Part LZ.

POT re ee ge
j ment is crude vitriol +; which therefore fume ( crude as it is ) do beat into a powder, and fo {prinkle ir upon*W ounds, for
vitriol in an Hemorrbage.
woinkle, Wild Tanfey, Bears ear, the leaves of | the topping of the hemorrhage. But others althefe nev and frefh gathered, onebandful ;| there are that diffolve itin water, and then
the new and frefh Roots of the greater confound one pound 5 the greater Centaury balf a pound ; ‘Pomegranate Rinds and flowers, unripe Galls of theOak, Gum Arabick, Tragacanth, Sar- cocol, White Frankincenfe, of each balf an ounce: Hoots of Tormentil, Biftort, Bolear- menick, Sealedearth, Dragons blood, Earth of Samus, of each of thefe three drams 3 bruife what isto bebruifed, and powder thofe things that are to beporedered, and fo mingle them: and after atbree days maceration, in a double veffel lettbere beawater drawn forth accord- ing to Art. But I doubt much whether crno this deftilled water wil have in it any confi- derable Aftringenc virtue 3in regard that chac part of fimple Medicaments in which the aft- ringent power doth chiefly lie can hardly af- cendthorow the Alembick.
| they moyften linen clothes, & lay chem upon | the wound. And moreover Caléanth Cwhich © |
| fome call fhoomakers black ) either pulver- ized, or elfe diffolved in’a convenient liquor | is of fingularufe in wounds, where the ori- fice of the veffel cannot be clofed either by compreffion,or by that mufhrom before men- tioned ( which they commonly call Crepitus Lupi) orevenby burning, be there never fo great need thereof. But this CalcanthCe- {pecially if diffolved in liquor) penetrareth even thorow che very veffel chatishurt. Buc here notwithftanding we are to beware , that the nerves ( if any be neer ) be not hurt. And therefore into {uch like deep Wounds (if chere be any Nerves in the wounded parc) | other Medicaments that have a power co ftanch blood arerather to be caft in by cly-
More efficacious is that water that is deftil- {ters that have litcle ears affixed to them,
led from Alum, after che manner follow- ing.
‘ ¢ Lake of the beft Alume as much as you pleafes povoder it and put it imtoa Buls or Oxe bladder
| and fo put it intoa kettle of bot water, thatthe Alume may be diffolved. Deftil this water byan Alembick 3 and continue the work folong, evenuntil the feces refidein the bottom. ved in tbe Oxe bladder, until the vobol {ub {tance of tbe Alume fhal by deftillation be converted! into water.
The Alum water.
But if the blood fhal noc be ftanched by thele Remedies ; there are fome that ufe Cau- fkicks, that bring a cruftines
A over the Wound, and fo by the benefit of ic fhuc che Orifice of the veffel. Buc che truth is, this way is not fafe enough, but fulof.peril. For feeing thac fo much of the Particle as is burnc into a cruft, fo much chere fallech away of che Natural flefh from che parts when che cruft falleth off the orifice of the veffel is again lefc nak- ed, andbare of flefh; focthat there is often- tirnes anew hemorrhage excited,and not ea- fily ftanched. Ofthele we may moft fafely make ule of fuchofthem as being burnt re- tain ftil a cauftick virtue, and being not burnt have in them a notable aftringent pow- er, bucvery little of the Canftick faculty, whereby they burn: and fuch a like medica-
whetber 24 cafe of an Wemor- yhage We mAy « ufe Caxflicks.
And thefe are again a new to be dffol- |
}or fome other fit and convenient inftru- ments..
| In che interim notwithftanding, ic will be likewife very requifite co adminifter certain general or ( as they calthem univerfal, re- _Medies that make for che ftopping and ftan- ching of the bleod, to wit, drawers back, intercepters 3 and certain. internal Medica- ments that ftay che blood.
Thofe things that draw back, are firft, venefection appointed }in the contrary place; which may thenonly be puz in praétife when the hemorrhage is not great, and the ftrengcth of ‘the Patient but liccle impayred. But yet ne- | verthelefs, that fothe Patients ftrengch may be the better preferved, and the revulfion performed wich the more expedicion, che blood is not at once to be evacuated, but at feveral times.
