point of this orbe or circumference, I meane of this Trafine head, it is first to be well considered, that the pin thereunto belonging being placed truly in the center be artificially made of good steel, and that it be triangular, also that it be sharp each way well pointed, and stand fast in the Instrument, and also that it stand no lower, but alwayes somewhat higher then the circumferent teeth of the head of that Instrument doe, for because the said pinne in the center guideth the circumferent tooth-head-saw, to the beginning of the work, and in the agitating and moving of the Trafine with the hand to and fro in this work, the said pin may first take hold, ere the teeth of the Instrument touch the scull, for that the said pin is not onely appointed as a rule and guide, but also as the stay to the work, which done, namely, when the tooth head orbe or saw, hath taken hold round, then the sooner the better the Artist is to take up the Instrument, to wipe and cleanse the teeth thereof, and draw out the said pin in the center, the which he may no wayes omit; which done he is by the agitation of his hand onely to and fro to pierce, and having pierced as it were halfe through, he is againe to take up his Instrument and cleanse it, and then againe to proceed in piercing by the motion of the hand to and fro, until he have in all parts gone through the Cranium, which if he diligently regard in the tender observant motion of his owne hands, I mean he that pierceth shall sensibly feel when the bone is penetrated through on each part, which considered, then drawing off his Instrument, he shall find the peece of the Cranium so removed, fixed within the head of his Instrument as is said.
But note neverthelesse, there is great care to be taken by the Artist in the manner of the piercing and taking out the peece of the fractured bone divers wayes.
And first let him be sure, ever to place the broding head of the Instrument that pierceth, so that the triangular pin in the center thereof be set upon a firme part of the Cranium or scull, yet alwayes provided it be near the fractured part thereof as may be.
Secondly the Artist is to consider, that as he which pierceth the Cranium with a small streight head, such as the Trapans were accustomed to have as is said by the giving way of the small screw that fastneth [Page 316] the head of the Trapan, the Patients life may be indangered, namely if the Cranium being throwly pierced, the Instrument casually should slip down upon the (Dura Mater,) as my selfe to my grief once saw: even in like manner he that useth a ragged taperhead of a Trafine, how safe soever, may be guilty of indangering his Patient, if he be not careful in the manner of his piercing, namely, that after the Instrument hath taken hold round with the teeth, if he either leave the pin untaken out, the said pin being longer then the teeth of the Instrument, he may wound the Panicle (Dura Mater) before the peice intended to be taken out, be pierced through in each part, or that he do not at the least twice or thrice in the time of his piercing the Cranium, take up and cleanse the teeth of the Instrument with a clout thereby as it were to mistrust himself, as fearing whether it have in all parts pierced through or not, or how much, or in which part he is wanting for feare of going too deep, otherwise he may kill his patient ere he doth find or perceive he is through, for a work so seldome used, and the errors thereof being of so dangerous a consequent, the Artist, although otherwise discreet, by omission, oblivion, or other improvidence be wanting in some observation, highly worthy of regard; wherefore it behoveth him to suspect himselfe and be cautious, for that a man can never be too wary in such a businesse; for although the piece every way may be pierced and removed out of his place, yea, and contained within the Trafine head, yea, and stick in the fame, yet the Artist may by his hand be mistaken, and think it not to be through, for that the Instrument sticketh as firmely, and as fast in the place, when the piece is out and within the Orbe of the Trafine, as it did ere it was divided, and as if it had not gone through: hereby if the Artist observe not his intermissions, by forbearing now and then his piercing, as is said, and sometimes view his worke, and cleanse the teeth of the Instrument ere it be through, he is subject to goe too deep, and wound the (D [...] Mater) by the continued motion of his hand, notwithstanding the piece of the Cranium is compleatly removed, and res [...]eth within the head of the said Instrument: wherefore all these observations, as I conceive, under favor, are but necessary for the young Artist to have in regard, Nam nimis cautla non nocet: To be exceeding wary is not hurtful.
And further, let the Artist be sure that his Trafine be truly made of good steele, I meane the head of the pin or center, and the ends of the levatories, and that the pin stand fast on, and directly in the middest of the head thereof, namely in the true center of the Instrument, and also that the Artist have three heads of several sizes in readinesse by him is likewise very fitting, with also an Instrument called a Lenticular at hand, to cleanse away all small shivers and raspings of bones, justly proceeding in the operation of excision, as also for the removing whatsoever else may seeme by consequence to offend the Dura Mater, or that way else might hinder healing.
[Page 317] And further, I advise that every young Artist take some convenient time before hand, to make tryal of his Trafine, as is said, upon a Calveshead, or the like subject, before he put it in practice upon a man, for a good Surgeon may erre, even in a small omission in such a businesse to his grief and reproach, if he be not exceeding cautious; and for that cause I advise every young Surgeon (as is said) to suspect himself, and warily to consider that the precious life of man so dependeth upon the care, wisdome, and artificial skill of the Surgeon in his work, as that upon a small omission or errour of forgetfulnesse, or but a very little mistake, a man is in a moment slain by art, for want of art, when it will be too late for the Artist within himself, to ruminate of the things that most conduced to the mischief; and upon all occasions, or omissions whatsoever befalling the Artist, let him ever be fearful and careful of entring too deep, for fear of wounding, or but scratching of the (Dura Mater) for those transgressions often produce fearfull accidents and deadly.
Again, as in speaking else-where of the use of the Trapan I have mentioned, let every Artist be very well advised and fully resolved of the just necessity of the use of the Trapan, and so of this Instrument, before he attempt to use it, and not lightly upon suggestions, or for vain ostentation sake, nor above all, for base lucres sake, to put his patient upon the use of either of them, for that it is apparent, many great concussions, depressions, yea and some fractures are cured without any such Instrument; I have sometimes also observed, that young Surgeons upon a rashnesse of their opinion, and now and then, for foolish vain glory and ostentation sake, have been overforward in that point, of putting themselves upon the work of piercing the Cranium, not attending the true time of nature, and by waiting to see what she can or will perform of her self, as in truth he ought to do, for that the Surgeon being natures hand-maid, not her guide, ought judiciously to attend her Crisis, and to procced by the advises of ancient grave Artists, that are experienced Surgeons in those works; for sometimes there are dangerous symptomes that cease, without the use of the Trapan or Trafine, by making of a wound, or by the onely competent enlarging of the wound, in which work it is good to be very sure in the making incision upon the head, that he do well divide the Pericranium so far as he intends to set his Trafine, at the least wheresoever there is cause of enlarging or incising any would of the head for the Trafine, or otherwise for the onely dividing that Membrane, is in many cases sufficient, and serveth instead of the intended work of piercing the Cranium: and further touching incision observe, that as too small incision is not good, that the Surgeon ever have regard to preserve the beauty of nature as much as may be; as suppose it were in any part of the face, to make too large an incision there, especially when it falleth out to be near the temporal muscles, or on the forehead.
Now a word or two more, and an end of that businesse, concerning the Trafine, and I will conclude, there is yet a necessary Instrument, which of a kind of necessity, ought to be at hand whensoever the Trafine is put to work, for that there may be unexpectedly use of it, and it is as formerly [Page 318] named a Lenticular, or a cleanser, which immediately after the eroding part of the Trafine, hath performed his fitting office and is removed: this Lenticular or smoother, being a little warmed, is to be put into the wound, where the eroding part stood, and with a gentle sensible hand to be passed to and fro upon that most tender panicle, I mean the (Dura Mater) thereby to bring away any small erosions, scrapings, dust, spills of bones, or what else soever might be imagined, could give offence to that most sensible and noble Panicle.
This, with the premises well had in regard, I leave the young Artist to Gods blessing, and conclude this Chapter with a loving admonition to the younger sort of my brethren, for their imitations; that like as our blessed Saviour said to his Disciples, in his spiritual Discipline to them, when he sent them forth into the world, to preach the glad tydings of salvation, he admonished them, and no doubt infused power sufficient into them, to be wise as Serpents, and innocent or harmlesse as Doves, and withal, willed them to beware of men; and even the like premonition do I give to my Brechren of the younger sort, concerning the great ttust of the precious lives and limbs of men, referred to their skill, trust, and care, and namely, that they with the utmost that in them is, and even as they would answer it before their living God, who seeth not as men see, that with innocent hearts, they without any sinister ends, truly and faithfully perform their charge, in healing those whom they take into cure, and charge, and that in the obedience, and in the fear of God, their innocence may appear before God, and be witnessed by their Works.
A TREATISE Faithfully and plainly Declaring the way of preventing, preserving from, and curing of that most fearful and contagious Disease called the Plague. VVith the PESTILENTIAL FEAVER, and other the fearfull Symptomes and Accidents incident thereunto. According to the long Practice and Experience of John Woodal, Master in SURGERY. Surgeon of his Majesties Hospital of S. Bartholomewes, and Surgeon General to the East-India Company: But under benedicite (namely) as imploring and ascribing all the Honour and Praise unto God alone, for his favour and mercies touching the salubrious effects thereof.
LONDON, Printed by J. L. for Nicholas Bourn, 1653.
THE PREFACE.
Such is Gods manifest miraculous hand in his various and unsearchable wayes of afflicting Mankind in that most noysome disease of the Pestilence, that it is not onely wonderful, but also impossible for the wit of any man, how wise or learned soever he may esteem himself, or by others be esteemed, to give a sufficient reason, with also a general and methodical Cure for that most contagious, noysome, and killing disease of the Pestilence, for that it is apparent it passeth mans wit to comprehend or to avoid the most subtile invasions and assaults thereof, as having in it (aliquid divinum) to be considered of, it being one of the three great and terrible Arrowes of the Almighty, whereby according to his Divine Will he hath usually cut off sinners from off the Earth almost in all Ages, and in all Nations, as we may gather, and is at large read in holy Scriptures, and in the Writings of good men, and daily experience declares no lesse; all which, for brevity, I will omit here to repeat.
And his most usual great and fearful Arrowes declared, are Wars, Famine, and Peftilence; and the most merciful of these three, which the Prophet David chose, was the Pestilence: which, although his mighty, fearful, and terrible hand be in it; yet for as much as his mercy is exceeding great, yea, over all his works, and that he hath not forbidden, but given us leave, with understanding, and some judgment, to make use of all lawful means to preserve our frail bodies in health by all our best endeavour, so long as we trust chiefly on his mercy, in the use of the means.
In regard whereof, I weighing with my self how just and needful a thing it is at all times, but chiefly in contagious times, for all men, especially for men of my calling, to shew their endavours for the help not onely of themselves, but also of their Christian Brethren, as well by directions as by preservative and curative Medicines; I esteemed it not amisse, by this following weak Treatise, to shew forth the fruits of my many years experience, touching the general knowledge of this disease, as also the best means I had experienced both for the preventing and curing of the same, when and where occasion may be offered, either Domestick, Marine, or Military. And first, as by the way, take it into your consideration, that this disease holdeth not one certain rule, figure, nor order in seizing on mans body, no, nor in one and the same house or family; neither are men generally taken sick alike, no, nor directly, as in other times of the Plague they have been, but each time of Contagion hath different assaults, and difference in the symptomes. For in Anno 1625. we had many signes contrary to the Plagues in other times; yea, and many did dye daily, without any signs or marks on their bodies at all: and also sometimes, as is too manifest, the Plague beginneth in [Page] Winter, and that as well with us as with our neighbour Nations, as namely, Germany, France, the Low-Countries, and other parts of the world it hath done: whereas for the most part, heretofore the Plague with us hath begun in Summer, and was commonly most fierce, predominate, and untractable to Medicines in the heat of Summer, and chiefly in Harvest, which is the unseasonable time that we do usually call the Canicular or Dog-dayes.
But the sicknesse of the yea [...], 1636. held not that rule, but encreased in some Townes in Winter: wherefore since it is evident, that the Almighty hath the ordering thereof, and calleth us unto him, as is said, by extraordinary formes, when, where, and how he pleaseth;
Let us with unfained humility of heart prostrate our selves with true repentance and hearty prayers, shewing lively fraits thereof in a Christian conversation; and then, without all question, his Rod will be taken away from us and our Land, and also I advise all such as it may or shall concern, to repair unto such good means and learned Counsel, as at the instant may be had, for the preserviug of their lives, and for the curing this fearful disease, and that without dangerous presumption, by delayes, over-much timorousnesse, or fearing, for in both these extremities we offend God and our neighbours.
And know, that all flesh is subject to this disease, for it spareth no age, sex, nor degree of Mankind whatsoever.
And amongst many evils, this one great misery attends it, and is incident to the vulgar people sick of this disease, that when the disease reigneth, the Learned and most skilful men, together with the best Divines and most able men of estate, which with their relief should comfort and administer unto them both spiritual and bodily comforts, as also many of their most neer and chiefest friends, are wanting and fled, and in their places spring up unworthy, unskilful, impudent, yea, and vagrant wretches, as I may term some of them, that in such times usually take npon them impudently the charge of many good mens lives; who also then are incident to be committed to the hands of wicked and unskilful Nurses, and I had almost said mercilesse Keepers, which make their cases yet more lamentable: of which, my self have had full experience, when I had the disease.
And for as much as in those times very many of the chiefest Traders of our Citizens of London, as also of other remote parts of the Countrey, flye from the City, which commonly set the poor on work, the case of the poorer sort is made yet more miserable: all which miseries, with many more attending this noysome disease, is no way to be diverted from mankind, but by the tender mercy of God: So that each man for himself and his neighbour, especially in such times, is justly obliged to call unto God, and say, Lord have mercy upon us: And so in brief, I conclude my Preface.
[Page 323]DE PESTE, OR The Plague.
And first what the Plague is.
The definition of the Plague. THe Plague is a disease venomous and contagious, loathsome, noysome, fearful, and hateful to Mankind, yea, and deadly for the most part, being accompanied with variety of grievous sores, as Carbuncles, Botches, Blaynes, and also producing spots and discolourings of the skin, by Ancient Writers called Pestities, and vulgarly with us, although unproperly, called Gods token, for that the pestilential Bubo and Carbuncle are by far more manifest signs of the Plague then the spots are, for that the like spots are seen in fevers, which cannot truly be called pestilential.
The Disease may fitly be called, (Flagellum Dei pro pe [...]catis mundi,) The rod of God for the sins of the world; and even the word, Plague, if derived from the Latine word Plaga, which is a wound, a stripe, a stroke or a hurt, is a just definition of this horrid disease, for who so hath this disease, he is wounded, he is plagued, he is strucken▪ yea, and that by the Almighty. In brief, it is a killing disease, fearful to Mankind, for that at unawares, it seiseth upon, invadeth and possesseth mans body, as well sleeping as waking, and being once entred in, it produceth divers fearful and deadly accidents, and that with great celerity: so as Theophrastus Paracelsus, amongst others a learned Writer, describing this disease, calleth it (Basiliscus elementorum) alluding it to that (Basiliscus The Plague compared to a Basilisk. Olymphi) who as the Latine Maxime hath it, Solo visu interficit hominem, onely by his sight killeth mankind, but, faith he, with a limitation, as not simply done, Actualiter per se, & per speci [...]m visibilem, not by the act it [Page 324] self, and visible species of the creature, but by reason of the aqueous and humid substance thereof.
Moreover, the body of the Creature, being as the Author affirmeth very porous and hollow; there are sent out of it such vapours, as infect the ayr, which infected ayr, so soon as it is drawn into mans body, it doth immediately kill him; in like manner, this Monster in mankind, the Plague, killeth those whom it breatheth upon, so that no man can account himself safe, the disease proceeding from the influence of the Heavens, as many of the most learned Writers testifie it doth, so that by their great distemperatures, the ayr being poysoned and infected, which we are enforced to receive into the secret closets of our bodies, which undoubtedly hath its original, De Praescientia Dei.
What safety have we then, or what can be a more fearful enemy to mankind then l▪estilential Vapours, which seize upon mankind as a Thief, and invade him at unawares, which lurk in every corner of the house, yea in his most secret chambers, threatning to take away his life when he least mistrusts, yea when he is in his quiet sleep, as is said? such is this horrid disease, from the which God of his infinite Mercy deliver us and our land.
Of the parts of Mans body, that this Disease chiefly invadeth.
Of the parts of man most subject to infection. The parts of the body of man that this Disease chiefly delighteth to invade or seize upon, are the three principall and most noble parts of man, viz, the Animal, vital, and the natural faculties which have theirThree parts especially. several seats in the brain, the heart, and the liver, upon one or all these principal parts, this infection useth to take hold, and being on entred therein, as it were in a moment of time, it surpriseth, subjugateth, captivateth, yea and triumpheth over the whole body of man, and over all the faculties thereof, to his utter ruine and destruction, if God be not the more merciful unto him in his preservation; and howsoever, as it is said, that the disease chiefly doth seize upon the three principal parts of mans body aforenamed, yet having first so done, it feareth not to shew his subtil fury all over the body, and sets its mark every where, without order or control.
Whether the Plague may be called a Feaver or not.
There hath been much dispute amongst ancient Writers, whether the Plague be a Fever or no, by reason of the subtility and unequality thereof, but for what I can gather by my experience, I am out of doubt,The Plague a Fever. that he which hath the plague is not without a Fever▪ neither is he ever freed from the danger of that Fever, untill one, or more then one Crisis happen, for untill either Botch, Carbuncle, Blayne or Spots, called pestities, do manifest themselves, no just indication can be had what will become of the patient, but that he is alwayes in expectation of Death, the distemper continuing.
[Page 325] But if upon production of any the former Symptomes, a digestion in nature follow (as is said) namely the Feaver cease, the sicke person take moderate rest, a Botch come to good suppurati [...]n a Carbuncle to separation, or a Blayne to yeeld his us [...]al [...]nindigested quitture,Symtones of recovery. with mitigation of the dolour, or that the Blaynes drying and withering by Gods mercy, through cordial Diaphoreticks or the like, that a chearfulnesse in the sicke appeare, or but some one of these good signes shewing it selfe in a favourable manner, there is great hope, and the fear is almost past.
And let no man so much flatter himselfe, in his owne coneir, in the time of contagion, when he perceiveth the ayre to be manifestly infected, the disease being popular, as to think with himselfe that because the Disease perhaps at the first, beginneth slowly, and the distemper yet dull and not much outwardly apparent upon the patient, that he hath no feaver nor danger, and that he may take time till the next day to consider wheather he will use remedies or no, let no wise man so presume, for I have seene very many strucken even at the heart, when the disease could not be adjudged dangerous, neither by the pulse, urine, nor any other certaine indicateon, save onely by the complaint of the patient, who under favour in that disease, is not alwayes sensible of his own danger; and againe, how many have at the very first, an apparent fierce Feaver, which can no way be removed, but by some of the former wayes of digestion, or by Death, whereby it is manifest, the Plague is never without a Feaver, and so all men will adjudge it, that either have had it, or that have followed the cure thereof in others.
Of the supernatural causes of this Disease.
The first cause Six. The material causes thereof, as is already declared, are in part, and in the prime place esteemed to be our sinnes, which draw Gods wrath upon us, as witnesse the Prophet Amos, where he saith, Shall there be evill in a City, and the Lord hath not done it? &c. Whereby we may justly gather, that when the Almighty will shew him selfe in his fury, against dust and ashes, he can put the Hoast of Heaven in his order to fight against us, in which case we have no way to escape his judgment, but by Prayer, or unfained Repentance, and as for all other natural or efficient causes, they have as their subordinated dependances and effects from the former, and are constellated, put on, and put off by Divine Providence, viz. ex Praescientia Dei By the fore-knowledge of God.
As the Poets say; and the very Heathens conclude no lesse, that the starres govern mans body, and God governs the starres; and also experience tells us, that when any of the foure seasons of the yeare prove unnatural, mens bodies accordingly become unnatural, as sometimes by pestilential diseases▪ wherefore to multiply words further of [Page 326] the primitive causes of this disease, were but to detract good time, and the truth thereof is manifest to all men, in that this furious disease as it were disdaines any generall Method or order of cure, after mans intention as it is said, when it is in Rage.
Which may be thus Englished.
That whatsover man doth, or whatsoever man suffereth, all proceedeth from above.
Of the natural causes of the Plagues by the judgment of the most ancient and moderne Writers.
The terrestrial causes thereof, are by common consent of most writers, as followeth: Venemous and stincking vapors arising from Fens,The causes of the Plague. standing ponds or pooles, Ditches, Lakes, Dunghils, Sinckes, Channels, Vaults, or the like, as also uncleane slaughter-houses of Beasts, dead carkasses of men, as in time of Warre, and of stincking fish, fowl, or any thing that hath contained life, and is putrid, as also more particularly in great Cities, as in London, the unclean keeping of houses, Lanes, Allies, and streets, from those recited and the like infectious venemous vapors, by warmth of the Sun exhaled, are apt and able to infect the living bodies of men, and thereby to produce the Plague, which once produced, is too apt by infection to spread it selfe,The corruption of the Ayre a cause. and become popular, as experiene too much sheweth: and as by corrupt meats and drinkes, mens bodies are corrupted and infected, even so by corrupt ayre (as I have said) which we can no way avoid, to draw into the secretest parts of our bodies; the spirits are likewise infected and poysoned, to the production both of sicknesse and death (if God be not the more merciful unto us) for where the disease once beginneth, there are many unhappy evils incident, as causes conducing toWant of food a cause. the increase thereof; besides Vapors, and one not of the least is, it bringeth scarcity of food with it, and that brings emptinesse of the belly, and where emptinesse is, there evill aire is not wanting, and that aboundeth too much with the poorer sort; and also where food is wanting, all kinds of food, how infectious or pernitious soever, is used in necessity, namely all raw fruits, as plums, peaches, yea musty Corn, and many things of far wilder condition, and so by consequent, lack of food, is a great cause of the increase of the Plague, so that in theV [...]wholsome food a cause. sicknesse time, it is by experience dayly found, that far more of the poorer fort usually have dyed, then of the richer; for where emptinesse and unwholsome food is in use, as is repeated, there the corrupt ayre doth the most harme.
And likewise genreally observe, that where war is for the most part, there is famine, and those two conclude to make up a third evill, namely [Page 327] the pestilence which God be praised we have bin long freed from the two first. Thus much in brief of the Terrestrial causes of the Plague.
Of the precedent and accidentall signes of the Plague.
The precedent and accidential fignes notable in the Disease of the Plague, are various and uncertaine, because in truth they are seldome in any one person as in another, but to speak, as of the most general first appearance of the Plague, it beginneth cold, and with pain in the head and stomach, and sometimes in the backe, and if so, then it is commonly taken for an Ague, and therefore at first little feared.
Again, some begin to complain of pain in the backe, and such kinds of beginning, are more generally hopeful of healing then, when it beginneth hot (in my opinion) in some also it beginneth hot, with pain and giddinesse of the head, and pain in the stomach: others at the first stroak or touch, find a general discouragement and weaknesse over all the whole body, others at the first being taken in the head, their senses are stupified and dulled: in others it beginneth with a raging and fierce fevour, so that their countenance is changed, their speech fayling, or fainting, their eyes strangely turning to and fro, in a feareful manner.
Again, others complaine of an extraordinary pain, with extreame heat inward in the stomach and intrals, when the outward parts are chil and cold, and ready to shake: again, some in the beginning complain of great thirst; others complain of shortnesse of breath, and paine in breathing; others swelling and sorenesse of their throats which being sought into, no cause appeareth: Others have the Almonds or Glandules of their throat much swelled and inflamed.
Also many are taken with great defire to sleep, and with frequent yawnings, and it is unsafe, in my judgment, to permit such to sleep before a Diaphoretick or sweating Medicine have by the patient bin taken, and that it hath breathed out some of the venemous vapours by sweat, with keeping them waking, till the medicine have wrought his effect.
Others are subject to great watchfulnesse, and commonly those are in their slumbers oppressed with grievous and fearful dreames and fantasies. Others it beginneth with sweatings, with pain of the back, and a stinking of the breath, and such are ever of very doubtful cure, and in my opinion such have inward Carbuncles. Others have swellings in the brest, some also have losse of appetite, evill digestion, and faintnesse, and some are troubled with deep hickcoks and hollow belchings.
Others from the beginning to the end of their sicknesse, and till death, have neither swelling sores nor spots▪ also upon some at first there appeare diverse spots of a duskish colour, their countenance of an unequal aspect, the one cheek red the other pale: Others with sweat drops on their noses, a fierce countenance with grinding of the teeth.
[Page 328] And to be briefe, touching signes, and accidents in this most feareful disease, I perswade my selfe, that no man can speak of anyNo symptome of any disease, but is incident to the infected of the Plague. terrible symptome, signe, or indication of any disease whatsoever, that hath befallen any man, but that the like hath been seen and observed in some one person, or more sick of the Plague: for the fiercenesse thereof in some persons, forceth Hemorrhage both from the greater and lesser veines; and some it afflicteth with a Dissenteria, Diarraea, Lienteria, all these from the belly; and from the head, it produceth Apoplexia, Paralysis, Lythergi, Vertigo Mania, with diverse other symptomes also from the throat, Squinancia, Angina, &c. Also obstructions of the bowels, retention of Urine, Colica and Iliaca Passio Singultus, Gangrena, Convulsions, Contractions of Nerves and what not, this fierce disease produceth to devoure poore mankind by: and surely, for that cause I am perswaded it is vulgarly called the sicknesse, as comprehending and including all other sicknesse in it selfe.
Accidental signes, which in this disease commonly presage death to the partie, are these that follow.
Signes that presage death. Namely, when the Patient is possessed with sounding and faintings, with cold and clammie sweats, often changing of the countenance, vomiting of slimie, sharp, and ill-coloured flegme, either greenish, yellowish, blackish, or bloud-coloured sanies; or avoiding of Excrements disordered, and discoloured, either fattie, blackish, unctious, or unnaturally, stinking, Convulsions, Contractions, of the Nerves, graveling and pidling with the fingers, plucking up the Bedclothes; a sudden flux of the belly of stinking matter, of rustie or greenish colour; a sudden going back of an Apostume, Carbuncle, or Bubo; also when the Patient is insensible of the departure of his Urine, and Excrements.
And yet to Gods glory I here affirme, that notwithstanding the aforesaid signes, or some one of them, I have seene, I say, some one or more of the afore-named symptomes appear, and that the sicke hath even in mans judgment bin as at the point of death; and yet neverthelesse, by breathing of a Veine, or giving of a good Diaphoretick Cordial, the partie hath bin recovered, and lived. Wherefore I would advise the discreet Surgeon, that dare adventure his person in such cases, not to leave doing of good to his Patient by all rationall administrations and applications, so long as life appeareth.
The convenience of thė cure. And one comfort is to the Patient and Surgeon in this disease before and beyond all others, that having once overcome the Feaver so that the blessing of health but appeareth, by appetite and competent rest, or the like cheareful fignes: no sores heal faster then Pestilential Sores doe. And yet per contra, I have also had too much experience in the curing of the diseased of the Plague, that it is generally the ungratefulnesse recompensed of all other diseases, [Page 329] to the poore and hardie Surgeon: Namely, fot that he when he hath recovered his Patient, for the most part is loathed, shunned, and avoided, not onely of his Friends and Patients, but for his hazard, cost, and care, is so under-valued, that sometime, but for presumingThe inconvenience. to tell his Patients, after he hath recovered them, that they had the Plague, he hazardeth the future losse of their favours, yea, and sometimes, under favour, hath his owne house shut up, to make him amends withall.
Wherefore such ungratefulnesse hath made me, in my old age, to call to mind the motto of Paracelsus, that most famous Artist, formerly repeated.
And yet I confesse, I neither can nor will refraine in one good way, or another, to be doing good in my calling, by Medicines or Advice, both in general and particular, in that or any other disease, so long as God doth give me life and health, with strength thereunto, maugre the ingratitude of the unworthiest sort of them.
And it is just and laudable for every worthy Surgeon to be knowne, by walking fairely and blamelesse in his Calling, and namely, by doing good at all seasons, although with some personall hazard now and then, for that he is therefore ordained by the Almightie to be ever ready, ad omne quare, upon every occasion; which who so truly observeth, shall be blessed.
For to this end every Artist, yea and every Christian man is ordained, and also commanded by the holy Apostle S. Paul, in these words, to doe good, and distribute; Forget not, for with such sacrifice the Lord is well pleased: and S. Iames saith, that it is true Religion, to visit the Fatherlesse and widow in their adversities, &c. And even the excellencie of the Calling of Surgeons should incite them to zeale where they can, as well without reward as for reward, where poverty is, and need requireth.
