Part Vs

Ny ihyit® Pye Mikes Wee | Thon Ah Wee rs
other mifchiefs; alchough that Nature be
2742 Boox V. Of Praftical Phyfick. F perforate the Skia) are rot alwaies 40 fharp
(asin thofe Fractures’ that are made by che Sword) that together with them the fleth is bruifed together, and ahole made chrough it; which when of neceflity i¢ muft be cur- ned into Pus, abundance of the faid Pus muft neceflarily be bred; which if it be re- teined (as heeds it mutt, if the Wound be wholly bound up) {oon becometh fharp, and foexciteth aniching and pain, and divers
ftrong and vigorous 5 yet neverthelefs the ge- | nerating of abundance of the faid Pas cannot be avoidéd; fince thac all whatfoever is bruifed muft of neceffiry be converted into Pius.
Andalchough that Magatws doth cut and inake little flics in all che Linen that he put- | reth upon'the W ound; ‘that fo chere may be | a free aid'ready paflage for the Pus; yet) notwithftanding all the inconveniences that proceed fromthe réetentton of the Pus can- not by this mearis be prevented. For if thofe Swathes and Linen Clothes fhal not be fhif-| ted before the fifteenth, and fomtimes even |
the thirtieth day, they muft certainly be ve-' ry much defiled and polluted by the Pus and | Sanies ; whereupon in the wounded part an itching, pain, and exulcefation may follow. But then on che other tide, if the Swathes be {till kept whole, and not at all cut, and chereupon to be loofned every third day 5 it is then to be feared, left that the Pus retei- ned may inthe mean time excice fome mif- chief or others and alfo left chat info many loofenings and new bindings up again the bones may be removed out of their places, and having been welfer and joyned coyether
they fhould again ‘be depraved and diforde- |. red: which may eafily be avoided, if the }/°
binding be but feldom loofened, and the Wound kept open. And yet notwith{tan- ding as often as the W ound is dreffed, it may be covered over wich’a new
naked and bare, and that we fear nor the ime poftumacing anid falling out of any broken piece and fragment of the bone,
Chap. 3. Of 4 Frattare with a Wound, in which there is no bone made bare, and yet neverthelefs a Caufe to fear the falling forth of fome fragments of the broken
bone.
T happeneth oftentimes notwithftanding
in Fraétures with Wounds chat there is no bone acall lefenaked and bare: and yer ne- verthelefs we may. have great caufe to fear chat fome broken bone may impoftumate and drop forth: and this is done when the bones are made dry and withered, fo chat they cannot be agglutinated unto the found bone; orinaFracture, when they are fo fe-~ parated from the reft of the bone, thac they canno more be joyned therewith... For then Nature endeavourech to thruft forth whacfo- ever is troublefom and burdenfom unto her, and what cannot be united unto che refit of the bones; neither is fhe ac reft uncil Whatfoever offendeth be wholly expelled out of che Body: and this oftentimes fhe doth ac length perform although it bea long time firft.
Now this happeneth, when the bones are either corrupted by the Sanies, or elfe when they are altered by the external Airs or elfe likewife when they are fo feparated (inaFra@ure) from the reft of the bones, thacchey cannot poffibly be any more con- yned with chem.
Signs Diagnoftick.
Now what the Signs are of abone ltketo
Swathe, (which | be impoftumated, and to drop forth, weare
may contain both Medicaments and thofe|told by Hippocrates in his 3.B. of Frattures, Goverings they cal Splénia) and’ may defend | ‘Text 18. The Firft Sign is this, thac there
che Wound from the éxternal Air; and it
floweth forth a greater abundance of the Sa-
may be loofened as often as there is any need | mies Cor thin Excrement) then could ration thetcof; buc then indeed ic niuft be without | ally be expected from the greatnefs andCon- | ally agiration, fhaking, or violent moving | fticution of the Wound. Secondly, Thac - |
of the broken Member. Andthere muft alio no Splinters be applhi- ed, left chat they too much comprefs the
Wound, and begerca pain and Inflammation. |
the Lips of the wound do not meet together x ot ifthey doat any time meet together, yet they foon feemas it were to be broken, and cobeftirted up and provoked to excretion %
And ifany will needs apply them, yet not-| and they becomeas it were loofe and {pungy ¥
withftanding they are not to be put upon che}
very Wownid, butneeruneothe fame. “Yet
the cruth is, the number of the Swathes may'
very well fupply the ufe of thefe Perule or Splincers. And 'thefethings are chus fimply
to be performed, if there be neicher any bone i
andtheére is perceived in the wounded parta certain filent motion. For Nature doth hos entirely heal a Wound, when there is fom- thing remaining within chat cannor poflibly
be agglutinated with the reft. Thirdly, l€
the bone be lefc bare of Fleflx, it is then al- together
| ally C
on Chap opt igg 10 oped al that ch ihe Ali ind Fo rhe bon facet ents:
Iti
follow,
Vii sides ot SB 1B vontto yor at
endet
(M bone be ior perl
eparate
ay chin (mead int WP ieore dai
mmpoftu
Ifthe
ved Out
ety Wi youbefo
ID fla or P
pith wi
oherwif
[Patted a he lenge
tlurinare reallitte herefore
PH raloole
Othe @ Nethat ind like
ed up
kttofal le pi And fo | did up Power 9 MNS ang 'Y belo CO Medi
| be lag
ute th Notion decay Me cann ‘0th aaa mal)
Chap. 3.
together a Sign of its feparatioi and drop- okey §) ping forth; in regard that chenic may be al-
| tered and corrupted by the external Air, and chac che Veins and Arteries ( which convey che Aliment) can no longer run forth unto it. And Fourthly, Ic is chen likewifea Sign chat
ine © = che bones will fal our, if they be broken and fhatcered into many {mal pieces and frag- i | ments: for chen they cannot all of them be
for eafily Conglutinated.
Of a Fracture ;
with aWound exc.
