Page 891
VII. This is an attendant upon an Inflammation, and is much to be feared, when the Phlegmon yields not to Discussives, or Sup∣puratives; for then the natural heat of the Part is suffocated, either thro' the great afflux of Humors, or application of To∣picks too Refrigerative, and Repercussive, which obstructed the motion of the Spirit into the Part.
VIII. It is known by the Gleet and change of Colour, it beginning to look livid; as also by the ab∣ating of the Tumor, &c.
IX. When you see these Sym∣ptoms coming on, you must imme∣diately scarify, not only till the Blood comes, but you must cut deep thro' the Escar to the quick, making it bleed freely, till the Part becomes sensible in its feeling; that thereby you may evacuate that which would suffocate the Natural Heat, and Vital Spirits.
X. Having thus made way for the enterance of your Medicaments, foment the Part with a good Lixi∣vium of Pot-ashes, mixed with Salt and Vinegar: Or you may make a Decoction of Worm∣wood, Southernwood, Centory, and Colocynthis in the said Lixivium.
XI. Bathe also all the places both above and below the Wound, or Mortification with Spirit of Wine Camphorated, and lay double Cloths dipt in the same over them.
XII. The Gaugren it self being fomented with the Lixivium, &c. wash the Scarifications, and ap∣ply to the Wound, Ʋng. Aegy∣ptiacum mixed with Venice Trea∣cle, dissolved in a little Wine Vinegar, adding also a little calcin'd Vitriol; and apply a Cataplasm made of the Flower or Meals of Orobus, of Lupins, of Beans, and of Barley, boiled up with some of the afore-mentioned Lixivium, adding at the end of the boiling a little Oxymel, either simple, or that of Squills, which is better.
XIII. If in making the Scari∣fication you should cut some Vessel, whereby there should be a flux of Blood, you must be wary not to choak the heat of the Part, by crouding in Dosils, for so the Gan∣gren may be increased: In this Case, the better way is to use the Actual Cautery, for thereby you not only stop the bleeding, but also resist the Putrefaction; af∣ter which, you must dress up the Wound, as if it was made by burning.
XIV. You must also be wary in this Work, that while you are ae Curing one Gangren, you make not another, by the too long use of sharp Medicines; therefore when the Ulcer grows warm, and it ceases gleeting, forbear their use, and then dress it with warm Dige∣stives, as Ʋng. Basilicon, with Oil of Turpentine hot; after Di∣gestion cleanse it with Abster∣sives, as Mundificativum ex Apio, &c. according as the removal of the Sloughs require, and then with Sarcoticks and Epuloticks compleat the Cure. See more hereof of lib. 3. cap. 11. and