Book Vor

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changed, provided that the Wound: be not | bindings ip) are cured of their ownaccord, uncovered. and by the ftrengch of Nacure. But’ onthe Seventhly, For this caufe likewife the | contrary , they’ themfelves acknowledge:
3 f
Swaths and coverings of the Wound {eem to | (and of neceflity ic muft be confefled) that require often changing,that fo the hurtful Ex- jehete are many wounds inthe curing of whieh halations that are bred in the Wound ntay | there are fo many obftacles and hinderances pafsforth; in regard chac being kept fhutin|in Natures way, thatifthey be hor removed they difaffect the wounded parr, and alter!by the Phyfician, Nature will never be able the remperament thereof. | of her felf counite the wound, and therefore
Anfoer. But unto this alfo Magatus an- chat fimple provifion is not fufficient in thofe fwereth that there is no neceflity that che;Wounds. And they lkewife altogether wounded part fhould have fo many and 'granc and allow of an opening of the Wound, fuch Linen Clothes put upon it, neither tif there be any ching co be done therein thac that it fhouid be fo clofe and ftridly bound ‘cannot be performed without a Manual oper- up, buc char the offeniive vapors might ex- ‘ation; and if there be any neceflary Mediea- hale, andnot be fuprefied. Andthac if the iment to be impoted, and chat chere be danger ys hath a paflage forth, much more then jin the omiffion thereof, which they’ etanc may the Vaporous Excrements be {cattered, | ought inftancly to be remedied, and preven- and find a paffage forth: and that thould/red allthat mzy be. For if (as Septalius they be ftil kepe in, yer they never bring fo | puts thefe cafes) the body be Cacochyimical, much hure and damage as cometh by the for that fome one or other of the greater Vef- uncovering of rhe wound. (fels be cut, ora Nerve hurts if wirhal the
Buc in very crutch, Cchac I may briefly fhew | flefh fhall be batcered and bruiled, Cwhich youmy opinion touching this controverfie) | may bave need of Suppurarion if the Wound {will not in che leaft decract from che Repu- |hath fo narrow an Orifice that the Pus hath tation of thefe men, ( Cefar Magatus, and |ne paffage forth of it; if any bone fhall be
Ludovicus Septalivs_) men fo Famous and Eminent, that they arenot to be fo muchas named ‘without due honor and refpect : and yet neverthelefs I fhaltake the liberty co fay, that herein this controverfie they feemto me to feek (as we fay) aknot ina Bul-Ruth : and that chereis not any fufiicient caufe to | movethem to find faule with The general ex- } rhac Ancient way and Method Serine lof curing of Wounds; ‘and fo guarginta the Ope , : : zion of Magaus | tO extol thisnew way of their and Septalius. own. © For firft of all they 'chemfelves cannot byt cor- fefs that in the old way of curing ( for fo many Ages paft } many and the moft grie- vous Wounds have been happily Cured. And then again, neither canthey deny this, that that new way of theirs hath place‘only ina dimple Wound, (the wounded perfon being of a found and good habic) in which there is neither any greac.Vellel cur; nor yer any | Nerve burr; and we likewife admit the fame for a truth: For fuch Wounds as thefe, in regard that they have no danger at all atren- ding them, Candthagthey may hkewifebe Cured by Nature alone, without any help ac all from Medicaments’) we do no way ap- rove of either the Curiofity, or the unfea- fonable diligence of thofe that withour any
‘urgent caufe acall will be often uncovering
€
hurt, or any Noble and principal part unco- lvered, Cfo that there fhallcherefore be ‘need of Manual operation; ) if there fhal be much Pus and Excrements generatedinthe wound; (fiom whence a pain, a corruption of the parc, an Inflammation, and breeding of Worms may proceed.) if proud fleth fhall a- bound; ifthere thall be prefenct a vehement pain; if an Inflammation or a Gangrene be feared; ifanyimalbone, or any other fub- ftance ftick faft in the wound that is to be taken forth: or if Cas Cefar Magatus in his 1.8. and38.Chap. puts the cafe) the flefh eroweth forth toomuch 5 1f an Hemorrhage bé urgent and require ic; if there be nigh at hand a Gangrene and corruption of the part 5 ifthere be prefenc an extraordinary putrid- nefs and naftinefs of the part; ifthere be many Ex¢crements heaped up &an Inflamma-. tion ofthe part nigh at handsif any Heteroge* neous and Extraneous Body ftick in the W ound; if an linpoftumation follow there- upon, and thar there be prefent any ‘Pain, Itching, ill favour, or any bones be broken - in all chefé cafes they of their own accord grant that this fimple binding up of the wound (Cit this theic new way) will not fuffice, “bute thac the other more laborious provilion “and operation of the Ancients
