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 ...

I. The Cure of an Ulcer Gangrenated.

X. If it proceeds from Cold, bathe the Part in very cold, or almost frozen Water, so will the inward Heat be rouzed up, diffuse it self, and be brought again into play: and give inwardly Powers of Rosemary, Juniper, Limons or Sassafras, in a Glass of Canary: after which, you may give a Dose of Our New London-Treacle; then being in Bed, induce Sweat, by applying glass or stone Bottles to the sides, full of boiling-hot Water.

XI. Also let Warming-stones or Bricks be heated, and wrapped up in Napkins, and applied to the soles of the Feet: and if the Gangrene goes on, you must immediately scarify, and foment the Part

either with Lixivium of Pot-Ashes, or with Powers of Am∣ber, or camphorated S.V.

XII. If it proceeds from Suffo∣cation of the Natural Heat, ex∣hibit often volatil Sal Armoniack in a Glass of good Wine, let the place be scarified deep, and emptied by Cupping-glasses, and then Defensatives to be applied to the Part, to which add con∣venient Purging.

XIII. The Incision being made, the Part is to be washt with Brine, or Lixivium of Salt of Tartar, boiled with meal of Lupins, or Aloes; adding after boiling, a quarter-part of S.V. and a tenth part of Spirit of Sal Armoniack: when the Part is washt, lay on Ʋng. Aegyptiacum; which here is reputed to be the best of all other things, being a most effi∣cacious Remedy for taking away putridness, and separating the dead Flesh from the sound.

XIV. If the putridity be more than ordinary, use this. Take Syrup of Wormwood and Scordium lbi. Vinegar of Squills ℥vi. Verdi∣grise ℥iii. juices of Rue and Cen∣tory the less, A. ℥ii. Alum, Sal Armoniack, A. ℥ss. boil to a good thickness, then add of Treacle and Mithriddle, A. ℥ss. Camphir ʒi. mix them.

XV. Or this Water, which has been used with success. Take fresh Ʋrine lbii. Oil of Tartar per Deliquium lbss. Oak-buds, Centory the less, A. M. ss. Vitriol ℥i. boil to the Consumption of a third: then add S.V.℥iii. strain, and add S.V. ℥iii. in which Camphir ʒii. has been dissolved. All these things are to be applied blood warm, and continued 'till the Putri∣dity is removed.

XVI. If these things do not, you must proceed to Causticks; as the Princes Pouder, red Pre∣cipitate, Turbith-mineral, and such other like.

XVII. The Crust, in what way soever it is produced, must be taken away, as we have formerly taught; not waiting 'till Nature will do the work: but the highest part of the Crust is with the edge of a Pen-knife to be cut, even to the sound part, to make way for Medicines; lest waiting 'till it falls of its own accord, a new Putridity under the Crust should be contracted.

XVIII. If it be from Malignity or Poison, you must take care to defend the Heart; and expel the Poison by things Expulsive, Su∣dorisick, and Alexipharmick; as Medicins made of Angelica, Avens, Bawm, Carduus bened. Citron-juice, Dittany of Crèet, Lavender, Mint, Origanum, Pep∣per, Roses, Rosemary, Rue, Sorel, Wood-sorel, Scordium, Swallowort, Mithridate, Venice-Treacle, Our Theriaca Chymica; but principally with volatil Salts, as of Vipers, of Harts-horn, of Urine, and of Sal Armo∣niack, &c. by which procuring Sweat, the malignity will be driven forth, from the noble Members to the exterior Parts.

XIX. If the Poison sticks out∣wardly, you must apply strong At∣tractives, that it may not spread abroad: and if it is inward, the Matter is to be called forth by Scarifications on the Part affected, Cupping-glasses, &c. washing

the Part afterward with a De∣coction of Angelica, Centory the less, Dittany, Rue, Scordium, Southernwood, Swallowort, and Wormwood, made either in Wine, or Lixivium, or equal parts of both.

XX. Or, you may attract it, and consume it; by applying a Cataplasm of Garlick, Onions, &c. roasted, mixed with Leven, Tur∣pentine, and other strong drawers: or the Actual Cautery (which is the most effectual of all) may be applied.

XXI. The Gangrene being in a fair way of recovery, cleanse the Ʋlcer with Detersives; made of juice of Smallage and Honey of Roses, mixed (if need be) with a little Spirit of Wine.