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

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

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

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

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

Y●ur worships louing friend . I. B.

The Translator to the Reader .

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

Farewell .

To his louing friend M. Banister .

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

Your louing and assured friende . A. H.

The Booke to the Reader . I swellinges wast , I wounds do ioyne● I vlcers do make sounde : I doe the broken bones restore , What further can be founde ? To the Printer . Hast to the presse , feare not the sale , good wine doth neede no signe : The Surgeons craue this woorke to haue , the gaine it will be thine . The Translatour to the Reader . Reade well , keepe fast , trye warely , in no case me disdaine : Commende of loue , amende with leaue , this craue I for my paine . To the Translatour . If Weckers workes do praise deserue , thy paines no man can blame , Which both with new and needefull store , enriched hast the same . A worke well bredde , and better borne● but ●raynd vp passing well : The phrase , the notes , supply also , this same doth plainely tell . If some wordes ●o the daintie eares , or simple sort seeme straunge , Knowe this , that artes to termes are tied , and may not lightly raunge . If methods plat be not so plaine , and perfit as some thinke , Thine author did this way chalke out , from him thou mayst not shrinke . Thy tongue from tauntes by reasons rule , so wisely hath beene stayde , Th●● Momus eye cannot espie , with fault thee to vpbraide . Such is thy fru●●e that painefull Bee , may honie sucke with ease . But spi●efull spider cannot finde her poyson to encrease . Then armed with Achilles shielde , Minerua standes thee by : Though Hectors force doe thee assault , there is no ieopardie . In praise of the Booke . As little Bee in broyling heate , doth search the feildes abou● : So litle Booke from Authours best , best medicins sucketh out . As precious pearle in li●le roome , doth many vertues shroud : So in this litle volume is , much secret knowledg shewed . As litle Sphere by due recourse , doth heauens hygh vnfold : So in this litle booke thou maist , the wounde and cure behod . A● loadstone doth the yron hard , by secret force hold fast : So litle volume in despite , will enuye make agast . As glittering Sunne with his bright hie● doth other Starres deface : So where this booke doth once appea● i● others doth displace . As Persian tree both flower and fruite , doth bring foorth without staie : So fruitfull is this booke to all , in time , and place alway . Then honie ●ast , buy pre●ious pearle● viewe spheere that turneth fast : Feare loadston● force , walk by Sunne light , 〈◊〉 fruite that aye doth last . A. H.

The first booke of Tumors aboue Nature .

CHAP. I. Of the differences of Tumors .

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

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

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

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

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

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

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

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

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

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

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

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

CHAP. III. Of the Carbuncle .

CArbunculus , or ( according to the Greekes ) a i Here I take the meaning of the aunti●̄t writers , to be of the simple carbuncle : otherwise , with Iulius Palma●ius , and Simonius , I refuse to subscribe vnto them : for that this is not to follow the motion of nature , from the center to the circ●mference , but contrariwise to draw backe to the center that nature had profitablye discharged to the circumference . a a IT differeth not from Carbunculus , as Vigo & others supposed : neyther doth ignis perficus & pruna , but An●hrax being the greeke word , is euer of ●earned interpreters translated Carbun●ulus , & the other two be vsed as synonynies , all noting but one thing , as appea●et in Gal. Paul AEtius , Oribasius , and ●s truely noted of Fernelius , Tagautius , ●nd others . Anthrax , Definition . is a little venomous pustule , burning the place , and first raysing a blister , bringeth afterwarde a crust .

m Or this rather of Fallopius : Ree . malum punicum dulce j. & alterium acidum , sed matur●̄ , coquantur in aqua hordei cum folijs scabiosae & sem. lenticulae , pauxillo plantag. & aceti : cocta terantur optime , ijs admisceatur pulpae pomorum odoratorum , & cydoneorum maturorum , coctorum in decocto praedicto , q. ● . ad emplast . but if the carbuncle be pestilent , I councel no repellent medicine , til the mat●er be ( for the most part ) gathered , & then th●y are to be set as a hedge betweene the carbuncle and the hart , as also if the carbuncle be out of the emunctories , it is ( as I may speake ) to be paled about with ●h●m . Causes & signes . The antecedent cause is b b These causes touch but the Carbu●cle not pestilent , particulerly : for the othe● commeth of a venimous constitution of th● ayre , which once taken in● is afterward ●xpelled by nature to some ou●ward par●● together with the humors , and spirit●●● that were by it defiled . Fernel . li 4. ca. 18● Simonius li. de peste 1. blacke , thicke , hote and faeculent bloud , flowing into the place , which is coniectured by the state of the bodie , abounding with bloud . The conioyned cause , is bloud gathered in the part affected , and that easily discerned by the signes of the Carbuncle c c Our account of the Carbuncle is 〈◊〉 the same● with the auntient Writers , f●● with vs it is euer pestilent : theirs not s● but some of them cal a certaine inflamation of the eyes , a Carbuncle , as doth AEtius , li. 7. c. 30 , & cor. cels . li. 6. & cap. ● some in the secre●● partes , as Paul . lib. ●● ca. 25. who although he account , this ma●● also be ingendered of some pestilent occasion , yet doth he and Galen , Meth. med. lib. 14 ● reckon it to come ordinarily of ● cause , simply humorall . But vse hath 〈◊〉 preuayled with vs as to vnderstand no ●●therwise of a Carbuncle , then a pestile●●●umor , and symptome , it shall bee g●● therefore , somewhat to chaunge our c●●stome , and with Vigo lib. 2. c. 20. di●●●●he carbuncle int● pestilent and not p●●●●●lent , which distinction is no● wel omitt●●● others . which are these : Signes common to both Many small pustules , like burnt blisters on the outmost skinne , which being broken , a crustie vlcer ensueth . Sometime onely one pustule with the like crustie vlcer . Otherwhiles without any pustule , only the vlcer is in all sortes crustie . There is itching also , the crust is blacke , or of ashie colour : the flesh about inflamed : Signes of the pestilen● Carbuncle . rednesse , great and grieuous paine , with a Feuer . Further ( if any venomous matter be lurking ) then there is loathing , oft vometing , losse of apetite , trembling and beating of the heart with swooning .

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

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

ANNOTATIONS .

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

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

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

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

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

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

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

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

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

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

ᵐ Or this rather of Fallopius : Ree . malum punicum dulce j. & alterium acidum , sed matur●̄ , coquantur in aqua hordei cum folijs scabiosae & sem. lenticulae , pauxillo plantag. & aceti : cocta terantur optime , ijs admisceatur pulpae pomorum odoratorum , & cydoneorum maturorum , coctorum in decocto praedicto , q. ● . ad emplast . but if the carbuncle be pestilent , I councel no repellent medicine , til the mat●er be ( for the most part ) gathered , & then th●y are to be set as a hedge betweene the carbuncle and the hart , as also if the carbuncle be out of the emunctories , it is ( as I may speake ) to be paled about with ●h●m .

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

ᵒ As boxing , application of hote bread , fomentations , the warm lungs of new killed beastes , oft shifted● the taile or burn of a cocke made bare , and some salt put in , applied to the place , or pigeons clouen quick , & applied warme to the place successiuely .

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

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

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

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

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

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

A RESOLVTION OF THIS chapt . concerning the cure .

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

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

CHAP. iiij . Of the Furuncle .

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

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

ANNOTATIONS .

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

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

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

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

ANNOTATIONS .

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

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

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

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

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

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

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

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

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

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

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

CHAP. VII . Of Herpes exedens , or depascens .

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

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

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

ANNOTATION .

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

CHAP. VIII . Of Herpes miliaris .

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

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

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

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

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

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

ANNOTATIONS .

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

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

CHAP. X. Of the flatuous tumor .

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

ANNOTATIONS .

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

ᵇ The vncleane sweatinesse of men of great excercise .

CHAP. xj . Of the Tumor called struma .

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

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

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

ANNOTATIONS .

ᵃ And inclosed with a membran .

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

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

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

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

Supplie .

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

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

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

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

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

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

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

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

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

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

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

Of Cancer not vlcerate . Cap. xiiij .

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

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

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

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

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

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

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

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

ANNOTATION .

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

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

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

CHAP. XVII . Of Psydracia .

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

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

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

CHAP. XVIII . Lippitudo : Inflamation of the eyes .