Of the three chief and most principal outward signes or indications of this Disease, vulgarly called the Plague: and of a fourth.
THere are onely but three most notable certaine externalThree certaine signes of the Plague. signes of the Plague apparent to all, and those faile not to testify the truth of the disease: and by those, each old Wife by her experience, may maintaine her report of the disease, as amply and well as the skilfullest Doctor, in times of contagion; and they are as followeth.
Of the first outward signe of the Plague.
IMprimis, the Bubo Pestilentialis; which, as I may ever justly affirmThe [...]i [...]st signe Bubo. of mine own experience, was to me the happy Botch, sent upon my own body by Gods mercy, and was the sparing of my life; for I had it twice, namely, at two several Plague-times, in my Groyne.
These Buboes, Boyles▪ or Pestilential Botches commonly happenThe first place where the Plague shewes it selfe. in the Emunctories, sincks, or cleansing parts of the body, as the Artist tearmes them, and seldome elsewhere (if they be pestilential) namely, they come in the glandulous parts, under or behind theThe Brain. care, if the Brain be oppressed, which is the place by which the Brain, if Nature be able, driveth out and dischargeth her selfe of the Venome or poysoned Infection, which otherwise would kill the animal spirits, and by that, the whole body also.
The second place. Or it cometh sub axillis, under the arme-holes, as it is usually called, where also are certain small Glandules, or Kernels; and to thatThe Heart. part the heart sendeth out the venemous vapours, or offending matter, either by force of Nature, or Art which suddenly groweth there to an Impostume, Botch, or Boyle.
The third place. The third and last place, where commonly a Pestilential Bubo commeth, is in the Groine, which the Artist calleth Inguen; where,The Liver. when the Liver is oppressed, and Nature strong, she sendeth forth the disease or Botch thither, and that is the third part where the Botch appeareth: And, as by the way, to the Artists of the younger sort a word two of my practicall observations, by way of distinguishing the difference betwixt the Venereal and Pestilential Bubo; wherein a young Artist may be mistaken, to his prejudice.
[Page 331] Wherefore let the Artist observe, as common practice sheweth, that the Venereal Bubo, although it ever appear in the Groyn, it is slower in his progresse then the pestilential Bubo is, for the Pestilential commeth for the most part with a Feaver: and although the Venereal sometimes in his augmentation in younger persons hath a [...]mal feaver for a day or two, when it is almost at state, it being alwayes thwart upon the dependant part of the Belly, called Imus venter, or the lower belly, namely in Inguen upon or over Os pubis; But the Pestilential Bubo or boyl commeth ever furiously on, and as in a rage of a Feaver, and as being in haste, sometimes it lighteth on or near Inguen thwart, but more often lower upon the thigh, pointing downeward with one end, the upper and towards the belly, being commonly the biggest or the fullest part of the Bubo, the whole thigh being also inflamed, which if it doth not hold, ever to come right in the place where the venereall Botch doth as is said, but as neer the Emunctories as it may, yet
Howsoever by the fury and uncertaine seat therof, the pestilential is ever to be knowne from the venereal, and the more certaine by his furious comming, or when the Plague raigneth, and it happeneth to children, which cannot be said to be venereal, and yet neverthelesse, even in contagious times, a venereal Bubo is not to be forbidden by any Surgeon to happen, if his Patient please to have it so.
But to conclude this poynt, the discreet Surgeon at the first sight, the other forenamed circumstances well weighed, may easily know to make a true distinction sufficiently, if he be a man of judgment: and thus much of the first outward signe of the Plague, viz. The Bubo, Botch, or pestilential Boyle.
Of the second outward sign of the Plague.
THe second outward signe in the Disease, is the most fierce burning Carbuncle called Anthrax, or the burning coale, which happeneth his & ubique, namely in every part of mans body, without order, rule, or controule, within the body, as well as without,The second sign Anthrax. and at the first appearance thereof (if visible) it doth appear commonly inflamed and hard, and [...] the middest thereof, with a burning pain afflicting the sick, like to burning fire, yea and will sometimes blister even with the ardent Fervour thereof, and in othersThe effcte of it. it will itch very much, which if it be scratched, there will come forth a sharp reddish yellowish, or sometimes a dusky coloured Ichor.
The description of it. And to some again, the paine is so fierce and great, that the Patient will grow to to be mad with extremity thereof.
[Page 332] The description of it. The shape or figure of this Disease is most commonly somewhat round▪ and the colour uncertaine, according to the predomination of the humour infected or infecting, or sometimes it is pale, though the party be in a feavour, sometimes reddish, sometmies black or purple, or greenish, and the two last colours are most feareful, and this disease▪ is seldome healed, without so much losse of the musculous flesh and skin, as it taketh first hold of, in what part soever it happen, except by sweating medicines in the beginning of the disease, the fury thereof be changed; but it is a very good signe of life when it separateth it selfe so, that the Fever cease, for the Carbuncle commeth seldome or never to suppuration as doth the Bubo: But it will admit separation, and come to a kind of unperfect digestion many times, and after wil come to fall out as a gangrenated part doth, where Nature is strong, and it usually will separate and come away in one intire piece from the sound, but if it grow black and separate not, nor any circular digestion be, and the Feaver abate not, then it may befeared Death is at hand, for little hope of recovery is in the Patient.
The danger of it. And againe if it appeare greenish, the party commonly dyeth; also you shall see some Carbuncles smooth as glasse, and of a blacke shining colour, not unlike pitch, with intollerable paine, and the member whereon they are fixed, will be ponderous and unwildy to move to and fro, and seeming to the patient, as if it were heavily overburthened, or as though it suffered by hard ligature, and I have seen Patients that have had Carbuncles within the body, whereof one hath been within the stomach, and some have it in their liver, and ther principal parts, but such live not many dayes. I have taken out the whole eye from one, by a Carbuncle seated therein, who recovered, and from another the halfe nose, from another the halfe of the beard, with also the lippe whereon it grew, which of it selfe fell off by separation, and from the third, one of his testicles, I mean one of his stones, with the purse and all, and that man was with the halfe of his Scrotum, living at the writing hereof, as in my other Treatise elsewhere is mentioned. Thus much of the second principal signe or apparant Demonstration of the Plague, namely the Carbuncle.
Of the Blaine.
The third signe a Pestilential Blain. THe third manifest and demonstrative signe of this Disease is the Pestilential Blain, whereof some infected have many, and divers have not one: and this Disease is a painful angry push, somewhat like the small pock, but yet in colour more red orThe descripion of it. cloudy, seldome transparent, as a small pock usually is, but farre more paineful: some have them somewhat lesse, some bigger, with a small head, of an angry blew or reddish colour, sometimes of a lead colour, [Page 333] and somewhat hard or fleshy, and as it were growing upon a large root, or stool, this Disease is found in every part of the body, but this Blain seldome killeth, or hindreth the cure of the diseased, but it rather serves for a demonstrative sign of the Disease, then otherwise, and helpeth to breathe out the venome, as I gather. For if by vertue from above, or of good Medicines, or by strength of nature, the feavourThe cause of it. be overcome, the Blain dryeth away, and requireth no other cure: For, as I conceive, it only proceeds (ex ebullitione Sanguinis Venenosi) of the ebullition or boyling of venemous blood, which being thrust out, either by the immediate work of God, or Art, or Nature, health easily followeth, and the blains vanish, unlesse by natures weaknesse, or through the undue use or want of Phlebotomy, or of purging medicines, or for want of following the cure, by Diaphoretick medicaments in season, the venome be repelled from the supe [...]ficies to the centre, as too oft in the cure of that disease it happeneth, and in such a case, eminent death is to be feared: And so I conclude of the third notable sign, the Blayn.
Of the Marks, or spots, commonly, though neither properly, nor alwaies truly called, Gods Tokens.
The fourth sign, Gods tokens. The fourth apparent outward sign of the plague, is the markes or spots appearing upon the skin, usually called Gods tokens, but not as being ever certain tokens of the pestilence, and so of death to the patient, as vulgarly they are taken to be, by ignorant peopleOf the ignorantly mistaking them. in their unexpert conjectures and opinions, for that it is daily manifest, many have spots of several formes and colours, when venomous feavours reign, and yet have not the Plague: and again, many have suspitious and fearful spots, which the vulgar term Gods tokens, and recover, and live many yeares after▪ my self have cured not a few in that kind▪ that are now, to Gods glory, living; these spots are upon some bodies like Flea-bitings, in others larger, in some again as big as a penny.
Of the several colours. In some bodies there are very many, and sometimes they are like freckles, and they are most commonly found upon the breast, and sometimes upon the back, arms, and legs of the patients; they are in some of a colour blewish, or of a sad red, and some are like lead-colour, and others purple, some are of a pale-blew, and these spots are ever without pain: but the very appearance of any spots, to any in the Plague, cause sudden fear to the Patient; which, though the markes be insensible, yet through sudden fear, they produce faintings,Their effects caused by fear. swoundings, trembling of the heart, and death following thereupon, although neither the Patient feel pain, as is said, neither alwayes [Page 334] the Artist can judge, by reason he seeth just cause of sudden death to his Patient, the reason being secret with God, as inwardly afflicting maukind, de Praescientia Dei, namely of the fore-knowledge of God: So much of the marks, spots, or tokens, in some appearing, in the Disease of the Plague.
Certain Caveats by way of Advice, for the preventing of the Sicknesse.
AMongst which Citò, Longè, Tardè, are by many good Writers prescribed and much insisted upon, as in the first place, andFlight an uncertain remedy. their meanings are, that people fly quickly, fly farre, and tarry long from the danger of the infected ayr, where it reigneth. And I deny not but they are good rules; but even they, daily experience sheweth, are also most uncertain, Quia Deus ubique est, for our God is every where, and returneth some home (I will not say with a vengeance) neither can all men make use of those rules, how good soever, neither is it fit that all men should flee, for many reasons too long to be insisted upon.
And let him that flyeth, for the first, wheresoever he lives, beware of provoking God, by surfeiting, either by fulnesse of eating or drinking, even in the best aire, how good soever the Meat or Drink be; for fulnesse in contagious times menaceth danger.
Every fulnesse is uneasie for nature to digest, and therefore mayDivers meats to be avoided. prove vicious: Also, in contagious times let him beware of raw Fruits, of Oysters, Muscles, new Wines, or the like novelties, as Melons, Musk-Melons, but chiefly avoid the excesse of them.
Seasonable times to be observed. Also beware of being abroad too early or too late, in times of contagion, and observe a good custome with your own body: do not suffer your body to be too costive, or over-much bound; neither is itHow to order the body in time of infection. safe, to keep a mans body daily in purging, no, nor in daily loosenesse, for extream loosenesse is not good, nor safe, in contagious times: neither bleed but by good advice (if it may be had,) neither before nor after the time of the Sicknesse, for that fearfull dangers ensue often by unadvised bleeding or purging in contagious times; for thereby, in seeking to avoid danger, contagious and venomous vapours are often drawn from the superficies, or outward parts of the body, to the Centre; and namely, to the Liver, Heart, or Brain, or to one of them.
[Page 335] Also if any purge or bleed by advice, let the blood be removed, and put away instantly, and likewise his close-stoole have cold water therein, and not to be kept in the roome, wherein the patient lodgeth, longer then necessity constraineth.
Beware also that no man that hath any Pestilential tumor or rising, be it Botch, Carbuncle, or Blain, doe open a vein without very sound advice, nor purge, and if he doe want such advice, then let the veine be opened on that side he most complaineth of, and not otherwise, as he tendereth the patients life: it is also good not to be thinne clad in contagious times, for that the sicknesse, with the most beginneth cold, neither to lye too cold in bed, sweating is far safer for any man in health, for preventing diseases, then quakings.
Also beware of too violent excercises in such times, for taking of sudden cold, and beware of all provocations to the extremity of feare, care, anger, grief, watching, extremity of Venus lust, or extremity of heat or cold, and also of delaying of helpe in due time, which hath cost many a man deare, as elsewhere hath been certified.
Preservatives for corecting the Aire in Houses.
PReservatives are put before curative Midicines in the Disease of the Plague, by most good Writers: the reason I take it, is as well concerning the sick, as also their friends and attendants, wherefore I hold it not amisse to begin with those things which are fittest to preserve from the infection, and one is as much as may be to correct the evill disposition of the ayre in houses, as namely for one cheape remedy.
Receits of preservatives, by purging the ay [...]. Take Bayberries grosly beaten, and laid upon a hot fire-shovel, and carried up and downe each roome of the house, is very good and steeped also in wine Vinegar, being strewed upon Embers in a chafingdish, and carryed to and fro in roomes: or take Franckinsence, or pitch, or tarre, or Rodion wood, Cedar, or Juniper, and doe in like manner, so used, I mean the wast of such as is used for beads, and knife hafts, is very good against any infectious aire, and most particularly against the Plague, also Juniper or the berries thereof, or bay leaves, Lavender, Sage, Rosemary, or any one of these dryed, and laid upon a hot fire-shovel, and carryed to and fro in a Roome: Also let the houses be kept clean, where the sick are, and no lesse where the whole are, to preserve them in health: Also wine Vinegar, wherein Roses, Rue, Angelica or wormewood, or one of them hath been steeped, or wine [Page 336] Vinegar with Rosewater therein, taken and sprinckled upon a hot fireshovel, and carryed up and downe the roomes of the house, all these or any of them are very profitable to correct the evill ayre, and where it may be done, let the casement or windowes of houses, opening to the South or West, but chiefly the South light be kept shut or for the most part, and rather open the North and East lights, for they bring in the purer and safer ayr.
Other receits of Fumes. Also for the wealthier sort, to make a Fume of Storax Labdanum, Mastich, Benjamin, Cloves, Cinamon, Mirrhe, or of Lignum Aloes, all or any one or more of these together, are very good for those that will goe to the price thereof, and are cordial smels, and doe resist putrifaction, and the evill disposition of the Ayre, and thereby prevent from the Plague.
A cheaper, and yet a very good Fume, to fume roomes in contagious times
TAke small coales dryed, and powdered, three ounces, Storax, Calamint, two ounces, Benjamin, one ounce, Cloues in powder halfe an ounce, rub or beat the Gums, and make the rest into powder and mix altogether, and with Gumwater make it up like paste, then divide it and make it up into small, but long pieces, that will stand alone, and dry it, and when you will take occasion to fume your houses, kindle one of these pieces at the upper end, and it will burn of it selfe, and last neere one houre; and the composition will burne the better, if you adde thereto of small coales in pouder, one ounce.
Preservatives for the fuming of apparell.
FOr fuming of appparel to them that are of meanes, and will goe to the price of it, there is is no better Fume, then as is said, the Fume of Lignum Aloes, Cloves, Storax, Benjamin, Labdanum, Myrrhe, Mastich, Cinamon, Amber, or some one or more of these, for they are all good and yery fitting, and correct the ayre well, and resist venemous Vapours, and thereby they prevent the infection of the Plague, also the Fume of the saw-dust, or chips of Ceder-wood, which are in London to be had, and are cheap and singular good for the fuming of roomes, or of apparell.
A good composition for fuming Bedding, Apparel, or the like, and the whole House if they please; and is not very deare.
TAke Bayberries, Juniper-berries, of each ℥. 4. course Myrrhe and course Aloes of each ℥. j▪ of the Turners chips, or shavings of Lign. vitae, Juniper, or Cedar, and of white Saunders, of each ℥. j. fe. Frankincense, storax, Calamint, Tyme, Labdanum, of each ʒ. ij. make all these into grosse powder, and lay thereof upon the embers, and fume with them.
A Caveat concerning fuming of Houses, Chambers, or Garments, with Brimstone.
THis one Caveat I desire the Reader to take notice of, and to be warned, touching a grosse Error by many used in their Fumes for Houses or Apparell, which I have often observed; namely by the burning of Brimstone to fume Houses and Apparel with; which, in my opinion, as well they might prescribe the fuming with Cinaber, Mercury, Arsenick, Rialger, or Antimony; for I am sure, and can maintaine it, that the vapors are all venemous and deadly the one as well as the other.
The Fume of Brimstone dangerous. And I can speak it of practise and proofe, that I my selfe have seen killed Cocks, Hens, and diverse other Birds and living creatures, as Bees, Gnats, Flyes, &c. with the onely smoake of Brimstone; and upon good grounds, I will not let to shew any man the practise for his learning: and that it most artificially killeth Fleas, Flyes, Lice, Gnats, and Bees, I need not prove.
Wherefore beware of it, for the fume of Brimstone is venemous and deadly, I know it; and that it is an enemy to the Brain and will quickly confound the animal faculties. My selfe have bin from my youth delighted in Alchymy, and have opened the bodies of diverse Minerals and farmiliarly of Sal, Sulphure, and Mercury, to my no small cost, and now and then some danger; and therefore I wish all wise men to beware of them: But if any one will teach his Neighbour the practise of fuming his House with Brimstone, let him first fume his owne Bed-chamber well with it certaine nights together, and shut his doore, the Roome being filled with fume, and goe to bed; or any small Roome that is close, where he would have the true force of the fume, then brag how he likes it, it perhaps may cost him too dear.
[Page 338] And for his apparell, if it be either of wooll, or Silke, or of Linnen, it will surely doe hurt to it, as well by rotting them, as by staining them.
There are some parts of the world, where there are great Mynes and mighty Mountaines of brimstone perpetually burning: and it is affirmed, and for truth observed, that no Man, Beast, Bird, nor other living creature can live neere them, nor within the compasse of the vapor of them. Therefore I believe the author of the invention of fuming with Brimstone, can never be able to make it good; that the vapors of Brimstone are safe, nor so much as friendly to the life of man: witnesse all the workers in like sulphurous Metals, whose very countenance will witnesse, that though the substances of Metals, are most serviceble to be used, yet their sulphurous, Mercurial, and Arsenical vapors of them are often proved to be most deadly; yet will I not deny, but that Brimstone is many wayes medicinable, and so is Quick-silver, to be taken into mans body, duly administred and prepared artificially; but not their crude vapors, by way of fuming. Thus much of Brimstone, by way of fuming Houses or Apparel.
Preservatives to be carryed about a man in his pocket, or in his hand.
TAke an Ivorie or Wooden Box, with holes in it, and fit a Spunge into it, wet in Wine or Rose Vinegar, wherein some cordial herbs or spirits have been first infused or steeped; as Angelica, Rosemary, Sage, Rue, Wormewood, Balme, or at the least, some one or more of these; and when the wine Vinegar in the Spunge waxeth dry, wet it in the same Liquor, and put it into the Box againe, weakely renewing the aforesaid Liquor.
Or if a Lemon stuck with Cloves alone be carryed in the pocket or hand of a man or woman, it is very good to preserve from contagious ayre.
It is fit to have something cordial and preservative in a mans hand or in his pocket, to smell unto, for the refreshing of his spirits and his smelling sences, or at the least in the corner of an hand-kercher; as namely Myrrhe, Angelica Roots, Enula Campan. Rootes, Oyle of white or yellow Amber, Zedoarie Roots, Calam. Armat. Wormewood, Rosmarie, Tyme, Balme, Germander, Rue, or any of these things, is good against the venemous disposition of the Ayre.
A good Pomander to be [...]orn, to preserve from Pestilential vapours, for men of ability.
Preservatives from the infectious ayr. ℞. Storax, Calamint, Ladanu [...], Benjamin, Irios, Calam. Aromat. Zedoarie. of each ℥. ij. make this into powder, then take Camphir and Storax liquid, of each ℥, j. and mix these well together, adding in the end Musk and Ambergreece, of each 4. gr. and with Rosewater and Gumme Aarabick, or Dragag. as much as is fitting, make it into Balls; and if you please, put it into a Box with holes, to smell unto it: Also a good Civill Orange stuck with Cloves, and worn about a man or woman, is a good Cordial to be smelled unto.
An excellent preparation of wine Vineger, to prevent from infectious Ayr.
℞. Myrrhe and Aloes, of each ℥. j. se. Card. Benedict. Marjoram, Zedoarie, Cynamon, Calam. Aromat. Penny-ryall, wild Tyme, Rose leaves, of each three handfuls, white Saunders ℥. j. se. Juniper berries se. lib. Camph. ℥. se. Let all these be beaten into grosse powder, and steeped in about three gallons of Wine Vineger, and the same made warm twice a day for three dayes, then use it, to wet the face and nostrils sometimes, and carry thereof in a Spunge in some Box, to smell unto often.
Also the smelling unto Oyl of Amber is very good; I mean not Ambergreece, for that were too dear for the meaner sort, and not so well warranted by authority, for that use: But of that Amber which in Latine is called Succinum, and is that whereof Beades are made, and is gathered in the Seas, in Prussia, in the East Countreys; I say, the Oyl of such Amber, whereof some is white, some is yellow: But that of the white is more excellent, and precious. If a Spunge, or anyThe vertue of the Oyl of white Amber. other fit thing be wet in Vineger, and certain drops of the said Oyl added; or onely a dry Spunge, and certain drops of this Oyl dropped into the Spunge, and put into a Box, and smelled unto it, it preserveth from any infectious ayr, and comforteth the animal faculties of the body exceedingly, and is likewise good against Apoplexies, and other Cephalick diseases. It being held one of the most precious remedies against the Plague of all other, and is not dear to be bought: And the same Oyl, one, two, or three drops taken fasting, either in white Wine, or Beer, is a very excellent Preservative against the Plague.
Of Cordial and preservative Medicines inwardly to be taken.
THe several Medicines in this Treatise to be taken into the body for preservatives, are also Cordials, being indeed such Cordials as have vertue to open the pores of the body, and by sweating to give breathing to nature, and thereby to defend mans body from Contagion, being such also as heretofore have been prescribed to be taken by men of the best judgments in Physick, for the defending, curing, and driving out the disease from the principal partsSweating Medic [...]es the best. by sweat: for without all doubt, no Medicine can be generally so safe, for the first intention and entrance upon this cure of the plague, as is a true Diaphoretick or sweat-provoking Cordial Medicine, whether it be taken by way of a Preservative, or as a curative Medicine, as ancient Writers testifie.
Galen's Opinion of Diaphoretick Medicines. And namely, Galen, the Prince of Physicians, attributeth unto Antidotes the whole Cure of the disease of the Plague; and by Antidotes, he meaneth Medicines Cordial and Preservatives, such as by opening the pores, provoke sweat.
But as there is no general rule, but may admit an exception; even so this excellent course may not be alwayes safe and warrantable at the first, in respect of the wonderful varieties this fearful disease produceth, as well in the beginning, as in the progresse thereof.
Sweating sometime to be [...]itted. For it may upon occasion, as of fulnesse, or of obstructions of the body, so come to passe, that evacuation general or particular must as in due course precede, either by Blood-letting, Vomit, Purging, Glister, or Suppository, or some one or more of these; I say, where just cause is, they may as of necessity precede: for which cause, it will ever be safe to use expert advice, if such may be had; onely remember by the way, what is said of purging Medicines, and their danger, if first taken, in the Cure of the Plague.
Here following, I mean to set down several sorts of the chief of the compound Cordial Medicines mentioned in this Treatise following, or otherwise in frequent use, which are inwardly to be taken into the body, to prevent the coming of the disease; or being received by sweating, best for the expelling of the Venome so received into the body, with the dose orquantity reasonable of each of them to be taken by way of preservative, to pre vent the disease before it cometh; as also what quantity may be fitly taken for the safe provoking of sweat, when any one feeleth himself evil disposed, and vehemently suspecteth himself to be fallen▪ or entring into the disease, by any of the symptomes or signes before expressed, or otherwise.
The chief Cordials in general use, are these that follow.
Cordials against the Plague. THeriac. Andromach. or the true Venice Treacle, and not inferiour to it is Mithridate, Democrat. both of which are now truly made in London.
Also London Treacle is a very good Antidote or preservative well approved, and Electuar. d [...] Ovo, or the Electuary of the Egge is also a very sure good Cordial: also Theria [...]. Diatessar. by the ancient Writers, called the poor mans Treacle, by my self much experienced, and approved to be good, all these and every of them in their natures, either mixed, or given each perse, or by it self, are very good, being Diaphoreticks, or Medicines provoking sweat, more or lesse, and thereby opening obstructions, and by evaporation expurging venom, and refreshing nature, and so by consequent, curing the Plague.
Purgatives usefull. Hereunto may also be well added, some appropriate purgatives to be taken, both as preservatives, and as curatives, where just occasion is, namely, Pilul. Pestilentiales R [...]ffi. & Pil. Praeservan t Joh. Bahini, one dram of any one of them, for a purge, is a just quantity for an able body, and he or she may safely take it any time, either at night or morning, when there is just reason; and for the dose or quantity, by way of preservative to be taken at one time, is one pill about the bignesse of a Pease, or in weight about 12. or 14. grains, or at the most 20. gr. which is termed a scruple, once in a day, or once in two or three dayes, either at evening, or in the morning, but I conceive it is best to bed-ward; and he or she who taketh it, ought to observe, that if it make him or her have but one loose stool, it is sufficient.
Much lax [...]ty unsafe. For it is not safe for any person to keep his body loose alwayes, in times of general infection or contagion, for that that is recited elsewhere; for where emptinesse is, evil vapours have place of entrance▪ Also, as touching the first of the forenamed Cordials, one dramme for a Dose, and namely, of Andremach. Treacle, or Venice Treacle, and a like Dose of any the other three spec [...]fied Preservatives, to be taken by way of a Curative course, but by way of a Preservative, at any one time, for a strong body, 20 grains may suffice, and may be taken without offence, which is one scruple; or a lesse quantity to a weaker body: and to a strong body infected, to provoke him to sweat, ʒ. j. and se. or ʒ. ij. by a strong man, of any of them, either in Cordiall waters, or Wine, as is said, may be safely received into the body. Except of the Electuary of the Egge, the Dose whereof is one Drach. at the utmost.
[Page 342] And whereas divers Writers prescribe such Antidotes to be taken in distilled waters, as of Carduus, Angelica, Dragon-water, or the like, which in time of contagion are not onely scarce, but fraudulent, and seldom, or by few truly made: But yet I' must say, being trulyHow to administer preservatives. made, they do excell many other Liquors. Yet for reasons aforesaid, in their wants, I hold it safe to administer Mithridate, London Treacle, or Diatessaro [...], or any such Medicine, in good French Wine, and sometimes in Spanish Wine, if the disease begin cold▪ or in possetdrink, made with wine, or without wine, as reason shall guide.
And note, that it would ever be fittest to give these Medicines, or any of them, in the most cordial Liquors that may be had: but if the sick will as willingly take them in a Bolus, I mean, in a lump, namely, as it is of it self, he may safely do it; yet if the stomach of the sick will not so admit of it, then it may not be amisse, to give him a draught of warm posset drink, made with Carduus Benedictus, Burrage, or Buglosse, or Sorrel water, and a little Sugar boyled therein, or in want of those herbs, a plain posset, and three spoonfuls of Spanish wine added thereto, where the Artist shall see it so necessary; which may time enough be added, when the Posset is taken from the fire, if the Patient be taken cold, as is said: but if the Disease begin burning, then let Sorrel, or Violet leaves, or Strawberry leaves, or some other cordial roots, Herbs, or Flowers, as is already rehearsed, be put into the posset, and some fitting sirrup, as of Sorrel, or Wood-sorrel, or three or four drops of Oyl of Vitriol, if it may be had, be added thereunto, in such a case being very Cordial, and good▪ and in want thereof, plain posset drink alone, reasonable warm, will do well, where the recited are not; and for a need give it in white Wine, as is said, or in Beer to the poorer sort: or if the party take this Medicine alone, being in haste, in want of means, it will do well, by Gods Mercy, if he be not too much doubtfull.
And for the discreet Artist, or the attenders of the sick, let them take what they have ready presently, and let the sick be laid down to sweat; and where you can have learned counsel, refuse it not, as is said, and delay not; for by want of advice now and then, able men dye, to save charges, which is a lamentable folly.
AN Approved Cordial Medicine against the Plague, of the Practice of Doctor Burgis, Verbatim, or in the very words as be writ it in his Book; with also his addition in the commendation thereof.
Medicine of Dr. Burgis, against the Plague. TAke three pints of Muskadine, and boyl therein a handfull of Sage, [...]and a handful of Rue, till a pinte be wasted, then strain it, and set it over the fire again, then put thereto a penniworth of long Pepper, half an ounce of Ginger, a quarter of an ounce of Nutmegs, all beaten together, and let it boyl a little more, then put thereto two penniworth of Treacle, four penniworth of Mithridate, and a quarter of a pint of the best Angelica-water you can get.
