Pleasantly if amongst Remedies those are first made use of wherewith we may obtain our ends with less molestation of the Patient Those things are called Natural which do enter in the composition of mans Body and although its first ingredient may be the universal matter of Cartesius out of whose particles variously figurated and moved according to the variety of their figures and motions those bodies do arise which though they be not the very first nor can be demonstrated absolutely simple in their dissolution yet because they are of the first order of sensible Bodies whereof others are composed they may commodiously by a Chirurgion who is an Artist of sensibles be conceived in the Body of Man as its 1. Elements whence do arise its 2. Tempers or Complexions 3. Humours 4. Parts or Limbs 5. Faculties 6. Actions And 7. Spirits Whereunto 1 Age. 2 The Sex 3 Colour 4 Commoderation 5 The Season of the Year 6 The Clime 7 And manner of Living are annexed Elements are single Bodies out of which the mixt are composed and into which they may be resolved but they in none of a singler composition They are reckoned four 1 Fire 2 Air. 3 Water 4 And Earth Whose number and station Ovid hath thus expressed Quatuor Aeternus Genitalia corpor a Mundus Continet ex illis duo sunt onerosa suoque Pondere in inferius Tellus atque Unda feruntur Et totidem gravitate carent nulloque premente Altapetunt Aer atque aere purior Ignis That is The Eternal World four Bodies comprehends Engendring all The heavy Earth descends And Water clog'd with weight Two light aspire Depress'd by none pure Air and purer Fire Which the Antient thought to evince by the Argument of mixt Bodies dissolution Thus given by Dubartâ—s Cela se voit a locil dans le brulant Tison Son feu court versle Ceil sanatale Maison Son air vole en fumé en cendre chet sa terre Son cau boult dans ses nocuds c. That is perfectly seen when burning wood doth send Its Fire to heaven the place from whence it did desâ—end Its Air then flies in smoak its Earth in ashes falls In its knots water boyls c. But the weakness of this Argument is plainly discovered by the learned Boyle in his Chymista Scepticus so that as we said before These Elements can at most be reckoned but amongst the first Classes of mixt Bodies The Elementary qualities are also four Namely 1 Heat 2 Coldness 3 Moisture 4 Driness Whereof the two first though all act in some measure compared to the latter are called Active the two others Passive 1. Fire is of a hot and dry quality 2. Aire of a hot and moist 3. Water of a moist and cold 4. And Earth of a cold and dry Temper or Complexion is a proportion of the four primary Qualities arising from the mixture of the Elements But if we consider the universal matter it may be defined A moderation of the Particles endued with contrary Qualities There are four single Tempers 1 Hot. 2 Cold. 3 Moist 4 Dry. And four compos'd 1 Hot and Moist 2 Hot and Dry. 3 Cold and Moist 4 Cold and Dry. Whereunto is added another called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 that is Temperate which is distinguished 1. In a Temper according to weight when the Elements are both in mass and quality so proportioned that none can be said to predominate 2. And in another according to justice which consisteth in a temperature convenient for the exercising of all necessary actions This Temper is either of the whole body by reason of which Males are said to be hotter then Females or of the several parts whose Rule is this whatsoever is Red in the Body is Hot whatsoever is White Cold that which is Soft is Moist and that which is Hard Dry. Whence it follows That whatsoever is Red and Hard is Hot and Dry as the Heart whatsoever is Red and Soft is Hot and Moist as the Flesh What is White and Hard is Cold and Dry as the Bones and what is White and Soft is Cold and Moist as the Brains Childhood comprehending the first five and twenty years of our age is of a hot and moist temper From thence Youth proceeding to five and thirty or fourty years of a hot and dry Manhood consisting in the ten or fifteen next years is esteemed cold and dry and thence Old age till our lifes end is more or less said to be cold and moist or according to others cold and dry its moisture being but accidental and excrementitious though God can yet extend our life to a long durance as the German Poet Freinshemius elegantly expresseth I st schirr nichts ubrig mehr al 's seelen voller schnen Al 's leber voller Thod al 's leiber voller plag Al 's zeiten voller qual al 's zungen voller klag Al 's hertzen voller angst al 's augen voller trahnen That is Though nothing but a soul full fraught with longing fears Be left a deathful life a body full of pain A time full of distress a tongue but to complain A much oppressed heart and an eye full of tears The Spring is temperate Summer is hot and dry Autumn cold and dry and Winter cold and moist The Spring begins when the Sun enters the Sign Aries and continues as the other seasons with small difference do some three months whilst the Sun runs through as many Signs of the Zodiack whose number and order Virgil thus describes Primus adest Aries 1 Taurus 2 insignibus auro Cornibus Fratres 3 Cancer 4 aquatile signum Tum Leo 5 terribilis Nemeus atque innuba Virgo 6. Libra 7 subit caudaque animal 8 quod dirigit ictum Armatusque arcu Chyron 9 Corniger Hircus 10 Fusor aqua 11 simul fulgenti lumine Pisces 12. The name of Humor is given to whatsoever is perceived flowing in the Body of a living Creature endued with blood The same is first Natural or secondly against Nature The Natural is again divided into primary and secundary alimentary and excrementitious The alimentary or nourishing humors were constituted by the Antients four in number 1. Blood 2. Phlegm 3. Choler 4. Melancholly But the Modern esteem that Blood only is a fit nourishment of the Body and that the other humors flowing with it whereunto they have added the Lymphatick and Pancreatical Juice do only contribute to its effervescency or temperature as will be said hereafter amongst whcih humours there is no melancholy except the thickest and grossest part of the Blood as is found in the Atrabiliary Capsules or is evacuated by the Haemorroids be taken for it But before we expound how blood is produced let us hear how the Ancients did conceive it It is thus expressed by the Danish Poet Arocusis Du Mauge gode Kock din mad saa vel for kryder At derat Kortar hid en kraftig saft ud flyder Som Du til Leftueren vid middel
of Eggs which the Antients esteemed to be produced by an intense heat but is more truly atributed to the mixture of some acid humour as can be perceived when a little spirit of Vitriol is powred into some Gall it often degenerates in Poraceous rusâ—y and glasteous according to its degrees of acidity The Melancholy humour or thickest Blood is by some thought to turn by adustion into black choler but according to Regnerus de Graaf this last proceeds from the mixture of Choler with a too acid pancreatical juice whereby it is turned into a greenish black colour as the Antients describe the atrabiliary humour The Excrementitious humours are also 1. Phlegm 2. Choler 3. Melancholly 4. And Serum They are called excrementitious because they can yield no nourishment to the Body and therefore are expelled 1. Phlegm not to the Brains as the Antients conceived but to the Maxillar Glandules and thence through the Mouth and Nostrils out of the Body 2. Choler by the Cystick arteries to the Gall whence the superfluous part is expelled to the Duodenum and thence evacuated at the Seat 3. Melancholly which is not attracted by the Spleen as the Antients supposed but is an Excrement of the grossest Blood which is often evacuated by the Haemorrhoides and is also sent to the Atrabiliary Capsuls to be perhaps voided with the Urine which therefore appears sometimes of a black colour 4. Serum which is either evacuated First In the form of Vapours by transpiration whereby according to Sanctâ—rius more than the half part of our Aliments are dissipated Secondly Or in the consistence of Urine which being separated from the bloud in the Kidneys and filtred through the Papillar Caruncles into the Pilorus is powred through the Uriters into the Bladder and having received the thinnest and most serous part of the Chylus immediately from the Stomack by the Gastrick Vein is thence evacuated out of the Body To Serum is also referred Sweat and the Tears we shed A Part or Limb is defined A Body adhering to the whole and partaking of the same life with it being created for the exercising of certain Functions They are distinguished in Similaries and Dissimilaries A Similary part is that which cannot be divided in other parts of a different species and it is twofold Spermatick and Carnal 1. The Spermatick are constructed in the first conformation of the body out of the grossest part of the Seed 2. The Carnal out of the MenstrualBlood The Similary parts are Eleven in number 1. Bones 2. Tendrels 3. Ligaments 4. Tendons 5. Membranes 6. Fibres 7. A threefold flesh the Musculous the Parenchyme and the Glandules 8. The Skin 9. The Veines 10. The Arteries 11. And the Nerves or Sinews The Bones are joyned either by I. Diarthrosis or Articulation with some motion either by 1. Enarthosis when there is a considerable quantity of the Bone received in a large Cavity 2. Arthrodia when the receiving cavity is but Supersiciary 3. Ginglime when a Bone receives and is received II. Symphosis or Coalition without Motion 1. Sutures as in the Bones of the Head 2. Harmony as in the Bones of the Nose and upper Jaw 3. Gomphosis as the Teeth And they are bound either by First Syncondrosis or with a Tendrel Secondly Syndeurosis or a Ligament Thirdly Sysarcosis or with some flesh or muscle Note that to the exercising of the Similary parts Functions there needs only their due temper and commoderation A Dissimilary part is that which may be divided in parts of a different Species Many do confound them with the Organical Nevertheless there is this difference that all Dissimilary parts are Organical but not all Organical Dissimilary for the Bones Veins and Arteries are Similary and yet produce Organical actions Four conditions are requisite to the perfect exercising of the Dissimilaries actions namely 1. A due Conformation 2. Magnitude 3. Number 4. And Conjunction Whereof the last comprehends two others to wit Seat and Connexion These parts are distinguished in First Containing and Secondly Contained And then again in 1. Common and 2. Proper Distinguished in 1. Nobles 2. Ignobles First The Noble or principal parts distributing the Spirits and Faculties to the whole Body are absolutely necessary to it They are three Viz. 1. The Brains 2. Heart 3. Liver Which being excepted all the rest are Ignoble as being subservient to them and they are the other parts of 1. the Head 2. Trunk And 3. 