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A66951 The surgeons mate or Military & domestique surgery Discouering faithfully & plainly ye method and order of ye surgeons chest, ye uses of the instruments, the vertues and operations of ye medicines, with ye exact cures of wounds made by gunshott, and otherwise as namely: wounds, apos fumes, ulcers, fistula's, fractures, dislocations, with ye most easie & safest wayes of amputation or dismembring. The cures of the scuruey, of ye fluxes of ye belly, of ye collicke and iliaca passio, of tenasmus and exitus ani, and of the calenture, with A treatise of ye cure of ye plague. Published for the service of his Ma. tie and of the com:wealth. By John Woodall Mr. in chyrurgerie.; Surgions mate, or A treatise discouering faithfully and plainely the due contents of the surgions chest Woodall, John, 1556?-1643.; Woodall, John, 1556?-1643. Treatise faithfully and plainly declaring the way of preventing, preserving from, and curing of that most fearful and contagious disease called the plague.; Woodall, John, 1556?-1643. Treatise of gangrena, and sphacelos. 1617 (1617) Wing W3421; ESTC R221201 349,679 432

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a Plaster of diacolon diccalsiteos Paracelsus plaster or the like and so rowle and bind up the member artificially as shall be most fit and let it have rest if thou fear furrher accidents thou maist also give the partie some laxative The bone I have said is never truely restored if the pain continue Again if there be a great tumour in the place dislocated so that thou canst not therefore well reduce the bone then maist thou lay the partie to rest and the member also to as good rest as thou canst and by things mollifying and discussing seek to asswage the tumour in which case a good Lixivium described in the Cure of Fractures were good to foment it withall or a good Cataplasme made of Oat-meal and Linseeds boyled in beere or water with a little oyle of Elders would doe very well but take this for a rule that if thou be called to any dislocation where a tumour is if it be but a tumour of one or two or three dayes gathering attempt thy best to reduce the bone notwithstanding the tumour for if by extention and pains taking thou canst get the bone into his place thou needest not to fear the tumour for it will quickly be gone whereas on the other side if by thy other applications thou canst not in reasonable time dissolve the tumour a callow or strange substance may be fixed in the place that thou shalt never be able to dissolve also the Ligaments and heads of the Muscles will be grown hard and shrunk and thou maiest fear a lamenesse and withering will The sooner extention is wrought the better follow to that member wherefore with a carefull consideration seek to reduce any bone the sooner the better I use an instrument in dislocations which I learned the practise of in Polonia whilest I lived there which I call by the name of a Commander for that rightly placed and used it will surely command and I have used that one self same instrument to the shoulder wrist Huckles bone knee and ankle with good successe I may truly say I have set with it above 500. joynts at times and never once repented me of the use therefore and to shew thee how I use it mark a little my words for I must be brief If I see just cause of the use thereof and with my own hands and some others to help me I cannot without much pain to my patient bring the dislocated bone to his seat if this dislocation I say be in his shoulder I place the button of the instrument being somewhat flat on both sides not round just into the arm-pit or hollow place I mean under the upper round end of the adjutory bone or betwixt the said bone and the body and directly under the Os humeralis or O● Scapula as close as I can the end of the recited button being well armed with tow bound on with a cloute which done I put on the Iron ginne which belongeth thereto at the lower end of the Commander where are certain holes with one Iron pin for diversities of lengths of limmes to be extended this ginne having a resting place for to stay it to the pinne recited and another for to take hold of the end of a soft towell to be tied about the wrest of the dislocated arme which wrist bound about and the lower part of the towell or some strong lether band or coard fastned to the said towell and also fastned to the upper part or teeth of the iron instrument let then some garter also be gently tied about the party his arm betwixt the elbow and the wrest to stay the arm to the instrument It were also good that the Instrument I mean the wooden Commander were just of height with the partie I mean from the place where it is to be placed to the ground but because that cannot alwayes be expected let the partie diseased stand in that order or so under set the instrument that it may fall out so and understand further that the partie forany bone of the arm dislocated must be standing whilest it is placing And for the thigh knee or ankle lying Having placed tied and fastned the parts together as is said let one for thee stop to turn the extending instrument and turn it gently till all be reasonable stiffe the commander