saan
that arenaked and bare of Flefhs as ‘Hippo-
crates wriceth (in his of Fratures, Sett. 3. Text 44.) fuch like wounded parts are to be handled with all geritlenefs. Por by reafon of motion and compreffion there happen many times moft vehement pains; che imal parcs of che broken bone noc rightly Placed coyether pricking the parts chac lie neeruncochem, chefe parcs being very fenfi= ble of pain : whereupon itis thac chofe bin-
wey, tee dingsthat in other Fra@tuces are very conve- rien Prognofticks. nient, in fuch Fradtures as chefe ould eX- 1. ItisaSign of an Abjcefion inftantly co citemoft vehement pains. AN et anes follow, if there be good Fleth bred in che | Now Hippocrates (as he cels us in his B. of nln Wo fides of the found bone. ' Pratures ,. Setéion 3. Text 21.) thac fo he cine 2. But the time in which the bones are | Might avoid thefe inconveniences, maketh no eye |) Wontcorecede and fal forth is various, and jufe of the Swathe, left rhac he thould prefs Ofar BH noc ac all cimes alike. For in thofe of a) cogether the parr too much, and left if the Umae tender Age, and in the Summer, and if the | parc fhould acall be hfced up he might ex= tute B| © bonebe Oc very greac, ic 1s Cwenty, thirty, }cite pains buc having finithed the replacing 0 that or perhaps fourcy daies, ere the bone will be | of the bones, (as far asic may be done } and cmd 9 feparaced and fall forch.. But if the bone be having caken away all chofe fragments of fe any ching grear, in one ofa ful and ripe Age, bones chat may he taken away, he chen ap- they | and in the Winter time, itis ufually three- plieth unto the Wound the pitched Ceror, or then |) dcoredaies, yeaand fomtimes longer, ere it) fome other Ceroc ficco be pur upon bloody yl |) impeftumate and drop forth, Wounds: and then afcer he hach chus done; ‘ The Cure becaufe that there is an imminent danger of a a . fluxion, from the weakne(s of the Part; and tal Ifthe bone that is like co fal forth be mo-|fcom pain, (and likewife thac che flux of dd ved out of its place, and that ic ftick inthe Humotrs may be driven back; the parc ftreng~ i very Wound, it is immediatly (as wecold! chened,& the Fracture made firm and {table} ot you before) to be drawn forth with che Vol- he putrech round abouc ic thofe coverings, br fella or Pincers; if it may indeed be fo drawn wecal Splenia, doubled; or che Plagule of forth without any pain and violence: buc| chin Linen ; in breadth Kalf as broadas half
" otherwife the whole buflinefs isto be com-
f C1
mitted unto Nature, which by degrees wilac ) =the length feparace that which cannor b- age ite giucinated. And yet neverthelefs the is co be aflifted and holpen by the Phyfician; and| therefore the binding ought co be infticuted in aloofe manner, and often unbound, fo the Pus and filth may noc be deteined,
5
uit) dike co fal forth, left chat by compreffion they: fowr Wi
these caufe pain.
Sue And fo alfo there are Medicaments
ii § be laidupon the Wound, that have inthem Col a power of drawing forch of the Wound the li’ bones and whatfoever is extraneous and no
iii |) Way belonging unco che pare affected; and ,J@ | duch Medicaments we have above mentioned i in the place alleadged. :
i} But if there be fome great and extraordina-
wit |) Fy portion of the bone like to drop forth, and itd this becaufe chac the parts of the breken ei _ bone cannot be again compofed and made co i J) Joyn withthe other; Cfor wbatfoever bones
i refufeto be replaced, we ougbt to knore that yi @ thefe roill feparate and fal forth; as alfo thofe
the Palm of the Hand, and nd narrowers but then in lengch a little fhorter they fhould come twice abouc the wounded Mea:ber, but yer fomthing longer then co compafs about but once only, Forifche
| fhould be longer, then of hecefficy (wher the that| Medicaments are renewed) the Meniber muf¥
| be lifcedup : and if chey were fhorter; they butthatitmay freely and eafily flow forch.| could not then fufficie
ket And likewife there are no Splinters tobe im-' eftabliftiche FraGure. yell |) ~pofed upon that place by which the boneis, being firft
chen char
nely ftrengthen and Thofe Linen Clothes throughly moyftened in fharp of ine, and fo many in number as aré
neceflary, (chat fo there may be place wich
fo | out them) are fo co be applied unto the Mem- ber, chat cheit Heads may be drawn by the place affected, noc round and Ciccularly, buc a litcle floping, trary part (where they began, } they may be brought cogecher che one co the other, afcer the fimilicude of the leccer X. and that fo they may cuc crofs one another like unto the aforefaid Lerrer, unto the lefe parc, and the left Head unto che right parc. — they are noc very long, way, Cthac the parc may not be lifted up, in this refpect chey are yery Convenient. And
®
fo aschat fromthe Con-
by drawing theright Head:
Which Splenia, in regard chat
and may be taken a-
inftead
3747 |
reteset
| gil ie 7 i) 4 ey Vane i % ; Fi iM j | ti ; 6 ie} 1 | My i a i, t He " bi 1s ( |
iy 2744 BooxV.
Ot reg a ee ORT SE I ARNE RES ES
fitly adminifter other Medicaments alfo, which are as good for the very fame ufe.
Of Practical
ae so Nehal RAR DS, SENSE inftead of the Wine we may likewife very |
Parc 7
aa Re a ge
eee
Phy/ick.
Pain. If there be any pain prefent, tiis is alcoge.
There may likewife notwichftanding be ther to be affwaged and taken away; for
adminiftred a binding which is compleated | with once only rowling about; andit may — be performed with aSwathe, which is to be folded together with a twice or thrice doubled Linen Cloth, (afcerche manner ofa Crofs cloth} and fo very dextercufly to be | fewed together in their {fides 3 and fo broad | that it may coverthe whol Wcund.
But now becaufe that binding by which: the bones (when they ate again fetin their places) are fo to be kepc from ftarcing out of | their faid places hath noc any being or ute) in this cafe, therefore thofe Wooden Cof-| fers, Pipes, or the like engines are to be ad- miniftred, that they may keep the broken partin its proper place. And yec notwith-| ftanding this is carefully to be heeded, that nothing that is hard be immediatly applied unto the pars; buc that becwixt the woun- ded part and chofe Engines there be interpo- fed {ome foft Splenia coverings, that fo there may be no compreflion made:touching which fee Hippocrates, in his 3.B. of Frattures,and 2,3.Eext. i
And Laftly, If the extremities or ends of the broken bones break out and ftick forth without the Skin, we are then co do our ut- moft endeavour that they may not be alcered and corrupted by the external Air, fothat afterward they muft of neceffity be cut off; and therefore we muft labour that they may forthwith be replaced, and covered with their Natural covering the Skin: which in what manner ic ought co be performed, we: have told you above in the Second Chap-
ter.
Chap. 4. Of the Preternatural Affects. that bappen unto Fra: ctures. ,
Ut now, in regard that there are various
Precernatutal affects that are wont to fucceed and follow upon Fractures, (which partly retard the Cure, and partly remain even after the Fracture is cured, andareto be caken away) we fhall likewsxfe treat: of thefe. Now there are many of chefe like affects, as Pain, Inflammation, and a Gan- grene following upon this, an Itching, an Excoriation, an Exulceration, a depraved Figure of the Member, a Callus cither greater or lefs then whar Juftly it ought .to be, an Extenwation of the Member, flendernefs, and debilicy ; touching all which'we intend now co fpeak,
otherwile by reafon hereof the Humor wilt flow together unto the part affected, andfo anInflammation and other mifchiefs wil be excited. But now that it maythe betcer be taken away, we-areto confider from what Caufe ic proceedeth, and that Cif poflibly ic may be) is inftantly to be removed. And therefore we are to be wel advifed, whether this pain be from fome bone that pricketh, or from che Swathes coo hard diawns; or whe- ther ic be from the ill Scicuation of the Mem- ber; or elfe from the afflux of the Hnu- mors,
If che pain arife from a bone that prickerh; (and chisis known by the light and gentle handling of the part, and che pricking pain following thereupon) thenche Swathes are to be loofened, and the pricking bone is ei. ther co be put back inco its proper place, or Cif ic may conveniently bedone)taken forth, or cut off. Fouching which Celjus thus, in his 8. B. and 10. Chapter. AFratinre Gaith he) doth fomtimes vex the Flefb with certain foarp pricks asit were, which being knoven by the itching and pricking, it willbe beft to open it, for thereis anece ity of cutting off thefe fLarp pricks.
