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A67187 An experimental treatise of surgerie in four parts : 1. The first part shewing the dangerous abuses committed among the modern surgeons, 2. Of cures of all sorts of wounds in mans body ..., 3. Of the symptomes of wounds ..., 4. Treating of all kinds of balmes, salves, plaisters, ointments, oyles, bloodstenchers, potions, tents, corrosives, &c. which are used for wounds ... / by that most famous and renowned surgeon, Felix Wurtz, citie surgeon at Basell ... ; exactly perused after the authors own manuscrip, by Rodolph Wurtz, surgeon at Strasburg ; faithfully the second time translated into Neather Dutch, out of the twenty eighth copy printed in the German tongue, and now also Englished and much corrected, by Abraham Lenertzon Fox, surgeon at Zaerdam ; whereunto is added a very necessary and useful piece, by the same author, called the Childrens book, treating of all things which are necessary to be known by all those, to whose trust and overlooking, little children are committed.; Practica der Wundartzney. English Würtz, Felix, 1518-1575?; Fox, Abraham Lenertzon.; Wurtz, Rodolf.; Wurtz, Felix, 1517 or 18-1574 or 75. Childrens book of Felix Wurtz. 1656 (1656) Wing W3733; ESTC R38771 274,491 374

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An Experimental TREATISE of SURGERIE In Four Parts 1. The first Part shewing the dangerous Abuses committed among the Modern Surgeons 2. Of Cures of all sorts of Wounds in Mans Body from the Head to the Toe and of other Infirmities belonging to Surgerie ʒ how the same ought to be observed according to the Fundamentals of Art to be handled and cured 3. Of the Symptomes of Wounds how they are to be discerned and known before they appear what they foretell how to prevent them and how to cure them when apparent c. 4. Treating of all kinds of Balmes Salves Plaisters Ointments Oyles Blood-stenchers Potions Tents Corrosives c. which are used for Wounds and have been mentioned hitherto in the former Parts of this Book how they are to be Artificially prepared and used well All which are very plain and easie to be understood and managed by an ordinary capacity By that most famous and renowned Surgeon FELIX WURTZ Citie Surgeon at Basell The praise of whose worth you may read in the following Epistles the worth it self in this Book Exactly perused after the Authors own Manuscrip by Rodolph Wurtz Surgeon at Strasburg Faithfully the second time Translated into Neather Dutch out of the twenty eighth Copy printed in the German Tongue and now also Englished and much corrected by ABRAHAM LENERTZON FOX Surgeon at Zaerdam Whereunto is added a very necessary and useful Piece by the same Author called the CHILDRENS BOOK Treating of all things which are necessary to be known by all those to whose trust and overlooking little Children are committed London Printed by Gartrude Dawson over against the Black Horse in Alder●gate Street and are to be sold at the Book-sellers Shops 1656. TO THE HONOURABLE Wise deep Learned Sr. CLAES PIETERS TULP Doctor of Physick Counceller and Assessor at AMSTERDAM SIR IT is Gods Will and pleasure to make it a duty to every one to do good unto his Neighbour which befitteth every one in his calling to express that duty according to the gift God hath bestowed on him your Honour is herein well disposed to put to use that talent you have received no better opportunitie may be had for it following the calling then this present work in which simply is presented that which another with great toil hath brought together for the benefit and comfort of fore wounded Men it being the twenty eighth Copie published in the German Tongue still augmented and corrected by that most famous Surgeon Felix Wurtz City Surgeon at Basell whose notable and good doctrinals I have successfully practised these many years which urged me to undertake the Translating of it into our Belgick Tongue the rather because I am well versed in the German Tongue counting it worthy of our Nation to the praise of that greatly experienced Surgeon and the benefit of our people And knowing your Honour a sound Doctor in Physick not onely well experienced but doubtless well seen also in the German Tongue and a great practitioner in Chymicks and deeply enlightned therein in consideration whereof I present this out of a good affection to your Honour the rather because Mr. Iohn Watshaert Stationer and Printer hath recommended your Honour very much knowing my intention was no other but that I would Dedicate this my labour to a Learned Man To which end I present it to your Honour praying you would be pleased to peruse it and upon your worthy judgement to commend it to the judicious and to protect it against the ignorants in the way your Honour shall think most fit Therefore Honourable Doctor be pleased to accept of it favourably to that end that those which are of mean capacitie and are of small gifts may be incouraged by your gracious acceptance and may put out to use their small talents also for the publick good which happily may be practised shortly if your Honour be pleased graciously to accept of it it will be an incouragement to the desire of my affection to get new supplies the more willingly to accomplish