Part IT.

moft ftrong and forcible Abfterfive ; upon which the ulcer again appeareth corcoded and fordid, che fleth that is diffolved and (as it were) melted by che Medicament, defiling and fouling the fame; for the colliquated or diffolved fleth degenecateth intoa filthy and noyfom Sanies. And chere ic behoveth us carefully and diligently to confider, whether or noche ulcer (rhe flefh lying under ic being eacen through and diffolved) be not become fordid and foul, becaufe chat when it required a Medicamenc aptand fitcotake away its filch and naftinefs, chere was yet neverrhelefs no fuch Medi- cament applied and laidon. But now, whenthe ulcer ts rendered more fordid and filthy by che acrimony of the Medicament, this is evidently ma- nifefted by che Cavity chat is made in the ulcer, which wil be the greacer ; as likewife the orifice thereof wi] beche more red and hot. Aad chen again in the nexc place, we ought carefully co con- fider, whether the confticucion of che body be foft and moift, orelfe dry : for unto the fofe che more mild, but untothe dryer bodies the more cron and prevalent Medicaments aré co be ape plied, |
But the Epuloticks are chen to be made ufe of (as Galen wftrudteth us, in bis shirceenth Book of the Mechod of Phyfick, and Chap. 5) when the ulcer is nor alcogecher filled up with flefh, bue that chere is yeca Jictle cherceof wanting. For. in
tegard chat Nature is never idle, but chat even |
likewife then when ic beginneth co produce the Cicacrice, the flefh likewife wichal ac the fame time receiveth yec fome further increment and growch ; afthen atthe laft Epuloticks fhould be adminiftced when cheulcer as already alcogecher filled up wich fleth, we might wel fear, Jeft chac before ever che Cicatrice thould be compleated and fully finifhed, in che interim che flefh thould receive yet a further groweh and encreafe, and fo che Cicatrice fhould thereby be raifed che highere For in regard chat the Skin isa Nervous fubftance, ic cannot therefore be fo generated anew as the flefh, but in place and ftead thereof there is fom- ching generated that is like unto the skin, and this we cal a Cicatrice.
This is likewife co be taken notice of, That Epulotick Medicaments ought to be endued (both atually and potencially)) with a drying faculcy 5
and that therefore (for the producing and caufing |
the-Cicatrice ) Emplafters are moft fitly and commodioufly adminiftred and applied,
Gabriel Fallopius in his Book of Ulcers, Chap. 13. propourplech this Unguent, which he cecmech de Tutia “Magiftrale; and he there wri- tech, chat of alcbart he had ever feen this is abfo-= lucely che belt. Viz.
Take Oyl of Rofes, and Oyl Ompbacine, of |
each fix ounces; Oyl of Myrtle, and the Un- guent Populeony of each tbree ounces 3 Plantane Leaves, and Garden Nightfbade, of each two bandfuls. Let the Herbs.be cut very fmal, an
et
inte 7) bout }
An
| 1 Tike
alt f il
a Sean ay ain dra bf This
ful th land that | Take lar D
bn, fe
Sugar of |
Fin fic
| Cha
AN tloer We Dis At
* Naty nCure mers | mecan! ig ne)
Which ti Melted Lanes Catch BI itre tt (| Mider, | idee ig kone ) Med af] khan \ Medi Denthe | by the jf Iya | ler, | Otifice | d then jf t0cone ff ody be
it the J More |
' |
be if. |
| ule of iBook | When | Ah, but Fot in at even | ce the re fame | nt and. | ould be} gether | ft that
ileated
fhould and {0 highere | france, ray the Bi is {ole andthis
f That | d (both aculy sf cauling | ly and |
(lcerty’ ich be i ace Wile i sablor
) | Without matters
ns gk Of a lllder Gabe Diplenper
ra
eight daies, {baking and ftirring them wel toge- ther every of thofedaies. Then ferain them, and go the training add, of Wax four ounces 3 min- gle it with the ref upon the fire, until tbat they be al melted: after this mingle them better with a Wooden Spatter, and while it is yet blood. voarm, add of the Litharge of Gold or Silver fix ouncess ‘Cerufs two ounces , Tutty prepared two drams , burnt Lead fix drams , Brafs burnt unto.a red- nefs three drams , Campbire one dram and balf: ftir them wel about in a Mortar, by the {pace of two bours. An Epulotick Pouder.