is ‘neceffary, and to be preferred be- fere
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By ise th | oe And e100 Batt i whit De ult ftutt B hen0t 0 eth da i jodche Wound! B fren t0 i ofedun B \kewue that if ¢ | n0W and Bellary p mage B thereto Bway ot rroublel B Mechod. B Andben compen D eait 1 proved, D waies th § whoish B of thisn uattow 4 by Wea J} points; # mitunto B only for opens bi | indeed, @ tingthe @ that tim @ times an f heppen, | inthe i A in the b J cometh @ Wound @ sveat de | Wound j éhce had Bur ch B contider int of . dtew th 3 tod Ly Qh,
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Chap. 9. Magatus and Septalius their Way of Curing Weunds. 26.48
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fore this the new way and. Method of; and defperately wounded have been cured
curing. thereby. And yet weverchelefs £ hinder
And cherefore, fince that the exceptions|none; but lec every man contulr expetience; are too mapy for the Rule, and derogace|-and make inquity, whethet he can find oue much from che fame, I conceive that chis|} any thing thatis better; yet alwaies provis their new way of Curing wounds is very rare-| ded that what he hath iofound out may be ly fufficienc, and thatfor the moft part many | practifed withont any damage or danger unco deftrudtiveSymptoms and evils(ifche wound | the fick parry. but as for that which Ladoga. benoc opened until che fourth, fifth, or fe-| Septaliws alleadgeth (in {pecial) touching the venth day may enfue and happen thereupon. | W ounds of the Head, andthat many € ina And therfore we hkewife willingly grant,chac| very dickly cime at Milam) this way recove- Wounds without urgent neceflicy are not too | red thereof; Yea, Cas he wrireth) more then often co be opened, and over rafhly to be ex-| thofe thac were cured in the former old way 3 pofeduntothe Ambient Air : and yet withal | hedoth nog here fufficiently explain himfelf, \ikewite underftand me with this caution,} whac kind of Wounds thefe or chofe were: that if the Wound be over feldom and, but | For of the Wounds of the Head, itis poflible now and then uncovered, cleanfed, and ne-| chat fome of them may be mortal, and others ceflary Medicaments laidthereon, mach da-|of them curable. But Cefar Magatus, al- mage and danger may befal the Patienr. And |though he defcribech the qualities of thofe therefore it is affirmed indeed ‘chat this new } Wounds inthe Head, of which he bringeth way of curing. Wounds is eafier, fhorcer, lefs}afew examples; yer neverchelefs, he doth troubleiom, and nrore fafe chen the Ancient} not prove this, to wit, that thofe wounded Method: but it is nor in the leaft proved.} perfons were cured by reafon of that new And beit fo, thacit is lefs trroublefom, more} way of curing; and thatehey might not as compendious and fhorc, and likewife more} welhave recovered if che old Ancient wa eafie 5 ircannot (this notwichftanding ) be| and Mechod had been pragtifed. For he him- proved, neither will ic follow, chat it is at-| felf oftentimes very rightly inculcates; and waies the more fafe and fecure way. For! writeth very cleerly, that ic is Nature chae whois he chacdarech Cor can fafely) admic| cureth che Wound, and not the Phyfitian, o£ of this new way of curing, in thofe deep and| Medicaments. For if the Pus ought c6 be narrow Wounds that are by pricking, and| moved, this is performed by Nature 3 orif by Weapons that have fharp and not thick} chat fleflybe to be generated, and the broken points; and that will adventure to com-(bones to be ftrengthened by a Callys,chefe mit unto Nature fucha like Wound, impofing} are che work and bufinefs of Nature. ‘If the only fome covering thereupon, and fonot} Wound be to be Agglutinated, icis fie that openic before the feventh day ? For crue ic is} muft doit; and if che Excrements ought to indeed, that Natures incention in endeavou-} be expelled, this is likewife her Office. And ring the Conglutination of. the Wound is at! through the ftrenyth of Nature there happen that time likewife right, as wellas at other Miracles oftentimes in Wounds; Yea (as he times and in other wounds 5 but ic may fo proveth in his 37. Chap.) a ftrong Nature wil happen, thatthe Wound may Conglutinate likewife bear out and overcome the Errots of inthe fuperficies, beforeic be conglutinated the Chirurgeon committedinthe Cure. And in the bottom thereof; from whence Pus fo(nodoubt)may thofe Chirurgeons that {tik cometh to be collected in the bottom of the ufe the old way and Merhod of curing pro- Wound, which bringeth with ic many and. duce the like examples on their part. ° That great dangers; atid therefore fuch a like Student that was run through che ThoraxChis wound is againto be opened, asfad experi- Lungs being withal wounded) of whom we ence hath ofren taught us. |made mention, in the 2:B. of our Pratife,
