Part cy oa

not amifs here co acquaint you wich chofe Medica- ments he chere maketh ufe of ; for as for Section (or cutting) be would not for many reafons by any means allow of,or appoint ic. Firft of all (faich he) after Univerfals, and a fpectal re- gard bad unto the whol body, we coming unto the cure of an Ulcer in one that was extreamly af- fitted therewith, found (in regard that it was fordid and foul, and bollow, and finuous_) that at wanted cleanfing and fillngup. But inre-| gard that the Cavity could not be filled up, vith- out firftcleanfing the Ulcer, therefore the Ulcer ous firft of al to be cleanfed and purified: for an'| Ulcer can neither be filled up, nor agglutinated, | unlefs it be pure and clean, as Galen tels us. And | therefore to cleanfe avoay the thin Icborous excre- ments and impurities (with vebich the Ulcer was extreamly peftered_) we proceeded in the ufe of many feveral Remedies, ftil proceeding from the weaker unto the fironger.
Take the Decoétion of robol Barley one quart; ‘Honey of Rofes fix ounces; mingle them, and | make an injettion thereof into the infide of the| Ulcer with a ftraight Syringe or injetiou pipe 5 this without any mordacity at al cleanfetb and mafbeth away the filth and pollutions of thofe thin | zcborous excrements of any “Ulcer: ‘But wben | we bad difcovered that there was prefent much both thick and fordid Sanies, we then found that there wes great need of a ftronger cleanfing. And thereupon we made ufe of this otber fironger and more prevalent Remedy, towit, mingling there-
with the aforefaid Meyptack Unguent, and
the beft Aqua vite one quart, and fo deftil them in @ Glafi Alembick., in Balneo Matix, there is from thence a moft admirable Liquor to be extra» &ed and drawn forth, both for the cleanfing of al
fordid and bollow Ulcers, as alfofor the agelee=~
tinating and clofine of them up: which we at that time frequently found by experience. or truly great and admirable is the power and effica- cy of Aqua vitz in the cleanfing and glewing to- getber again (asit were) of Ulcers, and efpect- ally thofe of the Nervous parts (as we then difco- vered by dayly experience and obfervation ) {> that we know notbing that és better for that pur- pofe. But when the time was come that we thought fit to reftore in the Ulcer the flefh that was loft, we then made ufe of this other injettion , the virtue and faculty wbereof is, both moderately to cleanfe, and to fill up the Cavity with flefb 5 whereupon it may defervedly be ftiled a Sarcotick ‘Remedy.
Take Plantane Leaves tvoo bandfuls , Agri~ mony, Herb Robert, Cinquefoyl Leaves, of each one bandful; the tops of Wormwood, innumber three; of both tbe Confounds, Horftail, Cete- racb (or Spleenwort) St. Fobns voort, of each balf a bandful, Betony one bandful; make a Decoétion in water : in the end of the Decottion add,of red aftringent Wine one quart, the Leaves of red Rofes, and Myrtle Leaves, whol Barley, of each two pugils or final handfuls ; take of the firaining tro quarts: unto which add, ‘Bean-
meal one ounce, of the bitter Vetch Orobus half ||
an ounce, rankingenfe, “aftich, Sarcocol,
withal mingling a {mal proportion of Aqua vx, | Rofin of the Pine-tree,of each ene ounce, Myrrh,
viz. Iwo ounces.
Somtimag, and after fome| round Ariftolochy, of each fixdrams;, Floren
certain daies when we bad made.ufe of this fen| tine Flowerdeluce balf an ounce , Honey of Ra-
ned our defire as touching the deterfion and clean- | make an injettion wiibin the ‘Ulcer 5 for it
jiely
of each one handful the rinds of Frankincen{e,| mony two ounces; Wormvoood one ounces red
Take | orm BM (ive, 0 Wi Bra
i fh
1
Bj) | ;
{ vet) reg ih
Leaves Bu, Co ae, Ty : #f fyrth sii ad ofr
BF oment
9 apt t ptt |
Miia vaeape ne then
of three
rains
—s =
Aqua vita (together with the aforefaid Decotti-| in white Wing tree ounces , “Honey foummed\ Wy
After ‘ia
7)
ape
eel ; LE EE ET
iy Chap. 10. | Of Fiftulaes > 2563 I i mars ——— merge bt ‘A After the cleanfing of the Vheer was perfettly | admirable in cleanfing of Ulcers.) the beft Ho-
ney four ounces; ‘Barley meal two ounces 5 of
mill finithed, we then with very good fuccef made ufe ol Ws te ’ Sarcotick. Pole likevoife voithin the | the bitter Vetch Orobus half an ounce 5 Choyce il Vicer: ‘Myrrh two drams , ‘Turpentine one ounce and a | Take Eleft and choyce Aloes two drams 5 half; let them be boyled al togetber, and make an m afl Brankincenfe, the Rinds of the fame,Myrrb,and | “Unguent ; in which let Linen Kags be wel wet, fl Sarcocol, of each one dram 3 Roots of the Flo-| and then put into the Cavities of tbe ‘Ulcer 5 it al rentine Flowerdeluce four fcruples : make of al | purgeth Ulcers moft excellently, and without any owt) thefeamoft fmal and fine Pouder, and apply it bitingatal. _
