part inflamed, bucthat after che ufe of chem for

themoft parc fomwhac is left remaining behind, this oughe in another mannec. and by other means tobeevacuated. Now this evacuation ts accom= plifhed after acwofold manner 5 either infenfibly ahd by an imperciptible tranfpication (which the Greciams cal adelos diapnoé) or elfe fenfibly and manifeftly: Ihe marter is evacuated infenfibly by Diaphoreticks or Sweaters, as likewife by ichofe chac we rerm Digeftive, Difcuflive, and ree The fenfible evacuation is | performed by fcarification, and the opening of che | parc,after {uppuration, or (as we commonly term !ig). macuracion of the peccanc humor. We will therefore in tbe firft place éréac of che former manner of evacuation, and declare our opinion couching difcuflive Remedies. But now, fince chat refolution or | Difcufion difcuifion is nothing elfe busaneva- 4 cuation of the humor by an infen fible tranfpirati- on, it wil from hence eafily be made to appears chac what is cobe difcuffed ought co bethin of fluxile, and noc overclammy and chick; neither che skin icfelf toomuch fhut up and condenfed, For if the matter be over chick, it cannot shen be eafily refolved into vapors: buc if the skin be too thick and compat ;_likeas alfo if che maccer ftick ina place over deep 3” when all or any of thefe happen, then the matter caufing the diftemper finds nor eafily any way for its paffage forch, neither can any Remedies bute what are very forcible penemate unto the place affes ed:
Evacuation:
}
EE lore?
2434 Book V.
2 bd An «- Moreover, fince that al digeftivé | thinner partes of che Humors bein Medicamen‘s ate hoc in their overaci« téfolved, and the
on rr a
a
en ne
Difexfives,
what they y are for their oe | fhew you) they are thetefore to
Of approaching now nigh unto ¢ or if ye will, Its aupmens | cation, fore kind of digefting Medicaments ought
co be mingled with the Repellers: and{oal along
che quantity ofthe Difcuftives ought evermore to matter, ch be encteafed, until at leapth in the déclinacion énd of they alone come co be adminiftred. Now the jlikewife in the au éruthis, al Digeftives or Diaphotreticks are hor ; for the Humor-cannot be relolved, attenuated, and
While it is yet in its paflage cowards)
converted into vapors, but only by heat. fuch thinigs’as are hot there isa
Humors ;
thac are ofa burning qualiry. Now the Diapho= retick Medicaments differ from them al] ; and bave in them this proper and peculiar faculty, to refolve the Humots, and to convert them into Vde pors. Which faid quality ‘of theirs may nog fo eafily be defcribed by cheir Caufes; butst i¢ ra- ther difcovered by the experience thar we have of their effe&s: fo that what cannot be defined by reafon, that fame is fupplied by experience,and ufe. Bue row although al Diaphoretick Medi- caménts are in their own Nature hoe, and that they acquire chis faculty from acertain due pro- portion oblerved in their mixture ; yet norwith-
| Of Prattical Phyfick.
adminiftced nor over haftily in the| modioufly. be but then we | things as forcibly difcufs we likewife mingle chofe | We oughc in|
very great diffe- rence: for fome of themdo only rarefie, or open | the orifices ofehe Veffelss other of chem cut che anda third fore there is chat attracts and draws them; and laft of all, chere are others
But of | Take Barley Mea! imo ro
g difcuffed and thicker pares Jefe remaining be-
on (as by and by we thal furcher | hind, the Tumor fhould be hardened, and the Ma-
like manner to be very cautious, chat the Difcuf~ fives be not overtare and bicing,
aupment the fluxion.
Now out of chat before recited ere are divers kinds and forms. In the the beginning of the Inflammation, and
medies as thefe chac follow are of fitpuiac ufe.
What & to be done in: the encreafe or
+ augmentati- on. of anin« flanmeation
| Linfed one ounce 3 ibe Pouder 0 | Camomile flowers balf an ounce ; boyl them in Vinegar; then add of | Ot of Rofes aud Camomile, and | the fat of an ‘Hen, of each alike ag much. as will fuffice, and make a Cataplafm. i Or orherwife : Take Pellitory of the wall, “Mallows, Plan- tane, of each one good bandful: boyl them in Water: veith the vobich let there be a very final quantity of Vinegar wel mingled togetber, and fo let them be brutfed into {mal pieces : after they are thus brayed, add of Barley meal tro OUNCES y Penuereck feed an ounce and half: Oyl of Ros fes and Camomile, of each ds much as will fuffice, and make a Cataplafm. A moft excellenc and ufeful Cataplafm to pre- vent Inflammationsin Wounds, and in other cas
ftanding, among them, {ome ate ftronger, fore | fes, Viz.
weaker. Thofe of the mildet fort nicl, Melilot, the Roccs of Marfh-maHows, che
Roots of white Lillies, and of Fenupreck, ‘the
Hout or meal of Lupines, of Orobus or bitter
Vetch, and of Cicers or Chiches 3 leavened Bread, | Goole fat, old Gy!. The fironger of chem are, | Dill, Organy, Thyme, ‘Pennyroyal, Hyfop, | Calamine, Horehound, Orace r cors,Rue, Sage, An- nis feed, Fennel feed, Caraway feed, flowers of the | Elder Tree, Ammoniack, Bdellium, Galbanum,
Buls fat, Bears greafe,Oyl of Rue and Laurel. Arid thofe moff of-al forcible, are, Nicre, and che froch thereof; Salphur or Brimitone, Lime, ahd the ike.
, We make fe of the milder fort, when the mat- ter isin a placenot very. deep ;. when che parc af= fected and che body ic {elf is more fofe. and relax. ed, and che Inflammation but {mal and inconfide- rable. Buritche Inflammation be greater, and the matrer {cituace more deep thanordinary, the body ic {elf more hard and condenfed, in this cafe the flconger Medicaments are to be adminiftred. Notwithftanding we ought co ule the ftronger
Ditcuflives with due cauzion, left chat by chemche
are,, Chamc-|
ol
Take ibe pouder of Camomile flowers, of red Roles of Wormwood, and Barley meal, a like quantity of them al: boyltbem in pure clear Wa ter’, and make a Cataplafn, Or,
Take the pouder of Camomile flowers, red ‘Rojes, Wormwood, Barley ‘Meal, of eachibree ounces; Decoé them incommon Water; then add Oy} of Rofes one ounce and balf, and make aCatapla{m: i
In che ftace or perfection, fuch like as chefe chac follow may bead- 1 wharin che miniftred, fate ov per-
Take Camomile Flowers, and , fettiow of ir. Melilot Flowers, the Leaves of
Mallows, of each balf a handful 5 red Rojes
too lerge handfuls, boylthem in aujtere or foarp Wine, and then .add of & enugreek, meal one ounce 3 Oyl of Camomile a fufficient quantity, and inake thereof a Cataplafin, Or,
Take the Roots of white Lillies one ounce 3 tbe
flomers of Camomile and Melilot, of each one good handful: red ‘Rofes. and of each balf a bandfub: boyl shem in Simple com- mon Water, and let them be
the tops of Dill,
bruifed very final : then
ve left chac by theic bicing property chey che more excite pain, and |
Medicamenra] |
@Mentasion, fuch like Re-~ |
| iL
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| C fan Inflammation ;
Sal vk
shen let there be added,ef the Meal of Millet feed, what concernech Scarification, chat it ought to be Renugreck Meal, and Barley Meal, of each an | adminiftred, Galen gives us his judgment cleerly
ee eee OF
ounce; Saffron balf.a dram; Oy! of Camomil as much os voll fuffice,and make a Catapla{m. Or,
Take the Pith of wheaten Bread fix ounces ; boylis in common Water, and after thy let it be firevced witb the Pouder of Camomile flowers and Melzlot flowers, of each balf an ounce, red Rofes twodrams, Saffron balf a dram, and fo make a Cataplafin.
And what | in its decli- : | sey | ctice, Viz.
Take “Marfh-mallow Root one
Laftly, In the declination, fuch! like Remedies are to be put in pra-|
foric, whilf chacin his ninety fitch Chapter of che Method of Phyfick he thus writes : Buc chou fhale more ef{pecially evacuate (faich he) boch by the ufeful afliftance of {carification, and by the help of Medicaments that have in them a power and fa* culty co diffolve, in cafe chou obferve any thing to be contained in the intervening middle f{paces. And in his fecond Chapcer of a Tumor he thus writes: Ic is (faithhe) by Phyficians found to
ibe expedient, in che cafe aforefaid, not only to i difcuts by che means of heaters, but likewife fen-
fibly coevacuare ac leaft fome parc or portion of
ounce : the leaves of Mallows, Organy, tbe flo- | the blood it felf, by making fcarificattous im che pers of Camomil and Melilot, of each balf an, Skin. Buthere chen we are to know, that great bandful: Lin-feed, Fenugreek feed, and Dill | heed and cirtum{pection ougbc co be taken and feed, of each alike two drams : Decoté them in a | had, whether or no the matter may be curned ino fufficient quantity of Water,and make a fomenta- | Pus, as we term it, being the fnotcy fetid maccer
tion to be applied warm witb a Spunge. Or,
| enfuing Upon Maturation.
For if we may proba-
Take the Pouder of Camomil Blowers, of | bly hope for che faid fuppucacion, then the above Elder and Melilot flowers, of each of thefe balf | mentioned {carifications have noc any the leaft
an ounce; Dill feed two drams , the Meal of | place.
Lin-feed, Fenugreek, and Beans, of each one ounce; Oy! of Dill and Camomile, of eacb as like as much as will fuffice ; and make a Cata- plafin.
This (moreover) as touching Digeftives-is ro be caken notice of; co wit, Thac if the matter be proffer and chicker chan ordinaty, infomuch thac Digeftives cannot fatisfie che expectation by doing theic office, we muft chen do our endeavor thae che matter may be rendered fit for Dif- cuffion and cranfpiration by fwear; and this may conveniently and fecurely be done by mollifying Remedies. And cherefore in fuch a cafe (as_bet6re we likewife hinted unto you we ought not only toabftain from chofe Medica- ments chac over-heat anddry 5 fince thac they dif- cufs, waft, and confume che humidity chac is in the Fumor, and harden the matrer, and fo caufe the Malady cobecome alcogecher incurable: buc we ought kewileco adminifter mollifying and loaiening Remedies, fuch as do moderately hear, and withal do not exceflively dry, buc rather moiften ; which kind of Medicaments you may before find enumerated and reckoned up among the Digeftives themfelves 5 fuch as.is Hens far, Goole fat,che Roots of Marfh-mallows and white Lillies, Mallows, Lin-feed, Fenugreek, Bdellium, Ammoniacum, and fuch hike; 2a] which are moft fitly and conveniently adminiftred when the mat- ter isthicker chan ufual, as we flial fuccher fhew youin its proper place, when we cometo {peak of Emollients or MoJlifiers. Andin chis manner the matter contained in an Inflammation is to be removed by infenfible tr an{piragion.
But we have acquainted you char chismatter is fenfibly and per{picuonfly poured forth either by {carification, or by opening of the part, after chae the Pus or purulent matter is generated, As for
But chen on the other hand, if che matter may not be changed into che faid Pus or matters and chat notwithftanding likewife there be little or no hope that poflibly it may be wholly difcut- fed or {cattered by che application of Medica- ments, thenin this cate both Scarifications and Cupping-glaffes may, nay ought co be adminis ttred. For thefetwoare avery effectual and pre~ valent Remedy for che evacuation of the matter (whatever it be) that fticks and ts deeply {cicua- ced, and which feemech forthwith co be in che reas dy way of converfion into aScirrbus. Andcher- fore they are by no means co be adminiltred ig the beginning or firft appearance of the Inflamma- tion, but ac lengch after char the body is fufftcie ently emptied, and chat che Pblegmone is at a fiay ; chacfo theremay be further caufe to feat thaca new fuxton fhould be excited by chat pain which originally proceeds from fcarification 3 and then only when we have a purpofe to extca@ cliat which remains over and above after the ufé of o ther convenient Remedies. Yes nocwith{tanding Scatification hath place only in chofe parts which in other cafes likewife ate fit co undergo and fuf- fer che {aid Scarification. For ifan inflammati¢ on happen unto any part unco the which in any o- ther cafe {carification ought not to be adminiftred, I conceive that there wil be found noman fo rath and unedvifed, as chat he date be fo adventurous as aftera Phlegmone ( for the evacuation of the refidue of the matcer) co apply Cupping-plafles and adminifter {carificacions unco che pare affe- ded. But very rare it ie chac fcarificacions até admitted and allowed of for the ufe and purpofe aforefaid.
