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 ...

CHAP. II. Of a SIMPLE DISLOCATION.

I. IT is called in Greek, 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉. in Latin, Dis-Dislocatio Simplex; and in Eng∣lish, A Simple Dislocation, or, Simply out of Joint.

II. The Signs and Prognosticks of a Dislocation or Luxation, you have in the former Chapter at large: but this as a Presage may be said, That if it is a Simple Dislocation or Luxation, it will be so much the sooner and easier cured.

III. We call that a Simple Dis∣location or Luxation, which is without Fracture, Wound, or Contusion, or any other ill Ac∣cident or Symptom.

IV. In a Simple Dislocation or Luxation therefore, consider the Place; and put the Sick into a fit posture, and then carefully extend it: as we have taught in the former Chapter.

V. Then with your Fingers or Hands, forcing the dislocated Bone the contrary way, carefully reduce it.

VI. And in young Persons, fo∣ment the Joint with some Astrin∣gent Decoction made in Red-wine; but in elder Persons, where the Joints are confirmed, and the Ligaments hard and firm, you may anoint with Oleum Catello∣rum, Oil of Earth-worms, or Oil of Hypericon.

VII. After which, you may lay over it Empl. Album, or Diachal∣citeos, Sticticum Paracelsi, or Emplast. Catagmaticum, a little softned with Oil of Roses Ompha∣cine; then rowling it up well with good Swaths or Bands.

VIII. But it will be better, if after anointing, for the first Day or two, you apply a Cataplasm of fine Bole, or of Catechu, mixt up with the white of an Egg.

IX. If there is a Tumor with∣al, anoint it well, either with the aforesaid Oils, or with Oil of Elder, or with this. ℞ Golden-coloured Palm-Oil ℥ i. Oils of Amber and Rosemary, A.℥jss. mix them, and anoint therewith.

X. Then apply a Cataplasm made of Oatmeal, Linseed, Milk, and Oil of Roses; so will the Tumor discuss: but if it is not of

above two or three days standing, by reducing the Bone, it will presently vanish of its own accord.

XI. If the Luxation is made by Congestion, it requires Emol∣lients, to resolve and discuss the Crude Humors affecting the Joints, Ligaments, and Tendons.

XII. For which Intention, you may apply this Cataplasm. ℞ Roots of Althaea ℥vi. roots of the wild Cucumber ℥iii. tops of Marjoram M ji. boil them in Broth made of Calves-feet; which done, bruise or beat them together; and add thereto pou∣ders of Fenugreek and Linseed, A. ℥i. Oil of Lillies, Man's, or Vipers Fat, A. q. mix, and make a Pultiss.

XIII. Also, you may apply Emplastr. Diachylon cum Gummi, de Mucilaginibus, de Ranis cum Mercurio, Mercuriale, &c. for so long time as you see conve∣nient, if the Fracture is great and hard.

XIV. The Matter being thus resolved, you may then go on to the reducing of the Luxation: and after you have restored it, you must apply such Medica∣ments to it, as may dry up all the superfluous Humidity, and corroborate the Joint: such as we have directed to in the for∣mer Chapter.

XV. And you must also have some extraordinary Bandage, to keep the Bone in its place: of which we have already dis∣coursed, and shall discourse more particularly hereafter in in the following Chapter of this Book.

XVI. If the Luxation is old, or of long standing, the former Emollient Cataplasm, and other like things may be used; after which you may use Digestives, such as Ceratum de Betonica, Em∣plastrum Sacrum, &c.

XVII. But before the applica∣tion of the Emplasters, you may immediately Foment with a De∣coction of Betony, Camomil, Hyssop, Origanum, and Stoechas, in Wine.

XVIII. And if the Humors are much, and hard to be discussed, you must use the Fumes of the Stone Pyritis, heated red-hot, and quenched in Vinegar, as Galen has sometimes advised: or a Fomentation made of Roots of Althaea, of wild Cucumber, of Bryony, and of pulp of Colocyn∣this, boiled in Wine.

XIX. These by their heat and driness, will discuss the Matter; and by an innate property, give relief to the Part.

XX. The luxated Limb may be put also into a Bath of hot Water, and held in the same for some time; for so it digests the Hu∣mors: which done, all the rest of the Work is to be performed as in recent Luxations, &c.