Ars chirurgica a compendium of the theory and practice of chirurgery in seven books ... shewing the names, causes, signs, differences, prognosticks, and various intentions of curing all kinds of chirurgick diseases ... : to which is added Pharmacopoeia chirurgica, or, The medical store, Latin and English ... / by William Salmon ...

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Title
Ars chirurgica a compendium of the theory and practice of chirurgery in seven books ... shewing the names, causes, signs, differences, prognosticks, and various intentions of curing all kinds of chirurgick diseases ... : to which is added Pharmacopoeia chirurgica, or, The medical store, Latin and English ... / by William Salmon ...
Author
Salmon, William, 1644-1713.
Publication
London : Printed for J. Dawks ... and sold by S. Sprint [and 6 others] ...,
M.DC.XCVIII [1698]
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Subject terms
Medicine -- 15th-18th centuries.
Link to this Item
http://name.umdl.umich.edu/A60561.0001.001
Cite this Item
"Ars chirurgica a compendium of the theory and practice of chirurgery in seven books ... shewing the names, causes, signs, differences, prognosticks, and various intentions of curing all kinds of chirurgick diseases ... : to which is added Pharmacopoeia chirurgica, or, The medical store, Latin and English ... / by William Salmon ..." In the digital collection Early English Books Online 2. https://name.umdl.umich.edu/A60561.0001.001. University of Michigan Library Digital Collections. Accessed October 31, 2024.

Pages

The Cure of BRONCHOCELE.

XVIII. Ʋniversals must be premised, as in the cure of Strumae; purging the Body with our Family Pills, Pilulae Catharticae, Pulvis Cornachinii, Tinctura pur∣gans, or an Infusion of Sena and Rhubarb.

XIX. Give also Clysters every other day, to make a more ef∣fectual Revulsion of the Humors from the Part affected.Broth, or Posset-drink lbi. Tincture of Colocynthis ℥jss. brown Sugar ℥iv. mix, for a Clyster.

XX. And in the intervals of Purging, give this following Pou∣der. ℞ Aethiops mineralis, Be∣zoar mineralis, native Cinnabar, A.ʒvi. Myrrh, Orrice root, Ze∣doary, A. ʒiv. Alum burnt, Bwax, Ens Veneris, Scammony, A. ʒii. Cloves, Long-pepper, Spicknard, A.ʒi. make all into a fine pouder, and mix them; to which add treble refined Sugar ℥v. Dose, ʒii. every Morning, when Purging is intermitted.

XXI. Outwardly apply over the Tumor a Plate of Lead, besmeared with Quick-silver; or, Empl. de Ranis, with treble Mercury; or, our Emplast. Mercuriale, Em∣plast. Diasulphuris Rulandi; or, Ceratum è Gummi Elemi, Ce∣ratum Spermatis Ceti, Ceratum ad Tophos, Emplast. Diachylon cum Gummis; or, Emplast. ad Strumam, which is inferior to no other: see them in Our Pharm. aforegoing.

XXII. These things, whil'st recent, may prevail: but if they do nothing, there is no other Re∣medy (as to Internals) but Sa∣livation; which yet let be care∣fully performed, for fear of Suffocation. If none of these things do, you must remove it by Section. See the following Example.

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XXIII. A Maid thirty years old, strong of Body, had one of these Tumors on the left side of her Neck, reaching from her Ear to the Aspera Arteria, and stretching over it upwards to the other side of the Neck; it was soft, and seemed to be full of Matter, but was without in∣flammation.

XXIV. A puncture was made into the body of it, which dis∣charged a stinking Serum, much like Horse-piss; the Tumor then sunk, and felt unequally hard, and it was drest up with a Pledget of Ʋng. Basilicon, and Empl. Diachalciteos.

XXV. The next day, taking off the dressings, the swelling was lank; a Caustick therefore was applied the length of two inches, about three fingers-bredth from the Ear: the Escar was opened, and a foul matter discharged; after which it was drest up with Dossels dipt in red Precipi∣tate, with Lenients over the Escar; and from that time, the falling off of the slough was hastned.

XXVI. After the separation of it, another sort of matter was protruded, not much unlike that of an Atheroma and Meliceris mixed together: with the Probe-Scissers it was laid open towards the Aspera Arteria, and with the Fingers several Vesiculae were pulled out, some con∣taining a foul Serum, others a gritty substance: also gobbets of Flesh came away, with which the basis of the Abscess seemed to be laid.

XXVII. Being thus cleansed, it was filled up with Dossels dipt in Precipitate, and the lips were kept open: this method of dressing was repeated every other day, and the strumous Excrescences were rubbed with the Vitriol-stone: the sinus contracted narrower within, but the Tumor being strumous, it would not heal whil'st any hollowness re∣mained, but filled up with that sort of Flesh, and raised a Tumor.

XXVIII. Whereupon a Caustick was applied, upon its upper part towards the Ear, and it was divided with a pair of Scissers, and the Sinus fill'd with red Pre∣cipitate, dressing the lips with Digestives. After the Escar was separated, the strumous flesh was eradicated with the Vitriol-stone and Precipitate, and cicatriz'd from the Ear downwards; but with some difficulty, the Basis proving false more than once, in one part or other.

XXIX. Some of this strumous Flesh rising among the Vessels, and uniting over them, made Sinus's so deep, that it was diffi∣cult to divide those, without danger of the Vessels: But no Cure being to be expected whil'st this remained, a Ligature was passed with a small Probe under the Fungus; and by deligation, and application of Precipitate, the Fungus was consumed, so that that the deepest Sinus was laid open.

XXX. This done, by applica∣tion of Epuloticks, a Cicatrice was induced upon them; and thus the Abscess was healed well near to the Aspera Arteria: after

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which, the other side was laid open, and by the same method, the matter was eradicated, and the Tumor cured, as the other before. Wiseman, lib. 4. cap. 4. Observ. 10.

XXXI. If the Tumor is con∣tained in a Cystis, whereby neither External applications, as Resolvers, nor yet Salivation will prevail, you must attempt the Cure by Section.

XXXII. Make an Apertion in a right line, observing the fibres of the Muscles, which being on the Neck, must be long-ways; taking heed that you hurt no Artery, Vein, or Nerve; (rather than to hurt any of those Vessels, you had better cut the fibres cross:) If the Tumor is great, you must make a double incision cross∣wise, taking heed as aforesaid, of the Vessels: then with your Fingers remove the Bag, which seldom or never sticks very fast to the Skin; and cutting off the little Artery by which it is fed, take heed, that not the least particle of the Bag may remain, lest it grow again; after which, heal it up as another Ulcer.

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