Part V.

be brought totouch one another, the Chirur-) geon with both Hands lay hold on both
parts; andchat he thenthrutt back unro the
righc part che Member thar is fallen forth un-
cothe left; andfo onthe other fide, that he
thruft back unto che contrary pare that Mem-
ber that is fallen forth forward; and foon
the Contrary ; and that he never leave thru-
fting back the Eminencies or ftickings ouc of | the bones into their Cavities and hollow | Seats, until che extremities, z.e, the ends of | the bones berightly united, and driven back into their proper places, and chat the Member
have recovered again its Natural Figure. But
now thefe ftickings out of the bones are not
with any impulfe or violence at all to be
thruft back again into their Cavities, left
that by this violent handling of them they
fhould be broken; but rather let chem of their own accord (the extenfion being loofe-
ned) return back into their own feats 5 and let chem be gently directed hereunto by the Hands of the Chirurgeon. And all thefe things are (as foon as may be) to be done, before that an Inflammation happen: for if there chance to be any Inflammation, and then afterward the extenfion of the Member, and the replacing of the bones be attempted, a Convullion may eafily be excited.
But if che Chirurgeon be not called until the Inflammation be already begun, fo that by reafon thereof the bringing back of che bones may not fo much as be actcempted, then hy all manner of means he ought co oppofe the Inflammation; and he is likewife to en- deavour that it may fpeedily be removed by thofe Medicaments that areabove propoun- ded, inthe firft Part, flammation. And inthe mean time he oughc to be very Sollicitous and Careful of the part
affected, left chat ic readily receive the fluxi- Wine.
patt; if while che broken part is touched by the Hand there be perceived no Cavity, no fticking ouc, or unevennefs 5 and if the bro- ken Member being compared with its fellow that is found, (rhat is co fay) the Shoulder with che Shoulder, the Thigh with the Thigh,
land the Legg with the Legg, it be found to
be almoft equal, and likeunto it, both inits Figure and Magnitude. Almoft, I fay, in- deed, becaufe that inthe thicknefs there may be fome kind of difference becwixt them; in regard that by reafon of pain and the afflux of Humors, the broken Member doth for the moft parc {wel up and grow fomwhat big.
When we findand are fure that the bones areconformed, the extenfion is then by de-
| grees to be remitted; and we are then ro take
care chatby a fic binding up of the Member the bones when they are wel fitced and pla- ced together may fo remain united, rightly conformed. And this is to be done by two other operations, to wit, the binding up and the placing of che Member. W here- fore there arefome whowrite, that the Cu- ring of Fra@tures cannot be performed and compleatly finifhed, buc by thefe four oper- ations, vig. Extenfion, Conformation, Bin- ding, and placing of the Member. Notwithftanding, before ever we
attempt torowlany Swathe about | The bin-
the broken Member, fome certain ! ding up of
Medicaments are wont to be appli- | Fractures.
‘ed and laid on, for the preventing | the afflux of Humors, andthe Infiammation, and likewife for the helping forward of che Callus that isto be generated: butin this, for
and 5- Chapt. of an In-\the matter thereof, Authors do fomrhing
differ. ‘Hippocrates maketh ufe of a Rofe Cerote: Celfus ufeth Clothes dipt in Oyland Ochers there are, who at the firft
on: andchis may be done by Repellers 5 and lay upon the Fracture a Cerote of Rofes with
by placing the parc in fuch a manner, an
dfola broad Linen Cloth, and then afterward
handling ic, that no pain at al may be brought | they put upon ita Linen Cloth well moy fte-
upon the Patient.
When the Inflammation |ned in fharp black Wine,
or elfe che Juyce
is over and paft, we muft afcer chat endea- | of Pomegranates: others ufe hurds moyfte-
vour that the bones may their proper places.
