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 SECOND BOOKE, ENTREA∣ting of woundes, and first in generall. Of the differences of wounds.

THE differences of woundes, are taken either frō their cau∣ses, by which they are inflicted: or frō their accidentes to wit, the place wherein they are situa∣ted•• the causes are either bodies with out life, or else liuing things. Things without life that wounde a man, doe it either by cutting, or brusing: if it be by cutting, wee call it simplye a wounde: if it be brusingwise doone, we call it a contused wounde, or Ec∣chymosis. Againe it may be of a li∣uing bodie as a wounde that is of bi∣ting. Nowe the place giueth diffe∣rence in this sorte: some woundes chaunce in the similar, some in the

organicall partes. Of the similar, also, some are sanguin, some spermaticke, so the woundes in the sanguine parts, as in the flesh, are either, simple, deep, hollowe, plaine, or proude with flesh. The spermaticke partes, likewise are either harde or sauft: the sauft partes be, the sinewe, which being hurt, we call it a wounde in the sinewe: the veine, whose hurt we call a wound in the veine: the arterie, whose wounde wee call by the like name: the harde spermaticke partes•• are the bones, a wound in the which, we call a wound of the bones. Woundes of the or∣ganicall or instrumentall partes, are either of some whole bulke or trunk, or some more particular member or limme. Woundes of the trunkes are meant those of the heade, necke, brest and bellie, in the heade againe, there growe more particular names and differences, by reason of the parte•• thereof which be of speciall note and name: as woundes of the face, eies, nose, lippes, and eares. Woundes of the limmes are these, to wit, wounds of the shoulders, armes, thighes and legges.

CHAP. I. Of a greene wounde.

A Wound is a breach of conti∣nuitie, new, and bloudie, with out either matter or putre∣faction.

Causes are, either sworde, or such weapons, as may be sent from farre to doe the hurt: of which kinde, there be diuers fashions, some long and slender, as arrowes, both with plaine and bearded heades: others broade, some againe rounde, as bullettes of leade, or y••on, othersome empoy∣soned.

Signes of the wounde, as also whe∣ther it be in a similar or instrumental part, ar easily discerned by common sense. The signes yet of the instrument that causeth the wounde, are not al∣waies so manifest. For although (as is saide before) some are stricken at hande, as with the sworde, or such o∣ther weapon, yet we knowe also, that some hurts are sent further off, which being done by things of small com∣passe,

as a pellet or bullet, may be out of sight, lying hidden in the fleshe. The place thereof if you shall han∣dle, you shall finde eminent, rough and vneuen. The diuision doeth not tende directly forwarde, but shew∣eth greater, and wider. The fleshe sheweth blackish, brused, and there is paine with certaine heauinesse. The woundes that are empoysoned you shall perceiue, in that the fleshe will shewe pale, of a bloe colour, and be deaddish, &c.

Woundes in the fleshie partes are easily cured, but those of the nerues, veines, and arteries, doe not vnite a∣gaine, neither are without daunger. The bones doe ioyne againe by their naturall glewe. Woundes in the a instrumentall parts, as in the braine, heart, lunges, liuer, splene, midreife, wesand, stomach, guttes, and blad∣dar, are deadly. A feuer, soun∣ding, perturbation, alienation of the minde, crampe, &c. comming vppon a wounde, are perillous. There be iij. terminations to wounds. The first and shortest is within seuen•• dayes. The longest xl. daies. And the

middlemost (according to the nature and order of sharpe diseases) xiiij. dayes. If the wounde appeare suspiti∣ous and enwrapped with doubtful in∣dications, prognosticate nothing vn∣till the seuenth day.

To the direction of the cure, of woundes in generall, pertaine iiij. in∣tentions. The first must be in regarde of the cause, the seconde of the dis∣ease or wounde it selfe, the thirde re∣specting the part affected: and the iiii. the symptomes o•• accidentes concur∣ring. The cause, to wit, the outward thinges wherewith the wounde was inflicted, must (if they sticke yet in the same) by all meanes, be sought to be remooued. Which purpose to atchiue, you haue two notable waies to worke, that is to wit, by instru∣ments, and by medicines: by instru∣ments, in this sort: if it be a long and slender dart, cōsider, whether the head of it be euen and smooth, or else vne∣uen and bearded, if it be euen, it is to bee drawne foorth, either on the contrarie side, or the same waye it went in. You are to chuse the con∣trarie side, if so bee there bee

likelihoode of doing more hurt, by tearing the parts, in drawing it back∣wards, then in t••king it out contrary way. The way therfore being opened sunder the fleshe with an instrument made after the similitude of this greeke letter 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉 nowe when the dart head apeareth, & sheweth it selfe, into the place of your incision, if the steale or shaft be yet in the heade, it will helpe you the better, to thrust it tho∣rough, to the other side, that so, you may there drawe it foorth. But if on∣ly the heade sticke within, then must you make shift, either with your fin∣gers, or some conuenient instrument to take holde of it, and so drawe it forth. If you see it more conuenient, to draw it backe againe, the way that it went in, that must you also attempt by the like reason: to wit, the wound being enlarged, drawe it out by the steale, if it haue any, if it haue none, drawe foorth the yron either with the opening cane, or the crowe bill, or the darte drawer, or other like de∣uised instrument for the purpose: enlarging sufficiently the wounde, if otherwise, it bee to narrowe fo••

the instrument. Nowe if the heade be spiked or bearded, if the beardes be small, breake them off first, and then drawe out the dart: but if the beardes bee large, conuaye quilles in that order betwixt them and the flesh, that the flesh may not be torne in their going out: but if the heade be bearded both forwards and back∣wardes, so that it can come out ney∣ther waye, then must you needes o∣pen the place with a newe incision (without you knowe of a veine or such other vessell of daunger, in that place, that forbiddeth it) and so suffi∣cient roome beeing p••ocured, take foorth the heade gently and without plucking. Some doe likewise bridle those beardes, with quilles, or pee∣ces of reedes, that they may not teare, and so plucke them out that way that seemeth readiest. Broade dartes or speare heads being hiddē in the flesh, it is not expedient to thrust them out on thother side, for feare of making one great wound vpon another, they are therefore to bee pulled out with Diocles darte drawer. An instrument deuised by Diocles, and called of the

Greeks Eraphiscum. If a bullet of lead or yron, be lodged in the wound, first place the parties bodie in the same gesture (if it may be) in which it was when it receiued the wounde: and so search with a probe, which way the pellet is gone, (this obserue in the drawing out of all artillerie) if the case be such as the patient may not haue his bodie placed in that order, yet at least, so place him, lyinge, that, as muche as may be, he may come neere to the fashion. This doone, enlarge the wounde, and take out the pellet by the waye that it entred, with some hooke, probe, crowebill, or scissourlike mullet, or suche other, as the wounde is easliest able to receiue for that o∣peration. If so be, the shotte bee in such sort hidden, as that it may in no wise be founde, or else may not safely ynough be drawen foorth, then is it to be let alone, till na∣ture eyther thrust it foorth, or ma∣nifest it. And it hath beene seene sometime, that without offence of nature, a bullet hath tarried with∣in, for a certaine space, after the

wounde was cloosed vppe and hea∣led. And agayne, after a certaine space, to come foorth by waye of a∣postemation: after which the wound hath beene perfectly healed, the same cure being vsed thereto, as to other woundes. To speake generally of al sorts of engines inflicting wounds, if they sticke in but superficially, and haue not persed or broken a∣nye great veines, then are they to bee drawen out, the same waye they went in. As also it falleth out sometime, euen in those that lye deepe: to wit, when manifest daun∣ger, eyther through losse of bloud, or consent of some principall partes, is forespyed likelie to fall out, through the opening of the contrarie side. In such a case there∣fore, wee eyther drawe it foorth with our fingers, or by the steale of the shaft, or dart, (if it haue a∣nye) or otherwise, by conuaying a steale into the hollowe of the y∣ron, and so winde it foorth. But there is another case, wherein if it lye deepe, it is not to bee plucked out the same waye, but,

but, on the contrarie side, as when the way is longer for it to come backe a∣gaine then to be thrust through out∣right, and hath alreadie in going in, pearsed through veines and synewes: briefly, when but a little whole flesh remayneth to be pearsed through, & that nothing letteth, whereby inci∣sion might not be fitly made, on the other side against the point of it, in such a case, it is better to open that that remaineth, and thrust out the dart, on the other side. for so, it is both neerer hande to finde, and safe∣lier taken out, as also in a great mem∣ber, if the point haue once passed the midst of it, it healeth easilyer, if the way be made quit thorough, because it may receiue the helpe of medicines on bo••h ••ides. Nowe it must bee thrust through, either by the steale, if it stick in, or else (if the steale be sha∣ked out of the heade) with a propul∣sorie instrument•• either hollowe•• or solid, (which some call the deafe propulsorie) euen as the case requi∣••eth. Further note, that if it haue a sharpe point (which you shall finde by searching with your probe) then

you must vse the female propulsorie instrument, but if it haue a hollowe or socket, the male propulsorie: and so by such meanes, thrust it on for∣warde, till you may easily take holde of it to plucke it forth. Alwayes ha∣uing notable regard, that you deuide not a nerue or a tendon, either some great veine or arterie. As for those that sticke in the bone, it is not safe to plucke them out otherwise, then backe againe: shaking or moouing the darte, till the place bee loosed, wherein it was holden, and then with the hande, or instrument, drawe it foorth: which manner of dealing likewise is vsed in plucking foorth of teeth, and verie seeldome doeth the dart, not followe, if it be so vsed: but if it doe chaunce to staie, it may bee stricken out with some instru∣ment. Some binde the bowe called Balista, to some of the mullet like in∣strumentes or pinsers, and so, the pa∣tient sitting fast in his place, by draw∣ing and loosing againe the string of the same instrument, drawe foorth the darte: but if the darte sticke ••eeper in the bone, (which wee

knowe by that, that it will by no force be mooued) then with a chis∣sell•• cutting away the bone neere a∣bout it, or else pearsing it through (if it bee thicke) with a ••erebrer, wee take foorth the dart. There are, which from the hole of the tere∣brer, doe cutte out the bone a∣gaynst the dart, after the fashion of the letter 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉 so that the lines, which are sundred may respecte the darte: whiche doone, it must necessarilie slippe, and be easily taken out. which is the last remedie.

Othersome, with a straight long ••erebrer, called the direct Terebrer, doe straine open the rift of the bone, wherein the darte is holden, that whilest the same gapeth, the darte may be drawen awaye. In thinges fixed in a ioynt, that is, betwixt two bones, you are to fasten to both sides of the ioynt, strong rowles or bandes, and the one of them pul∣ling one way, the other another way, drawe open the ioynt, that the ten∣dons, ligamentes, and nerues may stretch: which beeing so extended, ••he space in the ioynt betwixt the

two bones must needes bee easier, so that without anie difficultie, the thing infixed may bee taken foo••th. But in this businesse it must also be lookt to, that no nerue, veine, or arterie be hurt, whilest the infixed thing is drawen out. Thus muche touching drawing out dartes (and other artillerie, or thinges infixed,) by mettalline instrumentes, and ma∣nuall operation. Nowe let vs see what maye be doone by medicines.

To the drawing out therefore of little bones, thornes, heeres, stones, peeces of glasse, &c. these simples are of force and auaileable: to wit, dictamnum, thapsia, sagapenum, ammo∣niacum, radices aristolochiae, ranae com∣bustae, radix arundinis, propolis, viscum, opopo••ax, C••lx viua, faex vini vsta, le∣pidium, sinapi, ranunculus, adeps vrsi∣nus, &c. fermentum, &c. Compound medicines you may thus prepare, to wit, a plaster ex radice arundinis & melle. c or this: Recipe lapid. magnetis ℥.j. rad. aristolochiae v••riusque ana, ʒ.j. polypodij, visci ana, ʒ.j. sterc. anseris, ℥.j.ss. amoni aci, galbani in vino dissolut. ana, ℥.ss. propoleos ℥.ij. ol. lilior••••.℥.iij.

mellis ℥.j. fiat Emplastrum. A liniment for that purpose you may make ex puluere magnetis mixt with some mun∣difying matter, and therewith arme the tent and apply it, in such sort not∣withstanding, as that the tente may not reach to, to touch the yron.

When you haue thus farre proui∣ded, that nothing vnnaturall be left remayning in the wounde, then fol∣loweth your next care, to cure and ioyne againe the partes that were so seuered•• If therefore the solution be small, it is to be restored by the win∣ding manner of rowling, for so out of doubt, the wounde shall ioyne and heale, without the vse of anye o∣ther outwarde cure: specially if it be a simple wounde, and encombred with no other affect or symptome. But if the solution be great, it must be helped, by artificiall closing to∣geather the gaping sides and borders of the wound, to wit, either by seame ••aches, verucles, or stitching clothes. The seame is made with a strong••, equall and smooth threede, as a sil∣ken threede, at the least in common woundes, taking the first stitche in

the middest of the diuision, the next betweene that and the one end of the wounde, and so foorth proceeding, that ther may be conuenient distance betweene euery two stitches, till the ••ides of the wound be committed to∣gither. So that neither must the stit∣ches be set too thicke nor thinne For if they stande too thinne, they cannot holde: if too thicke, they make too m••ch paine. Because that, the ofter the flesh is pearsed of the needle, and the moe places the threede twitcheth, by so much the greater inflamations do rise. So also let your seame ioyne togither the borders of the wounde, that yet the sides meete not close to∣gither, to the ende there may be way and space to purge out, what matte•• gathereth togither within the wound. They are wont therefore to leaue the bredth of a finger commonly betwen euerie stitch. Moreouer, see that your needle be long, smooth, and three∣square pointed, with a guttered eye, that the threede, close couching ther∣in, may giue no occasion of stickinge in the passing through of the needle. Besides, you must haue a stitchinge

quill, whereupon the lippe of the wound may leane, and stay it self ste∣dily without slipping hither & thither whilest the needle is pearsing it tho∣rough, and so, that through the little window or loope hole of it, you may spye when the needle hath pearsed through, that then you may drawe it on ende, with the threede. All the while that the threede is drawinge through, vnderprop the lippe of the wound, with your probe, that it tugg not outward in following the same. Let it be tyed first with ij. inuolutiōs or bowtes, the second time with one only, & so cut of the threed, somwhat distant from the knott. Thus when the partes are drawen togither by stitching, vse glutinatiue medicines, which may both consume and dry vp, the corruption of humors gathered, as also prohibite lest any more come thither. The second way of ioyninge is by claspes, and these must you make greater or lesser, according to the qualitie of the wounded part. But let them be from eche side crooking backe, fastening one hooke in the one lippe of the wound, and drawing

it towardes the other lippe, fastening therein the other hooke, as they vse to doe, that dresse clothes vppon the Tenters. These claspes whereby wee drawe togither the borders of ga∣ping woundes, require no force or strayning, but onely are so farre pro∣fitable, as the skinne seemeth wil∣linge, of it owne accorde, to fol∣lowe that which leadeth or draw∣eth it.

The thirde waie, to restore the se∣uered sydes, is by verucles, euen made, of stupes strongly writhen, and slen∣der like a writing quill or reede, and the length almoste of the middle finger. But if wee couet to haue the stitching holde a long time, take a writinge quill, in steede of the stupes, and doe as followeth. Drawe a stitche through both sydes of the wounde, and returne your needle through agayne by the same waye it came, so that you leaue youre threede in a loope, on that syde, whence the needle returned, in which loope, put one of the quilles, then take both the endes of your threede, to wit, both the beginning,

and that that came backe againe, and straine or vrge them so, as the sydes of the wounde maye drawe togither∣warde, and putting between them the other quill, tye them on a knott, and cut away the remnant of threede, so leaue it to the perfect healinge of the wounde. The fourth stitchinge, is perfourmed by clothes, applyed on both sydes the wound, in fourme tri∣angled, and of such greatnesse, as see∣meth best agreable to the member that is hurt. Which kinde of stitche is most agreeable to such places, as we couet to heale, most without ble∣mish or skarre as in the face. Those clothes must bee fastened on with some viscous or harde clea••ing lini∣ment, compounded of sanguis draco∣nis, thus, mastiches, pix. and pollen, that is, farina volatilis. all which must bee encorporated with albumen oui, and so made one. And then spread vpon one side of your clothes, which clothes then must you laye on eche syde the wound, a thumb bredth distant from the same. Thus when that oyntment drying, the clothes become fastened in their place, make in them your

stitching, ingeniously to the purpose. by which meanes, the lippes of the wounde shall goe togither and glewe againe.

Now when you haue wrought for the drawing togither of the wounde, you must after also carefully see to it, to preserue so, and keepe togither the partes that you haue ioyned: which is also done commonly by the conti∣nuance of the same meanes. That is to wit, decent bynding, apt placinge of the member, and stitching, if it shalbe thought necessarie.

The thirde scope, nowe is, to pre∣serue the substance of the wounded part and prohibite, lest it come to be troubled with paine, inflamation, or other vntowarde accident. Inflama∣tion is restrained by taking away the cause of his fluxion. And humors flowe to a place, either in that they are sent, or in that they are drawen. They are drawen first through paine, and then through heate of the member. But when they are sent, it is, as it were into a weake parte, as when the whole bodie is abundant with good or euill iuyce. Therefore to hinder

and take away the cause of the fluxi∣on. three thinges are to bee attended vnto: the first is paine, which must be e mitigated & the heate quenched, ei∣ther with some plaster ex radice solani triti & axungia porci, or, ex folijs mal∣uae coctis, tritis, & furfure & rosaceo: else, ex medulla panis triticei, in aqua feruenti macerata: or, with oleum rosac. &c. or, oui albumen, cum vino stiptico. The second is a full good liking and high state of bodie, which must bee diminished partly by dyet, partly by bloudletting: which first must be do•• farre of, & then euen in the wounded part itselfe: at such a quantitie, as is conuenient and meete, both in re∣gard of the store, that is in the bodie, and of the measure that came out of the wounde, as also of the time, age, nature, and custome of the bodie. The dyet must tend to cooling. Vse there∣fore light frication of the contrarie parts, much rest. for meat, the flesh of partriche, chickens, hennes, & little birdes, barley, ptisan. For pothe••••es, lettuse, purcelane, borrage, &c. For drink, either fwater boylde, or wine delayed•• Beware of mouing, venerie,

and affections of the mind. Eschew al hard flesh, cheese, garlike, mustarde-seede &c. great fishes, wine, &c. in summe, appoint a sparing diet altogi∣ther, especially at supper. Kepe the diet thus skant & straited for the first 7. dayes. Then after, when you see the patient free from inflamation & ab∣scesse, let loose also to a fuller dyet. The third thing to looke to, is, a state of bodie pestered with euill iuyce, which, if it be yellowe choller, purge with cas••ia, manna, rhabarb, tamarindis, &c. If it be flegme, with agaric. sem. carthami, diaphaenicon &c. If it be me∣lancholie, diasenna, diaprunes lenitiue, sena, polypodium, &c. g

Hitherto of the three first intenti∣ons common to the cure of woundes: to wit, of remouing thinges superflu∣ous, and of a disagreeable nature. Secondly, of ioyning the wounde a∣gaine: thirdly, of keeping the good estate of the parte. Nowe to the fourth and laste intention, which is to correct such accidentes as hap∣pen to the wounded patient, which are commonlye, fluxe of bloude, payne, inflammation, hote or colde

distemperature, conuulsiō, sounding, rauing, palsey, or resolution. For mo¦derate fluxe of bloud, hauing appoin∣ted a dyet to coole and thicken, as with ryce, lintels, astringent, ta••t and sowre frutes, &c. The vse of water, &c. Applye to the opposite or con∣trarie partes, ligatures, frictions, and cupping glasses. Or let bloud, ope∣ning the vaine a little, and emptying the bloud by repetition. You may al∣so stoppe the veine with your finger, or vse the common seame of the skin∣ners, or binde, or cauterize the veine, &c. inwardly it shalbe good to giue this potion. Rec. lapidis haematitis, co∣ralli, rub. ana, ʒ.ss. trochisc. de terra si∣gillata, trochisc. de spodio, vel de suc••in•• ana, ℈.j. aquarum fortulacae, plantag. ana, ℥.iij. Make thereof a potion, and vse it at twise. Or this: Rec. lapidis haematitis, ʒ.j boli armeni, ʒ.ss. sang. draconi••, ʒ.ss. sacchari ros. veteris, ℥.ss. aquae plantag.℥ij. Make a potiō. Out∣wardly applye a liniment ex aceto, & oui candido, &c. Or this: Rec. thuris, aloes, ana, partes aequales, mixe them, cum albumine oui & pilis leporinis. An∣other: Rec. boli armeni, ℥.vi. terrae si∣gillatae,

℥.ij. farinae volat.℥.iij. Gypsi, cal∣cis viuae, ana.℥.iiij. thuris, aloes, ana, ℥.j. mixe them cur•• albumine oui,h.

