Part V i

FO en
the fides 5 buc rhe third that is thicker isto be impofed upon the Fraéture ticking forth. For foby this means both the broken bone that fticketh ouc will be depreffed, and che broken bones fo kept in, chat they fhall nog be moved either upward or downward 3 nex
ther fhall chefe broken bones (being once fer |
together) be removed out of their proper places untothefides. And after this a righe binding up is co be infticuted, which may be
done with aSwathe as broad as the Palm of | the Hand Cor four Fingers breadth) of afuf- |
ficient length, having adouble Head; itis
to be made Crofs wife, in che form of the |
Letcer X 3 which is racher to be oftendrawn
about the place of the FraGture, -then thar |
the faid Fracture fhould be coo clofe and hard bound; and it is foto be rowled abour, that ic may draw che Arm unto the hinder parcs. pit neer unto the parc affected isto be'filled
And the Cavicy alfo under the Arm. |
up wich Linen Clothes foided together. For | fo the fick parry will che better and more ea- |
lily endure the binding. The fick perfon muft alfo be ordered cotake his reft, and co kee
the ftrengch of the Hands lying upon them ‘himfelf as quiet as he cansand he himf{elf is co
foto be preffed down, thar the extremities Ibend back his Arm toward the hinder parts. [
ef the broken bone that are deprefled may |Buc ler not che Swathe be loofened before'the be lifted up fo high, chat they may again |févench day, unlefs an Itching, or fome ur= bereftored unto their own Natural Scitua-|genc Caufe require ic: and ifit be from day tion.
daies,
lft
Shoul
to day to be loofened, it may likewife |
But if the Channel bone be broken and |bedaily drawn a little clofer and harder to- |
fhaccered into many fmal pieces, and that gether. fome fragment thereof caufe a pricking in the flefh, and difficulty of breathing ; then there is an incifion co be made in that pare of the flefh,. and the fragments to be taken forth; or the fharp pricks areto be cutand fhaved off; and the bones when they are aq? te Shoulder-blade €by fife Greeks cal- made plain muft be joyned together; the led Omoplata, but by the Latines Sea- Lips of the Wound are likewifecto be drawn | pula;: or thac Trmangular bone, neer untorhe clofe together, and fome Medicament pro-, Vertebr@ of the hinder part of the Neck, and per forthe Fracture (and which may wichall! adhering unto the Back’and Breaft, not by refift and hinder Inflammation) is to be laidj any Articulation or Joynting,* but only by on. But ifthere be found to be many frag-| the itervention of the Mufcles, and before ments ofthe bone, (the Skin remaining en-; Joyned together by Articulation with rhe tice and found) that yet arenot fharp, nei-| fore part of the Shoulder and the Throat$ ther do at abl prick, thena Splinter 1s to be}/rouching which ice more in the Anatomiftsy provided of Leather, or fome other conve-; may be broken in any parc of it; but yet nor- nient matter, and being anoynted with a fit | withftanding more rarely in that procefs that Medicament it is co be applied unto thofejis termed 4eromion; but oftentimes in the fragments. | parc chat is nigh unto che Spina or Back bones The broken Channel bones being rightly acd in all other its Extremities. fet together, fome Medicament fii and pro- Sions Diagnoftick. per forthe Fracture (fuch as are above pro- on bce pounded‘in the firft Chapter)is to be impoted.| Ifthe Acromionbe broken, this is percei- Aftér this chree Coverings of a convenient |ved both by the fight and couch, anda cer- thicknefs and lenoth (fothat chey may fil wp |taimunevennefs is likewife eafily tobe difco= the Cavity or hollownefs both above and be- | vered 5 e{pecially if we compare together neath the Channel bone) are tobe provided; the found and unfound part. Ifa broader ofche which ewe of themare co be put upon |pare thereof, Ox ahy part inits ce § i ¢
Chap. 16 Shoulder-blade.
{
Her
Of the Fracture of the |
Hand ler pl
done,
Vy ceon bi
| AN ne HOG
the She
Fredy
Dire alo Out
1) ato yr
Hontes |
{ 10, ane hn Ot e he Sh
tha | UAT!
hind the
th
MY Hp at NA ry My nip ae lw OW the tef lis be
Did
ed ibow
he bind
the Aum ei >
P al NOP Lsk aie ry
MOTG 62.
on auf
|
ik | (0 Keeani
Ke\bis w et patty pete the ‘fone i from dart
likewiie s
harder to
} ,
€ekS CAN
nee Neji Hes hy
“nto tiem
yt it
ocels i” |
es in
ack by
unto its own place again.
{ j Ging is c¢ :
eg erm Bays
Of the Fracture of thé Stérnum or Breafe-bone:
Chap. 16.
be broken, then there is by the touch difco= vered acertain Cavicy; and there is percei- ved likewife a pricking paininthe parts but a kind of ftupidicty and benummednefs feizeth upon the Arm ftretched direétly
forch. Prognofticks.
ys The Fracture chat is in the top of the Shoulder or the Acromion is more diticulcly Cured, then inany other parcs of the Shoul+
er-blade.
2. If the Fracture be in the Neck of the} dl Ufo Sternum Cor Breaft bone) it felf ig Shoulder- blade, or in the dearciculation of fomtimes broken, either by a fal; or by the Shoulder, ic is then hardly ever cobe/a blow. 4 healed. For in regard that neer about this Joynt there are the Veins, and Arteries of | the Arm-pits, and the Nerves arifing from|
Shoulder be broken, a Linen ball is then co be bound under the Wing thereofs and the binding is not co be loofened before the fevencth day, unlefs there happen {omching elfe. Let the fick perfon lie on the oppofice lide; and let him (allhe can) keép the pare iN qttietnefs.