Take the Roots of Tormentil, Biftort, Round Arviftolocby, Acorn Cups, Egg-fbels burnt, Prankincenfe, Dragons blood, of each balf an ounce; Lapis Calaminarés one dram, Litbarge two drams , and make a Pouder.
This following Emplafter is ikewife very ufe- ful; the which [ have oftentimes made crial of, and thac with very good fuccefs. Viz.
Take of the Unguent Diapompbolyx, the Em- plafter Diapalma, and the Emplaftrum Gryfe- um, of each one ounces Gum Elem two drams , Sugar of Saturn one fcruple, Wax as much as wil fuffice, andmake an Emplafter.
Chap. 3. Of an Ulcer with 4 Di- ftempet.
Ucic many cimes fo happenech, that the ulcer is noc folitary andalone, and pure, bur
I ice ipniced decanter forthe fotcdoh tee we kal (peak nthe tallogag Chapeeen Hel
therefore in chis Chapter wefhal treat only of a Diftemper wichout matcer.
The (aujes.
Now fucha Diftemper as this, either it was pre- fent before the rife and appearance of the ulcer;
or elfe it was excited even in che very timate Of the
ulceration. But for the Caufes of thefe Di- ftempers, what chey are, we have likewife told youin che place before alleadged.. Which that we may apply unto ulcers, a hoc diftemper in ul- cers is excited by a hoc Air; by too many Swath bands and bindings, and by Medicaments that dre overhot. Andon che contrary, a cold diftemper is caufed by the cold Air, from the not fufficiéhtly fencing and guarding the ulcer wich Swachbands and watm Rowlers apainft the coldnels and inju- ries of theexcernal Air; as likewife ic is exciced by cold Medicaments. The moifti diftemper 1s produced by che moift Ambient Air (and hence i¢ is chat in fome places che Air is greatly burcful unto ulcers) and by che afflux of humors 3 cou- ching which more in che Chapter following. A dry diftemper iscaufed by a dry Air, by Medica- ments that aré over drying, and by the want or {carcity of Aliment. Of Compound Diftem- pers the Caufés are likewifé.compound.
Signs Diagnoftick. The figns of ahot Diftemper are, that heating
Caufes went before 5 and alfo; that’not only the Lips, bur éven che very fleth ic felf of thie alcer ap=
thac other preternatural Affects are conjoyned | peacech more red chan ufuals and the fick perfon
therewith; whereupon aifo che Cure is varied. And therefore we intend in the next place to creat
of chefe ulcers in {pecial.
And ficft of al, there.is indeed An ulcer \ oftentimes a diftemper conjoyned hea | with an ulcer; which when it happe- hy neth the Cure of the ulcer is chen muchhindered. Forin regard chat
the Nature of the pare is the Efficient caule of the Cure of the ulcer, and chat the blood isthe
himfelf perceiveth a great heat in cheulcer, which for the moft part a pain followech: Cold Medi- caments being chereuncoapplied do exceedingly refcefh and delight, and witha! do greatly benefic the Patient; and on che contrary hoc Medica- ments are greatly hurtful; che excrements of the ulcec are fharp and biting.
A cold diftemper cooling Caufes went before it; in 1¢ che Lips of che ulcer decline unto a whicenels, or untoa wan leaden color, and they
Mmatcer': if che.pare be intemperate, neither of | are fofe 3 and hot things are helpful and apreeable
thefe can be inchat right cemper chat they ought tobe, neither canche ulcer be filled up wich flefh, nor clofed: witha Cicatrice, unlefs the flefh lying
| underneath ic bein its natural cemper 5 as Galen
telsus in hischied: Book of che Method of Phyfick, Chap. 8.