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

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

If the humor yet be flowing , dra● it otherwhither by blood lettinge , Conc. 63. Medicin . in the middle veyne of the cubite , or in the foote , on the same side . Vse also frications to the inferiour parts , bynding the legges , and loose the bellye . But in the time that the humor stayeth , and floweth no more● worke by euacuation , as opening the humorall veyne of the same ●yde , and emptying the same euen to sounding : if the inflamation bee great , the bodye strong , &c. Cuppinges also with scarifying , woulde bee applyed to the hynder parte of the heade . Your locall medicines in the beginning , muste bee repellentes , and mitigatiues of payne : as fomentation with warme water . Albus liquor oui . lac mulieris iuuenculae . Or a medicyne compounded , ex lacte mulieris , vitellis ouorum & ●rosaceo , al mixt together , which moderatly repelleth , and wonderfullye mitigateth payne . Or a ca●aplasme , ex papauerum capitib●● in aqua decoctis , & lini sem. fari●● , &c. In other times of the inflamation , digerent and discutient medicines : as decoctum faenig●aeci . If the humor be choler , the like diet as aforesayd , saue more moistning , will serue , and for diminishing the quantity , as also for reuulsion sake , if it abound mixt with the blood , open firste the humorall veyne , and after purge downeward by medicines , thus ●irste altering and concocting it if it bee crude . Recipe Syr. violacei , de papauere , nympheae , ana , ℥ . ss. aquarum violarum , endiuie , lactucae , ana , ℥ . j. misceantur , & fiat syrupu● : and giue the patient the same many dayes togeather● to the eye , in meane time applying , Albumen oui lac mulieris , aqua rosarumalb . cum candid●●ui liquore , the matter being concoct , purge first vniuersally , cum cas●●a recent . ●racta : or manna cum tamarindorum decocto : or cum syrupo rosarum , made of many infusions , cum diacatholicone , and such other medicines . after come to such as doe it perticulerly , as , fomentum ex aqua tepida , vsed oft in the day , or Balnaeum aquae dulcis . Noting that in all these euacuations , there bee due regarde had of the quantity●● as also of your medicines : Ca●tion . encreasing or lesseninge , euerye thing , accordinge to the multitude , strength , temperature , yeare time , &c. according to the vehemency of the affect , condition of the part , &c. If the caus● be Flegmatik cause . Flegme , let his aire be hote , the place where hee is , obscure : his sleepe moderate , & nightly , his mind & body at rest , his bellie daylye loosed , his meat heating , of good nourishment , not vaporous , nor slow to concocte . his drinke in the beginning , decoctum cinamomi , aq. m●●sa . but at other times thinne wine w●●tered , &c. alwayes obseruing that in quantitye , hee bee very spare , specially in the beginning of the disease . The Dyet thus appoynted , consider if the blood bee yet flowing , wherewith the flegme is mixed , if it bee , make reuulsion , with blood letting in the middle vein of the cubite , frications and ligatures of the lower parts● cuppinges , &c. but if it nowe staye , and ●lowe no more , first immediately empty the blood , by the humorall veyne , and after purge the body : but preparing and concocting firste , if the humor bee crude , as with this Syrupe : Recipe syr. de Bae●onica , Hyssopo , Staecade , ana , ℥ ●ss . aquarum Maioranae , Betonicae , Rorismarini , ana , ℥ . j. Mixe them & make a syrupe therof , whiche yo● shal giue the patient , and repeate it many dayes . Or else this decoction : Rec. saluiae , betonicae , hyssopi , serpil● ana , m.j. ●●orum stachados , m.ss. rad faeni● . paeoniae , ana , ℥ . j. sem. Anisi Faeniculi , ammi , an . ʒ.j . nucis moscatae , Cinamomi , ana , ʒ . j. misceantur & coquantur , vsque ad consumptionem tertiae partis , deinde cole●ur , zaceharoque dulcis reddatur po●io , cui denique addantur syrupi de be●onica , ℥ iiij . Thus the matter being now concocted , euacuate first vniuersally with medicines purging flegme , taken by the mouth or bellye : then also particularly , and insensiblye , by way of resolution , as cum decocto faenigreci , or deco●to meliloti , & faenigreci , or a fomentation ex aqua ●epida , cum spongia applyed . All whiche thinges must be guyded for their quantitye : varying or diminishing for the greatnesse of the affecte , condition of the part time of the yeare , &c. And if this affecte come of melancholy , proceed also by the same meanes , as agaynste flegme , saue that in this , you muste vse medicines purging Melancholye .

Supply concerning the symptomes .

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

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

ANNOTATIONS .

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

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

ᶜ Rather anger and furious hastinesse .

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

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

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

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

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

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

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

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

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

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

Prog. The cure of Epiphora beeing neglected , bringeth manie times the Webbe in the eye . If skabbed or mattering eyes growe from infancie ( as in some ) it is in vaine to attempt the cure . And if it come through the perishinge of the flesh , G●no●● . in the great corners of the eyes , it is hardly recouerable . If the humor flowe by the interiour veines , there is scarse ( nay I may leaue out scar●● ) any hope of cure . That can bee done , must bee by abstinence , and often purging : by concocting the humours , and foorthwith outpurging them by the stronger sortes of pilles . If it flowe by the exteriour veines , beeing not of long continuaunce , and in a person of gouernement : execute the vniuersall partes of the cure , accordinge as in Ophthalmia aforegoing . To the eye minister a Collirie made ex pauco vitriolo , in mulsa aqua rosacea dissolut● . Or this : Recipe aquae faeniculi , & euphrasiae , ana , ℥ .ij. aquae rosarum , ℥ . j. tuthiae preparatae , ʒ . ij . vitriol . ro●nan . diligenter ●loti , ʒ . ss. sarcocollae nutritae in lacte mulieris , ℈ . i●●●loes.ʒ.ij.ss . zaccharicandi , syr. ros. ana , ʒ . ij . agiten●ur , & fiat collirium . Or , in case of itchinge and burninge of th● eye : Recipe aquae rosarum vini albi , ana , ℥ . j. ss. aquae faeniculi , ℥ .ij. succi limonum , ℥ . ss. myrabol . citr . ●uthiae praeparatae , ana , ʒ . ss. aeruginis rasi●● , gr. v. caphurae , gr.ij. coquantur in phial● vitrea ad tertias : so strayne it , and hereof droppe morning and euening into the eye . Againe : Recipe aquae rosarum & faeniculi , ana , ℥ . j● ss. vini albi , ℥ .ij. sarcocollae nut●itae , thutiae praeparatae , alo●s , myrrhae , ana , ʒ . ss. zacchari candi , ʒ . j . aeruginis rasilis gr . v. coquantur ad tertias , it beeing strayned , instill a droppe of it morning and euening : and it auayleth not onely in this case , but also cleareth the sight , and taketh awaye the spotte or webbe , newe growing . In the meane time , if the fluxion bee too headie , and vnrulye , it shall be safe , to applye to the forehead , & temples , some restraining plaster , as either that , put downe in the former Chapter of Ophthalmia , or else this liniment much commended of Montag . Rec. amyli , ʒ . j . ss. terrae sigillatae , ʒ . vj . tuthiae preparat . ℥ ●ss . seif memitae , ʒ . j . rosarum● spodij●●andal . rub . acaciae hypocistidos , ana●ʒ . ij . gummi arab . torres acti ℥ j suc●i plantag. succi consolidae ma. ana , ℥ .iij. labour it long in a leaden morter , with his pestell , & therewith annoynt the forehead and temples twise a daye , either colde or warme . If the disease be inueterate , or these meanes auayle not , shaue the forepart of the head , and apply to the crowne , temples and forehead , some astringent and drawing plaster : as pr● Ruptura : or , Rec. pi●is , cor●icis thuris , boli arm. ros. rub● siccarum , gallarum , ana , ʒ . j . sem. berb●ris . suma● . Masticis , thuris , Rondel . ana , ʒss . spicenardi , opij , ana ℈ . j . incorporentur si●ul cum terebinth . ●iat em plastrum . Or this : if the tumor be colde : Rec. pi●is naualis , ℥ ss. masticis , thuris myrrh●e ana , ʒ . j . cype●i , spicae●ardi , schenanthi , rosariō . ana , ℈ . j. aca●iae , licij . ana ʒ . ij . fiat ●mpl . incorporando cum terabynthina . If Licium may not be gotten , take double quantitie of acaci● . Further , you may proceed to direct the humor by cupping , rubbings of the head towardes the hinder parte , and applying the seton in the necke : yea , some much commend the application of a cauterizing yron to the crowne of the head : so as it be done to the verie bone , that it maye ●kale , & the issue there be kept open long time .