dys) unto the bollow Ulcer, to fill ap the Cavity there- |. For the filling up of the Ulcer with flefb, we ig Of made ufe of this following Emplafter :
iy But we likewife Cafter thofe aforefaid Reme- Take Litharge of Gold fix ounces; Qyl of ; oil dies) thought goodto makeufe of a drying Fo- |Rofes Ompbacine one pint andbalf, Vinegar of “I mentation, fitted for the Ulcer, and such as was |Rofes balf a pint 5 boyl them togetber with @ inal very requifite and proper for ibe producing of the | gentle fire ( continually ftirring them about veith uf), Cicatrice. aSpatter) until they foal bave gotten a blackifb sia {l Lake the Leaves of Plantane two bandfuls, | color, and the confiftence or thicknefs of {oft Bite 4 be | Wormwood balf a bandful , the Leaves of the | minoys Clay,and a Cerot. Make along ‘Rollers rari Olive; of the Matick or Lentisk Tree, the tops of | like Emplafter, of wbich make anEmplajter fit for may the Bramble bujb, of each one bandful, the jibe Ulcer, and lay it upon the Ulcer. “Butin the | ee | Leaves of Betony half a bandful ; the Flowers | end and conclufion of the Cure, we made ule of tal of Camomile, “Melilote, St. Fobns-voort, Sticha- | the Emplafter Diachalcitis with tbe Emplafter
me | dos, Cafidony or French Lavender, red Ro- | of Diapompbolyx: in the curing of which fo Cal | fes, Rofemary flowers, the Leaves and Grains | great and bollow an‘Uleer ¢€ after the througbly bead | of Myrtle, of each one bandful 5 boylal thefe in| cleanfing of thefame) we found by good exberi~ ih | afufficient quantity of Water > and add in the | ence, that there was nothing could be better and ‘tion e724 of red aftringent Wine one pottle: make 2| more available then the applying of pillores or Ls omentation herewith for the part affetted, and | bolfters (a littletbicker than ordinary) round a- > | apply it twice a day. “But weben as this bad firft | bout the faid Uleer and fo binding thefe bolfters ied of all appeared plainly to be lefs effettual than | on-very bard firongly to prefs down into theflefb teh masexpetted, and not to be fufficiently helpful ; | lying underneath that otber flefb that lay gaping hell we then made ufe of this other that f olloweth. | far disjoyned fromut: for ( a Experience then mm | IZ. taught us) this (if there be any thing that veil Has) Take Centaury the le(s-one handful, redRo- | dort) doth moft e{pectally procure agglutination | fes one pugiland anbalf ; Myrrbgrofly pouder- | and fodering together.
Chap. 10. Of Fiftula’s.
preffed, according to the ujual manner. . An Aftringent and Epulotick, Injetsion fol- | Pilftula’s differ from a Sinuous and furrowed lowed upon ibis Fomentation. Ulcer only in this, co wit, Thar chey are Take the Leaves of Plantane, of nev Ivy, | moreover callous and hard 3 and cherefore here “"1\) the Flowers of red Rofes, of each one pugil, the | after finuous Ulcers we think ic fie co creat of Fie NY grains of Myrtle fhaken wel together one pugil | ftula’s. If che Sinus or nook be not fpeedily cus | and balf 3 the Leaves and Flowers of Centaury | red, che Pus wilmoreover caufe furrows, fuch WS" the lefs, of each one pugil, Roch Allum one|as we ufually teem Coney-burrowss; and the pare sl") ounce 3 Pomegranate Rinds one ounce and | wil contratt a calloufnefs, or chick infenfible en) half; let them boyl all togetber in red Wine, and | brawninefs 5 and ic wil become fo hard thatie can then firainthem. Of the firaining we ordered | by nomanner of means be agglutinared and united
wl them (with a firaight Syringe, Squirt, or Injetéi- | again unto che pacts lying underneath; which it | on pipe) to caftinto the Ulcer, tbe ‘Ulcer being Malady is afeer chiscalleda Fiftula. For aFi- ih i firft of all throughly cleanfed and purified : wbich | ftula ss a Sinus (nook,.orfurcow) narrow. and wi") “cleanfing vas indeed wholly effetted and wrought | long, or a Sinuousulcer, chat is ( for che moft
‘yt | by the fore-ordained Injettions, but more e{peci- | patt) naccow and callous 5 and chereupon.fuch .as : fs ally paewHe ¢ and moh fi eed y) ris we flere wil hardly admit of any:Cure.
ny" iy ing Unguent ; for it bath an admirable and ex- 7
tN celtent ie in the cleanfing of Ulcers from all The Caf es
their thin Icborous excrements and impurities: | ‘But now thefe Fiftula’s forthe moft, parehave we Mf ) the Ingredients that it confifteth of are thefe tbat | cheic original from Impoftumes. Lor thele (ei ta | follow : cher by reafon.of cheampurity of che body,,or the aye Take Fuyce of Smallage balf a pint (this w | coo.great abundance of naughty humors) if.chey
stot
oe LEE COOOL Ay
Ma 2 be
Spies andi IM Sa NI pasha as SORE ase
9864 Book V.
be permitted Jong co continue ;
of an infenfible brawny hardnefs.