standing up right close by the Patient his legge and let some one strong man stand on the other side of the Patient with his armes about the Patient his neck to keep him upright to the businesse these things ordered as is said with thy own hands seek to reduce the bone I have often found when I have extended but to a just length the bone hath of it self returned to his place thou wilt wonder at the facility thereof if thou proceed orderly I nor no man else can teach thee by written words half so well as by practise with once using it thou wilt find it out And when thou wilt use it to the huckle bone note the button on the top must be taken off and a cushion bound on the place thereof the party must also be so placed lying that his huckle bone thigh and leg must hang over the beds feet free from the bed or so laid on a table that all those parts may be free and his leg below the knee must be gently bound to the Commander as is said of the arm In all this work neat ligature true extention and a carefull industrious hand must perform the businesse and practice must be the mean for my self I have no time to amplifie further this which is said is practise for the which if thou find profit by it give God the praise Of Dismembring or Amputation AMputation or Dismembring is the most lamentable part of Chirurgery it were therefore the honour of a Surgeon never to use dismembring at all if it were possible for him to heal all he undertaketh but necessitie hath no law the Patient will declare in his naturall desire to live the comfort that he hath by it Since therefore it is of necessary use let the discreet Surgeon be ever prepared for it and to that end let the Dismembring saw be alwaies in a readinesse well filed and clean kept in oyly clowts to save it from rust let it also have two blades well filed ere you put it into your Chest for that one tooth Certain Rules before thework to be practised of the Patient in a Saw may break If you be constrained to use your Saw let first your Patient be well informed of the eminent danger of death by the use thereof prescribe no certaintie of life and let the work be done with his own free will and request and not otherwise Let him prepare his soul as a ready sacrifice to the Lord by earnest prayers craving mercy and help unfainedly and forget thou not also thy dutie in that kinde to crave mercy and help from the Almightie Other Rules which concern the
Sect. 4. Another good sign In fluxes of the belly changes of the excrements is a principal good sign unlesse the change be made worser Aph. 14. Sect. 2. In perturbations of the belly and voluntary vomiting if such things are purged thereby that ought to be purged it is good but otherwise the contrary Aph. 25. Sect. Aph. 3 Sect. 4. A Dysentery which proceeds from yellow choler is not altogether mortal as Galen affirmeth in his second book of natural faculties that General rules for the cure of the flux many are cured of it Lientery after Dysentery is mortal these Canons following belong to the particular cure of any flux of the belly No flux of the belly before the fourth day if the Patient be strong is to be restrained The ulcers of the higher intestines are to be cured with medicines taken at the mouth but those of the lower with Glysters chiefly and if ulcers be in both then are they to be cured both waies To such as cure a Dysentery let astringent things be given before other meats that they may the better be retained Hot stiptick things are good in fluxes proceeding of a cold cause And on the contrary if the concocting faculty shall be weak the use of hot things is likewise good If there be a cough with flux of the belly the Patient shall abstain from all sharp stiptick things Sweating medicines and frications with oyl of Camomil and Dill by opening the pores and plucking back the matter to the opposite part are good in fluxes Cupping-glasses saith Avicene applyed four hours to the belly stay the fluxes of the belly All stiptick fruits by the counsel of Avicene are to be avoided in fluxes of the belly notwithstanding Chestnuts hurt not as the same Author affirmeth Sleep among other things is good for a flux and so is any quietnesse and rest good unlesse the flux proceed from some Catarrhe or rheume Touching the particular cure if the disease come of a hot cause let there be a lentive glyster administred before the fourth day which is this ℞ Aqua hordei ℥ xij Mellis rosati ℥ ij mingle it and let it be made a Glyster twice reiterating it afterwards let the cholerick matter be purged thus ℞ Rosarum ru●earum violarum ● ● ℥ ● let them boile A glyste onely one walme and in the straining infuse them the space of six hours then add these things ℞ Corti●es mir●bal cit ℥ j. tragac ʒij A Purge strain the medicine and let it be so given notwithstanding warily for indeed many of our ancients did abstain altogether from purging medicines in fluxes whereupon Avicene 41 capite 3. saith that it is dangerous to loose the belly upon a former loosenesse If the matter be sanguine and the sick of reasonable strength you may let the lower vein be opened to represse the acrimony of the humour to pluck back and coole the boyling of the liver witnesse Avicena 4 ●rimi chap. 