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. XXIII. What other remedies shall be used to Caruncles occasioned by the Lues Venerea.

* 1.1BUt if you suspect that these Caruncles come or are occasioned by a virulent humor, or the malignity of the Lues Venerea, it is meet that the patient observe such a diet as usually is pres••ribed to such as are troubled with the Lues Venerea; let him use a decoction of Gua∣icum, and let the perinaeum and the whole yard be anointed with ointment made for the Lues Ve∣nerea; otherwise the Surgeon will lose his labor. In the interim, whilst he shall sweat in his bed, he shall be wished to hold between his legs a stone-bottle filled with hot water, or else a hot brick wrapped in linnen cloaths, moistened in vinegar and aqua vitae; for thus the heat and vapor will ascend to the genitals, which, together with the help of the applied ointment, will dissolve the matter of the Caruncles,* 1.2 and being thus softned, they must be consumed with convenient medi∣cines. Wherefore first, if they become callous, or cicatrized (which you may suspect if they cast forth no excrementitious humidity) they shall be exasperated, excoriated and torn with a leaden Catheter having a rough button at the end like a round file. He shall so long use the Catheter put into the Ʋrethra, thrusting it up and down the same way so long and often as he shall think fit for the breaking and tearing the Caruncles, he shall permit them thus torn, to bleed freely, so to ease the affected part. You may also for the same purpose put into the Ʋrethra the Catheter mar∣ked with this letter B; whereinto putting a silver wier sharp at the upper end, that by often thrust∣ing it in and out it may wear and make plain the resisting Caruncles. Verily, by this means I have helped many much perplexed with the fearful danger of this disease. Some better like of the Ca∣theter marked with this letter A, being thus used: it is thrust into the Ʋrethra with the prominent cutting sides downwards, and then pressing the yard on the outside close with your hand to the Ca∣theter in the place where the Caruncles are, it is drawn forth again.

* 1.3The Caruncle thus torn shall be strowed over with the following powder, being very effectual to wast and consume all Caruncles of the privities without much pain. ℞. herb. sabin. in umbra exsicca••. ʒii. ocrae, antimon. tut. praeparat. an. ʒss. fiat pulv. subtilissimus, let it be applied in the follow∣ing manner. Put the powder into the pipe or Catheter having holes in the sides hereof, the which is the lower most of the last described; Then put the Catheter into the urinary passage untill the slit or openness of the side come to the Caruncle,* 1.4 then into the hollowness of the Catheter put a silver, wier, wrapped about the end with a little linnen rag, which as it is thrust up, will also thrust up the powder therewith, untill it shall come to the sl••t against the Caruncle, then will it adhere to the

