holyhocke and lyneseede l. ss melt them all at the fire and lette them boyle with the sayde muscilage and than strayne them and make a softe cerote wyth suffyent whyte waxe Item we haue proued a playstre made of ryse sodden til it be thycke wyth the brothe of a shepes heed or of an henne and incorporated wyth suffycient buttyre oyle of camomylle and haue founde it good which I dyd boyle in a posâ—et addynge in the ende the yolkes of .iii. egges and of saffran ℈ i. It mollifyeth the hardenesse of the mamilles merueylouslye Lykewyse crommes of breed steped in a decoction of holyhocke and afterwarde stamped with oyle of roses camomyll and dyl and set on the fyre with a lytle of the forsayde decoction and an ounce of duckes grese and boyled togyther and hauyng added in the ende the yolkes of thre egges and of saffran ℈ ss is of good effect Thus endeth this present Cha. for which the name of God be blessed ¶ Here endeth the fourth treatyse of Apostemes and the the fyfth begynneth ¶ The fyrst Chaptre Of apostemes of the brest and of the rybbes and that chaunce vpon the paÌ„nicle called diaphragma or midriffe IN the regyon of the breest Of apost of the brest eybbes c. and ribbes there are engendred hote and colde Apostemes as in other partes of the bodye And they come sometymes of a primityue cause but for the moost parte of a cause antecedent Yf they come of a primitiue cause than the cure may be after the cure of flegmoÌ„ engeÌ„dred of a primitiue cause For mooste commenly these apostemes are of an hote nature and bene engendred of bloude or cholers wherfore I wyll recite the ordre of a mattier that chaunced at Genua whan I was in that cytie An experieÌ„ce There was a labourer whyche satte vpon a wall And he had a soÌ„ne of thre or foure yeres of age whyche came vnto him vpoÌ„ the wall whom as the father saw he rose vp to mete hym and by an euyll chaunce they fell downe bothe And the sayde labourer was sore hurte in the rybbes so that it came to a greate apostemation And whan the Aposteme beganne to enclyne towarde maturation he was vexed wyth a sharpe fieuer wherfore it was necessarye to open the Aposteme acccordynge to the length of the rybbes The incision was made very greate and depe for the Aposteme was greate and there issued oute greate quantitie of matter And one daye at the tyme of his dressynge nature voyded at ones in one instante a greate quantitie of matter by the opened place of the Aposteme by the Patientes mouthe and hys bellye we seinge thys chaunce ordeyned conuenyente potions wasshynges incarnations and mundifycations whereof we wyll speake in the chapitre of a wounde that pearceth into the breest so that by the ayde of God we restored the labourer being an olde man vnto his health agayn At whyche curation the excellent Phisition Iames Baroia a Geneuoye greatlye meruayled Yf the Aposteme be engendred of a cause antecedent we muste consydre howe we proceade to the curation of it eyther by resolution or by an other meane For yf the sayde Aposteme come by the waye of termination ad crisim as we haue often sene after longe fieuers than the wyse Chirurgyen ought to consydre whether the Aposteme be come to maturation Yf it so be he maye conuenyently make incision after the length of the rybbes as we haue sayde But yf the place be not yet come to maturation lette it be ryped wyth a playstre of colewortes made with buttyre and the brothe of flesshe vnsalted or wyth a Playstre of holyhockes and other wrytten in the Chapitre of the cure of Flegmon And bycause this aposteme sheweth no exiture nor swellynge outwardlye so that vnconnynge Chyrurgyens perceyue not the collection of the sayde aposteme ther is greate nede of an experte and learned Chyrurgyen wherfore for the verifycation of thys Aposteme whan it is growen in the sayde place and that there is gatherynge of corruptyon in it it is necessarye to knowe the sygnes that are wonte to come before maturation that is to saye Signes of maturatioÌ„ heuynes and ponderositie of the place wythout swellynge chefely whan it is percynge and for the moost parte without rednesse of the place And it hath alwaye a lytle fieuer And the patient eateth wyth greate dyfficultye and can not slepe And yf the Chirurgyen presse the place with hys fynger where the matter is gathered togyther there remayneth in the pressed place a concauitye or holownesse and moreouer ye maye feale a pulsation or beatyng Lykewyse ye maye haue knowlege by the relacyon of the Patient for thys Aposteme bryngethe greate payne To conclude whan the foresayde sygnes be obserued by a wyse Chyrurgyen and whan the Aposteme is come to maturation let depe incision be made after the length of the rybbes and after the quantitye of the mattier For whan the mattier is in greate abundaunce the openynge must be the greater At the fyrst ye shal not suffre moch fylth to yssue out that nature be not to moche feabled Therfore the quytture must be retayned in laying tow and hurdes vpon it wyth the whyte and yolke of an egge mengled togyther The next daye lettte it issue out in good quantitie And bycause thys Aposteme is penetrant or persynge we ought to procede as it shal be declared in the Chapitre of a persynge wounde Yf ye perceyue that the aposteme perceth not than must the place be digested with a dygestyue of terebentine by the space of thre or foure dayes After digestion let the place be mundifyed wyth hony of Roses and terebentyne and with a mundificatyue of smallage And ye shall consydre yf the Aposteme haue manye hollowe places that before the incarnation the sayd hollowe places muste be mundifyed wyth vnguentum apostolorum layed vpon a tente or wyth vnguentum Egiptiacum or wyth vnguentum mixtum or wyth a lotion of lye or pouldre of Minium of oure descryption whyche taketh awaye superfluous flesshe Afterwarde for the incarnation and sigillation ye shall vse the remedyes wrytten in the former Chapytres Yf the Aposteme chaunce in the fore partes of the breastes ye muste procede as it is declared afore of an Aposteme in the rybbes Thus endeth thys Chapitre For the whyche God be praysed c. ¶ The .ii. Chaptre Of an Aposteme in the backe as well hotte as colde THe Aposteme the chaunceth in the backe Aposteme in the backe bycause of the nobilitie of the place where the nuke is situated and by reason of the multitude of synnowes is daungerous as the doctours saye The curation of it is this If the Aposteme be hote the vniuersall rules presupposed ye shall annoynt the place wyth oyle of camomyll oyle of Roses and oyle of vyolettes by the space of two or thre dayes And yf ye perceyue that the Aposteme bendeth to the waye of resolution than it is conuenyent to
and of the medicines that cause rotten nayles to falle and of the superfluous flesh growyng in the lyfte and the right syde of the nayles and of the incision of the same THe cure of the apostemes of the fete Apostemes of the fete differreth not from the cure of other apostemes aswell hotte as colde declared in the chap. of the handes of the fete wherfore ye shall resorte to the sayd cha It chaunceth ofte that the nayles of the handes Corruption of the nayles and of the fete come to corrupcyon cheffye in the lower partes and cause great payne wherfore it is necessary to gyue some remedye For if it be in the toes it hyndreth the goynge And yf it be in the fyngers it distroyeth handye workyng wherfore yf the nayle be greatly corrupted in the croune or in the sydes wyth olde vlceration ther is no surer ayde than to attenuate or make thinne the nayle with raspatories And than ye muste pearce it in sondrye places wyth a sharpe instrumente Afterwarde let the place be softened wyth thys mollificatyue the space of three dayes Plaister mollificatiue R. of the leaues of Violettes and Mallowes an̄ m̄ i. Seeth them in water stampe them and strayne them in the decoction wyth wheate floure and the foresayde straynynge make a styffe playster at the fyre addynge of the substaunce of rosted apples ℥ iii. of hennes grese and duckes grese of oyle of violettes of buttyre ana ʒ vi mengle them Thys plaister mollifieth the nayle and prepareth it to falle Afterwarde ye shall applye thys playster Plaister R. of Apium risus fynelye brayed ℥ i. of cantarydes theyr heades and winges beyng taken away ʒ i. of wheate leauen ℥ ii mengle thē and braye them together and make them after the manere of a playster Applye thys playster vpon the nayle vntyl ye perceaue the fleshe vnder the nayle to be corrupted Than procure the nayle to fal with playsters of Mallowes ordeyned before or wyth hotte buttyre whan the nayle is remoued lette the place be wasshed wyth water of barley and Sugre and applye a playster of miniū the space of four dayes Thā a lytle new waxe and oyle of roses with a lytle terebentyne after the bygnesse of the nayle maye conuenientlye be layed on to make the nayle to growe agayne But yf the nayle be corrupted only in one syde or in bothe wyth superfluouse fleshe ye shall cutte it awaye or roote it oute wyth a caustyke medicyne or wyth oure poudre of mercury or wyth a spōge somwhat burnt And yf these bene not sufficiente ye maye vse a ruptorye of Capitell or a trocyske of minium after oure discription After that the deede flesshe is cutten away or remoued cutte the nayle also vnto the hole parte wyth lytle cizars sharpelye poynted After incision ye shall wasshe the place wyth a decoction of roses Myrtyles Alume and stiptyke wyne and seale vp the place with oure poudre cicatrisatiue and a playster of Minium whyche thynges we haue proued often with worshyppe Thus. c ¶ The .v. chappi of an Aposteme colde and hotte in the stomake aswell in the outwarde parte as in the inner THe Apostemes of the stomake bene verye daungerous Aposteme in the stomake chieflye those that bene engendred in the inner part but they that are in the outwarde parte bene not so daungerous Ye shall knowe whan the Apoemes of the stomake are colde or hote by the sygnes declared in the chap. of apostemes vniuersally The cure shal be accomplyshed as it foloweth If the aposteme be hote and in the outwarde parte the obseruation of the vniuersall rules of purgation and diete presupposed it is conueniente to procede wyth resolutyues hauynge somme vertue to conforte the place as is this description R. of oyle of Camomylle ℥ i. and ss of oyle of roses cōplete odoriferous of oyle of Quynces ana ℥ vi Mengle them and at the fyre make a liniment wyth whyte waxe adding of all the Coralles ana ʒ i. and ss of Alabastre of Saunders whyte and redde ana ʒ i. mengle them Thys linimente is of greate efficacitie in thys case for it cōfortethe the stomake and resolueth gentelye Note that in thys place medicines muche repercussyue are not to be applyed bycause of the nobylytye of the stomake and of the lyuer Thys composition folowynge is good also and more resolutyue R. of Camomylle of Dylle ana ℥ i. of oyle of Roses complete of oyle of wormoode ana ʒ vi make a lynymente at the fyre wyth sufficient whyte waxe addyng of saffranne ℈ i. of Cynnamome ℈ ss Annoynte the Aposteme herewyth And yf you wyl that it be more resolutyue with some mollification ye shall adde to the foresayde thynges of the rootes of holihocke sodden and stamped ℥ ii of raisines brused ℥ i. If the sayde aposteme can not be resolued Maturatiue wyth the foresayd thinges than ye shal vse thys maturatyue R. of the leaues of mallowes and violettes ana m̄ i. of the meate of wardens or greate peris or of swete apples or of quynces rosted ℥ iii. of raysynes ℥ ii of wormwoode m̄ ss Seeth the thynges that bene to be sodden in water than stampe them and strayne them and with barley floure make a styffe playster in the decoction at the fyre addynge of oyle of violettes ℥ i. of oyle of swete Almandes of hennes grese ana ʒ vi the yolkes of two egges of saffranne ℈ i. of buttyre ʒ x. make a playster wyth the foresayde straynynge the substaūce of apples menglyng thē al together whan the Aposteme is rype cutte it after the length and neuer after the bredth Incision Than digeste the place wyth a digestyue of terebentyne the yolke of an egge and a lytle saffranne And yf the place be paynful bycause of the sensibilytye therof ye shal adde to the sayd digestyue oyle of roses omphacyne hotte for it digesteth and appayseth griefe mūdificatiue After digestion lette the place be mundifyed wyth thys mūdifycatiue R. of syrupe of Roses of honye of roses ana ʒ vi of cleare Terebentyne ℥ ii and ss of the iuyce of Smalage wormwoode playntayne horsetaile ana ʒ ii boile them a lytle with a soft fyre than adde the yolke of an egge of barley floure well cersed ʒ x. of saffran ℈ i. of sarcocolle ʒ iii. Lette this mundificatyue be applyed wyth a tente and yf ye putte too of frankencense drammes thre of myrre of mastyke ana ʒ ii it wyll be a good incarnatyue Finallye lette the vlcere be sealed vp wyth Vnguentum de Minio of oure description wasshynge it wyth water of alume or vse oure poudre cicatrisatyue If thys Aposteme be ingendred in the inner parte the cure differeth not The cure of an aposteme in the inner parte from the cure of the outwarde Aposteme touchyng resolution maturation and cōfortation of the place but the inner Aposteme can not suffer so stronge a laxatyue medicyne as
the euyl complexiō of the vlcered perticule Hote cōplexiō For an hote euyl cōplexiō of the vlcered place is knowen by the rednes inflāmation and outward heate of the place and of the partes there about and by the runnyng out of thyn quytture hauinge a redde yelowe or grene coloure A colde complexion is knowen Colde by the blewnes or palenes of the membre wyth whytenes softnes coldnes of the place by grosse slymye and vndigested quytture and wyth watry substance wythout all bytynge and burnyng The signes of an euyl moyst complextion are these The membre is sorte and loose Moyst and full of superfluous moysture These thynges declare a drye complexion drynes Drye hardnes roughnes and thinnes of quytture As touching putrefaction we say that some putrefaction is done alredy some is to be done That whych is done is ambulatyue or walkynge that whyche is to be done continueth styll in hys owne kynde The signes of putrefaction that shall ensue are knowen by alteration of the membres by chaunginge the colour of the sayd vlcers that is to saye by the blacke blewe or grenyshe coloure of the vlcered membre The signes of putrefaction alredy done Signes of putrefaction is euyll colour of the vlcered place and whan the sayde place is depriued vtterly of al felyng though the place shuld be cut or haue bytynge thynges applied therupon An vlcere ambulatiue is sone knowē by enlargynge of the place Further a rounde and fistulare figure resisteth true curinge bycause that the quytture can not issue out but is constrayned to tary in the botome of the vlcers and bycause it remayneth in the botome of the vlcers more thē reason is it receaueth venemenes whych produceth holownes in the vlcers and weakneth the said partes through the weakenes of the mēber the superfluities of the hole membre ben ariued to the vlcered place In like maner the subtilenes of the quytture hyndreth curation for towchyng the partes of the vlcers it maketh a depe holownes throughe hys percyng and through hys moysture it maketh the fleshe softe readye to receaue putrefaction For thynges that come to putrefaction haue parte of moystnes whyche maketh them soft Item the grossenes of the quytture hyndreth curation of vlcers bycause that throughe hys slymynes it cleaueth to the poores and bicause it tarieth to longe in the sayde vlcers it receaueth an euyll qualitie for that that is touched of a rotten thynge rotteth Item the sharpnes of quytture bytynge corosion of the same hyndreth consolidation bycause it consumeth the natural moysture of the mēbre whych shuld be the cause to ioyne together the sondred partes The bloode that is not in due quātitie hindreth curation for the abūdans therof choketh natural heate the wante therof causeth that the vlcered member hathe not hys nouryshmente and nature is deceaued of her purpose bicause it hath not mattier to engender newe fleshe Item the euyll complexiō of the vlcered place letteth curation as well by heate as by coldnes as well by moysture as by drynes whether it be simple or cōpoūde material or not material The reason is bicause that when the complexion of the membre is hurte it must nedes be that the other naturall vertues of the membre be diminished or corrupted for the complexiō of the membre is the hande maide of the natural vertues and helpeth to turne the nourishment in to the substance of the mēbres and conueyeth awaye the noysome superfluities Itē there be some accidētes which hynder curation amonge whyche is immoderate fluxe of blood by which the mattier whereof the newe fleshe shulde be engendred and the spirites is taken awaye or diminished Furthermore paynfulnes weakeneth the hole body the vlcered membres and causeth that the humours arryue to the vlcered place in greate abundans whyche hindreth the cure Also an aposteme whych is a disease compounde of thre thynges namely of euyl complexion euyl compositiō and solution of continuitie hyndreth the cure for sondrye dyseases vexe and greue nature more then one In lyke maner the superfluitie of harde and skalye fleshe gendred in the borders of the vlceres lette the matter to be sente of nature for the generation of fleshe in the same for it can not passe by the poores nor accomplyshe hys naturall operation The addition also of fleshe resysteth curation Moreouer softe fleshe corrosion and putrefaction hyndreth curation bycause that thorough those thynges the matter sente of nature to engender fleshe is altered and so can not do hys kyndelye operation and thus the substaunce of the member is corrupted These thynges before alleged are the causes whyche hyndre the curation of vlceres Nowe we wyll brieflye speake of thynges Remotion of the sayd causes whyche haue vertue to take awaye the forsayde causes Fyrste yf the fygure be fystulare or holowe it muste be destroyed as it shal be declared here after in the chapiter of the cure of fystules and yf it can not be then ye muste fynde a meane to purge the matter before it receaue euyll qualitie in the botome of the vlceres Yf the sayde quytture be subtyle and moyste for rottynge mollifyenge the substaunce of the member ye muste procede to the curation wyth thynges desiccatiue accordynge to the great or small moysture of the sayde vlcere that putrefaction maye be resysted and the straunge moysture consumed Yf the quytture be grosse and slymye cleuynge to the botome of the vlceres and hyndrynge the nouryshmente of the place ye muste remoue it from the vlcered partes as well from the botome as from the borders therof Yf the quytture be sharpe and corrosiue ye muste rectifye the same by thynges whyche haue power to resyste sharpenes and corrosion And when the bloode is in to greate quantitie ye shall diminishe it by cuttynge a veyne yf it be in to smal quātitie ye shal gyue the patient meates of great nouryshement that engendre good bloode Yf the bloode be euyl in qualitie ye muste rectifye it by thynges contrarye to the sayde qualitie as yf it be to hote by colde thynges yf it be to moyst by drye thynges Yf there chaunce fluxe of bloode in the vlceres ye shall drawe the same to the contrarye partes by the cuttyng of a veyne by ventoūs and lyke thynges Yf ther be great paynfulnes ye shall take awaye the cause therof and comforte the vlcered place Yf the fleshe of the vlceres be to soft ye muste take away the straunge or vnnaturall moysture Yf there be superfluous fleshe the same muste be remoued and yf it be harde and shelly ye shall applye there vnto thynges resolutiue and linitiue and yf it resysteth resolution ye muste cut it awaye Yf ther be apostemation ye muste consume the matter by resolution yf it be vndigest ye must prepare it to digestion yf the cause come by corrosion ye shall turne awaye the matter antecedente and remoue the matter conioyncte Yf the
abstersyue made of honye of roses of terebentyne of sarcocolle ordeyned in manye places After mundification for incarnation and sigillatioÌ„ ye shal procede accordyng to the doctrine geuen for the same in the vniuersal chapiter of vlcers Lykewise yf ye wolde purge the bodie and orden a conuenient diete ye shal resorte to the seconde chapiter of vlcers in general c. ¶ The seconde chapter of vlcers of the brest THe cure of Vlcers of the brest Vlcers of the brest differeth not froÌ„ the comune cure of other vlcers wheÌ„ they perce not into the inward partes wherfore yf they be holow corosiue ye shall resort to the chapter of holow and corosiue vlcers c. If the sayd vlcers ben with corruption of the bone and not percynge ye must warely remoue the corruptioÌ„ of the bone wyth an actual or potenciall cautery discouerynge fyrst the corruption of all the rotten fleshe and afterwarde remouyng the rotten bones wyth raspatories vnto the hole parte And after that the corruption is remoued ye muste cauteryse the hole parte gentlye and superficially if it be possible for the rest of the cure ye must procede as we haue declared in the chapter of the cure of vlcers wherin the bones be rotten And if the saide vlcers be percyng ye shall procede wyth a cure palliatiue wythoute application of sharpe thynges for the noble meÌ„bres might be hurted through the sharpnes therof wherfore the remedies that are declared in the chapiter of percyng wouÌ„des are coÌ„uenient in thys case which I councel you to peruse ¶ The .iii. chapter of the vlcers of the arme Vlcers of the arme THe Vlcers of the arme differ not from the comune cure of vlcers wherfore accordynge to theyr kyndes ye shal resorte to theyr proper chapters Howbeit ye shall note thys one thing that as the vlcers of the legges require lienge in a bedde lykewyse the vlcers of the armes wolde be bounde vp towarde the brest c. ¶ The .iiii. chapter of the chappynges of the nypples of the dugges of women and vlcers of the same THe vlcers of womens brestes are comunelye holowe Vlcers of womens brest bycause that the flesh therof is rare and spoÌ„gious and for the moost part are engendred of hote apostemes proceding of kurded mylke sometyme of colde humours and are harde to be cured For they that procede of kurded mylke bycause of the continuall deriuation of mylke to the dugges resist resolution and they also whyche procede of colde humours cause greate holownes through theyr grossenes and are not easelye cured Moreouer bycause that conuenient byndyng can not be vsed in the brestes they sayde vlcers be therfore of harder curation The cure of the sayd vlcers Cure is accomplished by the application of sondrye local remedies And fyrste ordenaunce of diete and purgation accordynge to the humours presupposed for muÌ„dification we haue found our poudre of mercury to be of good operation leynge vpon the same vngmÌ„ de minio of our description ye may also laye ouer the brest thys playster R. of beane floure of the floure of lentilles Playster deâ—â—ccatiue and barlye anÌ„ li. ss lette them seeth wyth sufficient sodden wyne tyl they be thycke Thys playster dryeth and resolueth and swageth payne And yf the sayde vlcers be very paynfull ye shall applye a playster of the crommes of breade the leaues of malowes in the broth of a henne sodden with a litle buttyre oyle of roses and the yolke of an egge a lytle saffran Here ye shal note that the tent ought not to be longe but must be holowe made of the rote of ditany or of a drie gourde after the maner of a latchet or of the leaues of blacke Coleworte somwhat dryed in the shadowe The dugge must be tyed vpward toward the necke that the humours reÌ„ne not down to the place we haue described sondrye remedies conuenient in thys case in the chapter of remedies of the dugges Also the dryeng vp of mylke helpeth muche to the curation of thys vlcere And therfore it is good to geue the woman a pille of rubarbe To dry vp mylke in the quantitie of a pease wyth an ounce of water of plantayn and myntes Vlcers caused of colde and grosse humours may be cured with the foresaid ordinauÌ„ce and for the other ententions that is to saye for mundification incarnation and sigillation ye shal procede after the chapiter of vlcers in generall And bicause that often the teates are ful of chappynges through the superfluitie and the sharpnes of the mylke we wyll ordeyne a coÌ„uenient linimeÌ„t for the cure therof R. of an oyntment of roses of oyle omphacine anÌ„ â„¥ .i. ss of the iuyce of plantayne â„¥ ss of calues suet Ê’.x of litarge of golde and syluer anÌ„ Ê’.vi of burned leade of ceruse of tutia anÌ„ Ê’.iii of antimonium Ê’.ii of frankynsence Ê’.ss of terra sigillata of bole armenye ana Ê’.i.ss mengle these thinges together in a mortar of lead the space of two houres and make it a liniment For sigillation ye shal apply vngmÌ„ de minio in a styffe fourme or vngmÌ„ de cerusa a fomentation of water of alume goyng before ¶ The .v. chapter of the vlcers that growe in the inner partes of the eares THere are ofteÌ„times engendred within the eares Vlcers of the eares apostemes of reumatyke mattier wherof vlcers come of hard curation The reason is bycause the place is vnmete to haue medicines applyed vpon it bycause the superfluities of the brayne do easely arriue to the said place Likewise bicause the place caÌ„ not endure sharpe medicines which are requisite for the cure of vlcers wherefore the gentler the curatioÌ„ of the fore sayd vlcers is the better it is The cure of these vlcers is accoÌ„plished by the administratioÌ„ of local remedies that ben of familier mundification Fyrst purgatioÌ„ of the humours of the heade wyth pilles of agaryke and of assagereth and ordinaunce of diete presupposed yf the vlcers be newe ye maye heale them wyth hony of roses with oyle of the yolkes of egges and a lytle sarcocolle stilled into the vlcere Item it is a good remedie to distil into the eares vpon the vlcers the wyne of swete pomegranades for it healeth in mundifienge and purgynge the mattier The maner to make the said wine is thys The maner to make wine of pomegranades Ye muste take a good swete pomegranade and seeth it in whyte wine and afterwarde stampe it finely and then streyn it presse it stroÌ„glye and adde therunto of mooste fyne hony of roses â„¥ ii.ss and seeth them agayne vnto the thycknes of hony and apply this often vpon the vlcers And yf ye wyl that it be more abstersiue attractyue ye shal adde therunto â„¥ .i. of terebentine wyth an ounce a half of the forsayde liquor And bycause that the sayd vlcers are comunely paynfull ye must not applye thynges very desiccatiue wherfore the oyle of
that it shal be of greter exiccation or drying put to the forsayd oyntment of lyme thryse washed with rayne water ℥ i. ss of liquide storax ℥ ss and so vse thē Forthermore all meates that engendre grosse brente and colerycke bloode muste be auoyded as grosse flesh pepered and salted meates garlyke mustarde drye fygges c. Somtyme yf the age and strength of the patient wolde suffre it is conuenient to draw blood out of the veyne basilica most often in this case ventoses are to be vsed vpon the shulders armes buttockes and thyghes chefely whā the scab is spred through oute all the body And therefore Auicen aloweth wel the application of ventoses vpō the thighes with scarificatiōs we haue proued moreouer that laying of blood-suckers vpon the emorroidal veines is verye profytable to drawe oute gros melancholy and burned blood Pylles also in this case are greatlye praysed of Auicenne so that one onelye be taken at one tyme. But I was wonte to admynistre the pylles vnderwrytten ℞ of wasshed aloes ℥ i. of pylles of mastik ℥ ii make pylles lyke peason with the iuce of celydonye The receyte of them in hole parsōs is ʒ ss vnto .iii. ℈ Yf ye wyll haue it of a stronger purgation put therunto of pylles of fumiterry ℈ .i. c. ¶ The .v. Chapter Of the paynes of the ioyntes that is of artetik goute in the handes and feete and kneees ¶ To the moost reuerende lorde my lorde Sixtus prest of the Romayne church vicechaunceler of the titule of saynt Peter ad vincula A Passion arthetyke as the aunciente and later wrytters declare is an outwarde payne of the ioynctes caused of abūdaunce of fleume Of the peyne in the ioynctes and sometymes of colerike humours rennyng to the sayd ioynctes And according to the places wherunto the mattier floweth it receyueth sondrye names wherfore when it floweth to the fete it is called podagra when it floweth to the handes it is called chiragra and when it renneth to the knees it is called genugra and when the sayd humours be arriued into the hyppes it causeth the gout called sciatica The payne wherof is extended from the hippe to the lytle too In the goute called Podagra the peyne begynneth about the great too In chiragra about the fore finger or thōbe they whyche haue thys disease lyue in reste and pleasure a riotous lyfe wtout excersice of the body whiche also eate grosse and melancholike meates and pulses as beanes peason Cycers c. wherfore Ypocrates sayeth that the grecians called Helenes were troubled wyth the gout bycause they vsed to eate beanes and peason and other pulse Thys passion moreouer is founde in prelates of the churche in those whych were poore men and afterwarde came to some hye dignitie wherefore they gaue them selfe to slouthfulnes delicate lyuyng wherwyth the ioynctes are wont to be troubled wyth grosse slymye humours thorow euyl digestion wherfore moderate excercise is verye good to auoide this disease idelnes doth the cōtrarye For as yron cankreth when it is not exercised so mannes body thorowe rest is corrupted with euyl humours Neuerthelesse immoderate exercise chiefly vehement walkynge prouoketh the goute in the fete as Arnolde de noua villa doth witnesse sayeng of muche drynkynge of wyne of greate walkynge of often vse of women and by forbearynge of accustomed purgatiōs innumerable persōs become goutie And thys passion cometh by inheritaunce and it is merueylouse peynful chiefly yf it be engendred of a hote cause so that it bryngeth the patiente in despiratiō to a palsy to apoplexia to difficultie of breathyng perturbation of the sences and sodeyne death But the peynes of a goute caused of a colde grosse and slymye mattier be not very greate Howbeit they contynewe longe and therfore Hipocrates sayth that sometyme they are not ended in .xl. dayes But when the mattier is hote they ende in .xiiii. dayes as I haue sene in Iulio secundo I haue often sene that this disease hath proceded of a grosse slymye and chalkye mattier so that the mēbers haue euer remayned croked and knobbye And this kind of the gout receyueth no cure but a palliatyue cure as Ouide sayth Soluere nodosam nescit medicina podagram that is no medicyne can heale the knobbie gout And marueale not yf the peynes of ioynctes procedyng of a hote cause ben greate for as Galene sayeth that humours whyche cause peyne in the handes fete knees or haunches fyl the concauitie or holownes whych is betwene the ioynctes and stretche out the ligamētes muscules and synnowes and thorow that stretchyng a great peyn is caused and no crampe which peynes chaunce for the moost part in the spryng of the yere and in the heruest chiefly in the ioynctes of the fyngers and the toes Cornelius Celsus sayth to thys purpose that the peynes of ioynctes come soner to the toes and fyngers thā to other partes And the thys disease chaunceth not to gelded men nether to yong mē that haue not had copulation with womē nether to women that haue not theyr accustomed purgations reteyned To come to our purpose we ought to consider the cause and the accedentes of the disease And we must know that one kynde of the goute cometh of a colde cause an other of hote And of those the procede of hote mattier some are with great peyne as those which come of pure choler and some ar not of so great peyne they come of choler mēgled with fleume The peynes of the ioynctes procedyng of cold mattier are small moderate but they are hard to heale and dure longer as we haue said and the place where the peyne is is swollen and whyte But if the mattier be hote the place is red and in thys passion there chaunceth often a lytle fieuer whych is wont to ende whē the mattier leaueth his sinnowie places and cometh to the outwarde partes And therfore Galene sayth that in the peynes of the teeth and of the ioynctes it is a good signe For when swellyng chaunceth in the outwarde partes it is a greate token that the mattier hath left his synnewe and is come to the fleshye particule Further we saye that thys disease maye be nombred amonge colde and hote apostemes and therfore there be thre causes therof as antecedent primityue and conioyncte as we haue declared in the treatyse of apostemes The members from whence the mattier of the said peynes procede are diuers for when the mattier is flegma tyke and slymye it cometh from the stomake or from the brayne And yf the mattier be hote that is to say choleryke or sanguine those humours procede alwaye from the lyuer And so sayeth Anicenne declarynge that thys disease procedeth of the superfluitie of the seconde and thyrde digestion And the mēbers that receiue this mattier are the ioynctes But Anicēne deuideth these causes .iii. maner waies Fyrste into a cause efficient which hath humours Secōdly into a cause instrumētall and
lv Alopetia Fol. ccliiij cxxx Alexanders liniment Fol. cliij Amigdals Fol. v. Anatomie Fol. i. Anatomye the order of it eodem Anatomie .ix. thynges to be consydered therin eodem Anthrax Fol. xxviii Aposteme Fol. xiii xcl Aposteme hath foure tymes eodem Aposteme hath foure maner healynges eodem Aposteme is opened Fol. xv Aposteme simple colde Fol. xxxiiii Apostemes wyndy Fol. xlv Aposteme of the eyes Fol. xlix Aposteme of the browes and eye lyddes Fol. lv Aposteme vnder the eares Fol. lvii Apost of the iawes amigdals Fol. lx Apost of the throte necke Fol. lxiiii Apost hote in the brestes Fol. lxv Apost through flebotomye Fol. 233. Apost colde of the brestes Fol. lxvi Apost of brest rybbes c. Fol. lxvii Aposteme in the backe Fol. lxviii Aposteme of the flankes Fol. lxix Aposteme of the flanke commyng of a longe fieuer or of congeled blood in the bellye Fol. lxx Aposteme of the yarde Fol. lxxi Apost of the fundament Fol. lxxv Aposteme of the shulders eodem Aposteme of the arme Fol. lxxvii Apost of the handes fyngers eodeÌ„ Aposteme sclirotike Fol. lxxviii Aposteme of the fynger called panaritium Fol. lxxix Aposteme of the hyppes eodem Aposteme of the knees thyghes and legges eodem Aposteme of the feete Fol. lxxx Aposteme of the stomake Fol. lxxxi Aposteme of the lyuer eodem Apostemation to let it Fol. lxxxv Apoplexie Fol. iiii Armes woundes of them Fol. xcv Arme broken Fol. clxxvii Aroes the drawing out of theÌ„ Fol. cx Aroe cure of a venemed aroe eodem Arterie Fol. ii Arteria trachea Fol. v. Aschachillos Fol. xxvi Aspes his styngyng Fol. cxvii Attractyue medicines whye they be vsed Fol. ciiij. cvi Auripigmentum howe for to calcinate it Fol. ccvii Aeyre rectifieng of it Fol. xxx B Backe aposteme of the backe Fol. lxviii Backbone peine therin eodeÌ„ ccxxxix Basillare Fol. iii. Bellye Fol. viii Bellye apost of the belly Fol. lxix Belly wouÌ„des ê‘cing throgh it Fol. c. Byndyng or lygature Fol. cxi Bytynge and the cure Fol. cxvi Blader wounde therin Fol. cii Bladers the cure therof Fol. xxiiij Blood when it ought to be stopped in what cause Fol. lxxxiii Blood fluxe of blood Fol. lxxxv Blood signe of arterial blood eodem Blood staÌ„chyng of blood Fol. xciiii Blood staunchynge of blood at the nose Fol. clxxxjjjj clxxxvii Blood the abundaunce of it in vlcers Fol. cxx Blood diminutioÌ„ of it in vlcers eodeÌ„ Bociâ—â— Fol. xxxix ccxxxvij Bodyes tender moyst Fol. lxxxiij bolster Fol. cxiij Bone Fol. ij Bones are nombred Fol. xi Bones broken in generall Fol. clxxij Bones broken dysplased Fol. clxxv Bone of the nose broken eodem Bones chawbones broken eodem Bone canel bone or brest bone broken Fol. clxxvi Bones of the necke brused eodem Bone â—umpe bone broken Fol. clxxvij Bones of the haÌ„des brokeÌ„ Fo. clxxviij Bone rouÌ„d bone of the kne bro. fo clxxix Bonchines Fol. câ—xxxiij Boxynge Fol. xxix Breakynge of the skulle Fol. lxxxâ—ij Breyne panne Fol. iij Breyne Fol. iiij Breyne of the coÌ„motion of the brey fo xci brest Fol. vij Brest wouÌ„des of it Fol. xâ—vij Brest fystula therin Fol. xcix Brestes hote apostemes in bre fo lxv Brest aposteme in it Fol. lxvij Browe aposteme therin Fol. lv Bruse and cure therof Fol. xciiij Brused woundes Fol. â—xiiij Bubâ— a maturatiue for it Fol. â—xxii Burning blerednes of the eyes fo liiij Bâ—râ—ynge by fyre Fo. ccxxxâ—â—iij C Cancrena hys cure Fol. xxvi Canker the forme diuisioÌ„ of it fo xliij Canâ—â—â— Fol. vi Capsula cordis Fol. viij Carbunculus hys cure Fol. xxviij Carbâ—â—culus pustules Fol. lxxi Carolles betwene the foreskinne and heade of the yarde Fol. lxxij Catarattes in the eyes Fol xxxv Cause primitiue antecedeÌ„t Fol. xiij Causes of corruption eodem Cauteries Fol. ccviij Cerote for hardnes of the liuer fo lxxxij Cerote of minium Fol. xâ—â— Cerote for the heade Fol. cxxxvi Cerote for the goute Fol. clxviij Ceâ—â—â—es in generall Fol. ccix Chappes of the lyppes Fol. cxlij Chafynge betwene the thyghes fo clvi Chyldren of the preffynge downe of the bone in theyr heades Fol. xci ccxlvij Chylde deade howe to drawe it out of the wombe Fol. ccxxxij Chilus Fol. ix Chorde Fol. ij Chordes woundes of them Fol. ciiij Cicatrizatiues Fol. ccv Cicatrice Fol. xvi Clisters Fol. ccvi Cistis fellis Colon Fol. ix Complexion is good to be knowen Fol. lxxxiiij CoÌ„plexioÌ„ of medicines incarnati eodeÌ„ Complexions the iudgement of them in all vlcers Fol. cxx Câ—â—craua chilis Fol. ix CoÌ„fideratioÌ„s .iiij. in al cures fol. xlix Conâ—usion Fol. cxiij ccxlvi Cordial confection Fol. xxxi Coronale Fol. iij Cornea Fol. vij Cornea and coniunctiua Apostemes in them Fol. liij Corrosiues Fol. ccvi Cough short breth Fol. cxci cxcvij Crabbe lyce Fol. cxl Curynge in generall Fol. ccxxiij Enttynge of a cataratte Fol. cxxxvi D DecoctioÌ„ helpyng breathing fo xcviij Decoction pectoral Fol. xcix Decoction to breake wynde Fol. ci Deffenes is cured Fol. cxlvi Delatation of the apple of the eye Fol. cxxvii Derbia Fol. cxxxix Diâ—â—â—â—s Fol. x Dietâ— stiptike Fol. c Digestiues of choler Fol. liiij l Digestiues of sanguine eodem Digestiue of fleume and melancholye eodem Digest of salt grosse fleume Fo. liiij Digestiue of hote cause Fo. lxxxi Digestiue of colde cause eodem Digestiue must fyrst be vsed in wouÌ„des Fol. lxxxiij Disease of diuerse ê“perties must haue diuerse curations Fo. xlvi Dislocation Fol. c. lxxix Diuersion of humours Fo. li drawyng out of arowes f. cx ccxlix Dugges cold aposteme of theÌ„ Fo. lxvi Dugges hardnes of dugges not cancrous Fol. lxvij Dura mater causes of apostemation of it Fol. xc E. Eare peyne wtin the eare Fo. lviij Eare apo vnder the eares f. lvij lviij Eares peyne in them Fo. cxlv Eares wormes in them Fo. cxlvij Elbowe woundes of it Fo. xcvi Elbowe displaced Fo. clxxxij Electuary to resolue blood Fo. cxiiij Electuaries lenitiue and resolutiue theyr properties Fo. ccxiiij Electuary to purge fleume Fo. cxliij Emoroydes Fo. cli cclx Epiglotte Fo. v Epitheme coÌ„fortati of the hart F. xxxj Eschare and the cure Fo. xxv Eschare to remoue it Fo. xxij xxvij xxx xxxi xliiij Estiomenos Fo. xxvi Estiomenos the cure f xxviij ccli Excrescentes Fo. xxxix Exiture Fo. xxxiij Experience of vigo Fo. xxvij Eyes Fo. vij Eyes itchynge burnyng blerednes of them Fo. liiij cclix Eyelyddes aposteme therin Fo. lv Eye wounde in the eye Fo. xciij Eyes vlceres spottes and webbes in them Fo. x. xxxij Eyes pani cicatrizes in theÌ„ f. cxxxiij F. Face rubies in the face Fo. xxl Fantasie Fo. iiij Fatnes cured Fo. ccxxxiiij Feuers of maryners Fo. ccxxvij Feuer cureth a spasme Fo. cix Feuer flegmatyke Fo. ccxxx Flebotomy Fo. xxix ccxxij ccxliij Flegmon Fo. xij Flegmon herisipelades Fo. xiij Flegmon the cause therof eodem Flegmon of a primitiue cause fo xiiij Fleg of an antecedent cause Fo.