20. Phlebotomy doth bind the belly very much and amongst many is held for a great secret for a certain man of 70. years of age labouring with the Dysenterie the space of a moneth when no other means would help him he was cured by letting of blood yet I confesse my self should not easily do the like If the excrements begin to grow thicker and the gripings begin to cease the token is good if in the excrements scraping as it were of the guts seem to appear it is no token of death I read that the ancients used caustick Glysters of Arsenicum aes vestum Alumen Calx vivum but these later Pysitians use rather astringent and narcotick medicines as these Cortices Th●ris Masti●ts Boli Armeniae Sarcocollae and the like The'ulcers of the small guts are worse to receive healing then those of the great guts for the greater are fleshie and therefore they receive consolidation so much the easier The ulcers of Jejunum or the hungry gut are of all the worst because it is smaller then the other and because sharpe choler doth suddenly happen into it i● hath more veins in it then the rest and is next to that noble part the liver and further one reason of doubt is for that medicines taken to bind and consolidate cannot long remain therein In the Dysentery what must be refused In the Tenasmus and the Dysentery coming after it the patient must abstain from all sharpe salt and bitter things because by using of such things the excrements become sharpe and cause excoriation Hot things restrain the flux of the belly because they make the meat digest penetrate cause urine and provoke sweat which is found in the drinking moderately of pure wine as Avic●ne witnesseth besides that it provokes sleep and helps digestion notwithstanding it is to be abstained from in fevers and when the flux proceeds from hot and cholerick humors A Dysentery proceeding from obstructions will never be cured with Astringent medicines but rather with penetrating medicines by adding a little vinegar which openeth more forcibly then wine and mollisieth obstructions for if Astringent medicines be mingled with de●icatives they increase the obstruction Although some say that in the Lienteria the meat taken in doth come forth in the same colour and quantity as it was when it was taken in this notwithstanding is to be understood that the form and colour of it is of necessity changed but it doth not wholly alter it for they are altered somewhat according to the majus minus because it is an impossible thing that the nourishment being conveighed thorow so many intestines should come forth without any alteration at all There are some also which judge the Dysenteria and the Tenasmus by motion of the pulse that the patient hath a fever if the pulse be moved swift yet it seems to me the contrary although there is an over heating or boyling in the blood by reason of the hot humors the great motion of the body want of sleep and abstinence yet with the flux onely stayed the fever hath an end It is formerly said that the ulcers of the great intestines are to be cured with Glysters and the ulcers of the small intestines to be cured with medicines taken at the mouth notwithstanding it profiteth to take fit medicines at the mouth for ulcers of the great intestines and Remedies for Vices in the intestines in ulcers of the small guts to inject glysters which sometimes ascend to both the ventricles as experience teacheth and so also are ulcers in the great guts sometimes cured by medicines taken at the mouth wherefore let no convenient helps be omitted in case of necessity And though Avicena saith it is dangerous to purge the belly upon a loosenesse thereof yet the same Avicena Gerardus Cremo Serapio Jordanus de Turra and other later Physicians of ●ound judgement prescribe in the cure of fluxes Purgative medicines therefore they appoint things according to the patients strength when a
he lived and it was performed upon his Testicles who in the Plague-time that was Auno 1612. as I remember or about that time by a Carbuncle that by Gods hand seized upon one of his Testicles and namely upon the left Testicle that it became wholly mortified with the halfe of the Scroton or the purse of the Cod in briefe I tooke and cut away the said left Testicle or stone which An amputation of a Testicle with the half of the Scrotum was wholly mortified with the halfe of the Scroton or the purse of the same stone in the mortified place and healed him perfectly whole in five weekes and lesse and after the losse of that his one stone or Testicle he married and had divers children and I verily believe they were my Patient his own and by him begotten on his wife Let these instances suffice and now having presumed of the friendly Reader by my former digressions I have resolved with my self though I confesse in a mean stile to put forth these instructions being as is said for the benefit of posterities as I conceive and namely that when my bones are at rest upon fair and reasonable grounds any discreet Artist may boldly attempt and doubtlesse perform the like practice for that I am confidently perswaded it will be a means for the saving and preserving the lives of many worthy and valiant Souldiers and other brave hardy Sea-men especially in