The Differences.
There is moreover of Fiftula’s very preat va- riety anddiverfity. Forof chefe fome are pro- found and deep,others of them ftraight,and ochers Jie cran{fverfly, and overthware the fleth: again,
wife threefold, or oftentimes they bave very ma- ny Sinw’s, ot hollow nooks: and laftly, fome of them cend uuto and cerminate in a Bone, o- thers cend unco a. Nervous parc; and a third forc of chem even unto the Veins or Arte- ries.
Signs Diagnoftick.
But now thefe Fiftula’s (in the general) are! known efpecially by the Probe or Inftrument chat |
is conveyed inco che Sinus (co difcover the depth thereof) which how ic tendethand paffech along, and how deeply ic penerrateth is eafily feen and difcerned. And wicthal when the fearch- ing Inftcumenc is drawn forth, we may chen eafi- ly learn, whether che Fiftula be moift, or whe- thecacbedry. Bucificbe oblique, fo chac che Inftrument cannot pafs along in a direct and ftraighc manner, we then are wont co put ina Jic- tle long plummet of Lead, or rather ( which is much the beccer}) a Wax Candle, chat may be turned about any way. ». And moreover, that fleth chat liech round the Fiftula appeareth co be white, dry, hard, and without pain; or elfe if there be any pain, itis very liccle and moderate, unlefs haply it be neer untoa Nerve; and che Pus thac iffuech forth is crude and raw, and fomtimes likewife very ftinking & loathfom, But now whe- ther or no there be one, or more of thefe Sinus’s, this is alsopether co be difcovered by che Probe or fearching Inftrument; which the Pus likewile that is now and then fenc forth wil fufficiently evi- dence. For if chere flow forch more Pus then what probably can be contained and generated in one only Sinus, or hollow Nook or if when the fick Perfon removech and changeth his feat, that ‘Pus that before was ftopped fhal begin again to flow forth; this may be a fure and certain fign andcoken chat there are here prefenc more then one of the Sinus’s and that the Fiftula penecrac- ethvery deep. But ifthere are more orifices of the Fiftula, then we cannot fo eafily difcover by the Inftrumenc, whecher there be one only Fiftu-
la, or more: but then by a Syringe, Pipe, or
Squire, liquor is co be injected by one orifice 5 the
which liquor at it flow forch again by all the orifi- -
-G@
Of Prattical Phyfick. ve
a ne ———_...
Pare IT.
: or elfe if by che ! ces chen ic isfal but one Fiftula:buc if ic iffuerh noc & unskilfulnefs of che Phyfitian they thal be over | forth ac all the orifices, then there are more Fitts . Jong delayed, and not wel cured, the Pus chen | la’s then one. . caufing the aforefaid Coney-furrows, chey wil at length become very deep, and withal callous, and
the colour of chacchae iffueth forch: for if chee
the Fiftulaisbut one; bucific be of a different colour, 1¢ is chen an argument char there are more Fiftula’s chen one. But how far che Fiftula’s
reach, and in what pare they end, ic may chus be | If that which is couched by che In@ru2 §, ment be fofr, and che Pus chat flowech forth be | fome of them are fimple, fingle, and alone, but o-/ white, and in great abundance, it then fhewech | chers of chem taking their rife and beginning from) that che Fiftula fticketh in che Skin alone. But | one and che fame ortfice are double, or even like-, if it penecrace and reach even unto the Neive,then j | there wil be great pain perceived when the depth | Of the Sinus ts fearcht unco; andthe Pys that is | | evacuated is indeed white, bucthenitisvery chin, |
and in lefs plenty ; and the action of chat Membet 9 aged Buy d astel A dives] B becaule
known,
unto which che Nerve cendeth, is rendred more difficule. If it peneccate unto a Bone,there is then
prefent a pain in che very time of making therryal |
and difcovery 5; and thacunrto which che loweft
end of the fearching Inftrumenc reacheth is hard, {j Andthe Bone is then ine |
and miaketh refiftance. deed found and perceived to be equal and fmooth, ific be not as yer become rotten and corrupced ; buc if pucridnefs hach feized even upon che Bone icfelfalfo, ic chenappearech rough and unequal unco che couch ; andthe Pus flowing forth wax- ech black, and is of a very ill favor. Bue if che Si- nusteacbuncoa Vein, or an Arcery, and chis
Vein or Artery be nor indeed corroded and eaten through, then chere is fomtbing iffuing forth rhac is like unto Feces or Dreges. For che Blood {weating through by the Pores of a Vein, or an Artery, is mingled cogecher with the humidity of che Ulcer; and chence it is, chac what flowech forth appeareth feculenc, or dreggy. Buc af the Vein or che Arcery be eacen through, then fome- cimes Chere wil blood break out, and flow forth ¢ and this wil be very red, and witha kind of leap- ing or dancing motion, and with a tickling, if it come from an Artery ; buc more thick and dark, if iciffue forch from a Vein. Prognofticks.