Chap. 16 Of the Fracture of the
oternum, or Brea/t-bone,
——
Signs Diagnoftick Which is known from the pain, and efpeci=
the Vertebre of the Neck behinde, an inflam-|ally, fromthe inequality, which is difcove-
mation and moft grievous Symptoms do/ved by thetouch; and atthe comiprefiion of
happen. | the Fingers the broken bone retirechinward- 3s The Shoulder-blade bone broken is; ly; and there is a certain found: or noife
ufually confolidatced within twenty font
dates. The Cure.
If the broken bone adhere ftil! unto the Shoulder-blade, ic is then by the Chirurgeons ' Hand tobe reftored back again into its pro- per place. Bue if this may not eafily be! done, andthat there be need of more force gerous; in regard that by reafon of che and ftrength, then a bal of Linen may be put Pleura Membrane, (which is eafily hore co- underche Arm-pit, and let the affiftane draw | gether with the Stern) and the noble patts the fhoulder downward, by drawing about )chac lieunder it; it is wonc co attract fad and the Elbow untothe Ribs 3 bue lec che Chirur-/ grievous Evils. geon himfelf with his Hand prefs down the] 2. But yeticis confolidated in twenty, of FraQ@ure, and fet the bone that is broken. | twenry four daies, in regard that it ig fpungy Butif che broken bone do not cohere with! andchin the Shoulder blade, but that it only yet hangs eth thereunto by the Ligaments and the Perz- | Oftium, and that it exctceth nogreat danger by pricking, icisthen alforo bereftored even But ifthe broken bones be alrogether feparated both fromthe
heards and there where the bone is broken, there may benorice taken of a Cavity. And there is alfo difficulty of breathing, the , Cough, and {pitting of Blood, chat for the moft parc follow thereupon.
Prognofticks.
1s The Fracture of the Stérris very dan=
‘Lhe Cure.
Now that this bone when it is broken and '_deprefied may bereftored again unco its own feat, che fick perfon being laid flac upon his ‘Back, a Pillow is tobe put under the Spina Shoulder blade, and from the Perioftizm al- | or Back bone, over againft the Fra@ure 3 fo, andthe Ligaments, and prick che flefh, and by fome Servant of the Chirurgeonirhe the Skin and the Flefh onghe chen co be cur, | Shoulder is on both fides to be preffed downs andthe fragments tobe taken forth. Bucif but let che Chirurgeon himfelf wich his Hand: they prick not, they are then tobe left re-| prefs together the Ribbs on both fides. and mayning. For Natureat length expeHeth of fo let him bring back the broken bones into her own accord that which cohereth not wich their places. And afcer this, chofe Medica= the reft; althcugh icbe fomtimes long ere, ments that are wont to be adminiftred in o= this be done 5 like as Aimbrofe Parry Cin his; cher Fragtures Cand which prevenc inflam- 14.B. and 9. Chapt.) velacech, that a certain} mation, and ferve for the Conglutination of Marquefs had after feven yeers time certain the Fracture) are to be impoted 5 and the binding ts to be infticuced wich fit Swatches ax-
fraoments of bones breaking out of his woun- | ded Shoulder-blade, the Cicatrice being opé-| bove the Shoulders, in che Crofs Figure of med. be bones being rightly fet in their|the letter 5 andthrs binding muff noc be’ places, fic Medicaments are to be impofed/overhard, left ic hinder che breathing. @pon the Fracture, anda Convenient bin- :
o beinfticated 5 and ifthe top of che CHAP:
> \
1757
Preeti eSet ie DORSET ue
F aig8. Boor ¥,
———
|
a
Of Praétical Phyfick.
Part /.
vered both by the touch and fight; and if
Chap, 17; Of the Fracture of the | the place be preffed together with the hand,
(Ribbs ,
Ndfometimes alfothe Ribbs are broken from violent caufes, as afall, a blow,
or the like. But now.the Ribbs\ are fometimes fo cleft Cas Celfus writeth in his 8 B, and Chapt.9.)
\chere is heardia certain noyfe and found of \the Air going forth thereof. Unto which lunlefs timely Remedies be adminiftred, cin the fecond place ) an Inflammation,anda fe- ver, andan Impoftume are wont to fucceed. The caufe of which thing is the feparation of ithe flefh from the bone, and a weaknefs broughtuponche pare with the blow,which
that indeed not thetop of the bone, butche} cannot therefore fufficiently concoé the inward pare thereof, ( which isthin) may] Aliment, that by reafon of the pain is more behurc; andfometimes fo that this fal hach| abundantly attraéed; and flowerh chereun- wholly broken them.And indeed the broken | co :which remayneth thereupon partly crude bones do fometimes declineinwardly; and | andis parcly refolved into. vapoursand fla- fometimies they ftick forth outwardly: andj tulencies or windinefs. And fomtimes the fometimes notwithftanding that chey are | Corruption of the Ribbs is wont likewifetco wholly broken, yet-they arenot.moved out} follow this Malady. For when the fleth is of their, proper. placessand fometimes \ike- | feparated from the bone, the Air getrerh in wife the Hefh about the Bibbs is batrcered and jin the place thereof 5 by the conract and bruifed. | |impreflion whereof the bone is offended and Signs Diagnoftick. AORFUPr eG.