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

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

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

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

CHAP. XXI . AE●ylops and Anchilops .

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

ANNOTATIONS .

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

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

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

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

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

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

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

CHAP. XXIII . Of Polypus .

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

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

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

Appoint a slender dyet : Cure . the meates such as be of good iuyce , Diet. and doe atteinuate or make thinne . Euacuati● The drink , water of Guaicum , &c. If nothing hinder , let bloud in the Cepha●lca veine , specially , if the head bee replete with bloud : else , set cuppinge glasses behinde the head . Purge the bodie vniuersally , cum pillulis coccij's , aureis , sine quibus , &c. and the heade also perticularly , with masticatori●s , of masticke , and scannwine , &c. Then see that your medicines for the place be partly astringent , partly pearsing : partly attenuating , Local medicines . and partly discussing , as is this water : Rec. vuarum imma●urarum , li. iij . mali grana●i , balaustiorum , sumach , a●a . ●i . ij . macerentur in aceto & destil●entur , deinde adde , aluminis , li.j. vi●rioli , ℥ .iij. destillentur , omnia , iterum , and with that water , touch the inner partes of the nose . An vnguent for that purpose : Rec. argen●i spumae , cerussae , vini , aceti , olei mirthini , ana , qs . To these being boyled , you may put and mingle , aliquid rosarum , balaustiorum , & aluminis . Another : Rec. spumae arg.ʒ. j. cerussae , ʒ . iij . male●or● , ʒ ij . aluminis scissilis . ʒ.ij . with these powdred & odoriferous wine . Frame it to the thickenes of honie : after that put in some ol. myrthinum , and stirre them togither , & reserue it to your vse , in a leaden boxe . If you see that these medicines be too milde , & that you stand in need of stronger : you mai therafter get vnto you stronger also : such as chalcitis , aes vstum , san●araca , au ripigmentum , &c. emp●rast . Macrionis , Te●rapharmacum , cum duodecima parte aeruginis : Ceratum mirthynū , c●ratū e cera rubra , cum oleo mirthino , & dicima parte aeruginis : Psoricum Mesuae , Trochisci Andronis , Musae Polyidae , &c. Else these pouders of later inuention : Rec. squā●ae aeris , ℥ j. atramenti sutorij , ʒ . vi . sandaracae , ʒiij . veratri nigri , ʒ . ij . misceantur . & blowe vp of this pouder into the nostrels . Another : Rec. Chalcanti , chalcitid●s , aeris , vsti , ●ysi , ana , ℥ . ss. misce cum vino ad mellis crassitudinem : then burne it in a fornace , and powder it , and vse it as afore . If it be rebellious to these kind of meanes , Cur. 1. the last refuge is , incision , or burning● as if they be ●auft , they are fit for incision . Let the partie therefore be placed in som Sunshine or lightsom place : then holding open the nostrel with your lefte hand , cut of the Polipus rounde , with the right hande , with a spatule made sharp for that purpose , & like the fashion of a mi●t leafe : directinge the edge of the instrument to that parte , wher it ioyneth to the nostrels : then in like maner turning the instrument to the contrary part , cut the foote of the Polipus asunder , & so take it out . If the P●lypus be of a maligne nature , Cauterie . it must come to the ●●re of the hote iron . And if it be but a small one , the cauterie is to be applied to the place , through a siluer reede or pipe . In a a But this respect of persons is vnfi● for the children of God , who must mak● conscience , of the least peril , or deformity , ( if by more diligence , or better meanes i● may be redeemed ) euen in the basest sort● of men . rustical persons the nose may be slitt , & so the cauterie haue more easie passage to the part . Beyond all this the affected part especially , the he●d must be lookt vnto , for meanes of comfort & strengthening . You shall make the patient coyffes therfore , quilted with cotten woll & strewed betweene with some drying & coroborating pouder ●x ligno alocc , caryophilis , macere , nuce moscata , staecade , saluia , maiorana , menthae roremarino , betonica , lauendula , &c.

ANNOTATION .

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

CHAP. XXIIII . Supplie . Parulis . Epulis .

Differences with Causes & signes . Def. Aetius . PArulis , is an inflamation with tumor , in some parte of the gummes . If it bee in the lower gummes , the matter descendeth by the temples , Fer. Causes & signes . from veines there ending . If in the vpper gummes , it distilleth from the greater corner of the eye . It gathereth at the rootes of the teeth , and swelleth out with heat , rednesse & paine . False Angina . Prog. If it be not resolued , it groweth to suppuration . By euil handling , the gumme may growe vnto the cheeke , li. def. med as Gorraeus once sawe it . So may epulis rise thereof , as noteth Fernelius . In the beginning , ( the bodie being lookt to , for the vniuersall points , as hath beene saide in the general Phlegmone ) let your medicines be 1 1 1 Aet . me●● med. li. 4. ca. 14. repressing , and discussing : as 2 Aph. l. 5.10 secund. Iou● berti tr. c , de Angina . 2 2 2 Aet. 2. ser. 4. c. 25. succus p●isanae , or , decoctum sem. lini● : or , 3 3 3 Ori. loc. aff. l. 4. c. 66. acetum in quo hyosciamiradix cocta sit , being a speciall remedie in that case . If it will not so be spent , nor repressed , let the patient hold in his mouth decoctum caricarum , and laye on the place , ficum pinguem , cum modico sale tostum . If it suppurate , & yet break not of it selfe : by pricking it with a lancet point , or quill , it runneth out : & oft times healeth of it selfe : howbeit , if you finde it in a bodie of suspitious qualitie , I hold it saffer to make incision wider , and to lay open the place more largely , lest it runne into t●● danger of a fistula : Diet. Loc. cit. as also AEtius iustly suspecteth . After the opening , wash it with aqua mulsa , or , mel rosarum . Being cleansed , drie it vp cum puluere balaustiorum torre● act. & modico aluminis vsti , or such other : applying thickets of lint vpon the place , both for the cause of drying , as also to presse down and close againe the seperated sydes . Out of this euil springeth , as is noted afore , Epulis , which is an outgrowing of flesh in the gummes . For this , Orisabius counsaileth a powder , Beginning Tetr . 4. ser 2. c. 50. consisting ex pari portione vitrioli , & mirrhae , cum modico aluminis , sciscilis . AEtius hath this : Rec. Calcitis viuae , ℥ .ij. auri pigmenti , ℥ . j. auri pigmentum cum aqua te●ito , & calcem addito , & simul , probe cont●r t● . deinde in mortarium aqua plenum conijcito● vt subsideant . When the matters bee settled to the bottome , powre awaye that liquor , and put in fresh , stirring it long time . Let it then settle , after separate also the water , and put in newe : do so like wise the thirde time . Last of all , leaue the vessel filled with water , in the Sunne ( stirring it euery day , and ●●llinge it vp , still when the water i● consumed ) for 40. dayes . After the last expence of the liquor , the pouder being dry , keepe it in an earthen pot , in a drye place , so as it may not bee tainted with moysture . And this ( s●yeth he ) maketh his escar withou● byting , & depresseth loose swellings . Perticularly hee praiseth it , in this case , and for putrified gummes . If Epu●es be verie painfull , and inflamed , as it is sometime seene , A●t tetr 2 ser. 4. ca. 25 so as the partie cannot open his mouth : then first must you practise to delay the inflamation , and that , as by vniue●sall meanes , ( according as the case requireth ) so also by locall medicines : as washings of the mouth with aqua mulsa , succus ptisanae : or , decoctum sem. lini . And emplastring the whole ●aw , with a cataplasme , ex semine lini , & aqua mulsa . The inflammation being done away , so as the mouth may open , applye the powder to your purpose , or in the want thereof : Rec. aluminis scissilis . ʒ.ij . gallarum , ʒ . iiij . salis terrefacti , ʒ . j . fiat puluis . Strewe of this vpon Epulis , and apply al●o your lint , as is set downe in Pa●ilis . And I suppose , that nothing can in this case be done by the waye of these medicines● that a prouident a●tist cannot as quickly accomplish , by discrete vse of the caustike stone . The ancient authors , beyond all these meanes , come ( at the last ) to incision . Pareus preferreth before all other that it be bound with a double threede● Cautions . li. 7. c. 4. and followed still with strayter bynding , till it fall of , burning the place afterward , with a causticke applyed in a hollowe pipe : or , cum aqua forti : or , oleo vitriolo , so curiously put it , as that the sound parte● mai not be touched of them . And thi● way ( he saith ) he hath cured this humor , of so large a sise sometime , a● that it grewe forth at the mouth , to the great deformitie of the face .