If the pain arife from the over hard binding of the Swathes 3 this is found by che fwelling that appeareth in the extremity ofthe parr, and the fick perfon complaineth that he is vehemently preffed. And chen the Swathes are forchwith tobe loofened, andthe binding to be made more eafie¢.
Ifthe pain proceed from anill Scituation and pofture of the Member, the fick perfon doth eafity difcover this; ahd it requireth a change of the Scituation; which ought fo to be ordered, that the Patient may now confefs hinmfelfchac heis without pain, ;
And Laftly, If the pain be from che afflux of the Humors, che way and means of curing ic isthe very fame with that of an Inflammation in its beginning 5 as we fhall by and by thew y ou.
Inflammation.
For if.chere be a pain excited from the aflux of the Humors and an Inflammation. follow thereupon; we are then to oppofe the very firft beginning of che Inffammation, in that manner as we told you above, in the firft parc; ands. Chap. To wit, the Member chat is bound up muft be loofened, and fo- mented with the Oyl of Rofes, either alone, or mingled with the whice ofan Egg : orelfe fuch a like Cataplafm is tobe laid on.
Take
i (ea ‘5 Cup | ie 1m ae f? ia tt | tts? | 1B yee ont D gerelt 1D puch i eat) 0 ip splices anaes, © im nay 7° IB Medica
And tt unto Fra made W!
Haskin, bs wing th soanntt !
2 Burtt imliching 1 (Mon, and. ipaly hoc nay be w. Bled forth Mikevite ieely fal uly.
i And af Wpvith the Wiie Ungue ig}ompholy vilethere Waite, or J
Cha
By
BAN re i Satter: COW toge onted a
toned
#0 of the pnenels | ue I thi
Peis hy
keh
pent le J
a |
5 are
ha | or &
Orth,
; Ih
tn
init by
aft
ont i AUX 0% !
wind {P rg Nf
patton thew
|
mo che
pole
in the
i) tp |
ith
the inordinate motions of | fon.
Gag 5
‘yake. Barley meal, three ounces; the pou- der of Marfb-Mallow Roots, and Camomile flowers, of each one ounce and balf 5 Rofes, one ounce 5 boyltbem in a fufficient quantity of Wa- ter and fowr Wine; and then add Oy of Rofes, three ounces 3 and makeaCataplajm. And for che reft, fee in the place alleadged.
But before che Inflammation be ceafed, che partis not co be bound up, or certainly, (at leaft) not co be hard bound; neither are the Splincers, nor any one of thofe kind of En- gines, tobe impofeds unlefs ic be chac chey
may prop up the member, and containche
Medicaments.
Gangrene.
And there happeneth oftentimes likewife
unto Fractures(and efpecially thofe chac are made with a Wound, )\a Conrufion of the Skin, by reafon of the Inflammation follo-
Wing thereupon; which how and in what manner ic is co be Cured we have alreg- dy told you above, in the 2. Part, and 19. Chapter.
Itching and Excoriation.
But if from the Sanies there be caufed an Itching in the Wound, asalfoan Excoriaci-
‘on, and Exulceration, then Water tem per- _ atly hor isco be made ufe of, that che Sanies
may be wafhed away, and that ic may be cal- led forth and diffipated: and there may be likewife raken tuch Warer as is moder- ately fale, which cleanfech more power- fully. |
And afcerward let the place be anointed with the whice Camphorate Unguenc, wich the Unguent of Rofes, of Litharge, of Dia- pompholyx, andthe like: unto which like- wile chere may be added the Juyce of Plan- tane, or Nightfhade.
Chap. Bi: 3 OF Diftorted and ill jet
Ones,
A* very often likewife ic chancecth that 4 & after the broken bones are again made to grow together they receive not their former wonted and convenient Figure, but are diftorted and writhed ; whereupon the mo- tion of che Member is much hindered, anda famenefs or halting caufed in che Foot; or elfe in the Arms their laying hold onany
) thingis hurt. _Now this comethco pafs, e1- ation,
ther from che unkilfulnefs and neglect of
» the Chirurgeon who fetceth che bones, and | bindecth up the Fracture;
or elfe through the fick per-
Of Diftorted and ill jet Botti. Yee 3
The Cure. ag This evilis Cured(if the Callus be new and hath not been bred above fix moneths, and the fick perfon of a ripe age, and ftrong, and the broken bone not very great, andthe acti- on of the Member noc much burt )if che Calli be again broken, and the bcnes tightly ficred and fet together. Now this breaking of che Callus isthe more eafily done, if the Gallup be firft for fome daies fomented with the De- coction of Emollient Herbs, .as for inftance, che Roots and Leaves of Marfh-Mallows,Mal. lows, Figs fat and dry: andchen leca Cata. plafm of che fame Roots and Herbs be after. wards laidon, orelfean Emollient Empla- fter. Orelfe you may adminifter fome fuch Emollienc Unguent as this chat followeth, Take Unguent Dialthea, one ounce and half ; Bdellium, Maftick , ‘T; urpentine, of each balf an ounce 3 the Marrow of the Legs of Veal, Oy! of foeeet Almonds, Camomile, the fat of a ‘Hen, of each fix drams 3 the “Mucilage of Lin- feed, and Fenugreek, of each one ounce: Wax as much as wil fuffice , and make a {oft Unguent. The Callus being fufficiently S mollefied, the Member is by the} The Callus help of two Affiftants to be ce be drawn this and that way, and fot Sie. cobeexcended: buc chen lec che Chirurgeon put again inco its place thac which ftickech forth in the place where the Fractureis+ and ifhebenoe well abletodoic otherwife, he may then on thar pare upon which che boneg do moftreft and incline lay a Tile wraptup in Wooll, and fo by binding of it he may force it back again unto its former feat, and there accuftom it to abide: or elfe lec him altogether break che bone, which may be done inthe aforefaid manner; or elfe ifthe Chirurgeon put che broken Member (in which the Callus is ) upon his Knee, andthen on both fides prefs down the bone as hard as he can with both his Hands. And ‘then the Heads of the bones are rightly co be fitted ro- gether, and a Convenient Cure infticured for this new Fracture. . ak Bue if the Callus be now already old and of long continuance, and thac ic be waxen very hard, andthat the Patient be weak, or aged, the beft courfe will be (as Albucafis advifeth) not to lay Hands at all uponit, by reafon of the dangerous Symptoms that are wont to follow thereupon, in this Kind of Cure. For ic is much better, of two evils to choofe the lefs 5 and to be concent rather to live yet longer (though deformed and lame) for many yeers, then bya cruel Cure to attract dangerous and deadly Symproms. Yet icisachingimpoflible, Cif the Callus be,
old and obdurace) cto break its but if any:
Lil will
2746 Boox V.
a :
Of Prattical Phy/ick.
will needs attempt it, the bone is more like- lyto be broken in fome other place then where the Callus is; and foby this means srievous Maladies will enfue unto the lick perions andas for whathe defireth, he wil be deceivedin-his hopes; for the deformity and writhednefs of rhe Member will not here: by be corrected, fince that the Crooked Callus cannot poflibly be amended.