Simples, mitigating paine, are,i o∣leum rosac. ol. commune, ol. papaueris: medulla panis triticeae, in aqua feruenti macerata, oui albumen, aesypus, lac mulie∣bre. lac vaccinum, &c. Compoundes consist ex radice solani trita, & axungia porci, or, ex folijs maluae coctis cum fur∣fure & rosacco, or, oui candido & vi∣no stiptico &c. Of the inflamation wee haue entreated afore. The di∣stemperature is to bee regarded, as it is, either hote or colde: if it be hote: consider whether the same be gene∣rall in the whole bodie, or onely in the part affected. If it be a distempe∣rature of the whole, as a feuer: it must be cured so as a feuer. If onely in the part (which will appeare by the red∣nesse) then it must bee abated with cooling things, as roses, planten, vn∣guentum album,k &c. Cold distempe∣rature (which is spied by the sauftnes and swart colour of the part) is cured by heating medicines: as with wine, or vnguentum fuscum, vnguentum ba∣siliconis &c. A conuulsion must bee

dealt with, acording the causes wher∣of it commeth and is effected: as if it be of repletion, and that of flegme, set order that the aire of the place be tending to hote and drye. Let meane sleepe be procured, by night, not by daye. Seeke quietnesse and rest•• for the partes conuulsed are specially to bee holden in rest, & kept from inordinat motions. Vse frication to the verte∣bres of the necke: keepe the belly so∣luble, and a calme mind•• free from the tempests of perturbatiōs. Let his diet be barley creame, rere egges, rosted flesh of capons, chickens, hennes, &c. herbes: sage, maioram, hissop, mother tyme. Fruites: raisons, pine kernels, sweete almondes. His drinke, sweete∣ned water, wherin hath boild a little sage & cinamon: but let him abstaine from wine, specially in the beginning throughout all his dyet, let him bee spare in the quantitie, chiefly the first three dayes, afterwarde, taking some more libertie. If you see the flegma∣tike humor is not altogither seuered from the bloud, & nothing els let, be∣gin first with opening the midle vain, emptying it not much at one time,

but doing it at diuers times. If there be place for purging, you may per∣fourme it with such a pill: Rec. pil. fae∣tidarum, pil. de sagapeno, ana, ℈.j.ss. aga∣ricitrochis••.℈.ss. misce & cum syrupo be∣tonicae fiant pillulae. Apply to the parte conuulsed oleū de casto••••o, laurinū, nar∣dinū, costinū, nucis moscatae, or such o∣ther, or a catapl. ex faenugr. sem. lini, fa∣rina hord. oleo rutaceo &c. If the cōuul∣sion com of repletion of bloud, or in∣flamation, then let bloud the middle veine, not much quantitie at once, but at many times. Then vse sharp clifters, obseruing that there be no necessarie circūstance withstāding ether course. if the inflamation persist, vse medicins such as the inflamatiō requireth, and acording to the diuers times of it, ta∣king your indicatiō from the part af∣fected. If the cause of the conuulsion be emptines, direct his dyet to moist∣nes: as, moyst ayre, sleepe longer then woont, rest of bodie and minde, free frō affections. His meat such as afore∣said, changing his herbs & fruts to le∣tuse, arage, spinage, borage, mal∣lowes, &c. milons, gourdes, damaske prunes, peaches, ripe grapes, &c.

Adde also little stone fishes. His drink thinne watred wine, barley water, or water sodden with liquorise and Ci∣namon. keeping such a moderate compasse, for the quantitie, as is an∣swerable to the bodies strength, age, time, &c. Giue him inwardly con∣serue of violets, borage, or buglosse, diadraganthum frig. &c. outwardlye foment warme with oleum dulce, ol. amygdalarum dulc. or vse hydreleum, or balneum aquae dulcis tepidae, If no∣thing hynder: euer respectinge the greatnesse of the disease, the tempe∣rature, age, region, time of the yere, &c.l

Sownding, if it be of paine, by all meanes endeuor to appease the payn. If it come by vnmeasurable euacua∣tion, sprinkle rose water, or cold wa∣ter in his face: bynde strongly the ex∣treme partes of the bodie, and chafe them with clothes indifferent rough. If of vitious ayre, change the same to a better temperature. If of venomous qualitie, or stroke of a venomous cre∣ture, then with medicins fit for m poi∣son must he be cured.

The seuenth symptome is rauing,

or frantiknes: appoint therefore a dyet meane twixt heate & cold: giue rest, prouoke sleepe, loosnes of bellie, and quietnes of mind, vsing gentle fricati∣ons. His meat let be Barley creame, herbes, lettuse, suckerie, mallowes, & such as coole & moisten. Skalie stone fishes towards the declination, Pome∣granet, tart aples, cheries &c. his drink Barley water, or the decoction of Ci∣namon, with syrupe of violets, roses, or water Lillies. If the bodie abound with bloud, & nothing else hinder, o∣pen a vaine in the cubite. Then alter the humor with conuenient syrupes, as syr. violaceus, rosaceus, ex nymphea. syr. endiuiae, de papauere. And if you see good further to emptie the bodie, do it with manna, cassia, saccharum viola∣ceum: or, syrup. ex pluribus infusionibus vi••larum vel rosarum: else, a clister ex decocto maluarū, violarū, hordei, capi••um papaueris, ac folior••m betae, & pauco sole, adding to ℥.iij. ol. violacei, cas••iae ℥ j. & so make a clister. He may also vse to abate the hote distemperature (if neede be) conserue of roses, violets, or water lillies, loch. de papauere, and such like: applying outwardly, to the head

oxyrhodinū, in Summer, but warme, in winter moderatly hote, or an embro∣cation ex rosis. violis, hyosciamo, lactuca, corticibus papaueris, oleo ros. addito. But towards the latter end, a wetting for the head would be made ex rosaceo, in quo decoctū fuerit thymū, serpyllū, melilot. althea, anethū, flores chamomillae n &c.

For the palsey, the last symptome, be no lesse circumspect both by dyet and medicines. Make the ayre hote & dry, meane sleepe, but no day sleepe. Moderate exercise, which is good, if it may be vsed. Frication with olde oyle, or oyle of rewe, a pleasant mind free from perturbations. His meate ba••ley creame, rere egges, broth of henne, made with a little hyssope, sage, maiorame, betonie, or sauorie. Also rosted chicken, capon, henne, &c. his drink, honyed water, sod with som cinamon or sage els this Ipocras: Rs. cinnamomi, ℥.ij. zinzibris ℥.ss. granorum paradisi, galangae, piperis longi, ana, ʒ.j. cardamomi ʒ.jss. nucis moscatae, caryo∣phyllorum, ana, ʒ.j. macis ʒ.j. boyle these in water to the wastinge of a thirde part, then straine it & make it pleasant with suger. If you finde the

humor through mingled with the bloud, by & by in the beginning opē a vaine, if al circumstāces be therto a∣greable: but do it in the sounder parts & that moderately, that the body be not to much cooled. If the humor be crude & vnfit to purge, first alter, con∣coct, sunder & make thinne the same with this or such a syrup: Rec. syr. de staechade, syr. de hyssopo an.℥.ss. mellis ro∣sac. aquarū maioranae, betonicae, rorismari∣ni, an.℥.j. misceantur, make threof a sy∣rup for one time, doing the like after for many dayes. When the humor is redie for purging: Rec. assae faetid••, ca∣storei, ligni aloes, an.p. aeq. agregentur cū syr. de staechade, make therof pilles, one of euery drachm, & giue iij. of thē e∣uery morning, 8. days togither, with a draught of rosemary water•• and three graines of pepper. Another pill: R••. pil. cochiarū, alephāginae, hierae cōmpositae, ana.℈.j. agarici trochisca••i ℈.j. misceātur & cū syr. de staechade fiant pil. Or this sollu∣ble decoction: Rec. saluiae, roris. anthos, hyssopi, menthae ana, m••j. rad. faenic. apij, a∣cori, f••axini an.℥ij. florū rosarū, viol. ne∣nupharis, sem. en••iuiae, ana, ʒ.ij. poly∣podij ℥.ss. senae ʒ.ij. agarici ʒ.ij.

fiat decoct. ad li. ij. coletur, in colatura dis∣solue ••yr. de radicibus, oxymellis diuretici, ana, ℥ss. a clister thus: Rec. maluae, al∣theae, mercurialis, chamomeli, maioran. hys∣sopi, betonicae, an.m.ss. florū rutae, & ste∣chadis, ana, ℥.iij. coq. in aq. vsque ad suf∣ficientiā & fiat decoctū, de quo sumatur, li.j. cui addan••ur otei communis, ℥.••ij. ••ie∣rae pic••ae vel benedictae laxat.℥.ss. sal. pa∣rum, & so make your clister. To the outward parts, attainted with the pal∣sey (hauing thus well prouided for within) prepare this balme to be ap∣plyed: Rec. mirrhae, aloes, spicae nardi, sag. draconis, thuris, mumiae, opohalsami, ••ar∣pobalsami, bdellij, ammoniaci, sarcocollae, croci, masticis, gummi arab. styracis liqui∣dae ana, ʒ.ij. ladani suc. castor••i an.ʒ.ij ss. mosci, ʒss. terebynthinae ad pondus o∣uium: stil thē in a glasse vessel, & ther∣with annoint the chine of the backe.

Supply or addition to the accidents of wounds.

COstiuenes, & suppression of vrine, come oft by flux of bloud, much weakning nature. In loosing the bodi obserue, to attēd naturs leisure, for iij. or iiij dayes: without he feele in the meane time, a certaine straitnesse in

his brest: and then rather by lenitiue medicines, or suppositorie, to induce nature, then by any sorte to enforce her. For the vrine, this is Paracelsus counsail: puluis glandiū giuen in drink or, Rec. croci. q.s. make a bagg therof, and apply it to the priuie partes. Vo∣mitting sometime taketh the woun∣ded pacient: for that (if in time it cease not) Rec. fermenti, m.j. succi me••••hae cū aceto extracti. q.s. coquantur in formā ca∣tapl. lay it warm to the stomach. Whē it is colde, heat it againe, in the same iuyce. Thus as oft as he eateth, and for iij. hours after. For the wound more∣ouer obserue: if the patient feele heat & cold, by fittes, or only heat in the wound, by fitts, or sleepines, & astoni∣shing in the place, apply this plaster: Rec. calaminaris, litharg. mirij, ana, li.ss. thutiae, ℥.ij. cerae, ol. mirt. ana, ℥ix. boyle them to the forme of a cerote. 〈◊〉〈◊〉 camphorae anoynted in the wound•• 〈◊〉〈◊〉 speedie remedie. Giue the patient in∣ward, Mithridate. To make ol. cāphorae, Ouum ad duriciem percoque, exempto vi∣tello, caphuram non adulteratam include, & in cella vinaria filo suspende, vt oleum in vas subiectum defluat.

When the wounde swelleth with heat, so as the tumor will pitte at the pressing of the finger. Rec. nasturtij a∣quat. nenupharis, ana, q.s. coq. in aceto ro∣saceo, & apply it warme: or, Rec. argillae de furnis adustae, q.s. in aceto coque, & ap¦ply it on the place. If you espie the clere & viscous liquor of the nerues (called synonia, gluten album, or Glare∣alis aqua) flow forth by the wounde, beware lest in any wise it continue: wherfore (to temper the heat) imme∣diatly, wash the wound cum aceto rosa∣ceo warme, & dresse it vp, with the first vulnerarie oyle in the annotations of a simple wound, & with emplastrū stic∣ticum. This plaster likewise of Vigoes, I know (in this case) to be excellent: Rec. olei rosarū, violarū, chamomillae, ana, ℥j. sepi vituli, ℥.iij. axungiae porcinae, ℥.j. pinguedinis ga••inae, medullae crurium vi∣tuli, ana.℥ss. lumbricorum lotorum in vi∣•••••••• j. bu••yri rec.ʒ.vi. mucilaginis al∣th••ae li.ss. coquan••ur lento igne ad muci∣laginis consumptionem: colaturae, adde li∣thargyrij auri & argenti, ana, ʒ.x. minij ʒ.iij. cum cera sufficienti fiat cerotū: ad∣dendo in fine cocturae resinae abietis, ʒ.x. masticis ℥.ss. & denuò buliant vni••a eb∣ullitione.

These preuail (likewise) in the case of bluddie matter, & against the growing of proud flesh: especialy (for these last) emplast. sticticū, which is set down in the 6. Ch. By the negligence or vnskilfulnes of the Chirurgion (ap¦plying such medicines as putrifie to∣gither with the wounde) may growe wormes. Againe, whether the wound heale or no, if it yeld a stinking sauor it betokeneth a hote nature, & faul∣tinesse in the medicine. Also if the wound to much linger, or be hindred in healing, there falleth fluxe of hu∣mors, & holing inward. And putrefa∣ction is when as the wounde putrefy∣ing, turneth back from healing. For these foure: Rec. mellis li.ss. alo••patici, ℥j. succi chelidoniae, ℥.vj. salis cōmunis, ℥.ss. all these beeing mixed, wash the wound therwith warme: or, R••c, con∣solidae aureae, consolidae Rubeae, ana, m.j. mellis cocti despumati, li.ij. salis gēme ℥.ij vini, li.j.ss. simul in loturam coquan••••r: therewith wash the place. Against the accidentes, called ignis Persicus, and Cancer, Recipe vi••rioli, ℥j. ambo∣rum gummi minorum, ana, ℥.ij. ochrae, ℥.ss. vini & aceti, ana, li. j. boyle them,

and apply it warme. Or, R••cipe lithar∣gyrij, ••i.j. aluminis li.ss. salis, ℥.ij. thuris, ℥.ii••j. gummi Romani ℥.v. vini, aquae, & aceti, ana, li.j. coquantur ad quar∣tam horae partem, and applye it warme.

By these two, (in the case of woundes) Paracelsus hath this mea∣ning: when a wounde towardes the latter ende, swelleth with heate, loo∣keth blewish, or swarte, and after∣warde blacke, and last of al, the mem∣ber enflameth, this hee calleth Ignis Persicus. Cancer, is when woundes conceiue heate, and therewith flu••e of humors, which make frettings & vlcerations about them. Moreo∣uer at the shutting vp of a wounde, if it bee done too soudainly, without firme foundation, so as it afterwardes putrifie and breake foorth againe, This he calleth the Pu••iulous fistul••: & for remedie appointeth this: Recipe liquoris carabis, Aspal••i, armoniaci, ana, ℥.ss. ceroti de mummia, ℥.iij. misce simul in emplastrum, and vse it. One of his speciall cerates of mumia is this: Rec. Olei communis, cerae virgineae, lithargyrij auri pulv. ana, li.j. coquantur simul in ce∣ratum, cui deinceps adde opoponacis cum

aceto praeparati, ℥.iij. mumiae, ℥iij. ari∣stolochiae, masticis, thuris, myrrhae, ana, ℥.ss. terebinthinae, ℥.iij. olei laurini, ℥.ij. Camphorae, ʒ.ij. After, woorke it vp•• cum oleo Chamomillae. Hee handleth besydes these, other accidents, but I cannot communicate them to the Reader, for the difficultie of the me∣dicines.

ANNOTATIONS.

^a Of these, some are necessarily mor∣tall: as woundes in the heart, midr••ife, stomache, guttes, and bladder: Some, but for the moste parte, as those of the braine: (••f wee credit Arcaeus, lib. de vul. and Coiter in his obseruations.) The rest, as in the Lungs, Liuer, Splene, and We∣sande, moste often healed, if they bee ar∣tificially dealt withall, as witnesse ma∣nie mens obseruations, togither with our experience. Verie daungerous also, are ouerthwhart woundes in the Mus∣cles, and such as are inflicted, when the member is extended.

Paracelsus obserueth a matter more secrete, where he sayeth: When Choler ••ath betaken it selfe to the arteries, ca••∣sing

the partes to tremble, and moue vn∣orderly: if at the same time, those partes be hurte, death ensueth, which I vnder∣stande to bee, by reason of the extreame ebullition, and pro••use expence of the spirites, which by no meanes, can at that time bee restrained: for therefore he saith afterwarde, that in the same daunger is euerie wounde, made in anie ebullition. That then wee neede not marueile, though of a small wounde the partie sometimes dye, without any manifest cause. And the vncertaine successe of woundes, both by reason hereof: as also of sexe, tempe∣rature and lurking accidents, causeth the same author otherwhere esteeme it f••te••, to reckon all woundes (that is to saye, of all partes) in the Catalogue of deadly, rather then account any of them safe, and voide of danger.

^b It is possible sometime, to abridge this terme, euen to three dayes, or lesse.

^c or, cum farina lolij, radice arun∣dinis, & melle..

^d Hookes to tacke the sides togither: but what vnprofitable businesse, of stit∣ching and hooking, is here taught from antiquitie, manie can testifie at this daye:

who hauing long agoe reiec••ed such dis∣agreable courses, & conten••ed themselues ordinarily with fit medici••es, and seeme∣ly rowling, seeldome or neuer found cause to thinke vppon these neanes, all thinges succeedinge much better, without them: and certainly, Paracelsus doeth in som•• part worthely condemne them. As for hookes and verrucles, they are worne ou•• of vse with the multitude: that it gree∣ueth mee, to see men, in writinge their bookes, to regarde rather, what is writ∣ten, then what is meete to bee written. Neither woulde I here bee vnderstoode, vtterly to gaine saye all vse, and kindes of stitching: but onely the hookes and ver∣rucles simply: the plaine sticthe, but for the moste parte: ••or there bee rare ca∣ses (as to staye in the guttes, holde on a ioynt, &c.) Wherein, when the Artist cannot auoyde it, this maye bee vsed: according to the olde Maxime: In a hard case, a harde remedie is better then none. As for that kinde of stitch, cal∣led The dry stitch, I haue in no wise, said against it.

^e In this place, handling that scope of the cure, that respecteth the part affected, the Author was onely•• to haue deli∣uered

all the meanes, both by dyet and medicines, that were to preserue the bodi•• and partes in a prosperous state of hea∣ling, and after that, to haue looked vnto such a condition, a•• is nowe combred with accidents, (which is his fourth intention) ••hat the reader may see, here is no plac•• for medicines against paine, (which is not yet supposed to be) and that besides this inuerting of his owne order, there is also omitted that should iustly haue occu∣pied the rowme therof: to wit, the local me∣dicines for the cure of the wound: which ••e hath verie ill deferred to the Chapter ••f a simple wounde that the reader should not be perplexed, I am driuen thus to note the author, whome otherwise I could glad∣ly haue spared, as in manie other places of ••is order.

^fSmall beere or ale, with vs, which al∣so (if time and place do serue) may be ton∣••ed vp with vulnerarie herbes, as sani∣••ula•• ophioglossum, Alchimilla, con∣solida, agrimonia, betonica, vinca peruinca, aristolochia. &c.

^g To these meanes, of keeping the bo∣die in a good disposition of healing, must bee ioyned (as I touched afore) the ad∣••ised vse of locall medicines: bee they

balmes, plasters, powders, vnguenies, or what fourmes soeuer. Which, because the aucthor hath here omitted, I must request the Reader, to turne to the Chapter of a simple wounde, where all these thinges are largely deliuered.

^h Among the medicines to staunche bloud, may be numbred, crocus martis, crocus veneris, cinis ranarum, and a ••oade artificially dried, lapt in a clothe, and layde neere the wounde. Also the bloud stone holden in the patientes hande, or hung about his necke.

ⁱ First of all, wisely consider, what is the occasion of the paine: for if there be n•• distemperature first, suspect some errour to bee, either in your medicenes or byn∣ding.

^k This is most excellent of Paracel∣sus: Rec. rad. hyosciami, q.s. dige∣rantur in aceto rosaceo as solem, fiat Epithema: In this wet clothes, and ap∣plye warme to the payned place. Lolium and Papauer may be vsed in steede ther∣of. And this wonderfully swageth paine.

^l Conuulsion hapneth to woundes no•• done by venimous creatures, two manner of wayes: one is, by pricking or halfe cut∣ting of some synewe, and then it followeth

immediatelie, the other is brought in by payne and inflammation, his forerun∣ners, and this after a longer time. The first I will touch no further in this place, because I am drawne to it againe, by Wecker, in the Chapter of woundes in the sinewes. The seconde sorte must bee taken awaye, by remoouing the causes: and that, beginning with the first, and proceeding in order, to the last, euen as one euill heere brought foorth another: to wit, offence of the nerue paine, payne inflammation, inflammation putrefacti∣on, putrefaction maligne vapours, which proceeding from parte to parte, by the continuitie of nerues, are at last commu∣nicated to the braine it selfe, whence pro∣ceedeth conuulsion. Nowe the offence of the nerue, which causeth this kinde of con∣uulsion, I vnderstande to be, some colde aire, or vnmeet•• medicine applyed: the medicine being eyther of venimous qua∣litie, or else of vniust temperature. Of venimous or maligne qualitie, are most sortes of corrosiues. Vniustly tempered are, all barbours digestiues, most distilled balmes simply, and at first applyed, and o∣ther too hote, opening and relaxing, to∣gither with such mundifying and attra∣ctiue

medicines, as want aequiualent mix∣ture of drinesse and astringe••cie. Hauing therefore taken awa••e, that which offen∣ded both in your ayre and medicines, and prouided by better ones, that nature in the wounde may finde rest and friendly nou∣rishment, you shall afterwarde, with no great difficultie, by the mean••s heere se•• downe, take away both inflammation and conuulsion. Any other way you loose your labour.

^m For this matter, reade more in the fourth Chapter following.

ⁿAlwayes be it obserued (as I haue no∣ted afore) that, if this accident be caused of paine, and distemperature in the wound, you first, by all meanes, practise to remoue the same. And therefore to preuent all such euils, once for all, I will admonish, that for the first seuen dayes, you be verie circumspect, and (as it were) iealous o∣uer the wounde, for paine: and for tha•• ••ause, sundrie times (if neede be) vn∣couer the member, and foment, the circum∣stant partes of the wounde cum aceto & oleo rosaceo, or (if more neede) cum aceto ex rad. hyosciami, noted afore.

CHAP. II. Of a contused wounde.

WHether the wound were giuen by a fall, or stroke of staffe, stone, or such other, you shall best vn∣derstande by enquirie. But that it is a contused wounde, it will appeare by swelling, paine, blackish or blue co∣lour, &c.