Keep this as your life, above all worldly treasure, take of it alwaies warm, both morning and evening a spoonful or two, if you be already infected, and sweat thereupon; if not, a spoonful a day is sufficient, half a spoonful in the morning, and half a spoonfull at night, all the Plague time: under God trust to this, for there was never man, woman, nor child, that this deceived.
This is not onely for the common Plague, which is called the Sicknesse, but for the small Pox, Meazles, and Surfeits, and divers other diseases.
This Medicine, as you may read, is praised to the full, and no doubt may well deserve praise; and yet were I to put my life upon a medicine, I would not choose the aforesaid Medicine for many reasons. First, that the composition thereof is uncertain, namely by penniworths, and the Angelica water doubtful whether it be of it self simple, or drawn of Wine, the Treacle not declared whether common or no: and further, in my judgment, take it in the best sense, the composition is rude, and too hot, fitter rather to inflame, then cure. But yet I leave it for them that have tryed it, or that list to try it, to make it up, and use it in the Name of God, who giveth his blessings beyond measure to mean things.
A Composition of an Electuary De Ovo, of mine own long experience and practice, which I know to be very good, and is not dear.
The Composition of Elect. De Ovo. TAke Saffron ʒ 5. and a Scruple undryed; then tease it, I mean, pull the parts thereof asunder: then take one reasonable small new-laid Egge, and make a small hole in the top of it, and let the white run out; then fill up the Egge with the said Saffron, putting it in by little and little, till it be almost full, ever gently mixing the yolk with the Saffron; and in that manner of doing, one reasonable Egge will contain all the prescribed Saffron: This done, with part of the white of the Egge mix a little Wheat flower, to make a paste▪ then break another larger Egge onely for the shell, which you may use as followeth.
First, strike off the top as whole as you can, to cover the hole in the top of the former mentioned smaller Egge, and with the paste aforesaid paste up the hole, and set it near the fire, onely to dry; and after that, spread a fine rag with some of the said paste, and again, cover the hole and the piece of the shell lying thereon, and dry it before the fire; then put this Egge into a wider Egg-shell, namely, that which was emptied before, and so set it up to the top in an Earthen Pot filled with Sand on a gentle fire, till the sand be so hot, that the Saffron in the Egge smell; then for fear of burning it, take the Pot or Pipkin from the fire, and take the Egge out of the hot sand, and put it to cool; if you find▪it be but reasonable dry, and not burned, then need it not be put any more to the fire, for it will easily burn, without great care had: then being well rosted, take all that pasted away, and take all the substance contained therein; bear it, and work it so long together, untill no part of the Saffron appear, but be all into one body; then weigh what the whole substance weigheth, which will be about one ounce: Which done, take of Diptam. Alb. of the roots of Tormentil, of Butter-burre, called Petacitis, of Angelica and Zedoary roots, of each ʒ. j. of My [...]he and Juniper-berries, of each ʒ. ij. all these being made into fine powder before, and ready; then take of Mithridate of the best, ℥.ij. of the finest purified Honey, ℥. ij. make this up, According to Art, into a stiffe Electuary▪ which is done by strong and stiffe beating and working of it altogether, at the least three or four houres: And if there want humidity to work it up into a just consistence, adde Syrrup. Limoniorum, qua. sa. est.
The Dose of this, is at the most ʒ. j. se. But for that it hath an unpleasing taste unto some delicate palates, when I have it ready, I use to take thereof ʒ. se. and of Ther. Diatessaron, or London Treacle, [Page 345] or good Mithridate, of any one of these, ʒ. j. se. and mixe them in white wine, with also a few drops of Oyl of Vitriol, namely, four or five drops at most, with also one ounce of some Cordial Syrrup: as of Buglosse, or Sorrel, of Citrons, or Limons, or Wood-Sorrel, when it is not to be appointed to delicate personsr And all that I give at once to a man or a woman, and lay the party to sweat gently at the least for three hours. Or in want thereof, I put only a quarter of a pint of white Wine, with a little Sugar to it, either mixed as is said, or ʒ. j▪ se. of the said Electuary alone in a bole or lump to some, for it needeth no other mixture for the adding vertue thereto, for it is a most excellent Cordial alone.
And I would advise those which cannot have all the ingrediency of this composition, as namely in the Country, that they make ready the Egge and Saffron (as is said) and take only a double weight of good Mustard-seed thereto, and with about one ounce of good Honey work it well into an Electuary, and use thereof ʒ. j. se. at a time, in Posset-drink, or Wine, according as the sicknesse taketh men: if it take them cold, I hold it better given in Wine, or Possetdrink made with Wine, if it may be had, then with the usual Cordial Waters, which is but a meere Fl [...]gma distilled from the barre herb at the best, and often not truly so good: for I well know, that Wine is a true Cordial. and gladdeth the heart of man; which I must believe to be so, for that the Booke of God doth so testifie of it. And I know also it resisteth putrefaction, in the very nature thereof.
Wherefore, in my opinion, if it were not in some who apparantly have a fervent burning Feaver, where reason it self would advise me to forbear Wine, I would use Wine before either Angelica, Carduus, Dragon-Water, or any of the like kindes, in the case of the Plague, as I have divers times elsewhere recited.
The Dose of Elect. de Ovo. This Medicine either taken alone, a Drach. or four scruples, to a strong person diseased, is excellent, if it be taken with Syrrup of Citrons, ʒ. j. White or Claret Wine, ℥. iij. or iiij. ℥. and four drops of Oyle of Vitrol, and the diseased layd to sweat upon it, being orderly attended, it is a most precious Medicine, by my self very often tryed; I having often made the aforesaid Receit, and used it out with good successe.
Another Composition of Electuarium De Ovo, being plain, cheap, and good.
ELectuarium de Ovo, or the Electuary of the Egge, as it was made and prescribed for publick use in Germany, by the Physicians of the Emperour Maximilian, in the time of a great Plague there, in A [...] Domini 1600. being a most excellent Preservative against the disease, and also a good curative medicine, as followeth.
[Page 346] Take a new Egge, and make a hole in the [...]oppe, put out the white, and fill the place with Saffron undryed onely teased, and the flakes opened asunder, mingle it in the shell that it be like a paste, the yolk of the egge and the saffron together, and stoppe the hole being filled, and boyl or stew it, or rather bake it gently in the Imbers, till it may almost be brought into powder, but without burning of it; then adde unto it of the rootes of Tormentil, Morsus Diab. Angelica, Pimpernel, and Zedoary, of each ʒ ij. make this into powder, then take ℥ ij. of old Venice Triacle, and in want thereof so much Mithridate, and with water of Scabious, make it into an Electuary, and give at one time for the largest dose or quantity, one Drach. and a half to a strong body to provoke him to sweat, if he have the sicknesse. It will provoke sweat plentifully, but if it be by way of a preservative to prevent sicknesse, then give him but the weight of 3 d. or 4 d. or 6 d. at the most at one time, and let the Patient upon the receit thereof be laid to sweat for three or four houres, and it will produce an admirable effect of health, if it be with good order and discretion administred.
The Composition of the ancient Treacle, Theriac. Diatessar. or the poor mans Treacle.
TAke chosen Myrrhe, good Bay-berries, hulled well, Aristolochia roots, and Gentian roots *of each 1. ℥. dissolve the Myrrhe in Sack, and gently evaporate some of the Sack away, and make the other ingrediences into fine powder, then take ℥ xij. of pure honey, and according to Air, incorporate it, and mix all the aforesaid things with it, make it boil a little gently, and make an Electuary thereof, and give a ʒ j. s. or two ʒ ij. of this Electu. at a time to a strong body, yea, a strong person may safely take ʒ iij.
The dose of Ther. Diatess. And lay the party to sweat; you may give it in white wine or claret or sack, if the disease begin cold, or in Beer, Ale, or posset drink, and I have found by much practice, that it is a sure good Cordial, and Children may take it.
This medicine I my self would take upon the defence of my own life, as soon as one of the greatest and dearest compositions in the Apothecaries shop.
And I further well know, that the Apothecary may honestly affordThe price of Ther. Diat [...]ss. this kind of Diatessar. truly made for 4▪ d▪ an ounce, and that an ounce thereof may be sufficient at several times, given to cure a man diseased of the Plague, God giving his blessing to the meanes, and by way of preservatives given, it may defend many from it; But I confesse it is some what a bitter Medicine, and so (as I have said) are most all good Medicines in practice for that disease; wherefore whosoever m [...]s [...]keth a good Medicine for the bitternesse by his nice refusal, may find his disease farre more bitter.
Nam dulcia non meruit, qui non gustavit amara.
The vertue of it for other diseases. This medicine is also excellent good against paines and gripings of the stomach or belly, taking the quantity aforesaid, or lesse, and for the disease of the Colick, or any windy pains or gripings of the small guts, it is the best medicine that ever I knew.
A Caveat for administering of Ther. Diatess. But beware it be not given to women with child, for to such it is not grateful, nor very safe, because of the Myrrhe, but to any woman which wants the due sicknesse of her seasons, it is an excellent medicine; and otherwise, for any person diseased with the Plague.
A Cordial Confection or Preservative for women with child, children, infants and tender people.
The receit. TAke chosen roots of Set-well called Zedoary, the purest of them half a pound, put them one whole day to infuse in Rose-water and wine-vineger mixed, then let them dry gently, which done, with fine Sugar and Rose-water preserve them, and give a small quantity of the same, half an ounce or thereabout fasting; the like you may do with Angelica rootes, or with Enul. Campan. rootes, or withThe great vertue of the root of the Butterburre. a root called Butter-burre, which is one of the most excellent roots for the cure of the Plague that ever was found out by Art: this root the Germanes name Pestilence root, as being held the best preservative, and also cure for the disease of the Plague or Pestilence.
Another good Cordial for women with child, children, or delicate people.
TAke a Lemon or a good Citron, [...]ew it in Rose water and Sugar cloven first into four parts, and when it is half stewed, addeThe recei [...]. some Cynamon in powder thereto, it is a singular good Cordial so taken; and for a preservative for tender women with child, and dainty people, the quantity of a Nutmeg thereof in a morning, for such as are delicate and tender, and cannot take medicines well that areThe dose of it. bitter. Also for women with child, if they take sometimes a toste sprinkled with rose vineger, or ordinary wine vineger, then spread it with butter, and strew a little powder of Cynamon thereon, and eat it fasting, it is a Cordial and a very good preservative for them.
Pil. Pest. Ruffi. And amongst the rest of good preservative Cordials, Pil. Pestilent. Ruffi. is not the least, for it is a preservative and purgative, yea, and a curative medicine, of great vertues, and very highly commended by divers ancient and modern Writers, and which of mine own long experience, I have found singular good.
The dose of it. Of which take fasting the quantity of a scruple, which is 20 grai. or near the weight of 3 d. as a preservative, and the ingrediences thereof are fine Aloes, Myrrhe & Saffron by Art made into pills, and the reasonThe reason of its vertue. that the learned do ascribe so great vertues to the aforesaid ingrediences, [Page 348] is for that they suffer not the body of man to putrefie, for Myrrhe, as Galen, Avicen, and many other ancient Writers affirm, and experience sheweth them, resisteth putrefaction, so that a dead corps preserved in Myrrhe, neither altereth nor stinketh in a long season; and alsoAloes, its vertue. Aloes hath an excellent quality in purging Choler, and comforting and corroborating the Ventricle, and in preserving it from putrefying: and Saffron by the consent of all the Learned is a true cordial medicine; and, as Avicen testifieth, it never altereth humours to the worst, but refresheth, amendeth, and purifieth the putrid, and conveyeth with it other medicines to the comfort of the heart, and other principall parts of the body.
And one Johannes Hartmannus an ancient reverend Writer, in his Treatise of the Pestilence, writeth in commendations of these Pills, these very words following:
In English thus:
Not unworthily do I put great trust in these Pills, for seven seasons of the Plague, which my self in my time saw, there was not one man dyed that used them, meaning the said Pills; and the quantity prescribed by the same Authour, to be taken by way of preservative, as is recited, was 20 grains, which is about the weight of 3 d. and I my self upon my own experience affirm, that in curing the disease where a purge is required, there is no purgation within my practice, safer nor surer then this Pill is, and to purge, the dose is ʒ j. which although I confesse in some bodies it purgeth but slowly, yet in the disease of the Plague generally it is most requisite and safe, to be very sparing, and indeed well advised in giving way to any purging medicines at all.
A good safe medicine, for any whose complaints begin with a fulnesse in their stomach, with nauseousnesse and desire to vomit.
BEing taken, the first day that a man findeth himself so to be infected, and to such the medicine hath at once taking perfectly cured many; and it is a medicine which my self would as soon take at the first as any medicine, if I felt my body upon fulnesse diseased, for it purgeth away the venom, both upwards and downwards, before nature be overcome thereby: but I must crave your pardon to deliver the medicine in Latine; for that I hold it not fit for any to undertake the making or preparing of the ingrediences thereof, for the avoiding danger, but the discreet, faithful and understanding Surgeon or Apothecary.
[Page 349] Satis examinata. Rec. Antimonii clarificat. Hiacinth. modo Pellucidi, gr. 4. Conser. flor. Borag. ʒ. ij. Specier. Liberan. ℈. se. Mastich. gr. 5. Misce & fiat bolus.
The [...]s [...]. Give this whole quantity to a strong man at once: but I hold it best, at the time of the taking of it, that he lye on his bed in his clothes, I mean, till the Medicine have done working, and that he drink warm Posset-drink after each Vomiting: and then, and not before, if he find himself not well, let him go to his naked bed, and fasting, take a nap, (if he can) and then when he awaketh, give him some small Cordial, as namely, ʒ. j. of Mithridate, or of Diatessaron, or of London Treacle, in Posset drink, and gently provoke him to be in a sweating manner, not to sweat too strongly, and that for three or four hours. Which done, there may be given him a cup of Beer, with a toste, if he desire to drink, and give him to eat some light digesting food, and I doubt not but he will do well very quickly.
But this kind of cure is onely for the beginning of the disease, and to be given, as is said, to a full body, which hath a complaint of fulnesse of his stomach. And so herewith I will conclude further repetition of Purgative Medicines, in cases of the Plague; advising all discreet Artists to use them with all possible care, caution, and counsel of the Learned, where it may be had, as they tender the lives and healths of their Patients, well weighing the following Instructions and Caveats.
Cautio è Petri Sibyllenii Medico insigni Germaniae in usum Medicinarum Catharticarum in curanda Peste.
A Caveat in the use of Purgative Medicines, in cases of the cure of the Plague.
QUod verò aliqui Medici sentiunt solutiva Medicamina in principio hujus acutissimi morbi convenire, & venenosam materiam eorum vi, & calore è corpore educendam esse, horum sententiae Galeni & Avicennae testimonia & firma argumenta supra exposita valde adversantur, quorum authoritaeem Hippocrat. Lib. 4. de ratione victus in morbis acutis confirmat, cum inquit: Ubi in morbo venae sectio & solutiva Medicamenta necessaria sunt, venae incisio praecedere deb [...]t. Et Avensoar. Lib. 3. de Theisi [...] dicit, Sed antequam fiat purgatio aliqua, praecipiatur, ut fiat evacuatio universalis, & hoc cum Phlebotomiâ, &c. Et quia Medicamentorum laxantium in boc casu usus gravis, infensus & periculosus propter multas evidentes caus [...]s, corpori esse [Page 350] solet, Eapropter imperitorum, barbarorum, & circumforaneorum Medicorum curam, qui violentissimis Pharmacis causam morbi expellere opinantur, utpotè Mercurio praecipitato quem rubicundum pulverem falso praestantem pradicant has dial cto modo adscribam. Cathartica sive purgantia Medicamenta, magnam vim caloris in se continent, qua velociter attrahun [...], & humores in venis commovent, simulque expellunt, quâque commotione natura regetiva totius corporis in sua Crisi & conatu obtunditur & prosternitur, & plerunque evenit expulsio symptomatica morti vicina, quare non conducunt in hujus Pestis initio. Praeterea omn [...] Catharticum movet mat [...]riam ad interiora, hoc est, à superficie ad Centrum, quod est Cor: In omni autem venenosâ materia hoc improbatur, materia entm venenosa à Centro ad superficiem expelli debet. idcirco Pharmaca in initio morbi exhibita plus incommodi quam commodi adferunt.
Huc accidit quod Cathartica hujusmodi Medicamenta quae fortia & acuta sunt per se venenosa censentur; non est autem venenum veneno apponendum, omne enim tale addituns suo tali (ut est communis Regula) facit illud magis tale.
Major probatur ex Joh. Mesue de consolatione Medicinarum, [...]bi inquit, Omnis Medicina laxativa est de genere venenosarum rerum, cujus excessum Natura non patitur, nullo propterea Cathartico Pestis tempore corpora vacuanda sunt. Quandoquidem Medicus pro suo officio & doctrina quam profitetur minister, custos & imitator Naturae dicitur. Natura aut [...]m in Peste à Centro ad superficiem conatur ve [...]num pellere, ergo Medicus ri [...]e imitatur Naturae ductum juxt [...] Aphorism. Hippocrat. Libr. 21. Aphorism. 1. Quo Naturae vergit ad loca conferentia eo ducere oportet, &c.
Et quia Cathartica innata sua vi & crudelitate Naturam regetivam totius corporis prosternunt, qua ob Pest is quoque acuitatem & impetum languida & infirma est, virtus vero hoc t [...]mpore conservanda qua prestrata periclitatur aeger, ergo nullum Pharmacum dandum est.
The precedent Caveat touching purging Medicines Englished, is in effect as followeth.
ONe Petrus Sibyllenius, a learned Physician of his time, in his Treatise De Peste doth write touching the use of Catharticke or purging Medicines, in the case of the Plague, as followeth, and reciteth his reasons and authority for the same in these words.
Solutives forbidden in the cure of the Plague. Concerning the opinion which some Physicians hold, that solutive and purging Medicaments are convenient in the beginning of this most sharp sicknesse, the Plague, and that the venemous humour is to be driven out of the bodies infected with the Plague, by their force and heat: The censures of Galen and Avicen, by strong arguments, are repugnant to their opinions. And Hippocrates confirmeth their anthorities in his L b. 4. de Dieta, or of Diet, which is to be used in sharp sicknesses; where he saith, when in any sharp sicknesse the opening of a Vein or solutive Medicaments are necessary, the Vein is first to be opened. And Avensoar in the Lib. 3. de Theisir saith, beforeBut in our Climate that Rule is not in g [...]ral g [...]od, but is list to fit occasion and due time. any purgation be, he would advise that a general evacuation might be made; meaning, that letting blood is fit to be done. And because, saith he, the use of laxative and purging Medicaments are ill, hurtfull, and dangerous to the body, by reason of many evident cases; therefore he likewise condemneth the errour of the unlearned and barbarous Physicians and Mountebanks of his times, which would drive away the cause of the disease by violent purging Medicines, as namely with Mercurius praecipitate, which red powder they call falsly a precious Cathartick or purging Medicine; which having a great force of heat in them, they do draw forcibly and swiftly both the blood and humours which are in the Veines, and do drive them out, to the prejudice of Nature: by which commission, Nature which governeth the body, is disabled, stupified, and beaten down in her endeavour, touching her Crisis, her working and contending with the poysonous vapours, so as for the most part it hapneth, that thereupon proceedeth a symptomatical expulsion, which is not far from death it self. And therefore such Medicines are not fit to be used in the beginning of the sicknesse, namely, the Plague. Moreover, all purging Medicaments draw the humours to the inward parts, that is, from the superficies or outward parts to the centre of the body, which is the heart, and the effects follow deadly; for in venemous diseases, the venomeought to be driven from the centre to the outwards: therefore Cathartick or purging Medicines being ministred in the beginning of this sicknesse, do more hurt then good. And in this further is to be added, that such purging Medicines as are so strong and sharp, are esteemed to be venemous of themselves, and there is no venome or poyson to be put to poyson; for every such thing as is added to his like, as the general Rule saith, maketh that more such.
[Page 352] The Major is proved by Joh. Mesues de consolatione Medicinarum, where he saith, that all laxative Medicines are of the sort of venemous things, whose excesse nature cannot endure: therefore in time of the Plague, the diseased bodies are not to be made empty by purgations,The Office of a Physician. seeing that a Physician is called, by reason of his office and Learning which he professeth, a Minister, a keeper, and an imitator of Nature.
The help of Nature in the Plague. Nature in the Plague, endeavours as much as in her is, to expel the venome to the superficies of the body: Therefore a Physician ought to follow the tract of Nature according to the Aphorisme of Hippocrates, 21. Lib. 1. Aphoris. Where Nature aymes his course, thither it behoves the Physician to intend his Artificial help.
A reason of the danger of laxative Medicines. And because Cathartick means, by their innate force and cruelty, do overthrow Nature, the ruler of the whole body, which also is made weak, by reason of the sharpnesse and force of the Plague, Nature is to be preserved, and no laxative Medicine to be given.
Of variety of particulars for Brothes to be made for the sick, according to mens several abilities, or necessities, and as the time and place hath to be added more, or in part forborn, upon each just occasion.
Of herbs convenient for Brothes. ANd first, for herbs fittest to be used in Brothes in this disease, they are Buglosse, Borage, Endive, Succory, Strawberry leaves, Marigolds, Parsely, Betony, Violet leaves, Sorrel, Wood-Sorrel, Plantane, any of these are very good, and so is Rosemary and Tyme, so that you take not too much of any of them, remembring also for the seasoning and relishing of Brothes, as also for Sawce, you may safely make use of Sugar, Cynamon, Currants, Citrons, Oranges, Limons, juice of Limons, ripe and unripe Grapes, preserved Barberries, Cherries, and Prunes, Wine Vineger, Verjuice, Mace, Cloves, Nutmegs, Saffron, and Wine, if occasion be, to refresh the spirits; for, as I have said, I esteem it far above any the simple waters of hearbs for a Vehicle, in the disease of the Plague.
Necessary meats to be boyled in Broth. Also you may make your Brothes either of a Cock, orrather of a Cock Chicken, or of Mutton or Veal, or for the meaner sort, of what else their means will reach unto; for many things that be held unsavoury, nauseous, yea, and dangerous to the dainty, are found to be very conveniene, wholesome, comfortable and precious to the poorer sort; as Garlick, Leekes, Onions, Chyves, Wormwood, Centory, Angelica, Bay-berries, Gentian, and divers others, whose tastes are harsh.
A Cordial Drink to cool and contemperate the blood, being a China broth, if the Patient please to be at the cost.
The Rec [...]i [...] of it. TAke the roots of China, cut into small slices ℥. 3. infuse them 12 hours at the least in five quarts of fair water, adding of Burrage and Buglosse, of each half a handful, of Cloves in number three, with a like weight of Cynamon, and Mace, boyl these gently, till one third part be consumed: and, if you please, adde one spoonfull of Rosewater, and some little Sugar to make it grateful in taste, and also three spoonfuls of juyce of Lemons, and in want of juyce of Lemons, so much good Wine Vineger; you may give the Patient at one time, to a quarter of a pinte, and he may take of this decoction fourThe Dose. sundry times in a day safely at the least, and oftnet if he like it.
Also remembring that the sick have some other Cordial prepared for him, if need be, to provoke him to sweat the second or third time, and some odoriferous thing in his hand, or near at hand by him, often to smell unto, such as are elsewhere set down, or some other of the like nature.
And in want of China roots, take the double part of Sarsaparilla, and in want of that, a large crust of the best bread of Wheat, for the poorer sort; this also is good to contemperate the blood after sweating: and further, it is of ancient Writers esteemed, as a very good Cordial medicine, to give the party the quantity of a drach. or ʒ. i. s. of the finest Bolus Armen. in a cup of white Wine, with half a spoonful of Rosewater, and a little Sugar if you please; and in want thereof, give it in posset drink.
Moreover, if you see occasion, and can have them in your posset drinks, or distilled water, that you use as vehicles or liquors, in which you give your medicines, you may put the quantity of one or two ounces of syrup of Citrons, or of Lemons, or of Sorrel, or Woodsorrel, or of sour Pomegranates: also it is very good in every sweatprovoking Cordial drink, that you adde oyl of Vitriol, three or four drops to a dose, but no more for offending; yea, in all Julips, a few drops thereof are both cordial and warrantable; and in want thereof, in a cooling Julip may be added Sal Prunellae, so that the quantity exceed not ʒ. ij. per haustum unum.
Another Julip for the Diseased of the Plague.
The Receit. TAke French Barley, or in want thereof, English Barley, about one good handfull, fair conduit water, or spring water, three quarts, boyl the Barley about half an hour in the water, and then cast away the water, then take about three quarts of water again, and of Mace and Cloves, of each half a scruple, or 20 grains, which is a scruple, and boyl the said Barley and the rest, one hour or more, till one third part of the liquor, or thereabouts, be consumed; then clear of this Barley water into a glasse: and to each quart of water, if it may be had, adde of Syrup of Wood-sorrel, of Citrons, of Limons, of Violets, or of any one of these, ℥. 3. of Rose water one spoonfull, of Wine Vineger two spoonfuls, of oyl of Vitriol ten drops; and if you can get no syrups at hand, use Sugar to make it pleasant of taste, and in want of oyl of Vitriol, use two more spoonfuls of Wine Vineger:A caution in using oyl of Vitriol. and note, that whensoever you put oyl of Vitriol into any liquor, and that you would give it the Patient, that you shake the glasse ever, when you put our any, for the Oyl will fall to the bottom, and the last draught will be very dangerous, and too sharp to be drunk.
Against Thirstinesse.
Divers qualifications of Thirst. WAter and Vineger mixed, and often held in the mouth, and put out again is good, juyce of Lemons, and water so used, letting some part down, is also very good; also preserved cherries, and stew'd Prunes are good to hold in the mouth, and to be taken in Quinces, or conserve of Barberries, or Tamarinds from the East-Indies; or it were good the Patient had by him often to suck from a liquorish stick some cordial syrup in a glasse, as of Woodsorrel, of Citrons, Limons, of Violets, or syrup of Vineger, or of some such like; also as is repeated, Sal Prunellae ʒ. ij. and some 3 ounces of Plantain, or Strawberry water doth well cool thirst, and is cordial.
Against faintings and swounings, which happen in the sicknesse.
Medicines against swounings. LEt the sick have something to smell unto, that hath Rose-Vineger, with a few drops of Rose water in it; also give the sick, either some Treacle water, or some good Bezar, or Cynamon water, Angelica water, or Mint water, distilled with wine, or a little good Aqua-vitae, or a little good claret wine, mul'd with a few Cloves, & Rosemary, and [Page 355] Sugar therein; any of these are good Cordials: or let him hold a Lemon stuck with Cloves, as is said, in his hand, or have some cordial Pomander in his hand, and to wet his temples and forehead with Wine Vineger, and a little Rosewater mixed, where it may be had.
A good Posset-Drink in the sicknesse, if the Disease begin hot.
MAke an ordinary posset with Ale and Milk, purifie it from the curd, and boyl gently therein (if you desire to have it cooling) Sorrel, Strawberry leaves, Plantain leaves, Violet leaves, or some of them, adding a little Wine vineger, and some Sugar, and a little Rosewater, if you please; and this will be a good drink for the Patient to continue with in the time of his sicknesse.
Also the juyce of Lemons or Oranges, wrung into the posset drink, is likewise very good, and the best of all to make it tart, and not over sour, therewith, is a little oyl of Vitriol; for that no medicine is soOyl of Vitriol. precious against the pestilential Feaver, as the oyl of Vitriol, it being warily administred.
Another good Posset-Drink to give a sweating Medicine in, if the parties sicknesse begin cold.
MAke a Posset first with Ale and Milk, in an ordinary manner, unto which adde Marigolds, Burrage, Buglosse, or some of them, and gently boyl them in the Drink, and to a quart thereof, adde of good Sack a quarter of a pint; and to a draught of this drink, put any cordial medicine to provoke sweat, and give it warm, if the disease begin cold, as is said: but if it begin hot, leave out the Sack; for, as I in this book have oft repeated, I hold Wine better and safer to give a cordial with,Wine the best for preparing a Cordial with. in the Plague, then any simple water distilled, although it were distilled either from Angelica, Dragon, Centory, or Carduus Benedictus.
