Chapter 98
II. They in like manner reject the Ancient
Way and Method:of:Curing Wounds; as drawn thereunto -both by experience and Reafon. ‘Experience indeed, becaufe that Cas is faid before) under the Ancient way: of | Cure fewer Pacients, and with far more dif ficulty, do recover of their Wounds, then under their new way. And as forthe Rea- fons they alleadg, they are thefe.
The Firftis chis, becaufe | The Reafons moving | chat under the ordinary and |
Magatus and. Septs- : | lias ca rejelt the An- woured way of curing, the
cient way of ‘Curing Wounds.
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; unto the Ambient Air; and
Of Praétical: Phyfick, »:.
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i by icthe Warural heat cher-
and thaethereugon che partis rendered che more apc and Obnoxious unto a reception of the Affux of Humors; and the Concoétion thereinis lefshappily perfected; and fo there are generated greater ftore.of Excrements, that in cime ‘prove a great impediment unto Nature: in her work.
Secondly, They fay, that from this fre- quencunbinding and loofening of the wound, the handling thereof, and the moving of the parc, the cleanfing thereof, and the laying on ofnew Medicaments, and by means like- wife of che new binding up, a pain is often- times excited, which they fay may very well be checaufe of a Fluxion. For it can no Waiesbe, (faith Cefar Magatus, inhis 1.B. and 32¢ Chap.) but that, while we handle the | part, there will be fome pain. excited; and indeed the greater by how much the greater the Wound is, and) the pare wherein te is en- dued with an exquilite fenfe. For we are forced.in the opening of the Wound, andthe new binding it up again, co move the pare from its former Scituation. Wetake away the Medicaments, we cleanfeand wipe away the Pus, we ivpofe new Medicaments, and then we binde upthe W ound. again: al which | operations cannot. poffibly be. performed without pain.
Thirdly, They object, that ifthe Wound | be too. often opened. and uncovered there will then Exhale much of the heat and Spirits, ty
Fourthly, and Jaft of all, That Nacure.al- fo as often as the Wound is loof{ned and aneovered, fo often is fhe. difturbed, and d ftraéted from her, proper work and office.
| driven quite forth of the W ound by the a
Part.L¥.
Il 1. Cefar Magatuss On, Bs his x. B. and firft Chap.) and], Mess be conf ‘ ie $ if J€ Realany Ludovicus Septalius, (in the } of the Ancients, for
1.B.of his Phyfical Animad- t their often uncoves
werfions) after: this manner ving-0f Viounds.
endeavour to infringe thofe,? caufesiand Reafons, for! which it feemed ne. cefflary ynto theAncients,and at this day doth feem altogether needful. and requifire, chat W ounds fhould often be uncovered, and new Medicaments impofedand;laid on,
And firft of all, chishis brought foracom-
mon and received opinion, .thac in hollow ’
wounds thereis evermore generated a. double kind of Excrements,,.. chick, and chin 5 as ic appearethfrom-Galen, his\.3.B. of the Meth. of Guring and 9. Chap.,aud that therefore we are alwaies-f{o to reckon, that it ought to be throughly, dried up, and wiped away 3, and
{| wounded part is expofed | that therefore the Wound is daily to.be ope-
ned, that fo,the Pus may be cleanfed away; and new, Medicaments applied. ‘For thofe chat were at,firft laid on cannot long keep entire their firength and virtues, in regard chat they are diffolved by the heat of the part and alfo corrupted by the mingling of the Excrements.,, But, if- che Excremencs be noe throughly driedup, and. purged forth, being reteined in the W ound:they hinder the gener- ating of Flefh, and che conglutinationofthe W ound ;..and.become \,.kewife more fharp and Corrofive; Yea further, they often ac- quire a putridnefs, from whence may proceed Pains, Inflammations, Impoftumations , Worms, and Gangrenes.
The Anfwers.
Now unto this chey thus Anfwer ;. firft of all, that chereisno great danger threatened from the Pus; fince that there is no neceflity chat there fhould be any great ftore thereof bred in Wounds, but then only when by Reafon of the frequent uncovering of chem the Native heat is debilitated. Neither is there any need (fay they) that thefe Excre- ments fhould beconfumed by theimpofing of various Medicaments ; feeing that the Wounds of che inrernai parts, the Liver, the Lungs, the Tongue,.and other parts, (in which we cannot poffibly cometo apply Tents, or Li-
niments {pread over with unguents) they are
yet neverthelefs healed by Nature. And al- beit, (asCafar Magains writes, in his 1. B. and, 44. Chap.) itmay be admitted, that two Excrements (to wit, a chick, anda chin) may be generated in the Wound; yet never- thetefs he thinks northis a fufficient Reafon why the wound fhould be often uncovered. For the thin Excrement may partly be dige- fted by infentible exhalation; and partly
_ yp yep jl yi ) iit! tt aid by Ne ie fats on yent UNC phys int iB aul 0 Bia Wo B crete Both by B he clean § Hands B Aufoe | Chap 4 4 tha § Wound i by exhal 4 expelled O(nrait Bred; anc ee p Thicdl d dingco th covered, Hate anc b different 0 f
f
A cfal, Sup Bien Abt Hits (a | away ly | tuch as pr By tat chey
“h Med tften toh 4
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ofthe wo
A tiy bead H Aner | (i bis, igve an qkclay Bistew y i ithe Ey, ited y 9). Cyp, Butte wt 9 Micient Ba Cover | : iN) ch ms} ad 8 Wou
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shi tay, ER -
THE Red Mens fy) U8 hen Yoni a A |
Med ne
iy doi | s thal iD pep i Tacoma hollow doubles Ls aig be Mah
Lote wy Ntto be| ay 5, and De ces davay, i or thole ng keen i : rt 5 hepart Of the| sbe no il pen | |
gene. ofthe ft ie harp fren ac. am proceed ations, : A cho carened |
ecellity i
theteot |
nich "| ole | hey Andal ea nace |
thi) I pevel” ‘eal0l I vere |
| Chap. 9-
Beas Magatus and Septalius their way of Curing Wounds.