1- Simple or fingle Fiftula’s thac are yet but new begun, which are in che flefhy parts alore, not deep, in young vigorous bodies; and fuch as are of a good Conftictution, are eafily cured; but more difficulcly :hofe wherein many parts are cor= roded, and eaten quite through, {uch as are old and invererate, withouc any fenfe and feeling, deep, ful of turnings, and having divers and di!=
ferent hollow Nooks s fuch as are ‘neetly ficuare (| unto noble and principal Members; and whenthey [9
are in old and decaied bodies, and fuch as abound
wich ill humors. 2. And fo are thofe (in like manner) very dangerous, andhardly cured (or rather indeed alcogethee
And this 1s ikewife difcovered by |
humidity that flowech forth by all the orifices be | of one and the fame colour, icisthena fign chat |
{ \
F uch as W ind conto filremai ) jsteobin 4, where (atch be eter, plenty; 0 AB ttaned
dh this {nye
ous they
and pron
bathit | Bs Text any cime Tenaga
one the ( Mm
|
a
Now |
lhiaciv
iault pit
nally Hilt
Noon ag iether, Pareth to hifi: ted ( sy
My dried
ain;
Yoreog fe beth lle dj
ig fh Itgted
an: fo
; 1h angt
th ed
Ith .
Tit ; red bie i tal Icey Ve 0 tha tren (; more italy thu be lity oth bd hewelf : a | Vey bey denehf that ri |
St NOt
=
Leribe 0 mor ‘isthead he'ry i
lowed
© hardy
inequal] b waxed
the Sie nd th
| | | |
A pita A u Cael)
at fit yt Mu
tar ajorey
: | | }
' ': |
(uch
PRR ee Ae tur | ds BU
arecot Bl
are ol feel, © dls jut nthe bound
bave the Impoftume newly begun in them. ? neither do the parts tbat are fo fav divided and
Chap. to.
altogether incucable ) chac ‘reach even unco che heads of the Mufcles, untothe Veins, unco che Arteries, unto the Nerves, che Bones, che Joynts, and che very Vertebrx of the Back; thac reach and excend unto the Cavities of che Bellies, as che Thorax, or the Abdomen or Paunch; or even fuch as penecrate likewife unto che very Bowels chemfelves, asthe Lungs, Womb, Inteftines, and | alfo unto che very Bladder ic felf. For why, fuch like Fiftula’s as chefe, eicher they wil not bear nor admit of any Medicamencs, or1¢ may happen likewife chat che Medicaments cannot poflibly at- cain and ceach unto them.
3. Yea fome certain Fiftula’s there are that in- deed ought not to be cured; to wir; {uch as are old and inveterate, as having been of Jong continuance, and {uch as are removed from the noble parts, and
Of Fiftulaes.
fuch as by che fuperfluotis and vitious humors have now of a long time been accuftomed to be purged and empcied forth. For fuch like Fiftula’s aschefe (inregard chat they preferve men from divers Difeafes) are by no means to beclofed up 5 becaufe chac when they are fhut up. chey caufe and procure very many Diteafes ; as Hzppocrates hachic, in his fixth Book of Epidem. Comment. 3. Text 39. Bur onthe Concrary,if they thal ac any cime chance co be clofed and fhut up, they are then again co be opened.
The Cure.
