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

The first booke of Tumors aboue Nature. (Book 1)

CHAP. I. Of the differences of Tumors.

THE differences of tumors are taken from the materi∣all cause,* 1.1 either of which, or in which they are begotten, they come of a defluxion of humors, sometime one alone, sometime moe, one humor, and that either hote or colde, the hote is either bloud or cho∣ler. If the bloud be good, it bringeth a Ph••••gmone: if it be euil, thicke and blacke, a Carbuncle, or Furun••le. But if ••t be mort••fied•• then springeth Gan∣grana, and Sp••acclus. Choler of the

gentler sorte, purchaseth Erysipelas without vlceration: but of the shar∣per choller, if it be also thicke, there riseth either Erysipelas with an vlcer, or Herpes exedens. The more serous & thinne, nourisheth Herpes miliaris.

Againe, for the cold humors ob∣serue, as first for flegme, if it be thin••, there springeth of it Oedema, if it be vaporous, Tumor flatulentus: if it be thicke, S••ruma, Ather••ma, Steatoma, Meliceris: •••• it be waterish, Hidrocele: of Melancholi•• comes Scirrhus, Can∣••e••, &c. Sometime Tumors proceed of moe humors than one, and when they do so, it is commonly of two hu∣mors conspiring the mischiefe:* 1.2 as bloud and choller•• if they be equally mixt, they bring foorth a middle ef∣f••ct betwixt Phlegmon and Er••sipelas. But if their mixture be vnequall, then that which ouerwaieth the other bea∣reth away the name also: as bloud proouing principall, the Tumor is Ph••gmon Erys••pelatodes, if choler haue the prerogatiue, Erysipelas Phlegmo∣••oles. If the humors mixt be colde, as flegme & melancholie, in like sort their equall matching breedeth one

middle effect, betwixt O••dema, and Schi••rus. Otherwise, if flegme be chiefe Oedema Schirrhode••, if Melan∣colie beare rule, Schirrus Oedema••odes is engendred. Againe, if flegme bee mixt with blod, & that equally, a mid∣dle effect commeth betwene Phl••gmō, & Oedema: Else the mixture being vn∣equal, if Phegme excell, there is Oe∣dema Phlegmonodes: if bloud, Phleg∣mone Oedematodes. Melancholie mixt with blod equaly•• the tumor is Phleg∣mone & Schirrus indifferently. But if bloud preuaile, Phlegmone Schirrhodes: if Melancolie, S••hirrus Phlegmonodes. The colde humors also mixing with choler bring foorth the like order of names, for the tumors: as if Phlegme haue equall parts with choler, the af∣fect is iust between Erysipelas & Oede∣••a. Whereas if Phlegme exceede the choller, it bringeth to passe Oedema Erysipelatodes, or contrariwise, Erysipe∣las Schirrhodes, when choller hath the preheminence ouer Phlegme.

Wee haue saide in the beginning of this Chapter, that Tumors are discerned bothe by the matter, whereof they are begotten, as also

wherein they are ingendred: and hi∣therto we haue prosecuted the matter onely of their generation. Nowe it remaineth to declare, how they dif∣fer in respect of the place, wherein they are situate. And first, Hydroce∣p••a••us, Parotides, Polypus &c. haue th••ir place in the head. In the belly are P••ominen••••a vmbelici, Epiplocele, Ent••rocele, Cirsoce••e, ••u••onocele, Sarcoce∣le, Hi••rocele, Pneumatocele. To the gland••les pertaine, B••onchocele, Phy∣••••••, Buh••••ven••reus. And to the limbes, ••ar••ni••hi••, Verruca, Th••mion, Merme∣cia, Acr••ch••rdon, C••auus.

CHAP. II. Of sanguine Tumors, and first of t••e true and legitimate Phleg∣mon.

* 1.3THE true Phlegmon or inflamation is a Tumor begoten of pure bloud, ••nd is specially incident to the fleshie Partes.

* 1.4The antecedent cause is abundance of bloud, l••••e as when the partie is of a Sanguine complexion, and youth∣full yea••es, or it being at the spring

time, or the dyet of the patient be of much good i••yce, and therefore fit to encrease much bloud. And here is to be considered, both the part that ••en∣deth it, the part that receiueth it, and the part that draweth. The part that sendeth it, doeth it either through needelesse plentie of bloud, which it containeth, or strength, or straitnesse of the passages: which thing fulnesse descryeth. ••he receiuing part doeth it of weaknesse, or largenes••e, els o∣pennesse of his passages, or by inferi∣our situation. The part ••hat draweth, doeth it, either t••rough heat, or paine within it, which things may eas••ly be found out. The c••us•• conioy•••••••• •• bloud stuffed in the affected place it selfe, which whilest it is vnchanged, & not yet come to s••ppuration, the••e is Tumor with rednes••e, resisting heate, paine, &c. but being suppurate, and turned to Pus, the Tumors is so••t, yel∣ding, and growing to a point, the paine is p••••cking, with some itching and pulsation. And all the while, be∣fore it com to an abscesse, the Tumor is red, outstretched, r& esisting the finger, the heat & paine also is vehe∣ment.

But when it cōmeth to the ab∣scesse, the Tumor decreaseth, yeldeth out to a sharp point, & is soft, & easily pressed: the paine is pulslike beating, mixt with pricking & some itching. Finally the skinne in the superfice or point of the Tumor goeth away, and there is made the issue. Sometime it proceedeth frō outward causes, as by contusion, wounde, vlcer, ruption, cō∣uulsion, fracture, luxation: which things are discouered partly by sight, partlye by relation of the patient. The ende or termination of this tu∣mor,* 1.5 is ij. folde, viz. resolution, and suppuration. It is possible to bee re∣solued, when the matter is thinne and little in quantit••e, the skinne thinne &c. and it is a plaine token that it doeth resolue, if there growe a certaine lightnes in the member, the pulsation wasting away. But if the humor bee thicke, and much in quantitie, if it lye deepe, the skinne be thicke, and so foorth, then is the ende of it to come to suppuration, & howe it groweth to that, you haue heard by the notes before declared. There be i••ij. times obserued in this

tumor, beginning, augmētatiō, state, & declination. In the beginning the part beginneth to swel,* 1.6 humors flow thither, & the paine is yet but little. In the augmentation, the Tumor is high heaped, the affected place filled & the accidentes inc••eased. In the state the tumor and ••ccid••ntes are at height. In the declination the great∣nes of the tumor is diminished, the accidents weake, & the matter begins to change into another substance. There hapneth to this tumor (either for lacke of cu••e, or by error in the cure, or such other con••••deration) e∣uil dispositiōs, worthie careful fore∣sight: to wit, co••ruption: which is si∣gnified by blacke or leadie colour, stinking sauour &c. regressiō or lur∣king of the matter, which you shall know by the so••den diminishing of the tumor, & a spedie following of a feuer, with other euil accidents. Also induration or hardening: in which the swelling swageth, but the hard∣nesse stil remaineth &c.

If this tumor Phlegmon,* 1.7 be not re∣solued & euaporated, it must needs come to passe, that the matter do ei∣ther

suppurate, or corrupt & putrifie, or els grow into a schirrous hardnes. Note also that sometime the cure is inuerted, by reason of some cruel ac∣cidents, which importunately vrging, cause all the meanes to bee bent a∣gainst th••m, and so for a time, inte∣rupt the oth••r p••oceedings.

The ant••••••d••nt ••••use, (which is bloud flowing to th•• part) must first be met withal,* 1.8 le••t it come to the con∣iunctiue: and this must b••, by euacu∣ation, either from thence, whence it floweth (the whol•• 〈◊〉〈◊〉, or a parte thereo••, as is the liu••••, which thing, bloud letting in the inside of the right arme, will 〈…〉〈…〉, if the strength and age of the patient be agreeable) or els from the parte whether it doeth flowe, as by bloud letting, either reuulsiue, as in a vaine directly aunswering to the contrarie: or els deriuing, that is, drawing to the neere partes: cupping glasses fix∣ed to the part opposite, as likewise ligatures, and frications. The quan∣titie of bloud must be rated propor∣tionably•• after the measure of strēgth: and may be repeated twise or thri••e if

neede be. And the verie b••ginning, or encrease, is the fittest time for this remedie. Medicines that auoyde the part affected of the matter flowing•• must be cooling and beating backe: viz, acatia, vineger, balanstium, bolus armenus, caphura, capreoli vitium, folia vitium, folia Cupres••••, malecorium, mir∣thus, omphacium, plantago, quer••us, ••u∣bus, rosae, rhus, solanum, succus hioscia∣mi, terra sigi••lata, vinum aust••r••••, &c. or these compounds: as first, a fomen∣tation of oxi••ra••um, or Pos••a, or Rec. oui candidi, olei rosarum, aquae rosarum, ana.q.s. mixe them togither, & there∣in wet your clothes to applye to the inflamed part. Rec. suc. semper vi••i, li.j•• vini austeri li. ss. far. h••rdei, ℥.••••••. malecorij, sumach. ana.℥ss. boyle them and make thereof a Catapla••me: or Rec. santali, a••bi, rub••i, ana.ʒ.iij. glau∣cij ʒ.ij. terrae chim••liae, b•••••• arm••ni, ana. ʒ.j.ss. beate and searse them, and with the iuyce of Housleeke, Letti••e•• or Pu••slayne, make a catapla••me. To this ende also you may v••e Ceratume Psillio, Ceratum e Co••iand••o, Ce••atum ro∣saceum &c. These and all other rep••l∣lent medicins you must vse in the be∣ginning,

and in applying they must be renewed often. But take with you this obseruation general: that you ap∣ply not medicines that coole & beate back.* 1.9 If the tumor be in the glandu∣lous partes, or the matter bee veno∣mous, or thicke, & vnapt to flit back∣wards. Also, if it be exceedingly im∣pacted, or if it be a critical tumor, or stirred of a primitiue cause, or els nere situate to a principall member. Thus much of the antecedent by it selfe: now let vs consider of the bloud im∣pact in the affected part: which is cal∣led the cause conioynde.* 1.10 If the bloud alreadie flowed be thi••ne, and apt to be euacuate: out with it, by scarifica∣tion, or discutient medicines: of which sort are these simples: Anethū, bu••yrum, faenum Graecum, fermenium, ol. Camomelinū, ol. ricininum, ol. leucoij, mal∣ua agrestis &c. Likewise these com∣pounds: passulae, the stones pluckt out, mixt cum pane, & modico melle, or hordei farina cum melle•• or lana succida, wet in warme wine, wrung out & applied, els a spunge vsed in the same man••er. So ••hat these digerent & discutient me∣dicines, are to be ministred onely in

the declination, and to lye long to the place, without remouing. But if the matter be thicke,* 1.11 and vnfit for reso∣lution: then must you bende your skill, to change it into Pus, with me∣dicines, that doe metely warme and moysten: such as are these simples, vz. aqua temperatè calida, bu••••rum, farina triticea, panis triticeus modicè salitus. adeps suillus, adeps vitulinus, adeps tau∣rinus, adeps anserinus, &c. resina, ocsi∣pus, pix, caricae, ficus, cr••cus, thus, &c. or these compoundes: viz. farina triti∣cea, or hordeacea boylde in aqua & oleo or radix altheae mixt cū decoctione cari∣carum dulcium, & farina triticea, or this: Rec. decoctionis altheae, & carica∣rum pinguium li. j. farinae triticeae. li. ss. boyle them togither, and make a cataplasme, or thus: Rec. cortic. rad. altheae, rad. lilii sen••cionis, maluae, ana. m.j. farinae triticeae, ℥.iij. axungiae, suillae recent. li. ss. boyle the herbes in water, aud stampe them with the rest, and make a cataplasme. These remedies for the mouing of matter, must be applyed towardes the decli∣nation of the disease: and renewed twise a day.

Thus much of the antecedent & con∣ioyned causes,* 1.12 alone, and seuerally by themselues considered. But if it fall out, that both of them be in force, & raigne togither, then the disease is to be considered of, as a complicate matter, and that accordinge to the equall or vnequall mixture of them. For when they are vnequally matched,* 1.13 as when the antecedent cause, ouer∣wayeth the other, then aunswerably your medicines must bee of mixed force: to wit, more repellent & lesse discutient. For that that floweth in vehemently, m••st be repelled also ve∣hemently: & that which hath mean∣ly flowed, and sticketh nowe in the place, must meanly be resolued, ther∣fore are some discutient things here noted to be mixed with repellents. Oleum Rosaceum hath that facultie: or ••his pl••ister, Rec. fol. maluae m.j. absin∣thij. rosarum•• ana, ℥.ss. farinae hordei, ℥.j. ol. Camom••••.℥j.ss. boyle them and stampe them to the forme of a safte playster. Or this Epithema: Rec. sapae ℥iij. aquae ros. aceti, ana.℥.j.ss. croci.ʒ.ij. let them heat a litle at a soft fire, afterward straine them & make your

Epithemae. Applye it with wet clothes, or wooll. These medicines, consi∣sting of repellents, somewhat mixt with discutients, are to be vsed in the encrease and augmentation of the di∣sease: and to be shifted seldomer, then pure repellents a••e. Otherwise, if the antecedent & coniunctiue causes, fall out to be of equal force in mingling: in such a case, with equall mixture of remedies,* 1.14 it is to be resisted: to wit, equally repelling and discussing, of which facultie, you haue these sim∣ples, A••thaea, Mal••a, Camomilla, sem. li∣ni &c. and these compounds, vnguen∣tum Basilicum•• Emplastrum diachilon &c. or a medicine made with breade and oyle of roses, or of melilote and bread boyled in passo, els made, ex dactylis in passo coctis, and mingled cū pane, & oleo Rosaleo: or thus: Rec. pa∣rietariae, Maluae. ana. m.j. furfuris, fa∣rinae volatilis ana. P.j. faenugreci, ane∣thi, ana.℥.ss. ol. Camomelini.℥.j.ss. seeth them in oyle, and make a plaister. Another, Rec. medullae panis, li. j. steepe it in ho••e water, after straine it there∣hence, and put to it mellis ℥.iij. and make a plaster. These medicines that

are mingled to represse, and dis∣cusse equally, must bee ministred in the state of the Disease, and neede verie seldome shifting. Hi∣therto wee haue handled the ante∣cedent and conioyned causes. Now wee followe on, to the formall,* 1.15 which is three folde: to wit, hote intemperature: greatenesse: and breach of vnitie: hote intempera∣ture,* 1.16 (which is also readie to rayse vp feuers) must bee brydled, part∣lye by dyet, partlye by medicines. Let the dyet therefore bee cooling, and moysting: as cleere and coole ayre: rest of the minde and bodie, moderate sleepe, but not on the daye, the bellye apt to stoole, natu∣rally, or artificially: meates of lit∣tle nourishment, as Lettuce, Spi∣nage, borage, prepared Barley, &c. Vinum oligophoron.* 1.17 These are conue∣nient. The contrarie hurte, as ex∣ercise of the parte affected, anger, contention, loude cryinge, carnall acte, fatte, sweete, sharpe meates, or of much iuyce, &c. and likewise strong wine. Generally a thinne and skant dyet is the meetest. The me∣dicines

against hote distemperature, must be cooling, such as are syru∣pus rosarum, sy••upus endiuiae, syrup. granatorum, syrup. acetosu•• simplex, oxysacchara, &c. The greatnesse, or Tumor,* 1.18 which wee call a part of the formall cause, if it bee with∣out abscesse, maye come to bee re∣mooued, by the resolution of the conioyned matter, as is nowe be∣fore declared. But if it containe an abscesse, or breache, and but within, the outsyde yet beeinge whole, helpe it out with Chyrur∣gicall instrumentes, as with a Lan∣cet or cauterie, the latter being yet of a 1.19 lesse safetie then the former. the quantitie of the orifice being ac∣cording to the aboundance of the matter collected, and to the place affected. The place, for opening, is fittest, which being most outpoin∣ted, is soft and easily pressed in with the finger: which also is situate most commodiously for the purging out of the matter, being alwaye warie to shunne the veines, nerues and arries: and aboue others, the morninge tyde is preferred for this businesse.

If it must be done with eating medi∣cines (which neither is so safe as the yron) then haue you simples for that purpose, lighter or stronger, the ea∣sier sort are these, Adeps ranarum vi∣ridium, Calx v••••••, Cantharides, Cau••••••m radices, burnt and pound with olde axungia, faex vini dried, faex ace••i, lac ficulneum, muscerda, ostreorum testae cre∣matae, powder made, e capi••ibus musca∣rum, & lacertarum: radix cannae, sapo, semen vrticae stampt with wine, st••••cus caninum album, succus Tithymallorum, theriaca, &c. The stronger ones, are arsenicum, and Mercurius, you haue also compoundes seruing to the same ende, as a playster made ex radice nar∣cissi, stampt in Mulso, and boyld cum oleo irino, or ex radice tenera arundinis, stampt and mixt cum melle, or made ex aristologia & melle, or, ex pice arida, with equall part of propolis cre••icae: ei∣ther ••x ••••mine lini, fermento, & stercore columbino, cum sapone molli, or, ex calce & sapone. Else, Rec. faecis vini crematae, ℥ss. fimi columbini, propoleos, salis tosti, ae∣ruginis ana.ʒ.iij. aquae marinae ℥j. olei ••••tiqui, ℥.ij. mixe them. Another. Rec. Colophoniae, butyrirecentis, ana.li••

j. picis aridae, mellis, ana.li.ij.℥.vj. aeru∣ginis, ℥.iij. visci, q.s. misce.

Now when it is opened, it must first be mundified, then filled with flesh, and lastly shut vp with Cica••rice, as shalbe saide. The thirde part of the formall cause, which is the breach of vnitie,* 1.20 when the veines are strowted out by the effusion of humor, and the spaces of the flesh disioynde, this (I say) is to be remoued, by taking away of the humor effused &c. as hath beene sayde.

Thus farre concerning the cure of Phlegmon,* 1.21 by his causes particulerly prouided for, and may seeme for the whole mat••er, sufficient: but becau••e there are certaine accidents thereunto incident, and which sometime hin∣der the cure of the whole, it is not in vaine, if before we conclude hereof, we do consider, how also to remoue them away when neede requireth. The accidents are these, paine, regres∣sion of the matter, putrifying o•• the part, and hardnesse.* 1.22 Paine is there∣fore to be mitigated by aswaging medicine••, called Anodyna, such as are these simple ones: ol. anethinum, ol.

Chamomaelinum, ol. e semine lini. ol. amig∣dal. dulc. Iasiminum, ol. sambucinum. ol. ouorum, ol. rosarum &c. butyrum, Oesi∣pus, lana, succida. Adeps suillus, vituli∣nus, asininus, felinus, vulpinus, melinus, sciuri, anatinus, anserinus, gallinaceus, ex anguillis, &c. Likewise mucillago al∣theae sem. lini•• faenigreci, maluae, &c. lac muliebre, lac vaccinum, &c. Com∣poundes to that purpose there are both milder and stronger. The first sort are eyther made ex passo, oleo ro∣sac. & pauca cera, applyed cum lana succida, or, ex rosaceo, ouorum luteis, mica panis albi, in aqua calente macera∣ta, postea expressa & rosaceo permista. Else, ex malua in aqua cocta, mixta cum ••ursure, & rosaceo, vel ol. viol. & pauco croco. One more vehement then these haue you ••lso (if neede be) to resort vnto: being stupefacti∣ue, and consisting, ex folijs hyosciami, sub cineribus coctis, & recenti axungia mixtis. Thus much for the paine. Nowe if there bee regression of the matter to the inner partes,* 1.23 or to some principall partes, it must be reuoked, by cupping glasses, or attractiue me∣dicines, such as these: Aristolochia

longa, adeps vrsinus, pardalinus, leoni∣nus, ammoniacum, calx viua, coagulum vetus, cantharides, dracon••ium, euphor∣bium, fermentum, faex vini vsta, Galb••∣num, lepidium, nasturtium, opoponax, propolis, pyrethrum, ranunculus, radix a∣rundinis, sagapenum, struthion, synapi, thapsia, tithymallus, viscum, &c. Or compoundes contriued of these, as neede requireth. If the part putrifie, vse manie and deepe scarifications,* 1.24 & after wash the place cum aqua salsa, and thencefoorth applye thereon a playster, ex fabarum, aut orobi farina, cocta in oximelli••e. The incision in launcing must be after the similitude of an Oliue or Mirt leafe: after which manner of incision it will easilyer heale. Lastly, the hardnesse,* 1.25 that sometime remayneth, must be mol∣lyfied with conuenient meanes, of which againe, here be both simple and compounde medicines for choise.

The simple medicines are buty∣rum, caricae. bdellium, althea, crocus, cera, adeps, medullae, ammoniacum, galbanum, Oesypus, lana succida, malua agrestis, semen lini, faenumgrae∣cum, radix Liliorum, oleum Amigdal.

dulc. irinum, lentiscinum, Chamomelinū, &c. Compoundes are these: Radices cucumeris agrestis, cum caricis. rad. brio∣niae, vel asari in aqua coctae: or, farina, cum aqua & adipe anserino, vel gallina∣ceo, vel suillo: or else radices aliheae de∣coctae cum pane, & adipe contritae, and so applyed.

CHAP. III. Of the Carbuncle.

CArbunculus, or (accor∣ding to the Greekes) a 1.26 Anthrax,* 1.27 is a little ve∣nomous pustule, bur∣ning the place, and first raysing a blister, bringeth afterwarde a crust.

* 1.28The antecedent cause is b 1.29 blacke, thicke, hote and faeculent bloud, flo∣wing into the place, which is conie∣ctured by the state of the bodie, a∣bounding with bloud. The conioy∣ned cause, is bloud gathered in the part affected, and that easily discerned by the signes of the Carbuncle c 1.30 which are these:* 1.31 Many small pustules, like

burnt blisters on the outmost skinne, which being broken, a crustie vlcer ensueth. Sometime onely one pustule with the like crustie vlcer. Other∣whiles without any pustule, only the vlcer is in all sortes crustie. There is itching also, the crust is blacke, or of ashie colour: the flesh about inflamed:* 1.32 rednesse, great and grieuous paine, with a Feuer. Further (if any veno∣mous matter be lurking) then there is loathing, oft vometing, losse of a∣petite, trembling and beating of the heart with swooning.

Carbuncles commonly come of cau∣ses generally raigning,* 1.33 and d 1.34 for the most part are attendāts on the plague. If the Carbuncle com in the e 1.35 clensing places, called emunctories, or neere the principall members, it is deadly: for it is to be feared, lest the venomous matter haue recourse to s••me princi∣pall part. If it breake out about the stomacke, or iawes, it sodenly cho∣keth for the most part. That is lesse daungerous which appeareth first red, and after yelowish, but that, which is of black, or bloe colour, killeth. If the accidents which accompanie this

dissease doe much decaye, and vanish, some hope of health is promised, con∣trariwise, if they more and more, get strength, and waxe vehementer, then is ther no hope at al remaining.

* 1.36Your curation must bee conside∣red first, according to the antecedent cause, which being declared to bee f 1.37thicke, hote bloud inflowing, must both be altered for his qualitie, & e∣uacuate for his quātitie. His qualitie is alterable by g 1.38 cooling diet, and medi∣cines, let his meate therefore be Pti∣san, lettuce, purslaine, the broth of chickens, with lettuce, pomegranets and Lemons. Let his drinke be Bar∣ley water, or wine much delayed. Me∣dicines cooling and concocting are, syrupu•• acetosus simplex, syr. de endiuia, syr. granatorum, syr. acetositatis citr•• h 1.39 &c. The quantitie then is to be di∣minished, partly by i 1.40 bloud letting (if nothing hinder) not with drawing to the contrarie parte, (for, because of the thicknesse and malice of the hu∣mor, it cannot be turned awaye) but neere the part on the same side. Like∣wise cupping glasses may be vsed, or such like meanes. But the quantitie

of bloud taken, would be great: yea, euen to fainting, or swooning, if there were not too much weakenesse be∣fore. Medicins to diminish the quan∣titie, may be Manna, cassia, diaprunū, &c. Or losing k 1.41 clisters. Outward me∣dicines, applyable to the place, must bee of discutient facultie, or metely repressing: if so be the f••uxion be ve∣hement l 1.42 as is this: Rec. arnoglossi, len∣tium, medullae panis an. li. j. coquatur in aceto, vel posca, or a playster ex duobus malis granatis, in aceto coctis.m 1.43 The matter impact, which is the cause conioynde, is to be taken away, part∣ly by Chirurgery, partly by medicins. By Chyrurgerie, as scarificatiō of the Tumor, (if nothing withstande) and that sufficient deepely, and after that washing the places scarified with warme salt Water, so that by no meanes anye bloud lye cluttered in them, but bee cleane purged forth.* 1.44 Sanguisuge•• also serue to this pur∣pose: or suckinge that is doone with the mouth. Medicines you haue ex ficubus, fermento, & sa∣le, Or, ex vitellis ouorum, & sale, Or, ex Melle, Farina Triticea,

& ouorum luteis, or; ex consolida maio∣re, trita inter duos lapides. And these medicines serue only to alter the qua∣litie of the h••mor, to wit, by rype∣ning, especially when the matter can∣not be disper••ed ••or the thicknesse of it, and the disease is not so fell, but giueth time: for otherwise we cannot intend any ripening. But discutient medicines, (which is, when the humor floweth not verie vehemently into the part, for then meetely repressinge things as is aforesaid are required••) you haue both casie and vehement. Of the easier sort are, m••dulla nucis a∣nellenae, Emplastrum de arnoglossa, or such other, so Scabious eaten, or drunk out of wine, discusseth and dissolueth insensibly•• more vehement, and euen attractiue n 1.45 meanes also, ••re meete for the matter, if the aff••cte bee in the limbes, and ignoble partes of the bo∣die, and withall the fluxion moue but o 1.46 slowly. Here note, that a fit time for the gentle discutient medicins, is the beginning, but in the state, & decli∣nation, the stronger sort are to be ap∣plyed. And againe, obserue, th••t you lay your discutients to the place affe∣cted,

but then defensiues also, to re∣presse the matter, in the partes lying round about: as vng. ex bol. armeno, vng, rosaceū or made ex oleo mirthaceo & aceto p 1.47: so that by these, likewise the humor that is come abroad, shall haue his course cut off for running in agayne. The hart, in the meane time, is not to be neglected, but strengthe∣ned with a little q 1.48 Triacle, given in Scabious, or Buglosse water, sixe houres after meate: now if it come to passe, that they vlcer retayne a crustye escar aloft, resolue it with bu••i••um re∣sens, a••ungia porcina, &c. or this com∣pound plaister: Rec. farinae triticae, far•• hord••acae an.℥.iij. cum decocto mal∣uarum, violarum, & rad•• al••hae fiat, Em∣pl. s••lidum, addendo, butiri rec. axungiae porcinae, ana, ℥.ij. vit••llorum ouorum, no.ij. this resolueth the crustinesse mi∣tegat••th the paine, and scattreth out the maligne iu••ce. But if it be corrupt and putrified, it h••th neede of incisi∣on, c••uterie or hote yron: and these must be executed so throughly, till it come well to the quicke, and payne grow into euery place, and the cor∣rupted partes, at last, taken holde of,

with conuenient instruments, & pul∣led vp by the roots, this case also hath neede of very drying medicins, wher∣of you maye here chuse some of the gentler, othersome of stronger force. The easyer are, Pastilla Andronis, Past. Musae. Past. passionis, Past. po∣lyidae: These must bee dissolued in sweete wine, or cute, or make a cata∣plasme ex farina orobi, & oximellite, or vng, Egyptia••. r 1.49 &c. s 1.50 Thus much for the effecte it selfe, consydered ac∣cording to his seuerall causes, nowe remayneth the accidents incidēt here vnto,* 1.51 to be prouided for. These symp∣tomes principally are a Feuer, trem∣bling t 1.52 of the hart, and payne, the Feuer is to bee looked to after the order of a pestilent feuer,* 1.53 trembling of the hearte with comfortable and strengthening medecines, as odori∣ferous wine, or suche a confection: Rec. Coaguli haedini, agnini, vitulini, ana, ℥.ij.ss. testiculorum gallorum, coct. in a∣qua buglosae, etaceto pauco, trium. san∣tatorum ℥.j.ss. zacchari rosati, ʒ.iij. omni. contusis, ad ignem secundum artem cum syr. rosaceo, & acetositate Citri, fiat Confectio: Of this Confection let the

patient take, in a morning one spon∣full in odoriferous wine, adding to it Pulpae caponis, ℥iij. & fragmentor um ••retiosorum lap••••um. omnium, ℥.j••ss, for the trembling, likewise it is good to vse frications, and ligatures, in the ex∣treme parts, or cupping glasses, fixed vpon the hips and hanches. The paine ••s to be mitigated,* 1.54 as with this pla∣ster: Rec. v 1.55 maluae, violarum, an.m.ij. co∣quantur in aqua, vsque ad perfectam co∣••tionem, deinde contundātur, addēdo far. ••ordeaceae, ℥.iij. butiri recent. ol. recent: ana, ℥.ij. vitellorum ouorum, no. ij. fiat Emp••. els an Epithema made ex decocti∣••ne maluarū, violarū, & radic, altheae.

ANNOTATIONS.

^a IT differeth not from Carbunculus, as Vigo & others supposed: neyther doth ignis perficus & pruna, but An∣••hrax being the greeke word, is euer of ••earned interpreters translated Carbun∣••ulus, & the other two be vsed as synony∣nies, all noting but one thing, as appea∣••et in Gal. Paul AEtius, Oribasius, and ••s truely noted of Fernelius, Tagautius, ••nd others.

^b These causes touch but the Carbu••∣cle not pestilent, particulerly: for the othe•• commeth of a venimous constitution of th•• ayre, which once taken in•• is afterward ••x∣pelled by nature to some ou••ward par•••• together with the humors, and spirit•••••• that were by it defiled. Fernel. li 4. ca. 18•• Simonius li. de peste 1.

^c Our account of the Carbuncle is 〈◊〉〈◊〉 the same•• with the auntient Writers, f•••• with vs it is euer pestilent: theirs not s•• but some of them cal a certaine inflama∣tion of the eyes, a Carbuncle, as doth AE∣tius, li. 7. c. 30, & cor. cels. li. 6. & cap. •• some in the secre•••• partes, as Paul. lib. •••• ca. 25. who although he account, this ma•••• also be ingendered of some pestilent occa∣sion, yet doth he and Galen, Meth. med. lib. 14•• reckon it to come ordinarily of •• cause, simply humorall. But vse hath 〈◊〉〈◊〉 preuayled with vs as to vnderstand no ••••therwise of a Carbuncle, then a pestile•••• ••umor, and symptome, it shall bee g•••• therefore, somewhat to chaunge our c••••stome, and with Vigo lib. 2. c. 20. di•••••• ••he carbuncle int•• pestilent and not p••••••••••lent, which distinction is no•• wel omitt•••••• others.

^d In saying for the most part, he sp••••••keth

with Taga••tiu•• and our experience, trulye: but yet not according to the mind of the old writers fully: for they make th•• cause commonly otherwise.

^e At whose handes Wecker receiuing this was deceiued I wil not gesse, onely let the Reader know that wherea•• Guido and Taga••tius pretende this to bee Auicens prognostick of the carbuncl••, they are de∣ceiued: it being in deede ••ronounced of Bubo, and not of the carbuncle, as appea∣reth lib. 4. fen. 3. Tr. 1. cap. 9. &. ca. 17.

^f Consider that is noted a••••re in the let∣ter b.

^g In respecte of the Feuer cooling thinges: but in respect of contagion, such as assist the heart, and breake the for••e of venimous impression, must also b•• vs••d.

^h To assist the hart and expell the ve∣nome, looke the letter q.

ⁱ Here I take the meaning of the aun∣ti••̄t writers, to be of the simple carbuncle: otherwise, with Iulius Palma••ius, and Simonius, I refuse to subscribe vnto them: for that this is not to follow the motion of nature, from the center to the circ••mfe∣rence, but contrariwise to draw backe to the center that nature had profitablye discharged to the circumference.

^k Which I deeme to be the safest in the pestilence. ^l If the Fluxion be vehemēt: & these are to be laid to the parts nere a∣bout the tumor, as is noted after.

^m Or this rather of Fallopius: Ree. ma∣lū punicū dulce j. & alteriū acidū, sed matur••̄, coquantur in aqua hordei cū folijs scabiosae & sem. lēticulae, paux∣illo plātag. & aceti: cocta terātur opti∣me, ijs admisceatur pulpae pomorū o∣doratorū, & cydoneorū maturorū, co∣ctorū in decocto praedicto, q.••. ad em∣plast. but if the carbūcle be pestilēt, I coū∣cel no repellent medicine, til the mat••er be (for the most part) gathered, & then th••y are to be set as a hedge betweene the car∣buncle and the hart, as also if the carbun∣cle be out of the emūctories, it is (as I may speake) to be paled about with ••h••m.

ⁿ As this: cepa excauatur, in cauitatem theriaca citri mali succo subactaindi∣tur, cū modico aceti: tū calēt. cinerib. obuoluta coqu. deinde teritur, apply•• it plaste•• wise: or a plaster ex narcisso co∣cto ••imo gallin sale, melle anacardi∣no, & theriacae tantillo.

^o As boxing, applicatiō of hote bread, fo∣mētations, the warm lūgs of new killed bea∣stes, oft shifted•• the taile or burn of a cocke

made bare, and some salt put in, applied to the place, or pigeons clouen quick, & ap∣plied warme to the place successiuely.

^p Calm. hath this: Rec. bol. arm.℥:iiij. terrae sigil.℥.ij. cornu cerui vsti, rasurae eboris, an.℥.ij. caphurae, ʒ.iij•• cerae, ℥.iij. olei. ros. li. j. aceti, ℥,iiij. aquae rosarum, ℥.ij albumina duorum o∣uor••m, fiat vnguentum.

^q Or this potion: Rec. aquae acetosae ros. scab. an.℥.j syr. de lymon ℥j.ss. pul. el. de bolo.ʒ.ss. diamar. frid.℈.j fiat potio. also this Epitheme, Rec. aq. scab. acetosae, ros. nymph. an.℥.iiij, troc. de caphura, ʒ.j. coralli rub.ʒ.iij. cor∣nu cerui vsti, ℈.j. croci, ℈.ss aceti tan∣tillum, you may ad (if the sick be rich) di∣amar. fridg.ʒj.ss. & some a••omaticall wine, apply it to the region of the hart. Cal.

^r Or this stone, Rec. Vas fictile exiguis admodum foraminibus in fundo pertundito, calcē viuā, vitriolū, sal nitr. & alumen in puluerem redacta, in vas conijcito, lixiuium acerrimum (quale est ex tartaro) atque feruentis∣simum, paulatim instillato, idque ter, aut quater ita percolato: postea liquo∣rē sic percolatū coquito, donec in gyp¦sei lapidis formam incrassetur, or Rec.

Lixiuium ex quo fit sapo, in fictili ad mellis crassitatem coquito, dein adde aliquid sublimati, rursumque donec in lapidis formam concresca••, coqui∣to: keepe this in •• Viall close stopped, Calmetius.

^s The eschar being remoued, mundifi•• the Vlcer with some vnguent•• ex tereb. ••ucco apij, vitellis ouorum, & fa••ina hordei, &c. and so grow on to incarne and cicatrize as in other thinges.

^t This is more properlye a symptome of the pestilence, as is also the carbuncle it elfe, of that kinde.

^v As al fattye thinges are soone set on fire, so if you ••uspect this medicine, make a bagg•• (as Palmariu•• counsaileth) ex altheae & liliorum radicibus, lini se∣mine, pinguibus ficubus, & ex malua, violaria, semperuiuo, & Plantagine, with which bagge boyled in water foment the place, dayly three or foure times, after it, applying this cataplasme, Rec. maluae, violari••, oxalidis, semperuiui, sing∣m. ij. fol. hyosciami. p.j. roule them round together: and roast them vnder the ••mbres, then stamp them cum. v. ouorum vi••ellis, mel. ros.℥.iiij. croci ʒ.ss. the∣riaces.ʒ.j.ss. adding also farinae hor∣dei,

q.s. applye this oft, not suffring i•• ••o drie to the place.

A RESOLVTION OF THIS chapt. concerning the cure.

CArbuncles being eyther simple or maligne: or (as is noted before) pestilent, or not pestilente: haue thus iointly the vse of the afore∣said remedies pertayning to thē To the simple carbūcle•• the blood letting and purging there spoken of, for the inner meanes: for the outward, & first as it is growing, the repressing and discutient me∣dicines de arnoglossa, & de malis gra∣natis, when it is growne, or the matter gathered, then the scarifi∣engs and simple discutients layde to the place: as also those medi∣cines that make and remoue the cru••tines that followeth Not neg∣lecting in the meane time the de∣fensiues, if neede be: to wit if the fluxion be violent. The maligne carbuncle whilest it is growing. must haue the furtheraunce of

meanes, both inward & outward: as the medicines strengtheninge the hart (which in this case wold no time of the cure be neglected) and boxing•• or other artificial ap∣plications set downe to that pur∣pose. VVhen the matter is gathe∣red, applying (as is there sayd) the defensiues, laye to the place the stronger discutiētes, ex coepa, theri∣••••a. &c. then also commeth in vse the caustike stone, or (whiche is cheefe) the hote yron, or golde button: after the crust is resolued proceed to mundifying and hea∣ling. As for the s••mptome of pain last mētioned, though I haue ad∣ded some chosen medicins there∣vnto, yet aduise I the Artist, to be but spare•• and very considerate in the vse of them, euen as driuen to them by extreame necessitie.

Thus much for thy better addresse (friendly Reader) to take away con∣fusion in this chapter whiche happe∣ned, thro••gh the lack of a necessarye distinction.

CHAP. iiij. Of the Furuncle.

THE Furuncle is a small Tu∣mor and out pointed,* 1.56 ioyned or accompanied with payne and inflamation, especiallye when it is growne to matter.* 1.57 The an∣tecedent cause is thick blood, thither flowing, & is to be iudged according¦ly, by the notes of abūdance of thick blood. the cōioyned cause, is the same thicke blood nowe gathered in the place affected•• & this is knowne, like as the disease it selfe, by heat, rednes, and payn vehement, & with pulsatiō, about the time of ripening•• it brea∣keth also of the own accord, without instrument, the matter that issueth is thick and like putrified sinewes. in o∣ther things it is like Phlegmon.

A Furuncle by nature is not perilous,* 1.58 though no cure bee applied thereto, yet pain maketh medicins more wel∣come for the ••ooner dispatche of the matter.* 1.59 The antecedent cause is to be emptied both frō whence it sloweth, whether it be frō some part, or frō the

whole body: and so it is co••uenient to open a veyne of the right cubit, if age, strength, time of the yeare, &c. hinder not: as also from thence whi∣ther it floweth•• and so the drawing of the blood to the part, would be cutte of, eyther by reuulsion, to the parte opposite, if nothing let, or deriuation of the same to the neare parts if it be more conuenient. The impulsion, or thronging in of the blood, into the part, is to be inhibited (if neither the thicknes of the matter, nor nerenesse of the noble partes hinder not) by repellent medicines•• all whiche are to be ordred according as is set downe in phlegmone, so the fitter time for re∣percussiues is, i•• the beginning, while the matter violently floweth in, but in the state and declination, matura∣tiues, as now in the conioynd cause, whē the matter is impact in the place and must bee there auoyded, then (I say) must the crude qualitie thereof be altered by maturatiues: as whea•• chewed and applied, Raysons mixte with salt, dried figges boyled in Hy∣dromel, leuen mixt with nitre, Lin••eed with honie, &c. or these compounded

playsters, Rec. rad. liliorum alb.℥.vj. rad. Buglossae, ℥.ij. maluae, violarum, ana. m.j. coquantur, deinde pistentur addendo, farinae t••iticae.℥••iij. butyri recent.℥.ij.o∣lei dulcis, ℥.iiij. axungiae porc ℥.ij.ss. vi∣tellorum ouorum.no.ij. croci, ℈.••. fiat Em∣plastrum. a 1.60 Or, Rec. decoct. predict.li.iij. farinae hordei, far. triticae, ana.℥.j.ss. o∣lei com. butyri ana, ℥••ij. axungiae porc.℥.ij. boyle them to the consumption of the fourth part, then put to vitellorum ouorum, no.iiij, and make it an Epithe∣ma, to be applied with warm stuphes. Then when it is opened, purge the same with this mundificatiue: Rec. te∣rebentinae clarae.℥.ij.ss. me••is rosati, ℥.j. succi apij, ʒ.vj. coquantur vsque ad succi. con••um. Then put thereto fa••inae hordeacae, far. triticae, far. faba∣rum, ana.℥.j. croci.℈.ss. vit. oui. no.j. fia•• mundifica••••u•••• herewith annoynt your plageats, to laye on the orifice of the furuncle. After it is thus sufficientlye mundifyed proceede to t•••• consoli∣dation with this Emplaster. Rec. dia∣chilonis albi, sine gummi.℥.ij. terebenti∣nae clarae, ping. porc, an.℥.ij.ss. lithargirij ••ur. & arg. a•••• ʒ.v. mi••••ij•• ʒ.v. cerusae.℥.j. ol. ••os.℥.j.ss. ad ignem fiat Cero••um,

cum baculo s••mp. agitando, addendo cerae albae, q.s.