Bue che fafeft and moft ufual way of cycing an Inflammation, is, chac the matrer which hath flown in unto che pact be difcufled by the Medica=
mencs before propounded, Bucif thereby icmay H
2 NOC
Sieespaieansincle pK Aaa SERRA MOLLE Mata eels = SST
——- —
PO 6 SG OR PEP,
i
Mh
‘ id
2436 Book V.
a ee
SRS tetera len thn
areca
Of Praétical Phyfick.
re or NR Sh tee _— —_ be oe =
Parte: I.
— aueiiemeees er Te Suppwration not be effected, wemuft chen have now ‘hereby coorredted and amendéd; and the
‘ recourfeunco fome orher means for the curing of the Phlegmone, andchacis by Sup- puration,
Now all chis chat hath been faid muft be under- fiood as {poken of a pureand fimple Phlegmone. Bur if che Inflammaczon be nor pure, but chac ic rather declineunco che nature of an Eryfipelas, or-an Oedema, cra Scirrhus, then chote Medica- ments thar are proper and convenient for thefe and fuch like Tumors aceco be intermingled wich che other; yer evermore with this Provifo, chat fuch of them as relate unto che Phlegmoue be alwates predominant,
The (ure of an Inflammation degenes rating into an Impoftume.
If therefore therebe no hope tha® che Inflammation may be compleatly ' cured by the helps and. means hicher- | to propounded ¢ which will appear from the more intenfe figns ot che Inflammation, Co Wit, pricvous pain chat encreafes day after day, amanifeft Pulfacion or beacing, and an evident difcernable excenfion or ftretching out of the patt) then we ough inftancly co ufe our utmoft en- deavor, chac che matter thatis the caufe of the Inflammation may with all poffible {peed be concotted and broughr unco fuppuration, chat is converted into Pus. For neither canche matcer yet unconcocted, and as yet not turn’d into mac- ter, be ina due manner evacuated; and then a- gain, 1! any one open che inflamed part before the faid Pus be compleated, he fhal thence draw forth nothitig ; and fhal encreafe and add unto the Malady cacher than relieve and cure it. Buc if that fame part fhal be opened, the purulent mate tex being already elaboraced and thereby brought toa due perfection, chen all whatever is fuper- fluous inthe inflamed pare may moft commc- dioufly be evacuated, And therefore we conclude, thac the matter ts ficft of al co be concocted, and fo far forth aspoffible may be digefted by che nacive radicalheat. For although chat matter which is conteined ina Phlegmone can never be fo far forth concoéted and elaborated chat ic may be rendred any waies ufeful and profitable to Nature, and in any fort fit to nourifh che pacts; Yet norwith- ftanding, fince thac thece aie therein certain qua- Jicies which are co Nature very offenfive and bur- denfome, thofe may be taken away 5 anda certain Kind of equalicy, and moderation of the qualities may beinftituced ; anda feparation of the cor- fupt humors from chofe chat are good and {uch as are meet owourifh che Body may be wrought ; which faid elaboration of the humor is here ter- med conco¢tion and fuppuration, And when shat chat is {uperfluots and corrupt in the part inflamed is eparated from what is ufeful, good, and ferviceable, and chat the vitious qualities are
The gene- sation of an Impoltume.
_Wery proper fubftance of the blood ir felf thal
| be changed into an equal whitifh and {mooth mac~
| (ery and gathered cogecher into its proper and pe- |culiar place, forhat now without any d:fliculcy jatall i may upon the openirg of the parc be e- vacuareds then and noceil thearhe Pus is{aidto be now already perfectly, concoéted and thac lame collection or gathering together of the. {nore cy fileh, cermed Pys or matter, into iome one par- ticulacplace, is by che Grecians called Apoftema, and by che Latines Abjceffus ; wich us ( in Bae g@lufh ) icisnamed an Apoftem or Impoftume, | as hach been faid before in che firft Chapter. Now ' that concodtion in mans Body. is Natures work a- lone, the which by che help and affiftance of the | nacive heat digefts the humors, cakes pains wich i chem, and asit were leads chem along uncil it bach brought them uato that perfection which they | Ought co receive: which {aid-beac if ie be {trong jand vigorous, then weufece fay, chac the Pus or Mateer chereby bred is good and laudablesand ic is '(as we may find in the ficft Prognoftick, Tom,42. ) }whice, equal, f{mooth, and not very ftinking and noyfom, Buca the innate heat be weak, then ic wil be quite and clean contrary unco what was ia the former cafe. And therefore the Phyfitians office is, and his main care muft be co cherith. or prelerve, and encreafe the native or natural hear in the inflamed pares, thacfo by means of it the generating and breeding of the faid Pus may the better fucceed, and che more eafily accain unto ics perfection, The innate heat is conferved and aug- mented, ifin the firft place we cakecourfe co bin- der the iffuing forth ofir, and chen chac in the next place we ule all poflible caution, that whar- foever of it 1s more debile or weak in che more ex- tetnal parcs may not be diffipated by the ambien Aw: and moreover, if Medicaments agreeable and fuitable unto the Native heat be applied to the part affected 5 and hence itis that the Medi- caments pretcribed co facilicate the faid fuppura- tion or production of Pus, ought co be fuch as bear a re(emblance unto che native heat in the pare to which they are applied. And thereupon fince that our Nature is moift and hor, the Medica-
ments ought in like manner to be an{werable, to | Furthermore, lee them be
wit, hot and moift, fuch aswe cerm ‘Emplaftick, thatis, {uch as have in them a certain clammineds, chat fo they may fil up the Pores of the Skio, and that they may pro-
that is {oapt toevaporate. For all thofe reme- dies that are ofacleanfing property, or elfe chofe Medicaments thac forcibly heat ( fuch as Catae plafaus of Bean meal, Fenugreek, Chiches, Lu- pines, &c.) feeing chac they permit the vapors to exhale and vent themfelves outwardly, shey may indeed in thisrefpect befaid co dry, bue they litele or nothing at all furchec Suppuration. Take Marfbmallor roots three ounces, the | Leaves
hibicand prevent the flowing forth of thac heat
quad i br
pte (tap Take ee josey fice, | witty»
1 Conon tna |
rhe Sign Pus wf wait
Bow bee 1 wavett BD peakead {tough a Chap, 3: Bim fub Wa vbich ae BD reed{ull| 18 fore the FT Tout, 1 belo A isshereiy tation
PH iefocef AB ipled tet one ch Binder, ay A luer,& {tion nde Bithhog | Her fing { hnding it thehar we {onde gp "auteer Brat, al q*ulually 1 pears af teste 1 O'tKneey, 4 laid ®; WO Itsy Wet Mand te jay} M4 ea a
a
——
\
q
Ss => ——
— — a
—=
a —— se) =>
mgand hed it a 40 ans hoe J bey & it the Ay the Nous aug 0 bine in the White lex Ef nbient eeable eo Medi pura uch as FF he pate | lice | fedicar J
It, 0
en DE | ay ave ‘ may 7 | it feat j | felliee Be) echole fe Catie a, Lut paso . ey OMY i shey » ol th, ihe Laois
fame fubject ; yet nocwichftanding thofe things
ee ee nee annem:
Chap. 5.
Leaves of common Mallops, and Bears-breech, of each one large handfu} 5; and then having boy- led and maji’d them,add thereto of Swines greafe asmuch as wil{uffice 3. mingle and uje them. Or, Take Marfomallovo roots, white Lillies, of each two ounces; Mallcow Leaves, tivo large handfuls; juland fas dryed Pigs, in number ten; boyl and bruise them fal, then add o f Whea- ten meal two ounces, -Linfeed balf an ounce 5 mingle and pa itbem through a fine Hair -fieve, and after add of Smines fat, Butter, or Oyl of | white Lillies as much as ws fufficient, and make a| Cataplajin. Or; . - oat Take Marfbmallom roots, Onions, white Lil- | lies alike of each two ounces, Wheaten meal one | ounce, Linfeed fix drams, Turpentine balf ai} ounce, Saffron one {cruple, Hens far, and Oyl of Camomile, of each as much as wil fuffice, and fo
pS
OF an Inflammation,
‘atfelf by any kind
} weare co underftand that 1¢ doch noe difclofe 1c |felf ether by reafoo of its owa thicknefs, or the 'condenfednets of che place. Yo wit, the faid Pus Lever and anon licch: hid and.conceal’d and doch nor 'dilcover itfelf, excbert y chereafcn ofthe denfity, that ts, rhe th cknefs,and wichal che hardoeds of the place affcctedsor elle becaule ofthe profundity,or it ycu wil, che depth of the place where ic relides; as for inftance, when an Impoftume. hath its refl= derce, andlies hid between che Mufcles of the Belly, or of rhe Thigh, ‘or of the greac Joynts:: lke as comes to pats alfoin che Heel, andthe {ole of che Foor, by means of the Skis extracr- dinary thicknefs. Or elfeic happenech, in repacd thac the faid Pus ic felt ts overgots and chick; up- on which account it neither can be driven forch unco the fuperficies, nether doth at yeild unco
make a Cataplafmn, | 1 Whenche Pus, ‘chat is, che puru- | The Signs of * lent matrer, hach once arrived ac its |
the compreflion of tae fingers, and fo conlequently fluctuate.
There are moreover other figns of Pus ( when
Pus o7 ripe | perfection, we mutt then do our en- perfectly bred ). difappearirg and lying bid. To
MiAsilyo -
may beevacuated. Bucchen firft of ali ic muft | manifeftly appear unto us, whether or no the Pirs | be already made and broughc co perfection.
although in general we have already’ before Cin}
Chap. 3. cunceriing Impoftumes ) {poken of chis
which are moft proper to an Inflammation feem needfull here again to be repeated.’ Now there- fore the beft and fureft fign is taken from che} Touch, . And firft; if che part be perceived to! be fofe whileschat i¢ is preffed, and that there}
deavor thatwith all {peed poffible ic} wir, fecondly, che place ( in reference co its co=
lor) dechneth unto a-cercain kind of whiceith- ne{s, when the maturation tsalready recminated ;
| f f c Fox | whereas before and until fuch time as che filthy
corrupt matcer Was ripened, ic was of a morerud- dy orreddifhcolor. Thirdly, itis a fign,and ic arpuech chat che Pus or che quittor ts compleatly ripened, tf that both the heat and pain be remitced, and the excenficn and pullation of the pact be di. minifhed ;. couching which likewile Hippocrates thus wrices,in his {ixth Book,Apbor.47. Phe pains and Feavers happen and arealwaies more intenfe
is herein felc (as ie were ), a certain kind of flu- ctuation ; cto wit, if wo fingers of boch bands, or
applied to the Tumor, but yet fo that chey couch |
che fore-fingerand middle finger of one hand be
whileft chac Pus is in breeding, and uncill ir be pectectly bred, chen afterfuch cimeas i¢, 1s fully ripened, and the maturation compleared. For che concoction being once made & pait, there is fome
of token or fignificatron, there
: other fingerthae lies quiet.
not one the other, but be fome little diftance af- | cercain portion of the matter and of che vapots re- funder, and thac one of the fingers prefsdown the | folved , and the matter being converted into Pus Tumor,8 che ocher not : for then a certain fluétu- | is gachered cogecher into one place: from whence ation and motion of the matter which is driven’ ic likewile proceeds, that che fenfe and feeling of forth from place to place is perceived under che | pain is not now any longer fo great and intollera- Buc here notwith-| ble as before, and alfo all che other fymptoms ftanding it will not be amifs co cake chis caution, | flacken and grow .rentifs. The fourth fign is,
eft chat we be miftaken, and exchec ( the matura= | thacthe Tumor ftrurstorth (asic were) intoan
tion being compleaced_) deem that there isno Pus eminent heighth and fharp-pointednefs. For or mater lying underneath, or elfe, that we open, Nature chrufteth forch the elaborated and ripened the part, albeit chere (indeed ) be no filth, which , Pus, and confines it unto fome one place, and ac= we ufually call Pus or matter. For why, there cording to her power expels ic unto the more ¢x-= appears a Fludctuacion in {ome certain parts, even | cernal parts, and chat place more efpecially by the whiles chey are found; fuch as are che places about | which icmay with leaft difficulty and danger be the Knees. And om thecontraty, Rowand then emptied and caft forch,
the faid Pus or filthy {not-like macter, alchough| At therefore by chefe figns we get aflurance that
(asco ics maturation or ripening ) 1t be complea- ted, yet it doth noc evermore of it felf evidence the
figns and cokens thereof. Touching which Hzp- | pocrates \ikewife makes mention in his fixrh Book,
Aphor. 41. where he chus writes: Unto whom
| purulent matter exifting and abiding in che Body
doth notwithftanding difappear, and not difeover
the Pus (aswe termic ) is already made, we muft then Cas hath been faid ) do our utmoft endeavor, thae wichout the leaft delay it may be evacuated. Forifthefaid Ps be overlong de- ceined i Overchrows che temper of the member, cortupts che adjoyning & neer neighboring parts and fo ihe Uleer proves to be intrictae and full of turnings
Pa rte ten a nt ge et lt rt
4 2438 Book V. i Of Prafical Phyfick. Part I.
turnings, or elie degenerates into a Fiftula 5 | one ounce and balf: of Bean Meal fix drams : which is then wont more efpecially co happen, | let them be incorporated mith liquid Roxin, and when the matcer is fhatp and malignant; or ochere | let the liquid Medicament be {pread upon a Skin, wife when the Inflammation is feared in the |.and not taken amay until it fall off of its oven ace yoynts, sn the Arfe-hole (as wecalit) and fuch| cord
hike parts, cn, it is (as hath likewife been i fhewn before, in che chird Chapter, | | couching an Impoftume in genera! )
This hkewife-is fingularly ufeful ;
Take Ammoniack two ounces: Galbanum balf an ounce: Lithargyrie three ounces: old Oyl as much as wil fuffice: make a Liniment.