And because the ordinary entrance into the cure of this wounde, is many times, intercepted by the importuni∣tie of accidentes, let vs a first labour to represse them, and afterwards pro∣ceede to the cure of the wound it self. The accidents be either paine or swel∣ling: paine must bee mitigated with oleum an••thinum, ol. chamomelinīs, ol. li∣liorum, or a liniment ex ol. rosaceo, & vitello oui, layde vppon lynt and ap∣plied, the tumor that you finde, is to be remooued, by the taking awaye, both of the antecedent and conioynd cause: and the antecedent cause, be∣ing the humor flowing, the conioynd

cause, the humor alreadie contayned in the wounded parte, to the cutting off of both these we must labour with all our might: first for the defluxion, it is to be considered, whether it be of bloud, or other humors, if it bee bloude, it is to be euacuated, either from the point whence it floweth, or else from the place whether it flow∣eth. The rage of the fluxion, cōming eyther from the whole bodye or part thereof, is to be bridled by bloudlet∣ting•• or thinne cooling dyet. From the part whether it goeth, there are two wayes to dispatch it: one is by reuulsion, in withdrawing the humor to a contrarie part, either with phle∣botomie, cupping, frication, or liga∣tures on the contrarie side: the other way is by repercussiues, when the mat¦ter is not drawen but sent, as with ol. rosaceum, ol. mirtinum, or an vnguent ex bolo armeno, cleo & aceto, wherewith the circūstant parts about the wound are to be annoynted, else a plaster ex puluere mirtillorum & oui candido. If the defluxion come not of bloud, but of other humors, then must it be taken away with purging medicines accor∣ding

to the nature of those humors. which point is now set downe before in the curation of tumors beyond na∣ture. The humor nowe impact in the part is to be brought to b suppurati∣on: for which purpose you haue these simple medicines, malua boyld, radix aeltheae, panis triticeus, hordei farina cū ol. & aqua, fomentū aquae calidae, &c. com∣pounde ones you may thus prepare, Rs. radicum altheae, radis. cucumeris a∣grestis, ana, ℥.ss. origa••i, hyssopi, ana, m, ss. florum chamomillae, sem. lini ana, P.j. ficuū pinguium no. vj. coquantur, quibus pressis ac tusis, adde galbani, mirrhae, sty∣racis liquidae, aesipi, ana, ʒ.j ss. fiat Em∣plastrum. Another: Rs maluae, violarum ana, m.j. rad. altheae, li••ss. coquantur, in iure carniū abs{que} sale, postea subigātur in mortario, & adde farine hordei, & triti••i, ana, q.s. fiatque emplastrū. A c digestiue for the wound it selfe is to be made ex ••erebynthina, resina, & ouorū luteis. The accidents thus prouided for, & put a∣way, go on to the cure of the wound, considering therof as the present s••ate requireth, to wit, whether it be filthy, hollowe, plaine, or torne. If therfore it be fowle or filthy, mundifie it with

mel rosar. or a mundificatiue ex apio, or vnguentū apost. ether els an vnguent ex farina hord. cicerū, fabarū, orobi, ouorum vitellis & melle, &c. with such, I say, d arme you tents & apply thē, laying a∣loft dry stupes, or beds, & rowling vp the member in such sort, as may aptly keep the medicines in their place: thus doing till the wound be perfectly pur¦ged: the holownes of the wound must be filled with incarnatiue medicines such as, thus, aristologia, aloe, fuligo thu∣ris, mirrha, pix liquida, resina, colophonia, chrysocolla, christallus. &c. wherof you may thus prouide you vnguents, as ex aloe, cera, & aerugine, or Rec. cerati ro∣sati li. j. aeruginis ℥.j. mannae thuris, ℥.ij. mixe them: or Rec. cerae terebyn∣thinae ana, ℥.iiij. aeruginis ex aceto lotae ℥.j. mixe them: or otherwise, ex oleo, cera, aerugine, terebynthina, thure, man∣na, &c. againe if the wounde be once made plaine and euen, it must be sea∣led vp with cicatrizing medicines: as are malicoriū, galla, myrthus, aerugo lota, scoria plumb•• cerusa, pompholix, plumbū vstū, bolus armenus & such like. among which you may fit your selfe on this wise: as making an vnguēt ex pompho∣lyge, chalce elota, bolo armeno, cera & ros.

or this: Rec. cadmiae, lithargyri, cerussae, ana, ℥.j. cerae ℥.iiij. ol. ros.℥.iij. fiat vn∣guentum. Else this: Rec. cerusae, cadmiae, ana, ℥.iiij. cerae, olei mirthini ana, ℥.vj. mixe them. Nowe if the wounde be so torne, that you see in the begin∣ning, it is necessarie to vse some stit∣ching, let it be done, yet slackly, so as it is ynough if you shall onely retaine or staie the lippes of the wound.

ANNOTATIONS.

^a It is not of necessitie, that by and by, in a contused wound, there be found these accidentes, neither that the whole scope of the cure, should euer first, be bent against them, but rather (as in other cases) mi∣nister such fit helpes vnto the wounde, as may also haue respect vnto the accidents: neither doe I thinke, that Wecker mea∣neth any other thing in this place: howe∣bei••, (in my iudgement) his method had beene more apt, if after his generall regi∣ment, comming to his locall administrati∣ons, he had taught, first the cure of the wounde, & after remembred the accidents.

^b That is to saye, if it cannot bee re∣solued.

^c Indeede the wounde is first to be con∣cocted, with this or such other medicine, as Rec. terebentinae venetae, mellis albi, ana, li. ss. vitellos ouorum nu∣mero xij. these well mixed, boyle saufily togeather, to the consistence of an vngent. After digestiues, come you to mundific. in∣carnatiues, &c. in order. Why Wecker hath sundred them, setting his digestiue, where he handleth the accidentes, I knowe not.

^d First wash the wounde cum decocto vini ex myrrha.

CHAP. III. Of a broose, wherein there is effu∣sion, and cluttering of bloud vnder the skinne.

ECchymosis, that is, effusion and going togeather of bloud vn∣der the skinne, is a kinde of so∣lution of continuity, which for the most part, is accompanied with some contusion, and ruption.

Whether the c••use was some fall, stroake, violent rush or such other, al that you shall vnderstande of the pa∣tient

by inquirie. the place is swelled, sauft, easily pressed, blackish & with∣out paine for the most par••.

A broose that commeth of some great & violent contusion, is not with ••••t danger: forasmuch, as there hath many times followed, not only cor∣ruption of the particle it self, but euen of the whole bodie also. If the skinne 〈◊〉〈◊〉 a broose bee separated from the flesh, so as it remaine hanging by, it 〈◊〉〈◊〉 ••eldome or neuer ioyned againe. It is better therfore, in such a case, to cut, it away, & so apply drying medicines: else to leaue the place so excoriate, a without any bynding vp, &c.

To enter the cure of a broose you must fetch your indication from the affectes that are ioyned therewith. as fluxion of humors, concret bloud in the bodie, effusion of bloud vnd••r the skin, &c. al which require their taking awai, so that you euer begin your cure with that which most vrgeth, & with∣out appeasing of which nothing else can bee performed. Wherefore, the fluxion beeing first, that calleth for help in this case, seek first for it, a way of euacuation. Diminishing the store

whereby is maintained the course of it, (which it taketh frō the whol body to that part) by opening the liuer vein of the right arme (if nothing hinder) & taking away such quantitie of blod as is fit for the greatnes of the griefe, & strength of the party that beares it. Againe turning the streame another way, by reuulsiue blodletting on the contrarie part (if nothing hinder) or by ligatures &c. arming also the part and so restrayning that, that cōmeth thither, by repellent medicines, as ol. rosaceum and oui candidum. The second aduersarie here to be dealt withall, is concrete or cluttered bloud, which, if it be in the body, is to be resolued and scattred, by b medicins, partly such as dissolue bloud & strengthen the inner partes, partly such as procure & moue to sweat. For the first purpose, to wit, to dissolue blud, Rs. rhabarb. triti, ℥ij. mumiae ʒ.ss. aq. rubiae maior.℥.ij. syrupi de rosis siccis ℥.ss. make hereof a poti∣on, and giue therof to drinke spedily. There may be thereto added rubia tro∣chiscata. Another to that purpose, Rs. rhabarbari torrefacti, terrae sigillatae, boli armeni, mumiae, sem. nasturtij torrefacti a∣na, ʒ.j. make them in powder & giue

thereof ʒ.j. euerie morning c•••• aqua plantaginis & bursae pactoris. An∣other, Rs. terrae sigitlat••••, rubiae rincto∣rum, mumiae, symphiti, ana, ℈.j. rha∣barbari triti, ℈.j. mixe them and vse the same cū aqua bursae pastoris & plan∣tagini••. Another, Rs. rhabarbari torre∣facti, costi, radicis rubiae maioris, centa••∣rij, aristologiae rotundae, ana, ℥.ss. fi•••• puluis, de quo detur quotidie mane ʒ.j. cum syr. ace••oso, for ix. daies &c. A po∣tion to mooue sweate is this, Rs. os∣mundae regalis, caudae equinae terrestris, ana, q.s. coquantur in m••lle & vino, Giue ℥.v. to drinke, and so let the pa∣tient sweate thereuppon. Nowe for the bloud clodded vnder the skinne, if it be so all ouer the bodie, or in many partes, take a Rammes skinne newe pluckt from the sheepe, and ha∣uing sprinkled it cum sale tenuissime trito & puluere nastur••ij, lappe it about the patients bodie, and let him sweate in it. Which is also a good reme∣die to take awaye the sorenesse and markes of stripes: you may make also a liniment for this purpose ex ol. ros••ceo, myrthino, ac lumbricerum cum puluere rosarum or mirtillorum. Else

this vnguent, Rec. buli armeni, resinae, th••ris, faenugraeci; nagaganthi, ana, ℥.ss. croci.ʒ.j. pul. rosarum, myrthi, sumach, ana, ʒ.iij. vng. de althea•• ol. ros. chamo∣melini, ol. myrthini, anethini, ana, ℥.ij. cerae no••ae, tereby••thinae, ana, ℥j. make thereof an vnguent, wherewith an∣noint the partie, and l••t him sweate. These thinges doe discusse, and are meanely astringent. Like as in all this businesse, you must obserue this for a rule, that in the beginning, you ap∣plie astringent medicines, wherewith some discutientes are mixed: but af∣ter the beginning vse discutientes on∣ly. but if the bruse and so the bloud concrete or clodded, be only in some one part, then consider whether it be apt to be resolued, or els like to grow to matter. if it may be resolued, then vse some of these medicines follow∣ing, which be discutient and meanly astringent. Rs. ol. rosarum.℥.ij. ouum. j. pulueris myrthi.℥.ss. fiat linimentum, wherewith warme annoynt the place. or, ex oleo rosaceo & puluere malicorij vel myrthi. an epitheme for that pur∣pose may you make ex vino, melle, sale & cumino. or, ex floribus chamomillae,

meliloti, staechadis, & cumi••o in vino d••∣coctis. or yet ex ma••ua, furfure, m••ll••, absynthio, cumino, aut anetho aqua, vel vino incoctis: else ex decoctione cha••••∣millae, absynthij & cumini: plasterwise likewise may you prepare a medicine ex farina hordei, caluminthae, & vino. or ex farina hordei, & faeni••gr••ci, croco & momento auripigmenti. or thus contri∣ued: Rs. symphiti vtriusque ana, li.ss. flo∣rum chamomillae, meliloti ana, P.ij. croci.ʒ.ss. farinae fabarum ℥.iiij. farinae fae∣nugreci, ℥.v. butyri recentis ℥.j. seeth them reasonably: & if you ad therto succi absynthij & succi cumini ana, ℥j. it shall resolue and drie, and so make your plaster. If otherwise the matter be altogither vnapt to be spent awaye by resolutiō, thē turne it to matter & bring it to suppuratiō: afterward pro∣cure issue & mundifie the vlcer, like as is before set down in the cure of p••leg¦mon. Hitherto touching the fluxion & concrete bloud within the bodie, as also bloud effused vnder the skin. The 4. scope or intention, in this cure, is to strengthen the mēber or part affected: which is done with Empl. oxycroceū o•• Chaeron••um, or Apostolicū. The 5. care i••

employed about the remoouing of symptoms or accidents hitherto inci∣dent: which commonly are paine and blacknesse of the place, paine is to be asswaged with ol. rosaceo & oui candido mixt togither. blackish or dead co∣lour of the place, comming of bloud vnder cluttered, may be amended by some conuenient fomentation plaster or vnguent. as a fomentation ex aceto calido, decocto rad. raphani serpentariae & ari, in vino, or else (if there bee any paine) in aq. coctarū. your plaster may be diachylon ireatum: or ex cera & cu∣mino. or thus made: Rec. fol. abrotani sicci, sem. cumini, florum chamomillae, a∣na, ʒ.j. cum succo a••i & melle fiat Em∣plastrum. so may you deuise it ex mal∣uis violis, absynthio, rosis, rorismarino, farina fabarum, rad. altheae, parietariae, sigillo salomonis, squinantho, staechade, croco, oleo ros. chamomelino, anethino, myrthino &c. if you couet an vnguent, then this: Recipe ol.℥.ij. cerae ℥.j. succi maioranae, ℥.j. me••t them togea∣ther, afterwarde adde to it arsenici citr. triti ʒ.j. and so make your vn∣guent.

ANNOTATIONS.

^a Hee meaneth without binding it in, vnto the rest of the wounde, that it maye die, for so, within two or three dayes, you may cut it away without paine.

^b In his diet also, is specially to be ob∣serued, tha•• there be a measured mixture of p••rging matter, as p••isan, or almonde milke, made with rubarb. sene, or rootes of swallowort, and his meates sodde with mumia and rupontick. Parac. Chir. mag. tr. iij. Who also in the 5. Chapter setteth downe a powder, and an oyle, in all cases of con••rete bloud, most excellent and approued. They are these:

The powder.

Rec. rhabarbari electi, ʒ.ij. mu∣miae, ʒ.ss. laccae rubrae, spermatis ceti, ana, ʒ.j. boli armeni, terrae si∣gillatae, ana, ʒ.ss. radicum hyrun∣dinariae, ʒ.iij. fiat puluis subtilis Dos.ʒ.j. in some conuenient liquor.

The oyle.

Rec. florum verbasci, m.j.fl. hype∣rici, m.iij. rad asclepiadis, m.ss. mu∣miae, ℥.j. ol. oliuarū recentis, li.ij. tere∣bintinae, li. j. vini. rub. optimi, li. iij.

coquantur omnia per horas vij. post vase vitreato probe occluso maceren∣tur ad solem•• ad tempus, ac expri∣mantur. So haue you an oyle (sayth the aucthor) in this case, incomparable•• mor∣ning and euening it must be vsed.

CHAP. IIII. Of a wounde doone by byting, or stinging of creatures, either venimous, or otherwise.

VVHether the creature that inflicted the wound, was venimous, as a madde dogge, a serpent, scor∣pion, basiliske, dragon, viper, shrew, spider, &c. or else not venimous: such as a domesticall dogge, ape, man, horse, sowe, catte, waspe•• bee, &c. the patient is commonly able to deliuer vnto you, notwithstanding these signs doe argue a venimous biting: to wit, paine, pricking, vehement byting greife, chaunge of colour, the patient vext with grieuous anguishes, all bur∣ning with heate, and sometime the bodie groweth astonished, his payne

sometime slacketh, sometime renu∣eth, now heate, now colde, &c. If the biting be not venimous, the accidents are lesser.

A venimous byting is most peril∣lous, especially if it be of cōtinuance, because poyson doth alway, natural∣ly seeke the destruction of the heart, whence it is, that if the patient bee hydrophobus, (that is, though thirstie, yet fearefull of all water,) hee is in∣curable.

For the cure of this kinde of wounde, wee will consi••e•• of it (as before in setting downe the signes) two wayes, that is, as it is, eyther ve∣nimous, or not venimous If it bee founde venimous, we haue three ge∣nerall intentions to prouide a reme∣die for it. the first of them, is respe∣cting the cause of the disease, the se∣conde standeth in regarde of the pa••t affected: the thirde considereth of the disease it selfe. The cause there∣fore, being venome, sheweth it selfe the first capitaine enemie to be dealt against. with whome to couple, wee haue three sortes of chosen weapons: manuall operation, dyet and medi∣cines.

Manuall operation is perfour∣med by cupping, sucking with the mouth, cauterie or cutting. The cup∣ping must be done with much flame, and applyed to the verie wounde, the partes round about being first scari∣fied, whereby the more vitious bloud may be drawen out. Mouthsucking is thought conuenient, if the disease, be but light: or in steede of it, the tayle of a henne applyed to the wounde. A ca••terie is to be vsed, so the place be not full of synewes. And cutting is approoued, if the venome bee of a malig••e nature, and abundaunt∣ly impressed. The dyet for this, is set downe in the cure of the car∣buncle. Nowe the medicines a∣gainst this venome, must be a at∣tractiues: of which order you haue a number, as, allium, cepa, sinapi, flam∣mula, scabiosa, pulegium, calamentum, gentiana, polium, chamaedr••s, scordiu••, diptamnum, stercus c••prinum, fermentum, bryonia, asphodelus, aristol••chia, Eu∣phorbium, galbanum, theriaca, &c. of which you may prepare your com∣poundes, thus, ex nu••ibus, allijs coctis & tritis cum fermento, melle & sale••

or ex allio cepa and theriaca. o•• ex st••r∣core caprarum, baccis ••auri, g••ntiana, dictamno, galbaeno, e••phorbio cum vino, vel oleo laurino & ••era. Else Recipe galbani, sagapeni, opoponacis, assae fae∣tidae, myrrhae, piperis, sulphuris ana, ℥.ss. stercoris columbini & anatis, ana, ℥.ij. calamenti & mentastri ana•• ℥.ss. dissolue the gummes in wine, and so, adding mel, and oleum antiquum•• make your plaster. Another: Re∣cipe pulueris aristolochiae longae, ℥.ij. asphodeli, brioniae, ana, ℥.j. assae f••∣tidae, galbani, myrrhae, ana.℥.ss. cum oleo laurino, & cera, fiat Emplastrum. The seconde intention beeing ap∣plyed about the affected parte, it is to be noted, that the same is to bee doone two manner of wayes: as it is first, and by it selfe, or as it is se∣condly affected. For the parte that first, and by it selfe is affected, it is sometime expedient to cutte off, chieflie when it is such one, as may not vnfitly admitte such handling, as the extreeme partes: as also when the wounde is knowen to haue such a conditioned venome, as bringeth vnauoydable daunger, such as are all

serpentes, to wit, the aspe, the horned serpent Cerastes, the viper, &c. Nowe the part that commeth by his hurt at the seconde hande, is the heart: which therefore wee must confirme, and keepe safe from the venome, by all meanes of inwarde and outwarde medicines. a potion: Recipe theri∣acae ʒ.j.ss. vini opt.℥.iiij. mixe them and make thereof a potion: or, Recipe theriacae ʒ.ij. galbani, assae faetidae, ana, ʒ.ss. lapidis magnetis, ʒ.j.ss. cum vino citoniorum vel aqu•• scabiosae, fiat potio, seruing for three times: the like may be made ex pul. cancrorum fluuialium, & gentianae cum aqua pimpenellae. or a decoction ex gentiana, chamedrye, scordio, polio, a∣netho, cancris fluuialibus, addito zac∣caro. also, succus foliorum fraxiri, whereof let the patient drinke fa∣sting.℥.iij. the seconde or thirde day after his byting. Outwarde helpes are likewise to be prouided applya∣ble to the nastrels, as nigella, as also to the heart, as epithemes which you shal finde in the cure of the carbuncle. the thirde intention mindeth the dis∣ease it self••, to wit, the wound as it i••

vnripe, filthy, hollow or plaine, while it is vnripe, it is to be wrought vppon with ripeners or suppuratiues, as vng. basilicon, vng. fuscum cum galbano, &c. the other iij. require mundificatiues, incarnatiues, and cicatrizing medi∣cines as shall be sayde hereafter.

Wee haue hitherto spoken of this kinde of wounde, as it is venimous, nowe as it is not venimous. To the cure whereof, wee will also vse three intentions, to wit respecting the cause the symptomes, and wounde it selfe. The cause of the disease, beeing mat∣ter not venimous, is to be taken away by medicines more gently drawing, such as is oleum sambucinum applyed hote, the symptome is paine, which is to be mitigated, with this liniment, Rec. oui candidi, butyri, croci, olei vio∣li••ti ana, q.s. mixe them. or a plaster ex radic. altheae, malua, violaria, absyn∣thio, chamomilla, r••sis, meliloto, furfure, vitellis ouorum, croco, ol. ros. chamomeli∣no, &c. lastly the wounde considered as it is fil••hie, must be clensed, as it is hollow, fi••led, and as when it is plaine ••kinned, as hereafter followeth.

ANNOTATIONS.

^a I cannot here, in silence ouerslippe, the vndoubted cure of a madde dogges byting, which Iulius Palmarius repor∣teth. Rec. foliorum rutae, verbenae, saluiae minoris, plantaginis, fol. po∣lypodij, absynthii vulgaris, mentae, artemisiae, melissophili, betonicae, hyperici, centaurii minoris, singu∣lorum aequale pondus. Gather them all about the middest of Iune, or (as the aucthor sayeth) about the full moone thereof, s••w•• them seuerally in papers, and drye them in the shadowe. Of euerie of these (in time of neede) take a like quantitie, powder them, and giue ʒ.ss. ether in a spoone, with double suger: or else in drinke, brothe, butter, or honie, euery daye, for three or foure dayes, or mo••, if it be longe after the byting, or the patient become nowe fearefull of wa∣ter. For this doth not onely preuent, but also cure that greeuous and fearefull ac∣cident, if moe then three fittes of it haue not passed, before this cure beginne. Excepte the wound•• bee giuen in the partes of the heade aboue the t••ethe,

or else the wounded part immediately af∣ter the by••ing, b•• washt wi••h colde water. In the meane time, the wounded parte must be fomented twise, or thrise eueri•• daye, cum vino authydromelite, in quo suprapositi pulueris, ʒ.ss. so∣luta sit. After the fomentu••ion dressing it vppe, with your ordinarie wound vn∣guen••••s, or plasters.

Supply.

FOr the byting of a serpent, ly∣sarde, viper, spider, toade, &c. This is Paracelsus practise. Let the Patientes dyet bee most slender, his drinke vin••m rubrum a∣stringens calybeatum cum modica theria∣ca, mixing also with euerie draught thereof, coralli rub.ʒ.ss. For de∣fence of the principall partes, drinke fiue times a day, oleum, in quo calybi candens aliquoties sit restinctus, ad li. j. cum pulueris coralli rubr.℥.ij. elect. de gemmis, ℥.ss. the first time giue it warme, and euer after colde. Or let the Patient take a quantitie of

this mixture: Recipe Mi••hrida••••, ℥.ij. th••riacae bonae, ℥.j. pulver. c••ralli rubr.℥.j.ss. mis••eantur. Also, that Philonium Pe••sicum drunke, doeth greatly defend the head, & other prin¦cipall partes, the same author verie confidently auoucheth. Meane time, applye to the wound your foyne pla∣ster, thus altred: Rec. emplas••ri stictici, ℥.iij. gummi, ℥.ij. cum ••leo denuo coquan∣tur ad emplastri consistentiam, addendo mumiae pauxillum, and defende the whole member, with oft applyinge clothes wet in vineger, wherein flo••••s hyperci verbasei, rosarum, & ••uta haue steeped in the Sunne, adding this ob∣seruation: that when the wound en∣clineth to better, you thenceforth vse the simple sticticum without any addi∣tion. Against excessiue thirst, (which is assure signe that the venome rea∣••heth the hart) giue the patient warm milke, with the powder of corall, and apply to the region of the hart, an E∣••itheme, ex aceto Rosaceo, cum campho∣••a & sandalis. Trewe terra sigilla••a al∣so, as it cureth these woundes, claye being made thereof with spittle, and presently applyed, so in particular is it

commended, against the venome of the spider and toade. And these meanes, with the balmes set down in the Chap. of the simple wounde, can fully furnish you, for poysoned shot.

