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I. THEY are called in Greek, 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉. in Latin, Vulnera Oris; and in English, Wounds of the Mouth.
II. We consider the Wounds of the Mouth in a threefold respect: 1. As they have respect to the Lips. 2. To the Gums or Jaws. 3. To the Tongue: of all which in order.
III. These VVounds are called in Greek, 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉.
and in Latin, Vulnera Labri: are either in the Skin only, or in the Musculous Parts, or in the Membrane also which covers the Mouth.
IV. If the Skin is only wounded, ordinary Astringents or Sty∣pticks will do the work alone: and the Cicatrice may be smoothed with the Spanish Bal∣sam, or Oil of Hypericon.
V. If the Musculous Parts be also wounded, then ordinary Stitching is to be made use of, and the application of such Medicaments as are for the con∣solidation of Wounds made in other parts of the Body.
VI. If the whole substance of the Lip is divided, and does gape, then such Wounds are to be drest as a Hare-lip, after that the edges of it are made raw.
VII. You must pierce each side of the divided Lip with a Needle or Pin, having on each side of it a thin, small Plate of Lead; thro' both which pieces of Lead, the Needle or Pin is to pass, and then the Thread is to be wound cross-wise about both ends of the Needle, &c. nipping off the point thereof with a pair of Steel Nippers well hardned.
VIII. The Stitch is to be taken somewhat deep, and about the middle of the Wound, that the lips thereof may be the more surely kept together: and the Leads keep the Needle or Pin from breaking thro' the edges of the Wound.
IX. If the VVound is large, there must be two ordinary Stitches more; one above the Needle or Pin, the other below it.
X. Authors say, the Needle may be taken out the fourth, fifth, or sixth day, as you see the congluti∣nation to be made: but in our time, they have been taken out the third day, and sometimes on the second: and if the Dry-suture be applied, it many times is taken away the very next day.
XI. Then for Consolidation some healing Balsam is to be applied; as Balsam of Peru, de Chili, Balm of Gilead, or Capivii, or some Artificial Balsam. In Win∣ter they may be used alone, but in Summer they may be mixed with the yolk of an Egg: or, Take Oleum Hyperici, Cyperus Turpentine, A. mix them.
XII. The Oleum Hispanicum described in Cap. 28. Sect. 37. aforegoing, mixed with Gum Elemi, orTurpentine è Chio, is an excellent thing, and causes speedy Agglutination: the parts being agglutinated, remove the Stitches, and induce the Cica∣trice by anointing the place with Mans, Bears, or Vipers Grease.
XIII. These VVounds are either of the Gums only, or of the Teeth and Jaw bones: and the Jaw-bones are either laid bare only, or broken: they are called in Greek, 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉. and in Latin, Vulnera Gingivarum.
XIV. If the Teeth be broken out, they are no more to be restored, unless in young Children: if only loosened by Blows, contusion of the Gums, or the like, they are fastened again by use of Astrin∣gents;
the chief of which is a Tincture of Catechu made in common Brandy, and mixed with Red-wine: or by holding Scurvigrass constantly for some time between the Gums and the Cheeks.
XV. If the Gums are wounded, there is commonly a great flux of Blood; this is stopt with Astrin∣gent Pouders, or with Tincture of Catechu, or Dr. Gardner's Styptick, than which there is no better thing yet known: and the Blood being stopt, the same Styptick which stopt the Blood, commonly performs the Cure.
XVI. If there is a Contusion, the Gums then for the most part Apostemate; then they are to be opened with a Lancet, or Inci∣sion-knife, and emptied of the Matter contained in them: af∣terwards, they are to be cleansed with Mel Rosarum mixed with Oxymel, and Red-Rose Water, and healed with this Gargle or Wash.
XVII. Take Red-rose-water, Smiths-forge-water filtred, A.℥iv. Honey of Roses, Syrup of Mulber∣ries, A. ℥jss. S.V. ℥ii. Roch Alum ʒii. mix, dissolve, and keep it for use.