caruncle, bloody, by reason of the said attrition. Then shall you draw forth the Catheter, first twining it about, that so it may not scrape of the powder again. If intolerable pain hereupon happen, it shall be asswaged, and the inflammation restrained by the following injection. ℞.* 1.5 succorum portulacae, plantag. solani, & sempervivi, an. ℥ss. album. ovorum, nu. vi. agitentur diu in mortario plum∣beo; let it bejected warm into the urethra with a syringe. In stead hereof you may also make use of another injection, which is formerly prescribed. Neither will it be unprofitable to apply reper∣cussives to the genitals, to hinder pain and inflammation. You may also use other medicines, ha∣ving a faculty to consume the Caruncle, amongst which these following are excellent. ℞.* 1.6 viridis aris, auripig menti, vitriol. Rom. aluminis roch. an. ℥ii. infundantur omnia in aceto ac••rrimo, atque inter duo marmora in pellinem redigantur: then let it be exposed to summers ••un, and dried, again infused in sharp vinegar, and then as before ground upon a marble, so that you finde nothing sharp with your fingers; lastly, let it be opposed to the sun untill it may be made into most subtil powder, and all the acrimony be vanished, which will be commonly in eight daies space. Then, ℞, ol. ro∣sat. ℥iv. lythargyr. ℥ii. coquantur ad ignem, quosque coierint in emplast. solidae consistentiae, ab igne tum semotis, adde pulv. predict. ℥ii. let them be mixed with a spatula, and put it upon the fire untill it come to so hard a consistence, that it will stick fast to a wax candle, or lead wier, so that it may not come off by handling with your hands. The Surgeons of Montpelier use this medicine: This following is another; ℞ tutiae praeparat ʒvi. antimonii, ʒiii. trochi••c. alborum, Rhas. camphorat.* 1.7 ʒi. corticis granati, aluminis usti, an. ʒiss. spongiae ustae, ℈ii. let them be all made into powder: then, ℞. ung. diapompholigos, & alb. Rhasis, an. ℥ii. misceantur cum praedictis pulveribus in mortario plumbeo, & diu agitentur: let a very fine rag be spread over with this ointment,* 1.8 and wrapped about a wax can∣dle, and so thrust into the Ʋrethra, and then draw forth the candle by twining it a contrary way; so let the end of the rag hang out of the yard, so to pluck it forth again, when as you shall think it hath done what it can to the Caruncle, which is, when it hath covered it with the medicine with which it was spread. Some also make wax candles with a slender, but ••••••st wick, whose end, which is to be put to wear and consume the Caruncle, is compo••ed of the following medicine. ℞. Emplastri nigri, vel dyathylouis ireati, ℥ii. pulv. sabinae, ocrae, vitriol Rom. calcin. pul. mer. an. ʒ ss. omnia liquescant simul ad dictum usum. Whilst the cure shall be in hand, by these following medi∣cines; Let the patient be careful that he so shake his yard after making water,* 1.9 that he may shake forth all the reliques of the urine which may chance to stop at the Caruncles; for if but one drop should stay there, it would be sufficient to spoil the whole operation of the applied medicines. Af∣ter that the Caruncle shall be worn away and wholly consumed by the described medicines,* 1.10 which you may know by the urine flowing forth freely, and in a full stream, and by thrusting up a Cathe∣ter into the bladder without any stoppage; then it remains that the ulcers be dried and cicatrized, for which purpose the following injection is very powerful and effectual, and without any acrimo∣ny. ℞. aq fabrorum, lb. ss. nuc. cupres gallar. cort. granat. an. ʒiss. alum. roch. ʒss.* 1.11 bulliant omnia simul secund. art. so make a decoction for an injection, which you shall use so long, untill no excrementi∣tious humidity distill out of the yard. The following powder dries more powerfully, and conse∣quently hastens forwards cicatrization, and it is also without acrimony. ℞. lapidem calamin, lotum, testas ovorum ustas corallum rubrum, corticem granat. comminue omnia in pollinem; let this powder be used to the ulcers, with a wax candle joined to some unguentum desiccativum rubrum, or some such like thing. Also strings or rods of lead thrust into the urethra as thick as the passage will suffer,* 1.12 e∣ven to the ulcers, being first besmeared with quicksilver, and kept in day and night as long as the patient can endure, are good to be used. For they dry by their touch and cicatrize, they dilate the urinary passage without pain, and lastly hinder the sides of the ulcers from corrupting one another.

[illustration]

Catheters fit to wear asunder, or tear Caruncles.

• A sheweth the Catheter with the inserted silver wier, but not hanging forth thereat.
• B sheweth the Catheter with the inserted silver wiar hanging forth at the end.

Notes

• * 1.1

  Particular de∣faults of the Lues Venerea not to be cu∣red unless by the general re∣medie of the virulency.
• * 1.2

  Caruncles, if callous, must first be softned.
• * 1.3

  A powder to wast Carun∣cles.
• * 1.4

  How to apply it.
• * 1.5

  An injection to hinder in∣flammation.
• * 1.6

  An Emplaster used by the Surgeons of Mountpelier for Caruncles.
• * 1.7

  Another Em∣plaster.
• * 1.8

  How to apply it.
• * 1.9

  A caution in making water.
• * 1.10

  Signs that the Caruncle is worn away.
• * 1.11

  An Epulotick injection.
• * 1.12

  Quick-silver by drying causeth cicatrization.