CHAP. V. Of a simple wounde in the flesh.

A Simple wound is that which cōsisteth alone, that is, which is without losse of any sub∣stance, or any other affect, or symptome ioyned with it.

The cause, whether it came of sword dart, or such like•• the patient can best declare, and whether it be greate or li••le, by sight you may discerne.

Addressing you to the cure, first, remoue al outward causes, which mai hinder the ioyning (as heres or oyle, &c.) which first must bee remoued. The second purpose is to ioyne togi∣ther the breach that is made, whether it be great or little: as, if it bee but small, ioyne togither the sides of the wound by a decent ligature, to wit, a

roule with two beginninges, and so those wounds whose sides are not far asunder, shall if they be exactly clo∣sed againe, onely by natures worke, without al other outward businesse, heale & grow togither againe. But if the diuision be great, it requireth fur¦ther cure•• as, first to bee closed, by buttons, either else by stitching, with an euen silk threed, taking your first stitch in the middest of the diuision, & the next two in the middle spaces, betwixt that middest, & either end of the wound, & so forward proceeding, as that betwixt euery two stitches, there may space for one remaine, vn∣til you haue taken so manie, as ther∣by the lips of the wounde are suffici∣ently drawen togither. After this•• closing, dresse vp the wounde with some agglutinatiue medicine•• made of such simples, as, mastix, thus, aloe, sarcocolla, bolus armenus, terra sigillata, sanguis draconis, puluis humani sangui∣nis, balaustium, malicorium, nux cupressi, plantago galla viridis, cauda ••quini, her∣ba peti, &c. A powder maye bee thus compounded for the pur∣pose: R••cipe thu••is part.ij. sanguinis

draconis partem vnam: mixe them and make thereof a powder, to be applyed cum oui candido. Another: Recipe b••li armeni, ter. sigillatae, ana, ʒ.vi. thus, ma∣sticis, sarcocollae, ana, ʒ.ij. mirrhae, aloes, ana, ʒ.j.ss. tragacanthi, sang. draconis, ana, ʒ.j. farinae hordei, farinae fabarum, ana, ʒ.ss. Make thereof a powder, and applye it as the other. An Epi∣theme for the purpose: Rec. aqua vitae, li.j. terebintinae abietis, mirrhae, thuris, masticis, ana, ℥.ss. Let them bee set in the Sunne for thirtie dayes, and with the same, being warme, foment the wound the first dressing, layinge vp∣pon it afterward this plaster: a Reci∣pe ammoniaci in aceto dissoluti, ℥.ij. gum∣mi elemij, ℥.iiij. resinae pini, ℥.v. te∣rebenthynae abietis, ℥.iij. olei ros.℥.ij. make hereof a plast••r: or, this: Rec. terebenthinae, ℥.xij. resinae pini, ℥.iij. gum∣mi elemij ℥.v. aristologiae longae, ℥.j. sang. draconis, ℥.j. cerae parum, make a pla∣ster. If you will haue an vnguent for the purpo••e, doe thus: Recipe b succi herbae peti. lib.j. picis ℥.iij. cerae, resinae, o∣lei, ana, ℥.iij. boyle them all to the consumption of the iuyce, then put to terebenthinae venetae, ℥.iij. Make

your vnguent. Or, if balmes more delite you, prepare them thus: Rec. terebenthinae, li.j. euphorbij.℥.ss. sulphu∣ris, ℥.ss. salis, ℥.j. olei, li.j. coquantur du∣ashoras, lento igne, colentur, and ap∣ply the same warme vnto the wound. Another: Recipe terebenthinae, li.j. gal∣bani, ℥.ij. gummi elemij, ℥.ij. gummi hede∣rae ℥.ij. ••huris, masticis, myrrhae, ana, ℥.ij. aloes, xyloaloes, galangae, ana, ℥.j. caryo∣phyllorum, cinamomi, ana, ℥.j. nucis mos∣catae, cubebarum ana, ℥.j. aquae vitae, ℥.iij. let them bee infused and distilled to a balme. Thus, the vnion beeing once made, the next scope is to pre∣serue the ••ame, which is also done by the continuance of a decent bynding, by ••it placing of the member, by feames and glutinatiue medicines, & so long is it to bee so ordred, till the wounde be iustly ioyned againe. Therefore after you haue once so ap∣plyed your remedies to the wounde, you shall not againe vnroule it, vn∣till the thirde or fourth day c after, vn∣••esse paine or inflammation, or o∣ther symptome arise. But the fourth lay you shall looke vppon it. Whe∣••her the wounde bee ioyned togi∣ther

or no: if it be not, then foment the same with some sowre astringent wine, being warmed, and after put thereon some powder astringent, and glutinatorie, togither with tereben∣tine, or some of the aforesayde pla∣sters, &c.

The last intention is the forestal∣ling of accidents, as fluxe of bloud, paine, inflammation, and such other, which are easily prohibited in small wounds, if immediatly after the clo∣sing togither the lips of the wounde, you minister vppon it a stupe, wet i•• the white of an egge, beaten, and af∣terwarde rightly ••owle vp the parte: For this shall preuent the comming, both of bloudy fluxe, paine, and in∣flammation.

ANNOTATIONS.

^a Or this of Paracelsus m••st excel∣lent: Rec. cerae virgineae, ol vulnera∣rij nostri (which is one of them that fol∣lowe) ana, li.j.ss, lithargyri auri, li.j. plumbi loti, li.ss. coquantur ad ce∣rati consistentiam, dein adde, bdellij•• opoponacis, in aceto praeparatorum

ana, ℥.j.ss. masticis, thuris, ana, ʒ.vj. myrrhae ℥.j. mumiae, ℥.ss. ••ernicis cum herbis parati (example whereof doeth followe) li ss. terebinthinae lotae, ℥iij. fiat emplastrum, worke it vp in rowles, your handes euer annoynted with vulnerarie oyle.

Examples of his vulnerarie oyles.

Rec olei, vel terebintinae, li.j. flo∣rum chamomillae, rosarum rub. pru∣nellae, ana, m.j. florum hyperici, m.iij. florum centaureae, chelidoniae, ana, m.ss. mixta omnia ponantur ad solem per duos menses: which per∣fourmeth great things in woundes, and that without paine. What remaineth of this oyle the yere following, may be stray∣ned from his olde flowers, and filled with newe, and set againe to digest in the Sun, so shall it become yet more excellent.

Another.

Recipe Ophioglossi, pirolae, agri∣moniae, saniculae, ana, m.j. florum hyperici, m.ij. rad. symphiti. m.ss.

vermium terrestrium mundatorum, numero 100•• olei vel terebenthinae, qs. pro maceratione omnium, sistantur ad solem, ad tempus legitimum di∣gestionis. To these you may adde mu∣mia, thus, myrrha, mastiche, but not in great quantitie. Also, in Winte••, you may put into the same oyle, the seedes of those herbes brused, and set in some hote place to digest.

Another.

Rec. ol oliuarum li.ss. terebintinae ℥.iij. florum hyperici quantum suff. ad implendum, florum verbasci ter∣tiam partem ad flores hyperici, vini albi generos. sextarium vnum & se∣mis, decoquantur ad consumptionē vini: postea ad tempus legitimum in∣solentur.

Preparation of Vernish.

Rec. Fernicis quantum videbitur, herbis & floribus antea dictis explea∣tur, & digestioni solis exponatur.

^b Paracelsus sheweth an excellent ma∣ner of making vulnerarie vnguents: an

example whereof for the Readers vse, I haue here set downe: Recipe rad. sym∣phiti, li.j. ophioglossi vel saniculae, li. j.ss. aristoloch. rec.℥••iij•• florum hype∣rici, ℥.ij. vermium terr. mund•• li. ss. Contundantur in formam pulticulae, postea affunde vini, tantum vt pa••lu∣lum supernatet: boyle them in balneo mariae for tenne houres, then strayne them, and put to mellificij apum re∣centis, vel butyri maialis, li. iij. boyle them againe, as at first, after straine them out strongly, and set it in a vessell to the Sunne, ••ill it growe to a iust consi∣stence.

^c Admit this tollerable in small and simple woundes, yet in all great woundes, I auouch it verie hurtfull. For, after nature hath wrought her woorke of one dressing, shee straight desireth riddance of the excrements, made in that businesse, and newe nourishment of medicines, for her further proceedinge: wherein if na∣ture bee not aunswered, a double dam∣mage ensueth: as losse of time to the cu∣ring, and generation of an euill quali∣tie in the wounde, by the long putrify∣ing of the matter there. And this I take occasion to note here, leste any man by

this place, shoulde confirme himselfe in an euil custome. If it bee demaunded, what time shoulde bee limitted to the or∣dinarie dressinges: I aunswere, twelue houres. Farre otherwise (I know••) is the custome of Barbours. But I write vn∣to the sonnes of arte.

Here also, a worde or two, out of Pa∣racelsus, for the manner of vsing, and applying these medicines: First, he de∣uideth the whole time of the cure into three partes, called his three ligatures. The first parte, is the first eyght or nyne d••yes, in which the wounde is thus to be followed. Powre into the wounde, some of your vulnerarie oyle, balme, or vn∣guent, warme, and fill it vp with your lintie properties, wet therein, or rather, (as hee specially approoueth) with the flowers, and simples remaining in your vulnerarie oyle, aloft then applye your plaster, and rounde about the borders of the wounde, laye the same flowers and simples, or (if you had rather) clothes wet in oxyrrhodino: dressing it so euerie twelue houres.

If the wounde bee a foyne or pricke,

iniect of the oyle or balme, into the bot∣tome. If it bee in the h••••d•• laye first a linnen cloth, or linte, dipt in your oyle, or ba••me, (but no distilled balme) into the bottome of the wounde, and fill vp the same a••••er with flowers, beeinge warie of oppressing the membrans: alofte laye ••n your playster, as aforesayde•• and bind it vp•• Let your plaister be this aboue sayde: or else the Sticticum in the an∣notations of the sixt Chapter.

The seconde ligature, which begin∣neth after those eight or nyne dayes, is thus accomplished, with a fether dipte in your balme, touche the wounde ouer, thereupon then applye your plaster: and thus continue vntill the ioyntes, nerues, or such like partes (which were bare) bee all couered with fleshe.

Then proceede to the thirde ligatur••, which is done, by the onely application of the Sticticum plaster. This is his course in all great woundes, for the preuentinge of accidents. In small woundes there nee∣deth lesse curiositie.

CHAP. VI. Of a deepe and priuie wounde recei∣ued in the flesh without losse of substance.

THis wounde hath two speci∣all indications to institute the cure by, accordinge to his si∣tuation in the member, either vpwardes or downwardes. As for the first, if the Orifice of the wounde looke downwarde, and the bottome bee vpwarde, so, as the matter maye freely, and pronewise flowe out of the wounde, such a one is to be ioy∣ned both by an orderly ligature, such as may beginne aboue, and ende be∣lowe, where the orifice is, as also by stitching and glutinatiue medicines, such as afore are set downe in the cure of a simple wounde in the flesh. But if contrariewise the orifice bee vpwarde, and the bottome of the wounde tending to the lower partes, so as there is therein a restinge place for the matter: then here is vse for the seconde indication, which no∣teth

a neces••itie of a incision for the healinge of this wounde. which inci∣sion must bee made, either from the orifice downe to the bottome, or else in the bottome onely, that the mat∣ter may goe out. But whether waye is the moste expedient, you shall learne, by consideringe the nature of the place, and greatnesse of the wounde. For if you finde the place daungerous to make incision in, and the wounde it selfe goe deepe, then is it more expedient to open the same in the bottome. Otherwise, if it bee shallowe and the place with∣out daunger, it is best to make diui∣sion downe from the orifice. After∣warde minister some mu••difyinge medicine vpon a sauft stupe or cloth, and let it bee shifted twise euerye daye, &c.

ANNOTATION.

^a If from the beginning, the wounde be so dressed, as that first it be cleansed from the bottome, with iniection ex vino, myrrha & sale coctis, (the part so pla∣ced as that it may runne out againe) and

then dressed vp with your vulnerarie oyl•• iniected, and Sticticum plaster alof•• ap∣plyed, with an ingenious bolstring and rouling. I•• this course (I say) be taken euerie dressing, from the beginninge, and na••ure not otherwise vexed by barbarou•• ••enting, verie seeldome shall such incision come in vse.

Emplastrum Sticticum.

Recipe ol oliuarum, ℥. vi. cerae, ℥.j. quibus liquefactis, adde lithargi∣rij ℥.ij ammoniaci, bdellij, ana, ℥.ss. galbani, opoponacis, ana, ʒ.ij. aristolochiae rotund. calaminaris, myrrhae, thuris, ana, ʒ.ij. ol. lauri∣ni tantundem, terebinthinae purae, ℥.j. gummi ex aceto praeparata, pin∣guibus cum lithargi••o ad cerati for∣mam coctis, adiungantur, postea pul∣ueres, deinde ol. laurinum, & po∣stremo terebynthina, & sic, sum∣ma cum diligentia agitando, co∣quantur ad emplastri consistenti∣am. In making the same vp in rowles, it must bee wrought with handes three or foure houres, your hands (as you neede)

being euer annoyn••••d ex oleo ••osaceo, vel chamomelino.

CHAP. VII. Of a hollowe wounde, with losse of substance in both the skinnes, and in the subiect flesh.

THE causes and signes here∣of, being easily apprehended, as also the accidents manifest, wee will passe on to the cure, after the consideration of two notes that concerne iudgement in it. The outwarde comming causes, beeinge not remoued, doe hinder generation of fleshe and also healinge. Also ac∣cidentes comming vppon the wound and not remoued first, doe prohibite the curation.

Let the firste intention therefore, in this case, bee, to remooue out∣warde things incident to the wound, as dartes, or other thinges inflicted, hayrs, filth, &c. with instrumēts con∣ueniēt. Then next to cure the wound it self, which being hollow, requireth

a filling with flesh, and that in regard of the qualitie of the wounde, and of the excrement: which in the genera∣tion of the flesh it engendreth•• which excrement being of two sorts, a thic∣ker called sordes, and a thinner called sanies, (the last making the wound to moyst, the other filthie) must be met withall, with medicines of a double qualitie, to wit, meanly drying and wyping, called commonly incarna∣tiues, of which sort are these simples: thuris lachryma, thus, cortex thuris, ma∣stix, aloes, v••num rubrum, austerum, co∣lophonia, pix, resina, farina hordei, & fae∣nugraeci, a aristolochia, iris, farina orobi, farina lupinorum, panax, b centaurium, polium, glutinum, cadmia, Pomph••lyx, plumbum, antimonium, Chalcitis, c &c. Compounde incarnatiues you maye thus prouide, both powders and vn∣guents: Rec. olibani, aloes, sarcocollae, sanguinis draconis, radicis ireos, ana, par∣tem j. make th••••eof powder. Or, Rec. thuris, masticis, myrrhae, sarcocollae, boli armeni, sang. draconis, farinae hordei, ana partem j. Make a powder: Rec. resinae ℥ij. terebynthinae ℥.iij. mellis, ℥.j.ss. thu∣ris, masticis, myrrh•• ana, ʒ.ij. sarco∣collae,

aloes, croci, ana, ʒ.ij. ol. li.ss cerae ℥.v. fiat vnguentum. Another: Rec. agri∣monij, absynthij, verbenae, centaurij, galli∣trici, chelidoniae, scabiosae, symphiti ma. semperuiui, Cyn••glossae, caulium rub. plan tag. mi. fabae inuersae, otherwise called, Crassula mi••or, ana, m.j. Out of al these draw the iuyce, and adde vnto it, aceti li.ss. ol. ros.℥.ix. cerae alb.℥.iiij. axungiae vervecis, li ss. r••sinae ℥.x boyle all to∣gither at a saufte fire, then put in gal∣bani ammoniaci in aceto dissoluti, ana, ℥.ss. terebynthinae, li, ss. mellis ℥.iij. thuris masticis, ana, ℥.j. resinae crudae, ℥.iij. make thereof your vnguent. And as your medicines ought to bee thus, of qualitie, contrarie to the proper∣tie of the di••sease: so must you like∣wise further obserue, to intende or weaken the force of your medicine, accordinge to the state, both of the wounde and temperament, both of the whole bodie and wounded part, as thus: The naturall temperature, both of the whole bodie, and of the wounded part, must be conserued & kept, by things agreeable, or like vn∣to it•• but that distemperature which falleth in, contrarie to nature, must

be driuen away by contraries•• for it perisheth whatsoeuer is drawen into a contrarie plight, and by a contrarie thinge. Accordinglye therefore, a wounde, the moyster it is, the dryer medicine doeth it neede. But with∣all, the nature of the bodie, by how much the moyster, by so much the lesse drying medicine is required of it. Wherefore if there be wounds in diuers bodies, in which woundes, there is a like humiditie: that wound that is in a dryer temperature of bo∣die, needeth more drying, and that in the moyster, so much lesse, as there is difference betwixt those two na∣tures: if so bee you meane to make the newe flesh aunswerable to the olde. Likewise•• on the other syde, where the olde is dryer, it is conue∣nient, that the newe bee dryer also. And so this must haue drying medi∣cines more plentiful, yea & by howe much more it is the dryer, by so much the more drying facultie must your medicine haue. And contrari∣wise, in a moister nature, so much the lesse of drying medicines need you, as the flesh in that partie, is lesse of

nature, drie. The same reason standeth whole, to be obserued in his diet al∣so. Accidents, whether they be pre∣sent, or you feare them: are to be ei∣ther prohibited, either els remoued, as hath bene said in other places.

ANNOTATIONS.

^a These are fit for children, or effaemi∣nate bodies.

^b These may you sort out, for bodies or parts of drier temperature.

^c And these last, for partes or bodies, farre more drie: wherein also must be ob∣serued, that the minerals bee first artifici∣ally prepared, by burning and washing. But if your balmes and plasters be right, what neede these newe deuises of incarna∣tiues, and I know not what? I will in no wise, be guiltie of these strayings.

CHAP. VIII. Of an equall or filled wound.

THE signes of an equal, plain or filled wounde, are mani∣fest, so as I neede not stande vpon thē. I wil therfore come

to the cure, after I haue layde downe this note, that may direct you, in the deliuerie of your iudgement concer∣ning this case. it is this. The matter of the skin considered, which taketh it beginning frō the seede, it is euiden•• that the like to that which was lost in a••l points cannot be gotten by art a∣gaine: but notwithstāding, some like thing•• and which may fulfil the office of that which is lost•• may bee resto∣red, being yet, not plainly the skin.

In the cure hereof, are two gene∣rall scopes or intentions to bee had: The one respecting the wound it self: the other the accidents. The wounde therefore, being nowe plaine and e∣quall, must bee cicatrized and coue∣red with skinne. This is to bee per∣fourmed, by medicines, which doe consume not onely superfluous, but euen the naturall moysture also, and they bee such as haue some measure of astringent facultie, but verie much drying. of which sort here followeth both simples and compoundes. Sim∣ples drying and astringent of them∣selues, are Galla, balaustium, ostrea v∣sta, cortex malorum granat•• bedeguar,

sumach, spina aegiptia, bolus armenus, ter∣ra sigill. cerussa, plumbum, vstum & lotū, lithargyrum, cortex pini, &c. Other doe it accidentally: as, aes vstum & lotum, squamma aeris, alumen, vstum, & lotum, vitriolum vstum & lotum, plantago, a∣ristochia vsta, soleae calceorum. Com∣pounded medicines be these: an Epi∣theme: balaustia & sumach boyle in vino austero, and therwith foment the wound. A powder: Rec. corticis pini, ℥.j•• nucum cupressi, centaurij minoris, a∣ristolochiae vstae, ana, ʒ.ij. cerussae, li∣thargiri, ana, ℥.ss. make thereof a pou∣der to sprinkle vppon the wound. A red vnguent: Rec. cerussae, ℥.iij. lithar∣gyri, ℥.ij. minij, ℥.j caphurae, ʒ.ij. ol. ros. li.j.ss. aquae ros.℥ij. albuminum o∣••orum, numero iij. cerae albae. q.s. make your vnguent. A white vn∣guent: Rec. lithargiri, ℥.j. cerussae, ℥.j. ol. ros. aquae ros. ana, q.s. make your vn∣guent. A plaster: Rec. cerussae ℥.iiij. lithargiri ʒ.j. terebynthinae, ℥.ix. thuris masticis, aluminis, cochlearum limacum vstarum, ana, ℥.ss. caph••rae ʒj. coquan∣••ur cerussa, lithargirum, oleum & cera•• lento igne, at the end of the boylinge, put to terebynthinam, and when you

haue taken it from the fire, put to the Powder. Another: Rec. antimonij, aeris ac plumbi vstorum, lithargir••, & cerussae lotorū, corticis thuris, sarcocollae, th••ti•• praeparatae, aluminis crudi, ana, ℥.j. ba∣laustiorum. P.j. caphurae ʒ.ij. cerae al∣bae li ss. ol. ros.℥.iij. melt the waxe & oyl togither, & after put to the rest. An∣other: Rec. lithargiri, cerussae, ana, ℥.vi. plumbi vsti lapidis, calamina••is, terr. ••igillatae, ana, ℥.iiij. colophoniae, picis na∣ualis, resinae, ana, ℥.ij. resinae crudae sar∣••ocollae, ladani, ireos, ana, ℥j.ss. caphu∣rae, ℥.ss. sem. porri, ℥ij. ol. rosati, li.j.ss. cerae albae, ℥.iiij. make it a plaster.

The accidentes incident vnto this ca••e, are concerning the vncomlines or deformitie of the cicatrice, which must be amended by medicines ac∣cordingly: as if it be too nesh & ten∣der, you must thicken it, with diachi∣lon, or, cum lithargyro nutrito, or with oyle, in which radices bryoniae are sod∣den, or calamintha in oleo cocta, or ar∣genti spuma cum rosaceo albo, lota, &c. Contrariwise, ouerthicke and harde ci••atrices, are to be attenuated, with ••leum basa••itae, radic•• cucumeris agrestis, stampt and applyed, Pinguedo asini,

cum argenti spuma. Oleum de lilio, d•• myrrh••. All kinde of gummes dissol∣ued in aqua rosacea. Or this distilled water: Rec. myrrhae, aloes, styracis v∣triusque, ana, ℥.j. mumiae, baccarum lau∣ri, ana, ℥.ss. grynde them indifferent∣ly, and with a glasse limbecke, at a saufte fire, distill them, and vse the liquor of it. If the cicatrice beare an euill colour, which is another de∣formitie, then to bring it to a whit∣nesse, vse those meanes: Rec. ol. de tartaro, ℥.iij. mucilag. sem. Psillij, ℥.ss. ce∣russae in ol. rosae•• dissolutae, ℥.j. boracis, or ••alis gemme, ʒ.ij. make thereof a li∣niment. A plaster for the purpose is this: Rec. axungiae suillae, ℥.iij. lithar∣giri, ℥.j. ••ruginis rasilis, v••rioli combu∣sti, ana, ʒ.ij. make it a plaster.