ANNOTATIONS.

^a These are required, if pain greatly vrge, otherwise, AEtius Macedonicum is greatly commended: & this is it: Rec. Picis na∣ualis, ℥.j adipis suilli•• ℥.v. adipis tau∣rini & aesipi, an.℥ij•• resinae pini, ℥.v. liquefiāt simul•• & addantur cerae, ℥.iij.

CHAP. v. Of Gangraena and Sphacelus, or Syderatio.

GAngraena a 1.61 is a mortification cō∣ming by the exceding inflaming of any part yet not fully accom∣plished, but some sence stil remaining in the part, & in the fleshie part onlye is the place of it. Sphaceius, or Sydera∣tio, or Es••hiomenon, is a full depriuing of sence, aud vtter mortification, so much, as the part affected, being stric∣ken, laūced•• or burnt, feele••h nothing: and this inuadeth not the fleshy parts alone, bu•• ••he sinewie, and euen the bones themselues. The inwa••d causes hereof,* 1.62 as fi••st the antecedēt, is blood adusted or corrupted, flowing into the place, &c. the conioynd cause is the same blood, now alreadie impact

and gathered•• outward causes to be much coldnes, either by outward ay•• or medicins ministred: vnmeasurable heat & venomnes: al which extinguish natural heat. So againe, ligatu••es, cō∣pressions, contusiōs, &c. all which de∣priue the pa••t of vitall facultie. You shal know Gangraena by losse of sēce,* 1.63 (yet not wholy) heat of the member black or swartish colour, by a fading of the florishing colour, whiche was proper to the inflamation: also there is paine, burning and pulsation of the arteries, going back. but in Sphacelus, there is a whole priuation of sence, black colour, the member is sauft, pu∣trified stinking, rotten, & being pres∣sed with the finger, yee••deth to the bottom, & returneth not: to be short al the signes of Gangraena, but all en∣haunst to a higher degree. Gangraena is difficult to cure,* 1.64 but Sph••celus most hard, and not otherwise then by cut∣ting when the fleshe and finewes e∣uen to the bones are affected, it is not to be cured. vnles Gangraena be in the beginning & speedily cured, the affected part easily dieth, & so it cre∣peth on to the neare parts till it haue

slayne the body, but if it haue not ful possession, but onely be entring, it is not very difficult to cure especially in a yong body.

* 1.65Whilest the bloud is flowing into the part, seeke to temper the qualitie thereof, first setting downe a cooling order of diet: as bread crums steiped in water,* 1.66 barley creame, almond cau∣del, or oten cawdell, broth of chicken with Lettuse, purslane, spinage, almōd milk, barley water, &c•• thē giue prepa¦ring medecines such as sy••upus aceto∣sus simplex,* 1.67 syr. endi•• granatorum, de lu∣pulis, defumaria, giue of these I say, in appropriate waters. Prouide also for the quantitie of the matter, to dimi∣nish the same, from the place whence it flow••th by blood letting (if age, strength, time of the yeare &c. suffer) and medicines purging and clensing the blood, as Diaca••hol•• cassia fistula, T••marindi, lupuli, ••umaria, &c. also frō the place whether it hath recourse, as by repressing medicines layde to the partes round about: as a defensiue made ex argilla cum ace••o Or this: Rec. ol. ros. ol. mi••th. ana.℥.iij.ss. s••••c. pla••••ag. su•• s••la••r••, ana, ℥ij. ••••quan•••••• ••sque ad

consumptionem succorum, colaturae, add•• cerae albae, ℥.j s••. farinae fabarum, far. len∣tium. far. hordei ana, ℥.ss. santal. omi. ana, ʒ.ij.ss. boli armeni, ℥j. pul. mirthi ʒ.j. mix them, and make a defensiue, to be applied to the partes lying rounde about. defend and strengthen also the heart with Mithridate and Triacle b 1.68, &c. This done bende your force a∣gainst the cause conioynde, that the corrupt blood impacte may neither by stopping cut of the course of vitall facultie, nor by his excessiue heate suffocate the naturall warmth, to which purpose serueth blood letting (if nothing hinder) scarificatiō of the place, and after washing with salte water: cutting the mēber or burning with a hot iron. Take of blood as the patient may bea••e, let the scarifi••ati∣ons be in number and deapth suffici∣ent, your burning betweene the sound and vnsound according to the quantitie of the affect, and your de∣uiding of the member bee to the quick, so that no part of the putrified be lefte: doe it also quickly that the rest of the body may be safe: for that that is putrified, is after the maner of

venom, by touching only, able to in∣fect & corupt that which is yet whole and sound. Let your blood letting be in some most apparant veine, aboute the part affected,* 1.69 or neare to it, the time for blood letting, and scarif••••ng is, when putrefaction beginneth: cut∣ting and burning haue place whē the part is putrified. In the mean time lo∣cal medicines for the place a••e not to be neglected: which must bee suche, as haue p••opertie to d••y and resolue, for such are able to hinder, and to take away putrefaction: and such are these simple ones: as erui fa••ina, cum melle, acetum mulsum, far. orobi, vel lolij, vel fabarum cum oximel••ite •• cor∣tex nucum vetustarum, & ti••hima••••i li∣quor, lupinorum decoctum, &c. stronger than these are arsenicum, sublimatum, calx, &c. Compounde ones also you haue here to vse, and that of both sortes, the gentler sorte is, Farina ••••lij, cum raphano & sale, and somtime with aceto. c 1.70 or else vua passa, cum sale & oxymelite: the stronger sorte are, d 1.71 pastilli polyidae, pastilli musae, past•• pas∣sionis, these ground and mixt with vi∣niger and wine, or Vnguen••um AEgyp∣tiacum,

suche as is made ex flore aeri••, alumine, melle, & aceto, mixt by equall portions, and boylde: and this vn∣guent is meetest to be vsed when the heate is now alreadie delayde. Ano∣ther medicine, Rec. AEruginis rasae, mi∣nij, aluminis scissilis an.℥.j. These chafe in water, and applye them to the affe∣cted part, being first a little scarifyed. Note heere, that you wisely make choyse of your medicynes,* 1.72 accor∣ding to the nature and age of the Patient, knowing that the rusticall body maye endure fittest, the stron∣ger sorte; but the effeminate bo∣dies the weaker, infants and children lik••wise require the easier medicins. Because of ce••taine chirurgicall ope∣rations required in this disease, (as a∣fore is sayde) there must necessarilye ensue certayne symptomes: as, after section of the member, fluxe of the blood, after burning, crustes and payne. After the crustes, or escars Vlcers, whiche must dulye also bee prouided for: for the fluxe of blood therfore, it is conuenient to s••are the part with a hote iron, for so the fluxe is speedily staide, & the putrefaction

hindered for going further, thē apply after the searing succum porri, or sal cū porro. for these drie and restraine the putrifaction, as also wel prohibit the flowing in of humours. The crustes then or escars (when the putrefaction ceaseth to go any further) are to bee remoued either with butter or axun∣gia suilla, or cum pane, farina triticea, or farina hordeacea boylde, cum hydrelaeo. or cum pane & apio ••rito, else cum iride, radice panacis, aristolochiae, acori & mel∣le: else cum cephalico ex melle. Or cum tetrapharmaco or macedonico, or suche other. Now when the crust is remo∣ued, whilest the vlcer is purulent, it must be clensed and mundifyed, as with this, Rec. mellis li.ss. vi••ellorum o∣uorum•• no.iij. far hordei, li.ss misce. after two or three dayes adde to it mirrhae, ʒ.x. you maye for that purpose also make your mundificatiue to consist ex far. orobi cum melle vel thu••e. Then when it is faire fill it with fleshe, and after cicatrize it, as is sayde in other places. If paine doe greatly vrge: then take the leaues of Faba inuersa, which being applied to the affected part, do meruailously remoue the pain therof.

ANNOTATIONS.

^a This would more properly (in my o∣pinion) be reckoned among the symptomes and not handled in a particuler chapt•• as a new tumor being described as a symptome a slippe common to many writers.

^b Or this opiate: Rec. Conserua ra∣di. buglossae, rosarum, an.℥.j cōseruae florum cichorij.ʒ.vj. pul. diamarg. frigi.℈.iiij. pul. bezoardici.ʒ.j. pul. elect. de bolo, ℈••ij. pul, el. de gemmis, ℈.j. syr. de acetos. citri.q.s. fiat opiata. Take as much as a beane drinking after it ij. spoonfuls of buglosse, & scabious water.

^c Calm. noteth one consisting ex aequis partibus farinae lupinorum, orobi & fabarum, cum syr. acetoso, aut oxy∣mellite, adding also if you list, succū ab∣synthij vel apij.

^d These are to bee vsed, if those others preuaile not:* 1.73 at which time also Calm. ap∣plieth his causticke, noted before, in the carbuncle.

^e These are accidents of the manual o∣peration, rather than of Gangraena: there∣fore I haue rather thus translated, then following Wecker, cal them the symptomes of Gangraene.

The Gangraene cumming also of other causes than inflammations, as of ex∣treame ••olde, impressed poyson, and vtter extenuation, and wasting of the rady∣call moysture, (as Fall••pius obseruing, hath testifyed) must (therefore) require their s••uerall courses of cure: and all di∣uers from the Gangraene before entreated of. For that which commeth of colde, re∣quireth not the incisions before spoken of•• but some warme and comforting fomenta∣tions, playsters, &c. The malignitye of Venome must more specially be deal••e a∣gaynst, according to the order deliuered in the chapter of venimous woundes. As for the later sorte of these, seeing it chaunceth in bodyes which for their extreame con∣sumption, are vtterly incurable, there is no deuice of man can ought preuayle.

To the Tumors of blood are also referred Parotis, Phyna, Bubo, and by some Phy∣gethlon or Panus: though this last (by Gal.) is indifferently referred to Phleg∣mone, or Erysipelas.

CHAP. vj. Of cholerick Tumors. Of Erysipelas, true, or legitimate.

ERysipelas or (according to the Latines) ignis sacer,* 1.74 called com∣monly in English, wild fire, is a braunche of cholerike fluxion, cheefely consisting betwixt or about the skinnes.

The antecedent cause is yellow cho∣ler abounding and flowing to some part which you may easilier be resol∣ued of,* 1.75 if you note the complexion of the party to be cholerick, his age hye florishing, & colerick diet, &c. the cō∣••oind cause being choler, now pact in the part, is known by reddish or yea∣low colour, great heat, small tumor, the colour vanishing in touching, and after returning. Also a Feuer, stirred vp by the heate, but pulsati∣on (whiche is the proper signe of a Phlegmone) is in this not so great: the payne is a biting or picking, not causing tension or strowting. There is a motion of a tertian Feuer, &c. the times as beginning augmētation state and declination, and the symp∣tomes, or accidentall affects: as tur∣ning backe of the Matter, hardnesse, corruption, payne, vlceration, &c. are obserued to be the like, in Erysipelas

as in Phlegmone. Er••sipelas about the head, is a busie thing to cure, it cat∣cheth the face most commonlye, and beginneth most of all in that parte of the nose that is called Lepus: & thēce by and by spreadeth all ouer the face, by reason both of the lightnesse of the humor, and the thinnesse of the flesh, in that part. If Erysipelas fall in the baring of a bone, it is euill, and in the wombe of a woman with childe deadly. An exquisite Erysipelas is siel∣dome ended by suppuration: but is deliuered (for the most part) by in∣sensible out breathings. that whiche becommeth suppurate, corrupte and putrified, is euill, so is it a ve••ye euill thing also, when it returneth from the outer partes to the inner againe.

* 1.76To take away the antecedent cause from within•• whence it floweth, firste, order your patientes diet so that it may be cooling and moystning, and so let the ayre be such,* 1.77 eyther by na∣ture, or else artificiallye prepared: as his lodging low, and celler like, in the earth: let there be where hee is, often pou••inges of colde water from one vessell to another, and the pauemente

sprinkled continually with the like: and strewe the place with roses, vio∣lets, vine leaues, willowe branches, &c. keepe his belly solluble, and his bodie in rest: auoyding exercise, wat∣chinge, anger, cryinge, &c. Let his meate be, Lettuce, purslaine, sorrell, gourd, barley meate, ryce, ptisan creame, &c. His drinke, Barley wa∣ter, or small beere, or ale, but forbid him wine, and hote, sharpe, sweete and fat meates &c. And in all these, let him obserue a temperate measure al∣so. The dyet thus ordered, come to your sensible euacuations of the mat∣ter: as inward medicines, most speci∣ally here auailable. For bloud let∣ting is not in vse, in a legitimate Ery∣sipelas: but when it is Erysipelas Phleg∣monosū only: & then the humoral vain, or else the fairest in sight, is to be o∣pened: specially, if the affect be in the face. To come to your euacuation, it is meete, first, to prepare and concoct the matter thus:* 1.78 Rec. syr. de succo En∣diuiae, syr. nympheae an.℥.ijss. aquarum cichorei, aquarum buglossae, an.℥iiij. san∣tal. moscatellini, ʒj. fiat syrupus: cla∣rifie, and aromatize it for iij. doses.

Or thus: Rec. syr. acetosi simpl. syr. capil. ven. syr. de buglossa, ana, ℥.ij. aquae acetosae aquae lupulorū, aquae graminis, ana, ℥.iiij fiat syrupus: clarifie, and aromatize it for iiij. doses. Else thus: Rec. syr. vio∣larum, syr. ros. syr lupulorum, ana ℥.j. a∣quarum violarum, aquarum lupulorum, ana, ℥j••ss. mixe them, and make your syrope for one dose. The humor be∣ing by these meanes sufficiently pre∣pared: purge the same, either by cli∣ster, or potion, as followeth. Rec. al∣theae, maluae, violariae, attriplicis, parieta∣riae, branchae v••sinae, lactucae, ana, m.j. 4 s••m. frig m••. contus. ana, ʒ.iij. anisi, feni••uli, ana, ʒ••j. prunorum, par. vi. flo∣rum viol. borag. buglossae, nenupharis, ana P.j. polipodij, sennae, ana, ℥.j. fiat decoctio: de qua, accipe li.j. cui adde, cassiae, ℥.j. di∣••catholiconis, ℥.ss. mellis violati, ℥.iij. sa∣lis, ʒ.j. misce, fiat chister. Your potion you may thus prepare: Rec. tamarin∣dorum, ʒ.vj. prunorum, Iuiubarum, a∣na, par. 5. passularum, ℥••ss. hordei, Pj. sem. melonū, lastucae, ana.ʒ.iij. florū vi∣ol••rū boraginis, buglossae an. P.j fiat deco∣ctio, de qua accipe ℥.iiij. in quibus dissol∣ue, cassiae, ℥••ss. diacath••l.ʒ.iij. rhabarb. infusi, ℈.iiij. cinamomi, gr. v. syr. ros. lax.

℥.j fiat potus. Or thus: Rec. rad. & fol. lapathi acuti, summitatū asparagi, lupuli, fumariae, endiuiae, cichorij scariolae, sonchi, lenticulae, borag buglossae, acetosae, ad••an∣thi, agrimoniae, an.m.ss. 4. sem. frig. ma. la∣ctucae, portulacae, papaueris, alb•• an.ʒ.ij. tamarindorū, ℥j. senae, ʒx. prunorū, par. vi. passularū, par xij. florū cordial an. P.j. fiat decoctio ad quart. v. in cola••ura dissol∣ue, syr. vyol. & rosati, ana, ℥.ij. zacchari q.s. rhabarbari.ʒ.ij.ss. mixe them for iij. dos. Else thus: Rec. cassiae recent. Dia∣prunorū lenitiu. ana.℥.ss. mannae, ℥.j. rha∣barbari infusi, ʒ.j. syr. ros. laxat.℥.j. cum decoctione florū & fructuū, fiat potio. By these meanes emptie the body,* 1.79 accor∣ding to the time, age, & strength of the patient. And to the part, whether the humor flieth, add strength & ayd, by cooling and repelling medicines:* 1.80 such as cold water is, powred vpon the place, & the iuyce of solanū, semperviuū, portulaca, psyliū, ••yosciamus, lactuca, sedū, intybus, cucurbita, & lenticula palustris. Or thus framed: Rec. aquarum, plan∣tag. rosarum, lactucae, semperviui, ana, part j. aceti, parum, misce, fiat Epithe∣ma. Liniments of no lesse force al∣so, maye bee thus ordained:

Rec. ol. ros.℥.iij. olei nympheae, ℥.ij. santali citr. & rub. ana.ʒ.ij. troch. de caphura, ʒ.j. succi solani, aceti, ana, ℥.j. misce. Another: Rec. succi plantag.℥.j. rosacei, ℥.iij. lithargirij nutriti, ℥j. cerusae lo∣iae, ʒ.iij. lactis mulieris, ℥.ss. miscean∣••ur in martareo plumbeo, fiat linimentum. Or, ex cerussa mixta cum aceto, & lycio. vel terra chimolia. Else, ex spuma ar∣genti, cū rosaceo. among the vnguents, vnguentum rosaceum is most vsual, or you may thus prepare one: Rec. vn∣guenti rosati, Mes.℥.j albumina ouorum mucilag. sem. cydoniorum, ana, q.s. misce. Profitable also is Cera••um album, or infrigidās G••leni. But ••he cause con∣ioynde, which is Choller nowe recei∣ued in the part, must be remoued by medicines, that haue propertie to e∣uacuate, and duscusse: as Epithem•• ex aqu•• calida,* 1.81 or this vng••ent: Rec••li∣tharg•• auri, ℥.j. cerussae lotae.ʒ.vi. succi plantag. lactis mulieris, ana, ℥.j.ss. olei rosa••i, ℥••iij. cerae albae. q.s. mi••••e fiat vn∣guentum, or a playster ex hordei farina: or, ex cruda polenta: or thus composed. Rec. altheae nouellae, li. j. coquatur in by∣drelaeo, contundātur, adda••••urque, ol•• ••o∣sati ℥.iiij. argenti spumae, cerussae, ana.

℥ij.ss. succi solani, micae panis, ana. q.s. fourme them to a plaster. Else this: Rec. virgae pastoris, m.ij. arnoglossae, m.j. coquantur in aqua extinctionis ferri, terantur, addanturque farinae lentium, ol, ros. ana, parum, fiat Emplastrum. Thus haue you your repellents, for the be∣ginning, as also discutients, for the state and declination. There remay∣neth nowe, to consider of the symp∣tomes,* 1.82 (that here may interrupt the cure,) and howe wee shall buckle with them, as occasion offereth. They are reckoned vp togither, before in this Chapter, among the signes. The first of them is, a returning backe of the matter,* 1.83 which must be met with∣all, by drawing it forwarde againe: in like sort, as is set downe, in the Chap∣ter of Phlegmon. Hardnesse is the se∣conde:* 1.84 which must be taken away by some cerate, on this wise prepared. Rec. ol. violati, ol. rosati pingued. galli∣nae, butiri, ana, ℥.ij. axungiae caprinae, axungiae vitulinae, ana, ℥.j. medullae cruris vituli, ℥.j. mucilagini•• altheae, mu∣cilag. maluae, Psyllij, ana, ℥.vi. coquantur ad mucilaginum consm. deinde, adde li∣thargyrij auri, ℥.iij. cerae albae, q.s. fiat ce∣ratum,

further if there bee payne, and burning,* 1.85 those must be mitigated and extinguished with an vnguente made ex folijs, & radic. hyosciami, in stupis, & coctis sub prunis, deinde mixtis cum vnguento populeone, or with vng. albo cum caphura, or this: Rec. sem. hyoscia∣mi, ʒ.j. sem. papaueris albi, ʒ.ij. vng. popul. q.s. misce. the fourth symptome is vlceration,* 1.86 which you must•• again, consolidate with vnguentum album, or de lithargirio, cum pauco recremento plumbi, or thus make your vnguent: Rec. ol. violati, rosati, ana.℥ij. vng. ros.℥.j.ss. lithargirij auri & argenti, an.℥.ss. ••hutiae, ʒ.ij. cerussae ʒ.vi. caphurae ʒ.j succi semperuiui, & plantagini••, ana, ℥.ss. misce fiat vnguent. Here is al∣so a liniment, Rec. succi rubi, succi sola∣ni ana, ℥••j. olei rosati, ℥••ij cerussae, lithar∣girij, ana, ℥.ss. aceti pa••um, misce. ano∣ther, Rec. Trochisorum alborum rasi••, ʒ.j.ss. plumbi vsti, loti, ʒ.j. caphurae, ℈.ss. olei rosati, ℥.iij. cerae, q.s. misce fiat ••••∣nimentum. The last of the afore••amed symptomes, is putrefaction,* 1.87 whiche is to be cut off by the meanes afore v∣sed in Phlegmone.

CHAP. VII. Of Herpes exedens, or de∣pascens.

THese are euil pustules,* 1.88 of chole∣ricke generation, eating, & fee∣ding (as it were) vpon the skin.

They proceede of a thicke,* 1.89 & sharpe sort of yellow choller, flowing into a part. Therefore consider, if there bee aboundance of yellow choller in the bodie: for so you shall acknowledge the disease it selfe the better. As for the other signes thereof•• they are eui∣dent: as vlceration of the skinne, e∣uen downe to the flesh vnderlying, small eating and spreading pustules, with inflamation, itching &c.

The antecedent cause,* 1.90 which is a ful flowing of choller to the part affe∣cted•• must be scoured out from with∣in, whence it descendeth: as also from the part, whither it maketh his resort, by conuenient meanes. First there∣fore,* 1.91 set downe the dyet that is ap∣pointed for Erysipelas: then alter and prepare the ••umor on this wise: Rec. syrupy endeuiae, syr. lupulo••um, syr. ace∣••os. simpl. ana, ℥.ij. aq••ae graminis, aquae

buglossae, aquae lupulorum, ana.℥iiij. san∣••al. moscat.ʒ.j.ss. Mixe them & make of them a ••yrope for iij. doses: then prepare your purgation, either in forme of bole, po••ion, or electuarie, on this wise: Rec. cassiae nouiter ••ractae, ℥.j. rhabarbari, ℈ij. Cinamomi, gr. iij. mixe them, & cum Zaccharo make your bole. The potion. Rec. pulpae ta∣••arindorum, ʒ.vi. sennae, ℥.si. mirabol. ci••℈.iiij. ••hymi, epi••himi, ana, ʒj. pas∣sularum, par. vi. florum cordial. ana. P.j. fiat decoctio, in aqua horde••: in colatu∣rae, ℥.iiij. dissoluantur, diacatholiconis, ʒ.vi. diapr. sol•• ʒj. si. syr. ros. lax.℥.j fiat potio. The electuarie. Rec. pulpae tamarindorum•• ℥j. cassiae nouiter extra∣ctae, ℥j. si. sennae, ʒ.vi. elect. de succo rosarum, ʒ.iij. rhabarbari.ʒij. cina∣momi, ℈ss. syr. violati. q.s. fi•••• electuari∣••m: of which, let them take, once a weeke, the dose is ʒ.vi. or ℥.j. Now that in the affected parte, the humor may finde no setling,* 1.92 you shall vse reuulsion, both by frication and liga∣tures, on the contrarie partes: as like∣wise, cooling and drying medicines, to the place it self, to beat them back againe: to wit, such as these: balau∣stium,

calix glandium, capreoli vitium, folia oleastri, folia salicis, folia rubi, la∣ctucae, lens palustris, malicorium, poligo∣nion, plantago, portulaca, Rhus, seris, s••mperviuum, solanum, &c. of which you may compound your medicines, fit for the purpose: as for example: a plaster, ex corticibus mali granati in vi∣no decoctis, & rhu, & farina hordei: or thus made: Rec. malicorij, ℥.iiij. Rhois vtriusque, ana. m.ij. farinae hordei, ℥iij. coquantur in vino aust ero, & fiat empla∣strum. Another: Rec. plantaginis, sum∣mitatum vitis, rubi, oleastri, ana.m.j. ba∣laustiarum, P.ij. ••iat decoctio, de cola••ra accipe ℥.x. quibus adde, farinae hordei, ℥j farinae ••upinorum, ℥.ss. olei rosacei, ℥.j.ss. coquantur, & fiat Emplastrum. Thus much for the antecedent cause: the course wherof, being cut off, you shal tame the conioyned, (that is, the tu∣mor alreadie setled in the place) with discutients, and drying medicines: such as vnguentum diapompholygo••: or, Rec. laenae succidae vstae, ʒ.ij. corti••is pini vsti, & loti, ʒ.j.ss. adipis caprini, ℥.iij. cerae. q.s. fiat vnguentum. Else this plaster: Rec. succi plantaginis, succi so∣lani, ana.℥.j. succi rad. lapathi, ℥ss. ba∣laustrij,

P.j. rosarum rub.ʒ••j.ss. aluminis, ʒ.j. aceti.℥.ij. coquantur ad aceti, & suc∣corum consm, deinde ••erantur in mortari•• plumbeo, addendo, lithargirij vtriusque a∣nae, ℥ij. cerussae, ℥.j. thutiae, ʒ.ij. a 1.93 scoriae ferri, praeparatae, ʒ.ij. floris aeris, ʒ.j. fiat emplastrum. Lastly, the vlcer it selfe, must be wyped, dried, and brought to consolidation, proceeding (as need re∣quireth) from gentler, to stronger meanes: as: Rec. centinodiae, plantaginis, solani, ana, m.j. calicum glandiū, vel nu∣cum cupressi, ana, par.x. baccarum, & fol. mirthi, malecorij, balaustij, ana, ℥.j. acatiae, hypocystidis, ana, ʒ.vj. mirrhae, thuris ana ʒ.v. fiat decoctio in aqua fabrorum, and therewith wash and foment the place. Also: Rec•• lanae tedaceae combustae, ʒxij.ss. cerae, ʒ.xxxv. olei mirthini, ℥.v. misce: or. Rec. malecorij dulcis, ʒ.vi. spumae argenti, ʒ.vi. lanae tedaceae, illotae, combustae, ʒ.iij. cerae, ʒ.xij. cerussae, ℥.j. thuris, aluminis scissi, ana, ʒ.j. cum vi∣no vel oleo myrthino, fiat vnguentum. A slight vnguent also may you make, ex plumbi recremento, & succo rutae. When you finde these of the gentler sort, vn∣sufficient, in force: you haue these of vehementer working: Pastilli musae,

pastilli Polyidae, pastilli Andronis: or, A∣uicen his Pastilli calidicon, and Aldaron: Else, arsenicum sublimatum, tritum, & mixtum cum vnguento albo, and applyed with lints, plageats, or such like: ob∣seruing by the waye, that alwayes, when you vse such vehement workers, you defende the place, rounde about, with vnguentum de bolo: or, Oxycratum which is a mixture, ex aqua & aceto.

ANNOTATION.

^a These you adde, if you couet a medicine verie drying: else, at your discretion, leau•• them out.

CHAP. VIII. Of Herpes miliaris.

THese are certain small pustules rising vpon the outmost skin,* 1.94 like the seedes of Millet. The antecedent cause is yellowe choller,* 1.95 mixt with som thinne flegme, which the signes of choller & flegme, abounding in the bodie, wil declare. beside the pustles, there is heate also, or a little inflamation, with itching, & the colour tending towards Citri••e.

* 1.96To deale with the cause antecedent: first set downe a dyet that may con∣trarie both choller and flegme: then prepare and concoct the humors with this syrupe:* 1.97 Rec. syrupi de Endiuiae, ℥.j. syr. de duabus radicibus, oxymel. simpl. ana.℥.ss. aquae endiuiae, aquae lupulorum, aquae borag. aquae capillorum veneri••, ana ℥.j. misce, fiat syrupus, pro vna dosi. Then purge either with this bole: Rec. cas∣siae nouit. extractae ℥.j. diapheniconis, ℈.j.ss. rhabarb.℈.j. misce, cum zaccharo fia•• bolus or this potion: Rec. Endiuiae, m.j. rad. cichoreae, faenugraeci. ana.℥.s••. florum cordial. ana, P.j. sem. anisi, lac••ucae, ana ʒ.ij. passularum, iuiubarum, sebesten, ana, ℥.ss. glizerizae•• ʒ.ij. sennae, ʒ.x. agarici, rhabarbari, ana ʒ.ij. zinzibri••.ʒ.j. spicae indicae, ℈ij sa••••s gemmae, ℈.ij. coquantur secundum artem, & fiat potio, pro duabus dosibus. Cui addantur, syr. ro∣sa, laxat.℥.ij. Else, if you had rather haue pilles•• thus: Rec. pill. agregatiua∣rum, pil. de fumoter. ana, ʒ.j. agarici ••roch.℈.ij. turpeti, ℈.j. cum syr. ace••oso fiant pillulae: whe••eof giue ʒ.j. for a dose. To the part whither it floweth, must you minister repellents (vnlesse the matter be verie aboundant, and

the bodie vnpu••e, as a plaster,* 1.98 ex duo∣bus granatis: or, ex arnoglossa, cum pul∣uere balaustiorum, & gallarum viridium: else made, ex succorad. lapathi acuti, a∣ceto & puluere balaustiorum & alumi∣nis. Either: Rec. gallarum, balaustij, ma∣lecorij, boli armeni, ana.℥.j. aquae rosa∣rum, ℥.iij. aceti, ℥j. misce. Nowe, that which hath setled it selfe, and so stic∣keth in the affected part, must be dis∣cussed cum aqua sublimata, or, succo a∣sphodeli, smilacis asperae, solani, plantagi∣nis: or, cum oleo genistae, &c.* 1.99 or else compounded ones: as, ex glaucio, dilu∣to cum aqua: or, ex gummi prunorum cū aceto: or, ex capitibus piscium salsorum, crematis, & in puluerē redactis, & vino dilutis: or, ex lana succida, vsta, & tri∣••a, cum aqua peculi rosarum. Else: Rec. aeruginis rasilis, sulphuris, ana, ʒ.j. aquae sarmen••orum vitis, dum comburuntur. q.s. ••ise, fiat linimen••um.

Of Flegmatike Tumors. Of the true or legiti∣mate Oedema.

CHAP. IX.

* 1.100OEdema is a certaine loose, vn∣painfull tumor, proceeding of flegmatike humors, flow∣ing into any part.* 1.101 It is there∣fore apparant, that the antecedent and conioyned causes are flegme, the one yet flowing, the other flowed, & hea∣ped now, togither in the mēber: both which also may haue procurement from outwarde causes: as falles from height: strokes, surfeting &c. which are easily vnderstood by the patients relation. The Tumor is loose & soft, easily yeelding to the pressing of the finger, and retaineth the pit after the finger is remoued. The paine is little or none, the heate small, the colour whitish or pale.

* 1.102The termination of Oedema is most by resolution, seldome by suppura∣tion: and often, by changing into nodes & other abscesses. Winter is the chiefe time of their raigne. And olde age is oftest troubled therewith.

* 1.103First for the antecedent cause,* 1.104 set downe your dyet contrarie in quali∣tie:

to wit, heating, drying, and ma∣king thinne: As thinne and dry ayre, moderate exercise, and specially of the contrarie partes: short sleepe, and on∣ly on nightes: if the bellie keepe not soft naturally, order it by art there∣unto: as by giuing figges fasting. stuffed with the pulpe of sem. carthami. Let his bread be well baked, his meat, Weather mutton, mountaine birdes, or made with Otemeale, &c. his wine, white, cleare, sweete smelling, or pal∣let, forbidding all po••age, herbmeat, ••eige, or papmeat, all b 1.105 pulse, fruites, fishes, milkemeates, cheese &c. The dyet so appointed, come to the pur∣ging of the flowing homor, that so the course therof may happely be in∣tercepted. Not omitting also, first to prepare the humors to euacuation, to which purpose, these simples serue verie fitly: radic. cyperi, acori, galangae, ireos, enulae, apij, petroselini, graminis, aspe∣ragi, rusci, faeniculi. Also betonica, saluia, hyssopum, melissa, polium, pulegium, cala∣mentum, origanum, maiorana, abrotanum, mentha, absynthium, camaedryos, chamae∣py••eos, herba paralisis, agrimonia, ca∣pil. ven. sem. calida lignum sanctum &c.

Of which you may compounde sim∣ples on this wise:* 1.106 Rec. mellis ros. colati, syr. acetosi, simpl. ana.℥.iij. aquae melissae, maioranae, buglossae, ana, ℥iiij. cinamomi, macis, ana, ℈.ij. misce, fiat syr. clarif. pro iiij. dosibus. Or thus: Rec. syr. de hyssopo, de staecade, oxymellis s••il. ana, ℥.ijss. aquae saluiae, betonicae, faeniculi, ma••oranae, a∣na, ℥.iiij. cinamomi, aroma••. ros. ana.ʒj. misce fiat syr. pro 5. dos••bus. An apo∣zeme to the same purpose: Rec. rad. ireos, galangae, ana, ʒ.vi. rad. apij, pe••ro. selini, asparagi, ana, ℥j betonicae, melissae, chamaedrios, chamaepiteos, herb. paralisis, ana, m.j•• capil. cōmunium, ana, m.ss. sem. anisi•• ℥ij. sem. faeniculi, carui, cinnimi, a∣na, ℥.ij. sem. melonum.ʒ.vi. passularū, par 8. sem. carthami, ℥.ij. sennae, ℥.j.ss. flo∣rum genistae, cicerum rub. staecadis, buglossae, ana, P.j. ••iat decoctio: de qua accipe, li•• ij. quibus adde, mellis ros. colati, syr. de ab∣symhio, ana, ℥.ij. zacchari. q.s. aromatici rosa•••• ʒij.ss fiat apozema, clarificetur pro vi. ••osibus. The humors being nowe wel prepared, must be purged out, ei∣ther by the belly, or by vomit. Of the first sort you haue your choyce, both in number and forme.* 1.107 Rec. diapheni∣conis, ʒij. electuar. Indi maioris, ʒjss.

diacatholiconis, ℥••ss. zacchari. q.s. misce fiat bolus. Another: Rec. elect. diacar∣thami, elect. de citro sol. ana, ℥.ss. zaccha∣ri q.s. misce fiat bolus. A potion for the purpose thus. Rec. med••••. sem. cartha∣mi contusi, ʒiij. sennae, ʒ.ij. agarici ••rochis••.ʒ.j. fiat leuis decoctio: in co∣laiurae ℥.iiij. dissolue electuarij diatur∣bi••h, vel de citro solutiui, ʒ••iij. syr. ros. laxat.℥j. misce fiat potus. If you had rather haue pilles: Rec. pillul. chochi∣arum, pil. arthriticarum, ana, ʒ.ss. cum syr. de staecade fiant pillulae, n.ix. or, Rec. pil. de agarico, pil. agregat. ana, ℈.ij. cū aqua betonicae fiant pil. no. vij. Else: Rec. pill. imperialium, pillul. faetidarum ana, ʒ.ss. cum aqua absynthij fiant pillul•• no. vij. If you thinke ••o do it by vo∣mit more commodiously, as if the Tumor bee in the inferiour partes: (for then it is commended, because of reuulsion:) you shall prouoke the same, with oleum commune: or oxymel: or a decoction made with the seedes of Attriplex: or, nasturtium: or with the rootes of Radish.* 1.108 In the meane time, that the matter flowing may finde no settling in the affected parte: the same must be fortified in the be∣ginning

with repellents, somewhat mixt with discutients, but if the affect be in the augmentatiō, the discutiēts must be somewhat more forcible, for thus defēding and strengthning ther∣fore of the affected part, make an E∣pithema, ex duabus aceti partibus, & vna aquae, wherein, a newe sponge being dipped, minister it to the place•• but on such wise make your binding on the sponge, that the beginning of your rowling be beneath, & the fini∣shing thereof aboue, els your epitheme may be made, ex nitro, aphronitro, & lix∣iuio. a cloth also wet therin, & applied or it may cōsist, ex decoctione nitri, or spumae nitri, & cinerum & aceti, or thus cōpounded, Rec lixiuij acerrimi, ex ci∣neribus caulium, sarmentorum vitis, ficus, & tartaro confect.q.s. aceti. q.s. olei pa∣rum, misce fiat epithema: in this also wet a sponge and foment the place, ano∣ther: Rec cinerum sarmentorū vitis, ficus brassicae, tamarisci, ana, p.j. fol. ebuli, tama∣risci, an. m.ss. boli armeni, ℥j.ss. aquae in qua ferruna fuerit extinctum. li. iij. aceti ℥.iiij. make a decoction, to the wa∣sting of the third part, and therewith foment the tumor, & bind it vp with

your rouler, being dipped in the same but first the part must bee annointed with this liniment, before you binde it vp Rec. cineris brassicae, velilicis, ℥.ij. axungiae suillae, ℥.iij. misce fiat linimen∣tum, an vnguent for the matter you must thus prepare: Rec. bol. arme. aca∣tiae, ana, ℥.j. cyperi, ℥.ss. aloes, mirrhae, ana, ʒ.v. croci.ʒ.ss. succi brassicae, ℥.ij. ol. rosati, ℥iiij. aceti•• ʒ.j.ss. cerae. q.s. misce fiat vng. if you with your me∣dicine in forme of a plaster, Rec. aloe•• ••ycij, mirrhae, acatiae, sief de glaucio, cype∣••i, croci, boli armeni, ana partes aequales: puluerizentur, & cum suc••o caulium & aceto, fiat emplastrum, another: Raec. nu∣cis cupressi, squinanthi, farinae hordei, far. lupinorū, an.℥ s••, blattae bizantiae alumi∣nis, ana, ʒ.ij. sem. papaueris corniculat•• ʒ.iij. aloes, mirrhae, ana, ʒ.j. suc. brassi∣cae, a••et. an. q.s. acatiae, hyposistidas, an.ʒij stercorir columb. stercor. capr. an.ʒ.iij. misce fiat Emplast. when the matter is impact, & hath nowe got lodging in the place, consider whether the same be thicke, or else of a thinne sub∣stance, that may be resolued. For if so be, that it may be otherwise spēt, thē by ripening, frame your self thus to it

by digerent or discutient medicines•• as an epitheme, made ex lixiuio, ex cinere ficus, vitis, & ilicis facto, and ap∣ply the same with a spunge, or a lini∣ment thus prepared: Rec. aluminis, sul∣phuris, mirrhae, salis, ana partes aequales, ol. rosati, aceti ana. q.s. fiat linimentum. Another: Rec. suc. ebuli, sambuci, oxy∣lapathi, leuistici, faeniculi, ana, ℥.j. vng•• dealtheae.℥.iij. mellis.℥.j. ol. chamomelini.℥ij. coquantur ad succorum cons. fiat li∣nimentum. In forme of plaster, thus: Rec. stercoris vaccini, li.ss. olibani, styra∣cis, musci arborum, calami aromatici, spicae, absynthij, ana, ℥.ss. confice omnia eum aceto•• & decocto caulium, & fiat Emplastrum. Another: Rec. sulphuri••, ℥.j. stercoris, columbini, ʒ.x. far. faba∣rum, ℥j.ss. mellis, ℥.j.ss. succi brassicae, q.s. fiat Emplastrum. Another: Rec. fol. ebuli, sambuci, absynthij, ana, m.j. alu∣minis. sulphuris, salis, ana.℥.ss. coquan∣tur, terantur, addendo, dia••theae, ℥.ij.ss. ••xungiae suillae, ℥.j.ss. mellis, ℥., j. fia•• Emplastrum. Another: Rec. rad. cucu∣meris agrestis, ℥ij. origani, vel brassicae, m.j. far. horde••, ℥.j. coquantur, terantur, & fiat Emplast. If contrariwise the mat∣ter being considered, be found grosse

& vnfit for resolution, frame to matu∣rate it, cū vng. Diachylone: or plasters to the same ende contriued, in this sort: Rec. maluae, branchae vrsinae, rad. lilij, cepa∣rum, assarū limacū, fermenti, sem. lini, ana, q.s. boyl them & work them in a mor∣ter cū axungia vel butyro, to the forme of a plaster. Another: Rec. suc. ebuli, sambuci, oxylapathi, leuistici, marathri, ana, part. j. dialtheae, mellis, olei, butyri, ana q.s. coquantur, & fiat emplastrum. Ano∣ther: Rad. altheae ℥.iij. rad. liliorum, ℥ij. caricarū, par. v. florū chamomelini, & me∣liloti, ana, P••j. farinae hordei, & faenugraeci ana, ℥j coquantur, & terantur, addendo pingued. gallinae, butyri recentis, olei Cha∣momelini, liliorum, ana, ℥.iiij. rad. brioniae, rad. cucumeris agrestis, ana.℥.ij. ol. liliorū li.ss. ol. de costo, ℥.iiij. vini, ℥iij. coquantur ad vini consumptionem, terantur, addendo far. sem. lini, & faenugraeci, ana, ℥.ij. fer∣menti, ʒ.j.ss. pingued. anse••is, ana••is, ana ℥.iij. misce, fiat empl. Another: Rec. rad. liliorū, ℥.ij. cepae, ℥ij.ss. altheae, maluae, an. m.iss. chamomil••ae, m••liloti, ana, P.j. far∣s••••, lini, faenugr. ana, ℥j coquantur, & te∣••antur, addendo, axungiae su••llae, ℥.iiij. misce fiat emplaestrū. Whe•• the tumor is ripe let it be opened with some hote yron,

or causticke. And because that in this case the natural parts (many tymes) are weake ynough,* 1.109 & the body stādeth in neede of hartening: you shal not neg∣lect, to prouide for the stomack both inward & outward meanes, as follo∣weth: Rec. conseruae florum staecados, cō∣seruae rorismarini, an.℥.j. corti••, mali citri, conditi, ℥.ss. mirabol, emblicorū, condit.ʒ ij. specierū diacinamomi, ℈.ij. cū syr. de co∣rticibus citri, fiat electuarium, wherof let the patient take the value of a nu••t, j. houre & a half before euery meal, Lo∣zenges. Rec. spec. aromat. ros.ʒ.j. sp. di∣agalangae, ℈.j. pul. corallorum, santali, ci∣trini, an.℈.ss. corticum citri conditi, con∣seruae ros. vet. an.ʒ.j.ss. zacchari in a∣quis menthae & absynthij dissoluti, q.s. make thē lozēges, euery one weigh∣ing ʒ.ij. and let him eate one fasting euery day. A dredge: Rec. coriandri conditi, ℥.iij. anisi, faeniculi, an.℥.j. pul. cotoneorum, ʒ.ij. cinamomi, elect.℈.iiij, spec. aromat. ros.ʒij. zacchari. q.s. fiat tragema, wherof giue after euery meal j sponful cōmanding the patiēt to ab∣stain frō drink after it. for the outside you may make for the stomack this vng. Rec. ol. lentiscini, mastichini, ros•• an.