Buc whac che differences of the Diftempers are, we have already acquainted you in che fecond Book of our Infticutions, Pace 1. Chap. 3. which
| here alfo have cheir place; and'chere may concur _ together wich the ulcera diftemper chat is hot, or
cold, moift, or dey 5. aidiftemper hot and moift ;
§ hocanddry ; ot cold'and moift, cold and dry: | andindeed the diftemper may be either with ot
Buy of che diftemper with mat- |
untothe ulcer, butcold Medicaments are on che contrary vety hureful, Ifthe Diftemper be mioift then moiftening Gaufes had chet precedence, che flefh is foft, and appeareth lank and flaggy, and fomtimes it groweth forth overmuch; the excre- ments of the ulcer are many 5 fuch chings as are drying do’ benefice, and chofe Medicaments thae moiften do greatly bute.
And laftly, A dry diftemper is known by chis, Thas drying Gaufes wens before, che Lips of che ulcer appear dry, and {quallid,and hard’; the ex- crements of che ulcer are but few, or none ae al. Moifteners are proficable 5 but dryinp Medica- mentscaufé much burt unto che fick perfon,
“5
Prognattichs.
Mi. Stlsaestatlae i as e aie th a api ee SS we one —
SR ce es
ORK 4 Book V.
is ~ Prognofticks.
a. Whereas (as Galen cels us in his fourth Book of the Method of Phyfick, Chap. 1.) for the healing and curing of ulcers ‘the flefh chac Jieth underneath them oughe-to be alcogether cempe- rate, therefore ic is thac chefe uicers become hard= ly curable by reafon of che diftemper in the part lying next under it.
2+ Ulcers with a diftemper either hot, or cold, or moift, arecured without any great difficulcy. Bor with one and che fame pains, and ac the fame time, and withthe very fame Medicaments we may both remove the diftemper, and cure the ulcer.
3. But chofe ulcers that are attended witha dry diftemper, are che hardeft of al cobe cured; be-
Of Prattical Phyfick.
~ Pare Ti
fore thofe Medicaments are ufeful and proper that
are made of the fJuyce and Water of Rofes, of jj
Plancane, Endive, Vinegar, Saunders, Bole-ar=
menick, Nightfhade, burnt Lead, Cadmia, Sugar |
of Saturn, Oyl of Rofes, Turpentine, Planeane Water ofcenwafhed. Orcelfelecthere be admi=
niftred, che Unguenc of Rofes, the cooling Us-
guencof Galen, the Unguenc of Ceruls, of Nighce fhade, the Santaline Unguent, and the white Unguent. As for inftance :
Take Oyl of Rofes, Turpentine, Rofe reater, | or Plawtane voater often veafhed, of each one \q, ounce, arly mealas much as wil fuffices and |
make a Liniment. Or,
Take Lead burnt, and Pompholyx (both of
|them wafbed ) of each one dram and balf, Oy! of Rofes, and Violets,of each one ounce and half;
caufe that che cure of che ulcer being for a while | Wax a fufficient quantity ; make berewith an neplected and laid afide, ic behovech the Phyfitian | Ungzent.
to be alcogether incent and bufied in che removal of the diftemper.
The Cure.
A Diftemper fhewerh that the alteration oughe to be by che concraries. Yet neverthelefs the Cure ought fo co be ordained, thacche ulcer (as fac forth as may be) may not be neglected. If yet neverchelefs we cannot be helpful unco both of them at once, and together, then in chis cafe ic behovech us co be. moft incent about chat chat is moft urgent.Bue fince thar the diftemper hath in ic the nature of a caufe, and chat it being prefenct the ulcer cannot be cured 5 the diftemper is cherefore firft of al co be removed, unlefs ic be fo chat with one labor and pains both the diftemper may be re~ moved, and theulcer cured. If the diftemper be with maccer, there wil then likewife be need of u- niverfals; of which we fhal {peak furchec in che follawing Chapter.