〈◊〉 1. The Head is divided in the Soul and Face the common containing parts whereof are the thin and the hairy Skin the fat and the â—leshy Membrane It s proper parts are the Scalp or Pericrane the Perioste the Muscles the Bones and two Meninges The contained parts of it are the Brain the Aâ—ter-brain and the Marrow The second hath in its upper part the sore-head in the lower the mouth and the instruments of the Senses as the Eyes the Eares the Nose c. 2. The Trunk is distinguished in the Breast and lower Belly the proper containing parts of the first besides the Muscles Bones c. Being the Pap the Midriff the Pleure and the Mediastin The contained are either Bowels as the Heart with its purse the Lungs a part of the Weazon and of the throat or Vessels as some branches of the Vena Cava and great Artery sustained by the thymus in the Throat and several Sinews The lower Bellies proper containing parts are the Muscles of the Panch and the Belly-rim The contained are either employed to Nutrition namely to Chylification as the Stomack the Kall the Sweet-bread the Guts and the Mesentery or to Sanguisication as the Mesaraick Veins the post Vein and the Cava the Liver the Gall the Bladder and the Milt 3. The Ioints are divided in the uppermost containing the great Hand namely the Arm that is the Shoulder from the upper shoulder to the Elbow and the Cubit from the Elbow to the Wrist The lesser Hand divided in the Wrist between the Cubit and the Palm and the fist between the Wrist and the beginning of the Fingers whose inward part is called the Palm and the outward the Back of the Hand The undermost contain the great Foot comprehending the Thigh from the Britch to the Knee the Leg from the Knee to the lesser foot which is divided in the Foot Pedium Metapedium and Toes Before we come to Faculties and Functions it will not be amiss to say what the Soul is They define it The substantial Form of a living Body and the inward principle of the actions thereof For The Soul a Substance and a Spirit is Which God himself doth in the Body make Which makes the man for every man from this The Nature of a Man and Name doth take It s connexion with the Body is called Life and its separation Death Neither is this last greatly to be feared of a Christian since it is but a passage to a better Life and that as saith the Italian Poet. Altro
mal non ha morte chél pensar a morire E chi morir pur duce quanto piu tosto more Tanto piu tosto al suo morir sinvola A Faculty is a certain disposition of the Body whereby it can do something though it may be it doth it not so that it is only a power of acting It s division is needless since it is but one power though it produceth several actions according to the Vacuity of its Organs A Function is described the exercise of a Faculty and is only distinguisted in Natural and Animal Pulse being referred by the Moderns to sanguification whereof we have spoken in the Theorem of Blood and Respiring to motion of which will be said hereafter The Natural Function is divided in 1. Nutrition 2. Growth 3. Generation To the first whereof the Antients made four others to be subservient for as Dykes saith of the Soul Here she attracts and there she doth retain Here she decocts and doth the food prepare There she distributes it to every Vein And here expels what she may fitly spare Yet the Moderns do exclude from thence all similary attraction and retention Deglution being performed by Detrusion only the several parts of the Mouth the Tongue the OEsophague c. contributing thereunto Retention being also effected by the Oblique Fibres of the Stomack but Hunger is produced by the sourish Vapors of the acid in the Stomack which do gently Vellicate its upper Orifice and the apparent cause of Thirst is the want of moisture To Concoction three others are subordinate 1. Chylification 2. Sanguification 3. Assimilation The two first whereof together with Expulsion are explained in the describing of Humours so that only Assimilation and Growth are here to be expounded which take thus When the Arteries begin to swell as aforesaid the particles of the Blood which in them are convey'd to the roots of certain filaments issuing from the ends of the smallest Arteries whereby they compose the Bones Flesh Skin c. according to the various manner of their application and contexture or directed by the same Plastick virtue whereby the said parts were formed which they nourish something distending them and intruding themselves in their vacancies where they remain when the Arteries return to their former state And Growth is likewise effected The pores of the matter of Chiâ—drens Bodies being easily extended whereby some particles of the Blood a little greater than those whose places they fill may enter and subsist therein which cannot be longer done when their Limbs are grown more solid Generation is a Function whereby a man produceth another like to himself whereunto the Antients did subordain two others 1. Alteration 2. Conformation Which the Moderns do rather attribute to the Plastick virtue of the Seed though denyed by Rhegius and other Cartesians who affirm That the particles of the Seed moved by its own heat and that of the Uterus because of their various figures are necessarily turned into the Brood of an animal whereunto they since attribute the whole formation of the Foetus without the Function of any intellectual faculty directing it The Animal function is divided in 1. Principal 2. Moving 3. Sensitive Whereof the first comprehends these three viz. 1. Imagination whereby all Objects Species offered to the external senses are perceived and discerned 2. Reasoning whereby a man discourseth and understands 3. Memory whereby the Species of things perceived conceived and understood are preserved whereof will be further spoken in the period of Sensation Motion is thus performed The most vivid and quickest particles of the Blood such as we may conceive the Vital Spirits do ascend from the left Ventricle of the Heart through the Caroties and Cervical Arteries into the Cavities of the Brain where they are turned into a subtile flame or wind usually called the Animal Spirits which being driven by grosser particles do not enter in the Pineal Glandule Steno having shewed us how unapt it is thereunto but in some yet unknown more convenient place of the Head whence they sally out into the Cavities of the Brain and the pores of its substance to be thence conveyed into the Nerves where they have a power which the learned Willis calleth Elastick to change the figure of the Muscles and so move the whole Body To this manner of moving Respiration is also to be referred for the Muscles of the Thorax drawing it up the Lungs to avoid vacuity are extended whereby their small cavities are opened and receive the inspired Air which is again excluded in expiration when the Lungs following the restriction of the Abdomen their said Cavities are again straightned The Sensitive Function is the exercise of the five external Senses which comparatively to certain Beasts are comprised in these two Verses Nos Aper Auditu praecellit Aranea Tactu Vultur Odoratu Lynx Visu Simia Gustu That is The Bore excels in Hearing and the Spider By sence of Touch is a subtil divider The Vulâ—ers Smell th' Apes Taste and Lynxes Sight Excells the Man by far that solid Wight Their respective Instruments are 1. The Eyes of Seeing in the Retinâ— 2. The Ears of Hearing in the Auditory Nerve 3. The Nose of Smelling not through the Os Cribriforme which is not pierced as the Antients conceived but by the Apophysces Mammillares or the extremities of the Nerves 4. The Tongue of â—asting by the Papillary eminencies noted by Bellinus whence Savours are conducted to the Filaments of the 4 and 7 pair of the Nerves that end there 5. The Skin of Touching by the Pyramidal papils observed by Malpigius and esteemed the extremities of the Nerves of the sixth pair ending in it Sensation is performed as followeth When the small Filaments of the Sinews are in the least moved by the Objects of the senses they draw to them the parts of the Brain from whence they take Origin whereby they open some pores of the inward superficy of it through which the animal Spirits being derived into the Nerves and Muscles do excite those motions which we perceive our senses being thus or so affected which is to be understood of all Sensation and if the said spirits having the Impression of some Idâ—a conceived or also discerned in some fit place of the Brain as Cartesius esteemed the Pinâ—al Glandâ—le do often pass through the same pores of the Brains texture they do dilate them so that the Objects being absent they may be represented to the Soul whence Memory doth depend But if opening one or more of them some others are dilated Reminiscency is effected and if the traces of the Ideas are conveyed by the smal Arâ—eries to the heart and diffuse their beams throughout the mass of Blood it may thence proceed that the Foster is sometimes noted with certain markes Sleep is a Cessation of Motion and of the External Senses and is produced when the Braines substance is not sufficiently â—istended by the Spirits aforesaid or when it is overâ—whelmed with