CHAP. XXV . Supplie . Batrachus , or Ranula .

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

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

Supply . CHAP. XXVI . Tumor tonsillarum .

THere be certayne glandules , placed on eyther side of the iawes , by the rootes of the tongue , which sometime swell with cold humors from the heade , sometime are inflamed with hote . It maye also come of causes from without , such as AEtius telleth in yong bodies : to wit , drinking much wine , and greedy deuouring of meats , specially rough or sharp tasted : as I also haue sene it , by excessiue eating of cheries . The Tumor is euident to see and feele . Besides , the patient feeleth , as a lumpe sticking in his iawes , hindering his swallowe : but all this while without burning and thirstinesse , they being the signes of this parte inflamed : together with manifest rednes & paine . Prog. This not discussed , commeth to suppuration : the other oft to vlceration . The vniuersall points being ordred as in taught in the general tumors . Aegin . l. 3. cap. 27. Cure . Wet ouer the swelled places with a fether , dipped in this water , Rulandus . twise or thrise in an houre , Rec. aquae fontanae , ℥ .ij. ol. vitrioli Rom. tot guttas , quot acidam multam reddant . By this he shall be procured to spit much . After it , put succinum album vpon the coles , and procure him the fume of it , by an embot vp into his iawes : this may be done two or three times in a day , if neede shall so require . Augmentation . Rond . And further to drie vp and restraine , Rec. nidi hyrund . ℥ .iij. pulu . nucum cupressi , ℥ . ss.ros . ℥ . ss. excipiantur oxymellite f●a●que ad formam cataplasmatis . Applye it to the sides of the throate . Likewise , if you couet a gargarisme , Rec. Florum prunellae , florum saluiae , ana , Rulandus . m.j. gran. myrtil . ℥ . j. ss. decoquantur in vini rub . & aquae ana , li.ij. ad medium horum iuri colato admisceatur , diamoron ℥ . j. ss. fiat gargarisma . If this course notwithstanding the tumor tend to suppuration , leaue your fume and cataplasme , and put to your gargarisme , Ficus , mucilagines faenugraeci , recentem glycyrrhizam , iuiubas &c. according to the proceeding , hereafter set downe in Angina .

Supply . CHAP. XXVII . Tumor Collumel●ae .

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

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

Rulandus highlye accounteth , of the fume and gargarisme , set downe in the chapter going before , Declinati● Cent. 1● to be vsed also in this case , appointing moreouer to take , fermenti veteris , ℥ .j. to spread the same vpon a linnen cloth , sprincle it ouer , cum puluere carabae albae , and applye it halfe a hand broade , to the top of the head . Calmeteus hath this garg and pouder : Rec. lentium & hordei , an . p.j. baccarum & fol. myrti , an . p.ss. balaustiarum , ℥ . ss. ros. rub . p.ss. aquae & aceti part . aequales , coquantur ad medias , colaturae adde sacchari , rub . vel mellis ros. col. ℥ .iij. fiat garg . If the tumor tende ●o suppuration . ●alter . ●● . 2. obs. 10 Ex. Cal. Recipe gallas virides xv . spicae celticae , ʒ . iij . ros. rub . P.ss. nidi , vel pul. hirundinum , ʒ . iij . fiat pul. tenuiss . Applye it to the place : Others make their pouder ex vna parte piperis , & duabus partibus myrab . citr . The inflamation of vuula hath suche sute of local medicins beloging vnto it : as are declared & taught hereafter , in that parte of the cure of Angina , that concerneth inflamation . But if it do gangraenate , it must be cut of with an instrument : or els tied , according to the deuise of Honoratus castellanus , and set downe , with the fourme , and vse of the instrument , Li. 7. ca. 7. pertaining to the doing thereof , by Ambrose Parey .

Supply . CHAP. XXVIII . Angina .