But ifthe Patients ftr ength wil not bear venefedtion in this cafe, Cupping-glafles | both drysand {carifyed(as need fhal require)
are tobe applyed in the remote and oppotice places.
Venefcction.
But now Interceptersare ad= miniftred, to the endthey may ' drive back and incrafflate che blood whileir is in flowing unto che pare 38 that cheymay make more narrow thofe waies and paiflages by the which ic floweth. Buc now fuch intercepting Medicaments are to be applyed unto the veffels by which the blood cendeth unto the wounded part; andfo a- boveuponthe'part, toward therooc of the
Intercepters.
1 veflels andmore efpecially ¢ where it poki-
ly
f
\ | 4
if
‘
: a f t
| ifeach tme ia 94 J dry i han J ig etake 4 ig thy md Bealich maw y wilde men
j u) nto ! Hour chele BD gtsthal | (avomnpo) P ijt wer
Bm hoy il yl,
ee fhe |
toners,
rhere are
Bie forms
B adifes do
j anong the |
ledicame
Moe bound.
clofe che’ he ligatw bird or fo
py fine pom,
Chap.‘ i4. Of the Wounds of bly may be done)in the exterior parts where only che veins liehid underthe skin, and are noc covered wich much flefh: touching which
"Still! Huppocrates Chm his fitch Settion, Apborif. 23.) Ni) givech us chis advice.
We ought ( faith bz) tomake uje of fome cold medicament, i tbofe
‘Uyil) perfons that bave at prefenit any blood flowing
from them,or that are likely to be troubled there~ with;and this medicament i not indeed to be ap- plyedunto thefame place, but unto thofe places
(Ue ol) from vebence at fiveeth. if there be any inflam-
| mations or burnings of the parts tbat tend unto avredor bloody colour ( by reafon of thefrefb
im and flourifbing blood that now appearetis there-
in.) unto thefevery parts letit be adminiftred.
Now chefeincercepters are made of Medica- |
mentsthat are coldand Aftringenct, as Pofca
i Cacompound of vinegar and water barb wine;
all the water of Rofes of Plantane,
+ intr i is
er certaily
ala, tel
and flat
rasback
wm there are divers
of the Oak, ) and of night foade;. Barly meal, the poveder of § Myrties, Bolearmenick, Dragons blood,“Maf- | tuck 5 the flowers of red Rofes, Pomegranate flowers, and the wl.tes of Eegs, of which Medicaments to be made: i che forms whereof are above propounded and fer down ( inthe firft part, Chap. 5.) | among the defentives,in an inflammation. The
will el Medicamenc being layd on, the part isto
g be boundup with a fwath, thac may bind
clofe che vein towatd: theroot'thereof;and | the ligature is not to be loofned before the : third or foufth day 5; or indeed, it is notto
oe untyed until the blood be throughly
© ftanched.
Avicen ( in bis Quart. Quart,
whack ir. 2. Chapt. 18. )cells us of this following
ree of burning, buc likewife an aftringent facul- vente €¥ > andavircuealfo co generate and breed onthe Meth : As, ele Take Chalcanthum, Parget made into a ve- fe) fine poveder, and fifted inovene a bayr fieve, vila OF &ach twenty drams 5 F rankincenfe powder- ‘on, ed fix drams 3 Aloes, dry Glue, of each eight bn tl drams Arfenickfour drams, ( Lhad ratber ye" heretake “Mercury fublimate, im regard that shea, Many robo. are ignorant of things Chymical and | sa Fs » Metalick, of tentimes mbenfublimate in gen-| ei eralis mentioned; ( and Mercury fublimate is) rel 4 opgatt ) of thefe do fubftitute and appoint Arfenick: ) let sae der, madeup ina liniment, and-impofedupon Key") theorifice of the veffel., Some there are that] fat “nto this Medicament do add Dragons blood, ME and ive excrefcence Hypaciftis.. | eva) Buc chofe incernal medicaments that ftanch| , Bie blood, are either fuch as cool and thicken ret) the blood, or elfechey are thofe we cal Nar- bli) coticks. The coolers and thickners are pre- do“) pared of Myrtle, Rofes, Purflane, Lettice.
of ih i pom
ef
i
© medicament, that hath in icnoct only a power
| Berberries, Rubes, Succory, Quinces, Pom-
by
the Veins and Artertes ; Cre.