CHAP. IX. Of a wounde hauing o••ergrowen, or prowde flesh.

A Wound ouergrowen with flesh is both an instrumental disease, in quantitie, and also a comon disease, in respect of solutiō of vnitie.

As it is an instrumentarie dissease, to wit, with flesh too prowdly gro∣wing, it is to bee dealt withall with medicines, that may diminish & take away the same, such as are those, that be sharpe and drying: namely, Chal∣citis, vitriolum, alumen vstum, radices asphodelorum, hermodactilorum, nucl••i dactylorum vstorum, semen vrticae, ser∣pentaria, squamma aeris, aes vstum, cinis ••rinacei, stupae minutim incisae, puluis mercurij, calx viua. sublimatum, hydrar∣gyrum &c. Compounded medicines for the purpose you haue•• vnguentum AEgipciacum, or apostolorum: or such as follow you may prouide: Rec. aquae vitae ℥ij. aeruginis rasi••is, ℥.ij. mixe them. Or Rec. hydrargyri sublimati, ʒ ij. aluminis crudi•• ʒv. aquae rosarum, vel plantag.℥.vj. boyle them to the con∣sumption of the fourth parte. Ano∣ther: Rec. salis nitri, vitrioli romani, a∣luminis, ana, ℥.ss. hydrargyri sublimati, ʒss. aquae plantag.℥.vj. aceti, ℥ij. boyle them as aforesaid. But when you minister these medicines, it be∣houeth to defend the place, in apply∣ing about the wound vnguenū de bolo armeno. If further deling then thus be

required, it is done with chirurgicall applying of the incision knife, caute∣rie, hote scissours, &c. lastly, the cō∣mon case this wounde hath in respect of solution or breach of vnitie, re∣quireth his coniunction, or rather ci∣catrization, which, howe it is done, is nowe before declared.

CHAP. X. Of the wounde in the synewe, tendon, and ligament being prickt.

WHat thing it was wher∣by such a prick was gi∣uen, is best vnderstood by the Patientes tale: and whether it be a nerue, tendon or ligament that is prickt, it is easily seene. a if a sinewe be wounded, there is great paine, hurt of both sense and motion, sometime a feuer, inflamma∣tion conuulsion and rauing.

Sinewie ligamentes will abide the force of the strongest remedies. A∣gaine if a tumor appeare in woundes of the sinewes, and afterwards vanish away, it threatneth the daunger of a

conuulsion and rauing.

In the cure first remoue, if there be anye thing sticking in the wounde, according as is taught nowe before•• then respecte the substaunce of the part that is hurt, that it be defended, and kept from all iniuries thereto in∣cident: against which, you shall well prouide, if you preuent the genera∣tion of inflammations: whiche by diet and bloudletting shall be aptly done. Let his ayre therefore and place where hee lyeth be warme, a saufte bedde, much rest, gentle frication, and chie••lye of the contrarie partes. Let the bellye be kept loose, by cly∣••ters, or laxatiue medicines, accor∣ding to the nature of the humors in the bodie. Let his meate be colde and drye, and sparing in the high∣est degree. His drinke b water boyld &c. Hote ayre is hurtfull for that it breedeth inflammation. Agayne, colde ayre hurteth, for that it is an enemie to the synewes. so let him auoyde moouing, much meate, and such like. Let bloud also, although there be no fulnesse of the bodie ap∣parant, so that there be strong vertue

and liuelihoode, and no other thing of sufficient value withstanding. And in this dooing haue alwayes due re∣garde to the affinitie of places. The substance of the part being thus pro∣uided and cared for: note next as touching the wounde it selfe, which must not be vnited, no•• kept shutte, but remaine open. And if it carrie not a sufficient open issue, it must bee so opened, as the matter may flowe foorth: then the payne must be eased, and the eruginous or fretting matter gotte foorth: which fitly may be done, with medicines, that heate and drie without paine: to wit, as oleum fabinum, fambu••inum, i••i••••m, ••i∣cyonium, ole. terebynthinae, oleum in quo sal coxerit, cum terebynthin••, as follow∣eth: Your last generall intention, for the cure of this kinde of wounde, shalbe in regard of the symptomes, as paine, conuulsion, inflāmation or pu∣trefactiō, which if they ioine with the pricking of a sinew must needs be re∣moued•• to mitigate therfore the paine & bring out the eruginous mater you may apply ••l. ex vi••ellis ouorū, o•• l••mbri∣corum, or ol. rosac. cum terebynthina: els

oleum terebynthinae, or, oleum sabinum, or this oyle: Rec. euphorbij, ʒ.j. olei, ℥.ij. boyle them togither and straine out the oyle. Plasters to that purpose are thus to bee deuised, Recipe musci quercini, m.ij. furfuris m.j. olibani, ℥.j. coquantur in vino, & tantillo aceti, till they come to the fourme of a pul∣teis. another: Rec. micae panis, in lacte bubulo imbutae, olei ros. ol. chamomillae, vitellorum ouorum, ana, q.s. croci parum make thereof a plaster. another, Rec. rad. altheae, farinae hordei, farinae faba∣rum, farinae lentium ana, q.s. coquantur cum sapa, vel lixiuio, then put to it, ol. rosati, chamomelini, & anethini, terebyn∣thinae, ana, qs. croci parum, make ther∣of your plaster. strōger yet then those if neede bee, you may thus ordaine: Rec. micae panis in lacte bubulo macera∣tae, q.s. p••paueris albi, q.s. opij parum, contundantur optime, and warme, lay it on the payned place. or this: Rec. fa∣rinae tritici ℥.ij. succi fol. hyosciami ℥.iij. make thereof a pulteis and applye it hote. A conuulsion or crampe you shall remooue, if foorthwith you an∣noynt the heade, necke, whole chine∣bone, shoulder and armepitte, (if the

wound be iu the hande) else the share bone and flanke (if the wounde be in the foote or legge) with hote oyle of lillies, or oleum laurinum, or costinum, or spicatum, or oleum ex pulegio, or ol. commune, whereto a little castorium, or euphorbium is added. An inflammati∣on or phlegmone chauncing is to bee brough to suppuration c with this pla∣ster: Rec. farinae orobi farinae fabarum, & hordei ana, q.s. coquantur cum lixi∣uio & ••apa & modico aceti. or this Rs. lumbricorum ℥.ij. porrorū tritorum ℥.j. ol. communis q.s. misce.•• After it is sup∣purated, prepare this vnguent to mun∣difie it. Rec. farinae hordei, farinae faba∣rum ana, ℥.ss. farinae lupinorum & oro∣bi ana, ʒ.ij. pul. lumbricorum, ʒ.j. vini decoct. caudae equinae, ac prassij, ac matricary q.s. then after adde to it mel∣lis ros.℥.ij. sarcocollae, sagapeni, in prae∣dicto vino dissolut. ana, ʒ.j. fiat vn∣guentum.

The last symptome is putrefacti∣on or corruption, which is to be ta∣ken awaye eyther by d cawsticke me∣dicines as AEgip••iacum or else with a hote yron. &c.

ANNOTAIONS.

^a He meaneth, it is easily scanned out, by artificiall coniecture.

^b Or with vs, small ale, or beere.

^c To wit, if the matter gathered haue made an abscesse: otherwise it were ab∣surde, that assoone as wee see an inflam∣mation, we should giue our mindes to sup∣purate the same.

^d If by pu••refaction, hee meane that thinne, slimie matter, that runneth from the sinewes, like the whites of egges, as Pareus Andraeus a Cruce, and others vnderstande it, then is this counsayle dan∣gerous: for this commeth not to passe, but the wounde is first depraued, eyther by the patientes intemperaunce, or the Chi∣rurgians medicines: in eyther of which, to vse cawsticke medicines is hurtfull, sith they remooue not the cause, but ex∣asperate the euill: If it be asked, what is to be doone in this case, I aunsweare, if the patientes gouernment be good, then remooue your medicines, for they are ey∣ther too hote or too relaxing and opening: and appease nature, by asswaging the payne and inflammation (which alwayes

keepe companie with this accident) after that, your care is ended for this matter. For payne and inflammation, you haue instructions in the first Chap••er: as also for this matter yet more.

CHAP. XI. Of a wounde made in the sinewe by way of cutting.

A Sinewe beeing cutte, especi∣ally ouerthwart, there fol∣loweth paine, hurt of feeling, and somtimes inflammation, feuer conuulsion, &c.

If a ••inew be wounded ouerthwart, and not quite cutte a sunder, there hangeth more daunger of conuulsi∣on ouer it, then if it were so sundred throughly: by reason that from the fibres which be cutte, inflammation a is communicated to those that bee not cutte, and so againe the fibres that bee vncutte, stirre vppe a con∣uulsion. But if all the nerue be cutte a sunder, there is no further feare,

neither doeth any other daunger en∣sue, saue weakenesse of that part. If such a ligament be hurt as goeth frō bone to bone, to ioyne them togea∣ther, it is most without daunger: and with whatsoeuer medicines you drie the same you shall not offend the par∣tie. But if it be such a one, as inser∣teth it selfe into a muscle, looke how much it bringeth lesse daunger, then if it were a synewe or tendon, by so much the more (vnlesse it be rightly and diligently cured) is it more pe∣rillous then the other sorte of liga∣mentes. If in a wounde of the synewes a tumor appeare, and afterwardes va∣nish, it threatneth the perill of con∣uulsion or rauing.

First (as I haue oft admonished) prouide, that no outwarde thing re∣maine in the wounde. Secondly for the conseruation of the substaunce of the part from inflammation and con∣uulsion, let bloud largelyer then in the case of a sinewe prickt, and ap∣point a conuenient diet, as temperate ayre, rest•• a sauft bed, little meate, and annoint the flankes, necke, head and chinebone, with store of oyle. On the

other side, aire either too hote or cold hurteth, so doth mouing, surfeting, drunkennesse, &c. costiuenesse of the belly, &c. Thirdly with the wounde it selfe deale in this manner: if the skinne bee not open ynough, make the entrance wider. Then ••oyne again the nerue (if it may be) with•• b stit∣ching, as you doe the flesh: after that put vpon it this medicine: Rec. lum∣bricorum praeparatorum ʒ.iij. caudae e∣quinae ʒ.ij. pulv. betonicae, pul. vrticae, ana, ʒ.j. olibani ʒ.iij. carnium lima∣cum quantum sufficiat ad vniendum: vse the same foure dayes, laying alofte some glutinatiue, as is this vnguent following: Rs. centaureae minoris, plan∣taginis, cynoglossae, pilosellae•• consolidae v∣triusque, caudae equinae, millefolij ana, m.j. vermium terrestr. li. ss. ol. & vini opt. ana, li. j.ss. aceti.℥.iiij. stampe them, and mixe and infuse them togeather seuen dayes, then adde to, seui arietis, li. j. picis, resinae ana, ℥.iij. seeth them to the consumption of the wine and viniger, adde to the strayning, ammo∣niaci, galbani, opoponacis in aceto dissol. ••na, ʒ.v. terebynthinae ℥.j.ss. thuris, masticis, sarcocollae, ana, ʒ.iij. croci ʒ.ij.

cerae q.s. make thereof an vnguent. the symptomes which here might be spo∣ken of, are all sufficiently before han∣dled, and taught howe to bee dealt with, onely if in this case a conuulsi∣on come, the whole nerue must bee cut through or cut off with a hote y∣ron: and after, oleum samb••cinum, or ••erebynthinae to be applyed.

ANNOTATIONS••

^a Or rather, because the cutte fibres, by their shrinking, doe euer cause stretching and tearing toward the whole fibres.

^b He hath this also from Calmeteus: who perem••orily appointeth it•• being per∣happs mooued by the auctoritie of Guido, and some others: but hee that well con∣sidereth the reason, of a conuulsion com∣ming of a nerue halfe cutte, will neither practise this himselfe, nor counsayle it to others.

CHAP. XII. Of a wounde in the veines and ••rteries.

WHether this wound was giuen by sword, or shaft or the breach was made by a fal, or to much ful∣nes of the body, els some crush, as of stones falling on, or the vesselles be f••etted out by colour or some salt hu∣mor, all this I say, partly by the pati∣ents telling, partly by the proper signs of humors may be acknowledged.

That there is breach in some vessel, profusiō of blud is euidence ynough, but whether it be a veine or arterie, these signes shall testifie, to wit, the flowing of thicker & blacker bloud, without pulslike mouing, sheweth a bleeding veine: but the bloud of an arterie is thinne, and yellowe, and comes foorth leapingwise.

An arterie cut ouerthwart, is soo∣ner ioyned and healed, then if it were deuided longwise. And an arterie is harder to heale then a veine. Fluxe of bloud is perillous. for vnlesse it staie or be stopped, it bringeth death vn∣auoydably because bloud is the trea∣sure of nature. sounding, conuulsion, rauing, or yesking in the fluxe of bloud, betoken euill.

This cure hath in it two generall scopes: the first is to staie the bloud, the seconde to cure the wounde. To staie the bloud you haue diuers waies to practise: and first by turning the course of it, either by drawing to a contrarie parte, or else deriuing it o∣th•••• whether it is drawne to a contra∣rie part, without euacuation, by cup∣ping without scarifying, frications, and ligatures on the opposite partes of the same side. It is turned awaye with euacuation, by opening a veine on the contrarie parte, and letting it flowe, and staie againe, by times. And the deriuing of the course of it other-whither is done by opening a veine in some part neere vnto the wounde. The second meanes to worke withall, is to bridle and intercept the furious course of it, by things that may thic∣ken, astonish, or coole. These thicken the bloud, to wit, len••es, oriza, iuiub••, mala cotonea, &c. fructus omnes stiptici, &c. this doth astonish the headie rage of it, to wit, cold water, either drunke, or applyed rounde about the place whence the bloud floweth, but not vpon the place it selfe: for a cold thing

is biting to an vlcer: cooling thinge•• be reckned, faynting, sounding, &c. the thirde meanes to be vsed, co••cer∣neth the place it selfe, and standeth partly in the vse of the hande, partly in the application of medicines. The meanes to be vsed by hande are sun∣drie: as eyther the application of the finger vpon the mouth of the wound, and pressing it sauftly without payne: or applying a ligatur•• or rowling vp∣pon the member, of sauft lynnen, and making your first 4. or 5. boughtes. or turnes, vpon the verie wounde and veyne that bleedeth: winding vp the rest towarde the roote of the veine, if so be the wounded parte bee such as you may doe it, and commonly you may do it in all except the membrans of the brayne. or vse stitching to it (the wounde being first clensed from clodded bloud) drawing so the lippes of the wound togeather into one, ei∣ther with a common stitch, or else such one as coddars, or peltmongers vse to make: especially if the bloude flowe with great force. but while the wounde is so institching, care to take your stitches deepe ynough. ••nd af∣ter

it is stitcht, apply an astrictiue pow¦der vpō it, & aloft on it the like pow∣der mixte with the white of an egge, layd on vpon s••uphes: so binde vp the member, & place it conueniently. If the vessell that bleedeth, lye deepe, it is good to cut it through, and then to apply some staunching powder and binde aloft spong, or stuphes wet with astringent medicines. If the veine or arterie lye in sight, or may aptly so be come to, take it vp and tie it fast with a silke threede. Afterwarde apply to the wounde some glutinatiue medi∣cine, and rowle vp and place the mē∣ber orderly. The last manual admini∣stration is, with a cauterizing yron, to make a crust, or escar: which specially serueth when the vessels are fret tho∣rough, by putrefactiō. Medicins now for the stopping of blud may in diuers sorts be ordained, & some of thē such as woorke their effect by a manifest quality, others by a secret or vnknowē property. Of manifest quality for that purpose, are these plasters & powders following: Rs. thuris, aloes, ana partes aequales, excipiantur albumine oui & pi∣lis leporinis, or, Rec. boli armeni, ℥.vj.

t••rr•• sigillatae, ℥.ij. f••rinae vola••.℥.iij. Gypsi, calcis viuae, ana, ℥.iiij. thuris, a∣loes, ana, ℥.j. fia•• pul••••s, qui albumine•• oui excipia••••r. Another: Rs. calcis viuae sang. draconis, Gypsi, alo••s, thuris, vi∣••rioli, ana, partes aequales, cum oui albu∣mine, & telis ••raneorum excipiantur. A powder for the purpose. Rec. boli ar∣meni•• sang. dr••conis, thuris, aloes, an••, par••es aequales, fiat 〈◊〉〈◊〉 Another: Rs. lapidis haem••••itis ℥.j. thuris, masticis, boli ••rmeni, telae ••raneorum, gallarum viri∣dium, ranarum exicca••arum, Gypsi, fuli∣ginis, farinae volatilis, ana, ʒ.ij. vi••ri∣oli combusti, calcis viu••, ••ragaganti, ana, ʒ.iij. rasurae tergoris arietis vel hyrci, char••ae papyraceae, pilorū leporis, & bom∣bacis torrefactorum, ana, ʒ.j. stercoris asinini, ℥.ss. fiat puluis tenuissimus, and keepe it to your vse. I sayde there be some thinges, that by a secrete pro∣pertie doe worke this feate: so doeth puluis b••fonum, in fictili cooper••o combu∣storum, which being clossed in a little bagge, must be applyed to the veyne that bleedeth, foure fingers from the wounde.

The symptome of bleeding being stinted, the ioining of the veine or ar∣tery

must then be looked for, and procu∣red by medicines consolida••iue, it be∣ing noted that the arterie requireth so much the more drying medicines then the veine, as it is naturally of a dryer tēperature then the veine. Ther∣fore a wound that lighteth on a vein, and that without losse of substaunce, desireth the same kind of cure, as that, that is in the flesh: but in case that a vessell be tyed, or you haue vsed stan∣ching medicins, or cauterizing yrons, so that there is losse of substance com¦mitted, then are you to vse the same medicines, which hereafter are set downe, in the cure of hollowe vlc••••s.

ANNOTATION.

^a See the note, vpō the accident of blee∣ding in the first Chapter, here also obse••••e with me somewhat, concerning the oportu∣nitie, and the manner of staying the bloud. For the oportunitie, that you bee not too hastie, if the bloud be ••oule, or the vessels f••••t. For the manner that you wisely regard the incident occasions: as wrath, drunken∣nesse, veneri••, &c. and in all kindes, to keepe the part couered from the aire.

CHAP. XIII. Of woundes in the bones.

A Wounde of the bone, is a cut made in the same, by some sworde, or other cutting or deepe pricking thing.

What gaue the wounde either pric∣king, or cuttingwise, may be vnder∣stoode of the patient: and by sight, it will easily appeare, whether the bone be through cut, or but in part. And so it falleth out sometime to haue these accidentes: to wit, fluxe of bloud, ve∣hement paine, conuulsiō & sounding••

If great bones, suche as the arme bone (called humerus) or both the fo∣ciles in legge or arme be cut in sunder so as the marrowe goe foo••••h, it is most daungerous, and for the most part that member perisheth•• so if Ery∣sipelas come in the baring of a bone it is euill. Childrens bones deuided, do ioyne againe by themselu••s. In the o∣ther ages, to wit, of the stripling, yong man, perfect man, and old man, their bones being deuided, are neuer after by themselues rightly •••• stored again,

but by the helpe of another sub∣staunce comming betweene as a cer∣taine glewe.

In this cure, prouide first for the ta∣king awaye of symptomes, or acci∣dentes. If therefore there be any out∣ward thing infixed, or peces of bones, plucke them forth. Yet taking much heede, that you draw not out ••odenly, or with great force, any parte of the wounded bone: specially if it be great in quantitie: for so doing the patient should hardly escape a fist••la, conuul∣sion, rauing, or feuer. It shall be bet∣ter therefore, to deferre their taking forth, till another time, and in meane while, to help nature with some draw∣ing medicine: but if it might bee doone, without violence, it is better first, then later. The other accidentes: as inflammation, feuer, paine, if they be not come, preuent them, if they haue alreadie taken houlde, remoue them: eyther by emptying or reuul∣sive bloud••etting, by thinne•• and coo∣ling dyet, by purging, according to the nature of the abounding humors, or mitigating medicines, &c. If neede be. Hauing 〈◊〉〈◊〉 ••idde the wounde of

bones, & your way, of the thornes of encombring accidentes, and prouided a cleare entrance to the cure, proceede on this wise. Ioyne againe togeather the distant partes, and prouide, that so they may continue. stitch the wound that is in the flesh, with deeper & strō∣ger stitches then ordinarie, afterward apply a tent in the most decliued part, but being first armde cum melle rosato, a myrrha & puluere glutinatorio. Vppon the wound, for the first dayes, applye ••ome glutinatory powder ••ū albumine oui, the dayes following, mixing that powder with terebentine, or some o∣ther glutinatiue medicine. Now if the bone looke bare, minister vpon lint some powder or vnguēt glutinatorie, togither with plasters also or stuphes, or linnen clothes wet in warme wine. If the bone be cut through, then after the making of your stitching, applye the first daies, ••ome glutinatory mixt with the whit of an egge, thē the days following, clothes wet in warme wine rowling vp the part, with a rowle cō∣uenient for the mēber, so prouided as the place of the wound may be left o∣pē, least for euery dressing you should

be constrayned to vndoe the rowle a∣gaine: applye also your splentes that the binding may bee more sure: ney∣ther shall you at any time vndoe that rowling till the wounde be thorough cured: vnlesse some paine, ytch or in∣flammation, growing in the parte, compell you thereunto.

ANNOTATION.

^a If this kinde of wounde bee ordered with the like medicines, and maner of ap∣plication, as is noted afore, in the chapter of a simple wounde, there shall neither bee neede of stitching, nor yet of running to these particulars: as is the manner of the olde writers: who certainely did it, for want of the vniuersall balmes, and me∣di••ines artificially contriued, for all parts. And in this note also I touch the most of the chapters going afore, as also woundes with gunneshot: which (the premisses well wayed) neede no particular tracta∣tion, saue for their burning: which I shall be occasioned to speake of, in the booke of vlcers.

CHAP. XIIII. Of woundes of the heade and Contusion.