that which is begun that I may speed the better in the pursuit of my intention as well in the hitting of the sense as in the framing of the stile I thought it to be necessary to take in hand the readiest means as to help my neighbour in the speediest way and through the same means also to get into practice the more conveniently Therefore with the greater courage I dedicated this my labour to your Honour as a well expert Dr. in Physick to the end that when your Honour hath perused it to receive better instructions in that where I mistook Herein I seek no other but your Honours good affection towards me not only to protect the Work but also to learn some good instructions from your Honour in Surgery as being necessary for my calling If I might be so happy in such enjoyment I should value it at the greatest rate of my worldly things Your Honour hath greater judgement of the utilitie of the work as well of its Manuals as of its Medicaments more than my expressions can reach at notwithstanding I have followed them in Surgery above these nineteen years I commit most humbly this my labour to your learned and grave judgement and my self into your gracious favour thus closing I commend your Honour into Gods most gracious and fatherly protection to keep your Honour in health to the welfare of his Church and the good of his People Amen Dated at Zaerdam the 28. Of October Anno. 1632. Your Honours most willing Servant ABRAHAM LENERTZON FOX of Assendelf To the Judicious READER Courteous Reader SOme years agoe my friends prevailed with me to take in hand the translating out of the German Tongue into the Belgick stile this present Book of that most famous and well expert Surgeon Felix Wurtz Citie Surgeon at Basell I undertook it and having done the moity of it an unavoidable obstruction fell in whereby the work was left by another to be finished who as much as he was able to do took it in hand to further the publick good but being not so well expert in the German Tongue some of the Simples were not well translated These Copies being spent for the most part and since that Book was at severaltimes new printed with augmentation and correction thereupon I thought it good to undertake the second translation into the Belgick stile in respect of the great utilitte of it how necessary it would be for many young men and Novices in that profession who having been Apprentises to good Masters undertake to cure such and such accidents as may come into their hands which they hardly understand any thing of such young men must put their greatest confidence to the severall doctrines and instructions of expert and good Authors among which this though but small ought to have not the lowest place being well expert in his wayes plain in his doctrinals and prosperous in his manualls perfect in his preparations and correct in their
be of very good use in Surgery as at the off-cutting of a member at the thickest part in the thigh and in two or three places more as when an Excrescence is to be cut off or other things well known to judicious Surgeons But that it should be of any use in wounds there I deny it absolutely and am fully perswaded that nothing but misery thereby is caused For as soon as the little white veines feel the heat of the fire they shrink presently grow shorter and may never be brought to their former length all judicious Surgeons must confess so much Unto which misery this is incident also or rather will ensue thereupon that a Wound thus burnt will never heal so soon and so well as those will which never had such things supplied the reason of it is known to many And ah how many Wounds are thereby inflamed and the parties lame when doubtless they might have done better In my youthful dayes I have been an eye witness how one received a Wound about his temple of four fingers Example breadth oh how was this poor man tortured with Corrosives with lighted cotten Wooll with nealed Iron and the like being thrust into his Wound and all to no purpose for the bleeding of it could not be quenched All these Surgeons being in a despair about their Patient whom they thus unmercifully tormented not knowing what to do any further in this case they wish'd the Patient to commit himself to God Almighty which however ought to be done without their grave advise when all their applied meanes would neither take nor work there came forth an old Woman laid some kind of haires on a leather and laid into the Wound a piece of lint or quilt and then she applied her plaister it stenched the blood and the Party was healed was not this old Woman more skilful and surer in her Art than all these Surgeons Barbers Doctors that were then present My self at that time being very young and unexperienced was ashamed for their sake though I had very little judgement that they professing that Art had so little judgement in it Some sixteen yeares ago there was a young man at B. Sharp oil of Marcasts is said to stanch bleeding which received hurt in his buttocks which did bleed very much which a Barber-Surgeon could not stench with his sharp bloud-stencher which in that place was held a Master-piece to stench it What do you think this Barber-Surgeon had done He took that biting oil of Antimony prepared with Sublimed Mercury dipt