The idea of practical physick in twelve books ... / written in Latin by John Johnston ... ; and Englished by Nich. Culpeper, Gent. ... and W.R.

Article, V. Of the falling down of the Fundament, and of the wounds and Ʋicers of the Guts.

1. The falling down of the Fundament, is a hanging forth of the outer part of the right Gut.

There is no need of SIGNS. The CAUSES shall be spoke of in the Differ∣ences.

The CURE requireth.

• I. A putting up of the Fundament fallen down, which is performed gently with the Hand, premising a Fomentation of emollient and moistning things if it be swelled.
• II. The retaining of it being reduced to its place, either by astringent De∣coctions, or by pouders, of Frankincense, mastick, &c.

Inwardly is comended the De∣coction of the Root of wild self-heal being drunk. Outwardly the Ashes of beetles, of sheeps dung strowed upon the Gut.

The Differences are taken from the Causes.

• 1. Either it is from great straining, which is Either in forcing out the Excrements, and then the Belly must be kept loose, or in labour.
• 2. Or it is from a great irritation, which afflicts either in a dysentery or tenesmus, against which the Cure must be directed; or from the weakness of the Muscles, which are wont to draw back the Fundament thrust forth, after the emptying of the Belly; or by reason of the often falling down of the Fundament, or by reason of some cold, and then the Nerves must be strengthned and the cold distemper be cor∣rected.
• 3. Or from a Resolution either by reason of a contusion of the Nerves about the Region of the Os Sacrum or Rump bone, where things consolidating take place: or by reason of some Extraordinary refrigeration of them, of which we spake even now: or by reason of some impostumation or fistula ari∣sing about the sphincter Muscles.

II. The wounds of the Guts (I pass by the Perforations made by worms, wind, &c.) are either of the smal Guts, in which the meat and drink comes forth, Choler is cast up by vomi∣ting, there are great pains with a Feaver, and these because the Guts have a Nervous Coat, and ful of many Vessels, are by no means or very difficultly Cured. Or of the great Guts, in which the Excrement comes forth, the body is bound, the which if they be long waies, and smal, they are the easier Cured; if they be large and Crosse the Guts, the harder no; waies Cured if they become blackish. See their cure in Practitioners.

III. Concerning Ʋlcers we shal treat in a dysentery. Mortification is wont somtimes to follow a Rupture, the Iliack Passion, and an Inflamation: it happens also in wounds if the Guts falling out of the Belly, be alterd by the Aire, and become blackish.