quae tamen post magnam partem sublata, remanente solum levi duritie, rubore & dolore, vocatus deprehendo Herniam, non ventosam, ob defectum flatuum; nec simplicem aquosam, quia Scrotum nec lucidum, nec Aqua turgidum, nec Carnosum simplicem, ob dolorem, sed Herniam ex aquosa, carnosa, & varicosa conflatum: Aquosam quidem inculcat Tumor instar Ovi oblongus, cum Testiculi occultatione quoad tactum & visum: Accedit & hoc quod sinistro lateri aquosae Herniae sunt valde familiares, quod nempe Vena Spermatica sinistra oriatur ab emulgente; Car∣nosae Vulnus ad sinistrae natis partem superiorem vergens ansam dare potuit & cau∣sam; Generatur enim haec Hernia ex sanguine Testes & Scrotum obruente, ibi{que} in molem carneam mutato; cui affluxui Vulnus potuit, ut dixi, ansam dare, ut non solum in Principio statim Testiculi sinistri Inflammatio, sed & Dolor secutus fuerit: suppetias fert Sanguis adustus melancholicus a vitio lienis oriundus, Renis{que} sinistri debilitas: varicosam monstrat dolor, qui exacerbatur in distentione Vasorum Sperma∣ticorum, unde erectionem Penis cruciatus intensisimi comitantur: Omnia incassum Remedia, nam sequenti Mense moritur.
Aperto Corpore, Renum loco portionem pinguem quasi, Lienis vero loco Ovi Gallinacei quantitate nigrum frustum, sanguinis coagulati facie, inveniebamus: Cavitas (circa vesicam) Abdomenis, aqua erat repleta, ut & Scrotum circa sinistrum Testiculum potissimum, dextro longe minorem: Vasa Testiculorum varicum more consistebant; dextri Testiculi substantia spongiosa & putrida, Tunicae{que} adnata erat, in dextra Scroti parte Caro adiposa.
As to the Cure of an Hydrocele,
I conceive it proper to advise gentle Hy∣dragogues, and Diureticks, propounded in the Cure of a Dropsie; and af∣terwards Fomentations may be applied, made of discutient and emollient In∣gredients, viz. Bean-flower, Bay-berries, Flowers of Chamomel, Melilote, Elder, of the Seed of Faenugreek, Flax, wilde Carret, Caroways, the Leaves of Penniroial, Calaminth, Wormwood, Centaury the less, Rue, &c. of these Ingredients may be made Ointments, Cataplasms, &c.
And if the Tumor of the Scrotum cannot be discussed,
the Scrotum may be opened in the lower part, to let out the watry humours. Gulielmus Fa∣bricius telleth us, Cent. 4. Obs. 66. That John Grigton, a Chyrurgion, did e∣very Year make an Incision in the Scrotum of a Man, sixty Years old, and Cured the Ulcer, by cleansing, drying and consolidating Medicines, where∣upon the Patient lived long, and arrived to great Age by the Art and Care of this learned Chirurgeon.
Another Disease of the Scrotum is called by the Greeks 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉,
by the Latins, Hernia Ventosa, which is sometimes single, and other times is compli∣cated with a Hydrocele, and is produced by a flatulent matter, transmitted from the Abdomen, and neighbouring parts, by the Process of the Peritonae∣um, into the Cavity of the Scrotum, or by the Spermatick Vessels into the sub∣stance of the Testicles, whereupon their Body is puffed up and distended. This Distemper is more familiar to Children than to those of Riper Years.
This Disease may admit a Cure by gentle Purgatives, and by topick Applications of Fomentations, Ointments, Cataplasms, and Plaisters, made of emollient and discutient Ingredients, of which I have given an account in the Cure of the Hydrocele.
The Testicles are also liable to the Hydatides,
which are little Bladders full of Lympha, distending their tender thin Coats, and are seated principally in the second Membrane, called Dartus, lodged under the Bursa, or Cod. These Lymphaeducts, if overcharged with thin Liquor, are Lacerated, where∣upon the Cavity of the Scrotum is unnaturally swelled, which is one kind of Hydrocele, in which, as well as the other kind, the Apertion of the Scrotum