The workes of that famous chirurgion Ambrose Parey translated out of Latin and compared with the French. by Tho: Johnson. Whereunto are added three tractates our of Adrianus Spigelius of the veines, arteries, & nerves, with large figures. Also a table of the bookes and chapters.

CHAP. III. Of the Parotides, that is, Certain swellings about the Ears.

* 1.1THe Parotis is a Tumor against Nature, affecting the Glandules and those parts seated be∣hind and about the Ears, which are called the Emunctories of the brain; for these because they are loose and spongy,* 1.2 are fit to receive the excrements thereof. Of these some are critical, the matter of the disease somewhat digested being sent thither by the force of Nature. O∣thers Symptomatical,* 1.3 the excrements of the Brain increased in quantity, or quality, rushing thi∣ther of their own accord. Such abscesses often have great inflammation joyned with them, because the biting humor which flows thither is more vitiated in quality than in quantity. Besides also, they often cause great pain, by reason of the distention of the parts indued with the most exquisite sense, as also by reason of a Nerve of the fifth Conjugation spread over these parts; as also of the neigh∣bouring membranes of the Brain, by which means the Patient is troubled with Head-ach, and all his face becomes swoln. Yet many times this kind of Tumor useth to be raised by a tough, viscous, and gross humor.

This Disease doth more grievously afflict young men than old;* 1.4 it commonly brings a Feaver and watching. It is difficult to be cured, especially, when it is caused by a gross, tough, and viscid humor, sent thither by the Crisis.

The cure must be performed by diet,* 1.5 which must be contrary to the quality of the humor in the temper and consistence of the meats. If the inflammation and redness be great, which indicate aboundance of bloud, Phlebotomy will be profitable, yea very necessary. But here we must not use the like judgment in application of local medicines, as we do in other tumors, as Galen ad∣monisheth us; that is, we must not use repercussives at the beginning, especially, if the abscess be critical; for so we should infringe or fore-slow the indeavours of Nature forcibly freeing it self from the morbifique matter. But we must much less repel, or drive it back, if the matter which hath flowed thither be venenate, for so the reflow thereof to the noble parts would prove mortal. Wherefore the Chirurgeon shall rather assist Nature in attracting and drawing forth that humor. Yet if the defluxion shall be so violent, if the pain so fierce, that thence there may be fear of watchings, and a Feaver, which may deject the powers; Galen thinks, it will be expedient with many resolving medicines to mix some repelling. Wherefore at the beginning let such a Cataplasm be applyed.

℞ Far. hord. & sem. lin. ana ℥ij, coquantur cum mulso aut dececto cham. addendo but. recen.* 1.6 & olei cham. ana. ℥ i, fiat cataplasma. And the following Oyntment will also be good.

℞ But. recen. ℥ ij, olei cham. & lilior. an. ℥ i, uuguen. de Althea ℥ ss, cerae parum: make an Oynt∣ment to be applyed with moist and greasie wooll, to mitigate the pain: also somewhat more strong discussing and resolving medicines will be profitable, as:

℞ Rad. Altheae & lryon. an. ℥ ij, fol. rutae, puleg. orig. an. m. i, flo. chamae m. melil. an. p. i,* 1.7 coquantur in hydromelite, pistentur, trajiciantur, addendo farin. faenugraec. orobi. an. ℥ i, pul. Ireos, cham. melilot. an. ℥ ij, olei aneth. rutac. an. ℥ i, fiat cataplasma. But if you determin to resolve it any more, you may use Emplastrum oxycroceum & Melilot-Plaister. If the humor doth there concrete and grow hard, you must betake you to the medicins which were prescribed in the Chapter of the Scirrhus; but if it tend to suppuration, you shall apply the following Medicine.

℞ Rad. liliorum & ceparum sub cineribus coct. an. ℥ iij, Vitell. ovor. num. ij, axung. suillae & unguent.* 1.8 bafilicon, an. ℥ i, fari. sem. lini ℥ i ss, fiat Cataplasma. But if the matter do so require, let the tumor be opened as we have formerly prescribed.

Notes

• * 1.1

  What it is.
• * 1.2

  The differen∣ces.
• * 1.3

  Their Signs and Symptoms.
• * 1.4

  Prognostick.
• * 1.5

  The cure. Lib 3. de comp. med. see. Loco•• Hip. aph. 21 lib. 1.
• * 1.6

  Gentle resol∣ving medi∣cines.
• * 1.7

  Stronger re∣solvers.
• * 1.8

  A ripening medicine.