Part LV...

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j hath feparated them, the cannot alone ang ofher felf expel thems ‘but they are o fens | times fo pertinacious that they will fick une to the part, do fhe whac poflibly thecan, | Neither do they alio flow forch cof thems jfelves, and of their own accord: oris the | Member indeed fo to be placed: thar they ) may of their own accord flow forth, ‘asa lic. _ tle before we likewife told yous». Andthers | forethen in that’ Cafe vhere is need ofMedé& | caments that may keep them from being over na {ty 5 yea and oftentimes alfo of a Manual Operation, whereby they may be throughly /cleanfed, Another of his falfe Priciples is lthis5 that Ware in her work ftandech m ne ineed of any Medicaments whatfoever, thar £6 \fhe may be hoipen and aflifted thereby; | which that it is falfe even experience it fel€ | ccacheth us 3 wherein we fee moft manifettly that Digeftives chat in ‘the beginning are of lingular ufe, in the progrefs ¢f the Difeate prove very hurtful: and this CefarMagarus himfelf Jikewile confeffeth 5 forin his 1. @, and 37. Chap. be writeth that he had-obfer- ved that by the ufe of a digeftive the moft grievous. Wounds inflicted by Bullets thor from Guns have been fuppurated, throughly purged, and filled up with flefhy but thar afterward by reafon of che over préat humi~ dity there hach growna flefh upon it chag hath wanted Corrofives to eat it out’ and con. fume it. His third principle (thar by cont fequence felloweth from hence) is likewife falfe; to wit, that one only Medicamenc ig fufficient all the whole time of the Difeafe, | provided that by its Corpulency ic may be junco 1 inftead of a Covering. Fer € thig fhould be fo, and were indeed tmue, ‘chen ing ftead of an Emplafter we may as wel pur any piece of Leather upon the Wound, orniake tife of one kinde of Emplafter for another, fe jthacit be not deadly and poyfonous, fharp, and Corroding : and yet notwithitanding he never as hitherco heard of any wife Phyfitian |thatever did thus. And in this very point | bkewile Magatus exprefsly contradictech -himfelf, who(in the 36.Chap. of che fame B } pwrirech moft truly, that not every kind of | covering Chow ever it be made and provi- ded) is ht for the defence and corroboracing of che Natural heat; or that it is conveniene | for che tem per of every part; and that,whar |avery fit and ‘convenient covering in one pate | may inanother part be altogether unfit, in- convenient,and indecent, yea likewife that i may bea very hurcful & dangerous covering, | Fourthly Whereas it is the conimon Tener andehac we are ufually caughr, that therefo
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Chap. 9. Magatus and Septalius their way of Curing Wounds. 96 gi
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cher the Wound be moift, yea or no, chat fo) evil may befalchefick perfon. And fo Pz- Oh f Convenient driers may be laid thereto, accor-| rewsrelaceth, that he had feen Wounds, it Avia | ding as there fhal be occafton 5 unto thisC ear} which Cunlefs they were daily opened, and Magates an{wereth chat there is no need| new Medicaments laid on} Worms would a acallof any fuch ado, er chat we trouble continually be breeding. Bs. | fal our felves fo much thereabour, inregardthac) | Sixthly, And for this caufe alfo the wound [| the whol bufinefs and the iffue therof is to be| is to be frequently mncovered, that | committed to Nature. Buchedoth not well| Swaths, liccle Pillows, and Linen'‘Glethes, aS | infodetermining. Forcthetruthis, thatNa-|may bemadeclean, But Cafar Magatus and Bi i cure doth indeed evermore intend that which| Ludovicys Septalivs fleight, and account 6f Ae \ Y >