A good Cordial Medicine for the poorer sort, though it were to women with Child; for they may take it softly.
The Receit. TAke Bayberries, cleanse the husks, and dry them, untill they will be made into powder, then powder them, or for a need grate them, as you do Nutmegs, and give a small spoonful thereof in a [Page 356] draught of white Wine, Ale, or Beer, and let the party be laid to sweat,The order in administring of it. and forbear sleep, it is a good and a safe Cordial, to which may be added Sugar, or cordial syrups at pleasure: and note, that even Galen, the Prince of Physicians, as I said, Attributeth unto Antidotes, meaning the preservatives, that open the pores, and provoke sweat, the whole cure of the Plague, which this mean medicine mightily andThe several vertues of it. safely doth. It also is exceeding good against the wind Collick, and all tortions and disturbances of the bowels.
Another good Cordial for the poorer sort.
The Receit of it. TAke of the best Walnuts in number 20, chosen Figs 16, Rue, ℥. 1. se. Wormwood leaves, and seeds pickt, half a handfull, Gentian roots, ℥. 2. round Aristolochia roots, ℥. 3 long Aristolochia roots, ℥. 1. Torment. Diptam. roots, of each half an ounce, Bayberries half an ounce, common salt, ℥. 3. Mithridate ℥. 2. mix all artificially to gether, except the Mithridate; then weigh the whole lump, and take three times so much pure honey in weight, as all the ingrediences are, and being first all well wrought together, adde the Mithridate, and mix it also.
The Dose of it. Keep this close covered, and give for a preservative the quantity of a Nutmeg; but by way of cure to provoke sweat, give as much as a Walnut thereof, and sweat well upon it: this is an approved good Medicine, and not much unsavoury to be taken, if it be truly made.
But if any person, for the unsavourinesse of a medicine, will refuse help, let him forbear, and expect, and take of what followes: and further note, that it will not be amisse, as I have said, that after any cordial medicine be swallowed down without liquor, that a cup of good wine be given; or in want of it, warm Posset-Drink, or Beer.
Another good Cordial for poor people at a mean price to be had.
The Receit. TAke the kernels of Walnuts, of the herb Rue, and of chosen figs, of each ℥. 1. of common salt, ʒ. 2. of Saffron ʒ. 1. let all this be very well beaten together, with as much Wine Vineger as will workThe Dose. them up into the form of an Electuary, and take thereof fasting daily the quantity of two Drachmes.
Certain Rules and Observations to be regarded, concerning the curing of the infected of the Plague.
Directions for the infected. IN which, the first point is, that he be put in minde of his duty to God, and that with penitent heart he crave mercy of him.
Secondly, that he take the advice of the best learned he can have, and that he follow their directions: but if he want better counsel, let him observe as followeth.
How to order the bodies of [...]he infect [...]d. First, if his body be very costive, namely, if he have had no stool in two daies, or at the least the day before he falleth sick, let him in the first place take a Suppository; and if it procure him not a stool, let him take another within one half houre; and if that do no good, let him take a very gentle Glister: but beware of taking any Purgation or Laxative whatsoever by the mouth to be received, as I have in several places said, at the beginning of the disease;Pu [...]ging dangerous. but open a Vein rather, if learned advice order it: or, which is safest, take a Medicine to cause sweat; and if he be scanted of time, sweat first, and take a Suppository after the sweating Medicines have done, for it is dangerous to delay sweating any time. And ifSweating not to be delayed. he have it let his Cordial be Aurum Vitae, eight graines.
But in case the disease prove to be the Plague, if the party be full of blood, and the sicknesse begin with him hot, and have but newly taken hold of him, and also that he be couragious and willing thereunto,Letting blood necessary in some respects. open him the fullest Vein you can find in his arm, on that side he most complaines on, and take six, seven, or eight ounces, if no rising appear, and lay him to sweat within one hour after, forbidding him to sleep, as he tendreth his life: but if he be fearfull, dull, sleepy, shivering, or yawning, or have any such signesSleeping dangerous after bloodletting. before the bleeding, or that any Tumnur appear, then forbear Plebotomy at the first, and presently give him a Diaphoretick, or sweat-provoking Medicine, or antidote, one of those formerly named; and let him be layd in Bed, and well covered over headObservations in sweating. and all, and so provoked to sweat, by all the reasonable meanes that may be: And in any case, let him not be suffered to sleep,Not to sleep in sweating. during the time of his sweating, no, not in two houres after the taking of his first Cordial, without you see extraordinary good signes of health in him.
[Page 350] Of the time of sweating, how long. And you may continue him sweating gently three or four houres, or lesse time, according to his strength, and then withdraw the clothes How to be ordered in sweating, and afterward. by a little and a little: but yet keep him in a breathing manner warm, though not sweating much, somewhat longer; which done, drie him and shift him with fresh clothes, well warmed: And if he keep his Medicine, and sweat well, there is very good hopes, or rather little fear of him at all; but if he cast it, there is not so much hope: yet give him another sweating Medicine, and a third, if he cast the second, striving to please his taste in what you may with his Medicines; and when he hath sweat well, and is reasonably cooled, then may you let him sit upon his bed, and give him some Possetdrink, or a small cup of Beer warmed, or some Broth, or some few stewed Prunes, or some conserves, as of Quinces, or Barberries: then if you find him not lightsome, and his head-ache and complaints not eased, give a second sweating Medicine to the former, after four or five houres distance, and keep him lying in bed, and in a breathing or gentle sweating manner almost half a day after: and aboot ten or twelve houres after his Cordial given, or sooner, if you see reason, you may suffer him to sleep; but first, it is not amisse to give him some warm Broth, as is said to refresh him.
Meanes to provoke sweat. And if the Patient be unapt to sweat, let Bottles of very hot water be filled, and put to his one side, and at his feet; or hot Bricks, somewhat quenched wirh water, and then wrapped with wet clothes, and layd to his side and feet, covering as well his face as any other part, leaving him but a sufficient breathing place onely; and be sure he sweat lying on the one side, and not on his back: and he must be very careful to lye still, and keep his armes in bed all the time of his sweating; or that he have warm sleeves to defend them from cold,
A second Diaphoretick to be administred. Yet by unwarranted fear be not too forward to reiterate [...] sweating M [...]di [...]ines too quick. And yet again, if any evill signes appear to you, give him as afore, more Diaphoretick or sweating Medicines, untill you see by the lightnesse, chearfulnesse, and good signes in the sick, with good perswasion, that the venemous vapours which caused the disease, be almost or altogether spent; or that the Botch, Blain, Carbuncle, or spots come forth: For if the outward signes appear upon his sweatings, or that he be chearful, and that no outward markes do appear, in either of these two cases there is great hope of his welldoing.
Wherefore I wish, as if often rehearsed, that all men begin betimesR [...]midies not to be delayed. to use Remedies, whilest strength of Nature is ready at hand.
For those which do take a good Cordial, that causeth sweat at the very first, seldome have any outward Sores or markes at all; and if they have, they are light, small, and easily healed: and when you find the danger of the person past, or venome of the sicknesse is spent, and the party chearful; then, and not before, may you, having [Page 359] good advice, purge; but I hold it safer to forbear Laxatives even then also.
A note of the danger of purging. For you must note, that if you purge, if there be any venomoús quality in the body at all left, as is said, you draw it to the centre of the body, namely, to the heart, and so double the danger; and for the rest of the cure, no man can prescribe what in each body shall be fitting by any one general rule, for that one person is seldome taken as another, in that fearful disease.
Onely take this one thing for a rule of comfort in general, that this disease commonly is swift, and is short, and doth begin and end in a moneth commonly at the utmost; for it is termed but the disease of one Moon: if the party be likely to live, and the danger of death for the time over, no Apostumes, Boyles, or Sores whatsoever do healOf the sudden care of the Plague. faster, nor sooner, then those of that disease of the Plague do, when the fury of the Feaver is once past. For the disease is a Feaver, like to a furious storm, short and terrible; but the fury once over, it is the calmest of all contagious diseases whatsoever, and the easiest to be healed, far better then the French Pox.
And moreover, note one thing elsewhere mentioned; in all cordial Medicines and Julips, there is not a safer nor better thing to resist the putrefaction and venom, to comfort the head and the stomach, andOf the good use and danger of Oyl of Vitriol. to quench thirst, then is Oyl of Vitriol, so you use it warily; but you must be very wary, that to one draught of Drink, or Julip, you put not above four, or rather but three drops; and using it but a very little at a time, you may use it the oftner, and the safer: otherwise, there is some danger therein.
The choyce of it. You shall know the goodnesse of this Oyl, by the clearnesse thereof, and by the weight thereof, for if it be as clear as Rock-water, and ponderous almost as Lead, then is it very good. By my will, I would never give any Purge, nor any Cordial without it, if I could have it; for I have found it, by much practice to be very precious.
Also, if you do take the quantity of one ounce of conserve of Roses, and about eight small or single drops of Oyl of Vitriol, and mix them exceeding well▪ and give the Patient a little thereof to eat, or at the least to keep in his mouth now and then, in the time of his sicknesse, it is exceeding cooling and comfortable for him, and quencheth thirst singular well.
The vertue of Salt of Wormwood. And you shall find much the more profit in it, if you adde Salt of Wormwood thereto (as is said elsewhere) either one Scruple, or half a Drachme for a Dose, according to the strength of the sick, and vehemencyThe Dose. of the disease; for it mightily encreaseth the force of the other Medicine, in provoking of sweat, and refresheth the spirits. Sal-Niter is also good, if the disease proceed of a not cause, a like Dose given.
Things to be observed by the attenders of the sick. And note further, one observation generally to be had in mind by the attenders of the sick, that they give the Patients leave ever freely to put their arms out of the bed both night and day, except in the times [Page 360] of sweating; and to that end, be careful to provide them Wastcoats, Sleeves, or, at the least, the legs of old Hose, or any mean thing to the poorer sort, to keep their arms warm.
For my self know by experience of my own body, when I had the Plague, and so since of many others that have been under my cure, how comfortable a freedom it is for a sick man to have leave to spread and cast out his arms; and how uncomfortable a thraldome and imprisonment it is for a poor weak man, by his Keeper, to be forced to keep his arms in the bed, or in any one certain position: Wherefore the attenders of the sick ought to have judgment and commiseration, I mean, a fellow-feeling of the infirmities of the sick, and chiefly, in this most fierce disease of the Plague.
1 Note also, that in Summer, when the Sicknesse beginneth hot or burning, in the Drinks that you give your Patients, whether Antidotes or Cordials, that you ever use Wine Vineger a spoonful or two, where you do not use Oyl of Vitriol; but if you have oyl of Vitriol, it far exceedeth Vineger, as is often said.
2 Also note especially, in the house where a Child is infected, that great care be had to keep the Children from him: for there is a farre greater sympathetical danger betwixt Children, then betwixt Men and Women; which daily experience sheweth.
3 Note also, that for Infants and tender Women, Andromach. or Venice Treacle is a good Medicine, as it is made, by the view and order of the Colledge of Physicians of London; and in want of it, which my self would as soon take, good London Treacle, if it be also truly made, according to the prescription, and by the view of the said Reverend Doctours of the Colledge of London: I hold it a most fit Medicine;The Dose of Theriac. Andromach, to a child. and the rather, for that it is of taste easie to be taken in: but the quantity at a time to be taken of it, must be as is said: to the strongest may safely be given, ʒ. ij. which is about the weight of eighteen pence in money at a time; and to a Child, about 3 pence, or 6 pence, or 9 pence weight, according to their several ages and capacities: and also, if you can, and that you have convenience, it is good that you remove the sick Patient sometimes from one Bed to another, where convenience, means, and ability is; and that you use sprinkling the Rooms with Wine Vineger sometimes, as is said, where it may be had.
Of such Dyet as is fitting for the sick of the Plague to take.
FIrst note, that a very sparing Dyet in general is the most fir, if the Patients have full bodies, but in this disease, commonly all appetite is forgotten with the Patient: yet when you find, that the danger of death by the disease is over, and that the Patient amendeth, then good refreshing and nourishing food is best, using it sparingly.
Fitting meats to be eaten by the sick. And first, for the delicate, and they which may have it, let them in the Name of God eat Pheasant, Partridge, Quail, Chickens, Rabbits, Capons, Veal, Lamb, or Mutton; any of these are very good, taken with moderation. And so are all field-Birds, which are used to be eaten, excepting those which live upon the Water, as the Swan,Unfitting meats. Goose, Duck, Plover, Wigion, &c. Also generally the most kind of fresh-Water Fish may well be eaten of, except the Eel, the Tench,Meats forbidden. and the Salmon: Playce, Flounders, Whitings, Soles, Smelts, and such like, are good, moderately taken; also Pearch, Roch, Stone, Gudgeons, Breames, Trouts. Fresh Beefe and Pork are excepted against; and I think it fit to avoid it, where there is no want of other things. But on the contrary, where there is scarcity, let thy ability be thy guide; and in the Name of God, in want of others, let none be so unwise to refuse Beef, nor the Broth or pottage thereof, for experience sufficiently approveth them good; neither egges poached, nor soft sodden; no, nor Bread and Butter, when their stomachs will bear it; for these all nourish well, very moderately taken.
And remember, that if your Patient begin to amend of his disease, and that his appetite grow, deny him not competent food in a sparing manner, and let him have, as neer as may be, that which is of light digestion, and not too much at once, but give it him often.
For understand, that after once the masse of blood hath been corrupted, and that Nature, by Gods mercy, with the help of good meanes, hath again gotten the upper hand, the body will require good nourishment, and often to be supplyed.
The use of Verjuyce is very wholesome in the disease with Meats, and also in Possets, where inward heat is, and thirst withal, but not where cold is: and the use of Goose-berries, of unripe grapes, Preserved Cherries, Prunes, sowre Pomegranates, and the like, are very good, as is else-where mentioned; and no lesse good is the use of Oranges, Lemons, Pome-Citrons, and Pomegranates.
The cure of Angina Mendosa, or a false Squinancy, being a species of a contagious touch, happening when the Plague reigneth.
Being a pain in the Neck, or lower parts of Gula, or of the Muscles of the Neck and Throat, in which sicknesse there is generally small or no External nor Internal appearance, although there sometime is in both, and therefore is called Angina Mendosa.
Phlebotomy needful. MAny begin the disease of the Plague with the aforesaid complaint, for which one good remedy is Phlebotomy at the first, not under the tongue onely in that case; for that if you do it, sufficeth not in so fierce a disease, but that you must also be forced to open a vein in the arm: Wherefore let the Surgeon, if he be urged thereunto, take the fullest vein of the arm of that side, which the pain or complaint inclineth most unto, but concerning general evacuation by Phlebotomy, in Pestilential Feavours, never do it when any indication of a Crisis, by the disease appeareth, for fear of offence; and if so be that one side suffer not more then another, then take it on the right arm, and take a reasonable good quantity of blood, namely fromThe quantity of blood to be taken. a man, 6 or 8 ounces, or ten ounces; not more, for fear of dejecting the spirits, and a lesser proportion to a weaker Patient, and make a reasonable large orifice, which in such a case is best, and if after apparent need be, which seldome is, open the veines under the tongue: but howsoever I would begin with the arm.
And for a Gargarisme, use Barley water, with Diamoro [...], and a littleOrdering of [...]argarismes. of Syrup of Vineger, or a little Sal-niter is very good, and for outward application, take a small handful of Camomil flowers, of clean ashes of wood without coales or drosse, a handful, and a few Rose leaves, and two spoonfuls of oyl of Roses, with as much of wine Vineger boyl it with small beer into a Cataplasme, and very warm, apply it, and shift it morning and evening, if the rose leaves be not to be had, or the Camomil flowers, use Elder leaves in place, it will do well, and ordinary oyl or butter for a need will serve, where oyl of Roses is wanting, or the old Medicine of Mel, and Album Graecum, with a little Vineger mixed, is right good: and the next morning after Phlebotomy, give the patient a Diaphoretick of Aurum Vitae, eight graines, and appoint him to sweat four houres▪ and no doubt but the disease will be therewith soon at an end.
[Page 355] Of the use of Phlebotomy in the aforesaid disease, I have had experience oftentimes this yeere, and even upon my own Son, who being in a violent burning Feavour, with an Angina Mendosa, and being very unwilling to be let blood under the tongue, first for fear of losse of time, I caused to give him a suppofitory; then after within [...]three houres I gave him a Cordial Diaphoretick, Gr. 8. of Aurum vitae, which he did sweat upon for three or almost four houres very plentifully, and was somewhat revived, and reasonable chearful, neverthelesse he still finding a great fulnesse of blood, entreated me to open a vein for him in the Arm, the which I did, and took from him, as I conceived, ten ounces of blood, he being of a full able body, and about twenty yeeres of age, and without any more medicines, or time of complaint, by Gods mercy, he came to his perfect health again the second day from the beginning of his desease.
And I may truly to Gods glory affirm, that in this yeere, 1638, I have cured very many of Feavours, with also complaints of swellings in their throats, meerly by that Diaphoretick of Gold, of my own practice, called Aurum vitae, and that with onely one dose given, and no more, and the parties became thereby perfectly whole the very next day, without the taking any other Medicine, and by the same medicine, and onely by the once giving, I also have healed very many of the Plague in one day, whereof some had risings of tumours, which by their once sweating, spent without further care.
Outward Medicines for the asswaging of the pains of the Head, in the sick of the Plague.
TAke good Unguentum Populeon, and anoiut the Temples, and forehead therewith, it is good against the Head-ache, or oyl of liquid Mace, the Temples anointed therewith, or oyl of nutmegs, pressed from the Nutmeg, or a great turnip roasted in the imbers, and cut through the middest, and very warm applied to the temples, taketh away the paines of the head.
Also a piece of red rose cake laid on a pewter dish, and set on a chafing dish, with a small fire, and then bedewed with wine vineger, and a little Nutmeg grated and strewed thereon, and so applied to the forehead and temples, asswageth the pain thereof very well, being (as aforesaid) artificially prepared and fitly applyed.
Of the [...]ea [...] Archa [...]gel. Likewise, in the Country where these things cannot be had, there is an herb called Archangel, partly like a Nettle, of no good smell, by some called a dead Nettle; the same being beaten soft and thick, applyed cold to the forr-head or place grieved, asswageth the pain thereof very strangely.
[Page 364] The dangerous using of Opi- [...]um. Also Ladanum, graines 4. but rather 3 graines only, be not too bold with this medicine, nor any other opiats whatsoever in the disease of the Plague, and when you use them, do it with advice, and onely in extremities of unsufferable pain: For that medicine will do the deed, and safely, if the Surgeon be discreet, and not too bold therewith, which if he be, he loseth his Patient, yea, I had almost said, he killeth his Patient,
A preservative for the poor, and a good Cordial.
℞Crocious, f. 193. BAyberries, the husks being taken away, the quantity of a drachme, or the weight of nine pence, either grate them to powder, or beat them, and take the same powder in stale beer, stale Ale, or in white wine, and go to bed, and strive to sweat therewith, andPreservatives. that fully; it provoketh sweat well, and thereby cureth the disease, and may be taken again and again, three or four times, if occasion be, for it is a true Cordial against th Plague.
True oyl of Amber beads is also excellent for the preserving from the Plague, three or four drops taken fasting, dropped upon a piece of Bread, or in any drink, and for the curing of the Plague, twelve drops at once taken.
Also Beer of the infusion of Wormwood, and Rue is very good, and to eat of the herb Sorrel, or of Wormwood, is likewise good to preserve from the Plague, and also used in sawce, it is very good and cordial.
Also the outlandish Angelica rootes are very good chewed in the mouth, and so kept in the mouth a small root thereof, for the preserving from the infection of the Plague.
Of outward Medicines to be cured in the curing of the Symptomes of this Disease, to draw forward a Bubo, or Carbuncle.
By living fowls. IN the beginning of the comming forth of a Bubo or Carbuncle, take a Cock, a Hen, a Pigeon, or a Chicken alive, pull it bare about the rumpe, and vent, then strew a little salt thin upon the Botch, then bind the Birds legs and wings as easily as may be, and let her sit thereon, I mean the Botch, until she dye; then let her be buried, and take another, and use her as the former, untill three or four be killed thereon; and it hath been by experience found, that when all the venome is drawn out, the last bird will live, if it be not hurt by plucking or binding; which done, then apply some attractive remedie to [Page] draw it forward; in which cupping▪glasses, with and without scarification, as occasion shall require, are convenient and good to bring forward a Bubo.
By Horse-leeches And Horse-leeches are also very good to be set on the place; and if the Leeches will take, it is a good sign of health: for which purpose, if you wet the Botch with a little fair water and Sugar warmed, and somewhat wiped off again, they will take the better.
By Pigeons dung prepared. Also Pigeons dung warmed, and made into a Cataplasme or Poultis, with a little Swines Fat and Turpentine mixed, and very warm applyed twice a day, or Hens dung in the like manner prepared, are very good attractive Medicines, in that disease.
By live Fishes applyed. Paracelsus much commendeth the application of any like Fish to a Bubo, for the drawing out the venom, the Fish being living, then suddenly slit open, and put to the Bubo, where it may be had, as namely, either a Tench, a Carpe, Pike, Roche, or Peach, three or four Fishes one after another, each kept three or four hours on the place; and afterwards some good attractive Cataplasme applyed thereunto, as namely, one of the hearb Scabious.
A good Emplaster for the first, to ripen and to break a Bubo.
Receits of Emplast. to be applyed. TAke Figgs and Raisins stoned, of each ℥. ii. Sal Niter ʒ. iij. soure Leaven ℥. iii. Honey ℥. i, with Oyl of Camomile ℥. iii. and of Milk vi. ℥. make these into an Emplaster; then spread it thick, warm it, and apply it to the Botch or Carbuncle, it is a singular good attractive.
Another more forcible drawing Medicine, to draw out a Bubo or Carbuncle.
TAke the hearb Crowes-foot, made into a Cataplasme or Poultis, onely by brusing it very soft with a Pestle in a Clout, and applying it, it is singular good to draw it forward; but it will draw forceably, and blister the skin: Also Mustard-seed and Pigeons dung well beaten together, with a little Swines fat mixed, and very warm applyed, do vehemently heat and attract forward a Botch or Carbuncle.
A Cataplasme for a Carbuncle, very milde, Anodine, and very effectual.
Receit of Cataplasmes. TAke Plantane leaves, or roots in want of leaves, a good quantity, shred them very small, then bruise them very well, and strain out the juice, and with crums of household leavened Bread, boyled in the [Page 366] aforesaid juice, or in the juice of Sorrel, is as good; make a Cataplasme thereof, adding in the boyling some Barrowes grease, and apply it very warm to the place, and shift it three or four times a day, it swageth mightily the pain, and draweth unto it and yet evaporateth the venome mightily: and the same doth the juice of Scabious done, or the herbe Scabious stamped and boyled in new milk with crums of Bread. Provided alwayes, that in the making up thereof, or of any suppurating Cataplasme, you forget not to put some fatnesse to it, as Oyl of Lillies, Camomile, or roses, or at the least Butter or Swines fat for a need: any one of these are good, and may serve; but the first is best, and so the next: and be ever sure to apply all Poulteses very warm.
Another Cataplasme to a Bubo.
Rec. OF the greater Comfrey hacked and beaten and boyled in Milk, with crums of Bread, to a Cataplasme; then add a little Butter and a few Pruines boyled therein, taking out their stones: the which Medicine doth speedily digest and suppurate a Bubo.
Anothnr attractive Medicine, to ripen a Botch.
Rec. A Great Onion, and having made a hole in the top thereof, and part of the Onion taken out and filled with Mithridate, or Treacle, and rosted in embers, let it be very warm applyed to the Botch, and use it in form of a Cataplasme, it is a very exceellent Anodine, swaging great pain, and proper for the disease, to draw forth the venemous humours, as also utterly to quench the maligne power thereof.
I will here conclude touching outward applications in the cure of the Plague, having at large elsewhere often recited, that concerning allThe conclusion of the Treatise. the accidents pertaining to that noysome disease of the Plague, as Buboes, Carbuncles, and Blains, that the Pestilential Fever being once removed, all those symptomes do heal far sooner then any other Boyles or Sores do: for the effecting whereof, the Reader hath in this Treatise many good soveraign Medicines, diverse of them of the Author his own long experience, whereon the Surgeon may rely, if God please to be merciful to the Patient, in adding his blessing to them: to the which end, let the Surgeon and the sick joyntly together, and each for himself, call upon God for a blessing upon the means, and doubtlesse he will hear, and have mercy: for in truth,
The Epilogue, or Conclusive part of this Treatise: Wherein the Author relateth, of his own sufficient experience, yet one Antidote more, for the whole Cure of the Plague; being a Cordial Pouder made of Gold, and by him called Aurum vitae; whereon, by Gods mercy, the Patient may rely, as upon a safe Antidote.
A Cordiall Antidote, called Aurum vitae.
THis Medicine, at one onely time given, taketh away the Pestilentiall Feaver, and thereby cureth the Plague, that the Patient is oftentimes well the next day, it being given upon the first day of the Patients complaint, with the observation of certain easie rules hereafter prescribed, concerning the order of administring thereof, and it is an easie and safe Medicine, insomuch that any infant, although it suck upon the mothers breasts, may safely take it, yea, and easily may be induced to receive it into the body, for that it is of a very small Dose, and is without any offence in taste or smell to any: also, it may safely be given to any woman that is great with childe, whereof divers trials have been had, with safetie and comfort.
The Dose of Aurum vitae. The dose or quantitie sufficient thereof for a man or woman to take at any one time, is but eight grains; and by that proportion, any discreet person may gather what may be given to any younger person: viz. A childe of two full yeares old, may safely take two grains; and a child at foure or five years old, may take three grains; and one about eight years old, may take foure grains; one of foureteen years, or thereabouts, may take fixe grains; and one of eighteen, nineteen, twentie years old, or more, may safely take the full of eight grains.
The effects of it. And note, that this Medicine performeth its operation onely by Sweat, which is the truest and safest way of the enterance upon that Cure (for the most part) and also it doth it without any moving the body either upwards or downwards; namely, it causeth no Vomits nor Stooles, neither is it at all nauseous to the stomach, nor any wayes causing extraordinary thirst nor faintnesse, as some, yea, and most of other Minerall Diaphoreticks doe: But, on the contrarie, the Patient, when his sweating is over, shall manifestly feele cherefulnesse, as being much refreshed thereby, with also an abatemant of his pains, and his Feaver will utterly be gone at the onely once taking thereof.
[Page 368] The order in administring of Aurum vitae. Neither shall the Patient need to be over-burthened with too many Clothes, to force him or her to sweat, for the Medicine of it self sufficiently performeth that duty; onely he may be ordered to have somewhat more to cover him, then the ordinary Coverings he usually lyeth under; and the Room likewise ought to be kept very warm, with a good fire therein, for that cold aire in time of sweating is obnoxtious and dangerous.
Of the continuance of its vertue. And further, this Medicine may be kept seven whole years, and longer, if be; for it being truly prepared of Gold, is permanent above other medicines, and it loseth not his vertue as vegetable Medicines do: but as Gold, that most excellent Mineral, excelleth all other Minerals in price and true value; even so doth the truely prepared Medicines thereof as far exceed all other Mineral Medicines in their vertues, as well in the preserving and defending mans body from diseases, as also in curing their infirmities, when by Gods permission they seize upon the bodies of men.
And whereas other Mineral Diaphoreticks commonly work two wayes at once, namely, both by Sweat, and also by Vomit, whereby they firecely distract the Patient, and produce fearful symptomes, as if Death it self were at hand, by the oppressing Nature in too violent expulsions at one time; yea, often times by a third, viz, by purging also downward. But this most truly safe and easie sweating [...]itnesse Hippocrates Lib. 21. Aphor. [...]. Quo natura vergit [...]d loca conferentia co ducere oporter. Medicine performeth as much as it promiseth pleasantly and without rigour, or nauseous offence, as well in the Plague, as also in other contagious diseases, where Nature striveth to thrust out her venemous enemy per poras cutis, or by the sweatholes; and that course of curing, is of all other the safest, in a contagious disease, at the first entrance, which then consisteth rather of poysonous vapours, then of putrifaction of humours; in which regard, the aforesaid course is safest: for it is a fearful course, yea, and a desperate one, to purge in the beginning of this most contagious disease.
