Chirurgorum comes, or, The whole practice of chirurgery begun by the learned Dr. Read ; continued and completed by a Member of the College of physicians in London.

CHAP. VIII.

Of curing a Fracture with a Wound, wherein neither the Bone is made bare, nor the coming away of any piece of Bone is expected.

IN a Fracture with a Wound, either the Bone is made bare, or not made bare: Besides, we either look for a piece of Bone to come away, or we do not. We will first treat of a Fracture, where∣in neither the Bone is made bare, nor we do expect any piece of Bone to come away. In this case we must mind the Intentions of the Wound, and of the Fracture one after the other.

First of all the Bones must be put together by extension, as we shewed before in the first indicati∣on of Fractures.

Then we must answer the Second and Third Intention of Wounds, i. e. the Lips of the Wound must be closed, and then they must be kept close.

Afterwards we mind the Third Intention of a Fracture, and the Fourth of a Wound, i. e. we pre∣serve the substance of the fractu∣red and the wounded part found, by applying Medicaments to the Wound closed, and the Fracture set, which may asswage Pain, if there be any, and prevent Inflam∣mation, i. e. which may repell the influent Matter, and may dry up what is gathered there already, and press out of the part; such as are astringents and glutinatives. Of which formerly. If there be Pain, and in Winter time, we must use Ceratum picatum: which ac∣cording to Hippocrates asswages pain; In Summer we must use Ce∣ratum; at other times, Ceratum simplex. If there be no pain, we must most endeavour the strength∣ening of the Fracture, and pre∣venting an Inflammation. There∣fore we must apply combed Flax,

wet in the Whites of Eggs, or a Linen Cloth wrung out of black Wine, and Oil of Roses. If the part be void of pain, we may use the foresaid astringent Powders, mixt with the white of an Egg.

Then we must satisfy another Intention of a Fracture, i. e. the Fracture must be rolled, as we shewed before. But here we must observe, that the Rollers must be softer and broader than in a Fra∣cture without a Wound, that they may reach over the edges of the Wounds on each side, and so may close, not press the edges of ••he Wound. The Rollers also are not to be drawn so hard, as if there were no. Wound, lest by squeezing the Wound, Pain and Inflammation should arise. Where∣fore Hippocrates and Ceis••s vse ma∣ny circumvolutions; since it is better to turn often about, than to bind hard. The band 〈◊〉〈◊〉 must be unbound every thi•••• 〈◊〉〈◊〉, and must be bound loose, as long as there is fear of Inflammation. Splints must either not be used, lest they should press the Wound; or if they be applied, they must not be laid upon the Wound. In this case Celsus his bandage, which is made with six Rollers, is most proper.