is beft, but yet notwithftanding fhe can-} this as ofathing of no reckoning: or ifwe ni hidyphjfe | FVOL alwaies obtain what it intendech 5 either | may at any time change the Swatches, they j ti iciplgf| Decaufe fhe is weak, or elfe intregard that fhe} alow it only, wich this Provifo, thatthe Ari thing 38 opprefied and overwhelmed with too great| wound be not uncovered. But thefe fhonid wer wm! anabundance of that Objeé&t on which fhe| have confidered with themfelves, chacif rhe iy? acteth > and therefore both the temperament | Swathes be foul'and uncléan, much morethe WE of the wounded parc 1s co be cherifhed wich} Wound, and the coverings neerer unto the nf : Medicaments, (andthefe indeed fome at one |fame, muft needs be Nafty and uncleah, time, and fome art another; ) andthe Excre-|{ince that the fanies or thin Excrement ‘a ments alfo by which Nature 1s opprefled and |doth firft and moft. of all defile thofe sey overburthened are tobe dtiedup, and eva-|rthings thac do neereft touch upon che sah cuaced. Andcherefore we conclude, thac ic} Wound. kr ida is overrafh and alcoyether unfafe to Com-| Seventhly, And Laftly, whereas even for ihe" mit the whole bulineis unto Nature, andro} chis canfe the more frequent opening of the "4 ffand looking onasanidleSpectator 5 fince} Wound feemeth co be neceflary (as is alfo «And thac icmay ealily fohappen, chat overmuch|} the change of the Swathes, and lirtlé Pil- i Humidity abounding inthe Wound it may| lows, ) thac fo the finking (Vapors in the in {oon degenerate into an Ulcer. | Wound, (bred of the Pus and Excremehts)
Fifthly, And for this Caufe likewife fom- | may the becrer exhale, (which if they be itil ME what the more frequent uncovering of che| detained & fhucup inthe wound, they affect a th Wound is held to beneceffary, that fo the| che wounded part, and much change dnd al- i Md
State of che W ounduay be known, andche|certhefame ;) untochis Septalins Anfwererh; f Sympcoms likely co happen chergupon may | that che W ound is not to be bound up with fo be prevented. Cajar‘Magatus rejeCteth alfo| many and fuch Linen-Clothes that thofe Va- this Caufe, and aflercech, chatfrom other! pors fhould be fuppreffed; and if thac che ae. Signs, (to yvit) Inching, Pain, and the feat| Pus finda paflagefocth, he thinks then thac F | {cent that comech from the Wound, we] thofe Vaporous Excrements may, much ra- Wl | may givea fhrewd guels 3 and he pofitively! ther be blownabroad, and diffipated: andif in| decerminech that an Artificial Conjefiuce is | they be altogerher retained that they are noc (
the beft;and that;we may more rightly make| likely co bring fo much damage unto the Pa- eur conjecture by che Eyes of our mind,then | tient, as may befal him from the uncovering by thofe of onc Body, fince that they are \onthe W ound, and the alceration of tite Am- fharper fighted then thefe, But thofe con-|bient Air. 7 15 jectures are oftentimes very uncercain: yea], But in whatfoever manner the Wound is §) fomthings may now and then happen untoa|boundup, (which yet notwichftanding they adel) Wound that will noway be taken Notice of | themfelves grant that ic ought {oro be Bound aie’) Duc only by ocular inf{pection, and {uch are'up, that it may be defended from all exter- ‘it the Fungi of the Brain,. Worms in Wounds, |nal injuries) thofe Vapors may eafily be de-
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wall and flefh growing upon them. , And though ;tained, yea they may infinuate themfelves borat 1 it be true that ac the, length there will fomejinto the Linen Clothes, and che Swathes 5 wid) certain figns difcover themfelvess yet icis ;and hence they may offend che wounded parr iil) no way fafe, that the Phyfitian ftand as an‘ by theit ftench and noyfomnelfs. And this is cit) ddleSpectacor, until {ych time as thofe figns | chac very thing that is now in Queftion, whe- iit "§) €to wit Pains, Feaver,’Noyfom fmels, and, ther all the Pus may be evacuated, unlefs che ll) the like,) fhallhappen, and manifeft chem-) Wound be oftenuncovered. Thealteration i’) felves, For whenthefe once come upon the alfo that is caufed fromthe external Air can- me | Patient, he is then moft commonly in the not be fo hurtful and offentfive, (in regard erie MY
| greateft danger; which by ocularInfpection that ic parcaketh not of any ill quality) asis wt) might have been eafily foreknown, and fafe- that which proceedeth from thofe putrid a ‘| ly prevenced: and oftentimes inthe {pace of and ftinking vapors arifing from che Pus and ‘4 ®) oneday, yea ofa few hours, fome grievous | Sanies. oo ,| i ¢ y 3 Whether * .
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265 2 Boox V.
Of Practical Phyfick.
Parc lV.