Now the Cure of chefe Fiftula’sis cwofold 5 one the true and perfect Cure; che other: only palliative Casthey callic ) orimperfedt, co wit, {uch as wherein the Fiftula is dryed up within, and confolidated without, the Sznus nevercthelets ftilremaining, Which kind of Cure Galen feem- eth co hint unco us in his Book of Tumors, Chap. 4, wherehehaththefe words. ‘Yet neverthelefs (faich he) the Sinus és ftretgbtned and clofed to- getver, as being throughly dryed by the Medica~- ments 5 infomuch that the part may feem to bave attained untoa foundne{s no way to be found fault with. F or evermore indeed, if any one con= tinually ufing an exatt and accurate Diet com- eth by this means to bave bis Body very bealthfal andfoundy and very free from{uperfluities, the Sinus then remaineth reftrained and keptine Gut fofoon as any fuperfluity ws colletted, and gotten together, itis again filledup , and fo there ap- peareth to be again the fame Impoftume that there was fromthe very fir{t, andfo again it ws evacu- ated (as is fitting ) with Medicaments, and then at #s dried, and by thefe means it w reflrained and keptin; and all this is evermore done with much more eafe unto the fick Party, then in thofe that Por
separated, yet feel, or are inthe leaft fenfible of pain: for now although they arefar diftant one from another, yet nevertbele{s they are very {pee- dily filled up, the Sinus eafily and foon recerving
ae
that that flowethuntoit. And che truth is, Hie- ronymus Fabricius ab Aquapendente is of Opix nion, thac chis kind of Cute is not alcogether tobe de{pifed, and contemned , For fometimes (as he wriceth ) this fucceeded wel unco him, althouph not alwaies, Now the Cure is performed, the bo- dy being firft of all purged, anda fitcing Courfe of Diec ordained; and afterwards che Tents and
Fiftula being caken away, and a new Spunge
throughly foaked in a liquor chat is ftrongly dry
ing being applied and faft botind upon the’ place ; fuch as is the wacer of hor Bachs, Ley, Lime-wa- ter;andcthelike, For by chis means the mouth of the Fiftula fhurreth again together, fo that the Fiftula may feem whol and found; which indeed
fomtimes by the benefic only and operation of ‘che Native heac doth altogether coalefce and prow together again 5 buc for che moft parc ic remamech
clofed up only folong as there are no {upertluous
humors collected and gotten together in the body,
for after thac there is any humor apain goccen to-
getherin the Sinws, the Fiftulais likewile apain
opened.
But now che true ahd genuine Cure of a Fiftu- Jais thus accomplifhed. Ulniverfals in che firft place are not co be omitted, buca Dier is rightly cobe infticuced, and che body throughly. purged from all {uperfluous humors ; and efpecial care is co beraken, chac there may no more of the humor flow in unto.tbe pare affected. Which being done, before we defcend unto Topical Remedies, chere be fome chac adminifter certain Potions chatmay diy che Interior patts, and ftrengthen them, and thae may prepare che Fiftula for Con- (olidacion, and may throughly purge ir. Offuch like Potions Tragazltivs hath defcribed two: the former whereof ts this.
Take Agrimony three parts, Plantane two parts, Olive Leaves one part; Cut them {mal, and bruife them wel, and tbenboyltbemin mpite Wine; lecche fick Perfon drink hereof a {mall Cup full. Cchree oc four ounces) every day.
)
Take Ofmund Cor Water-Fern) three parts,, Gentian two parts, Centaury one part; boyl them in the fame manner (as aforefaid_) in white Wine; which Potion expelleth and dri- vetb forth likewife Bones that are corrupte ed. Others there are that commend this Po= f10Ne 23 :
Take Sanicle Ci.e. Bears Ears, or French Couflips.) Mugwort, Speedwel, Saracen Con- found, Winter-green, of each one ounce; Savine one ounce and balf ,Hor{-tail balf an ounce 5 boyb them in white Wine, and make a Potion; which if we wil at any time make ftronger and more o- perative, we may then in che dtinkng of 1c) unto each Dofe add and mingle cherewich half a {cru- ple of Oculus Cancri €or the Crabs Eye) pre- pared.
Far Savine, and cfeabes Eyes, are of fingular ufe
ang Pe)
2565 a
— =
SI EE OTT EE EO a
i a A
i) 2666 Book V.
ane AT nnn rt en ann Sega ae
and benefir in che expelling and driving forth of corrupted Bones, Pus, puccified Veins, and the like. © Or,
Take Saracen Confound, Sanicle, Speedwel, of each one ounce 3 Tormentil Root balf an ounce; Avens, and Carduws Beneditéus, of. each an ounce and an balf 5 boyl them in Wine.
