part coo much, is to be loofned sbut the fwolm

pate is to be fomented or anoynted with chofe things that have inthema virtue of af: {waging pain, as alfo of digefting and gent-
ly driving back the humor ; {uch as the moift.«
and oyly wool, throughly wet in wineand oyl; orthelikeMedicaments. = | .
But yet Neverthelefs, ( as already hath been fayd ) in regard chat alchough this cure fhould in this manner be accomplithed lame- nefs and halcing doth for the moft part fal- low thereupon ; therefore. Guilbelin. @g- brictus ( in the place alleadged }) propounds etha new and artificial way and Method of Curing the Fractures of the Thigh, declare ing it by an example ; and withal he wricech that he had reduced the way of curing the Fracture of the Thigh (which hath alwaies bicherro been accounted moft difficult ) unto that faciliry, that even any Novice or young Practitioner may without any helitacion of doubting cure fucha like Fracture, if he wil but ufe a litcle diligence, and be but pro- vided of fit Inftruments. Buc now as for thac way and Method of Curing ( together with the Inftruments defcribed and delinea- ted'to the life, we refer you fora fight of them unto the place alleadged,
CH AP.
a © Chap. —
(hap f
Ndt Thig sngr ate B
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econd B Bfor eithe!
yet NotW kept tha ther De cu that either ather in ch eth forth kept and | jomtimes Note ¢ wh
(Mhebone 1 Mslikewile Bad now a
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unto the Fr
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hot at all be willftanda 2 ta the
{Bnd increaf lm tupted } Ber tells ys ) i Others
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Mlelsthen Ce hanne
i f appe WB Utitation } acne
ure of Hl
Ice of ‘Dind- COM, Ml, ot REL. they,
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l young tion of Fhe wil ut pio yas so ope felinea ight of
CAD
| beaten down unto the inferior part, andbe _Tendered flat; chen fomething is to be pu
fomtimes alfo evenin the very midft of the
Chap. ‘1 oe
Chap. 12. Of the. Fracture of the Nofe,
"A. Nd thefe bones, to wit, of che Legg,
Thigh, Arm, and fhoulder, are thofe that are more frequently broken then any o- ther. But yec nevercthelefs ic fo happeneth fomtimes, that other bones may alfo be bro- ken; touching all which we fhall now pro- ceed ( in our progrefs ) orderly to creac of
| themall, even fromthe Head unto the foot.
Thi Freéture | the Fracture of the Nofe; this ofthe Nofeé ! may happen many ways,as Hit- | pocrates teacheth us, ‘i
| And firft of all, as couching
in his Second Book of the Joynts, and 37. Text. For either a part of it may be broken off, and yec notwichftanding che Nofe ic felf is {til kept that ic neither hang downward, nei- ther be turned and madeco ftand awry, or thac either of thefe fhould happen; and this either in chat parcthatis Griftly, and ftick- echforth; or elfe in the reft of it which is kept and held together with bones. And
Nofe ¢ where it is fharp ) che flefh neer unco thebone is bruifed and batrered, or che bone is likewife fomwhat hurr, burt yec not much: and now and then alfo a wound happenech
) unto the Fraéture.
Prognofticks,
1. The Nofe of all the parts of the body is moft eafily fet together again: andific be not forchwith fet right and ftraight, it will notat all be fet right and ftraighc, butchar ic will ftandawry.
2. In che Nofethrills a Callus is foon bred, and increafed ; for the Nofe Cunlefs ic be corrupted )is in ten days healed, as Hippocra- zescelisus in his fecond Book of the Joynts, Buc others nocwithftanding there are chat fay ic isnotto be done in lefs then eighteen days; andorhers afferr, chat ic isnot done | in lefs then twenity dayes time : which differ- | ence happeneth according to the feveral | confticutions ofbodyes. Lor Nature differ | eth from Nature. |
The Cure. |
Of the Fracture of the No/e.
jand place.And outwardly likewife we ought
on both fides to lay hold onthe Nofe, and co draw it upward.