For Agues or Fevers that are contagious▪ This Medicine is also approved good to be given in the beginning of any contagious Ague or Fever, hot or cold; and for the most part, it cureth it at once giving, whether it appear to be Tertian, Quartane, Quotidian, or intermittent Ague.
The course to be held in the taking of this Antidote.
FIrst, the Patient is to be demanded, if he had any stool that day,Nam mora trahit periculum. or the day before, and if yea, all is well, if otherwise, let him have onely a Suppository, that may move him once: and when he hath had one stool thereby, proceed without any delay to the administring of the Antidote, for delayes are dangerous. Wherefore, without any further protraction of time, goe on to take the antidote.
[Page 369] And the party that taketh it ought to lye in his warm bed, fitted with sufficient coverings, before he take it in, then let him take his medicine, either mixed with some cordial thing, as a little Mithridate, ture Treacle, conserve of Roses, or Quinces, or give it onely mixed with the pap of an apple, and so it is easiest taken in by infants, as I suppose, for it needs no addition at all, to add vertue to it, onely the addition chiefly serves, as a vehicle to carry the Medicine without wasting into the stomack, for that it is a powder small in quantity, and therefore subject to be wasted in taking.
Necessaries to be provided before the taking Also the party that is to take it, must have ready made before hand, an ordinary posset drink, of Ale and milk, to the quantity of a quart, very warm, and when he hath taken in his medicine, shortly after let him drink a reasonable full draught of his posset, well warmed, and then lying on the one side, let him be warm covered head, face and all, leaving full breathing scope, and so in Gods name let him lye still, and sweat gently, if he can bear it 3 or 4 hours, were best, and ever as he thristeth, let him freely take warm posset drink, which were best to be given him in some Cruet, or spout pot, that he take no aire, raising himself up in drinking, and when he hath performed his due sweating, let him be wiped dry, and shifted, aud then give the patient some warm broth.
And the next day he may by Gods mercy safely, as for himself, go abroad, but for the day of his sweating, let him keep within, and give him food competent, in a sparing quantity, such as is of a light digestion: and deny him not drink, so that it be somwhat warm at the fire.
Thus much for those which take the medicine within 24 hours of the first conplaint.
Item, unto such as the disease hath taken greater hold of, namely that before the receipt of the aforesaid medicine or Antidote, the patient have outward tumors, as Botches, Carbuncles, or Blains not yet broken, nor ripe, if he take the medicine as aforesaid, and sweat well upon it, the venome of the sores, shall through Gods mercy, be so evaporated by his sweating, that they shall decline of themselves, and not at all come forward, and if any after do break, as being formerly suppurated, before the medicine took place, they shall as ordinary boyles, easily and quickly heal, with every mean medicine.
Of two or three times taking if the disease require. And notwithstanding, generally, one sweating serveth, yet neverthelesse, if occasion be, the patient may safely take a second dose, or proportion, yea and a third without danger, as diverse have done; and so he may be the more confident of answerable successe, namely, of the full and safe recovery of his perfect health, by Gods mercy: neverthelesse, if he find his desire by the first, of reasonable health, let him not take a second, and if by a second, not a third.
[Page 370] When any person, desirous to take the benefit of the aforesaid medicine, having an Ague, or Fever, with paroxismes or fits, let him not take the medicine in the time of the fit, but one full hour before the fit, and rathermore, but if the Fever be continual, give it at any time in manner aforesaid, although the patient be in distemper, and burning, for if he take it, and his burning change into sweating, which the vertue of this Medicine usually produceth, the fear of death in the Patient, is half over.
And further of a truth I can affirm, that I have cured some by this last mentioned antidote, that had the pestilence, or spots of the Plague, vulgarly called Gods Tokens upon them, and are yet living witnesses.
And whereas our blessed Saviour, as appeareth in the Holy Scriptures, by a Parable declareth, that a certain man gave to sundry of his servants, Talents to trade or occupy with, to one more, to another lesse, and afterwards (as He might justly do) He exacted an account from each of them, highly blaming that servant who had not profited his Master by his Talent, but had hid it in the ground.
Also, in another place He sheweth his dislike of lighting a Candle and puting it under a bushel, advising us rather to put it on a Candlestick, that it may give light to others.
And further, we are commanded not to forget to do good, and to distribute, and that whilest we have time.
All which precepts, together considered, I esteemed it my duty (as commanded) to imploy my short talent of healing, which God hath lent me, to the utmost for his Glory, and the good of others; and for that reason, as in part I have thought fit here following to publish by testimony, what good the aforesaid antidote hath done already, onely in Westminster and Northampton, not accounting at all whom without testimony it hath healed, which hath bin very many, more then by testimony is fitting for me to produce.
THE Copy of a Certificate, concerning the Vertue of the last precedent Antidote, called Aurum vitae; from the Justices, Minister, and other the Officers of the Parish of S. Margarets Westminster, as it was by them presented to the Right Honourable, Henry Earl of Manchester, L. Privy Seal, &c. which by his Lordship was presented to the rest of the Lords of his Majesties most Honourable Privy Councel.
WEe the Inhabitants of the Parish of S. Margarets in Westminster, whose names are here under written, do most humbly certifie your Lordships, and that upon our own knowledge, that in this time of visitation of the Plague, Feavers, Agues, and other Diseases, which have been very grievous and great afflictions unto us: It pleased Almighty God, by the hands of one John Woodall, Chirurgion of the East-India Company, and of his Majesties Hospital of Saint Bartholomewes, in London, a learned, judiciall, and expert man, which said Iohn Woodall, about five weekes before Michaelmas last, delivered unto some of us, who were Officers in this said Parish, an Antidote composed in Pills, which he had made up, with direction how they should be administred to such as had the Plague, Feavers, Agues, or any such violent Diseases, that then remained amongst us; which said Pills have been imployed very carefully, according to his said directions, and administred to threescore several persons, some of this new Feavour, some of the small Poxe, some Agues, and some other Diseases, but most to them that were visited with the Plague, which had Risings, Sores, Carbuncles, Blaines, and were certainly known to have [Page 372] that fearful Disease, all which Persons recovered, and not one of all them that hath taken the said Pills, dyed, (thanks be given to Almighty God) neither can we do lesse, then publish the great skill, judgment, and charity of the said Iohn Woodall, by whose industry and care, this Antidote hath wrought so good effect, and did bestow them freely, without one penny of recompence for the same.
- Pet. Heywood.
- Robert White, sub-Curate.
- Thomas Mar. Richard Protter. Church Wardens.
Copia Vera.
- William Hawkins.
- Edward Martin.
- Tho. Kirke.
A Copy of a Certificate, from the Mayor and Justices of Northampton, with a further Reference to the Report of one M. Wyly, an experienced Surgeon of the said Town.
Villa Northhampton. WEe the Mayor and Justices within the said Town of Northampton, in the County of Northampton, whose names are here under written, do hereby certifie, that upon due examination and inquiry taken within this Liberty, we do find, that in the late Visitation of the Plague, Feavers, Agues, and other Diseases, which have been very grievous and heavy unto us: It pleased Almighty God, by the hands of one John Woodall, Chirurgion of the East-India Company, and of his Majesties Hospital of Saint Bartholomews in London, a learned, judicial, and expert man, besides others: Which said John Woodal sent in Summer last to one William Wyly, a Chirurgion in Northampton, an Antidote composed in Pills, which he had made up, with directions in Print how they should be administred to such as had the Plague, Fevers, Agues, or any such violent diseases, that then were violent in this Liberty; which said Pills were imployed to divers persons very carefully according to his directions, as we find, and administred; and that by means thereof divers recovered, and none of them dyed (thanks be to God) there: As by a Note of some particulars, under the hand of the said William Wyly may appear.
- Richard Fowler, Mayor.
- William Eollis.
- Francis Fisher.
The Copy of a Report of one M. Wyly, a Surgeon of Northampton, concerning the former Certificate.
WHereas about the beginning of July last, when our Town of Northampton was much visited with the Sicknesse, you sent me a Cordial Powder, of eight Grains to the Dose, for the Cure of the Plague, desiring from me an account of the operation thereof; I thought fit to signifie unto you, that I have found it exceeding good for the said Disease, farre above my expectation, having administred the said Powder to the parties hereunder named, and divers others, too long to recite.
And first, I gave it to one Symonds son, a Plummer, who was dangerously sick of the Plague, and by once taking of that powder, was perfectly cured.
His Mother presently after falling sick of the Plague, and in great danger, was cured by taking it twice.
Likewise to one Brownes daughter, her Father and Mother being dead of the Plague, and she her self dangerously sick, and prayed for in the Church, who by once taking of it was perfectly cured.
Also one Widow Allets Maid, her daughter being dead before of the Plague, and the Maid dangerously sick, by the taking of one Pill was cured and well the very next day.
Also I gave one Pill to a Boy of James Fairnes, and it cured him.
Likewise, I gave one Pill to one Good-Wife Jackson, a very old woman, and she was cured therewith.
Likewise, to one Brownes Wife I gave a Pill, and she was cured therewith.
[Page 375] Likewise, to a Child of one Taubots I gave a Pill, and he was cured therewith.
Likewise, I gave a Pill to one Mistris Huicksmans daughter, and she was well cured thereby.
And to a Maid of M. Hills, who had a putrid Feavour, and was cured thereby.
Likewise, to one Mistris Coopers son I gave one Pill, who was cured of the Plague thereby the very next day.
Likewise, to M. Smiths daughter, being very sick of the Plague twice, and was twice made well the next day following.
Likewise, to one Spooners daughter, being sick of the Plague, and she was made well the next day.
And to a Child of one Packwoods I gave a Pill, being sick of a putrid Feavour, who voided Worms of above half a yard long, and was cured.
To one Goody Smith, a Maulsters Wife, I gave two Pills, she being very sick of the Plague; by the first, she had a Swelling appeared; and the next day I gave her another of the same Pills, which provoked her again to sweat, whereupon the Swelling vanisht away, and she became thereby perfectly cured.
I could recite divers other Cures in like manner by your Powder performed, but for troubling you with tedious repetitions: Wherefore I will thus conclude in the commendations thereof; that I administred it unto many, and of all those I gave it unto, that either had the Plague, or any contagious or putrid Feavours, it cured them, and none that took it dyed under my Cure,
To the Reader.
IF the Reader perhaps, as by a former promise in part made at the first Edition of my Surgeons Mate, do expect a description of every the Cordials, Antidotes, and other the Compositions in the former, and also in [...] his last Edition mentioned; the Author desires to be excused for his omission therein, for that since that first Edition there hath been, by Authority of his Majestie, a publike Dispensatory put forth, called Pharmacopeia Londinensis, containing all such Medicines as the learned Doctors of the Colledge have selected, as fittest for their practises in London: in which learned Work, most of the Medicines by me in this Treatise mentioned, are to be found very truly and exactly set down the Compositions of them; to which, he is now, as necessitated, forced to refer the Reader: and yet in this Treatise the Author hath presumed to explain divers good Receipts. But the Work being on the sudden to say, (aut nunc aut nunquam) hasted to the Presse, there could be no alteration admitted, neither time for addition. But neverthelesse, for the prescribed Antidote, called Aurum Vitae, the Authour will be ready, whilest God permits him life, and as also he hopeth that his Posterity after him will not fail to prepare and have ready the said Antidote, for any person that shall please to make use of it, ready prepared, put up, and sealed, at such reasonable rates, as no private man can afford to make it so cheap, although he knew the Work: and so he taketh leave, committing the Benevolent Reader to Gods protection.
A TREATISE OF Gangrena, and Sphacelos: BUT Chiefly for the Amputating or Dismembring of any Member in the mortified part. Against the Doctrine of the most ancient Writers, being approved, safe, and good. According to the long Practice and Experience of John Woodal, Master in SURGERY, Surgeon of his Majesties Hospital of S. Bartholomewes, and Surgeon General to the East-India Company: But under benedicite (namely) as imploring and ascribing all the Honour and Praise unto God alone, for his favour and mercies, touching the salubrious effects thereof.
LONDON, Printed by J. L. for Nicholas Bourn, 1653.
A PREFACE TOUCHING The definition of Gangrena.
HAving in part ingaged my self by promise to my good Friends, before the Edition of this my work, to explain to the World, amongst other parts of Surgery, the manner of Amputating or cutting off, of putrid members, in the mortified part: I after considered with my self, that I could not properly proceed therein, except by the defining of a Gangrene, in the first place, because a Gangrene is ever the fore runner of a Sphacelus, and the material cause of Amputation, either in the general body of Man, or in any the particular parts thereof, and from the which, no Animal creature, no not Man himself can decline from.
For from the beginning, all men are constituted once to dye, and yet there is an interim for each man, of not being in health, neither really dead, but quafi moriens, vel semi mortuus, dying, or half dying. In the which i [...]terim, or intermission of time, a man may by an accident be said to be in such a distemper, as he may be gangrenated, or in a Gangrena, as the Artist tearms it, either in part, or in all; and yet by the permission of God, and by the help of Art, that supposed dying man, or member of man, may receive cure, and be hea [...]d again, although in mans judgment, not well versed in the mystery of healing, he be supposed to be at the gates of death: Even so a Gangrene, presaging a Sphacelus, may in some cases be cured, as daily experience sheweth, that divers Gangrenes receive cure; so that to conclude, a man that hath a Gangrene, in one or more parts of his body, untill it be taken away, that man is ev [...]r as it were, under the Shadow of Death.
Thus much briefly, by way of Preface, touching the Gangrene.
[Page] [Page 381] A Treatise of Gangrena.
A Definition of a Gangrene, and the several causes thereof
A Gangrene in his progresse, may justly be termed an effect destroying nature, and therefore against nature; it is a disease woful, painful, horrible, and fearful to man-kind, and justly so, for that it often endeth in Sphacelus, which is the destruction of the part affected, if not of the whole body.
Causes. The causes thereof are infinite for number; but to speak in brief, in one generall term for all, how the d [...]sease commeth first to invade m [...]ns body, it ever proceedeth ex intemperie, which is, of distemper, ever by force invading nature, this intemperies or distemper, may be said generally two wayes to be taken, either
Externally, or Internally.
Externally. It may be tearmed external, or from without, as well when it proceedeth by externall violence of the ayr, by thunder and lightning, or otherwise by the mighty and immediate hand of God, as it doth to many, or by feavours violent, contagious, or pestilential, as Anthrace, the small Pox or the like, whose secret causes with the reasons thereof, are hidden in God, and therefore [...]y mans wisdome are not to be found out, although some affirm, the Conjunction or Opposition of the Planets have power or give cause hereunto, according to the Poet, Astra regunt homines, sedregit Astra D [...]us: The Stars govern mans body, and God governeth the starres; or it proceedeth of outward violence, namely, sometime by mans hand, his [Page 382] intention or invention as by great wounds; whereof great hemorrage, and so as by a just consequent a Gangerne followeth, as also by a violent contusion given, either by violence of weapons, as by wounds made by Gun-shot, Swords, Speares, knives, &c. And oftentimes by obstructions in the blood, sometimes caused by stripes, &c. whereby fractures of bones, distortions of joynts, contusious, inflammations, Convulsions, great and sudden fears, and other distempers proceed, among which great accidents, Gangrena is to be feared will be one, and not the least, although it may be called one of the last, and it may also happen by the fall of a house, a tree, any weighty thing, yea, by a tyle, a stone, by the bite of any venemous Beast, of a Dog, and innumerable other accidents, according to Gods secret appointment or permission.
That may happen in a moment, that cannot be repaired in a year. And further a distemper may fall out to be a disease of the similar parts, deprived of their naturall and proper temperament, this deprivation1. What a distemper is. Simple distemper. Compound distemper. is caused two wayes; either by a simple distemper, by reason of the excesse of one quality, viz. of heat, cold, dry, or moisture; or by a compound distemper, by reason of the extuberance or over bearing of the two qualities together, hot and moist, hot and dry▪ cold and moist, and cold and dry: again a distemper is either a fault of the meer qualityPhlogosis. alone, viz. an inflammation, or it hath an adju [...]ct f [...]ult of the humours, as a Phlegmon; again many times a Gangrene proceedethPhlegmon. from a surfeir, or a distemper of fulnesse, or inanition which may proceedIntemperies. by starving, or recessus of dew nutriment to satisfie nature.
A second definition of a Gangrene.
Second definition of the Gangrene. A Gangrene is a beginning of putrefaction, being a dreadful Symptome of a disease in any member of the body, and sheweth it self for the most part by inflammation with great dolour, the grievedHow to know it. part often appearing of a sad, dusky, reddish colour or livid, though not alwaies, and being for the most part tumifieed or swollen, the pain being to the judgment of the Patient so intolerable, as if there were a fire-coal burning therein, or the like in effect. and for that reason the German Writers call this by the violent heat of the disease the Heisbrant, or the hot burning coal, for in truth a Gangrene is of a burning, sudden, fierce, destroying nature, and therefore against nature, being a disease dreadful to mankind, as is said, and justly so, for that it menaceth to the part affected, if not to the whole body, eminent destruction, yea, death it self, except speedy remedy by Gods mercy be at hand.
The causes of this disease, as aforesaid, are many, for number whereofThe causes of Gangrene. I will set down but part, viz. It may proceed either from great hemorrage mentioned, that is, exceeding effusion of blood and spirits, or by a distemper of the four humours, proceeding either by
- [Page 383]Repletion,
- or Inanition.
Or by extream erosion or corrosion of caustick Medicines or corrosive humours. By imbecillity of nature, as by weaknesse of infants and old age, by a venemous and poysoned blood, as in contagious times, and namely when the small Pox or Plague reigneth,Small Pox or Plague may pr [...] duc [...] Gangrena's. causing sudden putrefaction of humours: also it may proceed by great burnings and scaldings, by over-much hunger and thirst, by the pricking of a nerve or of nerves, by a Feavour precedent, by a Frost, and also by extream cold; by the bitings of venemous Beasts, or Wormes, or mad Dogs; by want of good concoction or humours, by obstructions of, or from any the principall members of the body, as the Heart, Brain or Liver, causing Convulsions, Palsies, Dropsies, Scorbutes or the like, which oft-times termine in Gangrena, and after a further time they conclude in Sphacelus.
Also Gangrenes proceed by great inc [...]sed wounds, and namely, amongst other wounds, contused wounds, chiefly I mean those of Gunshot, also sometimes by fractures and dislocations, also by Fistulaes and inveterate Ulcers, by unreasonable stripes; as with a Buls Pisle, or a thong cut from an Elephants skin, much used for correction in Poland, Hungary, and the Turkish Dominions, finally from all interceptions, intersections or interruptions of the spirits, what, or wheresoever may produce a Gangrena.
De Gangrena, A third Definition gathered from learned Authours.
The third Definition of Gangrena. A Gangrene is a partial mortification of a member, commonly by reason of a phlegmon, it may be said to be partial in that the part affected, so long as the member is not throughly dead, but hath in it self still a sense and feeling of pain, and therefore not altogether desperate, although yet it be tending to mortification, and so unlesse there be some sudden help in the staying thereof, it will soon turn to a total and perfect mortification, after which it may no more be tearmed a Gangrene, but is called of the Grecians (Sphacelus) [...], because of the extinction ofSphacelus. the natural heat therein, and of the Latines it is called (Sideratio) Sideratio. a totall and perfect putrefaction, and moreover of the later Writers (Esthiomenon) in that it is so sudden piercing and penetrating untoEsthiomenon. the bone, and doth as it were overcome the whole man, so as again it may be concluded, that the difference between a Gangrene and Sphacelus, as is said, is; a Gangrene is truly tearmed an unperfectDif. in Gang. & Sphacel. mortification in the fleshy parts onely, but Sphacelus is a perfect and total privation of sense, being a mortification, [Page 384] not only of the fleshy parts, but also of the nervous parts, even unto the very bone, yea, and of the bone it self also. The causes of a Gangrene Causx Gangr. by some learned Writers are reduced to three; the first, is when as a member cannot receive the vital spirits proper or natural due to it from the heart by the Arteries, by reason of a dissolution in the mixture or harmony of the member, caused externally by extreame frigidity, as sometimes it chanceth to be in a very cold and sharp Winter, also by the inconsiderate and too too immoderate and rash refrigeration of a Phlegmon, as also extreame calidity, as by scalding Liquor, or through some poysonous disposition in nature, invested in the parts affected, all or any of which do or may sufficiently extinguish the natural heat thereof; if wholesome remedies in time be not applyed, a Gangrene may justly be expected to follow.
Another cause is, when as the vitall spirits in any member are obstructed, suffocated, and finally extinguished, by reason of some obdurate, schirrous hardnesse and constipation of the Veines, arteries or pores of the skin, as in venemous or pestilential Apostumes or Carbuncles is often seen, so that little or none of the venemous matter conteined in the Apostume or venemous tumour, can be digested or receive discussion, nor be brought to suppuration by apt Medicines, whereby Nature being above her strength oppressed, and Art not sufficiently succouring, a Gangrene is produced.
Another cause may be by extreame strong ligature, through the indiscretion of unworthily termed Artists, or of unexpert Artists, as too often is manifest, and sometimes by compressions, or other interceptions of blood or spirits, by which the vital spirits should be transported to the member grieved.
The signes of a Gangrene, are these; an extinction of the livelySign of Gangr. colour which was in the precedent Phlegmon, grievous pain and continual pulsation in the diseased part, apparent by the Arteries, being at the first very sensible, but afterwards declining their due force, the part agrieved seeming for the most part, in colour to be blackish, blewish, or of a duskie or livid colour, yea, sometime putrid, and being opened, a filthy Ichor and of an unsavoury smell proceeding from it. Thus much of the signs.
Of the Cure of Gangrena.
Cure. TO the performance of the cure of this disease, there must be 1 first a due consideration had of the cause. Secondly, of the 2 part affected. Thirdly, of the fitting apt remedies for the 3 Cure, and how to proceed in the curing that disease, and of the [Page 385] Symptomes thereof; and lastly, of the removing the cause, which if 4 that may be effected, health doubtlesse will follow, according to that Axiome of the Philosopher, Abla [...]a causa, tollitur effectus; but that must be expected in his due time, in which there must be first considered,What to be considered in the cure of a Gangrene. Diet to be used for a Gangrene. whether the disease proceed of repletion, and if so, then a general evacuation with a cooling and spare dyet must be prescribed the Patient: Viz. Water, with the milk of Almonds, and thin brothes with cooling herbs, as Lactuca, Spinachia, Portulaca, Sorr [...]l, or the like; as also advising with the learned Physician, where time and place serveth: Barley waters also are good, and the sick must be forbidden all wine and strong drink, and must be contented with posset-drink, Barley water, and small Beer: it were also fitting that there were prescribed to the patient some preparative medicaments, as these, Syrup. Acetos. Preparatives necessa [...]y. Simp. Syrup. Endiviae, Syrup. Citri, Violar. any of these mixed with waters as may be convenient in such a disease, and after these preparatives, may be used such purgatives as may purge and cleanse the blood, viz. Confect. Hamech. Caria costrirum, Diacatholicon, Cassia fistula, or some one of them, being according to Art performed.
Phlebotomy usefull. And if you perceive further occasion, you may reiterate the use of any of them: and further, you may not omit the use of Phlebotomy, scarrification and application of Ventoses, Leeches or Vesicatories upon or nigh the part affected, and according to the Patient his strength, let him blood moderately: and observe, that in scarrification regard is to be had, concerning the gangrenated part, whether it penetrate or be superficial, and so accordingly is scarrification to be used: as for the application of Leeches, it may be done upon any part thereto adjoyning, or upon the part affected it self: and further note, that if a Gangrene follow a contusion, for the most part it proceeds either by the vehemency of the contusion, whereby eruption of the capillar veins, yea, and the larger veins also, blood is forced into the Muscles confusedly, as by the Echymosis may appear of the evil disposition of the Patient; or it may also proceed for want of a Surgeon to apply fit and artificial applications in due time: not seldome, under favour, by overhard ligature.
But if the Gangrene appear to have proceeded by inanition, that case is pitiful, and the cure very doubtful; but neverthelesse, where it so falleth out, all nutritive and comfortative remedies are to be appointed, as namely, if it proceed of cold either in frost, or by want of due and sufficient food, consideration is to be had by adding warmth of food and rayment, with cordial and comfortive remedies: also the Artist must truly inform himself, whether this disease be a Gangrene, or a Sphacelus, whether a partial or a total privation and mortification, with the utter losse of the sense of the fleshy and nervous parts; and if he find sense in the parts, there is life and hope.
Rulis to be observed if the Gangrene is caused by venomous diseases. But suppose a Gangrene proceeds of a venomous cause, as many times it doth, and namely, in time of contagion, as of Carbuncles in the Plague, the small Pox, or by other malignant Feavers, when as the Artist may neither purge his Patient, nor open a vein safely, but with [Page 386] fear, except he may be well warranted, either by good and grave advice of the expert, where such may be had; in want of which, the Artist ought to search by authority of the most ancient Writers, that he can come at, for the avoiding of the eminent danger of death, to ensue upon his Patient, and to go warily in the want of better advice:What to be observed if it be caused by fulness [...]. viz. If the grief proceed of fulnesse, which seldome it doth at Sea, or in Camps, then his first rule in Art must be, as is said, that a thin dyet and cooling be prescribed his Patient, and that he be admitted no wine nor strong drink: also that he may be appointed some cooling Julep to be made him, namely, if the Patient be in Ship or Camp, he is there confined and constrained to the Surgeons Chest, and then let the Surgeon examine his provisions; and if he find he have any cooling waters and Syrups fitting thereunto, he may proceed to take as followeth:
A receit to be administred to the Gangrenated. ℞. Aq. Lactuc. Acetos. Endiviae, Buglos, Borag. Frag. Plantag. Lujulae. or some one or more of the most fitting aforesaid waters, viz.
℞. Aq. Lujula, 2 l. Syr. Limon. vel Violar. ℥. ij. Ol. Vuri [...]l. gut. 12.The Dose of it. Misce, give the Patient every two or three hours, two or three spoonfuls hereof, the glasse being ever shaken when it is poured out; and if he hath not been at stool that day in which he is to take the Julep, you may give him a Supposi [...]ory: and having had one stool, give him aThe Receit of a Diaphoretick. Diaphoretick, viz. ℞. Aurum vitae gr. 8. or Mithridat. ʒ. 1. Elect. de Ovo, ℈ 1. Confect. Alcherm. ℈ ss. Ol. Vitriol. gut. 4. in Aq. Borag. Lujulae Acetes. vel Buglos. viz. of any one of these, ℥ 4. with Syr. Limon. Citri. Lujulae. The order of the applying of it. Violar. or some of them, Misce, fiat haustus, give it the Patient being laid warm in bed, and cover him warm, and provoke him to sweat gently; and as you find his strength, continue his sweating for an hour, two hours or more: which done, keep him in a moysture one other hour at the least; which ended, let him cool and dry paulatim, and warily, and having so done and refreshed himself, till four or five hours ended, then you may, if you see cause, give him the like Cordial again, and proceed again as before, to sweat him the second time, and give him 8. grains of Aurum vitae [...]or a Diaphoretick: which done, you may then admit him rest and respite again for a fitting time, wherein you may advise what further is requ [...]site to be done, in which time, not omitting in any case, both before his laying down to sweat and after, as also betwixt his sweating, ever to apply all fitting topical helps, viz. by scarifications and hot fomentations of some good lixivium, such as aftrr the taking off members in the mortified place, hereafter are described. Thus much in brief of the Gangrena.
A Definition of Sphacelus, and the cure thereof from some ancient Writers, to shew the Reader their opinions and judgments thereof, for that some Artists have grounded their judgments, that their relations are according to good practice; and therefore are to be imitated.
A Sphacelus, saith Falopius, and likewise Fabritius, is an affect of a part already utterly mortified, and therefore not to be cured but by amputation, that the whole body come not to corruption thereby,Extremum genus morbi requirit extrema remedia. and this abscission is not done without great danger of death: for often, even in the instant act of amputation, the Patient dyeth by the profusion of blood and spirits, wherefore the strength of the sick is to be considered: and Cornelius Celsus alledgeth, Cap. 25.The opinion of Celsus concerning Sphacelus. lib. 5. that in his time they used to take off the Sphacelated member, by cutting the flesh round about unto the bone, in the whole part, near the rotten or sphacelated part, and cutting ever in the live flesh, not leaving any of the mortified flesh untaken away; further Celsus (sayAnother way of amputation. they) doth admonish us in this work, that the skin and also the flesh, be brought and drawn upwards, that the bone may be the better covered by some of the said part, in the healing of the stump; but the same Authour confesseth also, that by such abscission causing exceeding pain, with over-large effusion of blood and spirits, death usually followeth: therefore to avoid hemorrage, they must presently use actual Cauteries to burn the parts adjacent, in which may be conjectured, how cruel that course is to the Patient, and uncomfortable; and prepare the upper part thick enough, to be a firm cover to the vessels.
