Book VY.

2452
—
OF Prattical Phyfick.
communicated uaco the Brain, and to its Mem=
branes 5 from. whence an Inflammation of thofe parts, and dotage or madnefs may be ex- cited. 7
5. Thofe Parotides which being bred ac the very inftanc of the Crifis fhal not be fuppurated, bue before ever they ace fuppurated fhal vanith, they wilrecurn, ger growch, and fo become tobe judged of according to the manner, and upon the account oftheirrecurns even as are the recurns of Feavers into che like ciccuir, But there may notwicthftanding be fome kind of hope lefe, ehac fome Impoftumes may arife in the very Joynts themfelves. Thus ‘Hippocrates in the fixth of his Epidem. Commenr. 4. text. 1.
The Cure.
Inthe Cure of che Parotides, we ought in the firft place wel co confider, whether they be critical orfympcomatical; and what kind of Humor ic 1s that they arebred of, and from which they pro- ceed. Ifthe Parot# break forth critically, and fo the difeafe from thenceforth be quite taken a~ way, or a¢ leaft diminifhed; then the whol work as to be committed to Narure ¢ according to the Precepct of Hippocrates in his firft Book, and che gwentieth Aphoriim)} and nothing elfe’ 1s chen'co be done, but only thac chofe things chat mitigace pain(as chey have been already propounded in che Chapter of an Inflammation) be laid thereupon; the which may likewife ac one and the {ame in- ftanc together help forward the fuppuracion. But then i muft notbe forgotten chat in che Pa- rotides, whether they be-critical or fympromati- cal; whether che matter be much or liecles and wherher it be benign or malignant 3 chat however at be, yec Repellers or drivers back have no place atal (as Galen ceacheth usin his third Book of che Compofition of Medicamencs according to the place affected, and fecond Chapter) left chacthe matter be driven back from che mote ignoble part unto that which is more noble, and e{pecially che Brain that lieth fo neer thereunco. Yea moreover, ifthe Tumor break not forch fufficiently, and che humor (that by reafon ofthe difeafe fals and fec- cles ic {elf in the affected parc) benot by the vie got of Nature m a fufficienc abundance thrutt forth; then in chis cafe the gentler fort of Attra- ctives (fuch as are, che Oy] of Camomile, of Flower-de-fuce, of Dili, and of Meliloce) are co bemadeute of, But then the ftronger fore of them are not to be adminiftred buc with an efpecial care ahd caution; left that the pain fhould be encrea- fed, and the Nacutal powers and fttengch deje- ced.
After this we are totake notice, whether or no Nature attempt any retolucion and difcuffion; for which purpofe the isto be affifted and furthe- red by difcuflive Medicaments; or elfe, whecher € which indeed is alwiies tar. more commodious y) it cends toward a fuppuration; and in this caie
eS a
likewife Nacure her felf is co “be aided -and holpen ‘forward by thofe Medicamencs. thac promote concoction and digeftion of the crude matter, Now the Medicamencs:of either forcate before propounded (in Chap. 5.) where we created of an Inflammation, and in the eighth Chapter where we difcourfed concerning Bubo. The fuppuration being made and paft, the Im- poftume is then tobe opened, and (as wehaveal= ready in its proper place declared) {o ro be cured. In the Parotides that are Symptomatical Na-
Parc ‘I. |
es,
cures endeavor (‘where ic fals fhore:): i¢ tobe fure |
thered and promoted ; andthe overgreat»abua- |
dance of the antecedenit.caufe: Cif any fuch thing be prefent_) isto be Jeflened and abaced. For af thac there be prefent either an abundance: ftore of blood, or elfe of vitious and naughty huméis;°we arenoe to fear that bereby Nacure may be averced from, and hindred in ber work of expulfion’s bur rather to expect chas being eafed of fome part of her burden fhe will afterwards the ‘more eafily ex pel that which remains and ought tobe émpcied forth,
If yer notwithftanding (Can evacuation .of the
ancecedent caufe preceding ) fhe be notas: yer ae ble as - the ought fufficiently to expel ; chen the expulfion is to be forwarded and holpen on by the application of Cupping-glaffes, and ocher atcra- ives, And hence ieis, chat eieher a difcuffion of the matter,or ( which indeed we ufually practife, as moft requifice)the converfion chereof isco Pus ox matter 18 €0 be procured by thofe or fuch like Me= dicaments as are propounded in the eighth ‘Chap- ter where we created of che Bubo Tumor. «And yet notwichftanding here in chis cafe the cohdi- tion of the marter is tobe heedfully regarded 5 fo that if it be more than ordinarily cold and thick the Difcufferschat weufe ate co be proportiona= bly hotter aad ftconger 5 and if there be any caufe co fear thar the mateer may be hardened, Emol- hents are likewife co be made ufe of.