Pruna and sygnes therof fo xxiiij Purgation howe it maye be gyuen wythout digestiue fo xxix Purgatiōs of choler fo liiij lxij xcv Purga of sanguine fo liiij l. lxij Purgation of melancholy ibidem Purgation of flegme ibidem Pur. of salt grosse flegme fo liiij Purg. of a myxte cause fo lxij Purgation of hote cause fo lxxxi Purgation of colde cause eodem Purgers of the head fo xcij Purse of the stones hardenes therein fo lxxiij Pustules carbunculous fo lxxi Pustles in the eye lyddes fo cxxxviij Putrefactiō in vlcers is knowē f. cxx R. Ragadie vulue Fo. cliiij Retifyeng of the ayre fo xxx xxxi Regiment of health fo ccxxi Rhethe mirabile fo v Reynes fo ix Reynes payne of them fo ccxxviij Repercussiues perilous in eyght cases fo xvi Repercussiues are not to be ministred in the heed fo xlvij Repercussiues how to vse thē fo xvij Repercussiues maye not be ministred in the emunctories fo lix Repercus symple cōpounde fo cxcix Resolution sygnes of it fo xiij Resolutiue with repercussiō f. lxxviij Resolutiues symple fo CC Resolutiues compounde fo cci Rybbes fo vij Rybbes brokē displaced fo clxxviij Ryftes in the fundament fo cl Rotten nayles and the cure fo lxxx Rubies in the face fo cxl Rupture and the causes fo lxxiiij Ruptorie of capitell fo ccviij S. Sanguine feuer fo ccxxx Saphati fo cxxxi Scaldynge fo ccxxxix scabbes of the heed causes f. cxxix cclv Scabbes of the eye lyddes fo cxxxiij Scabbes and hys cure fo clxv Scipions pouder fo cxlviij Sciatica and hys cure fo clxix Sclerosis fo vij Sclirotyke aposteme fo lxxviij Scourged and hys cure fo ccxxxi Scrophula glādula differ fo xxxix Scrophules fo lxxxii ccli Sebell in the eyes fo cxxxv Secundiue fo vij Sense comune sense fo iiij Sephiros fo xiij Sephiros and hys cure fo xli Sephiros cancer differ eodem Sephiros cacrous in a womans brest fo lxvi Serpigo fo cxxxix Shulders apostemes therof fo lxxvi Shulders the woūdes therof fo xcv Shulder broken fo clxxvi Shulder displaced Fol. clxxxi Syde bones Fol. iii. Signes of sharpe matter fol. lxx Signes of mortificatiō of pust f. lxxi Signes of resolution Fol. xiii Signes of maturation Fol. xxxiii Signes of hote exitures and colde eo Signes that be good in vlcers Fo. cxix Signes that be euel Eo Sight weaknes of it Fol. cxxxvij Simples folow in order Fo. clxxxiiij Sinnowe Fol. i. Sinnowes Fol. xij Sinnowes woūdes in thē F. ciiii ccxlvi Sinowes the peyn of thē F. clxvi Sirupes their properties Fo. ccxiii Skin roughnes therof Fol. ccxxxv Skynne Fol. ij Skull breakynge of it Fol. lxxxvij Skul howe to know breking of it Fo. lxxxviij Slepe Fol. ccxxix Slepynge Fol. xxxi Smellyng diminished Fol. ccxxxiij Solution of continuitie Fol. lxxxij Sowyng of a woūde Fo. xciij cxiij Sowynge two maner of it Fol. cxiii Sowynge of guttes Fol. ci Spasme and the cure fol. cviii Spasme prohibition of it fol. xciiii Spondiles Fol. vi Squinātie of four kindes Fo. lxi cclviij Stomake Fol. ix Stomake hurt the signes Fol. c. Stomake weaknes therof Fo. ccxxx Stones Fol. x. Stone for the stone Fol. cxcv Stones wounde of thē Fol. ciij. Subtiliatiue medicines why they be vsed Fol. cvi Suffumigation to resolue windines of the eares Fol. cxlv Suppositories Fol. ccxvi Swellynge in the knee Fol. lxxx Swellynge or loosenes of the eyes Fol. cxxxviij Sweate superfluous Fol. ccxxxv Syrsen Fol. iiii Siphac Fol. viij Siphac Fol. x. T. Table of medicines for a chirurgien Fol. ccxij Talpa topinaria Fo. xxxiii xxxix Talpa is cured Fol. xlviii Tela aranea Fol. vii Tela vnea Eo Tentes fol. cxiii Tenasmō fo cliii Terminus comunis Fol. xii Tertian pure Fol. ccxxviii Tertian not pure Fol. ccxxix Testudo Fol. xlviii xxxix Tessilus oyntment Fol. cclxiiii Thighes wounde in them Fol. ciii Thighes chafynge betwene the thyghes Fol. clvi thighe bone broken Fol. clxxviii Thryst Fol. ccxxix Throte Fol. v. Throte Apostemes of it fo lxiiii Tonge Fol. vi Toth ache Fol. clxx cxciii Trachea arteria Fol. v. Transuersales Fol. iii. Tremblynge of the herte Fol. xxxi Trociskes of affodilles Fol. ccvii Trociskes restrictiue Fol. Eo V. Verrices or swelling veines Fo. clvii Ventricles of the brayne Fol. iiii Vētoses application therof Fo. ccix Vētoses in thre causes Fol. lix Ventoses when they oughte not to be ministred Fol. Eo Ventoses Fol. ccxxii Vertue imaginatiue Fol. iiii Vertigo Fo. Eo Verualia Fol. vi Veyne Fol. ii Veyne the maner of byndynge it Fol. lxxxvi Vesicatorie Fol. l. Vesicatorie medicines Fo. ccviii Vlcers in generall Fol. cxvii Vlcer what it is causes and kyndes of it Fol. cxviii Vlcers in general cured Fol. cxxi Vlcers virulent corosiue Fo. cxxiii cclii Vlcers rottē filthie Fol. cxxv cclii Vlcers holow the cure Fo. Eo cclii Vlcers of the heade Fo. cxxix Vlcers of harde curation Fol. cxxvi Vlcers of the nose Fol. cxli. cclviij Vlcers of the face Fol. cxlii Vlcers of the mouth Fol. Eo Vlcers of the throte Fol. cxliii Vlcers of the backe Fol. Eo Vlcers of the brest Fol. Eo Vlcers of the arme Fol. cxliiii Vlcers of womans brestes Fol. Eo Vlcers of the eares Fol. Eo Vlcers of the bellie Fol. cxlviii Vlcers of the stanckes Fol. Eo Vlcers of the yarde Fol. Eo Vlcers of the fundamēt not percinge Fol. cl Vlcers of the matrice Fol. clv. Vlcers of the hanches Fol. clvi Vlcers virulente of the thighes legges Fol. clvii Vlcers moyst of the head Fol. cxxix Vlcers in the eyes Fol. cxxxii Vndimia Fol. xiii cclxii Vndimia and hys cure Fol. xxxv Vnguentum mixtum Fol. xv Vng. egip Fol. xv xxvii ccvi cclxiiii Vnguentum basilicū magistrale Fol. xvi ciiii cclxvii cxlvi Vnguētum magistrale for vlcers and cankers Fol. xlv Vnguentum apostolorum Fol. ccvi Vngm̄ basilicū capitale Fo. lxxxviii Vnguētū de minio Fol. cxxix cxlviii Vngula in the eyes Fol. cxxxiiii Vomitynge Fol. ccxxxii Vrine reteyned Fol. ccxxxv Vuula Fol. vi Vuula the fallynge therof Fol. lx W. wakynge Fol. xxxi wartes in the eye lyddes Fol. cxxxviii wartes growing in the eares Fol. cxlv water ryght excellent for the eyes Fol. cxxxvi waters magistral Fol. ccxx waters simple Fol. ccxxi wyndye apostemes Fol. xlv wynde places apte to receaue wynde Fol. xlvi windie the cause of windy apostemes Fol. Eo wynde medicines breakynge wynde Fol. ccii wyndines in the eares Fol. cxlvii wine of pomgranades is made Fol. cxliiii wine to a woūde fo lxxxiiii wormes called sirones in the flesh Fo. cxl wormes and other thynges in the eares Fol. cxlvii woundes Fol. lxxxii ccxlv wounde of the heade Fol. lxxxvii woundes of the face Fol. xcii wounde sowynge of a wounde Fol. Eo cxiii woundes of the nose eares Fol. Eo wounde in the eye Fol. Eo woundes of the necke fol. xciiii woundes of the shulders fol. xcv woūdes of armes ioyntes
to putrefaction c. Apostemes often tymes comme to putrefaction bycause they canne not wel digeste them selues and those Apostemes ben obscure or darck haue a vehemente tensyon or stretchynge And he sayeth moreouer that whan ye se an Aposteme of great payne and that the payne seme to diminisch and the coloure to waxe grene or blacke ye maye saye that that Aposteme inclineth to corruption and cankerdnes whyche corruption commeth by reason of two causes The fyrste is the multitude of the mattier Causes of corruption and often tymes the malygnyte and small quantytie of the same Another cause of corruption is the inconuenient and vntimely application of medicines repercussyue and sometymes by the application of thynges muche resolutyue in the tyme of the increace of an hote Aposteme For often tymes medicines resolutyue resolue subtyle partes and the grosse remayne and cause putrefaction of the membre By reason of abundant mattyer Thys corruptyon is wounte to chaūce in an hote Aposteme for that that thorough the multytude of the sayde mattier it can not be ruled and moderated by nature nether by the waye of resolution nor by the waye of suppuration and so it muste nedes comme to putrefactyon and it causethe oftentymes the hole membre to rotte Therfore Auicenne sayth well that the Aposteme that commethe not to rypenes nor to declination is euyll and is the cause often tymes of the mortification of the membre Thys corruption also as we haue sayd commeth oftētymes thorough venemous malignite of humours whych nature canne not amende nor moderate nor bringe to maturation or suppuration nor to true resolution We sayde moreouer that corruptiō of Apostemes may chaunce thorough applicatyon of thynges to repercussyue in the tyme of the encrese of hote Apostemes and also in the tyme of declination as Auicenna wytnessethe sayinge that it chaunceth often thoroughe the applicatyon of thynges repercussyue that the mattier retourneth to pryncipall membres And often it chauncethe that the Aposteme waxeth harde and causethe the membre to seme grene and to corrupte Furthermore we haue seen that corruption of an Aposteme hath chaūced thorough defaute of appliynge cōuenyent maturatyue Medicines For an exemple put the case that a man hathe an hote Aposteme and to rype the same a Chirurgien layeth vpon it a maturatyue hote and moyste it shulde be doubtefull leste thoroughe hys heate the maturatyue shuld draw great quantytie of mattier and cause great peyne nether canne nature moderate or amende the mattyer by the waye of suppuratiō and so of necessite the mattyer rotteth in the membre corrupteth the same Auicenne warneth vs to auoyde this inconuenientie touching the maturatyon of hote Apostemes as of cholere wyth bloode and counselleth vs to applye colde and moyste maturatyues And he sayeth that the heade of the Aposteme muste be emplaistred wyth Psillium and colde and moyste defensyues muste be layed all aboute as an emplastre of the decoctyon of mallowes of the sayde Psillium of violettes made accordynge to art and science Lykewyse a playster maye be made of the meale of barley of Oyle of violettes and the yolke of an egge wyth the leaues afore named Finally an Aposteme endeth by induration thorough applying of thynges to muche resolutyue whyche resolue the subtyle humour leauynge the grosse And also thorough application of thynges to muche repercussyue Thys by the gyfte of God we haue ended thys Chap. whose name be praysed ¶ The seconde Chapitre of curynge of flegmon procedynge of the cause primityue WE haue declared in the former chapitre what flegmon is howe manye kyndes there ben of it and in howe many sortes it may chaunce to mans body furtheremore what an Aposteme is and how it endeth In thys present Chapitre we wyll declare the curation of the same As we haue sayde flegmon chauncethe some tymes whan the bodye is replete and sometymes whan the bodye is not replete but neate cleane And whan flegmon chaunsethe to a cleane bodye not fylled wyth euyl humours as Auicenna sayeth it muste be cured wyth thinges mollificatyue and resolutyue as is a playstre of the meale of wheate wythe water and Oyle of Violettes And yf the bodye be fylled wyth humours the naughtye mattyer muste be purged before medicines ben minystred vpon the Aposteme For els whan resolutyon shulde be made alwayes newe mattyer wolde comme Wherefore whan flegmon chaunsethe to bodyes fylled wyth humours ye muste fyrste make a Phlebotomy that is you must cutte a veyne yf the strength and age of the patient wyll suffer Or the patient muste take a purgation Afterwarde ye must laye vpon the Aposteme thinges mollificatyue and resolutiue And thā there is one maner of curing this and that other whiche chaunseth to a cleane bodye sauynge that an Aposteme in a cleane bodye requyrethe not thynges so repercussyue as that that is in a bodie replenyshed with humours And the reason is bycause that the mattier beynge in a bodie replenysshed wyth humours canne not be so well purged but that some quantyte wyll comme to the place of the Aposteme And it is not so in a cleane bodye whyche hathe not superfluous humours And therefore Auicenne sayed well in the aforesayde place that whan the Aposteme fyndeth the bodye wythout superfluytes of humours the Aposteme muste be cured onely wyth mollificatyues and resolutyues wythout repercussyues And to resolue thys Aposteme whan a man seethe that it commethe to the waye of resolutyon we muste make thys prouisyon We muste take of mallowes and of Violettes A resolutyue of eche an handefull and of the rootes of Altea called Holyhocke or marche mallowes some what stamped a pounde lette them boyle all in water of sufficyent quantyte Of thys decoctyon make a playstere wyth the floure of barley and beanes and wheate and a lytle branne well boulted and lette them boyle agayne tyll they ben thycke and putte therunto in the ende of Oyle of Roses of Oyle of Camomylle of eche ℥ ij and. ss and a lytle Saffran A playster Another playster for the same purpose Take of the cromes of breade well cerced a pounde of the brothe of veale or mutton or of an henne in whyche the rootes of Altea or Holyhocke and the rootes of Lyllies were sodden putte the breade into thys decoctyon whyle it boylethe Than strayne them all vehementlye and stampe them in a mortare And whan they ben well stamped putte vnto them of Oyle of Comomylle of Oyle of Roses of eche ℥ ij of Oyle of Lyllies of hennes grese and buttyre Ana ℥ vj. And of the decoctyon asmuche as shall suffyce and sette them on the fyere agayne stirrynge them aboute tyll they comme to a fyrme and styffe mattyer wherewyth ye shall make playsters to be layed vpon the flegmonike Aposteme twyse a daye Another resolutyue playster swagynge the payne and confortynge the synnowie places in thys forme Take of the rootes of fresche great mallowes called Althea or Holyhock li. j. of the rootes of
of a Melon and some tymes to the greatnes of a courde And it hathe sondrye names accordynge to the places in whyche it is engendred as we haue sayde of Testudo but we nede not to passe for the names so that we haue the true intentyon of healynge All thies kyndes of eminences ben engendred of a cause primityue antecedente and conioyncte The cause primityue is euyl regiment in eatyng and drynckynge The cause antecedent is the multytude of fleame hardened and dryed The cause conioyncte is the humoure gathered to the place Scrophiles As concernynge Scrophiles some ben paynful and haue part of an hote humour and ben redde and not verye harde Thies maye be healed by resolutyon or by suppuratyon Sometymes they ben greate and olde and haue coniunctyon wyth synnowes and veynes and are of euyll coloure Take no cure of thē for they comme often to a Canker Ye maye haue the same iudgement of glandules whan they comme to malignitie and cancrosytie Consydre wel theyr sygnes that ye maye knowe whan they ben euyll There chaūce in the emunctories certayne harde emynences called Bubo and fugile and they haue coniunction wyth the synnowes ¶ The seuēth Chapitre of the cure of Scrophiles glandules and lyke emynences THe cure of glandules The cure of glandules c. Scrophiles and excrescences of the same nature is accomplisshed by foure intentyons The fyrste is good regiment of diete The seconde is to take away the mattier cōioyncte by medicines resolutiue The thyrde to purge the mattyer antecedent The fourthe to take away the mattyer cōioyncte by handye operatyon or by the applicatyon of a caustyque medicyne whan they canne not be healed by resolutyon The fyrste intentyon is accomplisshed accordyng to that Diete that is sayde in the Chapitre of the cure of nodes In thys case the patyent must endure hōgre asmuche as is possyble and kepe hym selfe frome eatyng vnto vomite He muste haue hys heade layed hygh nether muste he slepe grouelyng whā he slepeth lykewyse he must not speke muche nor laughe whan he speaketh For the accomplisshement of the seconde intentyon lette the mattyer be thus digested ℞ Oximel compositū Digestiue of Syrupe of Sticados of honye of Roses Ana ℥ ss of the waters of scabiouse Endiuie and Fumiter Ana ℥ j. mengle thē After that he hath vsed this digestife let hī be purged with this purgatiō Purgation ℞ of Diacatholicon of Diaphenicō of electuarij indi maioris ana ʒ ij make a small potion wyth the cōmune decoction addynge of syrupe of violettes ℥ i. and. ss Eyght dayes after that he hath vsed thys medicine to euacuate the matter antecedent it is good to take euery daye in the mornynge one of these pilles Pilles by the space of fourtye dayes excepte the two dayes whē the moone chaungeth ℞ of Euphorbiū of ginger of turbith of the iuice of the rootes of Ireos of Agarike ana ʒ i. make xl pylles wyth the sayd iuyce Also it shal be very good to take euery euenynge a lytle of thys compositiō ℞ of hony of roses of syrupe of sticados ana ℥ iiij of suggre ʒ iij. of agarike in trocisques ʒ ss of salis gemme of spike of cinnamome of galangale ana ℥ ij of cloues of macis ana ʒ i. of polipodie ʒ i. ss of turbith preparate ʒ ij of longe pepper ℈ ij make a confection of al these wyth the wyne of quynces The receyte of thys is ℥ ss It is of excellent operation to take away an euel flegmatyke complexion in any bodye it rectifyeth the euyll qualite and purgeth the grosse humour The thyrde intention whych is to take awaye the matter conioynct is accomplyshed by the administration of locale medicines whych maye resolue thys matter and mollifye it Of whych thys is one of good effecte A cerote resolutiue ℞ of the muscilage of holyhocke of fenugreke linsede of drie fygges .li. i. of cōmune oyle of oyle of lillies and camomille ℥ ij of capons grece gose grece and swynes grece melted of cleare terebentine of wethers tallowe melted ana ℥ ij and ss of lytarge of golde well brayed and cersed ℥ viij Let thē boyle al together to the consumption of the iuyce muscilage thē wyth sufficient newe waxe make a cerote clāmysh and cleauynge addynge of armoniake Iris sygnifyeth a flouredeus of galbane dissolued in vynegre ana ʒ i. of newe ireos well brayed ℥ i. and. ss seeth them altogether and make a cerote after the maner of diaquilon Thys cerote is souerayne to resolue scrophules and all other glandules procedyng of flegmatyke matter Another remedy to thys entētiō Playster ℞ of whyte diaquilon of great diaquilō of the swette of shepes woulle called isopus humida ana ℥ i. of ysope of galenes cerote ʒ x. of the iuyce of flouredelys ℥ ss of the iuyce of affodilles ʒ i. of the muscilage of holihocke ℥ iiij Let them boyle altogether vnto the consumptiō of the muscilage then put to of cleare terebētine ʒ vi of whyt waxe asmuch as shall suffice make a cerote Item to the same intētion ℞ of galbanū of serapine of Opopo armoniake ana ℥ ss of the decoction of flouredelis ℥ ij of whyte vynegre ℥ ij and. ss dissolue thē altogether and boyle them vnto consumption of the iuyce and decoction then adde of oyle of lillies of cleare terebentine of whyte waxe ana ʒ iij. let them boyle agayne one boylyng put to of brayed flouredelis ʒ ij Another ℞ of the rootes of lillies ℥ iij. of the sedes of water cresses of ireos cutte accordynge to breadth ana ʒ i. boyle thē in sufficiēt water tyll the sede of the watercresses be broken then presse them and stampe them Whych thyng done make a plaister in the muscilage of the foresayde thynges wyth branne well brayed and sodden wyne asmuche as the muscilage shal be Thys playster is excellēt to resolue scrophules so that they be not paynful and suspected of a canker A cerote To the same intētiō ℞ of armoniake and galbane dyssolued in vynegre and adde a lytle terebentine and a lytle mastique gūme and a lytle of the rootes of flouredelis wel brayed of oyle of lyllies of hēnes grece ana ʒ iij. reduce these thynges to the forme of a cerote vpon the fyer accordynge to arte It is a good remedye for scrophules Yf it chaunce that the scrophules cā not be resolued by the medicines aforesayde but that they come to the waye of maturation it auayleth muche to helpe the maturation forward Maturatiue The maturatiue of scrophules must be such ℞ of the rootes of holihocke of lillie rootes ana .li. ss when they ben soddē in sufficient water stāped strained put vnto them of garleke headdes rosted vnder the coales ℥ iij. asmuche of whyt oynions rosted after the same maner of oyle of lillies buttyre ana ℥ ij of swynes grece gose grece ana ℥ ij ss whyche
breath For the mitigation of payne it is moste expedient to administre a gargarisme made of hote cowes mylke of syrupe of popie and a lytle oyle of violets and a lytle saffraÌ„ Let the patieÌ„t gargaryse the sayd coÌ„position beynge actually hote Also the application of ventoses vndre the chinne is good after the opinioÌ„ of Celsus for it kepeth a man from suffocation bycause it draweth the matter to the outwarde partes To the same intention many doctours coÌ„maunde to applye a ventose vpon the necke wythout scarification We suppose the foresayd medicines to be sufficieÌ„t for the cure of thys daungerous dysease for whyche God be thanked ¶ The .xviij. chapitre of apostemes of the necke and of the throte and theyr partes THere are often apostemes engendred in the necke Apostemes of the throte necke c. or in the throte of catarrhous matter beynge colde or meÌ„gled And lykewyse of hote matter in chyldren by reason of the coÌ„munite that the necke hath wyth the head Thys aposteme coÌ„meth somtymes by rupture or breakyng by an hard crust or shelly scabbe that chaunceth in chyldreÌ„s heades or by some stripe or wouÌ„d And it groweth in shorte tyme to maturation or resolution The sygnes of thys aposteme may easely be knowen by the doctrine of the vniuersall chapiters Sygnes The curation of these apostemes obseruation of general rules and purgation of the bellye presupposed is accomplyshed by the administration of conuenient remedyes accordynge to the place At the begynnynge wheÌ„ the matter is mengled and the aposteme harde you shall rubbe the aposteme wyth oyle of camomill beynge hote and wyth oyle of lillyes and hennes grese and duckes grese layenge it vpoÌ„ vnwashen woulle well toosed taken from betwene the legges of a shepe Yf the matter be hote rubbe the place with oyle of roses and violettes beynge hote and wyth oyle of camomill and hennes grese applyenge it as it is sayde before Yf thys aposteme chaunce in chyldrens neckes thoroughe the foresayde causes it shal be conuenient onlye to anoynte the place wyth oyle of roses violettes beynge actually hote And yf the sayd aposteme come to the waye of resolution A playster resolutiue then ye shall procede wyth a gentle resolution as is thys playster folowyng â„ž of the crommes of breade steped in the decoction of mallowes camomill melilote holihocke aboute .li. i. then bruse well the breade incorporate it wyth the foresayd decoction and seeth it at the fyer wyth oyle of camomil of roses and a lytle buttyr vnto a styffe thycknes addynge in the ende the yolkes of two egges of saffraÌ„ ℈ i. whyche done take it forthwyth froÌ„ the fyer Thys playster resolueth the sayd aposteme and resysteth not the maturation of the same Yf it come to maturitye ye shall helpe the rypynge wyth such thinges as are declared in the chapitre of the cure of Flegmon In whyche we haue taught the maner of makynge incision from the heade to the feete Item for digestion mundifycation incarnation and sygillation you muste procede as it is wrytten in the chapitre of flegmoÌ„ A maturatiue Neuertheles we wyl descrybe here a maturatiue playster whych is after thys forme â„ž of the leaues of mallowes and violettes of euery one mÌ„ i. of whyte lillye â—ootes â„¥ iij. Seeth the thynges in the broth of an heÌ„ne or of fleshe not salted wyth the crommes of bread steped in the sayd decoction and afterwarde pressed and strayned So make a playster wyth freshe buttyre in suffycient quantitie and commune oyle Seeth them vntyll they be thycke addynge in the ende two yolkes of egges and settynge them agayne vpon the fyer al together and make a playster This playster is of ryght good effecte for maturation and resysteth not resolution Yf the aposteme be catarrhous and hote the cure is in maner all one touchynge maturation and resolution Yf the matter be mengled with grossenes and heate and the chirurgiens intention be to resolue then he maye vse thys resolutiue folowing Resolutiue â„ž of the rootes of holihocke sodden and strayned .li. ss of the oyle of camomill dille of euery one â„¥ ij of oyle of roses of duckes grese â„¥ i. of oyle of lillyes Ê’ x. of whyte diaquilon gummed â„¥ iij. ss of the marye of the legges of a cowe of a calfe ana Ê’ vi of cowes tallowe â„¥ iij. make a cerote at the fyer nether to harde nor to softe wyth sufficient whyte waxe Thys cecote resolueth merueylouslye all harde matter wythout drawynge of matter to the place To thys intention the playster of melilote is good lykewyse the playster of diaquilon magnum Howe beit they are not so muche wythout daunger of drawynge matter to the place But yf the aposteme come to suppuration ye shall procede wyth thys maturatiue â„ž of lillye rootes Maturatiue and Holyhocke rootes of euery one .li. ss Seethe them in water stampe them strayne them and then make a stiffe plaister at the fyer in the decoction wyth the floure of fenugreke lynsede and wheate of euery one as muche as shall suffyce addynge of buttyre of swynes grese melted of euery one â„¥ iij. and. ss the yolkes of two egges mengle them and wyth the forsayde straynynge incorporate them and make a playster When the aposteme is rype let it be opened and let it be digested thre or foure dayes afterwarde mundifye it wyth the mundifycatiue de apio or of smalage or with the mundifycatiue of syrupe of roses after our description After mundifycation vse an incarnatiue of honye of roses and sarcocoll bycause of the synnowes whyche are in the place Finally for other intentions yf it be nedefull resorte to the chapitre afore rehersed Note this that the quit ture muste not tarye longe in the aposteme bycause of the multitude of the synnowes veynes and lygamentes whych be in the place Thus we ende this chap. For which the name of God be praysed Amen ¶ Here endeth the thyrde treatyse and the fourth begynneth ¶ The fourth treatyse speaketh of the apostemes of womans brestes and it conteyneth foure chapiters of whyche the fyrste treateth of hote apostemes engendred in the dugges Hote apostemes in brestes THere is engeÌ„dred in a womans brestes an hote aposteme through sondrye causes sometymes of a primitiue cause by a stripe of the fyste or of a staffe or by to hard lasyng of theyr garmentes Sometymes of a cause antecedent that is to saye by to muche abouÌ„daunce of hote humours and by the curdynge of mylke and that for the moste parte The cure of an aposteme of the dugges caused by curdynge of the mylke obseruation of the vniuersall rules presupposed accordynge to necessitie shal be accoÌ„plyshed by the administration of mollifycatiue and resolutiue medicines hauynge for thys cause a lytle resolution that matter be not drawen to the place An aposteme of the dugges desyreth not repercussion bycause of the curdynge of mylke whyche is in the veynes Wherfore thynges euaporatiue and
smalnes Lykewyse rotten vlceres differ lytle froÌ„ fylthye Neuerthelesse in this one thynge they differ that somtyme the rotteÌ„ vlcere is ambulatiue or walkynge And therfore this vlcere putrefactiue and ambulatiue is not without a fieuer whyche goeth not from hym tyl the putrefaction and ambulatioÌ„ be remoued wherefore Galene called thys kynde of corosyue vlceration formicam ambulatinam et igneÌ„ persicum And therfore maligne and poysonable vlceres be cured after one maner and lykewyse fylthy and rotten vlceres The causes of maligne and virulent vlceres are wouÌ„des metyng the suê‘fluities of a body full of euyll and superfluous humours or vlceres folowynge euyl pustles or corrupte diete Lykewyse the causes of fylthye and rotten vlceres are apostemes and exitures to rype and caused of grosse somewhat hote humours in whyche also the chirurgien vsed longe tyme mollityue medicines Holowe vlceres are for the mooste parte engendred of a wounde euyl cured or of a greate aposteme broken of it selfe or bicause the incision was verye smal The causes of corosiue vlceres are sharpe and coleryke humours wyth adustynge or brennyng And therfore Auicenne sayeth Virus speakyng of the qualitie of quytture that that which is thyn and subtyle is called Virus and that whyche is grosse and thycke is called fylth The thinne requireth exiccatioÌ„ and the thicke abstersioÌ„ or skowring Virus is engendred of the boylynge of hote humours wyth the watrines of the same Fylth is engendred of superfluitie of colde grosse humours Furthermore of vlceres some be with a spasme some ben painful and some wythout payne some rounde some playne some depe hauynge many holes are called of Cornelius Celsus chyronica Moreouer some be softe some be hard some shelly some there are in which certeyn veynes are swollen through putrefaction and are called Vlcera varicosa of al these kindes we wyl make a ê‘ticuler chapter The vlceres whyche engendre a spasme bycause of their euyll qualities as Auicenne sayth are holow vlceres rotteÌ„ corosiue caÌ„kerous painfull and the vlceres of Argyromater that is to saye of a philosopher that onely healed vlceres of mooste harde curation Lykewyse certeyne vlceres engeÌ„dre spasme bycause of the place as the vlceres whyche be nye the synnowes chiefly those which are in the backe by reason of the nighnes of the nuke and the vlceres whyche bene in the former parte of the knee bycause the lacertes be very synnowie therfore the woundes and vlceres of that place doth sone enduce a spasme and manye other euyll accidentes as we haue declared in the chapiter of the woundes of the sayd place Further ye shall note that the vlceres of synnowie places maye engender thre kyndes of diseases Fyrste yf the mattier ascend or mount toward the brayne it engendreth a spasme or perturbation of reason and yf it goo downe to the nether membres it wil cause a fluxe of bloode wyth quytterouse mattier whych thyng we haue sene to haue often chaunced And yf it come towarde the partes of the middes of the bodye it wyll engender a pleuresye As touching signes AuiceÌ„ne saith that the generatioÌ„ of heare about the wounde whyche heare before dyd fal awaye is a good signe Also whyte quytture thynne equall in colour and substaunce and in lytle quantitie is a signe that the vlceres wyl be easely cured wherfore in euery vlcere ye maye make pronostication of easy or vneasy curation by the coÌ„sideration of the qualitie or quantitie of the quitture It is a laudable quytture whyche is engendred by digestion through natural heat of the meÌ„bre therfore it must be whyte not thycke equall Quytture not laudable is diuers Some is grosse slimye som blackish some venomous som corosiue of reddish coloure And therfore Auicenne sayth there bene vlceres whose rootes are sharpe that is to say the humours of whome suche vlceres are engendred are sharpe hote and bytynge wherefore through theyr sharpnes they are wont to engendre great ytche which manye tymes maketh the place to be vneaselye cured Lykewyse there be some vlcers as the same man sayth from whych ther sweateth out citrine or yelow corruption so that through hys heate it burneth and byteth the partes that lye about the vlcere And these vlcers bene of verye harde curation Further it chaunceth sometyme that euyll colour of bodye as whyte pale or yelowe accompanieth euyl vlcers whiche thynges signifye corruption of the lyuer and corruption of bloode sente from the lyuer to the vlcered place Also melancholyke and harde vlcers of blewe or blackyshe coloure are of harde curation Vlcers moreouer of blacke coloure wythout felynge ben worste of all bycause of their greate putrefaction Also vlcers that haue harde skalye borders or lippes can not be healed except these lippes or skales be remoued with a sharpe medicine The signes whiche are good in vlcers Good signes in vlcers be whan after muÌ„dification the borders of the lippes be whyte the growing of the flesh is lyke the graynes of pomegranades Also whaÌ„ the quytture is white and not thycke engendred by good operation of nature And when the vlcers be touched by a bytynge medicine they cause not so greate payne as when the vlcere is maligne And therefore those chirurgiens are deceaued whiche saye that it is a good signe when thynges abstersiue wyth mordication or byting administred in woundes cause payn thynkyng that it chauÌ„ceth by the reason of good fleshe where in very dede it cometh of the malignitie of the vlcere For good fleshe when it is touched with a byting medicine causeth litle payn And the reason why euyl fleshe feleth more the bytyng of the medicine then the good flesh is thys namely the sensibilitie of a contrary thynge whych is founde alway in a maligne vlcere For paynfulnes is the felynge of a coÌ„trary thynge Seynge then that euyl fleshe is euer paynful therfore byting medicines by the reason of sensibilitie of the euyll fleshe necessarilye cause greater payne in euyl vlcers than in vlcers muÌ„dified from that corrupt fleshe And therfore Auicenne sayeth thus beware in all medicines that ye cause not payne chiefly yf there be an aposte or euyl coÌ„plexion griefe yee it is nedefull that ye remoue the causes whych hynder the healynge of vlcers as thoughe he wolde saye that bytyng medicines ought not to be admistred in anye paynfull vlcere for that shulde adde payne vpon payne yee wheÌ„ the vlcere is apostemous he forbyddeth the washynge wyth wyne or wyth water of alume And these dryeng thinges are much praised of him in dryeng of vlcers to bryng on skyn when the vlcere is muÌ„dified and perfytly incarnated Furthermore the comune practicyeners do approue oure sayeng which do vse alume of roche burned to bryng on skynne and yet it causeth not greate payne but it wold do the crontrarye yf it were applyed vpon euyl fleshe Neuertheles yf the fleshe in the vlcere be rotten or cankerous theÌ„
bycause it hath lytle felyng bytynge medicines layed theron shal cause lytle payne And note that euyll fleshe is more sensible and felynge then good by accidens and that those bodyes are more apte to receaue curation of vlcers whych haue lytle superfluitie with good complexion and good bloode But in moyste bodyes as are the bodyes of women wyth chylde of them that haue the dropsy and of children vlcers are not easely cured bicause of their moystnes Also vlcers whyche succede some disease are of hard curatioÌ„ bicause nature enforseth her selfe to sende the water of the first disease to the seconde as we se daylye in the vlcers caused of the french pockes of whyche we wyll make a treatyse by the grace of god that shal be profitable to the studiouse reader Further concernynge vlcers in sinnowye places when the quytture is good and the vlcere swelleth a lytle about it is a good signe And the sayde vlcere is not redye to cause a spasme nor perturbation of reason nor other euyl accidentes Howebeit yf the said vlcers swell beyonde reason it is no good signe Some vlcers be of euyll complexion whyche must be reduced and rectifyed by their contraryes for the rectification of them Euyll signes in vlcers is the cause of theyr curation Euyll signes of vlcers are when they become drie with out quytture for no reasonable cause and when the vlcers bene swollen a aboute and the same swellynge conueyeth it selfe away without any resonable cause Thys is a signe of death bicause the mattier is drawen into the inwarde parte and by sinnowes mounteth vnto the brayne and causeth a spasme and other euyl accidentes Also Galene sayth that wheÌ„ swellyng hydeth it selfe in vlcers and apostemes the man dyeth Hipocrates affirmeth the same sayeng yf swelling apeare in woundes and vlcers and sodenly vanyshe awaye without reasonable cause it is mortall whan he sayeth wythout reasonable cause he meaneth excepte it be remoued wyth a resolutiue medicine than it is to be feared lest a spasme shal be caused by that mattier For Hypocrates sayeth that a spasme in a wounde or vlcere is mortal And he sayeth moreouer in the same place when swellynges apeare in woundes the patientes suffer not spasme nether waxe madde but wheÌ„ they vanysh awaye the sayd accidentes chaunce to some men Nowe seyng that we haue declared the kyndes of vlcers according to the diuersity of causes and accidentes it is coÌ„uenient that we declare the thynges which hynder the curation of the same And fyrst ye shall knowe that there be two maner causes whyche hynder the saide cure that is to saye causes conioyncte and causes anticedent The causes conioyncte be these that folowe paynefulnes euyll complexion aposteme a corrupted bone the hardnes of the lyppes suê‘fluous fleshe softnes distemperatnes of the vlcere as well in heate as in colde a rounde figure of the vlcere a superficiall and fistulare figure or some other figure The causes antecedeÌ„tes haue euyll humoures in quantitie or qualitie Further we saye that thynges that hyndre consoundyng are of double difference that is to say other they be of the parte of the vlcere or of the part of thynges annexed and ioyned to the same Yf they be of the part of the vlcere they procede of solution of continuite or of quytture as it appeareth by the diffinition of an vlcere The hyndrans caused by solution of continuitie cometh of the figure as roundnes holownesse c. The hyndrance caused by quytture cometh of the substaunce or of the qualitie wheÌ„ it cometh of the substance it is by reason of the subtilenes grossenes slymynes or runninge mattier Yf the hindrance come of the qualitie it is bycause of hys sharpenes his corosion or substance by it selfe or by accideÌ„t and the foresaid causes are nombred with the mattier conioynct The hindrance that cometh by thinges annexed to the vlcers procedeth of a cause materiall or efficiente the materiall is bloode sent to the member for hys nouryshment whyche cannot be chaunged in to good nouryshmente therefore hurtethe the vlcered place as well through hys euyl qualitie as throughe hys quantitie wheÌ„ it hyndreth through hys quantitie it is by abundaunce or insufficient quaÌ„titie and when it hurteth by qualitie it is through euil coÌ„plexion as coldenes heate moystnes drynesse simple or compounde material or not materiall Lykewyse the efficient cause whyche hindreth healynge of vlcers is euil complexion of the vlcered meÌ„bre whyche is contrarye to the natural complexion of the sayd membre And it is called efficient bycause of the actiue qualities which are heate and moystnes the sayd causes ben simple or coÌ„pounde material or not materiall Further if the hyndrance procedeth by thynges contrary to the vlcers whych brynge euyll disposition vnto them eyther they be accidentes or maladyes yf they be accidentes they are paynfulnes c. yf they be maladies they be purgynge of the belly aposteme shelly flesh additioÌ„ of flesh corosion putrefaction and such other maladyes whyche ben annexed to vlcers These are they whyche hynder the ryght curation of vlcers as well by thynges annexed to vlcers as by causes material and efficient The signes of the sayde thnges shal be knowen as it foloweth Fyrste ye shall knowe Signes of abundans of bloode that the bloode is to muche abundaunt in quantitie by the nature of the patient whiche is stronge and fleshye of reddyshe coloure and hath full and large and great veynes and wheÌ„ the quytture of the vlcers is bloodyshe Ye shall knowe that the bloode is diminished in quaÌ„titie by thynges contrarye to the aforesayde that is to saye Sigges of diminition of bloode when the bodie of the patient is leane and thynne when the veynes ben small emptie and than the mattier whyche shulde engender fleshe is not deriued to the vlcered place and the quyture is in small quantitie Further ye shall knowe that the bloode of humours fayle in qualitie by the signes folowing First in heat Qualitie whyche is knowen by the yelowe colour of the body of the face of the eyes and when the bodie is leane and choleryke then the quytture whyche issueth oute of the vlcers is for the most parte yelowe and yf the heate be to muche so that it burneth the humours the quytture is of a duskyshe coloure somwhat blacke And yf the humours be colde ye may know it by that Colde that the patient is flegmatike pale wheÌ„ the vlcered membre is whyte and the quytture is slimy and grosse whyte in coloure And yf they bene drye Drye the meÌ„bre vlcered is of a duskyshe colour and the bodye of the patient is drye leane and the quytture is thycke like ashes and derte and of blacke colour After that we haue declared the signes whyche procede of sondrye maters accordynge to the diuersitie of the coÌ„plexion of the bodye we must serch out the cause that hyndreth the curation of an vlcere after the diuersity of
preparate wyth oyle of swete almans and oyle of elders wyth a lytle vynegre wyne of granates and butter wyth .xij. earth wormes and snaylles and as many chest wormes boyled altogether wyth .ij. ounces of oynyōs rosted in an ouen somewhat cut and stamped these thinges muste sethe tyll the wyne and vynegre be cōsumed wyth a lytle saffrā then ye shall strayne them and powre of the straynynge into the eare for it hath the forsayd vertue Item to this intention it is conuenient to applye a playster made of sapa sodden wyth butter oyle of elders a lytle saffran whyte waxe brayed branne barlye floure Also the oyle of lynsede the oyle of bytter almandes soddē wyth erth wormes may cōueniētly be vsed Furthermore a playster of sapa sodden wyth branne and wyth oyle of camomill and dille and wyth a lytle camomill and mellilote and applied vppon the eares hath a great prerogatiue Besydes thys the suffumigation folowing helpeth to swage payn caused of hote humours A suffumigation in a hote cause ℞ of malowes violettes camomill mellilote dille of euery one m̄ i. of barlye chaffe small cutte of cleane barlye of branne ana m̄ ij of licorice of raysons of euerye one ℥ .i. seeth the forsayd thynges together tyll halfe of the water be consumed then let the smoke be receyued into the eare and afterwarde vse in a hote cause the forsayde remedyes Here foloweth another suffumigation conuenient to release the payne procedynge of a colde cause ℞ of the rootes of holihocke A remedy for a colde cause li. ss of camomill mellilote dille of the leaues of horehounde ana m̄ i. of sticados of squinātum of maiorum of euery one a lytel seeth them wyth water and a lytel odoriferous wyne tyl halfe be cōsumed and receyue the smoke into the payned eare and afterward let the remedyes afore wrytten for paynes procedynge of a colde cause be poured into the eare accordynge to necessitie ¶ The .ix. chapter of impedimētes of hearynge or of defnesse NAture is wonte to be vexed with sondry dyseases Impediment of hearynge about the vertue of hearyng whych is very necessary to euery man as wel to optaine knowlege as to conducte other affayres of thys present lyfe Wherfore it is diligently to be conserued when any euyl chaunceth it muste be wysely remoued The accidētes Causes of defnes that hynder sometyme destroy the vertue of hearyng are these griefes apostemes wyndynesse vlceres superfluous fleshe deafnes wormes and suche lyke wherof we wyll make a proper chapter by the helpe of god Wherfore yf the cause of defnes of the eares be an aposteme for the remotiō therof ye shal resorte to the proper chapters of the apostemes of the eares lykewyse in al other We entēde in thys present chap. only to entreat of deafnes in general Fyrst before ye come to locall medicines ye must purge the humours of the heade with pylles of hiera agregatiue or cochie or of assagereth with agaryk accordyng to the euyl humours Also ye must order a dyete whych ought not be to moyst in thys case And therfore the patiēt may wel vse tyme maiorum percelye myntes nept organy nutmegges cynamon in hys meates he may drynke wyne of good odoure delaied with water sodē with coriāder Itē it is good to vse water sodē with hony coriāder and a lytle cynamon and he shall receyue therof halfe a glasse full in the mornynge as muche at nyght As touchynge locall remedyes we saye that the medicines wrytten in the chapter of the soundynge of the eares are conuenient in thys case Of the remedyes praysed of learned men thys is one ℞ of oyle of bytter almondes ℥ i.ss of oxegalle ʒ.i of black elebore stamped graynes .ij. of castorium of vynegre of euery one ʒ.v let them seeth all together tyll the vyne egre be consumed then strayne them and poure therof into the eare warme Item thys remedye folowynge is profytable to recouer hearynge ℞ of hares galle ℥ .i. of oyle of castorium oyle of elders of oyle of nardus of euerye one ʒ.vi of odoriferous wyne of vyneegre of euery one ℥ .i. of the floures of rosemarye of the leaues of rue of eche a litle of foxe grese of the fatte of an ele of euery one ʒ.iij or of blacke eleborus brayed ℈ .i. let them seeth all together tyll the wyne and the vyneegre be consumed then strayne them and vse them as is aforesayde Also the oyle of balsami and the oyle of castor hath a greate prerogatiue in this case Lykewyse the vnderwrytten suffumigation restoreth hearynge maruelouslye Suffumigation ℞ of camomille of mellilote of dille of stycados of squinant of rosemary of euery one m̄ ss of whit oynions nombre .iij. of the rootes of affodilles ℥ .iiij. of blacke ellebor brayed ʒ.i of horehounde of maioram of serpillum whych some call our ladyes bedstraw of organy of wormewood of euery one m̄ i. of honye li.i of bytter almanse somewhat stamped ℥ .iij. of oxegalle ℥ iij.ss seeth these forsayde thynges wyth sufficient quantitie of water and a lytle vynegre and vse them after the maner of a suffumigation Another remedye for the same purpose A synguler remedye ℞ of iuniper seede ℥ ss of blacke elebore ℈ .i. of oyle sysamyne of oyle of lynseede of oyle of elders and rue of euery one ℥ ss of oyle of castorium of oile of a foxe of euery one ʒ.ii of vynegre ʒ.x of odoriferous wyne ℥ .i. Lette them seeth all together tyll the wyne vynegre be consumed strayne them put therof into the eare warme Item an other ℞ of the beryes of laurell of the seede of iuniper of euerye one ʒ.ijij of oyle of bytter almans ʒ.x of oyle of dille and of lynseede of euery one ℥ ss of oyle of castorium oyle of elders of euery one ʒ.ij.ss of the iuyce of purslane of the iuyce of ciclamine ana ʒ.v of maioram of rue of eche a lytle of vynegre ʒ.ij of the galle of an hare ʒ.vi seeth them all together tyll the iuyces and vynegre be consumed then strayne them and vse them as is aforesayde Another suffumigation good for deafnes ℞ of the leaues of elders of the leaues of walwort and mugwort of euery one m̄ i. of the beries of iuneper and laurell ana m̄ ss of the rootes of ciclaminie of the rootes of affodilles of euerye one m̄ i. of maiorā of wormewood of myrrhe of euerye one ℥ i.ss of honye ℥ .iij. of oxe pysse li.i of vynegre li.ij of water as muche as shal suffyce adding of nept calamynte betonye rue ysope sticados cētaurie spykenarde of euery one a lytle let thē seth tyl the thyrd parte be consumed and vse them after the maner of a suffumigation for the operation is maruelous Item the oile of elders soddē wyth oyle of dille and rootes of affodilles is a synguler remedy for deafnes Item some saye that it is
veyne And yf the emoroydes be in fourme of lytle outgrowynges of fleshe the payne beynge somewhat remoued it is a good remedye to laye blood suckers theron and thē for the full mundification and resolution of them ye shall administer the forsayd cerote There chaunceth often in thys disease a swellynge rounde and large after the figure of a chestenut which causeth greate peyne and must be cured with the forsaid remedies namelye by resolution and mitigation of payne After the payne is swaged I was wonte to minister the foresayde cerote for perfit resolution Finally if the emoroydes growe to a hote aposteme for the cure therof ye shal resort to the chapter of flegmon The fourth entention whych is to correcte accidentes shal be accomplished by the administratiō of locall remedyes The accidentes of these diseases are these vehement payne gret fluxe of bloode apostemes cākerous putrefaction of the places Concernyng swagyng of payne staunchyng bloode and curation of aposteme we haue spoken in thys present chapter But for as muche as the payne is very vehement for the remotion therof ye maye applye some thynge wherin opium shall enter as thys that foloweth whyche is of the description of Alexander and we haue proued it in thys case in Tenasmō R. of mirre of frankynsence of licium of saffran ana one parte Alexanders liniment of opium two partes braye them and make a linimēt with the muscillage of psilium and oyle of roses wherewyth ye shall annoynte lyut and putte it both wythin with out Here foloweth an other sure and excellent remedye for the same purpose An excellent remedy R. of the leaues of henbane and of malowes and of colewortes ana m̄ i. wrappe them all in peces wete them and rost them vnder coles then stampe them and laboure them in a mortar of leade wyth a lytle oyle of roses the yolke of an egge and a lytle saffran and the meate of rosted apples ℥ ii applye thys medicyne after the maner of a playster And yf the emoroydes growe to blacknes cankerdnes ye shall resorte for the cure therof to the chapter of a canker And thus we ende c. ¶ The fyfth chapter of tenasmon Of tenasmon TEnasmos is a passiō of the gutte called intestinum rectū wherin the patiente hathe great desire to the siege but vttereth nothyng sauyng a lytle flymy mattier as is the gelye of fysh mengled wyth droppes of bloode And thys passion for the more part is caused of grosse and slymie mattier cleuing to the arse gutte whyche louseth the sayde gutte thorow hys slymynes byteth the same thorowe the sharpenes and saltnes styrreth vp the vertue expulsyue and causeth desyre of a siege thys kynde is euer wyth ponderositie or heuines of the place Somtime the sayde passion is engendred through cold of the fete or by the receyuyng of a medicine made wtoute scamony or elebore It chaūceth also sōtime through grosse choleryke and brente bloode and causeth greate payne and the patient vtreth more bloode then fleume And moreouer there happeneth in thys case vlceration in the ende of the muscule which prycketh the vertue expulsiue and prouoketh to siege The cure of tenasmon Cure shal be accomplyshed as it foloweth Fyrste a conuenient purgation muste be vsed that is to saye yf the mattier be hote that the bodye be purged wyth a linityue lectuarye or wyth cassia diacatholicon wyth manna If the matter be colde the patient shall be purged with cassia and diafinicon and diacatholicon Howebeit ye shall note thys one thynge before the administration of a medicine by mouthe ye shall vse a clister linityue to mollifye the dregges of the guttes A linityue clister conuenient for tenasmō in a hote and drye cause maye be thus ordeyned R. of the brothe of hennes or of other fleshe A linitiue clister thre pound of Violettes Malowes camomyll melilote ana m̄ ss of lyneseed ℥ .i. let them seeeh all togyther alytle and make a clyster with oyle of violettes oyle of camomyll and the yolkes of egges a lytle red suger But yf the forsayd passion be caused of a colde mattier the clystre folowyng is to be vsed which mollifieth and purgeth salt and slymy matter and breaketh wynde ℞ of camomil melilote and dyll ana m̄ i. of the leaues of holyhocke m̄ ss of bran m̄ ii of the rootes of tapsus barbatus m̄ i of lyneseed ℥ ii of swete fenelle of anise ana ℥ ss of cumyne a lytle of licoryce ʒ.x the heed of a wether somewhat broken seeth them all to gither with sufficient water tyl half of it be consumed than strayne them and presse them strongly and take of the strayning li. i ss of oile of camomil dyll an̄ ℥ .ii. of oyle of rue ℥ ss of hony of Roses ℥ .iii. the yolkes of ii egges and so vse the clystre Item it is good to bath the place with the decoction of the sayde clyster and to receyue the smoke therof Lykewyse it is a synguler remedye to take the same decoction and oyle of lyneseed in euen quantitye and a litle red sugre the yolke of an egge and to clysteryze the sore place therewith Item oyle of lyneseed rubbed with the roote of tapsus barbatus the leaues thereof and with a lytle mugwort and camomyll and than clystered warme swageth payne effecteouslye Item we haue founde it good to vse a suffumigation of frankensence terebentine a lytle myrre it swageth payne Lykewyse to syt vpon a warme table of a pynapple maketh to the same purpose Item a suffumigation and syttyng vpon the sayde decoction maye conuenyentlye be vsed Colliries also put in to the fundamente passe other remedyes Yea and linimentes brought into the fourme of lyquide oyntmes are of great efficacitie in this disease And therfore the liniment of Alexander noted in the former chapiter is of a maruelous excellēcye for it swageth payne in prouokyng slepe which is a synguler remedye in this case c. ¶ The .vi. Chapter Of the relaxation or loosynge of the gutte called intestinū rectum IT chaūceth often that the arse gutte is molified softened lowsyng of the greit gutte through sondrye causes so that it cometh out of the foūdament of the length of thre fingers and thys passion happeneth mooste in chyldren though it chaunce also in other ages And the cause therof is grosse and slymy fleume cleuynge to the gutte and molifienge the same pryckynge vp the vertue expulsyue wherefore there foloweth greate ytchynge and mollification of the fundamente whereby the gutte issueth out of his acustomed place this passion cometh ofte with tenasmon and happeneth to children by takynge colde in their feete The cure of thys desease The cure shal be accomplished with administratiō of locall medicines First cōuenient purgation and good diet presupposed ye must foment the place with rasyn of pyne apple terebentyne frankynsens and mastik afterwarde sprincle