If the Whole Ribb be not broken,then nei- therfis there any blood {pic forth, neither a- ny fever following thereupon, nor any ching
Prognofticks.
1. Ifthe Fradture be fingle, without any
fuppurated, Cor but very rarely neither is there prefent any great pain: and yet never- thele{s this placeis lightly pained even upon thevery touch
Contulion or bruiling of the parts lying neer ©
thereunto, there is then herle or no ‘danger
atall: andthe Ribbs will grow together a=:
gain within twenty days.
2. Butif the flefh about the Ribbs be bac- tered and bruifed, then the evilis very dan- gerous(by reafon of thofefymptoms cthatas we have before cold you do happen heriipon) & fomtimes deadly. Touching which Hippo- crates; Cinhis 3.°B. of the foynts, Text. 65. if the Contufion ( fayth be) ortbe bruif-
Put ifthe Ribb be wholly broken,and yet thebroken extremityes thereof, not moved out of their places, by being either driven in- wardly, or forced inco the Exterior part, there are but very few that are hereupon ta- ken withafever. And many there aréalfo that do not.ar all {pit blood; neither 1s there any Pus contracted in the Chelts of fome,and | ing tbatis caufed about the Ribbs be negletted, thofe indeed not a few. | although upontbis a werfe Mifchief doth not
But if che Ribb be both wholly broken,’ follow, yet notwithftanding it bath the flefh more and the extremities thereof moved out of foftandfpungy inthe brutfed place tbenit was their places, thereischena certain inequal. before: and where fuch flefb is fo left, avd nok lity or unevennefs,and Cavity, that may be by curing thereof reftored unto a good habit, the both difcovered by the fight, as alfo by the thing isjo mueb the worfe, if filt and fnotti- touch; andtherets likewife a certain ratling | nefr be left about the bone itself 3 im regard that noyfe heard : unto whichalfo there are di-| the flefo wil now no more faften unto the bone vers other fymproms Joyned. There is pre-) im like manner ays formerly 3 and in regard fent a very great and grievous pain,and efpe-! that tbe bone it felf is rendered more apt and cially ifthe inrernal part of the Ribb be bro-| ready for difeafes : and for this very caufe ma- ken; ( and. this: pain much refembleththe' xy bave their bones vitiated, becauje that the pain of fuch as have the Pleurify )the breath- evilzs a long while protratied, eve it can be ing is very difficult, the. Cough extremely | Cured. troublefom 3.and now and.then likewife | {pitting of blood followeththereupon (the! 3- And thirdly lkewife,the Fracture is Lungs foaking inthe blood flowing forth of ful of danger if the Ribb be driven inward the broken veffells )and a feaver is alfohere- and there prick or wound the Plezra Meme withall joyned, and accompanyeth the fame, brane; andthen almoft al thofe fymproms But more efpecially cwoévills there are thac/that are wont co infeft chofe chat have a pleus ufually attend che Fradture of the Ribbs. |rify} do follow upon the fayd fracture; and The firft whereof is, the puffing up of the|che Cure is fcarcely ever perfectly accompli- flefh lying upon the Ribb; which is difco-|fhed in lefs then tourty days. ie
fy €
|
But tf
iis 0
ro bese
here inpole Bur 1
Brut er
At 10S
Bicit of
ihe ho!
Behe han
again not, th that wil tothe B gain wi the Rab
| mits own
Andy
| pSmplal
Take Tragace he dra te Glew Glue on
Bonces Bind wnt
Oran ha, bla
)
Treth ay
:
, |
tlh is
N any j
neneet
dancer
thet ae: Ae
be bit.
Ty dae I
thatay |
etupot)
Tine De
Teh
O Dn.
fottod fF NEL gene A}
that by this means there bemore of the hu-| Take Meal of Beans and Burly of each
Ghap.17.———«Of the Fracture ofthe Ribs.
a a
a
i Cave : mor attracted: and chat otherwife the flefh
: __| above the Ribbs is wont tobe puffed up. Buc
Ifthe whole Ribb benot broken, (or if} if any broken fragment of ehe Ribb prick the wholly broken, yet noc removed out of its Membrane, fo chat thereupon moft grievous propet place, ) and that there be no Contw-| pains and other ill fymptoms arife, (ig dion of the parts incumbent and lying meer,|{omuch thac there be great caufe to fear thenfome gentle Medicament that is fic and|dearh )rhat pare wherein the Ribb is broken Convenient for a fracture and inflammations, |is co be opened with che incilion knife,chac fo istobelaydon, of Frankincenfe, fine flour \ we may the better come at the fragments that Bole Armenick , the White of an Egege, and ' prick, either co pluck chem forth, ;
} Buc if che broken Ribb ftick forth outwardly | any contufi it is co be preffed together with the hand, and | opened, left chat an Inflammation follow. to be reduced unto its Natural ficuacion: and |» The Ribbs being reduced unte their own here alfo a Convenient Medicament is to be | places again, Nature willthen indeed of her impofed. Ownaccord generate the Callus; which chac Buc if the broken Ribb tend inwardly we | we may the better affift, fome Emplafter muft endeavor thatic may be brought back | thatis convenient fora fracture of the bones intoits.own place. | And therefore we mutt 'is to be impofed ; among the which thischac firft of all fee whether’by the Cough, and followeth is one of the chiefeft, the holding of the breath, orbythehelpof; Yake Pouder of ‘Myriles, and red Roses; thehandsthe broken Ribb may bereftored of cach one ouncestbeMea! of Barly,of the bitter again into its own place: which if itfucceed vetch orobus; and of Lentiles, of Beans, and not, then we muft lay on fome Emplaiter of Maftick, of each two drams 3 Acron Cups, that will attract, and that will ftick faft un- | Cyprefs Nuts, C the rinds of them ) Frankin- totheRibb 5; and then this Emplatter is a- cenfe, Dragons blood, Earth of Lemnos, A- gain with violence'to be taken away, chat fo] loes and ‘Myrrh, of each two drams ; Oyl of the Ribb may ‘be brought ‘back apain into ‘Myrile, of Rofer, and oyl omphacine, of each its own place. nine ounces 5 Wax and cleer Fur pentine, of Andvery Convenient for this ufe is this | each half apound; and mate an Emplafter.
