part in which the fection ought to be made che|thacbyche faid burning very much of che found

Member is moft ftrictly and very hard co be cied| flefhisconfumed, whereupon the bones are left down wich Ligatures. By which binding, firft | bare, and che flefh, cogecher with the Cicatrices of allthe overgreat flux of bloodis prevented 5 | either it 1s not ac all brought over the naked part § fecondly, the fenfe ofthe pact ( by che fhuccing| or ifit be, it is noe without much difficulty. And up of che Animal Spirits) is fomwhac dulled; cherefore he Practifeth anocher way of ftanching and thirdly, che Mufclesthac are by chis means| che Hemorthage; to wic, wich a Crows~bil he lat- drawn upwards (the Section being ended, and ech hold upon che Veflelssanddraweth chem alto~ the bands loofned ) do again devolve and move | gecher,8 chen bindeth chem as clofe as may be. The downward, that they may cover the excream and | Veffels being thus ftraicly cied cogecher with a Li- naked parts of the bones. gature 3 or ( if you judgthis more )fic fhut up clofe As concerning the place of Ampue | with a Caucery 3 the bondsare chen to be loofen-
‘The place of | cations inthe Fingers, and Toes, che | ed, and che courfer parc of Flax or Hemp ( wecall it Hurds ) after ic hath been chroughly foaked in | Joyner. For in che Joyne ( if at|the White ofan Egg, and fufficiently befprinkled
feaft the Malady will admit chereof ) che Ampu- | witha Pouder that hath in it a virtue and faculty tation is made with che leaft danger, and likewife | of ftanching the blood, 1s co be laid upon the with the leaft pain. For the Nerves andthe Ten=| Member. And yet neverthelelefs for che moft dons fo foon as they are cut affunder chey arein-| part, without any fuch Ligacure ot Cautery, che ftantly concraéted upwards, and covered with | blood may likewife be ftopped and ftanched atteg flefh, neither doth chere follow any Convulfion | chismanner; As, eae hereupon. \But ifin che Feet che Sphacelus tran{- | Take the fineft Flour three ounces, Dragons
gend the Ankle, chenthe Legis co be cut off a \blood, Frankincenje, A logs, of each typo me ae Lys ‘Boleg
| Ny r
2 ;
Sen
SRDS ms MINED ARE WERT HST > ~
yg LZ Vy Nye
“gags Book V7 7 Of Prattical Phyficko”
Bole armenick, Terra Sigilata, Parget or Plai-
feer, of each one dram, Water Frogs prepared \the Lips of che Wound may ‘be’ drawn together,
C though there be fome'that for his uie: and pur pofe dorarher commend chofe of them thar live among? Trees } on¢ ounce; tbe Flix of a Hare curvery fmall, a thin’ Spunge torrefied by the Fire, of each two drams, and make a Pou- der.
Upon the Veffels likewife chat pour forth blood chere may very fitly be applied and laid on that Mufhrom fo muth ufed by Chirurgeons to ftanch blood, which they cal Crepitus Liepi.. OQ- chers (bere arechar make up Emplatftets of Dra- gons blood, Bolearmenick, Terra Sigillata, and che fineft Volatile flour (and the like) wich Pitch, Afterwards the Trunk of the amputated Member asco be fate guarded°*wicth chofe Detentives, or fuch like, as we have above mentioned; che like unco which is thisalfo that followech ; which is cobe applied wich Hurds, and Swath-bands, ha- ving been firft wel and chroughly foaked in Oxy- Crate.
Take Bolearmenick, Terra Sigiilata, Dra- |
eons blood, “Mastick, Parget; Oyl of Rofes, and Oyl of ‘Myrtle, of each one ounce 3 Whites of three
and afcecwards that flefh may cover che bones, and imay be untothem in ftead.ot the Pillows. Pa= raus and others few cogecher the lips of the wound in the form of the leccer XX: buea Sucure (which they cal che dry Sucure.) feemech.co be far more iconventenrs orelfe bya Glew, whichis done af- |cerchis manner.» A Lineo Clottrof a conveniene \figure and bignels, moiftened throughly ina Glew of Aftcingenc, Emplaftick, and_vilcous Medica~ ments C tuch as are Bolearmenick, Dragons blood; | Gum Tragacanth, Sarcoco}, Maftick, che Whire ot an Egg, andthe like) is co’bedaid upon the place. As,
Take Maftick , Dragons blood,Bolearmenick ; }Sarcocol, andthe finejt Voiatile flour, of each balf an ounce; Rofin of the Pine Tree two drams + mingle them with the White of an Bee.