After the {oftening of the matter, as aforefaid, (albeit otherwife che matcer tend likewife chere- unto|) a fuppuration is by all means to be promo-
ced and furthered, the Impoftume to be ope- | ned; andas'we have already often declared, in |
chismanner ché Cure is co be effected.
Neither is i¢ to be expedted chae chis Tu- | mor fhould be broken of its own accord, nor are | weto wait tilthen, forafmuchas the Pus being | long reteined 1s oftentimes wontto produce many fadand dangerous fymptoms. And Gulielmus | Fabricius in his fecond Gentury, Obferv. 39. re- | laceth that be had obferved, that ina certain yong | Maiden (while the was afflicted with che Parotis | we arenow {peaking of, and yet nocwithftanding |
was not fo far amifs and illas co cake her bed, bee | 10g all the while free from any Feaver ) much a= bout che fourteenth day of the Difeafe an “Impo- | fiume hikewife co che bignefs of ones fit Bie) |
LKB |
| om
iy orth punt, bath d git and ain Fe
words iy elie ba fed, an vay onhave | d handled io hy fy cers | thas by, | kindof bun } one Wi Ghat via 1 dy 1 egret ] May bec | Nowe
git ein ai i
perl
i the Ge | ord ete bute
i li ath
hip tha
cy awe See ER To a lt errno, renner
Chapi:6. Of a Carbuncle. 2463 forth’; ‘che which faid Inipoftutie beifig'not cime-| are black, and fomtimes black and blewifh or Jy opened, the Girl thereupon was fuddenly fur- | Lead-color’d, or Pale. ° In thefe there feems to prized with a Feaver, Swooning fits, Vomitings, | bea rottennefs and filth; beneath the colour is and Qualms, together wich the lofs of reft and black: the Body it felf is dry, and more bard fleep, and miferably afflicted with a pain in ber | than it ought to be. About the which {aid Gar Back and Reins and albeit che Impoftume was , buncle there is as it werea Crujt, and this #3 [ur- afterward of its own accord broken, ‘yet notwith- | rounded by an Inflammation,neitber can the Skin ftanding in regard that very little 6t ho Pus ac all |in that place be poffibly lift up, but it i asit voere flowed forth, but rather fought its way and paf- (fixed and clofe fafined unto the Flefb underneath
i |
fage downward, it was not long ere it coft her her
lube. Chap. 1 3. Of a (Carbuncle.
A Carbuncle hach very neer alliance with, and )& checupon is by che moft reckonedup and in order placed next after an Inflammation; as a Tu-
tt. The fickPerfon i extream fleepy;and fomtimes there arifeth a certain kind: of borror,. or elfe a Peaver, or both. And this-Eoil creepeth.along, there being drawn out as it were certain roots, fomtimes more fpeedily, and {omtimes more flow- by: and likewije above when it firft proceédeth forth it looketh of a whitifh colour, and then ih-
mot that hathits original from Blood over hor, Stantly it Lecometh.Lead-colouted; and about it
burnt, and cotrupeed, » But now chis fame Tumor ; bath divers Names-or Appellations. By the Greci- ans itistermed Anthrax 5 by che Lacines, Carbo and Car bunculus : Avicencals x Pruna,and le- nis Perficus, oc the Perfian fice. By which feveral
words & names although fome there be who cop- |
ceive that feveral and difference Tumors are figni- fied, and chereby to be:underftood;. and thereup- on have treated of Pruna and Ignis Perficus in peculiar.and diltinét Chapters y and hikewife have handled the Carbuncle:and Anthrax as diftind from chem, and alio as differing each ftom che o- thers yee notwithitandinp the very Truth 15, that by alithofe aforefaid appellacions one only kind of Tumor is figntfieds for chac which with the Greeks is Anthrax wich the Latuies:is Car- buncilus,aCarbuacle, or Fire-coal.) Unlefs any one will. make chisidiftinétion out: of Avicen, that what beginneth withouc puftules and bumi- dicy 1s a Carbuncle or Prana ; bur chat which beginnech with puftules, dnd bladders; and chac likewife bath a moifture flowing our of it, | this
there arife little Pufhes or Vuftules.. And if is bappen to light wponthe part neer the Stomack, and the faws,it then oftentimes fuddenly floppetb | the Breath: thuis fat Celfus. Bucnow Pliny Cin bie | Book 26, Chap. 1. in which he createeh of Dif | eafes chat were new and utknown inall former a= 'ges ) chus writech + It 7s recorded in the Annals | that the Carbuncle ¢ the peculiar Malady of the | Province of Natbone) came firff into kraly, L. Panlus ard Q: Marcius beine Cenfors: of which thé fame yeer too that had been Confuls ‘¢ Fulrus Rufus, and Q: Lecanius Baffus )died ; the former | of them through the unskilfulnes of the Phyfitt- ans being cut; &*ibe latter, bebimfelf baving put | 4‘Needle into the Thumb of bis left Hand vobich being drawn forth the Wound was (o final thatis | was [carcely to be difcerned. ‘Itis bred in the moft occult and bidden parts of the Body, and for the moft partunder the Tongue; tt bath a reddifb hardnejs (like unto the Varix or crooked Vein ) | but blackin the bead of it, & elfewbere blevvifh or