onor bruife, a vein isthento be
Emplafter alfo. Some there are that (in che proerefs of Lake The fineft wheat flour to ounces ;| the difeafe ) wee and foak the fwathes in Tragacanth,is Prankincen{e powdered, of each| Rofemary water; which ( as they wrice ) is five drams; “Mifileto of the Oake, (to wit,| avery {pecial and effectual water inal] frac- the Glewo ) fix drams 5 Ichthyocolla or Fifh| wutes of the bones. Giue one ounce and half, Whites of Egertwo| But if che flefh be moyift and flaggy, then ounces 5 Rofe-water as much a will fuffice ;;the Medicaments before propounded are to and mingle them. beimpofed; and che place is tobe ftreyned Oran Emplafter ‘made of Turpentine, Ro- together wich{wathes and other Coverings, fin, blackpitch, Barly Meal, or Beanmeal, | that fo the flefh may again be conjoyned with Maftick ,.\and Aloes. And fuch like emplaf- the bone, © And if through Negligence of the
“ters as thefe are’often cto be applyed, and} Phyfician, or the fick perfon himfelf, che
thentobe taken off when the fick perfon} Malady be now become old and inveterate, fhall breathe more freely. And Imy felf re- and that che flefh.be rendered foft and {nocry member likewife that fome yeers fince a'( fothacrhere be caufe co fear left that the certain Cooper having a Ribb brokenandj bones, Griftles, and Membranes may be depreffed in hisright fide by the violent re- hurc +) we arethento do our endeavour that coyling ofahoop, which he was bending to the faid {notty Juice may be difcuffed by makeahoopfor a Hogfhead, ortub, ( fo!fuch digefting Cataplafms as we fhalla- that he could very hardly draw his breath) / non {peak of. But if chis may not. be done,
) Coughedextremly, and wasnot able to life | the burning iron is the beft Remedy 3 and
himfelfup ftraight. Lapplyed and layd on jyet here we arecobe very cautious, that the fuch an Emplatteras this chat we have ela Done be noc made hot, or the inward parts tioned, and thereby brobght back the Ribb | hure. again into its proper place. If thac which was bruifed tend toward a Some there are indeed who endeavor the|Suppuration, che Matter. is chencto be refol- bringing: back’of the broken Ribbs into their|ved, and evacuated witha Cacaplafm of places again by the applying of Cupping-| Barly meale, Bean wal, or of the bitter vetch glaffes : buc Moft Phyfitians diflike this pra-\Orobus, Camomile flowers, and the like. Gife, there being great-caufe co fear left | As,
T1V0
}
else
; p! > OL Co cuE- ’ the like. \them off. And if likewife there be prefent
offer. ‘ y ’ wed Py = ‘ a Z ESSN Sah RS NAS oh Bee sy SES ORT age .
ad iH Dw ny | a) Wh Ndi AN ih yy heh) ) i" ltt ha t 1 Mal Le Bh BD alia 44 : j Wi a
OO Ameen am ene
2760 Book VY.
—
Ct eee a
two ounces; Wormwood, half an ounce 4 the
i | 1 pouder of Camomile flowers, “Melzlote, and} part Mortal,
Of Prattical Phyfick.
er
V. is for the not by reafon of the hurting of the
| 2. Otherwife this Fracture
fldern, of each oneounce 5 boyl them in Spring |ipinal Matrow, and the Membranes, and Water; and then add Oyl of Camomile and| che Nerves; and efpecially if the Fra&ure FRofer, of each one ounce; and make aCata- happen neer about the Vertebre of the
v
pl afm e
But if the matter cannot yet be difcufled by thefe Medicaments, all delay is to bea- voided, for fear left chat the bone be vitia-
ted; and therefore in that parc wherein ic moft fwelleth the pare is to beopened either with che Penknife, or with che hot fron, that fo a free paffage forth may be ope- ned for the Pus.
The Dyet
Let the Patients Dyer at the firft be chin and very {paring, and fuch as is required in other acute Difeafes. Ler the fick perfon keep himfelfas quiec as he can, without any Coughing, or sneezing (as muchas may be) let him not talk much, nor laugh, nor Chafe. See Hippocrates, in his 3.6. of the Foynts, Text 54.&c Galenin his Comment. uponthe place 5 and Ambrofe Parry, iv his 14. B. and 2. Chapter.
Chap. 18. Of the Fraéture of the Spina Dorfi, or Back-bone.