be reduced unto |ned throughly in the white of an Egg fhaken
well cogether, and chen a little Squeezed =
But then if the extremities of the broken} and others Cwhich practice is now adaies
bones break forth, and ftick out of the Skin, by what way and means fuch a Fracture is to be Cured, we fhall fhew you in the Chapter following. When thefe things are thus per-
moft inufe) do anoynt and {pread upona: Linen Clotha mixture made of the white of an €gg, and Aftringent Pouders of Bole-Ar-
formed, we ought then totake good notice, | floveers, the Roots of Confound, Frankincenfes
whether or nothe bones be rightly ficced and placed together. Nowitmay be known by this (as Hippocrat. telsvus. in his third B. de Officin: Medic. Text 24.) if the Patient be no longer fo much infefted with pain, as before 5 if che eminencies of the bones now conjoy-
wed within them{elves do no longer prick the |
‘and che like; and this they lay upon the Fracture. Which faid Medicaments are in’ ' all che bindings fo long to be continued, ever until there fhall be no further fear of an In- flammation, and that the Fracture begin now
co be ftable : and afterwards we aretoapply
| (ifit bein the Summer) the Diapalma Em-
and:
plofter> | 9
(aie fail
Beamnor } | place lexan, | Wplatter h
Heed oy q nyerk menick, Dragons blood, Rofes, Pomegranate’ |q
: rR | i ody th
im ie
ft | jn Bd se A dive! Ney
ae? bane / grengc jon 408 !
Mgringee
ne be gc ave £0 ie Take ed poe peat Wen
| be wbite
pit bep dies re after an Take | Matic, Nunn), wiles, 1 lal Very
Mohn ad |
jade Cl
his Ay (ie
iter.
Takeo {
Poovder
\4 Red Tol Bie Stone jg avige th
alle of bilater,
| Theeo Fragure Nery tink
) an
jaiit of P
| tutes aft
) attra’
| XO an
|
im he Alter
Holey
plafler; but in the Winter the Bimpla-jafflux ofthe Aliment, andexcite pain. Now this is co be performed with twoSwaths 5 the | all refpects fuicable and Convenient. And| one whereof (which may not unfitly be ficft Eloy P| this diverficy of che Medicaments feemsupon| moyftened with Oxycrate) is to be caft over uit | very good ground (and not without Caufe) | the Fraéture, and upwards to be rowled Thigh | tohave been brought into ufe and practife by etch about ic twice or thrice, (fo that much
—— = * bow) “~ 3 ‘Sy = o a = ~ SS we 2) ri ~> -) = o e) et =m @ Ce ert a @ bam bee we t=]
tidy) Authors. For when there is an Indication of | of the found part betaken in inthe Swathing ) ‘lit | Screngchening and Eftablifhing the Fracture |that fo the bones when they are fet back ay in F| (and chat pain and che fear of an Inflamma- | again intocheir places may there be keprand my § | cion forbidicnoc) the mite of unEgg, andj continued; and likewifechat the conflux of Ninf! aftcingenc Caraplafms are madeute of : but ; blood unto the affected pert. may by this Calm) if che Patient be-afflicted wich fore pain, chen;means be prevented. Théyocher (longer Hat ith ine! wearetoufe che Cerote and Oyl of Rojes, and cthenthe former by the one half) isto be row- gy awh) Wine. Or, i led about ina Contrary manner; and being { wi) | Take of the dead bead out of Lin-feed, Lin-' firft of all caft upon the Fracture, (and bes a
‘bons | feed powdered, unfalted butter, Roots of the ginuing from the fame ) it is fome certain iby def] greater Comfrey, of each four ounces; ‘Bole-;times to be rowled about downward, and | tote) «Armenick, and Cerufs, of aacb one ounce; then again to be drawn up above the faid a) lenbe | gbe whites of fifteen Eges 5 Makea Cataplajm; Fracture 5 and ac lengthto be carried toward ,
ple) det it be put upon tbe Fratture, and after two the found pate lying above it. For foby
, aie) daies removed. ‘Repeat this five times, ong \this means, if it fhould {o happen that by che a : edo) after another. Or, firft Swache any Mufcle fhould chance to be | inding Take of the fineft Flower balf a pound; dittorced and made to ftanda wry towards ne ee there @ | Maftickh, and Gum Arabick, of each one ounce; {ome one part, it isamended by the fecond ; | i) heCuef) ‘Mummy, and ‘Bole Armenick, of each balfan the Humor is likewife preffed forth of the ;
dad =| ounces withthe whites of Eggs makea Cata- | parc; andthe influx of che blood, ( as well tit! ii
1 Oper | plajm. ftom the inferior, as the Superior parts) 1s
By Bite fet Very ufeful likewife is the Emplafter of | hindered and prevented. For all bindings ho [| Fobn de Vigo, which he mentioneth in his 8.B. | whatfoever have in chem a power of prefling an B} and6.Chapter. And Guilbelm Fabricius in | forch the Elumors out of chofe patts upon AULA? Twine) Bis 4 Cent. Obfervat.o9. ufeth this Empla- | which they are firft of all calt, inco thofe A '