‘\Of thzs' Linen Cloth let there be made Enplafters pebich areto be applied unto the extremity of the Wound on both fides.
So foon asthe Emplafters are become dry, fa jehac chey begin to ftick too faft unto che Skin; | chen we ufe fo annex unto chet Jiccle handles ta
Bees, Vinegar as much as wi! fuffice,' and es sh sein by, of Thread cwice or thrice doubled ;
az ‘Unguent.
And chis is he firft dreffing, or che ficft binding up; which is noc tobe loofened (inthe Summer cime_) betore the fecond or third day $ but in the Winter, not before che fourth day at the fooneft, untefs in cale of urgent necellity.
And in the mean time the Member is co be plae|
ced in adirect middie pofture or figure, in Pil-| lows ftuffed wich the haits of Harts, or Wheaten| meal, The ficit binding being loofened, and the
firft Provifion takea away, again wich che White | of an Epg, as before, the Pouder ftanching the| blood is tobe applied; and che excremities of che | bones co be covered with a piece of che dry Lini-| mene; and in the end che Wound €o be bound up| wich fome kind of Digeftive.
And this Cure is fo long to be continued, until there be now no caufe’ of further fear that any mifchtef may follow upon the Hemorrhage, and| thatthe Wound be now become Purulent. For! then thefe Medicaments being laid afide, we are co make ufe of Cleanfers. Gulielmus Fabricius commendeth this Unguent following of the Juyce of{Saiallage, nor only for the Gangrené, but likes | wile for other fordid, foul, and Malignanc Ui- cers:
Take the Fuyce of Smallage, of Water-Ger- mander, of iVaybred or Plantane, and of Rue, of each two ounces 5“Honey of Rofes firained one pound; boyl :bem to the Confiftence of a: Syrup + and afterwards mingle therewith the meal of Lu- pines, toe Powder of round Aviltolochy root, of
(,
(
and witb them we coneract the lips} and chis may likewife be done ina future that is more chity fewed.
| And chen at length we mutt do to che utmoft of our endeavor, chat the excremicies of che bones which were hurt by che couch of che Iron and che
burn che utmoft parts of them with a red bor Icon; |
yet ftilcaking great heed left that rhe flefh, and o- ther of the fenfible parcsbe burcehereby, Ochers make ufe ofthe Emplafter of Becony, and o= cher Catagmactick or Fracture Medicamentés And fo within thirgy or fourcty daies whatfoevee there 1s of the bone corrupted wil fall off. If che flefh be luxuriant or proud (as we fomerimes term it } it is chen co be repreffed and kepe under
by the Pouder of Alum, and the ke, and at | Bue |] whereas paatis do in che meantime much infelt and |i duquiet the fick Perfon, and that chere is caufe co | fear left that Convulfions arife chereupon 5 the |j beencutaf= |
length che Cicacrice is cobe brought over it.
Trunk oc Stump of the part chac hath funder, yea andche Necklikewife, and al} che Spinal Marrow ts cobs anoynted with thofe Me- dicaments € that are otherwifealfo wonc cobs ap-
| plied unco-affects of a Nervous Nature): made of
Sage, Rofemary, Marjoram, Rue, Lavender, Dil, Camomile, St. Johns wort, Bayberries, the Oyl of Eirth-worms, the Oy] of a Fox, ‘Turpentine, andihe
We muft not here pafs by i lence the Scorbutick Ga
Urge we
ey: Bods) Slhiwe
be Scorbus
a)
e= ¢
shes
ri z as
t Practife; Pate-5. Se
=
Inthe mean time we mult doour endeavor that
Air may fal off.For which end,{ome there be chac |
— 7 Chap: é| omnes Muay | Fr00h i 8 aft (ist | Goa A pein BF ybich we Tobey" | / ine 004 1 Fo, i nyt eel | pochttis 5 Ging Hand com V pada & Bown ht + Cyulestia H alvai lo B infu & | humiot 5 Madi fen fen, i crept | Ht coma) iain | | moftevee PF without a0 HY very gent Mf peron the PF foc Tknew 1} nomi, b Jwedabove lady, 1
Hf alogetbec 1) thingac al: afay by th {elfunto t cole is wi UT the cay fo ij dead allo; ed tht o jj ever the he feet on matte c ther Leg hes ofa not eng af Foot been ery hoc length fh Noble ier with 1H pon che i Moya j pivadech anorg at Wihdittyy Nidenly 8} and tebe ve BP itiey Kip
at
Ones anf M, @ A De oye te (uhi ‘it moval Mone fe OL veege k Wa Gleyh
W Medica
| Wii
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hy Onl)
i mi) fia ,
dndles t0
bot [ron h, and vf
chee aud. 0" Cd ments
haclocver
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ometimue e ‘ul and if “tt, Duty felt and cule
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Crariit Het i abd ) fig fy Vai Be "\
fit.
