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. XI. The other general remedies for the Gout.

* 1.1THe defluxion of serous humors is very fitly diverted from the joints by the urine, by the use of diu etick medicines. Therefore the roots of sorrel, parslie, ruscus asparagus, and grass, and the like, shall be boiled in broth, and given to such as have the Gout: for when the urine sloweth much and thick,* 1.2 the pain is lessened. Many have found benefit by issues; for the Attritick malignity flows forth of these, as by rivilets; experience shews it in such as are troubled with the Lues Venerea, for in those that you cannot overcome the malignity by the pro∣per antidote, that is, Quick-silver, they feel no greater ease of the pain, then by application of causticks, and making of issues. They shall be made in sundry places, according to the difference of the pained joints,* 1.3 to wit, in the beginning of the neck, if the defluxion proceed from the brain, and fall into the joints of the collar-bones or shoulder; if into the elbow or hand, under the muscle E••omis; if into the hip, knees and feet, some three fingers breadth under the knee, on the in-side: for thus there will follow more plentiful evacuation, by reason that the Sapheia run∣neth down that way.* 1.4 Yet if the patient be troubled with much business, and must travel much on hors-back, then shall they be made on the out-side of the leg, between the two bones there∣of, that so they may trouble him the less in riding. If any had rather use an actual cauterie, let him take such an one as is triangular and sharp, that so he may with more speed and less pain per∣form that which he intends, and let him thrust it through a plate of iron which hath an hole there∣in, and let the plate be marked, least he should err; the ulcer shall be kept open, by putting in a pill of gold, silver, lint, or the root of orris, hermodactiles, gentian, wax, wherewith some pow∣der of vitriol, mercury or alum shall be incorporated, least it should fill up with flesh sooner then the Physician shal I think fit. In the mean space, the head, oft-times the original of the evil shall be evacuated by taking in the winter the pills cochiae, and de Assajereth: but in summer fine q••ibu••,

or Imperiales, before the full of the Moon. ℞. pul. hyerae simp. ʒi. agar. recent. troch. & rhei an. ʒii.* 1.5 myrobal. chebul. ʒ ss. tamarind. ℈ii. cum infusione senae, fiat massa de quâ formentur pill. vi. pro drachmâ; set the patient take two before supper every eighth day; the day after he shall drink some broth of the decoction of cicers, and the diutetick roots. Also these following pills will be good to purge the phlegmatick and serous humor. ℞. pillular. foetid. & de hermodactil. an ʒ ss, formentur cum succo v••il syrup. r••sar. solut. Or else ℞. aloes ʒiii. agarici tr••chis. & rhei, an. ʒi. massae pilul arthrit. & de hermo∣••••ct. an. ℈ii. diacrid. ℈; cum melle rosato fiat massa, capiat pondus, ʒi. as the Physician shall think fit, by whose advice these shall be used and changed as occasion shall offer it self, and the nature of the humor causing the disease. The day after the purging, the patient shall take three hours before meat half a dram of treacle, to strengthen the entrails: pils are preferred before liquid medicines,* 1.6 for that by their too long staie in the stomach they easily attract the noxious humor from the brain, and the other more distant parts. I have known some Physicians, who mixing with ordinary pils a good quantity of scamony, as seven or eight grains, with a little ginger, least it should hurt the stomach, have purged by stool a great quantity of serous humors; the day following they gave barly cream to correct the harm which the scamony may have done to the stomach.* 1.7 Others for the same pur∣pose give treacle, which doth not only strengthen the entrails, but also weakens the virulency of the gouty malignity; the orifice of the ventricle must be shut after meat, that so the vapors asscen∣ding to the brain may be restrained: for this purpose common drige-powder, marmelate, or con∣serve of roses are good. In a wet season use cephalick perfumes thus made: ℞. thuris vernicis,* 1.8 & mastich. an. ʒi. granorum juniperi, baccarum lauri, an. ʒ ss. ligni aloes ʒii. assae odoratae ʒi. ss. Let them be grosly beaten; let the fume be received in tow, or carded cotton, and so applied to the head. Al∣so the excrementitious humors shall be dried up by the following powder strowed on the patients head for fifteen daies. ℞. fol. ros. rub. senae. staechad. utriusque an. m. ss. milii, ℥iiii. furfuris loti in vino all••, ℥iii. florum chaoem milil. an. p.i. sem aisi; ℥i. salis com. ℥ii fiat omnium pulvis. Let it be put into linnen bags, with which being warmed at the fire in a frying-pan, and kept with stirring,* 1.9 the head shall be rubbed. Let the following medicine be chawed, and kept in the mouth in the form of a ma∣sticatory, in the time of the falling down of the defluxion. ℞. cubebarum, nucis moschat.* 1.10 glycerrhiz anis. an. ʒi. pyrethri, ʒii. mastich. rad. staphisarg eryngii. an. ʒii. Let them all be made into powder, and mixed together, and tied up in a little tastatie to the bigness of a hasel-nut, and let them be row∣led up and down the mouth with the tongue to cause spitting or salivation. Working with the hands, and frictions of the arms, especially in the morning after the evacuation of the excrements, are good for such as are troubled with the Gout in the feet, for so, it not only causeth revulsion from the feet, but also the resolution of that which is unprofitable.

Notes

• * 1.1

  How diure∣ticks are good for the Gou••.
• * 1.2

  Issues or fon∣tane••s.
• * 1.3

  Where to be made.
• * 1.4

  An actual cau∣tery.
• * 1.5

  Pils.
• * 1.6

  Common pils with the addi∣tion of scamo∣ny.
• * 1.7

  Treacle, how useful in the Gout.
• * 1.8

  Cephalick fu∣migations.
• * 1.9

  Cephalick bags.
• * 1.10

  A masticatory.