Bue if (which but feldom happens) the Pus
Now as for che manner of Evacua- The evacu- ation of Pus or corrupt
Beas ie: twofold 5 either by the opening |cannoe infenfibly be difcuffed, chen poftume. of che par, or elfe by infenfible cran- | it is-fenfibly co be emptied forch and | 72 opening faton.” And vety comniony it |ercuated “by. open tempos | im
deed, if not for che moft part, chac kind of lmpo- | ftumie. Noweither che Impoftume | ftume which we cal Vomtca (which is an Impo- | is broken of is felf,or elfe ic is opened by art. The ftume ful of foot-like filth or matter) is forrh- | Impoftume is opened of it felf, whilft chat we ex- with opened; and chat alfo very conveniently, | pect and waie until che Ps corrode and fret away and ufually with good fuccefs. Yes norwith- | the skin it felf swhich we are allowed fo do,in cafe ftanding Galen in his chitd Book of che Method of |.the Tumor or Swelling be not fo very greas 5 buc Phyfick, Chap. 15. doth nos inftantly proceed | efpecially if ibe inthe oucwardmoft parc of the to opening, bucfirft of al affayes whas may be | Skin and flefh, and underthe Skin that is not over done by exhalation and infenfible difcuffion, And | chick. Buc is is not evermore fafe co expeét a this is efpecially practifed in that affect which we | Spontaneous and voluntary opening. For (as germ che Kings Evil, and generally in al Swel-| Galen writes upon chis very fubject, in his {econd
lings in the Neck, Arm=holes, and al che glandu- lous kernelly parts. Forif{uch like parts fhould be opened andalcered by the ambient Aur, it is poflible Cand indeed very frequently feen) chat from thence the Ulcers are rendered either alro- gether incurable, orac Jeaft more difficulsly cu- rable, and of jonger duration. But hece we can- mot be'over cautious. For whenas this {aid refo- lution and difcuffion of che purulent corrupt mat= rer happenech bur feldom, and never but after a longer stact of ime , fo thac chereupon there is preat caule co fear, left chat ic fhould in che mean while corrupt the neer neighboring parts , and caufe windings co and fro im che pace affected ; then in this cafe, al the circumftances oughe heed- fully co be weighed, and duly confidered. For afshat the Pus be good and Jaudable, chin, not much of ir, not {cicuate in a deep place, but rather feaced inthe {uperficies; andif che Skin be fofter and thinner, then perhaps we may have fome ground to hope and expect adifcuffion, Bur if the cafe ftand quite contrary, and ic be fo chat the faid Pus be nec good and commendable, but that it be hick, fixed in a deeper place than ordinary, and likewife if the Skin be chicker chan is conveni- ent; then ¢oatcemps refolution,and co defer opes ning, wil be a courfe alrogecher fafe, and void of danger. But where there is any hope given of refolution, we mutt chen make ule of che ftronger fore of Digeftives co accomplifh this difcuffion. Of this kind is chac Medicament which Paulus Hgineta (in his fourch Book, Chap. 18.) bath prefccibed ; which drives forch thofe Impoftumes that are alceady throughly concocted,. andiquite and clean difcuffegh and {catctereth {uch as are not concocted.
Take of the ftone Pyrita, Ammoniack, of each
Book to Glauco, and fixth Chapier) when Tu- mors which arrive at Impoftumes fhal be long negledted ere hey be launced and cut (either by reafon of the unski}fulnefs of rhofe that undertake the Cure, or che fearfulnefs of she Patiene chat is under cure, who wil not {uffer themfelves to be cut, bue wil rather wait and expect until chat in procefs of time she Skin be corroded and eaten chrough ) ic then very often comes to pafs that the | whol Skin is exceedingly extenuated by reafon of che purulent matter heaped up cogether neer unto the Impoftume, sot uolike unto chat which che Greeks cal Racos, chat is, a rene Garment; from whence it is that Phyfitians haveimpofed upon ix this appellation ot name, | Racodes, thacis to fay, rent andcorn. And if | chischance, the $kin inthismanner and by chis means extenuated wil very hardly ever afcer be brought co cement and unite with che pare chag is {ubjeGted and liech underneath. But now, in che fixft place, the faid opening isnocto be delay- ed, anda voluntary eruption of che corrupt mat= cer co be expected, if fo be that che fleth and skin be thicker than ordinarily 5; and if chere be in thag part Nerves, Veins, and Tendonss Wor chenche Impoftume is to be opened as foon as poffibly ic may be, left that if ehe opening be deferred, che malignancy of the purulent matter corrupt and eat aaaeies the Nerves and Tendons; efpecially if che Impoftume be ever a whig nigh unto the Joyncs. Yea, in fome cercain places, as for in- ftance, neer about the Arfe, and the Sutures, we ate {carcely allowed to expect che highefé and ur- mott perfection of che faid Pus, left chat che more profound and deep parta putrefie, and thence a long lafting, of Fiftula-like Ulcer be meneratee n
~ when it 4 to be put in practice.
:
q
| chance a Ls calls. | che Bi | bested. | wid a | uty a0 | uot, } wichout | id into dont) {
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And therefore ifthe corrofion of gnawing afunder of the Skin, and confequently that fponctaneous eruption of the filth andcorruption be not to be expected, che Inipofttime is then forthwith to be opened; and this ought cobe performed in that place of it chac is che higheft and moft eminent 5 for chere the Skin is at the thinneft: and withal it is likewife to be opened ac the fame time, * in fome more floping ahd inferior place chereof; chat fo che faid Pus may the more eafily pafs forth. Ic is to be opened etcher with an Iron Inftrumest, orelfeby Medicaments. The Iron thar openeth ic muft either be fuch as is heated in the fite, or elfe fach an Luftrumenc as is preparedcocut. We moft rarely make ule of che Iron heated in thé fice, and nevér uniefs in cafe of urgenc and ex- tream neceffity ; as for inftance, if ic fhould fo chance, that there be a Tumor inthofe parts thac are ful of Veins and Acceries, and ftrch other jike cafés. the Blood is checked and iupprefied by the fire- keated Iron. But moft frequently it is opened with anInftrumenct chat is ficced expeditely to cut; and this knife ought co be tharpened co the
utmoft, that fo the Section may be performed |
For there the dangerous flowing forth of |
=n RT eenrettenmmereenrannninreenie eee nn teen fn itt array
Now this is therefore'co.be heeded, that fo we may not hurt or hinder che motion and action of the member 5. which yet we need not to obferve, if che Tumor be in the Superficies, and clofe under the Skin 5. buc chen only whenche Pus fticks in the very fubftance ‘of.ché: Mufcle.” In che firtt place therefore we muft cake due heed chat we | Keep at a good diftance from the Nerves, as alfo che Veins and Arteries, and that we come hot nigh them, °The Inftrumencts we maketife' of for cle opening of Impoftumes are very mahy: The ficft, is che Razors chen nexc the Myrcle Kuife, which théy commonly cal the Lancet 3 thirdly, a Ktife or Inftrumenc réfembling thé Olive Tree 5 fourchly; our Country-men likewife open Im poltumes with the Pen-knife, or thac:with which they let blood when they opeh' a Veins: But of necefficy thefe Inftruments mult vatioully be us fed, accordifp to the preat variecy and difference of circumftaness. For if che Impoftume beideeps | ly feacedy andthe Skin be thicker chan ufually; | then ic wil be néedful proportionably to make the _Sedtion fo much the more profound:and deep;
without putting ‘the: Pacient unto any extream | Bur if at be Cas We ule to fay) fubcutaneogs, chat
and intollecablé pain and (if poflibly tc may be | is, lying clofe under ché Skin, chere wilt chén be done) fo that the fick party may cake Ho notice | no neceflity for this to deep an Incifron.
thereof, we muft évermoré Jook wel unto ir, thac che Se- tions Cor cuttings) be no larger chan needs muit ; and yet Conthé other hand) noz fo fmal, but | thac chey relieve che prefenc necefflicy 3 T Mean, | chat by the Orifice: of the incifron che Pus may | find. an open and free pallape forth. “Pot if che | Wound be lef than that che cotruption may
rightly pafs out theséeac, then ic wil be requifite | that che part be prefied down; by ‘whichcom- | preflion pain 1s ¢veriore xcited, and ‘che Ulcer j is renderéd callous and brawny ; ftom whence a} Fiftula may poffisly arife, But on the other |
Buc ih the accomplithing of this work |
Bac in regatdthere are many chatwib noe ad-
| hit of Section or fhenidn, we theteford prefcribe
and adminifter unto fach peifons Medicameacs whereby thé impoftume may be optned.o (Baé thofeMedicaments aré not al of them ‘of: one and che (amie fort, neither of alike éfiicacy ;’ foo fome Of them aré weaker, and other @ronper, The ftronger forc of them dre not over rafialy to be ads miniftred. For they both prolong the-Difeate, and introduce an evil diftemper into che pares and pollibly they may likewile produce divers other ill fymptoms. And therefore the peritler fort of
Ao the {aijal fcings or baits Of the Muf{cles. | ‘the Fibres proceed Mrarght forch, and for the) an old Hog as much as will {uffice, and mingle
fide, if the Inciffon be wider than it neéded co | chem ate firft Of’ al co be adminiftted, ‘which do have been ;,'then both che Cicactix or Scar will | rather ripen che'matter and draw ic co che hipheft be greater (and more udliphely) thant ic had} part of che Fumor, and) witha) do there reader been. arcaficially made 5° ahd then likewste the | che Skin more fubcile 5 and*esule it co: become parts fubjected wil be altered by che ambient air ; | mote cender, than tiuly and properly icotrade, and now Sc chen che part is thereby made che wéa- | eat afuindér;‘and break the Skin.’ And@ ‘fuch ker. Celfus Cin his feventh Book, and fecond | aré théfe thar follow :
Chaprer) gives in charge,that the Incifion be made} © Take Marfh-mallow roots, and white Lillies; after che 1efetnblance of che Myitle Leaf, ‘tha is,| of each alike one once: Garlick’, Onions rofted that a finsple downright Section be made, and | under embers, thé flour of Penitgreek feed, dried chat ic be folong, thac when'the lips theteof are! Figs fat and ful, of each two drams: the doieb dilaced che Wound may bear a cefemblancecothe | of ‘Bread well leavened one dram and anbalf : Myrtle Leaf... And {omicimes one only Setion | Oyl of mwbite Lillies, Butter, Swvines fat, of each doth not fulfice ; but Cas Celfus theré inftructs | alike as much as veil fuffice , and make’ a'Cata= us) greater curnings and nooks are by incifion to} plafu. Or,
be made in two or more lines. And this alfo is}; Take Onions, Garlick, Marfhb-mallow roots, carefully ro be obférved, That che Section be | equal parts of them al: boylibem'to a fofinehyand made according co the fibres, that is, an{werable | wben they be wel bruifed add the fiour of Pene-
Now | greek as much as any one part of thei’: the fat of
thems
A
‘Pare L-
“ghem wel. This following is more forcible. Take of fharpand fowr Leaven balf an ounce, | Onions rofted under live coals one ounce, Doves Dung one dram; blackSoap, Somes fat, of each alike as much as is fufficient sand mingle them. .