cotten Wool in it thrust it to the Wounds bottom this was such a rarity and secret skill that this young man out-breathed his last within few houres after for it most miserably tormented him who might have been very well saved if this Barber had not medled with him If I should rehearse all what miseries I have seen committed Intolerable miseries caused by burning by burning of wounds that did bleed though I have seen but little and have but small experience yet time would fall short with me to rehearse all and it would prove tedious unto the Reader to hear and read such a long tale besides I should but pull an old house about my eares if I should put them to the publick view and the rather because some antient Surgeons find some of the above named blood stenchings very necessary Therefore I let it rest hoping that judicious Surgeons will take my writing in good part and gather from thence that among the Antients there was great ignorance by misunderstanding as well as there is now adayes or rather more To prevent these abuses in my judgement there is nothing better to be used in blood stenching then quilts lints or mulli puffs cotten Wool or the like As for example if a Wound bleedeth and the cause of it is unknown then do not feel nor stir in the Wound nor apply any ointment but onely use a plaister but in case the bleeding would not cease then such said things may be used or any other fitting thing but if the Wound doth bleed but little in time when the Patient either walketh or sleepeth then bind it gently and apply the plaister where it bleedeth then you may soonest know from whence the blood cometh and if there be any loose or shatterd piece in it which causeth the bleeding being bound slack it casts up a ball or soft flesh like coam'd wool let it be gently press'd in again it is a sure token that there is a shatterd piece in it which is not altogether loose yet striveth to come forth where lieth a blood-vein which that loose piece doth hurt when stirred Now such like things being at hand no haste at all must be made with nor search made into the Wound for that search would put the Surgeon and Patient upon more work and increase the bleeding and the vein being deeply hid out of sight and no coming unto it would produce new troubles Therefore onely burnt Allom very subtilly pulverised clapped in and upon which is strong enough for it for if stronger or sharper things should be used they would through-run the Wound insomuch that the cure would be delayed where it had been almost performed That Allum must be let alone till it drops away or comes off by melting and in case it should not come out the next day then stray more Allum upon it then it will soon take away that flesh which hangeth on that splinter but in case that splinter should follow also and the flesh about it all consumed then that splinter hangeth yet on a panick which must come out also However proceed in the healing as if there were no such splinter therein it will loosen of its own accord the healing will put that aside even as an old tooth must give way to a young one even so the new flesh driveth out that piece at the wound easily insomuch that it may be taken away without danger Search not with any Iron or Silver Instruments into the Wound for if you touch any bone or crisle especially in such members that are full of them then that joynt will never take any flesh I give warning to all I have found it so desire no more to search it is a common saying amongst them because there are more such loose pieces in the Wound they will have them all out and feel and search in the Wound like a blind man It is a great foolishness to feel and groap about Wounds touch them with hard fingers without and search their inside with Instruments You Novices in Surgery when three five or more are called together to such a Patient suffer not the Patients Wound so rudely to be toucht for I speak by knowledge and not out of other mens opinions and know what hurt is done thereby CHAP. V. Of the Abuses in Phlebotomy how some supposed to stench bleeding with an example illustrated HAving begun to treat of blood stenching I could
in-bowed bones for that doth not go out any side unless you force it such a way in the turning of it Therefore do not over do it make it not worse as such an oversight rudely may be committed where a Fracture is put out of its place which would have kept together There is great advantage here both in the work and pains in the healing and growing Briefly the cure is half done if a Fracture set keeps together for if once struck asunder then the splinters and teeth break and the bones also break unequally because they break not so as when they are sawed and e●t asunder but at their breaking they tear into many splinters and many times can hardly be brought together again And if any of these splinters cometh atwhart the same is a hinderance unto healing bringing an unevenness in the going and standing disgracing the whole work That branch or splinter which is in a cross way puzleth Surgeons that they know not where the defect is and if so be they know it to be a splinter but how will they turn it my advise is if the Fracture be not quite asunder let it keep so that with medling with it you may not cause