bate | Lead-coloured, dijtending the Body, yet not fivel- yeu) ay be called sgnis Perfacus. ie tLingup, without pain, without itching, witbouk oa | Now chis Swelling is called by thisname, inre- any other fign or token (whereby it may be known)
relat
fechert- pot be opt AC) |
i TH
| f i
“pot a a) | ce atl
gard chac achach overicacertain Cruftinels chat is black dake a Coalsfor which cauferc'is alfo term- ed Prana, becaufethe Flefhisblack, and as 1 were burnt with a Coal';’ and moreover ic is {aid tobea Fine, in regard that che parts are bucnt as by aFire.. But in truth, chac which Gelfys and Pliny: have lefc wriccen. couching a Carbuncle feems yet {carcely in al things to anfwer toa Car- buncle ingeneral, but only co fome-one fpecies theteof 5 and baply unroa kind therof chat is E- pidemical, and foa new Difeate, For Celfus in his fith Book, Chap. 28 thus: writeth: From
then an extraordinary propenfion to fleep; and thofe that bave been (urprixed herewith, it bath taken them away’ in three dates time 3 and fome~ times bringing along vith it a certain borror 5 it hath round about it{mal Puftules, but very fel- dom is there any Feaver attending it; and when it invadeth the Stomack, and the Faws, it {oon killeth. Thus Pliny. Now whofoever fhall’ well, weigh what he hatch written fhalleafily perceive that he here defcribech fome orier Diieafe, or ac the leaft a Diféafe chac hach in it {ome ching pecu- liar and differing from the ordinary Carbuncle;
ee, thofethat befall extrinjecally wemuft nove come | and ending in’a Gangrene and Sphacelus.
A | unto such things as.are internally bred, fome-one| Pliny Exprefly retercech st unto Difeafes new, Pi | part or other of their ‘Bodies beimg corrupted. | and never known before, and wrictech likewife chat mr | Among which there ‘wmone worfe than a Car~| they arife inthe moft hidden parts of the Body, : Th | punele : of this Garbunele there are thefe ‘Notes | and for the moft pare under che Tongue; thac it i band ‘Marks; there isa certain rednefk, and | is without pain, without i€ching, without any c= rf | “pont there fiandandhane out € but not very | chet fympcoms then fleep 5 with which fuch as pl ! farJcertain Pufbes or Puftules sefpectally fuch as | ate furprizedare deprived of life in three daies
i) |
Eide
Sa ee ST I Se
2484 Book V. _
-humois, and efpecially iss occule and malignane
re Sr eR
Of Prattical Phyfick. Part 1.
cime, no {welling atall appearing. Butnow Cel-, Confticusion depraving the humors: and indeed Jus writes, that it fomemes arifech alfo withouca there is hardly any Carbuncle tobe found that ig Feaver, and chac ic befalleth chofe parts thae are alcogether’ void of, and free from malig-
i
about the Scomack and the Jaws: whereas che.or- | nity. dinary and common Carbuncles arife in che out- The Differences.
ward parts of the Body, and have a grievous pain joyned therewithall; they likewile invade the; Yet notwithftanding in regard that this Malig-
Party wich a Feaver, andthe place aftected hath’ niry is tomrimes greacer, and fomtimes Jets, and
likewife accompanying 1c a maniteft Swel-| chat fome Carbuncles invade very many in a Pe= ling. , | dtilenc conftitucion of the Air, and orhers again
te, But that we may again return umco | here and there feiz upon the fick without any Caron fe “\the Carbuncle chat is commonly | fuch peftilent'confticacion of che Air 4 Garbuncles
ie: | known amone Tumors or Swellingss | cheretore are to be diftinguifhed into Peftilenc,
‘ic is aSmelling that bath its original | and nor Peftilent. Moreover fome of themi atife
from a moft fervent and aduft blood tbat corrup= | with a Puftule, or with. fuch Pufhes as are caufed
teth the part. and raiied by the fire, which if they be broken, The (aufes.
there lech underneath ‘within a Crufty Ulcer
| Cand this happeneth if noc alwaies, yet for che The Gonteining Cauie of a Carbuncle ( accor | moft pare ) and fuch as thefe are in {pecial by 4-
ding to the affertion even of Galen himtelt, in his | vicencalled Pruna,.or longs Perficus : Others' of
Book of Tumors, Chap. 6,and in hi: {econd to them arife and appear without Puftuler,
Glauco, Chap. 1. and his 14. of che Me bod of | Signs Diagnoftick.