WHether the hurte bee committed by a cut∣ting, pricking or bru∣sing•• thing, may be ea∣sily vnderstoode of the patient, or those about him. And whether it be a wounde, or contusion, the matter likewise is manifest. Whether the skul be broken, it is thus to be coniectu∣red: to wit, if the fall was from high, the contusion great, paine, thinnes in the skinne perceiued by touching, se∣paration of the skin from the bone, and moysture bubling vp through the cleft at the parties stopping his breth. Also an apoplexie, giddinesse, speach∣lesnesse, the head ••eelding an vncleare sound being stricken on with a wand, & the teeth gnashing at the striking of a threede holden betweene them: these (I say) are signes that the skull is broken. So these signifie that pia mater is hurt, to wit, paine giddines••e,

rednesse of the face & eyes, dimnes & ••trouting out of the eies, the face full of pushes, bleeding at nose, eares and palate, difficult speach, a feuer, casting downe of the strength, astoniednesse of the senses, watching, losse of appe∣tite, with loathing, vomitting, &c. Signes of the braine hurt, are, thicke, round clodded & marrow like matter, deprauation of reason (if the wounde be in the fore partes) and hurt of the memorie (if it be in the hinder part) also astonishment and dotage.

A fracture in the skull is perillous. incision of pia mater and of the braine is death. so is the corrupting of pia ma∣ter deadly. A sharpe feuer, a crampe, trembling, alienation of the minde, sounding, abridging of speach, red∣nesse and dimme sight, all these bee fearefull signes, and mortall, speci∣ally if they continue, and doe not s••acke. Also Dura mater becomming blacke, so as it will not be put awaye by the application of mel betokeneth death. So doeth a great swelling, specially if it vanishe soudenly with out reasonable cause, signifie euill. Contrariwise, the swelling little and

the matter well digested, is a good signe. so is rednesse of the flesh in the consolidation or time of souldring of the skull. In the fracture of the skull, the terme of the cure is to a hundred dayes, or 46. according to others. A fracture of the skull is to be feared in the full moone.

The he••d being shaued, prouide for the remoouing of accidentes: or pre∣uenting thē, if they be not yet come. As namely inflammation, which you may do away, or prohibite, partly by bloudletting on the Cephalica veine, so that strength, age & other cōsiderati∣ons forbid not: partly by diet, & part∣ly also by loosing medicines. for dyet: Let the ayre be temperate, or a little warme, the belly loose euery day, ey∣ther naturally, or by means of suppo∣sitories, or sauftning clisters. Appoint also rest, and let the body lie on that side that is lesse grieued, till there be {per}fit matter engendred: after that, on the {per}t affected (that so the matter mai easily flow forth) vnlesse paine forbid the same. Be spare in diet, till the dan∣ger of inflammation, & al other acci∣dents be past, the drink let be sodden

but all these hurt, to wit, colde ayre, moouing costiuenesse, large dyet, meate that sendeth vapours to the heade, wine, &c. And as for the loo∣sing medicins, see they be of the gen∣tler sort, and of propertie according to the dominion of humors in that bodie. If bloud flowe, let it be staide, and so of other accidentes as ••ath now oft beene sayde. Then if the wounde be a simple one in the flesh, without the losse of substance, vnite the same either with ligatures, or stitching as is aforesayde. If there be losse of sub∣stance, renewe flesh, and after induce a cicatrize, as hath beene sayde in his place. If the wounde be feared to be in the skull, and yet no certainetie thereof, searche with your finger or some apt instrument. If you remaine yet doubtfull, and the wounde is not ••ufficiently open, make incision in this fourme X. and lay open the skull in that parte, applying stuphes wet in viniger, to auoide fluxe of bloud•• the skul thus vncouered: if the cracke ap∣peare, but yet vncertaine, whether it go through, or no apply on the place the powder of masticke mixt with the

white of an egge•• and marke wel the same plaster, the next dressing, when you take it of, whether it be more no∣toriously dry in some one place, for if it be, in the same place it betokeneth penetration of the skull therby. Now if there be a breache in the skull, cer∣taine and manifest, and yet small, so as ther is not easie issue for the mat∣ter, open the skull: especially if there be fragments of the bone vnderneth, hurtinge the membran. The skinne you shal deuide in fourme aforesaid, or thus X, and the bone so vncoue∣red, dresse it vp for that day, with lint, or clothes wet in oui candido, the next day, opening the skull with a trepan, in which operation, consider, dili∣gentlye, whether the partie bee of strength to beare it: vse prudent fore∣speach of the likely daunger. shunne (in that action) the ful of the moone. Beware the commissures as much as you may. Open the skull in the most bending or decliued place, if it m••ye be. If the fracture bee greate, cut it not all out: but it is ynough if there be sufficient vent for the matter, and way to take out the peeces of bones.

All thinges that may doe hurt to the membran, take out with asmuch speed as may be. If there be any roughnes in the bone, rebate it with a lenticu∣ler. Deferre not this worke till the 3. or 4. day, but perfourme it before ei∣ther feuer, or other symptome catche you. For the rest afterwards, proceede as in the cure of a great wound in the skull: which thus must be handled. A gret wound hauing way wide ynough for the putting out of matter, needeth no enlarging by trepan nor Sawe, but is to be mundified, & after consoli∣dated. Yet first must the fragmentes of bones, if there be any hurting the membran, be spedily remoued: as also the roughnes (if there be any) reba∣ted. Which things orderly done, first then a mundi••ie the wound cum melle ••osa••o, mixt cum aqua vitae, & terebyn∣thina: or else with ol. terebynthinae, mixt cum puluere sarcocollae, & granorum tin∣ctorum. Else thus you may make you•• ab••••••rsiue linement: Rec. mellis ros.℥.ij. farinae hordei ℥.j. sarcocollae, ʒ.ij. vi∣••ellorum ouorum, ol. ros. ana, q.s. fiat lini∣mentum. Applye your medicines in this order: first conuey betweene the

skull & the ••ard membran a peece of red silke dipt in melrosarum wel war∣med: after that laye in lint wet also with mel, & vpon the other partes of the wound some digestiue, as ex vitel∣lo oui, & ol. rosaceo, or such other. if a∣ny peece of bone sticke so as cannot easily be pluckt out, annoynt it with ol. rosac. that it may easilier loosen. When the wound is in the vpper parte or top of the head, there is no need of stitching•• but in the sides stitching is profitable. Manie haue accustomed to lay of a rammes skinne aloft, & to charge the head with manie happings but that liketh not Hippocrates: for it becommeth but burthensome to the head, encreasing heate, and prohi∣bitinge transpiration, or through-breathing. So much shall therefore bce ynough to couer the heade, as that the brayne maye not bee affe∣cted by the coldnesse of the ayre. two or three dayes beeinge nowe spent in this order, passe on from the vse of the aforesayde medicines to this vnguent or powder followinge, ser∣uing to drie, incarne, and consoli∣date.

Rec. vnguenti regis, ℥.iij. mellis ros.℥j. terebynthinae lotae, ℥.ss. pul. myrrhae, pul. corticum thuris, pul. sarcocollae, pul. ireos, ana, ʒ.ss. ol. hyperici parum, fiat vnguen tum, which apply vpon your plageats, still putting betweene the skull and harde membran, your red silke, wet in mel. ros. When the membran is co∣uered, you may vse this powder fol∣lowing: Rec. rad. artstolochiae, iridis flo∣rent. corticis thuris, sarcocollae, sang. dra∣conis, ana, ʒj. nucis cupressi, myrtillo∣rum, ana, ʒ.ss. centaureae min.℈.j. co∣rallij, ℈.ij. farinae orobi, ʒ.j. fiat puluis tenuissimus: applye it with linte, and laye aloft emplastrum de betonica, or, decapri••olio. If at any time the harde membran swell, so, as it beare out at the hole of the trepan: then fitly & profitably shall you minister ol. de vi∣tellis ouorum, and a cloth or spunge so∣ked in decoctione rosarum, chamomillae & meliloti, but if flesh grow too rank∣ly vppon the hard membran, put on it alumen coctum, or, pul. mercurij, or her∣modactylorum, or, vnguentum aposto∣lorum.

If the hurt in the head be a contu∣sion, and but a small one, without

breach of the skull, it is remedied with medicines that discusse, wype, &c. as oleum rosaceum annoynted on the heade after it is shauen, and sprin∣kled on cum puluere myrthi: the daye following applying this plaster: Rec. pulu. myrthi, ℥.j. nucum cupressi, rosarum sumac. balaustiarum, ana, ʒ.ij. ••l. rosat. vel chamomelini. q.s. fiat Emplastrum, which plaster is also profitable if ther be a small fracture in the skull, or in case we suspect the same: in which it is sufficient to resolue and discusse. & if towardes the ende of your worke, you shall add vnto it squinanthum, ab∣synthium, fabarum & lentium farinam. you shal make it so, an excellent me∣dicine, to disperse, wype and streng∣then. Now if the contusion be great, and with a manifest fracture, deale then as aforesaide. If the fracture be vncertaine, you shall sounde it out with this plaster: Rec. cerae, thuris, la∣dani, ana, ℥.ij. terebynthinae, ℥.j. farinae fabarum, aceti, ana, ℥j. fiat Emplastrum: this plaster shall you applye all ouer the head shauen, and where the fra∣cture is, there shall you finde the pla∣ster notoriously drye at taking of. If

the contusiō haue only made depres∣sion in the skull, as it often commeth to passe in children, then must you la∣bor with drawing medicins to heaue, lift vp & reduce the same: for which purpose, you haue here choise of di∣uers plasters set downe: Rec. propoleos (vel cerae nouae s••rdidae) ℥.iij. mellis, ℥.iij. lapidis magnetis, ℥,ss. lapidis pumicis, ʒiij. abs••n••hij, cumini, sulphuris, ana, ʒ.ij. salis, ℥.j. furfuris, P.j. vini opt.℥.iiij. mi∣sce fiat empl. & apply it warme to the head being shauen. Another: Recipe mellis. li.ss. fermenti, li••j. surfuris, ʒ.ij. salis, ℥.ss. cumini, absynthij, ana, ℥••iiij. make therof a plaster to be worne for xv. dayes. Another: Rec. centaureae in vino albo per noctem infusae, m.vi. coquā∣tur ad medias, & post c••laturā coque iterū ad mellis crassitiē: de hoc accipe ℥.iij la∣ctis mulieris, ℥.ij. terebynthinae, li j. masti∣ci••, ℥.j. resinae, ℥.ss. thuris, gummi arabici, ana, ℥.j. cerae nouae, ℥.iij fiat empl. Ano∣ther: Rec. terebynthinae, part.ij. cerae, part.j. liquefiant: postea diligenter. cum ace••o a∣gitentur. The next day take succi beto∣nicae, part.ij. verbenae, part.j. lactis mulie∣ris, q.s. misce. and applye it.

ANNOTATIONS.

^a I wish not the reader, for al these, to

depart from his balmes & plasters before commended vnto him. vnto which, I will here adde another plaster of Paracelsus, cont••iuing, for whatsoever wound in the head, principally commended: Rec. cerae lythargyrij, ana, li j. calaminaris, colo∣phoniae, ana, ℥.ij.ss. ol. communis, li.j.ss. liquescant igne leui, cera, colopho∣nia & oleum simul, postea lithargyriū & calaminaris contusa, tritaque subti∣liter sensim inijciantur, ac decoquan∣tur ad iustam spissitudinē, haec gum∣mi postea imponantur, scilicet, opo∣ponacis, serapini, bdellij, ammoniaci, galbani, ana, ℥.j.ss. praeparatorum ta∣men: & ex aceto prius coctorum. post quam aliis admixta fuerint, addantur isti pulueres: Rec. corallorum alborū & rub. mumiae, myrrhae, thuris, an.℥.j. antimonij.℥.ss. croci martis, ʒij. his alijs permistis, partem adijce larignae masticis (I suppose he meaneth tere∣bentine, as ordinarily he adeth a litle ther¦of in the end of al his plasters) & so powre it forth, & worke it vp in your hand••, cū ol. hepericonis, & lumbricino, & ad∣ditione camphorae, ad.℥ss.

CHAP. XV. Of woundes in the face.

THE cure of woundes in the face is to be perfourmed according to two generall indications thereto belonging, to wit, the symptomes, & the wounde it selfe. The symptomes considered, as they are, either immi∣nent, or present: if they bee but im∣minent, and in daunger to come, pre∣uent them (as an inflammation) by bloud letting, such as doeth either drawe to the contrarie part, or deriue or emptie the humors, if nothing let: else by cupping with scarification vp∣pon the vertebres of the necke. Also by diet, fit and conuenient: as spare quantitie, taking rest, keeping the bo∣die solluble, drinking sodden water, &c. auoyding colde aire, ouermuch mouing, plenteous meat, drinking of pure wine, binding of the belly, &c. The bodie also would be lightly pur∣ged with such medicines as be answe∣rable to the nature of the aboun∣ding humors. If the accidentes haue nowe founde place alreadie, displace them: as, payne, by mitigatinge, bloudie fluxe by stayinge: inflam∣mation by putting it awaye, as is of∣ten taught afore, &c.

The second generall indication is the wound it selfe, which requireth to be vnited: but in this doing•• there is spe∣ciall care to bee had•• to preserue the fourme and beutie of the face There∣fore shal the stitches be taken thicker, and neerer to the ••ide, for so it shall more firmely ioyne togeather: or let it be don by a dry stitch, as thei cal it. Somtime also when the first stitching proues not fast ynough, nor reteynes the lips sufficient close togither, but becommeth slack, then the later kind of stitching is to bee added to it. In places ordayned to moue, the stit∣ching may be made by needles prickt through the lippes of the wounds, and left remayning with their threede wonne about both endes. No tent in this case is to bee vsed, except the wounde be verie deepe, or that there be losse of substaunce. as for medi∣cines the same shall serue in this case as in other woundes. Some applye on the stitching, medicines made ex du∣abus partibus, aquae vitae & vna ••••rebyn∣••hinae. Others apply vnguentum de mi∣••••••, it shalbe profitable alwaies to the woundes, both of the face, and other

parts, to minister some a glutinatori•• water, or other balme of like forci∣ble drying, propertie, &c.

ANNOTATION.

^a By this glutinatorie water, I suppose•• h•• meaneth the Epitheme, set downe in th•• Chapter of a simple wound, as may be well gathered by the Chapter of wounds in the lips, where againe, appointing this gluti∣natorie water, he referreth you to the Cha∣pter of a simple wund for the finding of i••. & there it must needes be the Epitheme.

CHAP. XVI. Of woundes in the eyes.

WOundes of the eyes are peril∣lous, both for the sight it self, & for the nerenes of the brain. But if vpon the hurt the humor flowe forth, then followeth destruction and losse of the eye.

To preuēt inflamation (& so other accidents) which in this case, by rea∣sō of the sharp pain, are like to grow, vse reuulsion by bloud letting, (if no∣thing let) or cuppings applyed to the neck. Also a thinne diet, & purginge medicines (if nothing hinder) accor∣ding

to the nature of the aboundinge humors. To the forehead & temples, lay some repellent medicine, as albu∣men oui diu••issime cū aqua rosarū agita∣tum. Or, collirium albū, sine opio, cū oui candido & aqua rosarū mixtū. If there be paine present, endeuor to mitigate it with applying lac cū collyrio albo, & mucilag. sem. cydoniorū extracta in aqu•• rosarum. If there bee cluttered bloud in the eye through the stroke & con∣••usion, dissolue the same cum lacte m•• liebre mixt with albumine oui: or, san∣guine columbi ex ala de••racto, dropped in warme, after the 2. or 3. day. Either else, medulla a panis torrefacta, & vino rubro infecta. And thus much for the accidents: Now the wound it self re∣quireth to be vnited, cleansed & con∣solidated by conuenient liniment or collyrie: such as are these set down for your purpose. your linement let con∣sist ex melle virgineo, saccharo cando, th••¦tia praeparata, & aloe, mixt togither: or thus, Rec. myrrhae, sarcocollae nutritae in lacte, ana, ℈.ss. thutiae praeparat••, ℈j. mel∣lis parū, fiat linimentū. & if the patient cōplain of the sharpnes of it, mix with it aliquid albur••inis oui, & aquae rosarū.

Your collirie make thus: Rec. aqu•••• ••••••sarum, ℥.ij. syr. rosati solutiui, ʒ.iij. fiat Collyrrium.

ANNOTATION.

^a Or medulla panis a furno calida, in vino albo infusa & saepe applica••a. Likewise for stroakes in the eyes, contu••∣de folia agrimoniae, & cum albo oui contere, and apply it.

CHAP. XVII. Of woundes in the eye liddes.

LEt the eye liddes beeing incised with their borders be stitched, and that with a deepe and firme stitch, that may be able to hold the parts long time togither lest their ioyning togither through often mo∣uing, might be hindred. As for per∣fourmance of the rest of the cure, ob∣serue to do accordingly as in the cure of other woundes.

CHAP. XVIII. Of woundes in the nose.

IF the nose be wholly cut of, it can∣not be ioyned togither any more: for vnition in the organical partes, is not possible. And if it be not who∣ly cut of, it mai be cured by stitching. In curing, first set an order for the ac∣cidentes after the same rate as is be∣fore spoken of in wounds of the eies. The second care is to looke to the v∣niting of the wounde, by conuenient stitching with a crooked needle, if it cannot be done with a straight: but see that the stitchinge bee deepe y∣nough. And before you take anye stitch: first see, by conueying your fingers into the nostrels, to place the sides togither in due order: afterward make a pipe of a goose quill, & arme it with saufte linnen clothes, conuai∣ing it so to lye within the nostrels, that there may be therby free passage for the breath. Of ligatures & row∣ling Hippochrates sayeth: they that are too curious in rowling, as they are without reason, hurtfull to manye o∣ther places, so especially to the nose. He saith furthermore, if that the in∣ner part of the nose be brokē, it must be again restored, by putting in your

forefinger, or the patients, or a childes ••inger (for soft handes in this case, are necessarie) and so place eche parte in order againe. But if neither the fore∣finger, nor least finger can be put in, then do it with your probe: proui∣ding that this be don quickly, the first daye: or soone after: for that these bones, both admit there callous gle∣winge, and are hardened also, by the 11. daye, vnlesse they fall to be cor∣rupted. And as within, so without like wise, the Artists hande must be wor∣king, to restore the seuered partes to their natural placing againe. It is ma∣nifest therfore, that to the nose, can∣not a fit bynding be applyed: but af∣ter stitching, some glutinatorie water or other of that kinde, or albumen oui, with a a glutinatorie pouder, as is said in the simple wound, is to be applyed: so also boulsters outwardly, but in∣wardly tents.

ANNOTATION.

^a Because many delight in powders, in these & other wounds of the face, for their speedie request of healing, I wil here out of Paracelsus set down one of ••hoyce accōpt: Rec. boli arm. veri, ℥.iij. dissoluatur in

aqua aluminis.q.s. destilletur, dein a∣lia superfundatur aqua ac denuo elā∣bicetur, itereturque toties, donec bo∣lus in oleum degeneret, qui ad solem dein exiceatus, ac in pul. redactus, mi∣sc••atur cum thuris, ℥••j. coralli rub.ʒiiij. mumiae ʒ.ij. fiatque pul. sprinkle this into the wound twise a day, and lay a∣loft Emplastr. Sticticum.

CHAP. XIX. Of woundes in the lippes.

VVOundes in the lippes re∣quire a decent stitchinge, & the applicat••on of thos things that ioyne & glutinate•• as also diligent drying & astringentnes, in regard of the plentie of spettle, al∣wayes moystening the place. Verie profitable shal it therfore be, euer to fomēt the place with the glutinatorie water spokē of in the simple wound. Neither do these wounds admit anye ligature, otherwise then to the hol∣ding on of the medicines that are ap∣plyed. The lippes of the wound in this case, are curiously & in equal order, to be matcht, & ioyned togither, for the preseruation of comely forme, which here is diligently to be looked vnto.

CHAP. XX. Of woundes in the eares.

STitching is likewise required in woundes of the eares, & me∣dicines both mightily drying, astringent and glutinatiue, be∣cause the part is drie. Rowling (saith Hippochr.) of what sort soeuer, is an enimie to the eares. For as much as if it be rowled, it is to no purpose to be slacke: and if it be not slacke, it hurteth verie much: for all the eare will ake, beate, and inflame, if it bee but bound onely. And it is somtime, the best cure, to applye no a cure, not only to the eare, but to manie other places else.

ANNOTATION.

^a Here is meant ouer curious applicati∣ons of bindings, according to the saying of Hyppochrates, cited also by the author, in the Chapter of woundes in the nose.

CHAP. XXI. Of woundes in the necke.

FOR the knowledge of the wound, what partes are hurt by the wounde, and what was the cause of the wound, to wit, whe∣ther a thing cutting or pricking, part∣ly by your owne sight & senses: part∣ly by conference with the patient, or others, you are to receiue instructiō.

If a nerue in the neck be cut, there followeth some maime. A wounde pearcing to the back marrow, is mor¦tall & incurable. And if it come not at the marrow, though it then be cu∣rable, yet is there a feare of the losse of sense and mouing of those partes, which these wounded nerues, taking their originall from that hurt part of the back, do serue. A wound that tou¦cheth the recurrent nerues, causeth hoarcenes. A wound in the great vei∣nes & arteries is perillous. A wounde in the gullet, or in the wesand, is pe∣rillous.

