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. VI. Of a DISLOCATION with CONVƲLSIONS.

I. IT is called in Greek, 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉. in Latin, Dislocatio cum Spas∣mate; and in English, A Dislo∣cation with Convulsion.

II. Convulsions in this case, may happen either before Reducti∣on, or after Reduction: those be∣fore Reduction, forbid the pre∣sent reducing of the Bone: those after, shew that it ought to be put out of Joint again; or at least, that the Bandage be presently loosned.

III. The Prognosticks. If Convulsions accompany the Patient in this case, it is generally very dangerous; but before Reducti∣on, it is less dangerous than af∣ter it.

IV. If Convulsions come after it, the Bandage is presently to be loosned, because the Patient is in great hazard: if they cease not upon the loosening of the Ban∣dage, the Sick is in much dan∣ger; and the Bone is then to be put out of Joint again, or Death will in short time suc∣ceed.

V. The Cure. If the Convul∣sion is before Reduction; or if it is after, (the Joint being presently loosned) it is for a long time to be well wet, or embrocated with plenty of warm Water, mixed with Oil of Roses.

VI. The Parts adjacent are also to be bathed with S.V. Cam∣phorated, or with Powers of Am∣ber, or of Limons, Lavender, Rosemary, Marjoram, or Time; as also all the Back-bone, from the Cranium to the Rump-bone, and to be repeated at least twice a day.

VII. Inwardly you must give Sudorificks, as Spirit of Sal Ar∣moniack, Tinctura Cordialis, Tin∣ctura Opii, Tinct. Salis Tartari, Spiritus Cordialis, Spirit of Harts-horn Compound, Elixir Metallorum, Powers of Laven∣der, Limons, Rosemary, or Amber, or Salt of Amber, Lau∣danum Specificum.

VIII. Or you may give this Mixture: ℞ Elixir Metallorum ʒv. Powers of Limons, of Laven∣der, and of Rosemary, A. ʒiv. Powers of Pennyroyal, of Marjo∣ram, and of Time, A. ʒiii. Pow∣ers of Savin ʒii. Powers of Cloves ʒi. Spiritus Cordialis ℥vi. mix them. Dose, half a Spoonful in a Glass of Canary.

IX. Or: ℞ Tinctura Anti∣monii ʒiii. Tinctura Metallo∣rum ʒii. Tincture of Salt of Tar∣tar, Spirit of Sal Armoniack, A.

ʒi. Tinctura Opii ℈ii. Spiritus Cordialis ℥ii. mix them. Dose. 40 Drops, in a proper Vehicle.

X. And outwardly apply to the Soles of the Feet, Bricks warm∣ed very hot, and wrapt up in a Cloth, or rather the Warming-stone, which holds heat much better: and to the Sides Bags of Oats, or of Salt made very hot, by frying it dry in a Frying∣pan; that you may induce a powerful Sweating.

XI. For by these Means, the Joints grow equally hot, and Sym∣pathize together; and withal, the Heart is strengthned and comfor∣ted: which is yet farther pro∣moted, by giving now and then in the Sweat Spirit of Angelica, Bawm, or Mint a little dulcified and made pleasant, or Spiritus Cordialis alone by it self.

XII. After the Sweating is over, the beginnings of the Nerves, as Nape of the Neck, and all the Vertebrae down to the Hips, as also the Groins and Arm holes are to be bathed with the Medi∣caments mentioned at Sect. 6. above.

XIII. Or you may anoint with such Oils and Balsams as are powerful against Convulsions; a∣mong which we commend Bal∣samum Camphorae, Balsamum Sul∣phuris Rulandi, Elixir Antepilep∣ticum mixed with Balsam of Sulphur, Oils of Amber, of Ju∣niper, of Limons, and of Tur∣pentine, Oils of Mace, or Nut∣megs, by Expression: or some of these mixed together.

XIV. Some commend Balsam of Amber, Balsamum Nervinum Schroderi, Polychrestum Myn∣sichti, Apoplecticum Horstii, and Balsamum Sacrum, or Bal∣sam of Myrrh; which see in Our Pharm. Lond. lib. 4. cap. 4. Sect. 1, 5, 7, 27.