But chat we may (in f{pecial) weigh and 2 Part. Chap. 11. and a little above, in the conlider the Arguments on both fides, we wil’ 3. Chap. of the Wounds of the Lunes, was cu- firft of all examine thofe Arguments chat red within the {pace of one Month: the care drew thofe eminent Men ( Cafar Magatus,' of which Wound Cin regard that it was ine and Ludovicus Septaliws ) into this Opini- ward) was chiefly cobe committed to Na= on. . | ture 5 andthe cure thereof tobe afcribed unto
| AndFirft ofall, asfor the her, and not eitheruntothe old, or thenew
pe oon force! experience they talk of; the way of Curing. And Glandor pins relacech
He deeicns: of Ancient way of ‘curing hath that a Wound of the Ocfopbagus Was intwen-
Magarus and Sep- likewite the fanie to plead cy four daies drawn all over with aCicafrice,
talius, for its feeing that none dares as you may find the relation in his Speculum ‘deny, that infinite numbers | Ghirurgic. Obfervat: 30: %
even of fuch as have been moft dangeroufly Ping
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2646 Book V. | Of Practical ‘ be

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a
Of Pratiical Phy fick. Pare lV.
readily grant him,chacthofe frequent terebra- purpofe, the Confervation of che heat of the tions (which feem fomtimes to be inftituced ‘part, ‘as we faid before in che precedent rather for che exercifing of theChirurgeons Chap. But here two: Queftions arife ; the Body, then for any need the Patient hath of firft this, whether the natural heat be prefer- them) are not alwaies fafe; and thatthey -vedbettter inchis new way, or in that other fomtimes bring more damage then benefitun- old and wonted Method of curing ; and whe- tothelick.perion. But yec thatthe Wounds ther ot no there be any necellity that more of the Head are not to be uncovered before excrements fhould be generated in che old the fifth or che feventh day, this Ifhall not fo | way, then in this new manner of curing. The eafily grant him 5 feeing. that fuch Wounds | Second Queftion is this, whether the alone pafsthrough divers parts: and heapupdi- | prefervation of the Native heat be fufficient vers farts of Excrements; and for che moft for the cwing of che Wounds? We deny part there is Blood collected becween the both. Asforche Firft, ic fhall be thewn in
Skul andthe Membranes of the Brain ; which the following Arguments, that che more rare ‘] is therefore with al poflible {peed:to be eva-| and feldom opening and uncovering of |qi
cuated. For which caufe the Terebration , Wounds is ofcentimes more hurcful and pre- alfo arid the perforation of the Skul is fom- | judicial) unto the Native hear, then ufeful and cimes neceffary, left that this Bloodif ic be /ferviceable thereto; but on the corrary, the kept in putrifie, and fo caufe grievonsSymp- |More frequent uncovering of the Wound, coms, ¥ ca, and (as oftentimes 1c doth) bring | (and as oft as thereis need thereof) is no way Death ic {elf upon the wounded perfon: | offentiveunto the Native heat 3 and chat cher- which may likewife very eafily happen, if |fore itis not by reafon of the uncovering of thofe Wounds fhould feldom be opened and |the Wound, but by reafon of the debiliry cleanfed. of the heat, or che confticution of the part,
Secondly, fhe Reafons alleadged by Cafar jor the Body, that thofe Excremients arege- ‘Magatus,- Cand out of hin by Ludowcus Sep- | nerated:, For when there is blood ‘poured talius,) are of no great moment, at leaft hey | forth inthe Wound, from hence it is that the carry not that weight inthem chat may per- | heat and {piric is diflipated, andthe part ren- {wade the rejecting of the old andufual way | dered the weaker; from whenceit is likewife
of curing Wounds. Firlt, they mainly urge | that in che Concoétion that is made inthe’
