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. XV. Of local medicines which may be used to a cold Gout.

LIttle do topick medicines avail,* 1.1 unless the body of the gouty patient shall be purged from excrementitious humors; besides also there is danger least by the use of repelling medi∣cines, the virulency of the humor may be driven into the entrails, which thing hath been the cause of sudden death to many. Now in the first place we will speak of locall

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medicines which are thought meet for a phlegmatick juice, because this is more frequent, then that which is from a hot cause. At the beginning in every Gout, the Sciatica excepted, we must use astringent things which have a faculty to binde or strengthen the joints, and to drie and waste the excrementitious humor.* 1.2 As, ℞. fol. sabimae m. ss. nucum cupressi ℥ iii. aluminis rech. ℥ i. gum. tra∣gacnathae ℥ iiii. mucilaginis psilii & cydon. quantum sufficit, fiat cataplasma. Or, ℞. sterceris bubu••i re∣centis lb. i. mellis ros. ℥ iiii. olei ros. & aceti an ℥ ii. bulliant simul parum, fiat cataplasma. Or else, ℞. o∣lei rosar. & myrtill. an. ℥ ii. pulveris myrrhae & alves an. ℥ i. acaciae ℥ ii. ss. inc••rporentur cum aquâ gal∣larum c••ctarum, & fiat unguentum. Some boil sage, camomile and melilote flowers, wormwood and dane-wort,* 1.3 of each a handful in a sufficient quantity of vinegar, then they put the grieved part into this decoction being warm; and by frequent useing this medicine, it hath been found to repel and consume the noxious humor, not only cold, but also cholerick; and also to st••en∣then the part. The fresh faces of Olives laid to the part, asswage pain: dried Oranges boiled in vinegar,* 1.4 beaten and applied, do the same. Or, ℞. medii corticis ulmi lb. ss caudae equin. stoechad, consolid. majoris, an. m. ss. aluminis roch. thuris an. ʒ iii farin. hordei ʒ v. lixivii com. quantum sufficit, fiat cataplasma ad formam pultis satis liquidae. Commonly then when as the part swelleth up, the pain is lessened, for that the expulsive faculty driveth the humor from the center into the circum∣ference of the part, that is, from within outward; for in like sort, such as have the tooth-ache have less pain when their cheeks begin to sweel.

After repercussives, we must come to those which evacuate the conteined humor by evacua∣ting or resolving it. For every defluxion of humors remaining in any part requires evacuation. Neither must we marvell thereat, if the digested humor doth not vanish at the first time; for we must have regard to the cold phlegm which is thick and viscid, as also of the part which is liga∣mentous,* 1.5 membranous and nervous, and consequently more dense then fleshie parts. ℞. rad Bry∣on. sigilli beat. Mariae an. ℥ iv. bulliant in lixivio, postea terantur, & colentur per setaceum, add••nd•• f••∣rin. hordei & fabarum an. ℥ i. olei chamaem. ℥ iii. fiat cataplasma. Or, ℞. hordei & lupin an. ℥ iii. sulphu∣ris vivi & salis com. an. ℥ i. mellis com. ℥ v. pul. aloes & myrrhae an. ℥ ss. aq. vit. ℥ i cum lixivis, fiat cata∣plasma. Or, ℞. succi calium rub. aceti b••ni, an ℥ iiii. farin. hordei ℥iss. pul. Hermodactyl. ʒ ss. vitellos ••••••∣rum nu. iii. olei chamam ℥ ii. creci ℈ii, some burn the roots and stalks of Coleworts, and mix the ashes with hogs grease and the powder of Orris, and so make a pultis. Or, ℞. Lactis vaccini lb. ii. micae panis albi quantum sufficit,* 1.6 bulliant simul, addend. pulveris subtilis florum chamam. & melil••ti an. m. ss. cr. ci ℈i. vitellos ovorum nu. iiii. ol. ros. ℥ iii. butyri recentis ℥ i. terebinth. ℥ ii. fiat cataplasma ad formam pultis satis liquidae. This Cataplasm may be applyed with good success, not only to phlegmatick and cold, but also to any gout, at any time to mitigate the extremity of the pain in men of any temper, and it must be changed twice or thrice a day. Also Triacle dissolved in wine, and anointed on the part, is said to asswage this pain. You may for the same purpose make and apply emplaisters, unguents, cerats, and liniments: This may be the form of an emplaster. ℞. gummi ammoniaci,* 1.7 bdelii, styracis, an, ℥ ii. cum aceto & aquâ vit. dissolve & adde farin. faenugr. ℥ ss. olei chamaem. & aneth. an. ℥ ii. cerae quantum sufficit, fiat emplasitum molle. Or, ℞. rad. bryon. sigill b••at Mariae. an. ℥ v. bulliant in lixivio complete, & colentur per setaceum, addendo olei cham. ℥ iiii. sevi••irci∣ni ℥ iiii. cerae nov. quantum sufficit, fiat emplastrum m••lle. Or, ℞. gum. ammon. opopanacis galbani. an. ʒ ii. dissolvantur in aceto, postea colentur, adde olei liliorum, terebinth. venet. an. ℥ i. picis navalis, & cer. n••v. quantam sufficit, fiat emplastrum molle. Or else, ℞. succi rad ••nul camp. & ebuli an. ℥ iii. rad. al••b lb. ss. coquantur & colentur per petaceum, addendo fl••rum cham. meli••. sam••••ci, reris••ar. & hyperici an. p. ii. nucum cupressi, nu. iiii. ol. cham aneth. hyper. liliorum, de spicà an. ʒ ii. pinguedinis anatis. gallin. anseris a••. ʒ ss. ra••as viridas vivas nu. vi. catellos duos nuper natos, bulliant omnia simul, in lb. ii. ss. vi••i odoriferi & unâ aquae vit. ad consumptionem succorum & vini, & ••ssium catellorum dissolutionem, & fortiter ex∣primantur; & expressionis adde terebinth. ℥ iii. cer. quantum sufficit, fiat emplastrum molle. Also, Emp. de vigo. Oxicroceum, de mucilaginibus, de meliloto and the like mixed together, and softned with a little oil or axungia, are of the like faculty, and good for the same purpose.