The Emplafter Diacbylon mingled with Mu- ftard Sced, Figs, and Salr, performs the fame with the former.
But fuch like Medicamencs are more efpectally applied unco that pact in che which che Impo- feume is fharp-poinced 5 and round about 1 chere is put co fomwhat chat is macuracive or ripening Cunderftand’ it hece of fimple macuratives) as Diachylon, which tochisendis wont to have a hole made through che mid’ft. The ftrongeft fort of them are chofe that we call potential Cau- cecies; the whichkindof Remedies we have de- | {cribed in our Infticutions ; among which chat is che moft efficacious, and wichall che moft fafe, | which is prepared and made out of Lee, out of which there is a certain fope prepared ; couch- ing which we have likewife tpoken in our Inftacu- | tions. Now of {uch a Cawerty we are cotake a
certain {mal proportion, to the quantity of half a
Cicer or Peafe, and then apply it unto the part af- cecthismanner. Take cheCloth chac is {pread over with the Emplafter, and caufe it to ftick clofecothe Skin; thenin che mid’ft thereof cut a {mal hole, fomwhat narrower and ftceightec chan you incend the Cautery fhall be. After this cake the Caucery, and being fomwhat moiftened with Spitcle apply it unto the Skin that appears and lies open coview through the aforefaid hole, and af- tecward Jay on another Emplafter upon the for- mer. After cwoor three hours temove the Cau- tery wich the Plaifter,; upon the removal of which the parc appears black, foft, and without any fenfe or feeling. And chat chis burnt part may be wholly caken away, let 1¢ be all over chroughly befmeared wich. unfalced or frefh But- ter, or wich che fat of an Hog,or wich fome other fit Digeftive.. Buc if the hole be not wide and large enough, it may very eafily be dilated, to wit, if either a lictle piece of Spunge cr Gentian root, or Rape root dry be put chereinto. . For thele things afore(aid when they are filled full with hue midity they are then dilated, and fo confequencly widen and enlargethe hole. TheSpunge is thus tobe prepared: che Spunge isco be wel foaked in che white of an Egg cwice or chrice throughly fha- ken copether ; chen afcecwards let it be clofe fquee- zed cogether on all fides, and chen lec it be leiture- ly dried in che fhade: & fmal portion of this (when ic is dried ) is co be taken and put upon the Ulcer. Butinregardchat che cruftinefs chereof wil not-fall off ina few daies time, and thas al! this while the Ps or filthy corruption (unlefs te fhick immediately under che Skin) is detained and imprifoned in the Impoftume, for this very caufe, of rhere were no.other, ic ia by far che fafer way so
SS See Ue $$ nr
Mi) ago Book V. Of Prattical Phyfick.
open the Impoftume with an Iron. |
The Impoftume being now opened ( whatever che way of opening ic hath been) che Pus. oc matcer is to be evacuated, but yet this needs not evermore co be wholly all at once or altope- ther. For if the Impoftume be great,and conrain much Pus withinit, neer unto the Arteries and Veins, che whole matrer and filch oughe by no means to be evacuated all at.once, left that coge- ther cherewich much of the Spirits be likewife e- vacuated and diflipaced, and fo by this means the fick Pecfon fhould be caufed co faint and {woon, or be debilicated and weakned: buc rather che core ruption isto be emptied forth by fome and fome,
efpecially if che Pacienc be weak, oc a Woman. .
wich Child 3 or in cafe che Patient be a Child, or laftly,if che fick party be very aged. When the Pas is evacuated, if eicher pain manifeft ic felf, orelfe any reliques of the marcer not fuppurated appear in che circumference, and it be fo chat che Pus ic felfbenoc wel and perfectly ripened; chen the painisto be mitigaced, and mote efpecially the remainder of the matter is {peedily co be converted inco the faid Pus by {ome concocting Medicamenr, which they commonly call a Digeftive.. And fuch is chac which 1s made of the Oy] of Roles, ard che Yelks of Eggs: for ic greatly mitigates che pain, and helps forward the generating and breediug of che Pus fooftenmentioned. Or,
Take Turpentine one ounce, one Yelk of au Eee, the Pouder or Duft of Frankincenfe one dram, Oy! of Rofes three drams ; mingle them wel togetber.
Likewife che Emplafter Diachylon fimplex is very profitable in chiscafe,
W hen this is once accomplifhed, even while the concoction doth yet appear, we muft come to thofe chings that chroughly cleanfe and putge ic: for neither can there flefh be bred, nor any con- glutinacion ( by drawing together the Lips of che Impoftumated pact) be made, unlefs the part be firft cleanfed. . Which Co effect,
Take Clear Turpentine one ounce, “Honey of Rofes fix drams, the Yelk of one Egg; let them boy! together alittle, and afterward add of Saf- frononefcruple, anda little quantity of Barley meal.
If chere be need of a greater cleanfing, you may chen add the juyce of Smallage. As,
Take of crude Honey, Barley meal, of each a- like, one ounce ; of the Fuyce of Smallage balf an sere Saffron balf a fereple; and mingle. them.
If yer there be occafion for a more forcible cleanfer, chere may be added of the “Ungemut E- gyptiack as much as wil fufiice. :
Cencaury the lefs, and round Bicthwort w here likewife very ufeful. As,
Take the juyce of the leffer Centaury troo oun- ces, Smallage one ounce, Honey three ounces 5 let
them boyltogetber, and after add of Barley meal, .
and
,
( | ) ol i ys
H ysce, | | fone), leming a Take Hy, Sa Bi bafat 8 hem mB Juyce, im cana | Hovey: | AD Uy ae an im Take twee; wi uf my Wher Vm shoe Me ey luch I of whic
|
1 Skirutic
atthe fo . pies apa Py pals th /Atnandy eect | tines iia itraind vided idea ete L } Attest } a
es oe —=
Ss
f. 35
ete
Mf (cB)
1 No
(Opt r
tain
band | Ny no j NY |
legs Dsthe N0on, C0r=
fon, ft Oman |]
| be mingled. Or;
Ido Ey elle
ppeat |
Purit
the
ly the
ered
ment, § dfuch dthé §
pa,
got
'
nfe one
ile |
ileche
me t0 ee i
y con |
of the
of an F
f pat be
ney ff
5 a . - 3 + - } & bp apse soy (OL Which we have in like manner fpoken in our In- | Of thefe Diffetences, & VG Oe
. fowne(s lefe co remain; and at lengch chere arifech
‘|| Tuption if ic be longer deteined in che deep place
IP fharp corroding quality, and there caufech divers
shird Book of che Method of Phyfick, the fecond,
Sa ny) |
2441
a pe IS RO,
Chap. 6. Of the Sinus in Tumors. and the Vetch Orobus, of each fix drams: mben winding paflages andturnings, fuch like as we they aretaken from the fire,add of Terpentine one find in Coney-borrows ame {o unco the pare im ounce, of the Pouder of the Flower-de=luce root | this manner affected there flow together from the one dram mingle them. _ neighboring parts, yea from all che whole body,
The Impoftume being ehroughly cleanfed, fuch} fuch excremencs and fuch humors as, {upere Medicaments as breed &caule fleth are to be admi-} abound ; from whence afterwards 1¢ chanceth, niftred. Now of what fore chefe are, Galen inhis, chat this kind of Sinus or windings co and fro canvery hardly be conglucinated and filled up thitd, and fourth Chaprers ceacheth us at large 3 | wich Fleth, and we have likewife declared chem in our Book | The Differences. of Infticutions. As forexample, | pistes ; ieee
Take F rankincen{e,Maftick, of each balf an But now of thefe Sinus there is an exceeding ounce, Golopbony tro ounces, Oyl of Rofes and | great diverlity : for they differ not only inthe di~ Honey, of each as much as is Sufficient 5 let them menfion of quantity (that one fhould be lefs and
fhorcer, and another more deep or broad ) or in cheic figure (that one fhould be ftraighr, and ano-
ther full of turnings, of this or shat figure.) bur moft efpecially they differ in che manner of chein fcituation and pofition 3 becaufethac kind of dif ference doth noc a litcle vary che Cure. For thas
Take The greater Comfrey one bandful, Beto- ny, Saint Jobns-wort, Horf-tail Grafs, of each balf a bandful ; boy! them in Wine, and_bruife them vel: out of the mafh of them {queez forth a Fuyce, and add of Prankincenfe and “Maftick , of | tere noc a | each ane ounce & balf ; Dragons blood an ounce, which cends upwards affords us a better haope and Honey and Turpentine, of each a fuffictent quan- {urer expectation of cure, feeing hac by irs ori- tity 3 boyl them until the juyce be confumed, and ieee the Pus may the more readily How forth and make an‘Unguent. Or, ‘be evacuated. Bue thac which cendeth down-
Take Myrrb, Aloes, Sarcocol, of each an wards doth longer recein che faid Pus which be- ounce; Honey fix drams, White Wine as much as | 08 kept indoth further corrupt and cortode the wil fuffice; boylibemto an indifferent tbicknefi, | parts. Wherefore {uch a Sinus is not co be cue
When the Ulcer is filled up with Flefh, chen [regs unlefs you open it onthe adverfe or oppofiré thofe Medicaments which we cal Epuloticks, that | patt, chat io che Pus may freely come forth one of isy {uch as bring coa Scar, are co be adminiftred; |" Now char the Phyfitian miay nor be ignorane buc thac he may know and ftitutions ; fuclras are, che Emplafter Diapalma | well underftand whither the Sinws ceacheth, and or Diachalciteos, de minio of Vigo, and others, | how great it is, an exact and ftrict fearch mutt be which areevery where known. er catia by pets Gea ie
: - vec Lbitirumencs ( we cai Chem xs cObes 9 where
Chap. 6. Of the Sinus in the wichChirurgeons are wont co fearch unto the bot= Tumor. ;com of deep Wounds3as likewife by WaxCandles Bo ic oftentimes fo happenech, that alchough | Cor.the like) gently conveyed grit nee e
es icy deepelt part-of the Sinus. shefaid Pus or fnocty filth be emptied forch | hie do Sue ucmolt endeavor, that the Sinus may be{peedily cured ; fos unlefs ic be {pedily cured ic contracts co ic felfa certain callous or brawny fuperficies ; and in procefs of time it becomes ex- ceeding hard; neither will icafterward be cured without much difficulky and danger. Norwithftanding, what hopes chere may be, che qualities of che pare icfelf chat is affected do
Pi evidently démonftrate, and chiefly the matcerc underneath 5 which affect che Greeks cal Colpos,| yc flows forth out of the Sinus. For if it be and the Latines cerm it Sinus 3 to wit, when che|
Be ainac ie Likaoh + Aliso daneais EER not digefted 5; ifchere be pain fenfibly fele
“tidios ah eet ee je le arid cies inthe Sinus, or if a Tutor ot welling appear, as
found pact tHereokbautivech | getele into wld chere is but {mall hopes of ics Cure but chen
breads ifthe Pus be but litle in. quantity, if icbe good; The Canjes.
white; if therebe prevens no pain, and all che
3 whole place be equal; it isa great and ftrong Ar-
Now for the moft part, the Caufes of this Sinws | gumenc thac che Sinus is alceady filled with
are Impoftumes or Suppurated Tumors, over-| Fleth.
flowly opened, or noc wel.cleanfed. For the cor- The Cure.