this, (and indeed herein chiefly confifteth | part there are very many Excrements gener- the very ftrength and pith of this Opinion) ;.ated. And that fomtimes fewer, and font. that the heat of che wounded part isco be | times more Excrements ‘are generated inthe preferved: and they accufe Galen for that | Wound, this is not cherefore becaute that the he hath omitted an indication of the greateft | Wound is more feldomor more frequently momient, and that he hathtroubled himfelf/ opened and uncovered, but-becaufethe whol more then he needed in other things of far | Body, andthe wounded part are more or lefs lefs moment; and about the generating of difpofeduntothe generation of the faid Ex- Excrements in the Wound: whereas itthe,.crements.: Bur as for che Second, to wit, rhat innate heat be preferved, there will be but | the innate heat alone is not alwaies {ufficient very few Excrements bred, and thofe that forthe curing of the wound; thisis apparenc 5 are, willbe {uch as canno waies hinder the fince that there oftentimes fo many impedi- glutination of the Wound. Where we wil- ments and obftacles caft in Natures way, that lingly grant, and do confefs, that Nature as unlefs they be by che Phylitian removed, and fhe is. the,Curer of, other Difeafes, fo fhe, .that indeed very frequently, even every day, is the healer of Wounds likewife;andthacic Nature can. by no meansatrain unto her end is fhe alone(and not cheMedicaments)thacby and drift. The Pus firft of all, andthe Ex- the benefit of che Natural heat doth perform crementsthatare collected in the wound, are this glutination of Wounds; and therefore | to be. evacuated; and fomtimes a paflage that theinnate heat, andthe natural temper-| forch likewife made forthem (as oftas need ament of she part is cacefully cobe preferved requireth) by Tents; and thofe Medica-
andcherifhed. And this Calbeit that Galen ments thac cherifh the heat, dry up the Ex-
hath paffedic by in that place where he pro- | crements, and hinder the generating of then, feffedly treareth of the Cure of Wounds; but and help forward the Glutination of the whecher he hath therein done well or ill, I} wound, ‘are often co be-laid on; fincetrhac here difpuce noc: ) yét notwichftanding in| when they are once laid on they are foon other places he often inculcaces, thac there} defiled withthe Pus, and Sanies, (that is to cannot poflibly be any curing of the Wound, | fay, che thick and thinner Excrements of the unlefs the parc obcain its own Naturalcem-| wounds) and thereby weakned 5 and the vir- per: and thofe very Medicaments (which are, tue of chem is likewife orherwife paca
4 y
¢
~ And indeed I will Cin the next place) moft called Sarcotick) are provided for that very 4
aled th elhallf /Mlalon) Bal feldo Bithe pa | Mitforme micpain t | ay | eanling ibiewlle ) gs Baiurgeo )Micthe le ey )be mor of th lid coge Liar tnd ge ably the
ings, F iisler of | ful a zhette
§ PR eee Ecc einen nr re Uy, i/Chap. 9. Magatus and Septalius their way of Curing Wounds. 2647 cl by the heat of the part. And albeie chat Ga-|the Ambient Air, chen in the ordinary and rea | fen (where he treaceth of thofe Medicaments ufual way. Forthe good and Benefit that ‘ie. | thatare neceffary for the curing of Wounds) |proccedech from the Cleanfing of che Wound wa iy maketh no particular mention Cin fpecial of jand che impoitug of Neceflary Medicaments, re 'thofeMedicaments that cherifh and preferve |is fac greater then chehurc and damage chat is TOs | ghe Natural heat, (which that he ought to | brought thereunto by the admiffion and let- Ui ‘have done, I deny not); y-et notwithftanding | ting in of the Ambient Air. And chis difcom- “ita | he elfewhere very frequently celsus, that che| miodicy may likewife in great part be preven« ; (ie dll hear and cemper ofthe wounded partris tobe| ted, ifthe Wound be not uncovered in a ig Tha preferved ; aud thac untefs the temper of the cold Air, but inchac that is fomwhat warm Ue alogd | part bein arighc frame. and Condition, itis|or temperate; and that this be no oftner lula /not poffible chat che Cure of che, Wound|done chen urgent neceflity fhall require;
ee ene Sey
Ve de fhouldiever fucceed,happily 5 andthofe very |and that before ever we begin to openthe een if Medicaments chemfelves chat he eften pro-|wound, all things Neceffary and Requifite Note sau poundeth for the drying up of the Excre- |forthis new binding up beat hand, and in ‘tity gf| ments of che wounds, do Chertfhthe heat : |fuch areadinefs, that che whol bufinefs may aidpief) and asLfaid in che foregoing Ghap. it feems |be performed with al pollible {peed.