* 1.8Let this be the form of an ointment. ℞. anserem pingu••m, & imple catellis duobus, de quibus de•••• cutem, viscera, caput & pedes; item accipe ranas nu. x. colubros detracta cut•• in frusta dissectos nu. iv. mithridat. & theriac. an. ℥ ss. fol salvia, rorismar. thymi, rutae, an, m, ss. baccarum lauri, & juniperi, co••∣quassat. an. ℥ i. pulveris nuc. moschat. ziuzib. caryophil. & piper. an. ʒ i. de e•• qued stillabat fiat unguentum vel linimentum cum cerà & terebinth, veneta, pauca, aq. vitae addita; this marvellously asswageth the pain of the Gout ariseing from a cold cause. Another, ℞, gummi pini, & laudani, an. ℥ iv. gummi ••∣l••mi & picis naval. an. ℥ ss. terebinth. venet. clarae ʒ vi. chamaem, & liliorum an. ℥ vi. vini. rub. lb. i, ss. aq. vit. & salv. an. ʒ vi. dissolvantur omnia simul lento igne▪ baculo semper agitando, deinde adde pul. ireos. flor. baccarum lauri et hermodactyl. an ℥ ii ss. mastiches, myrrhae et olibani an. ℥ ii. farinae fabar. ℥ iv. incor∣porentur omnia simul, fiat unguentum molle. Or else, ℞. mucilag. seminis faenugr. in aceto extract. quantum volueris cui misce mellis quantum sufficit; let them be boiled together untill they acquire the con∣sistence of an ointment.* 1.9 These things shall be changed, as often as need shall seem to require. Al∣so an anodine and discussing fomentations are good to resolve; as this, ℞. fol. rutae, salv. rorismar. an. m i. bulliant cum aceto & vino; and so make a decoction for a fomentation, which you may use not only in a cold Gout, but also in a hot, because it resolveth and strengtheneth the part by as∣triction, and freeth it from the defluxion: you must have a care that the medicines which are u∣sed to pains of the Gout be changed now and then. For in this kinde of disease that remedy which did good a little before,* 1.10 and now availeth, will in a shott time become hurtful.

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But if the contumacy and excess of the pain be so great, that it will not yield to the described medicines; then it is fit, because the disease is extreme,* 1.11 to use (according to Hipp••crates coun∣sel) extreme, such as are those which follow. ℞. axungie gallinae, olei laurini mastic. & cuphorb. an. ℥ i. pulv. ••••phorb. & pyreth. an. ʒ i. fiat litus; herewith let the part be rubbed every day, for it is a very effectual medicine. For euphorbium and Pellitory by their heat attenuate and resolve, the ••apons grease and oil of baies relax, the oil of mastich strengtheneth the part and hindreth a new defluxion. Also there is made a very anodine ointment of oil of, Foxes, wherein earth-worms,* 1.12 the roots of elecampane and bryony have been boiled, with a little turpentine and wax; this softens, attenuates and resolves the cold humor impact in the joints. Or else ℞. seminis si••••pi pul∣vi••••rati, & aceto acerrimo dissoluti, ℥ iii. mellis anacardani ℥ ii. aqua vitae ℥ i. salis com. ʒ ii. let them be all mixed together, and applyed to the pained part. Or, ℞. picis nigrae, ℥ iii. terebinth, venetae ℥ i. sulphuris vivi subtiliter pulverisati ℥ iii. olei quantum sufficit, liquefiant simul, fiat emplastrum; let it be spread upon leather, and laid upon the part for two or three daies space, if the patient per∣ceive any ease thereby; if otherwise, let it be changed as we said before. Some for the same purpose apply nettles thereto, and presently after wash the part in the sea or salt-water.* 1.13 Others foment the part with vinegar wherein pigeons hath been boiled. A vesicatory made of very sower leaven, cantharides, and a little aqua vitae is very powerful to evacuate the conjunct matter. For thus the malign and virulent serum, or whayish humor is let out, whence follows some ease of the pain. Now there are some goutie pains, which cannot be lessened or asswaged unless by re∣medies more powerful then the distemper, therefore vesicatories ought not to be rejected, seeing that the Ancients in this affect have also made use of actual cauteries, as we shall shew hereafter. Chr••st••pher Andreas in his book termed Oec••itarie [that is, domestick physick] much commends Ox-dung wrapped in cabbage or vine-leavs, and roasted in the embers, and so applyed hot to the grieved part.