But after himself not approving that course, he saith, that he took another way of curing, which as he said, happily succeeded; by which work no profusion of blood hapned, because no blood floweth from a mortified part, neither is grief moved therein; but lest the corruption should spread it self further, (saith the said Authour) I burned the putrefied part, remaining every where with red-hot Irons, that were heavy and well burnt, untill the Patient did feel the heat of the fire, and that he suffered some small pain; and the rather they did it, they write, because the same operation is very profitable, and therefore burned ever some of the sound flesh also, because the putrefaction is best to be drawn out by a red-hot Iron, as I suppose, saith he, which is apparent to the eye, for the humours are apparently seen to boyl about the Iron; and likewise the weaknesse of the parts considered by burning, it is fortified, the adjacent parts being freed from many noxious humours thereby, so that the weak part receiveth strength, and within a few dayes begins to separate the living from the dead part, and [Page 388] so afterwards the dead part falls off, and the living part is conserved. And this manner in my judgment, saith Fabritius, is best; but this Authour conceiveth Fabritius to be but a relater, not a true practiser of the aforesaid course in amputation, for that that work is so terrible and cruel neverthelesse.
In this recited Chapter you have the opinions of some of the ancientThe way of amputation made better by experien [...]. and learned Writers touching Sphacelated members, and the manner of the amputation of those times, since which the Art hath been (by Gods favour) very much illustrated, so that where the complaint formerly was, that by reason of great hemorrage, namely, the large effusion of blood and spirits in the work of their amputations, many of their Patients perished under the Surgeons hands in the very act of amputation: I may to Gods glory, and so justly do I affirm for a truth, that for the space of near 24 years I have been a Surgeon in the Hospital of Saint Bartholomews, where I have taken off, and holpen to take off many more then one hundred of legs and arms, besides very many hands, and fingers; amongst all which, not one of them all hath dyed in the time of their dismembering, nor afterwards, through the exceeding effusion of blood, in the operation, that ever I could gather or conceive: and furthermore, I affirm, that not above four of each twenty dismembred, but lived to have been healed, and have been delivered whole out of the Hospital, notwithstanding whatsoever their diseases have been, and for that horrid cruel course mentioned by the aforesaid recited Ancients, of burning the ends of the stumps in the the tender, living, and most sensible parts, since I have known the Art of Surgery, which hath been by the space of 50 years, that I have used it, I never saw it used by any in England, nor elsewhere; and yet I will not deny but the best Artist that is, in the first work of amputation, or in the second dressing of the Patient after amputation, may be so put to it, that if he provide not himself of a cauterizing button, he may heartily wish he had had a small button ready, for fear of the losse of his Patient, upon an unexpected flux; and howsoever, it is a good Art, and safe to my knowledge, both for the Patient and Surgeon, and but fitting for him, so to be provided for fear of need: onely I advise it to be privately absconded for the reputation sake. Thus much of the manner of amputation from the Ancients. This precedent D [...]finition I have takes out of some of the ancient Authours, from their own words verbatim, that the Reader may consider how far it differeth from the scope hereafter to be handled.
An Introduction to amputation, but chiefly for the mortified place.
LOving Reader, the general opinion of the most ancient, as also of the modern Writers, yea, and of the best Artists with us, at this present living, as farre as I can gather or conceive, is, that the fafest and best way for the cure of sphacelated or putrid dead members, is to amputate them in the sound part, and not in the putrid; and their general reasons are, to prevent that none of the putrid, venemous or gangrenated blood, or spirits should remain untaken away,Ense recidendum est, ne pars sincera trahatur. for fear it should infect the sound, and so consequently confound the whole masse of the blood and spirits, and to conclude, kill the whole body; but the horrid pain the patient thereby susteineth, with also the great uncertainty of his life, after his extream sufferings, caused me ever to mislike my own works therein, yea, although the successe, for the most part, was answerable to my desire.
And I further confesse, tradition tooke place with me in the Hospital of S. Bartholomews, in part, where I was, as is said, a Surgeon, for many years, yea, and that in my whole practice there, as also with the rest of the Surgeons, my partners, untill after, reading someFrustrà fit per plura, quod fieri potest per pauciora. ancient Authors, I conceived; that I might in some cases save a mans life, by amputating in the sphacelated part: notwith standing the general vate and tenent aforesaid, to the contrary; whereupon by accident, about the year 1617. having a fit Patient, which had a mortified leg, and was as feeble and weak, as possible a living creature might, be insomuch I was of opinion, upon the first view of him, that Natures third was at hand spun out in him, so that it was even sinne and pitty for me to hinder natures course, or to shorten her course, in hasting it with violent Art, and namely by dismembring him in the whole part, who had not blood and spirits in such a case, according to the word, to keep life and soul together, but by consequent, he must dye in the very act; and therefore I confesse, I intended the Patient should dye by Nature, rather then to be killed by Art, ever esteeming it a great sin to take away a limb from any creature, but with some good hope thereby to preserve his life: But again considering Christian duty, and that I was tyed to do my best, to preserve life, to the utmost in my power, I conceived there might be peradventure yet some small hope of life, if I could without pain to the weak Patient, or losse of blood, ridde away his rotten member; so I in short concluded to take it off in the dead place, which as all men may conceive, I without pain quickly effected, and by Gods mercy, the next day, I found [Page 390] that my poor Patient, after the loathsome stinck of his putrid limb was removed from him, he began to chear up, and so after, from day to day was refreshed more and more, and nature as it were rejoyced, even as a tree refresheth after the dead boughs are pruned off, so my poor Patient grew more and more lusty and chearful; and to conclude, in the space of 10. weekes, he was perfectly healed, and being then sound and lusty, gave thanks to the Governour of the Hospital, in full payment of his cure, and so departed from the Hospital upon a leg of wood, he then being fair and fat, and very formal; the which blessing of health to the poor man, and light of knowledge, by that experience to me, did put me in mind of my duty in just thankfulnesse to God, and also it animated me further to proceed in the like practice upon many others, which since that time, I have with good successe, to Gods glory, in the same manner well healed; I then also began with my self to consider, and as it were to question the reason, why this latter Age of ours, consisting of more pregnant wits then former Ages, and that by good reason their judgments should in Art farre exceed the former, as having had the experience, light, knowledge, and examples from all the precedent Ages; I say, I wondred they should so clean have lost, or omitted and passed by so worthy a work of practice as the aforesaid was, it being of such good consequence in a Common-wealth, and to let dye in oblivion, yea, and not only so, but also to brand it with pittiful inhibitions, and conjectured slanders, and unfeasablenesse, for I cannot see how any man can justly averre a rule, to be so punctual, or so generally absolute, that it may admit no exception, for even this so ancient and great a rule, I hope the Reader will acknowledge is confuted, or anon will fully be by apparent practice, and common experience, (as namely) one way, if the Reader do but call to mind the workes of Gale, a late worthy Writer, he may find that he affirmes, and by sound arguments well maintaines, that wounds made by Gun-shot were not venemous, as divers ancient Writers formerly had affirmed; and if so, how stands it then, that the amputation of sphacelated members, proceeding by Wounds made with Gun-shot, not venemous, that the amputation of such performed in the wounded or mortified parts, should of themselves be so poysonous or venemous, that the whole body should suffer thereby? but I suppose one should affirm it were so, yet the contrary by true, and yet visible practice, is apparent, and to be proved, yea, and further by good practice, amputation in the mortified part, is experienced to be good practice in more venemous cases, then inFor example. Gun-shot: for my self dismembred a young man of a leg, in the putrid part, the mortification proceeding by a violent pestilential Feavour, which many justly deemed to be venemous, far beyond a wound made by Gun-shot, yea, even venemous in the highest degree, and yet that legge being so taken off, the venemous disposition thereof did cease, and did not offend at all, but the Patient was quickly healed, and if the case be cleared by experience, that the venome from a mortified member, in the Plague; returneth not to hurt the Body, though [Page 391] such a member be abscissed in the mortified part, in case of the Plague, how then can it well stand, that the aforesaid general rule holds true, ‘Ense recidendum est, ne pars sincera trahatur?’
And yet further I desire to instance to the Reader, a case that will, as I conceive, satisfie him fully; but if not all men, yet at the least, every understanding Artist, that mortified flesh left on upon amputation, or otherwise let remain, without amputating, untill nature being strong of her self, have cast it off, doth no way indanger the life ofMortified flesh not presently h [...]z [...]ding the life of the Patient. the Patient, no not in the least, and this is very familiarly known, and daily almost observed, or may be observed to be, and that it doth not at all prejudice that which is sound, the which may be often seen in poor people, men, women and children, but most commonly in poor children, who by Gangrenes upon their toes, whole feet, fingers, and hands, yea, and on their legges, and arms, proceeding of cold, or by weaknesse of nature, where sustenance, dyet, and natural warmth is wanting, doth no way overthrow the body, for that the said parties of indigent and poor being, brought into an Hospital in London or elsewhere, where that there is no need of competent food, and warmth, nature of her self being holpen by the onely administration of food and warmth, with small, or sometimes no help of Art at all, Nature doth of her self exfoliate▪ and cast off the part putrid, from the whole part, by a separation in Nature, without offending or indangering the parts thereunto adjacent at all.
And I my self may truly say, have from more then a hundred persons, cut off from some a legge, yea, both the legges, a hand, a foot, a toe or toes, an arm, a finger, &c. of such rotten members, being all dismembred in the rotten part, of which not one hath dyed in the cure, neither hath the mortification spread it self any further at all, many of which, if occasion were, I could produce, at this time of penning this relation, I dare affirm twenty for living witnesses, and also I have had sometimes old folkes, and young children, which onely by weaknesse, and for want of food competent, deficiency in nature, as aforesaid, their limbs have gangrenated, and some of these, if no help had bin at hand, would have fallen off, yea, and of some my self have pinched off fingers, and sawed asunder the greater bones, when all the flesh was by nature separated, rotted, and fallen away of it self, and yet that rotten, stincking, or cadaverous part, did no way infect the sound, otherwise then by the stinck, and the truth hereof each Artist in practice may not deny, and can fairly witnesse; then if granted, away with the conjectural supposition, that the sphacelated part hath any property active, or faculty in it self, to corrupt otherwise then each other cadaverous thing hath, namely, by his Fetour, in want of being removed, it may noysomly be offensive, but not to the height, as to kill the Patient: And yet I will believe per contra, that neither the one nor the other way of amputation, no not with all the art of man can save from the grave, by any amputation in [Page 392] some cases, which, although by all men must be granted, yet the practice of amputating in the putrid part must be held good: as for example, which I trouble your patience with, about 14. yeares past, there was a Minister, named M. Poston, a Reader in the Chappel ofFor example. Suttons Hospital, in London, who had a corn upon one of his little toes, that troubled him, he being otherwise at that time in perfect health, and himself at evening going to bed, pared the said corn with his penknife, that it bled a little, as he himself said, but within a few houres after, his toe pained him very much, and grew to be inflamed; in the morning his foot was wholly discoloured, and gangrenated, and the Patient, with the violent fiercencsse of a sudden Feaver, by the pain then upon him, was wholly distracted, and in a delirium, which continued till the next day at night, and then he dyed: and this man was immediately before that accident, a man in perfect health, and of an extraordinary great strength of body, yea, and wanted not the learned advice of the Physician; onely he had a full corpulent body, and was a very large feeder; so that to such a patient, so fiercely visited, I cannot conceive how any amputation, of what sort soever, could have succoured to have saved his life, for that in my opinion, the whole masse of the blood and spirits, were tainted and subjugated by an exceeding fear, before help could take place: many other reasons I have elsewhere instanced of impossibilities, or unfitnesse in my judgement to injoyn any Artist to observe any one particular way, course or order of amputation, for that the occasions of the Gangrenes, so much do differ, onely as elsewhere is recited for the facility thereof, and for the saving of blood and spirits, I have thought fit to commend to your consideration this new method, as to the discretion of the Artist shall be esteemed fit.
Also I have observed, that in surfeited delicate bodies of great personages, such as are over-pomper'd with pleasure, ease, and fulnesse, if by any way or accidents such happen to have a Gangrene, seldome one of them escapeth death, especially if they be ancient, and have the dropsie, or Scorbute, and on the contrary, amongst those which are weak, poor, indigent and miserable people, which have bin by long continued ulcers, fistulaes, or other grievous maladies spent to extream weaknesse, although seeming half dead before the work begin, scarce two of ten dye amongst them, upon amputation, if the work be judiciously, and in a fit way and time performed; for I by practice have often observed, that where an infirmity hath pulled down a Patient low, and almost past hope of recovery, especially if the disease proceeded by any outward violence, that such bodies have bin by my experience found to be generally most hopeful of recovery, either by amputation in the one or the other kind, as the occasion will most fittest bear; and on the contrary, persons that are to be dismembred in full strength, if it be to be acted in the sound part, bear a far greater venture of their lives, then the miserable dejected wretches do, as aforesaid, except it can be effected in the putrid part.
[Page 393] And one observation more, to be by all men had in regard; namely, that our God in Naturehath created in mans body such a strong antipathie betwixt the living and the dead parts thereof, that when by any violence in Nature, either by distemperature from within, testified by Feavours Pestilential, or others, or by the outward violence of Engines of Warre, or other incident mischances, as by Fractures, Contusions, &c. whereby one part or limb of mans body becommeth sphacelated and dead before the other▪ it is manifest, that the living parts do as it were, either in fear or disdain of the dead parts, or for some other secret cause in Nature, (though not without great pain and grief) notably withdraw themselves each from the other, as in disdain, leaving neither warmth, not at all any comfort, motion, nor sense, either by blood or spirits, or ought else moving in the dead Veines, Nerves, nor Arteries, neither any sense in the Periostcon, that sensible Panicle that covereth the bones; but as by a comparison of a Snail may in part be explained, they wholly withdraw themselves: for the Snail having, by the vertue of natural warmth, stretched her self out of her shell, either for her necessity, nourishment, or delight, in a moment apprehending cold, or danger, retyres into her shell, and with all her force, by her own slime, shuts her self close up again, and so rests her self in a supposed safety, with her no doubt content; even so all the living instruments, faculties, or vessels of Nature, as in a nauseous disdain, contempt, or fear of the dead parts, forsake the sphacelated parts, and leave them utterly desperate and impotent, and by vertue of the Radical Balsam of Nature contracts and shrowds her relict living parts, as Artists may judge by the mortified toes of children; but much the better, where Art is at hand to aid Nature, so that thereby the dead parts become as a noysome and heavy burthen to the living parts: so as if you wound the sphacelated part, it is not onely senselesse, but also it is without blood or spirits at all, neither doth blood or humours run any more, nor so much as move in the sphacelated or putrid Veines at all; and whilest lively Nature is (as aforesaid) shutting her dead enemy out of her living doores, by stopping up all the breaches, that she may hold the relict of her own, if animal Art have not the charity to take her dead enemy from her: yet vital agility, assisted by natural motion and will, in his due time doth efficiate what fairly can be expected, for the assisting of Nature, and supplying all defects proceeding ex intemperie; all which excellent offices in Nature, no question, proceed de praesciencia Dei.
Here followeth a brief relation of amputation, or of dismembring in general; but more particularly, being for the taking off of members in the rotten or mortified places; which ha [...]h in many cases been approved by the Authour thereof, by his own long experience.
FOr brevity sake, in this place, I will not spend time to write of the general diseases, causes, or reasons, that might urge the amputation of any member, having elsewhere written somewhat thereof; onely my intent, for the present, is to aquaint the younger sort with my long experienced practice, for the manner of dismembring in a mortified part, where just cause is offered: having undertakeen it meerly for the publique good, by informing the younger sort of Surgeons, as well for their incouragements in the safe and warrantable putting in practice my pactical Method therein, as also to shew and fore warn them from being over-much mis-led, in the insisting upon old errours and traditions of their Masters, Patrons, and Predecessours, too punctually; As for example:
A Chirurgical [...]ase put betwixt two Surgeons. Suppose the younger Surgeon in consultation with his Friend or Brother Surgeon, by way of asking advice, should put the case and say; I have a Patient that hath the toes of his feet putrefied, fistulated, and many wayes perforated with foul bones therein, so that it is unsound even almost to the joynts of the ankle, or the like, and I have endeavoured by Art, and with advice the best I can, to heal him, and cannot prevail in the Cure: Wherefore, since the toes of the foot cannot be cured, the rest of the foot, as unprofitable, were, as I suppose, best to be taken away, and no lesse of the legge also; for it will be but a hinderance to the Patient, considering that he cannot stand thereon, and is full of grievous pain; I will therefore conclude, according to custome, to take all off a little below the Gartering place, leaving a fit room for the stilt, to rest the body upon: The which his said friend admitteth of, as good practice; and so he proceedeth to the work, as being a rational and fair course, and warrantable. If the rest of his suggestion or indications be answerableThe Chirurgical case answered and admitted. unto the aforesaid allegation, the work is doubtlesse good; and so I my self would heretofore have done, untill my practice taught me better things: but now, by my own practice, which I much rather would ground on, then upon (ipse dixit) I take a shorter course: [Page 395] For, if the bones of the toes of the feet onely were foul, fistulated, &c. as is suggested, yea, and therefore incurable, for so stands the suggestion, as being so by reason of some great contusion, wound, or ulcer, or otherwise, as aforesaid, with divers fragments of foul bones in them, or the like; I would not proceed as afor [...]said, if the Patient were mine, and he or she otherwise of a good habit of body, the joynts of the ankle it self not being fistulated, nor plainly corrupted: but rather I would take off the foot, I mean the toes onely, before theA note of practise put. joynts of the ankle, and spare the joynt of the ankle, and that with a fitting Instrument made for the purpose, with good hope to effect the cure, and to save the joynt, to the great joy and good service of the Patient: for I would save him a part of the foot to stand upon; yea, and if to stand on, I dare say, to go on in a reasonable manner: the which I have more then once put in practice, and effected with good successe: but on the other side, if that the joynt of the ankle be diseased, so that this my way will not take good effect, then I will yield the foot is not to be saved, by reason of the aforesaid defects thereof;A yeelding to the first proposition. and then in such a case I will give way, and say, that the whole legge is best to be taken away, as aforesaid, and it is an artificiall course and good practice: Yet (under favour) let me put the Reader in mind of another rationall good Method, which were a farre better course then to take away a guiltlesse sound legge, if any other means were found, and the practice of our times had experienced and approved thereof; & it is a modern practise frequently practiced in the East-Indies, as it hathAn East-India practise. been credibly reported to me by sundry credible Surgeons, who having spent some time in travell there, have related it to me, namely, that they have seen divers persons, who having formerly had their feet chopped off at the ankles, by censure of their Countrey Lawes, for trespasses committed, and the said men have been cured by their own Countrey Surgeons, and after have pue their stumpes into large Canes or rcedes, which they tearm Bamboes, being stuffed with Cotton Wooll, or the like, and they all their lives after have been imployed to runne of Etrands, and get their livings as before, notwithstanding the want of feet, though, as I conceive, not with former like speed: which hath put a longing desire in me, I confesse, having had opportunity above some others, to have tryed the experience in the Hospital, but a fit subject hath not presented it self to me for a tryal: for I have, I confesse, ever been tender in that point, and loath to put any one Patient against his own free-will, upon new inventions, by beginning new practice upon him, making an unwilling person the first example; every Patient in such a case having just freedome to chuse his way: although, on the other side, a Patient fit for such a tryal of Art ought to be one, who by a violent contusion, as of a wound made by Gun-shot, or some other violence, as a violent bruise by an intolerable weight had spoyled the foot and ankle, and not any one whose disease proceeded from any evill habit in the blood, as in a body having Struma, or scrupulous tumours, for there is small hope in such, for their stumps will not heal sound to bear their bodies.
[Page 396] It is unjust in nature, that any member being sound, should suffer for an unsound one. For I confesse, I esteem it very unjust in Nature, rhat any one part of a sound member should suffer and be taken off for the fault or defect of another, being sound and blamelesse, especially when any better or other comfort can possibly be found. As for example, for the offence or disease of the toes, let onely the toes suffer, and no more of the members of the body be lost, if it may so be: and for the offence of the foot and joynt thereof, if it be intolerable by exceeding pain, and therefore not to be sustained, it is just, that so much be amputated as deserveth expulsion, and not, as is said, to take away a sound and blamelesse legge, when it is innocent and free from fault, errour, or disease: for the noblenesse of each member of mansOf the excellen [...]ies of the uses of part of a member. body, and namely of the legge, is highly even in humanity to be tendred and regarded, being a great honour and comfort to the man, when, if withont a foot, by the help of Art, namely, of a hollow Case, or the like, with an artificial foot adjoyned, a man may decently and comely walk, and ride, go over a stile, yea, and runne, and sit streight, and behave himself man like in a Bed, and at board, and do good service for the defence of his Countrey, or of himself: in regard whereof, I should esteem that Artist a very unworthy, nnwise, and wilsull person, who by any good meanes could keep a profitable part of any member untaken off, and would presume to take it away for any reason or pretence whatsoever; and besides, it is no small dishonour to the Art of Surgeryr Wherefore I will conclude this point, in perswasive manner admonishing young Surgeons, as I have recited elsewhere, well to be advised by counsel of the most ancient and best experienced Artists, before they undertake any amputation whatsoever; and not to think themselves to be disparaged, by craving counsell, but rather graced thereby; following the precepts of that sweet Lily, in the Preface of his Grammar:
Which may bear this English construction.
A Caueat against rash incision, and chiefly abscission. And as for my Brethren of the younger sort, let me lovingly advise you, neither for vain ostentation sake, nor popular applause, by rashnesse, to be guilty of the effusion of blood, by unadvised amputation, though you may pretend you have Art for a sufficient warrant, or for a Buckler lest God touch your hearts for it in secret,, who seeth not as men see; for the artificial shedding of blood hath no warrant nor encouragement written in Gods book; wherefore in matters of weightbe not too rash, but be advised by counsel; this my second declaration of [Page 397] amputation was, as else-where is recited, chiefly published to encourage the taking off of a member in the putrid or dead part; where a circular putrid part is, notwithstanding the practice I well know, isOld, now new practice in amputating mentioned. by many ancient and modern Writers inhibited, as also it hath by reason of old tradition, been generally shunhed, and not so much as been attempted in our times, and yet neverthelesse, some of the ancient Writers, as Fal [...]pius, Fabritius, de aqua pendente, Johannes de Vigo, and some others, as they themselves affirm, have used it with good successe, although by reading their workes I observe by their method, that they were rather narrators one from anothe, then truly actors; but be it as it will, this one comfort the Surgeon shall beComfort to the patient in ubscissing in the mortified part. sure to find thereby, he shall no way endanger his patient in that course, either by losse of blood or spirits, nor shall the Patient endure any pain at all in the act of amputation after that way, and the practice is good and warrantable in divers, yea, in most cases, as hereafter I shall explain, and as my self of many yeares experience may boldly affirm; and it is likewise beneficial for the Common-wealth, and for a true instance of the truth thereof, I have many of my Patients so dismembred at the writing hereof, living and in perfect health, (I mean) which were dismembred in the putrid part, and that upon some Patients on both the legges at one instant performed, amongst which tryals I made of one legge, was in Anno Domini 1617. Secondly, I had one Thomas Brown, about Anno 1619. a Sayler, who had received a great wound by Gun-shot at Sea upon the right legge, the greater FosselsA bislory for an example. thereof being broken in sunder, so that the shot had carried away two inches of the said bone in length, together with the lacerating the muscles, nerves, Artcries, Veines, &c. whereby it was so contused, lacerated and torn asunder, with also so much losse of substance, that nature could not bear to heat that member to be any way serviceable for ought; besides, there had followed upon the wound so great and intolerable hemorrage or expence of blood and spirits, that the member mort fied by reason of the former great evacuations and contusions, neither could nature in that Patient possibly have born a dismembringLosse of blood causeth Gangrena. in a whole part, without eminent danger of present death, and so was the estate and case of this Patient before he came by me to be cured in Saint Bartholomews Hospital; wherefore considering well his most desperate estate, I resolved to make a second experience of him, and did take off the wounded legge in the lacerated dead part, wherein I conceive (as afore-said) all men of judgment will easily be of opinion, that the Patient by that work was without danger of death or pain, and without losse of any drop of blood, and I healed this patient by Gods mercy in five moneths, and he had been by the half sooner whole, had not he lost so exceeding much blood and spirits by his wounds, as afore-said; and this Patient was living at the writing hereof, being many yeares after the amputation, the method of which cure, with the manner of amputating thereof, shall (God assisting me) hereafter be set down.
[Page 398] Another example. The next I took off in the mortified place, was one Thomas Hog, a shippe-Carpenter, a Scotchman, who also was living at the writing hereof; this man at his labour aboard the shippe, standing stoutly at his work, at the straining of a Cable as it was running out of the bits of the ship (as the Sea-men terme it) the Cable tooke hold of his legge, close by the ankle, and forceably bruised in peices, not onely the veines, arteries, and nerves, with the softer parts, but brake also the bones in sunder with extream violence, insomuch, as by reason of the want of a Surgeon present to dresse him, by great effusion of blood and spirits, the legge mortified the next day, and he after that fell unto my part in the Hospital to be cured, the which being emboldened by the good successe of the two former, I took off his legge also in the mortified part, as I did the other, and made a perfect cure thereof in three moneths, and he followed the trade of a ship-Carpenter at the writing hereof.
Another example. Also two yeares after, I cured an Apprentice of one Master Goddard an Upholster at the sign of the Crown in the Poultry in London, named John Harding, in his Masters house, who after a fierce pestilential Feavour, had his right legge mortified in bed as he lay, and I took it off in the mortified part, at, or near the gartering place, which by the ancient use of Art of our times, must have been taken off in a sound place, notwithstanding the great feeblenesse of the Patient at that time, and his eminent danger of death, he being extream feeble, and at the point of death, in which case to have taken it off in the sound part, he doubtlesse would have dyed under my hand, but by Gods mercy he lived divers yeares after, and went most neatly on an Artificial legge not easily discovered.
Another history Remarkable. A history or a relation of a remarkable example of an amputation by me performed upon a woman in Saint Bartholomews Hospital, of both her legges, and part of seven of her fingers in one morning together all taken off in the mortified part, without painThe amputation of both the legs and part of seven fingers, of a woman in one morning. or losse of blood or spirits at all, and the woman was living at the writing hereof, and the Patient was a certain poor maid or woman servant in London, named Ellin French, of whom there were made Bookes and Ballads, that were sung about the streets of her, namely, that whereas the said maid or servant, was given to pilfering, and being accused thereof by her M [...]ster and Mistresse, used to curse and swear, and with words of execration to wish, that if she had committed the crime she stood accused of, that then her legges and hands might rot off, the which thing accordingly, no doubt by the providence of God, came to passe, as a judgement upon her, namely, that both her legges almost to the gartering place, with parts of seven of her fingers did rot off, the which wretched woman neverthelesse, being referred to me in Saint Bartholomews Hospital to be cured, by Gods mercy and permission, I healed her perfectly, by cutting off both the Sphacelated legges in the mortified parts, with also part of her seven [Page 399] fingers, as is said, all in one morning without pain, terrour or of any losse of blood unto her, in the taking them off, and made her perfectly whole in a very short time, namely, within three moneths, so merciful is our God unto us vile creatures, when we are most unworthy of such his mercies: she is at the instant writing hereof also living.
Now with your friendly patience, onely one example more, I will trouble you with, namely, of the cure of a mortification proceeding of a Carbuncle in a Feavour Pestilential by me performed, and IA his [...]ry. will therein conclude my shewing of instances, although I could declare many more of living persons, and I will haste to shew forth the manner of my acting of such amputations.