Chap. 6. Of Correcting the Callus that « greater or lefs then what it ought juftly to be.
AN femecimes alfoic fo happeneth that thereis generated a Callus \efs or grea- ter then what ic fhouldbe. And indeed the Callus is generated lefs chenit fhould juftly be, by reafon of the fearcity and want of that thick Aliment whereby the bones are hourifhed, and from which the fayd Callus isbred: and this fcarcity of the Aliment is éither from too fpare a Dyet inthe Patient, or from the Patients not ufing of chofe meats chat are moft fit forthe breeding of che Cal- lus; or from the fwathes being rowled ontoo hard and clofe; orelfe laftly, becaufe chat the Medicaments adminiftred being over af- tringenct have hindered che aMlux of the Ali- ment. Now the Callus when ic is lefs then juftly it fhould be is ‘known by cherouch, by which it is difcovered tobe but fmall, and che Member is fomwhat weak in its motion 3; and the above mentioned caufes went before, But now thac there may be generaced a greater Callus, we aretoallow untoche fick per- fona full dyer, and meats chac breed a thick and vifcid Juice 5 -the {wathes are likewife to be loofened, and the parcco be plyed with warm water untill it appeartobevery red. Forin this manner there is drawn unto the pare affetteda grea- ter ftore of blood, thatio there may be fup- plyeda more plentiful matter for the gener- ating of the: Calms, There are likewife Mes dicaments to-be impofed, & Dropacifms (as they call chem _) chat are moderately heating and attracting a more plentiful Aliment unco -thewlaceaffected. There jis likewife tobe adminiftred one dram of the Scone Ofteocolla with the Water of the greater Comfry € ground f{malupona Marble ) iz Prifan, flefh broth, or Wine which bath a fingular virtue to gene- rate the Callus; as by, examples Guilhelmus Fabricizs proveth anhis F irft Century, and Ninetyeth Obferviatien.
Signs thereof
Whatto be done, for the breeding of a» greater Callus.
But then fomtimes ¢€ on the contrary ) theCallus is genera- ted bigger then what july ic fhould be 5 which. proceedeth fromthe oyer-abundantaffux of che Alimenc C efpecially when itis too thick ) as allo by the giving of the Offeocolla Stone hand ever heads which alchough it hath indeed a nota- ble virtue in generating the Callus, yet Ne- verthelefs it is more furable and convenient for aged perfons, and fuch as are of riper years, thenfor fuch as are very young, Fer if ic be adminiftredunctothefe, there is chen generateda Callus greater then what juftly itfhould be, as by an Examplé Guilbeln. Fabricius teachethus inthe place before al- leadged.
‘| Nowthis Callas is known by
Signs thereof. | the very touch, by which ic is teafily difcovered; as alfo by thepain which arifeth fromthe Compref- fion of che Mufcles and che Nervous parts 5 whereupon the part alfois rendered unfic for motion, and efpecially if rhe. fracture be made neer unto the Joynt. - ba Now the Callus if it be over- greatis diminifhed and made \tefsby difcuffive and digeftive
The Callus bigger then jt jultly [bould be |
The Callus Low itis to be | made le[s.
|Sal Nitre, and Oyl, and by a perfufion and | fomentation made of Sale water, or a decogti- | on of the Leaves of Beets, Malloves, Pellite-
| Medicaments 5 a8 by frictions of |
Part ¥. he chip
. Jos %
Blowers
Foe band
| Mole! q
ne part (pon
After t followin
much mo
» munithed \) Plaifter
ry of tbe wal, Sage, flowers of Camomile, and. |
of ‘“Melilote; or elfe a Cataplafm made of thefe is co be layd on. , iu
Orelfe let che part be anoynted with this Unguent. Vig.
each two ounces; ounce; Ammoniacum a4 dram 5 and mingle them. .
Buc yet if the Callus be harder chen ordi-
|bary, then let Emollients be added unca Di- | geftives ; and before the application of Ca- taplaf{ms_ let the place affected be fomen- ted with fome Decoction. As,
Take Roots of “Marfbmallers one ounce, | Roots of vobite Lilyes and Bryony; of each balf an ounce 3 ‘Flowers. of Marfhmallows, and ‘Mallows, of each one handful, Camomil and Melilote, of each balf a bandful; Linfeed,and Penugreel,of each balf an ounces boyl wbem \for a fomentation 3 and of the mals make a | Cataplafm.
|
But lec chefe fomencations be ufed, not |
}Oonly until the-part wax red, and begin co |
|\and become lank and wrinkled.
Let this Dyet be very fparing; neithertee |]; him eat much food that yieldech achick and },
‘clammy Juice,
| fwels burt that alfo che part may again fal, |
by either thi
and with; upon the medies,
1) the Cally i} ted, and 2H} foredag Take Goofefat, Bears fat, Mans fat, of, | Fuice of Earth-worms one, |
Ch
lj LI
A Nat L\ that Maineth.
1
| Wailesth
Of the Sy
) Dntunr Beh lof }) bath not
and Drip b ety niu
Guilbelmus \ oy
yet Ni Wet of tig Mf Fal | IS tha i uh
ot a AUDEN
TOte ale) ow by ch iis allo by | impel A pacts nf ure he
Overs | | |
| Made eftive fy tiousol on sd decoth. Pelli. ie, an
padeot §
rh this
Ne ; fh OL Gly
1) nto Dip OL Lael
¢ be al itl [oD
4 win
rr sti
mi Wuld NH) :
| pa |
A) 1 psy ais aa | wi i | ] ii |
i
i I] hat |
mo |
Chap. 7
ey
2747
toogreat, by theufe of the Stone Ofteocolla. Firft of all he twice a day fomented the Callus with the following Emollient Deco- ction.
Take the Roots and Leaves of Marfb-Mal- lows, Bryony, white Lillies, ‘Bears Breech, Blowers of Camomile and “Meltlote, of each one bandful; Common Worm-wood, and Red FRofes, of each one ounce 5 boyl them in Vinegar one part, and Water four parts 5 unto the Con- fumption of the third part.
After this he anointed the Callus with the following Unguenr.
parc affected, and do not any waies {caterer it. gularufe. Or,
Take Oyl of Coftws and of | ~ Camomile, of each balf an} F° brokes boues ounce s Oybof Caftor, aud te | rries os fovmely ‘Martiat Uneuent, and Mans \" . fat, of each one ounce; and mingle them:
And fomtimes alfo it happeneth (efpecial- lyin aged perfons) that che broken bones will not be brought co grow. together again § of which thing Guilbelm. Fabricius Cin his 1 Cent. Obfervat. 92.) hatha Hiftory. The very like whereunto there happened here of late, inavery learned man, who is yer li- ving. This man was in che very fame cafe
Take Mans fat, Bears fat, and Goofe fat,| withthe other mentioned and defcribed by
or ! aeallvok O Ae of each two ounces 5 the Fuyce of Earth-worms, | Guilbel.Pabricius.
and Vinegar of Squils, of each one ounce; ‘Mingle and make an Unguent.
After the Inunction he applied che follo- wing Emplafter {pread upon Leather.
