This keyboarded and encoded edition of the work described above is co-owned by the institutions providing financial support to the Early English Books Online Text Creation Partnership. Searching, reading, printing, or downloading EEBO-TCP texts is reserved for the authorized users of these project partner institutions. Permission must be granted for subsequent distribution, in print or electronically, of this text, in whole or in part. Please contact project staff at eebotcp-info@umich.edu for further information or permissions.
XXXVI. The Callus being re∣moved by Cathereticks, or Incision, or Canteries, fill up the hollowness with Dossels armed with an astrin∣gent Pouder, and the white of an Egg, to keep the lips of the in∣cised parts asunder: for if you should endeavour an unition too
soon, the cavity may possibly still remain, and induce a Reci∣divation.
XXXVII. For which reason, it is necessary that with Incarnatives (not fat or greasy) you should en∣deavour to engender good and sound Flesh in the bottom: if it is fatty it will generate loose and spon∣gy Flesh, which will put you to more trouble.
XXXVIII. For this purpose you may make use of this. Take Syrup of dry'd red Roses, or Syrup of Myrtles, or some other Ʋulne∣rary and Sanative Syrup ℥iv. Pulvis Cephalicus ℥i. mix them.
XXXIX. In opening the Fistu∣la by Ligature, there is wont to be sometimes heat and Inflammation: in this case, it is usual to apply a Stuph of Tow dipt in austere Red-wine, and Oil of Roses to al∣lay the heat of the Part.
XL. And every day (whilst the Ligature is doing its work) after going to Stool, it may be drest: and if need requires, you may inject a Decoction of hull'd Bar∣ley with Quince or Fleawort∣seeds, and then apply some Lenient or Auodyn, as Ʋng. Populeon, Rosatum, &c.
XLI, It is also to be noted, that in opening it by Ligature, the third or fourth day, the knot is to be ty'd streighter: and so in twice or thrice tying the Liga∣ture, it will cut its way out: or when it is almost through, the remaming part may be cut with a pair of Probe Scissurs.
XLII. If you use the Cannula, you must first pass it up the Orifice of the Fistula, and place the end of it against your Finger, which (be∣ing first anointed with a little fresh Butter) you have put into the Intestinum Rectum; then ano∣ther holding the Cannula, you may pass your Needle thro' it into the Gut; and as it is brought out by your Finger there, slip off the Cannula, and hasten the Needle forwards on its way, till you have brought it out with the Ligature: then cutting off the Needle, make the knot upon a bit of Emplaster, to prevent the Ligatures cutting the oute side, tying it as strait as the Patient can bear it, and making the second knot with a bow, and place the ends thereof so, as it may not be fouled in going to Stool.
XLIII. If there are shrivell a Piles or Condylomata, &c. about the Verge of the Anus, cut them off at the same time, or before you make the Ligature or Inci∣sion, to prevent the Inflamma∣tion, they might be subject to from the pain, which may be caused by the Operation.
XLIV. If the Sinus runs deep under the Verge of the Anus, so that the Lips are like to lie high, to make as it were a Gutter; it will be best to take them down by application of a Caustick, for it will much hasten the Cure, and make the Cicatrice smooth.
XLV. But if the Fistula goes so deep inwardly that you cannot con∣venlently open it, neither by Liga∣ture, nor Incision, you must in this case, dilate the Fistula with a Fistula Tent, and the Sponge: then remove the Callus with some proper Catheretick, as the Fistula Trochisk; the Trochisk
being come out, and the Callus wasted away, deterge it with Mel Rosatum mixed with Aqua Calcis, &c.
XLVI. When it is well digested, and cleansed, and a good Pus comes forth, you must incarnate with some choice Sarcoticks, or with that at Sect. 38. above; which you must put into the Sinus up∣on Tents, which Tents you are day by day to shorten, till at last the whole Sinus of the Fi∣stula is closed; then cicatrize with Ʋng. de Minio, Empl. Al∣bum, &c.