and that afcer in procefs of time ic is confoun- | that it maketh no great matter, what qua liry | fhal be adjoyned unto this corpulency ; efpe-
Excrements that cannot poflibly be purged forth by any Medicaments 5 but they areco be cleanfed away by che operation of the Hand.
Anfwer. But now Cafar Magatus Cin his 44. Chap.) deniech this ; and there determin- eth, char the Excrements that are bred ina Wound may partly be infenfibly digefted by exhalation,and partly by Nature fenfibly expelled by. the Wound, whenthere is pre- fent a fic afflux, and this no waies hinde- red, and detained in the Cavicy of che W ound.
all hollow Wounds chat are curable may
W ounds are'to be cured with che drier Medi- : caments; as Galentelsus, inthe third B. of Thirdly, Wounds are therefore (accor-| his Method, and3.Chap. . dingto the common opinion) often tobeun-| Anfwer. Bucuncothis Cefar Maeains, and covered, that fo according to the various} Ludovicus Septalius give this Anfwer, that for State and conditions of them various and|the caufe aforefaid thereis no.need at all of different Medicaments may be impoted ; firft | this frequent uncovering of the wound, fee- of al, Suppurating or Digeftive Medicaments, | ing chat. in chis new way of curing the care of
then Abfterfive, afcer chat fuch as generace hehe Exctements is notto,be committed, unto fleth; (and fonitimes likewife fuch as take |Medicaments, but unto Nature, and thena-
away fuperfluous. and-proud fleth and laftly,|turalheat; and our ftudy muft be only how
duch as produce a Cicatrice. . Al which feeing | co cherifh chis Native heac. Bifthly, And for this caufe alfo the more
that they.cannoc pollibly be effected by one only Medicament, therefore the W ound is ) often uncovering of the-wound feemeth to be often to be opened, that fo unto every ftate(neceflary, that the ftate of the wound may of che wound fit and convenient Medicamencs | be known; and that the Symptoms thatare
| | | Lungs | | | | | |
i]
|
¢ diet H |
aye ; pett |
| ai : |
may be adminiliced,
.. Anfwer. Unto which Argument Magatus (in his 1. B. aud 44. Chap.) endeavourech to give an Anfwer; to wit, chat chisis indeed neceffary inthe old way of curing, but not in hisnew way; as being {uch in which the care of the Excrements is for the moft part com- mitced unto Nature her felf: and in his 37. Chap. he writeth that he is wont co com- mitthe whole workro Nature; andthatic is fufficient, thatthe Medicament ferve inftead ofacovering, and difcharge the Office there- of, by cherifhing and defending the Natura] heat; and that chefame Medicament may. in all Wounds undergo the Nature of a cove- ring,and ferve infteadthereof. Andhe faith that he himfelf hath obferved, that Wounds have been {uppurated, throughly purged,and filled.up with flefh, by the help only ofthe Ordinary and common Digeftive. Now he thinketh chat the Medicaments cannot: per- fowu this any other waies then by their cor-
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wont here to. happen may the betcex:be pre- vented; andthofe things of which Hippocra- tes Maketh, mention, 1. Preditt. Text 18. §,Apbor. 65,6657. 6 Apbor. 4. may be fufi- ciently known. ;
Anfwer. Unto which they Anfwer, chat al thofe things may be known fome other way, and by other means; as.namely, fromthe itching, che heat, che {mel thac comes from it, the beating pain, the terrible Feaver, heavinefs inthe parc, andthe like: andthat evermore,the Eyes of the minde are fharper
}
te
fighted and fee more cleerly then the Eyes of
our Body. sixthly, And for this caufe likewife che wound feemeth to require frequent opening, that fothe Swaths and lictle Pillows, and the Linen clothes laid thereon may be wip- ed and made clean: which Hippocrates (in his B. of the Office of the Phyfitian, Seth. 2.) and Galen (in his Commentary.) do both of them ftrid@tly enjoyn 5 invegard hac che filth XxX 7 and
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Of Prattical Physick.
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