| Buc as for the diftemper chat ts Tbe Cwre | without any matter atal (of which of'ebot di- |) we creat here in this Chapter) and ftemper. i hae eee ae withalhor, this hot diftemper indi- | cateth and pointech at coaling Reme- dies, which ought co be milder, or ftronger, ac- cording unto the excefs of the bear. And albeit the ulcer requireth drying Medicaments, yet ne vecchelefs inrepard that che very heat 1 felf by confuming the humors doth render the ulcer more dry, we muft therefore make ufe of the milder and gentler fore of dryers: but yee notwithftanding thefe oughe wichal co be fuch as are likewafe endued with an aftringenc power ; chat fo the flux (which the heat 1s wont eafily to excite) may be inhibied and ceftrained. Moreover, fince chat the heat is wont to produce pain, let the Medicaments therefate be {uch as have in them @ power withal of mitigating pain, or ac leaft fuch as are alcogether free from any fuch faculey of exciting pain 3 and therefore lec chem be {uch as Want the drying and abfterfive power. Where-
¢
The Cooling Medicaments may not only beim= | pofed upon the very Ulcer ic felf, bue likewife |]
upon the parts that lie nigh unto ic, and round aboucit. And cherefore we may not only anoyne
thofe parts withthe aforefaid Unguents, but we |] may likewife impofe che faid Unguents upon |
chem with a Swach- band chat hach been firlt wee
in the Juyce of Plantane, Lectice, or Nightfhade, or the Decoction made of Myrtles,of Pomegranate | 9 rindes, Pomegranate flowers, Saunders, Plan- |
rane, Bolearmenick, and the like, adding unto the
Decoction a fufficient quantity of fharp and fowc |
W ine.
The hoc Diftemper being removed, the Ulcer | (as it is wont to be done ) is co be cured with Sar- |
cocicks ;- which yec notwithftanding ought to be lefs hot and dry, left chac che hor diftemper be cal- led back again.
The Cold Diftemper of the Ul- cer requirech heating Remedies ; fuch as are che Oy] of Sc. Johns wort, Oy] of Spiknard, of che Flo- |
cold diftemper.
werdeluce, of Camomile, of Rue, of Dill, the Si- |
cup and Honey of Rofes, Rofinofcthe Fic Tree, ofthe Larch Tree, the Spirit of Wine, che Cerote of Becony. And indeed Linimencs and Unguents made out of thefe are impofed upon the Ulcer ic
felf. But excernally, and upon the neer adjoyn= | ing parts chere are co be impofed Fomentations, || made and prepared (cogether with a ftrong and ge- | necous Wine) of che Decoction of Sage, Hyfop, | Wormwood, Organy, Rue, Mints, Bay Leaves, | and Camomile flowers5 orelfe lec the {aid parce | be anoynted al over wich chofe hor Remedieseven | now mentioned ; or el{e lec the Cerore of Becony
be Jaid thereon.
A dey Diftemper requireth | moyfteners. And here water a lice | tle warm ts of good ufe, if with ic che Ulcer, or rather the parts neer
The Cure of a dry Diftemper
unco the ulcer, be befprinkled or fomented. For | albeig Hippocrates in his Book of ulcers ceacheth |
us,
The Cure of a |
ype jieSpum is, che eats Out aid httin, i be aif jppuca te | publy a Wa ta ae 4m (the i Remed ily and
\ 4]
nh | MA s| |
unto od {owe |
Uke pth Sar- h co be
thecal
Core of b diemper
stheSie | it Tiet, e Cero Jnguent ler i adjoytr | tations, gand ge fi i | Leaves Fe id att es cV0 ¢ Beco iS v| i | pifin: Wy
(Fe
rec 9
My
a
Chap. 3. us, thac we ought notco moiften univerfal ulcers, / the manner and meafure of chis bumectarion or unlefs.ic be wich Wine ; and further addeth, chac | moiftening, lec 1 be uncial che parc begin to be Istt= whac isdry cometh neer uncothat thac is found, | ed up, and to appear very red, and no longer 5 for and that chacis moift cometh not nigh unco 13; we muft chen detift from any further wathwe and and alchough Galen in his chird Book of the Me=)befprinkling it. Por if we continue chus doing any