upper Parts looseness of the Teeth Exulceration of the Mouth and too great a Flux of Blood The Diarhaea is asswaged by the decoction of Guaiac mixt with a little White-Wine and taken for some days in the Morning whereby the humours Acrimony is mitigated and sweetned But in general those evils are remedied by changing of Chamber and Linnen precipitating the Mercury downwards by astringent Gargarisms and Clysters by letting Blood in the Foot and chiefly by purgations wherein some Salt of Tartar must always be added to sweeten and drive down the Humours Some do often swallow a Golden Pill which becomes white but it carries away the Mercury in so little quantity that the other Remedies are not therefore to be omitted The end of Friction is to stimulate a Chrisâ—s which doth not proceed from Nature without it be provoked and helped by some Medicament whose quantity ought to be adapted to the vehementness of the Disease and forces of the Patient least the Medicaments being too strong they cast him into an incurable Consumption or being too weak they do not eradicate the Disease which afterwards is found much more intense and incurable than before The third Cure is by Plaisters and Cerowins and is something slower than the former but more convenient in Relapses and for the mitigation of pain and the resolution of knobs and hardness but because it doth not act so speedily the best of Artists do joyn to it some Frictions Besides the Plaisters of De Vigo the following may be profitably used and applied on the parts mentioned in the Article of Friction Take of Melilot Plaister and Saffron-Vinegar of each half a Pound Quenched Quick-Silver six Ounces Oyl of Laurel and Land Lavendel as much as needs Reduce all to the form of a Plaister The Scope of this Remedy as of the former is the procuring of a Crisis either by insensible transpiration Flux of the Belly or Urines but oftner and better by a flowing of the Mouth which with the Gums and Cheeks is thereby as aforesaid often exulcerated because of the Humours Tenacity and Acrimony and these Ulcers must by no means be repelled but be mitigated by Gargarisms composed of Decocted Barley Cows Milk and the like which may diminish the mouths inflammation and wash off the Humours sticking to it but if this accident as it happens sometimes be too intense that it threatneth an extinction of the natural heat we must for some time defer the proper Cure to cohibit so pernicious a Symptom according to Art As for the Teeths loosness it is cured by astringent Gargarisms but more powerfully if the Gums be touched with Aqua secunda of the Goldsmiths The fourth manner by Suffumigations is not so much approved because of many evil dispositions which it leaveth in the Body They nevertheless thus proceed to it The Patient being seated under a Curtain well and carefully extended they cast in a Chaffing-dish a good quantity of persume composed of Cinabre mixt with Brimstone and Quicksilver whereunto is added Iris of Florence Frankinsence Mirrhe Iuncus odoratus Assaodorata Terebenthine and Theriak and continue this Suffumigation till the Mouth begins to flow and that is its Crisis This Diseases Symptoms are so manifold that I think fitter to remit the Reader to such Authors as treat of it at large than to say but a part of what is needful to be known though most may be referred to the General Cure of Impostumes CHAP. VIII Of some other Indispositions which are Cured by Chirurgery HAving thus far proceeded we are to treat in the present Chapter of some other Indispositions cured by Chirurgery whereof some requiring an experienced Artist others yielding themselves to the meanest Capacities and this little Treatise being written only for the use of discreet Beginners we shall only speak of the following Of Baldness Baldness is a falling off of the Hair from the Head caused either by defect of Nourishment or the corruption of it That which proceeds from Old Age the Hectick Feaver Burnings or Tinea is incurable But that which may be cured is thus proceeded unto The Universal Remedies being fitly instituted the remaining Hair must be shaved resolving Fomentations used and having caused the vitious humours to be digested by the application of Cups and Leeches the Head must be washed in Lye made of Iris and Aloes lastly drawing Fomentations must be ministred for the attraction of laudable Vapours If it be caused by want of nourishment the Head must be rubbed with a course Linnen Cloth till it grows red and if it proceeds from the Venerean Pox the body must be anointed with Quick-Silver to a perfect salivation Of the Eyes The Eyes diseases are manifold but their inflammation is the most common their causes are External as Falls Blows Dust Smoke c. or internal namely a defluxion flowing to the Eye It is known by the heavineâ—s of the Head the Eyes redness pain swelling and pulsation of its Arteries It is cured by the same administration of universal remedies as in Phlegmons and the due application of Topical ones whereof this Collire is of a perspicuous effect Take Rose and Plantain Water of each half an Ounce the mucilage of Gum Tragacant two Ounces and the White of an Egg make a Collire to Distil luke-warm in the Eye applying upon it a double Linnen Cloth dipped in the same Collire The Blood of Doves Pigeons or Hens instilled warm in the Eye mitigates the pain of it and is its proper Balm But if a Relapse is feared Cups applied on the Shoulders and an Issue in the Pole are very fit to divert the Fluxion Tooth-ach There is scarce any pain equal to that of the Tooth-ach It proceeds from the influxion of a hot or cold humour or the Tooth being hollow or rotten from the entrance of ambient Air and the refrigeration of cold Meat or Drink The Internal causes are taken away by a due administration of Universal Remedies and if the pain proceeds from a hot cause which is known by its sharpness and a great pulsation of the Tooth and Temples it is mitigated by remedies contrary to it as to wash the Mouth with Granate juice Plantain Water and a little Vinegar all being boiled with Roses Wild Granate Flowers and Sumach If the Cause be the fluxion of a cold humour which is disâ—â—rned by a heaviness of the Head and frequent spitting the Teeth are profitably washed with Garland-Libanotis Sage Pierethre decocted in Wine and Vinegar whereunto is added a little Srong-Water and dissolved Treacle But if it proceeds from a rottenness of the Tooth there is no better remedy than the drawing of it and if it be but a Root procure the corruption of it by a Cotten dipt in Aqua-fortis having first tried the Odontalgick Essence of Flubault Of Phlebotomy or Blood letting Phlebotomy being an Operation necessary to be known of a beginner in Chirurgery I have thought fit to say here something of it They define it An Incision of the Vein evacuating the Blood and the other Humours contained with it Before it be administred if there be any Excrements remaining of the former Coction they must be evacuated by a Clystâ—r or Suppository and thus when necessity requireth or for precaution in persons neither too old not too young Phlebotomy is celebrated in the following manner The Patient being conveniently scituated the Chirurgeon rubs the part which is to be opened with his hand or a warm Linnen cloth to cause the Bloods attraction then the said part is bound with a Fillet a little above the place of Incision which is designed by a touch of the Nail and the Operation is performed with a fit Lancet limiting its evacuation to the strength of the Patient and the curative intention Lastly the incised place must be carefully bound least an Hemoragy might happen Of Cup-setting When the matter is conjoyned and impacted Cupps are commonly applied I have commonly thus seen some proceed to operation having something rubbed the destinated place they set on it some kindled ends of Wax Candle fastened on a Counter or such other thing and over it apply the Cup which then draws very powerfully the Humours up then taking them off Incisions are made in their circle with a Lancet or Instrument called Scarrificatory and they are again applied in the same manner as before laying afterward Plaisters of Diapalma or Album Rasis over the Incisions till they be agglutinated Of Leeches Where Blood-letting or Cup-setting cannot be performed Leeches are commonly applied either by making a little Incision in the skin or anointing it with a drop of some other Blood or Sugard milk for then they will stick fast and when you will make them easily fall off touch but their head with a little Aloes or Salt and if you will know what quantity of Blood they have drawn lay them in the things aforesaid and they will revomit it besides if you will have them to draw more than their capacity is cut their posteriour part when they are well fast and the Blood will run through their Bodies which also is stanched if it flowes when they are taken away by the half of a Bean or some burnt Linnen applied on the little wound Thus I finish and if the Reader takes this short Treatise in good part I have my Desire and END
