Part IL. |

fedtly and wholly healed, before the Tooth that | withany fafery make ufe of, or appoint any Chi- y y Y y ’ PP y
fupplieth che marerial caufe unco the Ulcer, be drawnforth. Thirdly, the flefl: chac hecth above upon the Ulcer isfoftand flappy 5 for ic ismade thus foft by the Sanies that {weateth as ic were out fiom the Bone: and fomertmes likewife it be- cometh wan and Leaden-coloured by reafon of the vicious humor chac floweth forth from the Bone; in the feventh Book of the. Aphoryfms, Aphbor. 2. Fourthly, the Sanies that floweth forth of the Ulcer is more abundance chen what is ufual, confidering che bignefs of che Ulcers i¢ 1s likewife thin, finking, and of very ill confe- quence, as Galen cels us in his chird Book of Fra- ‘étuces, Fii.18. Andifcherebea dey Linimenc pucincothe Ulcer, fo chat 1 may reach even unto che very bone;and the nexr day drawn forch again, ac wil ftink loachfomly. And Jaftly, if the Probe or fearching Inftrument be conveyed into che Ul- cer, even unroche very bone, then che faid Ulcer is not found to be {mooch and flippery, and bard, bur unequal, rougb, and {ott.
But wherher chisroccenne{s be deep,or only fu- perficial, Celfws in his eighth Bock, and Chap. 2. teacherh us how we may difcover if in this man- ner. If Cfaithhe) a flender'and {mal Probe be thruft into the bole of the ‘Ulcer, it wih by its more or be{ientring thereinto give us fuffictent notice, webetber sve rottenne{s be in the top and fuperficies only, or whether it bath defcended deeper. The blackne{s likevsfe of thw Sanies and rottenne(s may rightly be gathered from the pain, and fromthe Fever 5 which if they be mild and moderate, it is then an Argument that the faid rottenne{s bath not defcended very deep: poben the aforefaid Symptoms are great, then the rottenne{s bath goiten down very low and deep; but it wil appear yet more manifefily, by turning
abouttbe Wimble in it... For there then an
buts
rurpical operations.
4 The Cure (in like manner ) is aleogecher as difficulr, if the rotrennefs be about che greac Arte- cies, and the Veins.
The Cure.
Befides che Indications that che Ulcer affordech us, che rorcennefs of che bone fhewerh us likewile that whatis corrupted muft be wholly caken a- way : forneither can chat that isdead be by any means corrected, andamended. For chat which isin che flefh and foft parts, we call ic Spbhace- lus; bacafic be in che bone, ic is chen rotten nels. ;
But now that che corrupted bone may be taken away, itis firft ofallco be cleanfed, and chen made bare. (if ic be covered with fleth ) che Ul- cer being cut off. But nevertheleis ( as we cold
| youerewhile ) there cannot oftentimes any Secti-
on or Cutting be adminiftred, by reafon of che Nerves, Mutcles, Tendons, Arceries, and the grea- tec Veins. The bone is therefore chen (as much asmay be) to be cleanfed with a Gentian, or Rape roor, cenderly conyeyed into the Ulcer. The flefh likewife chac liech at che cop of che bone may be confumed by a Cauftick Medicament, or by any potential Cautery, and fo the bone may be bared in the fame manner as Iffues are wont co be excited.
The corrupted bone when tt is made bare, it is then :o be caken away either by Chirurgery, or by Medicaments. Wemuft of neceflity make ufe of Chirurgery, when the Corruption of the bone 1s more deep, andnorin the Superficies; or when we defire a quick and fpeedy Cure, as in che bones ofthe Thorax. For Nature doth but very flow- ly feparate the corrupted bones, and {carcely (now and then.) inthe {pace of chirty five, or
end of what vas amifs, when there ceafeth to come | fourty dates, And therefore this feparacion of the forth any more of the black{curfinefr, Thus Cel-| coscupted bane from che found may otherwife be
fus. P rogno/ticks.
affaied by Medicaments. Now cbofe Medicamencs that feparate the cor- rupt bone from the found ought co be very dry-
y. All rottennefs inthe bones hindereth the;ing, chat fochey may coniume the fuperfluous Cure of che Ulcer ; neither can any Ulcer be pere | humidities in tbe corrupted bone, and chat chey fettly healed, under which there lietha bonecbac| may likewife dry even the very bone chat is
iscorcupied.
| found, that fo the Expulfive faculty may feparate
}
2. Itby reafon of thedifeafed and rotcen bone | fom ic chat thac is vicious in 15 and that che offi- the flefh be become blackifh, and of a Leaden co-~ | fique or bone-Sreeding faculry may generate a
lour, iechen becokeneth much evill, 7. Sect.
Apbor.2.. For as Galen Comments upon the a-
forefaid Aphorifm, ic fgnifieth no mean and {mal | diftemper of ché bones, but an extraordinary cor- chis purpofe) arethe Roor of Sow-
ruption of chem.
3. lithe rotcennefs o6.che bones be neer unto} Vine, Flowerdeluce, Myrth, Alces, the Nervous parts, as inthe Hands, or Feet, or) Alum.
bone,or at leaft a Callus,thac may thruft forth che -bone that is corrupted.