A Nd fomtimes ic likewife fo happeneth, # & that from external and violent Caufes the Spina Dorfi (or Back-bone) and its Ver- tebre are broken. Signs Diagnoftick
If the Spina or Back-bone be hroken, then there appeareth a Cavity in chat place, and thereisapain and pricking felt; in regard that of neceffity thofe broken fragments of the bones muff*needs be very Thorny and Pricking, as Celfys tels us in bis 8. B. and 9.Chap. Andifany procets of thofe broken bones that ftick forth be broken, this is dif- eerned by thetouch, becaufe that ic may be moved this way and thar way. Andmore- over, if the fick perfon lieupon his Face the pain is fo much the greater, and far more then ifthe ftandupright. For there the Skin isextended, and bruifed with rhe fharp bro- ken fragments: but if the fick perfon ftand upright, che Skin is then loofened, andnot fo much pricked by the fharp points of the broken bones, » chat prick as 1f they were Thorns or'Goads,
Prognofticks. t. Ehe precefs of the Fertebre is ealily of i¢ felf confolidated, unlefs fome othet evil
happento follow, in regard chat the bonés are Spungy 2nd thin, 2 J aaed
| Neck. ly 3 And if there happen a Fradture in the | Veriebre of the Neck, there followetha Pal- | fey of the Arms and Hands; butifthe Fra- | Gure chancein the inferior part, thenrhere followetha Palfey of the Thighs, Legs, and Feet 3 andthisisdeadly: butif the motion and fenfe be not alcogether abolifhed, there | is yet fome {mal Hopes left of recoa very. | _ 4. Ifinthe Fracture of the Vertebre there | fhall appear any voluntary Eveftion of the Excrements, and chat there ha open a {ups | preflion ofche Urine, it is a very defperaie | and deadly Sign,
Lhe Cure.
Although there be here but little ground for Hopes yetneverthelefs chat the fick per- fon may nor be whoily leftina helplefs con- dition, the broken Apophyfes of the Back= bone are again co be put back into their own | places Cif they be not altogether broken off} and Medicaments areto be impofed that may moderate the pain, prevent an Inflammation, and further che Conglutination of the bones }and fuch medicaments as thefe have alread | been very frequently mentioned. Buc if the
procefs be wholly broken off fromthe Perj- oftium, che Skin is chen by an incifionto be.
opened, and the piece of bonetobe drawn forth, end the Wound afterward in a due )and convenient manner to behealed. And | this.is likewife tobe done, if the fragments | or broker pieces of the other Vertebr.c prefs _ together and prick the {pinal Marrow and the Nerves thereof; for otherwife the life m | be much endangered.
Uncothe Fractures of the Spina } there belongeth aliothe Fradture | TheFredue of the Os Sacrum, and the Crup-! of bs bald | pet-bone $ which if they thal be fo | PRE: if /broken and bruifed -thac there- I Hes | upon the Spinal Marrow be hurt, the Malady then is very dangerous, if nor altogether deadly. But if there be any the leaft hope’ left, the Finger being put up into the Arfe even unto the broken place the bone that ig broken is ro be driven forth > but outwardly
ay
by the other Hand, (Cor elfe by the help of
fome afliftanc) the bones are co-be made
equal and even, and foro be put back into their own placesagain; and afterwards Me.
dicaments convenient for the FraGure are te
be applied and laid on.
CHAP.
| | Thel | Hindeed
rowt | gt OW (
y Lecth bac is band thet Horch sh on hil | Tico the well fee 1 Hfluch a iyces) Ward th Awathe, Ho be bi | Mole fo jliem (a jAbey ta ystd the Mode silk jwowled y | Mones wh PHeprine hamid ting or ) vl oe AY ing h At the F WScark Pct an
is
| [et Lit of y | pod, th | Hare boy | Poatated
uti MELE
ame
Of the Fra&ture of the Whirkibone of the Knee.
: hap. 21.
Chap, 19, Of the Fracture of the Bones of the Fland,
He Bones of the Hand Gwhich are divi-
ded into the bones of the Wrift, upper
art ofthe Hand, andthe Fingers, are like- wife fomcimes broken.
Signs Diagnoftick.
® The Fradture in thefe bones is ealily known
both by che fight andtouch; in regard thac |
thefe bones when they are broken do for the moft part decline eicher unto the exteriour or the interior parts. Prognoftick. Thefe Bones without any great ado, (and
indeed within twenty daies) do perfectly grow together again, and fo are healed.
The Cure.
Lec the fick perfon ftretch forth the Hand thac is hurc upon an even and {mooth Table: and then Jet the Chirurgeons affiftanc ftretch forth the broken bones, but lec che Chirurge-
on himfelf reftore (wich his Hand) che bones |
into their places again. When the bones are well fec rogether, then fome Medicament ¢fuch as is wonc tobe adminiftred in Fra- ctures) is to be impofed: and chen afcer- ward the parc is to be wrapt about wich a Swathe. And indeed if the Fingers chance to be broken, they are co be tied faft unco thofe found Fingers thac arenexr, chat fo by them (as it were by Splincers faftened on) they may be kepc unmoved in their places. And then at length the hollow of the Handis co be filled up with a bottom or ball! of Linen rowled up together. For fo by this means the Bones whenthey are fet are the more eatily kept in their places,and chePingers preferved if a middle Figure, But if eicher in the exten- ding or contracting the Fingers there be any Callus generated, the Office of the Hand in Jaying hold on any thingis much hurc. And
let the Hand alfo (withthe Arm hung in a | fic Scarf or Swathe from the Neck) be kepc
in reft and quietnefs.