A Short Compendium OF CHIRURGERY CONTAINING ITS GROUNDS PRINCIPLES More particularly Treating of IMPOSTHUMES WOUNDS ULCERS FRACTURES DISLOCATIONS ALSO A DISCOURSE of the Generation and Birth of MAN very necessary to be understood by all Midwives and Child-bearing women WITH The Several METHODS of Curing the FRENCH POX The Cure of Baldness Inflammation of the Eyes and Tooth-ach And an Account of Blood-letting Cup-setting and Blooding with Leeches By I. S. M. D. LONDON Printed by W. G. and are to be sold by Charles Blount at the Black Raven in the Strand near Worcester-House 1678. Academiae Cantabrigiensis Liber The Preface Courteous Reader MY Parents having ever destined me to be a Practical Physitian thought fit to make me begin the Studies thereof by learning Chirurgery probably thinking I might thereby acquire a better knowledge of Mans Body and its several parts together with their Functions as also its outward at least Indispositions and Cures than by only reading such Treatises of Physiologie as were then extant which Modern Anatomists and other Authors have since found defective But in the performance of their just desires I found no small inconveniency for want of some short and compendious Principles that might give me the Grounds and an Idea of that Art proportionable to my then mean Capacity almost frighted with the bulk of large and ill digested Volumes but there being no Remedy I was fain to compile out of them this small Treatise which I have since reviewed altering some obsolete Theorems into new ones and adding some small agreements to render its Reading less tedious And all for my own use without any thoughts of ever troubling the Press therewith These late years having brought forth several short Treatises of Chirurgery specially the excellent Principles of Barbetty and Hornius the former whereof is lately made English but finding in mine some things which are purposely omitted in theirs as few dislike their own Productions I have resolved to make this short Compendium Publick wishing that it may be to the advantage of young Beginners in Chirurgery and to the Health and Welfare of their Patients Thine I. S. The CONTENTS CHAP. I. CHirurgery defin'd pag. 2. It s Operations 3. Of Temper or Complexion 7. Of the Humours of the Body 10. The Soul defin'd 25. Of Diet 37. Of Sleep and Dreams 40. Of the Passions 42. A Disease dâ—fin'd 45. CHAP. II. Of Imposthumes THeir Causes and Matter pag. 53 54. Their Prognosticks 56. A Cataplasm to discuss an Imposthume 57. To resolve an Imposthume 60. To bring an Imposthume to Sâ—ppuration ibid. To mitigate the intense pain of an Imposthume ibid. CHAP. III. Of Wounds SIgns of a wound that has pierc'd the Skul 65. whether a wound has penetrated the Thorax ibid. when the Lungs are hurt ibid. when the Heart Diaphragm Great Artery or Vena-Cava Medulla-Spinalis Liver Stomach Guts Kidneys Bladder and Ureters 66 67. When the womb and Nerves 67 68. Of wounds that are mortal ibid. To help the Extraction of Bullets Darts c. a Receipt 69. Of Sutures 71. A Receipt to prevent a too great Flux of Blood 72. A Receipt to remove pain from the wounded part 73. An excellent Narcotick for the same 74. For Convulsions in the wounded 75. A Palsy defin'd and cur'd 77. Of the Cure of wounds made by Fire-Arms 80. A Receipt to bring them to Suppuration 81. The Definition of a Gangrene 82. It s Cause and Cure 83. CHAP. IV. Of Ulcers VVHat they are 86. Of the several sorts of Ulcers 88 89. Of the Cure of Ulcers 90 91. CHAP. V. Of Fractures and Dislocations VVHat a Fracture is 92. The Cure how perform'd 95. CHAP. VI. Of the Generation and Production of Man OF the Matter of Generation 98. Of the Place 99. The chiefest and surest Signs of Conception 100. To know whether the Child be Male or Female 101. The Signs of approaching Child-birth ibid. Directions to be observed before the Birth 102. Directions to be observed in the Birth 103. A Liniment to be used 104. An excellent Powder to hasten Child-birth 105. Directions to be observ'd when the Child is dead in the Womb 108. An Ointment for the Hypogaster 110. For the Expulsion of Wind an excellent Powder 111. To stanch Milk an infallible Receipt 112. CHAP. VII Of the French Pox. IT s Definition and Signs 114 115. Of its Cure 1. By Decoction 116. To make that Decoction ibid. 2. By Plaisters ibid. 3. By Unction 117. To make the Unction ibid. 4. By Suffumigation 121. The Method to be used in it ibid. CHAP. VIII Of several other Indispositions cured by Chirurgery OF Baldness and its Cure 123. Inslammation of the Eyes 124. Tooth-ach ibid. Phlebotomy 125. Cup-setting 126. Leeches 127. A SHORT Compendium OF CHIRURGERY CHAP. 1. THAT part of Physick which is called in Greek Therapeutick is divided into three others namely Diet Chirurgery and Pharmacy Yet although this division be needful these three Sisters as the Graces are so connexed and linked together that it is almost impossible for any of them to perform the least operation without the help of the two others but when they conspire and are together carefully reduced in act a most advantagious harmony for the preserving and restoring of health doth result of their mixture Amongst these parts of Physick Chirurgery is the needfullest and is therefore by some esteemed the noblest as being the most ancient and profitable It is defined An Art consisting in a methodical application of the Hand on the Body of Man for the preserving of its present Health or the restoring of it being lost It s Subject is the same Body and its End the Health of it The words Etymologie is composed of the Greek word Cheir that signifieth â— and and Ergia Operation which being joyned together make as it were a Handy or Manual Operation The whole Art is divided into the Theoretical and Practical part the First whereof is described the seconds Guide and Leader because it contains the Theâ—rems Demonstrations and Precepts of it which the Practical part only reduceth in act and nevertheless hath been so much esteemed that the Heroes and Demy-gods of Antiquity did not disdain to learn it for it is as Vincianus saith Quod Natum Phoebus docuit quod Chyron Achillem Quod didicere olim Podalirius atque Machaon What Phoebus taught his Son Chyron Achilles What learned Machaon and Podalirius The operations of it are three Synthesis Diairesis and Exeresis whereof the first joynes what is separated The second separates what is joyned And the third takes away what is superfluous And these Operations are to be soon surely and pleasantly performed with Manual or Medicinal Instruments according to certain Indications drawn from the things 1. Natural 2. Not-natural 3. And against Nature Chirurgery is soon performed when no occasion of doing the sick person good is neglected Surely if using of known Remedies we prevent a relapse and avoid all worse diseases than the former And
aaren sender Inarings meening Shy hun den til blod forvender Ocs giffuer det igieu naar saften ny yder At samme ferske blod til alle Lemmer flyder Ued aarr gangr krum c. That is Thou Stomack gallant Cook thy meat so well dost dress That of it in a trice thou canst a juicâ— express Full of craft which is then sent by the middle Vein To th' Liver that it may the dye of blood obtain Whence it is given out when th' other sap is wanting And is seen through our Limbs a free passage attempting By crooked Channel-Veins c. This was the Antients meaning but the Moderns have found that the aliments being well chewed in the Mouth are by the Oesophagus transported into the stomack where by the virtue of some acid liquors proceeding from the reliques of the former Concoction and the Vapours of the Pancreatical juice together with the subâ—il descending from the Maxillar Glandules they are fermented agitated and calified almost in the same manner as mettals are dissolved by Aqua fortis In the mean time the aliments helped by the warmth of the neighbouring parts do often contract a spontaneous heat as we see sometimes hay too freshly brought in whereby they are digested which being done the stomack straightning it self and opening its lower orifice called the Pilorus they are thrust down to the Duodenum where by an effervescency arising from the mixture of Choler descending thither by the biliary conduit together with the pancreatical juice and Phlegm sticking to the Bowels they are segregated and their grossest parts precipitated down to be expelled at the seat whilst the subtilest called Chylus are transported by the milky Veins to the common receptacle where being diluted by the Lymphatick humor the Chylus is carried by the Thoracick conduits to the subclavicular branch of the Vena cava where it is mixt with the Blood descending from the Head and other superiour parts of whose Nature and Colour it begins then to partake without coming to the Liver which therefore can neither be the seat nor organ of Sanguification The Chylus thus mixt with the descending Blood being come into the trunck of the Vena cava is mingled with the Blood which ascends by the same Vein from