Afterward, before any thingelfe be done, we muft do che ucmoft of our endeavor that the cal- lous hacdne{s and brawnifhnefs may be removed. But now whenas che narrownefs of che orifice of the Fiftula doth for che moft part hinder the ap- plication of chofe Medicaments that are to be ad- miniftred for che remova! of che calious hardnefs, it istherefore to be dilated: which may bedone either by fice, oc by an Iron Inftrumenc ; or elfe more commodioufly, and wicbout pain likewife, by long fhacp cents chat are made ot Sea- Spunge, che pithy fubftance of che Elder-tree, che Roots of Gentian, Ariftolochy, Briony, or even likewife of the wild Rape throughly dried. For chefe chings being formed intoa Pyramidal figure, and put in- co the Fiftula the fharp-pointed end downward, they foak up the humidity of the Fiftula, and by this means they are rendered che chicker, and {o by little and liccle chey dilate and widen the ori- fice, without any pain at al, Which chings are fomtimes likewifle foaked and anointed over with fuch Medicaments as are in their own nature fit to take away che callous hardnefs, when the callus bindereth che dilatation. For chere arifeth a calloufnefs Cefpecially in the external orifice of the Fiftula) co wit, in the very skin it felf, ic be- ing fuch as eafily becometh hard, and {uch as ts made thicker than the flefh, chat is fofcer, and eafily receiveth in the excrements, and the humors that flow chereunto. Yetneverchelefs the very flefh it felf fomcimes hikewife gercech a callous hardnefs in the cavity of the Fiftula. The cal- Joufnefs that is in the orifice of che Fiftula is fuffi- ciently apparent both unto the couch, and to che fight. Butnow whecher chere be any calloufnels hikewife inthe Simms ic felf, this may be difcovered by the feacching Inftarment.. For when the In- ftrument is put into it, chereisthen perceived ve- ry little or no pain, and there is no blood at-al if- {wech forch, -buc there isa certain‘hardnefs percei= ved, ifa Callus beprefent. Which if ic beabfenc then chere is a great painexcited, che blood flow- ethforcth, and cheteis no hardnefs at all percei~ ved,
But now wherefoeverthis Callus is, it isctovbe removed ; whichis done, ercheriby Medicaments, or by Curting, orby the Fire. But chen like- wife Medicaments are ro. be adminiftred, fomtimes fuch as are mild and nioderate (and -fuch are Emollients and Digeftives}) and fomtimes again chofe cha¢ are ftronger, and fuch'are Deterfives or Cleanfers: and laftly, now and then alfo, the ftcongeft fort of al, and fuch are Caufticks. In
«
Of Prattical Phyfick.
a
¢
oe
Pare He
. laren ae aE RE oer ee thofe thatare but youog, and in their youchtul
age, and chat have cheir flefh fofc and tender, here } " Emolliencs and Digeftives only are fufficienc, | i which do diffipace the faid Callus, and chematcer’ i thacis impacted and ftuffed inco the pare chac jj a conftitutech and caufeth the Callus ; unto which 4 ek we may likewife Cif there be occafion) add and §} yi, mingle thecewithal fome of the Abfterfive and jj if F Cleanfing Remedies. And fuch are the afhes of f Figs mingled with che fat ofa Goole ; the Deco- | ei? ction of Fern Root, of Agtimony, of Olive leaves, | i
the great Diachylon , and the Unguent Apofto.. q mf lorum. But for the moft part there wil beneed J [
of the ftronger and more forcible Remedies, which | she
by cleanfing, ot likewife by burning do wafte and
confume che aforefaid Callus. The ftronger forc ] dl ofMedicaments ate, che Root of Spondylinm | i
(we ufually cal a Cow-parfnep, or Meadow- parfnep) peeled and pared round about, Afpho- del Root, Snakeweed, Briony, the Decoétion of Lupines, and efpecially (above al) the lefler
f | thele. 4 lle iq robeo
Centaury. There are fome likewife chac make J ie ufe of the Root of black Hellebor ; and cthisthey | When put for chree daies into the Fiftula. But Anto- | ket nius Chalmetews pre-admonifhech us touching | edt this Root, and he cels us chat icis a very unfafe |§ tum and dangerous Remedy, andefpecially ifthe Fie | evo ftula be in any. part of the Thorax or Cheft. For | ted, | when ona cime he himfelf (ashe faith) had once, | The lig and but once, filled with Hellébor a Fiftulathac |j andhey was in the Spina Dorfz, neer unto the Region of | vat, L the Hearc,the fick perfon very often felinco fainc- |g}!
this 18 | cingled nents, dealing fe in. Vi
| . |
ing and fwouncing fits, Thofe things chat are yet ftronger, are, the Aoyptiack Unguenr, Vitriol burne, Vitriol precipicate, che Oy! of Sulphur, | Trochifques of Minium, Chalcitis, and chac which | by the Apothecaries is called ‘Mify, and Sory ; out of which there may be made Compofitions tor che
prefent ufe. Celfws in his fifth Book wricech 9 butth chat chis following is found by good trial and ex. | jaottel perience to be of fingular ufe; and Paulus Higi- Quilt neta doth the like alfo in his fourth Book, and |jilmti Chap. 49. in which place we may {ee more here» | Pilébeo of. yo fd
Take of the Ruft and foil of Braf twelve | WM dramss Amtmoniacum two drams-; Let the | (loud Ammoniacum. be diffolved in Vinegar, and the | qi, in aforefaid Soil of ‘Brafs therewith mingled. | qtulen Or, 7 open
Take firone Ley four ounces 5 the Decottion | Wil of Lupines one ounce; Honey cf Rofes firaimed | Buh; y one ounce andbalf, Allumbaif an ounce; and | qXhit
mingletbem. It we mindtoadd any further wire | tueand ftrenpth chereto, to make it che more opet= |
: ‘ Dia A eee rative, we may thenadd half a dram of Precipi= | race Mercury.’ Or, |
Take the beft Wine Vinegar three parts 3 of the ‘ oldeft Oyl twooparts , Litbarge one parts, let the | Litharge be ‘braifed in aMortar with Vinegar: |
Meat any
ite,
Toi Wi li
tt
and aftervoard let. tbem boyl al together, until | ving they bave goiten both the color. and confiftence of | Miya Pitch s |e
| ony
7
‘heel leggy Mitre} t thal which dan and thes off Ueto} ve | Pott, | De need » Which ite and i eco | Aylin
idow. |
Afpho.|
bon of
thelr ( make} | isthy Anite | uchiag unlate hk Bf b For ff doce, FI ulachat pron Ot Be faint tare yet fl Vitra
i
ulpbus, By
which |
chet Wl" | re op
Precip’ FE, Ul) ) ing of a Fi-
c if lt tht nagar |
mL |
te fence 4 Pits
I
| ii}
Chap. LO.