For the preuenting of inflamatiōs & such other accidents, appoint in the beginning a slender diet, open a veine on the contrarie part: vse purgation, according to the nature of the aboun¦ding humors•• & repellents, or defen∣siue

medicins, to the parts about the wound. With the wound it selfe deale thus: if it be only in a fleshie or mus∣culous substance, then stitching only is required with glutinatiue medi∣cin••. If it be in the veines or arteries, stay the flux of bloud, either with me∣dicins, or by application of the finger to the orifice of the veine, or a••terie: as it happened to a certain mā, woun∣ded in his outer i••gular vein, who by the diligence of his friends, attending one after another, to hold their finger on the wound for three dayes•• escaped safe. Or if it may be, stitch the vessel. If you intend to doe it by application of the finger, be fure so long to holde it, til the bloud in the place bee clut∣tered. Rowling is not conuenient in this place: for that the necke through the great vessels in it, & passage of the vital & animal spirites•• may endure no binding or straitning. If the wounde be in the gullet or wesande, vse then also stitching & glutinatiues: holding besides in the mouth diasymphyton, diatragaganthū, diapapaue••is, &c. If the wound haue toucht the sinewes, after a thinne diet set, & vsing of reuulsiōs,

purging medicins, & repellentes: for the auoiding of inflamation, foment the wound with ol. rosac. calenti, & vse a mitigatiue ex oui vitello & ol. rosac. til the partie be set free from paine & inflamation. Afterwards, when there is perfect matter, apply this mundifi∣catiue Rec. mell••s ros••••, ℥.iiij. farinae hordei, ℥••ss. terebynthinae, ʒ.iij. resinae, ʒ.ij. thuris, masticis, ana, ʒ.j. myrrhae, sarcocollae, ana, ʒ.ss. cerae ʒ.ij.ol. masti∣chini, & hyperici, ana, ℥.iij•• mixe them, & make thereof a cleansing vnguent, &c. Now for the accidentes: if there grow any paine, mitigate it cū oui vi∣tello, & rosaceo. If there come a cōuul∣sion, annoynt the hinder part of the head & vertebres of the neck, cum ol. Chamomelino, anethino, lumbricorum, de terebynthina, pinguedine gallinae, & tere∣bynthina. For it is founde out by sure experience, for the most parte, that both terebynthina it selfe, and his oyle also, aswell in these woundes, as in those of the armes, do asswage pain, and hinder conuulsion.

CHAP. XXII. Of wounds in the shoulders.

VVOundes in the shoulders, are suspitious, in respect of the nerues, for the pe∣rishing of sense & mouing. At the first setting to of the cure, prouide for the forestalling of accidents by these meanes: open a vaine on the contra∣rie part, if nothing ••et•• or vse cupping with scarifying. Also frication and li∣gatures on the contarie part. Appoint a slender dyet: keepe the bellie loose, auoide all mouing of that arme, kepe the minde in quiet, &c. Further also, vse purging, according to the nature of the abounding humor: and repel∣lent medicines to the partes about the wound. Now for the wounde it selfe, after remouing outward things if a∣ny be, come next to ioyne it againe by stitching and glutinatiue medi∣cines: taking the stitches deepe, and ••owing fast, lest through the waight of the arme•• they become loosed, and so the ioyning of the wounde therby be hindred. Beware yet, lest anye nerue in stitching be pricked: foment it with the glutinatorie water set

downe in the simple wound. Applye aloft the stitching, albumen oui, cum puluere restrictorio. Wet stuphes in oui candido, & ••leo rosa••o, and lay them a∣loft. If you thinke it also necessarie, you may vse a tent, with digestiue, in the most decliued or bending part of the wounde: and conuenient firme rowling. After the thirde or fourth day from the first dressing, arme your tent with terebynthina, myrrha, & sar∣cocolla. Accidents (if here fal out any) must be handled as hath bene taught before.

CHAP. XXIII. Of woundes in the armes.

VVOundes in the bought of the cubite are perillous, bicause of the great veins. Woundes of the cubite are suspitious for crampes, inflamation &c. To pro∣hibite paine and inflamation, let blod on the contrarie part, or vse opposite cuppings, ligatures & frecations. Pro∣uide the aire temperate, set a mode∣rate exercise vpon the lower partes: al rest to that arme: giue slender dyet, with meates of good iuyce, and easie concoction. Keepe the bellie solluble

&c. Purge after the nature of the hu∣mors, and laye aboue the wounde re∣pellent medicines of colde iuyces. To the wounde it selfe, if it runne but a∣long the muscle, conuenient bynding sufficeth: but if it goe ouerthwart, make stitching deepe & firme, lea∣uing a tent in the lower parte: and ap∣ply some astringent & glutinatorie powder, mixte with the white of an egge. After the fourth day, doe vpon your tent some clensing medicin. For accidents, I referre you to that is saide otherwhere.

CHAP. XXIIII. Of woundes in the brest.

VVHether the cause of the wounde were some cut∣ting matter, as a sworde, or else pricking•• as arrowes, darts &c. by conference with the partie you shall vnderstande. But what partes be affected by the wound, you shal thus coniecture. If the brest bee pearsed, winde puffeth out by the wound, e∣specially

if the patiēt close his mouth & nosterils, which shall easilyer bee shewed, byholding before the wound either a candle burning, or combed woll. If the hart be hurt, there floweth blacke bloud, with colde of the ex∣treme partes of the bodie, cold swea∣ting, sownding, & the wounde in the left side, &c. The lungs being woun∣ded, the bloude is reddish and fro∣thie, his face pale & wanne. Vpon the hurt of the midreife ensueth great & difficult breathing, coughing with ratling and paine, alienation of mind•• blackish spettle, thirst, loathinge of meate, rigor, & the wounde situate a∣bout the false ribbes.

Wounds of the hart, a lungs, & dia∣phragma are mortall. Woundes that pearce the brest from the back ward, are more daungerous than those on the forepart, by reason of the veines, arteries, nerues, gullet, rough artery, and ligamentes of the heart. Those that pearse not into the cauitie of the brest, are without daunger.

First, to forestall the impendent accidentes, endeuour by bloud let∣ting on the contrarie syde, cuppings,

frication & ligatures, or bindinge of the extreme parts. Cease the partie frō mouing See that the belly aunswere his turne, & for meate giue almonde, barley, or reason broths, & such nou∣rishments. Let his whole dyet be cold & drye, slender, & not astringent in the beginning, for causing straitnesse of breth. His drinke sodden water. Conuenient purging likewise is to be prouided according to the nature of the humors: as cassia, mumia, Diaca∣tho••••••••n, or, syr. ros. lax. taken by the mouth. or otherwise sauftening cli∣sters min••stred beneath. By these me∣anes (if a feuer doe come) you shall put it soon to flight. If paine get foo∣••ing, vse an epitheme ex decocto chamo. meliloti, anethi. sem. lini, faenug. rosarū, so that there be no feuer. Or this vng. Rec. vng. r••sumptiui, ℥.iij. vng. deal••heae, ℥.ij. pingued. anseris, ping gallinae, anatis ana, ℥.ss. butyri rec••ntis, ol. amigdal. ana, ℥j.ss. c••oci parum, cerae, q.s. fiat linimen∣••••m•• which may be vsed if there bee a feuer. If a cough molest, with straitne•• of breath vse this decoction Recipe hordei mundi, P.j. Glycyrrhizae, ℥.j. 4. sem. frig. ma. ana, ℥.ss. iuiubarum,

passularum, ana, par. x. penidiarum, ℥.ij. zacchari albiss.℥.iij. boyle them dili∣gently in aqua hordei, and giue of that decoction often: at least euening and morning. If there be cluttered bloud in the brest, you shall dissolue it, by giuing rhabarbari, ʒ.j. mumiae, ℈.j. cum aequa plantaginis. Nowe, to come to the wounde it selfe: i•• it be such as pearseth into the brest, and yet hur∣teth no inwarde part, nor ribbe in his entrance, neyther yet is ioyned with fluxe of bloud inwardly: in this case put into the wounde a b tent, bu•• tyed by a threede, (least it fall in) or with∣out a threede, so it be we•• in oui albu∣mine, or rowled in some glutinatorie powder, laying aloft stuphes, wet in the like: and arming the tente, the dayes following with a c digestiue, ex terebynthina, & oleo r••sato. Afterwarde when well concocted matter appea∣reth, vse this liniment to mundifie withall Rec. mellis rosati, ℥ij. terebyn∣thinae••℥.iij. succi apij, succi plantaginis, ana, ℥j. coquantur modice, poste•• adde vi••ellos, numero ij. farinae hordei, farinae faenugreci, ana, q.s. fiat linimentum, or this: Rec. mellis, ℥.j. myrrhae, thuri••••

sarcocollae, ana, ℥.ss. farinae hordei, fa∣rinae faenugreci, ana, q.s. fiat linimen∣tum. Apply outwardly, Emplastrum Di∣achalcitidis. But if there bee fluxe of bloud inwardly, and without fracture of any ribbe, keepe open the orifice, yea inlarge the same (if it bee not wide ynough) for the vtteraunce of the bloud and conueyance in of in∣iections: which thinges prouided for, iniect by ••iringe warme wine, meli∣••ra••um, or such a mundificatiue: Rec. hordei mundi, lentium, ana, P.ij. caudae ••quinae, m.j. ros. rub. p.ss. boyle them in equall partes of cōmon, and plan∣taine water, cum modico mali pu••i••i succo, to the thirde part, putting to, when it is strayned, zaccha••i, ℥.ij. syr. ex infusione ros.℥.iij. croci, ℈j. ano∣ther: Rs. gentianae, ℥.ss. lupin. lentium, ana, ʒ.ij. plantag. agrimoniae, ana, m.ss. thuris, myrrhae ana, ʒ.ss. m••i. ros. parū, boile thē in wine & make therof your iniection. When the wounde is clen∣sed, vse then astringent medicines, as balaustia, myr••hus, acatia, hypocistis, ma∣la cydonea, myrabolana, aqua rosarum, plantaginis, succus mali punici &c. A∣stringent d medicines are ••hen also

to be taken by the mouth, if there be no cough, as before is monished. And if by these meanes, the bloud, or matter fallen vppon diaphragma, cannot be got out, a newe incision is then to be made, betweene the fourth and fifth ribbe, not farre from the ridge bone, & done along the ribbes. If the patient be strong, let the incisi∣on pearse into the cauitie, but if he be weake, then is the incision either not to be made at all, or else not to passe the succingent membran. If there be fracture of a ribbe, apply to it Empla∣strum oxycroc••um, so notwithstanding, as that the place of the wounde maye remayne open, for the issue of the matter: and whilest you dresse the wounde, laye your finger on the fracture, that the ribbe goe not forth of his place: and so appoint the pa∣tient to cough•• for the helping out of the matter. Nowe if it be no wounde pearsing into the capacitie, but only outwarde, and yet large, and wide ga∣ping, vse stitching thereto, and cure it with mundifying and glutinatiue medicines.

ANNOTATIONS.

^a Woundes in the lunges are verie of••ten cured.

^b Arcaeus counsayleth, that your tent be of that kinde, that is called flammula (which is a long peece of fine cloth, cōuayde into the wounde endwayes) for that rownd tentes (in this case) dispose•• the wound•• to a fistula.

^c Or in steede of these, some vulnerarie oyle and plaster, as hath beene shewed be∣fore: and had need be noted in euerie chap∣ter: that it must needes appeare an vn∣worthie dealing, that is ordinarily com∣mitted by writers, in running (euer anon) to these particulers, as though the balmes and oyles set downe in their gen••rall tra∣ctation of woundes, must not be brought in vse in particuler members, and partes. Nowe I request the Reader to ease me of this labour in other places.

^d As this vulnerary decoction of Schy∣lander, appropriate to wounds of the brest: Rec. consolidae maioris, & mediae, saniculae, betonicae, ana, m••j ophio∣glossi, agrimoniae, ana, m.ss. ••habar∣bari, ℥.ss. mumiae sincerae, ʒ.ij.

spermatis ceti, ʒ.j. decoquantur in vino, in vase duplici bene obturato. hereof giue the patient morning and eue∣ning ℥.j.ss. This doth not onely consoli∣date, but dissolue cluttered bloud likewise. Else this of Iosephus Quercetanus: Rs. succi verbenae, betonicae, veronicae, ana, ℥.ij. aquae cinnamomi, li. j. macerentur, and giue a spoonefull at a time.

CHAP. XXV. Of woundes in the bellie.

VVITH what wepon this wounde was inflicted, you may learne of the patient or others. What part is thereby affected, you shall knowe by these notes: if the bellie be p••arsed thorough, with your probe searching, you shall perceiue it, or by falling out of the guttes, kell, or such other. If the kell be hurt, it yeeldeth way through his substance and is full of bloud. Also it is blacke in colour or swartish. If the small guts be hurt, there is vtterance of the extrementes,

and the wounde is aboue the nauell. If the great guttes, the wound is be∣neath the nauell, with vtterance of ex∣crementes. If the stomach bee hurte, Chylus goeth foorth, and the wounde is in the fore part. If the liuer: fluxe of bloud, the wounde beeing on the right side. If the splene: issue of fecu∣lent matter, and the wounde on the left side. If the kidneis: effusion of watrish bloud, the wounde being in the region of the kidneis•• If the bled∣dar be pearsed, there is issue of vrine that waye, and the wounde is about pecten. If the matrice be hurt, there is fluxe of bloud, and the wounde is vn∣der the nauell.

The great guttes are easier healed, the smaller sort more hardly, and the hungrie gutte is not curable. The stomach, liuer, &c. are scarce to be cured. Vnlesse there be speede vsed in the putting in of the intrels, they become inflate with winde, through coldenesse of the ayre, and so are harde to be reduced. So also, vnlesse the kell bee speedily preuented, for issuing out, it is verie soone altered and corrupted. Woundes & stitchings

about the middest of the belly are more difficult and daungerous then those about the sides.

The impendent accidents•• as inflam∣mation and paine, must be preuented by bloud letting reuulsiue. opposite cuppinges, frications and ligatures. As also by thinne and slender dyet. If paine doe come, it is to be mitigated as in other places is sayde. Also for a tumor, or bubo, here happening, you are to finde addresse in his proper place. If there bee tormentes in the guttes through their wounding, fo∣ment the bellie with wine, wherein hath boyled semen anisi, & faeniculi, with other thinges that discusse win∣dinesse, and chamomilla, and melilo∣••um, with other mitigatiues. Nowe if the wounde pearse the kell, it must be vnited and restored to his place. If it hange out of the wounde, tie it with a threede, and so cutte off that which hangeth out, and after caute∣rize it euen to the ligature, and then put it in: but so as the threede may yet hange foorth at the wound: which, at the fall of the escar, may afterwarde be pulled foorth therewith. Some vse

no cauterie, because that which cor∣rupteth, will in processe of time come fitly away with the threede. The kell being restored to his place, the outer lippes of the wounde are to be vnited and stitched, so as the stitch on one side be higher, on the other side low∣er. a If a gutte be penetrated and also hange out, first wash it with wine, wherein absynthium, chamomilla, meli∣lotum, anethum, and rosae are boyled. so after stitch it with a skinners seame, letting both the threedes hang out at the wounde, that when that breach is healed they may be taken away. The gutte so stitched, sprinkle it with ma∣sticke, or other astringent and gluti∣natorie powder. Sometime the gutte is not hurte, but hangeth out, and straightwaye swelleth, with wynde growing in it, so as it cannot be put againe into the bellie: then shall you first foment the same with wine, wher in hath sodden anisum, saeniculum, cu∣minum, cum melle. else deuide a whelp, doue, or henne in the middest, and sprinkle it with some powder dissol∣uing winde, and so applye it to the swelled gutte. Bu•• if the windinesse

cannot so be discussed, nor the gutte restored to his place, the wound then is to be enlarged, with a blunt poin∣ted instrument, (for the better secu∣ritie of the guttes) and so the same gutte restored to his place. Which done, the lippes of the wounde are to be vnited and stitcht togeather as is saide afore. Let the patientes dye•• be spare, and such as may be drying, a∣stringent and glutinatiue: such as are astringent brothes, or b aqua chalybe∣ata: in which things you shal dissolue mastix the value of ʒ.j. ••t shall bee good to vse also clisters extergent and glutinatiue, as thus made: ex iure capi, vel intestinorum & extremitatum verue∣cis: wherein hath boyled hordeum cha∣momilla, anethum, and furfur, dissol∣uing also in the same broth, mel rosa∣rum and vi••ellos ouorum. Else otherwise make a clister astringent and glutina∣tiue, ex vino austero, & ʒ.j. pulueris astrictorij, for the strengthning of the guttes, specially if the wounde be in the great guttes. Finally if the wound ha••e pearsed the liuer, splene, sto∣mach, bleddar or matrice, their cure yet differeth not from those partes

aforesayde, sauing that these require continuall confirmation and streng∣thening, because of their necessarie actiōs: which thing yet is easi••ier per∣fourmed to the stomache, then to the other partes, both by thinges taken and thinges applyed. For whatsoeuer things are taken inwardly, haue more force to worke vpon the stomach be∣ing hurt, then on the liuer, or splene, by reason of length of way, and alte∣ration of the thinges taken.

ANNOTATIONS.

^a The manner of this stitche (in fewe wordes here passed ouer) I will plainelyer deliuer out of approoued practises. Take your first stitch through mirach and pe∣ritonaeum, on the other side pearse mi∣rach onely, so make your knotte. The se∣conde stitch beginne on the same side, but through mirach onely: and ouer against it, pearce both mirach and peritonaeum and knitte the endes togeather. Your thirde stitche (if you neede moe) make like the first, and your fourth like the se∣conde, &c. t••ll you haue sufficient for your purpose.

^b A wound drinke in these cases, is ve∣rie conuenient. As either the first of those, in the anno••ations of the chap. aforego∣ing, or this of Quercetanus: Rec: boli armeni, ℥.ss. consolidae ma. & mi. a∣na, m.j. galangae, ʒ.ij. macerentur in balneo cum vini q.s. giue thereof a sponefull morning and euening. If any•• principall part be hurt, there may be more speciall regarde hadde thereof, by adding some other speciall matter, for the com∣fort of it.

Supply or addition to this chap. concerning accidents.

LIke as some time it hapneth to woundes in other places, so oft times to woundes in the brest and belly, to haue hardnes of the lippes, & a fistulous dispositiō towards the closing vp. In such a case, besides your wounde drinke, haue readie this or such like oyle, which mastreth all malignitie: Rs. an••imonij, ℥.iij. mercu∣rij sublimati, ℥.j.ss. mellis, ℥.vj. mixtis omnibus vt ar••is est, destillentur per re••or∣tam vitream medi••••ri igne. The oile that commeth forth, is most excellent, a∣gainst all callous and maligne vlcers, fistules, cancer, and Gangrene.

Supplie. CHAP. XXVI. Woundes of the priuie parts.

WOundes of the gendring parts are most perillous for paine, sayth Paracelsus. The ordinarie dres∣singes must be, as hath beene sayde for other p••••tes: but for their inflam∣mation and paine, prouide a remedie ex farina fabarum, in vino & aceto c••••∣ta, this warmed, applie and stil renew, till the paine remit. Or in place of fa∣rina fabacea, you may put lutum fur∣narium, and in like sort applie it: for that both appeaseth paine, and defen∣deth the part: which thing is verie re∣quisite in these places. If the payne thus cease not, Rec. florum chamomill••, verbasci ana, m.j. olei q.s. coquantur, & fiat cataplasma. Which apply likewise warme. If this serue not, the last re∣medie, and shoote anker (in this case) to flee vnto is, Ebulus in vino coctus, & cataplasma••i•• mod•• applicatus.

CHAP. XXVII. Of woundes in the ••••gges.

WOundes in the knees and legs are much perillous: because those parts haue greater inter∣foulding and packing of b••••es, liga∣ments and si••ewes: and because those parts, for their inferiour position, are more subiect to the descension of hu∣mors.

Preuent the impendent accidentes by reuulsiue bloudletting, cupping, ligatures, and frications, appointing thin diet, cōmanding rest, & purging by vomit but not by stoole•• as for the wounde it selfe, that must be ioyned, according to the order of woundes in the armes: making a repellēt ligature or rowling, to keepe the humors for flowing to the place: which is don, by beginning with one end of the rowle at lower end of the member, & conti∣nue rowling vpwarde, strict beneath, but towards the vpper part of the mē∣ber, by little & little, looser. Nowe if there growe any paine, or inflamma∣tion, all such are to be done away, as in their proper place is sayd a••ore.

Notes

• Def.
• Causes
• signes.
• Prog.
• a

  Of these, some are necessarily mor∣tall: as woundes in the heart, midr••ife, stomache, guttes, and bladder: Some, but for the moste parte, as those of the braine: (••f wee credit Arcaeus, lib. de vul. and Coiter in his obseruations.) The rest, as in the Lungs, Liuer, Splene, and We∣sande, moste often healed, if they bee ar∣tificially dealt withall, as witnesse ma∣nie mens obseruations, togither with our experience. Verie daungerous also, are ouerthwhart woundes in the Mus∣cles, and such as are inflicted, when the member is extended.