the inferiour parts and is transmitted into the right Ventricle of the Heart where it suffers an effervescency arising from the mixture of the Lymphatick spirit and the lixivious salt of Choler communicated to the Blood out of the Gall by the Hepatick conduit whereby the fiery parts of each being freed of their hindrance do insinuate themselves in the oily parts of the blood which they rarify whereby the Valvules of the Vena cava are shut up and the Blood thus rarified craving a larger room than before the Heart is compell'd to its expulsion which it effects by the collected fibres as another muscle and the Valvules of the Arterial Vein being opened it is transported into the Lungs cooled by Respiration whereby the Heart and the said Vein is unswell'd and the Blood is conveigh'd by the usual Artery whose Valvules are then open into the left Ventricle of the Heart where it is again heated and rarified and being carried by the Aortal Artery whose Valvules then give passage into the greatest Arteries and from thence into the smaller the Heart and the said Arteries leave swelling and the Blâ—od is thence received by the Anastomoses in the Veins from whence it proceeds through the vena cava into the right Ventricle of the heart repeating so a continual circulation a perpetuum mobile during our Life Blood is temperate of a mean thickness Red in colour and of a sweet taste it serves instead of fuel to the vital heat which it conveys to the several parts to whose nutrition and increase it alone contributes The Antients did divide it into Venal and Arterial though the place of their flowing be their chief difference Phlegm is of a watry nature liquid whitish and unsavoury it serveth to the â—â—fervescency in the duodenum tempers the Blood and renders the Joynts slippery Choler is of a fiery nature a thin consistence a yellow colour and a bitter taste it causeth an Effervescency in the duodenum and another in the Heart as aforesaid it provokes the expelling faculty and thins all Phlegm sticking to the inward parts The Lymphatick humour is of a pure watry substance without any colour and of a subacid taste Its uses are manifold but the chief are to promote an easier slowing of the Chylus and to convey the blood through the thoracick conduit to the Heart and there contribute to its Effervescency it tempers the Blood and perhaps together with phlegm moistens the articulations of the Joynts According to the Antients Phlegm predominates from Midnight till Sun-rising Blood from that time till Noon thence Choler obtains the superiority till Sun-setting and they gave the remaining time till Midnight to Melancholy which we have said to be nothing but grosse Blood Phlegm is also more copious in Autumn Blood in the Spring Choller in Summer and Melancholy or thick blood in Winter They esteemed also Phlegm to be moved every day Choler every third day and Melancholy every fourth supposing the Quotidian Ague to be caused by Phlegm the Tertian by Choler and the Quartan by Melancholy which De Graff attributes to the various Obstructions of the lateral branches of the Pancreas In his Treatise De succo pancreatico The signs of a Bloody Complexion are a red colour in the Face a moist heat through the whole Body sleshy Muscles great Veins and a chearful Heart Cholericks are of a yellowish colour a light disposition and a lean Body they are witty and liberal but wrathful and revengeful Phlegmaticks are pale of a soft flesh sometimes fat lazy sleepy and dull Melancholick or thick blooded men have a blackish face and a sad look they are sorrowful obstinate fearful and covetous but withall very capable of doctrine The Arabs instituted four secundary Humours whereof they called the first Innominate or Implanted which they supposed to be conteined in the extremities of the little Veins where it begun to take some alteration of the several parts They called the same Daw when as it were it bedewed them Gluten when it stuck fast to them and Cambium when it was wholy converted into their substance but the nutrition and increase of the several parts is better expressed by the Moderns as will be said when we speak of Functions When the Primary humors exceed the bounds of their due qualities they are deemed against nature and they may be corrupted in the Veins or out of them Phlegm corrupted in the Veins is of a sower or salt taste and of no colour but out of the Veins it is distinguished in muscous watry plastry and glazy whereunto the Lymphatick humour the salive and the Pancreatical juice may be conveniently referred when they are vitiated Choler corrupted in the Veins is called vitellin or like the yolk
Vapours for in these cases it falls together and oppresseth the Nerves of the several Senâ—es that their Objects cannot be transmitted And Dreams which happen during Sleep have their origin partly â—rom the inequality of the Spirits issuing â—rom the Souls Domicil and partly from the occurring impressions of Memory Spirits are defined A thin invisible aethere all and most quick substance arising from the subtilest parts of the Blood tâ— be the Vehicle of all necessary actions The Antients did divide it in 1. Implanted 2. Adventitious Whereof the first is denyed by some who conceive it impossible that theâ— same cause acting in the same manner should last so long and produce so many and often contrary Functions They were formerly divided as thâ— Faculties were in 1. Natural 2. Vital 3. Animal But Sylvius de le Boe admits none buâ— the Animal and other Moderns the Vâ—â— tal under which they comprehend thâ— Natural and the Animal taking thâ— subtilest parts of the Blood arising froâ—â— the left Ventricle of the Heart for thâ— first which are turned in the Brains intâ— the Animal serving First To sundry motions of the Souâ— and Body Secondly To the exercising of the internal and external Senses 3. To the alteration of Humours Native Heat is a proper and special quality to all animated creatures whereby they live and exercise their functions uses and necessary operations Thus I think to have briefly explained not only the Natural things but also their Annexes except the manner of living which if it be watry and moist â—s obnoxious to diseases of that temper but if it be hot and dry the contrary must be expected In sum it appears by the Premises that the Body of Man is a Microcosme composed of several parts wonderfully effigâ—râ—ted and adorned with sundry Functions created to be for a certain time the Domicil or dwelling place of the Rational Soul so that not without cause the German Poet exclaimes O Edles wundertheir zur weisheit auserkohren Uoll geist voll luft voll got vom himmel selbst gebohren Du Herr du Eben bild und auszug allerwelt Der unter ies den lauff der hohen sterner stelt Du weise Creatuur c. O thou noble Animal wonder to wisdom chosen Full of Spirit and God from Heaven it self rosen Thou Lord Type and extract of the whole Univers Disposing under thee the course of the high stars Thou creature full of Wit c. Those things are called not natural which do not enter in the Bodies composition but by a right use whereof it may long be maintained healthful and sound They are 1. Air. 2. Eating and Drinking 3. Motion and Quiet 4. Sleeping and Watching 5. Repletion and Evacuation 6. The Passions of the mind In the administration of all which we ought to consider 1. The Quality 2. Quantity 3. Manner of Using A free open serene and thin Air is to be esteemed the best as also the East and North Winds but the South and Western are held unwholsom The simpler our diet is the healthfulâ—er it is to be esteemed for as Horaâ—e saith the variety of meat is very noxious viz. nam variae res Ut noceant homini credas memor illius escae Que simplex olim tibi sederit at simul assis Miscueris elixa simul conchilia turdis Dulcia se in bilem vertent stomachoque tumultum Lenta feret pituita vides ut pallidus omnis Coenâ desurgit dubiâ That thou mayst know how various things offend Think but what single meat did once defend Thee from approaching hunger but at last Roasted with boyld and Birds with Shels thou hast Together mixt In Choler what is sweet Will turn it self and thy Stomack surfeit With slimy Phlegm Consider then how pale Each riseth from his Seat and doubtful Meal Meats affording a good juice and substance are doubtless the wholsomest and nevertheless in expending them the sicknesses nature the strength age and labour of the Patient are to be perspicuously considered whereunto an inveterate custom is to be added for Country Men and Labourers convert meats of an easy digestion into Choler but extract a laudable substance of a courserâ— diet and thus Consuetudo valet longos mansura per annos Illaque Naturam vires si sumpserit aequat A constant use a second nature proves And if increast with equal force it moves Neither did the Antients neglect Order in Eating for they esteemed that what was easily decocted should enter first into the Stomach and that Lubrick meat ought to precede those that are Astringent But it is now believed that those nicetiâ—s may be omitted since the Aliments are all converted in one mass whence the Chylus is afterward separated Whereunto I shall only add these two Verses of Drinking Aut nulla ebrietas aut tanta sit ut tibi curas Eripiat si quae est inter utrumque nocet Be never Drunk or so much let it be As to asswage thy Cares else 't will hurt thee Motion comprehends all kind of exercises the same ought to be moderate and we ought to leave it when Sweat begins to break out through the Pores for immoderate Labour