one splinter or other for to fall a twhart I cannot give warning enough here because the dangers are great in such cases which I have known and felt CHAP. XXVIII Of Fractures that are cloven and burst how a Surgeon is to deal with them in their dressing and healing HAving spoken enough of Flap-fractures now it follows Split Fractures that I speak also of Fractures cloven and burst I call this a split or gaping Fracture when a bone is split and burst either with a thrust blow fall or how as it may be done in any way which split or cleft is not a plain Fracture but onely a rent crack like a crack in a glass which to say is yet whole for all the crack If any come to you complaining of a bone which is a little To know a cracked Fracture swelled and paineth him when he toucheth it or when he treadeth hard on that Foot it betokeneth that that Leg is craked You are to apply the before named Fracture-plaister and the splinters as you heard before and so let the party lie still for some dayes that plaister will draw out the moisture which is in the Legs and the patient will quickly be healed But if it be of a high swelling and feeleth soft it is a sign that a moisture is gathered there from the bloud and bone Lance that place make vent for that humour put a tent into the place covered with the little brown ointment and dress it as a Flap-fracture it will soon mend Here I must needs speak of some abuses which many have Abuse committed When they are about to cure such Patients and undertake to do it then they will perform it with annointing bathing washing and such like But it is seldom seen that it is to any purpose Yea which is a pitty they cause such hurts thereby that can never be cured That hurt which is caused thereby is called by some Surgeons Marrow-wounds the original whereof to describe here Marrow hurts is needless If a bone be cracked it may be the party doth slight it for Cracked bones not presently felt the present especially if the bone be crackt all along it will hardly cause any pains to the party in a twelve moneths time if such a crack be so subtile that it is not felt in so long a time however the marrow in that bone hath vent Now as Nature in man cannot endure any Fracture be it as little as it will but it will complain of it one time or other that crack in the bone will bring forth its excrement I confess it is very little yet in time it will come to some matter which settleth to the lower part of the bone toward the Ankle and the crack also in the mean time goes on by degrees because its own excrements stay there and are not expelled through Medicaments That moisture being gathered to any quantity it will seek for an issue in the end and causeth a simptom which commonly at the first appearance is like to Anthonies fire with a blister upon Such things admit afterward no healing in that place where they are because their fountain and original is not there For many times one hurts himself on the Shin and that hurt breaks forth at the Ankle because the humour settleth down Such hurts being healed will break out again not regarding the skin and will not be mended neither with diet nor purges then they call it a Belly-flux which is none at all I have cured such simptoms of twelve or fifteen years Cracks are no Belly-flux standing which by all Surgeons that had them in hand were counted Belly-fluxes whereas they had no other original but what was told It fals out that in such cases many Patients are spoiled because Surgeons undertaking to cure such hurts know not their original which is the chiefest thing here But how these shall be known well and fundamentally cured you will find it in its due place when I shall treat of all manner of simptoms Here is a necessary Quaery How can any man go about his work with a cracked Arm and how can a party stand or go whose Leg is craked To which I answer Yes it may be which I know not by hear say alone but have seen it Mr. Jurian of Weslen an expert Surgeon found it so in himself he had a Fracture on his Leg but went about a long time till at last he was fain to yeild and in his down-lying he often conferred with me about it telling me that he marvelled that he could stand and go about so long having a cracked Leg. From hence I infer that a party may have a cracked Arm or Leg yet for all that he may follow his occasion but in what manner it is he knoweth it best that hath the Fracture and it may be that such parties are limping Some Fractures are such that the party is not able to tread on that Foot though the whole house should be on fire Fractures are not all alike break not alike and their healing is not done one manner of way The reason why some can do their work and go about is in my judgement because in the fore part of the Arm are two bones as also on the Leg if onely one of these bones be crackt the other holds strong yet and so the party doth his work though in pains but it is another thing with the bone above the Knee and above the Elbow and so there is a difference in such cracks Of cracked bones what they are some examples quoted These are called crackt Fractures which are not apparent it is not unknown what such parties ail they complain and know why and ignorant Surgeons having them in hand neglect them so