the fyer and styrre them al aboute let them seeth agayne a lytle and vse thys ordinauÌ„ce wyth a brode cloth after the maner of a cerote An other cerote â„ž of the rootes of enula campana soddeÌ„ in water stamped and strayned .li. i. of salomoÌ„s seale of the rootes of walworte of euery one â„¥ iiij of oyle myrtyne of oyle of camomill of ê‘cely of euery one â„¥ i of oyle of terrebeÌ„tyne â„¥ i. ss of colophonia of clere terrebeÌ„tyne of euery one â„¥ ij of the oyle of a foxe spike of lylies of laurell of elders of euery one Ê’ x. of whyte waxe â„¥ i. ss make a softe cerote at the fyer addyng of beanefloure and floure of cycers of euerye one â„¥ iiij ss of liquide storax Ê’ v. of frankensence Ê’ iij. vse thys cerote as it is aforesayde Some chirurgiens allowe that the place be rubbed wyth aqua vite before the application of the cerote whych thynge assuredly we haue perceyued to be of great effecte for it perceth and dryeth straunge moysture whych two thynges are necessary in thys curation Lykewyse other men in the steade of aqua vite prayse fomentacion and bathynge of the place wyth a spoÌ„ge dypped in the decoction vnderwrytteÌ„ â„ž of camomille wormewoode rosemarye sage nepte of the herbe called our ladyes bedstrawe or serpillum of organye of maioram of euery one mÌ„ i. ss of roses sticados myrtilles squinantum of euery one mÌ„ i. of yua muscata of saynt Ihons worte of euerye one mÌ„ ij of the rootes of paucedinis of dytamye of aristologia of ceÌ„taury of policaria of euery one mÌ„ ss of hony li. i. ss of the nuttes of cypresse brayed nombre twenty of cloues of nutmegges of myrrhe of euery one Ê’ v. of salt of roche alume of euery one â„¥ i. ss of branne grownde â„¥ iij seeth them all together wyth a sufficiente quantitie of barbours lye odoriferous wyne tyll the thyrde parte be consumed vse thys fomentation as it is aforesayd I haue founde moreouer that the oyle of ypericon or saint Ihons wort is of singuler efficacitie in all paynes of the huckelbones and of the knee Item the leaues of yuye bouÌ„de vpon the soore membre swageth the payne of all artetyke passions chyefly yf they be colde Nowe we muste speake somewhat of the remotion of the accidentes of the goute that is to saye the hardnes and knobbes whych remayne wythin the ioyntes for the cure wherof ye shall vse thys mollifycatiue folowynge â„ž of oyle of camomill dille roses whyt lylies of euerye one â„¥ ij of the oyle of floure de luyce â„¥ i. of oyle mastyke of oyle of spike of euerye one Ê’ vi of hennes grese and duckes grese of the oile of swete almondes of euerye one Ê’ x. of the marye of the legges of a calfe and of a cowe of freshe butter ana â„¥ vi of liquide storax Ê’ ix of calues suet â„¥ ij of the sweate of shepes woll called isopê° humida â„¥ iij. Sometyme it chauÌ„ceth that the hardnes groweth to an aposteme for the maturation digestion mundifycation and incarnation therof ye shal resorte to the chapter of the cure of flegmon c. ¶ The syxte chapter of the tothe ache The toth ache THe teethe are wont to be vexed throughe a reumatyke matter distillinge froÌ„ the brayne and thorough the faut of the stomake with sondrye passions but seynge that the teeth serue for comelynes for chewynge of meate and for pronunciation therfore they muste be cured wyth all diligence Aliabbas nombreth .vi. dyseases of the teeth payne corosion congelation dormitation fylthynes loosenes They suffer not an aposteme bycause of theyr hardnes but a thynge lyke to aposteme nether haue they felynge by themselues but by the reason of synowes whych come froÌ„ the thyrde payre of synowes of the brayne to theyr rootes and to the gommes whyche thyng Galien affyrmeth also in the boke of vtilitie of the partes thus we maye conclude that they are not apostemed nether fele but by reason of the gommes and the synowes afore sayd whyche thynge is euideÌ„t for when one lytle pece of the tothe is broken the man is not payned and therfore he addeth moreouer sayeng The payne of the teeth chaunceth of the euyll complexion of the synowes or of an hote or colde aposteme wherfore sometyme the payne is swaged when the roote is pulled vp and the matter whych causeth the payne issueth by the holownes of the place where the tothe was and also the synowe is not extended or strayned out where the place is enlarged Fynallye it is a cause why the medicine maye enter in more easelye and ease the paynefull place wherfore Galien sayeth that yf medicines preuayle not for the swagynge of the tothe ache we must descende to the laste remedye that is to saye we must drawe them out by the rootes Corrosion Corrosion chaunceth in the great teeth through roteÌ„nes sharpe and euyll moysture whyche groweth and byteth them ye maye remoue the sayd corrosion wyth trepanes fyles and other conuenient instrumentes fyllynge the concauities afterwarde wyth leaues of golde to preserue the place from putrefaction Congelation Congelation chaunceth to the teeth of outward or inwarde thynges Of outwarde when a man eateth soure thynges of inwarde wheÌ„ sower vapours asceÌ„de from the stomacke Also ther is yelow fylthe styckynge to the teeth and the rootes therof whych cometh of grosse vapours ascendynge from the stomacke and maye be remoued by scrapynge and rubbynge wyth conuenient instrumentes Here foloweth the description of a pouder whych mundifyeth the teeth preserueth the gommes maketh the teeth whyt Pouder for tethe remedyeth the stynkyng of the mouth â„ž roche alume brent Ê’ ij of sarcocolle of terra sigillata of mirabolaÌ„ citrine ana Ê’ i. ss myngle them together make a pouder and rubbe the teeth therwyth in the mornynge fastynge thryse a weeke Sometyme there chaunceth a certeyn dormitatioÌ„ in the teeth by holding cold thinges in the mouth stupefacti medicines in the mouth for the remotion wherof ye shal vse the medicine vnder wrytten coÌ„maundyng it to be holdeÌ„ in the mouth warme â„ž of odoriferous wyne .li. ss of aqua vite â„¥ i. of rosemarye sage camomill ana mÌ„ ss of cloues of nutmegges ana ℈ i. of sandrake Ê’ i. ss let them seeth all together tyl the thyrde part be consumed then straine them vse them as is aforesayd Item aqua vite applyed to the teathe with cotton taketh away the dormytation and congelation of the same Looâ—enes Laxation or loosenes of the teath chauÌ„ceth through the loosenes of the gommes or through debilitation or weakenynge of the rootes or partes that bynde the tethe al which thynges happen throughe rewmes humours descedyng from the brayne and sometyme by corrupte vapours mountynge froÌ„ the stomacke For the curatioÌ„ wherof ye shal vse the medicine folowynge â„ž of syrupe of liciuÌ„ Ê’ x. of roche alume Ê’ iij. of the water of
medicyne Ipericon or saynt Iohns worte is hote and drye in the thyrde Galene sayeth moreouer that it is subtiliatyue And Dioscorides sayth that it hathe greate prerogatyue to heale woūdes of the synnowes wythout mordication or bytynge Item the iuyce of it in the fourme of a cataplasma is good agaynste greate woūdes and it mundifieth and incarneth Moreouer the oyle of it made as it foloweth is a great medicyne in vlcers woundes of synnowes R. of oyle omphacine ℥ vi of oyle of mastike ℥ i. of oyle of terebentine ʒ vi of oyle of roses complete of moste clere terebentyne ana ℥ ii of mastyke of frankynsence ana ʒ ii of myrrhe of aloes hepatike ana ʒ iii. of gūme elimi of colophonia ana ʒ iii. of the iuyce of saynt Iohns wort plātayne centaurye and horsetayle ana ℥ i. of yarowe ʒ ii of the rotes of tormentil of ditany of carduus benedictus an̄ ʒ i. of mader of fyne graine ʒ ii ss of saffran ʒ ss of earthe wormes washed wyth wyne ℥ ii of the leaues and rotes of an ashe tree ana m̄ ss of odoriferous wine li. ii stāpe the thinges that are to be stamped then seeth them tyl the wine and the iuyce be cōsumed and then streyn them through a thycke clothe and putte them into a glasse wyth the seedes and floures of saynt Iohns worte and a fewe floures of rosemary and sette them in the sunne in May the space of .xv. dayes renewynge the sayd floures twyse so ye shall haue a moost precious oyle to heale all woūdes except they came of a bruse and be altered by the ayre It is moreouer good agaynste olde peynes of the ioynctes in the frenche pockes and for synnowes that moue vneaselye and finallye for vlcers and woundes that induce tremblynges crampes Iarus or aaron that is the lesse dragone hathe vertue to heate moderatelye and when it is sodden wyth the rotes of mallowes violettes tapsus barbatus and lynsede and apples it resolueth the swellynges of the emoroydes Isopus humida or the sweate and fatte of shepes wolle is moderatelye hote and mollifieth al hardnes with mitigation of peyne LActuca or lettuse is colde and moyst it hath vertue to quenche all euyll and hote cōplexions as well wythin as without and therfore it is a good remedye agaynst Herisipelas Lettuse as Auicēne sayeth engendreth good bloode but yf it be often vsed it dimmeth the syght Lapacium acutū or dockes is hote dry in the thyrde it is good in bathes oyntmentes for the lepry scabbes ryngwormes tetters the frenche pockes and mormal Lupuleis or hoppes is hote drye in the fyrst declinynge to coldnes it hath vertue to swage burnyng peyne soupplynge and mundifienge bloude and choler Leuisticus or louage is hote drye in the seconde and it prouoketh vryne and is of temparate heate and conforteth the synnowes by hys aromatyke qualitie A baine of his decoctiō with sage rosemarye mugwort nepte camomylle mellilote sticados squinantum sodden in wyne is a good remedye for the crampe comynge of replecion and for the palsye Lanciola or sperewort is hote and drye in the fourth it hath vertue to purge fleume and cholere and is corrected with the iuyce of wormewood Lac or mylke is of temperate heat and Serapon sayth it is compounde of thre substāces that is buttire chefe and water and it is resolutyue wyth mollificatiō Yf ye mēgle sowre milk wyth the leaues of plantaine wormewood rybworte oyle of roses and of myrte wyth barlye and beane floure and egges it is a singler remedye for wrestynges of the ligamētes ioynctes and for attrition of muscules at the begynnyng And yf ye put therunto a lytle oyle of camomille spike and mastyke it healeth the sayde diseases in the ende wyth confortation of the place Item mylke wyth a syrupe of roses and a lytle wyne of pomegranades healeth the quynce Mylke also put into the eyes swageth the payne of them Licium is compounde of sondrye substaunces and it is desiccatyue subtiliatyue and percynge Moreouer it is of erthye substaunce colde and stiptyke Lentilles are temperate inclinyng to dryenes and bene partelye restrictyue and stiptyke and therfore they are good in eatynge and deceytful vlcers Lignum aloes is hote and drye in the seconde it conforteth the brayne distempered by a colde cause through hys aromatyke qualitie and the decoction therof wyth mader barlye and sugre healeth all woundes vlcers of the entrayles The pouder of it with cloues and the bone of a stagges herte and oyle shal make a cocke to crowe day and nyght yf ye rubbe hys combe herwyth And therfore the fume therof receyued at the nose conforteth the colde brayne Limacis caro or snayles fleshe is hote and moyste and is good for the straytnes of the brest and shortnes of wynde and yf ye boyle snayles in an ouen and stampe them and dry them wyth theyr shelles they haue vertue to scowre But rawe snayles stamped wythout theyr shelles wyth leuen the rotes of a cane or reede drawe out peces of bones and peces of wood Item the fleshe of lytle snayles that lyue in trees beinge rosted in an ouen and brayed as fyne as maye be healeth the vlcers spottes and other diseases of the eyes Snayles of the see are of like operation but that they are more drye and abstersyue bycause of theyr saltnes Licorice is hote and moyste wyth temperate heate and whē it is sodden wyth raysons horsetayle barlye alkechingi cōueyed in wyth a syryng it remedyeth vlcerations and chafinges of the bladder Lupynes are hote in the fyrste and dry in the seconde Galeyne sayth they are desiccatyue and abstersyue wythout mordication or bytynge A decoction of lupines healeth cancrena and doth make the face fayre and is good to heale the morphewe Litarge is colde and dry and is cōuenientlye ministred in linimentes of hote vlcers Laudanum is hote and moyste in the seconde and it is good for colde catarres and comforteth the matryce when it is applyed wyth a pessarye And whē it is poudred with mastike and incorporate wyth licium it fasteneth loosed teeth Lilly rootes are hote and moyst in the seconde they ripe apostemes and swage peyne Lapis lazuli is colde and moyste good for al kyndes of diseases that come of melancholye MErcurialis or the herbe mercurye is hote and drye in the fyrst and beynge sodde with the broth of an henne and sufficient suger souppleth and purgeth a stiptyke bound belly Lykewyse in clysters it is a singuler remedy for the peines of the ioynetes of the crampe The clyster may be made after this sorte ℞ of the leaues of mercuriall and holihocke ana m̄ i. of the leaues of beetes and coleworte ana m̄ ss of the floures of rosemarye of nepte and camomylle and polipodye and of the coddes of sene epithimū ana a lytle of the rootes of brionia ʒ x. of the rotes of flourdeluyce ℥
therefore they are colde and drye very hurtful to the sinnowes Ripe apples rosted swage the peyne of the eyes and of the fundament whē they ben mengled with mylke and yolkes of egges and so applyed in the fourme of a playster Matrisilua is hote and drye and it cutteth and thynneth as Galene sayeth and is conuenientlye administred in oyntmētes of the legges and the leaues of it healeth the vlcers of the legges Margaryte or perles are temperate and when they be poudred and mengled wyth honye of Roses they are good for passions of the hert Manna is hote and moyst temperatlye it hathe vertue to mundifye choleryke bloode and it quencheth the boylynge heate of cholere Millium is a grayne colde in the fyrste and drye in the seconde and it is conuenientlye putte into lytle bagges and applyed in sondrye partes of the bodye to drye And when it is dried in a brasse panne wyth branne and well stamped it apeaseth the peyne of the ioynctes If ye rubbe the heade therwyth the heere beinge shauen of it stoppeth reumes hauynge added a lytle of calamus aromaticus and a lytle sandrake Mastyke is hote and drye in the seconde and hys vertue is to conforte synnowye places wyth incarnation and stypticitie and yf mastyke be chewed wyth a lytle of staphisagre they prouoke humours from the brayne to the mouth Myrrhe is hote and drye in the seconde it hath vertu to cōfort defend putrefaction it cōsoundeth and therfore it is vsed in freshe woundes to glew them together it is also good in rotten vlcers Mespiles or meddlers are colde drye in the third be very restrictyue the vnrype are more byndynge then the rype NVttes are hote and dry of euyl nouryshmēt of hard digestiō they cause heed ache whē they ben mēgled with hony figges salte a litle triacle they heale the byting of men dogges serpentes other venomous beastes Auicenne sayth that hasyll nuttes encrease the brayne Nutmygges cōforte by the aromatike nature dissolue Sōtime theyr vertue is necessarye for the dymnes weaknes of the eyes Nuttes of cypresse are hoote drye temperately they cōfort and dry with notable stipticitie Nasturcium or cresses are hote dry in the thirde haue vertue to rype colde apostemes The sede of it soddē wyth vinegre brayed dissolue scrophules Nigella is hote dry in the thyrde whē it is stāped with hony oxe gal aloes caballine and applied vpon the nauell in the fourme of a playster it kylleth wormes in chyldren Nenupher is cold moist in the seconde the flour soddē with oyle of violettes oyle of roses omphacine and a litle wine of pomegranades vnto the cōsumption of the wine quēcheth the inflamation of herisipelas and phlegmon OYle made of rype Olyues is hote moyst wyth temperate heate and it hath vertue to receyue into it selfe al the vertues of simples Yf it be made of vnripe oliues it is cold and dry and therfore it is stiptike is called oyle omphacine And whē it is made according to art wyth roses it quencheth al hote mattiers conforteth the cōplexion of the mēber Oua gallinarū or hēnes egges are tēperat Their yolkes ben moderatly hote and moyste the oile therof as Auenzoar saith is an excellent remedye to swage the peyne of the eares The whyte is colde and moyst Organy is hote dry in the thyrd it hath vertue to dissolue and to consume with attraction whē it is mengled with camomyll mellilote dylle mugwort and put in a bagge it swageth peyn of the belly coming of a colde cause chieflye if it be first heated vpon a tile sprincled with wine Itē whē the arsegutte issueth out of the fundament stāped organy with roses calomus aromaticus and wormewoode and layed hote therunto reduceth the gutte vnto hys place Opoponax is a gūme of hoote and drye complexion and it is resolutyue wyth mollification Opiū is colde drye in the fourth and therfore it is stupefactyue Os sepie that is the bone of a fyshe called a cuttle is colde and drye and mundifieth gentlye Ordeum or barlye is colde and dry in the seconde and dryueth backe hote apostemes and when it is mengled wyth thynges resolutyue it resolueth the sayde apostemes And when it is sodden in the decoction of malowes the yolkes of egges oyle of violettes and a litle buttyre it ripeth cholerike and sāguine apostemes beynge applyed after the maner of a playster and hauynge added a lytle saffran Orobus is hote in the fyrste and drye in the seconde and beynge chewed with almondes of a fastyng stomake and layed vpon tetters ryngwormes and morphewes it helpeth the sayde diseases And yf ye rubbe youre handes and face therewyth it clarifieth the skynne It scoureth and purgeth fylthye and rooten vlceres beynge mengled wyth floure of lupines honye of roses and terebentine And it is of lyke efficacitie in woundes of synnowes after that the daunger of apostemation is paste Item the floure of orobus put in playsters is good for synnowye woundes and apostemes Olyues vnrype are colde and dry and therfore theyr oyle is stiptyke And whē they be seasoned wyth salt Fenell water or veriuce and eaten in small quantitie they confort the stomake and prouoke appetite Rype olyues be temperatelye hote and moyst but they ben of euyl digestion and nouryshment Oleum muscelinum is hote hath vertue to resolue Guydo sayeth it is drawen out of a certeyne grayne as oyle is drawen out of behen PEares are of sondrye kyndes and their substaunce is watrye and earthye some of them be swete some harryshe some sower The swete are lesse colde than the sower howebeit they haue all some stipticitie but beynge rosted they are of lesse stipticitie than whē they be raw Peares and apples rosted are conuenientlye vsed in playsters for hote apostemes at the begynnynge And some saye that the iuyce of them incarneth and consoundeth woundes and vlceres But it shall be better and surer yf ye put to a dramme of the sayd iuyce two drammes of syrupe of roses and ʒ x. of clere terebentyne ʒ i. of frankinsence and ℥ ss of beane floure Lette them seeth together besyde the floure and the frankynsence and thā incorporate the reste and vse them after the maner of an oyntment Porrum or a leke is hote and drye in the thyrde degre wherfore the water therof dronken wyth honye and water or meth is a presente remedye for venomous styngynges If ye rost leekes and make a playster of them wyth a lytle triacle terebentyne and oyle of rue they heale the wound that cometh by bytynge Item yf ye mengle the iuyce of a rosted leeke wyth a lytle olibane oyle of roses and a litle womans mylke and a litle oyle of the yolkes of egges it hath vertue to take awaye the payne and sowndynge of the eares comynge of a colde cause Pix naualis or shyp pytche is hote and drye it hath vertue to consume
dissolue liquide pytch shippe pitch are conuenientlye put into oyntmentes for colde vlcers Purcelane is colde in the thyrde and moyste in the seconde The iuyce therof hathe vertue and proprietye to plucke vp wartes being rubbed therwythall And moreouer it stoppeth the flowynge of hote humours And whan it is put into playsters for flegmon and herisipelas it defendeth putrefaction and finallye it healeth the congelation of the teeth Pinguedo anatis or duckes grese is hoote and moyste and excedeth all other in swagynge peyne wyth mollification Peper is hote in the fourth and dry in the seconde it draweth notablye in dissoluynge and consumeth through hys drynes Prunes be colde and drye and the meate of them sodden in a brothe of fleshe wyth a quynce or a warden or buttyre is good for hote apostemes of the fundament and of the yarde And yf ye put therunto barlye floure wyth the yolkes of egges and a lytle saffraÌ„ it wyl be a singuler remedy Pomegranades are sondrye some be swete some other sower The sower are colde and drye in the seconde The sweete are colde and moyste in the fyrst The iuyce of them both stamped wyth theyr ryndes and sodden wyth as much honie of roses and the leaues of wylde olyues somwhat brused cureth perfytlye the vlceres of the nosethrylles and of the mouthe The graynes of them confort the stomake vsed moderatelye Otherwyse they hurt the same The wyne of pomegranades takeÌ„ after repast kepeth meate from corruption Item when they be sodden in the ryndes stamped and made after the fourme of a playster they are excellent remedies at the begynnynge for al hote apostemes Populus or the popler tree is cold and drye in the thyrde It is repercussyue and stupefactyue yf ye rubbe the nosethrilles and temples wyth the iuyce therof And the oyntment called populeon mengled wyth the whyte of an egge oyle of violettes and oyle of popie abateth the heate of a chafed yarde and swageth the peyne Popye is colde and drye in the second and therfore it astonyeth moderatelye Psilium is colde and moyste in the seconde and hathe vertue to represse choleryke apostemes and therfore in the begynning augmentation of the same it is a good reê‘cussiue ministred in the fourme of a muscillage Item the muscilage of psilium beaten wyth oyle of Roses omphacyne wyth an oyntmente of roses and the iuyce of lettuce made after a playster or linimente healeth herisipelas The inner parte of thys sede is hote and drye in the thyrde and therfore hathe vertue to burne to chafe the outwarde part cooleth and souppleth Papirus is colde and drye wyth familier repercussion therfore when it is weted wyth water of roses oyle of Roses and aplyed vpon the legges it reteyneth deriuation of humours Psidia is colde in the seconde and dry in the thyrd it hath vertue to dry cicatrise and restrayne Polium montauum is hote in the seconde drye in the thyrde it hath vertue to sesolue coÌ„sume and to prouoke vryne Petroleum is hote and drye in the thyrde and more beynge sodden with philosophers oyle terebentyne earth wormes and the iuyce of walworte it is a merueylous medicyne agaynst the peynes of sciatica and other goutes Pinguedo or grese is hote moist more or lesse accordyng to the nature of beastes and it hathe vertue to rype and mollifye and swageth peyne Palma is hote and colde in the seconde Pentaphillon or cynkefoyle drieth vehemently howbeit it hath no manifest hotnes Pineole or the kernelles of a pinaple are hote and moyste and bene of greate nouryshmente The ryndes of them bene colde drye and stiptike Plumbum is colde and moyste in the seconde and it is good agaynste maligne and cankerouse vlcers and hathe a meruelouse prerogatyue to resolue the hardnes and lyppes of the said vlcers through a certeyn vnknoweÌ„ vertue Plates of lead bound fast vpon knobbes resolue them maruelouslye Peaches bene colde in the seconde and drie in the fyrst Dioscorides sayeth that they conforte the stomake Serapion saith that the leaues of peches are abstersyue and resolutyue and thorowe theyr bytternes haue strengthe to kylle wormes Peches be of harde digestion and yf they be eaten afore meate they prepare awaye for other thynges to passe out but yf they be eaten after meate they are easely corrupted howebe it they are rectifyed wyth good wyne Pellis castrati or the skynne of a wether newely flaine is good for strypes and brusing of the entrayles and of the bellye procedynge by a fal and sometyme it restoreth the patiente in one daye resoluynge and consuming the bloode that is out of the veynes Piretrum is hote and drye in the thyrde it hathe vertue to drawe and to heate and therfore holdeÌ„ vnder the teeth it healeth the toeth ache procedynge of a colde cause yf it be fyrste mollified wyth vinaygre Pionye is hote and drye in the seconde the seede of it caried about the necke wyth the roote preserueth enfantes from the epilepsia or fallynge sycknes Item when it is poudred wyth sage rosemarye and maierum and geuen to drynke with hydromell or methe it healeth the epilepsia or at the lest swageth it Percelye is hote and drye in the seconde it prouoketh vryne The roote of it is of harde digestion howebeit it styrreth vp appetite and the leaues confort the stomake And yf it be meÌ„gled with fenell water cresses bawme Myrte Rue in lytle quantitie wyth floures of rosemarye pympernell borage lettuse in equal portioÌ„ making a salet of it wyth swete oyle and vinaygre it styrreth vp appetyte effectuouslye Paritarye is hote and drye in the thyrde and the seed is colde and drye wyth stipticitye and when it is fryed wyth buttyre and eaten it maketh the stone to come oute of the raynes the blader Item parietarye heated in a panne wyth a lytle wine and percelye leaues and water cresses and applyed vpon the bone ouer the priuy members prouoketh vryne And yf ye seeth it wyth malowes Roses mugworte branne husked beanes and stamped sodden agayne wyth sapa tyll they be thycke It shulde be a good playster for attrition and brusynge of the lacertes and muscules REsina pini or rosin of pynaple tree and almoost all other rosins haue vertue to heate and bene mundyficatiue and dissolutyue and mynystred in oyntmentes they heate and drye colde vlcers and produce flesh in woundes of stronge bodyes Roses ben colde in the fyrst and drye in the seconde and are moche vsed in oyntmentes syrupes other confections Rosemarye is hote and drye in the thyrde it resolueth and mundifieth with coÌ„fortation the floure is called authos which hath vertue to clarifye the syghte Item it hathe vertue to resolue and mundifye with coÌ„fortation Rue is hoote and drye in the thyrde and hathe vertue to consume wynde and the iuce of it is put in coliryes to helpe the dymnesse of the syght Radysh is hote and drye in the seconde the rymme of it taken in a lytle quantitie aydeth
ceruse â„¥ i. of lytarge of golde syluer ana â„¥ i. myngell them and make a linimente in a mortar of leade anoynt the ytchyng place therwyth ¶ A chapter of the cure of a bruse without a wounde wherin the bones of the heade are depressed chiefly in chyldren REsolutiue medicines that remoue blood caused by coÌ„tusion in childreÌ„s heades are of .iij. sortes wherof the fyrste is thys â„ž the whytes and yolkes of .iij. egges of oyle of roses and myrte ana â„¥ ij of the floure of beanes barlye ana â„¥ i. ss Incorporat them altogether Thys remedye must be applyed vpon the bruse the .iij. fyrst dayes and ye muste chaunge it ones a daye And ye shall laye it on wyth stoupes moysted in the wyne of pomegranades or in vinegre and water and afterwarde presse them and dyppe them in the sayd myxture The secoÌ„de whych muste be applyed from the .iiij. daye vnto the tenthe is in thys fourme The frenche sayeth brâ—â—â— â„ž of beanfloure â„¥ iiij of barly floure â„¥ ij of brymstone ✚ brayed .li. ss of camomil mellilote stamped or the graynes â–ª leaues of myrte of roses and wormewood ana mÌ„ i. of corianders cumyne swete fenell ana Ê’ vi of calamus aromaticus Ê’ iij. braye the thynges that are to be brayed and seeth them al together wyth sufficient sapa tyll they be thycke and styffe addynge of oyle of myrte roses and camomill ana â„¥ i. ss of whyte waxe â„¥ ij myngle them together and styrre them aboute when ye take them fro the fyer tyll they be luke warme and procede herewith vnto the thyrde daye The thyrde is the application of a sponge dypped in the decoction folowynge â„ž of camomill mellilote roses wormewood mirtilles of the graynes and leaues therof of euery one mÌ„ i. calamynt nepte of euery one mÌ„ ss of coryanders cumyne fenell ana Ê’ vi nuttes of cipres brayed nÌ„ x. of honye â„¥ iii. of salte of roche alume ana Ê’ x. seeth them all togyther with a quarte of redde wyne and as much lye tylle the thyrde parte be consumed thenne streyne them all and vse this decoction with a sponge well bound pressed vnder which sponge ye shall laye thinne plates of lead bored thorough in sundrye places by this meane I haue healed many at rome whan the bones were depressed withoute openynge the place ¶ A chapiter of compound woundes A Wound compound is that wherin ther is losse of substaunce and therfore the good practicioners say that in the cure therof two ententions are requyred wherof one consisteth in the restauration of the lost substaunce the others offyce is to cicatrise the substaunce beyng restored Wherefore in this case ye must procede with dygestiues and not with incarnatiues as ignoraunt chyrurgiens doo for Rasys sayeth a depe wounde or vlcere commeth not to regeneration of flesshe but after rotennes that is to say after digestion An other reason is why dygestion is conueniente in this case at the begynnyng bycause in these woundes ther is alwayes alteration of the ayer Howebeit all digestiues are not conuenient but such as are small for the long digestiues are daungerous except the wound be vpon a great ioint with great losse of substance A conuenieÌ„t digestiue in this case must be made after this fourme â„ž of clere terrebentyne â„¥ ii the yolke of an egge of saffron ℈ i. fyll the wound with lynt weted in this digestiue And afterwarde laye vppon the wounde a leaffe of blacke colewoortes And aboute the partes of the wounde ye shal lay the remedies wrytten in the chapyter of flesshye woundes too defende theym from apostemation and peyn When good quitture shal appere ye shal apply no more digestiues as ignorante chirurgiens do putryfyeng the meÌ„ber with long digestions But ye shal apply this mundificatyue folowyng â„ž of clere terbentyne â„¥ iii. hony of roses sirupe of roses ana Ê’ vi seeth them al togyther whan ye take them from the fyer adde there vnto the yolke of an egge of saffron ℈ i. of barly floure ℈ x. After mundification whiche is knowen by good flesshe for incarnation ye shal put to this mundificatiue of sarcocolle myrre aloes ana â„¥ i. ss myngle theym The second intention is accomplysshed by thinges cicatrisatiue wherfore ye shall washe the place with water of alum and ye shal applye the pouder of mirobalane citrine and vnguentum de minio Altered woundes are lyke vnto theym whiche are withe losse of substance therfore theyr cure differeth not excepte the altered woundes be with great contusion for then ye shal procede withe vnguentum egiptiatuÌ„ to remoue the putrefaction For the other intentions ye shall procede no otherwyse then is aforesayde ¶ A chapter of great contusion and attrition of lacertes without a wounde THe vniuersal rules noted in the chapter of hurted synowes presupposed ye shall vse at the begynning that whites and yolkes of three egges beaten wyth oyle of myrre and oyle of roses to stoppe the course of the mattyer to the sore place After the fourthe daye ye shalle applye a playster of beanes husked sodden in water with malowes roses wormwood bran croÌ„mes of broun bred wherw t afterward ye shall make a stiffe playster with as moch oyle of roses camomyll myrte and barlye floure as shal suffyce and for this purpose the playster foloweyng is of singuler efficacitie â„ž mallowes wormewood branne husked beanes ana mÌ„ ij of mugwort weybread roses ana mÌ„ i. sethe them all together with the broth of a wethers head tylle the barlye be perfectly sodden than stampe them well and put to that that is stamped of barlye floure .li. i. ss of fenugreke floure â„¥ ij of camomyl mellilot and dyll stamped a na mÌ„ i. of the graines of myrt wel brayed â„¥ iij. of beaten cumyn Ê’ ii ss of hony â„¥ iiij seeth them all togyther with sufficient sapa a litle odoriferous wyne tyl they be thicke stiffe and than putte thervnto of oyle of camomille roses dille myrte and of whyte waxe ana â„¥ ij of saffron Ê’ iij. This playster is of gret efficacitie in al brufynges of lacertes and falles vppon the dely for it resolueth the blod whiche is wythout the veynes swageth peyne and comforteth the members ¶ A chapter of the accidentes of woundes and synowes THe accidentes of woundes as are a spasme peyn and aposteme hinder the cure of wouÌ„des And therfore thei must be diligently remoued and whan they be distempered in heate and dryenesse they engender heriâ—â—pelas Matter hote and moyst causeth phlegmon matter colde moyst engendreth vndâ—â—ia The remedies that swage peyne in a hote and drye cause are of .iii. kyndes whereof the fyrst is in this forme â„ž the whytes yolkes of .iij. egges of the iuce of lettuce and plantayne ana â„¥ ss of oyle of roses odoriferous â„¥ iii. beate them all togyther and vse them with cloutes vpon the member infected with heriuÌ„pelas The forme of the seconde is
retayneth the meate so longe tyll by the alteratiue power it is turned into good iuyce ThaÌ„ the stomake reserueth the beste for hys owne noryshment dryueth downe the rest vnto the guttes and froÌ„ theÌ„ce that that is best is returned to the liuer by the veynes called meseraicae Howbeit that the lyuer shulde not tarye to longe for hys meate the stomake sendeth vnto hym in the meane season by lytle short veynes whyche growe to the lyuer and to the stomake the fyneste and purest parte of his prepared iuce Pessarie Pessus is woll toosed and made rounde after the fassyon of a fynger wherewith medicines are receyued and conueyed into the matrice Phlegmon Phlegmone besyde boylyng heate sygnifyeth a paynefull redde harde swellynge Petrolium PetroliuÌ„ is vsed for naphtha which droppeth out of a babilonyke lyme hath power to drawe fyre vnto hym though it be somewhat remoued Pilosella Pilosella is founde in no lerned auctour Howbeit the later wryters descrybe it to be an herbe that groweth in stonie and drye places with a red floure and with leaues spredde vpon the grounde in which leaues ther beÌ„ as it were heere 's and therfore they haue barbarously called it pilosella of pilus an heere The description agreeth with mouseeare sauiÌ„g in the flour It is Englysshed in an olde wrytten boke hertwort Where this herbe is not found some thinke it good to vse mouseeare PhilomuÌ„ PhilomuÌ„ is a confection so called of Philon the inuentoure of it or as some saye of philos which sygnifyeth a frende bycause it is frendlye to hym that receyueth it Policariam The auctour of the paÌ„dectes sayth that they vse policaria for conyza which is that that the latines cal pulicaris which may be called fleiwort For pulex signifieth a fley Ieronimê° Tragê° thynketh that one kynde of pulicaris is arsmerte This herbe dryueth awaye fleys Polium montanuÌ„ PoliuÌ„ montanuÌ„ is a lytle shrubbe of whyte colour an handfull hyghe full of seede In the top it hath a lytle heed lyke the hoore heere 's of a man smellynge strongly wyth some pleasauntnesse Polypodie Some call polipodiuÌ„ oke ferne It draweth out fleame and cholere but chefely melancholye Pori vritides Vreteres ben passages by whyche brine sondred from blood is coÌ„ueyed to the bladder Psidia They vse psidia for sydia whiche signifyeth the ryndes of a pomegranade Psillium Psillium hath his name of psille which signifyeth a fley For the seede of this herbe is like a fley and is vsed in medicines to coole The latines also call this herbe pulicaris of fleys It groweth nygh the see and also in other vntylled and baren places Pthisis Phthisis in Greke signifyeth wastyng a consumynge sycknesse a consumption as we call it Pulsatiue Pulsatiue Beatynge Pruna Pruna a fyrye coole Resort to anthrax Pustles There ben two kyndes of pustles or pusches For some pusches are hygh some brode The hygher are engendred of hote and subtyle humoures and cause ytchyng and are called of some morbilli The brode ar lower and come of grosse and cold humoures neither cause ytchynge and bene called variolae of barbarous wryters Putrefactiue That that hath power to rotte is called putrefactiuum Pyretrum Pyrethron is called in latyn herba fauliaris bycause it prouoketh spettel merueilously it groweth in the mouÌ„taynes of Italye called Alpes Howbeit that that commeth out of grecelaÌ„de is hoote It hath his name of fyrye heate For pyr in greke signifyeth fyre And our worde fyre is borowed of the grecians by addition of this lettre H as the custome of the hyghe Almaynes is whose speache we vse make of pyr phyr whereunto we haue put of our owne letter E and pronounce it phyre Rasceta RAsceta the barbarous doctours call the wrest of the hande vnto the knoccles Rascetam Radicall Radical belongyng to the roote Realgar Realgar is made of brymstone vnsleked lyme and orpigment It kylleth rattes Refrigeration Refrigeration coolynge Repletion Repletion fyllyng Restauration Restauration renuynge repayryng restorynge Repercussiue Repercussiue that that hath power to dryue backe Resolutiue Resolutiue loosynge Retentiue Retentiue retaynyng holdynge backe Ribes Serapion sayeth that ribes is a plante hauyng great and grene leaues redde clusters of swete taste Io. Agricola sayeth that for Ribes we maye vse the iuyce of an orenge or of sorell Rob. Rob or robub is vsed for a purifyed iuce thycked by the heate of fyre or of the sunne vnto the forme of honye Fuchsius calleth it Succum medicatum Ruptorie Ruptorie that that hath strength to breake Salis gemme SAl gemmae In the Mountaynes of Germanie and Pannonie ther is a salt dygged out whereof the whitest is called Sal gemmae bycause it shyneth lyke a precyous stone Sanamunda Sanamunda Auens Sanious Sanious full of matture fylthe corruption Sandarache There ben two kyndes of Sandarach one is of the nature of metalles dygged out of the grounde about hypanis a ryuer of Schythia the other is counterfayte made of ceruse boyled in a fornace Sanguis draconis Sanguis dra soundeth dragons blood for Plinie thought it to be a coÌ„mixtion of dragons and Elephantes bloode when they fyght togyther the dragon being oppressed by the fall of the elephant Other think that which we coÌ„menly vse in medicines to bethe lyquoure of a tree And Cadamustus sayeth that he sawe the tree in one of the newe found ylandes Sarcocoll Sarcocoll is the lyquour of a tree growynge in Persia Sarcocides The Grecians call that Sarcocides that hath the resemblaunce of flesshe Sapa Sapa is newe wyne sodden vnto the thyrde parte Saphatum Runnynge sores whiche perce the skynne of chyldrens heedes with sondry lytle holes wherout there coÌ„meth a gluysh matture and filth ben called of the later barbarous wryters Saphata in Greke achores Sebesten Sebestae bene frutes lyke prunes which in Siria they strayne and gather out a slymye liquour wherwith they make lyme And for this cause the later wryters call them myxas For myxa signifyeth grosse and slymye liquoure These frutes are vsed to quenche thyrste and represse cholere Scarification Scarification scorchynge raysynge of the skynne Sclirotike Sclirotike The fyrst skynne of the eye which conteyneth vnder hym all the other skinnes couereth in the hinder parte the glassye and cristalline humour is called in Greke Scleros and barbarouslye sclirotike that is to saye harde Sclirosis Sclerosis hardnesse ScaÌ„monie ScaÌ„monia is an vnknowen herbe the iuce of it is vsed to purge choler and they call it diagredium or diacrydion It is of a stronge sauour vnplesaunt in taste and payneth the herte And therfore some wish that it were vsed nomore Scotomia They shoulde saye Scotoma and it is a disease when darkenesse ryseth before the eyes and wheÌ„ all thynges seme to go round about Scotos in greke signifyeth darknes This disease is called vertigo in latyne ofâ—nâ—nyng about though some go about to make a foolysh difference of scotoma and vertigo Semen macedonicum Semen macedonicum is the
and small in the tayles And as touchynge the greate partes they maye be nombred amonge the membres compoūde But as concernynge the smale partes they maye be called symple membres bycause of the synnowes wherof they take parte The opinion of Galene concercernyng muscles is true which sayeth that after the muscles bene accomplyshed of synnowes lygamentes fleshe and Skynne of the sayde Muscles there growe chordes and ligamentes whyche ben rounde And when they come aboute the ioyntes they compasse the ioyntes aboute in maner of pellicles or thynne skynnes and gyue them mouynge And when the nexte ioynture is well knytte together they goo from that and come to compasse about semblably another ioynture and they cease not to bynde together vntyll they come to the extreme partes of the bodye The sayde muscles bene in nombre fyue hundred thyrty and one after Auicenne A bone Bones bene symple membres harder then other excepte the teethe as Auicenna sayeth and therfore they sustayne the other partes and are of a colde and drye complexion And nature hath brought forth some of them for the defence of the noble membres as the sculle whyche defendeth the brayne and the bones of the breste and of the backe whyche ben for the preseruacion of the herte and of the Nuke Nuke whyche is the mary in the backe bone And the bones of mans bodye bene greater in the endes then in other partes wyth an apparaunt roundnes and some wyth hollownes And the bones whyche bene ioyned to the ioyntures wyth conuenient hollownes are not lyghtelye put out of ioynte for the hollownes of the ioyntures bene fylled wyth the roundnes of the otherbones And as Auicenna sayeth there ben some naturallye enclyned to haue theyr membres soone put oute of ioynte bycause the hollownes of theyr bones is not depe ynoughe The bones of mannes bodye after Auicenne bene in nombre two hundred fortye and eyghte besyde the bones called Sisamina and Os Laude Os Laude whyche is the fundation of the tonge A chorde groweth oute of a muscle Chorde and is compounded of synnowie matter and of pellicles pannicles or thynne skynnes And the accidentes of chordes and of synnowes ben lyke And as Galene sayeth vpon the Aphorismes of Hypocrates a Spasme or the crāpe foloweth the pryckyng of synnowes and chordes or tendons And euen as a chorde is meane betwene a synnowe and a ligamente so a ligamente is meane betwene a synnowe and a bone Here foloweth of ligamentes There bene two maner of ligamentes Of Ligamentes some growe or descende oute of chordes as we haue declared afore of muscles as Galene recyteth Howe be it Guido is not of that opinion whych semeth to vary from the truth sayenge that all the ligamētes growe out of the bones I haue founde no doctour of that opinion There is another maner of ligamentes whych growe out of the bones as Auicenna sayeth in the chapitre De resolutione continuitatis neruorum And moreouer Auicenne sayeth that ligamentes whyche growe out of the bones bene insensyble membres and that a man maye laye to them stronge medicines And this is the cause why Guido said that all the ligamentes growe out of the bones And Auicenna sayeth in the same chapitre that the synnowes whych ben ioyned with the muscles take part of them and Haliabbas is of the same opinion in the secōde boke of the assignation of the ligamētes and chordes Pannicles bene of a synnowie mater Of Pannicles thoughe the hurte of them be not so dangerous as of a synnowe neuertheles by reason of the greate sensibilite or felynge of the same there is much danger there in for sometymes they induce a spasme that is a cōtraction of synnowes Grystell A gristell is of the nature of bones but it is softer And gristelles were made for supplementes or fyllinges of bones and for the garnyshynge of the partes of mans bodye as ye maye se euidently in the nose and in the eares And therfore the solution of the continuite of the same as Hypocrates sayeth receaueth not restauration after the fyrste intencion of restorynge and consoundynge of membres And Hypocrates sayeth that when the bones or the grystelles or the lyppes or the heade of the yeard ben wounded they growe no more neyther canne be consounded after the waye of the fyrst intention Veynes Of veynes A veyne is a membre whyche conteyneth bloode hauynge hys begynnynge at the lyuer Arterie Arterie is a vessell conteynynge spirituall bloode and spirites hauyng theyr begynnynge at the herte Galene sayeth in the .xvi. boke de vtilitate particularum that Arteries dyfferre not from veynes but in the place of theyr begynnynge and that these two bene ioyned together throughe all the body sauynge that the Arterie is sondred in some partes as in the plyghte of the arme and in rheti mirabili Skynne The skynne is the fyrst thinge that appeareth in the outwarde partes And therfore we wyll begynne oure Anatomie at the same Skynne is the couerture of mans bodye cōpounde of fyllettes or fylmes or as it were lytle thredes procedynge from the veynes synnowes and smale arteries ordeyned to retayne the spirites and felynge of the bodye And there ben two maner of skynnes the one couereth the outwarde membres and the other is a pannicle couerynge the membres wythin the bodye as the couerture of the bones called almokatim the pannicle of the braine the couerture of the rybbes and other semblable Fleshe is diuided into thre kyndes that is to wete Fleshe fleshe Glandulous or Kernellie fleshe full of muscles and symple fleshe Fleshe symple is onelye founde in the gommes and in the heade of the yarde Fleshe Glandulous is founde in the brestes of women and in the Emunctories or clensyng places of thys kynde is the fleshe of the stones The thyrd kynde is fleshe musculous whyche is founde throughe out all the bodye in the partes where voluntaire mouyng is neuertheles fat the nayles the heere 's are nombred cōmunely amonge the symple membres whyche thynges are superfluities produced for the profyte of the bodye as we haue sayd before Of symple membres some haue theyr generation of Sperma or sede Symple membres therfore when solution of continuite is caused in them that is when they ben wounded they can not be trulye restored as they were before but they bene repared by some meane as by a pore called Sarcoides or by harde fleshe as for an exemple the bones of the heade the gristels of the nostrelles Some of the symple membres haue theyr generation of bloode as fleshe fatte the solution of the continuite where of maye be trulye consounded and restored And of these membres some ben colde and drye as gristelles bones heere 's ligamentes chordes veynes and pannicles The skynne is of an hote and drye nature contrarie to the nature of al other membres simple Skynne For the skynne is not onely the meane of the partes of
the bodye but also it is a meane of all the substaunce generatiue and corruptiue The membres simple hote and moyst ben spirites fleshe as Auerroys sayeth The mary flegme and fatte are colde and moyste ¶ The seconde Chaptre Compounde membres NOwe that we haue spoken of symple membres it is coÌ„uenient that we traicte of membres compounde The membres compounde ben those which ben coÌ„posed or set together of the foresayd symple membres And they bene called properly Membra heterogenia that is membres made of other that may be diuided into another kynde or membres instrumentall because they ben the instrumentes of the soule as the face the handes the fete the herte the lyuer And of these membres compounde some ben called membres principall some not principall Principall membres The principal membres ben foure the herte the brayne the lyuer and the stones The membres compounde not principall ben all the other excepte the symple Membres not principal as the eyes the nose the eares the head the face the necke the armes the legges and semblable whose complection shal be declared in the chaptre folowynge ¶ The thyrde chaptre of the Anatomie of the heade and of the membres conteyned in the same WE haue traicted sufficientlye of the Anatomie of membres compouÌ„de and that it behoueth to consyder nyne thynges touchynge euery membre of mans bodye but Auicenna sayeth that in the Anatomie of the heade The situatioÌ„ of the heade we muste coÌ„sydre aleuen thinges and fyrst the situation of the same The heade was not set in the hyghest parte of the bodye for the nastrelles nor for the brayne nor for any other sens but cheifly for the eyes as Auicenna sayth and for the vertue of seynge And the reason is thys bycause the eyes haue the garde kepynge of the body so that men maye se theyr enemyes afarre of auoyde that that is noysome to the bodye They were ordeyned of nature in the former part that they might receaue the visible spirite by the synnowe called Optique and that they might carye visible thinges to the coÌ„mune sens for the synnowe Optique beyng diuided into two brauÌ„ches entreth into the composition of the eye as we shall declare here after An other reason is thys bycause the eyes receaue mouynge of the seconde payre of synnowes whych procede from the brayne And for these causes nature hath set the heade in the hyghest parte of the bodye The parte couered wyth heere The brayne panne and conteynynge the brayne and the interiour partes of the same and the Animal spirites is called after the philosophers the vessell or panne It foloweth consequently that we consyder the ioynynges of the partes of the same For froÌ„ the heade the muscles procede and Lacertes whyche go to the necke and to the face ben moued throughe all the partes of the heed The brayne panne of a man is greater then of any other lyuyng thynge bycause the braine is of greater quantite in man then in other beestes The fourme of the heed is rounde as a boole and as Galene sayeth a rounde fygure amonge all other is moost noble and in lest dauÌ„ger of noysome thynges It is also bossie and bouncheth out in the fore and in the hynder partes The composition of the same is partly bonye partly ful of mary and is of a colde complexion also the partes therof and the dyseases whyche chaunce in it as the tothache dysease of the eyes Catarrhes lyke thynges as it shal be declared in a chapter for the same purpose The noÌ„bre of the partes is knoweÌ„ by the partes conteynynge and coÌ„teyned Basilare and by the bone called Basilare vpon whych all the bones of the heade haue theyr seate and fouÌ„dation The partes conteynynge ben fyue the heere the skyn the musculous fleshe the pannicle whyche is called pericranium or gingiua mater bycause it procedeth from dura mater by the commissures of the bones of the heade after thys is the bone named Cranium or the fyrst table of the bones of the heade The partes conteyned ben fyue The fyrst is the bone called the seconde table The seconde is a grosse pannicle called Dura mater The thyrde couereth the substauÌ„ce of the brayne and is called Pia mater or the Teye The fourth is Rhete mirabile The fyfth is the substauÌ„ce of the brayne Vnder thies is the bone called Basilare whych susteyneth the head And it is called Basilare of Basis whych sygnifyeth a fouÌ„dation There ben in the composition of the heade seuen principall bones of whych the fyrst is called Coronale Coronale and begynneth after the opinion of Haliabas in the fore parte aboute the eye browes endeth at the Coronale coÌ„missure And in that bone there is some tymes a strayte coÌ„missure or seame goynge dyrectly to the myddest of the heade chiefly of womeÌ„ And it is called the bone coronale bycause kynges beare theyr crownes vppoÌ„n that bone In the nether partes of thys bone ben two holes whyche are called Colatories or strayners of the nastrelles and betwene the concauite or hollownes of the two eyes there is a lytle bonye addition in the facyon of a cokescombe vpon the whyche nature hathe planted the grystelles of the nastrelles to diuide the nastrelles After this ben the two Laterall or syde bones ioyned to the bone coronal on both sydes Syde bones Os Laude and in the hynder parte they ben ioyned to the bone called Laude or occipitall in the hynder parte And in the toppe of the heade they ben closed together lyke a sawe And they make the commissure called sagittalis For they come dyrectly from the coronall bone to the coÌ„missure called Lauda and thys is the commyssure called Transuersalis Transuersalis in thys fygure of ciffre 7. and the bone called Lauda is of harder substaunce theÌ„ the other in whych there is an hole and through that hole the marye called Nuka descendethe from the brayne to the ende of the backe by Spondiles After this ben the bones called Petrosa or stonye Pâ—trosa whych are false coÌ„missures or seames touchyng the two Laterall or syde bones in the ryghte and the left syde And they ben called false coÌ„missures bycause they ben skalie stonye and harder theÌ„ other And they are bored through for the necessitie of hearynge And these bones begynne at the commissure called Lauda and ende in the myddest of the temples The last bone is called Basilare whyche susteyneth the heade as it is aforesayde And thys bone hathe manye holes and spongiositees whych serue to purge the superfluities of the brayne of these seuen bones procede fyue commyssures where of thre ben trewe and the other false as we haue sayde The fyrste of the thre commyssures is called the commyssure Coronall The seconde Sagittall The thyrde Laudale Nature hath produced the bones of the heede spongious and full of pores or priuye holes in the myddes of two