The milder fort of Remedies ( for
a . 1: : ments; in i wil fennel, white Briony or white d cafe theBone
The ftronger fore, are, che
elfe in the Joynts, and heads ofthe greater bones; Rootofround Ariftolochy, of Wacer-dragons, or otherwale abou: the heads of the Mufcies, and the Rind of Allheal, of che Pine Tree, the Pumice the Nerves, and che Tendons3 icisnot in any of ftone burnt, the drofs and refufe of Brafs, the Mi-
thefe cafeseafily cured; wregard that we cannoe «
jnetal Chryocnl, and the Spirit of Wine. The
ftrongeft
fiecram, !
it
Medica- |More!
be corrupied \
la appior | Big any F Bie, Or I Tale Biel , ( Mge-tiee | era i
igm one wth Hon Tae (
[Moto ge Mid, of | Bound; 0
may ate ad {et mes an iointed, Tie
bWefenn
fund Aty
Nn, of
aithalf aitlftenc
Taleth M,0f Soy
aechhy ii the Pin
Ms, f tld
Bu tit car Iki, th aud the (0
Chap. 13. i ftrongeft of al; Eupborbium, chan which Fallo- }) pins wricech chat be himfelf never found any more excelleng, and that would fooner take away the
}} corrupted bone 5 burnc Copperas, che afhes of the }) Fig-cree, Lime, Aqua fortis, the Oy) of Vicriol,
§) and the Oy! of Sulphur. ech |
OF chofe Medicaments there are Compounds to | bemade, which are co be applied either in the | form of a Pouder 5 or elfe mingled with Honey, Rofin, Wax, Unguent Hpyptiack, or fome other | fuch like Unguent, and fo applied in the form of |) an Unguentr.
This following Pouder is very efficacious : Viz.
Take Root of round Ariftolochy, Flowerde- luce, Myrrh, Aloes, the Rind of Alheal, che refufe of Brafs, che rinds of the Pine-cree, equa] parts of al: let chem be al mingled cogether, and made up with Honey into the form of an Unguent.
"| approved of. ey Take Mummy, and Sarcocol, of each half.a | dram, Euphorbium one dram, and make a Pou- der. Or,
Le Take the Root of round Ariftolochy, of Sow-
* | fennel, of each half an ounce3 the rinds of che | Pine-tree cwo drams; white Agarick,Earchworms prepared, of each one dram and half; Euphor- | bium onedram; make a Pouder, or an Unguent |) with Honey of Rofes; as likewife this Oy!
Take Citrine Sulphur one pounds put it. neer 1}) wncoa gentle fire chat it may melr 3, unto which "i add, of burnt Tartar made inco Pouder half a 4) Hound ; mingle chem with continual firing until whet F) they are cold. Afcerward lec them be pulverifed,
Sand fec in a moift place upona ftone until chey “mele; and with chis Oy! let che corroded bones be waic/) anoinred. Or, °° Take the Root of long Atiftolochy, Briony, iit) Sowefennel, Flowerdeluce of Florence, of each one dram,Euphorbium one fcruple 5 make a Pou- der, and ftrew it uponthebone. Or,
Take Pouder of the Root of Sow-fennel, of round Ariftolochy, of Opoponax, and Euphor- bium, of each half a dram 5 Turpentine an ounce | andhalf, Wax, half an ounce 5 boy] chem to the KN) confiftence of aG@erote, Ory
Take the Roots.af both Ariftolochies, of Brio- ny, of Sow-fennel, of Florentine Flowerdeluce, of each halfan ounce ; Gentaury the lefs,che Rind of the Pine-tree, of each three drams ; Aloes two drams, flour of Brafsadram and half: unto al the aforefaid pour of the Spirit of Wine as much as wilfuflice, and extract che Tincture. Buc # the corruption of the Bone be fo great / hat it cannot be wholly caken away by Medica- ments, then chere wil be need of Chirurgery ; and the corrupted bone is to be raken away, either
put |) by fhaving and paring off, or elfe by burning, elk f)) Now forthe abrafion or paring it away, there are here cwo Inftruments that are made ufeof; the
Of an Ulcer with rottenne/s of Bone. ee eT ee | eae hehe aRTiCr ee
|
' {
{craping Iron Inftcumenc, and the Wimble or Auger. The former of thefe taketh place, when the bone is not fo deeply corrupted 5 byc che Wimble is co be ufed. when the rotctennels hath penetrated very deep into the bone. Of thaving or paring, Celfus in bis eighth Book, and Chap. 2. chus wricech : ‘He that fhavetb thefe rotten Bones (faithhe) muft with al bold- nef and courage make an impreffion with bis Iron Inftrument, that fo be may do {omwhat, and may the fooner make an end. The end uw then, voben we come either unto abone that # white, or unto abonetbat isfolid : for it # manifeft by the whitenefs of the bone that the fault in regard of the blacknefs is cured , and by that fame folidity it is likevvife manifeft that what ras amifs in the bone in regard of the rottenne{s, 7 in like manner ended. We alfo told you before that unto the
| found and whol bone there wil be fome final ac-
|
a SR ER BESET —————— ---———————__—_——_
This Pouder following is likewife very much | cefs of Rofie frefh-colored blood. ~ ‘But if at any
time it de(cend deeper, we may wel queftion both of them, as very doubtful: as for the rottenne{s, our knowledg indeed therein fommbat quicker. Afimal and lender Probe is put don into the hole, vobich by its entering more or le{s, fhereth unto us vobetber the rottenne(s lie in tbe top, or rohether it be defcended. deeper. The blacknefs may likewife indeed be gueffed at (1f not certainly known.) from the pain, and from the Feaver 5 wohich if they te mild and moderate, then we may conclude that the faid blackne{s ws not defcended very deep; but yet nevertheless it 1s made more manifeft when we come to make ufe of the wimble, for there is then anend of what was amifs, when there ceafeth to come forth any black duft. And therefore if the rottenne{s bath defcended deep,we ought thento make many holes (with the wimble.) as deep as that that #% amifs in tbe bone: and then into tbofe boles burning bot lrons are to be let downs, until.at length by this means the bone be wholly dried. For witbal (after