Chap. 20. Of the Fracture of the Hip-bone,
¥ He Hip bone confifteth of three bones 3,
of which che Firft is che Ilium 3 the Se- cond, the lfchion bone; and che Third, the
) fhare bones which in Infants may even be B) feparated; but yec neverchelefs in perfons of | ripe Age they grow fo faft together that they
ean very hardly be parted aflunder., But now
| thefe bones may be broken (like as thofe of the Shoulder-blade) eicher in their Excre-
| Mityes, or long waies, or inthe middle.
Signs Diagnoftick
| This Fra@ure is eafily known by the pain,
whichis more efpecially exafperacted by the touch and compreffion; by the Cavity and
| uneverinefs 5 and alfo by the pricking and be-
nummednefs in the Leg of the fame fide.
Prognoftick.
Thefe Bones are confolidaréd in the {pace
of twenty four daies. The (ure
The broken bones are with all poflible {peed and diligence tobe fet together, and to be reftored into their own places; and ‘then afterward fic and proper Medica- ;ments are cto be laid on. Buc if any | fragment of the bone be broken off, and by | pricking excite pain, and that chere be any fear of an Inflammation, chere are fome |who perfwade us chat evenatthevery firft dreffing an incifionis to be made inthe Skin, and the broken piece of bone forthwith ta- ken out. Burt whereas icis very feldom that thefe fragments lie bid under the Skin alone; buc even under the very Mufcles themfelves, luch alike Section as they advife us unto may, not be infticuted without much danger. And |he chat will needs attempr it, let him be ve- Ty Cautious left that he hurt the Heads of the Mufcles, or fome one of the principal Veilels; or chat greater Nerve which is ftrecched forch into che Mufcles of the Thigh _and Leg,
| . 3 | Chap. 21. Of the Fracture of thé | Whirl-Bone in the Knee,
Nd fomcimes likewife even che Whirl- bone itfelfis broken; and this happen= eth fomtimes in che length of ic Cin refpec& of the whole Thigh) fomtimes in a tran{verfe, and fomumes in an oblique manner3 and fomtimes it is broken into two parts, and |fomtimes into very many pieces; and fom- times again this Fracture is with a Wound, and very often wichout. Signs Diagnoftick The Fracture of this bone is eafily difco- vered by che diftance of the broken bones, appearing by the couch; by the Patients weaknefs and inability in goings; by the | Cavity that is perceived (in the place where che Fracture is) bovb, by the fight and by the tolich ; and by the Crafhing Noife and {found | that is obferved in che handling thereof; and
| ily its Motion,
|
Non » Prognofticks.
2761
gy orks pox 2 ae RS aieninle 1A akg AER Ee a
| | ie . RL By 'y Ay el i oy ds uh i Pan’ my i i. bi i i, aa: (ait | ~ HTT hen i i i | \ | \ Ph Pht { A i
2762 Book V.
th
Of
Prognoftick 1. The Whirle-bone indeed (as all other thia bones) eafily groweth, rogether again, if ir be| but rightly }oyned together, and fo prefer-
ved.
2 And ifthe fracture be madein the length thereof, the bones may very eatily be joyned
‘Practical Phyfick.
Par 7
peer
ther; whereupon the Callus buncheth forth, & the Mufcles moving the Leg and Ankle are hurt and fo a Lamenefs and halting followeth,
The Cure.
The Leg is firft of al to be extended: And then afterthatby the Chirurgeon the Whirlbone C whether it be broken intotwo or more pares }
together sard being fo Joyned they may without | is to be Joyned together again ; and an Empla= any great difficulcy be fo kept in their own places | fter or Cataplafm be fitting the Fra@ture ( that
by the ufe of pillows and Swathes. For where-
may keep together the bones when chey are fer)
as about the whirl-bone the extremityes of the] isto be layd on; and the Member is convenient-
Sevench, Eighth, and Ninch’ Mufcles, that move theankle and leg, run along together, and end inthat moftftrong Tendon thatisimplanced in the Whirdl-bone; and thae the Mafcles are wont oftheirowa accord to bemoved and drawn toward the place of their originall; therefore e- | ven without any greatinduftry and paines,che fracture that is made long wayes may.be reduced into its own place again & the bones moft clofe- | ly conjoyned as before;and fo no great caufe to fear the bunching forth of any callus,& 3 lame- nefs following upon this fracture. Pareus in- | deed ( inhis 14 Book. and 22 Chapt.) writeth
that he never faw any,who having this bone bro- | ken was not lame,fo that he halted al his life af-
terit: andthiseven therefore, becaufe thatthe
Concretion of the Callus being produced, the | Confolidacion doth hinder the free bending of | the knee. Butalthough this may eafily be grant- ed astouching the tran{verfe frature; yer note withftanding Gutlbelmus Fabricius (in his fifth
lytobebound up; andbyimpofing of rowls of Straw/(as is wont co be done in the Fra@ure of the Leg, the Member isto be keptimmoveabie, and great Care muft betaken that the Leg be not atalbended: forif this fhould be, the broken Fragments that were fet together would bea- gain removed out of their places.
If fome fharp fragment of che bones be fe- parated from the reit of the bone, and prick
i the Skin, fome chere are (as Lrold you before
touching other Fractures) who advife us co cuc into che Skin, and fo take forth the bone.
If grievous Symptoms fhall happen to fols low, we mufttinely oppofe them with fuch Remedies as in other Fractures.