Tents, for the prefent purpofe. Or,
Take Litharge balf apound; boylitin Vine- gar and Rofe water 5 andthen ftrain and filtrate ut. Afterward,
Take Calcined Tartar as much as wil (uffice ; diffolve it in deftilled Vinegar :. Mingle the Wa-
ters, and make thereof tbat they term Lac Virgi- neum, or Virgins Milk, Or,
Take of the Egyptiack Unguent balf an ounce 5 Sublimate balf a dram; Ley one ounce; Rofe- pater two ounces; Plantane Water four ouns ces; and then let ibem boyl a little. Je
The green Water above mentioned and defcri- bed is likewife very uleful.
Buc yec neverthelefs, if the narcownefs and depth of the Fiftula hinder the fic application of thefe Medicaments (as for che moft pare it fo fallech ouc) then che taid Fiftula is eicher wholly to be opened, or elfe che Medicaments are co be injected even unto che very botcom thereof. When you havea mind co open the Fiftula, chen Jet che fearching Inftrument be firft of al convey- edthereinto, and fo lec ic be opened upon the faid Ioftrumencr. Buc ifit be nor chought fis co open the whol Fiftula, chen Medicaments are co be in- jected, and chefe muft be either liquid or dey. The liquid are injected by a Funnel or Squic 5 and they are co be wafhed with Ley, Mulfum,Sea- water, Lime- water, the Warer of hor Baths, A- qua vite, or the Spiris of Wine 3 of which laft chis is by the way cobe obferved, that if it be mingled together wih other convenient Medica- ments, it is then of fingular ufe and benefic in the cleanfing and drying of fordid Ulcers; as wemay fee in Valeriola his fourch. Bock, Obfervar. ro. and in his fifth Book, Obferv. r, 7, 8.
But che dry are mide into a Pouder, and blown
into che Ulcer by a Qui] put into che mouth of
the Fiftula; efpecially if che Fiftula be but fhore and within the Hef: buc if ic be long,it may like- wife be opened on the oppofite part, that fo on both fides the Medicamenc may be injected. Where this is not to be paffed over in {ilence (touching which we likewife gave you notice be-
Of Fipulaes.
Pitch ; of which we are then to form long fbarp
}
the Iron Incifion Kuife, and the fire ic felf. To wit, the whol Sinus isco beopened; which yec neverthelefs ac wal not be fafe for us co atcempt in chofe Fiftula’s that reach unto the great Arteries, or the Nerves, or the Tendons, oc the Membrane thac gicdeth in the Ribs, or any other parcs that are of the like Nature withthefe. Bust whenfoever this opening fhal be judged fit and feafible, the Sinus being then ficft of al fearched by the Probe, or by fome Liquor.caft intoic, che whol (fuch as ir is) maybe opened. | The Fiftula being open- ed, the callous bardnefs ought either with Medica= ments, or the edgof a Pen-knife, or a Razor, to be drawn forth, even fofaruncil we come unto che good and found flefh ; which may be percei- ved, not only by che color, bur even likewile from the blood, andthe fenfe of pain. The fame kind of Callus (ificbe extraordinary bard) may moft chiefly be caken away with a red-hot Iron; this being done as with mot {peed, fo with che leaft fenfe and feeling of pain. Buc neverchelefs the fire doth fo cerrifie and affrighct people, chat few or none wiladmic of this Remedy. Bue yet im che mean time while thefe things atein doing (whe-= ther it be by Cauftick Medicaments, orby the fire-hoc Iron, or by che fire ic {elf}. the pare isa} the while to be wel guarded round about, with fome one or other Defenfive Cooler and Repeller; left chac upon the exciting of pain, am Inflammati- on fhould be raifed.