But then, that the bones ofthe Nofechrils
(that are again brought unto ‘thei: wonted form and figure )may be prefervedin their Natural feac,eitcher Liniments folded Cove~ ther, or the fhavings of Linen ( commonly called Lint ) or elfe fome fuch like thing wrapt up inthe Linen, or Leather, ora lea- den or filver pipe covered over witha fofc skin, are to be put up inco che Nofethrills.,
But if che nofe be broken only in one fide of it we ought thenalforo fet ic right & firaighe (ina Convenience manner ) from that pare which declinech, and foro reftore it UNCO ifs natural feac ; both by thrufting in the finger, orfome fit Inftrument, inco the Nofechrills ( imthat place where che Nofe is hure; asalh- fo by fetcing the Nofe ftraight outwardly, \Buc chen, left chat bone which is compoled land fet together again in ics due place fhould again be depraved, and fall down 5 thereare to bechruftup into che Nofechril that is hure either Linenraggs, ora great Goofeguill an- oynted with a Gum, and covered over with a foft skin, or a pipe or plummet of Lead, or liccle ftaff of filver, wrapped upina fofc Skin.. Neicher is ic much material What itis we thruft up inco the Nofethrills; only thar itbe fomthing that may keep the broken bone of the ‘Nofe from falling down; and that ic be fomewhat chat is fofr, and free from an offenlivef{mell. ‘Neither are {pun- ges alfo ( or th? like things ) tobe put up in- co the Nofethrills, inregard chat by foaking inthe Moifture of the ‘Nofe they become thick, andare dilated; and fo being dilated they diftend the patc, andagain move out of theic places the bones after they have been wel fec together. That which is putup oughe to be anoynted with fome emplaftick Medi- cament, of Mannatburis or the fine flour of Frankincenfe, Gum Tragacanth, Maftick
| and oyl of Rofes.
But ifthe Nofe be broken, and writhed in an oblique manner neer unto the Griftle, then we muft agplucinate unto the Nofe ( in that patt into which ic inclineth) a little loop or fillet (ofa fingers bredth)wich that kind of Glew which we mentioned before, touching
|the dy fucure or ftretching in Wounds; and
Iftherefore the broken Nofe be equally afterward ic is to be ftretched forth, as much
into the Nofethrilsthac may fer ir up ftraight |
| again, asthe Probeor fearching inftrumentr, ) or the inftrument they call Spatha: or elfe
that which is broken is tobe liftedup with
the finger chruft up into the Nofechrils,’ and
foto be reftored unto its Natural {ituation,
\as fhallbe. choughe fic, chac fo the Nofe may ‘be fec ftraighc again. Buc let this filtec be
fo long, that ic may afterward being drawn
below the Ear be drawn likewife about the
Head: andas fort tRetwo ends thereof, we
may dgglutinace them unto che forehead.
For this Rein will juftly fec ftraighe the
Nofe, and ic may be either ftreyned or flack- M in m vay
\
\ }

i } ; 5
SE EH
oe
et
Of Prattical Phy fick :
P art V. | | chp
ms ze rng et
ned, according as we find occafion. And if |Swathe, it isto be caft upon the middle of i it the Tents thatare ptit tip into the Nofethtils thé Nofe, and both the ends ctheréof are } do ftir up and caute any pain, they are tobe to be tied together at the hinder parc of |] the | taken from thénce; and all chis while che/the Head. Foot”? Wofethrils are to be kept ftraight with the | Ambrof: Parry ufeth this ; 1A gold,»
Reins aforefaid.. But afcer the fourreenth| Take Prankincenfe, Mafiich, BolesArmo- 1A ged unt day the Reins areto be removed, anda Ceror iniack, ard Dragons blood, of each balf az |\") lt tobe laidon, and caretaken that theCallus ounce; Roch Alum, and Rofin of the Pine, | il * 7 | | al
iq
do not grow forch more then what is juft and | of each two drams. Let thém be very finely | The fit. |poudered, and then incorporated with the | feicat
ifthe bones of the Nofe fhall be broken | white of anEeg. See more hereof in Hippo- F fim IS and fhattered into {mal pieces 5 we are then | crates his 2. B. of the Foynts, from the 36.to_ ||)" hol (as mtich as may be) to put them all, and) the 46. Text. Brow fe: each particular of them, back inco its proper | Predinth feat; or. elfe they are to bedriven back by Happly @ Inftruments fit for that purpofe; neither) Chap has Of the Fra&ure of the pfeonsen muft we eafily admic of the taking forth of - . LA he Ja any bone, and noc ar dil, if ic may by any Jaw Bone. MF nient bi means be agglutinated, in regard chat ic Ione W breedeth deformity. And afterward fome| Nd fomtimes alfo the lower Jaw is |/fingcts Cerot or fome other Medicament is to be im- broken; and this is veryealily to be ext allo pofed, forthe confirming and ftrengthening | known. WH ides cak of che bones. gps rherefor