Chap. 22. Of the Fracture of the Bones of the Foot.
Cent.and 88 Obfervat.) hath rightly determin- ed, that thisis not alwayes neceffary (efpecially | inthe fracture chat is madein the length of the bone) inregard that there is mo neceffity chat there fhouid evermore be. bred a Cailus to ftick- ing forth, thatit fhould caufean impediment of the motion inthe knee, and fo confequently a lamene& and halting sand we may fee that inthe fra€tures of other bones Nature doth ufvally fo generate the Callus,:and with thac Neatneis and at oftentimes there {carcely remaineth any itfigaor token of any fraGure appear-
lz ty a skit ita
the les ing; and this efpectally happenech when the fPey Loftium 15 whole && unbroken, which retein-
eth the matrer of the Callus, chat it may not grow forth overmuch, nor bunch out too far.
3 But ifthe fraGture be made either tran{verf- ly or obliquely, all che induftry chat wecan ufe will hardly fo cure it as that no lamenef: nor | halting fall follow thereupon, For feeing that | the Seventh Eighth & Ninth Mufcles moving che Ankle. draw trupward toward the hip, but the Leadonthat under cheknee is inferred. into the fhinbone ‘draws the whirlbane dowaward, the bones Of the broken whirlbone are fo di.joyned thatcheycan hardly by any artbe joyned toge- | er egain, or being joyned can be fo kept toge- |
i
\
-
Nd Laftly, The bones of.che Foot are
& likewife fomtimes breken;of which how many bones there are. As for thac we refer you unto che Anatomifts. But Hippocrates ( in his 2 Book of the Joynts) writech thar the bones of the Foor, as likewife of the land, arenot at al broken, unle({s the flefhy parts be wounded by fomeching chat is very tharp ot heavy. For thefe bones being harder then ordinary, thefe things rhat are fharp and very heavy, if they break thefe Bones, they leave not the Skin lying upon them whole and found, buc nich bruifed. And Paulus fEginet. (in his 6. B. Chap. 106.) writ. eth, that che Ankle can by no means be bro- ken; not only by reafon of its hardnefs, but
‘in tegard that it is fenced and guarded round.
abouc. Signs Diagnoftick
If the bones of the Foot be broken, ic is
ealily found by the fight and couch, in regard thar chefe parts are void of flefh : and chere- fore if they fhall ftick forth upon cheir
?
breach, chis is eafily dilcovered by che fight,
and touch,
Prognofticks
Le
lait, tb
iit ext
IHtick fo | Bpatt) a jqaal feat aitche fc
jupon ay Hen clot
jfeament headmi
Nd 4 hitb F
Patt)
eustoy tn the
Aofole
ith duck |
"
CANON
ya feral
Ve byi\e
ith mcrae x
aU Nat
Of the
TL a penne
Of the Fracture of the Bones of the Fovt. Prognofticks.
1. The Fracture of thefe Bones is not of it fed upontheFoor, by reafon of the uneven- felf very dangerous 5 yer becaufe they are /nefs of the place the Splenia Coverings ate greatly broken by reafon of the forcible and | tobe made ufe of, andthe place tobe bound violent Caufe, the parts*incumbent and that | with Swathes, that fo the bones being fecin lie neer (being Flethy and Nervous )are with- | their places may betherekept. And yet hes all bruifed and wounded; whereupon moft verthelefs the Scituacion and placing ought grievous pains, Inflammations, and other co be ordered otherwife chen in the Hands; Evils doarife. | For our Hands being given us ro lay hold ups
2. And yet notwichftanding forthe moft on, the Fingers (as we told you before in th¢ part they grow together again in twenty | 19. Chapt.) ace to be placed in a Crooked daies, unlefs fuch asarenigh unto the Leg:| Figure; but out feec being given usto ftand for thefe being greater require the longer) upon, andto walk withal, are tobe Scictia- time for Confolidation. tedina ftraight Figure, and not crooked, left
re that cheic Action be depraved and hin- The Cure pei P
The Cureis almoft one and the fame with} Andcthus much we thought good alfo brief- that of the broken bones of the Hand. To} ly cofpeak touching Fraétures. For inre- wit, there ought (inthe firft place) tobea, gard we have extant the moft learned Books ficextenfion; and the Bones (whether they; of Hippocrat.upon this very fubject,touching ftick forch unto the Superiour or the Inferior | Fractures andthe Joynts, andthe mot accu- patt) aretobe forced back into their Natu- |rate Comment of Galen wponthem, Iheld ic ral feats; which may moft fitly be done, |altogether needlefs and noc worth whileto if che fick perfon ftand wich the broken Foot | treat more largely of chem, asIfee that o upon a plain table covered over with a wool-| thers have done before me: but chink ic ficcer Jencloth. Andcthen Secondly, ficcing Medi-| for meto refer the Reader unto them, if he caments(fuch as che Fractures require )jare to | defire to fee more hereof: beadminiftred. And Thirdly, The Foot is |
Chap. 22.
| to be wrapt about with Swathes; And finde that Splinters cannot conveniently be impo-
WE newanin SIE, CITE RE ES OS SRS OS
i Xi
ee ee
ee
Brojsv mite Bool
aN ES,
| ey |
Meyctings |
aie Joy f ietaby
: dl s
f i 1M it,
a
4 nule (W ; : nly the G |
Bris
wa i } a Up ; a tha 7 or then
|
mut Ut hp 1 i ww
ee back
Chap. t.