Phy fick, Chap, 10.) isa blood fervencly bor, and
thick; which € in his Book of black Choler, Chap.|- The Carbuncle: beginnech (as hath been faid) 4,and 5.) he affirmech to be black Cnoler. . To} for che moft parc froma {mal Puftule; bur fome- wit (as we may gather out of hisiecond Book of | cimes ehere is not only one of che preatec’ Puftules the Differences oj Beavers, Chap. 19.) a Gar-| breaking forth, buc likewife many {mal ones, like buncle atijech froma fervent chick Blood, puctre| Millet feeds, rifing and appearing very thick in fying, and degenerating into the Nature of’ che particle 3 which when they are broken, the black Choler, or baving black Choler mingled Ulcer becomerh crufty,tuch as is excited by a red- withit, and for che moft parcacertain malignity | bot Iron. But before thete Puftules break forth conjoyned therewichal, This Swelling alchough | there isa certain itching felc in the parr, and there it may be genetaced in the Body by litle and lie -by chere is one or more Puftules arifing and ap- tle, and by degrees affume chis ill and depraved) pearing: yet notwitbftanding the Carbuncle Nacure; yet nocwithftanding when ic bach gote| fomrimes beginnech without any manner of Pu- tenany degtre of che faid pravity.and malignicy, '-ftule, and a cru‘ty U'cer is exciced, checruftinefs itis then by Nature inftantly and fuddenly driven being one while {omwhat blackith, another while forth trom the interior unto the exterior parts,| having init the relemblance of the color of Afhes ; that isto fay, from che more noble members unto | and chen again ina very fhort {pace after. it grow thofe thac are lefs noble and worrhy. Which like= | ech forch, and becometh like unto Bubo?s, after wile happeneth whea the Blood as infected and ;around acute figure, with an extraordinary great corrupted by reafon of fome external Corrupti-| heat, burning and pain 3 al which are efpecially on; from whence it is, thaca Carbuncle is never excited by che Congeftion or heaping up. ot blood; but.is evermore generated by a defluxion rhac is al ac once made: and thereupon ic is defer- vedly accounted among Inflammactons, ands {aid co be very neer neighbo:ing untoa Phlegmone. or Inflammation. Neither isit. only generaced of black Choler, likeasa Cancer, bur it is bred by aduft and burnt blood, degenerating into black Choler, or elfe having black Choler mingled cher- with.
Now the aforefaid aduft blood is generated from an iliand unwholfom courfe of Diet, and fcom meats of adepraved and vitious quality af- fording and fupplying the whol matter of all the -blood, And chis is ikewife much more promo- ted and furthered by che excernal Confticution of che Air, overheating, burning, and corcupting che
vex the fick party that be can hardly withhold his hands, bue that he muft:be rubbing of the part;
ny of che aforefaid Puftules.
at the heighch an extream greatand burning heat ; ic likewite obrainech a color fomwhat blacker
as if there were fomthing of black choler mingled
infeftech thofe char are furprized wich a Catbun-
wife, avomiting, adejection of the Appetite, a
frequeng
exalperated about che Evenings andthenthey fo
from whichrubbing there afcecward arife very ma-_| The flefichac li- | eth:round about them waxeth hot, and hath init |
chan ts char in.an Eryfipelasand.a Phlepmone, like |
cogether, withthe red. ‘There happen moreover o- |
thec Symptoms befides the former, to wir,a Fea- | 9 ver, which (as Galen alfo seftifieth in his four= | Bij, ceenth Book of the Method of Phyfick, Chap.10.) | iy
cle, more than thofe that are affected with a | Pnlegmone or Eryfipelas a naufeoufnefs like> |
trembling with a pancing and beating of she hear, |
poder
lpn, Pajalignt Pde an Pa ftate, ¢
Peftilen Wdrot Pel be conf Peaiuca Ca joid Pe svc i0 Aner al PCubuncl Pious ina aciethar elowbict Weep blech ar Matuce} an UB nuderace te Carb abiines fo peanittand PM he Pa eous st al euebe Heat oft Fist | Aaleouth Beand th bo aft
i)
Rit and Nm) Ny found Any
l}
| ) { |
=] S re = ie Se ee Sr ee Se — = = > =e =
ifeid) fone | ftules Syke
Wek 1
i, the | yartde | k forth
id there | andap | bundle of Pur | finels. | wile ff Athess ptowe | -ahet. | roreat ey f hey f ) pold i
t pt Ca | chat Ite] aint Hl heat} bt f| oe it ning
Rie | is fF bap) | | Cab B | rl fs | ety | pe bea !