lstulai) to me, thac chofe Digeftive; and Sarcotick, | ourchly, Neither is chis any fufficient
‘aty,ie) and Glutinacing Medicamencs, are made and) Reafon for the preferring of this new way of gt tet ae Wow] provided, rather for che confervation of the jcucing before the old, to wit, that in a vm ‘stowa— mative heac, chen for che doing of any thing, wound of the head the bonethac was impo- we | thatthe f} elf. 3 | ftumated, and no hopes buc that ic would be ik dk vengd§| Lhe fecond Reafon that Magatus brings loft, hath yet in this new way been prefer= *) debility} for hisnew way of Gucing wounds, is this,, ved. For itis not as yet proved,chat thefame (, ;
ilepatf} chat there cannot he excited any Afflux of suege§| humors, fince chat inthis way theheac of toured the partis preferved, and that by the often sthattee| handling of rhe wound thete isnoc any pam
might nor as wel have been in the Ancient shi way and Method of curing and icisdaily yee obferved; thac in the ufe of the old way, ei chofe bones chat feemed tobe impoftumated ‘iN and like cofallout, have yet again been Ag- iG
fa
paren) caufed that may excice aFluxions Bue (as 1 | we fhallfurther fhew you in the following ¢ lucinated unto the reff. Hla de inth| Reafon ) che tru:bis that in this more rare|. Fifthly, Magatus afirmeth, indeed, that Ml ie and feldo n opening ofthe wound» the heat| under that new way there will be fewer Ex- mo dlomp) ofthe part is not becrer preferved rhenin| ccements collected then under the Ancient iy fl ditt) the former old way. Bur chen.as touching! way: but he doth not prove this; and he i) Him ‘atu the pain that may be excited by che ib aaa prefuppofeth that the innate heat iy if quent) frequetic uncovering of the,W ound, the| is more rightly and berrer preferved inthe i i |
more rare and feldom opening of the wounds vi ie
enki) OFnew Medicaments, and che new binding of | then inthe frequent uncovering of the fame. | Licup, ic ische part and cflice of che skilful) And we grant indeed, that by the vitious and ty te Chirurgeon foto handie che wounded patt,| faulty concoction of the part, many the more | Tah ‘fein? thatche leaft pain (and as lictleas poffibly | Excrements may be bred therein; butchis aii notwithitanding we deny, that.thefe Excre- uy
ments proceed only from the debility of che eat!
heat caufed-and contracted from the Air; in Hy
pe vill | Cleanfing and purifying thereof,che impoling ty
b) may )be excited. Neither in the evacua-
pe (eugt 3 el | | tion of the Pusis the part to be prefled down
am ont LDPC ie ; i page a - ; | hard cogecher, but the faid Pusris moft light-
evade! Wy and gently to be wiped away 3; unlefs | regard that there may be very many caufes py | haply che Wound be finuous and full ofcur-| thereof, to wit, the abundance of vitious het | nings.. Forinfuch wounds the preffing to-| humors in the Body, andthe conflux of them
he BX Be gether of the Sinuous winding part is both! unto the wounded part, fome of the greater
me | ufeful and eceflary > yea moreover, for | veflels hurt and pouring forth much blood, voi | the better prefiing forth of the Pus from the | a contufion and bruiling of the part; and ma- Vdp) very bottom of che Sinws, thereare likewife ny other fuch like.
(asi A) 1; ¢ (3 ; | Sixcthiy. Une the fix hA H
vee little pillows or Cufhions to be impofed.| Sixthly, Uncothe tixth Argument, we An- “heb E And then the benetic and commodicy thata-jfwer, and grant indeed, that thereis alfoa ae rifeth from that fhore and momentany pain | more happy expullion made by Nature of es | will not only councervail, bur likewife far |fmal bones, and ocher Extraneous bodies, if ae exceed the difcommedity aud inconveni- the innate heat of the part be ftrongand vi- - ence. gorous: buc then notwathftanding chis is yec
: Thidly, Neither is this that he alleadge-| againco be proved and it is not co be pre- ,}) ethfor his third Reafon, of any weight or fuppofed, chat the Native heat is more right- | moment 5 to wit, that in this new way the; ly co be preferved and corroborated in this | wounded part is more rarely expofed unto| more rare uncoveting of the wound; as we
ee {aid
2648 Boon Y.
faid before, in anfwer unto the firft Argu- ment.
