The workes of that famous chirurgion Ambrose Parey translated out of Latine and compared with the French. by Th: Johnson

CHAP. XVII. Of the Vlcers of the Windpipe, Weason, stomacke and Gutts.

THese parts are ulcerated either by an externall cause as an acride medi∣cine, or poyson swallowed downe; or by an internall cause, as a maligne * 1.1 fretting humor which may equall the force of poyson generated in the body, and restrained in these parts. If the paine be encreased by swal∣lowing or breathing, it is the signe of an Vlcer in the weazon, or windepipe joyning thereto; But the paine is most sensibly felt when as that which is swallowed is ei∣ther * 1.2 soure or acride, or the ayre breathed in, is more hot or cold than ordinary. But if the cause of paine lye fastened in the stomacke, more greevous symptomes urge; for sometimes they swound, have a nauseous disposition and vomiting, convulsions, gnawings, and paine almost intollerable, and the coldnesse of the extreame parts; all which when present at once, few scape unlesse such as are young, and have very strong bodyes. The same affect may befall the whole stomacke, but because both for the bitternesse of paine, and greatnesse of danger, that Vlcer is farre more greevous which takes hold of the mouth of the Ventricle, honoured by the Ancients with the name of the heart; therefore Physitions doe not make so great a reckoning of that * 1.3 which happens in the lower part of the stomacke. Now we know that the Guts are ulcerated if Pus, or much purulent matter come forth by stoole; if blood come that way with much griping; for by the Pus staying and as it were gathered together in that place, there is as it were a certaine continuall Tenesmus, or desire to goe to stoole. Now all such Vlcers are cured by meates and drinkes, rather than by medicines, ac∣cording to Galen. Therefore you must make choyse of all such meates and drinkes * 1.4 as are gentle, and have a lenitive faculty, shunning acride things; for Tutia, Lytharge, Ceruse, Verdigreece and the like, have no place heere, as they have in other Vlcers. But when as the Vlcer shall be in the Gullet or Weazon, you must have a care that * 1.5 such things may have some viscidity or toughnesse, and be swallowed by little, and little, and at diverse times; otherwise they will not m••••h availe, because they cannot make any stay, in these commune wayes of breath and meat; therefore they present∣ly slip downe and flow away; wherefore all such things shall be used in forme of an * 1.6 Eglegma, to be taken lying on the backe, and swallowed downe by little and little, opening the muscles of the throate, least the medicine passing downe sodainely and in great quantity, cause a cough, a thing exceeding hurtfull to these kinds of Vlcers. When they must be clensed, you shall have crude honey, which hath a singular fa∣culty, above all other detergent things, in these kind of Vlcers. But when they can conveniently swallow, you shall mixe Gumme Tragacanth dissolved in some astrin∣gent decoction. In Vlcers of the stomacke all acride things (as I have formerly ad∣vised) * 1.7 must be shunned, as those which may cause paine, inflammation and vomite, and besides hinder the digestion of the meate. Therefore let them frequently use a ptisan, and sugered gellyes wherein Gumme Tragacanth, and bole Armenicke have beene put, the decoction of Prunes, Dates, Figges, Raisons, Honey, Cowes milke boyled with the yoalkes of egges, and a little common honey. When they are to be agglutinated, it will be convenient to make use of austere, astringent, and agglu∣tinative things which want all acrimony, and ungratefull taste, such as are Hypocistis, Pomegranate flowres and pills, terra sigillata, sumach, acacia a decoction of quinces, the Lentiske wood, the tops of Vines, of brambles, myrtles, made in astringent wine, unlesse there be feare of inflammation. Their drinke shall be Hydromel water with Sugar, syrupe of Violets and Iujubes. Honey mixed with other medicines is a very * 1.8 fitting remedy for Vlcers of the guts and other parts more remote from the sto∣macke; for if you shall use astringent medicines alone of themselves, they will sticke to the stomacke; neither will they carry their strength any further; but honey mixed with them, besides that it distributes them to the rest of the body, and helpes them forwards to the affected parts; also clenses the Vlcers themselves. Here also Asses milke may with good successe be used in stead of Goates or Cowes milke. The use

of a valnerary potion is almost commendable, if so bee that it bee made of such hearbes and simples, as by a certaine tacite familiartiy have respect to the parts affe∣cted. But the Vlcers of the Guts have this difference amongst themselves, that if the greater guts be affected, you may heale them with a Glyster and injections, made also sharpe to correct the putrefaction; such as are those which are made of Barly * 1.9 water, or wine with Aegyptiacum. But if the small guts be ulcerated, they must bee rather healed by potions and other things taken at the mouth, for that (as Galen saith) these things which are put up into the body by the Fundament, doe not commonly ascend, to the small or slender guts, but such as are taken at the mouth cannot come unlesse with the losse of their faculty, so farre as the great guts.

Notes

• * 1.1

  The Causes.
• * 1.2

  Signes.
• * 1.3

  Gal. lib. 5. de loc. affect. cap. 5.
• * 1.4

  Lib. 4. & 5. Method.
• * 1.5

  The cure.
• * 1.6

  How to take medicines for Vlcers of the throate.
• * 1.7

  Why acride things must be shunned in these Vlcers.
• * 1.8

  How power∣full Honey is to cure such kind of Vlcers.
• * 1.9

  Egyptiacum good for the Vlcers of the greater guts. Lib. 5. meth.