Take the Emp! after of Frogs witb Mercury, and of the “Mucilage, of each one ounce; and mingle them.
In this manner he proceeded for fix daies, until he faw that the Callus was not only much mollified, but alfo moft manifeftly di- minifhed. And afcerwards inftead of the Plaifter he ficced unto it a Leaden Plate, and with a Swathe he bound tr faft and firmly upon the Gallus. And by chg ufe of the Re- medies, andthe blefling of God uponthem, the Callus was fofcened; Refolved, Extenua- ted, and Depreffed 5 and che fick perion re- ftored again unto his former health.
Chap. oi Of the Slenderne/s and Weaknefs of the Member.
A Nd furthermoreit happenech oftentimes, 4-4 chat after a Fradture the Member re- maineth flender and weak: which is caufed either through che f{carciry of the Aliment, whiles that by the long and various bindings of the Swathes the Veins carrying the Ali- ment unto the parc are ftreightened, and wel- nigh clofed up; orelfe when the fick perfon hath not food enough allowed him to Eat and Drink : and thac jikewife which maketh very much hereuncois a long concinued reft of che Member, and ics Ceffation from Mo- tion.
Ang therefore we muft by all means en- deavour, that amore plentiful Aliment may be attracted unto the parr. And therefore asmuch asis fittche Member is to be moved,
and rediiced unto its wonted and accuftomed| thefe very words.
For he can indeed write
|with his right Hand; buce i€ at any time he
|
|
?
|
delirecto liftup his whole right Arm (which he had broken) either forward or backward, he then needech the affiftance and fupport of his left Hand.
Now this cometh to pafs, ifthe bones (af- ter they be fet, be nor kept in cheir places fteady and uamoved3; and chis likewife was the caufe of what happened unto that learned perfon we bur even now mentioned. For he being very Flefhy and Corpulent, -and his Shoulder chat he had broken being not pof- fibly to be bound up in aright manner, and hard enough, and he inthe night time flee- ping very unqutetly, and continually turning himfelfin his bed 5 and moreever, by réafon of his excraordinary f{weating in his Shoul+ der, the Medicaments applied thereto being continually kept fo wet and moift that they could not ftick clofe enough to put forch their vircue, the bones could not be confoli- dated, nor broughc to grow fait and firm to- gether, but they lay at a certain diftance one from the orher.
But now fuch Fractures as thefe are after- ward very hatdly to be cured, Cunlefsicbe fo that they are new and of no long ftan- ding, in which the ufual way of Curing isto be adminiftred, and the Offeocclla Stone to be given thePatient,as we have already thewn you how, and in whac manners of which very thing we finde an example in Gzilbelmyy ‘Fabricius his third Cent. Obfervat. 90.)in re- gard that a Callus is dtawn over the extremi- ties of Che broken bones, by reafon of which the bones canno mote be bronghe'to STOW together. Y ec fome there are that think that fuch inveterate Fractures as thefe may like- wife be Cured. And Cornelixs Célfus (in his 8. B. and ro. Chapt.) wricech of them, in
If faith he the Fratture
motions ; and to be fomented with Decoéti-| (to wit, of the bones that grow not well toge- ons that only attract the Aliment unto the| ther) beinveterate, the Member is then to be ex-
Lil 2 tended,
—
ia : é saad SRD en he a ae RRNA ETS
Hy
4) Y j ¥
i ae a : C
2748 ~ Boor Vz
a
Of Prattical Phy fick.
Part:
tended, that it may be fomtbing burt. The| bones 5 of which the greater that lieth lower-
bones are with the Hand to be divided one from the other, that by coming togetber again they may be exafperated 5 fo that if there be any thing fat, it may by this means be taken aveay, and that it may wbolly become neve asit were: an
yet great care ougbt bere to be bad that the Neraes and Mufcles be not burt. And then the Member is to be fomented with Wine in which Pomegranate Rinds bave been boyled ; and the {ame is likewife to be laid on mingled with the white of anEgge. Tbe third day itis to be loofened, and fomented with Water in which Vervein batb been boyled. On tbe fifth day the like isto be done, and Splinters are to beplaced round about it. And as for all the reft that is to be done (both before and after it is the very {ame that we wrote before. But this way of Curing is very dangerous, and (which Celfus himfelf likewife feareth) by thus do- ing the Nerves and Mufcles may eafily be hurt; and thereupon an Inflammation or
Convullion excited.
Chap. 8. Of the Fracture of the Arm. |
- & Nd thus much (in general) may fuffice A to have been fpoken touching Fra- dtures. But now becaufe that the bones which are broken are various, and inregard chat according to the variety of the broken bones the Cure doth fomthing differ, we fhal now therefore {peak fomching of Fractures in their fpecies, and particularly. But as for the reft of the differences, in regard that they make very little or nothing at all eicher for the knowledg or Cure 5 and that all chat may be faid of them is conteined in thofe things which we have hitherto fpoken of Fractures in general; we fhall therefore pafs chem over, and fhall treac only of thofe dif- ferences that are caken from the fubjec;.and
the diverficy of thofe broken bones. And}
becaufe chai very frequently the Arm, Shou!- der, Leg, and Thigh, are broken, we fhall therefore in the firft place fpeak of them; and afterwards we intend to treat like- wife of che Fractures of the reft of the
bones. 4 { And indeed as touching the
moft is called Cubitus ox Ulna; bur ‘the lefs which lieth above the Elbow is cermed Ra- dius. Now fomcimes both thefe bones are broken, and fomtimes bur only one cf
them. Prognofticks.
1. The Fracture of the Arm is more eafily Cured when but only one of the bones ts broken, then when they are both broken 3 as we told you above, in the firf? Chapt. and fixth Prognoft.
2- If only one of thefe Arm-bones be broken, the Cure is more eafie; if the upper bone, (or Radims) then if the Lower bone (or Cubitus) be broken; for the upper neederh lefs excenfion then the lower: aud ifthe lo- wer, (to wit, the Cubitus) be prefcrved found, it ferveth inftead ofa Bafisand prop as ic were, to keep che broken bone from be- ing moved out of its place. And Secondly, Becaufe chat ic is more ealic cobe fec in ics place again; unlefs ic be in that part next the Hand. Andtchirdly, Becaufe that the El- bow bone being kept fafe and found, ic is catried more fafely in the Scarf or Linen Swathe. | ; } .
3. Buc the worft Fracture ofallis, ifbork the bones be broken together. For firft of all, they haveno prop, nor any thing acall cofuftain them. And chen again Secondly, They need a greater Extenfion3 fince thas the Nerves and Mufcles are more contracted toward the place from whence they {pring 5 in regard thac there is nothing whereby (when they are extended) they may be fo kept. And Thirdly, becaufe that che neces neighbouring parts are more burt. .
4. But now the bones of che Armare for the moft part made to grow cogether within’ thirty daies; although (as we faid beforey there may be great difference in the Age, and
Napure of the Patients.
The Cure.