  Paracelsus obserueth a matter more secrete, where he sayeth: When Choler ••ath betaken it selfe to the arteries, ca••∣sing the partes to tremble, and moue vn∣orderly: if at the same time, those partes be hurte, death ensueth, which I vnder∣stande to bee, by reason of the extreame ebullition, and pro••use expence of the spirites, which by no meanes, can at that time bee restrained: for therefore he saith afterwarde, that in the same daunger is euerie wounde, made in anie ebullition. That then wee neede not marueile, though of a small wounde the partie sometimes dye, without any manifest cause. And the vncertaine successe of woundes, both by reason hereof: as also of sexe, tempe∣rature and lurking accidents, causeth the same author otherwhere esteeme it f••te••, to reckon all woundes (that is to saye, of all partes) in the Catalogue of deadly, rather then account any of them safe, and voide of danger.
• Chir. m••. li. i. c. xvi.
• Chir. mag. ••r. i. c. v.
• Cure.
• First inten¦tion of the cure.
• c

  or, cum farina lolij, radice arun∣dinis, & melle..
• Second ••ntention in the cure
• ••eame, or ••laine ••••itch.
• Claspes, or tack∣••ookes.
• Verncle, or the quil•• stitch.
• The drie stitch.
• The 3. in∣tention in the cure.
• e

  In this place, handling that scope of the cure, that respecteth the part affected, the Author was onely•• to haue deli∣uered all the meanes, both by dyet and medicines, that were to preserue the bodi•• and partes in a prosperous state of hea∣ling, and after that, to haue looked vnto such a condition, a•• is nowe combred with accidents, (which is his fourth intention) ••hat the reader may see, here is no plac•• for medicines against paine, (which is not yet supposed to be) and that besides this inuerting of his owne order, there is also omitted that should iustly haue occu∣pied the rowme therof: to wit, the local me∣dicines for the cure of the wound: which ••e hath verie ill deferred to the Chapter ••f a simple wounde that the reader should not be perplexed, I am driuen thus to note the author, whome otherwise I could glad∣ly haue spared, as in manie other places of ••is order.
• f

  Small beere or ale, with vs, which al∣so (if time and place do serue) may be ton∣••ed vp with vulnerarie herbes, as sani∣••ula•• ophioglossum, Alchimilla, con∣solida, agrimonia, betonica, vinca peruinca, aristolochia. &c.
• g

  To these meanes, of keeping the bo∣die in a good disposition of healing, must bee ioyned (as I touched afore) the ad∣••ised vse of locall medicines: bee they balmes, plasters, powders, vnguenies, or what fourmes soeuer. Which, because the aucthor hath here omitted, I must request the Reader, to turne to the Chapter of a simple wounde, where all these thinges are largely deliuered.
• For the ac∣cidents, the 4. in∣tention.
• Fluxe of bloud.
• h

  Among the medicines to staunche bloud, may be numbred, crocus martis, crocus veneris, cinis ranarum, and a ••oade artificially dried, lapt in a clothe, and layde neere the wounde. Also the bloud stone holden in the patientes hande, or hung about his necke.
• Paine.
• i

  First of all, wisely consider, what is the occasion of the paine: for if there be n•• distemperature first, suspect some errour to bee, either in your medicenes or byn∣ding.
• Hote in∣tempera∣ture.
• k

  This is most excellent of Paracel∣sus: Rec. rad. hyosciami, q.s. dige∣rantur in aceto rosaceo as solem, fiat Epithema: In this wet clothes, and ap∣plye warme to the payned place. Lolium and Papauer may be vsed in steede ther∣of. And this wonderfully swageth paine.
• Colde in•• tempera∣ture.
• Conuulsi∣on.
• VVater and oyle.
• l

  Conuulsion hapneth to woundes no•• done by venimous creatures, two manner of wayes: one is, by pricking or halfe cut∣ting of some synewe, and then it followeth immediatelie, the other is brought in by payne and inflammation, his forerun∣ners, and this after a longer time. The first I will touch no further in this place, because I am drawne to it againe, by Wecker, in the Chapter of woundes in the sinewes. The seconde sorte must bee taken awaye, by remoouing the causes: and that, beginning with the first, and proceeding in order, to the last, euen as one euill heere brought foorth another: to wit, offence of the nerue paine, payne inflammation, inflammation putrefacti∣on, putrefaction maligne vapours, which proceeding from parte to parte, by the continuitie of nerues, are at last commu∣nicated to the braine it selfe, whence pro∣ceedeth conuulsion. Nowe the offence of the nerue, which causeth this kinde of con∣uulsion, I vnderstande to be, some colde aire, or vnmeet•• medicine applyed: the medicine being eyther of venimous qua∣litie, or else of vniust temperature. Of venimous or maligne qualitie, are most sortes of corrosiues. Vniustly tempered are, all barbours digestiues, most distilled balmes simply, and at first applyed, and o∣ther too hote, opening and relaxing, to∣gither with such mundifying and attra∣ctiue medicines, as want aequiualent mix∣ture of drinesse and astringe••cie. Hauing therefore taken awa••e, that which offen∣ded both in your ayre and medicines, and prouided by better ones, that nature in the wounde may finde rest and friendly nou∣rishment, you shall afterwarde, with no great difficultie, by the mean••s heere se•• downe, take away both inflammation and conuulsion. Any other way you loose your labour.
• Sounding.
• m

  For this matter, reade more in the fourth Chapter following.
• Rauing.
• n

  Alwayes be it obserued (as I haue no∣ted afore) that, if this accident be caused of paine, and distemperature in the wound, you first, by all meanes, practise to remoue the same. And therefore to preuent all such euils, once for all, I will admonish, that for the first seuen dayes, you be verie circumspect, and (as it were) iealous o∣uer the wounde, for paine: and for tha•• ••ause, sundrie times (if neede be) vn∣couer the member, and foment, the circum∣stant partes of the wounde cum aceto & oleo rosaceo, or (if more neede) cum aceto ex rad. hyosciami, noted afore.
• Palsey.
• Costiue∣••es.
• Stopping of vrine.
• Vomi••.
• Para. ch. mi. li. i.
• Paroxisme.
• Burning heat. Astonyed∣nes.
• Tumor.
• Flux of the sinevves.
• Bloudie matter.
• Proude flesh.
• VVormi∣nes.
• Stinke.
• Holing.
• Putre••a∣ction.
• Ignis P••••••sicus. Cancer.
• ••••••tulous ••ule.
• Chir. m••. li. i. c. xvi.
• Chir. mag. ••r. i. c. v.
• Chir. mag. tr. i. c. xiiii.
• Causes & ••ignes.
• Cure.
• a

  It is not of necessitie, that by and by, in a contused wound, there be found these accidentes, neither that the whole scope of the cure, should euer first, be bent against them, but rather (as in other cases) mi∣nister such fit helpes vnto the wounde, as may also haue respect vnto the accidents: neither doe I thinke, that Wecker mea∣neth any other thing in this place: howe∣bei••, (in my iudgement) his method had beene more apt, if after his generall regi∣ment, comming to his locall administrati∣ons, he had taught, first the cure of the wounde, & after remembred the accidents.
• b

  That is to saye, if it cannot bee re∣solued.
• c

  Indeede the wounde is first to be con∣cocted, with this or such other medicine, as Rec. terebentinae venetae, mellis albi, ana, li. ss. vitellos ouorum nu∣mero xij. these well mixed, boyle saufily togeather, to the consistence of an vngent. After digestiues, come you to mundific. in∣carnatiues, &c. in order. Why Wecker hath sundred them, setting his digestiue, where he handleth the accidentes, I knowe not.
• d

  First wash the wounde cum decocto vini ex myrrha.
• Def.
• Causes & signes.
• ••rog.
• a

  Hee meaneth without binding it in, vnto the rest of the wounde, that it maye die, for so, within two or three dayes, you may cut it away without paine.
• Cure.
• b

  In his diet also, is specially to be ob∣serued, tha•• there be a measured mixture of p••rging matter, as p••isan, or almonde milke, made with rubarb. sene, or rootes of swallowort, and his meates sodde with mumia and rupontick. Parac. Chir. mag. tr. iij. Who also in the 5. Chapter setteth downe a powder, and an oyle, in all cases of con••rete bloud, most excellent and approued. They are these:

  The powder.

  • Rec. rhabarbari electi, ʒ.ij. mu∣miae, ʒ.ss. laccae rubrae, spermatis ceti, ana, ʒ.j. boli armeni, terrae si∣gillatae, ana, ʒ.ss. radicum hyrun∣dinariae, ʒ.iij. fiat puluis subtilis Dos.ʒ.j. in some conuenient liquor.

  The oyle.

  • Rec. florum verbasci, m.j.fl. hype∣rici, m.iij. rad asclepiadis, m.ss. mu∣miae, ℥.j. ol. oliuarū recentis, li.ij. tere∣bintinae, li. j. vini. rub. optimi, li. iij. coquantur omnia per horas vij. post vase vitreato probe occluso maceren∣tur ad solem•• ad tempus, ac expri∣mantur. So haue you an oyle (sayth the aucthor) in this case, incomparable•• mor∣ning and euening it must be vsed.
• Causes & signes.
• Prog.
• Cure.
• a

  I cannot here, in silence ouerslippe, the vndoubted cure of a madde dogges byting, which Iulius Palmarius repor∣teth. Rec. foliorum rutae, verbenae, saluiae minoris, plantaginis, fol. po∣lypodij, absynthii vulgaris, mentae, artemisiae, melissophili, betonicae, hyperici, centaurii minoris, singu∣lorum aequale pondus. Gather them all about the middest of Iune, or (as the aucthor sayeth) about the full moone thereof, s••w•• them seuerally in papers, and drye them in the shadowe. Of euerie of these (in time of neede) take a like quantitie, powder them, and giue ʒ.ss. ether in a spoone, with double suger: or else in drinke, brothe, butter, or honie, euery daye, for three or foure dayes, or mo••, if it be longe after the byting, or the patient become nowe fearefull of wa∣ter. For this doth not onely preuent, but also cure that greeuous and fearefull ac∣cident, if moe then three fittes of it haue not passed, before this cure beginne. Excepte the wound•• bee giuen in the partes of the heade aboue the t••ethe, or else the wounded part immediately af∣ter the by••ing, b•• washt wi••h colde water. In the meane time, the wounded parte must be fomented twise, or thrise eueri•• daye, cum vino authydromelite, in quo suprapositi pulueris, ʒ.ss. so∣luta sit. After the fomentu••ion dressing it vppe, with your ordinarie wound vn∣guen••••s, or plasters.
• Diet.
• ••••••vvarde ••••dicines.
• Outvvard medicines.
• For the ••••••cidents.
• Def.
• Causes & signes.
• Cure.
• a

  Or this of Paracelsus m••st excel∣lent: Rec. cerae virgineae, ol vulnera∣rij nostri (which is one of them that fol∣lowe) ana, li.j.ss, lithargyri auri, li.j. plumbi loti, li.ss. coquantur ad ce∣rati consistentiam, dein adde, bdellij•• opoponacis, in aceto praeparatorum ana, ℥.j.ss. masticis, thuris, ana, ʒ.vj. myrrhae ℥.j. mumiae, ℥.ss. ••ernicis cum herbis parati (example whereof doeth followe) li ss. terebinthinae lotae, ℥iij. fiat emplastrum, worke it vp in rowles, your handes euer annoynted with vulnerarie oyle.

  Examples of his vulnerarie oyles.

  Rec olei, vel terebintinae, li.j. flo∣rum chamomillae, rosarum rub. pru∣nellae, ana, m.j. florum hyperici, m.iij. florum centaureae, chelidoniae, ana, m.ss. mixta omnia ponantur ad solem per duos menses: which per∣fourmeth great things in woundes, and that without paine. What remaineth of this oyle the yere following, may be stray∣ned from his olde flowers, and filled with newe, and set againe to digest in the Sun, so shall it become yet more excellent.

  Another.

  Recipe Ophioglossi, pirolae, agri∣moniae, saniculae, ana, m.j. florum hyperici, m.ij. rad. symphiti. m.ss. vermium terrestrium mundatorum, numero 100•• olei vel terebenthinae, qs. pro maceratione omnium, sistantur ad solem, ad tempus legitimum di∣gestionis. To these you may adde mu∣mia, thus, myrrha, mastiche, but not in great quantitie. Also, in Winte••, you may put into the same oyle, the seedes of those herbes brused, and set in some hote place to digest.

  Another.

  Rec. ol oliuarum li.ss. terebintinae ℥.iij. florum hyperici quantum suff. ad implendum, florum verbasci ter∣tiam partem ad flores hyperici, vini albi generos. sextarium vnum & se∣mis, decoquantur ad consumptionē vini: postea ad tempus legitimum in∣solentur.

  Preparation of Vernish.

  Rec. Fernicis quantum videbitur, herbis & floribus antea dictis explea∣tur, & digestioni solis exponatur.
• A plaster for preuen¦ting of ac∣cidents.
• b

  Paracelsus sheweth an excellent ma∣ner of making vulnerarie vnguents: an example whereof for the Readers vse, I haue here set downe: Recipe rad. sym∣phiti, li.j. ophioglossi vel saniculae, li. j.ss. aristoloch. rec.℥••iij•• florum hype∣rici, ℥.ij. vermium terr. mund•• li. ss. Contundantur in formam pulticulae, postea affunde vini, tantum vt pa••lu∣lum supernatet: boyle them in balneo mariae for tenne houres, then strayne them, and put to mellificij apum re∣centis, vel butyri maialis, li. iij. boyle them againe, as at first, after straine them out strongly, and set it in a vessell to the Sunne, ••ill it growe to a iust consi∣stence.
• c

  Admit this tollerable in small and simple woundes, yet in all great woundes, I auouch it verie hurtfull. For, after nature hath wrought her woorke of one dressing, shee straight desireth riddance of the excrements, made in that businesse, and newe nourishment of medicines, for her further proceedinge: wherein if na∣ture bee not aunswered, a double dam∣mage ensueth: as losse of time to the cu∣ring, and generation of an euill quali∣tie in the wounde, by the long putrify∣ing of the matter there. And this I take occasion to note here, leste any man by this place, shoulde confirme himselfe in an euil custome. If it bee demaunded, what time shoulde bee limitted to the or∣dinarie dressinges: I aunswere, twelue houres. Farre otherwise (I know••) is the custome of Barbours. But I write vn∣to the sonnes of arte.

  Here also, a worde or two, out of Pa∣racelsus, for the manner of vsing, and applying these medicines: First, he de∣uideth the whole time of the cure into three partes, called his three ligatures. The first parte, is the first eyght or nyne d••yes, in which the wounde is thus to be followed. Powre into the wounde, some of your vulnerarie oyle, balme, or vn∣guent, warme, and fill it vp with your lintie properties, wet therein, or rather, (as hee specially approoueth) with the flowers, and simples remaining in your vulnerarie oyle, aloft then applye your plaster, and rounde about the borders of the wounde, laye the same flowers and simples, or (if you had rather) clothes wet in oxyrrhodino: dressing it so euerie twelue houres.

  If the wounde bee a foyne or pricke, iniect of the oyle or balme, into the bot∣tome. If it bee in the h••••d•• laye first a linnen cloth, or linte, dipt in your oyle, or ba••me, (but no distilled balme) into the bottome of the wounde, and fill vp the same a••••er with flowers, beeinge warie of oppressing the membrans: alofte laye ••n your playster, as aforesayde•• and bind it vp•• Let your plaister be this aboue sayde: or else the Sticticum in the an∣notations of the sixt Chapter.

  The seconde ligature, which begin∣neth after those eight or nyne dayes, is thus accomplished, with a fether dipte in your balme, touche the wounde ouer, thereupon then applye your plaster: and thus continue vntill the ioyntes, nerues, or such like partes (which were bare) bee all couered with fleshe.

  Then proceede to the thirde ligatur••, which is done, by the onely application of the Sticticum plaster. This is his course in all great woundes, for the preuentinge of accidents. In small woundes there nee∣deth lesse curiositie.
• A plaster for preuen¦ting of ac∣cidents.
• a

  If from the beginning, the wounde be so dressed, as that first it be cleansed from the bottome, with iniection ex vino, myrrha & sale coctis, (the part so pla∣ced as that it may runne out againe) and then dressed vp with your vulnerarie oyl•• iniected, and Sticticum plaster alof•• ap∣plyed, with an ingenious bolstring and rouling. I•• this course (I say) be taken euerie dressing, from the beginninge, and na••ure not otherwise vexed by barbarou•• ••enting, verie seeldome shall such incision come in vse.
• Prog.
• Cure.
• a

  These are fit for children, or effaemi∣nate bodies.
• b

  These may you sort out, for bodies or parts of drier temperature.
• c

  And these last, for partes or bodies, farre more drie: wherein also must be ob∣serued, that the minerals bee first artifici∣ally prepared, by burning and washing. But if your balmes and plasters be right, what neede these newe deuises of incarna∣tiues, and I know not what? I will in no wise, be guiltie of these strayings.
• Canon̄s.
• Prog.
• Cure.
• Accidents
• Def.
• Cure.
• Causes & signes.
• a

  He meaneth, it is easily scanned out, by artificiall coniecture.
• Prog
• Cure.
• b

  Or with vs, small ale, or beere.
• Acciden••••
• c

  To wit, if the matter gathered haue made an abscesse: otherwise it were ab∣surde, that assoone as wee see an inflam∣mation, we should giue our mindes to sup∣purate the same.
• d

  If by pu••refaction, hee meane that thinne, slimie matter, that runneth from the sinewes, like the whites of egges, as Pareus Andraeus a Cruce, and others vnderstande it, then is this counsayle dan∣gerous: for this commeth not to passe, but the wounde is first depraued, eyther by the patientes intemperaunce, or the Chi∣rurgians medicines: in eyther of which, to vse cawsticke medicines is hurtfull, sith they remooue not the cause, but ex∣asperate the euill: If it be asked, what is to be doone in this case, I aunsweare, if the patientes gouernment be good, then remooue your medicines, for they are ey∣ther too hote or too relaxing and opening: and appease nature, by asswaging the payne and inflammation (which alwayes keepe companie with this accident) after that, your care is ended for this matter. For payne and inflammation, you haue instructions in the first Chap••er: as also for this matter yet more.
• Signes.
• Prog••
• a

  Or rather, because the cutte fibres, by their shrinking, doe euer cause stretching and tearing toward the whole fibres.
• Cure.
• b

  He hath this also from Calmeteus: who perem••orily appointeth it•• being per∣happs mooued by the auctoritie of Guido, and some others: but hee that well con∣sidereth the reason, of a conuulsion com∣ming of a nerue halfe cutte, will neither practise this himselfe, nor counsayle it to others.
• Causes.
• signes.
• Prog.
• C••re.
• Def.
• Causes & signes.
• Prog.
• Cure.
• a

  If this kinde of wounde bee ordered with the like medicines, and maner of ap∣plication, as is noted afore, in the chapter of a simple wounde, there shall neither bee neede of stitching, nor yet of running to these particulars: as is the manner of the olde writers: who certainely did it, for want of the vniuersall balmes, and me∣di••ines artificially contriued, for all parts. And in this note also I touch the most of the chapters going afore, as also woundes with gunneshot: which (the premisses well wayed) neede no particular tracta∣tion, saue for their burning: which I shall be occasioned to speake of, in the booke of vlcers.
• Causes & signes.
• Prog.
• Cure.
• Small ale o•• ••.
• Obserua∣tions.
• a

  I wish not the reader, for al these, to depart from his balmes & plasters before commended vnto him. vnto which, I will here adde another plaster of Paracelsus, cont••iuing, for whatsoever wound in the head, principally commended: Rec. cerae lythargyrij, ana, li j. calaminaris, colo∣phoniae, ana, ℥.ij.ss. ol. communis, li.j.ss. liquescant igne leui, cera, colopho∣nia & oleum simul, postea lithargyriū & calaminaris contusa, tritaque subti∣liter sensim inijciantur, ac decoquan∣tur ad iustam spissitudinē, haec gum∣mi postea imponantur, scilicet, opo∣ponacis, serapini, bdellij, ammoniaci, galbani, ana, ℥.j.ss. praeparatorum ta∣men: & ex aceto prius coctorum. post quam aliis admixta fuerint, addantur isti pulueres: Rec. corallorum alborū & rub. mumiae, myrrhae, thuris, an.℥.j. antimonij.℥.ss. croci martis, ʒij. his alijs permistis, partem adijce larignae masticis (I suppose he meaneth tere∣bentine, as ordinarily he adeth a litle ther¦of in the end of al his plasters) & so powre it forth, & worke it vp in your hand••, cū ol. hepericonis, & lumbricino, & ad∣ditione camphorae, ad.℥ss.
• a

  By this glutinatorie water, I suppose•• h•• meaneth the Epitheme, set downe in th•• Chapter of a simple wound, as may be well gathered by the Chapter of wounds in the lips, where againe, appointing this gluti∣natorie water, he referreth you to the Cha∣pter of a simple wund for the finding of i••. & there it must needes be the Epitheme.
• Prog.
• Cure.
• a

  Or medulla panis a furno calida, in vino albo infusa & saepe applica••a. Likewise for stroakes in the eyes, contu••∣de folia agrimoniae, & cum albo oui contere, and apply it.
• Prog.
• Cure.
• a

  Because many delight in powders, in these & other wounds of the face, for their speedie request of healing, I wil here out of Paracelsus set down one of ••hoyce accōpt: Rec. boli arm. veri, ℥.iij. dissoluatur in aqua aluminis.q.s. destilletur, dein a∣lia superfundatur aqua ac denuo elā∣bicetur, itereturque toties, donec bo∣lus in oleum degeneret, qui ad solem dein exiceatus, ac in pul. redactus, mi∣sc••atur cum thuris, ℥••j. coralli rub.ʒiiij. mumiae ʒ.ij. fiatque pul. sprinkle this into the wound twise a day, and lay a∣loft Emplastr. Sticticum.
• a

  Here is meant ouer curious applicati∣ons of bindings, according to the saying of Hyppochrates, cited also by the author, in the Chapter of woundes in the nose.
• Prog.
• Cure.
• For acci∣dents.
• Prog.
• Cure.
• Prog.
• Cure.
• Causes & ••ignes.
• a

  Woundes in the lunges are verie of••ten cured.
• Prog.
• Cure.
• b

  Arcaeus counsayleth, that your tent be of that kinde, that is called flammula (which is a long peece of fine cloth, cōuayde into the wounde endwayes) for that rownd tentes (in this case) dispose•• the wound•• to a fistula.
• c

  Or in steede of these, some vulnerarie oyle and plaster, as hath beene shewed be∣fore: and had need be noted in euerie chap∣ter: that it must needes appeare an vn∣worthie dealing, that is ordinarily com∣mitted by writers, in running (euer anon) to these particulers, as though the balmes and oyles set downe in their gen••rall tra∣ctation of woundes, must not be brought in vse in particuler members, and partes. Nowe I request the Reader to ease me of this labour in other places.
• d

  As this vulnerary decoction of Schy∣lander, appropriate to wounds of the brest: Rec. consolidae maioris, & mediae, saniculae, betonicae, ana, m••j ophio∣glossi, agrimoniae, ana, m.ss. ••habar∣bari, ℥.ss. mumiae sincerae, ʒ.ij. spermatis ceti, ʒ.j. decoquantur in vino, in vase duplici bene obturato. hereof giue the patient morning and eue∣ning ℥.j.ss. This doth not onely consoli∣date, but dissolue cluttered bloud likewise. Else this of Iosephus Quercetanus: Rs. succi verbenae, betonicae, veronicae, ana, ℥.ij. aquae cinnamomi, li. j. macerentur, and giue a spoonefull at a time.
• Causes & signes.
• Prog.
• Cure••
• a

  The manner of this stitche (in fewe wordes here passed ouer) I will plainelyer deliuer out of approoued practises. Take your first stitch through mirach and pe∣ritonaeum, on the other side pearse mi∣rach onely, so make your knotte. The se∣conde stitch beginne on the same side, but through mirach onely: and ouer against it, pearce both mirach and peritonaeum and knitte the endes togeather. Your thirde stitche (if you neede moe) make like the first, and your fourth like the se∣conde, &c. t••ll you haue sufficient for your purpose.
• b

  A wound drinke in these cases, is ve∣rie conuenient. As either the first of those, in the anno••ations of the chap. aforego∣ing, or this of Quercetanus: Rec: boli armeni, ℥.ss. consolidae ma. & mi. a∣na, m.j. galangae, ʒ.ij. macerentur in balneo cum vini q.s. giue thereof a sponefull morning and euening. If any•• principall part be hurt, there may be more speciall regarde hadde thereof, by adding some other speciall matter, for the com∣fort of it.
• Quer••. de part. c. 4.
• Prog. tr. 1. c. 17. Cure.
• Prog
• Cure.