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CHAP. III. How we must handle Contusions, when they are joyned with a Wound.
EVery great Contusion forthwith requires Bloud-letting, or purging, or both; and these either for evacuation, or revulsion. For thus Hippocrates in a contusion of the heel,* 1.1 gives a vomitory portion, the same day, or else the next day after the heel is broken. And then if the Contusion have a wound associating it, the defluxion must be strayed at the be∣ginning with an Ointment made of Bole-Armenick, the white of Eggs, and Oyl of Roses, and Myrtles, with the powders of red-Roses, Alome, and Mastich. At the second dressing apply a di∣gestive made of the yolk of an Egg, Oyl of Violets and Turpentine.* 1.2 This following Cataplasm shall be applyed to the near parts to help forwards suppuration. ℞. rad. althaeae, & lilii, an. ℥ iiij. sal. mal••. violar. senecionis, an. M. ss. coquantur complete, & passentur per setaceum, addendo butyri recen∣tis & olei viol. an. ℥ iij. farinae volatilis quant. sufficit; fiat cataplasma ad formam pultis liquidae.* 1.3 Yet have a care in using of Cataplasms, that you do not too much exceed; for too frequent and immo∣derate use of them makes wounds phlegmonous, sordid, and putrid. Wherefore, the wound, after it is come to suppuration, must be clensed, filled with flesh and cicatrized; unless happily the con∣tused flesh shall be very much torn, so that the native heat forsake it, for then it must be cut away. But if there be any hope to agglutinate it, let it be sowed,* 1.4 and other things performed according to Art; but the stitches must not be made so close together, as when the wound is simple, and without contusion; for such wounds are easily inflamed and swell up, which would occasion either the breaking of the thred or flesh, or tearing of the skin.