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

Those sorts be most greeuous and soonest kill , Prog. Hip. 3. prog. 18. Aph. l. 4 ( yea commonly in one day ) that making no appearaunce , neither within nor without , yet moue great payne , and difficult breathing . That whiche is with tumor and rednesse in the throate and brest , is safe , for the most part , though longer enduring . Whosoeuer in the ceasinge of Angina , haue the matter conuerted to the lunges , they eyther die in seuen dayes , or after fall into Empiema . Cure . Ioub . loc. cit . Set a diet moste spare and slender : both for that the disease being most sharp , requireth it , as also for the vnfillinge of the vessels , which in this case is very requisit . In the case of inflamation make the ayre colder , Aetius loc. cit. Appoint sleepe to the patient , in the beginninge of this disease , that so there maye bee a reuoking of the humors and spirites , to their proper mansions : but about the state , and rypening of the humors more watchfulnesse is meeter , leaste in sleepe time , the matter that should bee auoyded vpward , steale down into the lunges , or ventricle . Let the patient procure suche rest to the part affected , in the fyrste dayes , as that hee neyther speake , chew , nor gargle : so long as the vehemencye of the Fluxion endureth . but vse frication to the whole body , hote bathinge of the feete , and painfull ligatures to the limmes , for reuulsion sake . Afterward , the inflamation and fluxion for the most part being stayed , both walking , speeche and gargling , ar very conuenient . The belly must yeelde his course euerye day . All immoderate affections must cease : especiallye anger , and exceeding ioy , and whatsoeuer might giue occasion to laughter . Blood letting would be in the beginning of euery true angina , Order of cure partic . if there bee strength to beare it , yea though there be no great fulnesse : & that not once onlye , but agayne and agayne on the same daye ( if neede require ) repeated . prouiding and vsing in the meane time , from the firste blood letting , your locall medicines , both inwarde , and outward : this hauing the same scopes of cure , concerning the perticular times therof , as other ordinarye tumors , arising of a Fluxion : to wit , in the beginning to repel or beat back only . In the augmentation , to resolue with all . in the state to repel & discusse equally , & in the declination , simply to discusse or resolue . Repellents conuenient , are these simples : Acetum , succus mori , ( as well fruite as tree ) succus corticis vi●idis iuglandium , malorum cydoneorum , granatorum acidorum cumsuo corio contusorum , pirorum agrestium , & prunellorum : Also the iuice of the tree Cornus , omphacium , &c. Againe for decoctions : radix bistoriae , rhus coriariorum , summitates rubi , lentisci & myrti , myrta ipsa , plantago , oxalis , vtrumque cichorium , portulaca , lens palustris , gallae in ● maturae : sorba & mespila immatura , viua●ea , calices glādiū , spongia bedegaris , citini , balaustia , rosae , alumē , and such others . Of these maye you prouide , ( as the case requireth ) repellent collusions , or decoctions , to hold in the mouth : obseruing that your repelēt medicins be not to strong at first , as for example : oxycratum very fit to begin withal . or this , Rec , aquae peculi ros. & plantag. ana , ℥ .iij. succi granatorum acidorum , ℥ . j. diamoron , ℥ .ij. fiat collutio . A fewe houres after , this stronger one : Rec. gallarum viridium , rhois , balaust . malicorij , an . ℥ . j. fiat decoctio in aqua plantag. ad li.j. in aqua dissolue diamor . Calm . & vini granatorum ana , ℥ .ij. fiat garg . or this : Rondel . Rec. summi●atum rubi , vel lentisci , rhus , myrti , pyri siluestris , aut sorbi , vnius horum , m.ij. rosarum rub . balaustiorum , & acinorum vuae , ana , ℥ . j. fiat decoctio . In li.j. colatu●ae dissolue , diamoron , & dianucum , ace●i , & succi mali granati acidi , an . ℥ . j. misce . obserue : that in the want of the green plantes , you maye vse their distilled waters . The Patient must not gargle with these liquors , but hold of them in his mouth onlye : for mouing of the iawes encreaseth the Fluxion● Act. 8.45 . and euer when they are vsed , the cold must be taken of at least , for thinges colde in acte , as those that be too hote , doe exasperate the Fluxion , and increáse payn . And in the beginning of the inflamations of these parts● vse no hony , not sweete syrupes , the first whereof , prouoketh the Fluxion by his acrimonie , the latter sort , are abstersiue , and opening by their sweetenesse : howsoeuer otherwise consisting of simples astringent , & ingrossing . Excepting neuertheles the vrgency of payn , which may somtime enforce vs to the vse of some of them , as , s●r . viol . papaueris , &c. A thing wel obserued of Calm in his practise . The outwarde meanes , in the beginning of the true angina , ought not to be meerely relaxing , as the common practise importeth . For if the throat without , be fomented with oiles , or plastered with cataplasmes , what reason can be shewed , that their properties should not pears to the affected part within ? if they do , & they be relaxing , shall you not so much the more increase the fluxion ? shall you not so muche frustrate the work of your inward medicines , & so in effect , set vp with one hand , & pull down with another ? De cur . ac morb. li. i. ca. 7. Lib. 4. Trallianus hath noted it long ago , a thing extreamely dangerous : & amongst the late wryters some likewise haue giuen warning of it : namely Rondele●ius & Ioubertus : though none of them ( in my opinion ) haue sufficiently ynough withstood it , in their practise : for whilste some of them mingle so small astringencie , with such plenty of resoluing , and mollifying medicines , as appeareth in that receipt Ioubertus gathereth out of Trallian : I feare least that prouerb may be truely saide therein : ( as good neuer awhit , as neuer the better . ) This is the receipt , that others may iudge likewise . Rec. micarum pan●s , ℥ .iiij. dactylos , numero viij . sem. lini , ℥ . j. coctis , tus●is , & cre●is adde , farinae hordei , ℥ . j. ss. croci ● . j . ol. liliorum , vel chamomelini , ana , q.s. ●iat cataplasma . For my part , I take this fitter for the state , then the beginning of an inflamation : especially , if the bread therein , bee vnderstoode fo●● pure wheat bread . R●deletius , if he had continued the same course in his chapter de Angina , ( touching this point ) a● in his chapter before , de Tonsillarum inflamatione , he had both counsailed , and practised , I must haue helde him free from all staine of this errour . Howbeit , howsoeuer afterward he fo● ga●e himselfe , let vs lay holde of hi● first sound counsell , which is , to minister in the beginninge of Angin● ● both inwardly and outwardly , medicines drying , with a certain as●rictiō which hauing concluded first , from the authoritie of Dioscorides : & a reason , drawen from the constitution of the partes , he afterwarde confirmeth from his owne manifold experience : namely in the vse of Cipresse nuttes : wherehence hee taketh iust occasion , to laye downe the receipt of a cataplasme , of effect aunswerable to his rule before prescribed : to wit , Rec. nidi hirundinis , ℥ iij. pulu● nucum cupressi ℥ . j. ros. ℥ ss. excipiantur oxymellite . fia●que ad f●rmam cataplasmasis : apply this to the sides of the throate . This knitteth togither the partes : Otherwise naturally loose , and dryeth vp the humor flowed . Fit also for the beginning is this : R●c . ●ungorum sambu●i , q.s. in serolactis infundantur , donec mollescani , d●in con●undantur , and apply it as is said of the former . In the meane time , let the patient haue the same Fungi , steeped in all his drinke . And in the infusion of them , done in aqua rosacea , or Plan●ag . Wet cloathes and laye them vppon the heade . To which vse , Parac●lsus appoynteth aqua ros. rubearum , bursae pastoris , solatri , barbae Iouis . thus hauing proceeded by blood letting , & local repellents : if within few houres , the fluxion remit not , or ( especially ) if the blood shewed the body repleat with euil iuice , com to the other general euacuation of the body : which because it can seldom be done by potion or pill , you shal sufficiently performe by clister , as on this wyse : Ioubert . Rec. hordei p. j. fol. betae , mercurialis , parietariae , maluae cum radicibus , ana , m.j. caricas pingues , no.xx. sem. faeniculi ʒ . ij ( if there be no feuer , otherwise , Cucurbitae , melonum ana , ℥ . ss. ) Florum trium communium , chamomeli , meliloti , ana , p.j. fiat decoctio in q.s. Colaturae , dissolue , diaphaenici , ʒj . diapru . lax . ℥ . ss. vitell. ouorum ij . olei violarum , ℥ .iij. salis ( if the bodye be not easye to moue ) ʒ . iij . fiat clister . Minister this the first daye after blood letting . and stronger , or weaker then this , as the case shall require , whiche muste bee committed to the iudgement of the Artist : obseruing that you content not your selfe with a washing clister , if the humors bee defyled . The second day open the veynes vnder the tongue , or ( if the tongue be swelled , that you cannot come by them ) scarifye the tongue it selfe , sayeth Paulus , or open the iugular veins , according to Trallianus : a deuyce , once also experimented of Ioubertus , A mixture of water & vineger . Li. 5. cap. de ang. with happye successe . Your Gargarismes for the second day , whiche is the augmentation , must haue some mixture of resolutiues , as for Example : Rec. rosarum , & hordei , ana , P. j. balaustiorum , ℥ . j. caricarum , & passularum , ana , Paria x. iuiubarum paria , xx . Glycyrrhizae , ʒ . ij . fiat decoctio . In li.j. colaturae , dissolue diamoron , ʒ . ij . mellis rosarum col . ℥ . j. Or this : Recipe Aquilegiae , Prunellae , Betonicae , ana , m.j. ros. rub . balaustiorum , ana , ʒ . ij . Fungorum sambuci , ʒ . vi . caricarum paria , v. passularum paria , xv . glycyrrhiz● , ʒ . ij . coquantur in s●ro lactis , in colaturae , li●j . dissolue diamoron , dianucum ana , ℥ . j. ss. mellis rosarum , Col. ℥ . j. cassiae extr. cum eodem decocto , ℥ . ss. fiat oris collutio . Let the patiente nowe and than ( in the sharpenesse of his payn ) bee sucking downe with a quill , Lac recens mulctum , steeped cum fungis sambuci , and warmed agayne lightlye , for the outside of the throate , mixe with your former astringent cataplasmes , some mollifying & discutient medicines , & that in larger measure , then in the inward meanes : to th end , that the humors finding straiter rowme within , & larger without , may ( at the worst fall ) bee gathered outwardly , if so be thei cannot otherwise , be cleane spent away . Neither yet doe I here allowe meere relaxinge medicines : for that those doe not , as these here counselled , labour togither in one common worke , with the inwarde meanes : but directly fight against them , as hath bin noted afore . Cupping glasses serue not , Cupping . til the fluxion be altogither stayd : and then are they rightly to be applied to the sides of the iawes , & in the neck : especially to the second vertebre of the neck , in the extreame peril of suffocation . The 3. & 4. dayes ( accompted for the time of the state ) let all your meanes be more resoluing . As first diminishing in the last described collution , the quantities of balaust ros. diamoron . and encreasing the figges , raisins , & mel . But the ● . day , taking those astringents quite away . Or vse this : Rec. h●siopi , m. j. betonicae , m.ss. glycyrrhizae ras . ℥ . j. fungorum sambuci , ʒ . j . sem. lini . faenugraeci , ana , ʒ . j ss. carnarum ping . numero xij . dactilorum incis . numero . ij . passularum enucleatarum , numero .xx. fiat decoctio : in . li.j . colaturae . dissolue , mellis ros. oxymellitis simpl . ana , ℥ ij . sapae dulcis , ℥ .iij. dianucum , ℥ j fiat gargarisma . Rec. vng. de altheae , ocsipi , vel resumptiui , ana , ℥ ●iij . ol. li●iorum , ℥ .iiij. pulu . nidi hyrundinum , ℥ .iij. incor●orentur sin . ul , & fiat cataplas●a . Apply it to the sides of the throat . Iouber●us reporteth this out of Celsi●● , to bee verie effectuall . Sal lineo sacco excipiatur , dimittaturque in aquam bene calidam : and so applye it warme to the sides of the th●oate : especially , ( as I suppose ) in the declination : at what time , it shall bee good likewise , to adde to the gargles , parum salis nitri , vel gemmei & sulphuris calamentum , origanum , thymum , nepetar● , &c. Caution . Obseruinge diligentlye that in the declination of this Tumor , the matter steale not downe into the lunges , least soudenly you bee depriued of the comfort of your cure . To preuent it therfore● minister euery other day a drawing clister , although the body be otherwise somewhat solluble . And in the declination ( according to the strength of the patient , & plight of the humors ) consult of new purging and bloodletting hitherto of the most desired termination of this tumor , to wit , by resolution . the other way is suppuration , and that eyther outwardly or inwardly . If it grow outwardlye ( whiche you shall know by outward swelling & rednes , with inward ease in swallowing ) help it forward with this cataplasme : Rec. fol. malu●rum , al●heae cum suis radicibu● , ana , m.ij. fol. caulium rubeorum , matrum Violarum , hissopi , ana , m.j. caricarum ping . no. xxx . Florum chamomeli , melilo●i , ana , P.j. sem. lini , & faenugraeci , ana , ℥ j capitum liliorum alborum , ℥ . ij. furfuris P.j. fiat omnium deco●●io in aqua , pistentur & cribrentur : Cribaturae adde , ridi hyrundinis in Oleo Liliorum macerati , praebulliri & postea cribati , ℥ .iij. farin●● sem. lini & faenugraeci , farinae frumen●● ana , ℥ j. ( decoquantur farinae cum oxymelli●e , ad conuenientem glutinositatem ) axungiae gallinae recentis , Butyri rec . sine sale , ana , ℥ . j. croci , ʒ . j . ol. Liliorum , ℥ .iij. fiat cataplasma . Inwardlye vsing such gargarismes as are fitte for the augmentation . The abscesse beinge opened , proceede by mundification , & the other common rules of curing , as hath bene ofte before declared . Contrariwise if angina , suppurate inwardly ( which is to bee perceiued by the long continuance of the state , with encrease of payne , inflammation and feuer : the patient still growing wors at nights , with horror & vnequal temperature of body ) make ready your helpes in this maner . Rec. rad. bismaluae , sem. lini , ana , ℥ . j. caricas ping . no. xx . hys●opi . m.j. Coque & exprime , in li. iiij . liquoris mucosi dissolue , farinae frumenti puris . ℥ .i. croci , ℈ .i. sapae q.s. ●iat in modum linctus . Or ex syrupo iuiubarum , glycyrrhizae , & puluere radicis ireos ● Make a mixture , whereof let the patient be often licking . So maye you forward the matter likewise by outward applications . as of some Catapl●sme ex farina volatilis , faenugraeci , cum decocto caricarum , maluarum , chamomi●lae & melle . After the breaking thereof , minister some mundifyinge gargarisme : as , ex decocto hordei , cum melle : or this , Rec. aquae de prunis , & de prunella , or ( in steed of their water ) their decoction : ana , ℥ .vij. mellis rosac . ℥ iiij . aristolochiae rotund . fungorum sambuci , ana , ℥ ●s● . coquantur lente , fia●que gargarisma . ●alse An●ina . Hitherto of the true Angina : now followeth of the false . The vniuersal meanes for reuulsion & inanition being ordred , The local curation of this kinde , is to be handled . much after that kinde of cure of the true , which is wrought by way of resolution : obseruing this proportion : that those medicines that are deuised for the augmentation of the other , a● meete for the beginning of this , & so foorth : making your meanes in the declination of this , more strongly reso●uing , then in the declination of the true Angina . For the beginning , some vse mustard dissolued in oxymellite . Trall . Rec. deco●ti thymbrae , ●i . ss. oxymel . simp. ℥ iij. mummiae gr . iiij . ●●at gargarisma . succinum burnt on the coales , Matthiol . & the fume therof taken into the mouth , is much commended : or this vapor following , ●o●bert . if the humor be thick & slimie : Rec. origani , & salur●●e , ana , m.ij. sem. faenugr . ℥ . j buliant ex aceti parte vna , & duabus aquae , addendo salis nitri , vel gemmei , ℥ . ss. this being in a pot with a hole in the couer , conuey the fume of it into the patients mouth , by a quil , or hollowe pipe : Rec. sem. rutae siluestris● ( alias harmalae ) apij , ammi , s●haenanthi , croci , rosarī●●ubear . i●idis , my●rhae , cinnamomi , casaiae , crocomagmatis , aristol . longae , gallarum , aluminis scis●i , ana , ℥ . j spicae nardi , amomi , ana , ℥ . ss. costi , cineris hirundinum recens vstarum , ana , ʒiij . mellis , q.s. ad excipiendum . fiat opiata . Diabesasa . This is that famous composition of the Greekes called Diabesasa , or , diaharmala , so much celebrated of them , for his vertues , in the cure of al sortes of Angina , though in reason , it seem not so fit for the true sorts : except only , after the fluxion is wel stayed , as also Iouberius hath truly noted . But in this kind there is especial vse of it : seing that by discretion it may be ●itted vnto the seueral times thereof : as AEius s●eweth in this sort . Prog. Ser 4. terr. 2. c. 47. In the beginning● mingle it with som decoction meanly astringent : toward the state , cum ptisanae succo : & neere the declination , cum melle , aut hydromel●●e , aut vno mu●so : so that as you woulde haue it worke , so may you direct it , by your liquor or decoction , wherein you will dissolue it . Of greate account also is this : Cure . Sumunt ur pulli hirundinum siluestrium vi●●e cum plumis : addi toque sale pauco , in fictili bene obturato comburuntur : Recipe illius cineris , ℥ . j. croci , ℥ .ij. spicaenardi , ʒ . j . melle excipiantur . This resolueth excellentlye , without biting . If the Fluxion continue verye headlong , Ioubertus counsayleth this fume for the stay thereof . Loc. cit. Recipe Nigellae romanae , & gummi hederae torrefactorum , eoriandri praeparati , granorum & gummi Iuniperi , santali albi . rub . citrini , ana , ʒ j. myrrhae , thuris , masticis , Nucis moschatae , calami aromatici , cyperi , ana , ℈ .ij. spicaenardi , schaenanthi , ana , ℈ . j. rosarum , ℈ .iij. Pouder them , mingle them cura gumini dragagantho , dissolued in aqua rosarum , vel m●yrit , and make of them ●rochisces like lupines .