℥.j.ss. nucis moscatae, cariophilorū, an.ʒj cort. sic. suc.℈.ij. coralli vtriusque, an.ʒ ss. florū chamom. aneti, an.℈.iiij. spicenar. squināthi, an.℈j. acet. parū, cerae, q.s. fiat vng. A plaister for it, thus: Rec. mas••ae empl. pro stomacho, ℥.ij. cerati galen. emē∣dātis vitia stomachi, ʒ.j.ss. tereb. parū, misce, fiat empl. If now in the proces of the cure, there fal out accidēts troubl∣some, & hindring the cure, as payne, hardnes or vlcer, you shal not be with out means likewise to answer thē ac∣cordingly: & first delay the pain with Oesypo humida, or vino cocto, or a cerate cōpoūded ex ol. chamomael. nardino, ab∣synthino, & cera, or this liniment. Rec. O••sipi.℥.j, ss. passi, ol. chamomael. vel ane∣thini ℥.j. misce, fiat linimētum. Hardnes, if ther be any, you shal saftē with me∣dulla bubula, or ceruina, &c. or an vng•• thus prouided: Rec. axung. bubul.℥.iiij galb. bdel. ammoniaci in acet. dissol. an.℥.j ss. picis, ℥.ij. terebent.℥.iij. mirrhae, ʒ.iij. cortic. thuris, ℥ij. ol. veteris.℥.iiij. misce fiat vnguentum, another: Rec. mucila∣ginis altheae, sem. lini. mucilag. faenugraeci, an.℥.iiij. far. hord, ℥.iij. axungiae gallinae, cl. liliorum an.℥.ij. butyri, ℥j. croci, ℈.j. ammoniaci, bdellij, styracis, ana, q.s.

vitellorum ouorum, numero ij. misce, fia•• vnguentum. If it come to an vlcer, then whilest it is foule, cleanse it with a mundificatiue ex apio, or apply vng. a∣postolorum: so after it be cleansed, fil it vp with flesh, and when it is plaine, co∣uer it with a cicatrize, as, in many o∣ther places you are instructed.

ANNOTATIONS.

^a This Tumor is of two sortes: one gathered & limited within a certaine place, called properly and simply, Oedema: the other diffuse, & vnbounded: more rightly ter∣med Tumor Oedematosus. This is of Phlegmatike bloud•• ioyned with euil dispo∣sition of the liuer, and vnconcocted iuyc•• distributed, and that alwayes: the other, though sometime with such infirmitie of the natural partes, yet other some time of naturall Phlegme, & of outwarde causes only: which is then also to be cured by out¦ward medicines. But Tumor Oedemato∣sus,* 1.110 called of some the watrye tumor, re∣quireth both inward and outward meanes, though of like nature, to the helpes, of a simple Oedema: yet by so much the more forcible, as it is in degree a stronger enimie.

and so for this cure, you may proceede in the same way, of the last chapter, intending and strengthening al your meanes as cir∣cumstances shal leade you: knowing that the difference of these diseases, is not such as might require other scop••s of cure, or new natured medicines, but rather discree•• prouision, that those your remedies maye bee of strength ynough so matche, and finally vanquish the power of a stronger disease: and this not in the inner medi∣cines only, but in the outer also, as here for a supply, followeth: Apply a newe sponge dipt in oxy••hodino, wherein salt is dissol∣ued,* 1.111 or foment the place cum lixiuio ex cineribus, sarmentorum, caulium, ficus, ilicis, quercus & tartari, addito s••le, vel aphronitro, vel sulphure, some adde to their Lixiuium, Aristolog. ro∣tun ammoniacum, & bdellium, but first euer arming the partes agaynste the sharpenesse of the lee with some ointment, as you may doe with this liniment or vn∣guent following. Rec. Salis nitri, ʒ.x. p••peris, baccarum lauri, ana.ʒj. ol. laurini, ℥.vj. cerae. q.s. fiat linimentū: some adde Pulpam passul. Rec. radi. iteos. & cucumeris agrestis, nucum cupressi, o••sis tibiae hominis, cinerum

rad. brassicae, ana•• ʒ.ij boracis, nitri an.ʒj. ol. anetini, cerae, an. q.s. fiat vn∣guēt. A plaster of great cōmendatiō: Rec. sem. sinapi, sem. vrticae, sulph. aristolo∣chiae rot. spumae maris, bdellij. an.℥j. ammoniaci, ol. vet. & cerae an.℥, ij. fiat empl. good also for the flatuous tumor. Hitherto to pertaineth hydrocephalus, and hydrocele, handled among the particular tumors.

^b It comprehendeth all pease, beanes, chiches, rice, and such like.

CHAP. X. Of the flatuous tumor.

* 1.112TVmor flatuosus springeth of a ga∣thering of windie spirites, eyther vnder the skinne, or else vnder the membrans which couer & clothe the bones or muscles.* 1.113 The efficient cause is imbecility of naturall heat, & then the party hath weake concoction, and is giuen to a quiet or idle life, &c. the materiall cause antecedent, is flegma∣tick humor, out of which, windines is easily gendred, & therefore colde and moist tēperature, flegmatick diet, sur∣feting•• idlenes, slouthfulnes, old age, &c be signs therof. the cōioind cause i•• the flatuous spirits now already re∣tained,

either vnder the skin, or some membrans, thorow which they cā get no passage, for the thicknesse or close substance of those parts. the signes of the cōioind cause, & so of the disease, are, a tumor or swelling in any part, with a certaine brightnes or shining, which being pressed with the finger, sheweth a certain resistance, & some∣time being smitten vpon, yeeldeth a soūd, like a bladder, or taber, the par∣tie feeleth very oftē, some wandring windines, run hither and thither tho∣row their body: the paine is exten∣siue, or stretching &c. Flatuous spirits not discussed,* 1.114 bring many discōmo∣dities. vaporous pufts coursing hither & thither thorow the body, with pain & anguishes, are greatly to be feared, for it is a token that some venimous matter was the occasion of them. Be∣cause the antecedēt cause which is the flegmatik humor,* 1.115 aboundeth in such a body, or specially the stomach, first prouide bi diet to diminish the same,* 1.116 vz. let his aire be temperate his sleepe shorter, his belly solluble, his exer∣cise moderate, his breade of barlie, wherein also beside salt there is some

cummin mingled, his brothes of chi∣ches with onions and parsley, his flesh meates, Weather mutton, veale, and mountaine birdes, his drinke a 1.117 white odoriferous wine or pallet, in the meane time forbid as hurtfull, all grosse, viscous, raw, flegmaticke and ••••atuous meates, suche as are sweete thinges, pulse, raw fruites, rape rootes chestnuts, milke, cheese, &c. general∣ly also obseruing, that his diet all times be spare ynough in quantitye, secondly his diet so set, prepare by medicins, the humors fit for purging, thus:* 1.118 Rec. syr. de duabus radicibus, mel∣lis ••o••. an.ʒvj. aquae faeniculi. aquae ca∣pil. ven. aquae scabiosae, ana•• ℥.j. misc••, fiat syr. pro vna dosi, and so after accor∣dingly for fiue or sixe doss. thē purge either with clister, made with thinges discussing windinesse, or this potion: Rec d••acatholici ℥.j. diaphaemic.℥.ss. cum aqua faeniculi & de fumoterrae, fiat potio breuis, addendo, diacymini, ℥.ss. the mea∣sure of your purging in this, as also in other matters, must be according to the age, temperature and strength of the patient, & so the quantities to bee encreased or diminished accordingly.

thus hauing foreseene for the antece∣dent cause:* 1.119 the conioynd must bee attenuated, discussed and s••attered by all meanes. Simples seruing to that purpose, are these: anisum, faeniculum, daucus, carum, cuminum, seseli, apium, pe∣troselinū, ruta, baccae lauri, ol. Irinū, lau∣rinum, rutaceum, nardinum, costinum, Ricininū, ol. spicae, nucum, de ••uphorbio, de piperibus, lixi••ium applied with a new sponge of these againe and such like, may be compounded diuers formes, for your vse as here ••olloweth. And E∣pitheme, Ex sapa, cum vino, & exiguo aceto, & oleo, applied with lana succida, or an Epitheme, made ex parietaria, Centaurio, aniso, faeniculo, dauco, caro, cu∣mino, Chamomilla, anetho, staecado, rore∣marino, melle, furfure, &c. or ex lixiuio, cum sapa & oleo mixto, & spongia ex∣cepto. or, ex b 1.120 strigmentis gymnasiorum, calce viua, ex aqua, & vino, simul coctis. else ex lixiuio, cum nitro, & aceto: o∣therwise ex decocto hyssopi, cum oleo ru∣taceo, or, Rec. sapae, ℥.iij. olei ane••••ni, sa∣ponis mollis, ana, ℥ ij. misce, fiat Epithe∣ma: and herein moyste a sponge or flanke wooll, and applye the same. a quilte for the same you may make,

after this sort: Rec. milij. li.j.ss. salis, li.j. artemisiae, maioranae, an. m.j. se. carui, fae∣nugreci, cumini, ana.℥.j. florum Chamo∣mille, florum meliloti, florum stecadis, flo∣rum anthos, ana, p.j. torrefiant omnia in sartagine, and make thereof ij. quilts, which being ouersprinckled with som pleasāt wine, must be warm aplied to the part affected•• afterward annoyn∣ting the part with this vnguent: Rec. r••d. gentianae, ℥.j. agrimoniae, ••halamenti, origani, ana, ℥.ss. rubiae tinctorum, ʒ.iiij squinan••i, masticis, ana, ʒ.j.ss. spicae∣nardi, croci, ana, ℈.iiij. aquae vitae, ℥.j.ss. olei anethini, ol. nardini, ol. de cast••reo, a∣na, ℥.iiij. ••erae, q.s. siat vngent. Or this: Rec. ol. anethini, ol. rutacei, ol••laurini, ol. spicae, ol. mastichini, an ℥.j. calamēti, cen∣••aurij, absinthij, maioranae, tritorum, ana, ʒ.j. sem faeni∣••, rutae, lupinorum, baccarū ••auri, an.ʒ.ij. mellis crudi, q.s. fiat vng. Another: Rec. ol. chamomelini, olei ane∣lini, olei amigdal. amar. olei rutae, ana, ℥.j sem. anisi, faeniculi, dauci, ser••. cu∣mini, car••••, ameos, & rutae, ana, ℥.j.ss. Vini albi, ℥.iij. coquantur vsque ad vi∣ni cosm. expressioni adde, cerae, q••s. fia•• vnguentum. Plaisters likewise for the purpose you haue: de baccis lauri,

& de semine ••inapi: Or thus compoū∣ded: Rec. propoleos, li, j.ss. ros. rubr.℥.j. coquantur in vino albo, pinsantur, ad∣danturque piperis, caryophilorum, nucis moschatae, zinzibris, an.ʒ.ij. cumini, a∣nisi, faeniculi, sem. apij, ameos, ana, ℥.ss. ol. chamom. ol. anethini, ol. rutae, an.℥.ij. fi∣at Empl. Minister this plaister warme: but first scarifie the place superficial∣ly: and chuse of these for your turne, the most cōuenient, and of proporti∣onable facultie, both for the place af∣fected, & tractability of the matter. In the meane time, if naturall ••eat be weake, and so be founde an effitient, in this matter, stir vp and refresh the same both by heating diet, afore pre∣scribed, as also by medicins strēgthe∣ning the cōcoctiue vertue, cheefly of the stomach. to which end, you haue both inward and outward ones. To take inwardly for that purpose, diaci∣minū, diacalamēthū, aroma icū ros. diaga∣langa, diacinamomū, dianisū, &c. very a∣uaileable also is this dredge. Re••. anisi marathri, carui, dauci, cumini, bac. lauri, an.℥.j. glycyrrhizae, galāgae, zinzibris, an.℥.ss. caryophil. cub••bar. piper. se. rutae, an.ʒ.ij. anisi, zaccha. ••bducti, ℥.iij. zac. li ss.

misce fiat puluis. Outwardly applye ol. Nardinum, absynthinum, menthae, costinū, ••utae, nucis moschatae, &c. Now, if in the case of a flatuous tumor there bee pain foūd as a cōpaniō io••ned with it,* 1.121 striue first to mitigate the same, and then discusse the flatuous matter af∣terward•• and if the flatuous spirit pro••ceede of a venemous matter, then shall you vse this Art to remoue the same: first binde the part both aboue and beneath the place, & in the mid∣dest between, open the tumor with youre incision knife, or a hote yron, so as that the venemous matter may haue easie passage out, this done, dresse vp the wound with a mixture m••de ex aloe, bolo armeno: ol. ••o. & aceto. After three or four days endeuour to fil it vp with flesh•• & so to cicatrize it, as Art require••h

ANNOTATIONS.

^a Very auaileable ha••e I founde it to tonne vp in new ale, the hearbe called of Matthiolus Common Eupatorie, & when it is sta••e ynough, giue it to the pa∣patien••: for his continual drinke.

^b The vncleane sweatinesse of men of great excercise.

CHAP. xj. Of the Tumor called struma.

STruma is a tumor, in whiche vnderneath certaine as it were, glandules made of matter and blood, a 1.122 do grow, & these haue their place most of all in the necke: though they sometime be found in other places also.* 1.123 The inward cause is flegmatik humor wherwith thē like∣ly, the body aboundeth, by reason of such a diet, vsed before time: & surfe∣ting idlenes, or resty life whereto the party is addicted, &c. outward causes befals, strokes and surfeting life, &c. which things by the patients relation are easily found out.

They which haue a narrow & short forehead,* 1.124 with temples flat, as it were compressed, and large iawes, those are subiect to wennes. these kinde of tumors doe not lightly come to ma∣turation: but if they do, and after be so healed, for the most part, yet they spring agayne, neare the cicatrize of the olde. The Struma that is small, of a gentle condition, and superflu∣••icious

in the skin, is easily cured•• cōtra¦ri wise, if it be great, of a malign na∣ture, and deepely lodgde, it is hardlye healed. againe if it be of late growth, it may be resolued and discussed, but the inueterated ones cannot•• children often, old men s••eldom are takē with this tumor. Pain and heate in struma, sheweth that it either tendeth to sup∣puratiō, or else degenerateth into a fistule, or Cancer.

Appoint your diet such, as may both drie,* 1.125 somewhat heat, & make thinne: as temperate ayre, exercise before meate, the meats of good iuice & ea∣sie concoction, pleasant wine, &c. a∣uoyding moyst, marrish, low or cel∣larlike habitation, ouermuch repletiō & satiety: also such thinges as breede vpbreyding, and loathing in the sto∣mack, grosse meats, drinking of cold water, idlenesse, or restye life, &c. let the quantitie alwayes be spare, yea so that if the partie sometime abstayne vtterly from meate, it shalbe very a∣uaileable for him. then proceede on, to the more sensible taking away of the antecedent cause, by medicine: as firste, preparing the humor by

his syrupe: Rec. oxymellitis compos. syr. de stechade, mellis rofati, ana,* 1.126 ℥.ss. aquae scabiosae, aquae fumiterrae, ana, ℥.j. mix them and make a syrupe for one dose, and so after for moe, as neede requireth. when the humor is prepa∣red, purge then with this potion: Rec. diaphaeniconis, diacatholiconis, elect. in∣di maioris, ana, ʒ.ij. cum decoctione cō∣muni fiat po••us. Or the pouder of T••r∣bith, of Auicen or Rhasis his descripti∣on, or els prepare a magistral pouder, in this order: Rec. rad. aristol. rot. ra∣phani, rad. spathulae faetidae, an.ʒ.j. pim∣pinellae, pilosellae, rutae, an.ʒ.ij. scrophula∣riae, philipendulae, an.℥.ss. anisi ʒ.ij. zin∣zibris, ʒ.j. turbith•• sennae, an.ʒ.iij. zac∣cha.℥, iiij. make herof a pouder. wher∣of let the patiēt take euery morning fasting j•• sponefull in white wine. you may purge also with hiera pigra, pil. chochiae, or pil. de agarico, &c. After cō∣petent purging, by the common pas∣sage of the belly, it will be further al∣so conuenient to clense the bloud by the wa••s of vrine: whervnto this po••iō serueth: Rec. s••rofulariae m.iij. philipped. m.ij. pimpinellae, pil••sellae•• tanaceti, cau∣lium rub. rubiae ma. an. m.j. rad. ••rist. ro••.

spa••hulae faetidae, ••aphani, ana.m.ss•• boile them in vino albo, & melle, ••sque ad cō∣sump••ionem medietatis, then strain thē, and giue thereof to the patient euery third daye, three ounces in the mor∣ning fasting. The conioynde cause, is to bee consydered two wayes: to wit, as it is ap••e or fitte for Reso∣lution, or else vtterlye v••fitte for suche kynde of meanes. If it maye be (therefore) resolued,* 1.127 then vse medi∣cines meete to mollifie,* 1.128 make thin, disperse and separate the matter, such as Diachylon commune, Diachylon mag∣nū, or Diapalma, these be of vulgar vse, but you maye prouide you of more choice & tried medicins amōg these that follow•• first, ex stercore ••aprillo, cum melle & aceto, 2 ••. ex ••aenugraeco, sem: lini, & bra••sic••••e, cum muscilag•• alth••ae.•• •••• ex calce viua, melle vel oleo, vel adi••e su•• illo, 4. ••. ex stercore bubulo & aceto coctis 5. ••. Rec. ••l. antiqui.℥.xij. aeruginis ʒ.xiij. picis siccae, ℥.vj ladani.℥.iij. lithargi.℥.xij. galb.℥.iij. mis••e fiat emplastr. 6. ••. Rec. rad. brioniae, cyclaminis, cucumeris, a∣grestis, altheae, lilij caelestis, an.℥.ij coquā∣••ur in vino albo, terantur, addēdo, ammo∣niaci in aceto diss••luti, bdellij, opoponacis,

in ol sesamino diss••lui••, ana, ℥.j. stercotis columbini, ster••oris caprini, an.℥••j. s••. ••a∣dani, stiracis calamitae, ana.℥••••. pici••na∣ualis•• q.s. fiat emplastrum, 7. ••. Rec. farinae fabarum, far ••ordei, an.ʒ.x. rad. gli∣zerizae, aliheae, ana, ʒ.v. picis ʒ.v. cerae albe, adipis anserini, ana.ʒ.x. ol. veteris, vrinae pueri, ana, q.s. fiat Empl••strum, 8. ••. Rec. stercoris ••ubuli, ℥.ij. radic. cauli∣um. radic. capparorum. squillae, sicuum, ana, ℥.ss. lupinorum, bdellij, ana.ʒ.ij. a∣ceti, mellis, axungiae su••llae•• facis o∣lei antiqui, ana, q.s. fiat emplastrum 9. ••. Recipe ammoni••ci bdellij, Galbani, ana•• par••es aequales, macerentur triduo in aceto, dissolutis adatur surfuris subt. q.s. fiat emplastrum. 10. ••. Rec. radi••••filicis, asphodeli ana, q.s. cequantur in vino op∣timo, tundantur addendo sulphuris vi∣ui, parum. 11. ••. Rec. Stercoris bubuli, ••aprini columbini, anserini, ana.ʒ.ij. farinae hordei, farinae lupinorum, farinae lolij, ana, ʒ.ij.ss. ammoniaci, bdel. galb. in aceto dissol. an.℥.ss. mel.℥iij, suc. ebuli, suc. cauliū, an.℥.iij, axūgiae juillae, q.s. fiat em∣plast. 12. ••. Rec. ol. lili. vellauri.℥.xij. pici•• siccae.℥vi. ladani.℥.iij. litharg.℥.xij galb.℥.iij. styracis, ℥.ij. aerug ℥.xiij. fiat. empl. 13. ••. Rec•• rad. ireos, ℥.iij. coquantur in a∣ceti

& mellis ana, ℥.ix. terantur, addendo•• terebenthinae, resinae, dealtheae, ana, ℥.iij. pulueris cumini, faenugraeci, ana, ℥.j. fiat Emplastrum. 14. Rec. sinapi, stercoris columbini, ana, ℥.ij. micae panis, ℥.iiij. mellis, ℥iij. aceti, li.ss. boyle them to the thicknes of a plaster. An vnguent you may make thus: Rec. cinerum li∣macum•• ℥.j. axungiae suillae, ℥.j.ss. misce, fiat vnguentum. Nowe, if so be you perceiue the matter to be altogither vnfit for resolution,* 1.129 then haue you two waies to endeuour the emptying of it: to wit, suppuration & incision. If you see, it be meete to ripen it, fa∣shion it to your purpose, with a play∣ster made ex farina hordei, pice, olibano, & vrina pueri. Or, if that will not serue, this: Rec. rad. aliheae, liliorum, ana, li.ss. coquantur in aqua, contundantur addendo, alliorum sub prunis coct. caepa∣rum coctarum, ana, ℥.iij. ol. liliorum, buty∣ri, ana, ℥.ij. pingued. suillae, anserinae, ana, ℥.ij.ss. farin•• tritic••ae, faenugraeci. sem. lini ana, qs. vitellorum ouorum, n••ij. fiat empl. Another: Rec. myrrhae ʒ.x. ammoniaci, ••hymiamatis, ana, ʒ.vij. visci quercini, ℥.j. galbani, ℥ss. propoleos, ʒ.j. misce. When it is ripe, open it with instru∣ment

or ruptorie: as, ex calce & sapo∣ne: or, Cantharides: or, with arsenicke. The last meanes, and vtmost in this case, is manual operation: which is to be vsed, when the tumor will neither giue place to resolutiues, nor yet bee ordered by maturatiues, as hath bene hitherto said. The same manual ope∣ration is thus to be perfourmed.* 1.130 Let the patient be laide along vppon his bed, his feete fastened sundrily to the bed postes, and his head firmely hol∣den of some that are assistant to you in that worke: then deuide the skin, that lyeth ouer the Tumor, with a straight lyne, or somewhat slopewise: because likewise, the vessels & nerues, cōtained in the same do lie in straight maner answerably•• this alwaies proui∣ded, that you work not so roundly, as to rush thorough the thicknes of the skinne, at once, with one incision, but by leisure: for nothing is violently to be performed in this busines. & in the lesser sort of thē, which are also of the gentler conditiō, a simple lined sectiō wil serue, but in the greater sort, the incision must be made after the figure of a Mirt leafe: & the veines & arteries

gently, and by little and little, bared, must be put aside. After this, dilate, and stretch wide open, with mullets, or little hookes, the lippes or bor∣ders of the deuided skinne, and ei∣ther with your fingers, lancet scale, or spatule, seperate the membrans, vntill by little and little the lump be∣ing deliuered from all his holds, may be taken foorth. But if it be enwrap∣ped with vessels, with great heede then is the businesse to be handled, lest by any negligence committed, great fluxe of bloud should followe. In such a case therefore, it is best to drawe open with your mullets but one of the sides, & so with your lan∣cet, by little and little seuer the same from the partes tyed to it. And this once done on the one side, perfourm so much after on the other side. There being special care taken, le••t either the arteries called Carotidae, or yet the recurrent Nerues be violated or tou∣ched. Now, if it doe fall out, that in making in••sion, through hitting vp∣on some vessel, there follow such pro∣fusion of bloud, as tendeth to the hin∣derance & trouble of this your bu∣sinesse,

then shal you tye vp the same vessel, or (vnlesse it be verie great,) cut it quite asunder: either else, if it bleede not with any full force, stop it with remedies for such a purpose: & so proceede on with your worke be∣gonne. b 1.131 And when you haue procee∣ded so farre, in vndermining it, that you haue brought the foundation of it to a narrow point, it behooueth to cut it vp expertly, and cunningly: as also, to search diligently the place, whither there be other moe strumae thereto adioyning, which in like ma∣ner (if you finde any) you must draw out, as is aforesaide. As for the fluxe of bloud, that is not verie forcible, but in meane sort, such (I say) you may easily stay, by medicines of dry∣ing facultie: as stuphes, spunges, or battes of cotten dipt, and againe wrong out in cold water, or vineger, or ••xycra••um: which is a mixture of them two, and so applyed. But if your proceeding hitherto be free, & withe out any interruption of bloudie flux∣ions, then go on to fill the wounde with powder of thus, & c 1.132 lintes, byn∣ding vpon (for the better staying on

of the lintes) wooll wet in wine. Againe, if the case so fall, that anye notable or large Veine bee growen fast to the roote or bottome of it, then shall it not bee good to cutt it vp by the roote, but to make a strong t••all or bindinge vppon the same ves∣el, and so leauing it in his place, till by little and little, it maye breake loose from his holde, and fall foorth without daunger. The tiall or band must bee of such a matter, as maye not easily putrifie: as threed of silke: for those thinges that easily putrifie, doe soone let slip the holde that they haue. Moreouer, if your worke thus finished, ther yet remaine any parte of the bladder, or membran that enwrapped the matter of the afore∣saide Tumor, or any other outward thinge else remaine behinde, it is to bee consumed by filling the wound, the firste daies, with Cotton, wet in salt water: and after applyinge vn∣guent. d 1.133 AEgyptiacum. To conclude: if the sore beeing opened, appeare filthye, cleanse it with vnguentum a∣postolorum, vnguentum AEgyptiacum, Emplas••••. Diachylon, Diapalma, mun∣dificatiue

ex apio: or, puluis M••r∣curij. After, if it bee hollowe, fill it vp with flesh: applyinge thus, aristo∣lochia, pompholygos, al••es, cadmia, manna, myrrha, fuligo thuris, vn∣guentum aureum, Me••uae, vnguentum fuscum Ni••olai, croceum, Te••rapharma∣cum, &c. Lastly, to the Cicratrize, with such as, gallae immaturae, mirthus, malicorium, squamma aeris, Chalciteos, ae∣rugo, scoria plumbi, stibium, ceratum mir∣thinum, cadmia cr••mata, cerussa, pom∣pholygos, thutia, bolus armenus, ••erra si∣gillata, plumbum vstum: or, vnguentum alb. Rhasis, &c. And if paine much solicite the cure, striue to mitigate the same, with a stuphe wet in the white of an egge, and oyle of Roses, or with vnguentum Populeon, or anye such other medicines mitigatorie.

ANNOTATIONS.

^a And inclosed with a membran.

^b Here, though I haue not followed•• the wordes of Wecker, yet by the light of sense, and euidence of Aegineta, I haue aymed nearer the trueth.

^c (As you would say) lintie properties, in∣cluding plageats, dozelles, or any such formes, as the Ch••••urgion vseth to dresse vp a hollowe wound.

^d Or pulu. praecipitati, or such other pra∣ctise as all common points are ••uer refer∣red to the artistes iudgement.

^e Struma is called of the barbarous sort, scrofula,* 1.134 and englished the Kinges or Queenes euill, being commonly cured by the hande of the Prince, and otherwise therefore, seldomer striuen withall a∣mong vs.

Supplie.

* 1.135HItherto may bee also reduced, the Tumor called Glandula, which is like a little kirnel, soft, mouable and separate from the parts round about it: growing common∣ly in the emunctories. It is cured by artificiall incision, or the like resol∣••ing, and outspending medicines, as other like tumors: or, R••••. nucum cu∣pressi, ʒ.j. ficus acerbas, iij. misceantur cum succo sambuci, and apply it: Else, ammoniacum in aceto acerrimo eliquatū: or, empl••strum de bdellio: or the me∣dicines

vsed to Ganglion, which tu∣mor also, for supply sake, may here be ranged: though not for likenesse of generation and place: yet for agreea∣blenesse of proportion and cure. Ganglium,* 1.136 is a concretion, or knottie growing vpon some sinewe, or tendon: the place is commonly the wrest of the hande, & insteppe or ankle of the foote. It commeth of some stroke: or extreme labour and straine of the parts:* 1.137 through which slymie flegme or, (as fernel) natural melancholie: or yet (perhaps more rightly) the vis∣cous nourishment of the tendon, and panniculous partes (partly pressed out by the present violence: partly, af∣terward excerned through resolution of the brused places) gathereth there togither, and wanting cure, in time, compacteth, and groweth to hardnes. Calmeteus often cured it,* 1.138 by rubbing it often with spittle onely. Howbeit, in others, hee hath vsed this processe of cure. Rec. fol. sambuci, P.j. salis mo∣dicum, masticentur simul, and chaffe the Ganglium therewith, till there bee no iuyce or moysture left: then an∣noynt it with this vnguent. Rec. mu∣cilaginis

altheae, lini & faenugraeci, ana.℥.ij. ol. chamom. lilior. & irini, ana, ℥.iij. ol. sambuci, ℥.ij. coquantur ad consm. mu∣cilaginum, postea adde, gummi ammoniaci, bdellij, opoponacis, & sagap. in aceto dissol. ana, ℥.js••. axungiae anseris & anatis, an.℥.j. axungiae suillae veteris salis expertis, ••i.ss. medullae ••ruris vituli & cerui, ana, ʒ.x. spumae maris, ℥.ss. fiat vnguentum. Aplaster: Rec. empl. oxycrocei, ℥.j. muc∣caginis altheae, lini & faenugraeci, ana ʒ.v euphorbij, sagapeni, ammoniaci, ana, ℥.iij. resinae, ʒ.vj. cerae albae, ʒ.iij. dissol∣uantur gummi in aceto, fiatque emplast. When Ganglium by these meanes, is sof∣tened, vppon the fresh remouing of the plaster, whilest the place is yet warme, fixe your thumbe vppon it, and with fine force, crush it in sunder, and binde laminam blumbi, rubde ouer cum mercurio, vppon the place, for ix. or x. dayes. Nodus is the like knottie fourmed gathering,* 1.139 as Gan∣glium, growing anye where without the ioyntes, and kernellie places: as sayeth Fernelius loc. cit. It is cured by the like resoluing and discutient medicines, as those others aforesayde. The Arabians, and their sectaries are yet full gorgde, with needelesse names, and differences of

Tumors, which (wishing for a Hercules,) I will not touche.

CHAP. XII. Of Atheroma, Steatoma, and Meliceris.

ATheroma, is a Tumor voyde of paine,* 1.140 or chaunge of co∣lour, contayning in the mem∣bran, or some sinewie coate, a clammie humor, a 1.141 like a pulteis made of sodden meale. Meliceris is a Tumor in like sort voyde of payne, but rounde, and containing in a si∣newie coate, a thinne humor re∣presentinge the substaunce of Ho∣ney.

Steatoma, is likewise a Tumor in colour nothinge differinge from o∣ther partes: softe in feeling, small in the beginninge, but much enlar∣ging and increasing in processe of time: the humor it containeth is like sewet, and is also incloased in his pro∣per membran.

The inwarde cause is Phlegmatike,

humor, which the signes of flegme a∣bounding in the bodye,* 1.142 wil declare•• outward causes•• befals, strokes, surfe∣ting, drunkennesse, &c. which may be descried by the patient. you shall ac∣knowledge atheroma•• by that it is a tu∣mor lying longwise and somewhat high ridged, and which being printed in with the finger, returneth slowlye to his forme agayne, by reason of the humors clamminesse•• also melliceris is discerned by his roundnesse & thin∣ner substāced humor, then that in a∣theroma: being (as is sayd before) like honie, and this tumor being pressed with the finger, both yeeldeth backe speedily, and also returneth as hastily to his olde fashion agayne. But Stea∣toma contrariwise, is hard, resisting in feeling, and giuing no place to the fingers pres••ing it, the humor being indeed sewet like.

* 1.143Meliceris is to be dealt with by di∣scutients, corrosiues, and incision. Atheroma with corrosiue medicines & incision onely. But Steatoma, no o∣ther waye then by incision.* 1.144 For the abating of the antecedent cause, set downe the same dyet, that before is

appointed in Oedema. Then prepare the humor,* 1.145 with syr•• acetosus, de bizan∣tijs, de hissopo, de duobus radicibus, de quinque radicibus, de stechade, oxy sac∣charum, mel. ros. co••atum, oxymel simplex, oxymel scylliticum: of these, as shalbee thought good, giuen with waters ap∣propriat, as, de betonica, hissopi, faenicu∣li, saluiae, melissae, primulae veris. So af∣terwarde make your purge of semen ••arthami, polypodium, agaricum &c. Or if stronger be required, Colocynthis, Turbith, esula, euphorbium, elleborus al∣bus &c. These also you haue readie compounded, Diaphaenicum, Indum maiui, Elect. diacarthami, elect. de citro sol. Againe•• Pill. de agari••o, pil. Chochiae, fetidae, de benedicta, pil. arthreticae, pill. de opoponaco, de euph••rbio &c.* 1.146 Nowe if the conioynde cause bee meete for resolution, discusse the same with these plasters. The first: R••c. rad. cy∣claminis, q.s. axungiae veteris, sulphu••is viui, ana, part.j contundantur & fiat em∣plastrum. 2. ••. Rec passul. enucleat••∣rum, n.xx. squammae, ℥.ss. misce. 3. ••. R••c. passularum enucleat. li.j. cumini triti, ℥.vi. nitri, ℥.iij. contundantur & miscean∣tur. 4. ••. Rec. salis ammonia••i, spumae arg.

cerussae, ••na, li.j. cerae, terebentinae, galbani, opoponacis, ana, ℥.j. rubricae sinopicae, ℥.vj ace••i ℥.vij.ss. misce. If they wil not be resolued, consume them with eating medicines: as with a plaster made ex calce, sapone & lixiuio: or, Rec. calcis viuae, ℥.ss. faeculae vini combustae, nitri li∣quidi tosti, ana, ʒ.ij minij ʒ.j. cum li∣xiuio ••iat empl.: or, Rec. squammae aeris, ℥ss. arsenici rubri.ʒ.ij. ellebori nigri, ʒij. cum rosaceo fiat empl. or, Rec. ••ryna∣ceorum vstorum, testae sepiae, auri pigmen∣ti, ana, part•• aequales: cum rosaceo fia•• empl. Apply your playster and make a deepe escar: then make incision di∣rectly through the middest of it, euen to the quicke, putting after into the place of the incision, arsenicum subli∣matum, or one of the causticks afore∣s••ide. El••e, if you choose rather, to ac¦complish the matter by incision, then by the co••rse of eating medicines, nowe deliuered: then must your inci∣sion be after the fourm of a Mirt leaf, and sl••opewise: s•• that no nerue, veine, or ••••erie vn••erlying may receiue 〈◊〉〈◊〉 •• vnlesse the tumor be in the 〈◊〉〈◊〉 or such places, in which, the incision must be ouerthwart, because

of the doubling or pleating of the skinne, in those places, whilest the partes bee moued. And so the verie purse or bladder, wherein the humor is lodged, must be wholly taken out, lest the same affect eftsones reuiue a∣gaine. The bloud that issueth while the bladder is rootinge vp, is to bee stayed, with applying a sponge dipt in ox••crato: or the white of an egge, mixt with astringent pouders: and euer in such kinds of operations, me∣dicines that asswage paine are to bee vsed: as the white of an egge, with rose oyle. If there hap to remaine a∣ny parte of the bladder of it, waste it awaye after, by corrosiue medicines: such as vnguentum AEgiptiacum, or the powder of Mercurie.

Of Melancholike Tu∣mors. CHAP. XIII. Of the true, or legitimate Scirrhus.

* 1.147THE ligitimate scirrus, is a tu∣mor verie harde, and void of paine: neuerthelesse, not alto∣gither insensible. It is ingen∣dred of the naturall melancholik hu∣mor. The inwarde cause is melan∣cholike iuyce,* 1.148 gathered in the bodie, by reason that the Splene hath not wel performed his office in draining it. And this is the antecedent cause, acknowledged by the signes of Me∣lancholie.

The conioynde is, when the same Melancholik iuyce is impacted (now) in the part affected. The outwarde cause is, euil regiment of life, that en∣gendreth and heapeth vp thicke and melancholike bloud, which by the patient his relatiō is vnderstood The tumor is harde, and stiffely resisting: the colour, meane, betwixt red and blacke as it were browne, or swar∣tish colour. The sense or feeling of the place, dull.