As for what concerns the Cures fincethar hol-
lownefs & folution of Unity ate the Caules of the
i Sinws $
of che Impoftume, ye nocwithftanding it be- comes again replenifieds from whence 1 comes to pafschat the adjacent Skin doth not clofe, fa- ften and grow copether with the Flefh chat is un- derneath it 5 but there is a certain cavity or hol-
a certain difficulty, if not impoffibilily, of cemen- ting and conjoyning the skin wich the Bodies lying
Chan ic oughc co be acquirech a certain kind of
|
= : — J Seg a pmeain a nA ASTANA He ST a al
ce aa
. Of Prattical Phy fick. Part £
Sinus , the {olution of Unicy points us out co (Bean meal, the flour of Orobus ot bitter Vetch, the procurement of an uniting; but che Cavity | of Lupines, Lee, Spirit of Wine, Bach- Water, inftructs us, hac repletion ought to be endeavor- | Alum Water, Oxymel, Unguenc fRaypuack 5 ed. Butnow thofe things that ftand ata diftance | which are the ftronger fort of chem, and to be ad- cannot be united, unlefs firft that which is hollow | miniftred only Corat leaft chiefly) in the moft be filled up ; whereupon the Cavity muft inthe impure and nafy Ulcers, firft place be replenifhed. But che Cavity canby | Our of chofe before mentioned divers orhers “no means be filled with flefh, unlefs rhe cemper of may be made and compounded: As for exam- the pgrt be right as it oughc; and chat the faid ple: Sinus be free and clean from al its impurities: And] ‘Take ‘Honey of Rofes flrained fix drams : therefore we muft primarily provide by a {¢du- | Barley. meal a jufficsent quantity, to give it 4 lous endeavor, that if chere be any diftemper pre- | thick Body. ' {enc it may be removed,and thac, the Sinus may be | Take Honey of Rofes ftrained fix drams': weland throughly purged. And moreover, un- | Cleer Turpentine one cunce: the jryce of Smal- tefs chac either rhe Orifice of the {aid Sinus look | lage and Wormmeod, of each balf an ounce :, let _ downward, or that the Member. may be fo placed | them boy! together : and afterward add of Bean, _ thatche macrer may freely flow out of it, before | Barley, and Lupine Meal, of each alike.as much any thing elfe be done a way muft be opened. and | as rill Suffice, and then mingle them through- a palfage forth made for the Pus or filchy corsup- ily. ¥ ; tion. If the Orifice of che Impoftume lie open | Bur when (as now and then ic happens) che coward the inferior parts, che filth hath chen a | Sins ate manifold, or ocherwife when they are free paffage forth, and fuch a like Sinus by the | of an extraordinary depth, forhat co openthem application of Cleanfers is éafily-cured. But chen | is altogether impoffible; neither alfo can the Un- if the Orifice bein the fuperior place, there is a | puents poflibly peneccare throughouc their whot neceflity chas we forthwith affay to ope |
pen a free | Cavity 5. then (th this cafe efpecially) liquid ab-_
vent and paffage forch for the corrupsion | tterfives are chiefly approved of, as fuch which can
And this may be done in atwofold manner ; et- | infinuare and convey chemfelves.intd al parts of cher by diffecting she whol Cavity, or ac leaft by |the Simms, And fuch kind of Medicaments oughe opening the Orifice im the inferior part. Now of |to be injected by a Tunnel, or by apipe’; and fo
S45
a (ruth at isthe more, convenient of the twa chat | foon asthe Medicament is caft in,the Orifice cughe
we open althe whol Sinus fince that by fodoing |fomrimes to be ftopt up wich a Linnen cloth or the Ulcer may rhe more eafily be purged and heae | Napkin; orelfe witha piece of Silk, co preyenc ted. Butbecaule we are not evermore allowed | the immediate flowing back again of the Medica fo put this in practice, ‘to wit, when the Sinus is|ment. As,
great, and that the whol parc may not be diffe- |. Take of wbol Barley three pugils onfmal band= cted withouc danger ; therefore famcimes we on- |fuls: C entaury the leffer,and Wormvood,of each ly openthe Sinus in the bottom thereof. Which | alike tro pugils: boyl them ina “Melicrase, and being done, and the Sinws opened, itis carefully | make an injection. Of, :
and throughly co be cleanfed and dried, left chat|,. Teke of the Water of decoded Barley, Meli- there be any of the Pes left remaining. Fox if| crate, of each two ounces: Unguent Heyptiack there be any of ic left behind, ‘from thence Fiftur | balf an ounce ; mingle and injett them,
Ja’s and recidivations or Relapfes are wont totake |. And thereupon, it by thefe kind of Medicaments their Original. And alchough the parts may feem| che Ulcer ‘be fufficiently cleanfed:and purged, cobeconglutinated, yet notwithftanding they do| chen shofe Medicaments chat produce and breed not rightly cohere or frick together, but aftet~| flefh are co be adminificed, For albeic Narure wards they do again parc afunder, Bur now, to| herfelf generate and breed ficth ; yetinocwich- the furthering of cheevacuation of the faid Pus | ftanding, Art doth by Medicaments {0 far forch the'ule of Swathbands & Pillows doth very much | affitt Nacure; as it removeth and carrieth away the. conduces if wich them we ftreightly coimprefs | excrements which. muchhinder her in her operati- and ftri¢tly keep down the parc affected from the | on. Foriris generally wel known chat any pare higher parc of the Sinus wowards its Orifice. Now | .whatfoever Cal:boughis.be found) dothgenerare. the Medicaments ficted for this ufe and purpofe| a cwofold excrement, and dtiyeic forth .withous are, the Water of the Decottion of Barley, Me-| che body; one whereof is more chin, which for licrate (that is, Water and Honey fodden coge- | the moft part breaches foreh by infenfible tranfpi- cher) which ts of ic felf fulliciently purgative, fo} ration, and is.allo not unufually eyacuated by that alone it as able to render thac Sinzs whole | Cweat ; the otber more grofs andchick, which orifice is in che inferior place apt and fit for gluti= | oucwardly adheres unto che body, amd by apene= nation or cementing together 5 “Mul(zm, chat is, | zal name is termed Sturf, filth,or naftinels. Thefe Wine aud Honey fodden togecher, which borh | exccements whenasthey arerefident in the agetie-
corroborate, and cogether withal purgeth 5, Ro- |ved part, being weak and infirm, and cannot by . ||
zin, Turpentine, Honey of Rofés; Barley meal, | the fcength of Nacure be expelled and driven forth
td
ib tel Bee ukes gato Nasu
(yea Pato! Bihan 1 leanlet ihe m0 a Nov shoveld 1M predet 1B indeed wotko MW fad) ¢ 1F fce Ne A cood fi ie h A overd 4 link ( JP chetemy Bur fit fuce of othela MF togand 1 bern be 1D acer eq iD bucthot MW Medica andpen 9 Bean Ovobut Roos of, 1] ys,and and coma 1 pteleat 0 hake Matic, 9 Vax, 0) | Viguens | Bu th
aia
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ans OC
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ac {ott
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ny pay
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ag “Thelt ;
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“f checemperament of che affected or grieved part.
if
- makes che Ulcer to become moift. Whiéh faid
drier require and need the dryer Medicaments 5
apg : He not bY I
rire fot
soticks are by a Funnel co be injected after she
ee nee EEE Tune ne anna ae - onmanpaesiart
Of the Sinus iz Tumors.
-_——_—————
Saree:
forch of the Ulcer, they ftil perfift co ftick there | fame manner asthe cleanfers were 5 and the ori- intheUlcer, and che thick excrement renders the fice being clofe fhut up, chey are fora whilerobe Ulcer filehy and foul; buc the chin excrement | left in che Sinves, - For. which end and purcpole there may. be injected: auftere ot fharp Wine in excrements fince that chey are an impediment co! which Frankincenfe hath been boy!ed; or che Nature: in the breeding of fleth, chey are chere- | Decottion; of Ariftolochia, che greas Comfry fore altogether to be removed. and taken away 5| which fome cal Wall: wort, Horfecail, Rofes,and and to {peak more perfpicuoufly and plainly, the} che like, wich Wine ; ,unto which may be added, filch and impurities chereof are co be chroughly | Frankincenfe, Myrrh, Aloes, cleanfed and wiped away fromoff the Ulcer, and But now whether or no by means of thefe Medi-
che moifture is to be dried up. camencts the deeper parts of the Sinus are wel Now cthofe Medicaments which accomplifh the | cemented and exactly conjoyned, char which abovefaid intentions are called Sarcoticks, 1.¢.| floweth forth wilevidently demonfirace: which Breeders of fleth ; not that chey chemfelves can | if ic be buc licele in quantity, and wel digefted 5 indeed really generate flefh (which is the peculiar | and moreover if there be no pain perceived in the work of Naturealone) but becaufe (as we have | Sinws ic felf, ic is an argument that theceis a per- faid) they take away the impediments, and fuf- | fed conglutinacion effected. But if the fourch, fice Nature with fogood a blood, that from it | or (at che utmoft) thefeventh day fhal be paft, ood fleth may eafily and foon be ingendred. Now | and yet notwichftanding acrude raw humor fhai uch like as thefearedry, yecare they not of an | affueforch of che Ulcer, it isa fign that as yet.the over dry quality, bur of fuch a faculcy as very | Sinus is norexadtly united and conjoyned, and lictle (and chat likewife moderately) exceeds | chat flefhisnos as yec therein bred; whereupon chofe Medicaments that more forcibly dry. C yee notwithftanding withour any kind of mordicatie on or bicing) are then to be adminiftred: When- asnow the Sinus isinamanner filled up, fome one or other of the agglutinating Remedies ought tobe applied, which may gently and withone any the leaft acrimony clote cogecher. che tender but chote chacare more humid and moift cal for! flefh that isipeneraced and bred (of which fort are Medicaments that are lefs drying. Themore mild }'thofe which by the Greeks are called Enaima ; } and gencls of chem are,Frankincenfé, Barley meal, | that fothey. may as it: were conj oyn thedivided Bean meal; che ftronger are, che meal or flour of | pires, and may likewife cute the, new made Orobus ox birzec Vetch, Flower-de-juce root, |.Wounds: of which forte Galen Cin his fecond Roots of Ariftolochia, Mycch, Tutia, Pomphbo-} Book of the compofition of Medicamenits. accote lyx, and the like. From which we may very fitly | dingto their fevecal kinds, Chap, 21. and 32.) and commodioufly prepare Gompofitions for the | hari given ‘us a defeription of good ffore of
prefent occafions As, them. ; . Take Turpentine too ounces : Frankincenfe,| After that the agglutinating Medicamens hath Maftick, Colopbeny, of each balf an ounce: | been applied and laid to, Galen directs, us to cafe Wax, Oyl of Rofes, of each fufficient ; make an | round about ita new Spunge made as sofr as pofli- “Unguent. bly may be with. fweee Wines oc with WMalfums Buc this following 1s fomwhat ftconger and/z.e, Winesand Honey fodden together 3 which more forcible. Viz. faid Spunge others alfo ufe.cochroughly foak,and Take Round Ariftolochia, Flowerdeluces the) chereby flit ful with che Decottion of Pomegra= greater Comfrey, of each two drams » Maftick, | nace Rinds, Rofes, and che likes co wit, chat i¢ Frankincenfe, Myrrb, Aloes, of each one dram: | may dry it,and receive in thedfilthy corruption Honey and Turpentine, of each fufficient, and) iffuing forch of che Sinus, which might orherwife throughly mingle them. eafily corrode the part, or excite and caufe chere~ Ifthe body ce more than ordinary dry, and|in an intollerable itching :. and..this faid binding if chat hard flefh be to be generated, and chac the) round abouc he would have to begin from the Ulcer it felf lie open, we may alfo then adminifter| fHiorrom of the Sins, and from sheace char it Medicaments in a dry form, and make up Sarco-|tendtoward the orifice. And likewife about thé tick Pouders, to firew thereupon, - As, bottom thereof lec Swathbands be rolled as hard Take Prankincenfe, Maftich, Colopbony, of | and ftreightly as may be (provided ftil notwith- each alike : i Pouder. Or, ftanding that if caufe not pain) andthen lec them Take Aloes, Frankincenfe; Sarcocol, Dra- \ be loofened by degrees; and by Jiccle and lircles gons blood, of each as much as ye will, and make | until. you come co the very mouth .of the a Pouder. Sinus; inthe which faid mouth Jer the Medica- But ifthe Sinzs be noc open, then liquid Sar- | ment be tied unto it afcer a loofe manner 5 neti hec Neti coo clofely ftopup che orifice, biz Jeave a 12 pallage
