where-ever great Veins are.
VIII. Forestus, Observ. Chirurg. lib. 6. cap. 4. says, that if the Jugular Veins have a great Wound made in them, they hardly, and very seldom are cured, because of the great loss of Vital Spirits, and large effu∣sion of Blood; and because these Wounds will not admit of such sufficient Bandage, as is necessary for stopping the Blood.
IX. Fabricius Hildanus, Cent. 4. Obs. 2. proves this thing by an Example. When an Emperick cut out a Struma in the Neck of a Maid, which had inclosed the Jugular Vein and Recurrent Nerve, so great a flux of Blood followed, that the Maid died in the Operation.
X. From what has been said, it is manifest, that if the internal Jugular Veins and Soporal Ar∣teries are deeply and largely wounded, the Patient can scarcely escape Death. And the Reasons are, 1. Because the vehemency of the Flux is such, that the Patient for the most part dyes before the Chirurgeon can come at him. 2. Because no strait Ligature can be there applied, for so the Patient might also be strangled.
XI. The Cure. There are two chief Intentions of Cure. 1. To stop the Hemorrhage. 2. To agglutinate the Wound.
XII. The stoppage of the He∣morrhage is performed either by by deligation, or by application of Medicaments.
XIII. If by deligation, you must first lift up the Vessel which bleeds from the subjacent and and adjacent parts with a small Hook, made of Silver or Steel, then you are to bind them above and under the Wound strongly, and afterwards cut them asunder between the deli∣gations.
XIV. The Medicaments are either Astringent and Styptick, or Escarotick.
XV. An Astringent may be made after this manner. Take Mummy in fine pouder, Mans∣blood dried, pouder of Toads-flesh, A. ℥i. fine Aloes, Alum, Catechu, Dragons-blood, fine Bole, Ʋmber, A. ℥ss. Terra sigillata, fine pouder of Puff-balls, Mastich, Olibanum, Salt of Vitriol, A.ʒii. make all into a subtil pouder, and mix them.
XVI. A Styptick. Take Caput mortuum of Vitriol ℥ iii. Dr. Gardner's Styptick-salt ℥i. mix them, and apply it.
XVII. An Escarotick. Take fine Bole ℥ii. Vitriol calcin'd ℥i. burnt Alum ℥ss. red Precipitate ʒii. Calx vive ʒi. make each into a fine pouder, and mix them. Or this: Take of the Pouder at Sect. 15. ℥ii. Calx vive, Vitriol calcin'd, A. ℥i. Auripigmentum, burnt Alum, A. ℥ss. make all into a fine pouder, and mix them.
XVIII. Any of the aforegoing Pouders are to be mixed with the whites of Eggs, to the consistence of Honey, then the down of a Hare is to be added; which being made into Dossels, the Wound is to be filled with them: and above the Dossels, large Pled∣gets are to be applied, and about the Wound, armed in like manner with the same.