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

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

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

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

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

CHAP. XXX . Epiplocele , and Enterocele .

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

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

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

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

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

ANNOTATION .

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

CHAP. XXXI . Cirs●cele .

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

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

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

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

ANNOTATIONS .

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

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

CHAP. XXXII . Bubonocele .

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

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

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

CHAP. XXXIII . Sarcocele .

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

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

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

ANNOTATIONS .

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

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

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

CHAP. XXXIIII . Hydrocele .

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

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

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

ANNOTATIONS .

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

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

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

CHAP. XXXV . Of Pneumatocele .

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

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

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

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

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

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

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

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

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

ANNOTATIONS .

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

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

Supply . CHAP. XXXVII . Parotis .

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

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

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

CHAP. XXXVIII . Of the small tumor Phyma .

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

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

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

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

ANNOTATION .

Corne , or ●g●aile . ●orr . def. ●ed . ex Galeno . ᵃ Another speciall note , whereby the aucthors distinguish Phima from the other inflamations of the glandulous Emunctories , is , that it is of spedie suppuration .

Supplie . CHAP. XXXIX . Phygethlon or Panus .

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

Resolution of the glandulous inflamations .

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

CHAP. XL. Bubo venereus .

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

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

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

ANNOTATIONS .

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

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

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

Supply . CHAP. XLI . Bubo Pestilens .

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

CHAP. XLII . Cruddeling of Milke in Womens brestes .

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

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

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

CHAP. XLIII . Inflamation of the pappes .

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

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

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

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

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

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

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

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

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

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

ANNOTATION .

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

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

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

The antecedent cause is bloud inflowing , k This is most excellent of Paracelsus : Rec. rad. hyosciami , q.s. digerantur in aceto rosaceo as solem , fiat Epithema : In this wet clothes , and applye warme to the payned place . Lolium and Papauer may be vsed in steede therof . And this wonderfully swageth paine . Causes & signes . which you may descrie by the notes of abundance of bloud , the conioined cause is the bloud contained in the part affected , &c. This tumor is about the rootes of the nayles , the paine is vehement , with pulsation , heate , &c.

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

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

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

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

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

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

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

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

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

Supplie . CHAP. XLVII . Tumor in the knee .

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

Supply . CHAP. XLVIII . Varix and Aneurysma .

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

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

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

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

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

The end of the booke of Tumors .