Bue fiace chac there 1s nos the fame kind or mea- fure of drine{sin al Bodies and Members, chereup- on the fame matter is noc ufeful for the engende- ting and breeding of flefh in al bodies and mem- bers; but thofe bodies and members which are
nee
ray. t a ee
; { Part aren enn fn a oe ss ae re na 5 a i RE
2444 Book V. rabtical Pads
Of Pradical Phyfick. paffage forth for the Pus or {novty matter 5 unee { underneath may: ‘be rhroughly purged Ou tate! | wd
which end, aad for which purpole alfo lec the | cerward lec theplace covered by the Pillows’ be ey Emplafter which is laid thereon bave a hole cuc | rolled about wich a Swathband, focharic may be rf 4 Mod C with a pair of. Sheacs)) in thar fame very: | witholse the leaft pain; and lec iccbe fo:orderéd, iu 1h | place. that che Ligature may begin at or fromrbebor=: | uf ie | And this was the way and method ufed by the |tom, and cend coward the’crifices that fo by. yt 4 Ancients for che cucing of a Sinus, and generally | this means al che Pus. or filet chac is wichin may | alforts of hollow winding Ulcers; and co {peak | be forced toward che Orifice, and through it may Ch
truth, ic was fufficiently ufeful and commodious. | be preffed forch. © The Sinaschus bound about
Yee notwithftanding, Prancifcus Arceus in his | isco be lefe in chis manner until che day follow=
fecond Book ofthe Curing of Wounds, che fe-! ing 5 on which, the Ligature being loofened, we | venthChaprer, cels us of another far more eafie | oughe by making ftrittenguiry to find our how | rf and compendious courfe chat he himfelf had found | much of the Cavity remains; thacfo'we may be bi outand difcovered in curing Apoftems newly o- | chroughly certified, Whetheror notheaforefaid im fis ( pened; whereby onchethud, or onthe fourth | Pillows or Cufhions did couch upon the places. | je
once expelled and evacuated, Jet the mouth of | and manner of curingthe Sinus and Cavities, ics | il)isth Bee the Sinus be fiope wich a Tent ; and chen an arti- | firft cobe taken notice of, thar chis fame doth fuc- ite bed aif ficial Pillow or Cuftiion being laid and faftened | ceed moft happily in Apozems newly opened, and iecripn down thereon, let it fo remain (withouc removal) }in them only: for asforan old Sinus-C where | Butirof; uncil che next day following. The day follow=- | all isnot wel withing and which almoft declines | Wihich, ing, the Ligacure being loofened, lec che Ulcer be | unco callous Ulcers and Fiftula’s.) the) former | Hips purified and carefully ‘cleanfed fronval the Pus, | way and manner Of curing ic is far becrer and: fafer. | cs
|
|
day at che furcheft, allthe atorefaid Cavity of }Foral chofe places which were fubjected by the ott Apoftems might be remedied, and perfectly cu- | Pillows, &c. wil alof chem befound conglutina~ — /peblo red, by drawing together whar > was divided ; |ted and faft clofed cogether.:! The which when ud, wt {which operation we cal commiffion and conglu- | we have difcovered, the Pillows areagaij tobe [ils kination of the Impoftume) fo chat nothing | tied and faftened after chefamefafhionaschey: lay | fit)! | fhould be left gaping, befide che opening or incift- | before 5 andofo shey are co-conrinue ‘until che — (ymetio han dane on place, which was made by Act to the endthat| nextday, Burnowaffo be char any of che Hu- | : ie’ thereby che Pus mighg flow out, ‘and be preffed | Mor, or of the Pus feeme ro be Jefe in ahy place, | | f ee i! forth; and that al this fhould be effected without | this (as before) is co be prefled forth with che Pil- Ay Dae ie |) any the leaft danger to che fick party, without | lows faftened.bythe Swachband ; cogether with f ae Ge much Cifany) pains and labor, or any other dif- | which che gaping place doth coalefce and joyn fj hill ue | ficulty. ‘Now his way and method of Curing |clofe cogerher, In this manner fo foon asthe parcs [dan Pek | . wasasfollowech, Ifthe Tumor or Apoftem be ate clofed cogether, let the Pillows beremaveds (Maicul ma) great, then (faith he) in the ficft place ler it be |and chen let there be impofed upon che Ulcer a — /Mideive if \y opened in che beft manner chat may bes fo thac|| Linen cloth {pread over with the Authors’ Leo- intl IY ae the little finger may be pus into the orifice, and | nine Emplafter, or fuch other dike Plaifters as (imi 2 ee that thereby al che Pus thac is contained within| fuppofe the Emplafter Diapalmas; and youmay |Win, Fi hea the Impoftume may be permicced to flow forth ; | ‘not forget co wipe and cleanfe itfix oreight cimes Chapter a and may Jikewife be thence expelled by a gentle! every day. | 2% ind bor | compreffion of the place it felf.’ The Pus being| © But yet notwithftanding, astouching thisway /Mviy ule . 1
a af haply there be any lefc remaining‘undetneath. | Moreover, this is likewife cobe obferved, that we | Aryioh. (ne After chis is done, let a Pipe or fmal(Cane of Lead | ought welto look, whether orno there remain a= hae y be put into the orifice 5 che which Jerit be asbig | ny relicks of che indigefted matter, {pread tho-" | Mitiy, and large as is che Orifice ic elf 5 ‘and Jet ic reach |row-ouc the part; which: eafily conigs co be |% even unco the Cavity or hollow places bug lec ic | known by fome apparent Tumor or Swelling; as | not by any means be forced any further. Upon | alfo by its rednefs of colour.’ : For otherwife, and a bli this lec che Bafilick Emplafter {pread apon a Li-| as long as. any ching pretermacural fticks,ia the | thick nen Cloch be impofed 5: in the which allo the pipe | parc, agglutination {as wecerm it} or clofing | Mi, i may becontained, thacic fal not forth; yet ne~ | up of the Oxificeis nortobe expected s neither as | veithelefs leave a hole at che very Orifice of che |ittobefomuchas hoped for, And therefore be | a Leaden Pipe or Cane. . Afcerwards, on either | {ure char the Pus ic {elf be dikewife-cleanted and | a fide of che Cavity ler there be put triangular Pil- | purged inthe beft manner chat poflibly you | a lows or Cufhions (of which before) on either | can. , | fi. ii fide one, fo thacal the hollow {pace may be filled) Thirdly, This alfo is co be heeded) to.wir, | 9 eh ta up wish eicher Pillow, &c. Bur lécche Orifice }whecheron ino che place may conveniently e- | iN | of che Sinus! in which isthe Leaden Pipe be lefe | nough be rolled abouc with Swath-bands,, and
| _free and open ; neither lec ic be ftopt up by chea- | likewife whether the aforementioned Pillows or
forefaid Pillow, norany waies obf{tcudted bythe | Cuthions be ttreightly. faftened, aud tied down | | aa | Ligatuce or binding 5 chatfoalehe Pus chat lieth | clofeenough, that fo chey. may borh Soiree rt
a ccep | 7
Chap. 7.
i keep down che fevered and difuniced parts, and
alfo prefs forth the Pus or filthy {nar-like mac-
ger. thae che Pillows prefs not down che parc as they
ought, chen neither is there any Pus prefled forch, nor doth the pare coalefce and meec cogether,
Chap. 7. Of the Tumor Exyfipelas or Rofa.
PytHat Tumor which the Greeks cal Ery fepelas, |
For iffo be that che Swacth-bands gape, and |known 3 we fall then ( without any f{cruple )
in his Book of Tumors, Ghap, 9.) co be-by fae che more crue and probable. od ohh
For the very coloug is felf of che part: affected C-being altogerher rofie ) inftrudts us, that, Blood ratherchan Gholec is che caufe of chis-Dumor. And although chis kind of Tumordoth now and then from red oc ruddy become yellowith, yer
buc we here of this Gouncry ( commonly ) {notwichftand ing chis is NGC alcogecher crue Of ever
| Rofa ( from its rofiecolor ) isalcogether Co be | feferred unto, and foco be accounted in the pum- ber of the Tumors chae cake cheir original from
| ¢he Blood. AM che Latines ¢ Celfus only excep-
sed, whoretains the name Eryfépelas) cerm it Tenis Sacer; we in Englith call 1 Sc. Anthonies fice ; of this Ignis Sacer che Poet Lucretis makes mention in his fixth Book. The Body all at once with Ulcers growsred, As°tis, when Ignis Sacer bath the whol ore- fpread. This Tumor is moft an end by Phyficians tank- ed among the Cholerick. Buc’yet there is ground dnd caufe enough of doubting, ‘trom what humor ic derives ics beginning and Pedigree. For Galen himfelf feems now arid then to ftagger, and not al= waies.toftand to what he had {poken concerning its > For in his fecond Book to Glauco, and fictt | Chapter, heexprefly writes, chat che moft chin | and hor Blood! or Choler cogecher with Blood (to | wie, when boch of them are hogcer than 1s behoo- ful ) is the Caufe of an exquifise Eryfipelas 5 and there he determines that meer& pure Choler is nor che original efficient cauafe of this faid Tumor, but
racher of chat which we ufually call Herpes. And |
ry Bryfipelas, but only of fome one certain; {pen cies and difference thereof... Moreover, the hu mor that excites and caufech. chis, Tumer, iis act alcogecher fo fharp and tart: 4s.is, Choler 5 and fox ghiscaufe doth neither exulcerate, nor produce extream hear, or over vehement pain. Nozwiche ftanding the Blood chac excices chis Tumor isthe chinneft and moft intenfely. hor, and ibis vulgace
brand | ly faid tobe biliousor cholerick; the fame thas
Galen alfo tels usin his fecand. Book to Glaxco, Chap. 1.. where he writes, chat Choler alone ( when lieth hid and fecrer, and confifts in fome one member ) doch excite and caufe che Tumor Herpes. Bucthen if fo be chagche fluxion. fhal} be mingled, and confift of blood and yellow che- ler, (being both of them hotrer chan is meet) o& elfe fromche blood in this manner waxing hot, and being according 9 its fubftance moft thin, we chen callacan Eryfipelas.. For albeitthas Galen in very.many ocher places affects an,Eryfipelas to proceed from Choler; yer norwich ftanding, whas he meansand intends by Choler, he hath. fufficie ently declared in the place before alleadged. And if weconiult.experiences and chofe accidents thag betide the fick Parties, we fhallchen find chag he couldnotincend any thibe-burchat. Choler, whick
in his Chap. 9. concerning Tumors he afferce, that | they cecm natural and alimentary or nourifhing,. Herpes is bred or caufed, when acholerick fluxi-) that is to fay ,che hocteft andehinnelt, part of the on ( being indeed puitely and exactly fuch ) hap-, blood, burfuch as isnow grownexcreamly hor,& pens to be exciced, and°to exulcerate che Skin; V'cherefore che neeceft chac may beco Choler. Bue
-}) bur chac when this, faid cholerick flux is mingled lnow, whatfoever kind of Gholer. we aflign co be
with a waterifh matrer and with blood, & fois lefs | the caufe of chis Tumor, whethéc yellaw, or pale, fharp, and when ic cathet fwels up the pact.inco, or like the ruft of Brafs, or Leck- coloured, they aTumor chen exulcerates it, thacthen an Ery- | wil not any ofthem spree with chofe things chag fipelas is excited. Butcontrariwife, in his Book | happen in this Tumor. . Furthermore this humor of black Choler, Chap. §. in bis fourteenth Book | hath conjoyned with ita depraved quality, and ofthe Method of Phytick Chap. 1,2, 3. and B.|apeculiac fore of corruption; and before fuck 17. Chap. 2, in his Book of the Differences of} cime as it breaks forth irexcaceth and caufeth exe Reavers, Chap. 5. and in bis Book of the way of ceeding preat ftreights, noc much unlike co thofe Cuting by Blood-leccing, Chap, 8. and in weed chat che Plague ( upon the firlt invafion ) is wont other places, aflerts that Choler is the caufe of this} to produce; and therefore the fame kind of Ale~ Tumor : which latter opinion of Galen mo of, xipbarmaca or counterpoyfons that we make ute our Phyfitians follaw. ..., +ofinthe Peftilence are here likewifeco be admi- But cruly, if we lay afide the Authorities | niftced, for the expulfion chereof, steps dnd Opinions of che Ancients, and look wel into}. Notwithftanding, the words of Galen, and of | she thing icfelf, and if we confer the name of ‘an | other Authors (chat affirm the original of chis Pu- “Bry fipelas upon chat Tumor ehat is fo well and | mor co {pring from yellow Choler) may be drawn: commonly known unto: ouc Country-mea; and | toa bekcer fence 3 I mean, that they may be mars cia righdly
i.)