confticution of che Air. For it is hardly poffible
| Of the Air bringeth along with ic, and which is at-
Chap. 13. frequenc faincings and {woundings, dorage 3 all tended with all chofe pernicious fymptoms ; which faid fymptoms do fomuch the more afflict | which if they temic very much of their former in~ and grieve the patty, by how much the matter is | tenfnels and vigor, there is then left remaining the more malignant. fome hope of fafety and recovery 5 bue if from For thece is a certain difference even of thofe | day today they are heightened and become mote Garbuncles themfelves, noc only in regard thac | vehement, there is chen no fafety or hopes of ¢- with the aforefaid aduft blood (which is the con- | {cape to be expected. va junct caufe of che Carbuncle) chere 1s fomeimes o OL this, another while chat humor mingled’; but}. The Pr ognofticks. : moce efpécially, inthat one Carbuncle:is Pefti-| 1. By how much the blacker the Carbuncle ts, lent, and another not Peftilent. For albeit eve-! by fo much che worfe is it, as being {uch as 18 pro- ry Carbuncle be malignant, by reafon of the hot | duced by che moft corrupt blood. | Thenexc un- Matcer, being aduft and pucrefying (which hath | co this is the wan and yellowifh. .Tho(ethat are init a power and quality co corrupt the flefh, and Hefs malignant, and confequently ‘the leis to be
| cannot wel return into any more beniga or better feared, are {uch as have inchem a reddifh color;
nature; neither may ic wel be fuppuraced:) yet |towic, {uch in which che blood hath nor as yes notwithftanding every of chem is not Peftilenc; | altogether loft and changed its Nature, bus thac ig neither hath every of them any adventitious Ma- | hath as yet retained fomwhat of its native heat and lignity, buc fometimes only befides che Native | color.
malignicy of the Carburcle there chanceth like-| 2» Thofe Carbuncles likewife chae are {mal wife another kind of alalignity from the common | ate lefs pernicious than thofe chat are great; and fate, or the contagion ot the Air. Buz now a/fcoma very litcle Puftule they fuddenly acquiré Peftilenc Carbuncle is difcerned from that that is | and get an extraordinary greatnefs.
noc Peftilenc, firft of al by che prefent Peftilenc] 3. And fo ate lkewife thofe thae are alone, jthan fuch as have other Carbuncles conjoyned that a Carbuncle fhould arife at fuch cime asche | with chem. .
{aid Peftilenc Conftitucion is predominanr,; 4. Ofalother thofeare moft deftructive and which inic felf fhould not be Peffilent. More- | deadly, which after they have once begunto wax over al the {ympcoms and figns that appear inche | red doimmediatly vanifa again. For the mate Carbuncle are boch more frequent, and more gric- ter being transferred unto the more inward parts yous ina Peftilenc Carbunele, chan ina Carbun- | often (if noc evermore) proveth deftructive and cle that isnot peftilens. Foreventhe Feaveral-| deadly. ; {o which is adjoyned unto the Carbuncle refem-| 5. There are fome alfo whoconceive that this blech andcarrie:h along wich ic a Peftilent na-) is hkewile throughly to be confidered, to wit, ture; and alchough it feem outwardly co be more | Whether the Peftilenc Carbuncle arife before the moderate and pentle than thac which appeareth in| Feaver, orelie whether orno che Peftilenc Fea- ghe Carbuncle cthac is not Peftilene (yea, tom-| ver going before ic at lengch break forth. Fos times fo chat iccan hardly be perceived) yet hor- | they conceive that the Carbuncle chac breaketh withftanding ac chac very time it che more bur- | forth beforea Peftilenc Feaver is more fafe Cpro- nech che inward parts, and is by far chéemore dan- I vided that no Sympcoms follow thereupon) in gerous: che freth color of che face is changed, the | regard ic is an evidence chat Nature is ftrong, and tongue becomerh black, and is dry 5 che excre- | able to expel the Peftilenc Poyfon before the ments ofthe Belly are liquid and cholerick, the | Feaver, ere ever 1¢ can feize and furprize che appecite is dejected ; there is likewife prefent a|heart. And (onthe other fide) chat to be more natifeoufneis, and a vomiting of the moft offer.