tables that thoroughe theyr spongiosite they myghte drawe theyr nouryshment And they ben full of pores that the moyst fumes ascendynge from the brayne maye vapoure out wythout the hurte of the brayne The hed was made of sondrie bones to the entente that yf one parte were hurte it shulde not be commucated to the other And that the Anatomie of membres cōtained in the head might be more euidently declared it is profitable after that ye haue taken awaye the flesche of the sculle of the eyebrowes to diuide the brayne panne with a sawe circularely For incontinently assone as it is opened ye maye see the inner table full of pores and glassie as the outwarde and ye may see also the saide true commissures to whiche the pannicle called dura mater is knyt and ioyned Nature hathe produced thies commissures for foure causes The first is that the veynes maye entre by them whiche brynge nourishement to the brayne The seconde that the fillettes or thredes of the sinowes procedynge from the braine maye comme out and gyue felyng to the partes lying aboute The thyrde that the vapoures ascendyng to the braine may haue passage The last that the pannicle dura mater maye be holden vp that it greue not the braine By the middele or sagyttalle commyssure there passe two veynes procedynge frome the liuer and entre in vndre the sculle lyke wyse by the hole of the bone called basilare theyr commethe an Arterie procedynge frome the harte and ascendeth in to the heade vntil he ioyne hymselfe to the sinowes and veynes afore sayde Of whiche the harde pannicle called dura mater is cōpouned and is ioyned to the commissures procedynge wythout them by certaine lytle synnowes and as it were heres so that those synnowes and heere 's or thynne thredes commynge out of the commissures make a pannicle whiche couereth all the sculle and is called Gingiua mater or Pericraniū Pericraniū Therfore it was conuenient that an Arterie shulde ascende vpwarde frō the hart for if hys pulsatiue mouynge and subtile bloode shulde haue gone downewarde it wolde haue descended to hastely Therefore it is moderated by mountynge or goynge vpwarde Neuertheles it was mete that the veyne shulde goe downewarde frome the ouer parte to the nether that the grosse bloode myght easely descende Also the sayde veynes synnowes Pia mater and arteries ioyne them selues together agayne as it is sayde and make a pannicle verye thynne and subtile called pia mater whiche couerethe al the braine And than the sayd veynes and arteries goe downe to the braine and gyue it lyfe nourischement and vitall spirite procedyng from the harte And asmuche more as the braine receaueth of that vitall spirite so muche more perfecte ben the animall spirites The brayne is a substaunce full of marye diuided in to three vētricles of whyche there is one in the fore parte which is greater than the other three The brayn◠The seconde is in the myddest The thyrde hath hys resydence in the hyndre parte And therfore after Galenes iudgemēt it is the foundation of imagination and of deuysynge and of remembraunce Rasis also affyrmethe that the thyrde ventricle is the fountayne of the senses and voluntarie mouynge The Nuke is as it were a streame descendynge from the sayd partie The Nuke and the synnowes that comme frome the same are as it were lytle ryuers commynge out of a greate streame And moreouer the sayd Rasis sayeth that whan the heade sprynge that is the brayne is endammaged al the ryuers namely synnowes descendynge frome the same be also endammaged by the reason of participation But yf anye harme chaunce to the ryuers the foūtayne is not alwaye hurted but the places wherunto the synnowes are directed The substaunce of the braine is whyte and full of marye and softe and of a colde and moyste qualyte In whyche qualytee it differreth frome the maryes of other bones For it was not ordayned to nourishe the sculle but to conteyne the brayne to preserue the same And the pryncypall vtilyte of it is to tempre the heate of the vitall spirites procedynge frome the harte that the animall spyrites myght be made Of vētricles We sayed before that the brayne hathe three ventricles and the former and the hynder after the opinyon of Anatomistes ben diuided in the myddell that is to saye in the ryght syde and in the lyfte and the sydes of them ben wrapped aboute wyth the sayde pannicles goynge here and there vnto the fundation by whiche the ryght parte is diuyded frome the lyfte In the fore parte that is in the fyrste ventricle consysteth fantasie Fantasie whyche retaynethe the semblaunces of thynges receaued by syght and hearynge In the hyndre parte consisteth the vertue imaginatiue Imaginatiue vertue whyche apprehendethe thynges receaued reteyned by fantasie In the middel ventricule resteth the commune sense Commune sense whych apprehendeth the semblaūces of thinges brouze vnto hym by particulare senses and therefore it is directed to that place and there is ended And hereby appeareth the profite of this ventricle which serueth to imagination or fantasie to the cōmune sense and was produced that it shulde gyue sense animal spirite to al the instrumētes of felyng Also the accidētes which may chaūce to this ventricle ben apparant as solution of continuite euyll complectiō the payne of migraime whan there is anye hurte in the ventricle and some tymes it sufferethe Apostemes hote colde Yf the Aposteme be hote and cōsiste in the pānicles it is called Sirsen Syrsen Yf the Aposteme be colde it is called Lethargus Lethargus and inducethe forgetfulnes And yf by chaunce there be an Aposteme in the substaūce of the braine it is called a mortal Aposteme There maye also chaunce to them a disease by reason of the euyll composition with yf it bee vtterly stoppynge ether it is by vapoures Vertigo and than causeth Vertigo or scotome which is a darckenīg of the syght and a swymmyng in the head as though all thynges turned aboute Or yf it be of an euyll humour than it causeth astonishement and the Palsie Palsye And yf al the ventricles of the braine be stopped with the substaunce of the braine Apoplexie they cause a cōtinuall apoplexie Also the braine is diuided in to foure partes the former the hynder the right the lyfte in the former parte bloode raigneth in the hyndre parte flegme in the right cholere in the lifte melancholie And therefore the former parte is hotest ¶ The seconde ventricle AFter that we haue spoken of the fyrst ventricle and of the seate and complection of it and of the vtilities and diseases that maye chaunce to the same it is conuenient that we speake of the seconde vētricle In the ende of the first ventricle there ben two smal partes or substaūces after the maner of the nastrelles of a man whyche ben to the ventricle as it were a bedde
chiefly whyche come of the pockes whyche by other medicines could neuer be healed wherfore if you nede the same cerote you must resort to that cha or to our Antidotary where you shal finde it ¶ The .x. cha of ignis persicus and pruna THese two names ignis persicus Ignis persicus pruna and pruna as AuiceÌ„ne saith may betakeÌ„ absolutelye for euerye pustle the bladereth causeth a burnyng inflaÌ„mation as yf the vlceration shulde come of fier or of a cauterye and wyth thys bladeryng and burning it is escarous These pustelles differ not but touchynge the greater or smaller inflaÌ„mation The difference betwixt ignis persicus pruna And they ben both of venymous and corrosiue mattier But ignis persicus hurte the lesse than pruna And therfore pruna is of harder resolution and exiccatioÌ„ as Auicenne testifieth The reason is bycause the mattier of pruna is more grosse than the mattier of ignis persicus And the mattier of ignis persicus is of coloure enclynynge to purple rednes And it is called pruna of the lykenes of a cole and ignis persicus of the lykenesse of a flame of fyer The coloure of pruna is more duskishe blacker The signes of pruna bene The signes that the roote hath a blacke coloure wyth inflaÌ„mation of the place and wyth a lytle rednes The rote of ignis persicus is alwaye redde and prima hath not so great eleuation as ignis persicus The cause is that pruna hathe parte of melancholie And melancholie of his nature maketh not great eleuation Moreouer pruna hath a certayne rough hardnes as yf it were a rynge worme or tettre And therfore no great eleuatioÌ„ appeareth but the one parte is some what lyfted vp and the other depressed And pruna is more enflamed about then ignis persicus The signes of ignis ê‘sicus ben these it is more eleuate and lyfte vp than the other but it is not of so great adustion or burnyng and it hath a certayne cruste and bladers and meane inflaÌ„mation and itchynge The cure wher of we wyll declare in the nexte chapi as breifly as we can ¶ The .xi. cha of the cure of Ignis persicus and Pruna The cure of Ignis persicus pruna THe curatioÌ„ of Ignis persicus and pruna hath foure intentions Of whiche the fyrste is ordinaunce of lyfe the seconde digestion and purgatioÌ„ of the matteir antecedent The thyrde is good gouernaunce remotion of the mattier conioyncte The fourthe correction of the accidentes The fyrst and seconde intentions ben accomplyshed by the doctrine declared in the cha of the cure of Herisipelas The thyrde intention whyche is to gouerne the matteir and to take it awaye is accomplyshed by the administration of conueniente medicines vpon the place of griefe after vniuersall purgation and Phlebotomye of that place in whyche the pustles ben Phlebotomie For the matteir of these pustles is euer venomous thoughe Arzi and other holde a contrarie opinion After a purgation or Phlebotomy let the place be epithemed wyth thys same epitheme familiar Epithema and pleasaunte after the doctrine of Nicolas Florentyne And it is in thys fourme R. of the iuyce of cole worte leaues of the iuyce of plantayne anÌ„ â„¥ iii. of salte â„¥ ss voyle these thynges a lytle together and stepe a cloute in the decoction and make an epytheme and laye it vpon the paynfull place Item to thys entention it is good to take two pomegranades one aygre another swete and seeth them in vynegre and barley water tyll they benefully sodde wyth two handfulles of lentyles and asmuche of plantayne than ye shal presse them and stampe them and serce them fynely and adde vnto them these thynges folowing of the meate of rosted quinces yf they may be gotten or in the stede of theÌ„ of peres or wardens â„¥ iii. of the oyle of roses of vurype olyues of oyle mirtine anÌ„ â„¥ ii of white waxe â„¥ i. ss melt the oyles and the waxe and let theÌ„ boyle halfe an houre with the foresayd meate of quinces or wardens and playster the place therwyth Thys medicine is merueylous good in the beginning and in the tyme of augmentation A good playster for this intention R. of cleane barley of lentiles A plaister of beanes ana mÌ„ .i. of weybreide mÌ„ .ii. of floures of pomegranades of roses anÌ„ mÌ„ .i. of sumach of the graynes of mirtilles anÌ„ mÌ„ ss of gaules .. â„¥ i. bray the thinges that are to be brayed grossely and seeth them with sufficient water tyl the barley and leÌ„tiles breake thaÌ„ presse them stronglye staÌ„pe them and strayne theÌ„ and lette them seeth againe a lytle tyl the moysture of the straynynge be consumed wherunto ye shal adde of oyle mirtine of oile of roses anÌ„ â„¥ ii of the floure of barley and lentiles anÌ„ â„¥ i. ss and lette them seeth agayne tyl they ben thycke sturring them euer about Thys playster is good in this case chiefly in the augmentation IteÌ„ another playster of plantayne or weybreid wrytten of Galene AuiceÌ„nna A plaister of weybrâ—â—â— is of good effecte and is thus ordeined R. of weybreid of leÌ„tiles of broune breade of eche equall partes of gaules in nombre .x. which are added of Auicenne seeth them al in water and bray theÌ„ wyth sufficient quantite of oyle of roses make a plaister at the fyer Another of the description of AuiceÌ„ne sayeng that it is good in the begynnyng in the augmeÌ„tation and in the state Take two aygre pomegranades boyle them in vinegre than stampe them make theÌ„ in the fourme of a plaister and laye it vpoÌ„ the place ☞ Note that we haue often proued the playster of pomegranades that of Auicenne last writteÌ„ of aygre pomegranades and we haue founde more profitte in that of our description of two pomegranades other ingredientes then in Auicennes whiche is only of aygre pomegranades vinegre And after our iugemeÌ„t the cause is that the venomous matteir is more strongly holdeÌ„ wythin the meÌ„bre by that of Auicenna then by ours wherfore we must coÌ„sidre well the cause of the application of euerye stronge medicine which doth mightely represse driue backe Another linimeÌ„t R. of the iuyce of plaÌ„tayne of nightshade of houseleke anÌ„ â„¥ i. of the leaues of mallowes violettes sodden strayned â„¥ iiii of the meate of apples rosted and strayned â„¥ ii ss of vngueÌ„tum populeon of vngueÌ„tuÌ„ rosaruÌ„ of oyle of roses anÌ„ â„¥ ii ss put them al in a mortar of lead labour them wyth the pestell the space of an houre wyth the foresayd strayninges putte therunto of litarge of golde syluer anÌ„ â„¥ ii Note that it shall be better to putte the litarge with the oyntmeÌ„tes only afterward to mengle them now puttyng in a lytle oyle and now a lytle of the iuyce of the foresayde herbes and so fourth tyll all be wel mengled laste of
maye chauÌ„ce thorough sondrye causes Some tymes through a cause primitiue and some tymes thorough a cause antecedent It commeth of the cause primitiue thoroughe brusynge or breakyng In brusyng it chauÌ„seth bycause the chirurgieÌ„ procedeth with thynges to colde whyche engrosse the matter and so cause putrefaction Sometymes the pores or passages ben stopped by whych nature sendeth the nourishement and lyfe to the membre And by reason of that stoppynge the vytale spirites can not come to the meÌ„bres So the membres beynge destitute of the vytale spirites do corrupte and rotte It chaunseth moreouer some tymes to them that go in the snowe Some tymes thoroughe to strayte tyenge of the membre For by reason there of the spirites can not come to the membre As we haue sene often thoroughe the strayte tyenge of a broken bone of the thyghe the legges or the armes We haue sene also Esthiomenos to haue chaunsed throughe vndiscrete application of sharpe medicines in whych arsenike realgar lyke entre And lykewyse thorough applicatioÌ„ of thynges stupefactiue and coolynge Of the cause antecedent Esthiomenos chaunseth often as of some venimous pustle not wel cured at the fyrst of the chirurgieÌ„ as we haue ofteÌ„ sene to haue chauÌ„sed in Anthrax carbo We haue sene moreouer thys prohibition of spirites to haue chaunsed through the corruption of some particuler meÌ„bre procedynge of greate Apostemes flegmonike froncles Foruneâ—â— In whiche oftentymes grosse and harde matter is engendred lyke a synnowe halfe rotteÌ„ In whyche apostemes the wayes and pores bene shutte oftentymes and by reason there of nouryshement and lyfe can not come to the membre and so the membre rotteth and dyeth We haue sene thys putrefaction in the handes and fete of them whyche haue ben longe in sharpe fieuers so that theyr bodies beyng destitute of natural heat became leane drye the extremitees of theyr bodyes cheflye theyr legges were reduced to suche colde and congelation or stupefaction cheflye in the wynter that it semed that the membres were altogether depriued of naturall heate Neuertheles though the membres semed colde the patient complayned of great payne and heate and inflammation as yf actuall fyer hadde bene there Also we haue sene it chaunse wythout payne goynge before wythout inflammation wythout inflatioÌ„ wythout liuidite or bleunes wythout blacke coloure of the place as it chauÌ„sed in Cancrena ☞ in a noble woman of the cytie of Genue called Saluagina de Grimaldis whyche fell in to thys corruption after a loÌ„ge dysease Thus it is euidente to euerye bodye what esthiomenos is Of the cause antecedent Estiomenos chaunseth not often but by the corruption and putrefactioÌ„ aboue named And it maye come by one of these thre causes as Auicenne sayeth that is to saye thoroughe the cause that corrupteth the complection of the membre and the spirite animall whyche is in the same membre or by some other cause defendynge the vitall spirite to come to the membre or by some thinge that gathereth together the two intentions as we haue declared in thys present chapitre and as it chauÌ„seth often by applyenge some locall medicine that is not conuenient and lykewyse by some venimous pustle corrumping the naturall complextion of the membre and dystroyenge the animall spirite whyche is in the membre so that the vytall spirites sente of nature to conserue the naturall heate of the meÌ„bre can not come to the membre bycause the place is mortifyed and eschared And thus necessarelye foloweth prohibition of the vytall spirites that they can not come to the places and also there foloweth mortifycation and corruption of the complection of the membres and of the vytall spirite remaygnynge therin Yf Esthiomenos maye come by one of the three causes aforesayde it maye much more come by two knytte together c. ¶ The seuententh chapitre of the cure of Cancrena Ascachilos and Esthiomenos AFter that we haue sufficientlye declared what Cancrena Ascachilos The â—ure of Cancrena and Esthiomenos is and the dyffereÌ„ce of the same in thys presente chapitre we wyll make mention of the cure of them The curation of these three dyseases dyfferre not but in the greater or smaller corruption for the one is a waye to the other We wyl declare after oure power the cure of these three dyseases whych is accomplyshed by three intentions The fyrste is the ordynaunce of lyfe The seconde to purge the mater antecedent The thyrde is to take awaye the matter conioyncte and corrupte and to kepe the hole partes from corruption The fyrste intention that is to saye the dyaete is accomplyshed accordynge to that that is spoken in the chapitre of Herisipelas Thys one thynge I saye that in thys case the brothe of a chekyn wyth herbes as beetes laictuce borage buglosse cicoree is verye good The seconde intention shal be accomplyshed wyth cut tynge a veyne called commune or the lyuer vayne or some part ouer against the hurted place so that the strength and the age of the patient be consydered Digestiue Afterwarde the mater shal be digested wyth this syrupe taken warme in the mornynge â„ž of syrupe of vyneaygre called acetosus symplex of syrupe of the iuyce of endiuiae and of fumiterre ana â„¥ ss of water of fumiterre buglosse and hoppes ana â„¥ i. when the patient hath vsed this syrupe the space of foure dayes Purgation let hym take thys purgation minoratiue â„ž of cassia of diacatholichon ana â„¥ i. make a smale potion wyth a decoction of cordiall floures and frutes and put there vnto syrupe of violettes â„¥ i. and. ss Thys I I saye yf the dysease make truce wyth the patieÌ„t giue time to euacuat the mater After that he hath takeÌ„ the sayd minoratiue two dayes after it shall be good to euacuate the naughtye matter wyth thys potion â„ž of cassia fistula of diacatholicon ana Ê’ vi of an electuarye of roses after Mesue Ê’ ij make a small potion wyth the coÌ„mune decoction adde of tamarindes â„¥ i. ss of syrupe of violettes â„¥ i. The thyrde inteÌ„tion whych is to take awaye the matter antecedente and to kepe the place from rottynge is accomplyshed in this maner At the begynnynge when the place waxeth blacke then there is no better remedy then to scarifie the blacke place Leeches wyth sondrye scarifications and depe layenge leeches or bloodsuckers aboute the place corrupted And then to washe the place wyth lye wherin Lupines haue ben soddeÌ„ in good quaÌ„rite For as Galene Auicenne saye the vertue of them taketh away rooteth vp all cancrous vlceres And we haue often proued thys decoction in thys case and haue founde it good for the patientes wyth the application of vngueÌ„tuÌ„ Egyptiacum of our description washynge the vlceres wyth the sayd decoctioÌ„ The descriptioÌ„ of vnguentuÌ„ EgyptiacuÌ„ is after this sort â„ž of verde griece of roche alume of honye ana â„¥ .ij. of whyte vinaygre Vnguentum Egyptiacum of the
not suffre stronge medicines and quyckely receaue putrefaction Wherfore whan the body is weake of a disease not furious and in a membre of delicate complection and of easye putrefaction than the aygre medicines ought to be of smale mordication or bytyng And lykewyse in contrarye dyspositions they muste be strōg And as Cornelius celsus sayth we muste cure an immoderate qualite of a disease wyth a vehemente remedye a meane wyth a meane Hypocrates sayeth that to extreme diseases extreme remedyes ben necessarye c. Thus endeth thys present Chapitre for which the name of god be praysed ¶ The .xviij. Chapitre of Carbunculus and Anthrax CArbūculus is a lytle venimous pustle burnynge the place where it is Carbunculus And it makethe at the begynnynge a blader and than an eschare as yf it hadde been made of fier or seethynge water and it is wyth intolerable payne burnyng and inflammation al aboute whyche pustle is some tymes redde or yelowe some tymes grene or blewe and sometyme blacke And euerye one of thies after the opinyon of Rasis is mortall bycause of theyr venime neuertheles that that is redde or yelowe is not so daungerous as that that is grene or blacke Auicenne sayth that they whych haue a blacke carbuncle escape not deathe howbeit we haue seen manye to haue escaped And thies pustles carbunculus and Anthrax differre not as olde and new wryters testifye but in gretnes and smalnes For as Guillermus placentinus sayth Anthrax Anthrax is nothyng els but a Carbuncle tourned in to malygnite whyche hathe not been well healed And the colour of it is fyrst chaunged from redde in to grene afterwarde becommeth blacke and by that change we see often that the place commethe to a corrosion and great mortification of the membre in whyche Anthrax is Thies pustles ben multyplied in the tyme of pestilence and in pestiferous regions as Auicenna saythe And those ben more suspected in the tyme of pestilence than in other tymes by reason of the infectyon of the ayre They chaunse often in the emunctories or clensynge places by the waye of termination ad Crisim For the noble membres sende the infectiō to places lesse noble And Auicenna saythe that euery Crisis is grod Crisis but in a fieuer pestilentiall Carbūculus Thys pustle is called a Carbuncle bycause the place where it is becommeth redde and burneth wyth great payne as yf a coale were layed vpon the membre Anthrax Anthrax is a greke word and sygnifieth also a coale for it gnaweth and eateth the flesche as a burnynge coale And ye muste note that Anthrax is a malygne pustle hauyng about it certayne lytle yelowe veynes of the coloure of the rayne bowe For the sayde veynes ben sometyme redde somtyme grene and blacke And at the begynnynge the pustle is no greater than a lentile hauynge the poynte fyxed inwarde It causeth intolerable payne wyth cruell accidentes wyth great ponderosite or heuynes as yf leade on the place dydde oppresse it and the patyent hathe great luste to slepe We wyll wryte a specyall Chapitre of Carbunculus and Anthrax and of the Aposteme whyche chaunseth to them that haue the Pestylence called Bubo Nowe it is euydente what dyfference there is betwene Carbunculus and Anthrax namely in greatnes and smalnes Signes of dethe in Carbunculus After thys knowelege We muste comme to the sygnes whych ben fyue Fyrste ye shall note that yf the Carbuncle appeare and than departe and hyde hymselfe wythout greate alyenation or chaunge of the patient it is a sygne of deathe Secondly yf the place in whyche the Carbuncle was drye vp wythout raysonable causes it sygnyfyeth that the patyent is nygh deathe after the sentence of Hypocrates Thyrdlye yf it be right ouer agaynste the harte or the stomake for the moste parte it is mortall The fourthe pronostyke is whā the Carbuncle commethe to the clensynge plases it is mortall bycause hys venimousnes commeth easelye to the pryncypall membres The fyfthe is that amonge the emunctories those of the harte are moste suspected of deathe The reason is euydent to thē that consydre the poysonned nature of the mattyer For it is alwaye the nature of Venimous mattyer to assaute fyrste the harte as the captayne of mannes bodye Thus thys present Chapitre is ended for whych the name of god be praysed ¶ The .xix. Chapitre of the cure of Carbunculus and Anthrax IN the cure of Carbunculus The cure of Carbūculus Anthrax and Anthrax fyue intentions ben required The fyrste is to ordre the lyfe The secōde to purge the mattyer antecedent The thirde to take awaye the mattier conioyncte The fourthe to purifye the ayre of the house and to rectifie it frome daye to daye and to counforte the harte aswell wythin as wythout The fyfthe to correcte the accidentes Diete The fyrste is accomplysshed by the syx thynges not naturall declinynge to coldnes and dryenes as the ayer and meates ce Wherefore the patient muste eate the meates declared in the chapitre of herisipelas as laictuce a ptisane of barley wyne of Granades and al aygre thynges as Limmōs Veriuyce and lyke thynges mēgled wyth hys meates Semblably ye muste gyue hym in the fyrste dayes a brothe of a chickin and flesche altered wyth veriuyce wyth commune seedes brayed Almandes and the cromes of breade well leuenned Ye maye gyue hym also delayed wyne of small strength and that is of the nature of wyne of Pomegranades Neuertheles thys I admitte only yf the bodye be weake and the disease furious and the accidentes euyll For Auicenne saythe in the chapitre of a fieuer pestilentiall They that eate stronglye perchaunse scape the daungier of so great a disease Finally they that haue a Carbuncle or Anthrax lette them be gouerned as they that haue a Pestilentyall fyeuer The seconde intention is to purge the mattier antecedent And it is accomplished by purgyng the humours by conuenient medicines Flebotomye of the same parte and by flebotomie Assone as ye shall perceaue thys dysease to be euydente incontinently cutte a veyne in the sydewhere the Carbuncle is and not in the opposyte or contrarye And before ye cutte a veyne ye muste alwaye vse a Clister lenityue howbeit some saye that ye muste cutte a veyne in the part opposyte or ouer agaynst regardyng more the daungyer of drawynge the venimous mattyer to the sore place than the peryll of the venimous mattier passynge ouer the pryncipall mēbres They that ben of thys opinion doe euyll as a lerned Chirurgien Antonius Gainereus testifyeth sayinge that in the curation of a Carbuncle or of a pestiferous kernell or botche called Bubo a flebotomye must not be made but in the same parte where the Aposteme is And it muste be done without anye tariynge For whan nature perceauethe that a pryncypall membre is hurte she enforceth to sende the infected bloude to the emunctores as hyr enemye wherefore yf ye lette bloode
copyously at the begynnynge accordynge to the age and strength of the patient The profyte of flebotomy there comme thereby two great profytes to nature The fyrste is that the corrupted bloode is drawē from a principal membre to the emūctories which thynge nature enforced hyr selfe to doe The seconde is that nature hathe discharged hyr selfe of thys venimous mattyer so that afterwarde suche corruption canne not extende it selfe vpon the membre wherefore ye ought to be ware that ye lette bloode none otherwyse than we haue sayde For yf the Carbuncle be founde in the emunctories of the brayne as in the ryght syde yf nowe ye open the veyne cardiake or basilike in the lyfte syde ye shal drawe the infected bloode to the harte or lyuer And yf the Carbuncle be vndre the ryght arme hole and ye open the lyfte Cardiake or lyfte Basilyke ye shall drawe the venimous mattyere to the pryncypall membres If the Aposteme be in the flankes and ye open the veyne called Basylyke it draweth the mattyer to the lyuer Therefore whan the Aposteme is in the Flankes it is better to open the veyne Sciatyke or Saphena For in drawynge the sayde bloude ye shall ayde nature greatlye Wherefore it appeareth that in thys case to committe any error is the cause of deathe Furthere it is to be noted that yf ye canne not lette bloode thorough the weakenes of the patient or for some other cause Than in the steede of Flebotomye it is good to boxe or cuppe the place wyth depe scarificatyon Boxinge or applicatiō of Ventoses as for the emunctoryes of the heade ye muste boxe and make scarificatyon vpon the necke For the emunctoryes of the harte ye muste laye the same ventoses vpon the shulders For the emunctoryes of the Lyuer boxe the buttockes or the thyghes Thus we conclude that we muste euer lette bloode in the sore place for the alleged causes After lettynge of bloode dygeste the mattyer after thys sorte Digestyue yf the disease gyue leysure to take a medicine ℞ of Syrupe of vinaigre of the iuyce of endiuie and of Syrupe of vinaygre called Acetosus symplex or fumiterre Ana ℥ ss of the waters of Endiuie buglosse and hoppes Ana ℥ j. Purgation mengle them After that the patient hath vsed thys Syrupe foure or fyue dayes lette hym take thys potyon yerlye in the mornynge ℞ of Cassia of diacatholicon Ana ʒ v. of electuarye of Roses after Mesue ʒ ij and. ss wyth the decoctyon of cordiall stoures and frutes addynge of Syrupe of Violettes ℥ j. and. ss The nexte daye after the takynge of thys medicine it is verye good to take a clyster Lenityue Whan the mattyer is malygne and furious so that it is not a Carbuncle but Anthrax the mattyer muste be purged wythout digestion bycause Anthrax gyueth no leysure to the patient to digeste the mattyer Wherefore Hypocrates sayde wel that we shuld purge thynges digested and not moue rawe thynges excepte it were verye expedyent Ye shall note that there ben foure cases Howe a purgatyon maye be geuē without a digestiue in whyche ye maye gyue a purgatyon wythout digestyon goynge before The fyrst is whan the mattyer is in great quantyte The seconde whan the mattyere is furyous The thyrde whan the mattyer is venimous as in Anthrax other diseases procedynge of venimous mattier The fourthe is whan the disease is caused of mattyer deryued of a pryncypall membre hurtynge the same As it chaunseth in the pestilence whan a noble membre is touched of infectyon it sendethe the same infectyon to the emunctoryes and ingendreth in them a Carbuncle or Aposteme by the waye of mutation or chaungynge Whan the mattyer is minished ye maye comme to the dygestion of euyll humours and afterwarde to purgatyon Here foloweth a purgatyon verye good for hym that hath Anthrax ℞ of Cassie of diaprunis non solutiui Purgatyon of Diacatholicon Ana ℥ ss of the confectyon of hamech of electuarye de Psillio Ana ʒ j. and. ss wyth a decoctyon of cordyal floures and frutes wherin hathe been sodden of Terebentyne and dittanye Ana ʒ j. of scabiouse of sorell and of the iuyce of Pomegranades make a smalle potion addynge of Syrupe of Vyolettes ℥ j. and. ss The thyrde intentyon whyche is to take awaye the mattyer conioynte is accomplysshed through applicatyon of conuenyent thynges aswell in the hole partes as in the sore And whan the Chyrurgyen hathe perceaued the Carbuncle or Anthrax by euydent sygnes Cornelius Celsus sayethe that there is no greater remedye nor surer waye than incontinentlye to burne the Carbuncle wyth an hote Yron comprehendynge the corrupted parte Cauterie vnto the hole or els to vse a potentyall cauterie so that ye maye see a cyrcle rounde aboute the Carbuncle For a cyrcle aboute the Carbuncle is a sygne of the termynatyon of the venimnes after the opinion of Arzi But we ought euer to be ware that the nygh and sanguine partes be not touched of thys cauterye For it wolde grieue the place wythout profytte and as Galene sayeth that shall not helpe that hathe hurte in it selfe Payne The greate payne caused by aygre medicines vpon the hole place is an euydent cause of drawynge mattyere to the sayde hole parte wythout anye succoure yea it is a cause that malignyte is ioyned to malygnyte For payne is as a cuppynge glasse drawyng humours to the paynfull place And to comme to practyce it is conuenyente to ordeyne the maners and formes whyche be requyred in the curatyon of a Carbuncle or Anthrax Fyrste laye vpon the hole parte thys defensyue Defensyue ℞ of Oyle of Roses of Oyle Mirtine Ana ℥ ij of the iuyce of plantayne and nyghschade of whyte vynegre Ana ℥ j. and. ss lette them boyle all together vnto the consumptyon of the iuyce than putte to of whyte waxe ℥ j. of all the faunders Ana ℥ j. of bole Armenye of terra Sigillata Ana ℥ ss of whyte Coralle and redde Ana ʒ j. mengle them Whan ye haue layed thys defensyue vpon the hole parte laye vpon the sore parte a playstere of floures wyth sodden wyne and a lytle lye whyche is described in the Chapitre of the cure of Cancrena and Ascachilos Also vse the corrosyue medicynes whyche shal be rehersed in thys Chapytre vntyll ye perceaue that the venimnesse of the Carbuncle is mortifyed We haue foūd thyes corrosyue medicines to be of gret vtilitie Corrosyue medicines Whan the bodye is stronge ye maye vse an actuall cauterye so that the Carbuncle be not in a Synnowie place Ye maye also vse a potentyall cauterye begynnynge at the easyest as is Vnguentum Egyptiacum of our descriptyon wryten in the Chapytre of the cure of Formica Corrosyua or with Vnguentum Egyptiacum whyche hathe in it the vertue of Arsenyke and is declared in the same Chapytre or wyth Trocisques of Minium descrybed in oure antidotarye in the Chapytre of corrosyue medicines or wyth a ruptorie of
a Playstre in the maner of a Cerote Yf the Vndimia be wyth payne of a cause antecedent than it muste nedes be eyther Flegmonides or herisipelades Yf it be Herisipelades it is necessarye to appayse the griefe and to take awaye the Herisipelas For excepte ye take awaye the payne and the Herisipelas the Vndimia can not be taken awaye The reason is bycause the remedyes requyred to thys Cure of true Vndimia bene hoote and drye and contraryewyse ☜ the remedyes requyred to the Cure of Herisipelas bene not hoote and drye neyther fytte to swage payne caused of Flegmon or Herisipelas Therfore Galene sayethe that whan two diseases bene ioyned togyther the intention of the medicine muste be to the pryncipall withoute the whiche the lesse can not be cured respect had also to the other The fourth intention whych is to correcte the accidentes is accomplisshed as it here foloweth The accidentes that chaunce in this disease bene itchynges chefelye whan the Aposteme commeth of solution of continuitie or by breakyng of a bone or dislocation and whan thys Aposteme is healed by resolution or whan the payne was in the Aposteme throughe commixtion of an hote humour with fleame Yf thys Aposteme come to ryping it must be ryped wyth a Playstre of Holyhocke wrytten in the Chaptre of the Cure of Flegmon wherevnto ye maye adde a lyttle fenugreke and lyneseede A cerote To take awaye the payne of Herisipelas or of Flegmon chauncinge wyth Vndimia ye maye vse this cerote â„ž of the leaues of Mallowes and vyolettes Ana. mÌ„ i. of the rootes of Langedebeefe â„¥ ii of the rootes of Holyhocke halfe a pounde of the seede of quynces Ê’ iii. of cleane barlye mÌ„ ii Let them seeth all togyther wyth suffycyent water tyll the barlye breake than presse them and cut them after the breadthe and afterwarde stampe them and strayne them and to that that is strayned adde of oyle of roses of oyle mirtine of oyle of vyolettes and Camomylle Ana â„¥ ii of hennes grece of vnguentum Rosarum after Mesue of vnguentum Galeni Ê’ i. of calues kyddes and gootes tallowe ana â„¥ i. and ss and let them al boyle agayne togyther a lyttle whyle and than wyth suffycyent whyte waxe make a softe cerot addyng in the ende of the decoction of beane floure well boulted and of barlye floure ana â„¥ i. This cerote is right good to swage payne and hath strengthe to take awaye Herisipelas and to comforte the place And it is somewhat resolutyue of the mattier that causeth Vndimia All whyche vertues bene requyred to the curation of the same After that the grefe is ceased and the inflammation of Herisipelas or Flegmon taken awaye For the remotion of Vndimia ye must procede wyth gentle resolutyues and confortatyues hauyng vertu to comfort to drye and to consume the vnctuositie that is in vndimia howbeit ye must do this wyselye you must beware that Herisipelas retourne not and cause newe inflammation and payne In this case the descryption folowynge is conuenyent â„ž of vngueÌ„tum rosarum Mesue of vnguentum Galeni Ana â„¥ iiii of oyle of roses coÌ„plete and of oyle mirtine Ana .li. ss of oyle of camomyll and dyll Ana â„¥ ii of lambes or kyddes and calues tallowe Ana. l. ss .. of the iuyce of morell of the leaues of mirtilles and graynes of the same stamped al togyther Ana â„¥ iii. of a decoction of holyhocke li. i. Let them boyle al togyther vnto the consumption of the decoction and Iuyces than putte to these vnder wrytten Take of litarge of golde and syluer well brayed Ana â„¥ iiii of bolearmenye â„¥ i. and. ss of Cerusse Ê’ x. of Tutie preparate Ê’ syxe of quenched lyme and ten tymes wasshed â„¥ ss A sygne of the perfecte decoction of of this cerote is whan it begynneth to be blacke we haue proued this cerote with the other aboue wrytten A proued cerote in a cardinall in the cardynall of Alexandria whyche longe tyme trauayled wyth Vndimia meÌ„gled wyth a wyndie Aposteme and with a choleryke humour And it didde holde him from the flanckes vnto the legges and fete And for thys cure we receaued c. lxxx ducates of golde It resolueth flegmonike mattier whiche causeth vndimia with exiccatioÌ„ and confortatioÌ„ of the place so that the hote mattier which is sharpe as we haue sayde and cause the payne and itche sometyme heresypelas inflammatyon canne not ioyne hym selfe wyth the mattyer conioyncte Moreouer it resolueth ventosities or wyndines of flegmatyke Apostemes Whan this Aposteme is comme to maturitie or rypenes incisyoÌ„ must be made accordyng to the doctrine declared in the former cha After incisyoÌ„ ye muste digeste mundifie and incarne the place with the remedies declared in the foresayde chapitre An oyntment for an â—â—che If itche chauÌ„ce in the place ye must anoynte it wyth thys vnctyon â„ž of oyle of roses of oyle myrtine of vnguentuÌ„ PopuleoÌ„ Ana â„¥ ij of vnguentuÌ„ rosarum or in stede thereof of VnguentuÌ„ Galeni infrigidatinuÌ„ â„¥ ij ss of the iuyce of plantayne and nyghshade Ana â„¥ ij lette them leeth all together vnto the consumptyon of the iuyce thaÌ„ stirre theÌ„ aboute with a pestil in a mortare two houres so that they bee all strayned before addynge of litarge of gold and syluer Ana â„¥ ij ss of bole Armenie â„¥ ss of cerusse Ê’ iij. of camfore ℈ j. we haue proued this vnction to be excellent in taking away itchynges of what soeuer sorte they be If the Aposteme comme to hardnes for mollifycatyon and resolutyon ye must resorte to the cha of Sephiros ¶ The fourthe Chapytre of Knobbes NOdi or knobbes after Auicenne ben harde eminences Knobbes hauynge wythin a pannycle as it were a purse called Cistis in whiche the mattyer is conteyned And thys mattyer is sometymes lyke a chestnutte halfe chawed and sometymes there issuethe oute of them a mattyer lyke honye Mellinus and than it is called Mellinus Whan the mattier is lyke a chestnutte as we haue sayde some calle it Lugia Lugia Somtymes there is founde in the sayde knobbes a mattyer lyke the muscilage of Holyhocke and sometimes with corrupted quytture oftentymes there ben founde knobbes whiche onely are ful of carnosyte or flesshines and than they ben called carnall or flesshie knobbes Furthermore there is a kynde whyche commethe vpon the synnowes Fleshie knobbes and is called nodatyon Thys appearethe the dyfference that is betwene nodes or knobbes Nodes nodatioÌ„ diffeâ—â—e and nodatyon For nodes be in the flesshe and nodatyoÌ„ in the synnowes Nodes growe in synnowye places and aboute the ioyntes and moue froÌ„ place to place but nodatyon remayneth fyxed knobbes ben engendred of a cause primityue antecedent and conioyncte The primityue is a fall a stroke or euyll regyment The cause antecedent is a grosse humour flegmatyke sent of nature to the weake place And by reason of the weakenes of the place the subtyle parte
done in the decoction of holyhocke wyth the floure of wheate fenugreke lynsede make a playster at the fyer adding in the ende the yolkes of .ij. egges These thynges wel incorporated helpe meruaylously to the maturation of scrophules Ye muste vse thys playster a great whyle before ye open the scrophules that all the matter may be turned into quitture and be purged by the openynge When they ben rype ye muste open them with a caustique medicine made of capitell after the doctrine wrytten in the chapitre of nodes Or ye maye open them with a croked laūcette called gāmauth or wyth fyer so that it be done wtout hurte of the synnowes or veynes After the openyng for the mūdifycation the dygestion incarnation cicatrisation of the place it is conuenient to do accordynge to that that is declared in the chapitre of the cure of nodes The fourth intention whych is to take away the matter cōioynct by hādy operatiō is accōplished as it foloweth Yf ye perceyue that scrophules or glādules can not be healed by the waye of resolution nor by thinges maturatiue come to maturation ye muste vse handy operatiō to attayne to the true cure But ye muste beware that ye cutte not the greate vaynes Cutte the scrophules wysely accordinge to the lēgthe Incision begynnynge at one ende and goyng to the other and cutte the skynne aboue tyll ye come to the carnosite of the sayd scrophules and glandules Thē draw them out with your nailes or with some conuenient instrument rootes and all To whych busynes there nedeth an expert chirurgien Furthermore ye must know that when the scrophules ben in places nygh to greate veynes that they ben fixed in them as in the necke vndre the iawes it is beste not to meddle wyth them For it is a diuine thynge not of man to heale them as the French kynge in touchyng only dyd heale thē Thys is in the Frenche onely For after that he hadde touched them they dryed came to good cicatrisatiō After that ye haue plucked them vp by the rootes ioyne the partes together in a lowe place euer leauynge a lytle conduycte or hole beneth then heale them vp after the cure of freshe woūdes Thus we haue healed many to our worshyppe and profyte of the patiētes The curation is after thys forme we dyd laye to a dygestiue foure dayes then we mundifyed it after mundification we vsed an abstersiue of honye of roses fynally we fylled it vp wyth vnguentum de minio Yf it chaunced that there remayned in the place any part of the scrophules then we vsed for the extirpation of the same our pouldre precipitate or vnguētum Egyptiacum of our dyscription or we dyd put in the place a grayne of arsnike or of sublimate betwene the superfluous fleshe The maner to applye thys remedye is thys cutte the scrophule well nyghe to the mydle or els vnto the roote wyth a sharpe instrumēt as wyth a laūcette or a prouuet and in the hole put the quātite of a wheate graine of arsnike or of sublimate or of a trocisque of minium and renue the sayd remedyes as nede shall requyre These ben the remedyes that we wolde wryte for the cure of scrophules and glandules ¶ The .viij. of an Aposteme sclirotike or harde called Sephiros Aposteme sclirotyke IN the former chapitre we haue declared the cure of scrophules glandules lyke eminences now we speke of an aposteme called Sephiros Sephiros as Auicēne sayeth is an harde aposteme wythout payne chefly when he is pure He is pure as the sayd doctour testifyeth when there is nether payne nor felynge adioyned to hym But when it is wyth felynge Sephiros vnpure or payne it is called Sephiros vnpure So then there ben two kindes namely pure not pure A Sephiros not pure is of two kyndes cankreous and not cankreous Not cācrous Sephiros not cākreous is double that is to say that it is some tymes mēgled wyth some other kynde of an aposteme as Herisipelas or flegmon and then necessarely it causeth payne And it is more easely cured by the waye of resolution then the other And it hath felynge and causeth grefe when it is touched and when it is not touched and it is not cankreous whyche is agaynst the opinion of Dinus sayenge that an aposteme that hath payne and felynge by hym selfe or by accident is cankreous There is yet another kinde of an aposteme not pure and not cankreous hauynge felynge when it is touched And thys kynde of Sephiros receaueth curation by the waye of resolution and neuertheles it is wyth dyfficultie Moreouer ther is another not pure and cankreous of whych these ben the sygnes pryckynge beatynge and enflamynge payne Sygnes and it hath roūde about it certayne lytle veynes full of melancholyke bloode To verifye that that we haue sayde Auicenne sayeth some tymes Sephiros is cankered c. The approchynge of Sephiros wyth a canker is knowen by the inflāmation and pulsation and by the appearaūce of veines that ben about Rasis testifyeth thys thynge sayenge as ofte as ye fynde the accidentes of an hote aposteme as payne inflammation and pulsation then ye maye iudge that the aposteme is of the kynde of cākers Thus it appeareth that Sephiros called cankreous muste haue the forsayde accidentes as inflammation c. Auicenne sayeth that Cancer Sephiros ben so lyke together that they dyfferre not but onely in the accidētes and they are caused of one matter There ben fyue thynges Cancer and Sephiros dyfferre in whych Cancer dyffereth from Sephiros namelye pulsation inflammation pryckynge sharpe payne and appearaunce of veynes And therfore when Sephiros is not wel cured it commeth easely to a canker For as Aristotle sayeth thynges that ben of suche affinite passe easelye the one to thother Thys aposteme is engendred of grosse fleame it is of a whytyshe coloure Sometymes it is engendred of naturall melancholye and then the coloure is palyshe or blewysh Sometymes of two colde humours that is of fleame and melācholy and then the coloure is betwene whyte and blewe We haue sufficientlye shewed howe apostemes ben compounde There are thre causes that induce sephiros primitiue antecedent conioyncte The primitiue is a dyete that engendreth fleame and melancholye The cause antecedent is a multitude of euyl humours gathered in the body The conioynt is the sayde humour melancholyke or flegmatyke gathered in the place of the aposteme Thus we ende thys chapitre concernynge the cōtemplation of Sephiros for whyche the name of god be praysed ¶ The .ix. chapitre of the cure of Sephiros The cure of Sephiros IN the former chapitre we haue declared what an aposteme sclyrotyke is and what bene the kindes of the same In thys presēt chapitre we wyll speake of the cure of Sephiros whych hath foure intentions The fyrst is to ordre dyete The secōde is to dygeste the matter antecedente
chapitre for whych the name of god be praysed ¶ The seconde chapitre whyche treateth of the apostemes of the eyes aswell hote as colde and of theyr curation IN the former chapitre we haue sufficientlye declared al apostemes pustles other dyseases that chauÌ„ce in the heed In thys present chapitre we wyll treate of a kynde of an aposteme whych chauÌ„ceth to the eyes called Optalmia Optalmia as Galene sayeth He wolde say Ophtalmia is a flegmoÌ„ passioÌ„ of the skynne in the eye called coÌ„iunctiua after hys accideÌ„tes it is a dysease of the eye And here in all doctours agre that Optalmia is an aposteme of the skynne called Coniunctiua There chaunce sondrye and daungerous dyseases to the eyes And for asmuche as they be most necessarie noble and profytable to mans lyfe they ought to be kepte wyth greate diligence and the dyseases oughte to be healed more studiouslye The causes of optalmia dyfferre not froÌ„ the causes of other apostemes vniuersall and particulare Causes of ophtalmia seynge that the humours or reumes whyche cause obtalmia come more froÌ„ the braine theÌ„ to other apostemes of other membres For the moste parte thys dysease coÌ„meth of a cause primitiue is augmeÌ„ted by the same as by smokes windes dust the sonne sharpnes of thynges that go into the eyes chyefly wheÌ„ the body is replenyshed wyth humours Two kynde of ophtall There ben two kyndes of optalmia of which one is of lytle appearauÌ„ce lytle inflaÌ„matioÌ„ wyth some humiditye hys action is in the superficiall parte of the eyes and is called of Auicenne conturbation There is another kynde which is deper in the substaunce of the eye in whych the whyte of the eye beyng ful of rednes couereth some tymes the apple of the eye The signes of Obtalmia proceding of a sanguine matter ben these that folowe namelye heate of the eyes Sygnes rednes with inflaÌ„mation of the same of the veynes the fulnes of the skynne called coÌ„iuÌ„ctiua the heuynes of the heade chyeflye about the temples browes blerenes of the eye lyddes and teares dropping downe with heate There ben other sygnes declared in the chapitre vniuersall of a sanguine aposteme Yf the obtalmia be caused of cholere then these ben the signes Opthtalmia of choler sharpe griefe inflaÌ„mation greate rednes of the eyes with plenteous teares whych be somtymes so hote that they scalde the corners of the eyes cause the heere 's of the eye lyddes to fall the patient feleth certayne pryckynges bytynges wythin the eyes as there were sande or duste in theÌ„ The foreheade also is very hote the partes about ben heuy The eyes ben but a lytle blere bycause the matter is hote Of flegme drye The sygnes of optalmia procedynge of flegmatyke matter ben these great inflation of the place lytle inflaÌ„mation lytle rednes lytle payne fewe teares but great heuynes of the heade Melanâ—holie Lykewyse the sygnes of Optalmia procedynge of melancholy ben these lytle rednes lytle heate lytle inflation lytle moystnes the eyes ben of duskyshe colour very heuye Optalmia hath foure tymes as other apostemes namely begynning augmeÌ„tatioÌ„ state declination And euerye one of these tymes conteyneth thre tymes as we haue said in the cha of flegmon as augmeÌ„tatioÌ„ hath begynnyng mydle ende c. And these foure tymes the three of euery one of them are diligentlye to be noted that thynges maye be administred accordyng to the dyuersitie of the tymes Moreouer it is to be noted that optalmia is sometymes caused by coÌ„munite somtymes by essence Ophtal of essence or beynge when it is caused by essence or beyng it procedeth from the heade is called Optalmia capitalis whych thynge is easely knowen by the heuynes of the heade Ophtal capitalis and payne of the same But wheÌ„ there is rednes in the eyes and heate in the foreheade wyth payne and beatynge and the temples ben stretched and the veynes full Ophtal of gingiua mater and the place enflamed these sygnes declare that the optalmia procedeth of gingiua mater And yf there be continuall runnyng of matter froÌ„ the brayne to the palate or roufe of the mouthe and nastrelles wyth neesynge and itchynge ye maye knowe that it procedeth oute of the inwarde partes And yf it procede oute of the stomake it coÌ„meth wyth vomite Furthermore it is conuenient to knowe Paroxysmes that optalmia hath certaine paroxysmes or fyttes and periodes or courses whyche folowe the nature of humours that cause optalmia And as Gordon sayeth we muste not be negligent in obtalmia For yf it be not cured diligentlye it leaueth euel accidentes as cornea ruptura pannus macula whyche ben of harde curation cause vlceration of the apple of the eye And Optalmia after the auncient Contagious and later doctours is a contagious disease passeth from one eye to anoher To the cure of thys dysease there ben requyred syxe inteÌ„tions The fyrst is dyete The seconde digestion of the euell matter The thyrde purgation of the matter digested The fourth prohibition diuersion or turnyng awaye of the catarrous mater whych coÌ„meth to the eyes The fyfth is accomplyshed by administration of sondry locale medicines accordynge to the dyuersite of the tyme of thys dysease The laste is to take awaye the accidentes of it The fyrste intention when the matter is hote Dyete is accomplyshed by the administration of the syxe thynges not naturall enclynynge to coldnes and to dryenes or moystnes accordyng to the nature of the euell humour Yf the matter be colde let the patient be gouerned after the ordinaunce of the syxe thynges not naturall as we haue declared in the former chapitre of apostemes that is to saye yf the matter be flegmatyke ye muste resorte to the chapitre of vndimia Yf the matter be melancholyke resorte to the chapitre of Sephiros Yf it be choleryke to the chapitre of Herisipelas Yf it be sanguine to the chapitre of Flegmon Laictuse But we muste consyder that laictuces be not conuenient in thys case all thoughe they maye be permytted in herisipelas and in the cure of flegmon In the fyrst dayes wheÌ„ the matter is hote let the patient abstaine froÌ„ drinkyng of wyne eatyng of flesh which engendre grosse matter and grosse vapours It is sufficient for hym to eate grated bread soddeÌ„ with suggre or floure of wheate with suggre or grated breade with the coÌ„mune sedes let hys drynke be a ptisane or water boyled with a pece of breade let him drinke it with suggre or wyth a iuleb of violettes Also ye may gyue the patient wyne of pomegranades at the begynnynge vnto the augmentation In the state and declinatioÌ„ he maye vse wyne of good odoure moderatly tempered with water In obtalmia that procedeth of colde matter let the parieÌ„t drynke wyne of good odoure and