Whatfoever things they are that are requi- red unco the Curing of the Fractures of the other pares, they are here likewife necefla- ry. Butas for the Excenfion, there is lefs
need of ftrength and-force when the Radius °
is broken, then when the Cubitus) or Elbow
rhe Fredare | Fracture of the Arm, in regard |isbroken: but che greateft need of all, when
ofthe drm:
ment of laying hold onthings, and of many Jabors, and is likewife expofed unto exter-
i thac the Arm cogether wich the | both the bonesarebroken. And inteed, if | Hand ts che Organ or Inftry-| both the bones are broken, the Exreniion
that is made ought to be equal; bur if only one of the cwo bones be broken, ‘the greaceft
hak injuries, ic is wont to be ofcen bro- jand ftrongeft Extenfion ought co bein chac
ken.
parce where the boneis broken. The Exren-
Now the Arm, orthat pare which is from |fion being made, the broken bone is againco
the Shoulder cothe Wrift, conlifteth of cwe
‘be directed into its proper place, and there
fet
| Hippo
| ures i isgreat Jower i hang do the Fsad Vf bighectt i {orhat | Arm is. | which m 18 Mulcles | Arnis | | ther oug wed Cog I} placed it | theleare 19 {ion tsc0 9 and {0 1 7 Sucnow. 1 one that /} tenfian ( 13 the other
| alvwaies, A Mulcles bow wil AP tetor pa | | Fert pal Pand fork i 0 petver 19 the Arm f at will be Vbtnfelf HN lis, in Te jhe willing Pow def pte Arm A Garter op: Bod pare tthe Hay Fe tea ip Means beg
ondly, | tn its xt the he Els 1, Ibis + Linen
Chap. 9+
Of the Frafture of the Shoulder.
fet faft. The broken bone being thus repla- ced, the Fracture (as we told you before) is ina convenient manner tobe bound up and rowled about wicthSwathes; and all other things are here to be performed that were before fpoken of in che Cure of a Fradure in general; andthen ac length the Arm is tobe ficly placed andScituated. And indeed (as ‘Hippocrates advifech in his firft B. of Fra- thures, Text 22.) iu the placing thereof there is great care cobe had, that the Hand be nor Jower thenthe Elbow; left that ifthe Arm hang down the Blood fhould flow toward the Fracture; but fomthing (and nor much) higher then the Elbow 3 and yet neverthelets fo that no pain atal may becaufed. And the Arm is alfo co be placed in that Figure, which may nocin che leaft pervert any of the Mufcles, and breedpain. And therefore the Armis neither. co be wholly extended, néi- ther ought ic to be wholly doubled and bo- wed together: neither is it likewife cobe placed inaSupine or Prone manner. For thefe are the four extreme habits; and exten- fion is contrary unto bending and crooking ; and fo is Supine alfo cotitrary unto Prone. Buc now, there arealfo two other manners ; one chat betwixt extreme bending and ex- tenfion (called Angularis by Hippocrates) the other between prone andfupine. And alwaies, if che Arm be rightly placed, the Muicles thac arife inthe fore part of the El- bow will be wholly Scituated from the in- tetior part; and thofe chat are from the ex- terior part will ltkewife be conteined in this; and fochere will not be at all any extenfion or perverfion of the Mufcles. And indeed,
The Cure.
And therefore the firft care (asin all Fra- dures) ought to be, that che broken bones may be reftored unto their own places; and being foyned cogether, thac they may be fo preferved. That this may be the bercer per- formed, there will firft of all be need of Extenfion; which how ic oughtcobe done in this Cate, ‘Hippocrates hath accuratel defcribed in his 2 B. of Fratturer, and Offic. ‘Medic. The Sum of all ischis 3 chat theficke perton either ficting or lying along be kept fo fteady and immoveable, thac he may not be ftirred fo as to give ground in the Extention ofthe parc: and let the Shoulder be kept in about che upper parc of it, and the broken bone drawn chis and thac way. . Now if chig cannot be done (in thofe thac are of ful and ripe age) by the help of the H:ndsalone (by reafon of che thicknefs and ftrengthof the Mufcles in ihat place) chen there wil be need of Engines and Cords 3 of which ‘Hippocrates Cin the place alleadged) maketh mention. The Extenfion being performed, the bones are conveniently to be fet and placed together which may here be done without any difticul- ty. Unto che broken bones fer right and ftraight fic Medicaments ( touching which we have {poken before, in che firft Chapt.) are co be laid on; and afterward Swathes are to be caft about ir, begining from the Fracture ic felf: and here wearetobe very heedful, thac che Member be evermore bound up ii hac Figure in which ic oughe ro remains chat is, that che Elbow wich the Shouldér may make arighc Angle, left chat in chan:
the Arm being thus bound up and wenn ging the Scituation the Swathe prefs too C
it will bevery fit thac the fick perfon kee himfelf in his bed for tendaies. But afcer this, in regard that the fick perfon will noc, be willing any longer to keep his bed, bur wil | now defire co walk abouc; from the Neck the Arm is to be hung in a broad and {ofc Garter or Scarf, equally fuftaining wichin ic good parc of the Arm, with part of the Palm of the Hand, fo, chac none of the bones that | are fet and joyned togecher may by any means be moved out of their places.
Chap. 9 Of the Fracture of the Shoulder.
| Prognofticks.
The Shoulder bone grows together in fourty daies: for ic being fomwhat a grear bone requireth che Tonger time for che ge- nerating of the Callys.
ofe in one part, & be overloofe in another, and fo the bones be perverred. ‘Hippocrates bindeth on the Splinters the feventh or the nineth day, becaufe chac in the Shoulder by reafon of the greatnefs of the Mufcles (by which ic is conteiaed) thofe bones chat are about che Fracture ina longer time become alcogether flender and loofe: for then at the length we come moft fitly unto che applying of the Splinters. Buc we muft have acare that thefe Splinters touch not the excremiries of the Joynts; andtherefore (as Celfusin hig 8. B. and ro. Chap. celleth us) they ought on the outfide ro be very long, fomwhat fhorter fromthe brawn of the Arms, bur fhorteft of all under the wing ofthe Shoulder, © Buc if the Splinters be inftantly faftened on at the very firft of all (according to che prattife of fome,and indeed moft of che Modern Arcifts } they ought then to Be tied on but loofely $ but then afcer the feventh and nineth day they are afterward to be loofened, and bound on fomthing harder, ie then 2 the
|
i f 4 Fe q i i $
iy yet h hy"
Wile a | i sl Wash Wie tel Ye 1 We Te a | Ha id
Wikies a (i aly hh t \ i rt i | ' Tia Hitt le a aM, i ’ f { {
TU ai ea WV + |)
Bini { ee Wa
a a
the laft pl
laceche Member is rightly to be pla- cedj andcthatthe Shonjder may not be per- verted and rurnéd awry, let the broad Swathe that encompaiferh the Shoulder be drawn ina round manner abcur che Breaft 5 and when the Shoulder oughrtoreft, ice the fixft many times wrapped about be caft and dcawnunder becwixt the fide andthe Elbow,
hat the Shoulder touch wponthe fide 5
Jeft chat
burt yer let there be a fpace inthe middle,whr- | ther when theShoulder is forced by the Reins | drawingit into the breaft, ic may not atall |
be depraved and difordered. Let the fick petfon lie upon his back, putting his hand up- on his Stromack 5 and let foft pillows be put under the Shoulder, that fo ic may not re- main hung up as ic were 5 but the Elbow ts, to be liftedup by aScarf put about the Neck, , that fo che Angular Figure may be preferved, andthat it may not be moved whileft the Pacient fleepech.