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

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

CHAP. I. Of a greene wounde .

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

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

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

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

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

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

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

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

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

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

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

The thirde waie , Verncle , or the quil● stitch . to restore the seuered sydes , is by verucles , euen made , of stupes strongly writhen , and slender like a writing quill or reede , and the length almoste of the middle finger . But if wee couet to haue the stitching holde a long time , take a writinge quill , in steede of the stupes , and doe as followeth . Drawe a stitche through both sydes of the wounde , and returne your needle through agayne by the same waye it came , so that you leaue youre threede in a loope , on that syde , whence the needle returned , in which loope , put one of the quilles , then take both the endes of your threede , to wit , both the beginning , and that that came backe againe , and straine or vrge them so , as the sydes of the wounde maye drawe togitherwarde , and putting between them the other quill , tye them on a knott , and cut away the remnant of threede , so leaue it to the perfect healinge of the wounde . The fourth stitchinge , a It is not of necessitie , that by and by , in a contused wound , there be found these accidentes , neither that the whole scope of the cure , should euer first , be bent against them , but rather ( as in other cases ) minister such fit helpes vnto the wounde , as may also haue respect vnto the accidents : neither doe I thinke , that Wecker meaneth any other thing in this place : howebei● , ( in my iudgement ) his method had beene more apt , if after his generall regiment , comming to his locall administrations , he had taught , first the cure of the wounde , & after remembred the accidents . The drie stitch . is perfourmed by clothes , applyed on both sydes the wound , in fourme triangled , and of such greatnesse , as seemeth best agreable to the member that is hurt . Which kinde of stitche is most agreeable to such places , as we couet to heale , most without blemish or skarre as in the face . Those clothes must bee fastened on with some viscous or harde clea●ing liniment , compounded of sanguis draconis , thus , mastiches , pix . and pollen , that is , farina volatilis . all which must bee encorporated with albumen oui , and so made one . And then spread vpon one side of your clothes , which clothes then must you laye on eche syde the wound , a thumb bredth distant from the same . Thus when that oyntment drying , the clothes become fastened in their place , make in them your stitching , ingeniously to the purpose . by which meanes , the lippes of the wounde shall goe togither and glewe againe .

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

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

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

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

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

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

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

Supply or addition to the accidents of wounds .

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

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

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

ANNOTATIONS .

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAP. II. Of a contused wounde .

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

Cure . And because the ordinary entrance into the cure of this wounde , is many times , intercepted by the importunitie of accidentes , let vs a first labour to represse them , and afterwards proceede to the cure of the wound it self . The accidents be either paine or swelling : paine must bee mitigated with oleum an●thinum , ol. chamomelinīs , ol. liliorum , or a liniment ex ol. rosaceo , & vitello oui , layde vppon lynt and applied , the tumor that you finde , is to be remooued , by the taking awaye , both of the antecedent and conioynd cause : and the antecedent cause , being the humor flowing , the conioynd cause , the humor alreadie contayned in the wounded parte , to the cutting off of both these we must labour with all our might : first for the defluxion , it is to be considered , whether it be of bloud , or other humors , if it bee bloude , it is to be euacuated , either from the point whence it floweth , or else from the place whether it floweth . The rage of the fluxion , comming eyther from the whole bodye or part thereof , is to be bridled by bloudletting● or thinne cooling dyet . From the part whether it goeth , there are two wayes to dispatch it : one is by reuulsion , in withdrawing the humor to a contrarie part , either with phlebotomie , cupping , frication , or ligatures on the contrarie side : the other way is by repercussiues , when the matter is not drawen but sent , as with ol. rosaceum , ol. mirtinum , or an vnguent ex bolo armeno , cleo & aceto , wherewith the circunstant parts about the wound are to be annoynted , else a plaster ex puluere mirtillorum & oui candido . If the defluxion come not of bloud , but of other humors , then must it be taken away with purging medicines according to the nature of those humors . which point is now set downe before in the curation of tumors beyond nature . The humor nowe impact in the part is to be brought to b suppuration : for which purpose you haue these simple medicines , malua boyld , radix aeltheae , panis triticeus , hordei farina cum ol. & aqua , fomentum aquae calidae , &c. compounde ones you may thus prepare , Rs. radicum altheae , radis . cucumeris agrestis , ana , ℥ . ss. origa●i , hyssopi , ana , m , ss. florum chamomillae , sem. lini ana , P.j. ficuum pinguium no. vj. coquantur , quibus pressis ac tusis , adde galbani , mirrhae , styracis liquidae , aesipi , ana , ʒ . j ss. fiat Emplastrum . Another : Rs maluae , violarum ana , m.j. rad. altheae , li●ss . coquantur , in iure carnium absque sale , postea subigantur in mortario , & adde farine hordei , & triti●i , ana , q.s. fiatque emplastrum . A c c Indeede the wounde is first to be concocted , with this or such other medicine , as Rec. terebentinae venetae , mellis albi , ana , li. ss. vitellos ouorum numero xij . these well mixed , boyle saufily togeather , to the consistence of an vngent . After digestiues , come you to mundific . incarnatiues , &c. in order . Why Wecker hath sundred them , setting his digestiue , where he handleth the accidentes , I knowe not . digestiue for the wound it selfe is to be made ex ●erebynthina , resina , & ouorum luteis . The accidents thus prouided for , & put away , go on to the cure of the wound , considering therof as the present s●ate requireth , to wit , whether it be filthy , hollowe , plaine , or torne . If therfore it be fowle or filthy , mundifie it with mel rosar . or a mundificatiue ex apio , or vnguentum apost . ether els an vnguent ex farina hord. cicerum , fabarum , orobi , ouorum vitellis & melle , &c. with such , I say , d d First wash the wounde cum decocto vini ex myrrha . arme you tents & apply them , laying aloft dry stupes , or beds , & rowling vp the member in such sort , as may aptly keep the medicines in their place : thus doing till the wound be perfectly purged : the holownes of the wound must be filled with incarnatiue medicines such as , thus , aristologia , aloe , fuligo thuris , mirrha , pix liquida , resina , colophonia , chrysocolla , christallus . &c. wherof you may thus prouide you vnguents , as ex aloe , cera , & aerugine , or Rec. cerati rosati li. j. aeruginis ℥ . j. mannae thuris , ℥ .ij. mixe them : or Rec. cerae terebynthinae ana , ℥ .iiij. aeruginis ex aceto lotae ℥ . j. mixe them : or otherwise , ex oleo , cera , aerugine , terebynthina , thure , manna , &c. againe if the wounde be once made plaine and euen , it must be sealed vp with cicatrizing medicines : as are malicorium , galla , myrthus , aerugo lota , scoria plumb● cerusa , pompholix , plumbum vstum , bolus armenus & such like . among which you may fit your selfe on this wise : as making an vnguent ex pompholyge , chalce elota , bolo armeno , cera & ros. or this : Rec. cadmiae , lithargyri , cerussae , ana , ℥ . j. cerae ℥ .iiij. ol. ros. ℥ .iij. fiat vnguentum . Else this : Rec. cerusae , cadmiae , ana , ℥ .iiij. cerae , olei mirthini ana , ℥ .vj. mixe them . Nowe if the wounde be so torne , that you see in the beginning , it is necessarie to vse some stitching , let it be done , yet slackly , so as it is ynough if you shall onely retaine or staie the lippes of the wound .

ANNOTATIONS .

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

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

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

ᵈ First wash the wounde cum decocto vini ex myrrha .

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

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

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

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

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

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

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

ANNOTATIONS .

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

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

The powder .

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

The oyle .

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

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

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

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

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

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

ANNOTATIONS .

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

Supply .

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

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

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

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

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

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

Examples of his vulnerarie oyles .

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

Another .

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

Another .

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

Preparation of Vernish .

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

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

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

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

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

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

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

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

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

ANNOTATIONS .

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

Examples of his vulnerarie oyles .

Another .

Preparation of Vernish .

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

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

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

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

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

ANNOTATION .

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

Emplastrum Sticticum .

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

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

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

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

ANNOTATIONS .

ᵃ These are fit for children , or effaeminate bodies .

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

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

CHAP. VIII . Of an equall or filled wound .

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

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

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

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

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

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

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

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

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

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

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

ANNOTAIONS .

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

ᵇ Or with vs , small ale , or beere .