ign | | iter. parts wherethey are ended. ATR Fries Take of Slobanus his Emplafter four ounces;; And this binding which is performed by el
| ‘Poveder of the Root of tbe greater Comfrey, of tnefe two Swaths, 1S by Hippocrates called ’ / sation, BY Red Rofess and Mirtles, of each two drams ; Hypodefis 5 and the Swathes themfelves he ("| Me dof the by the Stone Ojteocolla’ prepared, im drams : callech Hypoddmidar Buc now cthatin che ; ij) his fu mingle them togetber over a gentle Fire, pane greater bones the binding may be the more { ih | akiv el @ little of tbe Oyl of Rofes, and make an Em-! {table and firm, certain coverings which the ih uta | plafter : _ | more modern Authors termPlagule and Sples i land A The common and vulgar Chirurgesns ¢ in} mia)areta be put aboveupon them 3 and then ey | | Fractures) are wont ofcentimes (even at the| after the putting on of thefe, the binding ts to te "a | very firft) immediatly to apply the Oxycro-| be made firm and ftrong by two equal Swath : ‘ ve ceum Emplafter: or if this be not the very | bands (which Hippocrates callechEpidefinot) 7 a ' firft of all, yet ic isa Remedy that they ne-| of which the one is fromthe lower part car- as | ver fail co make ufe of within avery few] riedupward toward the righc hand,or toward ns) | daies after the Fradtureis:-made.. But this} che left; andthe other is carried downward, a | cannot be done without much danger; as in| the quite contrary way unto the former : qd | the place alleadged Fabricius fheweth us by | which binding is by Hippocrat. termed Epi- a | anexample. For it being fo chat this Em-| defis. And here we ought to bevery cautie h 4 t) }
J) plafter heaceth the part affected, and there-| ous, that che binding be nor eitherin an over-= ier}. by atcracteth che blood and Humors, it muft | loofe manner (for this will not fufficiently
nies |- needs produce an itching, pain, Inflamma-|retein and keep intheir places the bones thac
ais | tion, and Gangrene; and efpecially in the) are newly brought back)or elfe coo hard and
i) Body chat is Cholerick and Cacochymii-| clofe;(for this may caufe pain) buc fhuhning
cal, the inconvenience of boththe former, weare
pF) Afcer that fic Medicaments have been im-|to make choyce of that middle way, that fo
ride | pofed upon the part affected, then we muft | we may enjoy the benefic and ufefulnefsof
cB | proceed tothe binding ofitup;andthis muft both, And if afer Swathings about be noc
fh) neither be over loofe, Cleft that the bones be , fufficient to concein and keep in the Fradture;
inet again removed out of their-places) neither) chenit will be beft, for the more fecurity, co
EL ever fereight and hard, lefé chat it binder the add untorhe number of them. na i | | Ana me
2736 BooxkV.
And that che bones when they are reduced unto their proper place may be there che better
Splinters to be pat wpon Fra-
éuves, ‘ ; Pieper | eftablifhedand kent firm, (that the the they be not again moved out of
‘their places, “Ferule Cor Splin- ters,) aretobe pur above upon them, if the Nature of the place affected will bear che fame. For feeing thacSwathes and the Co- verings which they cal Splenia are very flexi- ble and yieldinguchey cannot poflibly keep che Fracture firmand direct, but chat it may eafily happen, ‘that whether the Patient wake or fleep, the Member may be moved. And therefore that in thofe mocitons which are not much heeded the Member may be kept firm, and held tight, there will be need of chofe things thar are ftiff, and are not eafily bowed, and yet neverthelefs noc over weighty and ponderous. Unto which end and purpofe Cas Hieronymus Fabricius {peaks ) Hippocra- tes could not in all che world again (after his Plagule or Coverings) have invented and fic- ted us with becrer inftruments chen chefe Fe- rule or Splinters, chat are both ftiffand in- flexible ; and likewife very light, and nor at all oppreffing the parc affected by their weight. Buc when we want thefeSplinters, we may inftead thereof make ufe of thin pie- eesof Wood. And fome there are that in the place of thefe Ferule niake ule of the finds or Barks of Trees. But if any wil make ufe of chefe, lec him look wellto it,chat they be not green, but throughly dried. For thofe that are green, when once they become dry, they chen are contracted about the Fra- cure, anddu excité pain; and fomtimes al- fothey again remove the bones out of cheir places; as Guilbelm. Fabricius by a peculiar example teacheth us, in his fourth Centiry, and $9. Obferwat.
