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. LIV. Of the Symptoms which follow upon the contusion of the Heel.

* 1.1IT happeneth by the vehemencie of this contusion, that the veins and arteries do as it were vomit up blood both through the secret passages of their coats, as also by their ends or orifices, whence an Ecchymosis or blackness over all the heel, pain, swelling, and other the like ensue, which implore remedies and the Surgeons help, to wit, convenient diet,* 1.2 and drawing of bloud by opening a vein, (of which though Hippocrates makes no mention, yet it is here requisite by reason of the Feaver and inflammation) and if need re∣quire, purgation; principally such as may divert the matter by causing vomit; and lastly,

the application of local medicines, chiefly such as may soften and rarifie the skin under the heel, otherwise usually hard and thick (such as are fomentations of warm water and oil) so that divers times wee are forced to scarifie it with a lancet, shunning the quick flesh. For so at length the blood poured forth into the part, and there heaped up, is more easily atte∣nuated, and at length resolved. But these things must all bee performed before the inflam∣tion seiz upon the part, otherwise there will bee danger of a convulsion. For the blood,* 1.3 when it fall's out of the vessels, readily putrifie's, by reason the densitie of this part hinder's it from ventilation & dispersing to the adjacent parts. Hereto may bee added, that the large and great tendon wich cover's the heel, is endued with exquisite sens, and also the part it self is on every side spred over with many nervs. Besides also there is further danger of in∣flammation by lying upon the back and heel, as wee before admonished you in the Fracture of a leg. Therefore I would have the Surgeon to bee here most attentive and diligent to perform these things which wee have mentioned, left by inflammation a Gangrene and Mortification (for here the sanious flesh presently fall's uppon the bone) happen together with a continued and sharp Fever, with trembling, hicketting and raving. For the corrup∣tion of this part first by contagion assail's the next, and thence a Fever assail's the heart by the arteries pressed and growing hot by the putrid heat, and by the nervs and that great and notable tendon made by the concours of the three muscles of the calf of the leg,* 1.4 the mus∣cles, brain and stomach are evilly affected and drawn into consent, and so caus convulsions, raving and a deadly hicketting.

Notes

• * 1.1

  Why blood-letting necessa∣ry in the fra∣cture of a heel.
• * 1.2

  Hip. sect. 3. de fracturis.
• * 1.3

  Why the heel is subject to inflammation.
• * 1.4

  Gal. ad sent. 23. sect. 2. lib. de fract.