weakens the Body and is very pernicious as Ovid saith of himself Me quoque debilitat semis immensa Laborum Ante meum tempus cogit esse senem Otia corpus alunt animus quoque pascitur illis Immodicus contra carpit utrumque labor Continual Toyl weakens my weary Limbs And makes me Old before my time be come Body and Mind by Rest are fed it seems But too much Work precipitates their doom Sleep as we said before Is a cessation from motion and sence whose Office is the restoring of the Bodies former strength It s proper time is Night an hour or two after Supper The first lying not being first on the Right Side as many believe but on the Left where the bottom of the Stomach is and the meat ought to lye and about morning when concoction is ended on the Right neither should it exceed the space of Fight hours wherewith if some are not satisfied certainly the sooner Longa quiescendi tempora fata dabunt The Fates will give sufficient time to sleep Dreams do in some manner indicate what exâ—retion will be in the Crisis for if red and fiery they presage a Cholerick one if moist and watry a Phlegmatick Moderate watching quickens the senses and diffuseth heat and blood through the whole Body But if it be immoderate it weakens the same dries up the Spirits and spoiles the brains Temperature Repletion is either of quality or of quantity The first is seen in the Hectick Feaver or Marasmus The second hath a relation to the containing parts and is measured by their distention or to the Bodies strength when the same is fuller of humours than it can well bear The repletion of a single humour is called Cacochimy that of more Pletora Evacuation in the strictest sence Is an effusion of such humours as are superfluous
and hurtful and is either of the whole body chiefly performed by Phlebotomy Sweat and Purgation or of the several parts by their respective Conduits as the Brains by the Eyes Nose and Eares the Lungs by the Wind-pipe c. In all Evacuation three things are to be observ'd and considered The Quantity Quality and manner of Excretion V. g. The Empieme being opened the excluded matter ought to be answerable in quantity to that which is included The most laudable is white even and as little stinking as may be And lastly all must be purged out at one time least the Patient suffer too great an Effusion of Spirits The Passions of the Soul or Perturbations of the Mind are very prevalent to alter the Bodies Constitution for as the Banished Poet saith Unda locusque nocent causa valentior istis Anxietas animi quae mihi semper adest The Sea and place do hurt but yet I find A greater Cause the torment of my mind We wil therefore brieâ—ly expound their Effects A moderate Ioy dilates the heart and distributes abundance of Spirits to the Face and other parts it helps Concoction and renders our habitude more chearful and pleasant Anger or Wrath performs the like effusion but much more rapid and swiftâ— It kindleth sometimes the Humours so much that it makes them apt to receive a sharp volatile Salt which is thought the cause of putrid Feavers and produceth also other Symptoms yet it may be profitably used to quicken the natural heat and render it more active when it is almost prostrated Sorrow and Fear draw heat and blood suddenly to the Heart whence the forces do presently fall and sometimes death immediately follows the Vital Faculty being over whelmed with Blood and Spirits This I conceive sufficient since all other Passions of the mind may be referred to these three or four Those things are termed against nature which may procure the destroying and ruine of the Body They are the cause of Diseases Disease it self and its Accidents or Symptoms The Cause of a Disease is Whatsoever doth any way contribute to the being or increase of it Which though Physitians give them many distinctions may nevertheless all be referred to the efficient especially divided in 1. External 2. Internal For Alas How many things may extinguish our light The humours within us maintain an equal fight and least it be too long Death hath a Pike a Ball a Sword a Knife a Stone and an Arrow to cut our feeble thred c. The External Cause cometh from without the Internal hath its seat in the Body and is either 1. Antecedent that yeilds aptitude to a sickness Or 2. Conjoyn'd which immediately and of it self perfects it They are also co-ingendred with the Patient or have accesse to him after his Birth A Disease is A disposition against Nature immediately and of it self hurting the actions The same is Simple or Complicated The first is when there is no plurality or composition of Diseases The second When it is followed of many Symptoms or when the Cause is so connexed with it that it may be lookt upon as a particular Sickness Diseases are of a threefold species 1. Intempery 2. Evil Conformation 3. Solution of Continuity The first is an Indisposition of the Similary parts caused by the excess of a single Humour or the Exuberance of more The last whereof is called naked or conjoyned with a Vice of the same Humours and is termed equal as being â—qually spread throughout the whole Body or inequal as affecting only some particular part of it There are four sorts of evil Conformation Namely in 1. Figure 2. Magnitude 3. Number 4. Scituation Solution of Continuity is a common Disease of the Similary and Organical parts which hath several Names according to the places where it is incident For in the Flesh it is called Helcos in the Bones Cathagma in the Nerves Spasma The Symptoms of a Disease are the Effects and Productions of it To wit 1. A hurt action that is 1. Abolished 2. Diminished Or 3. Depraved 2. A Vice in the Bodyes Habitude 3. Vitiated Excretions Of the aforesaid Precepts are collected two Intentions 1. What is to be done 2. And if it may be done But the third belongs to Art viz. How it must be done The Practice whereof is better declared in the Words annexed and the following Chapters that do briefly comprehend what doth belong to a Chirurgeon The Indications are of three first and principal Species viz. 1. The first is drawn from the natural things which do Indicate their conservation by the use of things like to themselves and of this kind are the Indications drawn from 1. The strength and forces of the Patient which to preserve the proper Cure is often to be delayed for without them the Chirurgeon can effect but little 2. His Temper viz. 1. Sanguine 2. Cholerick 3. Phlegmatick 4. Melancholy 3. The Habitude of his Body 1. Soft and delicate 2. Lean or Fat. 3. Tall or Short Least he lose that Symetry which Nahath allotted him 4. The Condition and Nature of the part affected Wherein we consider 1. It s Substance whether if Similary it be 1. Hot. 2. Cold. 3. Moist 4. Dry. If Organical 1. Principal 2. Or Ignoble If it be 1. Of a quick Sense 2. Or Stupid and Dull And lastly it s 1. Form 2. Figure 3. Magnitude 4. Number 5. Connexion 6. Action or Use. 5. The Age for many Diseases cannot be Cured in Old Age. 6. The Sex for Women are easier purged than Men. 7. The Season of the Year for Hot meat is convenient in Winter Cold in Summer Moist in Autumn and Dry in the Spring 8. The time of the Disease for what is convenient in the beginning is not so in the progress state or end II. The second is drawn from the things not Natural Which do indicate their Alteration as if Air does conspire with Nature against the Disease it ought to be kept otherwise it must be altered III. The third is taken from the things against Nature which indicate their Ablation and are 1. The Cause of a Disease 2. The Disease it self 3. The Symptoms Which do often indicate contrary things but then this is the Rule When there is Complication the first Remedies ought to take away 1. The most Dangerous 2. The Cause 3. That without which nothing can be done As 1. Loss of Blood 2. Fluxion 3. Intempery A SHORT Compendium OF The PRACTICAL Part OF CHIRURGERY CHAP. II. Of Impostumes HAving thus far treated of such Theorems and Institutions as are wholly necessary to be known of all Well wishers to Chirurgery let us now say something of the Practical part thereof since it is almost impossible to treat perfectly of the Theorical unless the same do give some urgent occasion of it and in this it resembles the three Parts of Curative Physick that can hardly be separated from one another for as a French Poet doth intricately say Quand