‘therefore neceflary, rhat by the help of chem Whether there be any nije at all to be) tne orifice of the Wound may be Rent open, made of Tents, or Penjils, inthe anda paiflage may be made for the Pus to Curin of Wounds 5g A PRU saraith ded ? | The Second is this, that for this catifeTents The other thing wherein Cafar Magatys, are to be made ufe of, that fo by means of and Ludodicus Septalius diflent from the An- them the Medicaments may every where cients, and from other Phyfitians and Chi- touch the Wound, andtharthey may pene- Turgeous, is this, thatthey aflerc, Cand en- | trare even tothe very bottom thereof. deavourto maintain this their opinion) that) Thirdly, For-this Caufe likewife Tents there isnoufe at all co be made of Tents inj feemto be neceffary, becaufe by them it may the Curing of Wounds. ‘Magatus to preve| be prevented, thac the upper part of the chis (in his 1.B. and 5. Chap.) ufeth fea Wound be not clofed up before the deeper |
Reafons. parts thereof be filled up with fleth. | The Firft Reafonisthis;be-| Untothefe Reafons they An- |
The Reafons |} canfe that Tents are neither} fwer; unto the Firftchus, that ee Anfwer of that move Ma- | ch ereforetobe inftituted, that) there will not be more Excre- | Masevs. seta
A aun: they may keep open the mouth} ments generated in the Wound | eas aS | ofthe Wound, neicher that by | Cif there bea due Courf2 taken ! chem Medicaments may ftick unto the fides | inthe curing thereof) then what may ealily efthe Wound. The fornier of thefe he pro- | be expelled forth by Nature. And then that vethinthis manner, that before-the Wound |although Excrements fhould be generated, is conglutinated the orifice thereof is al-|that yec Tents dorather fhut up the paffage Waies patent andopen; fo indeed, that 1f we| forth of che Pus, then any waies keep it open. defire and endeavour ic never fo much, yet we! And unrothe Secondthey Anfwer,;thatrhere are not able to thurs clofe che mouth of the|is no need of Tents, fince thatthe Medica- Wound. And he thinketh likewife chac|} ments (if they be liquid) they will of them= there is no need of Tents for any other ufe or }felves penetrate unro the bottom: of the
urpofe, fince that the Medicaments may be Wound ; neither therefore is there any need fomelred, that they may very conveniently | of fo often‘repeating and impoling of new be inftilledincothe W ound. |Medicaments. Unrothe Third they Anfwer,
The Second Reafon is this, becaufe that }rhacthe continual eflux of che Excrements
they are injurious, andby their weight very | by the external wounded parts doth hinder.
troublefom and grievous unto the Nature ofthe meeting together and uniting of the the wounded part: whereupon itis likewife| Lips, before the Cavity be filled up with that Nature is alwaies laboring to expel) flefh.
chem. | |} Buc thacl may briefly thew you |
The Third is, becaufe that they diftend|my opinion couching this Concro-|° a/y ows the part, prefs it together, excite pain, and) verlic, Ido indeed willingly granc ! Opinica thereupon produce new fluxions. them, that“in {uch Wounds as are !
The Fourth is, becaufe that thefePenfils fuperficial, ftraight, and fuch as generate and Tents may be'‘filled with bate corrupt i buc liccle Pus, Tents are not atall neceflarys Humors, and fo defiled therewith, thatthey ~ neither is the curing ofthe Wound -tathly to may acquire an WW qualicy, by which they be retarded by the putting in of the Tents. may burt the wounded y arc: and they do ‘Buc if the Wound be‘deep, and cblique, fo moreover hinder the Evacuation of the Pys, ‘that there beno right and ftraight paflage for and caufe hac the faid Pus acquire and ‘the flowing ferth of the Pus, and ‘chat there get it felf a depraved and Malignant qua-~be much Pus: generaced 5 in this Cafe Terits lity. ifeemto bé altoge:her'neceffary, that fo by Fifthly, They fay that Hippocrater and them there my be made ati open and free Galen when they write of the curing ‘of paffage’forth for the: purulent martier 5 and Wounds, do never make any mention of ‘thata way may be lefcy ‘by - whichthe Meat thefe Tents; as wemay fee in Galens 14. B. ‘caments*may penetrate unto the more m- of the Meth. of Curing, Chap. 4. and’ in’ ward partsofthe Wéund; and thae by this Galen bis B. of Frattures, Sett. 3. Com-| means the orifice ofthe Wound may be kepe ment. 21. , from Conglutinating and: clofing cogether,
} Buc now on the contrary’, -uncil {rch time as that which is in the bottom The Reafons-of | Thofe that wake ufe of Tents, -of the\wound fhall be’ firft ‘Gonglutinated : thofe that make | give thefe Reafons for thei fo “which ifthey beneglected, and thar the Pus wfe of Tegisin sy ) . padetiy ‘ : Os tad : the Cringe of [ doing: The Firftisthis 5 that and -Excrements ‘be yftill rerained in the wounds. ! in the wounds the ufe of Tents is «Wound; they may eafily provethe Cautes
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Chap.9.
Magatus and Septalius their way of Curi
a in sel
of the extreameft pains and dangers ;
Now as for what they Anfwer | unto thefe Arguments, and what | they likewife obje@, chey are} | neither of chem of any great mo-|
ment.