oat wr
) and commonly known, ‘) For that Gangrene
- ever the Malady hath ficft of al
% # ar \
Chap. 19
ufually beginneth about the extream pare of che Foor, with black and purple {pots; and a, liccle
afcer chis rhere appeareth from hence. a crufty and
enous Ulcer, drys and yielding forch neither
ee hin Excrement Sanies, nor yet che thicker, which we cerm Pus; and chen one or other of the Toes beginnechto die, and chen chere appear red Jines, and purple {pots upon the juncture of che Foot, according to the lengch of the Leg. 1 have my felf feen fome examples of this Difeafe. Buc both this Gatigrene and Sphacelus differ from chat Gangrene and Sphacelus chac are borh of them wel and chat in many chings. that is fo wel and commonly known hath its original for the moft part from Gaufes thac are manifeft and apparent 5 and there alwaies floweth forth of the Member that 1s dead in{uch a like Sphacelus a ftinking and waterifh humor 3 che Membec becometh fofe and putrid, and it fendech forch frony tc a grievous and noyfom ftench, like unto that of a dead Carkals ; ahd ic creepeth much in a vety fhore came , and mioft commonly it {oon deftroyes and kils che man that hathits But now che Scorbutick Gangrene al- moft ever appearech and invadeth che perfon without any manifeftcaufe, creepech forward but very gently andflowly and doch not deftroy the perfon therewith affected until after along time : for [knew a Noble-man chat lived above three months, but a certain School- Mafter I faw that lived above fix months notwithftanding chis Ma- lady. The part affected with this Gangrene 1s alcogetherdcy, fochac chece floweth out of it no- ching acal 5 and when che corrupt pare is caken away by the Iron, although a red fleth offer ic {elf unto the view, yes neverthelefs chac fame red color is withal fomwhbat datk and blacktfh 5. and the day following it likewife 1s even found co be dead alfo ; and chere is here no ftink at al percei- ved that offendech. And moreover, fo {oon as feized upon one of the feet only, then prefently after (without any manifeft caufeac al) chere begin to appear tn the other Leg and Foot allo certain {pots and bleau- fhes ofacedor purple color; and then likewile not long after chis, on€ or other of che Toes of chat Foor becometh wan and leaden colored, and ina very fhiore time it is found co be quice dead: and at length moft commonly the patty Cas it befel chat Noble perfon before mentioned ) being taken either with che Apoplexy, or with the Epileplie, upon che ficft approach thereof dieth. And yet notwichftanding, this Malady fomtimes invadeth fuddenly 3. co wit, when Che peccant humors are by wrath, cerror, or che like Caufe, ficft difturbed, and chen aftecwards thruft down fuddenly (and as it were ina moment) unto the Toes ; and ficft of alto fome one of them only 5
‘afcer the very fame manner as the Eryfipelas ot
i irife: 1s humor Rofa is wont fuddenly to arile: and chis lee chac is hach init. a very bad and deftrus
| Of 4 Gangrene and Sphacelus.