:
eT ENS CE On
granates, Lormentil, Corals,. Bolearmenichs vealed Earth. Out of which may be made Powders, Waters, Syrups, ( and from thefe potions) and Electuaites.
There are likewife fome certain things that are faydto ftay the blood by an occule and fecret property : and thus Strawberry Water is much Commended in al hemorrha~ ges. Andthe Raot of Corn-rofeCor Cockle ) heldunder the congue ftoppecth che hemor- thage. And fome there be that for this pur- pote commend unto us the roots of that Cichory that hatha white flower. Andfome there are chat order the Patient co hold in his hand the Fafper Stone, or the Blood Stone.
stupefactives are not over commonly to be adminiftred; neither indeed ac all, unlefs the ftrength remain firm and entire; for fear left chat the powers being already much weakned, and fayling by reafon of the over great lo{s ofblood, thould by cthefe ftupe- factives be farther dejected : but if che Pati- ents ftrength wil admit of it, chen we may adminifter one grain (or two atthe moft ) of Opiat Lavdanum. But now that the blood when ic is ftanched may fo remain, for this the fituation of the wounded part maketh very much; which ought to be fuch, that che Member may look upward, and be free fromall pain. For pain doth very ea- fily atcract che blood, and caufe it to break forth again; and the blood doth more eafily flow unto a declining and downward place. }
If yet the blood by this means be not ftan- ched; they cellus that we are thento caft upon the veffel pouring forth the blood fom- thingtotyeic withal ; and efpecially tow- ardthe roor thereof, by which the branch looks toward che Liver, or che Hearts and that the veins or Arteryes are to be made naked and bare, tobe Jayd hold on witha hook, and then prefently with a thread ¢ of filk efpecially ) tobe tyed, and che thread to be drawn very hard and clofe upon them; andthen they appoint that che wound be fil- ledup with fiefh, before the bond be quire
itaken off. Forif the fleth fhal noc firft of al | evermoreto be underftood_) there inftead there-\ have filled up the place chat is about the vef- ‘fel, and have fhut the very orifice of the vef- them be al beaten into a very fine and {mal pow-| fel it felf, che bond falling off, the hemors
rhage wil again eatily follow.But the truth is that thefe things are more eafily required and commanded, thenthey are put in pra&- ice & performed.If a vein oc an Artery wouns ded & pouring forth blood be wholly cur af- funder,the blood 1s then the more eafily ftan- ched: for the veffel #2 drawn back, and on borh fides contracted wichin it felf ; and fo ics orifice 1s covered and fhut up by che bo- dies chat lie round about ic, Bbbz.
b)
saeinennemmpniiedbnentcecsesaeeeeaneeanaatenntiliaientniniaicn hiniieniaaciaied
2673 |
2674 Book V. Of Praétical, Phy/ick. Part IV, ~~ Butthe belt, fafeft, and moft éafie way Cif| Adverfary that pave him the Woundisnoe Mor it be rightly ordered)of franching the blood, | co be ddmitied ak the Room wee che is that which is wrought by Medicaments } Pacient is.
that ftop and ftay the Blood, and fhucup the ) orifice thereof 5; as they were before pro- Chap. Is Of the Wounds of the Nerves, and Tendons, in genee
pounded by us. When the Blood fhal be ftopt;the Wound
val, and of the pricking of the
Nerves.
is {carcely to be opened before the third day. | And if the Wound be unbound, yet notwich- ftanding if there be yec any furcher fear of | the Bloods breaking forth again, the Medi-
The Dyet.