Seventhly, and laftly, Magatus alleadg- eth likewife chis for an Argumenc (but with- out any proof ac all) thac the vircue of the Medicamenc at firft impofed for the perfect agglutination of che Wonnd will che becrer endure and be kepc intire: touching which hereafter in che caufes for which Wounds are often to be uncovered, (inthe firft Rea- fon) we fhal {peak further.
And now likewife(in the next place)rhofe Arguments for which they reject the Ancient Method of curing Wounds, areby us well co
concerns experience, the queftion is ftilin Controverfie, and not as yec determined, to whether of thefe two waies the betrer isto
beafcribed; feeing thac ic cannot be denied| (by Reafon of the wound
that hitherto infinite numbers havein the old way been cured. And here we arerotake {pecial notice, that many things in the curing of Wounds are oftentimes ateributed unto Arc, and the skil of che Arcift, that are ra- cher to be afcribed unto Nature, that is che alone curer of Wounds, as of all Difeafes whatfoever. And Cefar Magatws himfelf confeflech, (in his 1. B. and 31. Chap.) that a ficong and vigorous Nature correéteth like- wife many errors that have been by the Artift committed, fleighting and overmaftering thofe chings that might have proved prejudi- cial unto her through the ignorance and in- confideratenefs of the Chirurgeon: and: this Che faith chat himfelf hath frequently found by experience, whiles of fee purpofe he took little pains, nor much troubled himfelf chere- about, as being minded and refolved to.ob- ferve whac Nature in thofe ftronger bodies was able of her felfto performs and that therfore he fomcimes adminiftred thofe Me- dicaments that were not alrogether fo fir and convenient, and that yet norwithftanding che
fick. party by the help and affiftance of Na-|
ture recovered, and became foundagain. But now asforcthofe Reafons chat he ob- gectech againft the Ancient way, che firft of
them is this; chac the. wounded part is coo!
vuften expofed unto the Ambient Air, from’
whence irs heat is weakned, and fo thereupon, great ftore of Excrements bred and treafured up. bGutas for chis that is fo often imputed | unco the Ambient Air frequently admitted in-|
tothe Wound, andthat forthis caufe alone the greater abundance of Excrements are collected, this is only faid, but no waies pro- ved. For chefe Copious and abundant Ex- erements do not proceed: from the Air, but they have other caufes. Forthatfmal and inconfiderable appulfe of the Air Cwhich yer notwithftanding, as [have faid, is by all
Of 'Praétical. Phyfick.
+ Pardee
be performed in a watm place ) it canner caufe fo great an alteration. And: moreover alfo, che Excrements are likewife collected,
becaufe that the Blood and Humors faly |Jy
forth of che Veflels are neceflarily conver- ted into Pus and Sanies C that is to fay, chick and chin nba although che’ cempera- ment of the part bef{oundand unhurr.
a \
{means poflible, and as much as may be, to | be avoided, and the operation chereforé to |
Buc i that the very temperament of the part may |j
be hurt even by che Woundit felf, as alfo by |
| the cutting and opening of the Veflels, and | likewife
by the efflux of che Bloodand Spir. | be weighed and confidered. Andas for what/its, is atruth chat cannot be denied: and |
Cajar Magatus himfelf ( in his firft By ang |
g. Chap.) caketh upon him to provethe fanie 4
at large. © And this very weakning of the pare
change and alteration of the temperament, is the caufe, that noc prefencly and onthe ve- ry firft day the Pws is generated in the | Wound, -bue for the moft pare onthe fourth day, to wit, when Nature hath recovered and gotten her ftrength again, ‘and the heae of the part is renewed: ‘And furthermore,
are Not evermore exadtly found and pure, (but oftentimes Cacochymical) albeit they may feem exactly found; which although they receive buc fome-very lightand fléiehe wound, yet this in thefe Cacochymica! bo- dies degenerateth intoan Ulcer, by reafon
of che vicious humors that abundantly flow |)
unto the wounded part.
inflicted) and rhe |
| Paty the hea }
As for what is in the Secend place objected, |
that from the frequenc loofening of the wound, the often bandling and moving of the part, a pain andthence a fluxion may be
unto this objection we have already before givenanAnfwer. To wic, that the experi- enced and skilful Chirurgeon may very eafily prevent the faid pain: and although chat
|fome pain fhould chance to be excited from ‘the uncovering of the Wound; yer neverthe.
lefs-the inconvenience and pain that would atife from the reteining and not cleanting a- way ofthofe Excrements might prove far greater, and of a more dangerous Confe- quence.