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

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

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

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

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

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

ANNOTATIONS●

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

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

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

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

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

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

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

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

ANNOTATION .

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

CHAP. XIII . Of woundes in the bones .

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

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

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

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

ANNOTATION .

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

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

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

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

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

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

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

ANNOTATIONS .

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

CHAP. XV. Of woundes in the face .

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

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

ANNOTATION .

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

CHAP. XVI . Of woundes in the eyes .

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

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

ANNOTATION .

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

CHAP. XVII . Of woundes in the eye liddes .

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

CHAP. XVIII . Of woundes in the nose .

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

ANNOTATION .

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

CHAP. XIX . Of woundes in the lippes .

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

CHAP. XX. Of woundes in the eares .

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

ANNOTATION .

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

CHAP. XXI . Of woundes in the necke .

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

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

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

CHAP. XXII . Of wounds in the shoulders .

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

CHAP. XXIII . Of woundes in the armes .

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

CHAP. XXIIII . Of woundes in the brest .

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

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

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

ANNOTATIONS .

ᵃ Woundes in the lunges are verie of●ten cured .

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

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

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

CHAP. XXV . Of woundes in the bellie .

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

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

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

ANNOTATIONS .

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

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

Supply or addition to this chap. concerning accidents .

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

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

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

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

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

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

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

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

CHAP. I. Of a simple vlcer .

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

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

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

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

ANNOTATIONS .

ᵃ This is a thinner and vnconcocted matter .

ᵇ Matter concoct and laudable .

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

CHAP. II. Vlcer with dist●mperature .

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

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

CHAP. III. Payne with an vlcer .

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

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

CHAP. IIII. Vlcer with a tumor .

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

CHAP. V. Vlcer with contusion .

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

CHAP. VI. Vlcer with prowd flesh .

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

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

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

CHAP. VIII . Vlcer with the bone defyled .

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

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

CHAP. IX . Maligne vlcers , called Cacoethe .

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

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

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

ANNOTATION .

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

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

CHAP. X. Of the wormie vlcer .

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

CHAP. XI . Of burning .

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

ANNOTATION .

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

Supplie . For some perticuler burnings .

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAP. XV. Brannie scales in the heade .

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

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

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

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

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

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

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

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

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

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

ANNOTATIONS .

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

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

CHAP. XVII . Of vlcers in the eyes .

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

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

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

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

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

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

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

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

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

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

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

CHAP. XX. Vlcers in the eares .

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

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

CHAP. XXI . Vlcers in the brest .

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

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

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

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

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

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

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

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

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

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

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

CHAP. XXIIII . Of virulent and corrosiue vlcers .

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

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

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

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

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

CHAP. XXV . Of the filthie and putrified vlcer .

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

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

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

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

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

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

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

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

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

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

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

CHAP. XXVII . Of a fistula .

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

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

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

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

CHAP. XXVIII . Cancer exulcerate .

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

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

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

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

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

The fourth booke entreating of fractures and dislocations .

CHAP. I. Of fr●ctures .

A Fracture is diui●ion Def. or breaking of a bone , by meanes of some outwarde violence , done vnto the parte .

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

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

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

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

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

CHAP. II. Of luxations .

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

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

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

FINIS .

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

A. ANthrax . page . 20 Aqueus or Aquosus tu . 72 Atheroma . 95 AEgylops . 139 Anchylops . ib. Angina . 162 Acrochordon . 247 Aneurysma . 256 Astoniednesse in a wounde . 293 Achores . 443 Alopecia . 448

B. Bleere eyes . 133 Ba●rachus . 156 Bronchocele . 216 Botium . ib. Bubonocele . 201 Bubo venereus . 229 Bubo pestilens . 233 Bloudie matter in a wounde . 295 Brose . 309 Burning . ●●3 Burning with gunpowder . 435 Burning with metalles or minerals . 436 Burning by Minerall waters . 437 Burning by Mercurie . ib. Burning by lightning . 438 Brannie scales in the heade . 458

C. Carbuncle . 20 Cancer not vlcerate . 106 Cirsocele . 198 Crudling of milke . 235 Clauus . 247 Conuulsion in a wounde . 285 Costiuenesse . 292 Cancrous wound . 295 Contused wounde . 304 Cancer exulcerate . 505

D. Distemperature in a wounde . 285

E. Esthiomenon . 38 Erys●pelas . 47 Epiphora . 133 Epidis . 152 Enterocele . 188 Epiplocele . ibid. Ecchymosis . 309

F. Furuncle . 35 Flatuous Tumor . 74 Fluxe of bloud in woundes . 284 Fluxe of the sinewes . 294 Flesh proude . 295 Fistule pustulous in a wounde . 296 Fauus . 443 Fistule lachrymall or tearie . 466 Fistula . 498 Fractures . 509

G. Gangraena . 38 Glandula . 92 Ganglium . 9● Gunnepowder sticking in the flesh . 436

H. Herpes exedens . 55 Herpes mili●ris . 59 Hydrocephalus . 114 Hydrocele . 206 Hernia Car●osa . 204 Holing in a wounde . 295

I. Ignis Sacer. 47 Inflamation of the pappes . 237 Inflamation of scrotum and the testicles . 240 Ignis persicus in a wound . 295 Itche . 439

K. Knee swelled . 256

L. Lippi●udo . 122 Leprosie . 439 Lousinesse . 462 Luxations . 523

M. Meliceris . 95 Milke crudled . 235 Mermecia . 247

N. Nodus● . 94 Nodus in the heade . 116 Nauell standing foorth . 184

O. Oedema . 62 Ophthalmia . 122 Ophthalmia non vera . 133 Ophiasis . 448

P. Phlegmon . 4 Psydracia . 120 Pustules in the eyes called Phlyctenae . 137 Polypus . 148 Parulis . 152 Prominencie of the na●ell . 184 Pueumatocel● . 214 Parotis . 221 Phyma . 224 Phygethlon or Panus . 227 Pappes inflamed . 237 Paine in woundes . 285 Palsey . 290 Paroxisme in a wounde . 243 Putrefaction in a wound . 295 Pustulous fistule . 296

Q. Queens euill . 92

R. Ranula . 156 Rauing . 28●

S. Syderatio . 38 Sphacelus . ib. Struma . 81 Scrofula . 92 Steatoma . 95 Schirrhus . 99 Struma in the head . 106 Sarcocele . 204 Scrotum inflamed . 240 Sownding . 288 S●inke in woundes . 295 Skabbes & skurfines . 439

T. Tumor in the eare . 142 Tumor ●onsillarum . 158 Te●ticles inflamed . 240 Thymius . 2●7 Tumor in the knee . 256 T●mor in a wounde . 294 Te●ters . 439 Ti●ea . 443

V. V●rix . 256 Vrine stopt . 293 Vomit . 2●● Venimous woundes . 3●● Vlcers simple . 412 Vlcers with distemperature . 415 Vlcers with paine● 417 Vlcers with tumor . 419 Vlcers with contusion . 421 Vlcers discouloured with hard lips . 423 Vlcers with bone defiled . 424 Vlcer Cacoethe . 427 Vlcers with wormes . 432 Vlcers in the eyes . 465 Vlcers in the nose called ozenae . 468 Vlcers in the eares . 471 Vlcers in the brest . 473 Vlcers in the priuie partes of man . 475 Vlcers in the priuie partes and matrice of women . 478 Vlcer virulent & corrosiue . 481 Vlcer filthie & putrified . 487 Vlcer deepe and hollowe banked . 492

W. Water in the head of a child . 113 Wa●ring eyes . 133 Wartes . 247 Woundes newe or greene . 265 Wo●mines . 295 Woundes contused . 304 Woundes venimous . 317 Woundes simple in the flesh . 326 Wounds deepe and priuie . 336 Wounds hollowe , with substance lost . 339 Wounds equall and filled . 343 Wounds hauing proude flesh . 3●7 Wounds with sinewes prickre . 349 Wounds with sinewes cut . 355 Wounds in the veines & arteries . 358 Wounds in the head . 369 Wounds in the face . 379 Wounds in the eyes . 382 Wounds in the nose . 384 Wounds in the lippes . 387 Wounds in the eares . 388 Wounds in the n●●ke . ib. Wounds in the shoulders . 392 Wounds in the armes . 393 Wounds in the brest . 394 Wounds in the bellie . 401 Wounds in the priuie partes . 408 Wounds in the legges . 409

FINIS .

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

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