j AndLaftly, Gifneed fo require) The pla- | the pipe may likewife be admini- ris ead ; ftred unto the Member 5; touching
Member. pwnien both Hippocrat.and Galen
‘Make mention, im their Tratt: of thofe things that oughtto be done in the Curing of Frattures, Text 18. and the member is rightly to-be placed; and we muft fee well cot, that its poficion be foft, equal and even, andturnedupwards: foft, thatfo it may not prefs together the broken Member in that part, neither caufe pain and mflammation : equal andieven, thati¢ may produce no pain, norcaufethe Memberto ftand awry: and it muft be rurnedupwards, that foche Humors by their weighe cending downward may not blowunto-the place affected. {pecially we muft do our endeavour, that there may be obferved a middle Figure of the Joyuts; and fo likewife a middle figurati-
Of 'Praétical Phyfick.
But more e- |
Part a
ai ey
may be fomtimes adininiftred certain licrle Coffers orCaskets(the Latines cal chem Cap- fale) which all the whole time of che Cure may receive and contein che broken Member, ‘Hippocrat.Cin his B. de Officin. Medic. Text 3. and 30, ) in giving aright and due Scituation unto the Member, commandeth us cto take notice of, and wel to heed thefe three things, Reft, the Middle or Mean pofition, and Cu- ftom, Reftindeed, that fo fuch aScituation of the Member may be chofen, as,a manis wontto keep at chac time when he is moft free from all manner of bufinefs, and moft addidtech himfelfto eafe andidlenefs. Bue the middle Scituation is a pofture betwixt extreme diftenfion, and Contradtion; and yec neverthelefs not alwaies exadtly, buc duch as cometh neereft unto the mean or mid- dle pofition. Asforexample; inthe Arm, that isto beaccounted forthe middle Scitua- tion, Which doth not Confticute a right Angle in the Elbow, but rather an obrufe and blunt Angle; and fuch as comes fomthing nigh un- toa ftretching of ic forth: like as we fee men when they are quiet andidle, they hold noe their Arms exadtly ina juft middle pofture betwixt being alcogether ftretched forch ftraight, and wholly bowed and bent toge- ther 5 bucfomwhat more inclining and ten- ding toward aftretching of it forth: which Figure is therefore moft pleafing unto them, in regard thacic is moft free from pain. And then laftly, Cuftom is alfo mucho be re- garded and lookc upon 3 becaufe that no o- ther habicis {o eaftly born as that unto which we have accuftomed our felves. Unto which we may likewifeadd a fourch,our of the fame Hippocrates, (in his 1B. of Frastures, and 1 Text) to wic,thac fucha ftate of che Mufele is to be chofen, under which the broken bones may be drawn divers and feveral waies,wich~ out any great adoe, or offering violence unto thems; and {uch as when the Member is con+ reined under chat habir, icis then free from allpain. Heonly doth both thefe, who fo Figurecth and’placeth the Mufcles, that cheir Fibres may be direct,and ftretched forch in @ ftraight manner. Now they may be faidto be-direc&t, and direly extended, when the whole Muicle is placed in one part,of the Member. ginning inthe interior part be fo placed that che Seituation thereof be inthe middle from the interior parc, and extreme from the ex- terior; orfo, thatthe Scituacion oficbe in the midft from the fuperior part, and ex- treme from the exterior, by this means it is wrapped together about the Member, and fo extended.
