Book V.

Of Praétical Phyfick.
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fidesthruft through the Lips of the Wound fomany Needles drawing Threads as they choughe neceflary for the Conjunction of the Wound; and then after this above the Wound they woon’da Thread about both ends of the Needle 5 inthe very fame manner as Women (when they intendto keep their Needles in the Garments they are making) row] together their Threads about both the ends thereof.
As touching the binding up of wounds, this is likewife to be obferved 3 that we make an exact enquiry, whether che Wound bea fim-
le or fingle one, or elfe whether it be redu-
licated, and manifold. For itfomtimes fo
appeneth, that alchough chere be but one W ound in che Skin, yet notwithffanding in the Mufcles under the Skin there are two or three. For if this fhould fo chance, and chat the Chirurgeon fhould Cure only one of the Wounds, and altogether neglect the other that liech hid, then will Pus get cogether in chat other wound, and there caufe great pain, Inflammation, Feaver, and other grievous Symptoms. Ofthe truth of which Gulelm. Babricius (in his 4. Cant. Obfervat. 84. and 85.) giveth us two temarkable Hi- ftories. Where helikewife teachech us, chat the hollow nook that lieth hid may be ope- ned 3 and there he alfo defcribeth, and plain- ly delineatech unto our view thofe Inftrnu- ments that are fic and requilite for this pur- pofe.
Chap. 8. . Of thofe Medicaments tbat are neceffary for the Curing of VV ounds.
A Nd thefe are the offices of the Chirurge- % on; which he ought to perform in and about the Curing of Wounds; but the very uniting and fodering togerher of the woun~ ded ‘parts isthe Work and Task of Nature ; which oftentimes likewife, wichouc any help from Medicaments, Cand this efpecially-hap- peneth in inward Wounds). agglutinatech chofethings that ate disjoyned. “And there- fore, fincerhat Nature isthe Efficient Caufe of Conglutination, ‘and’ Blood the matcer thereof, it is neceffary that ,thefe two be rightly difpofed, and inaduetemper. For firft of all; the truch is, fince chat the faculty as not indeed hurt init felf; ana yec norwith- ftanding may be fruftrated of itsend, unlefs che inftrument ( whichhere 1s the rempere ament of the parc, andcheinnate hear) be as itOught 5 therefore we areco cake care chat the wounded part’ have its due and fiavarad| temper. And moreover (in the next place,) our endeavour muft be that the Blood that; floweth chereto exceed not its juft quantity, |
ieee be lefs thei whatit ought’;"and like- wife chacit be’ goodand ‘pure. For the viti. ous and bad Blood that floweth thereto’ is to far from being fit toConglutinate, that of-
cencimes it exciteth many dangerous Symp-- if!
coms. Andtherefore ifitbe impure it isto be corrected, andthe vitious Humors all of them to be evacuated: And chere is alfova due and right Courfe of Diet to be inftituced; and all fort of meatsto be avoided that aft ford a naughty and unwholfome Juyce, from which the Blood that is generated muft needs be vitious. When we ‘have thus taken care linthefe things, then afterward inthe cu
sry te sah?