* 1.149Scirrhous tumors, in the begin∣ning, appeare small, but in processe of time, by little & little, they are increa∣sed, & become greater: these melan∣cholike tumors, if they be wel han∣dled,

are cured by resolution: some∣time they continue indurate: and manie times degenerate into a Cancer. For the cure of this tumor:* 1.150 first, prouide for the melancho∣like humor, abounding in the bodie, & being the antecedent cause of the same, by diet:* 1.151 as, prouiding for a tem∣perate aire, the sleepe longer then ac∣customed, moderate exercise, solluble belly, & tranquillitie of mind. Let the bread be of wheate meanly salted & leauened, but wel baked. Let his meat be reare egges, chicken, henne, capon, Indian Pecocke, partriche, fesant, quayle, yong kidd, veale, Weathers flesh &c. Also, spinage, lettuse, bor∣rage, buglosse, hoppes. His drinke, wine, both thinne & sweet smelling: being warie to auoid all immoderate exercise, excessiue affections of the mind, as carefulnesse, sadnesse, &c. watching, cou••se or brannie bread, biefe, goates flesh, hares flesh, foxes, snailes, & salted meates. Of potherbe•• shunne coleworts, and of pulse, most of al lintels: & al grosse wines, & red. To conclude: let the whole order of his dyet be sober & moderate. The

dyet thus appointed: if you spye the bloud to be verie thick & black, & no other impediment stand in the waye, open a veine, then prepare the humor, with medicines heating and moiste∣ning. as with this apozeine:* 1.152 Rec. rad. & fol. lapathi acuti, rad. & fol. buglossae, boraginis, funariae, herbarum capil. com. cichoroj, endiuiae, rostri porcini, lupulorum ana, m.j. melissae, m.ss. 4 sem. frig. ma. con∣tusorum, ana.ʒ.ij. sem. portulacae, ʒij. anisi, faeniculi, ana.ʒj. passularum mun∣dat.ʒ.vj polipody ℥j. senae.℥.j.ss. thy∣mi, epithimi, ana, ʒ.ij. florum violarum boraginis, buglossae, ana, P.j. fiat decoctio, in colaturae li.ij. dissolue, succi pomorum o∣dorif. succi buglossae, ana, ℥.iiij. boyle them againe to li.j.ss. & with suffici∣ent quantitie of suger make your a∣pozeine. Clarifie the same after, & a∣romatize it cū pulueris diamargar. frig. & diatrag. frig. ana, ʒj. vse it at iiij. doses. Either may you for that pur∣pose vse syrops: as, de fumaria, buglossa, boragine, en••iuia, cichorio sine rhabarba∣ro, epithemo•• scolopendria &c. oxysaccha∣ra &c. else one thus compounded Rec. syr. de fumaria, syr. de buglossa, vel endiuia, syr. de scolopendria, syr, de epithi∣mo,

ana, ℥j.ss. aquarum lupuli, aquarum ••ichorij, ana, ℥.vj. pul. santal. mosc. cina∣momi, ana, ʒ.j. fiat syr. clarifie and aromatize it, for iiij. doses. The hu∣mor thus made readie, craueth ou•• purging, by these meanes ensuing: as simple medicines: sena, epithimum, polipodium, fumus terrae, lupulus, volubi∣lis, cassia fistula, mirabolani indi, lapis lazuli, eleborus niger, &c. Compounds are, Diasena, diacatholicum, hiera ruffi, &c. Triphera persica, &c. confectio ha∣mech. Or, Rec. sennae orient.ʒ.ij. rha∣barb. opt.℈.iiij. cinamomi, gr. v. infun∣dan••ur in ℥.iiij. seri caprini, & exprimā∣tur, adde syr. violacei, ℥.j. f••at potio. Stronger ones: Rec. diacatholiconis, Tri ferae persi••ae, ana, ʒ.iij. diasennae sol.ʒ.ij rhabarbari in aqua endiuiae infu••i, & ex∣pressi, ʒ.j. cinamomi, gr.iiij. ••quarū lu∣p••l & endiuiae, an.℥ij. mis••e fi••t po••io. Another: Rec. confect••l••a n••ch. diasennae sol. ana, ʒ.ij. mannae granatae, ℥.j. me∣dullae cas••iae, ʒ.v. aquae cichoriae, aquae fum••riae, an.℥.ij. decoct. thimi, & epithimi & 4. sem. frig.℥.iij fiat potio. As for the melancholike iuyce, gathered into the affected parte, beeing the cause conioyned: that must bee sauftened,

seperated and discussed, by all good meanes,* 1.153 to which purpose serueth: O••∣sypus, lana succida, butyrum, ol. amigda∣larum, ol. chamomaelinū, anethinum, lili∣orum, &c. adeps gallinaceus, vulpis, an∣serinus, ••axi, ana••inus, vrsi, suillus, leo∣••is, aquilae, vulturis, medulla vituli, cerui, &c. mu••ilagines, propolis, cera, ca∣••i••ae pingues, malua, althea, lilium, bran∣ch•• vrsina, ammoniacum, bdellium, g••lba∣num, styrax, pix liquida, resina, &c. Rec. caricarum ping. xij. coquantur & te∣vantur, addendo ammoniaci, bdellij, gal∣bani, in aceto dissolus. ana, ℥.ij. styracis liquidae, ℥.j. mucillag. al th••ae, f••n••graci & sem. lini. ana, ℥.ij. Oesypi, butyri re∣cent. ana, ℥.j. ol. ricini, vel sesamini, v••l li••iorum, ℥.iij. c••rae, q.s. fia•• emplastrū or, R••c. rad. lilio•• um & al••heae coctarum & cont••sarum, ana, li.ss. adipis lupi, a∣quilae, vul••uris, ana•• ℥.iij. adipis anseris & gallinae ana.℥.ij. ol. I asmini vel sam∣b••cini, cerae, propoleos, ana, qs. fia•• empl. Another: Rec. muccaginis rad. altheae•• medij cort. vlmi. mucil••g. sem. lini, & ••aenugraeci ana, ℥.iiij. ol. chamomelini, a∣netini, liliorum, ana, ℥.j. ammoniaci, gal∣bani, opoponacis, sagapeni, in aceto disso∣lu••orum, ana, ℥.ss. te••ebynthinae, ℥ij. croci

ʒ.ij. cerae, ℥••ij.ss. fia•• emplast. Another plaster: Rec. stereoris asinini li.••s. ammo∣niaci in aceto dissoluti, ℥.iiij. ladani puri, masticis, ana, ℥.iij. axungiae anatis, gal∣li••ae, ana, ℥.ij. ol. mastichini, cheirini, a∣na ℥.ij.ss. cerae q.s. fiat ••mplastrum. An v••guent: Rec. rad. genistae, hyperici, fol. cupressi, & scrophulariae s••ccorum, a∣na, ʒ.v. lithargirij auri•• ℥j. mucilag. sem. lini & faenugraeci, ana, ℥.ij. ••l. v••l∣pini & liliorum ana, ℥.iiij. ce••ae q.s. a∣ceti parum fiat vnguent. Another: Rec. ammoniaci, b••ell••, in sapa diss••lus. ana•• ℥.iij. mirrh••, thuris, o••ibani, ana, ℥.j. pingued•• anguillae, gallinae, & aqui••ae, a∣na, ℥.j. adipis vituli, ℥j ••s. olei antiqui & liliorum, ana, ℥.iij. cerae, q.••. aquae vitae parum, fiat vnguent. An Epithem: Rec. ••ad. cucumeris agrestis, rad. alth••ae, ana, ℥ij. maluae, branchae vrsinae, ana, P.j. sem. lini & faenugraeci, ana, ℥ij. fiat de∣coctio, & therewith foment the place.

After coque in aceto sa••ureiam, & cast of the same acetum, super lapi•• ē∣molarem made hote in the fire, and let the vapor therof be receiued of the place affected. And again also by course, vse your molli••ying & discutient medicines, as teacheth

AEtius out of G••len.

Of Cancer not vlcerate. Cap. xiiij.

* 1.154CAncer is a hard, vnequal, round, & venomous tumor, hote, black of colour, sod••nly encreasing, verie ve••∣ing to the patiēt, & almost with per∣petual pain afflicting, called in Greek Carcinoma. The antecedent cause be∣ing melancholik humore abounding in the bodi, is spied out by the partie•• melancholike tēperature, & dyet: Also by cōiecture of the time of the ye••e, declining age, &c. The conioyned cause is melancholicke iuyce,* 1.155 contai∣ned in the part affected, & appearing with a hard & resisting, vnequal, swa••∣tish or browne tumor, swelled & ex∣al••ed veines, in the compasse round a∣bout•• like the Cancer that falleth into the throte. The patient feeleth about the place affected certain ierkes, (as it were) a soudiane pricking. Some∣time again, it is heauie & dul of sense.

* 1.156The thicker & blacker that the hu∣moris, so much the worse is the af∣fect. This disease can growe in any part of the body, but especially about the face, eares, lips, & womens brests, that lacke their natural course. It is of

his whole nature, a grieuous & perni∣tious disease. It is hardly at any time healed, through the thicknesse of his iuyce, which in deede, can neither be repelled, nor discussed, nor yet be spēt away by purgation of the whole bo∣die. But rather verie often, of a not vl∣cerate Cancer, it becōmeth vlcerate: either whilest the humor, lurking in the vessels, in space of time doth pu∣••rifie: or else the affect it selfe being prouoked, & set on mischief by me∣dicines, vnaduisedly ministred. Only those Cancers, that bee in the moste outmost partes of the bodie, receiue curation: but those that haue gotten deeper lodgings admit no cure. The Cancer likewise that is inueterat, and now confirmed, admitteth not cura∣tion: otherwise then by rooting vp the same with incision or burning. Can∣cers for the most part, light vpō those men, which haue been acc••stomed to hem••hoi dall purging, & haue nowe lost the benefite of the same.

First, to buckle with the antecedent cause,* 1.157 you must prouide both for the prohibiting of the generatiō of mela∣cholie, throughout the whol body•• as

for the manifest euacuation of the same, if it bee aboundant. Appoint your rule of dyet therefore moyste∣ning,* 1.158 and also meetely cooling: his meat of good iuyce, as barley cream, mountaine birdes, fish of stonie ri∣••ers, reere egges. His herbes, mal∣lowes, arage, betes, spinage, gourde, borage, &c. wine thinne and delayed, auoydinge salte and sharpe meates, and all that gender melancholike iuyce. Seing also that the whole dyet be spare, and moderate. It is good to open a vaine, specially if the bloud appeare black and thicke, and the age and strength agree thereto: or if the menstruous course or hemrhoydes haue beene suppressed before fiftie yeares of age.

* 1.159Then prepare, and concoct the hu∣mors, with that apozeme prescribed in the curation of Scirrhus: addinge moreouer to it, acetosae, m.j.ss. sem. a∣cetos••e, serici crudi, ana, ℥.j. corticum ci∣tri, sem. citri, ana, ʒ.vj tamarindorum.℥.j coquantur in aqua decoctionis rana∣rum viridum dicoct••oni misce, succi mali punici maturi, suc, ros suc. pomorum odo∣ratorum, ana, ℥.iij. aceti passulati, li.ss.

zacchari q.s fiat syr. perfectè coctus, ad li.ij. Vse the same with whay for fiue or sixe dayes. The syrupe likewise set downe before in Scirrhus, is fitte in this case. The humor thus prepared, purge out with hiera ruffi, pillulae indae, confectio hamech, diasenna, &c. or this: Rec. storum violarum, storum boraginis, buglossae, an. p.j. epithimi ʒ.iij. senae, ℥.ss mac••rentur per decem hora••, in ℥.iiij. seri lactis, then straine it, and adde to, syr. violati, ℥j.ss. dia••rimorum sol.ʒ.ij. fiat potus. Rec. fumariae, m.j. sennae, epi∣thimi, ana, ʒ.iij florum ro••ismar. p.ij. in∣fundantur in ℥iiij. seri lactis, & ijs ex∣pressis, dissolue, rhabarb. in aqua b••ra∣ginis infusi, ʒ.j. cinamomi, gr.iiij. man∣nae, ℥.i.ss•• cassiae, ʒ.vi. fiat potio. beside•• this course of purging, it is conueni∣ent also, to prouide this electuaries for the further consumption and dri∣ing vp of the matter, by little and lit∣tle: Rec. pul. cancrorum, ℥.iiij. pul. lima∣cum, pul. ranarum, an.℥.ij•• cortic. citricō∣dit.℥.ss. rasurae eboris, ossis de corde cer∣ui, ana, ʒ.iij. xylobalsami, ligni aloes, ••antali mosc. corallirub. limaturae chalybis ana, ʒ.ij. sem. acetosi, sem. citri. sem. en∣diuiae, ana, ʒ.j. ambrae.ʒ.ss. conserua

boraginis, buglossae, anthos, ana, ℥.ij. aquae meliss••e & tormen••••llae, ana, ℥.ij.ss. fiat e∣lectuarium. Hereof let the patients bee taking euery houre as muche as he listeth•• and in all your purging, obserue this rule, that you prepare the humor often, and so purge gent∣ly and by little and little, not at once nor aboundantlye. The antecedent cause thus tamed, laye your siege to the conioynde, with all such engines, as may both scatter all the force of it, in the member contayned, as also harten and confirme the part against all the new inuasions of humoral ho∣stilitye. To the whiche businesse, these simples are assistaunt:* 1.160 solanum, ceterach, agrimoni••••, hypericum, cen rum galli, succus coriandri, lentes in aceto co∣ctae, carnes coclearum, elixae, can••ri fluui∣a••iles, ranae virides, ster••us humanū, plū∣bum vstum & elo••••m, ol. ran••rum, ol. sulph••••is. Vsuall compounds also are these: vng. de pomphol••ge, vng. de cācris fluuiati••ibus, cū a••ūg. gallina & thutia, & diapalma. Les vsual are these: Rec. succi plantagin••••, ℥.v. suc••i solani, aut vermic••laris, succi symphyti minoris, a∣na, ℥.ij••ss. olei ros. ompha••ini, ℥.iij. In

the heate of the sunne stirre these wel togither, in a morter of leade, till it become thicke as glew. Another: Rec. boli armeni, terrae sigillatae, ana, ℥.j. lapidis calaminaris, cerussae lotae, ana, ℥.ss. thutiae preparaiae, marcas••ae, ana.ʒ.iij. pul. ranarum viridium, pul. coclearum, in clybano exi••catarum, ana, ʒ.iij. ly∣thargyrij au.ʒ.ij. ol. ros. omphacim, ℥.iij ol. ranarum, ℥.j.ss. ace••i, ℥.ij. albuninū o∣uorum. no ij. cerae qs. coniundantur diu, in mortario plumbeo, & fiat vnguentum. A∣nother: Rec. litharg••rij loti, cerussae lotae, thu••iae preparatae, ana, ℥.j. plumbi in vino loti, ℥.ij. o•••• ros.℥.vi. aquae ros.℥.iij. ac••ti, ℥ j. alb. ouorū, no.ij. c••rae albae, ℥.j.ss. caphu∣rae, ℈.j. fiat vnguentum. A liniment to the same purpose: Rec. Testarum can∣••r••rum fluuia••i••ium, vstarum, ℥.j. pul. ranarū, ʒ••iij. litharg. auri.℥.j. plūbi vsti & loti, thu••ie preparatae, an.ʒ.ij. cerus∣s••e, in aq. ros. lotae, ʒ.j. ss. suc. bursae pasto∣ri••, & plātag. an.℥.iij.ss. ol. ros omphac••∣ni, vel mirthini, ℥.iiij. stir them long in a leaden morter, and make a linimēt. The force of your medicins is to bee quickned or rebated acording to the greatnesse of the affect,* 1.161 & tēperature of the part, agayne the tymes of the

disease must be considered•• for in the beginning, and in time of purging, your local medicins must beat back, in the augmentation, and when some reasonable purging hath bene, you must both beate back and discusse. in the state and declination, and when the whole bodye hath bene purged, then absolutely those things that dis∣cusse and spend it away the parte af∣fected being also thus prouided for, it is further necessary to vse meanes for the strengthening of the hart, and liuer: which scape not scotfree, at the hands of so great an enimie, but feele annoyance: though the same come to thē (as it were) at the second hand. For the better arming therefore, of those noble parts, make this electua∣rie:* 1.162 Rec. confectionis de hyacin••ho, ℥j.ss. confectionis alchermes, ʒ.iij. conseruae rosarum, conseruae radicum buglossae ana, ℥.j. syr. de p••mis, q.s. fiat elect. Of which electuarie, let the patient take foure times in a weeke, two houres before his meale, the value of a nut, drinking vpon it a little good wine, delayed with buglosse water. or these lozen∣ges also you may applye to that pur∣pose,

at your liking, Rec. fragmento∣rum lapidum pretiosorum, ana, ℈.ij. mar∣gari••••••••••m praepara••arum, ʒ.j. coralli ru∣bri, coralli albi, ••na, ʒ••ss. sem. endiuiae, sem ci••ri, sem. portulacae, ana, ℈.iiij. li∣maturae eboris, ℈.ij. san••ali mosc.ʒ.j.ss. mirabolanorum emblic condi••. cortic. ci••ri zaccharo conditi ana, ʒ.ij. mosci, ambrae, ana, gr. vi. zacchari albissimi, in succo pomorum diss••luti q.s. fiāt tabulae. which the patient shall vse euerye morning dayly. in the mean time if there hap∣pen any furious motion, or payne in the plate which breedeth extraordi∣narie disquietnesse,* 1.163 mitigate the same with this vnguent, Rec. olei ros.℥.iiij. sem. papaueris albi, ℥.j sem. hyosciami, o∣pij, ana, ʒ.ss. gummi arabi.℥.si. cerae parum, miscefiat vnguentum.

Of the Tumors in particuler: And first of those that be in∣cident to the head. CHAP. XV. Of water in the head of a childe.

* 1.164THis Tumor, called Hydrocepha∣lus, happeneth in the heade of an infant, newly borne, being of water, enclosed betweene the skull and the skin.

* 1.165The inward cause is watrish humor outsweating, by reason of the open∣nesse of the pores. outward cause, vn∣skilfulnes of the midwife, not cun∣ningly pressing the head of the child. If it be betweene the outer skin and the skull, the tumor is sauft, of a like colour, ••ometime without payne, and somtime painful, outswelled, & yeel∣ding easily to the pressing of the fin∣gers, &c. if it be between the skull & the mēbran of the brain, then is not the tumor sauft, and easily pressed in with the finger. but the payne is shar∣per, they shead teares often, their for∣head bouncheth oute further: they looke winking with their eyes, and moue their heads diue••sly.

* 1.166If so be the disease be gathered, & lurke vnder the skull, then as a despe∣rate case apply no hand vnto it. For the spending of that watrish hu∣mor,* 1.167 see that the childe in diet, vse d••ying things, auoiding the cōtrary.

Also let it liue thinly,* 1.168 drink litle, & be kept solluble, &c. Medicins wasting the humor & strēgthning the part, ar of this sort: calamenthum, ••riganū, pule∣giū, serpillū, saluia, betonica, sauin••, cha∣mom. melilotū, stacha••, flores anthes, ane∣thum, rosae, furfur. with these boyled in lee, or sower wine, maye you make means to moistē & bath the hed. also linimēts & plasters for the purpose, as followeth:* 1.169 Rec. pul. absinthij, pul. cha∣momillae, p••l. melilo••i, an.℥.ij bu••y••i recē∣tis, olei chamomelini, an.℥.iiij. cerae pa∣rum, fiat linimētū. Another: Rec. ol. cha∣momillae, vel anethini, ℥.iiij. sulphuris, ℥.j fiat linimēt. Wherwith twise a day an∣noint the head of the child, & couer it with lana succida. A plaster: Rec. mellis li ss. origani, m.j.ss. salis, ℥.ss. ••isce fiat emplaest. The chirurgians hand is not, so safely to be vsed in this case•• neuer∣thelesse if it be thought necessarye,* 1.170 then must the incision bee made ac∣cording to the quantity of the mat∣ter. Some make incision from the hinder part to the fore part, a 1.171 diame∣ter wise. Othersome in cutting, make a triangle: Others again doe it in fa∣shion of a crosse, but howsoeuer

it be done, obserue this stedfastlye, that the water be let out but by lit∣tle and little, lest the strength of the infant fayle: and as for caustike me∣dicines, which are sometimes vsed in steede of incision, they seeme not so safe, or allowable in this case: for the nearenesse of the brain, &c. amongst the rest, the part affected which is the head, must be strengthened with dri∣ing and warming medicins. as this, in forme of a pomander. Rec. castorei, ru∣tae, ana, partes equales, mosci, gr. aliquot: cum succo maioranae make your Po∣mander, which often applie to the in∣fants nose•• you may vse to the same purpose, Cyper••s, galanga, nux muscata, caryophilla, belzoin, and such like.

ANNOTATION.

^a Diameter is a line, deuiding any fi∣gure iust in the middest.

Supply. CHAP. XVI. Struma and nodus in the head.

THese particulars, for their ante∣cedent cause are so to bee proui∣ded

for, as before is put downe in the general. obseruing in purging, to vse most specially pilles,* 1.172 whiche through their long abode in the stomach, doe draw from farre. If the matter you woulde purge be cold, vse these: pil. alephanginae, pil. de hiera, pil. assaieret, de agarico, cocciae, arabicae, or aggregatiuae: or if it be hote, these: pil, de rhabarba∣ro, de mir abol. pil. aureae, assaieret, aggre∣gatiue, or defumaria. if it may be resol∣ued, or else, if it must needes be sup∣purated, proceede in eyther purpose with locall medicines, as is also in the generall. obseruing, that when the tumor commeth to matter, you pro∣cure vent so soone as is possible: least it corrupt the bone. Now if the bone be foule, then is the cure the same, as in the corruption of the bone, tho∣row the frenche disease. In both which if the corruption be but small in compasse, deale with it by incision and mundification, ex melleros. tere∣binthina, puluere ireos, myrrhae, thuris: according to that is handled hereaf∣ter in the fracture of the skull: con∣suming the putrified flesh (if there be any) with merc. praecipit, or other such,

ordinarily practised in the curing of vlcers. But if the corrupted bone bee very large in compas, some counsail to leaue the cure to his prognostica∣tion: notwithstanding, I alwayes deeme a doubtfull cure worthy to be prescribed to a desperate forsaking: so that a christian resolution be firste stoode vpon by the patient, and his friendes: and then, ripe iudgementes with an experte hande, applied to the businesse. By whiche manner of pro∣ceeding, that we maye (at the leaste) sometime doe great cures, Calmeti∣us euen himselfe, that doubteth so muche, giueth great hope: in decla∣ring that he tooke out the whole co∣ronall bone once, and cured yet the party safely. No lesse also are wee in this confirmed, by the practise of Ar∣caeus and ••••tallus, as appeareth by ma∣nifold ••estimonyes, in their treatises of woundes in the heade. Goe for∣ward therfore, to take away whatso∣euer nature hath separated as vnpro∣fitable, so that you do it stil, with such moderation as you may appeare, to follow nature alwayes at the heeles, but not to go before her one steppe.

whiche you shall do (if you finde the bone largely putrified) by taking a∣waye, not all at once, but peece after peece, as nature supplyeth flesh in the roome thereof. If the bone corrup∣ted be in one entier peece, so that the remouing thereof at once, should be daungerous, for the sodain alteration of the braine by the aire (which is the doubt & the case that Calm. remēbe∣reth) thē shall you work safest, either to break away the same pecemeale, if it wil easili break, or els to bore it, in diuers places, & euer after, as by your medicines, flesh groweth about it, to bre••ke it of furder: til so at the lēgth, you haue remoued the whole. Youre medicins in the mean time, aplied to the hard mēbran, must be such, as are set down in the wounds of the head: except only ther be exceding foulnes in the same, with superfluous flesh, & thick mater aboūding: in which case, you are rather to reach into the cure of vlcers, for some mūdificatiue: or els apply praecipitate,* 1.173 of Arcaeus praepara∣tion: which he warranteth, then appli∣able, to the hard mēbran it self. & this is the order of it: Rec. Praecipitati

merc.ʒ.ij. agitetur paululum pistilo, in mortario stanneo, cum aquae ros.℥.j. Af∣terward poure sorth the water, and set the morter to the fire, til the pou∣der be dried, and agayne put in lyke quantity of water and doe as before. If you perceiue greate quantitie of matter gathered, or fallen betweene the skull and hard membran, appoint the patient three or foure times a day closing his mouth and nostrils, to straine his breath hard: that so, by the inlarging of the braine & membran, the matter vnder the skul may be ex∣cluded. In which case also (if you see it good) you may bring in vse th•• de∣coction of Guaiacum.

CHAP. XVII. Of Psydracia.

* 1.174THese are hard whitishe pustules, which yeelde out matter by pres∣sing, or they are little swellinges in the heade like pushes, exceeding the top of the skin,

* 1.175They are manifest to the eye, and are knowne of what offending hu∣mor

they take their originall, by the like notes expressed in Alopecia.* 1.176 And the humorall cause hereof once de∣tected, contend (first) to the taking of it awaye, by the instrumentes and meanes deliuered in alopecia. Then applye the affected parte it selfe, with dispearsinge and drying medy∣cines: suche as are, Nux cypressi, sulphur, cerussa, lithargyrum, Nitrum, Acatia, gallae, hypocystis, ossa myra∣bolanorum, malicorium, gallia mos∣chata, Oleum rosatum, acetum, &c.

Of compounde thinges, some bee vsuall, some lesse vsuall, the vsuall for this purpose, are Vnguen∣tum Enulatum, & vnguentum Citrinum. Others bee of this sorte, Recipe spu∣mae argenti, cerusae, ana, ℥ss. aluminis, ℥.ij. fol. rutae viridium, ʒ.ij. olei mirtini, aceti, ana, q.s misce, fiat vnguen∣tum. Another: Recipe rutae, alumi∣nis, mellis, ana, q.s. misce, fiat vnguentum. Wherwith annoint the head, it being first shauen. A third: Rec. spumae arg. ce∣rusae, an.℥.j. ss. sulph. viui.℥.j. cerati my••∣thini, qs. misce. A fourth: Rec. rad. enu∣lae. rad. lapathij, an. q.s. boile them in viniger, & mixe them cum axungia.

CHAP. XVIII. Lippitudo: Inflamation of the eyes.

* 1.177LIppitudo, is an inflammation of the Coate, or membran of the eye, called Adna••••. it pro∣ceedeth sometime of humors, sometime of a 1.178 flatuous spirites. of humors: as blood, choler, b 1.179 Flegme or Melancholie. Of blood thorowe the aboundaunce of it (testifyed by rednesse of the face, and of the mem∣bran Adnata) by largenesse of the veynes, sence of heauinesse, and vnapt∣nesse of the bodye to accustomed a∣ctions. The teares that issue, not sharp or fretting also the complexion, yere time, regiō, age, or diet hote & moist: of choller the signes are these: no ful∣nesse of the whole body, sharpe and fretting teares, so as not only the cor∣ners of the eyes, but euen the chee∣kes whereon they fall are frette and exulcerate by them: c 1.180 sadnesse, care, hote dyet goinge before, & cōplex∣ion cholerike. d 1.181 tokens of Flegme are

great heauinesse or vnaptnesse, littl•• rednesse in the tunicle, or face, com∣plexion, age, region, yeare tyme, Diet colde and moyst. of melancho∣lye: swarte coloure in the face and membran, complexion, age, regi∣on, yeare tyme, Diet cold and drie. Nowe if flatuous spirites be in cause, you shall finde the tunicle Adnata extended, as if it woulde breake, and with payne: but fewe or no teares, no dulnesse of sences, no fretting nor heat e 1.182 of the eye.* 1.183 if the Flegme be drie and withered, or the tumor large and drye, and without payne, there is speedie recouery. Con∣trarywise, aboundaunce of hote teares, little matter, small tumor, and that in one eye. or agayne, hote teares, with white moyste matter and saufte Tumor, betoken slowe recouerie. If the matter beginne to bee white and saufte, and mingled with teares, or haue inuaded both the eyes at once, there is daunger of Vlcers. If the Tumor bee great, drye, and paynefull, it commonly exulcerateth. and sometime in that case it happeneth, that the eye∣lid

groweth to the eye.

* 1.184The inflamation being of blood, let the patients order of diet be coo∣ling and drying: to witte: his ayre suche, his lodging somewhat darke: sleepe moderate, his meate coo∣ling, and of little nourishmente, his drinke barley water,* 1.185 boylde with Coriander seedes, prepared. Keep•• his bellye loose, and his body and minde in rest. And for the quan∣titie both of his meate and drynke•• see that it bee small ynough, in the beginning of the inflamation spe∣ciallye. Yea rather (by Celsus coun∣sayle) they shoulde abstayne from meate and drinke, if it were pos∣sible, for the cheefest thinges in this case (sayeth hee) is rest and ab∣stynence.

If the humor yet be flowing, dra•• it otherwhither by blood lettinge,* 1.186 in the middle veyne of the cubite, or in the foote, on the same side. Vse also frications to the inferiour parts, bynding the legges, and loose the bellye. But in the time that the humor stayeth, and floweth no more•• worke by euacuation, as opening

the humorall veyne of the same ••yde, and emptying the same euen to sounding: if the inflamation bee great, the bodye strong, &c. Cup∣pinges also with scarifying, woulde bee applyed to the hynder parte of the heade. Your locall medicines in the beginning, muste bee repel∣lentes, and mitigatiues of payne: as fomentation with warme water. Al∣bus liquor oui. lac mulieris iuuenculae. Or a medicyne compounded, ex la∣cte mulieris, vitellis ouorum & ••rosaceo, al mixt together, which moderatly re∣pelleth, and wonderfullye mitigateth payne. Or a ca••aplasme, ex papauerum capitib•••• in aqua decoctis, & lini sem. fa∣ri••••, &c. In other times of the infla∣mation, digerent and discutient me∣dicines: as decoctum faenig••aeci. If the humor be choler, the like diet as a∣foresayd, saue more moistning, will serue, and for diminishing the quan∣tity, as also for reuulsion sake, if it a∣bound mixt with the blood, open firste the humorall veyne, and after purge downeward by medicines, thus ••irste altering and concocting it if it bee crude. Recipe Syr. violacei, de

papauere, nympheae, ana, ℥.ss. aquarum violarum, endiuie, lactucae, ana, ℥.j. mis∣ceantur, & fiat syrupu••: and giue the patient the same many dayes togea∣ther•• to the eye, in meane time ap∣plying, Albumen oui lac mulieris, aqua rosarumalb. cum candid•• ••ui liquore, the matter being concoct, purge first v∣niuersally, cum cas••••a recent. ••racta: or manna cum tamarindorum decocto: or cum syrupo rosarum, made of many in∣fusions, cum diacatholicone, and such o∣ther medicines. after come to such as doe it perticulerly, as, fomentum ex a∣qua tepida, vsed oft in the day, or Bal∣naeum aquae dulcis. Noting that in all these euacuations, there bee due regarde had of the quantity•••• as al∣so of your medicines:* 1.187 encreasing or lesseninge, euerye thing, accor∣dinge to the multitude, strength, temperature, yeare time, &c. accor∣ding to the vehemency of the affect, condition of the part, &c. If the caus•• be * 1.188Flegme, let his aire be hote, the place where hee is, obscure: his sleepe moderate, & nightly, his mind & bo∣dy at rest, his bellie daylye loosed, his meat heating, of good nourishment,

not vaporous, nor slow to concocte. his drinke in the beginning, decoctum cinamomi, aq. m••••sa. but at other times thinne wine w••••tered, &c. alwayes obseruing that in quantitye, hee bee very spare, specially in the beginning of the disease. The Dyet thus ap∣poynted, consider if the blood bee yet flowing, wherewith the flegme is mixed, if it bee, make reuulsion, with blood letting in the middle vein of the cubite, frications and ligatures of the lower parts•• cuppinges, &c. but if it nowe staye, and ••lowe no more, first immediately empty the blood, by the humorall veyne, and after purge the body: but preparing and concocting firste, if the humor bee crude, as with this Syrupe: Reci∣pe syr. de Bae••onica, Hyssopo, Staecade, ana, ℥••ss. aquarum Maioranae, Betoni∣cae, Rorismarini, ana, ℥.j. Mixe them & make a syrupe therof, whiche yo•• shal giue the patient, and repeate it many dayes. Or else this deco∣ction: Rec. saluiae, betonicae, hyssopi, serpil•• ana, m.j. ••••orum stachados, m.ss. rad faeni••. paeoniae, ana, ℥.j. sem. Anisi Faeniculi, am∣mi, an.ʒ.j. nucis moscatae, Cinamomi,

ana, ʒ.j. misceantur & coquantur, vs∣que ad consumptionem tertiae partis, dein∣de cole••ur, zaceharoque dulcis reddatur po••io, cui denique addantur syrupi de be∣••onica, ℥ iiij. Thus the matter being now concocted, euacuate first vniuer∣sally with medicines purging flegme, taken by the mouth or bellye: then also particularly, and insensiblye, by way of resolution, as cum decocto fae∣nigreci, or deco••to meliloti, & faenigreci, or a fomentation ex aqua ••epida, cum spongia applyed. All whiche thinges must be guyded for their quantitye: varying or diminishing for the great∣nesse of the affecte, condition of the part time of the yeare, &c. And if this affecte come of melancholy, proceed also by the same meanes, as agaynste flegme, saue that in this, you muste vse medicines purging Melancho∣lye.

Supply concerning the symptomes.

* 1.189THere are Symptomes also in Ophthalmia not to be neglected, and especially payn, for which (if

it be vehement) make a medicine ex pomo inter prunas cocto, vitello oui, aqua ros. & lacte muliebri, modice coctis,* 1.190 and applye it: Or else ex mica panis, in aqua rosarum, & lacte muliebri infu∣sa. Conueniente also is, portulaca trita, & admota, or muccago sem. psyllij, & cydoneorum, in aqua rosarum, vel pa∣paueris, vel eius decoct•• extracta.

If the payne bee yet more raginge, adde to it, Succi Coriandri, & cerusae modicum, cum al••quot granis opij. Th•• hurt of whiche astonishinge medy∣cine, you maye afterwarde take a∣waye with a fomentation, ex deco∣ctione chamomillae, meliloti, & faenugrae∣ci. If Pus appeare in the tunicle cor∣nea, through long continuaunce of Ophthalmia,* 1.191 that shall you wipe a∣waye cum trochiscis de thure, vel de mirrha.

ANNOTATIONS.

^a Hereof maye come distention, and so payne, as a symptome in Ophthalmia, but wee can giue it no place among the proper causes of Ophthalmia, and the Auth••ur afterward sayth ynough agaynst it.

^b Neither flegme nor melancholi•• can thus cause an inflamation: I denie not bu•• the blood with these may be qualifyed (as in such compl.) yet thereof it followeth not that they should be causes of the infla∣mation. Else why are all the Tumors of flegme and melancholie before, shut out of the Catalogue of inflamations. And like wise the inflamations deriued from other Fountaynes, then Flegme, Melancholye, or wynde.

^c Rather anger and furious hastinesse.

^d Regarde the causes and Signes fol∣lowing, as the two notes afore doe giue you occasion.

^e If there be no heate, what kinde of inflamation is it?

^f These Prognostikes I take to be drawne from Corn. Celsus, lib. 6. ca 6. and then by this worde, Flegme, is meant the mat∣ter, the eye yeeldeth in lippitudine: & so I haue here translated it, in the Progno∣stikes following.

^g Calmetius also counsaileth imme∣diat••ly after blood letting, to lay some pla∣ister to the forhead and temples, to restrain the Fluxion: as made ex bolo arm. gal∣lis, acatia, hypocistide, malicorio, ba∣laust. aloe, thure, far. fabarum, Mixt••

cum oui albumine, vel muccagine gummi tragaganthi.

^h Or this rather: Rec. aquae ros.℥.ss. al∣bū. j. oui, lactis mulieris modicū, mixe them together, a••d instil them•• to this may you also adde Muccag. sem. psyl••••j, & cydon. gummi tragag. & arabici. Else dissolue in Aqua ••os, collirium al••um Rhasis•• sine opio.

ⁱ Or Collirium album dissolued in aqua ros & lact. mulieris recens mul∣cta, or muccag. sem. cydon & fa••nigr. in aqua ros•• extrahito, & addito lacte, instillato. Caphura also may be added if the heat be great. After, to make a medi∣cine more resol••ing, put to Tuthia prae∣parata: as thus: Recipe Muccag. cy∣don. in aqua ros. per decoct. extractae, ℥iij lactis mulieris recens mulcti.℥j ••yr, ros.℥.ss. in quibus dissolue colli∣rij albi Rhasis sine opio, ʒ.ij. tuthiae praeparatae, ʒj.ss. zacchari candi.ʒ.j. myrabol. citr.℈ij. agi••entur & per∣colentur: hereto adde caphurae, ℈.j. If the heate be vehement. In the state lette a Woman often, milke from her brest into the ey••: and further, Rec. Muc∣cag cydon. & faenigreci, in aqua ros. extr. an ℥.j.ss. syr. ros.ʒ.j.ss. trochis.

alb, sine opio, ʒ.ij. sarcocollae nutr.ʒ.ss. zacchari candi.ʒ.j.ss. fiat Col∣syrium. In the declination, faenu∣graecum diligenter lotum in aqua hordei & rosarum coquito: and with that decoction foment the eye: applying then vpon it while they be warme, Egges ha••de sodden and lapte in a cloth. Else Recipe sarcocollae nutritae, ʒ.x. aloes ʒ.ij. myrrhae, ʒj. fiat pul. tenuiss. Whereof put into the eye: or rather, dis∣soluatur in aqua euphrasiae fiatque Collirium. In the ende bathing is profi∣table, and drinking of good wine, to dis∣••usse the remnant of the humor.

^k Or like meanes as in the cause of blood, saue for sharpenesse of the humor, or payne, which you must take awaye by purging (as here) and locall medicines, as in the symptome of payne is set down here∣after.

^l Consider of these thinges following, ac••ording to the former annotations, that I be not driuen needelesly in euery place, ••o cut off superfluities and inconuenien•••• ••e••••ers with particular annotations.

CHAP. XIX. Supplie. Epiphora, after some (perhaps) Op∣thalmia non vera, bleare and watering eyes.

EPiphora,* 1.192 (in this sense) is a thronging in of thinne hu∣mors, (like teares) into the eyes, sometime inflaming the edges of the eye liddes, but not the membran adna••a. The original ther∣of is commonly from the crowne of the head, and mould:* 1.193 where vnder the skinne, humors lightly resort out of the skull: which thence distilling downe by pericranium into the adhe∣rent membran, doe at length issue out into the eye. Other times they come from the interiour veines of the head. The humor is sometime cold and plainly waterish, causing no paine, burning nor rednesse. And sometime againe hote biting or salt, with paine, fretting, burning, and red∣nesse in the eye liddes: whereof fol∣loweth itching and scabbednesse.* 1.194 The first being called xerophthalmia,

the latter Psorophthalmia: this cōming of a hote and sharp humor, the other of a salt and br••ckish: and this itch is called of manye, sicca lippitudo. It is easily gottē by beholding other like sore eyes.

* 1.195The cure of Epiphora beeing ne∣glected, bringeth manie times the Webbe in the eye. If skabbed or mattering eyes growe from infan∣cie (as in some) it is in vaine to attempt the cure. And if it come through the perishinge of the flesh,* 1.196 in the great corners of the eyes, it is hardly recouerable. If the humor flowe by the interiour veines, there is scarse (nay I may leaue out scar••••) any hope of cure. That can bee done, must bee by abstinence, and often purging: by concocting the humours, and foorthwith outpur∣ging them by the stronger sortes of pilles. If it flowe by the ex∣teriour veines, beeing not of long continuaunce, and in a person of gouernement: execute the vniuer∣sall partes of the cure, accordinge as in Ophthalmia aforegoing.* 1.197 To the eye minister a Collirie made ex pau∣co

vitriolo, in mulsa aqua rosacea disso∣lut••. Or this: Recipe aquae faeniculi, & euphrasiae, ana, ℥.ij. aquae rosarum, ℥.j. tuthiae preparatae, ʒ.ij. vitriol. ro∣••nan. diligenter ••loti, ʒ.ss. sarcocollae nutritae in lacte mulieris, ℈.i•••• ••loes.ʒ.ij.ss. zaccharicandi, syr. ros. ana, ʒ.ij. agiten••ur, & fiat collirium. Or, in case of itchinge and burninge of th•• eye: Recipe aquae rosarum vini albi, ana, ℥.j.ss. aquae faeniculi, ℥.ij. succi limonum, ℥.ss. myrabol. citr. ••uthiae prae∣paratae, ana, ʒ.ss. aeruginis rasi••••, gr. v. caphurae, gr.ij. coquantur in phial•• vitrea ad tertias: so strayne it, and hereof droppe morning and euening into the eye. Againe: Recipe aquae rosarum & faeniculi, ana, ℥.j••ss. vini albi, ℥.ij. sarcocollae nut••itae, thutiae praeparatae, alo••s, myrrhae, ana, ʒ.ss. zacchari candi, ʒ.j. aeruginis rasilis gr. v. coquantur ad tertias, it beeing strayned, instill a droppe of it mor∣ning and euening: and it auayleth not onely in this case, but also clea∣reth the sight, and taketh awaye the spotte or webbe, newe growing. In the meane time, if the fluxion bee too headie, and vnrulye, it shall

be safe, to applye to the forehead, & temples, some restraining plaster, as either that, put downe in the former Chapter of Ophthalmia,* 1.198 or else this li∣niment much commended of Mon∣tag. Rec. amyli, ʒ.j.ss. terrae sigillatae, ʒ.vj. tuthiae preparat.℥••ss. seif memi∣tae, ʒ.j. rosarum•• spodij•• ••andal. rub. a∣caciae hypocistidos, ana•• ʒ.ij. gummi a∣rab. torres acti ℥j suc••i plantag. succi consolidae ma. ana, ℥.iij. labour it long in a leaden morter, with his pestell, & therewith annoynt the forehead and temples twise a daye, either colde or warme. If the disease be inueterate, or these meanes auayle not, shaue the forepart of the head, and apply to the crowne, temples and forehead, some astringent and drawing plaster: as pr•• Ruptura: or, Rec. pi••is, cor••icis thuris, boli arm. ros. rub•• siccarum, gallarum, ana, ʒ.j. sem. berb••ris. suma••. Masticis, thu∣ris,* 1.199 ana, ʒss. spicenardi, opij, ana ℈.j. incorporentur si••ul cum terebinth. ••iat em plastrum. Or this: if the tumor be colde: Rec. pi••is naualis, ℥ss. masticis, thuris myrrh••e ana, ʒ.j. cype••i, spicae∣••ardi, schenanthi, rosariō. ana, ℈.j. aca∣••iae, licij. ana ʒ.ij. fiat ••mpl. incorporando

cum terabynthina. If Licium may not be gotten, take double quantitie of acaci••. Further, you may proceed to direct the humor by cupping, rub∣bings of the head towardes the hin∣der parte, and applying the seton in the necke: yea, some much commend the application of a cauterizing yron to the crowne of the head: so as it be done to the verie bone, that it maye ••kale, & the issue there be kept open long time.

CHAP. XX. Pustules in the eyes are called Phlyctaen••.

PHlyctaenae, are certaine pustules, growing out of the membran Cornea.* 1.200 they are caused of serous humors, which doe sometime participate with bloud: the partie be∣ing of sanguine complexion, youth∣full yeares, hauing red eyes &c. In others they be hote byting humors, causing accordingly byting paine,* 1.201 & it falleth then on a cholericke com∣plexion, or by reason of the yeare∣time,

being hote, or hote diet vsed, & the patients eyes are yellowe. If they be but superficiall, they are easily, but if they haue deepe footing, they are hardly cured.

