Part IV.

of the Wounded Nerves, Galen € in his fixth Book of his Me- thod of healing, Chap. 2. ) taketh a great But feeing that in all Wounds of the Nerves pains and inflammations eafily make their approach, and threaten the pacient, we muft’ endeavor that the pain may be mitigated, and che in- And therefore if need require, boch by letting forth of the blood, as alfo by a purging out of the fharp and thin humors, their afflux unto the affec- ced pare is to be reftrained and prevented: butthe wound it felfisto be kept open, that fo the exctements may the more freely flow forth. For the Chiefeft’ caufe of pain in W ounds of the nerves is che excrementitious maccer fhut up 5; which being overlong de- “ tayned geccech co it felfa depraved quality, 4 pulleth and twingeth the Nerves, and at And therefore thofe Me- dicaments that are called Bnemata( although Rida! a they may be very fic and properin bloody Wounds, andthofe of the flefhy parts, in } 3 regard that they fpeedily clofe & fhut up the wound, yet) hereinthis cafe are no waies
| convenient. Neitheris water fic & properno © yet any thing thatis cold ; fince that ( as ‘Hippocrates writeth in his fifth fection, 4- phorif. 18. ) every thing that is cold % anene- my totbebones, teeth, ‘Nerves, Brain, {pinal marrove ; but that which is warm, a friend untotbem. Yea neither ought other Medica- | ments that are actually cold to be admini- For feeing iD thac the Nerves ate parts voyd of blood, and in them but very little nacural and
a il fitefenfe, they arefoonandeafily offended
" | likewife ceacheth thus, in che fixth Book of ! his Method of Curing,Chapt. 3.But yet things ( | | Medicamencs.are to be adminiftred; but un-
nerve difcovet- edandmade bare, Galen then adminiftreth rather fuch things as are buc tepid or, Luke~ warm, then thofecthings that are very hoc; aswe may find in the fixth Book of his ‘Method of Curing, and Chapt. 3. Buc alehough chat for the aflwaging of the pain, that which is hoc and witha] moy ft ismoft ufeful and convenient: yer never- thelets,in regard thac under thofe things thac humectare and moyften the Nerves do eafil
pucrefy, therefore for all Wounds of the Nerves thofe Medicaments are moft accomo- date and proper chat in their activity are temperate, (or fomwhat tending unt oheae) but chat in paflivesdodry; and that are of thin parts, that may corroborate the weak heat of the Nerves, by confuming and dry- ing up the excrements : touching which Gal- en ( in his fixth Book of the Method of Cu- ring, and2 Chapt. ) writethin this manner: The faculty of the Medicaments of the rounded ‘Nerves ought to be both thin, and alfo moder- atly beating, and {uch as may dry without any pain; inregard that thys alone can draw the Santes Cor thin excrements ) from tbe bottom ofthe Wound, without either contratting, or biting of the particle. Andthena little after, tbe Wounded Nerves ( fayth be ) require fuch ‘Medicaments that may excitea tepid or luke- warm beat, and may ftrongly dry 3 and which fromthe Nature of their own f{ubftance have both a power of drawing, and are of thin parts. And the fame he teacheth us in his third Book ofthe Compofition of Medicaments ac- cording to the kinds, Chapt. 2. And fuch like Medicamentrs have in them this benefic like- wife, thatalchough they are endued witha faculty of drying, yet notwithftanding they do not conglutinate the orifice of che Wound feeing that chey have both an attractive pow- er, and yec neverthelefs are free from and void of an Aftringent faculty. Andyet nor- withftanding regard ought cto be had unto the nature of the Wounded perfon 3 and unto che fofcer and more render bodies the weaker
yet Neverthelefs,ifchere be a!
co hardand {trong bodies thofe medicaments that we adminifter may be the ftronger. And there is alfo regard tobe had unto the matter that is co be dryedup 5, amd according to the ftore of the humidity we are to make choice of Medicaments that are conveniently drying For as Galen ( inthe place laft alleadged, cowit, thethird Book, of che Compofition of
‘Medicam. according to the places, and Chapt.
2. )faych that ina very copious humidity che
tncreafe thereof requirech to bedryedup by a ‘Medicameni that is more then ordinary dry- ing; ific be buc liccle, chen by amedicamenc that doth this moderately; and if ic ke much,
then
B imony eanihet, i! I ah ied py iit B yihthen such hi B yfeful in | pouided B eslod of | Book of t jo 10 the MM chy dha | when we C | ANervee. B Burnoy H temperant § Aflux of A be prevent j Medicamet A afeted, | by ) bur ei midft fron Aerves al with hot 0 of White L of Lottus, g And Galen fixth Book therefore, peat in th Wound er istobe an B thofechar B toyns a endian B backbone
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278 Bu tin
B heute of § XY (acc i} let by pe Ye thal ct B chon o q Mole thin ‘ Vtobe f Bounds of mB ‘ptar,
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an | titted | OL Tey by Ok if j Rip of, a hd oan Yet no things he ta
| Chap. 1S.
yo Nds of a t atcong| ;
ity a nt Obcaali
bit ate gi the Weak :
addy, i Dich Gy. a of (ye j Manner § Oude ae Ifo moda. ' thou ay dvavy the re bottom ait, orf tle after, ame usu 3 | or luke Ui
Soke r '
wid which ace ull bit part i
his chi nen ea fuch like elit kei od witha Ling they fe Wound we pos a rom and ie yet 00 iad unto | and un ie a weakel ( | but ut iamnents get And d
emattel i gtotlt a cole ie
p dying 9
|
Of the Wounds of the Nerves and Tendons, CHC.
