A Rupture of the Guts, is a falling down of the Guts out of their place.
'Tis called by the Greeks Kele, by the La∣tines otherwise, Ramix and Ruptura.
The SIGNS are a Tumor which somtimes encreaseth, somtimes decreaseth, according as a greater part of it it fals down, or is filled with wind or Excre∣ment, there is no pain, unless by chance the Excrements be fallen thither. The Patient being prest down or laid on his back the guts slide back into the belly, and that with a mur∣mur, &c.
The CAUSES are those things which can Relax or break the process derived from the Peritonaeurn, as shal be said in the Differ∣ences.
The CURE is not to be neglected, both because that thin and Nervous Membrane can∣not easily be united, and because somtimes the Patient his Guts being inflamed is brought into danger of his life, and the Guts inflamed do mortefie. It respects,
- 1. The Replacing of the Guts, which if they be swelled with wind, as the rumbling in the Guts and breaking of wind do declare, it must be done by discussives: if they swel with Excrements hardned, then both with Emollient Clysters and Cataplasmes and Fomentations. If with Flegmatick mat∣ter it must by little and little be emptyed by Clysters and suppositories, and be attenuated by internal incisive means: if there availe no∣thing, we must flie to Chirurgery (concer∣ning which consult with Authors.)
- 2. The re∣taining of them in their place; here are proper, Horse Tongue, which is most excellent, the pouder of Mouse-Eare given with meats, Through wax, Rupture wort. The Ashes of a sucking hare given to drink in red Wine. The Seed of Flix weed, the plant fern pouderd and given, each half a dram,
The Differences are taken from the Causes and places into which they fal.
1. One is from a Rupture of the Peritonae∣um, which is known by this, that a Tumor is suddainly raised, and also is quickly increased; the Gut fals down to the very bottome. It ariseth from violent Causes, fals, straining to cast forth the Child, or the Excrements of the Belly, holding of the breath, straining of the voice, wounds of the Peritonaeum, &c. In the Cure a Ligature being applied, shal be given inwardly one spoonful of the essence of the greater comfrey, with two drops of the bal∣some of Sal Gemmae. Outwardly must be applyed Villanovanus his Plaister of a Rams Skin. Mynsichtus Armam. p. 364. And the same Authors Ʋnguent against a Rupture. p. 352. The fat of a Hedg-Hog, concerning which see Hartman. If these do no good, seek for help from Chirurgery, (of which see Pla∣terus)
Another is from the Relaxation of the Pe∣ritonaeum, which is known by this, that the Tumor grows by little and little, and the Gut doth not descend to the very bottome. It ari∣seth both from the moisture of the Peritonae∣um, whence Children often fal into a rupture: and from those things which break it, if by de∣grees and often they assaile the Peritonaeum, though not so violently.
II. There is another called Oskeocele, when the Guts descend into the very God, 'tis known by seeing. Another Bubonocele, when they fal down no lower than the groin: This somtimes doth very much distend the Skin, and is stret∣ched out under it, and Causeth a great Tumor. Both of them is either Enterocele, when the Ileon Gut cheifly fal down, or Epiplocele, when some part of the Cal. See Geigerus in his Ke∣legraphy. Hither belongs Exomphalos or Omphalocele; when the Navel either Relaxt or broke struts forth somtimes the bigness of a nut, somtimes of an Apple; nay somtimes there is a Tumor raised like a Bag. If it be lately, first of al foment it with a Decoction of tree Mosse, self Heal, made in astringent Wine; after∣wards lay a Cataplasme of Plantane and Len∣tils. If it be Old, after the like Fomentations, tis Cured with the Oyntment of Mushrums, of Nuts outwardly applied with convenient liga∣ture, inwardly with the essence of the greater comfrey with the Arcanum of Sal Gemmae.