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.

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Title
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.
Author
Paré, Ambroise, 1510?-1590.
Publication
London :: printed by E: C: and are to be sold by John Clarke at Mercers Chappell in Cheapeside neare ye great Conduit,
1665.
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Subject terms
Medicine -- Early works to 1800.
Surgery -- Early works to 1800.
Anatomy -- Early works to 1800.
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http://name.umdl.umich.edu/A55895.0001.001
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"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." In the digital collection Early English Books Online 2. https://name.umdl.umich.edu/A55895.0001.001. University of Michigan Library Digital Collections. Accessed June 13, 2024.

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CHAP. XXV. The practice of the former precepts is declared, together with a memorable history of a certain Souldier, whose Arm was taken off at the Elbow.

I Think it fit to confirm by an example the prescribed method of curing a Gangrene and Mortification.* 1.1 Whilest I was Chirurgeon to the Marshall of Montejan at Turin a certain common souldier received a wound on his wrist with a musket-bullet; by which the bones and tendons being much broken, and the nervous bodies cruelly torn, there followed a Gan∣grene, and at length a mortification even to the Elbow; besides also an inflammation seised upon the middle part of his Chest, and there was as it were a certain disposition to a Gangrene; whereby it followed, that he was painfully and dangerously troubled with belchings, hicket∣ings, watchings, unquietnesse, and frequent swoundings, which occasioned many Chirur∣geons to leave him as desperate. But it so fell out, that I (orecome by his friends intreaty) undertook the cure of this wretched person, destitute of all humane help. Wherefore knowing the mortification by its signs, I cut off the arm by the Elbow as speedily as I could, making first the ligature, whereof I made mention; I say I took it off not with a saw,* 1.2 but only with an incision-knife, cutting in sunder the ligaments which held the bones toge∣ther, because the sphacell was not passed the joynt of the Elbow. Neither ought this section to be counted strange, which is made in a joint; for Hippocrates much commends it,* 1.3 and saith that it is easily healed; and that there is nothing to be feared therein besides swounding, by reason of the pain caused by cutting the common tendons and ligaments. But such incision being made, the former ligature could not hinder, but much blood must flow from thence, by reason of the large vessels that run that way; Wherefore I let the blood to flow plentifully, so to disburden the

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part, and so afterwards to free it from the danger and fear of inflammation and a Gangrene; then presently I stanched the blood with an hot Iron, for as yet I knew no other course. Then (gently loosing the ligature) I scarified that part of the brawn of the Arm which was gangrenated, with many and deep incisions, shunning and not touching the inner part, by reason of the multitude of the large vessels and Nerves which run that way; then I presently applyed a cautery to some of the incisions, both to stanch the bleeding, and draw forth the virulent sanies which remained in the part. And then I assailed and overcame the spreading putrefaction, by putting and applying the formerly prescribed medicins; I used all sorts of restrictive medicins, to stay the inflammation of the Chest; I also applyed Epithemaes to the region of the heart, and gave him cordiall potions and boles, neither did I desist from using them untill such time as his belching, hicketting and swoundings had left him. Whilst I more attentively intended these things, another mischief as∣sails my Patient; to wit, Convulsions, and that not through any fault of him or me, but by the naughtiness of the place wherein he lay, which was in a Barn every where full of chinks, and open on every side; and then also it was in the midst of Winter, raging with frost and snow and all sorts of cold; neither had he any fire or other thing necessary for preservation of life, to lessen these injuries of the air and place: Now his joints were contracted, his teeth set, and his mouth and face were drawn awry, when as I pitying his case made him to be carried into the neighbou∣ring Stable, which smoaked with much horse dung; and bringing in fire in two chafendishes, I pre∣sently anointed his neck and all the spine of his back, shunning the parts of the Chest, with lini∣ments formerly described for convulsions; then straight way I wrapped him in a warm linnen cloth,* 1.4 and buried him even to the neck in hot dung, putting a little fresh straw about him; when he had stayed there some three dayes, having at length a gentle scouring or flux of his belly, and plentiful shut, he begun by little and little to open his mouth and teeth, which before were set and close shut. Having got by this means some opportunity better to do my business, I opened his mouth as much as I pleased, by putting this following Instrument between his teeth.

[illustration]
A Dilater made for to open the mouth and teeth by the means of a Screw in the end thereof.

Now drawing out the Instrument I kept his mouth open by putting in a willow stick on each side thereof, that so I might the more easily feed him with meats soon made, as with Cows milk and rear egs, untill he had recovered power to eat, the convulsion having left him. He by this means freed from the Convulsion, I then again begun the cure of his arm, and with an actual cau∣tery seared the end of the bone, so to dry up the perpetual afflux of corrupt matter. It is not altoge∣ther unworthy of your knowledg, that he said, how that he was wondrously delighted by the ap∣plication of such actual cauteries, a certain tickling running the whole length of the arm by rea∣son of the gentle diffusion of the heat by the applying the caustick; which same thing I have ob∣served in many others; especially in such as lay upon the like occasion in the Hospital of Paris. After this cauterizing there fell away many and large scales of the bone, the freer appalse of the air than was fit making much thereto;* 1.5 besides when there was place for fomentation, with the decoction of red Rose leaves, Wormwood, Sage, Bay-leaves, flowers of Camomil, Melilote, Dill, I so comforted the part, that I also (at the same time by the same means) drew and took away the virulent Sanies, which firmly adhered to the flesh and bones. Lastly, it came to passe, that by Gods assistance, these means I used, and my careful diligence, he at length rocovered. Wherefore I would admonish the young Chirurgeon,* 1.6 that he never account any so desperate, as to give him for lost, content to have let him go with prognosticks; for as an ancient Doctor writes; that as in Nature, so in diseases there are also Monsters.

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