Of Luxations in general,
chat fom:imes 1s done evenin the Birth, and che
8 Ay B58 | Arms or Thighs may be luxated while che Infanrs Bae te BO 8.5 fO238 | are drawn forch with violence by ignorant Mid=
| . | wives; nay in (he Mothers Womb Infants may : THE
jhave-a luxation of their bones by a blow, fall,
\Compreflion , as Hippocrates feems to intimace
FE | FI H B ‘@ @) K: “3.de Art. 88. and 94. and 4. de Artic.’ Text, 2;
: rand 3. buc al cantes of what ktnd {cever do caufe
THE luxacions either by violent diftenfion or impul-
| fion ; moft commonly a luxation is caufed by S I xX T H P A R yj i violentimpulfion, when from caufes happening | from wichour, as fals, jumping, blows, and che | : like, che bones are violencly expelled our of their Of Luxations. ° |feacs. At other caufes are cobe referred to di-
| ftenfion, to wir, when the Cavities regriving che
——_——— | beads of the bones (which che Greeks cal Cotyla) | mer) | are rendered either narrower, or larger and relaxe Chap. Te Of Luxations in general, this Cavity ismade narrower, whena humor or fome matter doth poffefs the bofom of the joyne SSgggr are very many Bones in the; and drives the bone our of its feat, which happens Body of Man which are compo- | fomtimes in piins ofthe joynte: but the Arcicu=
Ge: 4p ae fed and joyned cogecher after | lation is made larger or looter when the braws in- | & MO dices: fora But they are'Cludirg che bofom are-broken, for fo the bones | SOSox chiefly compofed by a Sympby- | May more freely wander and fal furch ; and che a oe ~ fig and Articulation. A-Sym-' Acticulation is made loofer alloy when tome hue | pbyfis isa union of che Bones without motion ; | Mor doth too much mollefie and relax the Liga=
“buc the Conjunction by Articulation is com- | ments, and renders the whol Atciculation more pofed for motion; the differences of it are |loote, The fame happens when the Ligaments
“chiefly cwo, a Diartbrofis, and Syuartbrofis. | are too much diftended or broken.
‘Diarthrofis is with amantfeft motion; Synar-| But the Bones are mote and eafier luxaced ih throfis with an ob{cure one, of which confule with | Children and young folks whofe Ligaments are the Books of Anacomitts. | fafter and weaker than in thole of riper age, whofe
" When therefore che Bones which 'Ligamenrsare firmer and ftronger.- Ic happens
| are joyned by Arciculacion do fal our ja/io in them whofe bodies are wafted and have
of their placé, the Dileale is called | weaker Ligaments; but thofe who are flefhy and
by the Greeks Exarthrema, by the wel habued have not their joynts eafily fal forth,
| Latines a Luxation, which is the falling down of | whenes the joync is on’every fide ftraighcly pire
what Luxa- | tion is. | v
the Joyne out of its place (which is called the in wich fitong Mufcles ; alfo chofe joynts ate ea= b> Acetabulum or hollow) into another places by ‘fier luxated which are compofed for many forts | which voluntary motion is hindered : , of motions; but chofe which have fewer difference what a wa 3 ‘ : : Spas is. | Galen and Hippocrates alfo do teach thofe joynes alfo which are contained with.one Lie | Accic. 1. Text. 1. not tbac aggregate | gamenc are more eafily luxaced than chofe wich of the cwo ends of the Bones joyned together, buc (twa 5 the greater bones s}fo are more difficulcly only the bead of the joynt. luxaced,and noc unlefs bya violent caufe;the leffer # bones more eafily : laft of al, fome bones do more The Caufes. eafily, fome more hardly fal ouc of their places,aé- | But cthe Gaufes of a Luxation are |cording to the nature of the Arciculacion, as af= either Internal, or External. The jtecward fhal appear in particular, This muft be Incecnal ate -humors which falling obferved in general, That the joynts which areina Be town lpon. che joynts eicher do relax che Liga- plainer bofom are more eafily luxaced ; buc chofé B ments chat chey {uffer che Bones to fal out of cheir | which are bid ina deeper bofom more difficultly.
§ feats. or by filling chem up do fhorten and con- ' ee chen ‘that hey ae the beads of the bones The Differences. ® ouc of cheir feats. To which hzxceditary defects| The proper Differences are caken Soi ay - : The Diffes mult b2 referred, whenas Experience doth teach either from the Subject,or rhe Form, veites: fecal § us, Thac oftentimes chofe chac bave bunches in jor che Efficient Caufe. From che the (ubjeck W theic backs dogenerate che like, and lame foiks |Subject, becaufe che*»ones which are | begec lame. But the external violent |luxaced ars yoyned either by a Synartbrofes and Caufles are, blows, fals, violent ex-|wichan obfcure moron (as when che broad bone ‘cenfion, and che like, which can ex- | of che fhoulders departs from the fhoulder bones}
q pel of draw forth che Bones from their feat 3 and! O@o : ou
Hi Internal | Caufes
B Exterwal
2669 om
a,
| where by a Joynt is underftood, thes do nor fo eafily fa) forth of cheir feats =
NIRS Ni Nike iE SIEMENS EES ORS BOTAN,
= = ~*~ > : a =
LR
2670 Book V.
Or the Channel Bone ftom the top of che broad bone of the fhoulders, or ibe radius from the El-
Of Prabtical Phyficke |