this) both whatfoever is vitiated and corrupted wil be loo- fened fromthe lower bone, and tbat bollow nook woil be filled up with flefh: and the bumor tbat af~ terward iffueth forth voil be eitber none atal, or certainly very little. ‘Butif there be any black- nefs, or if therottennefs be likewife paffed over unto fome other part of the bone, it then ought to be cut out; andthis fame may IPevoife be done in therottenne{s penetrating into fome otber part of thebone: but that which isaltogetber vitiated muft be vobolly taken forth: 2f (tbe infertor part be whol andfound, thenonly fo far as there w a- ny corrupted, it ought tobe cut forth. And alfa vohether the Breaft-bone, or whetber 1t bea Rib that is rotten, it rendered by this fauls unufer. ful, and therefore theres a neceffity. of cutting if forth. Thus Celfus. | By al which ic appeareth, That che Ancients afcer the paring and fhaving of the bone were wont likewife to Poa this burning being the 4 b2 chiefett
i ane |
2571

a ate > _ ~ oo ——. nl ge = = 2 aes Lark * :
= ae =
i! he i) j tn ae ar An ae f , ae ee Hes hi nt ae + | ‘id | a) Ig oy i lit , t} Ni Bik bea } inh AA | | ‘| i '
2572 Book V. chiefeft remedy for the confuming of al the excre- mentitious humidity. But chen not withftanding afi the applying of a Cauctery we mutt alwaies be. ware, left chat the flefh that lieth neer be likewife burnt together wich che corrupted bone: and therefore the Cauteries are to be applied through Iron pipes, by which che flefh is co be defended and fafeguatded 5 of which Iron pipes we ought to have many in readinefs, thac fo after one is grown hot, another that is cold may be applied ; or if we chink good to make ufe of one only, then as of¢ asic is hoe we may put it into cold water to cool ic. And whatfoever of the humor {weac forth out of chat bone, ic is co be cleanfed and wi- ped away wich a Spunge or a Linen cloth left that Otherwife 1€ corrupt the neerly fcituated parts. After the burning, we are then in the firft place co apply Rofe-water wich the white of an Ege, for che prevencing of che Inflammation, and che mo- derating of che pain; afcerward we are to admi- nifter the Oy! of Rofes wich che Yelk of an Egg ; and chen after this, Burter with Honey of Rofes. Buc unco che bone chat is burnt, che Pouder of the Root of Sow-fennel, of Ariftolochy, Euphorbi- um (or fome other of the forementioned Reme= dies) is.to be impofed and laid upon the corrup=- ted bene, uncil che faid bone be feparared, and parted.
Afterthe taking forth of the corrupted bone, fome drying Pouder (and fuch as are called Cea phalick Pouders) is tobe ftrewed upon the place. After this che Ulcer is co be filled up with fleth ; and at length to be clofed and fhuc up with a Ci- catrice,
Chap. 14. Of Ulcers hard to be cured, commonly called Cacoethe, Telephium, and Chironium.
Here are Ulcers likewife chac are here and
& there in the Writings of Phyfitians termed Dyfepulote Ulcers, Cacoetbe,Telepbia, Cbironia, and “Phagedena, which what they are, we fhal inthis and the following Chapter explain unto you. And in general, al thofe Ulcers may be cal- led Dyfepulote Cor hardly healed)‘ that are not to be cured without much difficulty, ad fuch as’are no: clofed up with a Cicatrice wichout much ado, Touching the right curing of which Galen wrote both che fourth Book of his Method of Healing, and bis fourth Book-of the Compofition of Medi- caments according tocheic kinds. And this in- deed happeneth for four caufes, as Galen tels us in his fourth Book of the Method of Healing, Chap. 1.’ “For of thofe Ulcers that are hardly cu- red and rebellious, fome of chem are made fuch by reafon of che diftemper in the ulcerated part, and others of chem become’ fuch by means of che humor flowing inuntochen, But now: this very
\
Of Praflical Ply ick
A ——
that che fubjected fleth is fomtimes fuch as hath exceeded the bounds of Nature, in the quality on- ly; but fomeimes likewife with a certain necefTa-
ty Tumor or {welling. And in like manner, the |
afflux of humors admicteth of atwofold divifion; to wit, into, Firft the bad and depraved quality, and fecondly, che exceflive quantit y of the humoc or juyce tha¢ floweth in. But inthemean while, either fome, or elfe al the aforefaid Affeéts are alike and indifferently mingled together. Yer neverchelefs, the fame Galen in che fixth of the Aphorifms, Aphor. 45, addeth a fifth caule; where he writeth, That Ulcers remain a long time, not only becaufe of che afflux of humors, or by reafon of any difpofition in the Member contra= i¢ted from che humors flowing in; but alfo (thirdly) by reafon of fome paffion of the bone that 1s corrupted in that place. For aichough Ulcers thac have a corrupred bone lying under- neaththem may fomcimes be cured and covered over wich a Cicatrice: yet notwithftanding that foundnefs is not firm, and of any continuance, buc che Ulcer is afcecward again renewed; and this happeneth fv long as the rotren bone remai- neth unhealed.
And yer neverthelefs, Galen.in his firft Book of | according .te@>|
thew kinds, Chap.18. diftinguifheth between |} tenomed
the Compofition of Medicaments
thefe Dyfepulete Ulcers, that is to fay, fuch as jare hardly brought to a Cicatrice, |
and che Ulcers Cacoethe or Malig- Senet ‘nant: and he calleth fuch of chem :
‘Dyfepulote, char arife from the conflux of either many or fharp humors ; without chis, chat the “part affected hath already fuch a difpofition, that | although chat chat floweth in fhould be good, | yet nacwichftanding ic corrupteth ic: now cholée Ulcers thac have already gotten chis aforefaid eas he calleth Cacoethe, or malignane.