‘ Vase aN 7) cs M
a
ive quality, or elfe hath received it from fome.
affect of the mind) caufeth chat parc thac ic fei- zech upon inftantly Codie: and hencé it is that by fome this kind of Gangrene and Sphacelus is in fpecial called Syderatio ; wheteas otherwife the Gangrene is Wont in the generalalfo tobe cermed Syderatio. . Now this faid humor feizeth upon the Tendons moft ufually 5 from whence there.a- rife moft certible and inco}lerable pains chat tors ment and grieve the fick perfon both day and night; which faid Tendons, in regard that they do not fo ealily and foon putrefie as doch. the flefh 5 hence ic is chat chis Gangrene likewife cree- peth on fo flowly, that fomrimes (unto che exter nal view) 1¢ 1a whol months {pace in over! prea- ding one only joynt, and ere at {eize upon ands. ther, albeit that within almoft a) che Tendons of che Foot ate already infected: and this Malady concinuech fomtimes aquarcer of a yeer before 1c kil che petion, and it 3s ieldom or never cured, in regard chat chis depraved humor hath infibuaced ic lelf more deep than ufually inco che Tendons, and therefore cannot be {fo éafily caken away. Soe a certain Noble perfon (that had othétwilea Ca- cochymical and foul body, and was fubje&t unto the Eryfipelas) upona fear andcerror, ( Nacure then fuddenly thrufting down che vitious bumiors unco the little Poe), was furprifed with 4 Gane gcené, which afterwards by licele and liccle overe ipread likewife al the reft of che Toes, and almoft the whol Foor, with éxtream greac pain; upon which Catter the {pace of chree months) he died. ee i
Of this kind was that Gangrene alfo,with which acertain Cicizen here (about thirty yeers of ape) was taken inthe month of Fanuary,1633. . He ficft of alcomplained of a pain in his lete Arm, neer unto the Elbow 5 which he making light of, the pain defcended unto his Hand; and 1¢ -was prefently taken wich a cold Tumor or Swelling, and at length became fuddenly over{pread witha purple color 3 fochat now there appeared mani- teft figns and tokens of mortification, and a Gan-= grene. Yecnocwichftanding, upon che admini- ftring of fic and proper Medicaments (of which we thal {peak more hereafter) his Hand had ies natura] color again reftored unto it, and the {welling vanifhed away; fo chat there was no- thing further cobefeen, but only in the very tip of the little Finger che Scarf-skin appeared to be fomwhac wrinkled; upon the opening of which cheré flowed forth a liccle of an humor ; and che Skin underneath appeared pale, and fo the very tip of che fingec was caken with a Gangrene; Which yer néverchelefs (without any diminution of che foynt) wascured. Inche curing whéreof we found this oné thing wel worth our obfetvatie on, that from the faid finger moft fharp and exe quifice pains were excended into the whol Hand, infomuch chat che fick perfon was even afraid ta becake himfelf unco his bed; buc chat ceft.and Ee 2 ileep
eee
Masa Ae —
DIS ea AE A SESE
2596 Book V.
a nr tee
When his finger likewife was handled by the Chi- rurgeons, che pains chat he felc were fo great, chac he could not endure che leaft couch; the feec moreover {welled much, and his face was fomching more {woln than u‘ually.
Neither indeed wil any man chat is not a ftran- ger uco what is done inthe practice of Phyfick admire thac fome vitiGus and depraved bumor by Nacure her elf chcuft unco fome Member fhould be able fuddenly co mortifieanddeadenir. Cer- cain it is thaca potential Cauvery of Lye Coutof which Sope is made_) doth wichin the {pace of an hour, or at tbe ucmoft in cwo hours cine,mortile thac pare upon which itis impofed 5 whenas not-
Of Prattical P
fleep be took was inthe night time as he face.
by fick.
‘Herb Harts Tongue one handful ; Germander,
and Groundpine or Herb Ivy, and Dodder, of yy
each half a bandful; Anife and Fennel feeds, of each two drams, Funtper berries treo drams
andbalf, the Flowers of Buglofs and Liver= | tft wort, of each one pugil ; Raifins cut {mall ona | f
ounce : boyl themin Spring Water unto feven or
eight ounces : unto the {training ad of Sugar two |
ounces and balf: Andthen again kt it bo; once ortmice, unto the Confiftence of aliquid Syrup; and then add of Cinnamom water balf an ounce; and mingle them. | _ fake Afparagus Roots, and Fennel Roots, | of each balf an ounce; Pimpernel, and Succory
wihftanding ic is made only out of the Sale of | of each two drams and half ; the Herb ‘Maiden-
Woods, and of unflaked Lime, What wonder is ic
fhould effect fomewhat |ike unto the for- mer,
Of all chofe that have been affected with the Scorbutick Gangrene ( of whom I made mention before) no one ever recovered, befides chat Citi- zen, thac was taken with a Gangrene in the little
Finger of his left Haod; he bimfelf being (as 1
{aw good caufe to judg of him’) a Scorburick per- fon. Now the Medicaments by which he was cu- red are thefe thac follow.