The work was of a certain Stationer, then dwelling in Pauls Church-yard (whose name I conceal,) for that at the writing hereof he lived, and it was performed upon his Testicles, who in the Plague-time, that was Auno 1612. as I remember, or about that time, by a Carbuncle, that by Gods hand seized upon one of his Testicles, and namely upon the left Testicle, that it became wholly mortified with the halfe of the Scroton, or the purse of the Cod, in briefe, I tooke and cut away the said left Testicle, or stone, whichAn amputation of a Testicle with the half of the Scrotum. was wholly mortified with the halfe of the Scroton, or the purse of the same stone in the mortified place, and healed him perfectly whole in five weekes and lesse, and after the losse of that his one stone, or Testicle, he married and had divers children, and I verily believe they were my Patient his own, and by him begotten on his wife.
Let these instances suffice; and now having presumed of the friendly Reader, by my former digressions, I have resolved with my self, though I confesse in a mean stile, to put forth these instructions, being as is said, for the benefit of posterities, as I conceive, and namely, that when my bones are at rest, upon fair and reasonable grounds, any discreet Artist may boldly attempt, and doubtlesse perform the like practice, for that I am confidently perswaded, it will be a means for the saving and preserving the lives of many worthy and valiant Souldiers, and other brave hardy Sea-men, especially in time of Warres, from which God of his mercy protect our Countrey.
Certain Rules to be had in regard before dismembring be taken in hand, either insound or mortified parts.
Caveats before abscission.
FIrst, amputation or dismembring of any man whatsoever, is neverThe first rule. to be undertaken by any Artist without judicious preconsideration, nor without the advice of other expert Surgeons, first had and obtained, as I have said, yea, and of those of the best judgments in practice, where such may be had.
The second rule. Secondly, dismembring or amputation is not to be put off nor delayed where necessity requireth not to stay for the best advice; yet let me thus far explain my self, that the most mortifications, yea, and few extempted, may stay for advice, if the Artist do take his just time for it.
The third rule. Thirdly I advise that no Artist attempt to undertake the work of taking away any member from any person, but by the desire and with the good will and full consent of the said person first had, If the said patient have his perfect senses, and be of years and judgment, but if want be thereof, let the patients friends and kindred be advised with concerning it, and give consent thereto, yea, and desire it, for I counsel all young Surgeons to be exceeding modest and sparing, in puttingA Caveat in amputation, not to do it but by consent and intreaty of the patient. forwards themselves, and their Patients to the dangerous work of amputation, or moving them at all thereunto, especially where it is to be acted upon the whole skinne, lest peradventure it be afterwards said, it might have been saved on, had not the Surgeon been overforward for his gain: for no little, though for the most part unjust reproach and scandal falleth upon the Surgeon, by such his improvident forwardnesse.
Fourthly, the work of dismembring ought not to be done nor attemptedThe fourth rule. by any, who have not first, either done the like, or at the le [...]st been a helper to dismember some, yea, and more then one, and hathA caveat necessary. often seen and well observed the manner of the work, to have been done by other Artist, before he presume to attempt it himself, for the dismembring of the Image of God in man ought never to be performed but with a due reverend, and religious regard.
The fifth rule of preparation to amputation. Fifthly, before any begin to make the incision, he ought to have all the materials fit for such a work ready and at hand (as elsewhere I have advised) and namely, both Instruments, Ligatures, [Page 401] Medicines, and all other additaments, which are assistant in the work.
The sixth rule. Sixthly, the amputation once resolved upon, and all things being ready for the work, let the Surgeon with all his assistants and friends, not forget before the beginning of the work, heartily to call upon God for a blessing upon their endeavours, and let the Patient the day before, have notice given him, that he also may take time to prepare himself with true resolution of soul and body, to undergoe the work, as being never performed without danger of death, but more especially, if it be to be done in sound parts, which done, then let the Surgeon prepare himself as aforesaid, with also his helpers, namely at the least five persons besides himself, as for example,Five persons to assist the Surgeon in amputation. one to sit behind the Patient to hold him, a second for a holder, who by the Surgeon must be instructed fast to stand before him, and to bestride the limb to be amputated; and to amplect the member; and a third to hold and stay the lower end of the diseased member to be taken off; a fourth to bring and receive back the sharp instruments, a fifth to attend to deliver the Artist his Needles, and Buttons, restrictive rollers, boulsters, bladder, with other additaments and services, and so soon as possible may be, to stay with the palme of his hand the Medicines applyed to the end of the abscissed stump, that being the duty of the fifth helper, and the sixth is the Artist himself that dismembreth▪ for six and not fewer, are a fit number, and that with the least to theThe manner of amputating expressed. work of taking off a legge or an arm, if it be to be done in the whole or sound part, or for the taking off of a member proceeding by a wound by Gun-shot, done in the lacerated, not totally mortified part; but for the taking off of a member in the mortified part, three persons as assistants may serve, or two for a need, namely one to hold the upper part, the other the lower end, and the third to abscisse, namely the Surgeon. It followeth now, that I proceed to explain according to my opinion, in what cases a member may be taken off in a mortified part, with as good hope, and more to preserve the life of the Patient, then if it were taken off in the sound part.
Amputati [...] [...] members mortified by cold. First, in frozen members, and all that come of extream cold, it may be done very safelyalso, in all mortifications of members by Feavours whatsoever, the Feavour being first cured, yea, although they were pestilential, I speak this of long and true experience, and therefore I conceive, I may without disparagement omit the producing or repetition of the ancient Writers, for witnesses, or warrants in ought for me in any such works, as I have manifestly and often performed in the parts mortified.
Also amputation may be done safely in all such mortifications as proceed by contusions, as also in all mortified members proce ding by wounds made with Gun-shot, where a mortified place is circular, or more then seem circular, and that with comfort and good hope of the saving of life, to the languishing Patient, as [Page 204] by any other way. And as touching the poor Souldier and Seaman, after that he hath suffered terrible and unspakeable pain, as also great losse of blood and spirits by his wounds, it were then pity of all pities, if any other remedy could be had or thought of, to wound him a new in the whole part, and thereby to endanger him, yea, and ten to one to kill him by Art, namely, by artificial amputation, to deprive him of that national relict, poor blood and feeble spirits yet reserved within him, meerly to hold life and soul together, whereof by consequent the said small portion of relict blood and spirits, being taken away, he must needs perish, yea, even as may be feared in the very act of amputation, the contrary being a wonder, Quasi unum è multis.
Amputation in mortified places by hemorrge, s [...]f [...]. Also amputation in the mortified parts may be done in mortifications that proceed by hemorrage in any wounds whatsoever that can be named, if the patient be otherwise curable by any art of amputation, he is then safer and more easier cured by this way. Also in all mortifications that proceed by over-hard ligatures, or by the violence of scaldings and burnings, or by the extremity of corrosive medicines immoderately, or unskilfully applyed.
Also in all mortified limbs by Dropsies, Scorbutes, the small Pox,In places mortified by Dropsie, or other diseases, &c. or like obstructions that can be said to be curable by amputating in the whole part, and that with as much and more hope and farre more facility and ease to Surgeon and patient, that work may be performed in a mortified place, if there be a fit mortified place to do the work in.
Also mortifications happening by fractures or dislocations of legges, or armes, fingers, or toes, as also in all cases happening, and proceeding by starving, namely, for want of food, weaknesse and debility of nature, either of children or of old folks, the patient having no present Feavour at the time of the dismembring, neither being in a Delirium, besides many other mortifications for btevity omitted.
It followeth fitly also here, that I set forth in what cases abscissionAbscission in some cases not to be used. cannot be well effected in the sphacelated or dead part, wherein I do but open again to posterity in the parctick, what the ancient Authors have declared in the theorick, in general tearmes of amputation in the mortified part, assuring the Artist, that whensoever there is a circulat mortification with any hope of life in the Patient, it may receive cure by this old new, renovated practice ofA renovated old practice [...]n amputation. mine, even as well and better in the mortified part, then in the living. And although generally this knowledge and practice serveth well in times of peace, yet it serveth most fitly in times of warre, yea, and at all times, for such Surgeons as are imployed in military affaires, by Sea or Land, that they might take notice thereof, and also inable themselves to make use of this manner of practice where occasion is offered, for the comfort, and more hopeful preserving the lives of the valiant Souldiers, and brave hardy Sea-men, as I have said, who for the honour and defence of our King and Countrey, [Page 403] very often are put to encounter with their, and our enemies, to their no small perils and grievous sufferings by fearful wounds made with Gun-shot, and other fierce engines of warre, and by the accidental harmes, succouring them, whereby they suffer great effusion of blood and spirits by their wounds, so that thereby together with the want of good lodging and comfortable nourishment, which to such good fellowes, is for the most part, but very mean and scant, especially in ships and Camps, their wounds, after their most pittiful endurings and languishings, as aforesaid, commonly end in a Gangrena, which granted, all men may easily then judge, how heavenly a thing, and above all measure comfortable it is to the despairing patient, if his life may be preserved and prolonged, and he safely healed without the losse of any blood or spirits at all, or any pain in the act of amputation; and here as by the way I desire to put to the Chirurgica [...] Readers, a case or two to be considered of, concerning the curing of wounds made with Gun-shot,A supposition. and namely, I will suppose or suggest a valiant well-deserving Souldier, for the honour of his King and Countrey, pressing forward in fight, should receive a wound by a shot upon his legge, having broken both the fossils, and so contused and lacerated the parts adjacent, as in any other place was suggested, that it was manifest to the Surgeon, that the legge, for the surer saving of the Patients life, were not convenient to be left on, but rather to be taken off, accordingThe supposition answered. to Art, the aforesaid suggestion admitted, what were to be done, the Surgeon I suppose might fairly answer as followeth, although the bones be broken, the Muscles with their Nerves, Veines, Ateries, &c. lacerated, contused, and the like, yet I will endeavour to reduce all what is fitt [...]ng to be reduced to their due and natural places, formes, and true posture, or as much as may be, and I will speedily haste to stay the flux, the which done, I will for the present, and so for twenty foure houres at the least, repose it to rest, except a furtive flux convulsion, or the like fearful accident constrain me to look upon it sooner; and though the work be desperate, yet, I will not dismember it at the first, but try further, except any eminent occasion, as namely, mortification urge, and beget new thoughts, and then I will take it off in the sound part (and Art warrants me so to do) left any of the Gangrenated part being left untaken away, as the common opinion is, it should infect the whole, and so I should lose my Patient, and be blamed, as for Malapraxis unwarrantable. The second might alledge, that theA second supposition answered. former supposition granted, namely, that if the wounded member would be a burthen, I therefore before the abiding of the time, either of digestion or putrefaction of the aforesaid wounded parts, would whilest my Patient were yet in strength, for preventing Feavers, furtive fluxes, and other fearful accidents incident to such great wounds as Gangrene, since I see the member is like though saved in part, yet will be unserviceable and an eye-sore, and burthen, I will immediately take it off in the wounded and lacerated [Page 404] part, before that woful Crisis of Gangrene seize upon my patient, which commonly is accompanied with a Feavour, and expence of vital spirits, and death waiteth at the dore.
The third pleadeth in this manner following, and saith the formerThe third supposition answered. supposition granted, yet for my patient, although his wounds received be desperate, as formerly is suggested, it would be held great rashnesse and unadvised cruelty in me, if I should but offer to take off this member, especially in the wounded part, ye [...], or elsewhere, at the least before it be brought to digestion; wherefore I hold it my safest way to follow a rational method, by joyning the parts fitting to be joyned, as aforesaid, and to proceed in the cure, the which, if by Art I could effect, I should rejoyce, though my patient were left with an unprofitable limb; but if the hope of healing came short, then I should hold it fit, if it must be taken off, to do it in a sound part, and not in a putrid, according to the now general practice in that kind which is warrantable. But yet let theThe resolution. young Artist take this note from me, that when he apparently seeth that a limb cannot be saved without amputation, that whilest his patient is yet in strength, as afore is expressed, that he do his duty: first to shew the patient his opinion, grounded upon Art and good reason, and if his patient give way to it, then in the Name of God, the sooner he taketh it off, he better; but if the patient do not approve of the motion, good reasons tbeing given him, the errour rests in him but if he consent to the work, let him take it off in the wounded part, although it be not wholly gangrenated circular, regarding that memorable old verse:
And further, let the understanding Artist consider, as followeth, that if the bullet have taken away one full third part of a legge, or arm, in the circumference thereof, with the breach of both the bones, the great contusion and laceration considered with, also the losse of blood and spirits thereby happening, it may be feared justly that the limb although the party live, will hardly or never be saved; but howsoever, it will be no way serviceable, being done by a contused wound lacerated, so that if ever it be healed, the wound must come to suppuration, and thereby to digestion, so that by that reason some part more▪ will be spent and lost by quitture, and by consequent, if by the part taken away, the part contused so fall out that the half limb, with the office and vigour thereof be lost, or come away by the just course of Art in the healing, scarce one often scape with life, by reason of the pain and great expence of blood and spirits incident, as is said, and by reason of the long continuance of the griefe, so that it falleth out, that for the most part, Nature is tyred out, and the Patient dyeth in Marasmus or hecticke, and such an end is more to be feared at Sea, where want of fitting nourishment [Page 405] is, then at Land. So much I held fit to expresse of my experience and opinion, for young Artists to ruminate on.
And now forward again, to my yet unfinished scope of dismembring in the mortified part: in the prosecution whereof, let me as by the way yet again put the Reader in mind once more of the old document or phrase, viz. That there is no general rule, but may admit an exception: even so in this case, there are divers times, places, and causes,Amputation in a mort [...]fied part in some cas [...]s forbidden. wherein amputation in a mortified part is utterly forbidden; as namely, the Patient being in a violent Feavour, or in a Delirium, for one case; and yet even then neither is it wholly desperate, and so to be utterly inhibited, but onely during that paroxisme: for, if by Gods mercy, through the help of the expert Surgeon or Physician, the prefent fit, I mean the Delirium be but removed, and the Feavour taken away, if there be any way to save the life of the Patient, such amputation I mean in the mortified part, is in my opinion the most safe, easie, and rational way, being of all other the most likely way to preserve the life of the Patient; for by that, the Artist without pain or effusion of the blood may (ipso facto) remove (impurum à puro) the putrid from the sound, and utterly alter the so much imagine [...] or suggested corrosion or venomous quality thereof: so as justly it may be said, then it is in this effected; Causa ablata est, ergo tollitur▪effectus, the cause is taken away, and therefore the effect ceaseth.
A second inhibition. Another inhibition is, when an amputation is to be done, and there is no mortified place to do it in, which in the most happeneth; and then, in such a case, the Reader will grant the expert Surgeon is freely admitted to chuse his place, so that he chuse it secundum Artem, according to Art, and so proceed; and such occasions are very frequent, as namely for one, when the occasions of dismembring proceed from corrosive, putrid, or fistulous Ulcers in Joynts, or by foul bones, or by fractured bones, or by dislocated bones, or members distorted, or otherwise, by diseases incurable and unsufferable, when and whereas no mortified place can fitting be found, the Surgeon then must be left to take the convenientest whole place.
A third inhibition. Another inhibition generally is, when an occasion hapneth in a putrid body, where Gangrenous and livid spots, or otherwise discoloured spots happen here and there, to and fro, upon the body, presaging a hidden and venomous humour, or violence, or otherwise deficiency in Nature from within him. Gangrenes do proceed (de abdita causa Naturae) by occult causes in Nature, or when a dissolution in the harmony of Nature manifestly appeareth to be at hand, or when Pestilential or Carbunculous spots happen upon a Patient, which many times mortifie even to the bone; and yet such Pestilential Gangrenous spots after separate of themselves, and the Patient liveth and is healed, for that often in such cases the patients receive an ordinary Cure, which my eyes have seen more then one so escape, and cured in the Plague time; and many other occasions may hinder such amputations, which are not now in the apprehension of my memory to unfold.
[Page 406] Onely I desire, that younger Artists would observe to hold the general rule in wounds made with Gun-shot, formerly touched; namely, that they foresee where they cannot save a Limb to be serviceable, that they, with the approbation of the Patient, and likewise byAdvice for younger Artists in the cure of Gun-shot, by amputation. good advice, they take it away in time, whilest Nature is in her strength: and if they have a fit mortified place, then to do it there if possibly they can; and the rather, because there the work is in part done to their hand; not regarding, though the stump fall out somewhat too long, for that the Patient hath the Artist ready ever when he please, in such cases as need shall require. But grant the amputation be to be acted in the one way or the other, yet the Artist may not be wanting of cauterizing Buttons, at the least of one, at any amputation, lest having need on the sudden, and unexpected, there be occasion of the use of one of them, and by their want he lose the Patient by improvidence, called had-I-wist.
But even now, me thinks, I hear one of the hotter sort of my younger Brethren say, Will this old nan never have done, and shew us his Riddle? I have almost tyred my self out with his circumlocutions: Why doth he not conclude, and come to the matter, after his long processe? Wherefore, lest he should grow too much impatient, I will endeavour in some weak measure to pacifie him, and fall upon the businesse promised. In which I conceive, and hope the friendly Reader may gather, and charitably think, that the scope of my precedent narrations to amputation at this time, is not altogether unprofitable, and impertinent to the matter in hand, although perhaps adjudged tedious; and namely, were it but onely for to introduct the younger Artist, and embolden him to the practice: that when I come to the point of the operation it self, he may be the readier for the acting thereof; for, in truth, the method will be short: so that a few words will suffice to expresse it, and a few instruments or medicaments for the efficiating thereof.
Directions for the amputating Surgeon. Wherefore, for the first work of amputating in the putrid part, let the Surgeon have at hand at the least two or three ministers or servants besides himself, to assist him in the work, as is heretofore said: and as for Medicines for the first dressing, let him have ready a good fomentation, being an artificial, strong, well fitted Lixivium, that may have faculty abstersive, desiccative, and almost caustick, but not so sharp, that it corrode the hands of the fomentor; let him also be provided with fit ligature, and with large woollen stupes, also with fitting boulstring and convenient bandage: then let him further have ready for instruments, a fit amputating Serra, a Catling and a good small incision Knife, a good pair of strong Scizars, and three or four cauterizing instruments, such as in their places shall be described: and when he proceedeth to the effecting of the incision, let one of the assistants take the upper part of the member, holding it in both his hands reasonable fast and steddy, I mean the whole part thereof, somewhat neer unto the unsound part, and let the other helper hold the [Page 407] part, I mean the putrid part to be abscissed in his hand, each party holding reasonable hard and steddy to the work, whilest the Surgeon himself first by circumcising divide the putrid flesh from the bone, doing it somewhat neer the quick part, but not too neer it, about one inch-full from the quick part, as may be imagined, will do well, that with the Serra he may come without fear to divide the bone or bones asunder, where he is sure they are sphacelated, and that carefully first, having regard to make his incision wisely and securely in the insensible part, as is said, not touching any quick part at all with his sharp instruments, neither with the one nor the other; which he may the certainer observe to do, if with a Needle he enquire cautiously. Let him also divide betwixt the bones the putrid members or parts there being, lest by lacerating or tearing with the teeth of the Serra he offend; which done, let the Artist amputate the bones.
And as for the rest of the work, the putrid flesh being (as is said) divided, and bones being abscissed and so removed, there will be admitted deliberation sufficient, with full time to consider what is next to be done; the which will be, as in order, for diminution of the remaining excremental part, by abscission or ustion, one or both, to remove, for the first, as much more thereof as safely you may from the stump, with not being over-solicitous in taking all at one time: for in truth it matters not much▪ neither doth it any thing hasten the work of healing, that all be at the first removed; but rather, it may bring terrour and danger to the Patient, to be too busie or too forward; which by all means should be avoided, for fear of inducing of a Feavour: onely it will not be amisse, at the first dressing, by cautery superficially to run over the putrid flesh, and also therewith to heat the end of the bone or bones abscissed; and also after that, with a good Lixivium satis calidum with stupes well to foment not onely the sphacelated wounded parts, but also the parts adjacent, with sufferable full warmth, for the space of half an houre; not at all using any scarification in this whole work, for that it will bring terrour and needlesse pain, and be fruitlesse: which done, leave very warm woollen stupes upon the part; and so well bound up, finish that dressing.
Then the next work, namely, at the second dressing, will be onely the reiterating of the Artificial former actions and application, ever (as aforesaid) very warm fomenting, being somewhat hot, and the Medicine ever still ready on the fire, and for the mortified part, onely to be applyed with a scalding hot small Map, of purpose made, or a Spunge, and that with several and often shiftings and reiteratings for half an hour, or longer; provided, you discourage not the Patient, by scalding or excoriating the whole parts next adjacent at all: in which time, it will also be very necessary, that you have ready one or more of the cauterizing Buttons hot, to apply betwixt the fomentings; as also not omitting, if occasion serve, with Scizers or otherwise, to be clearing any insensible sloughs from the wounded [Page 408] part: and forget not, at each dressing, with a Button to heat the end of the bone, untill the Patient be sensible of the heat, and no longer; the Buttons being of such formes, as hereafter in their places shall be described; whereby the rest of the putrid flesh may by degrees be consumed, eroded, abscissed, and fret away, as is said.
But in this work, let not the younger Artist presume, in a work ofA Caution. super erogation, or over-excellency, to be too busie to scorch, scarifie, or excoriate the sensible part, in pressing to take away all what is putrid from the quick flesh, nor to cut or divide betwixt the quick and the dead flesh, for fear of awakening of a sleeping dogge; neither to provoke pain to the Patient at all, as neer as he can, further then what of necessity shall accede in fomenting, whereby to minister a full and sufficient warmth to the whole parts, and no more; neither by extream hot stupes, in fomenting the living part too too hot, as is said, nor by cauterizing so long, untill over-much pain be provoked: onely let all the operations and applications for the dressings, from time to time, be very gentle, mild, and pleasing, as may be possible, to the Patient, but especially for the first dressing, that without any great sensible pain the Surgeon may come somewhat neer the sensible and living parts, ever mildly eroding, clipping, and abscinding onely the corrupt flesh, and giving a lively warmth to Nature; and in this manner proceed thrice, if you see fitting, or at the least twice for every twenty four houres, or as in descretion the discreet Artist please, and so for three dayes and nights together in this work, or as long or short a time as cause shall offer: And you shall not need to use any cauterizing Buttons at all, after the first putrid flesh is eroded, onely one, and that at each dressing you may use somewhat hot unto the remaining dead end of the bone, therewith to cause the said end of the remaining abscissed bone to scale the sooner: but after the second or third dressing, it will be fit to consider to apply some Unguent foveant and digestive very warm.
And as for further documents touching artificial proceeding in this Cure, I may as a superfluous thing, and frivolous, forbear any further narration to the discreet young Artist or Scholar in Surgery, for that the rest of the Cure will no way differ from the ordiuary way of the Cure of other ordinary Ulcers, but will be healed with much celerity and comfort, through Gods Favour, both to the Surgeon and Patient. And for the bone, fear it not; for by the onely heating the mortified end thereof, it will scale off by that time the Ulcer be healed, and that with flesh incarnated upon the living part of it admirably, and will in fitting time siccatrize, and be perfectly whole, if the Surgeon will have patience with poor Nature in her weaknesse to forbear, and not be too busie, especially with Mineral Medicines; all which I leave to the discretion of each understanding Artist: onely once more with this Caveat, as by reiteration, that for the end of the stump, after that it hath scaled, that the Surgeon be sure to use no Mineral Medicine at all, as precipitate Vitriol, nor [Page 409] any other, neither mixed with Basilicon, nor otherwise, but with gentle and ordinary Digestives, Mundificatives, Incarnatives, and the like gentle Desiccatives, or at the utmost, Parum Aluminis Usti, if need be: for that by experience I know, that Mineral Medicines, as they help to scale a bone, so they will surely help to defile even the same bone again and again, and so make long work upon work; the which is foul and hatefull for any Artist to be guilty of, that professeth to fear God; yea, and it is abominable to be wittingly tainted with that Devillish crime: for, let reproach and many evill Curses ever attend upon that Surgeon, which willingly prolongeth healing; for which many an innocent Artist dayly stands accused unjustly thereof: which guilt I advise all the Sonnes and successo [...]s of Aesculapius may avoid, even as they fear God, and desire a blessing from him upon their Labours.
The conclusion. And now to conclude, concerning amputation aforesaid, see it be done in requisite time: For the omitting thereof, untill the blood and spirits be too much spent, maketh often the successe of the work doubtfull and desperate, especially where it is to be acted upon the whole part: for in truth, when the languishing Patient shall truly say, Deficit animus; it will be too late for the Artist to answer, Jam venio And so I will take my leave at this present, concerning the manual part of the work, in amputating in a mortified place: and for the doing of it in the whole part, I referre the Reader to what I have formerly, in my first Edition, in the Surgeons Mate explained, which, together with this Post-script, I conceive may satisfie any indifferent Reader.
Onely one observation more, as in charity to the Patient and the young Surgeon, I thought fit to aquaint the young Surgeon with what my experience shewed me, and that is; That after any amputation either in the sound or mortified part, the first eskers or cadaverous sloughesbeing removed, and the Ulcers reasonably digested, mondified, and somewhat incarnate, the Patient useth ever to be exceeding sensible, and grievously tender, and also flesh is subject on the sudden to grow over-fast, and the stump is subject to turn cancrous, or at the least very dolorous: For remedy whereof, I use for one dressing, to have Pledgents of fine towe made ready beforehand, so much as will cover the whole Ulcer; and having ordinary good strong Unguent. Aegyptiacum, without sublimate, seething hot in a small flat Pewter or Stone dish, dip the pledgents therein, being very exceeding hot, and suddenly applyed so hot to the Ulcer, and bound with another thick pledgent to keep it warm, bind it up, and dresse it no more in 48▪ houres; and for the next dressing, cover the Ulcer onely with soft Lint; and likewise in all other dressings, provide by thick pledgents of towe ever to keep the stump very warm: and that one onely dressing, as aforesaid, of Aegyptiacum, will wholly take away the tendernesse, and very much conduce to true healing; which a fourtnight after, if need be, may be reiterated.
[Page 410] And as touching amputation to be performed in the mortified place, for that the curing differs nothing from that in common use for the healing of Ulcers in general (as is said) therefore if the discreet Artist have a strong and fit Lixivium, a good Aegyptiacum, a Digestive, a Mundificative, an Incarnative, and a Desiccative or Sigillative Unguent, and according to Art, and in their seasons, make use of each of them; he is then fitted for the work. And for the first, he may prepare his Lixivium as followeth, if he please, and have not one of his own experience.
A fitting Lixivium, for the amputating of any member in the moritified part.
Lixivlum. REc. Com. Lix. de Cineribus Lign. Fract. Gallanos quatuor, herbae Centaur. Scord. Card. Benedict. Hyper. Absinth. Rosemar. ana. p. 3. Flor. Camom. Melilot. ana. p. 4. fiat decoctio ad tertiae partis consumpt. colentur, ac colat. adde Sal. Com. M. 2. Vitriol. Viria. se. lib. Spirit us Vini, 2. lib. Misce simul S. A.
Ung. Aegyptiac. Rec. Aeruginis ʒ. 5. Alum. Rochia ʒ. 4. Vitriol. Roman. ʒ. 2. Sal. Commun. ʒ. 1. se. Mellis ℥ 2. se. Aceti fortis ℥. 3. Misce & coquantur ad spissitudinem Unguenti.
Ung. Digestiv. Rec. Cerae Alba, Resinae Pini, five Vaccini, picis Gracae, Terebin. Olibani, Mirrhae, ana. ℥. 1. Olei Oliv. lib. 1. aut quantitatem sufficientem. Misce & fiat Unguentum. S. A. In cujus loco Liniment. Digestivum Arcei sufficiet.
Ung. Mundificat. Rec. Terebinth. Resinae, Cerae Albae, Amoniac. ana. ʒ. 14. Aristoloch. Long. Thuris Masculi, ana. ʒ. 6. B [...]ellii, Myrrhae Galban. ana. ʒ. 4. Opopanacis, For. Aeris, ana. ʒ. 2. Lytharg. ʒ. 9. Olei Oliv. lib. 2 se. Aceti, quant. S. ad Ammoniac. Galban. & Opopanac. dissolvendum. Misce secund. artem.
Ung. Incarnat. Rec. Cerae Citrini, ℥. 6. Olei Oliv. 2. lib. se. Terebinth. ℥. 2. Resinae, Colophoniae, ana. ℥. 1. se. Thur is, Mastichis, ana. ℥. 1. Croci, ʒ. 1. Confice secund. Artem.
