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.

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Title
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.
Author
Paré, Ambroise, 1510?-1590.
Publication
London :: printed by E: C: and are to be sold by John Clarke at Mercers Chappell in Cheapeside neare ye great Conduit,
1665.
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Subject terms
Medicine -- Early works to 1800.
Surgery -- Early works to 1800.
Anatomy -- Early works to 1800.
Link to this Item
http://name.umdl.umich.edu/A55895.0001.001
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"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." In the digital collection Early English Books Online 2. https://name.umdl.umich.edu/A55895.0001.001. University of Michigan Library Digital Collections. Accessed June 13, 2024.

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CHAP. XXVI. Why the bones become rotten, and by what signs it may be perceived.

* 1.1THat solution of Continuity which is in the bones, is called by Galen, Catagina. This usu∣ally is the cause of rottenness; for, bones that are grated, bruised, rent, perforated, bro∣ken, luxated, inflamed and despoiled of the flesh and skin, are easily corrupted; for dispoi∣led of their covering, they are altered by the appulse of the air, which they formerly never felt, whence also their blood and proper nourishment is dried up and exhausted.* 1.2 Besides also, the sa∣nies running down by reason of wounds and old ulcers, in process of time fastens it self into their substance, and putrefies by little and little: this putrefaction is encreased and caused by the too much use of oily and fatty medicines, as moist and suppurate things; for hence the ulcer becommeth more filthy and malign, the flesh of the neighbouring parts groweth hot, is turned into pus, which presently falling upon the bone lying under it, inflames it. Lastly, the bones are subject to the same

Page 479

diseases, as the flesh that lieth under them is; besides also according to Galen, the beginning of in∣flammation oftimes proceeds fom the bones; but they heat not; because,* 1.3 according to the opi∣nion of the ancients, pulsation is a dolorifick motion of the Arteries, but the bones want sense. Which verily I cannot deny, but also we must confess that the membrane that encompasseth them, and the arteries that enter into their bodie, are endued with most exquisite sense. Wherefore the arteries compressed and waxing hot by reason of the inflamed bone, cause a sense of pain in the periostium, so that the patients complain of a dull and deep pain, as it were sunk into the substance of the bones. The rottenness or corruption is oftimes manifest to the eie,* 1.4 as when the bone is laid bare, for then it varieth from the natural colour, and becomes livid, yellowish or black. Otherwise you may perceive it by touch, as by searching it with a probe, as when you meet with any inequa∣lity or toughness, or when but gently touching it, your probe runs into the substance of the bone as into rotten wood; for a bone is naturally hard, but being rotten, becomes soft.* 1.5 Yet hardness is not an infallible sign of a sound bone. For I have seen rotten and bared bones, to have sometimes grown so hard, by the appulse of the air, that a Trepan could not, without a strong endeavor, enter them. Also the rotteness of the bone is known by the condition of the filth which flows forth of the ulcer, for it is not only more thin and liquid, but also more stinking. Furthermore, such ul∣cers have a soft, loose and watery flesh; besides also, they are untoward and rebellious to sarcotick and epulotick medicines; to which if they chance to yield and be cicatrized, yet within a short while after, the scar will relent of its own accord, for that nature, destitute of the firm and sound foundation of the bones, cannot build up a laudable and constant flesh. Neither is it sufficient that the Surgeon know certainly that the bone is rotten and corrupt: it is furthermore fit he know, whether this corruption be superficiary, or pierce deep into the substance of the bone, that he may know how much of the bone must be scaled:* 1.6 For scaling is the only cure of that which is corrupt∣ed; now it is scaled by that which dries exceedingly, and draws forth all the humidity, aswell the excrementitious, the author of the rottenness, as the alimentary: For thus it remains without blood and nourishment, and consequently life also; whence it must of necessity scale or fall off, being de∣stitute of the glue or moisture which joined it to the sound parts in vicinity and communion of life, like as leavs which fall away from the trees, the humidity being exhausted, by which, as by glue, they adhered to the boughs.* 1.7 For this purpose Catagmatick pwders are prepared to amend the corruption which is only superficiary. ℞. pul. aloes, cretae combustae, pempholyges, an. ʒii ireos flor. aristoloch. rot. myrrh. cerussae, an. ʒi. pul. osteor. combust. ʒ ss. terantur subtiliss. fiat pulvis; let it be ap∣plied either alone by it self, or else with hony and a little aqua vitae Also the following emplaster being applied, stirs up nature to the exclusion of the broken bones, and cleanseth the ulcers from the more gross and viscid sanies. ℞. cer. nov. res. pini, gum. ammon. & elemi, an. ʒvi. tereb. ℥iii. pul.* 1.8 ma∣stich. mirrh. an. ℥ ss. aristol. rot. ireos flor. aloes, opopan euphorb. an. ʒi. olei rosati quantum sufficit, fiat emplast. secundum artem. Euphorbium, according to Dioscorides takes off the scales of bones in one day. Here∣to also conduceth Emp. de botonicâ. Or, ℞. olei caryophil. ℥ ss. camph. ʒii. misceantur simul in mortario, & utere. But if that part of the bone which is corrupt cannot thus be taken away, then must you use the scaling Trepans and Scrapers described formerly in wounds of the head; especially if any more great or solid bone be soul. Furthermore the here-described Trepan will be good to perfo∣rate the rotten bone in many places where it is corrupted, untill, as it were, a certain bloody moi∣sture issue forth at the holes; for thus it more freely enjoies the air, and also the force of the medi∣cines admitted by these holes work more powerfully.

[illustration]
A Trepan with two triangular bits and a pin to hold them in the stock; as also another Trepan having four-sqare and six square bits convenient to be used in the rottenness of greater bones.

Page 480

But it the rottenness be more deep, and the bone more hard, either by nature or accident, as by the occasion of the too long admission of the air, then the rotten scales shall be cut off by the in∣struments described in wounds of the head, driving them into the bone with leaden males, lest the part should be too much offended or shaken with the blow. The scales and fragments shall be taken forth with mullets;* 1.9 the signs that all the rottenness is taken away, are the solidness of the bone thereunder, and the bloudy moisture sweating out thereat.

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