then by a Medicament thac dryech much; and yer neverchelefs, not extremly, neither in che higheft degree. For there oughe co be a proportion anfwerable berweench@® quanticy of the humidity and che drying ofthe Medicament. Andifthere be alfo any of thofe drying Medicaments, and of thin parts, ( which are of fic ufe in all Wounds of the Nerves.) rhat have adjoyned with chem a Notable hear, anda biting Acri- mony, and chereupon may ealily excite both
Of the Pricking of the Nerves. Signs Diagnoftick.
Now it may be known Netves be wounded ( yea or no ) by prick- ing, fromthe kind of the weapon it felf,and the condition of rhe Wound; to wit, ifit be narrow, and yet notwichftanding a great and
yain and fluxions, ( fuch as are deftilled| §ti¢vous pain followeth 3 and upon this a Ballams, {pirits, and oyls) their heacand beating, an imflammation, aFever, anda acrimony ( unlefs ofits own accordic foon Convulfion : which fymptomes do never vanifhech, asit commonly happeneth in the happen, where the Nerve is wholly cut af. {pitit of Wine ) is ro be cempred and Mitiga- funder. Fox when the Nerveis wholly and ced by the mingling together of other things tranivertly cut in Cwo, itno longer continu- Reh chem: eth its commerce with the Brain; Neither
Such like Medicaments as thefe, that are | Can ic draw the {ame intoa Confent with ive De chiieiay saudeotthe-Neciésy- arepio: and fo there can beno pain, neither convyl pounded by Galen in his fixth Book of the fion excited.
CVetbod of Curing, Chapt. 2. and in his chird Book of the Compofite ot Medicam. accord- me to the kinds, Chapt. 3. 4. and 7. and they fhal be likewife declared by. us anon, | 4 S when we come to {peak of the pricking of the for as Galen writes ( Art. Med.and Chapt. Nerves. 92. ) the Pricking of a Nerve and a Tendon,
Buc now that the pain may be aflwaged,the | by reafon of the vebemency of the fenfe, and temperament of the part preferved, and the becaufe that this-part 1 continued with tbe Afflux of humors,and the inflammation may | principal part the bead, it is thereupon very ape be prevented, thereare not only convenient | and ready to excite a Conwulfion of the Nerves, Medicamentsto be impofed upon the part 4d then more efpecially mben nothing at al affeGted, (of which we fhal {peak by and Dbreateth for'th, the wound in the skin being clo- by ) buc even al the parts alfo chat liein the Sedandfhut up. Aud in his fixth Book of the midft from the wound co the beginning ofthe “Method of Curing, Chapt. 2. he faith thus ‘Nerves are to be anoynted and cherifhed Where a‘Nerve # pricke, tbere of Neceffity a with hot oyls,to wit,the Oy! of Earth worms pain muft invade tbe perfon greater then the of White Lilyes, the Oyl ofa Fox, the Oyl, pain that in any other of the parts; and then of Coftus, the Oylof Caftor, and che like. } of neceffity a Phlegmone muft foon follow there= And Galen commands us thus todo, in the | pon. fixth Book of his Method, and 3 Chapt. And 2. And yet neverthelefs the pricking of therefore, ifthe Nerve be of thofe that ap- | the Nerve is fo much the more dangerous, by pear in the Neck, chen che Arm from the| how muchthe body thac ic lghrech upon is W ound evenunto the Armpics andthe Neck,| impure, and ill difpofed : touching which istobe anoynted. Buc if the nerve be of | Galen ( in his lixch Book of the places affect- thofethat ace found in the Legg, then the | ed, Chapt. 2. ) thus writeth ; If any one Groyns aré to be anoyn ted 3;and we mutt af-| wbofe Wounds do eafily beal be prickedwith a cendin anoynting from the Groyns ( bythe ‘Needle, this man although witbout any Medi- Backbones) even unrotheheadand Neck. | cament, andthe member altogether bare and
Buc fince chat the Prognofticks, as alfo| naked, may betake bimfelf unto bis accuftomed the ufe of thofe Medicaments doth fomwhat | labors and bufine{s and yet find nor feel no burt vary (according as the Nerve is wounded ei-| at al; butif any one whofe Wounds arebard to ther by pricking, or by a down-right cut) | cure, fralfo do, Cefpectally if bebe either Ple- we fhal therefore {peak of the Pricking and | thorical, or elfe oppreffed and ful of bad humors. incifion of the Nerves in fpecial ;oucof which | that is to fay, Cacochymical ) this party will
Prognofticks. il
1. The Pricking of the Nerves is chemoft dangerous among al the wounds of thenerves:
—
thofe things that in the general feem necefla.| zzdeed at the firft feel much pain , and after- - ry to be fpoken of touching the cure of the
ward likewifetbe part, affetted wil be infefted, not only vith a Puls and beating, but alfo with a Phlegmme.
3. If inthe prickings of the Nerves there appeareth aglumor, and thac. it afterward duddenly
wounds of the Nerves, wil the more cleerly appear.
whether the
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Of Praktical Phyfick.