(from what caufe foever it be) may in general be called “Dyfepulote Ulcers ; and now in {pecial
P|
fi
| diftemper may again be faid co be twofold, fince |
| fi
f i }
up
|
:
Pan Il 9G
om
wits chirit
) ne yf tt
J the ta } pe cost le (a8
| (ce gf thi Astol
BB ie Chit Beare Cb
|
ys
4 Wound
B fading
pelo damn te # shougi
ing alto thar cl
B lle:
|
Cap 6,
afi, aeo
lf
}
by Hera ron bein Arrow f by and
ed this
Fm thecefore
| |
|
ptaved difpofition of che parc affected. Butint |
tegard that al che differences and caufes of Ulcers hardly cured have hitherto been’ explained, there isno need chat we add any thing more concerning them.
And yet neverthelefs, there is one caufe of chofé |
Ulcers chat are hardly curable chat I have foms times obferved, which I chink ic nor fit here altos gether'co pafs overin filence. Ic happeneth very
|
|
f
often, thac in long continued Ulcers the skin isex~ |
cenuaced, and the flefhy panicle and fac is wafted: which if it happen, we may conclude chat the Ul=
cer is not healed, fince chat che skin can by ‘no |
means be agplutinated untoche fleth lying under- heath ic: for when che Capillary Veins tending cotheskin are eaten afunder, they cannot thew
convey unto the skin that blood chat is neceflary |
for confolidation. This
|
| |
| |
i ail,
So thac al chofe Ulcers chat. are hardly cured |
i had
wins an {the an wick ‘anc B ttole har i contuma Bt 13 cor tutes,
Bid Chi
Celfuy geiac
likewife thofe that are fo made, without any de- if Guth be
lows Bit oft i) and
, thier
han by Bieri: 10 reat td. Ty A lover; Var hi Peet The f Untion / telbyt tl A Chin Whe th
a Vier
{
Dg that
nuance, fi
1; and i [eal i book of i ding toy between i loch as
q
Gets,
Fenher has thee Mh, that] 2 ~0if y tbole mt orelaid lignan y cued necal Dt (cial any | Buti f Uleet j, thet noetn
of thal | ye fon q ae dle eth vet) Be)
inst BE waft i!
7
ibe Ul by unde ren ot 10 | cel | Ww
digunt ; | um; and that this Chiron was the firft Inventor |
of the ancient Chirurgery, being a pare of Phy-
| This is known, becaufe chat che sis skin ismot only by the couch percei-
Chironit. | ved tobeexcenuated buc che color | phia, becaufethat Telephus continued long trou- is likewife changed, and becometh wan and dark, | bled with {uch a like Ulcer. Thole chac think ™& chac boththe Chironium and the Telepbium Uie
and the skin (as it were) withereth away.
There is in this cafe little or nothing to be per- | cers confift not fo much in cheic corrofion a3 in formed by Medicaments ; buc the skin is either co | this, that they are borh of chem malignane and be corroded by fome Cauftick Medicament 5 or | contumacious, fothat they are wone to continue elfe (as lbave fomcimes caufed it co be done) che | with the fick perfons even unto cheir old age,cthefe Ulcer isto be opened longwaies with che Icon 3 | diffenc from Galen, who (in the fecond Bock of
and chis may very eafily be done.
the Method of Healing, Chap. 2. and 14. ofthe
As couching the Ulcers Chironia and Telephia, | faid Method. Chap. £7.) thinkech that Phageda. che Chironian Ulcer hath ics name from the Cen- | na confrfteth in erofion; and chat Chironium cauce Chiron: though fome chere are notwith- | and Telepbium are a fpecies hereof. Where we ftanding chat render another reafon of the {aid ap- muft know (as Galen acquaints us in bis Com= pellation. Zenodotus (as Erafmus of Rotter- | mentary upon the fixth of the Aphorifms, Aphor. dam relaceth in Chil. 2. Cent. 8. Prov. 21.) 45.) chac al Ulcers chat become greater and worle; thought chat Chiron received from Mercules a\the Ancients called al chefe Ulcers Phagedene 5 Wound in his Foor, and that the faid Wound be- |and if in this manner we take Phagedena, then ing altogether incurable, he perifhed thereof; fo | Cbironiaand Telepbia may be called a Species or thacincurable Ulcers are hence called Chironian (kind of Phagedena. But there are fome certain Ulcers: But Pliny in bis twenty fifth Book, | of the laccer Writers that have endeavored to di- Chap. 6. and Ovid in the fifth Book of his 'a- ftinguith them, giving unco each of them a proper fli, are of opinion that Chiron was not wounded | and peculiar appellation; and fome of chefe they by Hercules (who was his fciend) buc that Chi- | cal Chironia, others of chem they cerm Telepbia, ron being entertained by ‘Hercules, Chiron his| anda third fore Phagedene. Sothat Phagede=
Arrow felaccidencally upon che Poot of Hercu- des, and caufed therein a moft dangerous and en- venomed Wound ; and chat Chiron himfelf hea- led this Wound with-Cenraury, which Plant was therefore by chofe that came after called Chironi-
fick ; and chae from Hands, and the operation of
thofe hands ic received irsmame. $o chat any
contumacious and malignant Ulcer, that by reafon
of ics contumacy hath need of fome Chiron to | cure i, and which wasarche firft cured by che | faid Ghiron, may be called a Chironian Ul-
cer. Gelfus inbisfixth Book, and Chap. 28. defi- neth a Chironium Ulcer in this manner: It % (faith he) great, and bath lips that are bard, callous; and fwelling. The Sanies that 1ffuetb out of itis not much, but thin; there is no unfa- vory and ftinking (mel, neitber in the “Ulcer, nor in its Tumor. There is no Inflammation, the pain ss but little and moderate , nothing creepetb therein; and therefore it bringetb along with it no great danger, yet bowever it i not eafily cu- red. There w fomtimes atbin Cicatrice brought all over it, but this is again foonbroken, and the Ulcer renewed. It bappeneth moft efpecially 1 the Feet, and in the Thighs.