vehement payne yea the same doctour sayeth that yf the begynnyng be with vehement payne we muste be content to euapore the matter wyth colde water Howbeit Gentilis expounyng the text of Auicenne vnderstode hote water not colde And I saye that yf the foresayde water be a decoction of mallowes vyolettes barlye melilote it shall be more conuenyent than symple water and of greater operation in swaging grefe In this case a flebotomie diuersyue is conuenyent at the begynnynge Flebotomie as Auicenne teacheth sayinge ye must diminisshe the matter by cuttynge a veyne if it be nedefull wherfore as we haue sayde befor the vnlearned chirurgiens do very euyl in this case applying in all tymes attractyue medicines For by great attraction somtymes the matter is multiplyed in the place into so greate quantitie that nature can not rectifye it neyther by waye of maturation neyther by the way of suppuration and so we haue often sene the matter in the place to be corrupted or come to stonye hardenesse whan this aposteme is brought to maturation by the forsayde maturatyues ye shall open it and after that ye haue opened it and suppressed the bloude you must procede thre or four dayes with medicines which are cōuenyent to make matter fluide or flowyng Afterwarde for the mundifycation incarnation and cicatrisatiō ye shall procede after the doctryne declared in the Chapitre of the Cure of Flegmon in generall Thus by the ayde of god we haue ended this chaptre whose name be praysed ¶ The .xiiii. Chaptre ¶ Of an hote aposteme of the gummes and palate or rouffe yf the mouth Hote apostemes in the gūmes c. AN aposteme of the gūmes and of the palate is engendred often of hote and catarrhous matter It cōmeth also sometymes of the payne and putrefaction of the teeth But of whatsoeuer matter it come presupposed that the antecedēt matter be purged after as the humours shall requyre there is nothynge better than to admynistre this remedy vnder wrytten whiche is of thys effect that it procureth quyckly the yssue of the matter and swageth payn ℞ of fat drye fygges of dates an̄ in nōbre .iiii. of raisines ℥ i. of iuiubes in nombre .xx. of cleane barly somwhat broken A decoction of branne ana m̄ i. of the rootes of langdebefe ℥ ii Seethe these thynges togyther wyth suffyciente quantitie of the brothe of an henne wythout salte vnto the consumptiō of two partes of the thre and let the patient vse often thereof holdynge it hote in hys mouth Also ye maye dyp cotton in the decoction and laye it vpon the aposteme for it ripeth gretly and appayseth the payne whan the aposteme is come to maturation ye shall open the place with a lancette Afterwarde for mundifycation and incarnation it shal suffice to laye often vpon the Aposteme honye of roses Yf the place can not be mundifyed therebye ye maye applye vnguentum Egiptiacum whiche is of suche effect that it mundifyeth the place from corrupt fleshe and conserueth the good And afterwarde ye maye well applye honye of Roses with litiū and with a litle sarcocolle Thus we ende this cha c. ¶ The .xv. Chaptre Of the fallyng of Vuula and of the corruption and inflāmation of the same VVula as the Anatomystes say is a spongyous membre Of the fallyng of Vuula whiche nature hath produced for .ii. causes Fyrste that it myght gyue modulation or tunynge to the voice Secondly that it might receyue the superfluities of the heed The Vuula is oftentymes loosed depressed by flegmatike matter And oftentymes it is inflamed corupted and loosed by hote matter For the curation of the losynge of Vuula by flegmatyke matter a conuenient purgatiō presupposed Cure of flegmatike cause of pilles of Iera wyth agaryke there is nothynge more conueniēt than to draw backe the vuula with a poudre made of one parte of pepper and two partes of myrobalanes citrins applyinge it twyse a daye Furthermore it is conuenient before dynner and supper to washe the feete and the armes in a decoction of thynges confortatyue with wyne water equallye mengled Also it is good to apply ventoses vpon the shulders with scarification Item towe somewhat kyndled and suffumigated with frankencense maye well be layed actuallye hote vpon the heed Immediatly after purgation or cuttyng of the veyne called cephalica yf the strength of the patient wyl suffre it the place muste be epithemed and gargarised with this gargarisme folowynge ℞ of cleane barleye m̄ i. of lentyles m̄ ss of mirtiles of the graynes and leaues of the same A gargarisme of wylde olyues of eche a lytle Let them boile all togyther with suffycient quantitie of water vnto the consumption of two partes of the thre than strayne them and adde to the straynynge of whyte vynegre ℥ iiii of syrupe of roses ℥ ii ss Let them seeth agayne a litle This gargarisme taketh away the euyl hote complexion of vuula comforteth it and is somewhat resolutyue bycause of the barly To this intention wyne of the two kyndes of pomgranades with rose water plātayne water and syrrupe of roses mēgled togyther is very good Afterwarde yf ye perceyue that it can not be restored into his place by the foresayde remedyes but that it commeth to the waye of corruption it is very conuenient to rubbe it of with vnguentum Egiptiacū after the descryption of Auicenne vsyng alway the forsayde gargarysme And yf ye perceyue that by the application of vnguentum Egiptiacum and of the remedyes aboue wrytten the corruption wyll not be taken awaye you must cutte it vnto the roote and laye an hote yron vpō the corrupted place or cauterize it with some potentiall cauterie For this is the curation of auncient and later doctours chefelye of Albucasis Note that whā the matter is hote Purgation for a purgation it is good to vse pilles of assagereth or an electuarye of the iuce of roses with diacatholicon and tamarindes in conuenient quantitie Also Cassia with the forerehersed solutyues is expedient and lykewyse this descryption folowyng ℞ of cassia of diacatholicon ana ℥ ss of an electuarie of the iuce of roses ʒ ii and. ss with water of endyue and sorel make a small potion addynge of syrupe of vyolettes ℥ i. It is very necessary at the begynnynge to kepe a good diete Diete Let the diete be suche as is declared in the Chapitre of Herisipelas whan the mattier is hote whan the mattier is colde lette the patient kepe the diete wrytten in the chaptre of Vndimia we iudge this doctryne declared to be sufficient for the curation of Vuula For the which the name of God be blessed ¶ The .xvi. Chaptre Of the apostemes of the iawes and of the two almandes and of the cure of the same AMigdales bene two flesshie particles or peces situated in the .ii. Of the apostemes of the lawes and amigdales sydes of the vuula after the facyon of two almandes and
Hernia aquosa is apostemed with a flegmatyke and watrie aposteme whych is sent from the liuer to that place wherfore the principal remedy is to rectifye the membre that sendeth the matter to the sayd place namely the lyuer touchyng hys vertue digestiue For vndimia hidropisis The cause of vndimia hidropisis hernia aquosa hernia aquosa for the moste parte as the doctours say procede through the errour of the vertue dygestiue of the lyuer Wherfore it is necessarie to comforte the lyuer that it maye make good dygestion sequestration of the humours And to begynne Syrupe the patient muste vse thys syrupe the space of a weke ℞ of syrupe of the iuyce of endiue ℥ i. of syrupe of cicoree ℥ ss of water of endiuie ℥ ij of buglosse ℥ i. mengle them when he hath vsed thys syrupe lette hym be purged wyth thys purgation ℞ of manna ℥ i. Purgation of diacatholicon ℥ ss of reubarbe steeped in water of endiue ℈ ij make a small potion wyth the decoction of cordiall floures and frutes Also ye may gyue the patient pilles of reubarbe and assagereth After purgation ye shall vse locall medecines for it may be healed at the begynnyng Playster Fyrst apply thys playster folowynge ℞ of the floure of lentyles beanes barley of euery one .li. ss Let them boyle all wyth barbers lye and sufficient sodden wyne called sapa tylit be thycke Item to the same intētion this playster folowynge is conuenient An other beynge of greater efficacite then the other ℞ of roses balausties or floures of granades nuttes of cypresse of euery one m̄ i. of the floure of beanes and orobus ℥ iiij of gotes dunge ℥ iij. make a styffe playster at the fyer wyth sodden newe wyne and lye Also to thys intention it is profitable to vse a sponge dypped in a decoction of roses of floures of pomegranades of nuttes of Cypresse of roche alume of calamus aromaticus boyled wyth lye and stiptyke wyne whyche you muste bynde conuenientlye vpon the stone Yf the hernia be full of water and olde Incision then there is nothynge more expediente then to drawe oute that water twyse a yeare namelye in the sprynge tyme and in harueste by cuttynge a veyne wyth a lancette in the syde where the aposteme is or towarde the myddest of the purse or a lytell hygher Signes of hernia aquosa The sygnes where by ye may know that the hernia is full of water bene these The place swelleth by lytle and lytle and is heuie when ye beholde it wyth a candell ye shall perceyue it to shyne as a blowen bladder full of water Lykewyse when ye presse the place ye shall fele a certayne rysynge swellynge and redoundynge betwene youre fynger and it Thus by the grace of God c. ¶ The .vj. chapitre of Hernia carnosa or fleshie HErnia carnosa is alwayes engendred by an aposteme in the purse of the stones Hernia carnosa by waye of termination or by an humorall aposteme of the same stones And it commeth bycause the matter taryeth longe in the purse and the subtyll parte is resolued and the grosse remayneth and becommeth clammyshe cleaueth to the stone and corrupteth it And nature resystynge it bryngeth it at lengthe to a carnositie or fleshynes and to an harde dysposition called of the doctours hernia carnosa The causes of thys hernia ben declared in the chapitre of an hote aposteme in the purse and in the stones The signes of thys hernia maye be knowen Signes by the longe tyme of the disease For by way of incision a true hernia carnosa is very seldone and scarcelye healed Also ye maye knowe the sayde hernia by touchinge For ye shal fele an harde thynge vpon the stone hauynge some softnesse wythin and mouynge of the stone Also ye maye knowe it by the heuynesse and aggrauatyue payne of the place And whan ye laye anye thyng vpon it it profiteth nothynge Some call it herniam neruosam or synnowye some verrucosam or warty bicause ther cleaueth a piece of harde flesh to the stone like a wart It is called synnowye bycause it cleaueth to the stone and to the lytle conduyctes called didymes The cure of hernia confirmed the cure chieflye whan it is wyth vlceration of the purse vnto the stone is impossible by the waye of resolution as al doctours teache After the obseruation of the vniuersall rules touchynge diete and purgation declared in the chapiter of an harde Aposteme in the fyrste treatyse ye shall make incision after the doctrine of the excellente physition wyllyā of Plaisance or after the doctrine of Albucrases in the chapiter of hernia carnosa Incision The custome of these doctours is to make incision of the purse called osseum vnto the stone wyth a rasoure or some other sharpe instrument After that ye haue opened it you must loke whether the stone be corupted or not If it be not corrupted ye shall diuide all the carnosite wyth a conuenient and sharpe instrument and then reduce the stone into hys propre place Then ye muste sewe vp the place of incision and cure it as woundes ben cured chyefly wyth thynges incarnatiue and desiccatiue Yf ye perceaue that the stone is corrupted thē ye muste bynde the cōduyct called dydimus and cut it in the nether parte of the place that is boūde take awaye the stone wyth the carnosite then cauterize the dydime The reste of the curation shall be accomplyshed accordynge as it shall be sayd in the cure of relaxation or burstynge caused by incisyon in the nexte chapitre Note that thys kynde of hernia is not cured by the waye of resolution nor by the waye of incisyon without greate diffycultie and daunger of death Wherfore a wyse chirurgien muste admonishe the patiētes frendes of the daunger vi kyndes of hernia There bene syxe kyndes of hernia namelye Humoralis Aquosa Carnosa Verrucosa zirbalis and intestinalis And thoughe hernia zirbalis and intestinalis be not in the nombre of apostemes neuerthelesse that ye maye easelye fynde the chapiters of all the kyndes of hernia we wyll wryte a chapitre of the cure of hernia zirbalis and intestinalis whyche is communelye called Crepatura or els burstynge ¶ The seuenth chapitre of rupture or burstynge Of rupture THere are three kyndes of ruptures or burstyng after the opinion of doctours The fyrst is called relaxation loosynge or mollification This relaxation commeth when the pannicle called Siphac is mollifyed wyth certayne relaxation or losyng by some wyndenes or some other cause that induceth rupture or breakynge And thys kynde is called a lytle rupture bycause it shewethe a lytle swellynge aboute the flankes Yf thys relexation be encreased so that it becommeth so grosse that it cause the payne and a swellynge aboute the flanckes lyke an Egge it is called a rupture not complete Yf the swellynge waxe bygger and the guttes fall into the
purse of the stones then it is called a rupture complete The causes that engendre a rupture bene sometymes primitiue The causes of rupture and somteymes antecedente Primitiue bene these a fall from an hyghe place a strype wyth the fyste wyth a staffe wyth a dagger wyth the fote The causes antecedente bene for the mooste parte humours flegmatyke grosse and wyndye sente to the nether partes from the membres nutritiue And thys cause procedethe moste of euell dyete and meates that engendre grosse humours and greate cowghynge Also of coldnes of the feete and greate cryenges as syngers preachers trompetters and other mynstrelles vse All these forsayde thynges cause rupture or burstynge Lykewyse to leape or lyfte heuye burthens causethe rupture and many other thynges whych may chaunce when a man forceth hymselfe to muche Nowe seynge that we haue serched out the kyndes of rupture and the causes of the same it is tyme to come to the cure by the waye of exiccation or dryenge and conglutination or gluynge together The cure The curation of a rupture not complete and complete vnto the age of .xxx. yeares and aboue is accomplyshed by regyment vniuersal and partyculer Vniuersall regiment shall be accomplyshed by good ordynaunce kepte in eatynge Dyete and drynkynge Wherfore the patient muste vse to eate fleshe of good nouryshmēt rather rosted then boyled wyth coriandre and fenell stronge and swete Lette the fleshe be of mutton of a yeare olde of veale of a kydde of chyckens of hennes of capons of faysannes of pertriches of byrdes that lyue in myddowes and hylles Also ye maye gyue the patient egges how so euer they bene dressed chiefelye wyth cynnamon and maioram or wyth a lytle perseley or a fewe myntes lykewyse a suppynge or shewe of borage wyth the leaues of conferye wyth perseleye and a lytle myntes wyth egges or wythoute egges and the brothe of the good fleshe aforenamed is verye conueniente in thys case Also ryse wheate and grated breade bene profytable when they are sodden aparte wyth the sayde brothe The wyne muste be of good odoure of meane strengthe and moderatelye delayed wyth good water also of meane coloure neyther to redde nor to whyte but clarette or yelowe Item thys curation is accomplysshed by the regiment of an vniuersal purgation whych may euacuate euell matter and conforte the membre from whyche the matter is deryued Fyrste lette the patiente take thys syrupe Syrupe the space of a weke ℞ of syrupe de duabus radicibus wythoute vynegre of a syrupe of cicoree or in the stede of it of the iuyce of endiue of euery one ʒ vi of the water of endiuie fumiterre mayden heere of euery one ℥ i. Let the patient take it warme in the breake of the daye When he hathe vsed thys syrupe lette hym take thys purgation ℞ of diacatholicon ʒ vi Purgation of diafinicon ʒ iij. and. ss of reubarbe infused or steeped ℈ i. mengle them and make a small potion with the commune decoction The particuler regiment is accomplyshed by the administration of sondrye conuenient remedyes vppon the place Fyrst yf the rupture be complete when ye haue shauen of the heere 's about the priuie mēbre ye shall reduce the guttes and the zirbus wyth your hāde into hys place and thē ye shall bynde a fyne sponge vpon the rupture accordyng to the quantitie therof or more dypped in the decoction folowynge let the sponge be bounde vpon a trusse made by a good artificer ℞ of stiptike redde wyne .li. iiij of roses of balaustyes or floures of pomegranades of the leaues of myrtilles and graynes therof of sumach of the leaues of plantayne of hypericon or saynt Iohns wurte of woodbynde of euery one m̄ i. of the rootes of the greater consolida called conferie and the lesse theyr leaues of euery one m̄ ss of the rootes of holihocke ℥ ij of the nuttes of cypresse in nombre .xij. of hipoquistidos ℥ ss of roche alume ℥ ij of vynegre of roses ℥ ij and. ss of licium ℥ iij. of myrre of frankencense of euerye one ʒ v. of fyshe glue ℥ i. Let these foresayd thynges be boyled together wyth the sayd wyne vntyll halfe the wyne be consumed then strayne the decoction Decoction and wyth the sponge applye it vppon the rupture and vse a trusse chaungynge it twyse a weke It is requisite that the patiente kepe hys bedde and vse none exercyse of the body When you haue vsed this spoūge the space of fyftē dayes other fyften dayes ye shall vse thys poudre folowynge ones a daye shal make a fumigation of the forsayd decoction and when ye haue sprynckeled the poudre vpon the rupture bynde on the sponge after the maner aforesayde Poudre The ordynaunce of the pouldre is thys ℞ of frankencense mastyke myrre of euery one ʒ ij of aloes of sanguinis draconis sarcocolle mumie of euerye one ʒ i. and. ss of bole armenie of terra sygillata of euery one ʒ ij and. ss of whyte dragagantum brayed of fyshe glue ana ʒ i. ss of balausties or the floures of pome granades of the nuttes of cypresse of a myrobalane citrine of hipoquistidos of euery one ℈ iiij of laudanū wel brayed ʒ iij. and. ss brynge them al to a fyne pouldre This pouldre is of good operatiō in thys case it draweth together the loosed parte it dryeth riueleth or wrynkeleth and incarneth not a lytle After that these dayes bene passed and that ye haue vsed the sayde thynges ye shall procede wyth thys cerote folowynge whyche ye muste sprede vppon a lether and tye it to wyth a trusse chaungynge it frō weke to weke Thus you muste procede vnto fourtye dayes countynge the dayes passed Cerote The forme of the cerote is thys ℞ of the foresayde pouldre ℥ iij. of the iuyce of the roote of cōsolida the greater or conserye and the lesse ʒ x. of cleare terebentyne ℥ ij and ss of oyle of mastyke and oyle omphacine of euerye one ʒ iij. of oyle of terebentyne oyle of myrtilles of euery one ℥ ss of lytarge of golde and syluer of euery one ʒ vi of gotes talowe ʒ v. Let the foresayde oyles be boyled with the lytarge and a lytle stronge vynegre of roses vntyll the vynegre be consumed And then let them boyle agayne with the iuyce of conferie and afterwarde adde the terebentyne and boyle them agayne a lytle wyth a softer fyer and styrre them euer aboute and wyth the foresayde pouldre and whyte waxe make a cerote in a styffe forme whyche we haue proued to oure worshyppe and profyte and haue healed many therwyth Nowe that we haue sene the cure of a rupture by the waye of conglutination and exiccation it is conuenient that we describe the cure that is by handye operation that is to saye by incision whyche muste be done by a man well exercised therin Fyrste a conuenient purgation by clisters presupposed let the patient lye vpon a benche
endeth c. ¶ The .v. chapiter of an Aposteme of the fyngers called Panaritium PAnaritium is an Aposteme of a very hote nature Apostemes of the finger called Panaritium it is venomous so that thorow his veninositie heate it corrupteth the synnowes and sometimes the bones causynge greate and sharpe payne Also somtymes it engendreth a sharpe fieuer And sometymes as wyllyam Placentinus sayeth it bryngethe the patient to deathe whyche thynge we haue sene also It is a rule in thys cure that we vse at the begynnynge styptyke thynges the cuttynge of the veyne called basilica in the cōtrary syde and a purgation with the iuyce of roses or cassia or Diacatholicon presupposed The fyrste playster muste be in thys forme Playster R. the two kyndes of hole pomegranades sodden in a decoction of barley Roses balaustyes and sumach than stampe them and strayne them and wyth the floure of lentiles barley and beanes wyth a lytle quantitie of the foresaid decoction and the sayde straynynge make a styffe playster addynge of oyle of roses omphacine and oyle myrtyne ana ℥ i. ss of saffran ℈ i. or make it thus R. of the floure of Lentiles barley and beanes ana ℥ i. of myrobalane citrine ʒ i. of diers gaules ℥ ss lette them all be boyled with the wyne of granades a lytle vinegre of roses vnto styffe thycknes addynge of oyle of roses of oyle omphacine ℥ ii Note that if these two plaisters swage paine ye may procede with them but yf after the applicatiō of the same the payne dayly encrease than ye shal vse a maturatyue of mallowes violettes the floure of barley soddē in the foresayde decoction made wyth buttire and yolkes of egges This must be applied the space of two dayes Afterward there is no greater remedy than to open the place wyth an hote yron in the toppe of the fynger This cauterizatiō though it be done before perfecte maturation saueth the fynger from corruption of the bones and sinowes oftentimes appaiseth griefe But bicause many wyl not suffre cauterization it is necessarye to vse a stronger maturatyue And whan it is rype you muste open the place wyth a sharpe instrumente or wyth a caustyke of capitell whan the mattier is aboute the skynne Than afterwarde lette the place be mundifyed with Vnguentum egyptiacum mengled wyth Vnguentū apostolorum or wyth oure poudre of mercurye or wyth a trocisque of minium And than lette the place be purified wyth honie of roses and wyth a mūdificatyue of Smalage and incarned wyth oure poudre incarnatyue Poudre incarnatiue the description wherof is after thys sorte R. of Aloes Hepatike ʒ iii. of myrrhe of frankencense of Sarcocolle ana ʒ i. mengle them And yf you adde of cleare Terebentyne ʒ v. of honye of roses strayned ʒ ii it shall be verye profitable Lette the place be sealed vp and cicatrised wyth our poudre cicatrisatyue and wyth water of Alume wyth vnguentum of miniū whyche ben written in our antidotarie whervnto resorte ¶ The .viii. treatise speaketh of the apostemes of the hyppes thighes legges And of the apostemes of the liuer and scrophules and fugilles whyche chaunce vnder the arme holes ¶ The fyrst cha treateth of apostemes of the hyppes hote and colde saniouse and not saniouse Apostemes of the flanckes c. OF Apostemes of these partes som are engendred in the outward partes as in the stones the flanckes the fondement of whyche we haue spoken we wyl here speake of an Aposteme that is engendred in the inner partes The curation of thys aposteme differeth not frō the comune cure of other Apostemes wherof we haue spokē in the former chapiters wherefore yf it be a colde aposteme for the resolution and mollificatiō and other intentions ye shal procede as in the cure of colde apostemes And likewise if it be hote come to maturatiō let it be opened mūdified incarned and sigilled c. as is declared in the former chapitres Neuertheles thys is to be noted the it requireth a discret chirurgien whā there is mattier or corruption in the place or not bycause of the thycknesse of the muscles and of the fleshe wherfore good wylliam Placentine in his tyme resisting chirurgiens that said that this aposteme was not sanious obtayned greate worshyppe and profite For he made incision in the presence of chirurgiens and found great quantitie of mattier or corruption in the aposteme Thus endeth c. ¶ The .ii. chapi of hotte and colde Apostemes of the knees thyghes and legges THe Apostemes of the thyghes Apostemes 〈◊〉 the thyghe◠knees and legges knees legges haue no differēce touchynge the curation from apostemes of the shulders elbowe of the bone of the arme called adiutoriū wherfore for all the intentions of the cure of the same ye shal resorte to the former chapitres Neuertheles they differre in one thing that is that the patientes must not excercise them selues in going cominge as muche as shal be possible Thus. c. ¶ The .iii. cha of the swellyng of the knee THere ben often Apostemes engendred in the knees Swelling of the knee hote and colde sanious and not saniouse wyndy humorall or full of water If the aposteme be hote it must be cured after the curation of an Aposteme of the elbowe hotte or colde wherefore ye shall peruse that chapiter Of the curation of this Aposteme whan it is colde we wyll here speake accordynge to the truth Fyrste a conuenient purgation presupposed if the swellyng be olde and not very harde it is profitable Playster of gotes dunge to applye a playster of gotes dunge made wyth new grape shales or huskes water and barley floure The auctoure of the pandectes merueyleth in the chapiter de stercore caprino how he healed a mā so quyckly with thys playster which had longe tyme bene vexed with the swellynge of the knee Howebeit we haue founde a more excellente remedye in thys playster folowynge for an olde swellynge of the knee Plaister for an olde swellynge R. of beane floure and barley floure ana ℥ iiii of branne well grounde ana m̄ ii of goates dunge brayed li. ss of Camomylle Melilote stamped ana m̄ .i. make a styffe playster wyth lye and sufficiente sodden wyne addynge of oyle of Camomyl and dylle ana ℥ ii Thys playster resolueth easelye al wyndie swyllynge wyth resolution of the humoral mattier and mitigation of the payne And yf thys swellynge be caused by colde humorall mattier with commixtion of hotte mattier it is verye profitable to vse in the stede of lye the muscilage of Holihocke Also a sponge dypped in a decoction resolutyue and breakynge of wynde layed and bounden vpon the knee hathe a merueylous vertue And yf this aposteme be watry for the cure therof ye shall resorte to the chap. of the cure of hernia aquosa Thus. c. ¶ The .iiii. chapi of apostemes of the fete hote and colde
the outwarde wherfore we wyll ordre the purgation accordynge to the euyl humours Fyrste after that we perceaued what mattier it was Digestiue of hote cause we were wonte to vse thys digestyue whan the mattier was hotte R. of syrupe of roses by infution syrupe of Violettes syrupe of hoppes ana ℥ ss of the water of buglosse of hoppes ℥ i. and ss mengle them whan the patiente hathe vsed this syrupe the space of thre dayes Purgation twyse a daye he shal take thys purgation R. of chosen manna of Diacatholicon an̄ ʒ v. make a small potion wyth the decoction of cordiall floures and frutes addynge of syrupe of Violettes ℥ i. and. ss If the Aposteme be colde that is to saye Digestiue of a colde cause yf it be engendredde of colde mattier lette the sayd mattier be digested wythe thys syrupe Take syrupe de duabus radicibus syrupe of the iuyce of endyue of honye of roses an̄ ʒ iiii of the water of maidē heare of buglosse of worwood an̄ ℥ i. mengle them whan the patient hathe vsed thys syrupe a weke Purgation lette him be purged with thys purgation R. of cassia of diacatholicō ana ʒ vi of Diafinicō ʒ i. ss Make a small potion wyth decoctiō of cordiall floures frutes addynge of syrupe of violettes ℥ i. It is expedient to applie vpon the outwarde part vnctions and linimētes confortinge the place Oyntment as these folowyng R. of oyle of camomille and dylle ana ℥ i. of spike oyle of oyle of quinces of laudanum an̄ ʒ iii. of oyle of terebentyne ʒ i. make a Linimente wyth sufficient whyte waxe addyng of saffran ℈ i. of frankencense of mastyke an̄ ʒ i. Item to the same intention thys linimente folowynge is good wyth more resolutiō A nother more resolutiue and mollification R. of oyle of camomyll of oyle of wormwoode of oyle of nardus or spike an̄ ʒ x. of oyle of quynces and roses ana ʒ vi of hennes grese of duckes grese of oyle of lillyes ana ℥ ss of muggewurt m̄ ss of the floures of rosmarie of squinātum of eche a lytle Of calamus aromaticus of cinnamome an̄ ʒ i. of romayne myntes a litle Let thē seeth all wyth a cyathe of odoryferous wyne vnto the consumption of the wyne than strayne them wyth sufficient white waxe make a cerote addynge of saffran ʒ ss Annoynte the stomake wyth thys oyntmente for it conforteth and resolueth colde mattier of the stomake swageth payne But for asmuche as these Apostemes for the most parte haue not their termination by the waye of resolution Maturatiue and wyl come to maturation ye shall further the maturation wyth thys plaister R. of the rootes of holihocke of whyte Lyllyes ana li. ss of cleane raisines ℥ iiii of muggewurt of wormwoode ana m̄ ss of squinantum a lytle Seeth them all in the brothe of fatte flesshe stampe them and strayne them and than in the decoction wyth wheate floure make a styffe playster addynge of buttyre ℥ ii of hennes grese ℥ i. the yolkes of two egges of saffran ℈ i. Thys plaister is maturatiue and confortatiue bycause of squynantum wurmwood and mugworte whan the sayde Aposteme is come to maturation Incision ye shall make incision accordynge to that that is sayde afore in the chapiter of hotte Apostemes And for the other intentions namely digestion mundification c. Ye shall vse the remedyes of the alleged cha Thus. c. ¶ The .vi. cha of Apostemes of the liuer bothe hote and colde and of the hardnesse therof THe liuer is a principal mēbre whiche nature hathe produced Of the liuer hote and colde for the necessity of al the bodie wherfore the diseases therof muste be diligently and discretlye cured For euery disease of the lyuer is to be feared bycause of hys necessarye office of digestion The sygnes of apostemes of the lyuer bene knowen to be hotte or colde as the sygnes of other Apostemes in the vniuersall chap. Howbeit somtymes there chaūceth in the liuer a singuler aposteme that is to say an aposteme engendred of one onlye humour but for the most part they are all engendred of mengled humours The cure of this Aposteme differeth not from the cure of other declared in the former Chaptre of apostemes in the stomake wherfore let it be cured after the same Neuertheles I wyll speake somewhat of purgation and diete Flebotomie Lette the veyne of the liuer be cutte in the contrarye syde yf the strengthe and age of the patient wyll suffre it and let the patient be purged with conuenyent purgatiōs accordyng to the qualitie of humoures Diete As touchynge diete yf the patient haue a fieuer he muste forbeare wyne and flesshe and must eate a sup or shewe made with grated breed almandes and a lytle sugre and cōmune seedes Yf he be weake he must eate of a broth of a chickyn sodden with laictuce and confyte raysines with cleane barlye Also ye may gyue hym a brothe of redde cicers sodden wyth raisines and mengled with the brothe of a chyckyn hauyng added suffyciēt quantitie of sugre The sayde brothe boyled with laicture spynache and hoppes is verye profytable in thys case As concernynge locall medicines we wyll make no longe oration bycause the remedies declared in the former Chaptres be conuenient in this present cure Some doctours saye that this composition folowynge is very good whiche we also haue proued to be true Oyntment ℞ of oyle of roses omphacin◠of oyle of camomyll of quinces mirtilles wormewod ana ℥ i. let them all boyle with the iuce of nightshade alkekengi and laictuce tyll the iuyce be consumed than adde of red saunders and white ℥ i. a lytle saffrā and with suffyciēt whyte wax make a liniment And bycause the liuer and the milt oftentymes weaxe verye harde we wyll declare conuenyent remedyes for the mollification and resolution of the same Fyrst to mollifye and resolue the hardnesse of the liuer it is a synguler remedye to apply this cerot vpon the place ℞ of the rootes of holyhocke sodden in water and strayned li. ss of raisines sodden in the broth of a chyckyn and strayned A cerote for the natiues of the liuer ℥ iii. of the substaunce of quynces rosted or in the stede therof of wardens and peres ℥ iiii of oyle of camomyll and dyll ℥ ii of oyle of wormewood of quynces of swete almādes ana ʒ vi of oyle of roses of vyolettes of duckes grese of hennes grese ana ℥ i. Lette them boyle all togyther in a decoction of camomylle melilote mugworte holyhocke vnto the consumption of the decoction than strayne them adde to the straynyng of diaquilon gummed ℥ iii. and ss of Galenes cerote of ysope ℥ i. ss mengle them togyther and make a cerote wyth suffycyente whyte waxe addynge of saffran ℈ i. of white and red Saunders ana ʒ i. This cerote mollifyeth and resolueth the hardenesse of
the milt An other Here foloweth an other cerote good for the same purpose ℞ of the rootes of holyhocke ℥ iiii of the rootes of whyte lyllyes ℥ ii of the rotes of langedebefe ℥ i. and. ss Seethe thē all in fatte brothe of capons hēnes or other flesh than stampe them and strayne them and adde to the straynynge of oyle of camomyll of dyl an̄ ℥ ii ss of oyle of cappares ʒ vi of hēnes grese of duckes grese ana ʒ x. of calues grese ℥ ii ss of the mary of calues legges ℥ i. of buttyre ℥ iiii of the leaues of Rue m̄ ss of the floures of rosemarye of smalage leaues of euery one the thyrd parte of an handful of vynegre one cyath of the foresayd decoction li. ii Let the grese oyles marye boyle agayne vnto the consūption of the decoction and vynegre than with suffycyent whyte waxe and the foresayde straynynge and diaquilō make a cerote at the fyre in good forme addynge of saffran ℥ i. ss vse it vpon the milte after the maner of a playstre Thus endeth c. ¶ The .vii chaptre Of scrofules and fugilles which bene engendred vnder the arme holes and in the flankes Of scrophules fugils SCruphules and fugilles ben often engendred vnder the arme holes .c. For the curation whereof the remedyes wryttē in the Chaptre of scrophules are sufcyent Neuerthelesse for a more ample doctryne The cure of a fugill we wyll brefely declare the maner of curyng a fugille Fyrste ye shal make a depe hole in the myddest and put in it two graines of arsnyke For it mortifieth the carnositie with the thynne skynne that contayneth it yf it be applyed ones or twyse Also quycksyluer sublimed is of the same vertue whan the place is mortifyed ye must procure the fall of the escare and so procede as in the cure of scrophules The cause of fugylles Fugilles are engendred of grosse and flegmatike matters and they bē lytle depe swellynges of red coloure vnmouable in toutchynge and of lytle payne Sometymes they come to fylth or corruption we haue healed them often after theyr vlceration separatynge the good flesshe from them rounde aboute Incision with a sharpe instrument and putting into the incision of our poudre of mercurie euery daye a lytle vntyll we se the botome Afterwarde we were wonte to plucke vp the fugyle wyth lytle sharpe tenacles hauynge some hollownesse lyke a spone Yf any thynge remayned afterwarde we mundifyed it or rather rooted it vp with a trocisque of minium after oure description or wyth our poudre of mercurie or with a ruptorie of capitel Thus we ende this present chaptre for which the name of God be praysed ¶ Here begynneth the thyrde booke ¶ The fyrst treatyse is of woundes from the heed to the feete ¶ The fyrste Chaptre Of flesshye woundes and of the commune disputation of woundes in generall and of the cure of the same A woūde as aūcient and later doctours testify is a solutiō of continuitye fresh A wounde and blodye and wyth out putrifaction chesti made in softe partes Solution of continuitie is a passyon cōmune to mēbres symple Solution of continuitie and membres compounde neuerthelesse more proprelye to membres symple than compounde as Auerrois testifyeth The other partes of the diffinition that is to saye fresh or newe blody and without putrefactiō ar put for a dyfferēce of vlcers with putrefactiō And we added in softe partes for a dyfferēce of breakynges or brusinges in harde membres wherfore Iohannitius sayth in the diffinition of chyrurgerie that chirurgerie is double one worketh in soft partes the other in harde The kyndes of solutiō of continuitie take theyr dyfferēces of thre thinges The fyrste taketh his dyfference of the nature of the membre in which it is as Galene testifyeth sayinge Some woundes are in sēblable partes some in instrumentall Of those that are in semblable partes some are in soft partes some in harde som in meane where as he sayde in softe partes he vnderstode in the flesshe and in the fatte And by harde partes he vnderstode the bones and the ioyntes and grystles by the meane partes he vnderstode the sinnowes ligamentes arteries and veynes And of woundes that chaunce in instrumentall membres some are in the principal membres as in the hert the liuer the brayne some in mēbres seruyng to the same as trachea arteria meri the blader Some in instrumentall membres not seruynge to the principall membres as in the eares the nose the eyes Causes of 〈◊〉 solution of continuitie The causes of euery solution of cōtinuitie as Haliabas witnesseth are thynges sensible or insensible Thinges insensible are these staues swerdes stones c. Thynges sensible are the bytynges of serpentes or other venimous beastes or of men c. Seing that we haue suffycyentlye spoken of the kyndes and causes of solution of cōtinuitie in mēbres simple cōpounde it is conuenient that we declare the deuysion of the sayde solution of continuitie Solution of continuitie is double namely simple and compound The symple is that that is without losse of the substaunce of the parte where it is For the cure whereof one onely intention is requyred that is to saye vnition or conioynyng of the partes seperated or sondred Compounde is that that is with the losse of the substaunce of the parte where it is To whose cure there are necessarily two thynges requyred One is generatiō of the lost substaunce The other is to ioyne the partes that bene sondred whan the lost substaunce is restored by conuenient medicines Lykewyse we saye generally that euerye wounde is compounde Woundes compounde that hath any thyng ioyned vnto it without remotion whereof the wounde can not be healed as woundes caused by brusynge whiche are apostemous and be with solution of continuitie and therfore for theyr curatiō you must not procede by the waye of the fyrst intention at the begynning bycause of the bruse For Galene sayeth that euery brused wounde must be putrifyed A digestyue 〈…〉 woundes and turned into quytture or mattier For the curation of these woundes at the begynnynge ye shall vse a dygestiue For that swageth payne and seperateth the matter altered through contusion or brusynge from the hole partes After the same maner a wounde that is altered by the ayre must be handled Furthermore there are woundes cōpounde that ben payneful apostemous altered through the ayre all other in which any thīg not naturall is conneyted as a pece of yron a pece of wode or a stone which can not be in the wounde without hurt thereof And of these flesshye woundes some are superficiall some depe The superficial are easely healed for they requyre onely conuenyent byndinge The depe are eyther accordynge to the length of the place or accordynge to the bredth They that are made accordynge to the length are more easelye cured thā the other bē caused by cuttyng thynges as
swerdes c. Some by brusynge thynges as by staues stones c. Some by poynted thynges as by a darte an arowe and lyke Furthermore solution of continuitie in the flesh as the doctours say maye be restored by the waye of the fyrst intention but that that is in the bone can not be restored Porus sarcoidis but by the waye of the seconde intention that is to saye per porum sarcoidem Neuerthelesse the bones of yonge chyldren may be restored by the waye of the fyrste intention for two causes Fyrst bycause of the tendernesse of the bone Secondly bycause of the vertu of seede remaynynge yet in the membres of yonge chyldren Some doctours saye that the sinnowes the veynes and the arteries can not be restored by the way of the fyrst intention but by the way of the second intention as bones be Some saye that thys is true onely in arteries whiche thynge Galene wytnesseth sayinge manye haue thought that it is impossyble that the substaunce of an arterie shulde be consounded and theyr probation rested in consyderation and experyence The consyderation was that one of the skynnes of an arterie semeth to be grystellye for grystels and extremities of bones cā not be consounded neyther receyue incarnation The experience was that they neuer sawe an arterie to haue receyued incarnation Arteries may be consoūded But Galene reproueth theyr opynion sayinge that arteries ben incarned bothe by reason and experience By experience for we see sayth he often the arteries that ben vnder the veyne called basilica in the temples and in the legges to be consounded By reason it maye this be proued The bones receyue not consolidation bycause they be harde in an extreme degree But the arteryes being of a meane substaūce betwene a bone and flesh maye receyue incarnatiō by the way of the fyrst intention But before we come to the vniuersall curation of woundes it is expedyent The fyrst doctrine to be obserued in curyng of woūdes that we declare certayne doctrynes touchynge the cure of woundes Fyrst whan ye begynne to cure a depe wounde ye shal put your finger into it to assay whether there be any parte of the bone separated Yf there be you must drawe it out softlye for otherwyse you can neuer come to the true cure Secondly yf there chaunce greate affluence of bloude in the hurt place incontinently you shal staūche the bloude accordyng to the doctrine wrytten in a propre Chapitre of the cure of the fluxe of bloude Whan blood ought to be stopped But yf the bloode be not in greate abundaunce ye shall not staunche it which thyng is approued by Auicenne sayinge that yf the blood runne not to abundantly it is good to kepe the wounde frō apostemyng from oppilations and fieuers wherfore we maye conclude that bloode cōmyng in a small quantitie ought not to be restrayned But yf it runne abundauntly ye shall stop it for bloode is the treasure of lyfe The thyrde doctryne is that the lyppes of a grene wounde muste be sewed togyther incontinentlye that they be not altred by the ayre Also ye must take good hede that thycke and congeled bloode remayne not wythin the wound for it may cause payn and putrefaction and hyndre incartion The fourthe is that you must beware that no heer nor vnctuous thīg nor dust entre into the borders or lippes of the wounde For these thinges let true consolidation Howbeit whā the wounde is depe it is verye good to leaue an hole in the lower parte of it to put into the same a tent rolled in a digestiue of yolkes of egges and terebentine It is profytable for two causes Fyrst to purge the moysture and fylth commyng out of the depth of the wounde Secondly to appayse payne and to kepe the place from apostemation For the mattier that myght cause an aposteme is purged by the sayde hole The fyft doctrine is that after the vnition of the sondred partes by a cōuenyent seame Whan the poynts of the seame must be remoued the poyntes of the sayde seame be taken away after the syxt daye althoughe Arzilata commaundeth to leaue thē .x. dayes For the flowe remouynge of the poyntes causeth manye euyll accidentes as fylth engendred within them payne apostemation wherfore it is more cōuenyent to remoue thē the thyrd the fyfth or at the leest the syxt daye and in stede of them ye shall retayne the borders of the wounde by the admynystration of a pece encolled Enrolled what it is rede the .vi. cha of this boke of woundes wherof we wyl speake in the chaptre of woūdes of the face But to come to the curation of flesshie woundes we saye that therevnto there bene foure intentions requyred The fyrst is accomplyshed by ordynaunce of lyfe or diete The secōde by purgation of the body The thirde by application of sondrye remedyes vpon the sore place The fourthe by defending accidentes that they come not and by remouynge those that be come Concernynge the fyrst intention which is kepyng of diete Diete yf the patient be choleryke or sanguyne it is necessary that he eate no flesh nor drink wyne vnto the fourthe or seuenthe daye Also he must abstayne frō meates that engendre great abundaunce of bloude But flegmatike and melācholyke persons may eate fleshe and drynke wyne namelye at the begynnynge wherfore these chirurgiens the commaunde a strayte diete to all patientes as though they had a contynuall fieuer do euyll and vnlernedly For wine gyuen in due tyme to woūded men as the Philosophers saye furthereth moche the generacyon of flesshe in flesshye woundes wherfore the excellent doctour Arnolde de villa noua sayeth that a spedye consolidation of a wounde chaunceth not but by pure bloude wythoute watrynesse wherfore in this case what thyng is worse than to defraude nature of bloude by the meanes wherof that Wyne to a wounded that is lost is restored and that that is sondred is vnyed and conioyned and the wounde that is hollowe is fylled with flesh Yea we saye wyth Galene that wyne is cōuenyent to anye wounded man For whan it is dronken it engendreth good bloude and whan it is layed vpon the wound it dryeth and mundifyeth it whyche thynges ben requisyte in this case And it is as it were the artifycer of nature And therfore we saye whatsoeuer other thynke that the tru cure of woundes consysteth in two thynges Fyrst in hym that quykneth and mortifyeth all thynges Secondly in nature And nature can not worke ryghtly without the noryshmente of of good bloode neyther in great nor in lytle woundes wherfore we must conclude that meates which engendre good bloude maye be gyuen to wounded men that nature maye be able to engendre the lost substaunce for the consolidation of the wounde who is ygnoraunt that that medycine is not conuenient nor restoreth flesh which drieth humiditie notably and gyueth moysture to drye places cooleth superfluous heate and heateth colde partes