For Firft of all, whereas itis faid, thar Tents ate not neceffary, that by them che: W ound may be kept open, fince that the ori-. fice is of it felf alwaies open, this we alcoge- ther deny. For ofcentimes Wounds (accor- ding to the various Scituation of the Patienc, that hechen had when he was wounded) are oblique,and ful of rurnings and windings; fo
Anfwers unto the Reafons j of Magatus,
as a|
ng Wounds.
whatioever caufe unto it any ¢ rouble, eriet,,
| leadgeth out of Hippocrates in hisHittory ofa | cercain perfon at “Maffilivm)cthe Errors of the
Arrifts are not tobe imputed unto the Art te felf; whenas haply they uncevered not the Wound fo oft as was requifite. And-yetne-
verthelets we are here to #ive you tounder-
that although che fides and lips.of the wound
be notas yet clofed up, they yet neverchelefs fo couch and lie one upon the other, yea and
oftentimes fo prefs one another, that there is |
no open paffage left for the Pus to flow
forth. ie the Wounds‘are not ftraight, the Medica- ments cannot fo ealily penetrate unto the bor-| tom. Andalbeic that che wound be noe wri thing and oblique; yet notwithftanding ic wil not alwaies be Convenient ro inftil into the} W ound Medicaments that are over fluid, fee-| ing that they may be eafily wafhed away a-| gain by the Samer or thin Excrement : but there will be oftentimes occation to make ufe| of the thicker and more vifcid fort of Medi-| caments, which eing conveyed into the’ Wound by the Tents: will ftick fo much the longer and more firmly upto the wounded! parts; and thereupon they will the more) rightly puc forth their Vircue and effica-| Cc
Thirdly, That the fuperior orifice of the W oundis never’ Conglucinated® before {uch | time asthe inferior Cavity is clofed up €and | that therefore the orifice of the Wound need- | eth not tobe kept open'with Tents ). thistis | falfe 5 and experience very often reachethus the Contrary: and Guilbelm. Fabricius (in his 4. Cent. Obfervat. 7.) reciteth two Examples of Wounds, whote orificeswere very fudden-
ek, itl ly healed, and: yet the Wound within all| this while not cured; from whence it happen: |
ed,thac chere was abundance of Pus colleGed
dangerous Maladies exciced. And wheras they fay, that che continual eflux of the Excre-
ments wil caulethat the orifice of the wound |
fhalnot be clofedup, herein they contradia@ pheir.own former prefuppofals,when as they afferted before, that there would be altoge-|
ther very {mal ftore of Pus generated in the Pus and Excrements ,
Wound.
secondly, For this very caufe, and when |
ffand, that albeic we are coufe our utmoft enideavour,that W ounds may be €ured with. out all kind of trouble and pain; Corat leaft thacthey may be healed wirhas little as pof- libly may be:) yet notwithftanding it is nor to be expected, that inthe curing of Wounds there fhould be at any time atoral and abfos lute freedom from all pain and trouble, no more then there isin the curing of other dif. eafes, Andindeed if althings were co be o- mitted and forborn that are any waies the Caule of any trouble whatfoever; then the
| fewing of the Wound, as likewife the Swaths, }and binding up of the Wound were all of
themro be omitted. But the Ruleis good in this café, that alwaies of two Evils the lefs is to be chofen.
Fifthly, Neither are Tents thereforeto be omitted, becanfe that being defiled by the (Pus they may hurtthe wounded part. For as often as they fhal be thus fouled and made nafty, chey areto be drawn forth; and this very, thing impughs the rare and feldom ope- ning of the W ound.
sixthly, And laft of all, although that Hippocrates and Galen, where they treat ot the Curing of Wounds, donot make exprefs mention of thefe Tents; fo neither yer de they forbid the ufe of them: but rather-out of the precepts of Galen as touching the Cu- ring of Wounds it may be proved, that the ufe of Tents is oftentimes by him allowed and approved of.
Allthe premifes being therefore thus agi tated and difcutled Pro and Con, the thing feemsto come ro'rhis; and che whole fum and fubitance ofthis Controverfie amounteth
| to thus much ;,thac light and fleight Wounds, : 3 sf z | ? po within 3 and fromthencemany grievous and
andduch wherein there is noc much Pys ge- nerated, may be committed unto Nature; and that i¢ matters not much iffuch Wounds asthefe be but feldom concovered. But yet {would not inthe léaft perfwade any Man, that in chofe Wounds that are more grievous, and in-which there is generated oreat ftore of
he ftand as an idle fpectacor,
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2654 Book V.
Of Praétical Phyfick.
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