Ifa Wound fhal happen withthe Fracture, Prognofticks. Lf swahet thenfome Emp!after chac is ficand conveni-|_ 1- If che bones of the Jaw have not an |fofiten:
ent in bloody Wounds is to be laid on: ‘and Inflammation happening unto them, even | }jjto ihe fuch like Wounds are moft eafily Cured of | ftom the very beginning, they are then con-_ | hid t0¢ any. folidated within twenty daies, andthe Téeth | riot Ca
If any Ulcer begin co breed within the|femainentireand{fafe. |Prenly c Nofethrils; then cents anoynted with ficand|__ 2- But 1f che Cure be long delaied, the |Iite Hea proper Medicaments are to be put up into Teeth may be viciated, and rendered unnfé- | Iyifew
them 5 atid by all means careymuft be taken ful. Let nd that there grow forth no flefh within the . ren [aw Nofethrils. For which end likewife very The Cure. Ws found ufefurl is che Leaden Pipe put up. If the Jaw Bone be fo brokentranfvetfly; |Ijj\.}
| Tonching che binding up of that yet notwithftanding the bones ftick to- Hitec upo The binding wp | chef Fractures Authors differ gether onetothe other in any part, we ought |v ic, of Fraétuves. |} much; atid of thefe, fome of | Withthe Fingers on both fides (to wit, aswel |fndero, i chem “allow. Of thefe bindings thofe chat are put upinto the Mouth, as thofe |Jjs1..,, ; up, but others atoserher difapprove of | that are outwardly applied)to prefs che bone |}. ),,, chem, And indeed « féemiech altogether together, and{oto force it into its own feat | Ip», by more fafe wholly to omit ‘thefe bindings up, { 282i”. Bur'that the Jaw Bone is again refto- | Liars and the Swathes; fecing hat either they per- red into its own place, appeareth by the form nothing at al’, ifthey be loofe; orif equality and evennefs of it, and of the they be harder and clofer rawn together, aeeth. they then fer the Nofe awry, and make ic Buc if the whole Jaw bone be broken ma flac; and very tafily, may the broken bones tranfverfe nianner (which nevercthelefs very Of che Nofe be kept fait in their places by feldom happeneth) and fo that indeed bone converiient Emiplafters, Wichouc any" binding ftick oucupon bone,and that oneTooth ftand tip atall. Aird in No érher cafe doth’this | OUC Upon the next Tooth unto tt, then by binding feem ‘convenient, bic only in'chis, | Pucting the Fingers into the Mouth, and like- iF in the middlé of the Nofe (where is is| Wile by applying che: Hand externally, the fharp) the flefth be bruiféd about the bone, broken ‘bohes are tobe fec in their places a- and che bone ftick ‘forth; ‘that fo the Nofe] 82in : andtinlefs it may be done by a lingle & Being ‘preffed together in that part may ac- hinple compreflion, rhere ought firft of al an quire ics own Natural Figure again. Buc bere | ¢xtenfion to be made (the Phyfician excen- alfo, as for binding, a{chough it feem alto- ding It before, and fome affiftant that helpe gether neceffary, ard ‘very profitable: ‘yer |¢th Him keeping of icback) and afterward néeverthelefs we deny it to be at all neceffary, | tHe ‘bones “oughc co be fet and Joyned toge- |j fince tliat a’Ceror or an Emplafter may fuf-|ther. Icisatign that the Jaw boueis rightly fice. Andifat'alic be requificecoapply the !{et andreplaced, if wefee that che Feech seg , ‘ again |
i...) WHed,
NAY vain ren
EEE I CR ER ES SR REI EE
lot al} » CVel NL COs
ie eet
ied, th dwt
fvetly,
fick to- § cought
as wel
sthote
heboue § yw feat
inrelto- i by he ia
1 of the
Ion 1119 He Ken Md ae
| Chap. I4.
Of the Frat
are of the Channel: bone oe
again reftored and difpofed of unto cheir for- mer Natural Seicuation.
The Teech which have been moved’ and loofned intheic holes are wich a Thread of Gold, Silver, or Iron, to be Joyned and fatt- ned unto thofe chat ftand next chem; uncil
they fhall again become firm and {table in|
their places.
Thefe things being thus performed, fome Medicament chat is ficand proper for cheFra- éture is outwardly to be applied unto the Jaw bone, that fo che broken bones being now fec together again may be firmly faft- ned in their feats; and externally we are to apply aSplincer of Leacher or fome: other convenient matter, anfwering in lengch unto the Jaw bone. And afcer this a fit conve- nient binding is to be inftituced; whichis done witha Swathe flic ac both ends, two Fingers broad, and in the middle part of it cut alfo long waies, that it may on both fides take-in, and contain the Chin. And therefore there, being four. Heads of the Swathe thus flitat beth ends, the cwo lower ofthem areto be brought and drawn along unto the cop ofthe Head, and there to be tied cogetiier or fewed unto the fick perfons night Cap 3 but’ the cwouppermott are crant- verfly co be drawn unto the lowelt part of the Head behind ; or-elfe co be fewed like- wife unto che fame night Cap.