* 1.202If the serous humor participate of bloud, open the humerall or median veine, aud ••hat not once onely, but scarifying to the necke, and shoulder blades. If the humor be hote and fel, appoint a cooling dyet: with meate•• cooling, fo••t, and of easie concoction. Barley water, or thinne ale for his drinke: appointing the patient reste, and frication, with bindinges to his lower partes: Forbidde wine, much speach, neesing, anger, much light & mouing. Prepare the humor with syr. violarum, de papauere rosarum, and such like: then purge with manna, cas∣sia, diacathol••cum, decoctum tamarindo∣rum, prunorum, sebesten, mercurialis si∣clae, senae, &c. or with syr. ros. laxat. o•• Diasereos, &c.

The place it selfe must be applyed with digerent, and withall, lightly repellent medicins, as are album o•••• cum aqua plantaginis, ouorum album & luteum ••um pauco•• croco, passo & pant,

acatia cum succo oliuae, succus fol. virg•• pastoris per se, or cum cerus••a, succus fol. mali co••onei cum oui liquore, mucilag•• faenigraeci, &c. Else, Rec. lycij, croci, ana, ℈.j. sarcocollae, ℈.j.ss. thuris, ℈.ij. cum duobus vitellis & albuminibus ouorum, & aqua ••osarum, fiat collyrium. Or this: Rec. haematitis lotae in aqua ros.ʒ.ij. ce∣russae lotae, lycij, ana, ʒ.j. amyl••, gumm•• ••rab. tragacanthi, ae••••s vsti, antimo••ij, ana, ʒ.ss. opij, ℈.j. formentur pastill•• cum succ•• foliorum oliuae, and instill of them into the eye, cum succo faenicu∣li, symptones: to witt, paine and infla∣ma••ion, if they happen. must bee as∣swaged and smoothed, cum opio in la∣cte dissoluto: or, cum hypocistide & a∣c••cia in aqua rosarum, cum malocotoneo ••lixo: or, Pomo austero cocto, and warme applyed, or such like.

CHAP. XXI. AE••ylops and Anchilops.

AEgylops is a small swelling,* 1.203 or inflammation, in the greater

corner of the eye, when after suppu∣ration, it is come to an abscesse, it is called Anchilops.* 1.204 It commeth of vici∣ous iuyce, especially of hote and by∣ting qualitie, flowing to the eye, and that either from the whole bodie, or else but from the head.* 1.205 If it be in a thinne bodie, and with putrifaction of the bone, it is hardly cured. For the diminishinge of the humor, set first the patients order of dyet, to bee with meat of good nourishment, and thinne ale: with exercise of walking, and vsing frications and bindings in his inferiour members. Then to the ende, to diuert & euacuate, open the humerall veine of the same side, and set boxes in the necke, or in the iugu∣lar veines. Purge also cum pill. lucis, arabicis, aureis, coc••ijs, or such other. And to come to the place inflamed, if the inflamation be yet but growing, striue to staie it, partly by such bloud letting and boxing, and partly by re∣pellent medicines, as this: a 1.206 Rec. succi sola••ri ℥.vj. thuris ʒ.ij. misce, & b 1.207 super ponatur. Or, Rec. succi semperuiui, succi parietariae, ana, ℥.iiij. glaucij, croci, ana, ℥.ss. misce. Nowe the humors being

impact, and the inflamation being made, your medicins must be to wast and discusse them: as Emplastrum di∣uinum, ceroneum, Diapalma, farina erui cum melle, parie••aria elixa, & malaxaia cum pauca myrrhae•• Alica co••ta in ace••o & probe trita. Or a medicine ex glau∣cio, croco & parietariae succo: or, Ruta cum lixiuio primario trita & cocta: or, thus, applyed cum stercore columbino: el•• folia maluae: or, chamaemeli, commansa, & cum sale imposita. Also cinis nucis com∣bustae iniecta: or, arundinis membrana cummelle imposita &c. If paine busily vrge you, prouide to mitigate the same cum pomo cocto in lacte. Or, lacte mulso: or, muccagine Psylli & faenugr. cum aqua violarum extracta: or, a de∣fensiue, or fomentation ex decoctione rosarum Chamemeli in vino rubro, &c. The abscesse being c 1.208 suppurate, must be opened (if not otherwise) by instru¦ment, and the rest of the cure to be•• perfourmed, as in the fistule of the eyes is set downe among the vlcers.

ANNOTATIONS.

^aThis is much commended, of Rond.

Rec. acaciae, balaustiorum, myrtillorum, cort. mali granati, rad. bistortae, gall. im∣maturarum, ana, ʒ.ij. boli arm.℥.ss. cort. thuris, croci, ana ʒ.ss. ol. ros. & myrth. ana, ℥ij. succ. cotoneorū, & aceti ros. ana, ℥.j. incorpora simul & reduc. ad formam nutriti.

^b These medicines would be applyed no•• onely to the great corner of the eye (where the tumor is) but to the eyebrowes also, & ••o the cheeke and nether iawe: occupying all the circuite so, vnto the cure.

^c Be diligent to spie out the suppurati∣on, lest it being, er you be aware, the ma••∣••er worke a hollowe, and also defile th•• ••one.

CHAP. XXII. Supplie. Phlegmonous tumor in the Eare.

* 1.209THis tumor accustometh to ga∣ther in the inner parte, betweene the hard membran of the braine, and the panicle spread before the pas∣sage of hearing.* 1.210 It is ingendred of

most thinne and sharpe bloud, which rushing in thither, from the interiour veines of the membrans couering the braine, at length doth putrifie. It be∣wrayeth it self by heate and greuous paine: both tho••ow sharpnesse of the humor, whereby it pricketh, & tho∣rough the plentie gathered, whereby it stretcheth and sundreth the mem∣brans, whereof commeth a panting and tearing kind of paine: euen such, as is found in all inflamations, kin∣dled about the arteries & membrans. There ariseth also a feuer, accompa∣nied with his symptones. But all this while, no tumor, or rednesse seene without, vnlesse, (perhaps) by a dou∣ble growth of euill, the outside hap∣pen to bee drawen into consent. at length the putrified matter, by little and little, changed with concoction, maketh an abscesse, whererupon pus either eateth or breaketh, or (at the lest) is conueyed out, through the poares of the membran of hearing, & so issueth out by the cōmon pas∣sage: to the great ease, and lightning of the parte, both of the paine, and burthen, wherwith it was oppressed.

Such as in this case haue weake brai∣nes,* 1.211 and abounding with excrements, haue their eare the longer issuing: yea, the suppuration sometime verie long abyding: still casting foorth ei∣ther white pus, or liquid sanies. The vniuersall pointes, of dyet, reuulsion, and euacuation being ordered,* 1.212 as i•• taught in Ophthalmia, come to your locall medicines,* 1.213 according to the time of the tumor. In the beginning, (regarding the nature of the affected part, and sharpnesse of paine) your medicines may be repellent, for all the neerenesse of the braine. Make a decoction therefore ex plantagine so∣lano, vi••laria, lactuca, and such other, in aceto & aqua, and by a funnell, let the fume therof be receiued into the eare: adding to such a decoction (if you list to make it more cooling) pa∣pauer, hyosciamum, & mandragoram. Af∣terwarde of the herbes of that deco∣ction, make a cataplasme, by mixing therewith ol. ros. ver cydoneorum, vel pa∣paueris: or other cooling & astringent oyle, and apply the same to the eare. Else, boyle ole••m rosaceum myrtinum, ••ydoneorum, violarum, papau•• nympheae,

or such other, cum aceto, ad aceti con∣sumptionem: and therof instill into the eare, by a droppe at a time, warme: or Rec. ol. rosarū part.ij. ol. amygd. dulc. part. j. aceti part.iij. coquito ad aceti consump∣tionem, and droppe therof in like sort, into the eare: or, (if the heat be great) you may droppe in of the iuyces, or waters of cooling & astringent herbs, cum granis aliquot Caphurae: or, albumen oui cum lacte muliebri agitatum: which will coole and ease: or, cleum rosaceū, cum succo mali punici, & tantillo croci, coquito, and put it likewise warme in∣to the eare. Obseruing alwayes, in this case, that those things you put in to the eare, bee warme and in little quantitie.* 1.214 In the encrease of this tu∣mor, you must mixe discutients with things coolinge and repellinge: and therefore adde to the former oyles, fumes, and catapl. althea, malua, cha∣momilla, melilotum, hordeum, & lentes. The state approching, wherein you must more largely discusse, adde to the decoction, semen lini, faenugraeci, absynthium, calamentum, origanum, and such other, in such due quantitie, as may directly serue your purpose, in

more or lesse discussinge, and repel∣linge, or mixte with the iuyces, or waters of those herbes, oyles both repellinge and discussinge, and vse them by waye of fume, fomenta∣tion, or dropping into the eares: or of the remnant of the decoction make a cataplasme, by adding vn∣to it, conuenient quantitie of oyles and fattes. Vnguents may you also prepare ex muccagine psyllij, cydon, sem. lini, ••aenugr. butyro, a dipibus gallinae, anseris, anatis, and oyles conuenient to repell & discusse, according to the diuersitie both of your intention, & also of the time of the tumor. Discu∣tient oyles are chamomelium, anethinū, a ••igdal irinum lil••••rum, nardinum, &c. The tumor tending to suppuration, tho••gh it must receiue some fur••he∣ran••e from your medicine, yet spa∣••••••g••y: for as much as large vse of suppuratiues,* 1.215 woulde bring perill of great put••ifaction, in that place. Like wise your sup••uratiue must bee dry∣ing: a••nswe••able to the nature of the parte: as this: R••c. rad. al. hee, ℥.ij. mal. 〈◊〉〈◊〉. a••a, m.s••. ••••am••mil. me••loti, 〈◊〉〈◊〉, P•• ••s. fiat decoctio, cui adde, farina,

faborum & hordei, ana, ℥.ss. pass••la∣rum, ℥j. ol. chamomillae: ℥.ij. fi. •• cata∣plasma: or, Recipe adipis gall. anseris•• caprae, ana, ℥.ss. butyri recentis & sali•• expertis, ℥.ij. mellis & asypi, ana, ʒ.vj. ol. liliacei, ℥.j.ss. cerae. q.s. fiat vn∣guentum.

If there bee (in the meane time) vehement paine,* 1.216 studiously por••ide to ease it, as with cooling oyles, wa∣ters and iuyces mixt cum lacte mul••e∣b••i. Also auayleth succus cucurbitae & mali granati, cum oleo rosac. & lacte: or (if there bee much heate) cum ol. nympheae, papaueris, mandrago∣rae. Else, oleo cum aceto, vel succo mali granati, ad aceti consumptionem coqui••o: Adding vnto it, muccagi∣nem, semen Psillij, & cydoneorum, vel nonnihil caphurae, vel gr. aliquo•• o••ij. & croci, cum lacte.

Auaylable here likewise are, o••e∣um de vitellis ouorum (which is good also in the vlcer of the eare, beeinge mixte cum tertia parte mellis) oleum lumbricorum, oleum Chamomaelium, a∣nethinum, & de semine lini: So are, pin∣guedo leporis, cuniculi, vulpis. Further, adeps a•• medulla cruris vituli, si cum

lacte misceantur. or, lumbricos lotos, co∣quito in oleo ros. & exigua vini quantita∣te, terito & addito semen lini, pingued. gall. seu. cuniculi, & croci tantillum. This was verie familiar with Calmeteus: Rec. olei ros.℥j. vitellum oui.j. opij.℈.j. misce diligenter in mor••ario aereo, fiatli∣nimentum.

CHAP. XXIII. Of Polypus.

* 1.217POlypus is a tumor beyonde na∣ture, growing in the nostrels, of substāce loose and fungous, like the flesh of the fish called Polypus.

* 1.218The cause thereof is a thicke and viscous humor. The signes: a loose & fungie swelling in the nostrels, grea∣ter in the change of the Moone, but lesser in the declination. Sometime it appeareth betweene the nostrels, but not much: Sometime it hangeth quite out of the nostrels. Other some times also it lyeth more backwardes: as in the hollowe way betweene the nostrels and the mouth.

If it be a cancrous,* 1.219 or inueterated Polypus, it is hardly or neuer cured.

Appoint a slender dyet:* 1.220 the meates such as be of good iuyce,* 1.221 and doe at∣teinuate or make thinne.* 1.222 The drink, water of Guaicum, &c. If nothing hinder, let bloud in the Cepha••lca veine, specially, if the head bee re∣plete with bloud: else, set cuppinge glasses behinde the head. Purge the bodie vniuersally, cum pillulis coccij's, aureis, sine quibus, &c. and the heade also perticularly, with masticatori••s, of masticke, and scannwine, &c. Then see that your medicines for the place be partly astringent, partly pearsing: partly attenuating,* 1.223 and partly discus∣sing, as is this water: Rec. vuarum im∣ma••urarum, li.iij. mali grana••i, balau∣stiorum, sumach, a••a. ••i.ij. macerentur in aceto & destil••entur, deinde adde, alu∣minis, li.j. vi••rioli, ℥.iij. destillentur, om∣nia, iterum, and with that water, touch the inner partes of the nose. An vn∣guent for that purpose: Rec. argen••i spumae, cerussae, vini, aceti, olei mirthini, ana, qs. To these being boyled, you may put and mingle, aliquid rosarum, balaustiorum, & aluminis. Another: Rec.

spumae arg.ʒ.j. cerussae, ʒ.iij. male••or••, ʒ ij. aluminis scissilis.ʒ.ij. with these powdred & odoriferous wine. Frame it to the thickenes of honie: after that put in some ol. myrthinum, and stirre them togither, & reserue it to your vse, in a leaden boxe. If you see that these medicines be too milde, & that you stād in need of stronger: you mai therafter get vnto you stronger also: such as chalcitis, aes vstum, san••araca, au ripigmentū, &c. emp••rast. Macrionis, Te∣••rapharmacū, cum duodecima parte aeru∣ginis: Ceratū mirthynū, c••ratū e cera ru∣bra, cū oleo mirthino, & dicima parte ae∣ruginis: Psoricum Mesuae, Trochisci An∣dronis, Musae Polyidae, &c. Else these pouders of later inuention: Rec. squā∣••ae aeris, ℥j. atramenti sutorij, ʒ.vi. san∣daracae, ʒiij. veratri nigri, ʒ.ij. misce∣antur. & blowe vp of this pouder into the nostrels. Another: Rec. Chalcanti, chalcitid••s, aeris, vsti, ••ysi, ana, ℥.ss. misce cum vino ad mellis crassitudinem: then burne it in a fornace, and powder it, and vse it as afore. If it be rebellious to these kind of meanes,* 1.224 the last re∣fuge is, incision, or burning•• as if they be ••auft, they are fit for incision. Let

the partie therefore be placed in som Sunshine or lightsom place: then hol∣ding open the nostrel with your lefte hand, cut of the Polipus rounde, with the right hande, with a spatule made sharp for that purpose, & like the fa∣shion of a mi••t leafe: directinge the edge of the instrument to that parte, wher it ioyneth to the nostrels: then in like maner turning the instrument to the contrary part, cut the foote of the Polipus asunder, & so take it out. If the P••lypus be of a maligne nature,* 1.225 it must come to the ••••re of the hote iron. And if it be but a small one, the cauterie is to be applied to the place, through a siluer reede or pipe. In a 1.226 ru∣stical persons the nose may be slitt, & so the cauterie haue more easie pas∣sage to the part. Beyond all this the affected part especially, the he••d must be lookt vnto, for meanes of comfort & strengthening. You shall make the patient coyffes therfore, quilted with cotten woll & strewed betweene with some drying & coroborating pouder ••x ligno alocc, caryophilis, macere, nuce moscata, staecade, saluia, maiorana, menthae roremarino, betonica, lauendula, &c.

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ANNOTATION.

^a But this respect of persons is vnfi•• for the children of God, who must mak•• conscience, of the least peril, or deformity, (if by more diligence, or better meanes i•• may be redeemed) euen in the basest sort•• of men.

CHAP. XXIIII. Supplie. Parulis. Epulis.

* 1.227PArulis, is an inflamation with tumor, in some parte of the gummes. If it bee in the lower gummes, the matter descendeth by the temples,* 1.228 from veines there en∣ding. If in the vpper gummes, it di∣stilleth from the greater corner of the eye. It gathereth at the rootes of the teeth, and swelleth out with heat, red∣nesse & paine.* 1.229 If it be not resolued, it groweth to suppuration. By euil han∣dling, the gumme may growe vnto the cheeke,* 1.230 as Gorraeus once sawe it. So may epulis rise thereof, as noteth Fernelius. In the beginning, (the bo∣die

being lookt to, for the vniuersall points, as hath beene saide in the ge∣neral Phlegmone) let your medicines be 1 1.231 repressing, and discussing: as 2 1.232suc∣cus p••isanae, or, decoctum sem. lini••: or, 3 1.233acetum in quo hyosciamiradix cocta sit, being a speciall remedie in that case. If it will not so be spent, nor repres∣sed, let the patient hold in his mouth decoctum caricarum, and laye on the place, ficum pinguem, cum modico sale to∣stum. If it suppurate, & yet break not of it selfe: by pricking it with a lan∣cet point, or quill, it runneth out: & oft times healeth of it selfe: howbeit, if you finde it in a bodie of suspitious qualitie, I hold it saffer to make inci∣sion wider, and to lay open the place more largely, lest it runne into t•••• danger of a fistula:* 1.234 as also AEtius iust∣ly suspecteth. After the opening, wash it with aqua mulsa, or, mel rosarum. Be∣ing cleansed, drie it vp cum puluere ba∣laustiorum torre•• act. & modico aluminis vsti, or such other: applying thickets of lint vpon the place, both for the cause of drying, as also to presse down and close againe the seperated sydes. Out of this euil springeth,* 1.235 as is noted

afore,* 1.236 Epulis, which is an outgrow∣ing of flesh in the gummes. For this, Orisabius counsaileth a powder,* 1.237 con∣sisting ex pari portione vitrioli, & mir∣rhae, cum modico aluminis, sciscilis. AEti∣us hath this: Rec. Calcitis viuae, ℥.ij. auri pigmenti, ℥.j. auri pigmentum cum aqua te••ito, & calcem addito, & simul, probe cont••r t••. deinde in mortarium a∣qua plenum conijcito•• vt subsideant. When the matters bee settled to the bottome, powre awaye that liquor, and put in fresh, stirring it long time. Let it then settle, after separate also the water, and put in newe: do so like wise the thirde time. Last of all, leaue the vessel filled with water, in the Sunne (stirring it euery day, and ••••llinge it vp, still when the water i•• consumed) for 40. dayes. After the last expence of the liquor, the pouder being dry, keepe it in an earthen pot, in a drye place, so as it may not bee tainted with moysture. And this (s••yeth he) maketh his escar withou•• byting, & depresseth loose swellings. Perticularly hee praiseth it, in this case, and for putrified gummes. If E∣pu••es be verie painfull, and inflamed,

as it is sometime seene,* 1.238 so as the par∣tie cannot open his mouth: then first must you practise to delay the infla∣mation, and that, as by vniue••sall meanes, (according as the case re∣quireth) so also by locall medicines: as washings of the mouth with aqua mulsa, succus ptisanae: or, decoctum sem. lini. And emplastring the whole ••aw, with a cataplasme, ex semine lini, & a∣qua mulsa. The inflammation being done away, so as the mouth may o∣pen, applye the powder to your pur∣pose, or in the want thereof: Rec. alu∣minis scissilis.ʒ.ij. gallarum, ʒ.iiij. salis terrefacti, ʒ.j. fiat puluis. Strewe of this vpon Epulis, and apply al••o your lint, as is set downe in Pa••ilis. And I suppose, that nothing can in this case be done by the waye of these medi∣cines•• that a prouident a••tist cannot as quickly accomplish, by discrete vse of the caustike stone. The ancient au∣thors, beyond all these meanes, come (at the last) to incisiō. Pareus prefer∣reth before all other that it be bound with a double threede••* 1.239 and followed still with strayter bynding, till it fall of, burning the place afterward, with

a causticke applyed in a hollowe pipe: or, cum aqua forti: or, oleo vitriolo, so cu∣riously put it, as that the sound parte•• mai not be touched of them. And thi•• way (he saith) he hath cured this hu∣mor, of so large a sise sometime, a•• that it grewe forth at the mouth, to the great deformitie of the face.

CHAP. XXV. Supplie. Batrachus, or Ranula.

* 1.240RAnula is a tumor in that la••e & sauft parte of the mouth, which is vnder the tongue, and whereto the tongue is knitte by his ligament.

It proceedeth sometime of hote humors,* 1.241 bearing the signes of an in∣flamation: but moste commonly of colde, slyme and pituitous matter, which, when the tumor is opened, i•• like the white of an egge,* 1.242 & somtime (sayth Pareus) yellowish. If it be in a partie of sufficiēt age, open a vein vn∣der the tongue, that so by bleding suf¦ficient,

the disease may be made more obediēt. Afterward, to your medicins:* 1.243 aplie vnto the place galla, or semen ros. tritam cum melle. Or rubbe the place cum artemi••ia viride, trita cum sale. Els nuces iuglandes veteres integra••, vna cū cortice exvstas, comere: deinde piperi•• gr.xij. adijce, & thuris gr.iij. cum melle sufficienti misceantur, and annoynt the place with it.* 1.244 AEtius maketh great ac∣count thereof. Paracelsus appoynteth after the opening of the veynes, to washe the place with the waters of Brassatella, alchimilla, diapensia, or a∣grimonia, or annointe them cum oleo hypericonis, or de floribus centauriae, & though it reuerse,* 1.245 to cure it yet again in the same order. Pareus chuseth to preuent the reuerse, by opening the tumor with a hote yron: (deuised safely, by meanes of a plate with a hole in it, for defence of the other partes of the mouth) and washing af∣terward the place, ex decocto hordei, melle & zaccharo rosato.

Supply. CHAP. XXVI. Tumor tonsillarum.

THere be certayne glandules, pla∣ced on eyther side of the iawes, by the rootes of the tongue, which sometime swell with cold hu∣mors from the heade, sometime are inflamed with hote. It maye also come of causes from without, such as AEtius telleth in yong bodies: to wit, drinking much wine, and greedy de∣uouring of meats, specially rough or sharp tasted: as I also haue sene it, by excessiue eating of cheries. The Tu∣mor is euident to see and feele. Be∣sides, the patient feeleth, as a lumpe sticking in his iawes, hindering his swallowe: but all this while without burning and thirstinesse, they being the signes of this parte inflamed: to∣gether with manifest rednes & paine.* 1.246 This not discussed, commeth to sup∣puration: the other oft to vlceration. The vniuersall points being ordred as in taught in the general tumors.* 1.247 Wet

ouer the swelled places with a fether, dipped in this water,* 1.248 twise or thrise in an houre, Rec. aquae fontanae, ℥.ij. ol. vi∣trioli Rom. tot guttas, quot acidam mul∣tam reddant. By this he shall be procu∣red to spit much. After it, put succinum album vpon the coles, and procure him the fume of it, by an embot vp into his iawes: this may be done two or three times in a day, if neede shall so require.* 1.249 And further to drie vp and restraine, Rec. nidi hyrund.℥.iij. pulu. nucum cupressi, ℥.ss.ros.℥.ss. excipian∣tur oxymellite f••a••que ad formam cata∣plasmatis. Applye it to the sides of the throate. Likewise, if you couet a gar∣garisme, Rec. Florum prunellae, florum saluiae, ana,* 1.250 m.j. gran. myrtil.℥.j. ss. decoquantur in vini rub. & aquae ana, li.ij. ad medium horum iuri colato ad∣misceatur, diamoron ℥.j.ss. fiat gar∣garisma. If this course notwithstan∣ding the tumor tend to suppuration, leaue your fume aud cataplasme, and put to your gargarisme, Ficus, muci∣lagines faenugraeci, recentem glycyrrhizam, iuiubas &c. according to the procee∣ding, hereafter set downe in Angina.

Supply. CHAP. XXVII. Tumor Collumel••ae.

THis last deliuered tumor, is com∣monly accompanied with th•• tu∣mor of Collumella, especially, whē that proceedeth of the outward occa∣sions,* 1.251 there mentioned. Other times it groweth likewise, of muche filling with moyst matter from the heade: the place is swelled, especially exten∣ded in length, and hangeth dropping wise into the throate: so as it con∣straineth the partie often to swallow,* 1.252 supposing he could at once swallowe that, whiche otherwise lying in his throate, mighte endaunger his choa∣king. This part is sometime also (though sieldome) enflamed, with hote humors: testifyed by burning & rednesse in the place, & offring more trouble to the partie, & greater feare of suffocation, then that, which is re∣laxed only. When by occasion of this inflammatiō, the nether end of Vvu∣la groweth thick, and the roote smal,

••lender and blackish, it is called vua, being resembled by a grape hanging by his stalke.* 1.253 When it is in this case, it doth gangraenate.

If the head abound with rhewmatick matter:* 1.254 euacuate & diuert by blood letting, purging, cupping, and such o∣ther meanes as you shall iudge expe∣diēt for the case, the diet being spare, and drying. Many are cured, the mat∣ter impacted being not much in quā∣titie, only by touching the place with long pepper finely poudred, and con∣uayed vnto it, either vpon a spatule, or little spoone.

Rulandus highlye accounteth, of the fume and gargarisme,* 1.255 set downe in the chapter going before,* 1.256 to be v∣sed also in this case, appointing more∣ouer to take, fermenti veteris, ℥.j. to spread the same vpon a linnen cloth, sprincle it ouer, cum puluere carabae al∣bae, and applye it halfe a hand broade, to the top of the head. Calmeteus hath this garg and pouder: Rec. lentium & hordei, an. p.j. baccarum & fol. myrti, an. p.ss. balaustiarum, ℥.ss. ros. rub. p.ss. aquae & aceti part. aequales, coquantur ad me∣dias, colaturae adde sacchari, rub. vel mel∣lis

ros. col.℥.iij. fiat garg.* 1.257 Recipe gallas virides xv. spicae celticae, ʒ.iij. ros. rub. P.ss. nidi, vel pul. hirundinum, ʒ.iij. fiat pul. tenuiss. Applye it to the place: Others make their pouder ex vna par∣te piperis, & duabus partibus myrab. citr. The inflamation of vuula hath suche sute of local medicins beloging vnto it: as are declared & taught hereafter, in that parte of the cure of Angina, that concerneth inflamation. But if it do gangraenate, it must be cut of with an instrument: or els tied, according to the deuise of Honoratus castellanus, and set downe, with the fourme, and vse of the instrument,* 1.258 pertaining to the doing thereof, by Ambrose Parey.

Supply. CHAP. XXVIII. Angina.

* 1.259ANgina is that affecte of the throat, wherein larynx by some inwarde occasion, is streightned,* 1.260 to the procuring of suffocation. Angina is of two sorts,

in generall: one true, another fals: of the true are foure differences:* 1.261 the first accounted of Hippochrates, the moste dangerous of al others, when neither in the iawes within, nor in the throat without, any euil at al is seene. This inflamation being altogether hiddē, bringeth forth most cruel accidents, with peril of present suffocation. Of this kind of angina, Fernelius testify∣eth he hath seene die, in the space of xviij. houres•• being perfit in minde & sences. The second kinde is, when the inner muscles of larynx, & the iawes are tainted with inflamatiō. this hath as cruell accidents as the former, but with lesse perill•• for as muche as it sheweth it selfe by manifest tumor, which may haue riddance out by the mouth•• The third sort occupieth the iaws within, together with the throat outwardly, apparāt by tumor & red∣nes, accompanied with sence of heat, & payne. the symptoms of this, are no slighter than of the former, saue with more hope of health: in that the infla∣mation bearing outward, is so much easier to be breathed out, & discussed by medicins. The 4. is iudged lightest

and safest of al the rest, this toucheth not the iaws within, but the outward throate only, and his muscles: by the swelling of which, notwithstanding, it commeth to passe, that the inner muscles of larynx, are compressed, & so the passage of aire straightned. The cause of these sortes is, a sanguine or cholerike Fluxion, which flowing in∣to these partes, by the braunches of the iugular veines, pertaining vnto them doe bring forth eyther Erysipe∣las or Phlegmon. The euident causes are sundrie, to wit, colde rather then hote, either aire, or drinking: strokes fishe bones, or pinnes, &c swallowed: drunkennesse & all excesse. For signs, these kindes haue (besides those that are common to euery Angina) tumor, Heate, and Feuer, the laste of whiche signes, is a continuall companion of euery true angina.* 1.262 Now the false angi∣na, that is without all Feuer, and pro∣ceedeth of a distillation of pituitous matter, in the iawes and muscles of the throate. in which, though ther be tumor, yet without rednesse, heat and feuer. The common signes of al sortes of angina, are, straightnesse of brea∣thing,

difficultie in swallowing, (so as the drinke sometime leapeth vp in∣to the nose) and great payn about the iawes.

Those sorts be most greeuous and soonest kill,* 1.263 (yea commonly in one day) that making no appearaunce, neither within nor without, yet moue great payne, and difficult breathing. That whiche is with tumor and red∣nesse in the throate and brest, is safe,* 1.264 for the most part, though longer en∣during. Whosoeuer in the ceasinge of Angina, haue the matter conuerted to the lunges, they eyther die in seuen dayes, or after fall into Empiema.* 1.265 Set a diet moste spare and slender: both for that the disease being most sharp, requireth it, as also for the vnfillinge of the vessels, which in this case is ve∣ry requisit. In the case of inflamation make the ayre colder,* 1.266 Appoint sleepe to the patient, in the beginninge of this disease, that so there maye bee a reuoking of the humors and spirites, to their proper mansions: but about the state, and rypening of the humors more watchfulnesse is meeter, leaste in sleepe time, the matter that should

bee auoyded vpward, steale down in∣to the lunges, or ventricle. Let the patient procure suche rest to the part affected, in the fyrste dayes, as that hee neyther speake, chew, nor gar∣gle: so long as the vehemencye of the Fluxion endureth. but vse fricati∣on to the whole body, hote bathinge of the feete, and painfull ligatures to the limmes, for reuulsion sake. Af∣terward, the inflamation and fluxion for the most part being stayed, both walking, speeche and gargling, ar ve∣ry conuenient. The belly must yeelde his course euerye day. All immode∣rate affections must cease: especiallye anger, and exceeding ioy, and what∣soeuer might giue occasiō to laugh∣ter. Blood letting would be in the beginning of euery true angina,* 1.267 if there bee strength to beare it, yea though there be no great fulnesse: & that not once onlye, but agayne and agayne on the same daye (if neede require) repeated. prouiding and vsing in the meane time, from the firste blood letting, your locall me∣dicines, both inwarde, and outward: this hauing the same scopes of cure,

concerning the perticular times ther∣of, as other ordinarye tumors, arising of a Fluxion: to wit, in the beginning to repel or beat back only. In the aug¦mentation, to resolue with all. in the state to repel & discusse equally, & in the declination, simply to discusse or resolue. Repellents conuenient, are these simples: Acetum, succus mori, (as well fruite as tree) succus corticis vi∣••idis iuglandium, malorum cydoneo∣rum, granatorum acidorum cumsuo co∣rio contusorum, pirorum agrestium, & prunellorum: Also the iuice of the tree Cornus, omphacium, &c. Againe for decoctions: radix bistoriae, rhus coria∣riorum, summitates rubi, lentisci & myr∣ti, myrta ipsa, plantago, oxalis, vtrumque cichoriū, portulaca, lens palustris, gallae in •• maturae: sorba & mespila immatura, viua∣••ea, calices glādiū, spōgia bedegaris, citini, balaustia, rosae, alumē, and such others. Of these maye you prouide, (as the case requireth) repellēt collusions, or decoctiōs, to hold in the mouth: ob∣seruing that your repelēt medicins be not to strōg at first, as for exāple: oxy∣cratū very fit to begin withal. or this, Rec, aquae peculi ros. & plantag. ana,* 1.268

℥.iij. succi granatorum acidorum, ℥.j. di∣amoron, ℥.ij. fiat collutio. A fewe houres after, this stronger one: Rec. gallarum viridium, rhois, balaust. malicorij, an.℥.j. fiat decoctio in aqua plantag. ad li.j. in a∣qua dissolue diamor.* 1.269 & vini granatorum ana, ℥.ij. fiat garg. or this:* 1.270 Rec. summi∣••atum rubi, vel lentisci, rhus, myrti, pyri siluestris, aut sorbi, vnius horum, m.ij. ro∣sarum rub. balaustiorum, & acinorum v∣uae, ana, ℥.j. fiat decoctio. In li.j. colatu∣••ae dissolue, diamoron, & dianucum, ace••i, & succi mali granati acidi, an.℥.j. misce. obserue: that in the want of the green plantes,* 1.271 you maye vse their distilled waters. The Patient must not gargle with these liquors, but hold of them in his mouth onlye: for mouing of the iawes encreaseth the Fluxion••* 1.272 and euer whē they are vsed, the cold must be taken of at least, for thinges colde in acte, as those that be too hote, doe exasperate the Fluxion, and increáse payn. And in the beginning of the in∣flamatiōs of these parts•• vse no hony, not sweete syrupes, the first whereof, prouoketh the Fluxion by his acri∣monie, the latter sort, are abstersiue, and opening by their sweetenesse:

howsoeuer otherwise cōsisting of sim∣ples astringent, & ingrossing. Excep∣ting neuertheles the vrgency of payn, which may somtime enforce vs to the vse of some of them, as, s••r. viol. papa∣ueris, &c. A thing wel obserued of Calm in his practise. The outwarde meanes, in the beginning of the true angina, ought not to be meerely rela∣xing, as the common practise impor∣teth. For if the throat without, be fo∣mented with oiles, or plastered with cataplasmes, what reasō cā be shewed, that their properties should not pears to the affected part within? if they do, & they be relaxing, shall you not so much the more increase the fluxion? shall you not so muche frustrate the work of your inward medicines, & so in effect, set vp with one hand, & pull down with another?* 1.273 Trallianus hath noted it long ago, a thing extreamely dangerous: & amongst the late wry∣ters some likewise haue giuen war∣ning of it: namely Rondele••ius & Iou∣bertus: though none of thē (in my opi∣nion) haue sufficiently ynough with∣stood it, in their practise: for whilste some of thē mingle so small astrin∣gencie,

with such plenty of resoluing, and mollifying medicines, as appea∣reth in that receipt Ioubertus gathe∣reth out of Trallian: I feare least that prouerb may be truely saide therein: (as good neuer awhit, as neuer the better.) This is the receipt, that o∣thers may iudge likewise. Rec. mica∣rum pan••s, ℥.iiij. dactylos, numero viij. sem. lini, ℥.j. coctis, tus••is, & cre••is ad∣de, farinae hordei, ℥.j.ss. croci ••.j. ol. li∣liorum, vel chamomelini, ana, q.s. ••iat ca∣taplasma. For my part, I take this fit∣ter for the state, then the beginning of an inflamation: especially, if the bread therein, bee vnderstoode fo•••• pure wheat bread. R••deletius, if he had continued the same course in his cha∣pter de Angina, (touching this point) a•• in his chapter before, de Tonsillarū inflamatione, he had both counsailed, and practised, I must haue helde him free from all staine of this errour. Howbeit, howsoeuer afterward he fo•• ga••e himselfe, let vs lay holde of hi•• first sound counsell, which is, to mi∣nister in the beginninge of Angin•••• both inwardly and outwardly, medi∣cines drying, with a certain as••rictiō

which hauing concluded first, from the authoritie of Dioscorides: & a rea∣son, drawen from the constitution of the partes, he afterwarde confirmeth from his owne manifold experience: namely in the vse of Cipresse nuttes: wherehence hee taketh iust occasion, to laye downe the receipt of a cata∣plasme, of effect aunswerable to his rule before prescribed: to wit, Rec. nidi hirundinis, ℥iij. pulu•• nucum cupressi ℥.j. ros.℥ss. excipiantur oxymellite. fia••∣que ad f••rmam cataplasmasis: apply this to the sides of the throate. This knit∣teth togither the partes: Otherwise naturally loose, and dryeth vp the hu∣mor flowed. Fit also for the begin∣ning is this: R••c. ••ungorum sambu••i, q.s. in serolactis infundantur, donec mol∣lescani, d••in con••undantur, and apply it as is said of the former. In the meane time, let the patient haue the same Fungi, steeped in all his drinke. And in the infusion of them, done in aqua rosacea, or Plan••ag. Wet cloathes and laye them vppon the heade. To which vse, Parac••lsus ap∣poynteth aqua ros. rubearum, bur∣sae pastoris, solatri, barbae Iouis.

thus hauing proceeded by blood let∣ting, & local repellents: if within few houres, the fluxion remit not, or (es∣pecially) if the blood shewed the bo∣dy repleat with euil iuice, com to the other general euacuatiō of the body: which because it can seldom be done by potion or pill, you shal sufficiētly performe by clister, as on this wyse:* 1.274 Rec. hordei p. j. fol. betae, mercurialis, pa∣rietariae, maluae cum radicibus, ana, m.j. caricas pingues, no.xx. sem. faeniculi ʒ.ij (if there be no feuer, otherwise, Cu∣curbitae, melonum ana, ℥.ss.) Florum tri∣um communium, chamomeli, meliloti, a∣na, p.j. fiat decoctio in q.s. Colaturae, dissolue, diaphaenici, ʒj. diapru. lax.℥.ss. vitell. ouorum ij. olei violarum, ℥.iij. salis (if the bodye be not easye to moue) ʒ.iij. fiat clister. Minister this the first daye after blood letting. and stronger, or weaker then this, as the case shall require, whiche muste bee committed to the iudgement of the Artist: obseruing that you content not your selfe with a washing clister, if the humors bee defyled. The se∣cond day open the veynes vnder the tongue, or (if the tongue be swelled,

that you cannot come by them) scarifye the tongue it selfe,* 1.275 sayeth Paulus, or open the iugular veins, according to Trallianus: a deuyce, once also experimented of Iouber∣tus,* 1.276 with happye successe. Your Gar∣garismes for the second day, whiche is the augmentation, must haue some mixture of resolutiues, as for Exam∣ple:* 1.277 Rec. rosarum, & hordei, ana, P. j. balaustiorum, ℥.j. caricarum, & passu∣larum, ana, Paria x. iuiubarum paria, xx. Glycyrrhizae, ʒ.ij. fiat decoctio. In li.j. colaturae, dissolue diamoron, ʒ.ij. mellis rosarum col.℥.j. Or this: Recipe Aquilegiae, Prunellae, Betonicae, a∣na, m.j. ros. rub. balaustiorum, ana, ʒ.ij. Fungorum sambuci, ʒ.vi. caricarum paria, v. passularum paria, xv. glycyrrhi∣z••, ʒ.ij. coquantur in s••ro lactis, in cola∣turae, li••j. dissolue diamoron, dianucum a∣na, ℥.j.ss. mellis rosarum, Col.℥.j. cassiae extr. cum eodem decocto, ℥.ss. fiat oris collutio. Let the patiente nowe and than (in the sharpenesse of his payn) bee sucking downe with a quill, Lac recens mulctum, steeped cum fungis sā∣buci, and warmed agayne lightlye, for the outside of the throate, mixe

with your former astringent cata∣plasmes, some mollifying & discuti∣ent medicines, & that in larger mea∣sure, then in the inward meanes: to thend, that the humors finding strai∣ter rowme within, & larger without, may (at the worst fall) bee gathered outwardly, if so be thei cannot other∣wise, be cleane spent away. Neither yet doe I here allowe meere relaxinge medicines: for that those doe not, as these here counselled, labour togither in one common worke, with the in∣warde meanes: but directly fight a∣gainst them, as hath bin noted afore. Cupping glasses serue not,* 1.278 til the flu∣xion be altogither stayd:* 1.279 and then are they rightly to be applied to the sides of the iawes, & in the neck: especially to the second vertebre of the neck, in the extreame peril of suffocation. The 3. & 4. dayes (accompted for the time of the state) let all your meanes be more resoluing. As first diminish∣ing in the last described collution, the quantities of balaust ros. diamoron. and encreasing the figges, raisins, & mel. But the ••. day, taking those astrin∣gents quite away. Or vse this: Rec.