Thirdly, “Magatus (although withoue caufe)feareth, left chat inthe uncovering of the Wound there fhould happen a diffipati- on of the fpirits and Native heat. Forif there be any fuch diflipation of the Spirits and heac, this kappeneth cogether with the very effufion of the blood. But then fo foon as this flux of the Blood ftoppeth, the orifices of the Veffels do again thut clofe, fo thar there needs no fear at all of any fuch diflipa= tion
] | MF even unto
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tion of che Spirits; and Nature being other- wife follicitous and careful about the prefer-
| wation of the {piric andthe Radical heac, ex-
elleth che offenfive and hurcfulExcrements and ftil receineth chofe that are ufefuls; as we may plainly fee it ro be done in Critical Evacuations.
Fourthly, and laftly, chey object this al-
| fo, that as often as wounds are unbound and
opened, fo often is Nature dilturbed and diftracted from her proper Office and Work.
‘Buc there is no ground atc all for chis fear.
For Nature cannocin fo fhorc a {pace of time (as while the W ound is opened and bound up
, §| again) poffibly be difturbed, unlefs chere
happen a very great and extraordinary alter- ation. But ic will beracher difturbed, if the W ound be not cleanfed from thofe Excre- ments.
I11. Cafar Magatus and Ludovicus Septa- lins do not folidly confute chofe caufes by whichthe Ancients, and all the Chirurgeons évenunte our very times, were moved and drawn unto this often opening and unbinding of Wounds. :
For Firft of all, thac they determine and conclude that Wounds are therefore often to beuncovered, chac fochofe Excrements that are neceffarily generated may be evacuated; this (fay thefe) is not indeed Requilite, and altogether needful; . in regard that the thin Excrement may partly be digefted by exha- Jation, and partly be driven out of che wound by the heat : buc as for the chick, Cif any fuch be generated) ic is;confounded and mingled together wich the Pus, and fo by Nature ex- pelledtogether with thefaid Pus. But ex- perience ic felf teacheth us chat thisis moft falfe, that thechin Excrement, is alwaies di- gefted by exhalation, feeing that oftentimes we find chat ic rendereth the Wound excee- ding moift,and chat there floweth forth greac ftore thereof. And for thershick Excrementr, alchough ic be mingled with the Pus, yer not- wichftanding it is. not of its own accord wholly evacuated’; or if it be evacuated, ic is buc very flowly; and therefore being re- tained ic acquireth an Actimony, and fo cauf- etha pain, andanew afflux ; and therefore it is {peedily and feafonably (before this fhal
Magatus and Septalius their way of Curing Wounds.
+ eon
Excrement either of its own accofd, and by reafon ofits weight floweth forth; or elfe ic is caruft out by the flefh growing pinderneath it 3 and chis if icbenot done, ic 1s left ftil.ce remainin the wound. Neither alfo can the wounded parc be.alwaies: kepr in fucha Sci- tuation, and fo placed, that che Pus by ics weight tending downward fhould of ics owm accord flow forth. . Forall wounds whatfo- ever thac are inflicted in che.fore parts of the Body are altogether unfit for fuch a Scitua- tion as is requifite for aSpontancous efflux of the Pus or Noifom purulent Matcier 3 feeing that ic is no waies convenient, that the Pacieac fhould lie upon his face. And fo likewile the Wounds of the hinder part, although thac they be fo Scituated hat. che Pus may ealily flow forch from them, yet neverthelefs; a lying upon; che wounded part is no waies fit and convenient, buc painful, and troublefort, in regard that che whole bulk of the Body prefetch and weigheth downche part affett- ed. .Andin Wounds of che Head that pierce through rhe Skul, itis:much more difficult co findfuch aScituation, thac all the Py; oF its own accord and by-reafon of its gravity fhould eafily flow forch, albeic the Wound beburc feldomuncovered:...:: . a
Buc Magatus wil not yet yield for al chis big
inthe.33. Chapter chroughour,. of his firft By