_ The fame Celfus, feeing thac he maketh no mention of Telepbian Ulcers, it is nor'¢o be doub- ced but chat he thought them co be che fame with the Chironia: as \ikewile Paulus Hgineta doth when in bis fourth Book; and 26. Chap. he chus
na being taken for a corroding Ulcer, is one while the Genus of Chironium and Telepbium Ulcers 3’ and another while a certain decerminace Species of a corroding Ulcer, ditfering from Chi- ronium and Telephium 3; which (co wic) befides che skin, eacech through che flefh it felf; and yer neverthelefs is noc alcogethec fo malignance as Chironinm, ot Telepbizm, or the Cancer.
To wit, Télepbian Ulcers are the fame with Chironia, fo called from Telepobus, who was a long cime affli€ed with fuch an ulcer. And what Galen (in the fourth Book of the Gompo- fition of Medicaments according to their kinds, Chap. 4.) hath wricten couthing Chironia, to wit, They cal (faith he) thofe Chironian Ulcers that are not meanly and indifferently malignant orcontumacious, but {uch as are fo inibe bigheft degree; The fame is likewileco be taken and un- der ftood of the ulcers Telepbia.
The (aujes.
Now fuch like Ulcers have cheic original froma Melancholy humor, having fome (though not much) black Choler mingled cogether with 1.
Signs Diagnoftick.
Such like Ulcers are known, in that they have their lips il colored, and for che moft pare they are red, and itching; and although the Ulcer be never fo lightly and pently handled or wiped, yet chere is a pain perceived; the parts lying round about ic{welup, andthe Ulcer 1s from day
writech: Inveterate Ulcers (faithhe) and fuch | today dilaced 3 and not only che skin,buc the fletta
a bardly admit of a Cicatrice, fome cab them |
likewife that lieth utider it is eacen through. 7 : P ogra
j ead y
_
i 4
} 5
Prognoft; ae
Every fort of chefe Ulcers is Contumacious,
" g andhardco be cured, as we cold you before,
The Cure.
Astouching the Cure, Univerfals being premi= fed, and che body emptied of the vitious humor, anda ficcourfe of Dice prefcribed, chere are tobe applied unco the Ulcer Medicaments that are come | pounded of fuch chings as are cold and dry, aftcin- | genc, and withall Dilcuflive: andfuch are Plan- cane, Nightfhade, the cops of the Black-berry or | Dog- verry bufh, che Flowers of Rofes, Cyprets Nurs, Pomegranate flowers andrinds, Maftick, the bark of Frankinceafe, burne Lead, Litharge, andthe like,
And therefore inthe fuft place, let che Ulcer be wafhed and fomented wich this or the like De- coction.
Take Plantane one handful, Flowers of red | Rofes, Pomegranate flowers, and Cyprefs ‘Nuts, of each balf an ounce; Myrtle berries, Pomegra- nate rinds,Sumach, of each tbreedrams, Alum burnt balf an ounce; boyl them in Water and
5 Of Prattical P by fick.
wafbthe Ulcer weltherewith. Or,
Take the Fuyce of the Bramble, Plantane, Night(hade, Shepberds-ftaff, of eacbfour oun- ces; the whites of fix Egos, Alum four ounces; deftit them in a Leaden Alembick: Let the Ulcer be wafhed and fomenred wich chis Water : and Jec che parts likewife chac lie neer unco it be a- | noynced over with fome Defenfive.
After the Ulcer is thus wathed, lee che Un- puent Diapompholyx be laid thereon ; as alfo the white Camphorate Unguent, and the Unguent de “Minio. Or,
Take Tatty prepared balf an ounce, burnt Lead, Cerufs wafhed, of each an ounce; let them
RE eee a a
Pare II.
regard thac the Lips of the Ulcer flrutting forth |
with black Choler are lifcedup into a Tumor, ic |
is chereforeby fome referred unto Tumors; and there is Mension hereof made by Galen in his Book of Tumors, Chap. 14. But we wil treac here of ic
}
among Ulcers. But yet neverthelefs, as couching |
ics Name, this is cobe noted, chat icisnoc alwaies |4}
taker in one and che fame fignification. For fom- |
times ( as Galen tels us, in Epidem.6.Commenc. |§} 3¢ Texte 37.) Phagedena fignifiethan apperice |§h
unco, and eacing of much mear, and hence (by the |
Author of the Medicinal Definitions) it is defined to be, a Conftitucion in which Perfons having an appetite untomuch Food, and devouring much
thereof are not able to reteinand keep it;but when |j they have caft it up, chey againdefiremore; and Ji
in this manner ic is alfo defined by Aurelianws, in che chird Book of hisChronic. Chap, 3. So cha¢
‘Phagedena being takenin this manner, and in jl
chisfence, is nothing elfe but chat we cal the Dog- ike appetite. Andctherefore Pliny, in his Book
20.Chap. 5. 13. and in his Book 30. Ghap. g. || Bor;
and Book 35. Chap. 13.) for diftindtion fake ( when he {peakech of an Ulcer ) is wont co add the name of Ulcers, and co cal them Phage- dene of the Ulcers. And furthermore che
name of a Phagedena doth fometimes fignifie |
a certain kind of deftruction chat befalleth unto Bees; of which Columella writeth in his cench Book, and Chap. 13, Buthere in chis place we
that 0 Malignar
lsc00]
Ajuod U Biough b; nw gy, that
lmaly.
take Phagedena as itis only an Ulcer ; touching |
which Galen in his Book of Tumors, and Chap. 14. thus writeth; Whatfoever of the Ulcers there be that eat and devour, and reach unto the Bodies lying round about them, and continu-
cersare by the Greeks called Phagedznica: but thofe that are compounded of both (to wit, of an
‘Ulcer, and a Tumor, furrourtding the flefh) thefe be wel mingled together ina Leaden ‘Mortar, | are called Phagedene. Thus Galen.
