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. VII. Of a DISLOCATION with a CALLUS, or an OLD LƲXATION.

I. IT is called in Greek, 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉. in Latin, Luxatio vel Dislocatio cum Cal∣lo, vel Dislocatio Callosa; and in English, A Dislocation with a Callus.

II. This only happens in old Luxations or Dislocations, joined with a Wound or Fracture; from which Causes, before the Bone can be restored, there is a Cal∣lous hardness contracted about the Joint.

III. This is found mostly in those Joints which are not compassed a∣bout with much Flesh, as the El∣bow, Knee, and Legs: and it is either simply a Calious Flesh or Brawniness; or else it is as hard as a Stone.

IV. If it is a Callous Flesh on∣ly,

it is whilst it is young and new; for growing old, it becomes like to a Stone; and it is known by a Tumor about the Part, and the Medicaments previously ap∣plied, as also from the impossi∣bility of the Patients moving the Joint, tho' possibly the Ar∣tist may.

V. If it is of a stoney hardness, it is known, first from the driness and slenderness of the Joint: se∣condly, from the immobility of the Joint, so that neither the Pati∣ent nor the Artist can stir it. Thirdly, from the continued thin∣ness, slenderness, or Atrophia of the Part. Fourthly, from the long continuance of the Malady.

VI. The Prognosticks. If the Callus is soft, there is some possibi∣lity of Cure: but if the Callus is of a stoney or boney hardness, it is incurable.

VII. The Cure. First the Bo∣dy ought to be emptied of evil and gross Humors, by due Purging and Vomiting, and a regular and spa∣ring Diet is to be prescribed.

VIII. Then the Part is to be fomented with warm Water, or with Water and Oil; or rather, it is first to be bathed or anointed with Spiritus Mirabilis, which admirably softens any callous hardness or contractions, of the Muscles, Nerves or Tendons; and then afterwards foment with the Water and Oil as afore∣said, or some Emollient De∣coction.

IX. And this is to be done every day, twice a day, viz. Morning and Evening, till such time as you perceive apparently the callous Substance is resolved.

X. After bathing it with the Spiritus Mirabilis, and fomenting with the warm Water and Oil, or un Emollient Decoction, you may a∣noint with Ʋng. Dialthaeae, or with this Ointment: ℞ Pure golden-coloured Palm-Oil ℥iv. Oil of Aniseeds ʒvi. mix them, and anoint therewith.

XI. After the Anointing, you are to apply upon it this Cataplasm: ℞ Roots of Althaea, of Briony, of wild Cucumber, and of Sow-bread, A. ℥iii. Lilly-roots ℥ii. Leaves of Althaea, Mallows, ••ettice, A. M. j. Neats feet-Broth, q.s. boil, and pulp them thro' a Hair-sieve, and add to them meals of Fenugreek and Lin∣seed, A. ℥jss. Oil of sweet Al∣monds, Hogs-lard, A. q.s. mix, and make a Cataplasm.

XII. If the hardness is very great, add to it Gum Ammonia∣cum, or Galbanum dissolved in Vinegar ℥ii. yellow Palm-Oil ℥jss. Oil of Aniseeds ℥ss. mixing them well.

XIII. The Cataplasm having been used for some days, you may then apply Diachylon Simplex, or cum Gummi, or Empl. de Am∣moniaco cum Cicuta, or Galbano Crocatum Mynsichti, or Empl. de Ranis with Treble Mercury, or Our Emplastrum Mercuriale.

XIV. When the Part shall be sufficiently mollified, let it be cha∣fed for near half an Hour toge∣ther, with your Hand anointed with Oil of Roses, or rather with the Mixture of Palm-Oil and Oil of Aniseeds.

XV. And after chasing, lay on Digestives, or the Cataplasm in Cap. 3. Sect. 8. aforegoing; or

Oxycroceum malaxed with gol∣den-coloured Palm-Oil, or Mans, or Vipers Grease, or Goose Grease, Empl. de Betonica, or some of the aforenamed Empla∣sters.

XVI. Or you may use the Fumes of Vinegar being cast upon Lapis Pyrites, or Molaris, i. e. Mil∣stone, a piece of it being heated red fire-hot; or the Patient may bathe often in a Bituminous or Sulphureous Bath.

XVII. Lastly, When whatso∣ever was hard is mollified and dis∣cussed, the Joint is in convenient manner to be reduced to its place, and the rest of the Work is to be performed according to the general Method of Cure.