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. III. Of a DISLOCATION, with PAIN and INFLAMMATION.

I. IT is called in Greek, 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, & 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉. in Latin, Dislocatio cum Dolore ac Inflamma∣tione; vel Dislocatio Inflammata cum Dolore: and in English, a Dislocation with Pain and Inflam∣mation, or a Luxation Inflamed, accompanied with Pain.

II. If Pain and Inflammation seizes the Part before the Bone is reduc'd, you must take heed of ex∣tending the Part, or trying to re∣store the Luxated Joint, till the Pain and Inflammation are allay'd; lest by the distention of the Nerves a Convulsion, Gangrene, or some other dangerous Sym∣ptoms should be excited.

III. In this Case therefore, the Part is to be placed in a mean posture, which may be least pain∣ful, and then it is to be an∣ointed with this Emollient. ℞ Vng. de Althaea ʒii. Oils of Lillies, of Myrtles, and of Roses, A. ʒi. Hogs Lard ℥ss. mix them.

IV. Then you may apply this Discutient. ℞ Cumin and Fen∣nel seeds, A. ʒvi. Colophony, Frankincense, Mastich, Pitch, A. ℥i. Oil of Dil, Wax, A. q.s. mix, and make an Emplaster.

V. And Ʋniversals being pre∣mised, the Belly must be kept loose with Clysters: you may also con∣tinually pour on the Part warm Water, mix'd with Oil of Roses, before application of the for∣mer things.

VI. For the hot Water will discuss the Humors, loosen the Parts, and ease the Pain; and the Oil will mitigate the Inflam∣mation, hinder its increase, and repercuss.

VII. When the Inflammation ceases, the Humors will be some∣what thickned; for which cause sake, we must gently chafe the Part with our Hand, being first anointed with Oil of sweet Al∣monds.

VIII. Then lay on this Gata∣plasm. ℞ Ammoniacum ℥ii. which dissolve in Vinegar: Wax ℥jss. Hens Grease ℥i. Saffron ʒi. Oil of Roses, q.s. mix and make a Cataplasm: or you may apply Oxycroceum mollified with Oil of Roses.

IX. The Inflammation being overcome, let the Part be exten∣ded, and reduc'd; and proper things being apply'd to it, let it be bound up, and placed as it ought to be.

X. If the Inflammation succeed after Reduction, by reason of the violent Extension, and perpetual Pain, the Ligature must be un∣ty'd, tho' it fall out on the first or second day; and lukewarm-water mix'd with Oil of Roses, must be poured on the Part, till

the Sick finds some ease.

XI. Then the Part must be bound up somewhat loose, and with fewer Swaths, wet with Water and Oil; which is to be repeated every day, till the Inflammation declines, which happens for the most part on the fifth day.

XII. Then apply the afore de∣scribed Cataplasm, or Oxycroceum, to resolve the remainder of the In∣flammation, with a Ligature more loose: when the Inflammation is gone, you must pursue the re∣maining part of the Cure, as if it were a Simple Luxation.

XIII. In the mean season, a slender Diet must be ordred, and re∣vulsive means used, as Purging, Vomiting, Clysters, &c. ac∣cording to the Age and Strength of the Patient.

XIV. If after the Joint is re∣placed, there is an Itching, the binding must be loosned, and the place sprin•…•…ed with fair warm Water (Wiseman says, with salt Water) or with some astringent Decoction: that the cause of the Itching may be discust, and the Itch abated: otherwise we must forbear warm Water, lest the Ligaments should be relaxed.

XV. And to keep the Patient easy and quiet, a Dose of our Volatile or Specifick Landanum, may be given every night at Bed-time.