: oh a Chap. 10 Of the Fracture of the
Leg. Lr)
“He Leg is that pare that is extended |
from the Kneeunto the Foot. Now it conlifteth of two bones : of which thac which istherhicker, and is Sciruaced in the inward
Of '‘Prattica
| When the Cafe doth nor require it. | they cannot accomplifh ic otherwife,
pate of the Leg, we call Tibia or the Shin- bones | termed Fibula. ken, fomtimes both of them together, and fomrimes but only one of them : and the Fradure happeneth eicher in the midft, or in the upper, or inthe nether pare.
QS pee “BY; pays Signs Diagnoftick.
If both the bones be broken,thisis moft ea-
fily known; becaufe that che whole Leg may then be bowed and bended. Andit is ikewile no hard:matter to know the Fracture of the dhinbone,if ic be wholly brokensbecaufe thac this whole bone cometh ealily to befeen as being ina place where there is but. little or no flefhy:: But if the Fibula only be broken, thisisnor fo eafily known, becaute that it is covered with much fleth;° and ‘yet never- tlYelets che broken part inchineth inward- Proguofticks.
t, if only one of the bones be broken,-che Cure. 3 broxen.
24. (hf the Pzbula only be broken, it is more ealily Cured; and, the “fick perfon will be foanerabie to fet his‘Foot tothe ground, in regard that the Legs areeafily extended; and becaule that the Shin-bone fufteinerh che
\
|
bur the thinner and outward bone ts | Now thefe bones are bro-
is them eatier then if they be ‘boch!
LP byfick.
TL ee np
gteateft part of the weight of the Body. 3- if the Shin-bone be broken, it is very
hardly Cured; becaufe that there is here need of a greater Extenfion; and the fick perfon is much longer ere he dare adventure to walk.
4. But now thefe bones forthe moft pare are confolidated within fourcy daies, and very feldom fooner.
Lhe Cure.
Andtherefore, whether only one, or both the bones be broken, the Legis (as much as may be) tobe extended; that fu the bones without any damage at all may again bere. ftoredunto their own places, and there joy- ned together. Whichmoft commonly.is te be done by two ftrong able men 3 who are to
draw the Leg toward them, they ftanding
on both fides of the dames one into the fupe- rior part, and the other into the inferior part,
| And it will be but a Vain-glorious ac& in
them to make ufe of any kind of Engines, but if lec them then make ufe of the Reins and Engines that we fo often have deferibed, and which are {0 generally well known. And when the Leg fhall be fufficiently extended, the broken bones are then cobe fecled in their places. Andafcerward convenient Medica- mentsarecobeimpofed; andthe Leg is then tobe rowled and wrapt about with Swarhes, Cas in general we have already cold yon; )} which ought to be both broader and lenger cheninthe Arm: andthe Leg is fo alrogetheg co be Scituared and compofed, thatit may not beturned awry unto any pares and chat the broken bones may not be difordered’ when he goethto his bed, or to eafe Nature,’ Touching the Scituation of the Shank or Shin-bone, fee likewife further hereof in Guilbelm. Fabricius his «1. Centur. Obfer- vat..93. Andat lengththe Leg when iris ex- tended and itretched forth ftraight, | is tobe
| placed upon aCufhion, or fome other foft.
and plain thing, and fo the Splinters and Pipes are then to be adminiftred as in ge- neral we coid you before, in the firft Chaprers’ in whichthing we are to obferve, that they. benot applied upon the extremities of the bones {ticking out; or upon that Tendon which tendeth and paffeth along from the Leg unto the Foor, and is there knicrunro rhe Heel, Forthefe parts having in them a very exquifice fenfe will not endure compteilion 3 but ifthey be preffed cogether they arerhen pained and inflamed.
And there is here alfo fomtimes need of blood-letting, and purging, as in the Fra- Cute ofthe Arm,
As
Parcv> |g:
8 sto
——s = = i se2-
He sia thicket, chance Ct inthe E: eer ad
1) Io Cell |
eth chus cafiy be
returinet
|i handing
Thigh,
Wale add
) A vhuber: the
fred of tn Thigh dy mil ay
sow lamene
| Madthere
‘
fore the] ter but heed reqy Wweland t incethat have futt ring been trument mehoue a lime we, Ss trad,
bis 5
Th
Neo, tn bray, in| that a
Moss |W dbrieay
a Busines 0 Witchy
ad when & ded. the 1 in the t Medice
| }
ayerhon fees OAS UH ) }
Swache, iy
d you; ) ey
| anne id O10
Lrogethe' ie
atic ay ald that
‘ordered
. Nature
bank
efeot i
, plat
|
} | | | |
nits |
. 16 tt
Chap. 11.
ther more and longer co extenuate the body of the Pacienc( as ‘Hippocrates commandeth )
when the Legg, then when the Arm is bro-
ken; by how much that is greacer ‘and chick- ercthenchis; andbecaufe there is alfoa Ne- ceflicy thac the body fhould reft, and lye frill.
Chap, 11, Of the Fracture of the
Lhigh.
Rtn Thigh bone of all the bones in the’ parc: body of man is abfolucely thebiggeft, thickeft, and longeft,; and this may alfo ‘condly,
chance to be broken, either in the midft, or inthe Extremicyes thereof, and the places neer adjoyning.
Prognofticks, 1. Touching the Fracture of the Thigh Celfus in his eighth Book and Chap. 10. wric-
echthus : Ifthe Thigh be broken, it muft of ne- |
ceffity be made fborter ;becaufe tbat it never more yeturneth into its old place. But yet notwith- ftanding there is much more weaknef{s in the Thigh, where the Negligence of fortune is like- wife added unto the fratturée. Which opinion
| Of Celfus is (according to Pec-
wherber the | cerpas in his fourch Book, Chapt.
epbye 124. )thus to be underftood by us nece(] avily not that by no means the broken canjfelamene(s. | bones may be reftored unro
their wonted feat inthe Thigh,
and there be wel fitcedtogether, char chere- fore che Thigh bone muft neceffarily be fhor- tec; buc when the parc is le{s diftended then need requireth, and when the bones are nor weland moft exactly fet and ficced together: fincethat we fee from day to day Many who have fuffered a Fracture of the Thigh ¢ it ha- ving been wel faftned together with Iron in- ftruments )haveyet walked ftraight & uprighe withouc any lamenefs at al. And the very fame we arecaught by Awicen, Books. fen. 5. trath. 3. ,Chap.14.by Guidode Cauliac. in his 5 traf. Dott. 1. Chap. 7. by Fobn de vigo.. in his fixth Book, and14.Chapt- by An-
+ Of the Fracture of the
As for matcer of Dyet, . we ought alroge- orin themidft, & that there be diligence ufed
¢ Thigb.