table so that there commeth out of the inner table certayne lytle pieces whyche do prycke the ryme called dura mater Accidentes Whiche prickyng hath euyl accidentes folowynge as apoplexia vertigo and greate astonisshement of the membres and sometyme losse of speache wyth manye other euyll accidentes whyche fewe escape excepte they ben succoured with handie worke and the bone taken awaye that hurtethe the sayd pannicle Lykewyse the bone of the heade is broken by cuttynge thynges as swerdes ce and by poynted thynges as by a darte c. Here you shal note that sometymes it chauncethe that the sculle is broken by a bruse and not the skynne and that in rype age Certes in chyldren of two or three yeres of age we haue seen the bone bowed wyth the skynne as a vessell of thynne brasse is easely thruste in with a mans fynger howbeit in the cyrcuite of the bruse in the ouerparte we haue seen some cracke whereof we wyll make a peculier chapytre Furtheremore we haue seen the inner table of the sculle to be opened by the waye of contusyon or brusyng as by a gonne and yet the fyrste table was hole ☜ And thus we maye conclude that the inner table of the sculle maye be broken and opened without breakynge of the outwarde The breakinge of the sculle is knowen by vomitynge Sygnes of breakynge of the sculle whyche happenethe incontinentlye after the stroke and the patient thynketh that he seeth manye candelles and is deesie in the heade and often fallethe doune Whan thies accidentes happeÌ„ at the begynnynge of a wounde in the head they proue playnely that the sculle is broken The later doctours assygne manye accidentes in the breakynge of the sculle cheyfely Guido and Arzelata whyche deceyue the Chirurgiens oftentymes The sayde doctours allege ix tokens namely that the patyente canne not see lyght that he canne not breake the knotte of a strawe betwene hys teethe also that he canne not abyde the pluckyng of a knottie chorde frome betwene hys teethe and other thynges whyche we for cause of breuiete passeouer The former accidentes assygned by auncient doctours chaunce all or moste parte of them in a notable breakynge of the sculle the fyrst daye whereof great quantitie of bloode felle vpon the ryme called dura mater And yf the sayde breakynge of the sculle be wyth the hurte of the pannicles of the braine and of the substauÌ„ce of the same the foresayd accideÌ„tes namely apoplexia scotoma vertigo and astonyshment of membres wyth a continuall fyeuer and colde chaunce infallybly yea and bloode also yssueth out of the nose eares And wheÌ„ the stroke is great it semeth that the substauÌ„ce of the brayne coÌ„meth out of the wounde Note also that as Cornelius Celsus sayeth the foresayd accidentes happen somtyme in wouÌ„des of the head though the sculle be not broken For wheÌ„ some veyne is cut by some coÌ„myssure there entreth a certayn quaÌ„titie of bloode vp on dura mater coÌ„geleth corrupteth so that it bryngeth the sayde accidentes with great payne causeth the patieÌ„t to dye But this later case happeneth not often We haue sene the sayd accideÌ„tes to happen in the fyrst dayes somtymes a good whyle after the breakinge of the sculle that when the bloode that is fallen vpon dura mater coÌ„meth to putrifaction which thyng is true wheÌ„ the bloode is in lytle quantitie when the breach was but lytle Neuertheles as we sayd before when the breache is great the forsayd sygnes ether all or parte happeÌ„ the fyrst dayes at the lest wythin seuen dayes in the sommer or ten in the wynter A litle breach But yf the breache be lytle namely after the bygnes of an heere but very lytle bloode descendeth vpon dura mater we saye that the sayd accidentes sygnes wrytten by Guydo and Petre de Arzilata happen not It foloweth then that the sculle may be broken and yet the sayd accideÌ„tes chauÌ„ce not at the begynning but a good whyle after the stroke they wyl appeare And we haue sene that these accidentes haue chaunced slowly by lytle and lytle so that vnexperte chirurgiens haue thought that those accideÌ„tes proceded of some other cause then of the wounde Howe to know the brekyng of the sculle wherfore that ye may haue knowlege of euery breach howe lytle so euer it be as Auicenne Cornelius Celsus saye you must consyder the stryker and the thynge wherwyth he stroke And also whether the stroke came from afarre or nyghe or froÌ„ aboue or whether it was done by anger by a cuttyng thynge brusynge or poynted or whether he that stroke were not holden of them that stode by whether the man that was stricken was bare headed or couered by such discrete inquisition ye maye haue knowlege of the breache wherfore yf a man be greuously stryckeÌ„ and some of the sayd sygnes folowe though the chyncke or ryft be not founde in that place where the skynne is rased awaye ye shall coÌ„sydre whether ther be any swellyng or softnes in some other place and open it yf perchauÌ„ce the cut bone may be founde For yf the broken bone be not eased it causeth greuous apostematioÌ„s whiche afterwarde can not be cured wyth out greater payne of the patient then he shulde haue had at the fyrst And the sayd doctour affyrmeth that some tymes the wounde is in one syde and the breach in an other wherfore in euery stroke in whyche breakynge of the sculle is feared it is a moost sure waye to open the place largely For the skynne is sone healed agayne The same doctour sayth moreouer that for the serchynge out of a priuie chyncke or ryft it is conuenient to laye blacke ynke vpon the skulle and then to take it awaye wyth a conuenient instrument For the ynke entreth into the clefte or chyncke and there remayneth blacke Dinus also sayeth that when ye haue layed yncke vpon the bone ye muste not cease to remoue it vntyll no appearaunce remayne of the same Seynge that we haue declared the signes and the accidentes of a broken sculle it resteth that we declare the cure therof by haÌ„dy operation as briefly as we can The cure of a broken sculle maye be Cure accomplished two maner of wayes namely by the waye of incision or eleuation of the bone by the waye of exiccation and incarnation Fyrst to come to handye operation we saye that wheÌ„ a chirurgien is called for the cure of a broken sculle there is no surer operation theÌ„ to enlarge the wounde with a sharpe raser Make incisioÌ„ crossewyse or thre corner wyse vntyll ye maye se the brokeÌ„ bone playnly And in the tyme of incision ye shall seperate wyth your nayles the pannicle called pericraneuÌ„ that the sayd pannicle be not hurte by touchynge and rubbynge of the instrumentes of yron For the rubbynge of the sayd paÌ„nicle as Corneliê° Celsus wytnesseth causeth greate paynes inflammations and fieuers After thys incision the
dayes you muste set the forsayd thynges vpoÌ„ the fyer agayne boyle them vntyll the wyne be coÌ„sumed theÌ„ strayne them through a thycke clouth with stronge pressynge set them on the fyer agayne addynge a sufficient quantitie of whyte waxe make a cerote in a good forme And when you wyl vse it you shall malaxe or softeÌ„ it wyth gotes mylke or cowes mylke wyth the iuyce of the forsayde herbes last of al wyth aqua vite After that you haue vsed these thynges the space of fouretene dayes it is profytable to applye stouppes dypped in thys decoctioÌ„ folowyng â„ž of redde wyne Decoction li. iij. of roses of myrtilles of wurmwoode ana mÌ„ i. of the floures of pomegranades called balaustie mÌ„ ss of squinaÌ„tuÌ„ a lytle of the nuttes of cypres in noÌ„bre .xij. of rosemarie of saynt Iohns wurte of madder of fyne graine ana mÌ„ ss of hony â„¥ ij let thynges that are to be brayed be braied grossely theÌ„ boyle them vnto the coÌ„suÌ„ptioÌ„ of the thyrde parte and strayne them Thys decoction muste be applyed actually hote after the maner aforesayd Note thys that a piece of syndall muste be put betwene the sculle dura mater as it is sayd before after the daye that the bone is remoued vntil the bloode or quytture whych was vndre the bone be clearely muÌ„difyed and vntyl the said paÌ„nicle be incarned with the sculle The application of a syndall betwene the sculle The cause of applicatioÌ„ of the syndall dura mater is profytable for two thynges Fyrste for purgation of bloode and quytture whych was vnder the bone and that easely depressyng dura mater from the bone wythout any hurte of the same Secondly it kepeth the ryme dura mater that it be not hurt through the roughnes of the bone when the sayd ryme moueth maketh pulsation or beatynge After that the fouretene dayes bene passed Incarnatiue ye shall fyll the wouÌ„de with thys incarnatiue for sufficient incarnation of the ryme dura mater with the sculle â„ž of clere terebentyne â„¥ ij of hony of roses â„¥ i. of odoriferous wyne â„¥ iij. of saynt Iohns wurt of betonie of pimpernel of centauree the greater ana mÌ„ ss stampe the foresayd herbes meÌ„gle them al together boyle them vnto the wyne be consumed then strayne them through a thycke cloth and adde to the straynyng agayne of cleare terebentin â„¥ ss of hony of roses Ê’ iij. of myrrhe Ê’ ij of sarcocolle of aloes hepatike ana Ê’ i. of saffran ℈ i. of sersed barley floure Ê’ ij ss Yf it chauÌ„ce that in the wounde superfluous fleshe be engendred as we haue sene in many then ye shal laye vppon it vngueÌ„tuÌ„ mixtuÌ„ or roche alume burnt or our poudre of mercurie And yf any vnctuous fleshe be engeÌ„dred vpon dura mater the applicatioÌ„ of the poudre of hermodactyles is a sure remedy amoÌ„ge al other And a spoÌ„ge somwhat burnt hath the same effecte After incarnatioÌ„ let the place be sealed vp with vngueÌ„tuÌ„ de minio A poudre sicarâ—izatine whych is wrytten in the ende of thys present chapitre puttynge thys poudre folowynge into the wouÌ„de â„ž of bole armenie â„¥ ss of roche alume burnte Ê’ ij of the floures of pomegranades called balaustie of mirtilles of myrobalanes citrine ana Ê’ i. ss Lykewyse to thys inteÌ„tion it is conuenient to washe the wounde with redde wyne in whyche roses mirtilles floures of pomegranades a lytle alume haue ben boiled we haue euer vsed these forsayd remedyes with our owne honour profyte of the patientes Auncient doctours haue declared the forme of sondry instrumentes of yron as trepanes haÌ„mers molinels c. whych are perillous But it is our custome to describe those meanes of healynge patieÌ„tes that ben lest daungerous AuiceÌ„ne also sayeth that many haue reproued the vse of trepanes and other instrumentes of yron Seynge nowe that we haue declared the cure of a broken sculle aswell by handye operation as by locall medicines we wyll speake hereafter of thynges concernynge dyete and conuenient purgation to defende apostemation and sondrye accidentes with other obseruations whych muste be kepte in the procedynge of handy operation The dyete of a wouÌ„de with a cracke in the sculle muste be slendre Diete The patieÌ„t shal eate grated breade sodden in water with almandes a lytle suggre And yf the patient be weake he maye eate of the brothe of a chycken altered wyth barley he may also haue a potage made with wheat floure or grated bread Further more it is good that the patient eate after meat a confection of quinces that vapours ascende not into the brayne Likewyse wheÌ„ the patieÌ„t is weake at the begynnynge he muste abstayne from drynkynge of wyne and he must drinke water of barley with suggre or with a iuleb of violets chiefly wheÌ„ he hath a fieuer yf he be very weake ye may gyue hym wyne of pomegranades After that eleueÌ„ dayes ben passed ye may gyue the patient a chycken to eate and to drynke wyne moderatly delayed And after fourtene dayes ye maye ordeyne hys dyete somewhat grosser that the incarnation of dura mater wyth the sculle may come to passe more easely TheÌ„ ye may gyue hym the extreme partes inwardes of beastes of good nouryshment as the trypes of an heyfare the heade the fete of the same Also he may eate ryse sodden in the forsayd brothe of laudable fleshe How be it he muste not eate to saturitie or fulnes for there is nothing wurse in this dysease theÌ„ the superfluitie of meates and drynkes Causes of Apostâ—mation of dura mater Wherfore Auicenne sayeth that an aposteme of dura mater coÌ„meth through fyue causes namely by multitude of wyne and meates by the ayer wherfore he sayeth beware of colde euen in the sommer by aggrauation of tentes or other thynges put in to the wounde or by the bone whyche is sharpe and roughe and hurteth the ryme called dura mater and by some pryuie cause When the cause of the aposteme is manyfest then cure the aposteme with hys contrary Yf the cause be hyd study in the remouinge of it to serche out the secrete cause as yf it came of drinkyng wyne you muste forbyd wyne to the patient Yf it came of to muche eatynge of fumous meates ye shall forbydde the same and cause hym to kepe a slender dyete Yf a pryckyng sharpe bone staÌ„de out ye shall laboure to remoue it And yf it procede by aggrauation of tentes you muste take them awaye and also the medecynes that aggreue the sayde pannicle Yf the colde ayer be the cause of the apostemation the patient muste be kepte in a warme chambre and you muste often laye vpon the heade of the patient hote cloutes To take awaye the aposteme of dura mater Playstes it is very expedient to applie thys playster â„ž of the rootes of holyhocke .li. ss of camomill melilote ana
m̄ i. of roses m̄ ss Let them boyle al together with a fufficiēt quantitie of water vnto the consumption of halfe and make a styffe playster in the decoction wyth barley floure well cersed adding of oyle of roses complere ℥ ij and. ss of oyle of camomill ℥ i. and. ss of saffran ℈ i. the yolkes of two egges whych must be put in after that the forsayde thynges be taken from the fyer Thys playster is resolutiue and swageth payne and is not contrarye to maturation yf nature wyll that the aposteme come to suppuration Note that dura mater is sometymes hurte ☞ wounded rente by some piece of the sculle for the consolidation wherof ye maye conueniently laye on thys poudre ℞ of colofonia ʒ iij. of myrrhe Poudre aloes mastyke of euerye one ʒ i. of saffran of sarcocoll of euery one ʒ ss mengle them together and brynge them to a poudre The ayer of the patientes chambre muste be hote in al tymes chiefllye in wynter so that the wynde come not in wherfore let the chābre be kept darke vnto the one and twentye daye Note that ye maye conuenientlye holde ouer the heade a brasen vessell ful of coales that the reuerberatiō of the heate maye touche the woūde chieflye in the fyrst dayes we wyll speake somwhat to kepe of the aposteme of dura mater and a spasme For the prohibition of these two thynges is very profytable in thys case The apostemation is defended by drawyng of the matter from one place to another whyche thynge is done by a diuersiue flebotomie of the veyne called cephalica Item by rubbynges of the extreme partes and bynding of the same and by application of ventoses wyth scarifycation alwayes the age the strengthe of the patient consydered You muste kepe the bellye soluble or loose by suppositories or clysters And for the prohibition of a spasme ye shal rubbe often the nuke or marye of the backebone wyth oyle of camomil and of dille wyth hēnes grese layenge often vpon the necke hote cloutes Lykewyse the patient oughte to haue a cappe furred with lambes skynnes Pronostication For it defendeth outwarde colde Touchynge pronosticacion you maye iudge of deathe or lyfe after the qualitie of the quytture whyche commeth out of the wounde and by the accidentes and not by the poulses or vryne For they that lese theyr speche and whose woundes become drye and the borders thereof fall downe wyth some of theyr mouthes and swellyng of theyr eyes these I saye are wonte to dye Lykewyse when the patiente abhorreth meat and is vexed with colde and hath the palsye and spasme it is a sygne of death Note that as Paule sayeth yf the blacknes that chaūceth in the ryme dura mater be not remoued by the application of honye of roses it sygnifyeth vtter consumption of naturall heate Thys blacke coloure is caused sometymes at the begynnynge wyth bloode retayned vpon the pannicle dura mater and some tyme by a bruse of it and also by the dyenge or colourynge of medicines applyed vpon the sayde place And when thys blacke coloure procedethe of the three causes laste named it is not so daungerous as when it procedethe of putrefaction The sygnes whyche sygnifye helth in thys case bene these Sygnes of health good digestion of the borders of the wounde good colour of the sculle as whyte without to muche dryenes and with some moysture lykewyse when the patient abhorreth not meates and drynkes And when the fleshe that groweth betwene the bone dura mater is of red colour Itē whē the patiēt hath no feuer after the .xiiij. day but is of good corage Furthermore before ye come to handye operation ye shal note the obseruations folowynge Obseruation whych are declared by sondry auctours The fyrst is that you muste admonysh the patiētes frendes of the daunger that you may escape an euel name yf the patiēt chaūce to dye The seconde is that yf the patient be weake you shal not take cure of him as Galene by the auctoritie of Hipocrates sayethe where feblenesse is there you shall not meddle The thyrde is to auoyde the touchynge of the commissures For yf you touche them you maye cause the ryme Dura mater to falle vpon the brayne For it is sustayned thereby The fourth is that yf it be possible you worke not in the tyme of the full of the moone For the brayne increaseth at that tyme and approcheth to the sculle The fyft is the remouinge of the bone For the bone must be taken awaye from the lower place yf there be no lette For whan the bone is taken awaye towarde the lower parte the mattier is the more easelye purged The syxte is that you muste note the quantitie of the eleuation of the bone which is declared by Galene and Paule which doctours say that the bone must not be taken away after the quantitie and lengthe of the cracke whan it is great but it suffyceth onelye to eleuate the bone in the lowest parte of the cracke But yf the bone be depressed or diminisshed it is neadefull to take awaye the bone all togyther The seuenth is that yf you assaye to plucke awaye the bone and it wyll not come out you muste rubbe the sayde bone with oyle of roses that it maye the more easely and with lesse payne be drawen out The eyght is that with all spede you come to handye operation chefelye whan there is pryckynge or depressyon of the pannycles For they cause apostemation and euyll accidentes The nynth is that in sommer the handye operation be fynysshed within seuen dayes and ten in the wynter for the soner the better for the auoydaunce of accidentes And Auicenne sayeth that whan there is necessitie of rubbing cutting or drawynge oute some parte of the bone or to take them vp whan prycking peces be fallen vpō dura mater than you must make haste wythout lokynge for the parfyte generacyon of quytture But yf the sayde pannicle be not hurt you maye loke for the generacyon of quytture Seing that we haue declared the curatiō of a broken sculle by handy operation it is conuenient that we speake somewhat of the same by the waye of exiccation and incarnation which is touched of Auicenne in the Chap. de incisione cutis capitis and lykewise of Celsus about the myddest of the Chapitre of the cure of the sculle Neuerthelesse Auicenne in the alleged place after the opinion of some auncient writers vnderstandeth that desiccatiue medicines muste be applyed after the eleuation of the bone not digestiues mittigatiues of payne as he cōmaūdeth in a peculier cha of the fracture or breakyng of the sculle And it is no merueyl for the bones the pannicles are of drye cōplexion And Cornelius Celsus sayth the aūciēt doctours healed more by the way of exiccation and incarnation than by the way of incision and eleuation of the bone To come to the foresayde waye of curation of
the begynnynge ye shall retayne the bloode and the quytture whyche thynge myghte encrease difficultie of breathynge a daungerous thynge in thys case wherfore at the begynnyng ye shal not applye stiptike and clammyshe thynges nether wythin nor wythout Furthermore you maye vse flebotomie in the contrarye parte and scarifycation vpon the botockes and rubbynges and byndynges of the extreme partes to kepe of apostemation at the begynnynge Item it is commendable to vse a clyster hauynge vertue to dyssolue wyndynes and bloode The thyrde intention whych consysteth in purgation of bloode in the inner parte by the mouth of the wouÌ„de shal be accomplyshed as it foloweth Fyrste when the chirurgien commeth to the patiente he muste consyder the sygnes And when he is certayne he muste diligeÌ„tly serche meanes to cause the blood whych is in the inner parte to issue out by the orifyce of the wouÌ„d whych thyng may be brought to passe by conuenient situation of the bodye that is to saye that the heade be layed downewarde the feete beynge raysed vp or that the patientlye vpon a bedde hys heade hangynge downeward leanynge vpon some fourme or stoole lower then the bedde that the blood wyth in maye easely issue out He muste lye thus the fyrst daye For it is good for two causes Fyrst to purge the bloode that is wythin Secondly that bloode other humours the communly chauÌ„ce in woundes fall not into the bodye And the patient muste lye grouelynge asmuche as he can vpon the wounde Some gyue certayne thynges by the mouth to cause the blood to come forth whyche thinge is very commendable so that the medicines be not to sharpe and to stronge Furthermore it is to be noted that if the wouÌ„de be very large so that the spirites come forthe aboundauntly then you muste sewe the sondred partes leauynge an hole beneth that the bloode and quytture maye easelye issue out And after that the bloode is issued and the wounde mundifyed you must begynne to applye tentes of lynte dypped in the whyte of an egge or in wyne And lette the sayde tentes be greate in the outwarde parte that they fall not in or els tye them to a threde that yf they fall in they maye be drawen out agayne Here it is to be noted that ye must not in any wyse laye vpon the wouÌ„de poudre restrictiue as Albucasis sayeth ☜ for it wolde dryue matter towarde the herte or deriue bloode whyche myghte sone choke the patient Item yf ye be sure that there is no bloode entred in by the waye of the wounde then it shall be conuenient that ye sewe the wounde and procede wyth thynges incarnatiue in the fyrst dayes But bycause a man can not haue trewe knowlege at the begynnynge whether the bloode be entred or no it is the surest waye to kepe the orifyce of the wounde open at the begynnynge howe be it the seconde daye ye shall putte in a tente dypped in oyle of roses hote and in a digestiue of terebentyne and a yolke of an egge and a lytle saffran vnto the seuenth daye layenge aboute the wounde a defensiue of oyle of roses of bole armenie and a lytle whyte waxe And for as muche as in the fyrste dayes there happen euell accidentes as payne in the syde Accidentes dyfficultie of breathynge and a greate coughe it is good to applye thys playster folowynge vpoÌ„ the sore syde â„ž of camon il Plâ—yster melilote dille wormewoode ana mÌ„ i. of dryed branne and cersed mÌ„ ij ss of the floure of barley beanes and leÌ„tiles ana .li. ss of roses mÌ„ ss stampe them all and wyth sufficient sodden wyne and a lytle odoriferous wyne by arte and fyer make a styffe playster addynge of oyle of roses â„¥ iiij of camomill dille of euery one â„¥ ij of whyte waxe â„¥ ij and. ss Set the foresayd thynges agayne on the fyer wyth the oyles and the waxe melted and put to in the ende of saffran Ê’ ss This playster as ye may knowe by the symples hath vertue to swage payne and is resolutiue and coÌ„fortatiue and prepareth the bloode the matter to yssue out WheÌ„ the patient is come to the thyrd or fourth daye no euel accident happenynge vnto hym as a spasme tremblynge of the herte and difficultie of breathynge and other lyke and when the patient fyndeth hym selfe in good dysposition a maÌ„ may iudge knowe that the wounde is not mortal Wherfore at the begynnynge vnto the seuenth daye for resolution and purgation of bloode thys poudre wyth hys waters hereafter prepared Poudre maye well be gyuen to the patient â„ž of reubarbe Ê’ ss of madder of mumie of euery one ℈ .i. of terra sigillata ℈ ss of the water of stabious the water of buglosse of the wyne of granades of euery one â„¥ i. Some doctours gyue at the begynnynge potions or drynkes made wyth wyne and hote thinges as cloues and madder whyche thynges maye greatlye hurte the patientes For they cause fieuers and dyfficultie of breathynge Wherfore at the begynnynge pectoral decoctions are better as diadragantum and diapenidium or as thys description A pectoral decoction â„ž of penidies of suggre candye of syrupe of violettes of euerye one â„¥ i. of the nuttes of pyne apples of swete almandes of coÌ„mune seedes of euery one â„¥ iij. of diagragantum â„¥ ss meÌ„gle them and wyth syrupe of violettes make a loch addyng of the iuyce of lyquerice â„¥ ss After that the wounde is come to manyfeste quyture for the mundification and purgatioÌ„ of the same we say that ye muste often washe the wouÌ„de wyth conuenient lotions And though sondrye lotions ben wrytten of the doctours as of Guilhelmus placentinus and other whych are composed wyth wyne and with the decoction of floure delice lupines myrrhe and other hote simples myne opinion is that suche medicines are not coÌ„uenieÌ„t as I haue ofteÌ„ proued for two causes The fyrst is the inflammation of the foresayde thynges The seconde is bycause that when bloode putrefyeth greate heate alwaye happeneth Wherfore to muÌ„difie the quytture and to take awaye the euell complexioÌ„ of the place it is a more sure waye to procede wyth thys lotion A lotion â„ž of cleane barley of lentyles ana â„¥ ij of roses mÌ„ ss of the herbe called horsetayle mÌ„ i. let them boyle wyth water of plantayne and rayne water and a lytle wyne of granades vnto the consumption of the thyrde parte and adde of redde suggre â„¥ ij of syrupe of roses by infusion â„¥ iij. of saffran ℈ ss The quantitie of water muste be fyue pounde whyche muste boyle tyll it come to thre Ye shal wash the wounde here wyth all and bynde it coÌ„ueniently so procede vntyl there issue out matter lyke cleare water when the patient hath vsed the sayd lotion and hath no fieuer and when the wounde is rectifyed and the quytture mundifyed then ye maye adde to the former decoction of honye of roses â„¥ iij. And when the quytture
make a cerote in good forme This oyntmēt is excellēt for the woundes in whych the synnowes ben hurt Finallye the remedies that shal be wrytten in the nexte chapiter maye be administred in this case Thus. c. ¶ The .xv. cha of solution of continuite of synnowes and chordes THe woūdes of the synnowes as the doctours testifye cause euyll accidentes woundes of sinnowes and chordes and daūgerous diseases bycause of their great sensibitie or feling and bicause of the greate coniunction whyche they haue wyth the brayne wherfore they must be diligentlye cured and by a discrete chirurgien The accidentes and diseases that ensue thereby are these spasmes the palsy vehement payne colde fieuers apostemations perturbatiō of reasō watchynges greate alterations and great loethsomnesse of meate And oftentymes the woundes of the synnowes are apostemed by the way of deriuation of matteir and do cause of spasme without greate payne goyng before as Auicenne teacheth The cause of solution of continuite of sinnowes maye chaūce sōdry waies namely by brusynge thinges as by a stone a staffe c. or by cuttynge thynges as by a swerde a kniffe c. And likewise by poītedthīges as by a dagger a nedle a nayle an arow c. And some ben after the breadth with a totale incision of the sinnow Some with the incision of halfe the synnowe The woūdes that ben made after the lēgth of the membre sinnowes are not so daungerous as they that ben made after the breadth But whā the sinnowes ben halfe cut the woūd is more daungerous than whan the sinnowes ben holy cut For Auicēne sayeth that the hole parte of the synnow is hurt by the sore parte thorow the vehement payne there often ensueth spasmes palsies other accidētes And therfore it is necessary sōtimes for the auoydaunce of the sayd accidētes holly to cutte the hurted synnow For Auicenne so teacheth by the auctoritie of Galene The hurtyng of sinnowes of contusiō or brusinge is harder to be healed thā the other aforesayde The reason is bycause the maturation digestion resolution can not be finished in short tyme by reasō of the quitture which cometh of the contusion Ye shal cure solution of continuitie caused by incision or cuttyng by thinges desiccatyue In that that is caused by contusion ye shal procede with cōuenient digestyues that ye may seperate and sondre the quitture frō the hole partes that is to say the part of the hurt sinnow frō that that is not hurt Further we say that solution of cōtinuitie of the sinowes caused by pūction prickynge or foynynge is more daūgerous thā the other caused of a cuttynge thynge But amonge other the punction which breatheth not out that is to saye in whych the wounde is closed that the hurt mēbre can not digest the humours deriued to the sore place is moost daungerous whyche thing Mesue testifieth by the auctoritie of Galene sayenge a spasme foloweth the punction of the sinnowes chordes chiefly whā it breatheth not out And of the same punction oftentymes there is produced a venomous aposteme which by reasō of the cōtinuitie of the synnowe is conueyed to the brayn causeth a spasme epilepsia Somtymes in the place of the pūction there is engendred a rotten aposteme For the auoydaunce of the said accidentes Galene comaundeth to open the sayde aposteme and to administer a medicine attractiue of subtile substaunce and desiccatyue whereof we wyll speake more playnly in thys present chapiter To conclude touchynge pronostication we say that al woūdes about the ioynctures brynge greate daunger of deathe For bycause that the synnowie chordes ben made bare vpon the ioyntes they cause the foresayd accidentes And they are sone made bare bycause they ben in the ouerparte of the ioynctures whyche thynge maye be proued by Galene and Auicenne saynge the synnowe is a single membre and a right precious instrument procreated of nature from the brayne and the nuke the braynes vicarye to giue felyng and mouyng to the other partes of the hole bodye To come to the cure of thys solution of continuite of synnowes The cure we say that there are foure intentions required therunto The fyrst apperteyneth to diete The seconde to euacuation of humours The thyrde to prohibition remotion of accidentes which empesche the true cure The fourth shal be accomplished by the administratiō of diuerse remedyes accordyng to the diuersitie of accidentes whych cōmunely chaunce whan the synnowes bene hurte Concernyng the first intention we say that the diete must be subtile and slender at the begynnynge bycause of the sayd accidentes For it is the doctrine of Auicenne sayenge Dieta c. Furthermore bycause of the accidentes the disease maye be called Peracuta passio that is to say a sharpe disease And yf the disease be sharpe the diete must be slender wherfore it sufficeth at the beginning to giue the patient breade sodden in water or almādes with a litle sugre His drincke maye be a simple ptisane or water boyled wyth fyne sugre or wyth a iuleb of violettes And whan the daunger of apostemation is passed that is to say seuen daies after the hurte ye may giue the patient more nourishinge meates as chickynnes soddē with Laictuce and other conueniente herbes Also for hys dryncke ye maye gyue him wyne of good odoure with sufficient quantitie of sodden water Thys diete is cōuenient to make good incarnation of the hurt sinnowes And in processe of tyme by lytle and lytle the patient maye come to his accustomed maner of eatynge and drynckynge Concerning the seconde intention whyche is conuenient purgation after the disposition of the body we haue sufficiently treated in the chap. of the cure of flegmon by the ayde of god we wil speake more largely therof in the .ix. boke in a cha appoynted for laxatyue medicines wherunto ye shall resorte But the sayd intētion is moreouer accōplished by flebotomye diuersiue whan the age and strength consente therunto and whan the patient is of sanguine cōplexion and also by rubbynges ventoses In the meane season it is good to kepe the bellye loose with clisters we haue founde it profitable also to plūge the patientes legges in a decoctiō of thinges anodine that is to saye whyche take awaye payne chiefly whan the hurt is in the superiour partes whan the said hurt is in the nether part namely in the legge it is conuenient to washe the armes wyth that decoctiō wherof we haue spokē in the cha of the quynce For the sayde decoction turneth away mattier and resolueth gentlely The thyrde intention shal be accomplished as it foloweth Firste ye shall note that the accidētes which happē by pūction or hurt of the sinnowes bene thre namelye vehement payne a spasme and perturbatiō of reason And with these many other ensue as fieuers c To auoyde the sayde accidentes it is necessarye to begynne by medicines that swage payne and kepe of putrefaction wyth gentle attraction as we
the chapter of apostemed woundes but yf the payne be very vehemēt ye muste procede wyth mollifycatiue thynges and that swage payne as Auicenne sayeth that ye muste chiefly be occupied in swagynge payne when the vlceres be verye paynfull The payne can not be swaged by thynges desiccatiue but by mollifycatiue and thoughe they be somwhat contrarye to vlceres neuertheles when the grefe is not appeased the place is not prepared to receyue any curation and therfore the vlcere can not be healed excepte the payne be swaged As touchynge holowe vlceres it is necessarye to procede to the cure therof wyth medicines of stronge abstersyon and desiccation accordynge as the vlceres shal be very holowe or not For Auicenne sayeth that when the vlceres bene depe they nede more abstersyon and desiccation and the reason is because that greate quantitie of humours is drawen to the place whyche muste be cōsumed wyth great exiccation And for as moche as in greate holow vlceres there nedeth regeneration of fleshe by reason of loste substaunce to fyll the holes it is necessarye to obserue one rule that is to saye that ye muste in no wyse applye an incarnatiue medicine bycause that when incarnatiue thynges be applyed before mundifycation they produce superfluous fleshe whych hyndreth true incarnation Furthermore Auicenne sayeth that holowe vlceres be sone turned into fystules wherfore the chirurgien muste be diligent in the cure thereof And he sayeth moreouer that vlceres whyche be nyghe to synnowes and be in places full of vaynes and arteries bene apte to engendre apostemes in fleshye partes nyghe the sayde places as are the eniunctories and the stones and moste chieflye when the bodye is fylled wyth euyll humours And therfore it is good to purge the bodye accordynge to the euyll matter And afterwarde ye muste procede wyth thynges mollifycatiue and that swage paynefulnes whyche is comunely greate in thys case by reason of the nyghnes of synnowes When the payne is seased then ye shall procede to the cure of the sayd vlceres and amonge the conuenient remedyes vnguentum Basilicon of oure description is good Furthermore ye muste holde this for a generall rule that when the vlceres be in a verye sensyble place ye muste procede wyth lyghte medicines as moche as it is possyble And when they be in membres not sensyble ye shall procede wyth stronge medecines whyche is the doctrine of Auicenne whyche sayeth that as a synnowe discouered hathe nede of an easye medicine because of hys greate felynge so lygamentes that growe from the bones whyche are insensyble maye suffre stronger medicines Wherfore we maye more surelye worke in membres of smal felynge then in mēbres that bene verye sensyble And ye maye saye that preciouse membres and moost necessarye are sonest hurte bycause of theyr greate sensibilitie And therfore vlceres and sores in synnowie places and in inwarde mēbres can not endure a stronge medicine as is verdegrese and soch lyke yf they be not corrected by the admixtion of pleasaunt and glutynous thynges as dragagantū c. The lyquores that shal be putte in holowe and fystulous vlceres muste be of meane desiccation for you muste auoyde all vnctuose medicines yf it be not to take awaye the sharpenes of the medicines and to swage payne For as Galene sayeth vlceres can not be healed by moysture but by desiccation Also ye muste beware that ye cause not paynefulnes chiefelye when the vlceres be wyth apostemation and wyth euyll complection We haue declared in the former chapitre as concernynge speculation howe the sayde vlceres ioyned wyth accidentes ought to be healed and wyll speake more in the chapter folowynge Furthermore a good chirurgien must cōsyder what maner of byndyng is cōueniēt for in some vlcers the byndynge called incarnatiue is necessarie and in some the byndynge named expulsiue and sometyme ye shall nede the byndynge called retentiue and therfore ye muste not strayne the byndynge to moche for it myght cause apostemation of the vlceres The byndynge incarnatiue is conueniente in the armes and in the legges and defēdeth the humours that they aryue not to the vlcered place and as we haue sayde often it is not possible to heale an vlcere tyll the aposteme be remoued and of the sayde lygatures we haue spoken sufficientlye in the boke of woundes in a chapter properly of the same Furthermore there be certayne vlceres in whyche ye muste applye lyquide medicines that they maye more easelye enter vnto the botome of whyche we wyll speake in a peculier chapter of holowe vlceres Here ye shall obserue that the vlcers that bene olde and holowe are harde to be healed and for the moste parte they be wyth corruption of the bone For Hypocrates sayeth that in olde vlceres the bone muste be taken oute c. Thys Aphorisme is trewe in holowe vlceres and in vlcers caused of colde exitures One of the principall remedyes in the cure of vlceres is to take awaye the causes whyche engender the vlceres and to comfort the place from whēce the humours come and the vlcered place Whyche thynge maye be done by purgation of the euyll humours digestion of the same presupposed For a laxatiue medicine is not conuenient for it excepte the humours bene dygested as Hypocrates sayeth we muste heale dygested thynges and not moue rawe thynges In lyke maner cuttynge of a vayne some tyme auayleth to the curation of vlceres chyeflye when the bodye is full of humours Ye maye applye leches or bloodsuckers vpon the vaynes called Hemorroydales principallye when the vlceres ben in places nyghe to them Finallye we haue proued that the vse of vomytynge is good in those whych do easely vomyte in the somer tyme thus we ende thys present chapter ¶ The fourth chapter of virulent corosyue and malygne vlceres VIrulent corosyue and maligne vlceres differ not but in the qualitie excedynge for they ben al engēdred of hote burned matter and therfore Auicenne sayeth that the causes of maligne vlceres are superfluities procedynge of bodyes full of vicious humours and of euyll dyete and of euyll pustules and at the begynnynge these vlceres vtter subtyle and sharpe quytture called Virulentia and when theyr malyce is augmented by corosyon of humours they are called corosyue vlceres and when they encrease greatlye in shorte tyme they are called ambulatiue and yf the malyce be greate so that it confirmeth the membre they are called Lupi or eatynge vlceres or rankers as we haue declared in the chapter of melancolyke apostemes The cure of these vlceres shal be accomplyshed by foure intentions the fyrste is purgation of the bodye The seconde ordynaunce of dyete The thyrde remotion of the virulent and venimous matter and of the corrosyon The fourthe is administration of sondrye remedyes accordynge to the places and accordynge to the tymes of the foresayde vlceres The fyrste entention whyche consystethe in purgation of humours shal be accomplyshed as it foloweth Fyrst ye
the yolkes of egges laboured in a mortar of leade a great whyle is a singuler remedy in thys case as Auenzoar testifyeth for it mundifieth and swageth payne prepareth the mattier to issue out easely Item it is a singuler remedy to applye vpon newe vlcers the wyne of a swete pomegranade wyth the iuyce of the herbe called centinodia some called it weygras or knotgrasse or lingua passerina and the iuyce of wylde tasyll soddē wyth a lytle of the roote of lyllies tyl it be thycke Lykewyse a siefe of memyte wyth licium and a lytle frankensence sarcocolle and honye is conueniente in thys case for it mundifyeth and incarneth parfytlye and dryeth a lytle Yf the said vlceres ben olde rotten or venemous then it is conuenient to applye vnguentum egiptiacū of oure description whych remoueth the putrefaction and the quytture of the sayd vlceres And in lyke maner thys oyntment ℞ of honye ℥ .i. of verdegrece ʒ iij. of roche alume ℥ ss of the iuyce of smallage of the iuyce of knotgrasse of the wyne of swete and sower pomegranades of euerye one ℥ i.ss strayne fyrste the iuyces and thē seth all the forsayd thynges at a soft fyer vnto the thycknes of honye Thys oyntment mundifyeth the vlceres of the eares that ben rotten and mattry wythout great payne and yf it be to bytynge ye may put thervnto asmuch of vnguentum apostolorum or ceraseos as of thys forsayd oyntment After mundifycation it is conuenient to applye an oyntment made of the refuse of yron washed thre tymes in the wyne of pomegranades after well poudred and laboured in a morter wyth a lytle aloes and sarcocolle and incense Thys playster is desyccatiue and incarnatiue and healeth perfytlye the sayd vlceres Yf the vlceres be virulent and venemous and corrosiue ye shall vse vnguentum egiptiacum Item it is a good operation in thys case to vse our pouder of mercurye myngled wyth vnguentum albū camphoratum And when the malignitie is remoued ye shall applye vnguentum album camphoratum with so muche of the forsayde oyntmente made of the refuse of yron Item if the matter be hote lotiōs made wyth the decoction of roses lentilles barlye knotgrasse and suger conueyed in with a syrynge auayleth verye muche And yf the matter be colde grosse ye may vse a lotion made wyth the decoction of honye and of wyne and of lye and of sarcocolle And for as muche as whē stiptyke or bytyng thynges are applyed great paynes and apostemation ensue therfore to swage the payne ye shall vse thys suffumigation folowynge ℞ of the leaues of mallowes and violettes of camomill mellilote and dille of euery one m̄ i. of redde wormes ℥ .i. ss of redde suger ℥ ss clene licorice of reysons of euerye one ℥ .i. myngle these thynges together and sethe them in sufficient quantitie of hennes brothe wythout salt tyll halfe be consumed ℞ the smoke all hote wythin the eares and after suffumigation put into the eares oyle of the yolkes of egges wyth butter ¶ The .vi. chapter of wartes growynge in the eares THe superfluous fleshe and wartes that groweth in the eares let the healynge For the cure wherof ye shall rote them out and to that entente ye shall procede after the doctrine wrytten in the chapter of polipus not cancrouse in whych the maner is declared of rotyng vp wartes before they growe to the producynge of a canker Wherfore ye shall resorte to the sayd chapter ¶ The .vij. chapter of the soūde and wyndynes in the eares Soundynge in the eares THys dysposition is engendred of grosse and slymye matter wherof wyndynes procedeth and causeth soundyng For the cure therof ye shall purge the matter antecedent gyuynge the patient pilles of hiera with agaryke or pylles cochie And after purgation we founde good to vse a suffumigation made of maioram sodden in water and wyne wyth camomill dille and a lytle honye after suffumigation ye muste applye oyle of bytter almans and oyle of dille and hony of roses To the same entention the suffumigation folowynge is conuenient A suffumigation to resolue wyndynes in the eares ℞ of the leaues of horehoūd of camomil and dille of euery one m̄ i. of maiorum of organye of eche a lytell let them sethe wyth wyne and see water tyll the thyrde parte be consumed and then put thervnto of honye ℥ .iiij. of castorie ℈ .i. let thē seth agayne a lytle After thys suffumigation ye shall put into the eare oyle of elders warme wyth oyle of bytter almans and oyle of nardus wyth a lytle oyle of rue or of radyshe whych Auicenne prayseth syngulerly Item to thys entention after suffumigation we haue founde it good to put into the eares this oyle folowynge whyche taketh awaye all wyndynes of the eares ℞ of oyle of dille of oyle of elders oyle of bytter almans Ana ℥ .i. of the iuyce of horehounde of the iuyce of radyshe ana ʒ ss of the leaues of rue of cumyn maioram of cynamon of euery one a lytle of castorium graynes .ij. of vynegre ʒ ss seth these forsayde thinges a lytle together tyll the vynegre be consumed and then strayne it through a clothe put therof warme into the eares for it taketh away wyndynes maruelouslye and restoreth the hearynge Some men saye that goates galle or calues galle sodden wyth the iuyce of horehounde and radyshe and oyle of dille taketh awaye the hyssynge of the eares wonderfully ¶ The .viij. chapter of the payne of the eares THe payne of the eares Payne of the eares procede sometyme of a colde cause and sometyme of a hote Fyrste for the cure therof a purgatiō of the heade according to the humours presupposed yf the matter be caused of heate oyle of roses omphacyne boyled in an apple wyth a lytle saffran swageth payne maruelouslye Also goates mylke cowes mylke or womans mylke serueth for the same purpose Item oyle of violettes swete almans sodden wyth wyne of sower pomegranades and a lytle saffran wyth chestwormes nombre .xxx. in .ij. ℥ of the forsayde oyles vntyll the wyne be consumed is a synguler remedye in thys case Furthermore a rosted apple stamped and strayned and myngled wyth oyle of roses and oyle of violettes a lytle saffran and the yolkes of two egges sodden together a lytle layed vpon the eares lyke a playster easeth payne greatly Also soddē wyne with barlye floure and beane floure oyle of roses camomill a lytell stāped branne is a good remedye to swage the payne of the eares it resolueth somewhat Yf the matter be colde The cure in a colde cause auncient wryters say that oyle of dille soddē wyth butter the iuyce of affodilles tyll the iuyce be cōsumed thē poured warme into the eares hath vertue to swage griefe caused of a cold matter Furthermore oyle of the yolks egges as Auensoer sayeth is a synguler remedye to appease any grefe of the eares Item oyle
be apostemed It is requisite for the resolution of the matter and for apeasynge of the grefe Epithema to vse fuffumigatyon and epithemes folowynge ℞ of camomylle mellilote branne of the leues of malowes holyhocke and of tapsus barbatus ana m̄ j. of lynseed ʒ j of the rotes of holihocke ℥ .iiij. seeth them all together wyth suffycyent water tyll halfe beconsumed and let the smoke be receauyd and the place epithemed wyth the same decoction ⸫ The thyrde chapyter of the chappyng and cleftes of the fundamente IT chaunseth often Of ryftes in the fundamente that the fundamente is chapped through salte fleme or brente melancolie and sometyme through great costyfenes of the belye or throughe the floynge of a colyrycke humor whyche byteth and chafeth away the skynne of the place wherfore for the curation of the same a leuytyue purgation of the belye presupposed there is nothynge better then to bathe the place and to receaue the smooke of thys decoction folowynge ℞ of camomylle mellylot branne of barlye malowes vyolettes lentylles ana m̄ ii of swete apples somewhat broused in nomber .x. of tapsus barbatus m̄ iii. of lynseed ℥ .iij. of suger ℥ .iij of frankensence of aloes of myrre ana ʒ.ss of licium ʒ x. roche alume ℥ .ii. ss lette them seth al together wyth suffycyent water tyl the thyrde part be consumed and lette the smoke be receyued into the fundament and than vse this lynimente folowynge ℞ oyle of lynseed of oyle omphacine ana ℥ ss of the wyne of swete granades brayed with the ryndes and than strongelye pressed ℥ .iiij. of roche alume ʒ.j of gootes suet and calues talowe ana ℥ .iii. lette them seeth al together tyl the iuce and the wyne be consumed then strayne them and vse them Item oyle of linseed applyed vpon the chappes is good agaynst the paynes of the emoroydes and all dyseases of the fundamēt as Mesue sayth Oyle also of the yolckes of egges laboured in a morter of leade wyth as much oyle of lynsed is a present remedye agaynste the chappes of the fundamente An other lynemente for the same purpose ℞ of the oyle of nuttes Linimentes of the fruite called crysomela of the oyle of swete almons of peches ana ʒ.ii of oyle of the yolkes of egges of oyle of lynseed ana ℥ ss of the iuce of wylde tasell of the iuce of knotgrasse of the iuce of tapsus barbatus an̄ ʒ.vi of aloes epathike ʒ.iii of the iuce of plantayne ℥ .i. seethe them tyll the iuces be consumed than strayne them and vse thys medecyne wythin the fundamente Another ℞ of the oyle of yolkes of egges of the oyle of lynseed ana ʒ x. of goates talowe of moost clere terbentyne ana ʒ iii. of frankensence of Mastike ana ʒ.ss of Rasyn of the Pynaple tree ʒ.i of Aloes Epatyke ʒ.i.ss of tapsus barbatus of the leaues of Plantayne of the leaues of houndestong of horsetayle ana m̄ i. stampe them al and drawe oute the iuce let them all seeth together tyll the iuce be consumed then streyne them and put to the streynynge of litarge of golde and syluer ana ℥ ss of ceruse ℥ iii.ss of burned lede of tucia ana ℥ .ii. myngle them and laboure them in a morter of leade the space of two houres And for as muche as sumtyme the sayde chappes perce into the inwarde parte of the fundamente and cause greate payne chefelye Suffumigation when they are ioyned with emoroides then suffumygacyons and bathynges that swage the payne make to the purpose as a bathe of tapsus barbatus aforenamed Lykewyse ye maye clyster the place wyth the sayde decoction and redde suger and a lytle aloes epathike dyssolued for this clyster swageth payne and maketh good incarnation If the sayde chappes cannot be healed by the foresayde remedyes than it is necessarye to fylle the chappes wyth oure pouder of mercurye for within two or thre times it remoueth the malygnitie as we haue proued in my lorde Marcke cardynal of Romemyshe churche named Cornarius After that the malygnytie is remoued the foresayde remedyes shall suffyce for the curacyon of the vlceres But some tyme it chauncethe as we haue seene that the fundamente is vlcered of a prymytyue cause for the cure whereof at the begynnynge ye shall proceade wyth lenytiue medycynes Wherefore it is conuenyente to bathe the place wyth the decoctyon of malowes of lynseed of tapsus barbatus of barlye and of branne And after the common fashyon ye shall applye a dygestyue of the yolkes of egges and oyle of rooses omphacyne and a lytle saffron Whan the place is dygested for mundyfycation and incarnacyon ye shall procede wyth oyle of lynseede wyth oyle of yolkes of egges and a lytle aloes epatike laboured the space of two houres in a mortar of leade addynge therunto a lytle iuyce of plātayne and a litle litarge of golde and syluer For the reste of the cure ye shal procede with the remedyes afore wrytten c. ¶ The fourthe chapiter of emoroydes or pyles THere are about the ende of the fundamente .v. veynes which are calemoroydalle Of emoroydes or piles and are ordeyned of nature to purge the grosse melancholye bloode in men as womens bodyes are purged euery moneth And as the auncient wryters saye yf the sayde purgation come duely it preserueth the body from sondrye diseases as from the leper from cāker and other like And they be called called emoroyde of Hema whyche in greke is bloode and roys whyche is flowynge kyndes of emoroydes And there are diuers kyndes of them for some bene lyke greynes of raysons or lyke lytle bladers some are lyke wartes and other bene lyke an opened figge redde and full of litle greynes some are lyke mulberyes and are called morales some are small as lytle peces of flesh about the fundamente and some are payneful and apostemous The cause of these for the mooste parte The causes of emoroydes is abundaūce of grosse and melancholyke bloode and sometyme of fleume and sometyme of brent choler sent vnto the sayd place or elles they come through the receit of sharpe medicines or elles of the longe vse of pilles of aloes not washed Wherfore by the great abundaunce of such bloode it chaūceth that the said veynes swel and be extended out of the fundamēt beynge verye paynefull and apostemous Therfore yf the bloode be verye subtyle and sharpe and the passion natural and comynge by courses than the mouthes of the veynes are opened wythoute the melancholye bloode is purged by the benifyte of nature and also the sayde subtile and sharpe humoure Yf they be caused of flegmatyke bloode watrye and not grosse thē they are lyke lytle bladers or greanes of raysonnes whyte in coloure and softe in towchynge and cause no greate payne If they be engendred of grosse flegmatyke bloode they are harde lyke wartes and bene lyke vnrype figges and are not verye payneful
