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. V. By what means you may perform the third intention in curing Fractures and Dislocations, which is the hindring and correction of accidents and symptoms.

THat We may attain unto this third scope,* 1.1 it is requisite we handle as gently and without pain, as we may, the broken, or dislocated member; we drive away the defluxion ready to fall down upon the part, by medicins, repelling the humour, and strengthening the part; we, by appointing a good diet, hinder the begetting of ex∣crements in the body, and divert them by purging and phlebotomy: But if these accidents be already present, we must cure them, according to the kind and nature of each of them;* 1.2 for they are various: Amongst which is reckoned itching, which in the beginning torments the Patient: this ariseth from a collection and suppression of subacrid vapours, arising from the blood, and other humours under the skin: Whence a light biting, which causeth a sim∣ple itch, or else a more grievous and acrid one,* 1.3 from whence (in Galens opinion) proceeds a painfull itching. Wherefore such matter, as the cause, being evacuated, all itching ceaseth: But this cannot easily and freely be evacuated and breathed out, because the pores of the part are shut up, and as it were oppressed with the burden of the emplaisters, boulsters and ligatures, which are put about the part. Hereunto may be added, that the part it self doth not so per∣fectly perform and enjoy its wonted faculties and actions: by which it cometh to pass, that the heat thereof is more languid than may suffice to discuss the fuliginous matter there col∣lected. Wherefore it will be convenient to loose the ligatures every third day,* 1.4 that as by loosing their tyes, their sanious and fuliginous excrements, shut up under the skin, may freely pass forth, lest in continuance they should fret and ulcerate it; as it happens to most of those who provide not for it by loosing their ligatures. Besides also, the part must be long fomented with hot water alone, or else with a decoction, of sage, chamomil, roses, and melilot made in wine and water: for long fomenting attenuates and evacuates; but shorter fills and mollifies, as it is delivered by Hippocrates. Also gentle frictions, performed with your hand,* 1.5 or a warm lin∣nen cloth upwards, to the right side and left, and circularly to every side, are good. But if

the skin be already risen into blisters, they must be cut, lest the matter contained thereunder may corrode and ulcerate the skin: then must the skin be anointed with some cooling and drying medicin; as, ung. album Camphoratum Rhasis, Desiccativum rubrum, unguentum rosatum sine aceto; adding thereto the powder of a rotten poste, or prepared Tutia, or the like. Other accidents more grievous than these, do often happen, but we will treat of them hereafter: But if the scales of the bone underneath, be quite severed from the whole, then must they be presently taken forth, espe∣cially if they prick the muscles: but if the bone be broken into splinters, and so prominent out of the wounded flesh as that it cannot be restored into its seat, it must be cut off with your cut∣ting mallets, or Parrats beak, as occasion shall offer its self: In the interim you must have a care that the part enjoy perspiration, and by change of place and rising, now and then it may be as it were ventilated: also you must see that it be not over-burdened, neither too strait bound, otherwise it will be apt to inflammation. Thus much concerning fractures and dislo∣cations in generall: now we must descend to particulars, beginning with the fracture of the Nose.

Notes

• * 1.1

  Four choice means to hin∣der accidents.
• * 1.2

  The causes and differences of itching.
• * 1.3

  Ad. sen. 4. sect. 1. de fract.
• * 1.4

  Remedies a∣gainst the itch∣ing.
• * 1.5

  Hipp. sent. 46. sect. 3. de fract.