ne ee ne Srna
on nto ee,
Of an Ulcer with a Diftemper. 2555
thod of Phyfick, and Chap. 4. and in his ficft
Book of the Compofic. of Medicaments according | rothe kinds, and Chap. 6. weritech, chat no moi- |
longer, chen chat chat bach been attracted wil be diflipaced. Now as for che manner how this warm Warer isto be applied unto the parr, ic is three-
ftening Medicament is fic and convenient ia the| fold; and it is performed either by fomentation, Cure of ulcers, and leaft of all Wacer: yet ne-| or pouring iton,or by bathing thereins, The Ko- verthelefs, thefe chings are alzogether to be under- | mentation is performed witha Spunge,' a Cloch, ftood of an ulcer, asan ulcer 5 for che which Moi-: Hurds, or Cotton: and this Fomentation isthe fteners are no waies uleful and propere Bue if | moft commodious and convenient way of moitte- there be conjoyned wich the ulcer a dry Diftem- | ning the parc affected. As for pouringthe warm per chat hinderech the Cure chereof, then ( the} Water thereon, or bathing in it, we conceive Cure of che ulcer being as it were left for a while ) | nocthac itisany way fo fic and proper. Andic wil we oughtto apply Remedies unco the dry Di- | be yec far bercer, if the parc be tomenced with Oy] ftemper, uncil fuch time chat we find thatthe} and Warer together blood-warm, rather thea pare affected hath recovered as priftine due reme | with Water alone, efpecially in che Wincer time, er. |For although warm Water may. beat the pace And Jaftly, a Moift Diftemper [ The cure of; with am actual warmchs yet neverchele{s, atcer fheweth us chac drying Remedies | 4 0 Di | the fomentacionis paft, ic cooleth che parc, and muft be made ule of. And becaufe | per. withal fcaccereththe heat; whichis prevented by thacan ulcer doch ocherwife require ! mingling Oy! therewith, for by chis means the drying Medicaments, therefore the Sarcoticks thac| Pores of the Skin are obftru¢ted, After the fo-= we here make ule of ought co be ftronger chan in| mentation, lec fome Cataplafm chat hathinica afimple ulcer: and fuch are, che Roots.of {weer | Moiftening faculty be Jaidon. As forexample. Cyperus Cor Englifh Galangal) Horehound, | Take the Leaves of “allows boyled to a foft- the Spume or froch of Silver, burnt Lead, Chal- | nef, balf an ounce; ‘Barley meal, and Wheat citis, che drofiie fcales of Icon and Brafs, and {uch | flour, of each two drams; {weet Almonds bruifed like; our of which Medicaments arero be provi- | one dram and balf; Honey boyled one dram, Saf- ded fitcing and proporctionable unto the greatnefs | fron balf afcruple, Swines fat as much as mill of che diftemper of every ulcer. For by bow |fuffice, Mingle them wel together in a “Mortar, much the moifter che ulcer 1s,by fo much the moze | and make a Cataplafm. forcibly and ftrongly drying ought the Remedies} Ox elie Jec che laid part be fomenced with Oyl. (thae are required ) tobe. Andon che Contra- | Or elfe let an Unguent be made for tr, of che Juyce ry, if che ulcer be buc Jitele or nothing moift, then | of Mallows one parc, {weet Oy] cwo pats, white the Remedies thac we adminifter ought to be more | Wax as much as wil fuffice. mildly and gencly drying; which isdone by ad-| Butif che Ulcer be dry, andthe pare lie under ding unto the ftronger {orc of chem, Oyl, Rofin, |an Accophy, fothat ¢he pouring of Water upon ig and Wax. For by how much che more chere is | wil pot fuffice,;we muft'chen(in the firft place_) do of thefe added unto che former drying Medica-| our endeavorin taking care chat che fick Perfon ments, by fo much the moreistheir drying fa- | may be nourifhed wich meats-thac afford much culty and power abated and weakned 5 and by | good Juice, and which