h••siopi, m.j. betonicae, m.ss. glycyrrhi∣zae ras.℥.j. fungorum sambuci, ʒ.j. sem. lini. faenugraeci, ana, ʒ.jss. car∣narum ping. numero xij. dactilorum incis. numero. ij. passularum enuclea∣tarum, numero .xx. fiat decoctio: in.li.j. co∣laturae. dissolue, mellis ros. oxymellitis sim∣pl. ana, ℥ij. sapae dulcis, ℥.iij. dianucum, ℥j fiat gargarisma. Rec. vng. de altheae, oc∣sipi, vel resumptiui, ana, ℥••iij. ol. li••iorum, ℥.iiij. pulu. nidi hyrundinum, ℥.iij. incor∣••orentur sin.ul, & fiat cataplas••a. Ap∣ply it to the sides of the throat. Iou∣ber••us reporteth this out of Celsi••••, to bee verie effectuall.* 1.280 Sal lineo sacco excipiatur, dimittaturque in aquam be∣ne calidam: and so applye it warme to the sides of the th••oate: especially, (as I suppose) in the declination: at what time, it shall bee good like∣wise, to adde to the gargles, parum salis nitri, vel gemmei & sulphuris calamentum, origanum, thymum, nepe∣tar••, &c.* 1.281 Obseruinge diligentlye that in the declination of this Tu∣mor, the matter steale not downe in∣to the lunges, least soudenly you bee depriued of the comfort of your cure. To preuent it therfore•• minister

euery other day a drawing clister, al∣though the body be otherwise some∣what solluble. And in the declinatiō (according to the strength of the pa∣tiēt, & plight of the humors) consult of new purging and bloodletting hi∣therto of the most desired termina∣tiō of this tumor, to wit, by resolutiō. the other way is suppuratiō, and that eyther outwardly or inwardly. If it grow outwardlye (whiche you shall know by outward swelling & rednes,* 1.282 with inward ease in swallowing) help it forward with this cataplasme: Rec. fol. malu••rum, al••heae cum suis radicibu••, ana, m.ij. fol. caulium rubeorum, ma∣trum Violarum, hissopi, ana, m.j. ca∣ricarum ping. no. xxx. Florum cha∣momeli, melilo••i, ana, P.j. sem. lini, & faenugraeci, ana, ℥j capitum liliorum alborum, ℥.ij. furfuris P.j. fiat om∣nium deco••••io in aqua, pistentur & cribrentur: Cribaturae adde, ridi hy∣rundinis in Oleo Liliorum macerati, praebulliri & postea cribati, ℥.iij. farin•••• sem. lini & faenugraeci, farinae frumen•••• ana, ℥j. (decoquantur farinae cum oxy∣melli••e, ad conuenientem glutinositatem) axungiae gallinae recentis, Butyri rec. sine

sale, ana, ℥.j. croci, ʒ.j. ol. Liliorum, ℥.iij. fiat cataplasma. Inwardlye vsing such gargarismes as are fitte for the augmentation. The abscesse beinge opened, proceede by mundificatiō, & the other common rules of curing, as hath bene ofte before declared. Con∣trariwise if angina, suppurate inward∣ly (which is to bee perceiued by the long continuance of the state, with encrease of payne, inflammation and feuer: the patient still growing wors at nights, with horror & vnequal tē∣perature of body) make ready your helpes in this maner. Rec. rad. bismal∣uae, sem. lini, ana, ℥.j. caricas ping. no. xx. hys••opi. m.j. Coque & exprime, in li.iiij. liquoris mucosi dissolue, farinae fru∣menti puris.℥.i. croci, ℈.i. sapae q.s. ••iat in modum linctus. Or ex syrupo iuiu∣barum, glycyrrhizae, & puluere radicis i∣reos•• Make a mixture, whereof let the patient be often licking. So maye you forward the matter likewise by outward applications. as of some Ca∣tapl••sme ex farina volatilis, faenugraeci, cum decocto caricarum, maluarum, cha∣momi••lae & melle. After the breaking thereof, minister some mundifyinge

gargarisme: as, ex decocto hordei, cum melle: or this, Rec. aquae de prunis, & de prunella, or (in steed of their water) their decoction: ana, ℥.vij. mellis ro∣sac.℥iiij. aristolochiae rotund. fungorū sam∣buci, ana, ℥••s••. coquantur lente, fia••que gargarisma.* 1.283 Hitherto of the true An∣gina: now followeth of the false. The vniuersal meanes for reuulsion & ina∣nition being ordred, The local cura∣tion of this kinde, is to be handled. much after that kinde of cure of the true, which is wrought by way of re∣solution: obseruing this proportion: that those medicines that are deuised for the augmentation of the other, a•• meete for the beginning of this, & so foorth: making your meanes in the declination of this, more strongly re∣so••uing, then in the declination of the true Angina. For the beginning, some vse mustard dissolued in oxymellite.* 1.284 Rec. deco••ti thymbrae, ••i.ss. oxymel. simp.℥ iij. mūmiae gr.iiij. ••••at gargarisma. succinū burnt on the coales,* 1.285 & the fume ther∣of taken into the mouth, is much cō∣mended: or this vapor following,* 1.286 if the humor be thick & slimie: Rec. ori∣gani, & salur••••e, ana, m.ij. sem. faenugr.℥.j

buliant ex aceti parte vna, & duabus a∣quae, addendo salis nitri, vel gemmei, ℥.ss. this being in a pot with a hole in the couer, conuey the fume of it into the patients mouth, by a quil, or hollowe pipe: Rec. sem. rutae siluestris•• (alias har∣malae) apij, ammi, s••haenanthi, croci, rosarī•• ••ubear. i••idis, my••rhae, cinnamomi, casaiae, crocomagmatis, aristol. longae, gallarū, alu∣minis scis••i, ana, ℥.j spicae nardi, amomi, a∣na, ℥.ss. costi, cineris hirundinū recens v∣starum, ana, ʒiij. mellis, q.s. ad excipien∣dū. fiat opiata.* 1.287 This is that famous cō∣position of the Greekes called Diabe∣sasa, or, diaharmala, so much celebra∣ted of them, for his vertues, in the cure of al sortes of Angina, though in rea∣sō, it seem not so fit for the true sorts: except only, after the fluxiō is wel sta∣yed, as also Iouberius hath truly noted. But in this kind there is especial vse of it: seing that by discretiō it may be ••it¦ted vnto the seueral times thereof: as AEius s••eweth in this sort.* 1.288 In the be∣ginning•• mingle it with som decoctiō meanly astringent: toward the state, cum ptisanae succo: & neere the declina∣tion, cum melle, aut hydromel••••e, aut vno mu••so: so that as you woulde

haue it worke, so may you direct it, by your liquor or decoction, where∣in you will dissolue it. Of greate ac∣count also is this:* 1.289 Sumunt ur pulli hi∣rundinum siluestrium vi••••e cum plumis: addi toque sale pauco, in fictili bene ob∣turato comburuntur: Recipe illius ci∣neris, ℥.j. croci, ℥.ij. spicaenardi, ʒ.j. melle excipiantur. This resolueth ex∣cellentlye, without biting. If the Fluxion continue verye headlong, Ioubertus counsayleth this fume for the stay thereof.* 1.290 Recipe Nigellae ro∣manae, & gummi hederae torrefactorum, eoriandri praeparati, granorum & gummi Iuniperi, santali albi. rub. citrini, ana, ʒ j. myrrhae, thuris, masticis, Nucis moscha∣tae, calami aromatici, cyperi, ana, ℈.ij. spicaenardi, schaenanthi, ana, ℈.j. rosarum, ℈.iij. Pouder them, mingle them cura gumini dragagantho, dissolued in aqua rosarum, vel m••yrit, and make of them ••rochisces like lupines.

But if the straightnesse of breath bee greate, that you feare suffo∣cation of the fume, let the patient re∣ceiue it at the nosterls, for euen so shal the braine bee affected with the qualitie thereof. You may likewise

applie cupping glasses to the mould of the head, and this or such like pla∣ster, to suspend the rhewme. Rec. gut∣tae ammoniacae, vino generoso dissol.℥.j. sinapeos vel thapsiae, ℥••ss. masticis, ʒ.ij. terebenthinae, q.s. fiat massa Emplastri. After the fluxion is sufficiently staid, then may you boldly vse those mea∣nes, that may more immediately frō the place, where they are gathered, drawe out, and so expende the rem∣nant of the humors. Rec. succi hederae, vel siclae, vel maioranae, ℥.ij. mannae gra∣natae, vel mel ros. c••l.ʒ.j. ••ecoct. hordei, li.ss. misce. Minister this into the no∣strels, by a tente of bombast: or cloth dipped therein. From thence may you safely passe to sharper gargles, & drawing masticatories: to dislodge the insoked humors, in the loose and spungeous partes of the iawes. The way to prepare such gargles is shewed before. your masticatorie maye bee zinziber conditum, radix enulae campanae, pyrethrum &c. Or this compounded: Rec. cubebarum, zinzibris, nucis mosca∣lae, ana, ʒ.j. fiat puluis: which you may knit vp in knottes of linnen clothes, to chewe vpon: or else make

a paste therof with sigges, for the like vse. Hitherto of Angina of both kind••, with their seuerall cures continued. Now of some things that may inter∣rupt, and otherwise fall out amisse in the cure.* 1.291 Things interupting are pain & peril of strangling. For paine, theri•• before apointed, sucking of new milk with suger. Or, (as I haue tried) with Iewes eare insteped: and in the collu∣tions for the mouth, syr. violarī•• &c. allowed. The auoyding of suffocatiō is thought,* 1.292 by authors of great au∣thoritie, in the extreme peril of it, to be by incision of the rough arterie: as extreme points of diseases require extreme practises of remedies, and the keeping of breath and life, for a short time, (though by a hard kind of meanes) in this most sharpe disease, may be if much auaile for nature, in the meane time, either by resolution or suppuration, to saue her selfe. I knowe there is also graue authorite against it,* 1.293 as, Aretaeus, and some o∣ther: but their reasons being these: First, that the weland being wounded cannot be healed againe. Secondly: that the newe wounde, causeth a newe

inflamation: are easily answered. The latter being a case, that by means may be preuented: and the former a thing that experiēce dayly improueth. Whē you come to it therefore, make your incisiō betwixt two of the cartilages, in the mēbran which ioineth them to∣gither: by cooling meanes, then may you preuent••al inflamatiō, as also hin∣der the to hasty ioining of those parts againe. Ad also this caution that the ayre which the patient after incision, receiueth,* 1.294 be warmer then ordinarie: because it must nowe, by so short a space, passe to the lungs, without that alteration it was wont to haue, when it was receiued through the iawes, which mai satisfie Aretaus also, for his obiectiō of cough & suffocatiō, which (perhaps) he feared, through the cold¦nesse of the aire. Lastly, if by any in∣ordinate vse of some of the former meanes, the tumor grow to Scirrhous hardnes:* 1.295 make hast to your molify∣ing medicines, such as these: Rec. rad. bismaluae, maluae, sem. lini, ana, ℥.j. caricas pingues•• numero xx. hyssopi, m.j. coque & exprime, liquoris huius mucosi, recipe, ℥.iij. iridis florentine, ʒij

myrrhae vel styracis ca••. & stercoris ex ni∣do hirundinum, ana, ʒ.j. oxymel, scillis, q.s. fiat loch. Outwardly applye this catapl. Re••. rad. bryoniae, caepae albae, c••∣••umeris agrestis, ana, ℥.ij. branchae v••si∣nae, parietariae, origani, calamenti, ana, m.j. caricas xx sem. lini, faenugr. ana, ℥.j. florum centaureae minoris, ℥.ss. coctis, i••∣sis & cretis, adde butyri recentis, vel ax∣••ngiae anserinae, ℥.ij. fimi hirundinum ℥.j. sulphuris, ℥.ss. ol. anetini. q.s. fiat catapl.

Of tumors incidsnt to the Bellye. CHAP. XXIX. Standing foorth of the Nauel.

* 1.296THE prominencie of standing foorth of the Nauel is called also in Greeke Exomphalon. The outward causes are falles, strokes, labour, crying, coughing, &c. (as the partie himselfe, or the by∣standers can lightly report.) The in∣ward causes are ruptures or breaches, by which, either the kell, or guttes fall downe into that place•• if it be the

kell: the tumor is sauft in feeling, vn∣equall, of a like colour, &c. If it be the guttes, the tumor is also saufte, vne∣quall, easily giuing place, and vanish∣ing at the impression of the fingers: yea, sometime with noyse or rum∣bling: and increaseth more when the partie vseth any bathing, or yet stret∣chinge out of the bellie. inwarde causes are windinesse: and the tumor then is saufte, yelding a sounde at the striking of the fingers, and vanisheth when it is pressed vpon, &c.

In the cure you are to consider if windinesse be any cause:* 1.297 and so to dis∣cusse the same if neede be, with these conuenient medicines: as Mithrida∣tum drunke with the decoction of Rewe, or a clister made in this wise: Rec. anisi, cumini, faeniculi, sem. ameos, ana, ʒ.j. rutae, m.j.ss. fiat decoctio, de qua accipe ℥.x. quibus adde, ol. rutae, ol. laurini, ana, ℥.j.ss. salis indi, salis gemmae, ana, ʒ.ss. zacchari, ••ub.℥.j.ss. misce fiat clister. Minister the same euery daye, before meat, hote. Also to apply out∣wardly, you may make this medicin: Rec. lixiuij, li.ij. sulphuris viui triti, ℥.ij. b••racis, ℥ss. boyle them to the con∣sumptiō

of the third part: in this same liquor wet a spunge, and apply it to the place. Thus hauing remoued im∣pediments out of your way, addresse your self to the ioining of the rupture and first by medicines, if it be possi∣ble, such as be astringent and conso∣lidatiue: as these plasters: for example: Rec. perfoliatae•• q.s. boyle it in water o•• wine, then stampe it, and apply it to the nauel. 2 Rec. consolidae ma. tritae, ℥j. cerae liquaefactae, ℥.ss. misce fiat empl. ap∣ply vpō the place with lint. 3 Rec. far•• ••upinorum ℥.ss. pannilintei vsti, ʒ.ij. those brused togither, mixe thē with wine, & apply them with lint. 4. Rec. fabae fresae, corticum gallarum, balausti••∣rum, ana, partes aequales, those sodden & stamped, bind to the part. 5. Rec. plumbi scobis, ʒ.ij. cicutae, mannae, cerus∣sae. hipocistidis, ana.ʒ.ij. these dissol∣ued in wine, vse them as is aforesaide. An vnguent for that purpose you may thus compound. Rec. aluminis scissilis, ʒ.v. faecis vini, ℥.j. olci rosati, ʒ.x. gal∣••arum, ʒ.ij. dissolue them in wine, & forme them to the thickenesse of ho∣nie: therewith annoint the affected place, layinge aloft aspunge wet in

posca, and so make your binding.* 1.298 If medicines may not preuaile, but that handie operatiō is necessarily, to the cure required: then thus shal you ac∣complish it. The man standing or ••it∣ting vpright, commaund to holde his breath, so as his bodie maye swel out at ful: then take a penne with inke, & circle rounde about the compasse of the swelled nauel: after lay downe the man vpright, and with your scarrify∣ing lancet, tricke the place rounde a∣bout, as the penne did goe, ••o that, it become rough with your searifyings: then with a hooke, taking hold of the place, in the middest of the circle, and therewith eleuating or drawing it vp, haue readie a band to tie it, about the scarified place, (for so shall it holde for going backe the better,) leauing a bow knott vpon the same tyall: this done, open the tumor so tyed, in the toppe of it, and put in your fore∣finger, to assaye, whether any folde of the guttes, or else parte of Omen∣••um, bee bounde in with all. And if a gutt be helde in the tiall, drawe the knotte and slacke the bande afore∣saide, to put it in againe.

But if it be the kell you finde, drawe foorth the ouerplus parte of it, & cut it of, tying first the vessels, if you find any where you cut it. next, take two needles, with either of them a single threed, and thrust them through, in crossewise both sides of the gappe, made by incision: and with those iiij. endes, knitte togither, close vp the wound harde, taking off the former bande. And when the partes thus bound with tyings, shall putrifie, and fall away. Apply with linte, conueni∣ent medicines to the wounde, and heale it vp: coueting in this case, al∣wayes a hollowe cicatrice.

CHAP. XXX. Epiplocele, and Enterocele.

* 1.299EPiplocele, is when the kell fal∣leth into Scrotum. Enterocele, when the intestine Ileon doeth so.

* 1.300The outward causes hereof may b•• strokes, leaping, labour, showting, or crying, vehement moouing, &c. which by the patients relation is vn∣derstoode.

Inwarde causes are either rupture, or relaxation. Ruptures hap∣pen in the sides of the hucke bones, neere the setting to of the bellie, af∣ter some stroke, fall, leaping &c. the swelling thereof in the beginning, is not great, but only in proces of time. the paine is pricking. Relaxations ar alwayes about the hole, through which, the vessels and muscles cre∣masteres, descend to the testicles: this tumor is without paine, but (in some persons) of great quantitie, vneuen, encreasing, and decreasing. Now En∣terocele, and Epiplocele are to bee di∣stinguished, by the signes proper to them both. For in Epiplocele the tu∣mor is small, and oftener in the bone pubis, then in scroto. In whether place soeuer it bee, it is like a sauftishe bounche, slipperie and vneuen: re∣maining after one manner alwayes, as well after, as afore meate. Neither doeth it swell more by the straining of the breath, as the manner of Ente∣rocele is: neither doth it returne back∣warkes. In Enterocele, the Tumor is sauft, and soudenly rising, encreaseth by strayning of the voice, or repletiō

of meate, but contrariwise withdraw∣eth it selfe backwarde, through colde or vpright lying. Likewise being put vpwardes toward the flank, it maketh a noyse, like as winde in the guttes, being stirred. By feeling many times the excrements may be perceiued in them, hardened: so as they cannot be auoyded, like as is seene also in Ilia∣ca passi••.

* 1.301Enterocele, of all other is most pe∣rillous: specially, if the intestine can∣not be put vp: and againe in som that haue had the same put vp, there hath followed singultuous feuers, & death it self at the length. To others again, whilest it could not be put vp, hath happened Gangraena. Epipl••cele is, by reason of his sauftnes, hardly reduce••. Yet Enterocele that is new may be cu∣red with medicines, but that which is aged, is not cured but by manuall o∣peration. Likewise, if Enterocele grow on the left side, it is worse: because colon with manye foldes finisheth his course on that side: and is layde vppon with manye of the small guttes.

First. that that descended must be

put vp againe, into his place.* 1.302 To that purpose therefore, with a decoction of Mallowes first mollifie the place: then laye the partie with his heeles somewhat high, and his legges a∣broad, and so by little and little, re∣duce the kell or intestine, (whether it bee) into the place againe. And by and by, bynde it vp, with a conueni∣ent trusse, whether of clothes, wood, yrō, or such like deuise: so that the in∣side of the boulster, & those parts that are to come nere scrotum, & the flank, be couered and ouerlined with some sauft and gentle substance. When you haue thus first prouided, to put euery thing in his proper place: it standeth you next in hande by all meanes, so to holde and keepe them still: if it be a rupture, by conglutinatiues, and if it bee a relexation by constrin∣gent medicines. For the dyet there∣fore, ordaine, that the patient maye reste for manye dayes: lyinge on a saufte bedde, meates beeing of good iuyce, and somewhat as∣tringente, his bellye kepte loose, and that in goinge to stoole, hee euer obserue to presse his hande

vpon Pubis, and scrotum, the better to preuent the fallinge downe of anye thing. Let him beware of strayninge his voyce, or wind: of too much mo∣uinge, of repletion or fillinge ••with meate and drinke: of the bath of ho∣nyed water, of windie meates, and of all kinde of fruites, and pulse. then for medicinall engins, you may pro∣uide Medicins sufficient, both to mi∣nister inwardly, & also to apply out∣wardly, to stoppe the mouth of so te∣dious an enimie: remembring (a•• I saide before) that against the rup∣ture, you striue with medicines desic∣catiue, consolidatiue, and constrin∣gent. But if it be a laxation, with a∣stringents only: for which purposes I haue set you down here, both inward and outwarde medicines conuenient. And first, simples to giue inwardly, for this purpose, are the iuyce of con∣solida maior, & regalis, the iuyce of Ia∣cea, and of sigillum salomonis. Also, sy∣rupur iaceae, puluis consolidae maioris, her∣niaria, radix pentaphilli trita, & cum vi∣no sumpta, radix cyperi, radix plantag. radix aristologiae longae, & rotundae, scori•• ferri, corralium, pri••pus t••uri, cerui &c.

Compoundes of those and such like, you may prouide on this wise: & first for a potion: Rec. Radicum bistonae, ra∣dic. narcissi, ana, ℥.j. rad. cons••lidae vtri∣usque, radic. quinque folij, rad. rubiae, ana, ℥.ss. hypocystidis, poligonni, ana, m.j.ss. sebesten numero x. dactylorum par. iiij. myrabol. chebulorum, myrabol. citrinorum mirab. indorum, ana, ʒ.j. sem. anisi, ma∣sturtij ana, ʒ.ij. florum rosarum, anthos, cyperi, ana, P.j. fiat decoctio in vin••, & a∣qua, & in li.ij. dissolue mellis, & zaccha∣ri, ana, partes aequales, fiatque syrupus: of which syrrupe minister to your pa∣tient ℥.iiij. for a dose, in the morning fasting: the bellie being first vnloa∣den of his excrements. Likewise an e∣lectuarie for the purpose is thus com∣pounded: Rec. conseruae rosarum anti∣quae, conseruae symphiti, ana, ℥.j. conseruae florum saluiae, conseruae acori, ana, ℥.ss. trochiscorum de carabe, vel de spodio, vel de bolo, ʒ.iij. blattae bizantiae vstae, & in aqua candae equinae lotae, ʒ.ij. cum syropo cotoneorum fiat electuarium. Whereof, let the patient take the quantitie of a nutte fasting, & drinke thereupon a little red wine. Then to the affected place outwardly, applye

this fomentation, or some of the pla∣sters following. Rec. rad. bistor••ae, rad. pentaphilli, rad. rubiae, rad. chelidoniae, an•• m.ss. herniariae, polygoni, hypocistidis, ana, m.j. cumini vsti, nasturiij torrefacti, ana, ℥.j. florum staecados, anthos, ana, P.j. flo∣rum rorismarini, caentaureae minoris, ana, P.ij. make of them your decoction, with water and astringent wine, and therewith foment the place. Vsuall plasters you haue, that are called de pelle arietina, Empl. commitissae, &c. which beare a name cōmon inough to be in euerie mans knowledge, and haue beene founde (no doubt) verie profitable. Neuerthelesse there be o∣thers againe of lesse common vse, de∣uised of sundrie practitioners, which heere also for thy choyce, I haue thought it not a lost labour to ga∣ther togither. 1 Rec. balaustiorum, ℥.j.ss. gallarum, ℥.ss. rad. asphodeli, rad. nar∣cissi, ana, ℥.j.ss. coquantur in vino, tun∣dantur & fiat emplastrum. 2. Rec. thu∣ris, masticis, sarcocollae•• acatiae, lapidis hae∣matitis, mūmiae, tragacanthi, gummi arab. terrae sigillatae, ana, ʒ.iij. boli armeni, ga••larum, lithargy••ij, balaustiorum, nucis cupressi, malecorij, aristologiae longae, &

ro••. corticum thuris, rosarum, radic. con∣solidae vtriusque, orobi, siliginis, sam∣buci, cyperi, ana, ℥.ss. picis naualis, ʒ.ij.ss. colophoniae, resinae pini, terebin∣thinae, ana.℥.j. visci quercini, ℥••j.ss. cerae, ʒ.ij. pilorum leporis vstorum, ℥.ss. olei in quo ficus pingues coxerint, ℥.ss. fiat magdaleon. 3 Recipe vn∣guenti comitissae, ℥.ij. radic. bistoriae, radic. narcissi, ana, ℥.ss. blattae bizan∣tiae, sang. draconis, sarcocollae, aluminis, an•• ʒ.iij. malaxentur omnia simul, in oleo co∣••oneorum, fiatque emplastrum. 4 Rec. masticis, myrrhae, corticum thuris, nucis cupressi, sarcocollae, glutinis piscis, ana, ℥.ss. gluten in aceto dissoluatur, reliqua tri∣••a misceantur: spread it vpon leather. 5 Recipe spumae argenti vstae, ℥ix. aceti li.ij.℥.iij. olei cotoneor••m, li.ss. succi plantag.℥.ij. misce fiat emplas••rum. 6 Recipe masticis, sarcocollae, sanguinis draconis, aloes, blattae bizantiae, corti∣cum thuris, boli armeni, gypsi, gallarum, ana, ʒ.ij. psidiae, ʒ.ij. icthiocol∣lae, taurocollae in aceto dissolutarum, ana, ℥.ij. malaxentur & fiat Empla∣strum.

Now if the ruptur be old, then it re∣quireth to be cured only by manuall

working: as either incision, or a 1.303 bur∣ning. The cure by incision therefore is in this sort accomplished. Three dayes togither, before you deter∣mine to make incision, let the partie drinke water onely, and the very day before, abstaine from meat also. Then lay him vpright, and let your assistant l••ft vp the skinne in the flank, whilest you make incision, with an ouer∣thwart line, or in transuerse manner. Some notwithstandi••ge doe make their incision not ouerthwart, but longwayes: and so with a hooke, drawe open the diuision: which must be in largenesse aunswerable to the quantitie of the testicle: then faste∣ning so manie hookes in the inner skinne, as the largenes of the wound requireth, and excoriating as you go, the membrans and fatt, deuide still forwarde with your knife, vntill you haue bared peritonaeum: which done, put downe your finger into scrotum, and deuide the testicle from all his holdes therein, and so with one hand drawing vp peritonaeum, and with the other, thrusting scrotum inwarde, to beare vpwarde the testicle, Take it

out, by the place of incision, togither with his membran Erythrois: which one of your assistants lifting vp, serch you in the meane time, both that it be perfectly loosed from all his hin∣der holds in scrotum, and also that red membran Erythrois be fre from al in∣uolutions of the kell or guts, (which you shall put in their place, if you find any) this done, take a sufficient nee∣dle, with a double threede of tenne twistes, & in the place of the incision, thrust it through the midst of the end of Peritonaeum, and taking the foure endes of your double threede, binde them strongly acrosse, one ouer ano∣ther, in the fourme of this letter X, & that with a double knott:* 1.304 so as none of the nutrient vessels, may passe any nourishment from them, for feare of inflamation. Also outwardly, two fingers from the other, giue another binding. After which things, (lea∣uing the length of a finger of perito∣naeum,) cut off all the rest togither with the testicle. Last of all, deuide scrotum againe in the lower part, and put through a drawing tente, and so fomenting the place with oyle, and

applying conuenient ligatures, afte•• the manner taught in Hernia aquosa, perfourme that businesse. Some, whē they cut away the membran called Erythrois, doe cauterize the ende with a hote yron, for feare of fluxe of bloud.

ANNOTATION.

^aHere Wecker supposeth cauterizati∣on, to be a seuerall kinde of manuall cure: whereas AEgineta (whence he seemeth ••o haue it) sheweth it to be a part of the cure attempted by incision, according to some mens order.

CHAP. XXXI. Cirs••cele.

* 1.305CIrsocele is a varicous rupture, (so called) when the vaines nourishinge the testicle, doe swell.

* 1.306The tumor is but small, and of a diuerse fourm, both in the a 1.307 epididime and spermatike vessels, which are therby (as it were) heaped & wouen togither, and writhen. It is harde, and

in figure long, easie to be perceiued in feeling. It is lesse grieuous then Hernia carnosa. If it be of any notable groweth or continuance,* 1.308 it is hardly or neuer cured, but by handy worke.

The cure therefore is to be labou∣red with mollyfying medicines:* 1.309 as, faenum graecum, semen lini, farina frumen∣ti, ol. sesaminum &c. or else with handy operation, which is thus to be perfor∣med. First, place your patient de∣cently for your purpose•• then stroking scrotum gently with your hand, driue the nerue b 1.310 ••remaster into the lower parte, you shall easilye knowe it by this: that it is a slenderer, stronger, harder, & solider vessel then the rest, and the patient at the thrusting down thereof will complaine, feeling him∣selfe troubled about the yarde. Then the dilated vessels, beeinge taken vp with scrotum,* 1.311 betweene the fingers of you and your assistant, & harde stret∣ched, cut slopewise, with your in∣cision knyfe, through the skinne that lyeth directly ouer them. After that, liftinge vp the vessels with hookes, when you haue bared, and separated them from their holds

in the skinne, and other partes, pearse them through with a needle, & dou∣ble threede: then cutting off the nee∣dle, binde the vessels, both in the place of their first dilatation or en∣larging, as also in the lower ende of the same. This done, make incision along vpon them, and emptie out the bloud contained. Lastly, with medi∣cines that moue matter, effect the cure, and so that the bindinges togi∣ther with the vessels, may fal away of their owne accord.

* 1.312This course must be taken (saith Leonides) when some of the nutri∣ent vessels are varicous, or dila∣ted•• otherwise, if all the vessels be in like case, then are they to bee cut off, & the testicle to be taken away with them.

ANNOTATIONS.

^a By epididime is here meant, the place of the setting to, of the vessels to the testi••le.

^b Wecker hath this at the hande of Paul AEg. who is commonly knowen to be deceiued in his opinion of Cremaster,

howbeit, the substance of the cure is con∣tained in that that followeth, namely, the tying, and empting of the vessels, wherein I wish this to be obserued: that before the lower tyall, next to the testicle be made, the vessels first be opened, and the thick dreg••gish bloud contained both in them & the ••esticle, be let out.

CHAP. XXXII. Bubonocele.

BVbonocele,* 1.313 is when Omentum, or I leon fall into the flanke, and there remaine, not runninge downe into scrotum.

Peritoneum in this case,* 1.314 is either broken or relaxed, it becōmeth bro∣ken, by some fall, stroake, crying, &c. as aforesaide. Relaxion is shewed a∣boue in the causes and signes of Epi∣plocele. The disease it selfe, being a vi∣sible tumor, in the place mentioned is easie to be discerned by the eye.

Let the dyet and medicines in this cure,* 1.315 be the same that is set downe in Epiplocele, & Enterocele. And if the kel or guttes be slipt outward, put them

in againe, and so with conuenient trusses, or flanke binding, hold them there. There are also further meanes v∣sed ••f these serue not: as incisiō & cau∣terie: both which I will here set down vnto you.* 1.316 And first the incision thus: deuide the swelled parte of the flank, with an ouertwhart incisiō, the bredth of three fingers long, take out the membrans and fat: then with a probe ••et vpon peritonaeum, wher it poynteth out, beare it downe, therby to com∣pel againe the intrels into their place. And this do euery where, whereas it bouncheth out: in the meane time, sowinge togither the breach with a conuenient seame, then plucke forth the probe: and thus neither cuttinge of peritonaeum, nor the testicle, nor yet binding any part, onely with meanes fit for a greene wounde, finish the cure. The cauterio is to bee vsed in this manner.* 1.317 Let the man in meane sort moue his bodie, and by violent coughing, stretching, and holding of his breath, make the tumor in the flanke appeare at large: then com∣passe the place that you wil cauterize, with a penne, & inke, first in triangle∣wise,

so as the transuerse line of it, tende vpwardes, along the flanke: then make a pricke or signe also in the middest of the triangle. This done, laye the patient alonge, and applye vppon the middle marke your hote yron, firste, a narrowe poin∣ted one, then a three co••nered, like this Greeke letter ••: and thirdlye with a Laterculer, or lenticulate cau∣terie: matche the compasse of the whole triangle, your assistant still beeing with a cloth readie to drye and wype the place of the burninge: which must bee so deepely done, vntill you touche the fatte: and that in a bodye of meane habite or plighte: for in leane bodies, the yron is not to bee deepely imprin∣ted: lest so, vnawares, you shoulde burne periton••um. Neither is it a meete waye in fatter bodyes•• be∣cause in them, the fatte will appeare before you come to a iust mea∣sure in burning. But howe muche it is mee••e to burne, an artificiall coniecture must bee the rule. Af∣ter the cauterie, minister to the cruste, Sal vna cum porro tri••us:

and vse a flanke binding or trusse, in the likenesse of this letter X, the daies following, vse meanes to remoue the escar: as lenticula cum melle, and such like.

CHAP. XXXIII. Sarcocele.

* 1.318SArcocele is a fleshie rupture•• as when fleshie matter groweth in the fibrous knittings of Scro∣tum. It may come of some in∣warde fluxion occasioned by some stroke,* 1.319 leaping, &c. or some incision for rupture, and not rightly done. The parte affected is the testicle, or nerues, or coates thereof, hardened by the growinge of flesh ••mongest them. It is knowen euen by feeling•• as also in sight: The tumor is rounde, longwise, following the fashion of the testicle: harde, and in long time, by little and little encrea••eth. Like∣wise, if it be Schirrous, it is without paine: but with a pricking kynde of paine, if it be maligne.

* 1.320Hernia Carnosa notably growne,

cannot be cured, but the testicle is to be taken out.

To take away the same by incisi∣on,* 1.321 you shall worke on this sorte: place the patient, as in the cure of En∣terocele aforesaide, and make the like diuision also, and if the ••esticle haue become faultie, through flesh engen∣dred thereabout•• ••ut away both the membran a 1.322 Darto••, & erythrois: & lif•• vp the t••sticle, and take it out with erythrois: seuer b 1.323 cremaster from the vessels, and cut c 1.324 it away: binde the vessels, ••nd take awaye the testicle, that had so ••oyned it self with super∣fluous growing flesh, as an vnnatural thing. But if this same growinge of flesh, be in anie coate or vessel, then after the diuision of scrotum, and the membrans vnder the flesh, take away all that that hath growen into fleshi∣nesse: but if the hinder commissure, or seame be couered with fleshe, take away the same commissure, and the testicle withall: for without it the te∣sticle cannot remaine. Moreouer, there are incident to the testicle To∣phous,* 1.325 or knottie growings•• hardning vppon the membran ••rythrois: stifning

the same much, and yelding hardnes, and inequalitie in handling: thereby differing both from the fleshie and watrish ••uptures: yet it is to be cured by the hande, as is the fleshie rupture.

ANNOTATIONS.

* 1.326^a By dartos, AEgyneta vnderstand••th not the second coate of the testicle, as wee doe, but the middle skinnes that ••ye s••ro∣tum to Erythrois.

^b By Cremaster, the same author mea∣neth to note a certaine nerue (which o∣therwise vntruely also he calleth Para∣s••ra••es) which should spring from the spi∣nall marrowe, and descend with the other vessels, to the testicle, and that it shoulde be deputed, to conuay the sede to the yard: but beeing onely a fansie of his owne, wee cannot receiue it.

^c Wordes moe then neede. The scope i••, that after artificiall binding of the vess••ls the testicle with all the carneous growing be cut away.

CHAP. XXXIIII. Hydrocele.

HYdrocele,* 1.327 is when water de∣scendeth into scrotum, or is therein gathered.

The immediate causes are watrish humors,* 1.328 contained either in all scrotū, or in the membran erythrois•• or dartum: either of which, you shall thus descrie from other: for if it bee in those membrans, then the tumor is rounde & with tension in the testicle only, scrotum being free & wrinkled, after his natural maner. Contrariwise when the matter possesseth all scrotū, the tumor is (the part being set be∣twixt you & the light) through shi∣ning, vnpainfull, firme, stable, & scro∣tum without wrinkles. It may come also of a 1.329 bloud, but then some stroke or fall hath bin the occasion: & then the tumor is ruddie, or blackish. Me∣diate or mean causes, conducing ther∣unto, may be imbecilitie throgh cold distemperature, either of the liuer, or els of the vessels * 1.330 enwraping scrotū, by occasiō wherof, the bloud that cō∣meth thither for nourishment, is chā∣ged into a watrish or whaish & vnpro¦fitable susbtāce. The tokens of a cold distēperature doeth bewray this case.

Further,* 1.331 you shall trye out, whether the partes enwrapping scrotum, be af∣fected first, and by themselues, or else by consent of some other parte, after this sort. If there be any consent, as of the Liuer, or Splene, examine the state of those partes, by the proper signes and notes of the liuers affects, and of the dropsey: and if you finde faultinesse in those parts, then is there consent: but if those partes be sound, and there no signes of dropsey, the tumor also vnpainfull, firme and aby∣ding, you easilie see where all the fault must be layde.

To goe about this cure:* 1.332 foresee first, whether the part be affected by it selfe, or by consent of some other: as by colde distemperature of the li∣uer and Splene, which if you doe su∣spect, set an order, both by heatinge diet, and medicines, that may resist the same: diligently spending out the watrie matter, contained in peritoneū, by often purgations. In vaine else shall you go about to lay locall me∣dicines to waste away the water in scrotum, when the same shall bee still supplyed out of the abundance in pe∣ritonaeum.

Those things therfore thus prouided for: prooue if you may by medicines discusse the watrie humor in scrotum, as by this fomentation: Rec. lixiuij, li.iij. Cumini ℥.ij. petroselini, apij, ana, ℥.ss. salis, li.j. make your de∣coction hereof, & foment the place. A cataplasme for that purpose, you may make ex stercore recen••i vaccino, mixt with a thirde parte of Bole arm. or sanguis draconis, &c. or, Rec. sterco∣ris Caprae, ℥.iij. coclearum contus. cum suis testis, ℥.ij. sulphuris ℥.j. misce, make thereof a cataplasme: which must be often remoued. It auayleth also to vse pulu. radicis brassicae vstae, cum adipe suillo recenti. b 1.333 The last re∣fuge is incision, which may bee per∣fourmed in this sort. c 1.334 Shaue awaye the hayre (if there be any) from scro∣tum, & pubis, and lay the patient vp∣right on a fourme, with many foldes of cloth vnder his hippes, but vnder scrotum a spunge of sufficient large∣nesse: your selfe sitting at the leftside of the partie, your assistant on the right: appoint him to turne the yard to a side, & lift vp the skinne of scro∣tum to abdomen warde: then make

your incision from the middest of scrotum, vp along, almost to ••s pubis, and neere the seame that deuydeth scrotum in the middest: and continue your diuision, euen downe to the membran Erythrois. If you finde humor, gathered in a peculiar en∣gendred coate: make your deui∣sion iust, where you espie the out∣pointed parte of it. Thus your incision beeing made, and the sides drawen wide open with hookes, as also the tunicles * 1.335darti beeing deui∣ded, with a rupture knife, fit for that purpose: make bare the membran E∣rythrois, and deuide it in the middes with your lancet, especiallye in that part where it is deuided frō the testi∣cle, & so the humor being either al, or for the most part, let out into a vessel, standinge vnderneath, with hookes draw out Erythrois, that is all the thin part of it, and then vse meanes to en∣gender flesh againe. But if the testicle be touched with putrifaction, or bee defiled any way, then after you haue bound the vessels annexed to the * 1.336nerue called cremaster, cut out the testicle and take it away. In like ma∣ner

deale with those that labour with a double rupture,* 1.337 in double wise en∣deuouring the cure, by incision on both sides of scrotum, towardes the flanks, which done, put in your probe by the wounde, downe to the bottom of scrotum, & when you haue wrought with the head of your probe, such a dent or pitte, on the in••ide of the skinne of scrotum, that you can per∣ceiue on the other side where the head of the probe lyeth, against the same cut through scrotum with the edge of your incision knife, so much as may serue to giue issue to the matter, or cluttered bloud contained, and with the same head of the p••obe plucke in a longe drawinge tent, or linnen cloth, which maye come through the orifice aboue. This done, applye to the testicle Wooll wet in oyle, and aloft outwardly, o∣ther peeces, wet in oyle and wine, and besides dooynge this to scro∣tum, laye the lyke battes of oyle and Wine also to the bottome of the bellye, to the flankes, to the loy∣nes, and along the space between scro∣tum & the fundament. So aloft on al,

make your enwrapping with a linen cloth, three fold, contriued with sixe strappes or boughtes, and other con∣uenient bindings for the purpose, let∣ting the partie keepe his bedde, and boulstring vp scrotum with wooll, that it may lye at ease: prouiding alwaies to lay vnder the same woll, some soft leather skinne, for the receiuing of the fomentations, that wilbe alwayes syping through: for you must fo∣ment the place with hote oyle till the third day. The thirde day, the wound being opened, dresse it againe with tetrapharmacum, and change the long tent that went through. Also yet fo∣ment the partes without vntil the vij. daye: for feare of inflamation: and apply aloft some plaister, to keepe in the tents. The wound being by those meanes purged, and flesh in a reaso∣nable measure engendred, wash the place, drawe out the long tent, and accomplish the rest of the cure, as hath beene saide in other like before. Nowe if there come any inflamation, or fluxe of bloud, or such like, it is meete to make conuenient resistance by their proper remedies: which here

I stand not vpon, lest I shoulde make needelesse repetitions of the same things, in fitter places deliuered.

ANNOTATIONS.

^a I cannot hereunto consent: that the resort of bloud should cause Hydrocele. All men knowe, rather, an inflamation & mortification: But here Wecker was borne downe in the streame of AEgineta.

^b Or this plaster after fomentation: Rec. empl. de Baccis lauri, li. ij. mi∣thridatij, ℥.iij. fimi columbini.℥.iiij. lupinorum, ℥.iij. baccarum lauri, cu∣mini, ℥.j. absynthij sic.℥.ss. florum Camomillae, ℥••j. florum hyperici, ʒiij. aquae vitae, ℥••ij. ol. hyperici, ℥.vj. fiat empl. Hereto may bee encreased, or diminished, the number or quantities of ingredients, according to the wisedome of the Artist.

^c This long discourse of manuall ope∣ration, out of Paul. AEg. as it satisfieth no•• me, so (perhaps) neither many others. It may suffise vs, when there is such store of water gathered, as our locall medicines cannot fast ynough dispend it, to prouide more open vent, by one of these ij•• wayes:

••o wite, the seron, or the cu••••ing c••••••••erie.