Ung. Dosiccat. Rec. Olei Oliv. 1. slib. ss. Lytharg. ℥. 2. Minii ℥. 3. Cerus. ℥. 1. se. Tutiae, Camphor. ana. ʒ. 3. Cerae Citrini, ℥. 2. Misce S. A. & fiat unguentum.
[Page 411] Moreover, there are to be prepared ready: 1. Cauterizing Buttons, such as are following hereafter described, for the eroding and fretting away of the putrid, Cadaverous, or sphacelated remainer after abscission of the first part, and these cauterizing Buttons ought to be thicker then others, namely, more ponderous then those, which usually Surgeons use to cauterize the end of one or two veins or arteries, which being otherwise not so serviceable for this kind of amputation or operation, of which it were requisite, that two or three were laid into the fire privately, to be hot, to do such needful services, as that work of dismembring requires, namely, they being hot, are to cauterize or crode (as is said) the putrid flesh.
Also it is as fitting to have in readinesse the other instruments common in all amputation, viz. A well fitted saw, a dismembring knife, and incision knife, or a sharp instrument, fit to divide and cleanse betwixt the bones, &c. Not forgetting likewise the other fit materials, amongst the rest, as stupes, and rollers, all which it ought to be the Surgeons own care, to be sure to see ready, that no one thing be wanting at the instant, and not to trust to his assistants, lest to his grief and reproach, he be wanting of some one or more of them in his necessity.
LOving Brethren, if the meannesse of my stile, the weaknesse of my aged memory, capacity, or what else soever herein, is not answerable to thy expectation, from me, yet take it in good part, I pray thee, as proceeding from a Friend, who, if his Talent could have afforded better, would willingly have imparted it to thee. The former was the fruits of my Youth; This, such as the weaknesse of Old Age can afford. The publick good acceptance of the former, hath purchased the latter.
Vale in Christo.
Concerning the Instruments for Amputation in the sphacelated part.
BEnevolent Spectator, here ensuing to thy view, are deciphered the Instruments most useful for the Manual operations of severall Amputations in the sphacelated parts of members, which being for memory sake, onely described to the expert Artist, he will easily conjecture and resolve in Art, according to each present occasion, which of them to make use of, and which to omit: all of them tending to the scope of a resolved abscission, by ablating impurum à puro, the unpure from the pure, for the better perfecting the warrantable scope of the studious Artist, in efficiating the same, that he may make a cure thereof, although detractors and depravers of that excellent mystery of healing, maliciously make a by-word, or word of reproach against Surgeons, of making a cure; yet I will hope, if it be for the saving of the precious life of his miserable Patient, the making of a perfect cure, will have a fair construction from good men: yea, although it be to be performed as indeed it must be, part by abscission, adustion, cauterization, by erosion, or Serra, or how else soever the work may be safest, and surest, and more artificially efficiated. All and every of which apparent particulars, in their due turns, times and orders, are to be made use of, which to describe in each particular, or more thereof then is heretofore related, would be but tedious for me, and frivolous for the Artist, who joyning his reason and experience with the reading my precedent Relation, will doubtless, by Gods favourable permission, make a sound cure of his Patient: maugre the scandal of detractors, in the abuse of that honest phrase, to the reproach and unjust vilifying of many an honest well deserving Surgeon. I end with an old Phrase,
THE TABLE.
- ABlution. 268
- Absinthium herba. 81
- Acetum
- Commune
- Distillatum
- Rosatum 44
- Vini 44. 249
- Acr, 249. to be corrected in infection, 335
- Aes
- Commun. 77
- Viride. 251
- Aestas. 251
- Agaricum. 64
- Albation. 268
- Album Graecum. 83
- Alumen
- Combustum. 249
- Commune. 67. 249
- Plumbosum. 249
- Albumen Ovorum. 249
- Alcolismus. 268
- Aloes. 65. 348
- Amalgama. 249
- Amalgamatio quid sit. 268
- Amigdalae
- amarae
- dulces
- Amputation, when and how to be used on all occasions, 146. 156. 158. in Gunshot, 304. in putrid parts, 387. Amputation in the mortified place 389. a legge taken off in the putrid part, 390. Mortified flesh doth not presently hazard the life of the Patient, 391. Amputatīng in the putrid part is good, 392. Amputation in generall, 394. sixe rules necessary in Amputating a member, 400, 401. six persons necessary in the amputating a member, 401. Amputation in members mortified by cold, 401. Amputation in a member mortified by Hemmorage, 420. Amputation in mortified places by the Dropsie, 402. Abscission in some cases not to be used, 402. Amputation in a mortified part in some cases forbidden, 405. Advice for young Artists in care of Gunshot by Amputation, 406. Directions for the Amputating Chirurgion, 406. a Caution in Amputation, 408. the Conclusion of the Treatise of Ampu [...]a [...]on, 409. Lixivium for the amputating any member in the mortified part, 410
- Amylum. 70
- Ammoniacum. 71
- Annus. 150
- Angena mendosa cured. 362
- Antimoni vulgare. 73
- Vitri
- Regulus.
- Anthrax. 331
- Apostumes in the mouth opened, 1. cured by Causticks, Incision, &c. 141, 144
- Aqua 250
- Aqua
- Cardui Benedicti. 40
- Caelestis. 38
- Cinnamoni. 39
- Doct. Stephani. 38
- Falapii. 42
- Fortis. 43. 250
- Amisi. 40
- Absinthii. 40
- Angelicae. 40
- Balsami. 40
- Limonum. 39
- [Page] Menthae. 40
- Oder [...]fera. 42
- Plantaginis. 42
- Regis. 250
- Rosarū
- Damasenarum,
- Rubrarum.
- Rorismarini. 39
- Sassafras. 39
- Viridis. 42
- Vitae. 250
- Argentum vivum. 77
- Aromatization. 268
- Arsenicum. 77, 250
- Attrition. 268
- Aurea Alexandrina. 60
- Auriculum. 250
- Auri-pigmentum. 250
- Auram Potabile. 250
- Autumnus. 250
- Axungiae
- Cervi.
- Porci.
- Baccae
- Iuniperi.
- Lauri.
- Bags. 24
- Balme water. 40
- Balneum Mariae. 251
- Balsamum
- Artificiale. 49
- Naturale. 51
- Bason of brasse 22
- Bdellium. 71
- Bedpan. 24
- Benzoin. 73
- Benedicta Laxativa. 63
- Blaines. 232
- Bleeding at nose. 171
- Blood-letting. 19, 20
- Board to spread plaisters upon, 24
- Bladder to search, vide Cathetor.
- Bolus
- Armenus. 251
- Communis. 75, 251
- Borax Veneti. 251
- Broths. 352
- Bricks. 25
- Bubo, signe of the Plague, cures, 330, 365
- Burnings. 98
- Burras pipe. 20
- Buccellatio. 268
- CAlcanthum, vide Coperas or Vitriol.
- Calcinare. 268
- Calcinatio. 268
- Callenture what it is, signes and cures, 23, 205
- Calfactio. 268
- Calidus. 251
- Calor. 251
- Calx
- Commun. 251
- Ovorum. 251
- Viva. 83, 251
- Caustick white, its cōposition. 46. 210
- Candle, vocat. searching candle. 15
- Cambodgia. 66
- Camphora. 75
- Cantharides. 74
- Calcother, or Deadhead. 216, 25 [...]
- Carduus Benedictus. 81
- Cariophili. 70
- Carunckle in the bladder. 15
- Cassia Fistula. 66
- Cathetor. 15
- Catlings. 1, 2
- Carbuncles, signes of the Plague, nature and cure. 331
- Commentare. 252
- Cementum
- Cementatio
- Cera citrina. 74, 252
- Ceratio. 268
- Cerussa Venetarum. 76, 252
- Chasing-dish. 24
- Chalibs. 251
- Characters usuall with Chymists, from 248, to 260
- China. 66, 253
- Cinefactio. 268
- Cineres ligni. 252
- Cinnabrium. 78, 252
- Cinnamonum. 70
- Circulatio. 268
- Clarificatio. 270
- Clouts. 24
- [Page] Close-stoole. 25
- Coadunatio. 270
- Coagmentatio. 270
- Coagulatio. 270
- Coctio. 270
- Cohobatio. 270
- Colatio. 270
- Colliquatio. 270
- Coloratio. 270
- Coll [...]ca passio, nature of it, signes, cures. 197, 198, 199, 200
- Combustio. 270
- Comminutio. 270
- Complexio. 270
- Compositio. 270
- Confectio
- Alkermes. 58
- Hamech. 56
- Confrictio. 270
- Confusio. 270
- Congelatio. 270
- Conglutinatio. 270
- Conservae
- Anthos.
- Cidoniorum.
- Lujulae.
- Prunellorum.
- Rosar. rubr.
- Contusio. 270
- Convulsion. 88
- Copperas, vide Vitriol.
- Copper, vide Venus.
- Corallus
- albus
- rubr.
- Cornu cervi. 65
- Corrosio. 270
- Cortex
- Granatorum
- Guaci
- Costivenesse. 9, 200, 201
- Cribratio. 270
- Crocus
- Commun.
- Martis.
- Veneris.
- Crowes Bills. 7
- Cupping-glasses. 22
- Cupping. ibid.
- Cups for Physicall potions. 24
- Decoctio. 253
- Deliquatio. 270
- Deliquium. 270
- Descensio. 270
- Despumatio.. 270
- Dentes Elephantini. 59
- Diacodion 60
- Diamoron. 54
- Diaprunum simplex. 56
- Diarrhaea, or flux of the belly, the cure. 177, to 183
- Diascordium. 60
- Diaphoreticks to procure sweat, 318
- Diatessaron. 53, 346, 347
- Diatrion piperion. 57
- Dies & nox. 253
- Diet pot. 23
- Difflatio. 270
- Digestio. 253, 270
- Dislocations. 153, 154, 155
- Dismembring. 146, 156, 158 in Gunshot, 304. in putrid parts, 387
- Dissolutio. 270
- Distractio. 270
- Distillatio. 270
- Divaporatio. 270
- Drink for the Calenture. 23, 205
- Drink for the Lask. 23
- Dysenteria, and cure, 182, 183, 184, 185
- Ear-pickers. 12
- Elaboration. 271
- Election. 271
- Electuarium
- Diacatholicon, 56
- Diaphaenicon, 56
- de Ovo, 58, 344, 345
- de sncco Rosarum, 56
- Elementa. 253
- Elevation. 271
- Elixation. 271
- Elution. 271
- [Page] Emplastrum
- Calidum. 29
- De Lapide Caluminari vel grifium. 29
- Diacalsithres. 28
- Diach.
- cum gummis. 27
- parvum. 28
- Melilot simplex, & pro splene. 28
- de Minio. 29
- Oxicroceum. 28
- Stipticum Paracelsi. 27
- Esker when to be pricked in Apostumes, 47. lying long, a good sign. 47
- Eskers fall must not be hastned, where Nature hath breathing. 47
- Esker cannot by Art be kept in Apostumes. 47
- Evaporation. 271
- Euphorbium. 65
- Exaltation 271
- Exhalation 271
- Expression 271
- Exitus Ani, the causes and cures by fomentation and otherwise. 212 213
- Expressio 271
- Extinctio 271
- Extractio 271
- Extract. Cathol. purg. 56
- Eyes ill affected to cure, 215
- Farina
- Fabarum
- Hordei
- Tritici
- Volatilis
- Fermentatio 271
- Ferruminatio 271
- Fever, what it is, with cure in generall. 88
- Files with their uses. 10, 11
- Filtrum. 253
- Filteratio. 271
- Fimus Equinus. 253
- Fish living draw Carbuncles. 365
- Fission. 271
- Fistula's and Vlcers with cures. 147
- Fixatio. 253, 271
- Fluxes, the divers kinds, cures, 177, 178, 179, 180. an approved remedie for the flux. 25, 26
- Flos Aeris. 253
- Flores
- Anthes. 78
- Balaustiarum. 78
- Centauriae. 79
- Chamomeli. 78
- Hyperici. 79
- Melilot. 79
- Sambucin. 79
- Folia Sennae. 64
- Forcers. 16
- Forceps. 17
- Fractio. 271
- Fractures, with the parts and divers cures. 149, 150
- Falling of the Fundament, vide Exitus Ani. 112, 113
- A Funnell necessary. 24
- Frixion. 271
- Fulmination. 271
- Fumigation. 271
- Fumes for infected aire, and houses, apparell. 337, 338
- Fulnesse of stomack by nauseous humours. 348
- Furfur Tritici. 80
- GAngreen, the definition and cause, 381. cure. 384, 385, 386
- Gangreene caused by losse of blood, 397 Examples of Gangre [...] amputated by the Authour. 397, 398
- Galbanum, 72
- Gallae. 75
- Gallens unguent in Amputation. 159
- Galens rule in Dysenteria, 188
- Ginger, vide Zinziber,
- Glasses. 24
- Glister pot. 12
- Glister Siringe, vide Siringe.
- Glister, how to prepare with rules in the administration of it. 12, 13
- [Page] Glister vocat. Enema Fumosum, with the draught or description of the Instrument or Pipe, whereby we deliver it, 49
- Gold, vide Sol.
- Goose Bills. 7
- Gradation. 272
- Gradus. 254
- Granatorum Cortex. 67
- Granulation. 272
- Gravers. 10, 11
- Gray paper. 24
- Guaci
- Cortex 67
- Lignum 67
- Gummi. 71
- Gummi. 254
- Gummi
- Ammoniacum. 71
- Galbanum. 72
- Guacum. 71
- Opopanac. ibid.
- Sagapaenum. 72
- Tragacanth. 73
- Bdellium. 71
- Myrrha. 72
- Mastick. 72
- Styrax. 72
- Benzoin. 73
- Ladanum. 72
- Pix Burgundiae. 73
- Communis. 73
- Resina. 73
- Gums over-grown with filthy skin, and rotten, with their cures. 213
- Guttigamba, vel Cambogia. 66
- HAmules. 11
- Hemorrhaea. 87, 171
- Head Saw, with rules in Sawing. 5
- Hermodactyli. 65
- Hooks. 11
- Hernia humoralis, with Cure. 308
- Horsleeches draw Carbuncles. 365
- Hordeum
- Commune
- Gallicum.
- Humectation. 272
- Hyems. 254
- IGnis. 254
- Ignition. 272
- Iliaca passio what it is, the signes, cures by Cataplasmes, Fomentations, Glisters, Potions, &c. 194, 195, 196
- Illiquation. 272
- Imbibition. 272
- Imbution. 272
- Incarnative medicines. 89
- Inceration. 272
- Incineration. 272
- Incision, 1, 2
- Incision by Caustick. 1
- Incision by the Caustick stone▪ 47
- Ink. 24
- Incorporation. 272
- Infusion. 272
- Inhumation. 272
- Injections into the yard, with the manner how to insert. 14
- Injections of Mercury, bad for the yard. 14
- Insolation. 272
- Intemperature in general, what it is, and what intemperature of the Liver is, 87
- Irons to cauterize. 7
- Irrigation. 272
- Iron, vide Mars. 248
- Jupiter or Tin. ibid.
- KNives for Amputation or dismembring, with their use. 2
- Knives for Incision. 1, 2
- LAc Virginis. 240
- Ladanum. 72, 306
- Lanxthorn. 24
- [Page] Lapis
- Calaminaris. 254
- Granatus. 254
- Hematites. 254
- Magnetis. 254
- Prunellae. 254
- Sabulosus. 254
- Lateres
- Cribrat.
- Integr.
- Ladanum Opiat, Paracelsi. 59, 189, to 194
- Lancet, with the use. 18
- Lead, vide Saturn. 239
- Lenticular. 316
- A Levatory. 4
- Levigatio. 273
- Limatio. 273
- Limatura Martis. 255
- Limon juyce. 165
- Limon water. 39
- Linimentum Arcei. 35
- Liquatio. 273
- Liquefactio. 273
- Liquiritia. 67
- Lixivium. 210
- Lixivium
- Commune
- Forte.
- Lixivium lucinium. 255
- Lotio commun. 43, 273
- Lues Venerea. 254
- Luna. 239.
- Crescens
- decrescens.
- Lupines. 74
- Lutation. 273
- Lutum
- Commune.
- Sapientia.
- Lienteria. 177
- Lythargicum. 77
- Argenti. 256
- Auri. 256
- Ptumbi. 256
- MAcis. 70
- Maceration. 273
- Mallet and Chissel for Amputation. 5
- Marchasita. 256
- Mars or Iron. 236
- Mastick. 70
- Maturation. 273
- Mel simplex. 37, 257
- Mel.
- Rosarum. 54
- Saponis. 33
- Measures for Chirurgions. 310
- Melissa 81
- Mellilotum. 81
- Mensis. 256
- Mentha. 80
- Mercurius. 238, 248
- Mercurius
- Jovis. 256
- Lunae. 256
- Martis. 256
- Praecipitat. 256
- Saturni. 256
- Sublimat. 256
- Solis. 256
- Veneris. 256
- Mercury praised in general, and also dispraised, 239, 256
- Methridatum. 58
- Metals s [...]ven in number, their vertues, names, and Characters, 239, 248
- Minium. 77
- Minii Emplastrum. 29
- Mint-water. 40
- Minutum. 257
- Mirabolans. 65
- Mistion. 273
- Mollition. ibid.
- Mortar and Pestel. 24
- Mullets. 11
- Multiplication. 273
- Mundification. 273
- Mummia. 74
- Myrrhe. 70
- NEck of a glister Siringe may be crooked. 12
- Nippers for Amputation. 5
- Needles and stitching quills. 18
- Niter salt. 47, 217
- Nutrition. 273
- Nux Muscata. 71
- [Page]Oleum. 257
- Oleum Absinthii
- Commun. 50
- Chimic. 53
- Oleum Amigdalarum
- Amararum.
- dulcium.
- Oleum
- Anethinum, 48
- Agarici. 49
- Anisi. 52
- Antimonii. 52
- Chamomelinum. 48
- Cariophillorum. 51
- Hypericon
- composit.
- simplex.
- Juniperinum. 52
- La [...]inum. 49
- Liliorum. 48
- Lini. 49
- Lumbricorum. 48
- Macis. 51
- Origani. 53
- Ovorum. 49
- Papavorum. 50
- Petreoli. 50
- Philosophorum. 52
- Rosarum. 48
- Sambucinum. 49
- Scorpionum. 50
- Spicae. 52
- Succini Chimicè. 53
- Sulphuris per Campanam. 51
- Terebinthinae. 52
- Vitrioli. 51
- Opium. 66
- Opopanax. 71
- Orpiment. vide Auripigmentum.
- Oximel simplex. 54
- Oyntments fit for the Chirurgions Chest. 31
- PLaces. 10
- Payl of Brasse. 24, [...]5
- Philonium
- Persicum.
- Romanum.
- Tarsense.
- Phlebotomie with instructions concerning blood-letting. 19, 20
- Phlegma Vitrioli. 212, 257
- Phlegmes. 11
- Piger Henricus. 257
- Pillulae
- Aggregativae. 61
- Aureae. 62
- Cambogiae. 62
- Cochiae. 62
- de Euphorbio. 62
- Ruffi. 62
- Pills how to be hardened and dryed up. 166
- Piper nigrum. 70
- Pipkins. 24
- Pix
- Burgundiae.
- Graeca.
- Navalis.
- Plaister-box with appurtenances. 16
- Plaisters for the Chirurgions Chest▪ 27
- Plantane water. 42, 184
- Plague what it is, 323. what parts are most subject to the plague, 324. natural causes, 326. precedent signes, 327. signes presaging death, 328. Gods tokens, with the manner of them, 333. Directions for preservation from Infection, 334. Fumes to purge aire in houses, 337, 338. Cordials, 340, 364. loosenesse unsafe, Burges receit, 343. Electuar. de Ovo good in the Plague, 344. Diatessaron good in the plague, 346. Cordials for women with child, 347. Pillulae Ruffi. their vertue and dose in the plague, 348. Plague not cured by solutives, 351. danger of Laxatives, 352, 359. Julips for the diseased of the plague, 354. against sw [...]uning, 355 Blood-letting good in the plague, and sweating to be used, 357. Venice Treacle good in the plague, 360. Diet for the sick of the plague, [Page] 361. Angena mendosa incident to people in contagious times, with the cure, 362. cure of pains in the head of those who are infected, 363. Emplasters and Cataplasmes to draw and heal Buboes, Blaines, Carbuncles, 364. 365, 366. Aurum vitae, a rare Experiment to cure the Plague by sweating, the manner of using it, 367. Lastly, Certificates from S. Margarets Westminster, to the Lords of the Councel, concerning the effects of this; and another Certificate from the Major and Justices of North-hampton, touching the cures done by the Aurum vitae.
- Plumbum
- album. 76
- Philosophorum. 257
- ustum. 77
- Polypodium. 65
- Porringers for blood-letting. 23
- Gally-Pots. 24
- Praecipitate, vide Mercury.
- Precipitation. 273
- Probation. ibid.
- Probes with use of them. 8
- Procidentia Ani, vide Exitus Ani.
- Projectio. 273
- Prolectatio. 273
- Pullicans. 10, 11
- Pulpa Tamarindorum. 61
- Pulvis. 257
- Pulvis Arthreticus. 63
- Punchies. 10, 11
- Purgatio. 273
- Purificare. 257
- Putrefactio. 257, 273
- QUartation. 273
- Quicksilver. Vide Mercury.
- Quils for stitching. 18
- Quinta Essentia. 258, 273
- Quinta Essentia Vini. 258, 273
- Radices
- Altheae. 82
- Angelica. ibid.
- Chinae. 66
- Consolidae, major. 82
- Pyrethri. ibid.
- Raphani silvestris. ibid.
- Rasion. 274
- Rasour. 2
- Ravens Bills. 7
- Realgar. 258
- Reductio. 274
- Repurgation. ibid.
- Resina. 73
- Resolution. 274
- Restinction. ibid.
- Restrictive necessary in a fracture. 150
- Retorta. 258
- Reverberation. 258, 274
- Rhabarbarum. 64
- Rob.
- Berberum.
- Cidoniorum.
- Rosa solis. 38
- Rosae rubrae. 78
- Rose-vineger. 44
- Rose-water
- Damask.
- Red.
- Rosemary. 80
- Rosemary-water. 39
- SAbina. 82
- Saccharum. 69
- Saith. Saturni. 179, 240
- Sal.
- Absinth [...]i. 216
- Askoli. 259
- Anomoniac. ibid.
- Colkotharis. ibid.
- Communis. 258
- Gemmae. ibid.
- Nitri. 47, 317
- Petrae. 258
- Tartari. 259
- Salts, the antiquity and kinds. 206
- [Page] what uses it serveth to, and the necessitie ofit, 207, 208, 209, 210, 211, &c.
- Salvia. 81
- Salvatory with appurtenances. 16
- Sapo. 259
- Sarsaperilla. 66
- Saffron. 66
- Of Copper. 252
- Of Iron. 252
- Sassafras. 67
- Sassafras water. 39
- Sagapaenum. 72
- Sanguis Draconis. 74
- Saw for Amputating. 5, 158
- Saw for the head. 5
- Scammonium, 64
- Scorbutum, or Scurvie, what it is the nature, and names of it, the causes, 161. signes of it, 162, 163. the cure by Lotions, 169. by baths, oyles, and Vnguent, 170, 171, 172 the cure for the ulcers of the Scurvie, ibid.
- Searces. 24
- Section. 274
- Segregation. 274
- Semen
- Anethi. 69
- Anisi. 68
- Carui. 68
- Cardui. 68
- Faeniculi. 68
- Faenugraeci. 68
- Lini. 68
- Papaveris. 69
- Petroselini. 69
- Plautaginis. 69
- Quatuor
- frigida majora
- frigica minora
- Serginge
- Large
- Small
- Separation. 274
- Sheeres for Incision. 8
- Siccation. 274
- Sigillum Hermetis. 259
- Sikes. 11
- Silke for the stitching needles. 18
- Silver, vide Luna.
- Sizers. 17
- Skillet. 24
- Sol, or Gold 239
- Solution. 259, 274
- Sope. 259
- Sorrell. 171
- Spatulae's
- Great
- Small
- Spatula Mundani. 9
- Speculum
- Ani. 6
- Linguae. 6
- Oris. 5
- Speculum Oris with a screw. 6
- Sperma Ceti. 74
- Sphacelus what it is, the way of Amputating of the Sphacelated part, 387. Amputation made better by experience, 388
- Spiritus
- Terebinthinae. 46
- Vini. 45, 259
- Vitrioli. 212
- Splints. 24
- Spleene and the diseases of it cured. 28
- Spodium. 75
- Spunges. 24
- Stercus Caninum, vide Album Graecum.
- Stibium. 75
- Stiching. 18
- Stone in the bladder, to search it by Cathetor, and searching candle. 15
- Storks bills. 7
- Strainers. 24
- Stratification. 274
- Statum super stratum. 259
- Styrax
- Calamita.
- Liquid
- Stephens water, and its vertues, 38
- Subduction. 274
- Sublimare. 258
- Sublimation 274
- Subtiliation 274
- Succinum. 73
- Album. 259
- Citinum. 259
- [Page]Succus
- Absinthii.
- A [...]aciae.
- Glicerhizae.
- Limonum.
- Sulphur in generall what it is, and its vertues, 76, 221, 222, 223, 224.
- Sulphur
- Commun.
- Philosophorum.
- Sumach. 75
- Syncope, what it is, with the cure. 88
- Syrupus.
- Absinthii. 53
- Cinamoni. 53
- Limonum. 53
- Papaveris. 53
- Prunellorum. 55
- Raphani silvestris. 54
- Rosarum
- simplex.
- solutivū.
- Violarum. 54
- TAlcum. 260
- Tamarinds. 165
- Tapes. 24
- Tartar. 260
- Teeth how to be drawn out. 10
- Tenasmus what it is, cure. 9, 201, 202
- Terebellum. 7
- Terra. 260
- Theriaca
- Andromach. 59, 360
- Diatessaron. 53, 146
- Londinensis. 57
- Thread and needles. 24
- Thimum. 81
- Tigillum. 260
- Tinderbox. 24
- Tin, or Jupiter. 248
- Torrefactio. 274
- Tow. 12, 24
- Transmutatio. 274
- Transudatio. 274
- Trafine a new invented instrument which worketh farre better, and more safe then the Trapan, 313, to 318
- Tragacanth. 73
- Trapan with the use. 3
- Trochisoi de
- Absinthio. 63
- Alkandal. 63
- Minio. 63
- Spodio. 64
- Tumors not to be incised. 1
- Tumor defined in its kind. 87
- Tumores. 260
- Turbith. 260
- Turpethum Cathapsaris. 65
- Tutia. 77, 260
- VEines must be opened. 19, 20
- Vein how to be opened. 20
- Venus, or Copper. 239
- Veriuice. 43
- Vitriolum. 76, 212
- Vitriolum album. 215
- Vitriolum ustum. 215
- Vitriol▪ mel. 216
- Vitrioll called Colkother, vide Colkother.
- Vitrification. 274
- Vitrum. 260
- Vlcers cured. 147, 148, &c.
- Vlcus. 260
- Vnguentum
- Album Camphoratum. 32
- Aegyptiacum. 31
- Apostolorum. 31
- Aragon. 36
- Aureum. 31
- Basilicon. 31
- Dialthaea
- composit.
- simplex.
- Diapompholigos. 32
- contra Ignem. 33
- Martiatum. 36
- de Mercurio. 34
- Nutritum. 32
- Pectorale. 32
- Populeon. 33
- Potabile. 34
- Rosatum. 32
- contra Scorbutum. 34
- Saponis Mel. 33
- Triapharmacon. 32
- [Page] Vrina. 260
- Vstion. 274
- Vvapassa. 70
- Vvula spoone. 21
- VVAters for a Surgeons Chest, vide Aqua.
- Waters vocat: Hot Waters in what quantitie to be taken, when good, sometimes put in Glisters. 41
- Wax lights. 15
- Weights and scales. 24, 310
- Wormewood water. 40
- Wormew od salt. 216
- Wormes a cause of Disenteria. 183
- Wine vinegar. 44
- White Paper. 24
- Wounds in generall, with cures. 85
- Wounds in the Arteries 86. Nerves and ligaments 86. Head, Face, Nose, Eares, eyes, hands, in Thorax, &c. 88
- Wounds by Gunshot. 93, 94
- ZInziber. 71