a EI iF
1446 Book V. Of rafal Piyfck. Parl
—
ae rightly interpreted, if we fay, that by Choler is a Pain, an Inflammation, and.other {ymptoms mh to be underftood the natural pare of the blood, | were from day co day more and.more augmented ;
which is more thin and hor, and which is very | infomuch chat at length the whol Hand -was cor-. | fit
! commonly called Cholers but ic were more ficly | rupted (Cand alcogether rendred incurable) bya | if
ll and propetly named a bilious or cholerick blood 5) Gangrene. |
| che which fofoon as it begins co ieedhcxv ge hot,| | if androboyl, it chen excites thiskind of Tumor.| ¢ ‘ ) We
And vaiy Reepoently there is alfo herewithalming-| 7 Chap. 8. Of Bubo: iar But
iy Jed a certain portion of a moft fubtile chin asd in- Bubo likewife appertains unto Inftimima- |} o>
Ait cenfly hoc whey ( the which if thou haft a mind, conte For aBubo (as Galen defines ic, O fyith a 0a and are pleafed co cal 1¢ a bilious & cholerick whey | in his Book of the Difference of Feavers, Cha pis. nots Bie due I wilnot gainfay of oppofe thee ) and then there | and in his fecond to Glauco, Chap. 1.) is-anIn- yt ag is bred an exulcetated “Eryfipelas, yet only fu-| flammation of the Glandules in the Groyns.. For git | ine | » perficially’s hke as oftentimes it is wont co hap | the Glandules being by Natace ordained and Apap. f Dil hie pen in the Face, when there arife and appear lit~ | pointed, that unco chem the fuperfluous Humors™ (4 {0 aaah cle bladders ful of a waterifh humor 5 andthen the | fhould be expelled from che principal parts s ig, [iyo itl | Skarf-skin dlone is affected, and parts affunder. | they (amd cogerher with chem the blood.) fthak. (yi
} Bur if Ceogether wich it) the Skin i felf thal be ichance co be thruft forch.alcogecher. ( and. asic. (js fh exulcerated (which ever and anon.chancerh in| were by heaps) unto che Glandulous pares, shen. |i fi, yi ee ghe Thighs’) chen we may conclude chat aduft bu- | an Inflammation is excited.;~ and this happeng | ale hth) tae mors are therewith mingled; and this kind of | moft an did, and e(pecially in the Groins; and, (9 will! fa ee Eryfipelas is {aid to be, not pure, or if you will \fometimes alfo under the Armepits, andibehind | delor
y\ Hupure. F \che Bars; which laccer Inflammations behind che ° 2 hes, Ma Buc of this Tumor enough hath been fpoken in | Ears ace commonly termed ‘Parotides.
t ae the fecond Book of Feavers, Chap.16.which here | But now, The Humors thac fir up.and pro- The : Bh we judg ic not fir corepeat, in regard that there the | yoke Nature unto che aforefaid expulfion being [9 Govt) Pe Reader may by perufal be fully acquainted wich very various, hence it is chac che differences. ati- - 194 Swell Na what hath been wricten.. I wilonly repeat chis, fing from Bubo. are likewife exceeding various. /qij0
4
| iis ’ i that che ficft rife of chis affect is froma Feaver, | and different. For one while che Humors. are IR eewite
it ut or more plainly, chat che affect is primarily and | faidto be fimply vitious or vitiated, fo thatehey |i gull 1) ee Ya originally a Feaver, For neither doth an “rye | have no malignity conjoyned with chem; .and mot ce ti fipelas Cor Rofa) invade the pare but with a/| from chefe originally proceed. chile Bubo’s thag |i byte | ae | Feaver; which oftentintes aday or «wo before it | are not malignant : but chen again Cogherwhiles.) | Dil 1) ae ole breaks forth is wont exceedingly co afflié and ex- | the matter ismalignant, and thenc Malignane | Gadde: | cruciate tbe fick Perfone But this Feaver is cri- | Byubois produced; andchis again according tov | qe;
cically determined (Cas we wont to exprefs it ) | che variery ofthe malignant matter, is either pe- | ae
and che Patient freed checefrom by means of this| ftijent, or elfe that which we call venereal. Buc | Marsha
Tumor: andthereuponis is, that oftentimes a| in regard that we have already treated of che Pe= | Maui,
pain orfome kind of {welling is perceived in the | ftilent Bwbo in out Book of Feavers, and chagghe bi
Glanddules under the Arm-pits, or elfe in thé | orher which we call Venereal belongs unco the ‘| Dini
Groyns; untilthatar length Nacuce fhall have Tract couchingtche Biench Pox, cheretore we wil | Bax and
driven forth che mater unto fome exrream parc -difcourfe of che Bubo ac large only, and handle ac~| Mu the |
of che Body: for then che Feaver 15° wont to as it isin che general. . baccoun
ceafe, albeit the Tumor is wonc to ftick and cone | CE gerry Betas!
tinue in the part affected, for acertain {pact af- | d dy ‘Ag ( aufes. Wailer
fer. | Now evéry ‘Buabo whartoever bath its original | Btejc)
Touching the Cure, this likewife iscobe obfer- | from a precernatucal effufion of the blood into (om ved ( likeasit hathybeen more at large declares che Glandules inche Groyus, or she Acm-holess | Gia) in the place before alleadged_) chat ic ought tage) che which notwithftanding. bath evermore con= | Hide altogether perfected and compleaced sand we amit } joyned with ic fome certain vitious and corrupE | Wy, ufe che ucmoft of our endeavor, thar che bignor| namor, of what, fort foever it be, chat excitesand | @ (the concreining caufe thereof) may be Chiled ftirsaip Nature gnto #he aforelaid excretion, or as | §
forth and not retained therein 5. figce thac by che| we dfually term tt, expulfion. From) whence | 9, jy, deteining thereof greater evils are wont ca/Be in- | alforheanrectdent, yea and. the external caufes | Hlyi,, troduced and made way for: which may faffici- | ikewife which mzke for. che generation of chag | dhf,,.. ently appear even by cheexampleiff chat Coun- | humor are very various. . Notwithftanding che | Ft 2 try-man (or Peafant_) mentioned by Gulielmus | ftrength of che priricipall paresis for che moft pare | a
Pabricivs, wn his firft Century, Obferv, 82. who | evermore conjoyned therewith; which expel forth | having an Eryfipelas in his lefe Hand Cand by | whatfoever is offenfive and butdenfom. unto | | | the advice of a Barber-Chirurgeon for fome daies | themfelves unto thiele ignoble parts, and to the E- | at Tian | anoynging his Hand and Arm with Oy! of Rofes_) | mundtories. vt
t Wak 3 ty he f rt 0) rh Bur
‘Hieronymus |”
Of 4 Bubo
ou |) * pfieronymus Fabricius ab Aquapendente de-| maturation be not {peedéd, sthere may be greac Neds cermines, that fome kind of Bubo’s have cheir be- | danger 5 in cegard that cy, very: eafily pafs and le | ginning and original only from che ftore of Blood, | degenerate into dangerous Fiftula’s,
bya FI and chat certain of them by che way of expylfion 3. Thofe Bubo's chat are bred or excited”
| arebred from che vitious blood; and that che@ther| under the Arm=-holes are fooner macucated, | Difeafes follow, and are excited ac the time bea chac they ariie from a: hoccer: kind ,.of | Inftant of che Crifis. | blood fuch asischac which the greater Velfels | * Burin very cruch I cannoc think chat a Bubo ; neerpighboring-uncothe Heart doyesecrude and im | may be exciced from the abundance of blood only, | chruft forth 3 Wor agiilich as that parc (by teaq
Wit, |) bur chat ic hath evermore conjoyned vitious hu- | fon of che HeartSvicinicy ) th more than. ordi-
ins. |) mors which provoke Nature co the expulfion, | nary hear,which is alygeether neceflary and requi- ite |) “This notwithftanding is moft true and certain, | fite for maturation, ;
«Ta }) — ghat one while a Bubo doth follow upon another; 4. But Bubo’s chat have their orinalin the dant! Difeafe, and is excited by che Crifis whether per- Groyns are longer ere chey come ro, {upputati-
umony”
fect or impecfedt ; and as {oon again, withour a- jon ;in regard chac they are excited by a blood thac Ms af ’
i, ny other Difeate preceding ic. For although on- 18 Jets bor and chick ; and-likewife, becaufe they are
al Le ly chofe Tumorggvhich follow upon other Difea- {cituate ina place more remoce frogn the heatt and dai) fesmay properly be faid co be caufed by the Cri- , which is but meaaly hor. ae nil} fis, yet notwithftanding even thofe likewife thar! 5. The floweft of chem all in their maturation auf) arate withoucany other Difeafes are excitcd by are chofe Bu ba chac are behind the Ears; upon sad | ~~ ~awature in her expulfion of che depraved and bur- this account, namely chac they proceed from a ibid F =©denfome humors. ;colder Kind of maccerpand have theig celidence ina indthe
; a ; The Signs Diagnoftick: . >| der place
6. What we aterochinkand jug
ge of Peftir
Ipto- The Bubo is known by this, to wie, chai che | lential and Venereal Bubo’s hachiten.alceady ai eng Groyns, or under th@Arme-holes there appears a fhewn imiseown proper places ap: wate | - Swelling or Tumor, wich a certain kind of teni- ; The Cure
iaion | ~ tency or reliftance, with arednefs of color, ‘and a ae a ovate dikewife with pain; and for themoflt parc alfo |. When'a Bubo that neither is Pefiilent hor Ve- atthyp a gencle Feaverc accompanieth it. . And this 1s paetthe excited (‘Nature unburdening her felf of ad moft cercain and fure, 1¢ the fibo happen co be j chat, whatever w be, that is offentive and trons Ne that By the Crifis, thacthena Feaver or fome o her bletome unto ber and expelling ic unto che extere ihils)) ‘Difeafe wenc before, which upon the appearing | nal ignoble pares) Natures operation and endea- lena and breaking forth of the Bubo is leffened and a= | VOr is by no means to be hindred, not the,matter tg ing top bated; andchenthe figns of a good and hopeful be driven back again unto the intecnalparts, And Kye | Grifis preceded 3 the which if fo be they ace ab- | firft of al, we mut duly weigh, whecher Or RO Na- Ruf fenc,chen che Bubo is co be accounted for fympto- | ture bath excited che Bubo by che Crifis(and chat he Pell matical. Andchen truly ifthere appear no figns |a perfect one ) and chat checeupon. the fick Per= hag FP
| then ig is a fingle and fimple Buabo, and not malig- | be prefentand apparent the figns ofa good Crifis syewlt| fant and contagious. But if there be conjoy- | oc judgment; fortheninehis cafe, (according ca ned the figns of che Plague, ‘the Bubo techen to | ‘Hippocrates bis Precepr, Book 1. Aphori{m 20.) | be accounced for malignant and contagious; and | there oughc nothing to begmoved 3 but the whole | evermore Bibo’s are to be fufpected, where che | bufine(sis to be committed to Nature3;,and means | Peftilence invades the Patient. In like manner, | muft be endeavored, that either che Bubo may be | afche fick Pecfon be infected with che French Pox | difcufled, or elfe thac it may moft {peedily-be ma- | (commonly termed likewife che Neopolicane | turated and brought toaripenefs. Butcthen.ifig | Difeafe) the Byzbo is then alfa co be held for | ttuch the Bubo be critical,and thac cheCrifir not~ and efteemed Venereal; Malignant and @nrapi- | withfignding be an imperfect. one, the humor is
at all ofthe Peftilence, or ofthe Mtench Difeafe, | foabe difcharged of the Difeafe, and that there
@
se | We A then yet further to be attra¢ted unto the pare af~ mall = Prognofticks. fected by the application of Gupping-glafles, or ; | | : e | - by Medicaments made of Leavwen, black Soap, old ie 4)» Bubosthac ate noc malignant, arid thofe; Hogs greafe, the Rolin of the Pine Tree, Diachy- i wit} dikewife chat are no@ contagious, are nor in che} Jam with Gums, and fuch like. ; “ . Teaffangerous, fince chat they arerefidentinthe| Agains If chege be a Bubo generated, no other
yp} external parcs, and arecaufed by Nature in-her| Difeafe precedi®p, neither chen (as hath been ee | expelling forch the vitious and‘corrups blood uncoj faid ) is Naruces motion in chedeaft co be impe=. | the weak and ignoble parts;.and efpecially if| ded. Bur yet notwich{tanding che great abun- they bs forchwich fuppurated, and chen. ope- | dance of bloodiscobe leffened by the opening of
~ ned. fee ‘z's _ {a Vein; which yer is foco be inftiguced, char Na- | 2, Burif chey belong delated, and chat their | cucés motiontco the parc affected may Re holpen. Pit : orward