= dangerous which at length breaketh forth after a five and the worft humors; a difficulcy of brea-| Peftilent Feaver, fora{much as (che Heare being thing, aftinking breath; and chere is alfo much | {eized upen) ic hath ics original from che poyfon {wear, and this 1s eicher fomwhat hor, orelfe(as| and the corrupt humors now diffufing themfelves wetermit) acold{weat. The fleep is fomtimes| incoal partsotthebody. . very found, and fomeimes watchings infeft che} 6. Ihe place alfo manifefteth when the dan- fick parcy ; dotings alfo accompany the fame, as | ger is more ot lefsto be feared, For thofe are likewite faintings and (wooning fits, And here- | evermore accounted evil and pernicious chat ftick
tt}| Upon it ischac there is more danger threatned by | faft inthe Emunctories, ahd neer unto the Noble
one Carbuncle, than there is by another. For|and Principal Members. But here moft efpecial= although every Carbuncle be nor pernicious; yet | ly che ftrengch and natural powers are to be repar-
norwichftanding (as Galei teftifieth in the 3. of | ded; and we are wel co confider whether they be
his Epidem. Comment. 3. tit. 2.) the moft per- | ficong, or elfeSucweak. -Forcharftrength that hicious of al ische Peftilenr, ox chat which befides | is but weak and langinfiing may be foon over- itsown proper and particular malignity Hath al= | poweredand vanquifhed aven by a {ma} Difeafe. fo adjoyned with ic that which the conffirution | Whereas (om the contrary) cthae that is more vi- gorous oftemtimed orercomerb and maRerceh ae He
Of a Carbuncle.” ca lank 2A
y Se
OI SE — ros ~ >
ota
ty e/ , 7 4. f re ete A A ATO wpe tl Ht at eth rh lS) =e ee ne
2456 Book VY. Of Practical P hy fick. Pare I. ¥ that difeafechag in ic felf is ftrong and power- touching the evacuation of the blood, & touching ‘ ul. Revulfion, and Derivation, in che Cure of an In- | A
The Indications. flammation. This only is here to be obferved, a
chat we muft beware, left chac whilft we evacuate | It!
The Indications in a Peftilent Carbuncle are | che blood,wedo not lead and draw che fame either | i different from chofe in a Carbuncle nor peftilent. | unto any noble Member, or elfe through any no- | mit In a Peftilene. Garbo or Carbuncle che fervent | ble Member, leftcthac thefaidMember fhould be (adit! heat of the blood is wholly al che body overco be | affected with its malignity. Yi reftrained; and withal, the Heart at che fame And therefore we fay chac chat Vein is cobe o- | fu time is to be fortified againft chat malignity, | pened, by means whereof the blood may rather |g iW!
which (as we havefaid) is here very feldomab-|be drawn toward’ the parc affeéted chan drawn (guilt fenr. The reft.of che Cure isto be directed unto | back from it. Wheretore if the Carbuncle thal (jaw the Carbuncle ic felf. Buc now in a Peftilent | be about the Head, orche Arm-holes, or in che |gfute Carbuncle chere is a more poy{fonouis and peftilenc Breaft, cheneereft Vein in che Arm of che fame post quality appeating chan inthe fervent heat of che | fide isthen robe opened. Bur if icbe below the | fal blood; yecneither is this tobe fleighted or neg- | Liver, thenche Ankle Vein, or the Ham Vein of | Atte lected. the fame fide. And this Phiebotomy oughtrobe. (Mails The Cure.
put in praétice inftantly, and in che very begin- py cus ning, before the Feaver pet ftrength, and the Na [Myio0i
And therefore ( as to what belongeth unto the | cural vigor be too much dejected. py peat 10 ‘Gute of a Carbuncle) there are two chings chat} But now in tegard chac by chis blood-leccing jj Neils we are e{pecially co regard and have an eye unco; | the naughty corrupt humors can {carcely beeva~ (mali the Antecedent Caufe, or che fervent and corrupt | Cuated, therefore fome conceive chat there is need te iti blood that isin che whol body; and the Con- | of purgation, by which che (aid depraved humors. [Maw junc Caufe, or that fame Humor that now exci may be evacuated, left otherwife che Nativeheac |Mdainif ceth che Carbuncle, A convenient Dies there-| fhould be {uffocated and extinguifhed by chem; [Many fore being ordained, and a moderation obferved| andthat Nature may afterward che more rightly | lear