Now when the binding is right, and per-
formed as it ought co be, itis known by this on of the Mufcles : unto whichendalfochere
Cas
For if che Mufcle that hath its be- ’
‘) can WE place’ ly f psthat Hyenit 19 det tel } joolent fechat fl
| aslympt Pathe 000
|
athes bi ncient | wathing
Dawa lot Pepindings i
ia, vhat hard fig, a to
woven Ch gt whet
There a nding, he fame
poundup
satel
emity of
Pehe(welli
is fomehi om the
Padurmo:
inpear Ne
Bere Was t
Welling
Mvilnocre
mrefent in Kember, Ken, that hed and
And th ind ft bi there ben iy inflan Hheref 0 thaCalh tte Joyn atce, Iitto be (the ch ad agai hd they
ayaa
i 7) h
| Pa RRR te ream q jee ee eae “ — } Chap. 1. Of Fractures, and the (ure of them in General, 2737 | th 4 a Hippocrates ar us, his 1B. Fi ctrek ny cei aan nvguineee pint ete | Ours | pures ) factt of all, by che moan and com- crates wil have the Member to be bathed in aH | ther §) phaint made by the fick perfon, when. you; warm water Cor the water to be pouredupon } ie 7 " 4sk him whecherhebe prefled too hatdby /it, +) thatfoche pores may be opened. Buc lh ee oh | the faid binding, and he fhall anfwer, thac| if we be flow in the loofening of the binding, Hi ee: nto f heis indeed preffed, but lightly,Cand fo that! there arile from thence often imes-great in- Wiehe ian } he can welendureit ) and chat elpecially in| conveniences 5 to wit, an exulceration of bi : si ehe place where the Fracture is. Andthere-/the patt, a puttidnets, and Gangeene, yea a © I fore whofoever he be that hath his Fracture | and even'the hazard and danger ‘of the life, 4 Wak “aon rightly bound up, he muft of Neceflicy con-| Examples whereof we meec with in Guilbelm. HEY vag | fefs thacchefechings are fo. Buc when the| Frabricins, in his fecond Century, andor, ae Y Mol
'Pacient is abundantly troubled and pained| Objervat. And therefore he advifeth us thar ih A nol | under thefe {wathes,they are then {peedily to) every fecond, or at leaft every thitd day, qe Bie be loofened, and more’ fitly to be bounds) the binding be alwaies loofened :and that a]- | etwiy left that from thetoo hard binding danger-| though after the feventh day there be no Hel Ny and f ous fymptoms fhould happen to arife. ° Buc} fuch urgent Nece flicy of the ofcen loofening i, ba onthe other fide,if che windings abouc of the, the fracture, yec Neverthelefs his own pract. : ii | fwathes be loofer then is meet, and thatthe|ife was every fourch day to loofen che Weg *At) | Pacienc fhall anfwer chac he feels not the|j{wachbands; and ( ashe wriceth)his Cuft- |
+9 i, ed eu wy
Sct fwathing at all, the {wathes are thento be|om was totake an exact view of the part A ey ‘ait |) @rawn fomwhat harder 5 inregard chat thefe| affected. And this binding is to be continu; | we Pe bly | bindings if they be over loofe, they cannot | ed — until {uch cime asthe Callus be bred.and i it eh un. revent the Members being depraved in that | the fracture healed 5 which in the Thigh is Hh eit | Hare where che Fracture is. wont Co be done in foitrty days, inthe fhoule & ie dut | 7 Thereare alfo other figns of a Moderate| der and Ankle in chitcy, in the Radius — «a vie || binding, and when icis asit ought to be. If | and Elbow in cwenty, and in the bones of Ne
ith | ghe fame day and night in which he was | the Fingersin five days. But-yet this cime He tg | pound up with thefefwaches -he feemeth to] cannot be fo ealily and precifely determined HY
Wit | bimfelf€not co be lightly bound, but fome-|inall of chem ( as we told you im the Prog- id
which | whachard and ftreight; andthe day follow-|nofticks ) but ie much varyeth according Re
y then, ing, a fofe and {mall tumor arife in the ex-|to the Aage, Conftirurion of body, time of olf Ai
, dd | tremicy of the Menaber. For the fmalnefs of | rhe yeer,and the Nacureand Condicion of the ig ybeie | thefwelling and fofcnefs fheweth chat there Fracture itfelf: fora fracture is much foon- he | (00 | is fomrhing preffed forth ( by the binding ) jer cured ina ycung perfon, then in one thag : A