Spi and nan NS Ray SRS URSA SEEDS SASSO i
9448 Book V.
united,
Bock VP GER PR ae ae
forward and furthered, rather than hindered. If} ox Dotbien; and by the Germans PBlutfchever s
alfo (which very: offen chanceth) vicious Hu- |co wit (as Celfus defines 10 in his Afi Book, and mors fhal happen tobeconjoyned cogether with | Chap. 28.) alitcle acuminated of fharp-pointed the blood, they ought co be evacuated. ) {welling cogetber with an Inflammacion and pain ; The remaining pate of the Cure in al chefe Bre- | anthefp bo’s whichare not malignant and contegious is| verted into Pus. .Andit hath its origina! froma tobe ordained and’ ordered like as in oshec In«} chick and vitious blood (as Galen inftru@s us in flammations.» Yet notwithftanding this one | his fifth Book of the compofition of Medicatnents thing is wel to be obferved in the firft places be- | according tothe pactaftedted ) yet nocwithftan- caufe that’ fuch “Digeftives as are adminiftred aing the blood nor fo.burnt and corrupted as ina ought co be of the ftrongerfort, and more forcible | Carbuncle 5 the which Nature fevering {com the than in other Inflammations 5 in regard that che | cedt, expels. and drives i: forth (as offenfive and Glandules are parcs thac are more cold than ordi- | ufelefs) uncothe faperficies of the body. And nary, and more ignoble than the other, and have | thus the Peurgncelus aideth in che Skin} andina not any exquifice fenfes we advife cherefore, char | che Mefhy parts that ace wuder che Skin. Buc a Cataplaim bemade of Barley meal and Lupines there feldom, breaks forsh one alone, buc for the iningled witb Honey. Or, Take the Roots of white Lillies, Méarfb-mal- cher. lows, the wild and fpirting Comcumber, of each | But now of chefe Furunculu’s chere is a cercain one ounce > the Leaves of Pellitory of the Wall, | difference. . For fome of chem are mildap Ager and Parfley Leaves, of each an ounce and half: tie, which only invade and feize upon the Skins boyl them in Wine unto a foftnef, and then brizife | others of chem are malignant, which defcend dee= them well: being ibroughly bruifed and paffed | pec: ox otherwile (as Paulus Aigineta writes in throuch anbair fieve, add of the meal of Lupines | bis. fourch Book, Chap. 23,) of Furuncula’s, tro ounces: Oyl of Camomile and vebtte Lillies, | one fore of chem is benign and hacmlets, .anocher of each a fufficient quantity, and (o makeaC@a- | kind of them milchievous and dangerous. “And taplafin. then it istruly faid co be gentle and dangerlele, 4 che Humor be not digefted ic ought tobe con= | when ic refides only inthe Skin; bus mifchievous vertedinto Pus, and the Bxbo is to be maturated | and deftructive, and not co be cured without greac or ripened’; and chis for che aioft part is che fafeft | difficulcy, whenas its Roots being deeply fixed t courfe. Foruolefs this be done, as I have often) breaks our upon ee Skin. Thele Purnnceltec obferved, after fome fhorcinterval ofcime, anew | are fomtimes likewile faid tobe Sporadich (that Bubo is wont to arife eicher inthe fame or fome } is, fuch as here and there privacely feize upon,and other pars. - Now the very fame Maturatives thac | differently afflidt ehe fick petfon, when chey are wont tobe propounded and pref{cribed in an| come not after an ordinary manner) and fom- nflammation are here cocake place, and co be! times alfochey.are Epidemuick or Univerfal, made ule of, Signs Diagn oftic k. The Pys or filthy corrupt matter being bred, . she Tumor js then co be launced, chat fothe Pus |.. Phe Sigas of aPuruncules ave, a {mai and in- may moft {peedily beevacuated 5 and (che truth confiderabse Inflammation 0 the hilt beginning is) che fection or cutting ought chen to be appoin- thereof, and a Puftule or biifter by degrees and ‘ced and inftitied (in the Groyn) ina tranfverfe | by little and little growing forth, and iti] cending or overthwate nianher sedince that che Tumor be- | towards an acuce and fharp point. (not exceeding ing cleanfed’after this fathion, the skimmay the | che bignefs ofa Pigeons Ege) with aceccain kind more eafily coalefce and come cogether ; becaufe | of pain and rednefs of color, whenas it hach arrived chac whilf the Thigh as ‘bending che Skin’ is | at-ats ftate and perfettion 5 which bappenech much about the eighth, ninth, or (at the furcheft} The Pys being evacuated and emptied forch che vench days and aFurunculus differs from the Ulcer isto be madeclean, flefh to be penera~ | an Inflammationio ref{pect of its imalnefs in di- ced, andat length che Ulcer isto be fhucup with menfion: and then again, the matter which is 1na aCicatrice or Scar as we wife co calic. Phlegmone or Inflammation 4s good blood ; Touching the Cuce of a Peftilencial and French | whereas in a Purunculas sc isttick and vicious ¢ Bubo we have alceady {poken in its own’ proper | and froma Carbuncle 1 differs, in chat the matrer place. ofa Garbuncle is worfe and more.aduft or burnt,-
Chap. 9. Of the Tumor Futiuh: and: chereupon -attains hot unto a {uppuratien 5 whereasa Furunculus may attain unto maturati-
“culus- on, and may be fuppurated. Ifthe Purunculus be Epidemical and Pefti- Here isa cectainkind of Tumor meer of kin} Jential, at 1s chen black acd preen; and there to an Inflammation, which we term Bz} is prefent co accompany it a malignant Feaver, runculus ; but by the Greeks it is named Dothton | together wich other evil fymptoms, . Ps é
|moft pace many of them break forth coge~ J
oy ye
PF fick
We! tatfot
Plus
bic e hve bee hfe cellar
Py nicer
mafkica ot the { and D;
Take In rant Pigs kd an 04 i) On Hi mba (i eat ar
a = = [=toe = r=
Ud dees mites in Cul, horher |} And | el,
Devous. # wigreat. | bxed Gf moult
ad tae eli ets atid tending | ceeding ainknd | yarived ppentid upthelt) | 6 {F000 indie chisiod blood 1 ys10U8* | amatitt e busty | caso} gua
| Plt nd thet
have cheic cendency downwards.
through anbair fieve., then.add of Barley meal,
eA ARN A
_ Chap. ro. Of the Tumor P hyma. mingle and make them intothe form of.a Lint-
The Prognofticks. dail
1.Ina Ferunculus (as Celfus gives us co under=| After it is cleanfed, it is to be filled up with flefh, ftand in his fifth Book, and Chap, 28.), there is | and fhut up with a Cicatrice or {car ; likeas we lictleorno danger at al, yea, evenalchough chere | are wont to.do in ocher Impoftumes.
Chap. 10. Of the Tumor P hyma.
- be no means made ufe of for the cure thereof, For
why it waxeth ripe, and attaiNs unto a macuraci- on of its own accord, and fo breaks forth. But the pain accompanying it caufeth us the rather ro Nio an Inflammation thefe appercains ke- put fitting remedies and medicines’ in practice, wiferhe Lumor Phyma, which (as Galen chat fo the Patient may the more {peedily be freed | acquaines us in his fecond Book to Glauco, Chap. therefrom. 2. Among thefe Tubercles or little Swellings, | Chap. 3.) is a Pumor or Swelling of che Glandu- they of chem are che more hopeful, and leaft to | less which forthwith 1s aupmented, and hafteneth be feared, which bunch forth externally in che} unto a fuppuration. | outward Skin, and ace fharp-pointed, and equal- | The place affected are che Glandules. | ly maturace and wax ripe, and are not hard, nei- The Cai ife ther divided and clefc incwo pacts 5 or fuch as " For fo {aith| . The Caufe or Humor exciting the Phyma is Hippocrases in the fixth of his Epidemicks, and | blood; yecnot that which is pure, but thac which firft Section. is Phlegmatick 5 and chereupon the Inflammation The Cure.
isnot alcogecher fo great and intenfe; and this | kind of Tumor appertains unto the Inflammation We mutt ule our utmoft Skil and endeavor,’ Oedematodes (as we ufually cerm ic) and appeae that fo the matter thac isthe caufe of che Furun- | rech moft an end in Children, feldom in ‘Youths, culus may be moft {peedily turned into Puss for and moft rarely inthofe chat are of fulage. which end and purpofe thoie Medicamencs tha, : ME ; have been already defcribed and propounded in an | Signs Diagno ich. Inflammation are bere likewife very requilice and | cas known by a round Tumor or Swelling, and neceflary. Now cthofe things that converc che) which is much elevated, little or nothingred, and matter inco Pus or putulenc matcer, are, Wheat | almoft void of pain, and ina glandulous ox ker= mafticated and impofed upon the place, Raifons ; nelly pars. of the Sun, Figs bruifed and Jaid upon che pare, | Prognofticks. and Diachylum fimple ot without Gums. Or, : Take of Linfzed meal, pouder of Marfh-mal-|« 1. This kind of Tumor is alcogether free from
‘Tow roots, of each balf an ounce; of dried fat| danger 4 101s likewife inftantly augmented; and
Figs in number four, Raifons of the Sun fto- | for the moft part it is fuppuraced and healed ned anounce: boyl them all, andthe add of | without che help and afliftance of Medica-
frefb or unfalted Butter tooo ounces make there- | ments.
with aCataplaf{m. Or, if che pain bemore vee} 2- The Cure ts more eafily accomplifhed’ in hement and violent, Ghildren ; more difficultly in Youths, and {uct Take Roots of white Lillies one ounce 3 the | asace of ful growth, and perfect age. ; leaves of Mallows and violets, of each a large |’ The Cures ©:
bandful: boyl themto afoftneB, and paf them ( f We mutt endeavor chat ic may be fupptrrated
Wheaten meal, and flour of Linfeed, of each balf | with al poflible {peed. And co chisend, Natuces anounce: the Yelks of two new laid Bges, the | attempt and operation isto be furchered al chac fat of a Cock, and frefo Butter of each one ounce; | may be by maturative Medicaments impofed on and make a Cataplajm. Or, the part; (of which we have already fpoken e= Take Turpentine, the marrove of an Hart, the| nough, where we created of an Inflammation and fat of aCalf; the fat of a Goofe, Wax, frefh But- | a Purunculus :) which yet notwichftanding ia ter, the beft Honey, Oyl of Rofes, of each balf an | this cafe, by reafon of che coldne{s both of the pare ounce; and mingle them for a Cataplajm. | and caufe, ought co be fomwhat more ftrong and This Tumor when it is maturated Cunlefs it| forcible: Wheat chewed and laid on is here very break of ics own accord) is tobe opened: And/| uleful; as lkewile Rasfons of che Sun froned 5 fo foon as it is opened it ought to be clean-| andalto che Diachylum Plaifter,boch che fimples fed. andthat lkewne wich Gums. As, Take the juyce of Sinallage half an ounce: Take pouder of the Roots of Marfb-matlors, Barley meal iwo drams:: ‘Frankincenfe a dram Wheaten meal, ibemeal of Lupines, of each one
| and balf: Turpentine one ouncé: the Yelk of ounce’; of dried fat Figs, fix in number 5 Leaver Feat
qit |
One Ege, Honey of Rofer as much as voil fuffece : balf an ounce: then boy) them, and add therete. | K one
24.49
1, and his third Book of che Method «i Phyfick, ©
a |
2450
“one Onion roaftedin the Embers; Oyl of white)
ee Seen oe
Of Praétical’ Phyfick.
Lillies as much as wil fuffice, and fo make a Ca-| Prognofticks. saplajm. Or, x. That Phygetblon which becomes not more Take Turpentine, the Honey found at the en- hard ‘than ordinary al on a fuddep; and whicts trance of the Bee-bive, of each one ounce; Am- lalbeic ir waxech noc red is yet notwithftanding moniack diffolved in Vinegar half an ounce ; Oy! Cothetwife) of a changed color, this Phygethloz of robite Lillies as much as will fuffice, and make | C1 fay) is of the betcer forc, and there 1 fircle anUnguent. x | For (co tel youthe truch) there are fome chac | Chap. 28. conceivethaca Phyma isnot prefently to becus}| 2. That Panus whicharifeth from an Ulcer, and opened fo foon as it is fuppurated ; but chey | Pain, ftroke, or from any excernal caufe, is alec~ rather are of opinion that an aflay fhould be | gether void of danger. But thac which follows made, that ic may appear whecher or no che upon Feavers (like as itis efpecially wong co fall matter may poflibly be diflipaced and fcatcered by out in a Peftilentia] and contagious feafon) or difcuflives : and therefore Galen in his eighth elfe proceeds from Swellings emher under the Book of che faculry of fimple Medicamenrs com- Atm-pits, or incbe Neck, is che worft. and molt mends Southernwood, Parcietary ( commionly | dangerous {pecies of chis Tumor. And fo Paz-