Snchole things we cal noc natural, che excream | moderate the expulfion; andchat {othe parcafe [Wisin fervent heat of che blood is by opening a Vein to| fected may not be corrupted by che great abun= [Milt betakenaway. And yér this Venelection is not| dance of che Humor flowing thereto, Biccing
tafhly tobe made ufe of ina} manner of Carbun=| Butchen we ought co be extraordinary careful, {MF aaligna cles; but ifir hath any place at al, it is moft| left that by the purging Medicamenc, the Humor /Mjp inty chiefly in chat that is not peftilenrs touching | chat Nature endeavorech to chruft forth unto the
WB comrupe which likewife chat affection of Galen (in his! excernal pasts be drawn unto the internal: and | ie fourteenth Book of the Method of Phyfick) and| this is moft of al tobe feared in a peftilent Gar- | Gare ate
of other Auehors (who conceive that the blood is|buncle. We conceive indeed that it may more [Mh wit to be drawn forth even until the fick perfon faint | fafely be ordained and appointed in'a Carbuncle Mi pjeiey and {woon) isto be underftood. Bur ina pefti- | chac is not malignant. Buc when a Feaver is /udfogo lene Carbuncle nothing is rafhly to be attempted, | therewith joyned (and chat an acuce one) thecru- | chaé may weaken and deject che Nacural powers, dity of che matter chen for the moft pare forbids |f (of which there ought to be the moft {pecial re-| it; andto Speak truthschere is hardly a Carbuncle | patd had ih the plague, and in peftilent Feavers) | to be found in which there is not fomebing of ma- |i amonpft the which Venelection unto fainting and | lignity; apd therefore che malignant maatter is _ {wounding is not the laft Cbut rather che firft_) | with more fafecy chruft forth unto che fuperficies which together with the Spirits evacuateth that | of the body by thofe Medicaments we term Alexi- humor that is moft agreeable and friend)y co Na~ | pharmaca, then drawn to the more inward pacts: | ture, andeven that moft excellent and precious | by Medicaments chac purge. ! Treafury of the life. : Nay indeed moreover, even | That fervent heat alfo of the aduft blood is co fomtimes when. the peftilent Carbuncle is juft | bealtereds and che maligniry co be oppofed by then breaking forth, we cannot fafely enough in=| convenient Medicaments,.as the juyce of Citron, ftitute and ordain Phlebotomy. For whereas’ of Pomegranates, Sorrel, Borcage, Buglofs, Water | the Carbuncle fomrimes breaketh forth, not in- Germander, Succory, and the jike 5. with which Rantly upon che very firft invafion of the Plague, | (ina peftilenc Carbuncle) other Alexipharmaca and peftilential Feavers, kur often afterward on may alio be fitly mingled. As, the fourth daies (or haply on fome other daies)} Lake Conjerve of Sorre}, Borrage, Buglofr, of the Natural powers-wil not then bear che faid Ve- | each one ounce and half, the {pecies of Diamar- nefection, in regard that they are now dejected | garit. frigid. Confettion of Hyacynth, Elett.de by che difeafe, and have therefore entered the | Gem. of eachbalf a dram; of candied Citren. | Lifts, & are now conflicting wich che faid difeate. |rind fix drams the candied roots of Scorgonera. | 4 But now whac Veins ate co be opened, fufficiencly | Cor Vipers Grafs) half an ounce 3 vith the juyce | |... appearech from chat which we have fpoken above, | of Citron make an Blettuary. !
say ire isa m0 in Bethe Nand ldkjed
Uno | 4,
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lek | ‘aly | eg H atte | tthe | hy No» uid be |
Oe» | Tather | deawyy, | le thal | the | Ne fame | owthe | Feinof | tobe | bein, | he Nye |
leting De evgs speed F wus heat | thems F ily | paltale f
tabune Bh
aclu, Humor i neo the |: and B r Care pore uncle Fe ver ne Che | orbids buncle fi} me Be ter Be echt | Alene d pats ]
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a
a
Of a Carbunele.
Unto which (ina Peftilent Carbuncle) we
Chap. 13.