The Fiftula being thus throughly dried, and burne , weace chen comake ule of {ome mitiga= cing Medicament, and fuch as may loofenand caft off che cruftinefs chereof.. «But if che Fiftue reach unto, andend'in a bone, this fofoon as itis difcovered by che Section; we muft with al care and diligence pare and {crape away. whacfoever we find to be corrupted and black in the faid bone : and this indeed muft be. but only in the very fu- perficies of the bone: for if the rorcennefs hath further corrupted che faid'bone, then the fcaly core rupted part thereof is to be cut forch witcha Wime- ble, unlefs ic fal forth of is own accords; bue if che rottennefs fhal have penetrated even unto the martow of che bone, then that thac is corrupted
fore, inthe Cure of Sinus) that weufe our ut-| isto be caken oue with the Cizers chac are for cha¢ moft endeavor, that the orifice of the Fiftula may |
be open downward toward the Inferior parts, that fo the Humors may che more freely flow forth ; or ific be not open, then in that very place the Fiftula isto be opened, unlefs chere be fome great and weighty impediment co hinder the fame,
Bue when notwithftanding al the Medicaments the Fiftula yieldeth not, neither giveth place at al unto the
The open- ftula.
or can be adminiftred ; and that fomtimes in chis cafe the operation of the hands bringeth more afliftance, help, and benefic, we ate fomtimes likewifle to betake our felves unto
moft prevalent: Remedies that bave
purpofe. But laftly, if the Bone be wholly cor rupted, then al the whol bone is tobe taken forths which may indeed be done in {mal bones; buc is cannot be fo done in others. The bone beingnow purged, chofe chings ace afterward to be admini= ftred shacarecalled Incarnatives,. viz. Such Me= dicaments: as generate and breed flefh. Unto which if the Fiftula givenoe place, icischen afure liga chat as yee al‘ thacchat\was corrupted is not wholly caken aways The Fiftula is chereupon to be opened deeper, and’ the bone to be fcraped with al the utmoft diligence and care chat may bey and chen it muft be furcher cleanfed.. Bue if che Fiftula wilnot yee after al this becured, wemay without al doubt corntludes thac it hath rae
“ ced
; . bela in ASE I SN Sa .
We I | if) { \! ha i). | 2) ih ay y i 4 \ Re Ft ii | h | Hb rm h eth ; | ; in| ft hi | {on
He ca i fad
29868 Book V.
ae cern are NL CT ER
Of Practical Phyfick.
ced fo deep into the body, chat it 1s alcogether im- poflible co find ouc the end & bottom thereof. And therefore the who! bufinefs is then to be commit- ted and left unto Nature :» which yet nevecchelefs we may likewife aflift and help wich Medicaments; for which end and purpofe Nicholaus che Floren- cine ‘prefcribech this following, which (as he faith) wil both draw forch che bones chat are bra- ken and corrupted,eat chrough the naughty putre- fied flefh, and heal che Fiftula.
Take Salt torrefied by thefire, Tartar, and |
Agarick; let them be made into a very fine Pou- der ; and then this Pouder being tempered to- gether with Honey, let it be impofed upon the Fi- ftula.
thefenfe ofmorion. . And thereis moft cominore ly hikewife a cercainftink perceived in thofe Ul-
cers. The Cure.
The whol bufinefs:and fubftance of the Cure coniifteth in this, co. wit, chac che Worms ba taken away,, and che putridnefs of the Ulcer be hindered and prevented. If cherefore che Worms lie open, and may be difcerned, they arechen to bs drawn forth with Inftrumeaes ficted for the fame purpofe: but af they he hid;-or ftick fo clofe and faft unto the part chat chey cannoc be drawn forth, they arechen to be killed with Me.
dicamencs chat may likewife wichal cake awav
The Callus being now removed and quite ta- | the putridnels, and che overgreat bumidiry of the
Ken away, if there be any ching fordid and foul| pate; and this is done by Medicamencs made of yet left remaining, we muft then make)ufe of De- | Wormwood, Horehound, Ducany, Fetn, Scor-
terfive and Sarcocick Medicaments. For which end, Pimpernel, Golden Rod, Centaury che lefs, the Root of Ariftolochy, and the like, are to be adminiftred,
Take Turpentine wafbed in the Spirit of Wine three ounces 5 the Fuyce of Smallagetbree drams; Pimpernel balf an ounce; “Honey of Roses ftrai- ned, one ounce and baif ; let them boyl until wel- nigh the one balf of the Fuyces be wafted away. Aftervoards,add of round Ariftolochy one dram; the meal or flour of Lupines three drams , Myrrb one dram: mingle, Wc.
Which {aid Medicament, eitherthe Tenesmay be dipped in it ; or elfe-ic may in fome. other swanner be adminiftred unto the Fiftula.
There is extant in St. Auguftines 22. Book of
the City of God, and Chap. 8. amoft miracu- |
lous Cure (and {uch as is wel worch che reading) of a Fiftula by devout Prayers.
Ghap.t1. Of an Ulcer, with Ver- mine,or Worms breeding therein.
A Nd fomtimes likewife Worms are generated ve in'Ulcers. Buc now what the caufe is of the breeding of chefe Worms,we have already cold you in the fecond Book of our Infticucions, Chap. 9. and in che third Book of our Practice,