time of Warres from which God of his mercy protect our Countrey Certain Rules to be had in regard before dismembring be taken in hand either insound or mortified parts Caveats before abscission FIrst amputation or dismembring of any man whatsoever is never The first rule to be undertaken by any Artist without judicious preconsideration nor without the advice of other expert Surgeons first had and obtained as I have said yea and of those of the best judgments in practice where such may be had The second rule Secondly dismembring or amputation is not to be put off nor delayed where necessity requireth not to stay for the best advice yet let me thus far explain my self that the most mortifications yea and few extempted may stay for advice if the Artist do take his just time for it The third rule Thirdly I advise that no Artist attempt to undertake the work of taking away any member from any person but by the desire and with the good will and full consent of the said person first had If the said patient have his perfect senses and be of years and judgment but if want be thereof let the patients friends and kindred be advised with concerning it and give consent thereto yea and desire it for I counsel all young Surgeons to be exceeding modest and sparing in putting A Caveat in amputation not to do it but by consent and intreaty of the patient forwards themselves and their Patients to the dangerous work of amputation or moving them at all thereunto especially where it is to be acted upon the whole skinne lest peradventure it be afterwards said it might have been saved on had not the Surgeon been over-forward for his gain for no little though for the most part unjust reproach and scandal falleth upon the Surgeon by such his improvident forwardnesse Fourthly the work of dismembring ought not to be done nor attempted The fourth rule by any who have not first either done the like or at the le●st been a helper to dismember some yea and more then one and hath A caveat necessary often seen and well observed the manner of the work to have been done by other Artist before he presume to attempt it himself for the dismembring of the Image of God in man ought never to be performed but with a due reverend and religious regard The fifth rule of preparation to amputation Fifthly before any begin to make the incision he ought to have all the materials fit for such a work ready and at hand as elsewhere I have advised and namely both Instruments Ligatures Medicines and all other additaments which are assistant in the work The sixth rule Sixthly the amputation once resolved upon and all things being ready for the work let the Surgeon with all his assistants and friends not forget before the beginning of the work heartily to call upon God for a blessing upon their endeavours and let the Patient the day before have notice given him that he also may take time to prepare himself with true resolution of soul and body to undergoe the work as being never performed without danger of death but more especially if it be to be done in sound parts which done then let the Surgeon prepare himself as aforesaid with also his helpers namely at the least five persons besides himself as for example Five persons to assist the Surgeon in amputation one to sit behind the Patient to hold him a second for a holder who by the Surgeon must be instructed fast to stand before him and to bestride the limb to be amputated and to amplect the member and a third to hold and stay the lower end of the diseased member to be taken off a fourth to bring and receive back the sharp instruments a fifth to attend to deliver the Artist his Needles and Buttons restrictive rollers boulsters bladder with other additaments and services and so soon as possible may be to stay with the palme of his hand the Medicines applyed to the end of the abscissed stump that being the duty of the fifth helper and the sixth is the Artist himself that dismembreth for six and not fewer are a fit number and that with the least to the The manner of amputating expressed work of taking off a legge or an arm if it be to be done in the whole or sound part or for the taking off of a member proceeding by a wound by Gun-shot done in the lacerated not totally mortified part but for the taking off of a member in the mortified part three persons as assistants may serve or two for a need namely one to hold the upper part the other the lower end and the third to abscisse namely the Surgeon It followeth now that I proceed to explain according to my opinion in what cases a member may be taken off in a mortified part with as good hope and more to preserve the life of the Patient then if it were taken off in the sound part Amputati●● 〈◊〉 members mortified by cold First in frozen members and all that come of extream cold it may be done very safelyalso in all mortifications of members by Feavours whatsoever the Feavour being first cured yea although they were pestilential I speak this of long and true experience and therefore I conceive I may without disparagement omit the producing or repetition of the ancient Writers for witnesses or warrants in ought for me in any such works as I have manifestly and often performed in the parts mortified