he endeavourech to prove that it is not necef- fary, thac Wounds fhould be o‘ten uncove- red, to the end chat the chick. Excrements fhould be cleanfed away 3. & he endeavoreth likewife co demonftrate, thac che thick Ex- crements, asalfo the very Pwo it felf, may be evacuated without the ufe of-abftertives. And firft of all indeed he alleadgeth this.ouc of Galen, that he wriceth (inthe 13. B. of bis Method of Curing; and 5. Chap.) after this manner. But if there be fome notable Pus con- tained in the fuppurating particle, it i not ex- pedient (as {ome da) forthwith %o cut and make an incifion, but rather we ought to. attempt an exbalation by Medicaments avayleable for this purpofe, tbe ufe whereof may be conjettured from the affett it felf. From. hence he con- cludeth, cthat.chere.is no need of Abfterftves, where the Pus may be diflipated by Difcuf- fives. But, (chat I may not now difpute this
happen) co be evacuared and cleanfed away; | queftion; whether .or no we may. fafely and and for this Reafonthe W ound is to beunco- | iecurely endeavour. in Impoftumes. to waft
vered as oft as need fhall require... For nei- ther ind¢ed doth Nature her felf expel thefe Excrements. Nature (thecrurh is) doth fe- parate che ufeful Excrement from chat thac is alrogether unufeful. -Buc when the Excre- Ments are thus feparaced, the ufeful from the unufeful,and ftick in theCavity of the wound, Nature hath then no more that fhe can do, for it is not inher power to expel them 5 but the
and confume the Pus with Difcuflives alone) be it fo indeed, that chis may poffibly be done; yet. Cas he himfelf wrireth’) for. the effecting cf this there will be need of Medi- caments that areftrong and. prevalent, and fit for.this purpofe.; But. when (I pray youy fhallfuch like Medicaments be adminiftred, in Wounds, .cocheend that the Pus may be difcuffed? He wricech moreover, thac in Im-
X¥y poftumations
2649. .
me i
wee SS Sa I REO RS ee TTS
eon
Book:¥.
cumes the Sinus «though they have been very notable, and fuch as have fent forth great ftore of Pus) have been filled up wich fleth, no Abfterfive at all having been putinco the Gavity thereof, but only fome Medicament laid unto the very mouth of the fame; of which ic was not poflible thac any ching fhould reach fo low as the bottom thereof. But unto this Lanfwer,; that this is nor alwaies done; buc chac chere is oftentimes need of cafting in Abiterlive Medicaments 3 or if fuch may not be adminiftred, chac chen the Sinus is to be -preffed together, that the Pus may both flow andbe preffed forth, and thar this is often‘to be done, and for chis Cauteche W oundis alfo often to be uncovered; and that the Pus 1s by no means to be deremnedin fucha Sinus. Andblaftly, He wrireth chat eveninternal Wounds may be alfo cured, al- mplrities and Excrements there- of be: not cleanfed and done away. © Buri aniwer,. thac neither is chis alwaies done, but in thofe parts only.in which there are but few Excrements colleéied, and fuchas have an open and prone: paflage forth of them. Otherwife if the Excrements be long detai- ned, chofe Wounds are nortobe Cured; and this we feeto be often done inthe Lungs, in which fromthe Excrements retained Ulcers and at length the Pbthifis or confumption is generated. Andindeed, oftentimes the Pus and Excrements ftick fo clofe and faft unto the fides of the Wound that they cannot poffisly of chemfelves flow forth, buc that they muft of neceflity be cleaufed away bya manual operation,
Thirdly, That thereforethe W oundis of- ten to be uncovered; that fo according ro tte various ftace of the Wound, fomcimes di- geftives, and fomtimes abfterfives, fomrimes chofe that generate fleth, and fomtimes again chofe that waft and eat away tuperfluous and proud fiefh, may be adminftred: unto this indeed Cefar Magatus anfwereth, that there is no need at all of that change of: Medica- ments, m regard rhat the whole bufinefsis ro be committed to Nature. sAnd that icis {uf fictent, if there be only-a covering impofed upon the wound, that by ics corpulency may prevent and hinder the efflux ‘of the Radical heat, and that may preferve and cherifh the fame, andthat therefore withone only Me- dicament divers times a Wound may be hea- led. But here falfePrinciples are pre{uppofed, The Firft is this, chat Nature of herfelfalone 1s able to perform ali thofe things that are necefiarily required for the ‘healing of a Wound. Indeedit is crue, thar Nature doch
though Cie Wy
cerogeneous and different quality, and igener-
aA est ae me ‘ SRA TO A A CST A SN IA SL ASS
Of '‘Praétical Phy fick.
poftumations when they are broken, ofcen-
| Ikewile Wounds ought often to be uncoves concoct, feparate fuch things asare of ahe-| red, «hac fo rhe virrue and effect of the Meds. 17
;cament may Se known whatit is, and whe - } (FL s ateth efi; but the Exctements when the]
i
ieee,