Saffron make a Cataplasme Note that though this be the general Cure of Impostumes they have nevertheless a more proper and particular one according to their several differences but this is as 't were a Rule whereby to proceed in it CHAP. III. Of Wounds THE General Practice of Impostumes being sufficiently treated of in the former Chapter this shall be adapted to expound such Notions as belong to the Cure of Wounds whereof this is the Definition A Wound is a Solution of Continuity caused by an external Instrument in any part of the Body but the Bones Their Causes are all such things as may violate the outward circumference of the Body and unnaturally enter in it and they are either animated as the biting and stinging of Beasts or inanimated as Swords Darts Bullets c. The difference of Wounds is manifold and as Samoicus saith Tam varia humanae sunt vulnera conditionis Ut nequeant proprias cunctis adscribere curas The Wounds of Men are seen so manifold The proper Cure of each cannot be told Nevertheless I have endeavoured to include the most General in the following Paragraphs The Differences of Wounds are drawn either I. From the nature of the wounded part which is First Similary and that 1. Soft as the Glandules and Flesh. 2. Hard as the Gristles 3. Mean as the Membranes and Ligaments Secondly Dissâ—milary which is either 1. Principal as 1. The Brains 2. The Heart 3. The Liver 2. Ministring to the principal as 1. Aspera Arteria 2. The Lungs 3. Neither of the foresaid as 1. The Eyes 2. The Hands 3. The Feet II. From their own Essence whereby they are termed First Simple when there is no Complication of other Diseases or Accidents Secondly Composed when there is some other Disease or Accident indicating a peculiar Curation III. From their Quantity by which they are termed First Great that is 1. Long 2. Broad 3. Deep Secondly Mean in all Dimensions Thirdly Little that is 1. Short 2. Narrow 3. Superficious IV. From their Figure whence we call them 1. Strait 2. Round 3. Crooked c. When a Wound doth pierce the Skul â—s known by these following Signs The wounded party doth presently â—all lying without sense as if he were a sleep the Exâ—rements are not retainâ—ed and surely if the blood floweth by the Ears Nostrils or the Mouth and if â—he Vomits Choler c. Whether the Wound penetrates into the Thorax is known if the Air comâ—eth forth at the Wound with a difficulty of Respiration if there be a gravative â—ain on the Diaphragme which is caused by much Blood lying on that part that must afterward be rejected by coughing A little after cometh a Feaver and stinking breath the Patient can lye but on the Back and hath a perpetual desire of Vomiting it often degenerates in a Fistula When the Lungs are hurt there issueth a Spumous Blood at the Wound with Coâ—ghing there is a great difficulty of Respiration and pain of the 〈◊〉 We know the Heart to be Wounded by the great quantity of Blood that cometh out at the Wound by a trembling of the whole Body a little Pulse a Paleness of the Face and a cold Sweat and â—requent Swounings a coldness of the Extremities and a hasty Death When the Diaphragme is hurt there is a gravatiâ— pain in that part with Phrensie difficulty of Breath Cough with a sharp pain and a contraction of the flanks upwards These signs appearing one may pronounce Death to be near The Vena Cava or great Artery being hurt Death speedily followeth because of the great loss of Blood and Spirits whence the Function of the Heart and Lungs do cease When the Medulla Spinalis is wounded a Paralysis or Convâ—lsion presently hapneth the motion of the lower part is abolished the Excrements of the Belly and Bladder either flow unwittingly or are wholly suppressed The Liver being wounded there cometh a great deal of Blood out at the Wound and a Pungitive pain is felt as far as the Cartilage Xiphoides which Death often followeth When the Stomach is wounded the meat and drink cometh out at the Wound then come Sweats and Cold of the extremities fore-runners of Death If the Spleen be wounded there floweth a blackish blood at the Wound Thirst troubleth the Patient with a pain of the left side and the blood flowing into the Belly causeth many accidents and often Death The Gutts being wounded a great pain torments the Bowels the Excrements issue out at the Wound and sometimes the Gutts out of the Abdomen which afterwards pain and swell When the Kidneys are hurt there is a great pain in making Water the Blood coming out therewith and the pain stretching it self to the Yard and Testicles The Bladder and Ureters being wounded the pain reacheth to the Flanks the parts of the Nombril are extended the Urine cometh out bloody and sometimes out at the wound When the Womb is hurt the Blood cometh out at the Privities the same accidents appearing as when the Bladder is wounded The Nerves being prickt or half cut a sharp pain is felt in the wounded part with a sudden inflammation fluxion tumor feaver and convulsion often with gangrene and death unless it be remedied in time Those Wounds are esteemed dangerous which do affect some principal Sinew Vein or Artery Whereunto are added those that are inâ—licted in the Privities of Man or Woman or in their parts dedicated to natural excretion as also those that hurt either end of any muscle but such as are in the fleshy parts according to the length of the fibres are esteemed the least considerable If a Bone Sinew Tendrel or a portion of the Face or Prepuce be cut off it cannot be repaired All Wounds in the Bladder Brain Heart Liver Lungs Stomach and smalâ— Guts are deemed mortal The general indication in the Cure of Wounds is the adjunction of what is separated wherein the Chirurgeon ought to be furnished with five Intentions The first whereof is to extract all strange Bodies as Bullets Darts Arrows Splinters c. if any do hinder the Wounds agglutination The second to bring the divided extremities together The third to keep them so The fourth to preserve the wounded parts temperature The fifth to correct such accidents as may fall out The first of these intentions is performed either with the Fingers or some material Instrument at the first dressing unless the extraction of the foresaid things might occasion an Hemoragy or some other dreadful accident for then the safest is to leave their expulsion to Nature but since it may sometimes not little be advanced by Medicaments take this following description Recipe The Root of Iris of Florence of Panacis and Capers of each three Drachms round Aristaloch Manna and Frankincense of each one Drachm beat them to a powder and incorporate them with Honey of Roses and Turpentine of Venice of each two Ounces Make a Salve thereof The second and third intention in the Cure
till the Wine be consumed a strong expression being made add Galbanum Bdelium Euphorbium Myrrhe Castoreum Bear Duck and Storks Grease of each two ounces Make a Salve in the Form of a Liniment whereunto a little Wax if needs be may be added Exercise and Frictions are also very powerful to awake the part affected and cause the motive Spirits to flow in There is another accident when the Patient either by weakness proceeding from the loss of Blood poysonous Vapours or the sight of dreadful Objects falls into frequent Swounds It is discerned 1. When Paleness invades the Face with a Cold Sweat 2. If a Coldness of the whole Body be perceived 3. And if the Party do suddenly Fall when it is in the Paroxysme It is prevented by casting cold Water in the Diseased's Face but if it proceeds from too great Evacuation the Patient must be softly collected on the Ground or on his Bed and a little Bread dipped in VVine given him to taste whereat the Spirits may return But if it proceeds from Poysonous Vapours Let the Patient drink out of a Spoon a little Treacle and Mithridate dissolved in VVine That which comes of Fear is easily cured the Object being removed with encouraging and comfortable Admonitions The loss of Blood Pain and Feaver whereunto Wounds are subject do often distract the Patient in a temporary Phrensy called Delirium which is defined A tempor ary perturbation of the Phansy and other mental Functions Besides the Causes above mentioned poysonous Vapours and a Lesion of the Diaphragme do not seldom effect its Production this last having a plain communication with the Brain by the Nerves of the sixth Conjugation If it proceeds from an Obstruction of the Spirits the same Remedies must be used as when the Body is subject to Swounding but if it coms from an Inslammation of the Brain Diet and Purgation must be instituted and the Hair being shaved the Head being bathed over with Exorodine applying upon it the Plaister of Diacalcitheos dissolved in Rose-water and Vinegar and Sleep provoked by the use of Broths wherein you must boyl refreshing Herbs and a knot of VVhite-poppy Seed and pleasant Company diverting the Patient from other sad thoughts and representations of mournful things may also be very conducible to his health and recovery Of Wounds made by Fire Armes THE Industry of men ever clear sighted to their own destruction having for about 200 yeares since found out a very speedy way to it namely Gun-powder and fire-armes Whose hurts being often waited on by other accidents it obligeth us to treat especially of their Curation They are either simple or composed with dilaceration distemper and tumor Their signs are commonly a round Figure little effusion of Blood a swelling of the part and a greenish livid colour In the first apparel the wound ought to be dilated if the wounded parts conformation can permit it that unnatural Bodies if there be any may be sought out and expelled with the matter In doing which if it be possible the patient must be scituated as he was when he received the wound After the extraction of strange Bodies we must prevent pain and fluxion The first by the repelling and lenitive Remedies above described and the Cataplasme appointed for its sedation The last by Diet and Purgation whereunto Clysters are commonly used lest Catharicks might cause too great an agitation of Humours Thence we must proceed to Suppuration as in all other contused Wounds whereunto that which is called digestive and the following Oyl are most conveniently used Recipe Oyl of Violets four pound wherein boyl two young Cats new brought forth till the bones be loosed off adding Earth-worms duly prepared one pound Let them boyl together on a slow fire adding Turpentine of Venice and strong-water three Ounces To be kept in a Glass till there be occasion to make use of it But if there be any danger of Gangrene we use profitably of Egyptiacum dissolved in Wine c. When the wound is brought to Suppuration detersive Medicaments must be applyed such as is the