XVIII. If the Jaw-bones are made bare, they ought to be scraped with a Raspatory, and strewed over with a Cephalick Pouder, and the Exfoliation hastned, if need requires: after which, you must Incarnate with Sarcotick Pou∣ders, and then with proper Stypticks induce the Cicatrice.
XIX. If the Jaw-bone is bro∣ken, or shattred, the pieces are to be taken forth, (if possible, at first Dressing) the broken parts are to be reposited, and the lips of the VVound to be brought as much as may be together; then to be drest with Agglutinative Pouders, and a Dossel dipt in astringent Wine to be laid over: also outwardly may be applied Emplastrum Catagmaticum, which is to be bound on, as the nature and disposition of the Part does require.
XX. They are called in Greek, 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉. in Latin, Vulnera Linguae; and in English, Wounds of the Tongue.
XXI. If a part of the Tongue is wholly cut off, it is no more to be reunited: but if the Part separated is yet conjoined, tho' by some small portion, it ought not to be cut off, unless you see it will not unite again, but be∣gins to mortify.
XXII. Such VVounds are cured with much difficulty; because neither dry-stitching nor bind∣ing up can be used, nor yet other Topical Means, as Em∣plasters, Balsams, &c.
XXIII. In such a case there∣fore Stitching with Needle and Thread is to be attempted: the Tongue is to be pulled out as far as may be, and so holden by the Hand in a Linnen Cloth; (if it may be) or with a hollow and rugged pair of Forceps armed also with Linnen Cloth; and so many deep Stitches are to be taken, as shall seem ne∣cessary to hold the parts united, cutting off the Thread near the knots.
XXIV. VVe advise to deep Stitches, lest they should break out again, and so make the trou∣ble the more, and the pain the greater: tho' we know that Celsus, lib. 5. cap. 26. says, that the less Flesh the Needle takes hold of, the less will be the Pain or Inflammation.
XXV. This done, you may use Astringents; such as Syrup of Myrtles, or of Red-roses mixt with Plantan or Red-rose-water, in which a little Alum has been dissolved: or Syrup of Quinces mixed with a Decoction of Vulnerary Herbs; and Saccha∣rum Rosatum may be mostly held in the Mouth.
XXVI. Sennertus, Med. Pract. lib. 1. part. 5. sect. 3. saith, Quia verò Emplastra adhiberi commodè non possunt, Linctus & Linimenta ex Syrupo de Rosis siccis, Melle∣rojato colato, Syrupis, vel simili∣bus adhibenda: and he prepares the following Decoction, with which the Mouth is often to be washed.
XXVII. Take bulled Barley M. i. boil it in fair Water 'till it breaks, adding towards the end of the boiling, Myrtle-leaves, tops of Hypericon, Plantan-leaves, Red-roses, A. M ss. Balaustians P.i. boil again and strain out, and dissolve therein a quantity of Honey of Roses.
XXVIII. If it should degene∣rate into an Ulcer, or an Ulcer should happen to the Fauces, you may gargle with this: Take Plantan, Horsetail, A. M.i. Roses, Balaustians, tops of Wormwood, of VVillow, A. P.i. hull'd Barley ℥i. Cypress-nuts, Lentils, Sumach, A. ʒiii. boil all in Water ten parts, mixed with Vinegar one part: then strain, and dissolve therein Honey of Roses, Wine of Pomgra∣nats, and Diamorum, A. ℥ii. mix, and make a Gargarism.
XXIX. Or, Take Plantan and Red-rose-water, A. ℥iii. Diamo∣rum, Honey of Purslan, A.ʒi. Quid∣dony of Currants, Honey of Rosis, A. ℥ss. mix, and make a Garga∣rism.
XXX. Lastly, let the Diet the Liquid things, Almond-milk •• Milk-pottage, yolks of Eggs, thick Milk, Broths, Gellies, strong Watergruel, Barley-Cream, Panada, and other things of like nature.