) which from the part affected unto the extremity is Aged; and fooner in the {pring time, then hy! . wiih § andurmoft part of the Member. Butif there | in che fummer. ee (te fame A appear no fwelling, ic fheweth that the frac- But in the Mean time (C While thefe things i ih Ae ad | ture was not bound hard enough: and if the| arein doing ) univerfal Medicaments are nog whi
lulcle | {welling be great andhard ( thatis, fuchas )tobe neglected 3 CO WIC, the opening afa i ie bones | Wilnot readily yielduntothe touch ) thacis |ven, and purgation, even according as thig | wits | prefent in the extreme or utmoft pare of the jor that Conftitution of the patient fhalre. into | Member, itthen giveth usa fure fign and co- |quire. And althefecthtngs are co be done for ig COM ken, that the pare affected is too hard {wa- |chis end, that fo the bones may be congluri- ftom | thedand bound up. nated. Now this is done by the benefit of rhe ahi | And therefore if we find the figns of a due |Callus 5 which whether ic be fomthing | that xiieit | andfic binding up of the fracture, and that | is heterogeneous, or elfe in its {ubftance like «hine | there be no confiderable pain prefenc, neither junto the bones, we have fhewn you above, ito | any inflammation or exulceration fufpected, part. 4. Chapt. 4. But now che ete | thereft of che work ( which is the producing Salat i | generating and production, of fe | OfaCallus, bythe which the broken bones he . | the Callus ( by which the bones siege are Joyned together) is to be committed to | are conglutinated and made to dda | Nature, whofe work it is; andthe binding | grow together ) itis the work of Nature: bue
fen | motto be loofned before the chird day. But | yer thePhyfician may and ought to help: and jee | onthe chird day lec the {waches be loofened, | aflift Naturein this her operation; and this vit | and again rowled about the fracture, ro thre | he may do, if he, cake care to prevent: and vie | etd chey may boch be drawn harder and clo- keep offinflammations,or the like Accidents
«tis | ferupon the place affected3as alfo chat chere |chat might any way bure che fubftance and “df j may be openeda paffage forth for the humors Temperament of ché> Member > and that, the ait | and vapours contained under the skin:which | Alimencit felfby drying Medicaments be fo that hey may be {cattered, and: that there | difpofed, thacit may thereby. the fooner be | thay be no itching excited ( of if there be a- changed into a Callys...Now this may almoft Hd
KK wholly Wey
Y 1H (is
|
pet i i
ee
vt thy | |
|
\
(
2738 Book VY. 3 wholly be. effected by the Medicaments a~ ,bove mentioned; inthe place whereof.(after ‘a few daies)there are.co fucceed likewile the
Emplafter. Diapalma,. the Emplaftrum Bar- barum, Oxyeroceum, the black Emplafter, and
— =a
: Of Prattical Phy/fick.
Pare Ve
the like. And furchermore letthe Phytitian endea-
vour that there may be'afufficient {upply of
a matcer fit for the breeding of the Callus.
| Take the Offifrage Stone carefully prepared,
one ounces. Choice Cinamom, three drams ‘ Sugar, two ounces; Mingle, and beat them into avery fine pouder : in F lefh broth every day in the morning. And for external Remedies, be commendeth Such aa tbhefe.
Take Oyt of Earth-worms, two ouncers
Faw of Funiper, two drams 3 the Fuyce of |
f a den } , Unto whichend, the Food adminiftred unto | Earth worms, one ounce; “Mingle them, and the Pacienc let ic be fomwhat more plenci- pene Liniment, voith which anoint the Fra-
fully givea chen formerly 5 and lec it be of a good and fomwhat a Tenacious Juyce; fuch as proceeds from Rice, Wheat, and the like.
ure. Or, | Take Vigo’s Emplafter for broken bones, twa ounces 5
But becaufe that before the cwelfth day there Ofteocolla ftone prepared, one ounce and balf ;
is {carcely ever any Callus generated, or thac fo much. as beginneth.to breed 3 and more- over thatat firitchere are many Symptoms to be feared : cherefore this ful Dyect is noc prefenctly tobe allowed ofin the very begin- ning, but a more {paring Dyec is to be obfer- ved yea and (if need require) blood isto bedrawn forch by opening a Vein, or pur- gationjto be ordered unto the Patient; and then after this, in the end (as we faid be- fore) when the. Callus beginnech to be generated, amore ful Dyetis to be allowed him.