CHAP. XXXV. Of Pneumatocele.

* 1.338PNeumatocele is a windie rupture or bursting. The mediate cause is colde distemperature &c.

* 1.339The immediate, winde: and that either in the foure nourishing vessels of the testicles, (the tumor then ap∣pearing harde and not vanishing by the pressing of the finger) or els in the arteries running betwixt the tu∣nicles of * 1.340 dartos: in which case the tu∣mor giueth backe, and vanisheth be∣ing pressed with the finger. Nowe, if the partes be affected first, & by them selues, then shall you see no signes of dropsie or timpanie, nor of any af∣fect of the liuer, or stomacke, then by the proper signes of the affectes of those partes, as also by the notes of those named diseases, you shal descrie it. In briefe, the generall signes of windie rupture, are these: The ••ump•• is through shining, lighter in poyse,

& yelding more sound or noise, than in Hydrocele.

If the affect be in the iiij. vessels, nourishing the testicle,* 1.341 it is curable, but in the arteries of dartos, vncura∣ble. In new borne children also it oft happeneth, and is easily discussed.

If it come by consent of the liuer, or stomack, it is to be dealt withal, as in the timpanie. So the dropsie is first to be cured,* 1.342 if this be occasioned ther by. ••ut if the part first, and by it self haue receiued the affect, and be faul∣tie alone, then is it thus to be dealt with. The mediate cause, which is, cold distemperature, if it be without matter, it is the sooner corrected by heating dyet and medicines, but if pi∣tuitous matter be ioined with it, then must you first alter or concoct it, after ••uacuate the same matter, by conue∣nient medicines. Now for the imme∣diate cause, which is windines in the place, you must prepare discutient medicines, such as these: a Fomen∣tation. Rec. cumini, baccarum lauri se∣seli, rutae ana, ℥.j. fiat decoctio in vino leuiter astringente, & lixiuio, & there∣with fomēt the part. A bag for it may

be made ex milio, sale & ••umino. So may you applye Emplast. de baccis lau∣ri: emplastrum de meliloto. Or this: Rec. stercoris vaccae, li.ij. sulphuris, cumini, ana ℥.iij. mellis parum, mixe and make a plaister. Another: Rec. farinae faba∣rum, li.j. cumini, apij, petroselini, ana, ʒ••ij. coque in vino, fiat empl. The last meanes is by incision: which is to be perfourmed as is saide in the varicous rupture. First strongly bynding all the veines: But you must note that this cure pertaineth not to that kinde of windie rupture, that is in the arte∣ries of Dartos, (which kinde is sayde afore to bee vncurable) but in that that consisteth in the iiij. vessels of the testicles onely.

Of the Tumors of the Glandulous partes. CHAP. XXXVI. Of Bronchocele.

* 1.343BRonchocele (otherwise called B••∣cium, & Hernia gutturis) is a great round tumor in the throat,

betwixt the skinne and rough arterie•• in which is sometime contained, a certaine a 1.344 dull flesh: somtimes againe a humor, like honie or fatt, or like to a pulteis: other somtimes heres, mixt with little scrappes of bones.

The antecedent cause,* 1.345 which is flegmatike humor, is to be searched out by the signes of phlegme. The conioyned cause, as also the signes of the disease, are euident out of the definition.

If this disease come naturally,* 1.346 it is not cured, and hardly ynough, if it come otherwise b 1.347.

The antecedent cause must first bee taken away,* 1.348 (that is to say, pituitous humors heaped vp in the body:) part∣ly by dyet, and partly by medicines. Let the dyet therefore be such as may heate, drie & make thinne, according as is set downe in the cures of Oede∣ma, & Struma, auoiding all vaporous and thicke nourishours: and such as be apt to gender viscous humors: also loude cryings, stooping downe with the head, &c. The order of dyet thus instituted: come to the ordination of medicines, which must be (first) of

propertie to alter the qualitie of the humor, by preparing and concocting the same, such as is this sirupe. Rs. syr. de duabus radicibus, mellis ros. co∣lati, oxymellis s••illit. ana, ʒ.ij. aquae betonicae, aquae maioranae, aquae faeni∣culi, ana, ʒ.iiij. specierum pliris arco∣••icon, vel diamoscu dulcis, vel diam∣brae, vel cinamomi, ana, ℈iiij. make thereof a syrupe, clarified and aro∣matized for iij. doss. the humor now prepared, purge with this bole: Rs. turbith op••.℈.iiij. zinzibris, ℈j. elect. Indi maioris, ʒ.ij. zacchari q.s. fiat bo∣lus: or this, Rs. turbith, ʒ••j.ss. zinzi∣bris viridis conditi, ʒ.ij. zacchari, q.s. fiat bolus: else this potion, Rs. aga••i∣ci trochis••. in oxymelli••e infusi, & ex∣pressi, ℈.iiij. turbith.ʒj. salis gemmae, gr. vj. zinzibris gr. vj. syr. ros. sol.℥.j.ss. aquarum betonicae, & melissae, ana, ℥.ij. fiat potio. Turne you then with all your engines of art, against the conioynd cause, as here followeth: Rs. satureiae, hyssopi, polij montani, pu∣legii, spicaenardi, ana, ʒ.ij. sem. apij, sem. petroselini, ana, ʒ.ij.ss. anisi, ʒ.iij. glycyrrhizae, ʒ.ij. nucis moscatae, ••aryophillorum, ana, ℥.ss. cinamomi,

ʒ.iij. piperis longi, mirrhae, ana, ʒ.j.ss. make of all these a most fine pou∣der, and giue thereof to the patient three houres before meate, three times a weeke, ʒ.j. for a dose, in white wine, and this, by little and litle, shal waste away the humor from the place, whetherto it is resorted: and it is especially to be vsed in win∣ter. Nowe for medicines to be ap∣plied to the place it selfe, you may conueniently prouide you amongest these that followe. Recipe ammoniaci, bdellij, galbani, in aceto dissolutorum, a∣na, ℥.j.ss. picis naualis.℥ij. resinae pini, ℥.j.ss. miscean••ur manibus vnctis oleo sycionio, fiatque Emplastrum. an∣other, ex bd••llio melli mixto. a thirde, exch••lce viua, axungiae sui••lae mixta. a fourth, ex stercore caprino, in aceto li∣quato: a fifth ex lixiuio & melle. A sixte on this wise compounded: Re∣cipe radic. brioniae, radic. cucumeris a∣grestis••, ana, ℥.iij. ficum immaturarum paria vj. amygdalarum amar.℥.ij. scillae ℥.j.ss. colocinthidis.℥.ss. coquantur in aequis partibus olei veteris & vi∣ni maluatici, ad vini comszm. ••e∣ran••ur, & cribrentur, deinde adde,

farinae fabarum, & orobi, ana, ℥.ij.ss. far. sem. lini, & faenugreci, ana, ℥.j. medullae cruris bubuli, ℥.iiij. ol. nucum q.s. croci, ʒ.jss. fiat empl. An vnguent is this: Rec. sem. sinapi, & vrticae ana, ℥.ss, rutae agrestis ʒ.ij. ireos•• ℥.ss. aceti, ℥.j.ss. olei de castoreo, ℥.iiij. cerae, q.s. fiat vn∣guentum. If you haue neede to come to manuall operation, then incision being made, take out the same, with the case or skinne, as is before she∣wed in the cure of S••ruma: foreseeing wisely aforehand, that there be not a∣ny daungerous implication of nerues and arteries, in the matter containde.

ANNOTATIONS.

^a Bronchocele, is of two sortes: the one, when Atheroma, Steatoma, or Meliceris growe in that placae. The other is a dilatation of the proper vessels of that place, after the rate of Aneurisma, or Varix.

^b The last of the two in the former an∣notation is vncurable.

Supply. CHAP. XXXVII. Parotis.

PArotis, is an inflamatiō,* 1.349 in those glandules specially that are sea∣ted about the rootes,* 1.350 & behind the eares. It commeth of ho••e humors flowing thither from the head.* 1.351 It hath all the notes of Phleg∣mone, as tumor, rednesse, heat, and panting paine, except (as it is some∣time) it be partaker of Oedema. As it is sometime without a feuer, so is it, other whiles in a sharpe feuer: there hauing gone before, franticknesse, or paine and heauinesse in the head.

The criticall Parotis tendeth natu∣rally to suppuration.* 1.352 The other en∣deth best by resolution. Paro••is not cunningly resolued, turneth oft into a schirrous tumor.* 1.353 The dyet and v∣niuersal meanes, being ordred, accor∣ding to the rules propounded in the generall tumors. See that your local remedies be first partakers of some

astringencie, but in no wise reper cus∣siue, because to beate backe, as it is not safe, in any of the Emunctories, so, much lesse in this, so neere to that noble part, which, for the con∣tinuall resorte of superfluities, hath need sometime, of many chanels, and ventes, to disburden it selfe by. Some astringencie yet, I allowe, (I meane in the Parotis not criticall, the cure whereof I will first handle,) lest the fluxion shoulde be too headlong, and vnrulie. as for example, a pulteis made, ex medulla panis (I mean whea∣ten or seconde breade,) vrina puero∣rum infusa, or, ex farina hordei, vel fa∣barum, aqu•• & oleo chamomelino deco∣cta, putting to last of all, mucilagi∣nempsylij, vel cotoneorum. or, Rs. cha∣momillae, parietariae, florum rosarum, florum arboris pomiferae fructum acido∣dulcem feren••••s, ana, m.j. coquantur in aqua, cribraturae adde medu••lae panis lacte infusae, li. ss. ••xungiae porci, vel butyrirecentis, ℥.vj. or as you see it meetest. In the sharpnes of the paine. Recipe olei chamomil. liliacei, ana, ℥.ij. vng. dealiheae, ℥.j. fiat linimen∣tum. applie it with flanke wooll, or

butyrum maiale opt. praeparatum, cum oesypo, or cum oleo chamomel. amygdal. anethino, &c. or, if you chuse a cata∣plasme: Recipe far. hordei, & faenu∣graeci, ana, ℥.iij. decoquantur in aqu•• & oleo chamomelino, velirino, velane∣thino, vel ex semine lini•• & fiat cata∣plasma.

When you haue made some staie of the fluxion, proceede to discusse more largely: as, cum butyro maiali mixt cum sale torrefacto, & subtillissi∣me puluerizato, and applyed with browne paper, fowlded three or foure double, being looked there∣into, as butter into a toste: else it may bee ministred w••th wooll: so likewise,* 1.354 if you adde to the latter cataplasme mel, or frame one ex melle, favina fabarum, & farina hordei, leuiter coctis: you shall sufficientlye perfourme that dewtie. In the ende, if there remaine any thing, by these vndiscussed, the paine beeing cea∣sed, applye Diachilon mag. ireatum, Diapalma with double quātity of chal∣citeos, and some of the powder of Ire∣os, or diapalma mixt with proportio∣nable quantities of bdellium and Ireos.

If it bende to suppuration,* 1.355 the case is one with the critical Parotis. then shal you further it, as with such like cata∣plasmes: Re••. maluarum, m.j. rad. bis∣maluae, ℥.iij. ficuum par.xx. coquantur & pistentur diligenter, per colum trans∣mittantur, quibus adde axungiae porci, ℥.iiij. ol. communis ℥.iij. farinae frumenti, leuiter decoctae in colatura decoctionis herbarum, li.ss. misceantur & reducan∣tur ad formam catapl. This may you make stronger by adding also muci∣laginem faenugraeci ad ℥.jss. So may you towardes the breaking, put in some fermentum acre, or c. After the brea∣king, followe the ordinarie waye of mundifying, incarning, and cicatri∣cing.

CHAP. XXXVIII. Of the small tumor Phyma.

PHyma is a small tumor like the Furun••le,* 1.356 but rounder & play∣ner, often also greater, lighting vpon the glandules, or kernels.* 1.357

The antecedent cause is abundance of bloud, either in the whole body, or

in some part: which you shal find out by the signes of abundance of bloud. The conioynd cause is bloud nowe driuen into the affected part, whereof commeth inflamation. The signes are, a 1.358 round tumor, and euen, excee∣ding the quantitie of halfe an egge: the paine and inflamation, is lesser yet then in the furuncle.

This tumor sheweth it selfe oft in children,* 1.359 and is easily taken away. To striplings it hapneth seldomer, and is more difficult to cure. In a riper age, is not seene.

Prouide for the cutting short of the antecedent cause by diet & bloud letting,* 1.360 as is set downe in the Furun∣••••e. The bloud impact in the place, must be discussed, if it be thinne, with these plaisters: the first consisting, ex rad. altheae, attriplice, parietaria, & a∣dianto, vino incoctis. An other, ex a••∣moniaco cum melle mollito. A thirde, ex lupinis amaris, propole, & aceto. A fouth, ex radice cucumeris agrestis, & cor••tc. rad. capparis, & terebentina. A fift ex nitro, fermento & ficubus. A sixth, Rec. ammoniaci, bdel••ij, ana•• ℥.j.ss. tere∣bynthinae, ladani puri, ana, ℥.j. propoleos••

ol. antiqui, ana, q.s. aceti parum fiat Emplastrum. Now if the matter be too thicke to bee resolued, prouide to suppurate it as with this emplaster: Rec. cortic. rad. capparis ℥.j.ss. cari∣carum ping. par. v, far. lupinorum, ℥.ij. fermenti acris, ℥.ss. coquantur in aceto, & oleo de lilio, vel amigdal•• dulcium, ad aceti conszm. addendo nitri, ℥.iij. caepa∣••um q.s. fiat Emplastrum. When it is come to suppuration, open it, vnlesse it breake of his owne accorde. After∣warde proceede by accustomed art, to mundifie it, if it be foule, to fill with flesh that that is hollowe, and to seale it vp with cicatrice when it com∣meth to be euen.

ANNOTATION.

* 1.361^a Another speciall note, whereby the aucthors distinguish Phima from the o∣ther inflamations of the glandulous E∣munctories, is, that it is of spedie sup∣puration.

Supplie. CHAP. XXXIX. Phygethlon or Panus.

PHygethlon,* 1.362 or Panus, which is also an inflamation of the glan∣dulous Emunctories, is broader, and with lesse swelling then the others,* 1.363 and therefore more Erysipe∣las like: which is his difference. This groweth (as doth Parotis) sometime of the crisis of a feuer,* 1.364 sometime by occasion of some outwarde hurt, or painefull issue in the partes belowe, as when it falleth into the flankes, or armepits, for some affects in the legs or armes. Concerning curation, a word or two may suffice: there nee∣ding no great labour for a distincte handling of it, for him especially that is any thing well exercised in the ge∣nerall tumors. After meete euacua∣tion, and seemely dyet set, ordaine your locall medicines both repres∣sing, and discutient:* 1.365 as Rec. vrinae pu∣••i, li.j. vini albi fortiss. li.ss. album. o∣uorum no.ij. conius. aquae r••sarum rub.℥.ij. fiat fo••us, & apply it warme with bats of flaxe.* 1.366 or, R••. myrrhae rub. thu∣ris albiss•• ana, ℥ss. singula seorsim in pul∣uerem redacta, duobus sacculis inclu∣dantur, ac in aceti opt. sextario semis, vi∣ni albi opt. sextario vno percoquantur,

and therin wet double linnen clothes and applye often to the place.

Resolution of the glan∣dulous inflamations.

BVbo in his proper signification, is that inflamation that ligh∣teth in the flanke: the tumor then bearinge the name of the parte, according to the Greeke originall. Notwithstanding late writers, takinge it some time in a larger signification, do vnder∣stande thereby anye of the late mentioned glandulous inflama∣tions. VVee taking it likewise in the same larger sense, do deuide it into two kindes: simple and ma∣ligne. The simple is that that fol∣loweth humorall feuers, or paines of any partes: which also varieth his name, according to the place wherein, or humor wherof it is engendred. The place, as if it bee beehind the eares, and then it is called Parotis, or in the flanke, & so called properly Bubo. They that are discerned for the humor wher

of they spring are Ph••ma, which commeth of ••incerer bloud, and therefore sooner suppurateth, and Phygeth••on which consisteth more of coler. Nowe the maligne Bubo, is to be deuided into venereus & pestilent: which followe here to be treated of.

CHAP. XL. Bubo venereus.

THis is an inflamation of the glandules in the flanke,* 1.367 got∣ten by some venereous touch.

The antecedent cause is a contagious humor,* 1.368 procured by som touch of venerie a 1.369 &c. The conioy∣ned is corrupt and infected bloude. The tumor is hard with paine, heate, &c. First in this case,* 1.370 you must deale with the conioyned cause, to wit, the bloud driuen nowe into the affected parte: which, if it come slowlyer, must be drawen by meanes & helpes: as fomenting the place with oyle and warme water: or with som epitheme, of the decoction of Lilies, althea. ma∣lowes,

violets, linseede, & Fenugreke. Or further drawing may you vse, with cupping glasses, if so be that need re∣quire. b 1.371 Nowe if the matter be of a swifter motion, and gather redely vnto the place, then discusse the same first with gentler meanes, afterwarde with stronger. The gentler meanes: Recipe ol. liliorum, ℥.j. ol. Chamomillae, ℥ss. misce. Another: Recipe emplast. de meliloto, emplastri de mucilagine, ana, ℥.ij ol. liliorum, qs. misce fiat emplastrum. A stronger sort: Recipe emplastr. dia∣••hylonis ircati, ℥.iiij. terebynthinae, ℥.j. amurcae, ol. liliorum, ℥.j.ss. fiat ceratum. Another: Recipe diachilonis magni, ℥.iiij. olei irini. qs. fiat ceratum. A thirde: Recipe amoniaci, bdellij. opoponacis in acet•• dissolut. ana, ℥j. terebynthinae lot•• ℥.j.ss. florum Chamomillae, sambuci, ana, P.ss. pul. ireos. florent.℥.ss. ol. Chamomeli, g••s. fiat emplastrum. But if you finde the matter vnapt to bee resolued, then prouide to maturate the same with such a like plaster. Recipe folio∣rum maluae, violariae, ana, m.ij. radi••. al∣theae, li ss. capitum liliorum alborum.℥.iiij. coquantur & contundantur, adden∣do sarinae triticeae, vel hordeaccae. q.s. ol.

communis, butyri, ana, ℥.iij. pingued. porcinae, ℥.ij.ss. vitellorum ouorum, nu∣mero ij. fiat emplastrum. After this, looke to the antecedent cause, to wit, the contagious humor yet flowing: for c 1.372 it is not in the beginning to bee euacuated, (for hindringe natures motion) but some dayes put be∣tweene, lest the partie fall into the venereous disease. The same conta∣gious humor (therefore) is to bee emptied partly by bloudletting, (if nothing hinder) and partly by pur∣ging medicins, instituted according to the nature of the bodie, and hu∣mors, &c.

Finally, (to prosecute the cure by maturation, as is a little aboue saide) when it is ripe fully, and also opened, (either of it self, or by instrument, as neede requireth) it is to bee dealt withall, with clensing medicines, first of gentler sort, then stronger, after with incarnatiues, and so to cicatriza∣tion, as hath bene oft before remem∣bred.

ANNOTATIONS.

^a For in that sinful & vncleane cou∣pling,* 1.373 there is a vennimous impression

made partly by the yarde, partly by the flankes,* 1.374 which sometime affecteth togither the yarde, other somtime, stayeth not ther∣in, but pearseth whollye into the inner partes, leauing nothing yet to be seene without: which contagion nature finding, at conuenient oportunitie, sorteth out such humors, as are therewith defyled, and laboureth to expell them by tbe same re∣gion the euil entred.

^b Giuing the patient daily, some tryacle or other proper Aexipharmacum.

^c This rule is well to be regarded, but not perpetually maintained. For though in sanguine and cholericke Buboes, which come to suppuration, this (except there be intollerable fulnesse) may easily be graun∣ted. Yet in Phelgmatike or melancholike matter, which is neither speedie towarde maturation, nor resolution, (and therfore neither so fleeting, that we shoulde feare backward recourse) I knowe no cause, if the bodie be withall replete with ill iuyce, why a meete euacuation by purging, shall not rather in lightening nature of some loade, stirre her vp, to perfourme riddance of the rest with greater expedition, rather (I saye) then hinder or damnifie her, in this busines. A thing well noted, and pro∣ued

of Iul. Palmarius, lib. 2. de Lue venerea. cap. 8. and ratified by the daily experience of those, that obserue the e∣uents of their ministration with iudge∣ment.

Supply. CHAP. XLI. Bubo Pestilens.

THis is that Tumor in the pesti∣lence that lighteth in the emun∣ctories. The signes are a small swelling at the first and mouable, but in feeling to the sicke, as a loade or burthen.* 1.375 Also with much paine and lacke of sleepe, &c. Causes are the same with the Carbuncle, saue that the authors make this difference: that the Carbuncle commeth of hote adusted bloud, but Bubo of the more phleg∣matike parte. This tumor is to ende by suppuration: beeing otherwise a messenger of euil newes.* 1.376 It must bee drawen forwarde, by all such meanes as are mentioned in the Carbuncle: & suppuration speedily furthered. Ther∣fore

besides the inner helpes, by A∣lexipharmackes, to assist nature to the thrusting foorth of the venome, as al∣so the outwarde, by cupping glasses, (if the matter flowe but slowly) set on euery sixe houres, till the place be sufficiently gathered, you may grow to this cataplasme:* 1.377 which you may al∣so beginne withall, in such places as you neede no cupping glasses: Recipe rad. symphiti maioris, liliorum, ceparum, ana, ℥.j. fol. oxalidis, m.j. cum butyro sa∣lis experie, fiat pila, sub cineribus coquē∣da: dein conterantur omnia, & cum oleo liliaceo, axungiaque porci, adiecto mi∣••hridatio & fermenti momento, subigan∣tur. Or, Recip•• cepam magnam excaua∣tam mithridatio aut theriaca impletam, cum aliquot rutae sollijs, ha••c calidis ci∣neribus obrue, assa, deinde tunde, & cum axungia suilla misceto, and applye it as a cataplasme to the tumor. The mat∣ter beeing sufficientlye collected, bring it to ripenesse by these meanes: Recipe fol. oxalidis, cum butyro salis ex∣pexte, in pilam componantur, coquantur su•• prunis, tundantur, & adiecto vng. basilici duplo, in cataplasma coaptantur. To this you may adde, in the colder

Tumor, fermenti, ℥.iij. or, Recipe ra∣dic. altheae & symphiti, fol. oxalidis, sem. lini, ana, ℥.j. coquantur & tundantur adijciendo vnguent. basil.℥.ij. fiat cata∣plasma. In a colder matter this: Reci∣pe vnguent. basilici ℥.iij. fermemi seca∣lini acris, ℥.ij. ol. liliorum, butyri recent. ana, ℥.ss. theriacae, ʒ.j. fiat vnguentum cum vitellis duorum ouorum. This ripe∣neth and lightly draweth, but in hote matter sharpeneth the payne. After the matter is thus made readie, make speedie issue, or vent, by incision•• or causticke. Then haue your mun∣dificatiue, ex melle, farinis, & vitellis o∣uorum, your incarnatiue such as this: Recipe masticis, thuris, myrrh••, cerussae, tutiae, farinae triticeae, vel ••abarum, adi∣pis ceruini, vel capi, ceraeana. q.s. misce fiat linimentum molle. Last of all con∣glutinate as in other matters.

CHAP. XLII. Cruddeling of Milke in Wo∣mens brestes.

* 1.378THis is an engrossinge or thick∣ning of milk in the pappes. It pro∣cedeth either of distēpered heat, turning the milke:* 1.379 The signes wher∣of are heate, feuer, yellowish milke, Relife by colde things, and such like: or else it is of colde, heaping vp, and binding togither, apparant both by the sense of the partie, and handling: as also by the sight of the milk: which is watrish, or viscous and slimie. Also the patient feeleth releefe by hote things.

* 1.380If this affect be not quickly cured, it bringeth foorth either inflamation, or vlceration of the pappes.

For the hote cause, appoint the pa∣tient a cooling dyet,* 1.381 as Lettuse by it selfe, or boyld with flesh, &c her drink Barley water, or small ale. And if ther be plentie of milke, let her brestes be emptied by sucking. Cooling medi∣cines for that purpose are these: succus solani cum aceto, applyed: or, succus por∣tulacae, or, morsus gal••in••e cum aceto: or, suc. apij cum aceto, & farina ••icerum: or, suc. coriandri cum ol. ros. & aceto. Also, farina hordei cum aceto mulso, aut cum posca: or, furfures in aceto cocti, cum

rutae decocto, &c. In a colde cause, let the dyet be heating and extenuating. The medicines also of propertie, to warme and make thinne, as these: Mentha cōtusa, & cum farina horá••i & faenugraeci, altheae & sem. lini. ol. ros. & pauco aceto permixta, and applyed, lentes muria decoctae, and applyed, cu∣minum cum modico ••roco, applyed: or, decoctum faenigraeci & altheae, sem. apij: also, ol. chamomelinum, anethinum, a∣mygdal. dulcium. Coagulum leporinum, cum butyro & pauco aceto: or, Coagu∣l••m cum vino potum: or, succus caulium, morellae, coriandri, portulacae, cum aceto & farina ••ordei, mixta omnia simul. at∣que in formam emplastri redacta: or, succus apij cum aceto & farina cecerum, &c.

CHAP. XLIII. Inflamation of the pappes.

MEdiate causes are, plentie of bloud, cluttering or aboun∣dance of milke.* 1.382 Of aboun∣dance of bloud in cause, the signes are paine in backe, shoulder-blades,

and armepittes, suppression of menstruous course, paine, heate, feuer, with other signes of bloud a∣bounding. Of cluttered milke the signes are manifest. So childlabour neere hande, or newe fulfilled, argu∣eth the part to bee inflamed through store of milke. Then is there lesse rednesse, heate, &c. The immediate cause is hote distemperature: The badges whereof are, feuer, heat, paine, &c.

* 1.383The substance of the pappes being open and kernellie, not much aboun∣ding with inborne heate, it is doubt∣full leste the inflammation g••owe to Scirrhus or Cancer: e••ther else being suppurate, and comming to abscesse, an eating vlcer followe. Wherefore the cure of it, is in no wise to bee ne∣glected.

* 1.384If it bee for plentie of bloud, or milke, ordaine a cooling dyet, and let there bee frication of the thighes, moderate sleepe, the bellie kept sol∣luble, with clisters, or potions ex cassia, or manna, &c. her meate di∣minishing bloud, such as Beetes boi∣led with butter and vineger, sodden

apples, toastes in drinke, rere egges with iuyce of Orenges, abstaininge from flesh broth, &c. Her drinke, Barley water, or small ale, or the de∣coction of Cinamon•• And for quan∣titie, let the patient bee spare, in all her dyet.

In the beginning the patient may haue bloud taken, in proportiona∣ble quantitie, for her plentie, and strength: and that in her inner ancle (if her inferiour course haue fayled) or else in the Median, or Basilica of the Cubite: applying (withall) out∣wardlye, medicines meanly repelling: as posca cum spongia, or decoctum cha∣momillae, cum oleo rosac. & aceto, folia solani cum butyro, & oleo contusa. Or, Palmulae in posca & oleo ••lixae, deinde malaxatae, or, succus coriandri c••m ro∣saceo, &c.

But in the augmentation, dige∣rent and discutient remedies, as this Epitheme: Recipe florum Chamo∣millae, meliloti, altheae, faenigraci, semen lini & anethi, ana, manipul•• j. coquantur in aqu••, cui adde oleum ro∣sarum, anethini, ana, ℥.ij. aceti, ℥.j. herein a spunge being wett, applye to

the pappes: or a plaster: ex farina fa∣barum, faenigraeci•• sem. lini, & hordei, & panecontrito, in aqua decoctis, cum oleo anethino, additis duobus vitellis ouorum, ac croci a••que myrrhae, ana, ℈.j. else, ex farina fabarum cum melle. In the state, make your medicines maturatiue (es∣pecially, if the former haue nothinge auailed) such as these: folia maluae in hydraeleo clixa. radix maluae: vis••i, fol. maluae cum axungia porci malaxa••a: or, farina triticea cum hydreleo. The tu∣mor being ripe, procure the opening by instrument, or sharpe medicines, &c. If crudeling of the milke was occasion of the inflammation, haue respect to the Chapter going afore. In the rest of the cure, proceede by abstersiues, conglutinatiues. &c.

Supplie. CHAP. XLIIII. Inflamation of scrotum and the testicles.

AS this commeth sometime of outwarde occasions:* 1.385 as stroakes, bruses, & other euill

applications: so also of suddaine in∣ward defluxions, and that verie often. The signes are manifest.

For diet and bloudletting, obserue the rules of ordinarie inflamations.* 1.386 Loosing of the belly (which in this case also must needs be respected,) is best to be done by clyster, except the body be such, as is easily moued, by the lighter meanes otherwise. Your local medicines must be framed (like¦wise) according to the times of the inflamation, as thus for example:* 1.387 in the beginning:* 1.388 Rec. suc••i plantag. vel solani, li.j•• far. hordei, li ss. ros. rub. cort. mali granati, ana, ℥.j. ol. ros.℥.iiij fiat ca∣taplasma: or this, which both repel∣leth & discusseth:* 1.389 Rec. vrinae pueri, li.j. aceti alb. fortiss. li. ss. aquae ros rub.℥.ij. al∣bumina ij. ouorum contus. misce: and with battes of flaxe, dipt in it, applye it to the testicle, & to the vessels descen∣ding thereunto. If you would haue it a cataplasme you may bring it to the fourme, cum fa••ina fabarum: or, Rec. vrinae pu••ri, li.ss. panis furfuraceae, in la∣cte recen••i in fusae, li.j. mellis, ℥.iiij fiat cataplasma, which is also good in con∣••usions and to asswage paine: like as

is also, that ordinarie one: consistinge ex•• lacte, & farina fabarum.* 1.390 If the paine be such, as vrgeth to suppuration: Rec. maluae, rad. bismaluae, an. m.j. far. ••rumen∣ti.℥.iij. far. faenugraeci, & sem. lini, an••, ℥ij. ol. viol, pingued. por•••• ana, ℥.iij. de∣coque, & contusa per cribrum transmit∣tantur, fia••que cataplasma.* 1.391 If yet the paine continue, decoquantur folia hyo∣s••iami sub cineribus, & contusa excipi∣antur axungia porci, reducanturque ad formam cataplasmatis, and so apply it. It alayeth paine, and ripeneth the in∣flamation. If the tumor doe by these meanes resolue and vanish, pursue it with a cataplasme ex farina orizae, vel cicerum, vel orobi, cum oxymellite, vel sapa, vel vino: or, with a plaster, ex chalcitide, brought into the fourme of •• cerote, cum oleo antiquo, vel ane••hi∣no, vel rutaceo, vel irino. Otherwise, if it decline not, but suppurate: procure the opening by instrument, or as you shall thinke good, and finish the rest of the cure, as is saide in other infla∣mations. If there ensue a Schirrous hardnesse (as it attendeth on euerye inflamation not iustly ordered.) First soften it with mollifying fomentati∣ons,

as ex amygdal. dulc. lil. oleo dulci, vel in sapa decoctis, vel butyro recenti, vel axungia porci non antiqua exceptist afterwarde disperse the matter with digerent oyles: as amygdal. amar. iri∣no, antiquo, rutac. aneth. Or some ce∣rote ex diachalcit. cum gummi & ol. amygdal. or such like.

Last of all, as a wonderfull cata∣plasme, this is commended of Ron∣deletius: Recipe radic. mandragor. re∣cent. li. ss. hyosciami & alchecengi, ana, manipulum, j. decoquantur in sapae, & per c••ibrum simul contusa mittantur: qui∣bus adde rad panacis, ℥.ij. (vel loco ••∣ius opoponacis in eodem decocto liquati) fiatque adformam emplast••i: addendo cere parum, vel ad formam cataplasm. addendo styracis ℥.ss.

As for such Tumor in this parte, as proceedeth of colde and dull hu∣mors, and so of longer congestion: hee that is exercised in the cure of Oedematous tumors, cannot bee vn∣furnished to deale with them.

ANNOTATION.

Here I omitte the tumors of the yard, both inwarde and outward, as brooches of the frenche disease: which in this booke I handle no••, par••ly, because mine author hath not led me, (though he haue touched some things thereof) but specially because some of our countriemen doe in absolute treatises handle it of purpose: Who (I doubt not) will neuer cease, vntill they haue brought their good intent to a full measure of perfection, for that point, not onely concerning the maine disease it self, but euen for all those symptomes beside, that deserue any seuerall respect therein.

Of the tumors of the limmes or extreme members. CHAP. XLV. Paronychia.

* 1.392PAronychia, is an abscesse, or in∣flamation, gathering in the rootes of the nayles.

The antecedent cause is bloud inflowing,* 1.393 which you may descrie by the notes of abundance of bloud,

the conioined cause is the bloud con∣tained in the part affected, &c. This tumor is about the rootes of the nay∣les, the paine is vehement, with pulsa∣tion, heate, &c.

This tumor sometimes is founde with grieuous symptomes, as paine, so great, that it purchaseth a feuer, a∣lienation of the mind, and sounding, and so endes by death sometimes. Againe, it vlcerateth, and bringeth an eating and corrupting both of the flesh, and bone, and so consequently a Gangraene, or Sphacele, and perdition of the whole finger, &c. The bloude inflowing (which is saide to bee the antecedent cause) is first to be driuen out,* 1.394 and that either from the region or seate, whence it floweth, whether it bee from the whole bodie, or a part, (as by bloudletting and dyet, as is sayde in Phlegmon) or else from the parte whether it doeth flowe•• and ga∣ther: and this may you doe two ma∣ner of wayes: one waye is by reuul∣sion, to wit, in pulling away to a con∣trary parte, that which is drawen to∣wardes the parte affected, which is doone both by bloud letting (if no

thing withstand) and cupping: these being done on an opposite or con∣trarie parte. Another way to remo••e the matter from the seate whether it gathereth, is, by repellent medicines: as vnguentum album cum caphura, vng. Populeon. Or, Recipe succi portulac••, succi solani, succi plantag. succi vmbeli∣••i veneris, ana, ℥.ij. mucilaginis Psillij.℥ij. boli armeni, ʒ.ij. gallarum, ℥.ss. ca∣phurae, ℈.j. olei ros ℥.iij. mixe them: or ex oleo mirtino & liliorum. or, ex oui al∣bumine, & oleo violato: or, a plaster ex ••yosciamo cocto cum axungia, & muci∣lagine psillij, vel maluae. Sometime, in speciall paine, you may vse opij ℈.j. cum lacte, croco, & vitello oui. Nowe the bloud gathered and contained in the affected parte: (called the cause conioynd) if it bee thinne, and fit for resolution, must be discussed & spent out, by vsing first warme wine, and af∣ter oyle of roses. But if it be thicke and rebellious to resolution, matu∣rate the same, with this vnguent: Re∣cipe * 1.395 sacchari ros.℥.ss. axungiae gallinae, ʒ.iij. vitellorum ouorum, numero j. bu∣tyri recentis parum. Make the same a•• vnguent, in a morter, and that with∣out

fire. Or with this plaster: Recipe mucilag. psillij, adipis suilli, butyri recen∣tis, vitell. ouorū, farinae sem. lini, farinae faenugraeci, ana, q.s. fiat emplastrum. When it is ripe and opened, mundi∣fie it first whilest it is filthie, either, cum melle, terebynthina, & hordei fa∣rina, & vnguento apostolorum. Or else, with the powder of Mercurie, if neede require. After, when it neede••h to bee filled with flesh, prouide this vnguent: Recipe myrrhae, thuris, sar∣cocollae, ana, ʒ.j. aloes, ʒ.iij. terebyn∣thinae, ʒ.v. mellis ros. col.ʒ.ij. misce. If the paine bee great, it must bee mittigated by the meanes aforesayd. If there bee corruption or perishinge of the bone, there must bee vse of Cauterie, &c.

CHAP. XLVI. Of Wartes, and cornes, to wit, Myrmecia, Acrochor∣done, Clauo, and Thymio.

THere are foure kindes of wa∣rtes, as Mi••mecta,* 1.396 which is a small, callous, rounde and thicke tubercle, sitting with a broad foundation, and yelding a sense like to the byting of a pissemire, or ante, when it is handled.

Acrochordon is a hanging kinde of warte, standing of a slenderer botom, callous, rounde and without paine•• Clauus is a rounde callous warte,* 1.397 of colour white, fashioned like the heade of a nayle, growing vppon the toes and soles of the feete, and pro∣curing paine in going. Thymon is a little warte appearing vppon the bo∣die, slender beneath, like Acrochor∣don, but at toppe broder, verie rough and somewhat harde. It groweth in the beginning of the foote, palmes of the handes, or inferiour partes and soles of the feete, the vylest of all, is that that groweth in the vncleane or secrete partes.

* 1.398The cause of Wartes is a thicke humor: for the moste parte, melan∣cholike, when as the Wartes are of blackish colour, the temperature of the bodie, melancholike, the pati∣ents

dyet, colde and drye, &c. But o∣therwise flegmatike: when the warts are of whitlie colour, and the tempe∣rature and dyet flegmaticke, they are knowen one from another, by these notes. Myrmecia hath a broder root, and slenderer toppe then Thymon. It is lower, harder, fuller of paine, and lesse subiect to bleedinge then Thy∣mon, and scarse, at anye time, excee∣ding the greatnesse of a Lupine. Acrochordon is slenderer in the bot∣tome, broader in the toppe, alwayes standing out from the skinne, seel∣dome growing greater then a beane, moste commonly incident to chil∣dren: sometime turning to matter, otherwhiles, suddenly going awaye: and nowe and then mouing in some measure an inflammation. Also they growe manie in number, &c. Clauus is round, callous, white, making pain•• to the goer, and specially addicted to the toes, and soles of the feete. Lastly, those that are referred to Thy∣mus, are eminent and broader, harde and rough, slender in the lower parte, in colour, representing the flowers of Tyme. Somewhyles they bleede.

They growe commonly to the great∣nesse of the AEgyptian beane,* 1.399 and are sometimes one, sometimes moe in number. Myrmecia goeth not awaye without curation. It is burned with medicines: it sticketh in with broade rootes, so that it cannot be cut out, without a great vlceration.

Ac••ochordon oft times ceaseth by it self. If it be cut out it leaueth no root behinde, therefore, neither doeth it growe againe. with medicies it may be burned.

Claui goe not away without cura∣tion. If they bee cut you shall see a round roote vnderneath, which de∣scendeth down euen to the very flesh. The same roote beeing left behinde in cutting, the corne or Agnayle gro∣weth againe. by cutting or burning, they are moste redily cured.

Thymon often vanisheth away of it selfe. If it be cut awaye, there grow∣eth a rounde roote vnderneath, as in Clauus. It is cured by eating or con∣suming medicines.