‘ofthe Wound there are allotwo ‘Offices of
|Nacure. The firff whereofis, that rhe Pus {fhe generatech be ina due proportion; and | Secondly, That fhe Conglurinate thoté parts thar aredisjoyned. For fiftofal, Candal- though that Galen make no expre{s mention thereof, whiles that hetreateth of the curing of Wounds in the generals yet’ Rbafes in his 13. B. and 14: Chap. and Avicenin his 4 Sett. and 4B. Tratt. 3. Chap. 2. and Celfys am his 5B. Chap.26. tel us, that)thereis a certain
Ulcer fo foon as ic once begins to give'an
hopes of recovery 3 and therefore this Py muft in the firft place be furthered in irs mo- tion,and that then the Ulcer is to be Cleanfed anid filledup, andac length afterchis is done
And happy experience hath indeed approved of that kind of curing 5 ments that are for this end applied are com- monly called Digeftives. Neicher is: this without Reafon. For whenas even out of
this fticking in the pores of the parc, and ic i being fothac ic cannoc be carried. unto the | pare whither ittendeth, ic is by Nature con- verted into Pus. And furthermore the very ; wounding it felf hath Joyned wich ic fome kind of Contufion, and the pare diffedcted ts altered by the Ambient Air. And therefore
ee saccadic canna A
there is a‘neceflicy chat what.is altered thoud
inijpoftumate, and be rutmed into Pys.) “And therefore inthis’ the Phyfitian ought to fue-
cour Nature, and to adminifter thofe Mediea- |] ments thac help forward that generating of |
Pius (thefe Medicaments they commonly: cal Digeftives) ‘and afterwards cto apply Sarco- ticks, or fuchas Agglucinate. Buc herenotm wichftanding Authors feema lictle co differ intheir practife. For fome of them (the faid Digeftives and Suppuratives being wholly neglefted) prefently adminifter thofe Medi- caments that dry much, ctowit, Balfams, ei-
ther
Pus or Purulent matter flowing forch of the |
the wound isto be clofed up with a Cicatrice. J
and thoie Medica= J
the imalleft Veins (when they are cut effun- jj der) inthe wounded part there floweth forth jj fome of chat Blood chac by Nature is defti-_ J ned to flow unto the part,for its nourifhment, mn:
yet MF id otD0 Bm (lice's pi WB ycts ot sat i ki wit) al
im terol Bb ill bo Bp ve take Bi ynto thet B ycinall 4 weary B veut bl! rience ha B yaicsot 1 yncotis€
severthel Medica | aay kind For in i} ments fo Hy soitt, if j overlong got only BP andche | Mllleer, | 1 both of Ci jog of fe i
More ¢ ey May Att; log | MWard | "puue Q'y, y talon
nd lib
ACU Carell
ae hill lis 4 ot is in bis a certainl h ofthe i give ate this Tu NS Mo Cleanledl 19 done Cicattice approved
: Medic are | 18 thi D out-of ut aflun
ach fortlh
ra cil (ure
full rhe vel i Va}
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—_—
Mf) Chap. 8. Of thofe Medicaments that ar e ntceffary for the Curing of Wounds.
|. cher Nacural or Artificial (of which we fhm}
fpeak more hereafter _) withche which they Boch anoint che wound al over, and inftill ic likewife unto the very bottom of the wound, and by Tents alfo impofe \ituponthe fame. Orhers there are that inthe firlt place make ufe of chofe Medicaments that furcher & help onthe Pus, whichthey call Digeftives. And Hippocrates himfelf feemeth to have appro- ved of boch thefe wayes, when ( in his Book of Ulcers ) he thus writeth. Al the newer Wounds (faith be) as well themfelves, as the parts fituate round about them, are but little or not at all infefted with an inflammation if they bewith alf{peed {uppurated, andif thatthe pus
of the wound be no waizs fuppreffed by fome | further the purulenc mattier, of the alll fmall bone, as being intercepted thereby : or if | yelks of Eggs, Butter, Oyl of Rofesy ' pyc.
we take care to prevent that nothing may come unto the pus but whatis neceffary, and tbatin asfmalla quantity as poffibly maybe , but thar wedryit asmuchas may be with a Medica- ment that is not at altroublefome. And expe- rience hath caughe us, that in both chefe waies of curing che Chirurgeon hath attained untohisend, and whathedefired. And yet nieverchelefs, icfeemeth ner that both thefe Medicaments arero be made ule of wicthouc any kind of difference.
For in regard thatthofe Digeftive Medica- mentsfo commonly madeufe of are more
moift, ifthey be withouc greac caution and} yelk of oneEeg;, And mingle them.
overlong adminiftred, che matter beginneth
| ticks and thofe thac Agglutinate 3 fince that
experience teltifieth chac fuch are ufed with far better fuccefs then meer Suppuratives 3; as Francifius Arceus writeth that wich his Balfam oc Unguene ( which we-fhallanon acquaint youwith) applied forthwith in che | very beginning, he himfelf moft happily cu- |red the greateft and moft grievous Wounds; the ufe whereofI my felt have likewifle very often experienced: with very happy fuc- icefs. . And therefore I will now tubjoyn 'fuch Digeftives, which are not meer Sup- puratives.