may add Bole-armenick, Terra Sigillata or feal- ed Earth, Harts born, Bezoarftone, and the like. Very many there be thac ina Carbuncle do much commend Scabious, and they conceive chat ic ne- wer ought co be paffed by; and they write, char either the Juyce, or che Water, or the Decodtion
thereof, isof fingular ufe and benefic in a Car-
buncle. : ~ Je wil not likewife be amifs to fence and guard
che Heace with Topicks, by Epichems Char are o- | isnc cherwife known, applied co the Region of che | che Carbuncle wich fuch a guard :
Se
Buc now chis faid Medicamenc chat we have | mentioned, or fuch like, is not co be impoled and [laid upon the very Carbuncle ic felf, bur only | neec aboutit, fome chree fingers diftance from its | For by this means the malignanc matcer ic felf is inof driven back, but only the extream heat and | pain is mitigated, che flux of macter is fomwhac | recardeds and hereby is prevented the retreating | back again of che macter unto che more inward } pacts. But yet neither muft chis be pafled over 1n filence, chat i¢ ts not evermore requilite co fence buc notwith-
Heart and the Pulfes; thac fo by all manner of | ftanding, this forthe moft part is neceflary, co
means the Heare may be preferved fafe and found
from al) che malignicy. Afterward ( as for what concerns the conjunc
caufe, or che Tumor it felf) the way and means of cuting a Carbuncle is nor alcogecher the fame
as in other Inflammations, unlels haply there ap- |
pear co be in ic very little of an offenfive quality. Neicher muft we make.ufe of Repellers ( but the malignane and poyfonous matter is rather co be attraéted from che more inward unto the external parcs) walels perhaps they may be adminiftred. for che mitigating of che vehe- mency of the pains touching which more hereafcer. And therefore fo {oon as Vene- feétion hath been adminiftred, the pace affected is forthwith to be tcarified, and chac likewafe with lancings that go deep enough, that fo the corcups, malignant, and poyionous blood (which unlets ic be inftancly emptied forth of che pact affected corrupcech the pacts neer adjoyning) may be quice drawn forth. Immediately upon this che pace affected is co be cleanfed and chioughly wa- fhed with warm falc water, or with forme other convenient liquor, left chat che blood fhouldclod, and fo grow together inthe part, Now if che cor- rupt blood feear not as yet to be fufliciently eva- cuaced. the {cacifications ought chen co be repca- ted. Weare likewfe allowed (when the place is {carified ) co apply thereto Cupping-glaifes ox Leeches. Yet nocwithftanding if with great via- lence che humor flow unto the part, chen Atrra- étives may not fafely enough be adminiftred,fince there iscaule co fear, left char che matter flowing thereto in great abundance, the pain fhould be made the more vebement ; which may (pollibly ) excite and caufe watchings, augment the Feaver, anddeje@ the Natural vigor s. but rather, if che matter flow thereunco over haftily, and with too great force, we are then comake ufe of thofe.Me- dicamencs which by moderate reprefling and dri- ving back may likewife digeft, And fuchis the following Cataplaim: |
Take Arnoglof (we commonly term ie Lambs- tongue, or Way-bread ) Lentiles, Bread that 1 neither vobolly purged from its bran, neither yet
| | fuch ais altogether branny, of all thefe a like pro- . |
|
portion, let them boyl in Waser or Wine, and fo
make a,Cataplafm: whichisto be applied twice | or chrice every day.
Iwic, That chat parc which hach 2 neer relation with a noble Member fhould be wel guarded ; for- afmuch as icisno way burcful (bus indeed profi-
| cable) chat fome of the matter fhould be derived
| and evaporated unto che other ignoble pacts.
| Moreover, che place being {carified, chere are
not to beapplied chofe Medicaments thac other=
| wife are wont Cobe laidon (inregard. thac they | promote and further the Pus or purulenc matcer, land by chismeans may encreafe the putrefaction and rortennefs 5. fince chat a Carbuncle in putre« ' fy ing evermore creepeth and {preadeth fo that ve~ icy often a Mortification chanceth unto fuch paress buc rather thofe Medicaments rhat are drying, and | fuch as refift putrefaction. For which end and | pucpofe we may adminifter che Paftils, or Po- | manders, of Andro, Muja, Polyidas and Pafio; | which are to be diffolved firft of alin Wine, aad then alfo. afterward in Vinegar; couching which
fee Galen in bis Compofition of, Medicaments 13
genecal, che fitth Book, Chap. rs,and12. -They
commonly likewile make ufe of the Agype tiack Unguent. There may alfo be made a Cas caplafm of the Meal of che Pulle Orobus: with
Oxymel. Morfus Diabolt or Devile-bir » is
likewife very much commended; if whileit is yee
green and wel brunfed it be laidon; orelfe boy~ led in Wine anddrunk. There be many likes wife that here make ufe of chofe chings that are experimentally found to be helpful by che prox priecy of their fubftance; among which Scabious: is e{pecially commended, as alfo Morfus Diabolz or Devilsbit 3 they take (to wit) the Scabious whileft iz is green, and bruife it wel, amd then: they add chereto che Welk of an Ege, Hogs greafe chacis old, and a luctle Sale 5 and becewith chey. make a Gataplafm; which is oftenco herenewed.:
Some likewite cakeche Herb Comfry forthe fame
ufe, and wich it chey prepare and make fisch a Me=
dicamentc as this chac followerh : 8
Take of the Fuyce of the greater Symppytum
Cor great Comfrey) Scabious, Cranes: bill ( or.
Doves-foot.) of each one. ounce: of Barley
Meal two ounces and an balf, and mingle them
for 2 Cataplafm. =
, Ochers there are who (if there be prefent an ex- tream heat and pain) commendthis, Viz. 1° :, Take Plantane Leawes, and Sorrel Leaves, L 6)
of each two handfuls, boy! them to a foftnefs;| feéts in the which there is otherwife fo shen let them be bruifeds mben they are throughb- ly bruifed, addtothem the Yelks of four Begs, Treacle two drams, Barley meal a fufficient pro-
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