Take of the Apoplettich Water, and the Spirtt
\bair, Agrimony, Harts Tongue, Germander, — therefore, that ome humor of the fame Nature, | of each balf a bandful; Anife feed, Colume | falc, fharp, and malignant,being now feparated, & bines, of each two drams ; Borrage, and Bug- || acting a parc by ic felf from che reff, by the which | lof flowers, of each balf a pugils boylthemin a i it was tempered and qualified (as “Hippocrates ‘fufficient quantity of Water, tels us in bis Book of the Ancient Phyfick )s umto the {training add of the
unto balf a pint: : whitelt Sugar tooo | ounces ; and again let them boyl up once or toice; and make hereof aliquid Syrup % unto which ad | of Cinamom water balf an ounce, ' them.
| Take the Trochifques of Capars, and of | ‘Rbeubarb, of each one fcruple and balf ; Bx- | tratt of Womvoood,and Gentian,of eacl) one{crig- ples Oyl of Cinnamom two drops ; make Pils. Take Trochifques of Rbeubarb. Capars, Lac- Ca, of each two fcruples 5 Extratt of Wormwood, | and Gentian, of each one fcruple; of Spleen-wort
of Funiper berries, of each two ounces the Spt- as much as wil fuffice; and make Pills hereof.
rit of Wormwood, and of Cherries, of each half | anounce, Sage water, and Lavender water, of |
each one ounce; “Mingle them. This Wacer was oftentimes prepared ; wich the which che affe€ted part was. wafhed, or elfe Li-
Take Pills of Tartar with Scammony, and of | Rbeubarb, of each one fcruple ; Extratt of the | Pils Ageregative balf a feruple, Oyl of Cloves
\one drop; with Betony water make Pils. | Take the Elixir of propriety, with the Fuyce,
nen Cloaths moiftened therein were laid upon che | one dram; Effent Cochlear. two drams, of Geir»
art. Take Conferve Cochlear.two ounces and balf, of Betony and Sage, of each one ounce and balf ; of the temperate Cordial Species, and pleres ar- chont. of each one fcruple,; Rob. of Juniper two drams, Syrup of Betony one ounce, Make an E- lettuary. Take Confer. Cochlear. three ounces, of Sage two ounces, Species Dyaxyloaloes one dram, the
Candid Rinds of Citron balf an ounce, Rob. \ft
Juniper, tvoo drams;, withthe Syrup of Betony make an Elettuary.
Take Oyl of Funtper berries one ounce, Oyl of Earthworms two ouncet, Oyl of Flowerdeluce, one ounce ; ‘Mingle them,
Take the Effence ofe Carduus Benedtttus, and of Wormwood, of eacbtwodrams 3 Coch- bear. balf an ounce, the Elixir of propriety one dram, the Spirit of Water Creffes one fcruple; iningle them.
Take of Fennel root, and Afparagus root, of
(
mander, Spleenwort, and Wormvoood, of each one dram, and mingle, ec.
Take Lawrel leaves, Betony, Sage, and Mar- joram, of each two handfuls, to wafh the Hand voitball.
Take Trochifques of Rbeubarb, and Capars of each one fcruple, Extratt of Succory balf a dram, Centaurytbe lef, and Carduus Benedi- thus, of each balf a fcruple; Make Pills forty we.
Take Leaves of Betony, Bay leaves, Marjo- |
ram, Sage, Rofemary, of each two handfuls
Flowers of Elder and Lavender, of each oné |
q q . ) |
handful, Stecbados of Acabia balf an ounce; boyltbem in Wine to foment the Hand theres pith.
Take of the Nerve Emplafter three ouncet, deftilled Oylof Sage onefcruple, of Marjoram balf a fcruple; “Mingletbem, and make an Ente
lafter.
Take the Elixir of propriety two {cruples, Bf-
fente