The Dyer is likewife foro be ordained, that Nerve be cue affunder tranfverfwife or over it may ftop and ftanch the Blood ; and to this | thwart. For the Nerves have a very quick end, Meats are co be provided, of Rice, of and exquifite fenfe; and therefore, when Amylum or the fine flour of Wheat, Barley, | thefe are prickt, there inftancly arifechin the Pears, Ribes, Quintes, Servicer, Medlars,| wounded parcavehemene pain, and upon Lettice, Endive. The Patient ought to ab this an inflammation ; and fothe Brain being ftain from Wine. He mutt’ likewife keep/ drawn into a Confenc, oftentimes Convul- himfelf from Rage and Anger, all Commoti-| fions and Deliries areexcited. Buc now the On of the Minde, and over veh¢ment motion| Fendons, although they are not endued with
and Exercife of the Body ; and therefore his} afenfe altogether fo quick and exquilites yet neyer=
{
fefteth the wounded perfon, unlefsthe whole _ |
HN Hits cament isnot wholly roberakenaway 3 if it Nd moreover, the Wounds likewife of | iN ih be not as yet moyftened and vitiared by the| £4 the Nerves, Tendons, and Ligaments, | Niu it purulent andfanious matter. But if by thefe | are for the moft patt of fucha Nature that” eer a at be made fo moift, that itis ready of it felf | fomthing in che Curing ofthem may fal ouc | a . Re to drop off, another is inthis cafe to be laid ;that 1s peculiar and proper co them alone. iy} In on, if there be yet any further flux of blood, And firft of all, as for what concerns the qi feared. And yet notwithftanding we are| Nerves, as alfo the Tendons, (for what we |§} sijpr. 1 yh : , ils om at oy a i herein co deal very Caucioufly, and wich all | fhailipeak rouching the Nerves may lMke- 7 ff wound V ci hp manner of Circum{pection 3 and withthe one, wile be applied unto theTendons)chey are of 9 wihta eu " hand chat parc ofthe Veffel coward che Root , another Nature then the flefh; and therefore 9 andthe. 1 hi thereof is to be prefled down clofe together, allo (as we fhall afterward thew you) they J ehicial hi (om that fothe flux of blood may be reftrained ; | require orher Medicaments then the wounded | which of i and wich the ocher hand the Medicament isto , fleth doth; and furthermore they have a Death, bi ae Fa becaken off, the moift Wound to be clean.| very quickand exquifite fenfe, asthe Ten= 7 sidofen a We and dried, anda new Medicamenc aid dons likewife have; and thereupon if they}. , Ty ap on. behure they bring great Pains and Convulfi- doe of th But now if che internal Veffels thall befo | ons. Now the Wounds of che Netves are |} ebele are’ \ | wounded thac they can neither be cied toge- twofold; to wit, Pricking and Incifion; ac- ‘| neither ee Mey ther by any ligature, neither yet obft:uded | cording as the wounding inftrumenc inflict" | Gil Tm Alena Et and fhur up by any Medicaments Jaid there- ; eth the Wound, either by a Prick or a down- } the binder ini a then Medicaments out of a ne right Cur. ! 1 Tetanus . | thachavein themavirtue;to.cool and :thic- ; ' rd ari . | h ye ken the Blood (and which were but even now Signs Diagno/i ick: ° | eh : ‘ mentioned by us) are co be provided; and , _ Now the Wound of the Nerve is known } Eny hi a Dyet that is like and anf{werable chere- | firft of all, from che Confideration of the } hifa | unto Cas we havé fad) is to be preteri- | Wounded place 5 and from Anatomy, which | 5 Ye Hip) hed: | acquaints us with the Nerves chat areinevery § inf ft Now when the blood fhal be fully ftanched, | Member, and how they enter and areScituace | ied HA i and fhall become Cloiced, then we muftufe | iD them. For which caufe, ic is likewife to | bic ty Lt the