There may then be provided | Digefives,
Digeftive Medicaments, or fuch as | % fbae things that
1 fursber the
Oyk of ‘Maftich, Rofin of the Lur- |
pentine or Fir-Tree,| Wheat flour, Frankin-
cenfe, and Maflick. As,
Take Turpentine wafhed in white Wine, tro ounces 5 the yelk of one Egg 3 Barley Meal, and Honey, of each a fufficient quantity: And make an Unguenr. Or, |
Take Turpentine wafhed in Wine,May But- ter unfalted, of each one ounce; ‘Frankincen{é and ‘“Majtich, of each a like fufficient quantity. Mingle them... Ox, |
Take Turpentine, balf anounce; Frankin- | cenfe, onedram 3 frefb Butter, one ounce; the Or, Take Citrine Wax, onz ounce; Oyl, four
not only to be digeited, but alfoto putrefy;| ounces 3 Frankincenfe and ‘Maftick, of each andthe Wound degenerateth into a fordid| two drams 3 frefb Butter as much as will fuffiee,
Ulcer. boch of Concodtion, andalfo of che generat-
ing of flefh the native heat and the temper | tive, one ounce 3
of the parc ( Natures! inftruments ) are tobe preferved; and we muft ¢ndeavor that the medicaments may an{wer unco. the cempera- ment ofthe part.. And therefore although
For fecirig chac Nature isthe author | the yelks of two Eggs: Minglethem, Or,
Take Oyl of Rofes, balf anounce, Turpen- the yelk of one Beg; And
i mingle chem. So foon.as ever there is any appearance of
that we Conglutinate chat which is wounded
| good ‘Pus, the nexc thing we are todo, is,
w | aE S ni %1 4 j
place inthofe partsthat are flefhy, as being |
thacche former way. of curing may have its | and disjoyned,
Now we are caught by Galen(in | fuch asare more moift,; andin which there is }the or. Chap. of his Art of bealing; Pane iet much‘ofthe blood that is so be turned inco!and in the 3.8. of his Meth. of } pow taufed. pus fticking in the$pores of the part, which ;Poyfichs Chap. 4.) thacche Union} ~~ | (that fo the painand the inflammation may lof the Parts disjoyned in Wounds is Wrought be prevented) ought as {oon as may be tobe jin atwofold manner; CO wit, either by a true converted into pus;“which work of Nature}Union, which is by a Medium of the fame thofe drier kind of Médicaments might more | kind, and not by the intervening of any other eafily hinder yec in the pares chac are|fubftance; or elle by a‘Medium of a differ- more dry chofe drier Medicaments feentto ent fubftance,, The former Union they cala be more commodious and proper; which as; Union according to the firft Intention; be- they may preierve che temperament.of the, caute that fuch a Union is intended both by parc; fothey chemfelves may likewife help, thePhyfitian,and alfo by Nature her felf. The forward the neceflary generation of the Pus, other they cerm.a Union according to the Se- or purulent matter. And therefore the fafeft) cond incention 3 becaule that both che Phy-
The tenion
ier | _ way is, not alwaies to confide in one Medica-. tician, and Nature, when they cannot atcain
ment alone, but rather to compound chem! unco what they primarily intend; they then accordingtothe Nature and temper, of the| do what they can, /
pat 7 andto mingle Digeftives with $ arao-| lis
i ‘oh
q fi - i
i OT =
reer TRE oe A
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Sree =
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bones, andthe Skin; ‘of which chofe are uni- ced by aCallus, but thefe by a Cicatrice. Unto che former Union is required a fub- ftance of the fame kind, and a ftrong Active faculty ; which in che other are wanting. For inthe Flefhy and fofc. parts there is prefent abundance of Blood; andinthefethe heat is ftrong; and thereupon the Blood by avery {mal altéracton may be changed into Flefh,
whereby the wound may grow together. Lut in chofe parts chac we call fpermatick,amd the | harder parts, (the Nature of which parts be-|
ing at a far greater diftance from blood, and the Native heat of thefe parts being mich weaker) iris not the very fame that is gener- ated anew, but fome ching tke theneunto. For inftead of a Skin chere is bred a Creatrice (moft like indeeduntothe Skin, buc harder and thicker then it) and inftead of a bone there isa Callus produced. And this diftin- ion of Galen(as being that which is general- ly and commonly received) Imy felf have likewife followed (in the § B. of my Inftitut.