A compendious chyrurgerie: gathered, & translated (especially) out of Wecker, at the request of certaine, but encreased and enlightened with certaine annotations, resolutions & supplyes, not impertinent to this treatise, nor vnprofitable to the reader: published for the benefite of all his countreymen, by Ihon Banester maister in chyrurgerie

CHAP. IX. Maligne vlcers, called Cacoethe.

THE causes of this maligne, and hardlye cicatrized vlce••, are of two sortes: antecedent, and continent.

The antecedent, are abundance, either of good iuyce, or euill iuyce in the bodie, or else some faulte in the liuer or splene: all which are to bee conie∣ctured, by the proper notes & signes. The continent causes are a distempe∣rature, hardnes of the lippes, varicous or swelled veines, &c. The signes of this vnrulie vlcer (called also•• Chiro∣nium) are, callous and swelling lips, thinne matter, ill sauour, no inflama∣tion, small paine, neither creepeth it•• but sometime dryeth vp, and eftsones breaketh out againe, and is most re∣sident in the feete or legges.

The easinesse, or difficultie of the cure of these kinde of vlcers, is conie∣cturable, according to the likelihood of takinge awaye the causes antece∣dent, or continent•• which needes must be remoued, before the cure can bee accomplished.

And because fulnesse, that is a maintainer of this vlcer, is twofolde, to wit, of good iuyce, or bad: we must aduise (if wee suppose fulnesse, or a∣bundance to be in fault) whether the bodie abound with good, or euil hu∣mors: & so accordingly deale for the

diminishing of them. If the bodie a∣bound with good iuyce, it must bee diminished both in the whole, by bloudletting, and spare dyet, as also in the parte whether it floweth: either drawn, or sent. If it come to the place by attraction and drawing of the part it selfe, make reuulsion, by bloud let∣ting, cupping, frication, and ligatures, all done on the contrarie part. Other∣wise, if the humor come not to the parte by attraction, but is receiued onely, as a thing sent thereunto: then vse your meanes, both to beate backe that which commeth, and so discusse that which is there alreadie: as shall be saide in the processe of the cure. If the antecedent cause be euil iuyce, wherewith the bodie aboundeth•• in∣stitute a dyet of such meates as are of good iuyce, and so maye engender good humors, and bee an enimie to that humor that nourisheth the vlcer. Let his drinke be Guaiacum water, & vse purging medicines, according to the nature of the aboūding humors. ••isseasednes of the liuer, splene, or ••tomach, giuing occasion to this vl∣cer, must first be taken away, & then

goe to the cure of the vlcer. The like is to be saide of the continent causes: to wit,a distemperature & wea••••es o•• the parte, hardnesse of the lipp••••, and swelled veines, the two first w••ereof haue bene spoken of, and the ••••irde b shalbe taught in his place. Concer∣ning locall medicines, bot•• ••o 〈◊〉〈◊〉 that which resorteth, and to 〈◊〉〈◊〉 that, that is alreadie resident in the place, you haue these simple••, as a storehouse to resort to: to wit, terra lemnia, cadmia, chalcitis vsta, & lota, & cum ••ceto trita. aristol••chia, cortex rad. capparis. malicorium, vitrum combustum, cortices radic. paracis, sarcocolla, testae pis∣cium vstae, antimoniū, Diphryges, plum∣bum vstum, & lotū, squamma aeris squā∣ma ferri, scoria plumbi, aerugo rasilis, vsta & lota, aluminis omne genus &c. It shal be best, at the first, to vse the powder of Mercurie•• & after it this water: Rec. succi agrimoniae, succi solani, succi pla••∣taginis, ana, li.ss. vini albi, ℥.ii••j. alumi∣nis crudi, ℥.iij.ss. auripigmenti.℈.ss. al∣buminum ouorum, numero vi. mix them togither, & destil them, and therewi•••• wash & foment the vlcer twise a daye•• after dresse it with one of these vn∣guents:

Rec. olei rosati, ℥.vi. cerussae, ℥.iij. lithargirij auri•• lapidis calaminaris, a∣na, ℥.j.ss. ••hutiae praeparatae, boli armeni, ana, ℥.j. c••phurae dissolutae in aqua rosarū, ʒ.ij. ol. de papauere, ℥.ij. cerae albae, q.s. fiat vnguentum. Another: Rec. ol. rosa•••• & myrthini, ana.℥.ij.ss. suc. solani, plan∣••ag. & semper viui, ana, ℥.j.ss. seui hircini & vitulini, ana, ℥.ij. pingued. suillae, ℥.iij. aluminis crudi, calcis tertio extinctae, & lotae, ana, ʒ.vi. malicorij, balaustiae, my∣rabolanorum citrinorum, ana, ʒvij. aeru∣ginis rasilis, ʒ.v. scoriae fer••i, ʒ.x. sar∣cocollae, ʒ.ij. al beaten and mixt togi∣ther, infuse ••hem a whole day, then boyle them a little togither, and put to lithargirij vtriusque, ana, ʒ.x. cerus∣sae, ʒ.vi. plumbi vsti, ʒ.v. antimonij, ℥.j. caphurae, ℈.j. cerae. q.s. stirre them to∣gither in a marble morter. Hereto also may be added argenti viui, ℥.j. A plaster also for your vse, you may thu•• compound: Recipe diphrygis, ℥.j. ʒ.vi. argenti spumae•• ℥.v. cerae, ℥.vi.ʒ.v. olei myrthini, ℥.x. fiat e••••pl. This pla∣ster deuised by A••dromachus, is com∣mended for those vlcers, that (though they be hard to cicatrice) yet are not come to a malignant qualitie.

Note this in the choyce, and compo∣sing of your medicines, for this pur∣pose: that according to the habite & disposition of the bodie, in finenesse, or hardnes, and as the vlcer is in great or lesse malignitie: so are you also, in the more or lesse to weaken or in∣tend the force of your medicines.

ANNOTATION.

^a Varix in deede is a cause continent, the rest are accidents.

^b I finde not where Wecker hath the cure of Varix hereafter. I haue supplyed it in the latter ende of the first booke.

Notes

• Causes & signes.
• a

  Varix in deede is a cause continent, the rest are accidents.
• Prog.
• Cure.
• a

  Varix in deede is a cause continent, the rest are accidents.
• b

  I finde not where Wecker hath the cure of Varix hereafter. I haue supplyed it in the latter ende of the first booke.