& care taken in the curing chereof,the fraGure may then be healed wichout anygreat dificils ty,or lamenefs.Bur that if che fayd chigh bone | be broken towardcthe Hip, lamenefs forthe 'moft parc followeth, thefeareche caufes. ay Guilbelmus Fabricius ceckoneth them up. The |firft isthis, becaufe thac the Thigh, bone is not ftraighc, astheshinand .Arm benes are, but chat ic is naturally dilaredintothe exter. | nal parc, asic wereinto a bow : wherefore | 1f it fhal chance ac any time tobe broken it ig | eafily bowed and bended toward the inward but chen coward the externa! parcic ‘buncheth forth as ic were into a bow, Se4 | there are prefenc the greateft and tcongeft Nerves and Mufeles from the in- ward part of the Thigh, which fo foon asthe bone 1s broken they drawing,. che faid bone € which as we have faid was now before ja: iturally bowed) coward their original, (to |wac, the place where they have their fr ft be- ginning ) doeafily and ia fucha manner jn- deed draw icinto a bow, tbat che-extremi- tyes therecf about the Fracture do disjoyn themfelves, and ftick forth coward tie ex- ternal parc. Thirdly, becaufe that itis bic one only bone, wherefore itis nor fo ealily to be detained inics own. place, as ifithad fome other bone adjoyned with ic, as the shin andthe Arms have. Fourthly, becaufe chat the part is very flefhy, andthe bone fituared asic were inthe midft of a pillow, experi- ence teachethus chat it can very hardly be | Kept in its own proper place by the benefit oF | che {plinters,and the Splenia Coverings sand efpecially if che Fracture’be made oblique- jly. Forchofe very ftrong Nerves and Muf- clesdo again ( notwithftanding. chac they | were fromthe very firftrightly fet and repla- eed ) draw the bones out of their-proper | Places. . But yec neverchelefs, if any one | wil follow chac Method propounded by Guilbelm.1Prabricius himfelf, he wriceth that ic may very eafily be avoided, ‘thacthe | Leg fhal not. acal become fhorcer, of chat a= iny lamenefs follow thereupon, |
| 2. The Thigh wallac length in fifty days | be brought to grow together again, and to
dreas, in his fecond B. of Chirurgery,and 14-| be Confolidaced, and not fooner : inregard
Chapt..and divers others, But Guilhelm. Fabricius ¢ inhis 5. Cent. and 86. Objer- mation ) wriceth chat he never faw nor. knew any that afcer ehiskind of Fracture efcaped without,alamenefs, befides one young Mayd only, untowhom he adminiftred anew and peculiar kind of Cure... And this efpecially happeneth if che Thigh be broken nigh unto the Hip.And of this kind of Fradture che Au-
| thors alleadged are to be underftood: Buc.|places, there will then be need
if the Thigh bone be broken coward the knee
|chac ( as Lfayd before ) icis the greateft of jall the bones, and therefore requireth rhe longer time that cheCallus may be genera- ted, by which ic is broughe to grow toge-
ther. The Cure.
The’ Thigh »,bone ° being’ broken, if. the bones be removed out. of their of a.very
{trong
a ee % 2 2
Aone to 4 ,
SRE oe eT SIRE ST nS SS RL
a Pid i" bu
hg) ‘t i hye he dy vant iM | i gy ‘i t I) Wi Oe i rd bad dk "44 a fy pat hy ; ! 7" ri eet Ppt . Hh i aba
- hy 4 aa
PL ee se de aaa ES AERIS eee bene ——— a
2752 Book V.
Of Praftical Physick.
| Pare V,
firong and forcible extenfion 5 fince chat the Mutcles that encompafs about the Thigh are the preateft of all the reft, forhac thefe ftrong Mufcles ( when they are contracted coward the place of their original ) may ea- lily overcome and mafterthofe bonds by which the Extenfion is made: which if ic fhould fo be, the Leg is thereby rendered fhorter , whichis altogether a great defor- mity, and very much inconvenient. For alshoughthe Arm be fomwhat fhorcer, yec it may be concealed, neither wil there be any greathurt thereby, buc-the Thigh if ic be made fhorcer it unavoidably caufecha Jamenefs, and unfeemly halting.
There being made a fufficienc extention, che Mufcles( being of all other the ftrongeft) do eafily draw up the lower part of the bro- ken bone unto the upper parts. But now neverchelefs that this may che more rightly and decently be dome, ( a fufficient extenfion being made by the parts ofthe Palms. ftick- ing forth,as inal other Fractures )\ec the bone be fet dire@ly ftraight, and fo prefled clofe together, And afterward, let a Neceffary and fic Medicament be im pofed thereon, and the Fracture conveniently be boundup: and here it wilnot be amifs to cut in pieces fome Minen Clothes, and to wrapthem round a- Hout upon the Hip, andneer che Ilia Guts,as dikewife the Groins, and that whichis be- twixctthe Arfe and the Genicalls; as for o- ther Caufes, fo likewife more efpecially for this, co wit, chat the excernal Splinters of- fend not the naked part.
| ThePipe chat is fitted unto the The Pipe of * Thigh ought eicher tocake in the diva ty whole Thigh, or elfe not at al by
: any means cto be adminiftred. For ifthe Pipe thac is firced thereto be any whit fhorter then that it reach evenunro the Ham, and beyond ir, it will bring more hure then help thereunto : foriit cannot be prevented, but that uponche moticn of the body, orthe Legg, the Thigh alfo mutt be moved. The Pipe will alfo be very trouble- fomeuntothe Ham, and ic will fuffer the Knee to be bowed. . And therefore if any bend the Knee, there is a Neceffiry thac che Thigh bands be likewife therewichal moved, andthe Mufcles figured in this and’ chat man- ner,and the broken bones moved:out’of their Places. And. therefore it feemethto-be the moft expedient courfe, thac the Thigh be al of it conveyed into the fayd Canalis or Pipe, which is to reach fromthe Hip even almoft as low as the Foor. But now this Pipe is at a fitting diftance to be bound on
with many bands beth untorhe Thigh and
Legg; and on both fides woollen Glothes are to beapplyed, that fo the Member may hot
\
;
decline unto either part; and this is alcdge- thercobedone, cthac forhe whole foot,( te wit, the Thigh with the Legg and root) may lye along foftly and without pain; buc yer fo firmly, that che fick perfon may not either through impatience, or whileft he fleepeth, move the fame.
For it is to be obferved, ( as wellin the Fracture of the Thighas of the Lege)rhac the bottom of the heel be kept in as much as may be, and rightly placed: for if the foor hang down, andthe reft of the Legg be fup- ported and propped up, there isa Neceflity then thar the bones fhould be feen co ftick out inthe fore-part of the foot: bue if the Heel be placed higher then what is Jult & fir- ting ( the ceft of the Body being gently lifted up, ) the bone in the fore parc of the Legg willneceffarily fhew ictelf more fac then what is Juftand meet ; and this fo much the more, ifthe Mans heel be naturally greater then ordinary. :
Andthis is likewifé ( inthe Fragture of the Thighand Legg ) tobe taken notice of, that if by reafon of the fwathes, or the bind. ing on too hard of the {plinters, or elfe from any other caufe, chere arife inthe Ham, or the parts beneath it, a fwelling greater then what might Juftly be expeéted ; then that which is too ftreight and clofe,8& preffeth the