excepte they be vlcered and ioyned wyth some hote humoure Theyr colour is betwene blewnes and rednes If they be caused of melancholyke and flegmatyke bloode mixt together they ar like lytle peces of flesh of blacke colour called Condilomata and yf they be caused of brente choleryke bloode wyth melancholye they are in coloure and figure lyke to a mulberye and verye paynefull Item ye shal note that some be naturall and some accidental the naturall are those whiche in some dodies euerye moneth or euery yere foure tymes purge grosse and melancholyke bloode The accidentall are those whyche procede of the foresayde causes throughe euyll diete and other thynges not naturall wherfore the pacient muste auoyde all sharpe salt tarte thynges and the engender melancholyke bloode as all pulses the heade and the inwardes of beastes and grosse fleshe as of kyne swyne goates hares and byrdes of the ryuer Further more the emoroydes are caused inwardly and outwardelye Those that are engendred inwardly are natural they are woÌ„t to sende forth grosse bloode those that apere outwardelye sende forth watry bloode somewhat reddyshe The cure of emoroydes shal be accomplishid by an vniuersal and particuler regiment Cure of emoroydes The vniuersall regiment hath two intenciones namelye ordinaunce of diete and purgation of the cause antecedent Particuler regiment is accomplished by the administration of locall medicines As touchyng the fyrst intention we say that when they droppe inordinatly they muste be restrayned thoughe it be a generall rule that the flowynge of bloode by certayne tymes courses shulde not be restrayned leste the pacient fall into a dropsye throughe the weaknes of the lyuer and of the stomake For the restraynynge of the same the remedyes whyche be administred to stoppe the floures are conuenient in thys case applyed as well within as without lykewise in prouokynge the same Yf the fluxe come of a colde cause let the pacient be purged with diacatholicon cassia with the decoction of myrobalanes called kebuli equally proportioned accordynge to the strength age of the patient Yf they procede of hote mattier ye shall purge the body wyth diaprunis not solutiue reubarbe wyth the decoction of myrobalane citrine The doctours say that the solutiues must purge in pressing together leauyng some stipticitie in the meÌ„bre that sendeth and receaueth the humours After purgation ii dayes ye shal administer a bathe of thinges the restreyne as sumach roses myrtilles plaÌ„tayn boyled in water wherein hote steele hath beÌ„ queÌ„ched It it is good to take trifera magna cuÌ„ saÌ„guine draconis with a litle mumia a lytle reubarbe wyth wyne of aygre pomegranades Rasis prayseth trosciskes of karabe Playsters for the emoroydes with sumach to restrayne the fluxe of the emoroydes he prayseth the application of a playster of spica written in the chapter of the weaknes of the liuer Item a sirupe of myrte of roses is of great excellencie in this cause Furthermore it is very good to laye vpoÌ„ the rennyng place in the somer a plaister of lentilles roses beanes made wyth water wherin a hote yron hath ben quenched for it stauncheth blood marueylously Item this playster folowing serueth for the same purpose R. of roses of myrtilles of the leaues of plaÌ„taine of the herbe called lingua passerina or knotgresse ana mÌ„ i sethe them all in water wherein hote yron hath ben quenched then stampe them streyne them put therunto a lytle wyne of pomegranades a litle vinaygre of roses shake them together brynge them in the maner of a plaister vse the same If the fluxe of emoroydes chauÌ„ceth in wynter ye must take wormewood with oyle of roses omphacine a lytle sage and mugwort and seeth them in a pot and afterwardes stampe them applye them vpon the place Ye shal put also wtin the fundament this oyntment folowing R. of roses myrtilles knotgrasse anÌ„ â„¥ ss of fraÌ„kensence Ê’.i of saÌ„guis draconis of myldust of â—eane floure anÌ„ Ê’.ii of hares heare cut in smal peces Ê’.ii.ss of bole armeny terre sigill anÌ„ Ê’.iii.ss of tutia of litarge of golde syluer anÌ„ Ê’.i.ss of the iuyce of tapsus barbatus of the iuyce of horsetayle plantayne and comferye ana Ê’.iii the whytes of two egges shake them all together put them into the fundameÌ„t with cotton or wyth lynte for it is a presente remedye to staunche bloode Also byndynge of the armes and shulders and ventoses is verye good to tourne awaye the mattier Also it is profitable to laye a ventose vpon the liuer Item it helppeth muche that the patient eate before his meate some stypstyke thynge as rosted peares or quinces or mynes made of the same medlers wyldynges c. Also ye muste auoyde anger immoderate vse of women and greate exercise Thys doctrine shall suffice for particuler purgation of emoroydes Vniuersall cure of emoroydes Nowe we wyll come to the vniuersall cure whyche shall be accomplyshed by foure intentions The fyrste consisteth in the ordinaunce of diete the seconde in purgation of the mattier antecedente the thyrde in remouinge the matter conioynt the fourth in correction of the accidentes As towchyng the fyrste the patient must vse suche meates as maye engendre good blood and destroy euyl as chickyns hennes partryches fesauntes motton veale sodden wyth herbes that engeÌ„der good blood as borage buglosse lettuse spinache c. He must auoyde all fishe excepte perches and fyshes that lyue amonge stones Also he must auoyde al sharpe thynges that engender melancholyke blood For the seconde intention whiche is to purge the mattier antecedente you shall vse Diacatholicon or Cassia or Diacassia and ye shal forbeare solutyues into whyche Aloes and scamonye enter wherfore it shall suffice to loose the bellye with one of the sayd lenitiues The thyrde intention shall be accomplyshed wyth the administration of locall remedyes And fyrste yf the emoroydes be like mulberies though they be of lytle aperaunce yet they cause great payn which if you swage not spedelye an apostemous or fistulous vlcere maye be engendred in the place Wherefore Lanfranke a lerned man comaundeth at the begynnynge to cutte the veyne called Basilica of the same syde the next daye the veyne saphena of the same syde And if the patient were wont to haue purgation by the veynes emoroydal ye shall prouoke the same and yf he were not acustomed he shal forbeare And herein the chirurgiens erre often tymes applyenge in the begynnynge of emoroydes bloode suckers and thynges that prouoke bloode wherby they haue broughte the place to an aposteme or to a fistula wherfore it is better to studye to swage the payne and to resolue the emoroydes wherunto a suffumigation and fomentation of the place by this decoction folowynge is profitable in all kyndes of emoroydes whyche we haue proued in Iulye the seconde A pope full of pyles R. of the leaues of Malowes and Violettes of
tyme maye be well vsed in these vlceres The lynemente also vnderwritten is conuenyente in thys case wherewyth ye shall anoynte all the legge ℞ of the iuce of plantayne of nyghte shade or the sede therof housekele ana ʒ.vi of oyle of rooses odoriferous of vnguentum populeon ana ℥ iii. of lytarge of golde and syluer ana ℥ .ii. of vyneger of rooses ʒ.ii of camphore ʒ ss make a lynemente of all these in a mortar of leade for thys lynemente dilateth sharpenesse of humoures and suffereth not the matter antetedente to passe to the matter conioynte Abande also wette in vineger and water of rooses and strayned is necessarye to defende the matter antecedente and cole the place c. The .vii. chapter of a member corrupte and rotten throughe incision ⸫ AS we haue sayde in the chapter of cancrena Of a putryfyed member a member putryfyeth .iii maner of wayes Fyrst by a thing that corrupteth the naturall complexion of the member as by venyme hote or colde Secondelye a member is corrupted throughe the prohibicion of vytal spirites whyche were wonte to come to the member Thyrdelye by a thynge that causeth the two foresayd impedimentes as by a venemose pustule and by a medycyne putrefactiue vndiscretelye administred as arsenyke and realgar As we haue seene The cardinalles muste be gloryously tytled in the mooste reuerente Lorde my Lorde the Lord Facio of the tytle of Saynte Sabyne Cardinall whiche had the apostemes called herpes and Estiomenus in his ryghte foote throughe the defaute of naturall heate and wekenesse of the member and also throughe hys long ague and by reason of the vehemente wynter that was that yeare Wherefore we beganne fyrste to cure the corrupte member wyth the cure of cancrena and askachillos and that wyth sondrye scarifycations and lykewyse we washed the place wyth salte water and wyth the decoction of lupynes soden in lye and some tyme wyth myxte vineger and salte And after the lotion we administred vpon the rotten boone twyse a daye vnguentum egyptiatum after the descrption of Auycenne that the partes adioynynge myghte be kepte from putrefaction And because as Celsus sayth the remedyes profytelytle in thys most cruell dysease and the canker seaseth not to crepe yet one remedye there is to cutte the corrupte member away that the hole parte of the body be not enfected Wherefore I seynge that the forsayde remedyes ware not conuenyent and that they coulde not defende the putrefactiō but that it crept ouer the knee dayly more and more I councelled to cutte the legge of aboue the ancle betwene the hole and the corupte parte and than to cauteryse the same howbeit certayne greate Phisicians of the Romayne courte resisted myne opinion wythoute reason and auctoritie though I had astablished it with other of the sayde auctorytyes and also wyth the auctoritie of master Iohn Marcerathensis So they wolde not suffer that the member shulde be cutte of yee one of them promysed that he woulde kylle the dysease wyth the onelye applycation of arsenycke but the sayde arsenycke through the wekenesse of the member and naturall heate coulde notte worcke accordynge to the mynd of the Phisicion but rather gnawed and rotted the membre And albeit that the sayde physition that worse is affyrmed that he woulde mayntayne the corrupte mē ber with the hole the space of tenne yeares yet the sayde cardynall was constreyned to dye through that enterpryse And because this chaūce is rare I haue declared the processe thereof that the phisitions maye not in suche be deceyued In the yere of our lorde M.D. and .ix. at syxe a clocke of the nyghte the fyrste daye of Februarye there chaunced a vehemente peyne withe inwarde pryckynges in the lyfte foote of the sayde cardynall insomoche that he cryed that his foote was burned And yet in touchynge the membre was as colde as yse vnto the knee and yet it felte not naturally nor perfectlye but after the maner of a false felyng Moreouer there apered no chaungyng of the membre in coloure no rednes nor swellynge vntylle the .vii. daye In the nyghte tyme he was vexed a certeyne space with the foresayde peyne and it swaged some what in the day tyme. And when he arose frome his bedde he semed to carye a great weyght of leade in his foote whiche peyne continued vntylle the seuenth daye euery nyght as we haue sayd In the seuenth day the membre was mortified welnygh from the ancle dounwarde Of whyche mortification we douted fyrste afterward we ware certified in the seuenth day that the membre was plainly mortified Foundyng our pronostication vppon Willelmus Placentinus a man of gret auctority in chirurgerye whose woordes be these The sygnes sayethe he of peynes whiche proocede of a colde cause in the extremyties of members are theese Losse of heate and readnes benommynge styfenesse and heuynesse and pryckyng of the place whych thinges signifie that the palsey shall ensue or that the member is mortified In the same daye the forsayd cardinall was vexed wyth a vehemente feuer and sounded ofte and was vtterlye oute of quiet in al his bodye so that al the phisicians thought that he wold dye the same daye by the reasone of the crueltie of the accidentes wherfore there assembled the hole college of phisicions in the mornyng to dispute of the qualitie of the desese and of the cure therof and there was greate discorde amonge them concernynge the same for some of thē sayde it was the frenche pockes some sayde the gout some that the membre was benommed some that it was mortified and cankerd I and mayster Iohn Macerathensis alowed the laste opynyon and I declared to the foresayde Phisycyons the effecte of the matter by experyence and mooste weyghtye argumentes For though the membre semed not corrupted nother in swellinge nor in coloure sauynge that it was somewhat blewyshe yet in the presence of them all I scarified vpon the place vnto the bone and caused no paine to the cardinall and the bloode that issued oute was grosse and thicke as it ware congeled and of a very blacke coloure lyke ynke which thinge done the phisiciōs chaunged theyr myndes and consentyd to our opinion though they resisted vs concernynge the cure of the desease Hitherto we haue declared the storie nowe we wyll returne to our purpose Fyrst purgacion of the bodye by a lenitiue clister or some other lenitiue medecyne presupposed there is no better remedye than to cutte the corrupted member nygh the hole part so that some of the corrupted membre remayne and that for thre causes Fyrste that insicion maye be wythout payne Secondlye that fluxe of blood maye be aduoyded Thyrdelye that a cauterisation maye be vsed wythoute payne The maner to cutte the corrupte member is thys Fyrst ye must proue wyth a prouet howe the mortificacyon of the membre gooethe and afterwarde ye muste cutte the membre syrcle wyse in the fleshye and musculose parte and ye must dyseuer
somwhate the fleshe frome the bone in the ouer parte of the member And afterwarde cutte the rotten fleshe frome the boone by pece mele and couer the bourders wyth warme cloutes that they be not hurte by the ayre Than ye muste compasse about the ouer parte wyth youre handes and reduce the fleshe cyrclewyse and sawe the bone as hye as ye can wyth a sawe of sharpe teethe Whyche done ye muste cauteryse the cutte place vnto the hole parte and afterwarde ye muste cauteryse the boone and than cure the wounde as other burned woundes bene cured And because that some commaund to astoyne the member before incisyon by applycation of a medycyn wherin opium entreth or by the smelling of a spunge wherein opium is that the hole bodye maye be broughte a slepe Ye shall vnderstande the reuerence saued they enterpryse a daungerouse busynes for thys dysease somtymes chaunseth of a medycine made wyth opium as wrytters affyrme Neuerthelesse the member may be bound afore incision in the vpper parte because of the course of the bloode Furthermore they that prayse the applycacion of a certayn sparadrap for the conseruation of the corrupte member wyth the hole are not to be herde for the application of them doth brynge shame to the chirurgien hyndraūce to the patient Fynally when the escare is remoued ye shall procede as is declared in the chap. of vlcers in general thus endeth the treatyse of vlceres The .v. boke of master Ihon Vigo of Genuay of the frenche Pockes of the deade euyl and scabbe of the paynes of the ioyntes of the tethe ¶ The fyrst chapter of the cure of the frenche Pockes not confyrmed IN the yeare of our Lord. Of the frēche pockes not confermed 1494. in the monethe of December whē Charles the Frēche kynge toke hys iorney into the partes of ytaly to recouer the kyngdome of Naples there appered a certayne dysease through out al ytaly of an vnknowen nature whych sondrye nations hath called by sondry names The Frenche men call it the dysease of Naples bycause the souldyours brought it from thence into Fraunce The Neapolitanes call it the Frenche dysease for it appered fyrste whē they came to Naples so other languages call it by other names whervpon we nede not greatlye to passe but rather what the nature and cure therof is Thys dysease is contagious chiefly yf it chaūce through copulation of a mā wyth an vnclene woman for the begynnynge therof was in the secret members of men and women with lytle pushes of blewe colour otherwhyles of blacke sometyme of whytyshe wyth a certayn hardnes aboute the same whych pustules could not be healed by medicine applyed with in or wythout but that they wold enbrace the hole bodye wyth vlceration of the genitall partes euer returnyng agayne after they were healed chiefly in the ioyntes in the armes vnder the knees in the foreheade and welnye spredde through all the body yet at thys tyme they begyn euē so but it is not so contagious as it was at the begynnyng Furthermore a moneth after the sayd pustules the patient was vexed wyth great payne in the heade the shulders the armes the legges after whych payne that is to saye after a yeare more certayne hard thinges lyke bones were engendred in the patient wyth exceding paine in the nyght tyme whych seased in the daye tyme. For the swagynge wherof the chirurgiens administred anodyne medicines that apease griefe and preuayled nothinge but the ende of the payne was euer corruption of the bone as it chaūceth in the windines of the backbone for the most part the mēbres remayned croked and drawen together through the sayd paynes After a yeare a halfe there appered in thys shamefull abhominable dysease certain knobbes of grosse and flegmatyke matter rooted after the maner of a whyt chessenut lyke a chorde or a synowe halfe rottē whyche were ryped of nature wtout helpe of medicine Wherfore after theyr brekyng or openyng of them all kyndes of vlcers were sene in thē accordyng to the diuersytie of bodyes for in one bodye it is not credible For in sondry bodyes sondry accidentes are wont to be engendred with thys dysease And I dare say that al the dyseases that come of a cause antecedent wherof the chirurgiens haue made mencion maye be nombred in thys shamefull dysease accordyng to the dyuersitie of bodyes And fyrst to speake of apostemes we haue sene in thys detestable sycknes all kynde of hoote cholerike and sanguine apostemes And also we haue sene great quātitie of colde flegmatike and melācholyke apostemes in matters cōpoūde yf the bloode be ioyned wyth fleume and the bloode hauynge dominion the aposteme is called flegmon vndemiades and so of the cōiunction of other as we haue declared in the boke of apostemes in generall Furthermore we haue sene in the sayd dysease al kyndes of quyttures accordynge to the dyuersities of the .iiij. The packes haue parte of al dyseases euyll humours We haue sene deade fleshe growyng in great aboundaūce and also greate multytude of glandules scrophules apostemes called talpe ectopinarie wyth corruption of the bone in the heade And moreouer we haue sene al sortes of the apostemes called formice carbuncles and cancrenes to haue ben ioyned wyth the said dysease and al sortes of vlceres wrytten by al the doctours haue bene sene in thys dysease And yf the vlcers of the sayd dysease be diligently consydred they haue participation with corrosiue and putrefactiue vlcers with creping vlcers cancreouse and cancrenouse virulent maligne paynfull apostemed holowe fystulous vlcers wyth corruption of the bone shelly with harde lyppes briefly the said vlcers haue an euel proprietie vnknowen to vs thorough the malignitie wherof they are harde to be healed and returne shortly agayne Lykewyse in thys dysease all kyndes of paynes may be nōbred as the goute in the handes and fete and of the knees and sciatica Item al sortes of euell scabbes are founde in thys dysease that is the deade euel assaphat and as it were a leprye salte flēgme in the handes and in the fete skalles ryngwormes tetters c. Itē we haue healed sondrye dyseases of the eyes cōmynge of the pockes chyeflye the dysease called ophthalmia but it shulde be to longe a thynge to reken vp al the accidentes that come of this dysease Howebeit we wyl adde this one thynge that they that are touched therwyth are subiecte to a slowe feuer and a consumynge whyche hath brought the patiēt sometyme to death The cause of thys dysease is alwaye primitiue as by hauynge knowlege of fylthy vncleane and pocky women for thys dysease through hys venymnes and the venymnes of the pustules whych chaunce in the priuie partes is spredde aboute the hole bodye from the head to the fete and corrupteth the blod of all tht bodye and produceth pustules scabbes and croustye skalles And ye shall vnderstande that resolutiue medicines that swage
â„¥ i. of chosen manna â„¥ ss make a small potion wyth the decoction of cordiall frutes and floures but in the somer yf nede be the purgation and digestioÌ„ noted in the former chapter may conuenyently be mynistred IteÌ„ it is very good to take the space of a weke a sponefull of the forsayde syrupe fastynge without waters and also to receyue .vii. houres before dyner as moche triacle as the quaÌ„titie of a chesnutte Lykewyse the pylles vnderwrytten are good to be gyuen before the application of the vnctioÌ„s and other remedyes and ye muste gyue therof at ones but Ê’ ss at mydnyght or in the mornyng Piâ—â—es for the pockes â„ž of black elebore of good turbyth ana Ê’ ii of Galenes tryacle â„¥ ss of tormentylle of genciane of dytanye ana Ê’ ss of diagridium â„¥ ss of reubarbe â„¥ i. ss of the spyces of hiera with agarik Ê’ ii mengle them togyther and make pylles with a syrupe of sticados after the maner of peason the receyte of them is froÌ„ ℈ ii to Ê’ i. Somtyme one is receiued somtyme ii and somtyme .iii. IteÌ„ let the patient receyue pylles ordeyned agaynst the frenche pockes and the accidentes therof after our description wherwith we haue healed many with this cerote Special puÌ„les for the pâ—â—kes forsayde remedyes The forme of them is this â„ž of myrobalanes embli belli indi anÌ„ Ê’ ii ss of the spices of mastik pilles â„¥ ss of sticados of the coddes of sene of epithymi of saffran ana Ê’ ss of gentiane of anise ana Ê’ i. of polipodie of blacke elebore an Ê’ ii fyne turbith Ê’ i ss of diagridiuÌ„ ℈ iiii of gynger of serapyne of cynamuÌ„ of nutmygges of lignuÌ„ aloes of tormentil of dytanye of carduus benedictus coloquintida ana ℈ ii of agaricke in trociskes of fyne reubarbe of washen aloes ana â„¥ ss of Galenes triacle Ê’ vi make pylles after the maner of peason with a syrupe of vynegre The dose is Ê’ i. SoÌ„tyme .v. pilles are receyued somtyme iii. soÌ„time one Note also that they haue great strength agaynst the pestileÌ„ce Also ye shall obserue that whan this disease is coÌ„firmed it is very seldome healed but with a cure palliatiue And as concernyng his confirmatioÌ„ it hathe no determyned tyme but by signes for in some bodyes it is coÌ„firmed in .vi. monethes which seldome chaunceth in some within a yeare in some wtin a yere an halfe And we call this desease confirmed when in processe of tyme these accidentes are founde therein namelye swellynges hardnesse pryckyng virulent and corrosyue vlcerations with corruption of the bones payne of the ioyntes and foreheed c. Thus we ende c. ¶ The .iii. Chapter Of the deed euyll or mortmale THe deed euyl as the doctoures of this tyme testify is a maligne fylthy and corrupt scabbe which begynneth for the most part in the armes thyghes legges chefly in the legges it causeth crusty pustles ful of fylthy matter This disease coÌ„meth by the way of coÌ„tagion as wytnesseth rosa anglicana soÌ„tyme of a leprous woman somtyme of a scabby somtyme of a woman which had lately the floures After that this disease is confyrmed as some men saye it is not healed but by a cure palliatiue And this disease is confirmed after a yere and an halfe or there about and therfore it is lyke to the frenche pockes in sygnes causes and cure Concernynge the forsayd medicines as well locall as vniuersall for the cure of the french pockes we toke them of theodorik in the Chapiter of mortmale and in the chapter of the cure of scabbes wherfore before the curation of thys disease we thought it coÌ„uenieÌ„t to wryte a chapter of the frenche pockes for the remedyes of the one agreeth with the other The cause antecedente of this disease for the most parte consysteth in euyll meates and drynkes whiche engendre corrupt humours and ther fore we haue seene sometymes that the forsayde pustles haue become maligne and haue bene turned into cancrenositie whereby also the pustles are somewhat raysed aboue the fleshe wyth the coloure of a mulberye halfe rype And than I scarifyed the place depely vnto the bone and the patient semed to fele nothyng wherfore this disease passeth from cancrena to aschachillos and esthiomenos This disease is engendred of grosse melancholyke and corrupte bloode a signe wherof is blaknesse of pustles Somtyme also it chaunceth that gros and salt steme is mengled with melancholie of which large pustles or scabbes are engeÌ„dred of whyte colour with some blewnesse and moche itchynge The curation of this disease hath two regimentes namely vniuersal perticuler The vniuersall is accomplysshed by losyng of the belly accordynge to the euyll humoure by cuttynge the veyne and by application of bloodesuckers vpon the veynes emorroydall Yf the pustles bene blacke whiche is a sygne of melancholye it must be digested with this syrupe folowing â„ž of the lesse syrupe of fumiterry of the syrupe of the iuce of endyue ana Ê’ v. of oximel symple Ê’ ii of the water of fumiterrye of maydenheere of endiue ana â„¥ i. when the patient hath vsed this syrupe the space of a weke let him take the purgation folowing â„ž of diacatholicon â„¥ i of the confection of hamech Ê’ x. ss make a smal potion wyth the decoction of cordyall floures and frutes addyng of polypodye of hartestonge of maydenheere coddes of sene and epithimi ana a litle and of syrupe of violettes â„¥ i. ss ☞ Here ye shal note that bicause melancholye is erthye therfore it is conuenyent to renewe the digestion and to purge it being digested wyth the forsayde purgation which purgation also ye shall vse often But yf the matter be melancolycke wyth salte fleame let it be thus digested â„ž of syrupe of fumiterrye of oxisaccaruÌ„ of oximel ana â„¥ ss of the water of fumiterrye and maydenheere ana â„¥ i. ss mengle them togyther and lette the patien vse therof the space of a weke when the matter is digested whiche is knowen by the good coloure multitude and some grosnesse of the vryne then let the patient be purged with the purgation folowyng â„ž of diacatholicon and diafinicon ana Ê’ iiii of the confection of hamech â„¥ ss make a small potion with the forsayde decoction addynge of syrupe of violettes â„¥ i. Item pylles of fumiterry and pilles aggregatiue may be somtyme conuenyentlye admynystred in stede of the forsayde purgation Also the incision of the veyne basilica is very good in this case for it purgeth gros blood Morouer bloodsuckers layed vpon the veynes emoroidall ventoses applyed in any place of the bodye hath broughte greate ease in this sycknesse The perticuler remedyes shal be accomplyshed by the admynistratioÌ„ of local medicines I wyl recite certayn remedyes whiche I haue vsed after purgation wyth worshyp and profyte Fyrst I ordeyned the bathe vnderwrytten wherew t I wasshed the scabby places twise a day â„ž dockes fumiterry anÌ„ mÌ„ ii of
those are the waies and condittes by whyche the mattier cometh to the ioynctes The thyrde cause is the partes receyuyng namely the ioynctes weakned by nature or by some other chaunce Naturally wheÌ„ they ben prepared by enheritauÌ„ce to the ioyncte accidentally bycause the patient hathe suffred a strocke in the ioynctes or an aposteme or hathe vsed the euyl diete aforesayd we haue declared sufficientlye the causes and signes Cure of goutes now we wil come to the cure The cure of thys disease hath thre intentions The fyrst is diete the seconde purgation of the mattier antecedent the thirde is local medicines and remouing of the accidentes For the fyrst intention it is necessary to vse meates that engeÌ„der good bloode as flesh of byrdes chyckyns veale byrdes of the mountaynes as pertriches fesauntes c. Hys wyne muste be claret delayed wyth sodden water yf he the hath the disease wolde vse soddeÌ„ water with hony it shulde be very profitable and might kepe of the goute from comynge to hym In the declaration of the disease the patient maye vse wyne with the sayd water or with the decoction of cinamome All herbes rootes and all kyndes of poulse that engender troublous and grosse blood are to be forborne whith all diligence in this sicknes And likewise all kindes of flesh that engender grosse blood and melaÌ„cholike as bief porke byrdes of the ryuers c. But although herbes be forbiden yet spynache betes lettuse parcelye soden with conuenient fleshe maye be permitted And also the patient maye vse Rice almondes cleane barlye in the broth of the foresayd kyndes of fleshe A notable phisicion Hugo de Senis couÌ„celeth in thys disease procedynge of a colde mattier to vse sage rosemarye spike wyth a lytle cynamome nutmeges for it digesteth grosse mattier and comforteth the sinnowes But al pepered thynges and salte and hote thynges as garlyke oynyons radysh rocket and all sharpe and tarte thynges muste be auoyded and lykewyse all kyndes of Colewortes and rapes wheÌ„ the matter the causeth the gout is hote the wyne must be more delayed wyth water than wheÌ„ the mattier is cold and the diete must be more cold in herbes and fleshe and a lytle more subtyle And the patient must absteyn from eles and such fyshes Howbeit he maye eate sometymes carpes roches perches Furthermore he must absteyne froÌ„ al see fysh except those that haue redde fleshe and small bodyes The seconde entention is accoÌ„plyshed by the administration of purgations and digestions accordynge to the disposition of the humours for yf the mattier be hote and chieflye coleryke thys digestiue folowyng is conuenient R. of a syrupe of roses by infusion ana Ê’ vi of water of buglosse hoppes endyue ana â„¥ i. geue it the patient twyse a daye Yf the mattier be sanguine and the goute in the haÌ„des ye shal cutte the veyne basilica If the goute be in the feete ye shall cutte the veyne called hepatica or the comune veyne of the arme on the same side If it be a sciatica the comune veyne of the contrary arme shal be cutte In the state of the disease for the euacuation of the mattier conioynct ye maye open the veyne called saphena on the same side For Celsus saith that the cuttynge of a veyne in the begynnynge of thys disease kepeth the patient that he be not vexed wyth the goute for euer or at the leste the space of a yere When the mattier is sanguine digest it wyth thys syrupe R. of a syrupe of the iuyce of endyue of syrupe of roses made by infusion of the lesse syrupe of fumiterre anÌ„ â„¥ ss of the waters of endyue hoppes and fumitery anÌ„ â„¥ i. or make it thus Recipe of syrupe de besantiis of syrupe of roses by infusion and of syrupe of endyue anÌ„ â„¥ ss of waters of endyue buglosse and fumiterry anÌ„ â„¥ i. But yf the mattier be mengled with fleume then the digestiue shal be after thys sorte R. of syrupe of the iuyce of endyue of sirupe de duabus radicibus without vinayger of the lesse syrupe of fumiterry anÌ„ â„¥ ss of the waters of endyue fumiterry and fenell ana â„¥ i. But yf the mattier be vtterly colde and grosse than thys digestion folowynge is moost conuenient R. of syrupe de duabus radicibus wythout vinaygre of hony of â—â—ses streyned of oximel ana â„¥ ss of the waters of fenell sage rosemary ana â„¥ i. and let it be spiced wyth a lytle cynamome nutmegges in the winter After the coleryke mattier is digested by the space of sixe dayes at the leste then ye shall vse this purgation R. of chosen manna â„¥ i. of an electuary of the iuyce of Roses â„¥ ss make a smal potion with the decoction of cordial floures frutes or make it thus R. of diaprunis noÌ„ solutiui â„¥ i. of the electuary of iuyce of roses of electuary of roses after the description of Mesue anÌ„ Ê’ ii make a small potion wyth the foresaid decoction An other way R. of the pylles of harmodactiles the lesse after Mesue ℈ ii of pilles assagereth Ê’ ss make .v. pylles wyth the water of endyue and let the patient take them an houre before daye and lette hym fast sixe houres after an hour after dynner he may slepe a litle hour yf he haue great lyste to slepe If the mattier be saÌ„guine the purgation folowyng is very conuenient R. of diacatholicon of cassia ana â„¥ ss of an electuarie of roses after Mesue Ê’ iii. make a small potion wyth the comon decoction or thus R. of an electuary of roses after Mesue ℈ iiii make a lozenge wyth sugre and let the patitient take it an houre before day with the foresayd prouiso But yf the mattier be meÌ„gled that is to saye yf it be hote and colde for the purgation therof we muste vse medicynes that haue mengled vertues of whyche thys maye be one R. of diafinicon of cassia ana â„¥ ss of electuary of roses Ê’ ii make a small potion wyth the foresayd decoctioÌ„ or ye may make it thus R. of diacatholicon diafinicoÌ„ ana â„¥ ss of an electuarie of roses after Mesue Ê’ i. ss make a smal potioÌ„ with the water of fenel buglosse and smaâ—ge addyng of syrupe of violettes â„¥ â—orthus R. of the pilles of hermodac tiles the greater and the lesse ana Ê’ ss of agaryke made in trosciskes ℈ i. make .v. pilles wyth the water of endyue and fenel which the patient shal receyue an houre before daye as is aforesayd Furthermore yf the mattier be vtterly colde and grosse it shall be thus purged R. diafinicon Ê’ vi diacatholicon â„¥ ss of agaryke in trociskes Ê’ ss make a smal potion wyth the decoction of damaske prunes mayden heare pollitricuÌ„ gallitricuÌ„ cordiall floures addyng syrupe of violettes â„¥ i. or make it thus R. pilles of hermodactiles the greater Ê’ i. make .v. pilles with water of sage and rosemary whych the patient shal vse as is aforesayd The thyrde
plantayne Ê’ iij. ss of the wyne of pomegranades Ê’ ij of honye of roses Ê’ vi of sarcocolle Ê’ i. ss of vynegre squillityke â„¥ ss of the leaues of wylde olyues somewhat stamped mÌ„ ss lette them be sodden altogether excepte the liciuÌ„ the hony of roses theÌ„ strayne them let them sethe againe with hony of roses licium tyll .ij. partes of .iij. be consumed rubbe the guÌ„mes wyth thys coÌ„position for it fasteneth the tethe remoueth putrefaction comforteth the synowes that come to the rootes of the tethe And yf a more desiccatiue medicine be requyred ye shal vse vngueÌ„tum egiptiacum of the descriptioÌ„ of AuiceÌ„ne for it hath vertue to remoue the euyll fleshe and to conserue the good Nowe that we haue declared the passions of the tethe the causes ther of we wyll teache wyth what remedyes the sayd dyseases may be remoued for as Galene sayth the payne of the tethe is the greatest of all paynes that kylleth not the pacient Besyde the syxe causes aforenamed the payne of the teth may come of wormes which are engendred in the holowes of the same by apostemacion of the ligamentes of the gummes but nowe we wyl come to practise Ye maye knowe whether the matter be hote or colde by administration of medicines vpon the tethe yf the matter be hote the payne seaseth by the application of colde thynges Contrarywyse yf the payne be colde the patient is eased with the application of hote thynges The cure To the cure of the sayd dysease ther be .iij intentions requyred The fyrst is ordynaunce of dyete the seconde purgation of the matter antecedente the iij. application of sondrye locall medicines Fyrst the patient muste absteyne from all meates that sone putrifye in the stomacke as fyshe grosse fleshe salted from al whyte meates chease c. And he muste vse meates of easye dygestion that engender good blood Hys wyne muste be of good odoure myngled wyth sodden water After refection he muste pycke hys teeth and clense them that no rotenes be engendred therin The seconde entention whyche is to purge the matter antecedeÌ„t is thus accoÌ„plished when the matter is hote Mesue coÌ„maundeth to cut the vayne cephalica or in the stede therof to laye ventoses vpon the shulder or vpoÌ„ the necke Item sacrifycation of the gommes application of bloodsuckers is a present remedy in thys case to cause the payne to cease incoÌ„tinently These medicines folowynge purge the matter that causeth the payne Namelye an electuary of roses after Mesue an electuarye of psilium cassia diacatholicon pylles of reubarbe pylles of assagereth medicines that purge colde grosse matter are these diafinicon hiera with agarike pylles sine quibê° and pylles cochye But pylles of fumiterrye and agaryke purge myngled matter so doth cassia diacatholicoÌ„ The thyrde inteÌ„tion is accoÌ„plyshed by the administration of sondrye remedyes vpon the place Fyrst yf the matter be hote yt maye conueniently vse the wyne of pomegranades with the water of plantayne a lytle vynegre sodden wyth sumach roses floures of pomegranades a lytle licium Item to the same enteÌ„tion it auaileth much to washe the mouthe wyth thys decoction â„ž of the rootes of tapsus barbatus hauynge whyte leaues mÌ„ i. of roses of barlye of sumach ana mÌ„ ss of tormentille brayed of the seed of henbane brayed ana Ê’ ij of all the saunders ana Ê’ i. of lettuse mÌ„ ij of the tender croppes of brambles of the leaues of wylde olyues and of myrtilles anÌ„ mÌ„ i. let theÌ„ be al soddeÌ„ together with .iiij. pound of rayne water and a lytle vynegre and a lytle wyne of pomegranades vntyl halfe be consumed holde thys decoctioÌ„ in the mouth for it swageth payne maruelously An other decoction â„ž of the leaues of plantayne of lettuse of lingua passerina or knotgrasse of sorell of nyghtshade ana mÌ„ ss of sumach Ê’ iiij clene barlye mÌ„ i. let them seeth all together tyl the barlye breake and put thervnto of vynegre â„¥ ij of syrupe of roses by infusion of diameron ana â„¥ i. ss wyth the skynne of an addre lette them seeth agayne tyll halfe be consumed then strayne them and vse the decoction as is aforesayd for it swageth the payne commynge of an hote cause in the teeth Auicenne sayeth that to washe the mouth with vynegre of the decoction of an adders skinne appeaseth the tothache through a certayne proprietie that is therin I haue proued .ij. partes of the wyne of pomegranades wyth the sayd medicine it hath succeded well Item to washe the mouthe wyth the decoction of a frogge sodden in vynegre and water as Rasis afyrmeth is a good remedye agaynst the tothe ache It is profytable sometymes to vapour out the matter to prouoke it to the outwarde partes that it may leue the synowy partes come to the fleshie And therfore Galen sayeth that swellynge of the chekes in the toth ache is a sygne that the payne wyll cease for then the matter leaueth the synowe coÌ„meth to the fleshe for the euaporation wherof I euer vsed this ordinauÌ„ce â„ž of the leaues of lettuse violettes ana mÌ„ ss of clene barly somewhat broken mÌ„ i. of raysons of iuiubes noÌ„bre xx of the rootes of langdebefe clene piked â„¥ ij of lycorice Ê’ vi of the croÌ„mes of breade â„¥ i. sethe them altogether with sufficieÌ„t quantitie of rayne water tyll ij partes of .iij. be coÌ„sumed theÌ„ strayne them put to the straynyng of syrupe of violettes â„¥ iiij Ye shall often washe the mouthe therwyth for it easeth payne by suppuration of the matter or swellyng of the place Yf ye put fygges and dates to thys decoctioÌ„ whyle it dothe sethe it maye be well permytted agaynst a colde matter Item agaynst the paynes of the tethe caused of a hote matter ye may conueniently vse the seed of henbane brayed wyth a lytle sandrake and a lytle coriander a lytle opium incorporated all together wyth a lytle vynegre Ye maye make this ordinauÌ„ce after the maner of a trocyske or a bagge and in a lyquide forme and laye it vpon the sore place Ther be many whych saye the vyneegre hurteth the teeth whose opininion is to be refused for as Galene sayeth the medicines of the tethe whether they be repercussiue or resolutiue muste be of stronge penetration or percyng bycause of the hardnes of the sayd tethe wherfore all the wrytters make theyr medicines wyth stroÌ„ge vynegre And Auicenne sayeth Vynegre that vynegre is a comon medicine for al matters affirmynge that the coldnes of vynegre is sone taken away wyth other medicynes myngled therwyth neuerthelesse hys cuttynge depe percynge remayne whych .ij. qualities are necessarie in thys case Therfore GalieÌ„ sayeth by the authoritie of Alchigenis that vynegre is an excellent medicine to heale the tothe ache coÌ„maundeth to myngle vynegre with galles to applie the same vpoÌ„ the painful place wheÌ„
ministres as we haue sayde afore of whyche lette one drawe the hande the other the elbowe they must drawe bothe together equallye And thē let the master restore the bone vnto hys place imbracynge the arme wyth bothe hys handes and let hym haue his aparel prepared as it is said in the vniuersal chapter And let splintes be applyed sixe in nōbre at the leste of whych one must be greater then another and must be layd vpon the fracture as we haue declared in the vniuersal chapter and the byndyng must be more streyght vpon the fracture then in the endes of the splyntes And it is a verye requisite thynge to bynde them conueniently for yf the bynding be to streyte the mēber might be astonyed sometyme cause an aposteme or cancrena and yf it be to loose it wyll not holde the bone fast in hys place When the fracture of the focilles is restored after the foresayd maner let the arme be layed equallye vpō the bedde Neuerthelesse the hande must be somewhat reysed vp that the humours renne not downe to the lower parte At the begynnyng excepte necessitie constrayne ye shal not visit the fracture vnto the .viii. daye Howbeit ye shal laye vpon the bone called adiutoriū a clout dipped in odoriferous oyle of roses beatē with the white of an egge and a lytle iuyce of plantayne leste humours resort to the sore place Furthermore it is a generall rule in thys case and in other lyke that the medicine be chaunged euerye tenthe daye washynge the members wyth the decoction described in the vniuersall chapter of fractures Itē the olde and later doctours cōmaund that the splyntes be not taken awaye wythin xl dayes for as Auicenne sayeth it is better that they shulde remayne to long thā to lytle while It is also requisite in this case that the paciēt absteyn frō laborious mouīg And he must beware that he lay not the member vncomelye Of dyete purgation and flebothomye we haue spoken suffycient in the vniuersall chapter of fractures ¶ The .xi. Chapter Of the fracture of the bones of the handes IT chaunceth seldome that the bones of the hande and the fingers be broken neuerthelesse when it chaūceth the pacyente muste holde his hande vpon a playne table wrapped with stoupes than he muste haue a mynystre to stretche out the thōbe and the other fingers and then the master must conuey the bones of the fyngers and of the other parte of the hande into their natural places applying afterwarde a playster of mildust wrytten in the vniuersall Chapiter of fractures and byndyng on .ii. splyntes accordyng to the length of the fynger He must moreouer bynde the sayde fracture wyth a bande begynnynge from the elbowe to the hande which thynge muste be done sleyghtly that it be neither to loose nor to strayte and the apparell must not be remoued vnto the .vii. daye For other intentions ye shal procede accordinge to that is wrytten in the vniuersall Chapter c. ¶ The .xii. Chapter Of the fracture of the rybbes WE sayde in oure anatomy that .xii. rybbes are situated in mans body of whiche the .v. nether rybbes are called false rybbes and they are seldome broken by reason of the gristlye nature The other rybbes whiche are called complete are often broken by reason of the hardnesse through a bruse or a stroke Concernyng the restauracion of thē the doctours varye neuerthelesse I wyll folowe the excellent doctour m. Guilelmus Placentinus Fyrst as the same doctour sayeth yf the rybbes be broken in one place or in two it maye be knowen by touchyng for ye shal fele a holownesse in the place Signes and by touchynge ye shall cause great payne to the patient and he can not easelye breathe and somtyme there is herde a crashyng of the fracture and sometyme they are but bowed onelye when ye perceyue the forsayde signes then vnderstande that the rybbes be verye moche bowed or els brokē which bowyng or brekyng of the rybbes there foloweth sometymes a disese called a pleurisie coughing spittyng of blood and a great feuer and this fracture is iudged of all doctours to be very daungerous it is lyke in signes causes cure vnto the fractures of the bones of the brest And they must be discretely restored depressyng the bones that stād vp Maner of restoryng and raysyng vp the boones that ben depressed The maner of restoring them is this Ye must laye your lefte hande vpon the parte of the broken bone that standeth out and ye muste prepare your ryght hande to be holden vpon the sayde parte beinge annoynted with some glewysshe oyntment or cerote the space that a man may saye the Psalme of Miserere which done ye must cause the patiēt to cough as stronglye as he can and togyther and in one tyme ye muste thrust downe the parte of the bone that standeth oute with your lefte hande and rayse vp the depressed part with your ryght hande A glewysh oyntment The fourme of the glewysh oyntmēt is this ℞ the white of an egge of mylduste ℥ ss of dragagantū brayed of frankensence ana ʒ i. of fyne byrde lime ʒ vi of muscilage made with rose water glewe of pitche ʒ i. ss mengle them and vse them as is aforsayd or after this maner Take a threfolde cloth and playstre it wyth the sayde oyntment and laye it vpon the depressed part And ye must leaue in the myddes of the playster a pece like a sleue to draw it when nede shal be to reyse vp the depressed bone thrustyng downe with your thombe the parte raysed vp and cause the patiēt to coughe in tyme of restauracion when the bone is restored ye shall applye this playstre folowynge vnto the .vii day renewyng it euery secōde daye ℞ the whytes of .iii. egges of oyle of roses omphacine of oyle mirtine ana ℥ ii of mylduste ℥ i. ss of the muscilage of holyhocke ℥ ii ss of bene floure and barly flour ana ʒ vi of sāguis draconis of terra sigulata of bole armenye ana ℥ ss of frankensēce ʒ i. After the .vii. daye ye shall applye this cerote folowyng ℞ of the rotes of holyhock li. i. two fete of a calfe seeth them all in water and odoriferous wyne and than stampe and strayne the rootes onely and adde to the straynynge of oyle myrtyne and omphacyne ana ℥ iii. of oyle of mastyke ʒ i. ss of most clere terebentine ℥ x. of saffrā fynely poudred ʒ ss of sanguis draconis of terra sigillata ℥ ss of frankensence ʒ ii of beane floure ℥ i. ss mengle them and make a softe cerote wyth suffycient white waxe and lay it vpō the fracture with a brode cloute for his operation is merueilous good to swage payne and to resolue wyndenesse and to comfort the sore place Yf the body be full of humours ye maye cutte the veyne called basilica the fyrst or seconde day in the contrary arme The patientes diete must be
heale And therfore AuiceÌ„ne saith that if it be not restored quyâ—kely humours maye be deryued to the place and rotte the member As touchynge the restauration the doctoures are of sondrye opynyons but commonlye the later writers teach .ii. wayes of restauration The fyrste is the waye of Albucrasis which is vniuersal to all dislocations of the hippes chefly whan ye knowe not in whyche side the dislocation is it is after this sort Ye must tie the pacient to some pyller or other stronge thing with a double towel bounde vnder his armes flanckes and also of the other side ye muste tie to his knee an other towell discending downward toward the in step which done at ones the paciente must be so stretched on euerye syde that he may seme to hang from the ground in the tyme of the stretching the master must enbrace the ioynt with hys handes mouing the hippe hither and thither til he perceaue that it is come to his proper place which thing is knowen by the seasinge of paine by the equalitie of the other legge And though this meane be comon to al dislocatioÌ„s yet it is chefely good in a dislocation of the inner and outewarde parte The second way is this Ye must set the pacient al along vpon a table longer then the pacient and set a barre at both endes Than ye muste bynde the pacient vnder the flankes with a towel crossewayes ouer the belly drawinge it vp ye must tye it to the barre wyth annother towel ye must bynde the legge aboue the knee crossewyse wyndyng it often tymes ouer the legge vnto the heele and ye muste tye it to the tother barre and ye must stretch oute the pacient with pinnes put betwene the towel and the barre turning and wrestyng the same on euery syde tyll the mayster maye set the ioynt in hys place wyth hys handes Another maner of byndyng Ye muste bynde the pacyente vnder the armes vnto a barre wyth a towell and hys hyppe wyth another towell to a presse for thys wyse all dislocatyons of the hyppe maye be restored so that they be newe After the restauration of the sayde dyslocations ye shall vse the remedies wrytten in the vnyuersall chapyter of fractures But yf thys dyslocation come of a cause antecedente for the restauration thereof the olde wryters prayse an actual cauterye to drye vp the superfluos moysture After that the ioynt is returned into hys place it is ryghte profitable to vse a splente of woode wrapped with hurdes frome the out warde parte of the hyppe vnto the insteppe byndyng it crossewyse accordyngelye and thys apparell muste not be chaunged but euerye syxte daye The restauration is accomplyshed in .xxx. dayes The .viii. chapter of the dislocacion of the panne or rowell of the knee ⸫ THe ioint of the knee as Haliabbas sayeth may be dysplaced on euerye side excepte the former parte for the panne or rounde boone suffereth it not to be there The restauration herof is finished as we haue often declared in other chapters that is to saye by stretchynge the legge and addressynge the boones into the ioyntes wyth handes whan the panne of the knee is onelye oute of the ioynte lette the pacyente set vpon a bench and put hys foote vpon the grounde and then let the mayster set the pan in his place pressynge it strongelye wyth hys handes and afterwarde lette the place be plaistred wyth a playster of myldust and wyth stoupes than bynde it and putte cloutes vnder the hamme that the knee bowe not For the confyrmamation of the ioynte ye shall applye some of the remedies wrytten in the former chapyters And it is good to splente the knee frome restauratyon vnto the .xii. day And ye shall remoue the apparel euery thyrde daye The pacyente maye not goo vppon hys legge tyll it be perfytelye healed for as Auycenne sayth the knee is sone put out of ioynte c. The .ix. chapter of dyslocation of the heele and of the toes ⸫ THe hee le is sometyme dysplaced with a complete dyslocation and some tymes it is onlye separate or sondred The dyslocation of it can not chaunce but in the former or hynder parte and it maye be knowen by the swellynge of that syde where the heele is dysplaced The ioyntes of the toes are soone dysplaced and soone restored For the restauration of the heele boone whan it is throughly dysplaced nedeth gret stretchynge and thrustynge downe vpon the sayde dislocation But yf it be onelye separated it nedeth not greate stretchynge or compression but it may be redressed wyth the handes onelye The restauration shal be accomplyshed as it foloweth that is to sape The maner of restoring the heele ye muste haue two mynisters of whyche one must holde the fote and the other the knee and they muste stretche oute the legge together and than the mayster muste returne the boone into hys place and after restauratyon ye shall applye the remedies wrytten in the former chapter and it muste be bound discretelye not to harde for therby the synowes of the foote maye be hurted For the restauration of the toes ye shall procede as we haue sayde of the fyngers Here ye shal note thys one thynge that after the bone of the heele is redressed the patieÌ„t walke not the space of .xl. dayes for after restauration the foote abydeth paynefull a longe season by reason of the multytude of the bones synowes and ligamentes And therfore to swage the payne and resolue the matter that causethe it to comforte the place it is ryght conueniente to vse the ordinaunce vnderwrytten after the maner of a cerote â„ž of the rootes of holihocke sodden Cerote to swage payne and stamped â„¥ ss of the rootes of enula campana of salomoÌ„s seale in lyke maner sodden and staÌ„ped â„¥ iij. of oyle of camomill roses and myrte of euery one â„¥ i. ss of agrippa and dialthea of euery one Ê’ vi of oyle mastyke â„¥ ss of erthe wormes washed wyth wyne â„¥ i. ss of camomil roses wormewood squinantum of rosemarye floures of euery one a litle of odoriferous wyne one cyathe let them seeth all together tyl the wyne be consumed then streyne them and adde to the streynynge of beane floure and barlye floure well bulted of redde pouder ana Ê’ v. of saÌ„guis draconis of mumia ana Ê’ iij. of saffran Ê’ i. of all the sandres Ê’ i. ss of moste clere terebentyne â„¥ i. Agayne make a softe cerote wyth sufficiente whyte waxe and the forsayde streynynge accordynge to arte whyche is a greate medicine in all wrestynges and attritions of lacertes And thus endeth the booke of fractures and dyslocations in the name of God who be blessed foreuer and euer AMEN Here beginneth the seuenth booke of mayster Iohn de Vigo of the nature of simples COnsyderynge the great vtilitie that commeth by the knowlege of simple medicines I thought it good to make a particuler boke of the same beynge comunelye
