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CHAP. XXIII. How to performe the residue of the cure of the amputated member.
NOw must we shew what medicines are fitting to be applyed after the am∣putation of a member; which are Emplasticks, as these which excee∣dingly conduce to greene wounds. As ℞. boli arm. ℥iiij. farin. vol. ℥iij. * 1.1 picis, resinae, an. ℥ij. pulverisentur omnia subtiliss. & simul mixtis fiat pulvis; herewith let the wound bee strewed, and lay thereupon dry Lint; but let the fol∣lowing repercussive or defensitive be applyed to the member.
℞. Album ovorum vj. boli arm. sang. drac. gypsi, terrae sigill. aloës, mastiches, gallar. com∣bust. * 1.2 an. ℥ij. in pollinem redigantur omnia, & bene agitentur, addendo olei rosarum & myr∣til. an. ℥j. fiat defensitivum ad formam mellis. This ointment must bee applyed upon stoopes dipped in Oxycrate, and that so that it may not onely cover the cut mem∣ber, but also be spread further and cover the neighbouring parts; as when the Legge is cut off, it must bee laid upon the joynt, and spread higher than the knee, some foure fingers upon the thigh; for it hath not onely a repercussive facultie, but it also strengthens the part, hinders defluxion by tempering the blood, aswaging paine, and hindring inflammation. It will also be good to moisten your double clothes and bandages in Oxycrate; then must you place the member in an indifferent posture upon a pillow stuffed with oaten huskes or chaffe, Stagges haire, or wheate branne. * 1.3 It must not be stirred after the first dressing (unlesse great necessity urge) for foure dayes in winter, but somewhat sooner in summer. For the ligatures wherewith the vessells are bound, they must not be loosed, or otherwise taken away, before the mouthes of the vessells are covered with their glue or flesh, lest by too much haste you cause a new flux of blood. This agglutination will be performed by applying refrigerating, astringent, and emplasticke medicines, such as this following powder.
℞. boli arm. farin. hord. picis. res. gypsi, an. ℥iiij. Aloës, nucum cup. cort. granat. an. ℥j. * 1.4 incorporentur omnia simul, fiat pulvis subtilis: herewith let the whole ulcer be strewed over for three or foure dayes space; which being ended, let onely the seates of the vessells be poudred therewith, and that for eight or ten dayes, so that wee neede no further doubt of the agglutination of the vessells. In the meane space let the dige∣stive be applyed to the rest of the Vlcer untill it bee come to suppuration; for then you shall give over your digestive, and betake you to detersive and mundificative medicines: As
℞. terebinth. ven. lotae in aqua vitae ℥vj. mellis ros. colati ℥iiij. succi plan••ag. Apij, * 1.5 centaur, minoris, an. ℥ij. bulliant omnia simul usque ad consumptionem succorum au∣ferantur abigne, addendo farinae fab. & hord. an. ℥j. theriac. Gal. ℥ss. aloes, myrrhae, aristoloch. an. ℥iij. croci ℈j. fiat mundificativum.
But seeing the case stands so that the Patients imagine they have their members yet entire, and yet doe complaine thereof (which I imagine to come to passe, for * 1.6 that, the cut nerves retire themselves towards their originall, and thereby cause a paine like to convulsions; for as Galen writes in his booke, De motu musculorum, That contraction is the true and proper action of a nerve and muscle: and againe, ex∣tension is not so much an action as a motion:) now wee must indeavour to give remedy to this symptome. Which may be done by annointing the spine of the backe and all the affected part with the following Liniment, which is very powerfull against Convulsions, the Palsie, numnesse, and all cold affects of the nervous bodies.
℞ salviae, chamaepytheos, majoranae, rorismar. menth. rutae, lavendulae, an. m. j. flor. cham••mel. * 1.7 melilot. summit. aneth. & hyperici, an. p. ij. baccarum lauri & juniperi an. ℥ij. radicis pyrethri ʒij. mastic. assae odorat. an. ℥iss. terebinth. venet lb. j. olei lumbr. aneth. catell, an. ℥vj. olei tere∣binth.