* 1.400The cure of all which, both vni∣uersally and particulerly, you shall prosecute in this manner. If the thick

humor (which wee haue noted a∣fore, to bee the cause of this disease) bee melancholike, bende your fo••ce to the takinge of it awaye, first by bloud letting, if nothing hinder, and the bodie appeare aboundinge with bloud: then with a dyet heatinge and moystninge, and engendringe good bloud: and thirdly by medi∣cines: to wit, such, firste, as prepare and alter the qualitie of the humor: as oxymel scilliticum, oxymel compositum, syrupus de epithymo, de fumoteriae, de lu∣pulis, &c. then such as purging, di∣minish the quantitie manifestly. Such simples are these, senna, epi••hymum, elleborus niger, &c. Compoundes: dia∣senna, d••acatholicon, confectio hamech. If the humor be pituitous or Phlegma∣tike, then instituting first, a dyet that may deuide, or scatter, and make thinne, prepare the humor with me∣dicines of the like qualitie, and then purge it with Diaphe••i••um, Benedicta laxatiua, Elect. Indum, &c. The causes thus gainstoode, come then to deale with the affectes themselues, which you shall doe either by me∣dicines, or manuall operation. Let

your medicines be resolutiues lightly astringent, and proceeding in them (as you neede) from the weaker sort to the stronger, and more vehement, like as here you haue examples of all sortes: the gentler, oleum phi∣sticorum, oleum frumenti, ol. de Been. oleum sulphuris, ol. lini, &c. cera ru∣bra, succus chelidonij, &c. also succus calthae cum sale, caput lacertae, aqua ex sarmentis viridibus, dum combu∣runtur, cum nigella, &c. the vehemen∣ter sort are these corroding medi∣cines: as Calx, arsenicum, cinis, sal Alcali, Cantarides, mel anacardi, lac Tithymalli, flos aeris, sal cum aqua raphani, fimus ouillus, &c. Whe••e∣of you may prepare you compoun∣ded ones on this sorte: as one, ex cinere salicum, cum aceto, vel, ex nigella, cum vrina: vel, ex sterc••re bouis cum aceto, vel, fimus ouillus, cum aceto: another ex flore aeris, sul∣phure, aqua•• sarmento••um viridium vstione extillata, simul mixtis: a thirde, Recipe floris aeris, chartae vstae, ana, ʒ v. colo••ynthidis, baurach, ana, ʒ.vj. salis ammoniaci.℥.ss. salis alkali, ar∣••enici, ci••rini, fellis vaccini, ana,

ʒ.vj. vsneae persici, ʒ.vij. terantur, & cum aqua saponis fiat lixi••ium. The manuall operation is three foulde, to wit, incision, ligature, (which must be cunningly administred) and vstion or burning: in the which operation, you must haue an yron plate, or such like matter, with a hole in it, made fit, to couch close about the borders of the warte, that you will cauterize, so that none of the sounde skinne a∣bout it, may appeare through the same, then the cauterie being set on as farre as needeth, resolue the crust with butter, or some vnctuous thing, that it may loose, and afterwarde cure the place, as other vlcerations. Ob∣serue here among (as there is alwaies an eye to bee had to the accidentes) that lest anye paine, inflamation or exulceration shoulde chaunce to the partes, (as they are apt to come by meanes of burning medicines) you doe, in the vsing of the remedies, (for the more securitie sake) defende the partes lying rounde about, with an vnguent made ex bolo armeno, terrae sigillata, aqua rosacea & aceto, or such like. Hitherto hath beene spoken of

the common cure of all these wartes, now to their speciall cures,* 1.401 wherein is some varying, according to their se∣uerall differences: so those that bee called Myrm••ci••, are to be cured, part∣ly by medicines eating, or corroding, partly by chirurgerie. Of that sort of medicines are, alumen, Chalcanthum, sandaraca, caput lacertae, succus arboris ficus, elaterium cum sale, cortex thuris cū aceto, ruta cum nitro & pipere, nitrū cū vrina, stercus bouis cum aceto, &c. capu•• piscis smaridis, salsum & vstum. By chi∣rurgerie also, as first s••arifying them, and then catching hold of them, with a mullet, cut them out, with an inci∣sion knife, like as you doe cornes. a∣nother way is practised, by drawing and sucking them first into the mouth for a space, and then soudenly biting them cleane out, with the foreteeth: some doe yet otherwise: to wit, first scarifie them in the extreeme part, thē with a brasse or yron pipe, or olde goose quill, thrust into the bottome of it, do sprittle it vp by the roots. A∣crochordon••s are to be remoued, ether by ligature, cutting, burning or by∣ting. Claui, or cornes are cured, parly

by medicins, partly by chirurgery, the medicines being resoluing, as faex vi∣ni, fellupi pisc. cera rubra, aq. for••is, &c. or this prepared plaster: Rs. ••mp. diachy lonis magni, ℥.ss. resinae sutorū, ℥.ss. salis, ʒ.ij. mixe them, and the same being ••pread on a cloth, apply it to the corn chaunging it euerie fourth day. It is a proued one. The chirurgical admini∣stration in this, is incision, and bur∣ning: the order of both which, are a∣fore set downe. Thymi are doone a∣way, partly also by medicines, as are cinis salicum cum aceto. or cum ficubus in aqua coctis: and partly by chirurge∣rie, namely ligature: which is by bin∣ding the same very surely and strong∣ly, with a silke threed, and still more and more girding it, till it fall off: af∣terwarde cu••ing the same, like to o∣ther vlcers. And in this sort are they best cured, which growe in the vn∣cleane, or priuie partes. There may come in vse, in this cure, also both incision and burning with fire, and hote yrons, or suche other: which orders haue nowe beene oft ynough repeated.

Supplie. CHAP. XLVII. Tumor in the knee.

TVmors in the knee, whether they bee inflamed, oedema∣tous, or flatuouse, neede no seuerall tractation, this being obserued, that there be greater heede taken, when there is vse of incision, and more corroborating & strength∣ning meanes, in the processe of euery such cure, then in other ordinary pla∣ces, for the ioyntes sake, and synewye partes there lodged.

Supply. CHAP. XLVIII. Varix and Aneurysma.

* 1.402VArix is an vnmeasurable di∣latation or enlarging of a veine, the place is (most cō∣monly) the legges. It com∣meth of some stroke, cōtusion, much

labour, strayning and trauaile,* 1.403 some∣time of filling and swelling of the bodie, as in women with childe. The veine thus enlarged looketh blacker than others: sauft, easily yeelding to the finger, and soone returning. It breaketh out in the ende to a filthie and intractable vlcer:* 1.404 sometime the veine bursting soudainly, daungereth the partie of death by bleeding. If withall the patient haue a stitch in his side,* 1.405 then iudge the disease to be ten∣ding towardes death, sayeth Para∣celsus.

This cure hath two considerations,* 1.406 to wit, as the disease is young, and as it is inueterate. The growing of it is to be cut off, by strengthning and astringent locall meanes: inwardly withall prouiding, that melancho∣like iuyce encrease not. Outwarde means are these simples: bolus armenus, terra lemnia, nux cupressi, gallae, acacia, hyposistis, thus, cyperus, iragaganthum, hordei farina, &c. Of which may be made fomentations & cataplasmes, or apply them mixt cum oui albumine & aceto: profitable also is Emplastrū con∣tra Rupturam & such others, likewise

a rowle dipt in vino austero, or other decoction of astringent thinges, and applyed from the ankle to the knee is much commended. If you require more ample setting out of the deuise of these kindes of medicines, haue recourse to Vigo li. 4. cap. 6. The in∣ueterate Varix (which cōmonly kee∣peth some periodical turns of increa∣sing and decreasing) must be opened and vented in his periodes: or (as I may speake) in the determinate season of his pride and rage•• as once a yeare, if it returne but once: or else twise, if twise it doe aduaunce it selfe. After∣warde alwaye, for three weekes or a moneth, annoynt the place daily cum pinguedine humana, or Balsamo sulphu∣ris: else with them mixt togeather, as you shall see it good, binding vppe the member afterwarde, with a strengthening lygature. Thus shall the feculent bloud, at fittest op∣portunities, bee emptyed: (which seemeth verely to aunsweare natures expectation) and the member af∣terwarde receiue dewe confirmation and strengthning: this last giuing vs assurance, against all further growth

of Va••ix: and the former making vs secure•• for the returne of any euill vp∣on the principall partes. Which two points, as they are not sufficiētly satis∣fied by any other ways of curation, so lest of all (that I may yet speake with reuerence towards the inuentors) by incision. Therefo••e haue I abstained to teach it in this place.

Aneurysma is the like dilatation or enlarging of an arterye.* 1.407 It is to bee knowne from Varix•• by the great, lif∣ting and (oft times) painefull pul••a∣tion that is in it. It is sometime in the inner partes, sometime in the outter. In the inner partes, as in the breste, or about the splene and mesenterium: discernable otherwhiles to the eye: or (at least) notori∣ouslye felte of the patient. In the out••r parts, and that either superfici∣allye, or deepe in the member: the superficiall Aneurysma may both bee seene and fealt. The other, though it escape the eye, yet it is ea∣sily founde out in feeling, by the extraordinarie greatnesse of his strooke. Especially if the vesselles bee brooken, and there growe

separation of the other continued parts about them, through their vn∣measurable powring in of spirituous bloude: which case, I content not my selfe onely (here) to touch, but pur∣pose further, by a cleere instaunce to proue it, chiefly for the taking awaye of the doubte, which the reuerende F••rnelius hath put in this behalfe.* 1.408

* 1.409Not two yeares passed, a seruant of the right honorable, the Ladie Mar∣ques of North. dying of Aneurisma in his thigh, wherof he had long time languished, with most intollerable paine, I was present at the opening thereof, with maister Goodrus, now chirurgian to her Maiestie, & this (of a certainty) the case was: Incision be∣ing made along the thighe, halfe an ynch deepe, or somewhat more, there was founde no further substaunce of flesh, but thencefoorth bloud, either concrete, or fluent, lodged as in a trunke, from the flanke, downe (al∣most) to the hamme, in quantitie a∣bout a gallon and a halfe, the bone was as a staff thrust through a leather budget: for so had it no flesh abiding on it, only periosteon couered it. The

fewe fleshie parts and muscles, yet to∣warde the skinne remayning, were daily still in consuming (which wee might iudge by the aboundaunce of muscles, and fragmentes, some loose and swimming in the bloud, some se∣parated, others halfe consumed, yet hanging by one end) so, as it seemeth the naturall ende would haue beene, by soudaine efusion of all this bloud and spirits, when (at last) the skin and fleshie parts had all beene worne and washed through. Thus muche I thought not in vaine in this place to be registred, (if there were no other vse of it) euen for the rarenesse of the obseruation. It is a desperate disease,* 1.410 and (for the most part) vtterly vncu∣rable: especially if it either grow with in the bulke of the bodie, or in the deepe partes of any member.

Institute a cooling and thickning order of diet,* 1.411 which doeth ease in all sortes. Against the superficiall A∣neurisma you haue two scopes of pra∣ctise: thone preseruatiue, the other curatiue, to preserue the patient lon∣ger in hindering the increase of his disease, beside his order of liuing

rightly instituted, with some dozell or fitte bowlster, layde on the place, keepe the member rowled. If the vessell be not broken, but enlarged onelie, then likewise annoynt it with such thinges as serue for the varicous vaine. Now if you attempt the cure, the way is by incision: and that, either as the vessel is yet whole, or as it is nowe broken by extreeme distention.* 1.412 If it bee whole, fol∣lowe Pareus counsell, in taking vp the vessel, then bynding it abo••e the enlarged part, afterwarde cutts it quite a sunder, and let the tiall re∣maime till it come away of it selfe: so heale the place againe, but if the ves∣sell be broken,* 1.413 then serueth the deuise of surprising: which is wrought, by taking vp, and knitting the same ves∣sell, where you can finde it, aboue the breach: after which, you may boldly open the tumor: let out that which was contained, seeke out the broken vessell, and knit it aboue the breach: then take away the tiall aboue, and leaue the last till it fall awaie, in the healing.

The end of the booke of Tumors.

Notes

• * 1.1

  Simple tu∣mors.
• * 1.2

  Compounde Tumors.
• * 1.3

  D••finition.
• * 1.4

  Causes & sig••es.
• * 1.5

  The termi∣nation.
• * 1.6

  Seuerall signes of the 4 times.
• * 1.7

  Prognos••.
• * 1.8

  Cur••.
• * 1.9

  Note.
• * 1.10

  Ca••se con∣io••ned.
• * 1.11

  If the mat∣ter be vnfit for resolu∣tion.
• * 1.12

  If the ante∣cedent and conioyned causes con∣curre.
• * 1.13

  Vnequally mixed.
• * 1.14

  Equall•• mixed••
• * 1.15

  For the for¦mall cause.
• * 1.16

  Hote intē∣perature.
• * 1.17

  Waterish wine.
• * 1.18

  For the greatnes or swelling.
• a 1.19

  More safe saith Cal∣metius, & so general∣ly, both an∣tiquitie, rea¦son, & ex∣perience do confirme. The place fittest to open.
• * 1.20

  For breac•• of vnitie.
• * 1.21

  Of accidēt•• incident to this tumor.
• * 1.22

  For asswa∣ging paine.
• * 1.23

  If the mat∣ter turne backe.
• * 1.24

  If the par•• do putrifie.
• * 1.25

  Hardnes of the part.
• a 1.26

  IT differeth not from Carbunculus, as Vigo & others supposed: neyther doth ignis perficus & pruna, but An∣••hrax being the greeke word, is euer of ••earned interpreters translated Carbun∣••ulus, & the other two be vsed as synony∣nies, all noting but one thing, as appea∣••et in Gal. Paul AEtius, Oribasius, and ••s truely noted of Fernelius, Tagautius, ••nd others.
• * 1.27

  Definition.
• * 1.28

  Causes & signes.
• b 1.29

  These causes touch but the Carbu••∣cle not pestilent, particulerly: for the othe•• commeth of a venimous constitution of th•• ayre, which once taken in•• is afterward ••x∣pelled by nature to some ou••ward par•••• together with the humors, and spirit•••••• that were by it defiled. Fernel. li 4. ca. 18•• Simonius li. de peste 1.
• c 1.30

  Our account of the Carbuncle is 〈◊〉〈◊〉 the same•• with the auntient Writers, f•••• with vs it is euer pestilent: theirs not s•• but some of them cal a certaine inflama∣tion of the eyes, a Carbuncle, as doth AE∣tius, li. 7. c. 30, & cor. cels. li. 6. & cap. •• some in the secre•••• partes, as Paul. lib. •••• ca. 25. who although he account, this ma•••• also be ingendered of some pestilent occa∣sion, yet doth he and Galen, Meth. med. lib. 14•• reckon it to come ordinarily of •• cause, simply humorall. But vse hath 〈◊〉〈◊〉 preuayled with vs as to vnderstand no ••••therwise of a Carbuncle, then a pestile•••• ••umor, and symptome, it shall bee g•••• therefore, somewhat to chaunge our c••••stome, and with Vigo lib. 2. c. 20. di•••••• ••he carbuncle int•• pestilent and not p••••••••••lent, which distinction is no•• wel omitt•••••• others.
• * 1.31

  Signes cō∣mon to both
• * 1.32

  Signes of the pestilen•• Carbuncle.
• * 1.33

  Prog.
• d 1.34

  In saying for the most part, he sp••••••keth with Taga••tiu•• and our experience, trulye: but yet not according to the mind of the old writers fully: for they make th•• cause commonly otherwise.
• e 1.35

  At whose handes Wecker receiuing this was deceiued I wil not gesse, onely let the Reader know that wherea•• Guido and Taga••tius pretende this to bee Auicens prognostick of the carbuncl••, they are de∣ceiued: it being in deede ••ronounced of Bubo, and not of the carbuncle, as appea∣reth lib. 4. fen. 3. Tr. 1. cap. 9. &. ca. 17.
• * 1.36

  Cure.
• f 1.37

  Consider that is noted a••••re in the let∣ter b.
• g 1.38

  In respecte of the Feuer cooling thinges: but in respect of contagion, such as assist the heart, and breake the for••e of venimous impression, must also b•• vs••d.
• h 1.39

  To assist the hart and expell the ve∣nome, looke the letter q.
• i 1.40

  Here I take the meaning of the aun∣ti••̄t writers, to be of the simple carbuncle: otherwise, with Iulius Palma••ius, and Simonius, I refuse to subscribe vnto them: for that this is not to follow the motion of nature, from the center to the circ••mfe∣rence, but contrariwise to draw backe to the center that nature had profitablye discharged to the circumference.
• k 1.41

  Which I deeme to be the safest in the pestilence.
• l 1.42

  If the Fluxion be vehemēt: & these are to be laid to the parts nere a∣bout the tumor, as is noted after.
• m 1.43

  Or this rather of Fallopius: Ree. ma∣lū punicū dulce j. & alteriū acidū, sed matur••̄, coquantur in aqua hordei cū folijs scabiosae & sem. lēticulae, paux∣illo plātag. & aceti: cocta terātur opti∣me, ijs admisceatur pulpae pomorū o∣doratorū, & cydoneorū maturorū, co∣ctorū in decocto praedicto, q.••. ad em∣plast. but if the carbūcle be pestilēt, I coū∣cel no repellent medicine, til the mat••er be (for the most part) gathered, & then th••y are to be set as a hedge betweene the car∣buncle and the hart, as also if the carbun∣cle be out of the emūctories, it is (as I may speake) to be paled about with ••h••m.
• * 1.44

  Horsele••∣ches.
• n 1.45

  As this: cepa excauatur, in cauitatem theriaca citri mali succo subactaindi∣tur, cū modico aceti: tū calēt. cinerib. obuoluta coqu. deinde teritur, apply•• it plaste•• wise: or a plaster ex narcisso co∣cto ••imo gallin sale, melle anacardi∣no, & theriacae tantillo.
• o 1.46

  As boxing, applicatiō of hote bread, fo∣mētations, the warm lūgs of new killed bea∣stes, oft shifted•• the taile or burn of a cocke made bare, and some salt put in, applied to the place, or pigeons clouen quick, & ap∣plied warme to the place successiuely.
• p 1.47

  Calm. hath this: Rec. bol. arm.℥:iiij. terrae sigil.℥.ij. cornu cerui vsti, rasurae eboris, an.℥.ij. caphurae, ʒ.iij•• cerae, ℥.iij. olei. ros. li. j. aceti, ℥,iiij. aquae rosarum, ℥.ij albumina duorum o∣uor••m, fiat vnguentum.
• q 1.48

  Or this potion: Rec. aquae acetosae ros. scab. an.℥.j syr. de lymon ℥j.ss. pul. el. de bolo.ʒ.ss. diamar. frid.℈.j fiat potio. also this Epitheme, Rec. aq. scab. acetosae, ros. nymph. an.℥.iiij, troc. de caphura, ʒ.j. coralli rub.ʒ.iij. cor∣nu cerui vsti, ℈.j. croci, ℈.ss aceti tan∣tillum, you may ad (if the sick be rich) di∣amar. fridg.ʒj.ss. & some a••omaticall wine, apply it to the region of the hart. Cal.
• r 1.49

  Or this stone, Rec. Vas fictile exiguis admodum foraminibus in fundo pertundito, calcē viuā, vitriolū, sal nitr. & alumen in puluerem redacta, in vas conijcito, lixiuium acerrimum (quale est ex tartaro) atque feruentis∣simum, paulatim instillato, idque ter, aut quater ita percolato: postea liquo∣rē sic percolatū coquito, donec in gyp¦sei lapidis formam incrassetur, or Rec. Lixiuium ex quo fit sapo, in fictili ad mellis crassitatem coquito, dein adde aliquid sublimati, rursumque donec in lapidis formam concresca••, coqui∣to: keepe this in •• Viall close stopped, Calmetius.
• s 1.50

  The eschar being remoued, mundifi•• the Vlcer with some vnguent•• ex tereb. ••ucco apij, vitellis ouorum, & fa••ina hordei, &c. and so grow on to incarne and cicatrize as in other thinges.
• * 1.51

  Accidents.
• t 1.52

  This is more properlye a symptome of the pestilence, as is also the carbuncle it elfe, of that kinde.
• * 1.53

  Feuer. Trembling of the hart.
• * 1.54

  Payne.
• v 1.55

  As al fattye thinges are soone set on fire, so if you ••uspect this medicine, make a bagg•• (as Palmariu•• counsaileth) ex altheae & liliorum radicibus, lini se∣mine, pinguibus ficubus, & ex malua, violaria, semperuiuo, & Plantagine, with which bagge boyled in water foment the place, dayly three or foure times, after it, applying this cataplasme, Rec. maluae, violari••, oxalidis, semperuiui, sing∣m. ij. fol. hyosciami. p.j. roule them round together: and roast them vnder the ••mbres, then stamp them cum. v. ouorum vi••ellis, mel. ros.℥.iiij. croci ʒ.ss. the∣riaces.ʒ.j.ss. adding also farinae hor∣dei, q.s. applye this oft, not suffring i•• ••o drie to the place.
• * 1.56

  Def.
• * 1.57

  Ca••s•••• 〈◊〉〈◊〉 ••ig••••s.
• * 1.58

  Prog.
• * 1.59

  Cure.
• a 1.60

  These are required, if pain greatly vrge, otherwise, AEtius Macedonicum is greatly commended: & this is it: Rec. Picis na∣ualis, ℥.j adipis suilli•• ℥.v. adipis tau∣rini & aesipi, an.℥ij•• resinae pini, ℥.v. liquefiāt simul•• & addantur cerae, ℥.iij.
• a 1.61

  This would more properly (in my o∣pinion) be reckoned among the symptomes and not handled in a particuler chapt•• as a new tumor being described as a symptome a slippe common to many writers.
• * 1.62

  Causes.
• * 1.63

  signes.
• * 1.64

  Prog.
• * 1.65

  Cure.
• * 1.66

  Diet.
• * 1.67

  Medicines.
• b 1.68

  Or this opiate: Rec. Conserua ra∣di. buglossae, rosarum, an.℥.j cōseruae florum cichorij.ʒ.vj. pul. diamarg. frigi.℈.iiij. pul. bezoardici.ʒ.j. pul. elect. de bolo, ℈••ij. pul, el. de gemmis, ℈.j. syr. de acetos. citri.q.s. fiat opiata. Take as much as a beane drinking after it ij. spoonfuls of buglosse, & scabious water.
• * 1.69

  Simple me∣dicines.
• c 1.70

  Calm. noteth one consisting ex aequis partibus farinae lupinorum, orobi & fabarum, cum syr. acetoso, aut oxy∣mellite, adding also if you list, succū ab∣synthij vel apij.
• d 1.71

  These are to bee vsed, if those others preuaile not: at which time also Calm. ap∣plieth his causticke, noted before, in the carbuncle.
• * 1.71.1

  Canons.
• * 1.72

  Canons.
• * 1.73

  Canons.
• * 1.74

  Def.
• * 1.75

  Causes and signes.
• * 1.76

  Cure.
• * 1.77

  Diet.
• * 1.78

  Invvard medicines.
• * 1.79

  Locall medicines.
• * 1.80

  Repellēt••.
• * 1.81

  Discuti∣••nt••••
• * 1.82

  Symp∣tomes.
• * 1.83

  Going backe o•• the mat∣ter.
• * 1.84

  Hardnes.
• * 1.85

  Paine and burning.
• * 1.86

  Vlceratiō.
• * 1.87

  Putrefa∣ction.
• * 1.88

  Def.
• * 1.89

  Causes & signes.
• * 1.90

  Cure.
• * 1.91

  Invva••d•• medic••ne••
• * 1.92

  Outvvard meanes.
• a 1.93

  These you adde, if you couet a medicine verie drying: else, at your discretion, leau•• them out.
• * 1.94

  Def.
• * 1.95

  Causes & signes.
• * 1.96

  Cure.
• * 1.97

  Invvard medicines
• * 1.98

  Outvvard meanes.
• * 1.99

  A linimēt.
• * 1.100

  Def.
• * 1.101

  Causes & signes.
• * 1.102

  Prog.
• * 1.103

  Cure.
• * 1.104

  Diet.
• b 1.105

  It comprehendeth all pease, beanes, chiches, rice, and such like.
• * 1.106

  Prepara∣tiues.
• * 1.107

  Purga∣tiues.
• * 1.108

  ••utvvard meanes.
• * 1.109

  To streng∣then the naturall parts.
• * 1.110

  Tumor Aquens.
• * 1.111

  A mixture ex oleo ro ••aceo & a∣ceto.
• * 1.112

  De••.
• * 1.113

  Causes & signes.
• * 1.114

  Prog.
• * 1.115

  Cure.
• * 1.116

  Diet.
• a 1.117

  Very auaileable ha••e I founde it to tonne vp in new ale, the hearbe called of Matthiolus Common Eupatorie, & when it is sta••e ynough, giue it to the pa∣patien••: for his continual drinke.
• * 1.118

  Invvarde meanes.
• * 1.119

  Outvvard meanes.
• b 1.120

  The vncleane sweatinesse of men of great excercise.
• * 1.121

  Pame.
• a 1.122

  And inclosed with a membran.
• * 1.123

  Causes and signes.
• * 1.124

  Prog.
• * 1.125

  Diet.
• * 1.126

  Invvarde meanes.
• * 1.127

  Outvvard meanes.
• * 1.128

  To resolue the matter.
• * 1.129

  If the mat∣ter be vn∣fit for re∣solution.
• * 1.130

  Manuall operation.
• b 1.131

  Here, though I haue not followed•• the wordes of Wecker, yet by the light of sense, and euidence of Aegineta, I haue aymed nearer the trueth.
• c 1.132

  (As you would say) lintie properties, in∣cluding plageats, dozelles, or any such formes, as the Ch••••urgion vseth to dresse vp a hollowe wound.
• d 1.133

  Or pulu. praecipitati, or such other pra∣ctise as all common points are ••uer refer∣red to the artistes iudgement.
• * 1.134

  Queenes euil.
• * 1.135

  Glandula after Guido.
• * 1.136

  Ganglium.
• * 1.137

  Li. 7. ca•• ••.
• * 1.138

  Li. 1. ca. 13
• * 1.139

  Nodus.
• * 1.140

  Def.
• a 1.141

  some∣time it is as starch, sometime thicker, some∣time mixt with heres, fragmentes of bones, peeces (as it were) of brimstone, or such o∣ther matter.
• * 1.142

  Causes & signes.
• * 1.143

  Prog.
• * 1.144

  Cure.
• * 1.145

  Invvarde mea••es.
• * 1.146

  Outvvard ••••••nes.
• * 1.147

  Def.
• * 1.148

  Causes & si••nes.
• * 1.149

  Pro••.
• * 1.150

  Cure.
• * 1.151

  Diet.
• * 1.152

  Invvarde ••eanes.
• * 1.153

  O••tvvard meanes.
• * 1.154

  Def.
• * 1.155

  Causes & ••••gnes.
• * 1.156

  Prog.
• * 1.157

  C••••••.
• * 1.158

  Diet.
• * 1.159

  Invvarde ••eanes.
• * 1.160

  Outvvard meanes.
• * 1.161

  Canons.
• * 1.162

  Cordials:
• * 1.163

  To appea•• payne.
• * 1.164

  Def.
• * 1.165

  Causes & signes.
• * 1.166

  Prog.
• * 1.167

  Cure.
• * 1.168

  Diet.
• * 1.169

  Outvvard meanes.
• * 1.170

  Manual operation
• a 1.171

  Diameter is a line, deuiding any fi∣gure iust in the middest.
• * 1.172

  Calm. li. 1. Cap. xx.
• * 1.173

  De vul. ••. 2. cap. 8.
• * 1.174

  Def.
• * 1.175

  Causes & signes.
• * 1.176

  Cure.
• * 1.177

  Def. Ophthalmiae Causes & signes.
• a 1.178

  Hereof maye come distention, and so payne, as a symptome in Ophthalmia, but wee can giue it no place among the proper causes of Ophthalmia, and the Auth••ur afterward sayth ynough agaynst it.
• b 1.179

  Neither flegme nor melancholi•• can thus cause an inflamation: I denie not bu•• the blood with these may be qualifyed (as in such compl.) yet thereof it followeth not that they should be causes of the infla∣mation. Else why are all the Tumors of flegme and melancholie before, shut out of the Catalogue of inflamations. And like wise the inflamations deriued from other Fountaynes, then Flegme, Melancholye, or wynde.
• c 1.180

  Rather anger and furious hastinesse.
• d 1.181

  Regarde the causes and Signes fol∣lowing, as the two notes afore doe giue you occasion.
• e 1.182

  If there be no heate, what kinde of inflamation is it?
• * 1.183

  Prog.
• * 1.184

  ••ure.
• * 1.185

  Diet.
• * 1.186

  Medicin.
• * 1.187

  Ca••tion.
• * 1.188

  Flegma∣tik cause.
• * 1.189

  ••ayne.
• * 1.190

  Calm.
• * 1.191

  Matter vpon Cor∣nea.
• * 1.192

  Fernel Def.
• * 1.193

  Causes & signes.
• * 1.194

  Pruritus Scabies.
• * 1.195

  Prog.
• * 1.196

  Cure.
• * 1.197

  Calm.
• * 1.198

  Conc. 63.
• * 1.199

  Rondel.
• * 1.200

  De••.
• * 1.201

  Causes & signes.
• * 1.202

  Prog.
• * 1.203

  Def.
• * 1.204

  Caus.
• * 1.205

  Prog.
• a 1.206

  This is much commended, of Rond. Rec. acaciae, balaustiorum, myrtillorum, cort. mali granati, rad. bistortae, gall. im∣maturarum, ana, ʒ.ij. boli arm.℥.ss. cort. thuris, croci, ana ʒ.ss. ol. ros. & myrth. ana, ℥ij. succ. cotoneorū, & aceti ros. ana, ℥.j. incorpora simul & reduc. ad formam nutriti.
• b 1.207

  These medicines would be applyed no•• onely to the great corner of the eye (where the tumor is) but to the eyebrowes also, & ••o the cheeke and nether iawe: occupying all the circuite so, vnto the cure.
• c 1.208

  Be diligent to spie out the suppurati∣on, lest it being, er you be aware, the ma••∣••er worke a hollowe, and also defile th•• ••one.
• * 1.209

  Place. Fernell.
• * 1.210

  Causes & signes.
• * 1.211

  Prog.
• * 1.212

  Cure.
• * 1.213

  Calm.
• * 1.214

  Cano••.
• * 1.215

  G••no••••.
• * 1.216

  Paine.
• * 1.217

  Def.
• * 1.218

  Causes & signes.
• * 1.219

  Prog.
• * 1.220

  Cure.
• * 1.221

  Diet.
• * 1.222

  Euacuati••
• * 1.223

  Local me¦dicines.
• * 1.224

  Incision.
• * 1.225

  Cauterie.
• a 1.226

  But this respect of persons is vnfi•• for the children of God, who must mak•• conscience, of the least peril, or deformity, (if by more diligence, or better meanes i•• may be redeemed) euen in the basest sort•• of men.
• * 1.227

  Def. Aetius.
• * 1.228

  Fer. Causes & signes.
• * 1.229

  Prog.
• * 1.230

  li. def. med
• 1 1.231

  Aet. me•••• med. li. 4. ca. 14.
• 2 1.232

  Aet. 2. ser. 4. c. 25.
• 3 1.233

  Ori. loc. aff. l. 4. c. 66.
• * 1.234

  Loc. cit.
• * 1.235

  Epulis.
• * 1.236

  Loc. cit.
• * 1.237

  Tetr. 4. ser 2. c. 50.
• * 1.238

  A••t tetr 2 ser. 4. ca. 25
• * 1.239

  li. 7. c. 4.
• * 1.240

  Def.
• * 1.241

  Causes & ••••gnes.
• * 1.242

  Cure. Act. m••••h. ••ed. li. c•• 4 •• 14.
• * 1.243

  Aetius tetr. 2. ser. cha. 37.
• * 1.244

  De Apost. cap. 26.
• * 1.245

  Li. 7. c. 5.
• * 1.246

  Prog.
• * 1.247

  Cure.
• * 1.248

  Rulandus.
• * 1.249

  Rond.
• * 1.250

  Rulandus.
• * 1.251

  Causes & signes.
• * 1.252

  Fernel.
• * 1.253

  Prog.
• * 1.254

  Cure.
• * 1.255

  Cur. 1.
• * 1.256

  Cent. 1••
• * 1.257

  Ex. Cal.
• * 1.258

  Li. 7. ca. 7.
• * 1.259

  Def.
• * 1.260

  Fernel. lib. 5. c. 9.
• * 1.261

  Differen∣ces vvith Causes & signes.
• * 1.262

  False An∣gina.
• * 1.263

  Prog. Hip. 3. prog. 18. Aph. l. 4
• * 1.264

  Aph. l. 5.10 secund. Iou•• berti tr. c, de Angina.
• * 1.265

  Cure. Ioub. loc. cit.
• * 1.266

  Diet.
• * 1.267

  Order of cure par∣tic.
• * 1.268

  Beginning
• * 1.269

  Calm.
• * 1.270

  Rondel.
• * 1.271

  Cautions.
• * 1.272

  Act. 8.45.
• * 1.273

  Lib. 4.
• * 1.274

  Ioubert.
• * 1.275

  Aegin. l. 3. cap. 27.
• * 1.276

  Li. 5. cap. de ang.
• * 1.277

  Augmen∣tation.
• * 1.278

  Cupping.
• * 1.279

  State.
• * 1.280

  Declinati••
• * 1.281

  Caution.
• * 1.282

  If the tu∣mor tende ••o suppu∣ration. ••alter. ••••. 2. obs. 10
• * 1.283

  ••alse An∣••ina.
• * 1.284

  Trall.
• * 1.285

  Matthiol.
• * 1.286

  ••o••bert.
• * 1.287

  Diabesasa.
• * 1.288

  Ser 4. terr. 2. c. 47.
• * 1.289

  Aetius loc. cit.
• * 1.290

  Loc. cit.
• * 1.291

  For paine.
• * 1.292

  For suffo∣cation.
• * 1.293

  De cur. ac morb. li. i. ca. 7.
• * 1.294

  Caution.
• * 1.295

  Schirrhous tumor.
• * 1.296

  Causes & ••ignes.
• * 1.297

  C••re.
• * 1.298

  A mixture of vvater & vineger.
• * 1.299

  Def.
• * 1.300

  Causes & signes.
• * 1.301

  Prog.
• * 1.302

  Cure.
• a 1.303

  Here Wecker supposeth cauterizati∣on, to be a seuerall kinde of manuall cure: whereas AEgineta (whence he seemeth ••o haue it) sheweth it to be a part of the cure attempted by incision, according to some mens order.
• * 1.304

  See Aegi•• li. 6. ca. 65.
• * 1.305

  Def.
• * 1.306

  Signes.
• a 1.307

  By epididime is here meant, the place of the setting to, of the vessels to the testi••le.
• * 1.308

  Prog.
• * 1.309

  Cure.
• b 1.310

  Wecker hath this at the hande of Paul AEg. who is commonly knowen to be deceiued in his opinion of Cremaster, howbeit, the substance of the cure is con∣tained in that that followeth, namely, the tying, and empting of the vessels, wherein I wish this to be obserued: that before the lower tyall, next to the testicle be made, the vessels first be opened, and the thick dreg••gish bloud contained both in them & the ••esticle, be let out.
• * 1.311

  See Aeg•••• li. 6. ca. 6••••
• * 1.312

  See Aegin. loc. cit.
• * 1.313

  Def.
• * 1.314

  Causes & signes.
• * 1.315

  Cure.
• * 1.316

  Incision.
• * 1.317

  Canterie.
• * 1.318

  Def. See Aeg. li. 6. c 63.
• * 1.319

  Causes & signes.
• * 1.320

  Prog.
• * 1.321

  Cure.
• a 1.322

  By dartos, AEgyneta vnderstand••th not the second coate of the testicle, as wee doe, but the middle skinnes that ••ye s••ro∣tum to Erythrois.
• * 1.322.2

  See Aeg. li. 6. c. 61.
• b 1.323

  By Cremaster, the same author mea∣neth to note a certaine nerue (which o∣therwise vntruely also he calleth Para∣s••ra••es) which should spring from the spi∣nall marrowe, and descend with the other vessels, to the testicle, and that it shoulde be deputed, to conuay the sede to the yard: but beeing onely a fansie of his owne, wee cannot receiue it.
• c 1.324

  Wordes moe then neede. The scope i••, that after artificiall binding of the vess••ls the testicle with all the carneous growing be cut away
• * 1.325

  Tophus in the te∣sticle.
• * 1.326

  See Aeg. li. 6. c. 61.
• * 1.327

  Def.
• * 1.328

  Causes & signes.
• a 1.329

  I cannot hereunto consent: that the resort of bloud should cause Hydrocele. All men knowe, rather, an inflamation & mortification: But here Wecker was borne downe in the streame of AEgineta.
• * 1.330

  I vvould rather read contained vvithin scrotum.
• * 1.331

  *Amend this as be∣fore.
• * 1.332

  Cure.
• b 1.333

  Or this plaster after fomentation: Rec. empl. de Baccis lauri, li. ij. mi∣thridatij, ℥.iij. fimi columbini.℥.iiij. lupinorum, ℥.iij. baccarum lauri, cu∣mini, ℥.j. absynthij sic.℥.ss. florum Camomillae, ℥••j. florum hyperici, ʒiij. aquae vitae, ℥••ij. ol. hyperici, ℥.vj. fiat empl. Hereto may bee encreased, or diminished, the number or quantities of ingredients, according to the wisedome of the Artist.
• c 1.334

  This long discourse of manuall ope∣ration, out of Paul. AEg. as it satisfieth no•• me, so (perhaps) neither many others. It may suffise vs, when there is such store of water gathered, as our locall medicines cannot fast ynough dispend it, to prouide more open vent, by one of these ij•• wayes: ••o wite, the seron, or the cu••••ing c••••••••erie.
• * 1.335

  Looke the anno∣tations of sarcocele.
• * 1.336

  Looke the anno∣tations of Sarcocele.
• * 1.337

  See Aegi•••• li. 6. c. 63.
• * 1.338

  Def.
• * 1.339

  Causes & signes.
• * 1.340

  Here stil you must vnderstād, according as is noted ••n sarcoce∣le.
• * 1.341

  Prog.
• * 1.342

  Cure.
• * 1.343

  Def.
• a 1.344

  Bronchocele, is of two sortes: the one, when Atheroma, Steatoma, or Meliceris growe in that placae. The other is a dilatation of the proper vessels of that place, after the rate of Aneurisma, or Varix.
• * 1.345

  Causes & signes.
• * 1.346

  Prog.
• b 1.347

  The last of the two in the former an∣notation is vncurable.
• * 1.348

  Cure.
• * 1.349

  Def.
• * 1.350

  Fernel.
• * 1.351

  Causes & signes.
• * 1.352

  Prog.
• * 1.353

  Cure.
• * 1.354

  Rondel••∣tius.
• * 1.355

  Parotis suppurate:
• * 1.356

  ••••f.
• * 1.357

  Causes & signes.
• a 1.358

  Another speciall note, whereby the aucthors distinguish Phima from the o∣ther inflamations of the glandulous E∣munctories, is, that it is of spedie sup∣puration.
• * 1.358.3

  ••orr. def. ••ed. ex Galeno.
• * 1.359

  Prog.
• * 1.360

  Cure.
• * 1.361

  ••orr. def. ••ed. ex Galeno.
• * 1.362

  Gal. I••. 2. de art. cor ad Gl. cor. cel. li. 5. c. 28.
• * 1.363

  Act. med•• li. 2. c. 12.
• * 1.364

  fern. li. 7. c. 2.
• * 1.365

  vict. 〈◊〉〈◊〉
• * 1.366

  Parae.
• * 1.367

  Def.
• * 1.368

  Causes & signes.
• a 1.369

  For in that sinful & vncleane cou∣pling, there is a vennimous impression made partly by the yarde, partly by the flankes, which sometime affecteth togither the yarde, other somtime, stayeth not ther∣in, but pearseth whollye into the inner partes, leauing nothing yet to be seene without: which contagion nature finding, at conuenient oportunitie, sorteth out such humors, as are therewith defyled, and laboureth to expell them by tbe same re∣gion the euil entred.
• * 1.369.4

  Ronde••.
• * 1.369.5

  Iul. Palm.
• * 1.370

  Cure.
• b 1.371

  Giuing the patient daily, some tryacle or other proper Aexipharmacum.
• c 1.372

  This rule is well to be regarded, but not perpetually maintained. For though in sanguine and cholericke Buboes, which come to suppuration, this (except there be intollerable fulnesse) may easily be graun∣ted. Yet in Phelgmatike or melancholike matter, which is neither speedie towarde maturation, nor resolution, (and therfore neither so fleeting, that we shoulde feare backward recourse) I knowe no cause, if the bodie be withall replete with ill iuyce, why a meete euacuation by purging, shall not rather in lightening nature of some loade, stirre her vp, to perfourme riddance of the rest with greater expedition, rather (I saye) then hinder or damnifie her, in this busines. A thing well noted, and pro∣ued of Iul. Palmarius, lib. 2. de Lue venerea. cap. 8. and ratified by the daily experience of those, that obserue the e∣uents of their ministration with iudge∣ment.
• * 1.373

  Ronde••.
• * 1.374

  Iul. Palm.
• * 1.375

  Differen∣ces in 〈◊〉〈◊〉 cause 〈◊〉〈◊〉 Bubo 〈◊〉〈◊〉 the ••••••••buncle.
• * 1.376

  Cure.
• * 1.377

  Iul. Pal. loc. cit.
• * 1.378

  Def.
• * 1.379

  Causes & signes.
• * 1.380

  Prog.
• * 1.381

  Cure.
• * 1.382

  Causes & signes.
• * 1.383

  Prog.
• * 1.384

  Cure.
• * 1.385

  Causes & signes.
• * 1.386

  Cure.
• * 1.387

  Rondel.
• * 1.388

  Beginning
• * 1.389

  Augment.
• * 1.390

  ••tate.
• * 1.391

  Declin.
• * 1.392

  Def.
• * 1.393

  Causes & signes.
• * 1.394

  Cure.
• * 1.395

  Perad∣uenture it should be vng. rosa∣rum.
• * 1.396

  Def.
• * 1.397

  Corne, or ••g••aile.
• * 1.398

  ••••••ses & ••••nes.
• * 1.399

  Prog.
• * 1.400

  Cure.
• * 1.401

  ••peciall cure.
• * 1.402

  〈…〉〈…〉. li. 7. •• 3.
• * 1.403

  Causes & signes.
• * 1.404

  Prog.
• * 1.405

  De Apost. c. 25.
• * 1.406

  Cure.
• * 1.407

  Aneury••••ma.
• * 1.408

  ••7. c. 3.
• * 1.409

  ••istorie.
• * 1.410

  Prog.
• * 1.411

  Cure.
• * 1.412

  Lib. 6. Ch. 28.
• * 1.413

  Aetius Tetr. 4. ••••r. 3. c. 10.