And there are wont likewife fome Medica- ments to be adminiftred inwardly, which conduce much unto the more fpeedy gener- ating and producing of the Callus; as the Pouder and fuyce of Agrimony Roots. And very many there are,. that commend moft highly the Offeocolla ftone before fpoken of; of which beaten {mal into a pouder they oftentimes give one dram, with Comfrey Wa-
ter. But in fuch as are young, and thofe that l
are ofa good habit, chis Callus groweth and increafethtoo.much by this ful Dyer: where- fore itisnot to be allowed unto chem with- out much caution 5 bur only unto fuch as are more ftricken in yeers, Touching which thing, as alfo touching the ufe of Meats vifcid and tenacious (which moft, Phyficians con- ceive are to be appoincedin Fractures) you may tead Guilbelm. Fabricius, in his 1.Cen- tury, Obfervat. 90.91. and 92.
There may. likewife be Decoctions prepa- red, of.the Roots, of Confound, (both the greater and the le’) Dragon-wort, Agrimony, and Primerofes. As,
Take Roots of Confound, and Dragon wort, of each one ounce; Storks bill, one bandful 5 Savine, balf a handful; Macey half an ounce 3 Zedeary and Galangal, of each two drams 3 boyl them in Wine in a double veffel : and let the Patient drink twice a day of the ftraining.
The fame Fabricius Cin his 3. Centur. and 90. Obferyat.) makes ufe of this Medica- ment.
Earth worms prepared, and poudered, one ounces with as much of the Oyl of Garth worms as will fuffice; make an Emplafter, and lay it upon the place affetted.
When the Callus thacis bred is come unto its Juft magnitude, it isthen tobe confirmed }by Medicaments thac Corroborace: and therefore fueh an Emplafter as chisis to be laid on.
Take Oyl of Rofes, two ounces ; Wax, three ounces and balf, the Pouder of Rofin, three , ounces Colopbony, “Maftich F rankincenfe, of each half an ounces Cypress Nuts, and the ‘Root of Madder, of each one dram; Saffron, | balf a dram Mingle them, and make a Cerotes | 2ebich may be fpread upona Linen Cloth, or a | piece of Leather, and fo applied.
The Diet.
And as for matter of Dyer, there ought to be likewife a good and an exact Courte, fuch las before we told yon of in Wounds. For if Nature be not offended either by the quan- tity or the quality of the Food, fhe willthen more rightly difcharge her Office and parc in the generating of the Callus. And indeed fome there are who appoint Meats vitcid and clammy, of the Feet, Heads, and in- teftines of fome of the Creatures. Buc we may well fear, left thac from fuch like Meats as thefe there may be bredachick and vif. cous Chile chat may afterwards breed ob- {tructions inthe Liver and the Veins, and may infeét che whole Mafs of Blood; like as Guilbel. Fabricius gives us an inftance of this
|
very thing, Cinhis firft Cent. and 92. Obfer-
vation) ina certain perfon €a man fouccy yeers old) who by the ufe of fuch kind of meats fell firft incoaCachexy, and foon af- ter incoa Dropfie, and of this Deopfie he di- ed, And we have fufficiently found by ex- perience, that many fick perfons in chis Cafe have withouc theufe of any fuch Food been
‘perfectly recovered,
CHAP.
Ape
give two drams hereof
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Chap. 2.
Chap. 2. Wound.
Of a Fracture with a
He main and chief Difference of a Fra- ture(and chat which very much varieth
che Cure)is a FraQure witha Wound. Now this happenecth when the fharp Eminencies or oints of the broken bones do perforate the flefh that liechuponthem.. Which whenfo-
ever it happeneth,the Member is made fhorter |
then ic was before: but when the naked and bare bones arereftored again: untotheir pro- per places, the Member then returneth unso its priftine Longitude. And yet neverthelefs fomrimes thefe like fraétures happen by fome cutting Weapon, when by it not only the
| flefh, but even the very bone ic felf is
Cur.
