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. Of an Ulcer External.

I. WHAT the Greeks call 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉. and the Latins, Ʋlcus Penis, vel Virgae, we in English call, an Ʋlcer of the Yard.

II. The Causes. It may be caused either from external Vio∣lence, as Wounds, Bruises, &c. Or, application of Corrosive Medi∣caments; or, from the Poyson, Malignity, and Infection of the French Pox.

III. The Signs. It is known by sight, being a solution of Conti∣nuity with Putrefaction: If the Ulcer is sordid, foul, or putrid, it stinks much.

IV. The Kinds. It is either External, of which we speak here, or Internal, with Caruncles or Carnosities, which are fleshy Excrescencies.

V. The Prognosticks. If re∣cent they are easily Cured, if inve∣terate with more difficulty, espe∣cially if they are sordid, malign, virulent, or callous.

VI. If they proceed from the French Pox, they are much more difficult, and sometimes by ill Management degenerate into Gangrene or Sphacelus.

VII. The Cure. First inward∣ly take (to purge with) Pilulae Holagogae, or Our Pil. Cathar∣ticae, or Panchymagogae, or Our Family Pills: Or you may purge with Tinctura purgans, or Syrupus Catharticus, Electuarium Catharticum, or with Pulvis An∣timonii, or Pulvis Catharticus.

VIII. Then exhibit a Vulnerary Diet, or, if it proceeds from the French Pox, a Diet of Guajacum and Sarsa, whose use is to be con∣tinued for at least thirty days; for as much as these kinds of Ulcers are stubborn and rebelli∣ous, and oftentimes return a∣gain, or are otherwise apt to degenerate into a Cancerous Ul∣cer, and sometimes to Sphace∣late.

IX. Outwardly you must for some time apply Digestives, till they yield a good and laudable Quittor, after which they are to be cleansed with Mundificati∣vum Paracelsi, or Ʋnguentum Fuscum Wurtzii, or Ʋng. Nico∣tianae mixt with a little white or red Precipitate.

X. Then anoint with Ʋng. Mirabile, or Diapampholigos mix∣ed with a little white, Precipitate, or with this. ℞ Litharge ʒiv. burnt Lead, Oil of Roses, Quick∣silver, A. ʒiii. Tutia prepared ʒii. Aloes ʒiss. Pomgranate-peels ʒi. Load-stone, Saccharum Satur∣ni, A. ℈ii. Wax, q.s. mix, and make an Ointment.

XI. If this prevails not, by reason of the foulness of the Ʋlcer, you may use this. ℞ Rhenish Wine ℥vi. Plantane Water ℥iv. Spirit of Wine ℥i. burnt Alum ʒi. Verdigrise ʒss. mix, and boil a little; to which if the occasion yet require, you may add a lit∣tle Precipitate, or Mercurius dul∣cis levigated, or Powers of Mer∣cury ʒvi.

XII. Or you may wash with Our Aqua Regulata, or Aqua Ophthalmica, or which is better, and transcends all others, with the Water of the Griffin, for that these things very much hasten the Cure; and if the Ulcer has gotten within the Ʋrethra, they may be injected with a Syringe.

XIII. If the Ʋlcer is Cance∣rous, you may use this. Take Juice of Bramble tops, or Juice of the Fruit, Vinegar of Roses, A.℥ii. Juices of Housleek and of Night∣shade,

A. ℥iii. Aqua Vitae ℥iv. Malaga Wine, Oil of Roses, A.℥vi. Litharge of Gold ℥i. Frankin∣cense, Mastick, A. ℥ss. Verdi∣guise ʒiiss. Vitriol, Alum burnt, A. ʒiss. Camphir ʒi. pouder what are to be poudred, &c. and boil all together (except the Camphir) with a gentle Fire to the Consump∣tion of the Juices, then put in the Camphir, and with Wax q.s. make an Ointment.

XIV. If a Sphacelus attends the Part, the only Cure is by cut∣ting off, lest it creep inwards, and perforates either the Bladder or Perinaeum, and so kills the Pa∣tient. See more hereof in the Third Edition of Our Synopsis Medicinae, lib. 5. cap. 44.