vi mengle them and make as it were an electuarye with honye of roses and a syrupe of vyolettes the receyte of it is from .vi. ʒ to ℥ i. Celedony is hoote and drye in the thyrde degree the vertue thereof is put in colliries to sharpinne the sighte The iuce of it put into the teeth causeth them fal within a certayn space as some reaporte The roote is of lesse exiccation or drying and it hath vertue to drawe and to resolue and therfore the sayde roote brayed and sprynkled with vynegre and holden in the teeth healeth the toth ache cōmynge of a colde cause Catapucia or spurge is hote in the thyrde and moyst in the seconde and it hath vertu to purge fleme melācholy choler therfore the decoctiō therof with mercury polipody doder borage reisins damaske prunes soddē in the broth of an henne and spyced wyth a lytle cinamome purgeth al rawe slymye flegmatyke and melancholycke humours chefely if it be takē fasting wyth syrupe and honye of Roses Furthermore the poudre of spurge taken with a lytle cynamome in a rere egge or in the broth of an henne purgeth grosse fleame myghtely and wythoute payne wherfore the vse thereof is good for the conseruacyon of the health of the bodye Canabus or hempe is hote and drye in the seconde and the seede is dryer and therfore it hath vertue to breake wynde Coperose is hoote and drye in the fourth and therfore it is corosyue Consolida or comfery is hote and drye with temperate heate and slymy moysture and therfore being chewed it taketh awaye the drynesse of the mouth and both the consolidaes that is to saye comferye and dasies haue vertue to consounde woundes Some say that comferye brayed bytwene two stones by a diuyne myracle kylleth anthrax Howbeit they ar both of one vertue Cantharides are lyke the greater flyes but that theyr bodyes be longer of grene colour and they ben hoote and drye in the thyrde degree and haue vertue to burne and to blyster Castoreum is hoote and drye in the seconde it hathe vertue to comforte synnowye places and therfore his oyle is good for the crampe Capitellum whiche is made of lye of Frenche sope is hote and drye in the fourth it burneth and cauteriseth as it were fyre Item capitelle made thycke at the fyre in a brasse banne wyth a lytle vitrioll romayne breaketh all Apostemes in cauterysynge Cinis or asshes is of hoote and drye complexion but of more or lesse excesse accordynge to the nature of the woode wherewyth it is made it hath vertue to drye and to scoure Chese beinge fresshe hath vertue to consounde but olde chese is cōtrarye Crassula is colde in the thyrde and moyste in the seconde and therfore it quencheth inflāmations and is very repercussiue and the iuce thereof with the iuce of lettuse oyle of roses and the whyte of an egge beaten all togyther easeth Herisipelas and healeth the chafynges of the priuye mēbres and is good agaynst scaldynge Cressoni or water cresses ben hote and drye in the second they open and perce and when they bene eaten with oyle and vinegre they prouoke vrine and they are agreable to some mennes taste Cumyn is hote in the thyrde and drye in the seconde It hath vertue to resolue and to breake grosse wyndynesse and when it is mengled wyth waxe with oyle of camomyll and of myrte with the iuce of radyshe and a lytle iuyce of wormewoode it resolueth deed blood that remayneth vnder the skynne throughe a bruse and it healeth easelye the blacknesse and blewnesse of the eye lyddes whē they come of a primitiue cause Carduus benedictus hath vertues that coole and bynde The leaues and floures sodden in swete wyne wyth sapa resolue the swellynge of the stones and the sayde carduus benedictus healeth all vlcers of the fūdament Item the iuce of it is conuenyentlye putte into oyntmentes agaynst woundes Galene sayth that carduus benedictus hathe vertue inflatiue or puffynge vp and that it is moderately percynge Dytany is hote and drye in the thyrd and it is good gaynst the stingyng of venemous thynges howe soeuer it be admynystred and therfore Virgil sayth that deere being wounded by venimous arowes naturallye seke out dytanye whiche they eate rubbe the wounded place therewith and so recouer health The decoction folowyng taken in drynke hath gret vertue in all percyng woundes in the brest and fystles ℞ sufficient quantitie of the rootes of dytany of auens of mugwort of mouseare of ielosioures of red coolewortes of threleafed grasse seth thē with the wyne of pomgranades and let thē be made swete with a syrupe de duabus radicibus Daucus or frenche persnepes or as some thynke yelow carattes bē hote and drye in the thyrde degre Theyr vertue is to drawe to loose to consume and to prouoke vryne ELeborus albus or whyte elebore is hote and drye in the thyrde hath vertue to purge fleme but the blacke purgeth melancholy and in old tyme they were vsed in purgatiōs bycause the bodyes were then stronger and myght sustayne stronger purgatiōs But nowe in stede therof we vse scamonie neyther can the other be vsed wythout euydent daunger The iuce of elebore mēgled with swynes grese and oyle of mastyke and laurell with a lytle quycksyluer quenched and a lytle litarge which all must be incorporate after the fourme of a liniment healeth all scabbes of harde curatiō chefely after a bathe of the decoction of mallowes vyolettes barly brāne fumyterrye and apples Item the sayde linimente mengled with terebentine is good agaynst all morphewes and scalles Enula campana is hoote and drye in the seconde degree the roote thereof sodden wyth holyhocke and Salomons seale and a lytle wormwod which all afterwarde must be stamped and strayned and ye must make a styffe playster with sapa beane floure branne and melilote addyng of oyle of roses camomyll and myrt an̄ ℥ ii The roote I saye thus ordeyned resolueth marueylouslye contusyons and attritions of muscles and lacertes and wrestynge of synowes after the fyrst dayes ben passed and it swageth payne Item it may be admynistred in goutes of the feete and of the iointes Fynally the vertue of it how so euer it be admynystred easeth the passyons of the herte and of the stomacke Esula or rounde spurge is hote and drye in the thyrde hys vertue is to purge melancholie and fleme and it draweth vp the rootes of wartes and dryeth them Epatica or lyuer worte is colde and drye in the fyrst The leues of it stamped and sodden in the wyne of pomegranades wyth barlye floure wyth whyte saunders and with oile of roses omphacyne disperse dryue backe and resolue a hote aposteme of the lyuer And a decoctiō of the same made with garden endyue and wild endyue and a lytle maydenheer and a lytle cicorie sodden in water and suger and a lytle wyne of pomegranades healeth the lyuer when it is distempered in heate Ebulus or walwurte is hote and drye it
with waxe and rosen whych ye shal washe thre or foure tymes wyth mylke for mylke delayeth the heate of it and causeth it to swage peyne the better We coude haue declared here manye other oyntementes and cerotes but our custome is to setforth them whiche we haue founde to be good ¶ The .xvij. Chapter ¶ Here foloweth a table of medicines compounde and symple wherwyth Chirurgiens ought to be furnysshed that dwell in villages and townes wher no potycaries be also such as go to the see FYrste we wyll begyn wyth symples which be these Camomylle melilote dylle wormwoode corianders anyse branne milium fenugreke lynseed the floure therof the floure of beanes of barley of orobus of wheate honye suger bole armenye terra sigillata aloes Epatyke myrrhe frankensence gypsum sarcocolle saffran Saunders redde and yelowe camphore tucia litarge of golde and syluer ceruse burnt lead plates of leade vitrioll brent and not brent To staunche bledynge ye must haue oure pouder restrictyue the heares of a leueret quenched lyme roche alume verdegrese our pouder of mercury Also terebeÌ„tyne mastyke goÌ„me elimi rasin of pyne colophonia ship pitche heÌ„nes grese duckes grese gose grese swynes grese butter sanguis draconis mumia myrt licorice lytle rotes clene barly the rotes of march malowes the seed of malowes comon seedes psillium quynce seedes reysons fygges dates iuiubes sebesten prunes sumach floures of pomegranades nuttes of cypresse squinantum sticabos arsenyke orpyment sublimate minium dragagantuÌ„ braied whyte waxe and redde These be the symples wherwyth a good Chirurgen maye make manye remedies to the vse of Chirurgerie It shal be sufficient that he haue a lytle quantitie of these wyth hym and he muste not forgete to haue wyth hym leches or bloodsuckers Nowe we will come to coÌ„poundes Electuarye of the iuyce of roses hony of roses diafinicon the confection of hamech diaprunis symple and solutyue diacassia triacle benedicta diacatholicon hiera symple of Galien ¶ Pilles Pilles of Hiera wyth agarike Pilles of Hermodactiles greater and lesse Pilles sine quibus esse nolo Pilles of mastyke Pilles called Bechechie Pilles agregatiue Pilles of Reubarbe ¶ Syrupes Syrupe of Roses Of the iuyce of Endiue Syrupe Acetosus symplex Syrupe the duabus radicibus wyth vinegâ—â— and without honye of roses honye of violettes oximell symplex Syrupe of violettes Syrupus de acetositate citri Syrupe of fumytery the greater and the lesse Syrupe of Epithimum Oyntmentes and cerotes VNguentum albuÌ„ camphoratuÌ„ vnguentum basilicum magistrale of our descriptioÌ„ vnguentuÌ„ de minio of our description cerotum capitale of oure description diaquilon magistrale of our description cerotum isopi of our description cerote for broken bones of oure description vnguentum egiptiacum of oure description a ruptorye of capitell a trociske of minium agrippa dialthea whyte sief sief of frankynsence These suffyce for the necessitie of chyrurgyens Waters WAter of roses of fenell of fumytorye of plantayne of mayeden heare of endyue of buglosse of nyghtshade of vyolettes of melissa or bawme aqua vitae Oyles OYle of roses omphacine complete oyle of mastike oyle of camomyl of vyolettes of lyllyes of ipericon of euphorbium of elders And that the same remedies maye be the better administred of chyrurgyens I wyl describe the properties of them Fyrste we wyll begynne of syrupe of vynegre Sirupus acetosus simplex is common for the digestion of all humors and therfore it is conueniently geuen to theym that haue tertian feuers for by reasone of the vinegre it thinneth grosse humoures and cuttethe slymye humours it openeth oppilations and amendeth rottnes of humours wherfore it is good for pestilentiall feuers and by reson of his gentle coldnes it thicketh somewhat subtyle partes it cooleth choler and swageth thirst Sirupus acetosus cum radicibus hath temperat vertue and digestethe through his propertie grosse colour and resisteth rotten putrefaction correctyng euyll qualyties of humours and it openeth opilatioÌ„s and cutteth fleume prouoketh vryne sweate The phisitions vse it often in the begynnyng of a tertian comyng of cholere myngled with grosse fleume and it muste be vsed with honye of roses waters of endyue fumitorie buglosse sorel fenell c. Oximel simplex hath vertue to digest to thinne and to cut euyl humors chieflye fleume and those that are in the stomack in that ioyntes the liuer And therfore it is good for theÌ„ that haue had loÌ„g feuers caused of gros fleume beyng meÌ„gled with water of fenell Oximell composytum is verye digestyue and peculier to digest thynne and cut grosse slymye flegmatyke melancholyke humours in longe fyeuers and pourgeth theym by swettes and vrynes And therefore it is gyuen to theym that haue a quartayne in declination For the same entention the sirupe de quinque radicibus is conuenient and is of greater temperaunce Sirupus de bisantiis is good for compounde and longe feuers of hard curation commynge of cholere mengled with grosse fleume for it dygestethe the same and openeth opilations and therfore it remedyeth the yelowe iaundees or Ycteritia Moreouer it is good in choleryke fevers beynge prolonged after the .x. day with water of wormwood maydenheare and endyue Sirupus de endiuio simplex hath vertue to digeste subtyle and sharpe cholere And it cooleth the boylynge heate thereof and represseth the sharnes of it Moreouer it openeth the opilacion of the lyuer Lykewyse sirupus de endiuia compositus hathe the same vertues Sirupus violatus dygesteth subsubtyle choler and queÌ„cheth and cooleth the heate therof Also it queÌ„cheth thyrst and soupleth the breste and is good for a drye cough and shortnes of wynde Sirupus de iuiubes clarifyeth the horsnes of the voyce swageth thyrst and thycketh thynne spytle And more ouer it easeth the cough in pleuresye is vsed in burnynge feuers Sirupus de liquiricia is temperat in heate and hys vertue is to take away the coughe and to clense the longes from grosse flemme Sirupus de hissopo is somewhat hye in heate and it openeth cureth a loÌ„ge and a harde cough and digesteth grosse fleÌ„me whych stoppe the wayes of the breathe Moreouer it prepareth reumatyke matter to yssue out therfore it helpeth short breathynge paynes of the heade and of the sydes commynge of a colde cause wyth wyndynes Sirupus de prassio or of horehouÌ„d is good for the longes for the brest and it dygesteth flegmatyke grosse slymye humours and purgeth reumatyke matter beynge in the brest and in the longes And therfore it is vsed for the remedye of an olde coughe Sirupus de granatis or of pomegranades dygesteth cholere represseth the sharpenes of the same it mundifyeth bloode and swageth thyrst therfore is gyuen in coleryke feuers Sirupe of the iuyce of orenges or cytrous is a good remedy for sharpe vehement and pestilentiall feuers it represseth the sharpenes of cholere of venemous matter and quencheth thyrst and resysteth putrefaction of humours
and therfore it is chyefly vsed in the somer for the pestilence Sirupe of popye prouoketh slepe stoppeth reumatyke fluxes thyckyng the subtyle mater therof it is good for a drye cough chieflye in them that begynne to haue a pthisik Sirupe of the iuyce of sorell is good for a pestilētiall feuer it swageth heat and thyrst and preserueth humours from putrefaction it delaieth heate of cholere and mūdifyeth bloode cutteth grosse humours and comforteth the harte Sirupe of myrte byndeth myghtely and therfore it is good for the fluxe of the belye and of the floures and it stoppeth sharpe reumes Miua citoniorum or of quynces thorough hys stypticitie is very good for the fluxe of the belye Moreouer it styrreth vp appetyte and comforteth the stomacke and strengthneth the entrayles and causeth vomyte to cease Sirupe of myntes is of temperat heate and it comforteth natural heat and dygestion of the stomacke and repayreth the weakenes of the same Sirupe of wormewood cōforteth the stomacke and the lyuer restoreth apetite loste and easeth paynes of the stomacke of the lyuer c. Sirupe of fumiterrye dygesteth al grosse salt corrupte burnt humors and therfore it is good for scabbes tetters ryngwormes salte flemmes lepryes malmort cākers and the frēche pockes Sirupe of epithimum is good for the frenche pockes leprye cākers malmort salt flemme olde scabbes it healeth also pushes cōmyng of salt sharpe and burnt humours it prouoketh vryne and suppleth the bellye Sirupe de sticados is good for colde dyseases of the synowes for the palseye the crampe the epileptia it is good also for reumatyke olde men The comon decoction The comon decoction to coole is thus ordeyned ℞ of the .iiij. comon seedes of the .iij. lesse seedes of euery one a lytle of clene barlye of raysons an̄ ℥ i. of licoryce ℥ ss of annes ʒ ii of iuiubes of damaske prunes ana number ten of sebesten number .vi. seeth them all together wyth water of endyue buglosse and rayne water in equall portion tyll the thyrde parte be consumed it is vsed in medicines against sharpe and choleryke fieuers and it is good for the brest A peculier decoction for the breste and agaynste the coughe and shorte brethe R. of branne of scabiouse of maydenheere of ysope of horehound ana m̄ i. of floures of violettes of borage and buglosse ana m̄ ss of the rootes of langdebefe ℥ ii of damaske prunes of iuiubes ana ℥ i. ss of sebesten of barlye of dates of drye figges an̄ ℥ i. of licoryce ʒ x. of pennydies ℥ ii ss of fenell ʒ iiii of good honye .li. ss seethe them all with sufficient water tyll halfe be consumed than strayne the decoction and vse it for it is of merueylous operation A loche to ease the coughe and the streytnes of the breaste R. of sugger candye of a sirupe of vyolettes ʒ ten of penidies ℥ i. and. ss of syrupe of violettes ʒ ii of diadragantum ℥ iii. of iuyce of liquyryce ʒ vi of the comune seedes pycked of kernelles of Pynaple ana ℥ i. mengle them and make a loche wyth a lytle water of Scabious Diameron and Dianucum are good for the squynce from the begynnynge to the augmentation Item it remedyeth inwarde swellynges of the throte and losynge of the vuula and stoppeth catarres clensynge grosse fleume yf it be gargarised wyth water of pomegranades and water of plantayne ¶ Of electuaryes lenityue and solutyue FYrst diamāna purgeth-subtyle cholere soupieth the bellye healeth the diseases therof Diacatholicon purgeth indyfferentlye all humours and louseth wythout trouble and is pleasaunt in taste and it is gyuen to them that haue a sharpe feuer and to them whiche haue dyseases in the lyuer and in the mylte Diaprunis non solutinus louseth the bellye wythout violence it is of pleasaunt taste it swageth thyrst and quencheth the heat of feuers and therfore is conuenientlye vsed in hote and brennynge feuers Item it soupleth the guttes and comforteth them and yf ye put vnto it a lytle of diagridium it shal be very solutiue and shal purge all kyndes of cholere Diacassia is lenitiue and good agaynst coleryke sharpe burnyng feuers It mundifyeth bloode louseth the belly without violēce Some adde to thys cōfection ij ʒ of diagridiū and then it is of stronger solution Electuarium de psilio is of ryghte good operation for it helpeth coleryk feuers myghtely Item it remedyeth yelowe iaundes and stoppynges of the lyuer It cooleth brennynge heates is conueniently gyuen to them that haue malygne corrosyue virulēt vlceres Electuary of the iuyce of roses is solutiue purgeth al kyndes of cholere remedyeth al tercians paynes of ioyntes cōming of a hote cause it emptyeth all hote furious humours and therfore it is conuenientlye gyuen to them that haue a furiouse herisipelas carbuncle c. wyth diacatholicon to purge the residence of humours in thē that begynne to recouer of any syckenesse and is as the quyckenynge of other medicines Diafinicon is a medicine wythout daunger of easye solution purgeth grosse cholere and flemme and it is conueniently gyuen in the ende of coleryke feuers myngled wyth grosse flemme it easeth the paynes of the bellye and of the guttes caused of grosse flemme and therfore it is good for the colyke Electuarium indum is a great medicine to purge grosse and flegmatyke humours in the stomacke in the ioyntes And therfore it is gyuen to them that haue colde ioyntes Moreouer it taketh awaye all payne commynge of wyndy matter and therfore it is vsed in the frenche pockes Cōfectio hamech purgeth al choleryke salt and burnt humours therfore it is gyuen to them that haue virulent maligne vlceres by reason of the frenche pockes Item it is good for skabbes salt flēme the cāker leprye malmort tetters ryngwormes c. Benedicta receyued by the mouthe or mynistred in clysters is a good medicine agaynst all paynes of the ioyntes mynistred of colde matter and also against the dyseases of the reynes and of the blader cōmynge of lyke cause Item vsed in clysteres it easeth the paynes of the frenche pockes The confection of turbyth purgeth grosse flegmatyke humours therfore is good for scrophules wennes knobbes it is conueniently gyuē to olde men womē chyldren flegmatyk ydle delicate persones The ordynaunce of it is after thys sorte Confection of turbyth ℞ of turbyth preparate of agaryke in trociskes of blacke elebore an̄ ʒ i. ss of ginger polipody of myrte ana ʒ iij. of diagridium ʒ i. of cinamome of cloues of euery one ℈ ij of galangale longe peper of nutmygges maces quybebes ana ʒ ss of whyte suggre .li. ij of spyke ℈ i. myngle them make a styffe myxture wyth syrupe of roses The receyt of it is the quantitie of a chestnutte A solutiue of the dropsy whyche is good to purge the matter of the dysease called hernia aquosa ℞ of the iuyce of comferye ℥ i.
steped in the brothe of fleshe .li. i. of oyle of camomill and dille of euery one ℥ ij the yolkes of two egges of saffran ʒ ij of opium ʒ i. Item the ordinaunce of Alexāder rehersed in the chapter of emoroides is good agaynst all paynes of the fundament As concernynge inwarde payne trifera opiata is verye conuenient and so is trifera romana and persica whych induce slepe Trifera persica was inuented to retayne floures and the fluxe of emorroydes and vomitynge and spyttyng of bloode chieflye when it is gyuen wyth the iuyce of plantayne and whē it is put in the wombe it stauncheth fluxe of the floures and in clysters it cureth the fluxe of bloode and excoriacion of the guttes it closeth the mouthes of the veynes ¶ Of clysters supposytories and pessaryes A Clyster is a noble remedye to dryue out superfluitees of the guttes and of all the bodye And it was founde by a byrde called a storke whych to ease the payne of her bellye was sene to put salte water wyth her becke into her hynder hole The operation of a clyster is to purge the guttes the reynes and the bladder wythout hurte of the principall membres Wherfore there be many kyndes of clysters some supple some breake wynde some restrayne some cōforte synowye mēbres through theyr heate And those be good for a crampe that cōmeth by a replection A clyster agaynst the sayde crampe may thus be ordeyned ℞ of camomill Clyster for the crampe yua muscata mellilote dille of euery one m̄ ij of the rootes of enula campana m̄ ij of the rootes of walwort ℥ ij of maioram gentle of hoorehounde of sage of nept of mugwort of rue of euerye one m̄ ss of annys of comyn of euerye one ʒ ij of castorium of triacle of euerye one ℈ ij of honye .li. i. of the fatte of a foxe ʒ x. of oyle of camomill dille lillies of euery one ℥ iiij of the oyle of a foxe of laurell of terebentyne castorium of euerye one ʒ vi the heade of a wether somewhat brused lette them sethe all together wyth sufficient water tyl halfe be consumed then streyne them and put to the straynyng of odoriferous wyne about the thyrde part of the decoction and let them sethe agayne and mynistre it for a clyster Let the quantitie of thys decoction be to ordeine a clyster .li. j. ss with an oūce and a halfe of oyle of camomill and as muche of the other forsayd thynges ℥ i. ss of the syrupe of sticcados An other lynitiue clyster Linitiue clyster ℞ of the brothe of a chycken sodden wyth barlye .li. ij of oyle of vyolettes ℥ iij. the yolkes of two egges of redde sugger ℥ ij myngle them and make a clyster A clyster restrictiue is made after this sorte ℞ of a decoction of barlye made wyth smythes water .li. ij of oyle of roses omphacyne of oyle of myrte of euerye one ℥ i. ss of myua of quinces ℥ ij ss the yolke of an egge of redde sugger ℥ i. thys clyster is good against the fluxe of the emorroides and of the guttes Here foloweth a clyster to breake wyndines ℞ of a decoction of camomille dille mellilote anyse colewortes fenell corianders cumyne of euerye one ℥ i. of oyle of rue and dille of euery one ℥ i. of diafinicon ʒ x. of hony of roses ℥ ij a lytle salte myngle them and make a clyster Yf ye wyll haue it of lesse heate make it wyth a decoction of camomille mellilote dille and wyth the forsayd oyles leauynge oute cumyn and other hote symples ¶ Of suppositories OF suppositoryes some bene gentle some meane and some stronge Gentell suppositories be made with swynes larde or wyth the stalke of the leaues of colewortes wrapped in womēs heere and anoynted wyth larde or butter Meanelye stronge suppositories are made wyth honye sodden vnto thycknes wherunto yf ye put a lytle sall gēme they shall be of stronger operation A suppositorie made wyth frenche redde sope is of lyke effecte and so is a suppositorie made of the freshe rootes of floure deluyce Item a suppositorie made in the fourme of pilles called suppositorium succarinū whych is muche vsed at Genuaye is of good operation The ordinaunce wherof is after thys sorte ℞ of agaryk ℥ i. ss of blacke elebore ℥ ss salis gemme ʒ x. of ireos ℥ i. sethe them all together wyth foure pounde of reyne water tyll halfe be consumed then make pylles at the fyer wyth sufficient sugger wyth the forsayd decoction strayned and corianders wherof ye shall put fyue into the fundament A suppositarye of greater strēgth is thus made ℞ of hony sodden tyl it be thycke ℥ iij. of benedicta ʒ vi salis gemme of oxe galle of euerye one ʒ ij myngle them and make a suppositarye ¶ Of Pessaries PEssaries are made to prouoke the floures ℞ of mugworte sauyne sothernwood marigoldes ana m̄ ss of safron ʒ ss of hony ℥ ii lett thē boyle all together in sufficient water tyll the thyrde part be consumed than streyne them and with the streynyng make a pessary of cloutes The pessari folowyng is to be vsed in lyke case ℞ of honye sodden tyll it be thycke and styffe ℥ iiii of nigella brayed of mugwort poudred of euery one ℥ ss of safrōʒ i. myngle them and make a pessarye The xix chapter of oyles FYrst we wyll speake of magistrall oiles Oleū benedictū is good for the cure of many deseases of the bodye as for the crampe caused by repletion or the palsye for paynes of the iointes comyng of mingled mater conuenient purgacion presupposed It is also good for the brayne distempered thorough colde Furthermore it is of good operacion against the falling sycknes if ye anoynt the coronal commissure there wyth It dryeth also fystules A mundifycation wyth a stronge medicyne premysed it cureth great freshe woūdes colde catarres it conforteth the spirites openeth veynes stopped through colde humours and yf one droppe of it be put into the eare with cotton it amēdeth hearing chieflye when the impediment is caused of a colde cause Item a rose cake moystened in the sayd oyle and layed to the temples easeth the mygryme and taketh awaye the swymmyng of the heade And if half an ounce of the sayd oyle be dronken with alytle odoriferous wyne in the morning .iii. dayes together it conforteth and reneweth the hert longes Item yf it be taken wyth a lytle odoriferous wyne it is good in quarteyne fieuers The receyt of it muste be almoste a sponeful and that order muste be be kepte four dayes takynge euery daye the forsaid oyle an houre before daye vpon suche dayes as no paroxisme is loked for Item taken the space of .xxx. dayes wyth a lytle wyne and a lytle pionye it healeth the fallyng sycknes and the peynes of the frenche pockes Item it is a greate medicyne for the styngynges of venomous beastes for weaknes of the synnowes and thys
oyle maye be compared to the balsamum The ordynaunce of it is after thys sorte R. of oyle omphacyne two pound of storax calamita Oâ—â—um benedictum of laudanum of olibanum of saffranne of gumme arabyk of mader of gumme of the yuye tree of aloes succatryne of mastyke of cloues of galingale of cynamome of nutmigges of cubebes of euerye one two ounces of gumme elimi li. i. of myrrhe of bdelium of euerye one â„¥ i. ss of galbanuÌ„ sixe ounces of spike of lignum aloes of euerye one â„¥ i. rasyn of the pyne of armonyke of opoponax of euery one ten draÌ„mes poudre the thynges that bene toke poudered and mengle them wyth the sayde oyle and then put them in a lembike wyth hys heade and receyuoure and stille them accordynge to arte and let all the vesselles be stopped wyth luto sapiencie Fyrste put the lembike vpon a softe fyre the space of xii houres encreasinge the same from .vi. to .vi. houres tyl all be stilled whyche done pouder the residue of the spices agayne and wyth the forsayd oyle beyng stilled as is aforsayd let them be stilled againe and so at the laste ye shal haue an oyle lyke vnto bawme Here foloweth an artificiall oyle of bawme Bawme artificial which is a great and a noble secrete to conserue health R. of cynamome cloues nutmigges ginger zedoar longe blacke peper of the graynes of iuneper of the ryndes of limons and orenges of laurel beryes of the leaues of sage basille rosemarye rounde mintes of penyrial geÌ„cian calamint of the floures of elders of the floures of rosemary of spike narde of lignum aloes of wild cubebes of cardomomuÌ„ of calamus aromaticus of stichados of saint Iohns wort of germaÌ„der of mirre of mastike of olibanuÌ„ of aloes epatike of the sedes leaues of dylle of the seede of motherworte ana â„¥ i. of fatte drye figges of raysons of the meate of dates of swete almons of kernelles of a pyneaple of euerye one ten drammes of white hony â„¥ vi whyte suger asmuch stampe them all and stille them renewe them thries at the lest wyth the spices remayning in the botom Another oyle of bawme of oure inuention whyche is of the same effecte that the other is and healeth greate and freshe woundes R. of moost clere terebentyne li. ii of oyle omphacyne li. ss of guÌ„me elimi â„¥ vi of newe rasyn of the pyne of colophonia of euerye one â„¥ iii. of myrrhe aloes epatike fraÌ„kynsence of sarcocolle mastyke armonyake dissolued with vinagre of euerye one â„¥ i. ss of cloues nutmigges cubebes cynamome of euery one thre draÌ„mes of the seede of saynte Iohns worte of mader of fine grayne wherwyth scarlet is died of euerye one ten drammes of earth wormes washed wyth wyne â„¥ viii poudre the thinges that be to be poudred and mengle theÌ„ all together addynge of maluesye li. i. ss stille them in a glasse as it is aforesayde ☞ Note that the water which shall come out of thys composicion is verye good for the woundes of the heade thoughe the sculle be broken wythoute discouerynge of the boone and administred wyth cerotes and the poudre wrytten in the chapter for the breakynge of the sculle Thys oyle maye wel be compared wyth bawme and hathe all the vertues requisite to heale woundes perfytlye and chieflye those whyche are in synnowy places For as Auicenne sayeth a medicyne apte to heale woundes of synnowes must be hote and dry of fine partes and temperate heat wythout mordication Oyle of yolkes of egges Oyle of yolkes of egges is good to smoth the roughnes of the skynne and also to remoue tetters and ryngwormes and chappes Item it swageth payne of colde vlceres in synnowye places and of vlcers of the eares and it is made as it foloweth Take the yolkes of twenty egges wyth the shelles soddeÌ„ with water then staÌ„pe theÌ„ in a mortar and sette the yolkes only on the fyre in a lytle brasse panne and styrre them aboute tyll they begynne to heaue vp froÌ„ the botome of the panne wyth fome then putte them in a weted thycke clothe and presse them stroÌ„glye in a presse and vse thys oyle for it is a present remedye in all the forsaid passions Here foloweth the ordinaunce of an oyle magistrale of our description whyche we haue proued to be verye good Oyle magistrale agaynste all colde passions of the sinnowes and ioynctes for it heateth moderatelye and dryeth and resolueth straung humidities of the synnowes of ioynctes and therfore it cureth the palsye and crampe comynge of a moyste cause Item it remedyeth swymmynge in the heade epilepsia and apoplexia yf ye annoynte the coronall comissure therwyth And it is thus made R. of oyle of nardus of costus of oyle of a foxe mastyke flouredeluyce lillies of euery one two ounces of oyle of roses odoriferous li. iii. of newe brycke li. iii. Then burne the brycke and putte it hote into the sayde oyles and afterwarde stampe them and braye them and stylle them with the oyles in a lembicke and kepe the distillation for the sayde infirmities The oyle of yperycon or saynte Iohns worte is wrytten in the boke of simples whereunto ye shal resorte An artificial oyle of bawme Oyle of 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 which is singuler for woundes of the synnowes and for diseases coming by colde humours and to remedie the crampe the palseye the epilepsye beynge layed vpon the coronall seame is thus ordeyned R. of terebentyne a pound of whyte frankynsence of laudanum of euery one foure ounces of mastike of galingale of cloues of cinamome of zedoar of nutmigges cubebes of lingnum aloes of euery one two ounces of gumme elimi sixe drammes of oyle of roses omphacyne li. ss of oile of mastyke â„¥ ii ss of earthe wormes washed wyth wine thre ounces mengle them all together and stille them in a glasse as is aforesayde Oyle of swete almons smotheth the brest and the longes and suppleth the hardnes dryenes of the ioyntes and swageth thyrst and therfore it is good for them that haue the ptisike and peynes of the eares caused of mixt matter The oyle of bitter almons easeth the paine of the eares caused of colde matter for it driueth awaye the wyndynes and hissynge of the same and amendeth defenes Moreouer it remoueth spottes of the face and softeneth hardnes of the synowes kylleth wormes through his bitternes Oyle of peches is of lyke effecte Oyle of lynseed hath greate vertue ageynst all passions of the fundament and it is conuenientlye administred in medecynes ordeyned for the crampe Item it is a goode medecyne for the roughnes of the synnowes paynes of the ioyntes Oyle of laurell by reson of his aromatick nature is good for the colik caused of colde matter it comforteth cooled and weakened synnowes and also the crampe and fynallye all colde synnowy diseases Oyle of roses complete that is to saye made of roses and olyues perfitlye
foure iuce of an orenge howebeit the apothecaries make this syrupe with the iuce of a citron as they haue shewed me Natheles Fuchsius techeth that they ben both of lyke vertue and effect And Io. Agricola sayth the citroÌ„ signifyeth an orenge and also a limoÌ„ And bycause this name is doutfull I leue it to thy iudgemeÌ„t good reader whether thou wylt when thou fyndest the ryndes of a cytron or the iuce vnderstand an oreÌ„ge or a pome citroÌ„ Acorus BruÌ„felsius calleth acoruÌ„ wild flour delyse Mainarde sayth that he was wont to vse calamus aromaticus in the stede of acorus Some take it for galingale Adiutorie They call the two bones which extende from the shulders vnto the elbowes ossa adiutoria Aematites Haematites is a precious stone and hath his name of bloody colour For Haema in Greke signifyeth bloode It hath strength to heate to thynne and to scoure and it is vsyd in medicines for the eyes Agarike Some say that AgaricuÌ„ is a rote and some affirme that it growtth to trees lyke to destooles It is founde in wylde places of Sarmatia and also in Galatia and Cilitia and it dryueth out fleame and cholere but not spedely Agrippa Agrippa is an oyntment descrybed in Galenes antidotari Albugineus Albugineus is that that pertayheth to the whyte of the eye Alchohol The barbarous auctours vse alchohol or as I fynde it sometymes wryten alcofoll for moost fyne poudre Alchachinga Alchachinga is taken for the secoÌ„d kynde of nyghtshade Plinnie calleth it halicacabum Alleluya They vse thys worde Alleluya for a kynde of thre leaued grasse which is soure in taste Almocatim The barbarous wryters calle the nether bones of the heed Almocatim Aloes Aloe is the liquour of an herbe brought vnto vs out of India Som affirme that the maner of makyng it is this They staÌ„pe the herbe draw out the slymye iuyce and lay it to the fyre tyll it boyle and than they set iâ— a sunnynge tyll it be drye And that that is purest they call succotrine or succocitrine that which is in the middell beinge lesse pure hepaticke and fynally that which synketh to the botome and is as it were the dregges they call Cabaline Aloe is bytter in taste and of an hote and drye complexion It purgeth choler and comforteth the stomacke and is moreouer of greate effect in woundes Althea Dioscorides wrytteth that Althea is a kynde of wylde mallowes hauynge rounde leaues and floures lyke roses it is commenlye taken for holyhocke and so I haue euer translated it Howbeit the chirurgyens beyonde the see vse marche mallowes for Althea Alumen zuccarinuÌ„ There bene manye kyndes of Alumes But thre bene mooste knowen which they coÌ„munely call IamenuÌ„ zuccharinum or rotundum and roch alume Alume hath vertue to bynde and therfore it is called Stipteria in Greke and it is moreouer abstersyue or scourynge Ambrosine Ambrosia is communelye taken for wylde sage Ameos Ameos Ammi in the genetiue case Ammeos is a whyte seede hote and drye in the thyrde degre It groweth by the cytie of Egypte called Alexandria In stede of this herbe some vse the seed of cheruel Amygdalae At the roote of the tonge there bene as it were two flesshye kernelles lyke sponges called in Greke parisâ—â—mia in latyne tonsillae and of the 〈◊〉 doctours amygdalae that is almondes Amydum They corruptly vse this worde AmyduÌ„ for that that is called in greke Amylon and it is the iuyce or mylke of wheate steeped in water certayne dayes and afterwarde pressed Anthera Though Vigon thynketh Antheram to be the yollowe in the myddest of a rose yet Cornelius Celsus sayeth that it is a composition for the diseases of the mouthe wherein roses entre Anotamie Anotamie is a Greke worde and sygnifyeth the cuttynge vp of a mans bodye or of some other thing Anacardinum mel They call the iuyce of anacardus honye anacardine And whan they saye that anacardus is the frute of a tree called Pediculus Eliphantis whych groweth in Sicilia and Apulia The honye or iuyce of this frute burneth bloode and rooteth vp wartes Animall spirites Resorte to vitall spirites Anodine Thynges whiche are wythout grefe are caled in Greke anodina Howbeit Vigon vseth the word for thynges that remoue payne Antecedent Antecedent Goyng before Antidota Antidota are medicines to be receyued within the bodye whereof there bene thre dyfferences For some are gyuen agaynst poyson some agaynst the styngyng of venemous beastes or serpentes and some heale diseases gathered of corrupt meates and drinkes They call a boke wherein suche medicynes are descrybed an antidotarie Anthos Anthos in Greke sygnifyeth a floure howbeit it is coÌ„munely vsed for the floures of rosemarye Antimonium AntimoniuÌ„ is a veyne of the earth lyke leade howbeit it hath this difference from a metal A metal melteth Antimonium is brayed and wyll be burnt rather than molten it is colde and drye in the thyrde degree And it is put in colliries for the eyes c. Anthrax Anthrax is engendred when grosse and boylyng blood leanyng to some part of the body burneth the skynne For Anthrax in Greke sygnifyeth a coole and for the same cause it is called carbunculus in latyne which is a diminitiue of carbo a coole Apium risus Apium risus is taken for Batrochion whiche is thought to be crowfote it is called BetrachioÌ„ or ranuÌ„culus bicause frogges delite therin And therfore the later auctours cal it apiuÌ„ raninuÌ„ And they say that it is called apium risus bycause the man that eateth therof dyeth laughynge For risus signifieth laughing which auctours assigne to that that groweth in Sardinia Aphorisme Aphorismus signifieth a distinctioÌ„ Aposteme Aposteme is a passion wherein the thynges are sondred whiche before were ioyned togyther wherfore ther remayneth an emptye space whyche receyueth a wyndye or moyste substaunce or bothe And the sayde substaunce fretteth the partes about makynge roume for hym selfe In latyne it is called abscessus Aqua gariofilata Aqua gariofilata is the water of cloues as it appeareth in the fourthe boke of abridgementes Howbeit bycause gariofilata is commenly taken for ieloflours for that that they haue the odour of cloues called gariophili I thynke I dyd translate it ones the water of iellyflours Here ye shal note that though gariofillata be commenlye taken for iellofloures yet other well lerned men thinke it to be AueÌ„s and so perchaunce I haue translated it sometymes Armoniake Dioscorides calleth that that Vigon calleth armoniake ammoniacum of ammos whyche sygnifyeth sande For it is the lyquour of a shrub in Aphrica called agafyllis whyche falleth vpon sande and so is found in clottes Ammoniacum also is a kinde of salte founde vnder sande Arcula puerorum Arcula pueroruÌ„ The later wryters of chirurgeri vsing an arabike terme call the blysterynges which through corrupt mylke happen in the roofe of chylderens mouthes AlcolaÌ„ Yf this be not the disease whiche Vigon calleth arculaÌ„ I can lerne of nomaÌ„ what it shulde be
addynge in the ende of oyle of Camomyll roses and dille ana ℥ ij thys playster is a diuyne medicine for phlegmon wyth the admixtion of grosse matter An other wyth greater mollification ℞ of the rootes of holyhock sodden and strayned .li. j. of whyte lillie rotes sodden lykewyse .li. ss of oyle of roses ℥ ij of oyle of Camomylle lynseed and dille ana ℥ j. of oyle of swete almondes and violettes of butter duckes grese hennes grese and goes grese ana ʒ vi of calues suet melted ℥ ij ss make a softe cerote with sufficiēt whyte waxe addynge saffran ʒ j. ss Resolutyue of myxte matter Here folowe cōpounde medicynes to resolue Apostemes mēgled of hote and colde humours And fyrst we wil speake of oiles Oyle of elders and of lilies with hennes grese is of greate strength and so is oyle of nardus of dylle and camomylle Item the grese of a hēne of a ducke and a gose with oyles of Camomylle dylle nardus elders and lilies made lyke a linimēt wyth sufficient whyte waxe and applyed vpon the member with vnwasshed wolle resolueth vnmyxt matter Item a playster of melylote wyth asmuche sodden and strayned Holyhoc made lyke a playster wyth oyle of camomyll dille lillies and sufficient whyte waxe makethe for the same purpose For the same intention ye may vse thys remedye ℞ of whyte diaquilon wythout gummes .li. ss of Holyhocke sodden and strayned ℥ iiij of oyle of Camomylle Dylle and Lillies ana ℥ ij of oyle of lynseed of butter ana ʒ x. of clere terebentyne ʒ vj. of litarge of golde ℥ ss of muscilage of the seed of Holyhocke of mallowes of Violettes of the seed of Quynces of Psillium li. j. of calues and cowes suet Ana ℥ iiij sethe thē all besyde the straynynge wyth a softe fyere tyll the muscilage be consumed than make a softe cerote with sufficient whyte waxe and the foresayde straynynge Item the playster folowynge resoluethe the sayde matter ℞ of the rootes of Holyhocke and of enula campana ana .li. ss seeth them all in water stampe them and strayne them and make a styffe plaister in the decoction with equal portion of sapa of beane floure and whete floure of branne of Camomylle and of melylote stamped addynge of oyle of Roses Camomylle dille and Lillies ana ℥ ij Medecynes that resolue grosse matter onelye ben these For grosse matters Oyle of elders of lillies wyth Agrippa Dialthea and vnwasshed wolle resolue colde mater Diaquilon album soddē wyth gummes and an ounce of oyle of lillies and as muche of oyle of elders wyth ten drammes of the iuyce of flourdeluyce and an ounce and an halfe of duckes grese made in a softe cerote with additiō of sufficient white waxe is a synguler remedye to resolue colde matter In this case diaquilon magnum is lykewyse praysed of the doctours and lykewyse the remedye vnder wrytten ℞ of the rootes of Holyhockes .li. ss of whyte Lillie rootes of the rootes of floure deluyce Ana ℥ ij sethe them in water stampe them and strayne them addynge of oyle of Camomylle dylle and lillies of euery one ʒ j. ss of whyt diaquilon gummed ℥ iij. of galienes cerote of ysope ℥ ij ss of serapyne galbanū bdelliū opoponax ana ʒ ss of duckes grese ʒ x. dyssolue the gūmes wythe vynegre make a softe cerote of al these thynges wyth the forsayd streinyng and sufficient newe waxe ¶ The .v. chapter of medicines that breake wynde and resolue dead blood vnder the skynne MEdicines that break wynde resolue deade bloode are these Dille rue mellilot camomil fenell annyse percely commyn carewayes floures of rosemary sticados laurell beries c. Compoūdes are these oyle of dil rue of laurel of carewayes camomill of elders of lyllies of spike For of these symples many remedyes maye be made to breake wynde as thys that foloweth Medicine to breake wynd ℞ of redde wyne of barbours lye ana .li. ss of camomill mellilote dille corianders ana m̄ i. of cummyne swete fenell organy nept horehounde ana m̄ i. ss of honye ℥ iij. of salte ℥ i. sethe them tyll the thyrd part be consumed and vse thys ordynaūce with a sponge for it breaketh wynde and is good ageynst vndimia Another fomētacion for the same purpose ℞ of melilote camomill dill branne ana m̄ ii of the rootes of persely of enula campana of fenell of bruscus ana m̄ i. of the seede of sisylios of coriander annys ameos cumyn ana ℥ ss of maioram of organy of calamynt ana m̄ ss parietarye m̄ i. ss of hony of millium ana ℥ iij. of laurel beries of frenche sope ana ʒ x. seeth them all with sufficient barbours lye a lytle odoriferous wyne tyll the thirde part be consumed Another to resolue wynde ℞ of oyle of lyllies and of dille ana ʒ ij of oyle of rue of laurel ana ℥ i. myngle them and make a softe oyntmente wyth sufficient whyte waxe Here foloweth a plaister to resolue wyndynes ℞ of milium somewhat dryed .li. ss of beane floure .li. i. of groūden branne ℥ viij of camomille mellilote dille stamped ana m̄ i. of coriander of cumyn ana ʒ vi make a styffe playster wyth sufficient sapa addyng of oyle of camomill and dille ana ℥ iij. of oyle of laurell and of rue ana ʒ vi myngle them and vse them Another ℞ of beane floure of branne ana .li. ss of goates donge ℥ viij of camomill mellilote dille ana m̄ ss a lytle cumyn make a styffe playster of them al with sufficient sapa and barbours lye addynge of oyle of camomill dille and wormewood ana ℥ ij Thys playster resolueth wyndynes chiefly in the kne Another to resolue deade blood ℞ of dille oyle ℥ i. of wormewood myrte oyle of the iuyce of a radyshe an̄ ʒ iij. of brayed cumyne ʒ i. of odoriferous wyne ℥ i. Let them sethe all together tyll the wyne and the iuyce be consumed so strayne them and make a cerote wyth sufficient whyte waxe ¶ The .vi. chapter of maturatiue medicines IT chaunceth often that apostemes can not be ended by repercussiues and resolutiues wherfore it is necessary to come to maturatiues Fyrst ye must vnderstande that a medicine maturatiue of hote matter thorough hys moderate heate and the naturall heate of the member and thorough his slymynesse and vnctuositie hath vertue to stoppe the poores and to retayne the grosse and subtyle matter and to dygest it by lytle and lytle and so bryng it to suppuration More ouer it is founde that a medicine maturatiue of colde and moyst complexion is necessary for the maturation of collerike apostemes for Auicēne sayeth thus A hote aposteme that wanteth quytture muste haue hys heade playstred wyth psilium for by quenchynge outwarde heate of the aposteme and retaynynge naturall heate in the member the matter cōmeth to suppuration Furthermore in rypynge it is necessary to passe the seconde degre of heate eyther bycause the matter is grosse colde slymye
or els bycause the member is depriued of naturall heate other bycause it is weake For these causes I saye it is necessarye to put to the maturatiue medicine an oynyon the roote of cyclamyn garlyke rosted vnder cooles Maturatiue medicines are these that folowe whyte lyllie rootes the rotes and leues of marche malowes branca vrsina the rootes of bryony passenep rootes drye fygges barlye floure resyns dates rosted apples fenugreke lynseede crommes of bread wheate floure beane floure the rotes of langdebeefe c. wherof .iij. kyndes of playsters shal be ordeyned hereafter The fyrst shal be of weake operation and it shal be to rype hote matter The seconde shal be also of moderate maturation and it shal be to rype myxte matter The last shal be of stronge maturation Here foloweth an example of the fyrst ℞ of the leaues of malowes and violettes ana m̄ i. of the rotes of langdebeefe ℥ iiij sethe them all in water stampe them straine them and make a styffe playster in the decoction wyth barlye floure and the foresayd straynynge addynge of oyle of violettes ℥ iij. of butter ℥ i. the yolkes of .iij. egges myngle them ℞ of the leaues of malowes and violettes ana m̄ i. ss of the leaues of lettuse m̄ i. of the seede of quynces ʒ ij of cleane barlye m̄ ij sethe them all together wyth the brothe of fleshe tyll the barlye breake then stampe them and strayne them and put to the straynynge sufficient quantitie of barlye floure and make a styffe playster wyth the forsayd straynynge and adde of oyle of violetes ℥ iiij of cumyn oyle of swete freshe butter ana ℥ i. and the yolkes of .ij. egges Another ℞ of the meate of rosted apples of the leaues of malowes violettes ana m̄ ij of barly floure of crōmes of whyte bread steped in the broth of a henne a chycken or of veale .li. ss roste the leaues of malowes and violettes in weted cloutes vnder hote ymbers then stampe them all together wyth the forsayd thynges and make a styffe playster wyth butter and oyle of violettes addyng the yolkes of .iiij. egges in the ende of the decoction Maturatiue medicines of the secōd order are these ℞ of the rootes of holihockes of whyte lillies ana .li. ss of the leaues of malowes and violettes an̄ m̄ i. sethe them altogether in fleshe brothe stampe them and streine them and make a styffe playster addynge of butter ℥ ij of swynes grese ℥ iij. the yolkes of two egges Another ℞ of the rootes of whyte lyllies and holihock ana ℥ viij of drye fatte fygges in nōbre ten seeth them al in sufficient water and make a styffe playster at the fyer wyth the floure of wheate lynseed and fenugreke stamped wyth the reste of the ingredience addynge of freshe swynes grese .li. ss of butter ℥ ii the yolkes of two egges myngle them and yf ye wyll haue it stronger wyth subtiliation and attraction put to the forsayd playster of newe leuen ℥ iiij of snayles stamped wyth theyr shelles ℥ i. ss Maturatiue medicines of the thyrde order ben these ℞ of the rootes of holihock of lillies of beres breche ana one parte of the rootes of cyclamyne of passeneppes of rapes yf they maye be gotten ana part halfe of drye fygges in nombre ten seeth them al in sufficient watter stampe them strayne them and make a sufficient playster in the decoction with the floure of wheate fenugreke and lynseede addyng of swynes grese .li. ss of butter ℥ iij. Another ℞ of rosted oyniōs and garlyke nombre .iiij. stampe and make a styffe playster wyth the floure of fenugreke and lynseede and wyth the decoction of holihocke addynge of swynes grese .li. ss Yf ye wyll that the playster shal be more mollifycatiue put thervnto of the rootes of holihock ℥ viij and yf ye wyll that it shall haue more attraction maturation and subtiliation adde of drye fygges nombre .viij. of leuen ℥ ij of snayles nombre .x. and thys is the last maturatiue ¶ The .vij. Chapter of embrocations to rype apostemes FYrste for hote apostemes ℞ of the decoction of malowes violettes barlye of the seede of quynces of langdebiefe li. iij. of barly floure ℥ i. ss of oyle of violettes ℥ iii. of butter ʒ i. ss let thē seeth together make a iuyce lyke the brothe of an henne addynge in the ende the yolkes of .iij. egges and leye the lycour vpon the apostemes wyth hote cloutes chaungyng them often for thys embrocation helpeth resolution and maturatiō of hote apostemes swagynge payne and bryngynge the matter to the skynne Afterwarde ye muste applye a maturatiue in the fyrst order of hote matters Another embrocation to rype myxte matter ℞ of the rootes of holihocke and lillies of euery one .li. i. of drye fygges in nombre ten of malowes of violettes of euerye one m̄ i. of hole fenugreke and lynseed of euery one ℥ i. seth them in sufficient water and make a iuyce at the fyer in the decoction wyth a lytle wheate floure and butter and oyle of swete almandes whyche ye shall laye on as is aforesayde wyth cloutes and afterwarde vse a playster ordeyned for thys purpose ¶ The .viij. Chapter of medicines that mollifye all hardnes of synowes and hard apostemes fractures of bones and ioyntes euell restored ALbeit that we haue sufficiētlye spoken of mollifycatiue medicines in the chapter of harde apostemes neuerthelesse for a more ample doctrine we wyll speake some what of them in thys place for a mollifycatiue medicyne is necessarye for sondrye causes Fyrste to mollifye the hardnes whyche remayne ofte in apostemes after the vse of resolutiues Secondlye to mollifye a ioynt whych hath taryed long wythout restauration Thyrdlye to mollifye a dyslocation or fracture euyl restored that afterwarde it maye be brought into his place more easely by handye operation Fynally to mollifye the hardenes of synowes and ioyntes whych is caused by a wounde or by bruse Fyrste we wyll declare a fomentacion to mollifye al hardnes A bathe ℞ the heade of a wether somewhat cutte and brused and the feete of the same and the rootes of holihocke .li. ij of camomille mellilote and dille of euery one m̄ ij of hole fenugreke and lynseede of euery one .li. ss sethe them altogether wyth sufficiēt water tyll the fleshe be separate from the bones then remoue the bones and bathe and suffumygate the place greued and washe and rubbe it therwyth Afterwarde laye the playster folowyng vppon the harde place the space of a weeke ℞ of the floure of fenugreke lynseede of euerye one .li. ss of wheate floure ℥ iiii make a styffe playster in the foresayd decoction and wyth a roote of holihock stamped and strained addynge of butter of swynes grese melted of euerye one ℥ iiij of hēnes grese duckes grese and gose grese of euerye one ℥ i. ss myngle them When the ioynt and broken bones bene mollifyed the mayster muste reduce the same into theyr