Buc now in thefe Fradtures with a Wound, the bones fomtimes made naked; and fom- times again itis not left alcogether bare: and
_ moreover fomcimes: alfo we fear thefalling
out of che bone, or. fome Fragment thereof 3 but chen formmrimes again we fear no fuch
thing. Prognofticks.
a. But now fuch like Fractures are yet far more dangerous, if chey happen to be with the Flefh and Skin lying: over it. remaining ftilwhole and found, For that perforation excitetha pain and an Inflammation of the Skinand Flefh; andfo che Mutcles chat are now affected with this Inflammation are for- ced ro fuffer a double extenfion ; one chat is caufed by the Inflammation; the other, chat which happeneth untothem from thefe chings that befal chem while they are returning un- tocheir former length.
a. But now this danger is fo much the greater by how much the parts that are bro- ken and fhattered are more noble and prin- cipal; asthe Mufcles, Nerves, Veins, and Arteries.
3. And from hence itis, thata Fracture in the Thigh and Shoulders, with a Wound, andthe falling out ofa bone, is che moft dan- gerous of all: touching which Hippocrates thus, in his third B. of Frattures, Text 47. But they feldom or never efcap2 (faith he) whofe bones (either of the Arm or Thigh) bave fal- len outwardly : for as thefe bones are very great, and very ful of Marrow: fo likewife there are befides tbefe many otber things wounded that are of vary great moment 3 to wit, ibe Nerves, ‘Mufcles, and Veins 5 rebereupon alfo it ws, that if you put them back, Convulfions are wont to be excited: but tben again if you do not put them back into their former placess there veill
Of a Fracture with a Woiind..
| then arife acute and Cholerick Peavers, with ‘a figbing, and a2 blacknefs of the place affett ed. | Yet notwithftanding they do not leftefcape, in whom we neither put them back , nor fomuch da attempt the doing of it.. ‘But furtbermore, they alfo are more likelyto efcape, tho bave the lo- wer bone, then thofe that bave theirupper bone fallen forth outwardly. And ibey likevoife do fome times ef{cape voith life (but this # very rare) | that have thefe bones replaced and fet vebere they were before. Andin Texta1 he faith thus : | And yet notwithftanding a Convulfion ws rather | produced if thefe bonzs be reftored unto their | places, thenif there be no pofjibility of reftoring and replacing them. And. Celfus in Wis 8. Be jand 10. Chapt. faiths Lbat it is yet fommbat more grievous, voben unto the Fratture of a | bone there is likenoife added a Wound of the flefb, land efpecially if the Mufcles of the Thigh or of | the Shoulder be fenfibletbereof : for thefebave alwaies the much more grievous Inflammations 3 land they likemife bave Cancers more apt and | ready toferze upontbem. Now the danger is }much more augmented if the bone fal forth from fome domeftick (if I may foverm it)& interiour part, then if ic be froma wild exter. nal pares forin the former there are found parcs of a far greater account and value,
Whereupon icis that Hippocrates(in his.3 B, of Frattures, and 47. Text) wriceth 5, Nei- ther i tt moreover a maiter (faith he) of little Confequence roberher or no the bone break fort unto the exterior part of the Arm or Thighs in regardghat through the interior darts of them tbere are carried along many and thofe princi- pal) Veins 5 of which if any chance to be woun- ded, and battered together, they Choak and Throttle the party 5 but tbe Veins that are con- veyed through the Exterior parts, as they are fewer, fo they are lef confiderable.
4. AFracture wich a W ound, if ic be made with fome cutting Weapon, is dangerous, if ic beagreat bone thatis cut, fuch as ischat of the Thigh or the Shoulder. - For fuch like bones as chefe Cefpecially if the incifion be direct and-ftraight) will very hardly be brought to grow together again; becaufe that by chis cuccing Weapon the pores of the bone, chrough which the Aliment fot the breeding of the Callus did formerly pafs, are in a manner obftrudted, and fo the Callus is the longer ere ic be generated. - And more- over, in regard that fuch a Fracture is equal, the broken bones are moft difficulcly kept from being moved; and fo by this che Coali- tion and growing together of thefe bonesis very muchimpeded.
The Cure in General. We have here two Indicacions given ns?
the former whereof is, that the bones be Kkk 2 again
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