Morea-
|
| ally eating through that that is found, all thefe Ule |
|
pourtng inunto them by little and little the Fuyce | ver alfo Herpes feedeth upon, and eateth up che | pacts lying neer round about; but che exulcera- |
or water of Plantane, and make bereof a Majs : | afterwards add of Bolearmenickh three drams ; | Oyl of Refes and Wax of each as much as will) Suffice, and make an ‘Unguent.
More of thete like Medicaments fhal be declared an the Chapter following.
Chap. 15. Of the Ulcer Phages dena. |
Phagedena What itis.
Nd becaufe ¢ as we have told you ) chere 18 like wife mention made of Phagedenaamong the Ulcers; we thal
therefore here in this Chapter explain ic, and fhew you what ic is, It is fo called fromthe Greek word Phagein, from its Hating 5 and this (whe- ther Tumor or Ulcer) hath received its name from eating through and corroding, becaufe ic eacech through the parts lyingneer unto it. And indeed it is properly an Ulcer. Bik yet neverchelefs, in
ton isintheSkinalone: but che Phagedena(com gesher with che Skin ) reachetheven unto thofe pacts chat lie underneath,
Nome islikewife a differenc Af- fect, focalled fromthe Greek word, fignifying co feed; becaufe chat it. is
Nome.
This huent bur
7) itpenerat
‘hae Helancho
tk Peg nth m that that that wl te bun
Beit NCMOET.|
Bic elle ch
liad, tha ral Di
| wont Comove forward ( {til feeding che Difeafe) | ip Ch from the fick and unfonnd pacts unca chofe | chac are whole and found, and of thefe found par= |
ticlesit is wontialwaiescto add fomching thereof | 1 1)
not from che fubftance of che thing declared and |
uno the unfound fochacit hath ics Appellation |
fhewn; buc from fomething thas is Acceflary, Vf 2Y, which asco feed; as Galen cels us in his fifth P)tntty Book of che Mechod of Healing, Ghap. 4. For | Ji i, Nome fignifiech an eating or deva@uring putrid- Hy , nefs, albeit char che Ulcec creep buc flowly. |W ite, But Phagedena is from (humors -chat are fhacp | Win
and corroding, even without any putridae(s.
iy 1 80 that atid in it Dage 18 Book ay | On Lake to add Phagee He the F ligne f th Un i tenth lace we ouching 1 Chap Ulers nto the mntinite efe Ub at ee tof on ea | Moreo: F) up the F ulcers fh pace tl 0 hole
NN
~ Of the Ulcer Phagedzena.
dh pn ne LALO ACCT CN A A A RR i
what Phage- ; DOW CO declare unto you.
dena us. | focalled, is an Ulcer chat feedech up-
But what a Phagedena is, we ate | 3 Eating Ulcers, with a hocand dry ditem- Now a|per ofthe Liver, or elfe conjoyned wich the foul Phagedenain {pecial, and properly Difeafe( which we commonly cal che French Pox,
or the Neapolitane Difeafe ) are not to be cured
on and eaceth chrough the flefh lying underneach | without mach difficulty.
ic, and chofe things chat are about 1¢; and then
4. Eacing and devouring Ulcers unlefs they be
preying upon {omewhat belonging unto the found | rightly and {peedily healed, chey often degenerate arts, which it addech unco rhofe thac ace difea{= | inco an exulcerated Cancer.
ed and unfound; as we may {ee from the fixch Book of the Aphor. Aphor. 46, andin Galen his Book of Tumors, Chap. 12. To wit, the Phage-
The Cure.
About che Gure of chis Ulcer it is to be noted
dena which che more ignorant Phyficians cal} the | (as elfewhere likewife we have ofcen faid)) that Ambulative or walking Ulcer, isan Ulcer chat is |anie nocbing wil any whit profit oravai (as icis
cumid and profound, eas&mg chrough che parts ly- Ing NEEL » and che flefh thac lech underneath.
For it hatha Tumor abouc its lips, Its difference by which it ts diftinguifhed from from Nome. Nome, which likewiie eacech tho-
|alfo in other Difeafes ) whileft chac che Caute ftil remainech. And therefore in che firft place, fuch a Courfe of Diet isto be prefcribed chac will not only noc generare fuch hike aduft humors, bue likew ile qualifie and correct their acrimony : and
row the adjacenct pattsy but chen it |afcecwards thefe bad humors are co be evacuated
is without any Tumor. Although that ic be like- wife otherwife diftinguifhed trom Nome, becaute chat in Phagedena the Corrolion is only from a Malignant qualicy, andthe acrimony of the hu- mor; wheras in Nome there is likewifea putrid= ne(sconjoyned. Andit is alfo a deep and pro- found Ulcer, and fuch as. doth not only eat through che Skin, but even through che fleth al- fo; in which refpect i differeth from the ‘Her- pes, that corrodech and eateth through the Skin
only. The Canes. :
This Malady hath its original froman aduft ot burnt bumor, and Cholerick,
Melancholly 5 falc Fleom, and a ferous or wheyifh humor there-
and fuch asalmoft depenerateci into che Nacure of black Choler or or elfe from yellow Cholec with Sanies from the Ulcer, theythen do better then
| out of che body.
| And moreover this alfo is to be obferved, which
| Galen \ikewife taketh notice of € inthe place be= tore alleadged, Viz. inthe fourth Ghaprer of his Book of the Compotit. of Medicam. according co che kinds of them ; uponthe Medicament of Af-
| cleptades) where he nath chele words, Rightly (faith he) bath Afclepiades added thefe mords
| unto the end of bis pre(cribed “Medicament; Viz.
| and Loofen this every third day, and mitigate the | pain with fomentations; and foften the fameEan- | plafter voben you bave wafbed it, and again lay it on: for unlep the Medicament fhal ftick{omwhbat longunto the Skin, it effetteth but little-or no- ithing » vobich moft Phyfitians are ignorant of,
who think that if thrice a day they wipe arcay the
thofe tbat doitbuttwiceaday. Andthe truth ts,
withall mingled: which humor isnot fo chin as | there is moft commonly a great error committed
that that caulech che Herpes; noryet fo thick jinthis very point 5 whileft moft men think chat
aschac which produceth che Cancer.