following Recipe Water of boyled Barley the juice of Plantain Parsley Agrimony and of the lesser Centory of each an Ounce let them all boyl together and in the end of the Decoction add Turpentine of Venice three Ounces Hony of Roses two Ounces flower of Barley three Ounces Saffron one Scruple Mix all together and make a cleansing Oyntment Lastly having care to prevent other accidents according to Art the Wound must be brought to a perfect Cure and Sanation Of Gangrenes BUT since Gangrene is often a concomitant of Wounds made by Fire-Armes and other Contusions it will not be amiss here to expound its Nature Signs and Curation It is defined The mortification of a part affected with inflammation And is only distinguished from a Sphacelus by the more or less this last being only when the part is quite mortified and dead The onely Remedy being then its Amputation The general Cause of Gangrene is a corruption of the parts natural Heat by Cold external Heat want of Nourishment stopping of Transpiration or by the dreadful effects of some poysonous substance Its proceeding is two-sold either with some humours in flowing or without it We have deduced the signes of it in the Chapter of Impostumes And for its Curation since that which hath its origin from the second cause is the most general and may in some measure be a Rule for Curing the rest Take these following Precepts If the Body be in the least Plethorical Phlebotomy and Purgation being celebrated the Air by Nature or Art ought to be cold and dry and the Patients diet of the same temper Amongst Topical Remedies Egyptiacum boyled with some Aloes in salted Water adding a little Strong Water in the end is deservedly much esteemed as also the Phadagenick water or the Gray Salve which is made by adding a Drachm of corroding Sublimate to an Ounce of Basilicon in the mean time to defend the Body from the Influxion of Morbisical Humors and putrid Vapours the following defensive may be applyed on the diseased part and often renewed Recipe Oyl of Roses and Myrtle of each four Ounces the juice of Plantain Solanum and Housleek of each two Ounces the whites of Eggs five Bole Armeny and Sealed Earth reduced in a subtil powder of each an Ounce with as much Oxycraton as is needful If it be too Intense and yeilds not to Catharticks and Topical Remedies we are obliged to use actual Causticks And lastly if that will not serve we must proceed to the part 's Amputation which is the only approved Remedy in a Sphacelus wherein observe that to stop the effusion of Blood actual Causticks are almost out of Use the binding of the Vessels being found more commodious Of that Operation see Fab. ab Aqua â—endente in his Chirurgical Operations but now the Stiptick Elixir of Doctor Williams overcomes all other Remedies Where Bones are discovered they use the
the Region of the Womb and in Summer the Skin of a Sheep newly flaid to the whole Belly and about the Loynes which must be taken away about six hours after the Patient having rested that time and the Hippâ—gaster must be anointed with the following Oyntment Take Sperma Ceti two Ounces Oyl of sweet Almonds and Hypericon of each an Ounce and half Goats Suet an Ounce Oyl of Mirrhe an Ounce and Virgin Wax as much as needs Make an Ointment to be used twice a day About the Navel may be applyed a Plaister of Galbanum with some grains of Zibet Muscus in the middle and about the whole belly Gaulbiers Cloth described by Ambrose Parry But if the Patient be much tormented with Wind the following Power is esteemed excellent Take preserved Anniseed two Drams Nutmeg and burnt Harts-horn of each one Dram and a half Dates-stones three Drams Aloes Wood and Cinamon of each two Drams make a subtil Powder whereof give her one Dram in a Cup of warm White-Wine As for the Child as soon as the same is brought forth it ought to be cleansed from all impurity With Oyl of Roses or of Myrtle Which some do with warm Water and some astringent Wine and then anoint the Child with the said Oyls taking special care whether the Child be not infected with a Chalky Matter in the Mouth which is called the White Canker for then it must be carefully cleansed with a little clout fastned to a stick and dipped in a composition of Oyl of Sweet Almonds Honey and Sugar then having explored whether there be no vice in the conformation or construction of the bodies parts for if there be any it must be maturely corrected the Child must be gently swadled and laid in his Cradle If the Mother or a Nurse will have her Milk stancht Take Oyl of Roses and of Myrtle of each three Ounces Rose-Vinegar one Ounce mix them together and anoint therewith her Breasts four times a day and after the anointing spread them over with Powder of Myrtles applying thereupon the following Plaster Take Powder of Mastick and Nutmeg of each two Drams of Cypress-Nut three Drams of Myrtle and VVild Granate Flowers of each one Dram and a half Ireos of Florence half an Ounce Oyl of Myrtle three Ounces of Venice Treacle two Ounces and Virgins VVax as much as sufficeth Some take a Spong dip'd in the decâ—ction of Cumin Seed or Coriander laid in very strong Vinegar and apply it to the Breasts as a secret Both may be much furthered by applying setting Cups between the Thighs and on the Sides of the Umbilick As for the Rest which is but little accessary to the Doctrine of the Generation of Man the Reader is remitted to those that have treated specially thereof as Capuraeins Pareus c. CHAP. VII Of the Venerean Disease THE just punishment of God upon our sins hath for some hundred years since produced a Disease unknown as some think to Antiquity called the Venerian or French Pox which may be defined An Indisposition composed of all other Diseases and their Accidents engendred by a contagious touch but most commonly by impure Copulation whence the Seed of several Men Fermenting ariseth a Venenous either fixt or volatile acid Salt having usually its seat in gross and viscid Flegm whence it procceds to the Invasion of the other Humours It is divided according to its time and progress in Particular and Universal The first degree of the former being when there appeaes Venerean Ulcers and Cancers The second when there is a Virulent Running of the Reins The Universal is when the Virulent Salt spreads it self through the whole Body and infects most of the parts thereof Its Signes are an intense and vehement Pain of the Ioynts Ulcers in the hidden Parts An Inflammation of the Mouth Pustles over the whole Body and specially on the Forehead Lastly Knobs and roughness of the Bones and a falling off of the Hair with other Accidents If the Disease be Recent and the Body in Youth or young Age the season of the Year being favourable the Cure is easily performed but if the Disease be Inveterate and complicated with many accidents If the Patient hath in vain been under Cure and begins to be extenuated by a Consumptive leanness proceeding from a Dissipation of the Natural Moisture the Disease must be esteemed incurable and only tried to be palliated The Cure of it is performed in four manners Namely 1. By the Decoction of Guaiack wood Sarsaparilla China Root and Sassafras which is the gentlest way and fittest for the first degrees 2. By Unction 3. By Plaisters 4. By Suffumigation rejecting that 〈◊〉 taking Mercury inwardly as noxious The first is thus reduced in Act A pound of Guaiac being cut in small pieces is decocted in Balneo Mariae with eight pounds of Conduit Water to the dissipation of the third part and in the end some Cinnamon being added to it the Patient must take of it something warmed five or six Ounces at his usual Meals keeping himself afterwards very warm to provoke sweat which must be instantly wiped off And thus using a very spare Diet the same method must be continued as long as the Patients forces can with facility suffer it The second manner is more effectual if the Disease be Recent The Body being well disposed and prepared the Patient is shut up in a warm Chamber and Closet and the Friction being begun proceed from those parts which pain less to those that are more painful and having a special care to the quantity of Medicaments whereof the Indication is drawn from the â—emper and Srength of the Patient the â—â—oynts and Emunctories of the noble parts are usually anointed with the following Liniment Take prepared Quicksilver six Ounces Sublimate half a Dram quick Brimstone half an Ounce fresh Porks grease one pound the yolks of three Eggs Oyl of Laurel and Turpentine of each two Ounces Old Treacle â—nd Mithridate of each half an Ounce let â— Liniment be made according to Art But I rather approve Mercury alone mixt with Hogs grease since it doth not expel the Material Cause of this Disease by any occult or specifick virtue â—eeding Correctives but only by its moâ—ion joyning naturally it self with all acid moisture and as Mercury dissolved in the Spirit of Nitre or Aqua Fortis corâ—oding the mouth and opening the 〈◊〉 whence the Humors flow till their acidity be evacuated But before the Friction the Body must be judiciously prepared for if dry subjects be not sufficiently humected the heat of the Stomack sublimates the Mercury whence proceeds a Diaâ—haeâ— with Gripings of the Gutts and if it be stopt there follows a Constipation a Feaver Inflammation of the Throat or a Phrensâ— with Convulsions and sometimes the party becomes Deaf Blind c. Contrariwise if Moist Bodies be not well exsiccated by Sudorisick Decoctions the Mercury draweth with him to the Throat a great quantity of Humours with swelling of the