are eafily diftributed 5 chat how much che lefs, by fo much the more ftrong | fo there may be abundance of aliment adminiftred and encire doth their drying faculty remain. The junta che part affected ; and moreover, ifneed re= ulcer may firft ofall be wafhed ( forthe cleanfing }quire, 11. may be drawn unto the parc, by che ufe away the filch and naftinefs chereof ) with Wine, | ikewile of chofe Oynctments we cal Dropaces, or or Pofca, in which Aftcingents and Dryers ( {uch | by any other waies and means. as are {weet Cyperus Roor, St. Johns worr,| ‘The Diftemper being removed, weare thento Wormwood, Roles, Betony, and Sage_) have been | make ale of Sarcoticks ( and thefe indeed muft boyled : afcer chis fome of che aforefaid Medica- | be fucb as dry but licele ), left chac ocherwife the ments may be ftrewed thereon,3 or elfe an unguent | parc affected fhould again relaple into itsdry Di- May be made thereof with Oy] and Wax, that | itempersas Galen wel cautioneth us, in the fourch without any warming at all may be extend- | Book ot his Meth. of Phyfick, and Chap. 1. and dand fpread upon the Linimenc ( che Greeks | cherefore cogether with chefe Sarcorick Pouders call it Emmoton ) andat laft upon chis we may | there ought co be added ceitain Fats and Oyls, likewife impofe and Jay onfome hard Plaifter, or }and Wax. As, Cerote. Thefe Compounds and Emplafters are} ree by Galen recounted in his firft Book of the Com-| Take Franhincenfe, and Maftick , of each one pofic. af Medicaments, and Chap. 13. Nowasfor |dram; Turpentine one ounce, Oyl of Rofes one LZ 2 :
ounce
&
pais aoe
SE SR a ne eee
a
26 56 Book VY.
make a foft Unguent.
Chap. 4. Of.an Ulcer with the af flux of humors.
Ut very rare itis, chaca Diftempec happeneth
alone untoan Ulcers buc forche moft pare,
the Diftemper is accompanied with matter, and the aflux of humors,
But now how many Caufes there are of the af- flux of humors, we have already cold you, inthe firft Parc, Chap. 1. touching Tumors in gene- ral. Tow, unro the exulceraced part chere flow humorts, eiher from the whole body, or elfe from fome one patticular pace generating vitious hu- mors ; whileft Nature inftigated and ftird on ei- cher by the abundanc ftore, ot by che quality of che humor, expellech and drivech chem forch, and heapeth them up in the exulcerated parc; or elfe when the parc ( by reafon of pain, or heat.) attractech the humors; or when the humors do of cheir own accord flow down untothe pare chat is ficuated in a lower place ; or elfe when they are any otherwife moved unto a weak and ignoble paces all which in what manner and by: what means they may happen, we have acquainted you an the place before alleadged.
There is great variety of Excrements chat co- mech from the afflux of che Hlumors. unto the ex-~ ulcerated part. Galen in his Book of the cimes of the whol Difeafe, divideth thefe Excrements in- to Sanies and Pus. Celfus likewife in his fifth Book, and Chap. 26. befides che blood chat is known untoal, decerminech that likewife Sanies and Pus do flue forch from wounds and ulcers ; and there he chus wriceth: That Sanies 4s thinner
than Blood, and yet varioufly thick alfo, and | glutinous, and colored. Puss moft thick, and | moft white, moreglutinous than Blood and Sa- | There iffueth forth blood (faith he) from
1S. 4 vcound that ws recent and new made, or elfe
tbat hath been of fome continuance, and 7 now by. xci ted. Pus out of an Ulcer that us now |
upon its bealing. ‘Ibe Sanies # betwixt both thefe times. upon the very point of bealing. Again,both Sanies
Of Prattical Phyfick.
Pieter atte) oh ara ot ee ee tf SAW PER ONY ANT meme Ene rs ounce and balf, Wax as much as wil fuffice, and | ted with akind o f fatnef, and not much unlike