beft of our endeavour co prevenothe pu-| be confidered, whether the wound be in the | Wout trefying of it; but thar it be rather diffolved: Heads ofthe Mufcles, or inthe ends of them: "| Tia | ( whichin what manner it isto be performed,|a@2d whether che wound be aboveuponthe § fen Fa AT we have declared before, (in the 2. Book. | Joynts, or elfe inthe very Joynts themfelvess | | tos mo 1 ig Part 2. Chap. 6. and above in the firft Part, | for if ic be in the Heads ofthe Mufcles, icbes | ithe N | " and 16. Chap.) where what we have wricten |fokeneth thata Nerveis wounded 5 bucific | tele a } | bbe tat t may befeen at large: for in this: Chapteric | be in the ends, and neer the Joynts, itisa | ind ni : Hi f \ is our purpofe only to treat of che ftanching | fign then that a Tendon is wounded. And | wh Q if i | ofthe Hemorrhages of Wounds. moreover, fromthe vehement pain thatim= i fe | | mediatly after the receiving ofthe woundins "Mt
pellin
kewif Ul Rae {CUTE thal ay fal oll | tm alone CEI the C what nel nay kom hey ate oi therefor you) sey Wounded y have , the Tend nif they Convuli elves ang {lon apa mini
a dowiiae
at Be
KNOW s KDOWS HOF. tt y, Which [4 “el nee Scucatt cewile (0 bein the
of them: a upon ch niteliek ey 1D |
}
but uh ! 5, it dy ANU that g
og und pe wile ie
» ot ort
y gu
4 vid
ifintht if upar on 4 joni" ae qv ces) |
ever" :
Wl
nr er ee
Chap.15. Of the Wounds of the Nereves. and Tendons, ec.
NN neverthelefs, even cthefe (they being not|chere fhall follow no evil thereupon: for ic
wholly void of fenfe and feeling) when they are pricked, there arealfo pains, and from thence Convulfions excited.
Prognofticks.
z- All Wounds in the Nerves are danger- ous, by reafon of that exquilite fenfe they have, and their Confent with che Brain. And yet notwithftanding, a Wound by pric- king is more dangerous then that: that ts made by cutting, as afterwards we fhall thew
Ou. . : 2. The Wounds of the Tendons are lefs dangerous chen thofe of che Nerves.
3. That Convulfion that bappeneth upon a Wound is Mortal, as we find ic, inthe 5. Seéf. Apbor. 2. Which is cobe underftood of the W ounds of the Nervous parts, Andyet not- wichftanding, the Greek word Thanafimon, and the Latine, Lethale, (as Galen explain- echit in his Comment)do not here fignifie that which of neceflity ‘and evermore bringeth Death, but only that which is very dangerous and oftentimes caufeth death.
Ae Thole that with their Wounds (as {uppofe, thofe of tha ‘Nerwes) bave con{picuonus Lumors, thefe are not greatly troubled with Convulfions, neitber wit madnefs 5 but thofe in vwbom the faid Tumors fuddenly vanifh (if this be done in the binder part) unto fuch Convulfions and the Tetanus do ufually bappen: but if it be on the foreparttbat thefe Tumors vanifb, then there wil befal them madness a {harp pain in the fide, an Empyema and Dyfentery, «if the Tumors be of a Reddifh co'our. Sect. 5. Aph. 65.
5. Yea, what we find in the 5. Seéf. Aphor. 66. ( and which we have above al- leadged touching wounds-in general ) hath
lace here more ‘e{pecially; to wit, if the Wounds being great and danger ous there fhall no Tunior be (een to appear, iti then a very ill fien. For inno kind of wounds ate Inflamma-
- tions more ealily excited, then in the wounds
of the Nerves. And therefore, if there be prefent- any Caufe and occalion of a fluxion ; and yet neverthelefs a Tumor “fhall not hap- pen thereupon; it is then afign thac cicher the matter is driven to fome other place, by fépelling Medicaments, and fo deteined in the more inward and deep places and parts of (the Body, or elfe that they are by
Nature her felf thruft unto fome other
lace. : .