Buc now |they cake che beft courfe with che Patient, if
thete humors proceed, eicher from {ome principal they wafh fucha like Ulcer chree or four times a
Membet.affe@ed withahoc and dry Dittemper ; or el{e chey are burne in che very part chac 1s affe- éted, chat lieth under fome hot and dry preterna-
tural Diftemper.
Signs Biagnoftick.
The Signs are already declared and explained 5 and they may be colledted out of this,and che fore-
going Chapter. a Prognofticks.
ts Thefe Ulcers are hard to cure; whereupon they ace likewife in che general called Cacoe-
the.
2. Yetnowithftanding fome are more malig- nant then others: for which caufe chere is a nece- ffity chac we havein a readinefs divers Medica- For we
ments, differing in ftrength and virtue.
day. But fincechat the Medicamenc doth nos at li adt any ching unlefs by che Native heag ic be drawn forthinto act, and in regard chac in mas lignanc and long continued Ulcers the heat of the affected part is very weak, icneedech much time cherefore co excite and draw forth the firength and vircue of che Medicamenr. Wherefore che fame Medicament ought to be kept fiicking upon che parc affected along while; neither isits actie oncobe difturbed, when the virtue and ftrength thereof is fcarcely yet drawn forth by the heat of the place affected (fochatic now but beginneth co act) andanew Medicament to beapplied., In whichcafe notwithftanding the condition ofthe humor exciting che Ulcer is co be confidered. For if is be very fharp, it is the oftner to be wiped away, left chac fticking in the ulcerated parc 1s more corrupt the fame.
never yet heard of any one chat wich one only Me-
dicament eafily cured al {uch like Ulcers as thefe.
GHAR,
CC A I BRE IE SICAL IS
Of Prattical "Phy fick.
a ee ee tes Mn gas
Pare If.
9876 Book V.
, Chap. 16. OfanUlcer with pain.
‘ry Uc now the Caufes donor only cherifh and
encreate the Ulcers, and there are likewife certain Dileafes therewith joyned to accompany chem, buc¢there happenech likewife oftentimes a pain unto thefe Ulcers, which 1s cherefore imme- diately co be mitigated 5 in regard that pain at- tractech, zugtrenreth the Ulcer, and caufeth In- flammations and the Eryfipelas to arife. Nowas couching pain in general, we have already fpoken in the frit Book of our Practice, Parc 3. Sect. 1. Chap. 2« So chat weare here only to treat of che painof Ulcers. This pain cherefore in ulcers art- fech for the mo pare froma fharp and corroding humor. But now whereasthe pain iscobecaken away, either by taking away che caule, or proper= ly by mitigating the pain, or by caking away the {enfe thereof (as we have fhewn you in che fifth Book of our Infticutions, Part 2. Sec, 3. Chap. 8. and likewife inthe place alleadged ) the laft of thefe waies is not fo fafe, becaufe thac tc cannot be adminiftred withoue great detriment uaco the part s and cherefore it is not to be puc in practice but only in cafe of urgent neceflity. For this rea- {on it ismoft fafe to cake away the caufe of che pain; or if chis cannot be done but in a long time, and that there be caufe co fear chat in she mean cime che Ulcer may be encreafed and made worfe, then inthis cafe Anodynes are to be made ufe of : which whac they be, we have fhewn in the place elleadged. are, the Yelks of Eggs, Saffron, Turpentine, Oy] of Rofes, Rofin of the Fir-tree, out of which mingled cogether Liniments may be made, to be impofed upon the ulcer. But upon che Couspats or Gircuic of che ulcer, che Fac of a Hen, of a Goole, of aDuck, the Mucilage of Linfeed, of Fenugreek, of Marfh-mallows, the Oy] of {weet Almonds, of Gamomile, of Dil, andof Violets, aretobeimpofed. Or,
Take Mallows, Marfb-mallows, of each one handful; boyl them to a foftnefs, and then bruije them wel; when they are bruifed and paffed through a bair fieve, add of Barley meal one ounce; Linfeed and Fenugreek, of each one ounce; Oyl of Rofes two ounces 5 Oylof Camo- mile and rebite Lillies, of each one ounce ; the Mucilage of Mar{h-mallow feeds, the extrathed Water of the Elder flowers an ounce and balf 3 Saffron one feruples the Yelks of two Leggs: ‘Make a Cataplajm. Or,
Take Crumbs of white Bread two ounces 5 foften them in Milk; and then add of Barley Meal, and Linfeed, of each one ounce the pou- der of Gamomile flowers balf an ounce; Oyl of FRofes an ounce and balf; Water-lilly balf an ounce: the Yelk. of one Egg, Saffron one {cru-
ple : mingle them and make agCatapla{m. ie
Thofe chings chae here much benefr, |
_ Buc ifatany time we havea naind co fic che Me- dicaments unto che caufe, in regard chat moft commonly in ulcers the pain arifech from hot and
| fharp humors; therefore totake away chis pain
we may adminifter the juyce or the deftilled was cer of Nightthade, Planrane, Henbane, Sengreen, ‘ Oyl of Rofes, Whires of Epes, wich Rofe wacer: of this thofe Cataplafms chat are made of Mal- lows, Plancane, Nightfhade, and Oyl of Rofes, are cobe Jatd on$ or elfe an Unguent of the whire ofan Egg, Oy \ of Rofes, and Litharge, wel brui« fed and mingled cogether in a Leaden Mortar, and afterwards boyled wich the Juyce of Sengreen, until al the juyce beconfumed 5 or a whol Ego carefully mingled copecher with che Oy} of Rofes, and Turpentine, in a Leaden Morcar 3 or elfe che white Camphorace Unguenr.