Lecnot the fick perfon hie upon the bro- ken Jaw-bone, buc upon chat Jaw-bone chac jis found and unbroken; aud yet neverthe- fefs ler himnor reft himfelf chereon, butra- ther upon his Head, left chat the Jaw-bone that is fer in its place be again diftorced and made ro ftandawry. - Let the Jaw hikewife be kepc imme@veable; and therefore lecnot the Patient fpeak much, neither chew hard Meats, bur lec him be nourifhed with Food that is fofc and moift, uncil che Callus be har- dened. again removed out ofits place, on the chird day the binding isto be loofeneds and ifany ching be fallen our, it is again to be re-
placed.
Chap. 14 Of the Fracture of the Channel bone, or the Bone of the Threat.
‘EIppocrater Cin his B. of. the Foynts, EE Text 62.) reckoneth up fix Differences of the Fracture of the Channel bone. For either-this bone is broken in a cran{verfe manner, orelfe long waies. If cranfverfly, this happenech either neer unto the Joynt of the Shoulder; or elfe icisbroken more to-
ward the breaft bone 5 andfurchermore, the | lieth neer unto the broken. Channel bones
If any thing fhall be oblerved to be
Throat bone is either fo broken, that chat part whichisfrom the breaft is carried ups ward; but that°parc which is fromtherup of che broad bone of the Shoulder: is carried downward 3:and this very often(and for the moft parc) happentth: or elfe on the cons trary, that part nigh unto che Shoulder blade lis carried upwards; buctthat which is unca che Breaft is carried downward; and this very rarely happeneth.
e oe anf? . sh Signs Diagnoftick. Now this Fracture of the Channel boneie C
known rather by the touch, chen by the fighcs as alfo by the pain.
meer
*S*
Perrin tick Prognojticks.
r. If the Channel bone be broken tranfa verfly, it is che more eafily Cured; if long waies, it is the harder to be Cured. ‘For thac which is tranfverfly broken may eafily Cby extention, and the compreffion of the Fingers) be brought to return wnto its Na
t
alfeac; but che osher'Fracture ( igint ra
urs
Ha
dive
(Chat length ofthe bone) hathever nr fomching that ftickech out, which can very hardly be ficted together. “And then again, becaufé chat the Throat bone cannot be fo wrapped round about with che Gwathe, that whacis clefc and broken in the length of the Bone may be again conipelled into its own fear but om the contrary, that which is broken traniverfly is more eafily by the Ligature to-be forced back into ks own feat a- gain.
2. The Fracture of the Throat doth indeed nothing ac all hure the Commiffure of the Shoulder, or any other parc: and yet never- ichelefs becaufe that ( alchough the ucmoft
idiligence fhall be ufed_) the Neck andthe
| Throat cannot (as the Arms and the Legs) be clofely wrapped about with the Swathe, the Callustherefore leaveth a very great de-~ formity 3 becaufe thac in a thin bone the Gallus doth eafily become greater: but it is , Only inthe beginning thac it feemeth defor- med, while icisyec news but in procefs of time, when we are once accuftomed there- ‘unto, the deformity feemeth the lefs.
| 3. BuccheThroat-bone doth eafily grow | together again, like as do other. thin bones 5 | andindeedin twenty dates at the very utmoft
ic isFerruniinated,
The Cure.
But now that this Fracture may be Cured, ;there are neceffarily required two able affi- ftants, for the exceifion of this Feadtiare 3 of which, lec the one with both Hands draw back unto the hinder parc che Shoulder chat
Mmm 2 and
ao
ye 'h #1) | haa
| Py \ ' |
4 ae
2756 Book V.
cen enn
coward him the oppofite Shoulder, or the oppofice pare of the Neck that fo the exten- fion may be made. Which to foonas itis done, lec the Chirurgeon with his Fingers reftore the broken bones unto their places again, by prefling together with his Fingers that which fticketh up too high, and by lif- cing up that whichis prefled down 3 or by reftoring ic, back again into its Natural feat, in any manner whatfoever thac fhall be thought needful. Somechere are, whoto Pacilicate the reititution of the bone, do put fomching that is round under the Arm-pict of the fick perfon, that itmay fillupthe Cayi- ty thereof; and then wichal they greatly prefs the Elbow unto the Ribs; and fo by
this means they again reftore the bone unco'
itsown place. Bucifche extremities of che broken bone be fo depreffed that they can- not in chis manner be brought back again up- ward, then the fick perfon 1s again co be laid flac upon his Back upon a hard Pillow or Cufhion pur under his back-bone between the Shoulder-blades; bucche Shoulders are by
Of PraGbical Phyfick.
and let the other quite contrary draw rather