6. And yet notwithftanding there often- times appear no Tumors at all in fuch kind of Wounds 5 to wit, ifthe Phyfitiantake away all the Caufes of fluxion, or.if that Nature herfelf thailallay andaffwage the violence ofthe Humor. “And there is alwaies ground
of good Hopes, ifevertinto thé feventh day
isafign, that Nature bath appeafed the mo- ction, and the impetuous violence of che Hi mors ; touching which, Galen Cin his third B, of the Compoftt. of Medicam. according to their feveralkinds, and 2. Ghap.) thus writech: DF unto the fifth, or even unto the feventh day of the ‘Difeafe, there be neither Phlegmone fo much as appearing, and tbat there be altogether a free- dom from pain, and tbat the fick perfon feel no extenfion and ftretching in tbe part af- fetted, be fball after this time be fafe and fe cure.
7. The wounded Nerves do very eafily likewife conceive a purridnefs; finée chat they have in them bute a weak heat,’ and ate ofa very diy Nature, and fo may be eafily hure by chole things thac are moift; where- upon it is that Warer and Oy] are enemiés unto the Nerves. Neither is that putridnefs and Gorruption conteined in the wounded part alone, bur icislikewife commumicaced unto the neéer neighbouring parts, yéa and oftencimes alfo unto thofe parts that aremoré remote. Whereupon it is,chat the hand being | wounded,or but chek’ mger only,che pains are wont to appear in the Arm and Shoulders and that che Leo being hurt, there are wone to bei the Thigh not only pains, but alfo
parted nor unto one of the fides alone, but even unto that alfo chat is oppotire. Yeaand inthe whole Body likewife rhe Humors are corrupted 3 whereupon feavers, pains in che fides, and Dyfénteériés are wont to be exci+ rced. And (that which we are here td give
;you notice of, and not’'to pats it over im fi-'
lence) there are nor evermore prefent figns that betcoken dn Inflamination or pticridhefs ¢ yéa and oftentimes there are likewife prefenc no vehement pains 5 but that very ofrer{e- cretly andfuddenly the Convulfion invadeth the wounded perfons. “For the vitious mat- ter being thin and depraved is hiddenly car- ried by the Nerves untothe Brain, (as we fee that thisis done in the Epilepiie or Falling- ficknefs) a poyfonous Airafcending unto the brain from-the excreamparts, without any notable pain in thofe parts by and throtigh which ic paffleth. Of which thing we meer with many examples, and how that che wounded petfons, without any pain and In- flammation, have been fuddenly furprifed| with aConvulfion, and have inftantly diced thereupon. And therefore in the Wounds of the Nerves, although that there fhall be no pain felc, neithez-any Inflammation ap- | peating; yetnotwichftanding, we are nor to cruft cochis 5 but for all this che Cure is care- fully to be heeded and attended. $5 | the
3678
Impoftumations 3 and that the Malady isim- |
Bo ox V. The Cure.
Touching the Curing
2676
oc
deal of pains in treating thereof,
flammation prevented.
length putrifiet fi.
itred unto the wounded parts.
hae | having innate heat, and endued with amoft exqui-
! by any thing chat is cold, (it being biting and i hig caufing pain ) as ‘Hippocrates writethinthe | 20. Abpbor. of his fifth Seiion, andas Galen
chat are blood-watm are noc fufficiently commodious; touching which Galen( in his fixth Book of che Compofit: of ‘Medicaments | according to the kind, Chapt. 2. thus writeth Bae | Let tbe oy) ( fayth be ) with which we cherifh ' ip the mound be fufficienly bot, left that otherwife i ilk it offend fuch a. veounded sart. For hike ap my ae Ruck shat vobich ix cold w moft of all contrary unto HE Tet thefe kind of Affetts 3(0 likewife that that ws but - ee blood warm is not very mucha friend unto them. 4 Anda little after: and for thie Reafon (fayth be I my felf cbufe rather. fh make ufe of a fomen- tation. of oyl that # fufficiently, bot, alwaies fhunning that which is but luke-rearm, , but moft
of al refufing that which # quite cold. And
(
Of Pra&ical Phyfick.