If neceflicy drive us unto Narcoticks, then the Oy! of Poppy, of Henbane,of Mandrake, of Frogs, or the juyce of Henbane, al or any of chele may be applied with Mik.
Chap. 17. Of the Ulcers of the Legs
and other particular Ulcers.
P
4 Nd thefe things we choughe fit Cina compesn- dious way) cofpeak of Ulcers in che pe- neral ; which any onemay eafily apply unto the ulcers of particular parcs. Netcher do we con- | ceive icco be at al needful, chat we fhould fpeaks any thing more of the ulcers of al the particular parts, fince chac we have already treated of them in our former Books, as we fhal by and by cel you. And ctirecefore in this Chaprer we wil {peak only of the ulcers of che Legs in fpecial. | :
‘Bryfipelas’s chat very frequently iD
For it ofcencimes bappeneth that bad ! fee : : ) ; Oe Li FS. and depraved Humors, efpecially the | =
Melancholly, as wel by cheir own weight tending
unco the Thighs, as by nature thruft and driven down thither (as unto the external parts} do ex- peneth afrer
cite ulcers; and this efpecrlly happen feft che skin 5
and chiefly in Women, where withou
cheré is a concurrence of fomching amifs
» Anawhe Caouoc $i
7 the
Womb: andi ksow thac in fome cercain Famio.
lies fuch ulcers are fo familiar, chat al che Women therein (alchough they feem co be otherwile very wel) have of thefe Jong continued ulcers in theic Thighs. . And therefore by al means soffible we are timely co meet wrth, and prevent chete ulcers.
For unlefs they be {peedily healed, Nacure wil ace
cuftom her felf ro fend away ai che vitious hu- mors chat are bred and heaped up in the whol bo- dy unco thele parts, which afterwards, if che ulcer be clofed up, and the body be nor diligently and ofcem purged, wilexcice other more grievous Difeafes, efpecially in chofe chat are aged: for tf they beneglected, they are wont hkewife to gain gtowch and encreafe, co corrupt the parts thac lie neer, and cu becomie callous; to thatiffomeipee-
dy
: al ete } peat Bd B® robei } eficact
Bm ihe @ ; this Em BS Tk Bb pater mB (acy Ul dat of Leade Wit bappil U (cers if Take Oyo
f)
them be IM ifteroa Bin f N burnt, « A finned a Viguen Take
Ce he YM UR Nh»
Niharn p WAT
I Tike 0
jam icey 5
ep
witenia
hs WON,
Hittin i auhi)/
r
At
} 4 ue | a) ot ae ee e( ne H is) i Water { Wil Dir §
Noles i whi
| ey 4
rar fort
0 gi
tac lt
5 {pete :
y
a Rn a Ee a
ap. 1 Of Burnings.
hap. 13.
dy courfe be not taken for the healing of them, | have already treated of chem in che former Books they aftecwards become altogether incuta-} of chisour-Practice. Towic, in the fictt Book, ble. | Pare 3. Sect. 2, Chap.18. of the ulcers of she 4d-
Now that thefe ulcers may be righcly cured, | nata and Corne# Tunicles of the Eye: ibid, firft of alehe body is co be throughly purged from | Sect.-3. Chap. 3. of the ulcers of the Ears: ibid, the vitious humor; and the faulc of che Spleen | Sect. 4, Chap. 1. of che ulcers of the Noftrils : In (which for che moft pare ishere prefent) isto. be | the fecond Book, patt 1. Chap. 3. of che ulcers of corrected, and a Purgation oftentimes to be re- \the Lips > ibid. Chap. 16, of che ulcers of the peated. Neirt i ibid, Chap. 21. of the exulceration of
And afterward the Unguent Diapompholyx is | the Throat-pipe: ibid. Chap. 22, of che dlcers of to be impofed(which I have ever found to be moft | the Tonfils : Part 2. Chap. 1, of the ulcers of the efficacious in this kind of ulcer ) fo long as until | {pera Arteria or rough Arcery : ibid: Chap.12. chere appear-a Pus good and white: and then of che ulcers of che Lungs: ibid. Chap.18. of the this Emplafter : | Fiftula’s ofthe Thorax: Pare 4. Chap. 3, of che
Take of the Unguent Diapompbolyx, the Em- | ulcers of the Hearc : Book 3. Pare. 1. Sect. x. plafter Diapalma, the Emplafter Gryfeum, of Chap. 1. of the ulcers of the Ocfopbagus: ibid. each one ounces Gum ‘Elemi two drams , Su-| Chap. 17. of the ulcers of the Scomach: Pare 2. gar of Saturn one fcruple: mingle them wel in a Sect. 16 Chap, 9, & 10. of the ulcers of the Inte= Leaden ‘Mortar. |ftines: Parc 3. Chap. §. of che impoftumes and
With which two Medicaments I have oftentimes ulcers of the Mefentery: ibid. Chap.7. of the
happily and fucce(sfully cured the long continued , ulcers of the Pancreas :
ulcers of the Thighs. . Or,
Take Cerufstvo ounces, Litharge one ounce,’ Oy! of Rofes ore pint, Wax two ounces ; let, them be carefully mingledin a Leaden Mortar : _ afterwards add of Tutty prepared with the Wa-
ter of Night(bade, of Frankincenfe, and Lead burnt, of each one ounce; and let them be again flirred about intbe‘Mortar , and then make an Uneuent. Or,
Lake Wax, Rofin, of each one ounce; the Su-
ibid, Chap. 8. of the Caul: Part 4, Chap. 8, of che Spleen: ibid.